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Home My WebLink AboutPR13-12380 0 m C 0 w LL } LL LL CIL C LL a LL LL F - Cr Cr LL 4 U11�IOSD:U1R i CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY &DEVELOPMENT SERVICES 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax (909) 861-3117 'Bdilding Inspection Hotline (909) 839-7027 ESS BUILDING PERMIT APPLICATION JOBSITE ADDRESS 2H Z 16 N/GN kilju3 2.3) APN LOT TRACT OWNER ni/a-C-f KOLL&'I ADDRESS 2'1216 141t, u k'jJ3 27 CITY DAX MONO BAR_ ZIP x(1765 TEL.904 '319-7-477 APPLICANT pAMZA.N _ZA( Ova TEL.9Sl 30-:)768 2768 CONTRACTOR 5JLrA1'_A-MAX ADDRESS 3062 /7-1" S CITY 721vG25NDe ZIP 91;27 TEL.CIS/ loo -0766 ARCWENG/ DESIGNER ADDRESS CITY ZIP TEL. OWNER -BUILDER DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS LI- CENSE LAW FOR THE FOLLOWING REASON (SEC. 7031.5 BUSINESS AND PROFESSIONS CODE: ANY CITY OR COUNTY WHICH REQUIRESA PERMITTO CONSTRUCT, ALTER. IMPROVE. DEMOLISH, OR REPAIR ANY STRUG TORE. PRIOR TO ITS ISSUANCE, ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- CENSE LAW (CHAPTER a ICOMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PRO- FESSIONS CODE) OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION. ANY VIOLATION OF SECTION 7031.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS ($500).): ❑ 1, AS OWNER OF THE PROPERTY, OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, WILL DO THE WORK. AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSI. NESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR THROUGH HIS OR HER OWN EMPLOYEES, PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR OFFERED FOR SALE IF, HOWEVER THE BUILDING OR IMPROVEMENT IS SOLD WITHIN ONE YEAR OFCOMPLE. TION, THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR IMPROVE FOR THE PURPOSE OF SALE). ❑ I, AS OWNER OF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE: THE CONTRACTORS U - CENSE LAW DOES NOTAPPLY TO AN OWNER OFA PROPERTY WHO BUILDS OR IMPROVES THEREON. AND WHO CONTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S) LICENSED PURSUANT TO THE CONTRAO Tons LICENSE LAW.). ❑ 1 AM EXEMPT UNDER SEC. B. 8 P.C. FOR THIS REASON DATE OWNER._ LICENSED CONTRACTORS DECLARATION I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER 9 (COMMENCING WITH SECTION 7DOO) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND MY LICENSE IS IN FULL FORCE AND EFFECT. u LICENSE CLASS C - /-/ 6 Up -f C. NO. I / 2- O I DATE /w CONTRACTOR - WORKERS' COMPENSATION DECLARATION 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR YORKERS• COMPENSATION, AS PROVIDED BY SECTION 3700 OF THE LABOR CODE- FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. —0--I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE. AS REQUIRED BY SECTION 3700 OF THE LABOR CODE, FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT Is ISSUED. MY WORKER�\S' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CARRIER /' C{/ � Z- AL.. 11 / N f r (✓ POLICY NUMBER 7/ 7 Z J 6 C Pi (THIS SECTION NEED NOT BE CO FlETEDOFTHE PERMIT IS FOR ONE HUNDRED COLLARS ($100) OR LESS) 1 CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, 1 SHALL NOT EMPLOY ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE WORKERS' COMPENSATION LAWS OF CALIFORNIA AND AGREE THAT IF I SHOULD BECOME SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 3700 OF THE LABOR CODE, 1 HALL RTHWITH COMPLY WITH THOSE PROVISION DATE: 6 /3 APPLICANT: WARNING: FAILURE TO SECURE WORKERS- rompeNgffION COVERAGE IS UNLAWFUL. AND SHALL BE SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. CONSTRUCTION LENDING AGENCY I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS ACONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 3097, CIV. C.). i LENDER'S NAME LENDER'S ADDRESS i I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT 1 AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING CONSTRUCTION, AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES. kA- M -Z-4,14 SAc,Q1)ES. PERMITTEE NAME (PRIN ) ��SIGNATUR RMITTE ATE 7 FIRMLY APPLICATION ii ` PERMIT P/C DATE 1 �3 1�3 NUMBER # DiG ISSUE TYPE OCC DATE 1 l 13 CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ PROPOSED USEY 3; 'Av W ZD S. _L k^ Dt S0I A L /NSTI.LL - /6 PV pA. NE LS �– MSP L/Pk,n-A-P, 7c Z -IOD A NO. DWEL. NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SQ. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM U) Garage/Carport W Patio/Deck LL Pool/Spa Z Re -Roof Commercial In Valuation 15, G 00 ADJ.AREA QUANTITY DESCRIPTION FEE MA)r S6j'�Jlc (; 2oO A U U 0 W w (7 Z_ m J a Q U_ Z Q S U W CONSTRUCTION PLAN REVIEW "cis • O�zz. ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCEQI S4 SMTP ENERGY P/C ENERGY PERMIT RETENTION FEE: 3� PRE -ALT FEE: TOTAL FEESo COMMENTS RECPT. NO. jdJS 4-� PAID BY arc. VALIDATION WHITE—Department Copy, YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN—Applicant's Copy CITY OF DIAMOND SAR HqSPECTION RECORD - - - - - - - - - ...... Ov "MU&M SET B"" FLOOR JOIST to S F �FHA REQ [01' ----------- - �_j R R UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT I SLAB GRADE i I � F�IRP ACE FOUNDATION TEMP POWER, 1 FIREPLACE BOND BEAM WATER SERVICE__[IV11D HT. BOND BEAM 18 FT BOND BEAM ROOF SHEATHING FRAMING/VENTILATIONFINAL OND BEANI B fvl ROOF COVER PRE -GRADING ROUGH HEATINGBENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWERJUBTEST POOL ELECTRIC EXT. LATH/SIDING I POOL FENCING WALL INSULATION j POOL FINAL CEILING INSULATION OFF siTE IMPS. DRYWALL NAILING i I DEDICATIONS SEWER FINAL ENG. SEPTIC TANK-- LANDSCAPEARRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINALE09��. SeLAC -7 143 FIRE DEPT FINAL I FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC I 9 13 KJ I DEV. FEES PAID FINAL PLUMBING ENERGY FINAL PLANING FINAL ENGINEERING COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE