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Home My WebLink About12-1130 ,t CITY OF DIAMOND BAR � ��j�� a�" � � ��--- "�" � `— DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �ZZ �� . � . � �,w . 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS "�^'` BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE /_ APPLICATION PERMIT �//I D p/C �� ADDRESS Y� DATE � II1 NUMBE� ,J � la 113� � issuE TVPE occ APN LOT TRACT DATE ONST. GROUP p OWNER � ADDRESS ZC/I C� Z�A �_� ZONING SETBACKS � FRONT qyy p z CITY � ZIP T L. o APPLI NT T�f� TEL. REAR p Z SIDE/SIDE STREET RW ❑ � CONTRACTO SIDE p � ADDRESS PROPOSED USE iJ � CI7Y ZIP TEL. o ARCH/ENG/ z DESIGNER w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION � SFR/ADD/REM � d 0 I HEREBV AFFIRM UNDER PENAITY OF PERJURV THAT I AM EXEMPT FROM THE CONTRACTORS LI- GdfB JB/CBfpOR W CENSE UW FOR THE FOLLOWING REASON(SEC.7o31.5 BUSINESSAND PROFESSIONS CADE:PNV CITV OR (n U CpU11ryWHICHRE�UIRESAPEHMI77000N5TRUC7,ALTER,IMPROVE,DEMOIISH,ORREPAIRANYSTRUG � W NRE,PRIOR TO ITS ISSUANCE:ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck STATEMENT THAT HE OR SHE IS LICENSEO PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� � CENSE LAW(CHAPTER B(COMMENCING WI7H SECTION 7000)OF DIVISION 3 OF 7HE BUSINESS AND PRO- � POOUSpO , O FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEAL�EGEDEXEMP- (� V 710N.ANYVIOLATIONOFSECTION7031.5BVANVAPPLICANTFORAPERMITSUBJECTSTHEAPPLICANTTO Z RB-ROO( � A CIVIL PENALTV OF NO7 MORE THAN FIVE HUNDRED DOLLARS(SSoo).): Z ❑I,ASOWNEROF7HEPROPERTV,ORMYEMPLOVEESWITHWAGESASTHEIRSOLECAMPENSATION, � COrtIrtl8fCl01 WIIL DO THE WORK,AND THE STRUCTURE IS NOT IN7ENDED OR OFFERED FOR SAIE(SEC.70��,8U51- J N NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF � PROPERTY WHO BUILDS OR IMPROVES THEREON,AND NhiO DOES SUCM WORN HIMSELF OR HERSELF Oq � THROUGH MIS OR HER ONM EMPLOVEES,PROVIDED THAT SUCH IMPROVEMEN7S ARE NOT INTENDED OR m - w OFFEREDFORSPLEIF,HOWEVER7HEBUILOINGORIMPROVEMENTISSOLDWITHINONEYEAqOFCOMPLE- 0 TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR Z IMPROVE FOR THE PURPOSE OF SALE). _ ❑I,ASOWNEROFTHEPROPER7Y,AMEXCLUSIVELVCONTMCTINGWITHLICENSEDCON7RACTORS W [[ TO CANSTRUCT THE PR0.IECT(SEC.701�,BUSINESS AND PROFESSIONS CODE:THE CANTRACTOFS LI- VBIUa}IOfI ADJ.AREA W CENSE UW DOES NO7APPLY 70 AN ONMER OF A PROPERN WHO BUILDS OR IMPAOVES 7HEREON,AND � WHOCANTRACTSFORSUCHPROJECTSWITHACANTMCTOR(S)LICENSEDPURSUANTTOTHECANTRAC- QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.�. � � ❑I AM E%EMPT UNDER SEC. B.6 P.C.FOR THIS REASON Q � U � � DATE OWNER � Z w � LICENSED CONTRACTORS DECLARATION w � I HEtiEBY AFFIRM UNDEH PENALTV OF PERJURV THAT I AM LICENSED UNDEH PROVISIONS OF CHAPTER � � B(COMMENCINGWITHSECTION7000)OFDIVISION30f7HEBU5INESSANDPROFESSIONSCODE,AND Z �� MY LICENSE IS IN FULL FORCE AND EFFECT. � m � LICENSE CLASS I.IC.NO. l� � j V OATE CONTRACTOR d W � WORKERS'COMPENSATION DECLA ATION Q NI HEREBV AFFIRM UNDER FENAL7Y OF PERJURV ONE OF THE FOLLOW�NG DECURATIONS: Z ZIHAVEANDWILLMAMTAINACERTIFICATEOFCONSENTTOSELF�INSUREFORWORKERS' _ Q CAMPENSATION,AS PROVIDED BV SECTION 37000F THE LABOR CODE,FOHTHE PERFORMANCE W Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � Qw _I HAVE AND WILL MAMTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BV SECTION " 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS � ISSUED.MVWORKERS' MPENSATIONINSU NCECARRIERANDPOLICYNUMBERARE: CONSTRUCTION �S\. �� Q PLAN REVIEW l v�l�, a✓'� � CAiiRIER Z POLICV NUMBER Q ELECTRIC Q � (iHISSEC�qNNE�NOTBECOMR.FfEDOF7FIEPEPMfTISFORONEFM11t�DREDOCLLARS(f10D)ORLESS). PLUMBING W Z I CEHTIFY THAT IN THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUEO,I MECHANICAL C7 SHALL NOT EMPLOY ANV PERSON IN ANV MANNER SO AS TO BECOME SUBJECT TO THE �ry WORKERS'COMPENSATION UWS OF CAUFORNIA,AND GR THAT IF I SHOULD BECOME INSPECTION FEE � SU&IEC��RKERS'CAMPENSATION PROVIS� N 770o OF THE IABOR � CODE.I A ORTHWITHCOMPLYWITHTHOS" S. ISSUANCE _ � � v SMIP ,� p DATE: APPLICANT: J WARNING:FAILURE TO SECUFE WORKERS'COMP SATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C � SU&lEC7 AN EMPLOVEF 70 CRIMINAL PENALTIESAND CIVIL FINES UP 700NE HUNDRED THOUSAND ENERGY PERMIT DOLLARS(f100,0a0�,IN ADDITION TO THE COST OF COM�ENSATION,DAMAGES AS PROVIDED FOR IN � SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. RETENTION FEE: �� a CONSTRUCTION LENDING AGENCY �E-!�T F� ` � � O � � I HEREBV AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCV FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3oe7,CIV.C.). �r'� Z W � LENDER'S NAA/E F— LENDEH'SADDRESS ,� TOTAL FEES ��a • '-�ci `9 3,31 � I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CAHRECT. � I AGREE TO COMPIV WITH ALL CITV AND COUNTV ORDINANCES AND STATE LAWS REIATING TO BUILDING � CONSTRUCTION,AND HEREBV AU7HOFIZE REPRESENTATIVES OF 7HIS UNTV 70 ENTER UPON 7HE . Z ABOVE�MENTIONED PR07ERTY FOR INSPECTION PURPOSES. COMMENTS � �� m PEfiMITTEE NA � ' � �i c �a s�l� ./�-��a s �rr, � � si ATUR F P MITfEE ArE RECPT.N0. ZZ?/ PAID BY � VALIDATION 2 ~ WHITE—De artment Co YELLOW—Finance Co PINK—Assessor Co GOLDENRO�File Co GAEEN— P PY, DY, PX PY. ApPlicant's CoPY C��V OIF �8�6Vi�l�� ff� 6V�SI�f��00� �[��8� � - oa�pc��400a oc:�4� oa�p�c�4oa oa�p��400a . �� oa�p�c�c�� SET BACK FLOOR JOIST FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID H'T. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM _ FRAMINGNENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATIQN OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPElIRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINALZONING_ FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY __ - --- .....---- ------------- �Of�o � ` COMMEiVTS SEPTIC TANK SIZE SEEP PIT/U SIZE a � � �