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Home My WebLink About12-791 '�� , � �,�_ CITY OF DIAMOND BAR ' --- � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES .�/ / _;,,, 21810 Copley Drive,Diamond Bar,CA 91765 fj e/ • � (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-702 % � �RESS . �'""', BUILDING PERMIT APPLICATION FIRMLY N JOBSITE �� /�lam o H-�s I Z'�9 APPLICATION � PERMIT p/C o ADDFiESS DATE NUMBER # � ISSUE T�'PE OCC APN LOT TRACT DATE ONST. i GROUP p OWNER �"��QY'A-Q !xN L-t� S�' '��- ' o ADDRESS ZONING SETBACKS Z CITY ZIP TEL. FRONT qyy 0 . � APPLICANT TEL. REAR p z SIDE/SIDE STREET RW p � CONTRACTOR Y\ 'p• SIDE p ADDRESS � �Yl � CI7Y r �no ZIP I D TEL . - '- PROPOSED USE w ARCWENG/ ^� z DESIGNER r � y a ADDRESS NO.DWEL. NO. NO. cn UNITS STORIES BEDROOMS � CITY ZIP TEL. � OESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFq/ADD/REM O 1 HEREBY AFFlRM UNDER PENALiY OF PERIURY THAT t AM EXEMFT FROM THE CONTMCTORS U- Ge�9�Ca�h W CENSE UW FOR THE FOILOWINO REASON(SECJ031.6 BUSINESSAND 7ROfESSIONS CODE:ANYCITYOR � (n U COUNTYWI{ICHREOUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOIISH;ORREVAIRANYSTRUC- � w NRE,PRIOR TO�I7S ISSUANCE,ALSO REWIRES THE APPLICANT FOR SUCH PERMIT 70 FlLE A SIONED W PatiWDeck � STATEMENT 7HAT HE OR SHE IS LICENSED VURSUANT TO THE PROVISIONS�OF THE COMRACTOHS LF . , � CENSE UW(qUPTER e(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF iHE BUSINESS AND PRO� . u' POOUSPB I _ � FESSIONSCOD�ORiHATHEORSHEISEXEMPTTHEREFROMANDTHEBA515FORTHEALLEGEDEXEMP- �� , V TION.ANYVIOU710NOFSECTION7031.58YANYAPVLICANTFORAPERMITSU&IECTS7HEAPPIICANTTO . Z RB-RO01 � ACML PENALTY OF NOT MORE THAN GIVENUNDRED DOLURS(t50D)J: ' � OI,ASOVMEROFTHEPROPER7V,ORMYEMPLOVEESWI7HINAGESASTHEIRSOIECOMPENSATION, O COf11fI1BtC18I z WILL DO THE WORK�ND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR$ALE(SEC.70ai,BU51- J - � NESS AND PROFESSIONS CODE:THE CON7RACTORS UCENSELAW DOES NO7 AVPLY TO AN OWNER OF j VROPEHfY YAiO BUILDS OR IMPROVES TiEREON,AND WHO DOES SUCH NORK HIMSELF OR HERSELF OR � THROUGHHISORHEROWNEMVLOYEES,PROVIDEDTHATSUp11MPROVEMEMSARENOTINfENDEDOR . m Q OFFEREDFORSALEIF,HOWEVER7MEBUILDIN(iORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE• Z TION,7ME ONMER-BUILDER WILL HAVE TiE BURDEN OF.VROVING SHAP HE OR SHE DID NOT BUILD OR . . . � IMPROVE FOR THE PURPOSE4F SAhE). � � � w ❑I,ASOWNEROFTHEPROPERfV,AIAEXCLUSNELYCOMRACTINOWffHL10ENSEDCANifUCTORS [[ TO CONSTRUCT THE PRQIECT(SEC.7W�1,BUSINESS AND PROFESSIONS CODE:THE CANTMCTORS LI- V81U8f10f1� ADJ.AREA W CENSE UW DOES NOT MVLY 70AN OWNER OFA PROPER7V WHO BUILDS OR IMPROVES 7HEREON,AND - � NM1iOCONTRACT5FOR5UCHPR0.1ECf5WITHACONTRACTOR(5)LICENSEDPURSUAMTOTHECONTMO QUANTIIY DESCRIPTION FEE � � TORS�SELAW.). AM EXEMPT UNDER SEC. �8.8 P.C.FOR THIS REASON Q .�?� U u" DATE OYMER � Z U O w ¢ UCENSED CONTRACTORS DECLARATION -i 0[ W I HEREBYAFFIRAI UNDER PENALTY OF VERIURV 7HAT IAMlICENSED UNDER PROVIS�ONS OF CMAPTER � � D(COMMENCINO WITM SECTION 7000)OF DIVISION]OF THE BUSINESS AND PROFESSIONS CODE,AND Z XL� MY LICENSE IS IN fULL FORCE AND EFFECT. /--Q� � LICENSE/C�LASS �1� LIC.NO.. ��!' _ � � V DATE v�O`1G7IL CONiRACTOR d � �� . W � WORKERS'COMPENSATION DECLARATION -r U � I HEREBY AFFIRM UNDER PENAL7Y OF PERJURY ONE OF THE FOLLOWING OECCARATIONS: Z � '� ��C Q� � � . �'c � _IHAVE�ANDWILIMAINTAINACEfiTIFlCATEOFCONSENTTOSELF-INSUREFORWORKERS' _ � COMFENSATION,AS PROVIDED BY SEC710N 37000F 7HE UBOR CODE,FOR THE PERFORMANCE U � � �S�✓ Q OFTHE WORK FOR WHICH THIS PERMIT IS ISSUED. � - � � � Qw _I HAVEAND WILL MAINTAIN WORNEfiS'COMPENSATION INSURANCE;AS REWIRED BV SECTION 37o00F THE LABOR CODE,FOR THEPERFORMANCEDF THE WORK FOR WHICFI THIS PERMIT IS. ISSUED.MY WORKER5 CAMPENSATION INSURANCE CARRIER�AND POLICY NUMBER ARE: CONSTRUCTION J j CARRIER PLAN REVIEW ZvoucrNUMeEa ELECTRIC ¢ � (fH65ECilONNE�NOTBEOQAPLEfIDOF7HEPERATfISPoRpJEFRN�DRED00LLULS�S100)ORIESS} PLUMBING W /� Z I CERTIFY THAT IN THE PERFOFAIMICE Of 7HE WOH7(GOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL J C7 SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECAME SU&IECT 70 THE � � WORKERS'COMPENSA7qN LAWS OF CAIIFORNl1 AND AGREE 7HAT IF I SHOULD BECOME INSPECTION FEE = SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF�SECTION�7o00F THE UBOR - CADE,ISHALLfORTHWITHCOMPLYWITH7HQ�PROV IONS. ISSUANCE ' � � � � � �J p DATE: ZQ� �- qpPLICANT: /� �SMIP W J WARNINO:fAILURETOSECUREWOHI(ERS'COMPENSATIONCOVEMGEISUNLAWFUL,AND.SHALLBE ENERGYP/C � SUBJECT AN EMPIOYER 70 CRIMINAL PENALTIES AND CNIL FWES UP TOONE HUNDRED THOUSAND ENERGY PERMIT DOLLARS(5100,000),IN ADDITION 70THE COST OF CAMPENSA710N,DAMAGES AS PROVIDED F,OR IN J SECTION 3708Of THE LABOR CODE,IN7ERES7,AND ATfORNEY'S FEES. � � oC RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBY AFFIRM UNDER PENALTY OF PE0.IURY THAT THERE IS ACONSTRUCTION IENUINO A�ENCY �FOR THE PERFORMANCE OF THE WORK FOR WHICH h115 PERMIT IS ISSUED ISEC.90G7,CIV.G.y � Z W � LENDER'S NAME � � F- LENDER'S ADDRE55 w ICER7IFVTHATIHAVEREAD7HISAPPLICATIONANDSTATET/iAT7HEABOVEINFORMATIONISCORRECL TOTAL FEES �• � I AOREE 70 COMPIV WI7H ALL CI7Y AND COUN7V ORD�NANCES AND STATE LAWS pEUTING TO BUILOINO � CANSTRUCTION,AND HEFEBV AUTHORI2E REPRESENTATNES OF 7HI5 COUNTY TO ENiER UPON THE - Z ABOVE-MEHTIONED 7ROPERTY FOR INSPECTION VURP0.SE5. COMMENTS � = I�"iYlah2h� �„f�vr�S-� C� , m 7ERMITfEE NAME(PRINn � � � "eh G�-�o�l2 N SI4 NREOFP EE . DATE = RECPT.NO. PAID BY VALIDATION ~ W ITE-De rtment Co YELLOW—Finence Co PINK—Assessor C Pe py, py, opy,GOLDENROD—File Copy,GREEN—Ap II nYSCopy , / i . � � CITV 4F DIAM�ND BA� . •� . �'� �• iiVSPECTiON RECORD ' �' . � � __:: . • - �r � . .> --� -- � 1 �� - — � � � - , - �� ,..�: y �. , ,a . - _ �- � �-� s ,.a � �i +. ot .e�a� � � �.�.��n. �oo e �-'�, o €j ��,:s� g � ,, .� �� .+� � �� i1,:, _ �'fi � ,� SFl� _ r_ � , . , B : - �� - _ . , , - �_ ,��. �., , .: � , �� „ .. � SETBACK I i I,FLOORJOIST --.-- -- _----._._.— .._---------- ------------------ -------- �__ ----- ----- ---------- -- -- . _ FTGS/FORMS/STEEL � � ;FHA REQMTS ___ __ ELECTR�C GROUND �11NDER FLOOR QUCT �— GROUND PLUMB�NG � f UNDER FLOORCONDUIT _ SLAB GRADE �FIREPLACE FOUNOATION TEMP PObVER �FIREPLACE BOND BEAM WATER SERVICE �MID HT.BOND BEAM ROOF SHEATHING �8 FT.BOND BEAM FRAMING/VEN7ILATION j FINAL BOND BEAM _ __ _ -- — — — --— ROOF COVER ;PRE-GRADING --------...-----------------...------------------------._..------....-------......__... ,--------.._.___..------....--------- ---...____.-----..___._._._.__._..._.......__.__. ROUGH HEATING �BENCHING --------------------- --- ---...----------..—..---- f-----------______...--------------------._—__---------..----_..._—._--- ROUGH ELECTRIC ;ROUGH GRADING ROUGH PLUMBING �FINISH GRADING SHOWER/TUBTEST I POOL ELECTRIC � EXT.LATH/S�QING ;POOL FENCING WALL INSULATIGN j POOL FINAL CEILING INSULATION �QFF SITE IMPS. DRYWALL NAILING I DEDICATIONS _..------------------ ------- -----------------------.._. �-__________..- —...._._.._.._._._._..---........._.___..__._...._...-------__...---------- SEWER 'Fj INAI ENG_ --- ----- -- — — SEPTICTANK I LANDSCAPEJIRRIG. --------- -- — --------- - ;------- ------------- ------------- SEEP PIT/L.L. ON 51TE IMPS. GAS AIRTEST i FINAL ZONING FINAL CONST. I FIRE DEPT.FINAL FINAL HEATING ;HEALTH DEPT.FINAL FINAL ELECTRIC �DEV.FEES PAID FINAL PLUMBING ':ENERGY FINAL PLANING ; �-------- --------------- ------ --------------------- ------- FINAL ENGINEERING ' 0 � � COMMENTS _— --_ _ _ ---_-- --------- - -- ----- . , ��.� �---- -- �..._. -d�� ------- ------��-- --�----�---�--------_______-------------------___-----__.------_---------__-,--- �.�s-�'_��_�cfl.�fl o��g . _ _ . -------....--- __----..._...---�.4�_Q�_�---�'_��_��d��fL�-�____------_._____-------__ ____-------------_---------.---- �. � -- --------- ------- SEPTICTANKSIZE ___ ___ SEEP PIT/U SIZE ; :,�4.. c�,� �v_ — -- — -- -- — ---- ----— — . ----- 4 � ' ..J��uT^S�v " "_"_'__"" "_'"__'___"— '_"_'_'_ _'_____' '—'__""' __' ' '___ '_"_—__'_.. ._._'_'—..._"—'_"'__ i _ -xp� y�y� �'� �i ti. . . . .l.l r �y,a J'E'Si, — __ _ t �2�_ ,��yM �� -� � . } J Lr � " ♦.. �� q'k4 w� � .x. �'�.• ,�� --...-----....__ _.._._ _...-----...__ _...__._ ___...---- ---_ _..--------....__ �. ---..__----- _..._ - �,=� z��r,��;,' � x�� — --- ----- - <:�d� d:.w� , � . - � s��', ---- -- ----------------- ------ � _ ,.