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Home My WebLink About12-508 ��_ CITY OF DIAMOND BAR , / � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES V :,,,� , 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Notline(909)839-7027 PRESS ��"""'. BUILDING PERNQT APPLICATION FIRMLY I � JOBSITE APPLICATION�'� � � NUMBER� J /C o ADDRESS �15�3 A�b�l,v,,�� 'ST D+Yiu(FjY✓ DATE � �"W�y � ISSUE TYPE OCC O° APN LOT TRACT DATE �_� �f Z CONST. GROUP p OWNER _�_�� ^ r�' . (��'�l p ADDRESS�-IS`d''d/ f�Mhas�UY.S 3Y. ZONING SETBACKS z CITY �1�1ko��L �<✓� ZIP �765 TEL.J�'3`�6�/S�- FRONT RW O � APPLICANT � r' t.t TEL.`J�`}��-�I3 REAR � z SIDE/SIDE STREET RW ❑ ¢ CONTRACTOR SIDE p ADDRESS � � CITY '� IP TEL - PROPOSED.��p�ILiGC C�;�OG� �iG(ily� (,�f'f,�- '�i��. o ARCWENG/ s;{�� z DESIGNER NO.DWEL. NO. NO. � ADDRESS <n UNITS STORIES BEDROOMS � CITY . ZIP TEL � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANAIUATION p� OWNER-BUILDER OECLARATION SFq/ADD/REM O p I HEREBV AFFIRM UNDER PENALiY OF PERNRY THA7 I AM EXEMPT FHOM 7HE CONTMCTORS LI- Gyl8g0/CBfpOff W CENSEUWFORTHEFOILOWINOREASON(SEC.7031.SBUSINESSANDPROFESSIONSCOOE:ANYCITYOR (n C1 COUNfYWHICHRE0U1RE5APERMITTOCONSTAUCT,ALTER,IMPROVE,DEMOIISH,ORREPAIRANYSTRUG w NqE,PRIOR TO ITS ISSUANCE,AL50 REOUIRES THE APPLICANT FOR SUCH PERMIT TO F�LE A SIONED w PatidDeck � STATEMENT THAT HE OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF THE COMRACTORS ll- � ,O CENSE UW(CHAFTEH Y(COMMENCING WI7H SEC710N 7000)OF DIVISION 3 OF TNE BUSINESS AN�PRO- POOUSpB FESSIONSCAOE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEOEDE%EMP- � (� , V TION.ANYVIOLATIONOFSECTION7o31.58YANVAPPLICANTFORAPEHMITSU&IECTSTHEMPLICANTTO Z RaRoof � A CML PENALTV OF NOT MORE THAN FNE HUNDRED DOLURS(f50o).): ❑I,ASOWNEROFTHEPROPERTY,OPMYEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, � 0 COf11f118fC18I Z YAIL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR 3ALE(SEC.704�,BUSI- J � � NESS AND PROFESSIONS CODE:THE CONTMC70RS LICENSE UW DOES NOT APVLV TO AN OWNER OF � - PROPEHTY N?IO BUILDS OR IMPROVES THEREON,AND VMO DOES SUCH WORK HIIASELF OR HERSELF OR wTHROUGH MIS OR HER OWN EM7LOYEES,PROVIDED 7HA7 SUCH IMPROVEMEMS ARE NOT INTENDED OR m . Q OFFEREDFORSALEIF,HOWEVERTMEBUIIDINGORIMPROVEMENTISSOLDWITHINONEYEAROfCOMFLE- Z TION,7ME OWNER-BUIIDER WILL HAVE THE BUHDEN OF PROVING 7HA7 HE OR SHE DID NOT BUIID OR � IMP�R THE PURPOSE OF SAL�. � W ASOWNEROFTHEPROPER7Y,AMEXq.USNELYCANTMCTMOWlTHUCENSEDCOMRACTORS � Q TO CONS7RUCT THE PR0.IECT(SEC.7o1a,BUSINESS AHD PROFESStONS CODE:THE CONTMCTORS LI- V01Uaf10 ADJ.AREA W CENSE LAW OOES NOTMVLY TOAN OWNER OFA PROPER7Y WHO BUILOS OR IMPROVES 7HEREON,AND � WMOCAHTRACTSFORSUCHPROJECfSWRHACONTRACTOH�S)LICENSEDPURSUAMTOTHEWNTRAG pUANT�TY DESCRIP'fION FEE � � TORSIJCENSELAW.). Q "'aR I 010C�iF02E. B.8 P.C.FOR THIS REASON Q ?� U ZDATE�L��G I.� OWNER U O W ¢ LICENSED CONTRAC DECLARATION -� [L W I HEREBY AFFIRM UNDER PENALTV OF�PERIURY 7HAT IAM LICENSED UNDER PROVISIONS OF CMAPTER � � i(COMMENCINO WITH SECTION 7oao)OF DIVISION 30F iHE BUSINESS AND PROFESSIONS CODE,AND Z_ - 11J MY LICENSE IS IH NLL FORCE AND EFFECT. � � UCENSE CLASS LIC.NO. � � U DATE . CONTRACTOR a -- . . W � WORKERS'COMPENSATION DECLARATION a � - � - - � I HEREBV AFFIpM UNDER PENALTV OF VERIURV ONE OF THE FOLLOWING DECCARA710NS: Z � � . � _IHAVEANDWILLMAIN7AINACERTIFICATEOFCANSENTTOSELF-INSUREFORWORNERS' _ - � COMPENSATION,AS PROVIDED BY SEC710N 37000F iHE LABOR CODE,FOR THE PERFORMANCE W Q OF THE WORN FOR NM1iICH THIS PERMIT IS ISSUED. � - - � _1 HAVEAND WIIL MNIN7AIN WORKERS'COMPENSATION INSURANCE;AS REWIRED BV SECTION � Q 37o00F THE IABOR CODE,FOR THE PERFORMANCE�OF THE WORK FOR WHIGi THIS PERMIT IS �� 1 �� ISSUED.MY WORNERS'COM7ENSATION INSUMNCE CARRIEN AND POLICY NUMBERARE: �CONSTRUCTION jCARRIER PLAN REVIEW 0 POLICYNUMBER Z ELECTRIC ¢ � (nnssEcrtaaNE�wreeoor.w�rmoFn�cEw�rsFoaa+EMx�nr�noauasgioo)oa�ss� PLUMBING w Z I CERTIFV THA7 IN THE PERFORMANCE OF THE WORK FOR NM1iICH THIS PERAIR IS ISSUEO.I MECHANICAL (,�} SHALL NOT EMPLOV ANY PERSON IN ANV MANNER 50AS TO BECOME SU&IECT TO TNE (n VKIRKERS'COMPENSATIONLAWSOFCAIiFORNItiANDAGREETHATIFISHOULDBECOME �NSPECTIONFEE = SUBJECT TO THE N'DRKERS'COMFENSATION PROVISIONS OF SECTION 77000F THE LABOR � � � CODE.ISNALLFORTHWITHCOIAPLVWI7HTHOSEPROVISIONS. ISSUANCE � � 0 p DATE: APPLICANT: �SMIP L � W J WARNIN6:FAILURE TO SECURE WORKERS'COMPENSATION COVEMGE IS UNUWFUL,AND SHALL BE ENERGY P/C � SU&IECTAN EMPLOYER 70 CRIMINAL PENALTIES AND CIVIL FWES UP TOONE HUNDRED THOUSAND ENERGY PERMIT DOLLARS(Stao,00D),IN ADDIiION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTION 37oE OF THE LABOR CODE,INTEREST,ANDATfORNEYS FEES. � FIETENTION FEE: � �� OCONSTRUCTION LENDING AGENCY P�iE•ALT FEE: �� 1 HEREBY AFFIRM UNDER PENALTY OF PERIURV THAT 7HERE IS ACONSTRUCTION LENDINO AOENCY «�- �l T t � -FOR 7HE PERFORMANCE OF 7HE WORK FOfi NM1i1CH iHIS PERMR IS ISSUED(SEC.7097,CIV.G). 6�P��f Z w , �� LENDERS NAME � F- LENDER'SA�DRESS � w TOTAL FEES � ,� � I CERTIFY THA7 I HAVE READ THIS APPLICATION AND STATE TFL1T THE ABOVE INFORMATpN IS CORRECT. � 1 AGHEE TO COMPLY N7hl ALL CITV M1D COUN7Y ORDINANCES AND STATE UWS REUTING TO BUILDINO CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENIATNES OF 7HI5 CWNTYTO ENTER UPON 7HE � ABOVE-MEHTIONED PROPERTY FOR INSPECTION 7URP0.5ES. � COMMENTS `�ih� Yt�t �'�ii p�.�� .,- n f� VERMI7TEE NAAIE(P�It " a� ��6 i � SIONATIJA OF P 1 DATE _ / RECPT.NO. PAID B VALIDATION ~ WHITE-Depariment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—ApplicanCs Copy c�rv oF ��Anno�v� ��►� INSPECTOOBV RECOR[� , ,,_ �, _ , ? . _ r � {y �p Q� 'S' �t �9� .,,6.Y�`�. ., o � e i 2 Y� �� 1k.� 1. �'ra' e � 0� t. ` Jv::� O L r- � 1....�� 1 +36'��r��Y� "A � •`< - •3<(y¢ _ ��,o ✓ _ r�- � .... � - . ..'-tl}._.� . . c�. - ._ . _' - a.. .�.� - _ _ — .. .... . "__ . . ._ . . a. -_. . SET BACK ;FLOOR IQIST --------------------.----------.....---------------------- --------------------._.....------------ ._.......----_---_.____----------..--- FTGS/FORMS/STEEL _ _ ___ ________ I FHA REQMTS __________ _ ________ ELECTRIC GROUND 'UNDER fL00R DUCT GROUND PLUMBING �UNDER FLOOR CONDUIT SLAB GRADE i FIREPLACE FOUNOATION TEMP POWER ;FIREPLACE BOND BEAM WATER SERVICE I 1v11D HT.BC�ND BEAM ROOF SHEATHING ;8 FT.BOND BEAM FRAMING/VENTILATION I FINAL BOND BEAM _ ROOF COVER f PRE-GRADING ------ --..._-- ----._ ______ .. _._— __...__ ..----- --- - _._._ - f-- ----- -.._.__ _----- ------._ ___ .._._ .--- —---- _._._.. .....__._ ROUGH HEATING i BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING {FINISH GRADING SHOWER/TUB TEST PQOL ELECTRIC EXT.LATH/SIDING � I POOL FENCING WALL INSULATION �POOL FINAL CEILING INSULATION ;OFF SITE IMPS. r DRYWALL NAILING DEDICATIONS -- ---— -- -- �------ - ---- — ----- — SEWER �FINAL ENG. _.....---.. ---. .----- --.__.___. __ ...__ ...--- ------ — --..__---..----- r- -._.....— ------- ----- ---._ ---- --..--- — ---._.. _..----------- SEPTICTANK LA� NDSCAPE/IRRIG. _ SEEP PIT!L.L. I ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. �FIRE DEPT.FINAL fINAI HEATING �--� ;HEALTH DEPT.FINAL FINAL ELECTRIC �DEV.FEES PAID FINAL PLUMBING I ENERGY FINAL PLANING � FINAL ENGINEERING ----- '� • e - - -- -------------- ------ ._._._._------ ---- — ---- -- ..... _ .. C�MMENTS - -�� -- --_ ----&r'�5-�1gCr��n� ---S-P`��2 ____ _�`��._� --__ ------ ---_.. __---- --------- ___-- ..-------..__._....---'l—..-_._.._..------.._.._-------------------..._..._..------..._.._..---..._...---.._..._..._...--._...__._...---.._...._..—�----...__._.._.-----.._—.._..._..._.._..---...__..._.._._.._....---.._..---.._...--.._...---- ti SEPTIC TANK SIZE SEEP PIT/U SIZE ------ - ----— -- --, ---- -- �;� �� '� _ — — — — — � �� .� � +�'�e � '� > �- — — — -- �— ----- -- - — - ----- �,t y � �" b � � :. x i '�..� ��.�_ . ��'� � -------._..._. .. _...__...._,_ .. —.._ —.._._..._. .._.—.._..--�--- � —....-- ---------'—---- —..._.__. ...-----.._.. # a'� � "� � .�.,-„�.j �. s , ''��1 � �,��-*� __"—'-- _'_..._--.._.—..—_---'--_ w �,� � „3 — ---- -...— �r� ��,""��R �, �y::; _ ��_ ��'- � 4�' � - � � ---- -- ----- ------------- — x�' �,, �V':� .y+�JM. ��,.� .