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Home My WebLink About10-1017 `�----��— DE ARTME T OF COMMUNITY&DEVELOPPVI�'NT��I��CTS�I�J I 21825 Copley Drive,Diamond Bar,CA 91765 � (909)839-7020 Fax(909)861-3117 13uilding Inspection Hotline(909)839-7027 PRESS "��'Y BUILDING PERMIT APPLICATION FIRMLY � JOBSITE � o AooaEss ��2�t a A Nr��R DR, �lf�/'lON9 a,AR q�7 DATEICATION,��(��/� NUMBER O~ D� g/C 0 � a�o $7n�-005 ISSUE . D p� TYPE OCC APN ��T� TRACT �Q�� DATE i '��b ��D CONST. I�d GROUP p OWNER ��GG�� UoNG o ADDRESS 232�f0 dN7't-6/t DR ZONING SETBACKS z cirv ��,QrloND �AR ziP�z&,� TEL.°Iy'q'L�7'�77 FRONT q�y p ZAPPLICANT�(z(�(z�� f (�(LNG TEL.�I`t°I�L 97-�97� e I S DE/SIDE STREET RW ❑ � CONTRACTOR SIDE p o ADDRESS PROPOSED USE__ r r�e� (�o�/.,c!{e fl�t� � � o CITY ZIP TEL. -��---�f1 o ARCWENG/ z DESIGNER w NO.DWEL. I NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES I BEDROOMS�_ ti cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBV AFFIFM UNDER PENAL7V OF PERIURV THAT I AM E%EMPT fROM 7HE CONTMCTORS LI� G8f990/CBfPOh W CENSEUWFOR7HEFOLLOWINGHEASON(SEC.7o37.5BU51NE55ANDPROFESSION5CO0E:ANYCITYOR (f� U CAUNTYWHICHREOUIRESAPERMITTOCANSTRUCT,ALTER,IMPROVE.DEMOLISH,ORREPAIRANVS7RUG � w TURE.PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck � STA7EMENT 7HAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTFiACTORS LI- � � CENSE LAW(CHAP7ER e(COMMENCING WITH SECTION 700a)OF DIVISION 3 OF THE BUSINE55 AND PRO- POOUSPe � FESSIONS CODE)OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BA515 FOR THE ALLEGED E7(EMP- � � O V TION.ANV VIOLATION OF SECTION 7031.5 BY ANV APPLICANT fOR A PERMIT SUBJECTS 7HE APPLICAN7 TO Z Re-Roof � A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS(f5ao).): � §p ASONMEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSATION, 0 Commercia� Z WILL'l)O THE WORK,AND THE STRUCTURE IS NOT INTENDED OP OFFERED FOR SALE(SEC.70��,BUSI� J � NESS AND PROFESSIONS COOE:THE CANTRACTORS UCENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPER7V WHO BUILDS OR IMPROVES THEREON,AND Vh70 DOES Sl1CH WORK HIMSELF OR HERSELF OR � THROUGH HIS OR HEfi OWN EMPLOYEES,PROVIDED 7HAT SUCH IMPROVEMEN7S ARE NOT INTENDED OR m 0 OFFEREDFORSALEIF,HOWEVERTMEBUILDINGORIMPROVEMENTISSOLDWI7HINONEYEAROFCAMPLE- Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING 7HA7 HE OR SHE DID NOT BUILD Oq � IMPROVE FOR THE PURPOSE OF SALE). w OI,ASOWNEROFTHEPROPERTV,AMEXCLUSIVELVCON7RAC71NGWITHLICENSEDCONTRAC70RS � 70 CANS7RUCT THE PRQIECT(SEC.701�,BUSINESS AND PROFESSIONS CADE:THE CON7RACTOHS LI- V81U0�iOn ADJ.AREA W CENSE LAW DOES NOTAPPLY TO AN ONTJER OF A PROPERTV WHO BUILDS OR IMPROVES THEREON,ANO � Nh10CqNTRAC75FORSUCHPRQIECTSWITHACONTRACTOR(5)LICENSEDPURSUANTTOTHECANTRAC- QUANTITY DESCRtPTION FEE Y TORS LICENSE UW.). �� ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q U � DATE �T S�V�B OWNER U Z - w � LICENSED CONTRACTORS DECLARATION w � I HEREBY AFFIRM UNDER PENPLTV OF PERJURV THAT I AM LICENSED UNDEF PROVISIONS OF CHAPTER � � B(COMMENCING WITH SECTION 7000)OF DIVISION 3 0F THE BUSINESS AND PROFESSIONS CODE,AND Z �� AIY UCENSE IS IN FULL FOFiCE AND EFFECT. m � LICENSE CLASS LIC.NO. j . V DATE CONTRACTOR d ._ . W � � WORKERS'COMPENSATION DECLARATION Q � I HEREBV AFFIRM UNDER PENALTY OF PERIURV ONE OF 7HE FOLLOWING DECU(iATIONS: Z � _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' a 2 COMPENSATION,AS PROVIDED BY SECTION 3700 OF THE LABOR CODE,FOR THE PERFORMANCE U Q OF THE WORK FOR WHICH THIS PEqMIT IS ISSUED. � w _I HAVE AND WILL MAMTAIN WOFKERS'COMPENSA710N INSURANCE,AS REQUIRED BV SEC710N Q 370o OF 7HE LABOR CODE,FOR THE PERFORMANCE OF THE WORN FOR WHICH 7HI5 PERMIT IS n ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIER AND POLICV NUMBER ARE: ONSTRUCTION �� 'v J j cnaaiEa PLAN REVIEW Z POLICY NUMBER ELECTRIC Q � (iHISSEGTqNNE�N0T8ECOMRFfEDOFTiEPEW�1fTISFORONEHUI�DREDDOlLP1LS�S100)ORLESS} PLUMBING Z I CERTIFY THAT IN THE PERFORMANCE OF THE M/0RN FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL (3 SHALL NOT EMPLOV ANV PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE � WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THA71F I SHOULD BECOME INSPECTION FEE ? SUBJEC7 TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 370o OF 7HE LABOR �(�,O O CODE,I SHALL FOFTHWITH COMPLV WITH THOSE PROVISIONS. IS ANC r J � MIP ��R p DATE: APPLICANT: J WARNINC FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL.AND SHALLBE ENERGY P/C LL SU&IECTANEMPLOVERTOCRIMINALPENALTIESAN�CIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOLIARS(f100,000�,IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN ^ � SECTION 3708 OF THE LABOfl CODE.INTEREST,AND ATTORNEV'S FEES. ENTI N F i .�V OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFIRM UNDER PENALTV OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY ��'�� j�� FOR 7HE PERFORMANCE OF THE WORK FOR WHICH 7HI5 PERMIT IS ISSUED(SEC.3097,CIV,C.). Z W � LENDER'S NAME H LENDER'SADDRE55 � TOTAL FEES I�S'� � I CEHTIFY THAT I HAVE FiEAO THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. w I AGREE TO COMPLV WITH ALL CITY AND COUNTV ORDINANCES AND STATE LAWS RELATING TO BUILDING � CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE � ABOVE-MENTIONED GROPERTV FOR INSPECTION 7URPOSES. Z COMMENTS � J D�wyl� Wo�, � m PEflMITTEE NAM PHINn � � �� /g/ZO /� � SI�GNATU E OF PERMITfE onT RECPT.NO. , � PAID BY � VALIDATION 2 ~ WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy ��?��if�(��y,��0i;�^Y C�� B�VUV�6�� ,ff� 91�5�(��f'V�� I�I�� Oa�3pL�C�400GY1 DQ4C� 0[nYJ�pCC�40Q Da�3pCC�400a DQ4G � Oa�pCC�40G1 � SET BACK FLOQR 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 HT. BOND BEAM ROOF SHEATHING p 8 FT. BOND BEAM FRAMINGNENTILATION FINAL BOND BEAM ROOF CQVER PRE-GRADING ROUGH HEATING j BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING � FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING � POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. � DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. r `l� FIRE DEPT. FINAL 1 FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ��o � COMMEfVTS SEPTIC TANK SIZE SEEP PIT/U SIZE a - - � � �� . � .