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Home My WebLink About11-1284 CITY OF DIAMOND BAR � �Y 3' �, __�,., �.�v,�':f�;..�.1 � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVIC � 21825 Copley Drive,Diamond Bar,CA 91765 ��9�� (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(9 9� RE$S �'""' BUILDING PE IT APPLICATION FIRMLY QJOBSITE Q l��J /�� DATE CATION NUMBER I '�_�_ q� ¢ ADDRESS � ISSUE TyPE �]�� pCC APN OT �RAC DATE .� � CONST.�C�I-� GROUP p OWNER o ADDRESS ZONING SETBACK FRONT Z CITY I O ZIP T .9 RW p � APPLICANT TEL. REAR p �� SIDE/SIDE STREET RW p CONTRACTO � SIDE p ADDR S � � CITY ZIP EL. PROPOSED USE o ARCH/ENG/ I � DESIGNER NO.DWEL. NO. J NO. N ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. u� � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDER DECLARATION p SFR/ADD/REM � I HEREBV AFFlRM UNDER PENALTV OF PENURV THAT I AM E%EMPT FROM THE CANTRACTORS ll� G8l8gB/COfPOR W CENSE LAW FOR THE FOLLOW WO REASON(SEC.7031.6 BUSW ESSAND PROFESSIONS CODE:M1V CITV OR (n U COUNryWNICHRE�UIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE.DEMOLISH,ORREFAIRA/JYSTRUC- W Patio/Deck � NRE.PRqR TO RS ISSUANCE.AL50 HEQUIRES THE APPUCANT FOR SUCH PERMIT TO FILE A SIONED W � STATEMENT THAT HE OR SHE IS LICENSED WqSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� � � CENSE LAW(CHAPTER Y(COMMENCIN6 WITH SECTION 7000)OF OIVISION 3 OF THE BUSINE55 AND PRO- POOUSPB I . ^ FESSIONS CODE)OF 7HA7 HE OR SHE IS E%EMPT THEREFROM AND 7HE BASIS FOR 7HE ALLEGED E%EMP� C7 V TION.ANYVIOLATqNOFSECT10N7031.5BVANVAPPLICANTFORAPERMITSU&IECTSTHEMPLICANTTO Z Re-Roof A qVIL PENALTV OF NOT MORE THAM FfVE HUNDRED DOLURS(S50o).): 0 OI.ASONMEROFTHEPROPERTV,OFMVEMPLOYEESWI7HWAGESASTHEIRSOLECOMPENSATION, 0 COrt1RIBlCIBI Z WILL DO THE WORK,AND THE STRUC7URE IS NOT INTENDED OP OFFERED FOR SALE(SEC.7Wa,BUSI- J � � NESS AND PROFESSIONS CODE:TiE CONTFiACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � GROPERTY WFiO BUILDS OH IMPROVES THEREON,AND NM110 OOES SUCH WORK HIMSELF OR HERSELF OR � THROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m � OFFEREDFORSALEIF,HOWEVER,7HEBUILDINOORIMPROVEMENTISSOLDWITHINONEVEAROFCOMPIE� Z TION,THE OWNERAUILDER WILL HAVE THE BURDEN OF PROVINQ THAT HE OR SHE DID NOT BUILD OR = IMPROVE FOR 7HE PURPOSE OF SALE). w ❑I.ASOWNEROFTHEPROVEATV,AMEXCLUSIVELVCONTRACTINGWITHLICENSEDCONTRACTORS � TO CONSTRUCT THE PR0.IECT(SEC.7MI,BUSINE55 AND PROFESSIONS CODE:THE CANTRACTORS LI- 'V8IU8110f1 ADJ.AREA W CENSELAWDOESNOTAPPLVTOANOWNEROFAPROPERTVWHOBUILDSORIMPROVESiHEREON,AND � WFIOCONTRACTSFORSUCHPROJECTSWITHACANTRACTOR(S)LICENSEDPUFSUANTTOTHECONTiUG QUANTITY DESCRIPTION roas ucENSE uw.>. FEE � ❑1 AM EXEMPT UNDEF SEC. ' B.8 P.C.FOH THIS REASON � �i � U LL DATE OwNER � Z U � LICENSED CONTRACTORS DECLARATION W � 1 HEREBYAFFIRM UNDER PENALTY OF PERJURV THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � d, i(COMAIENCINO WITH SECTION 7000)OF DIVISpN 3 0F THE BUSW ESS AND PROFESSIONS CODE,AND ' . X MY LICENSE IS IN FUL O CE D F�FaE C7. �{' , / Z I ►- ( ZO � / °L � � LICENSE CLASS y LIC.NO. � O V � � V DATE � /7 CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION Q � U � 1 HEREBY AFFIRM UNDER PENALTY OF PERIURY ONE OF TYVE FOLLOWING DECLARATIONS: Z � _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF�INSURE FOR WORKERS' _ � COMPENSATION,AS PPOVIOED BV SECTION 370o OF THE LA90R CODE,FOR THE PEFFORMANCE U OFTHE WORK FOR WHICH THIS 7ERMIT IS ISSUED. W W � �I HAVE AND WILL MAINTAIN WORKER'COMPENSATION INSUqANCE,AS REOUIRED BV SECTION O 3700 OF THE LABOR CO�E,FO ERFORMANCE OF THE WORK FOq _ ICH THIS PERMIT IS ISSUED.MY WORKERS' E ATION INSURANCE CAR R ICY NUMBER ARE: CONSTRUCTION ' � CARRIER ,G ��'��-��_ PLqN REVIEW " 0 POLICV NUMBER Zd ELECTRIC 0 (f}iISSECi%7NNE�NOTBE�H10F7HEPEPMTISFORONEHINi%lEDOqil�(f1a0)ORLESSF PLUMBING w S"L�' � Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOq WHICH THIS PERAl1T IS ISSUED.I MECHANICAL C,'} SH/LLL NOT EMPLOV ANV PERSON W ANV MANNER SO AS TO BECOME SU&IECT TO THE � � WORNERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE T IF 1 SHOULD BECOME INSPECTION FEE SU&IECTTO HE WO NERS'COM7ENSATION PROVISION ECTqN 37000F THE U80R . ` Oco 5 FORT inicaaa�vvnn+T�os� ISSUANCE E p OATE: �APPLICANT — '> SMIP W � WARNINO: AILURE T �SECURE WORKEi75'CAMPENS ION CAVERAGE IS UNLAWFUL,AND HALL BE ENERGY P/C � SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND ENERGY PERMIT DOLLARS(S10o,ao0),IN ADDITION TO THE COST OF COMPENSATKKJ,DAMAGES AS PROVIDED FOR IN J SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. ^7 � Q w RETENTION FEE: „� O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � 1 HEREBY AFFIRM UNDER PENALTV OF PERlURY THATTHERE IS ACONSTFUCTION LENDINO AOENCY FOR THE PERFORMANCE OFTHE WORK FOR WHICH 7HI5 PERIAR IS ISSUED(SEC.3081,CIV.C.). W � LENDER'S NAME - H LENDER'SADDRE55 � ICERTIFVTHATIHAVER SAPPLICATIONANDSTATETHATTHEABO F �TKK.,�S��E�T. TOTAL FEES g� 9� w IAOREETOCOMPLV T CITYANDCOUNTVOqDINANCESAN05 U RELATIN(3TOWILDINO d � CONSTRUCTION, R V AUTHORIZ REPRESENTATNES OF TO EMER UPON THE � QABOVE-MENT RO RTV FOR IN CTION PURPOSES i COMMENTS ' J � m PERMITTEE NAME(PRINn ' �' Q O � / � SIONANRE OF PERMITTEE DATE � -- RECPT.NO. PAID BY VALIDATION � —Depertment Copy,VELLOW—Finence Copy,PINK—Assessar Copy,GOLDENROD--File Copy,GREEN—ApplicanPs Copy CB�'V O� DIANdt3�1D �AR ��`��' ��. � �� '�� Ii�S�EC�90N ff��COR� �� .��U��?:.� �:�n�a�a r� �l •,:,- oa��Q�p oa�p�c��aa ��t�� `o � �LL�. 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 HT. BOND BEAM ROOF SHEATHINQ 8 FT. BOND BEAM FRAMINGNENTILATI�N FINA�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 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. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY C�'l �o � . COMMEfVTS SEPTIC TANK SIZE SEEP PIT/U SIZE a � Q �� -