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Home My WebLink About12-800 ��_ CITY OF DIAMOND BAR - / • � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES V • 21810 Copley Drive,Diamond Bar,CA 91765 ✓ (909)839-7020 Fax(909)861-3117 Bailding Inspection Notline(909)839-7027 � PRESS "'"'+ BUILDING PERNIIT APPLICATION FBRMLY � JOBSITE /� o ADDRESS l I�S ��n /�t��/tr DATEICATIO y �_PERMIT j� �/C NUMBER(�✓�# =-° APN LOT TRACT D TEE �� I 2� ONST. GROUP p OWNER " ADDRESS ZONING SETBACKS � FRONT qyy p Z CITY �U 1(�v�.� ZIP TEL _ o APPUCANT TEL. '�� REAR p Z SIDFJSIDE STREET RW O ¢ CONTRACTOR l� OX SIDE ❑ ¢ ADDR S PROPOSED USE � CITY ZIP �TEL. � w ARCH/ G� 3�33 z DESIGNER w NO.DWEL. NO. i a ADDRESS � NO. cn UNITS STORIES BEDROOMS � CITY ZIP TEL. , v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O , p I HEREBV AFFIRM UNDER�PENALTV OF PERIURV THA7 I AM E%EMPT FROM THE CANTRACTORS L4 Garage/Cerport. � W CENSE UW FORTHE FOLLOWING REASON(SEC.7o31.5 BUSINESSAND PROFESSIONS CODE:ANYGTV OR (n � � C1 COUMYWHICl/REWIRESAPERMITTOCONSTAUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUG W patidDeck w TURE,PRIOR TO RS ISSUANCE,ALSO REOUIRES THE APPLICANi fOR SUCH PERMIT TO FILE A SIGNED w � � STATEMEM THAi HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTMCTORS Ll- � � . � CENSE UW(CHAPTER B(COMMENCING WITH SECTION 7000)OF DIVISION 9 OF THE BUSINESS AND PRO� . POOUSPO . 0 FESSIONSCODE)OHTHATHEORSHEISE%EMPTTHEREFROMANDTHEBASISFORTHEALLEOEDEXEMP- � (� . _ . . . . V TION.ANYVIOLATIONOFSECTION7031.58VANVAPPLICAN7FORAPERMITSUAiECTSTHEA7PLICANTTO Z RaRool � ACML PENILN OF NOT MOpE THAN FNE HUNDRED DOLLAHS(i5oo).): Z ❑I,ASOVMEROFTHEPROVERTY,ORMYEMPLOVEESWI7HIVAGESASTHEIRSOLECOMPENSATION, � CDf11rtIBfC18I -- N7LL 00 THE WORK�1D THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7aa,BU51- J � NESS AND PROFESSIONS CODE:THE COMMCTORS UCENSELAW DOES NO7 APPLV TO AN OWNEH OF � � PROPEHfV W/10 BUILDS OR IMPROVES THEREON,M1D WHO OOES SUCH WORK HIMSELF OR HERSELF OR ' Q 7HROUGHHISORHEROWNEM7LOVEES,PROVIDEDTHATSUCHIMPflOVEMENTSApENOTMTENDEDOR m � . � OFFEREDFORSALEIF,HOWEVERTMEBUILDINGORIMPROVEMENTISSOLDWITHINONEYEAROfCOMPLE- � Z TpN,THE OWNER-BUILDER WILL HAVE THE BURDEN OF.PROVING 7HAT HE OR SHE DID NOT BUILD OR - . . = IMPROVE FOR THE PURP0.5E OF SALE). � � . w OI,ASOWNEROFTHEPROPERTY,AMEXCLUSNELYCONiMCTINUWfTHLICENSEDCONTMCTORS . Q TO CONSTRUCT THE PRQIECT(SECJOH,BUSINESS AND PROFESSIONS CODE:THE CONTMCTORS ll- V21U280O� ADJ.AREA� W CENSEUWOOESNOTAPPLYTOANOWNEROFAPROPERTYNM1iOBUIL0.50RIMPpOVEShIEREON,AND � � � W/iOCONTfUCTSFORSUCHPROJECTSWfiHACONTMCTOR�S)LICENSED7URSUM1fTOTHECONTRAG QUANTITY DESCRIPTION FEE � Y TORS LICENSEUW.). � ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � U � DATE OYMER ' F- Z W � � LICENSED CONTRACTORS DECLARATION -� -- w � I HEREBY AFFIRM UNDER PENALTY OF�GERIURY 7HA71AM LICENSEO UNDEH 7ROV�SIONS OF CHAP7ER � �� ` � � - p_ 9(COMMENCINO WITH SECTION 7000)OP DIVISION 1 OF THE BUSINESS AND PROFESSIONS OODE,AND Z � X MY IICENSE IS IN FULL FORCE AND EFFECL � / � � � � - � . � ;��—-/-� `� UCENSE CLAS �� LIC.NO. l ��O � j �� ` � � V DATE � 2� CONTRACTOR d - •- •-- � -� W ' / � WORKERS'COMPENSATION DECLARATION Q -�� ; � � -��. ►_ � 1 HEREBYAFFIRM UNDER PENAL7V OF PERJURV ONE OF TNE FOLLOWING DEClARA710NS: Z / 1 �� . � � � � /'"� J � _I HAVEAND WILI MNINTAIN A CERTIFICATE OF CANSENT TO SELF�INSURE FOR WORNERS' _ ,�-- � Q COMPENSATKKJ,AS PROVIDED BV SECTION 370o OF THE WBOR CODE.FOR THE PERFORMANCE W- _ Q OF THE WORK FOR NM1iICH iHIS PERMIi IS ISSUED. � ' , ' ' � _i HAVE AND WILL MAIHTAIN WORKERS'COMPENSATION INSURANCE,AS REaUIRED BV SECTION � � � Q 37o00F THE IABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHltl1 iHIS PERMIT�S ISSUFA.MV WOFN,S'CO�MpPEN�SATIO/N INS'URANlCE CJ�ARRIER�AND POIICV NUMBER ARE: CONSTRUCTION� a �C/� �(..��//�/ .. . . +� CARRIER PLAN REVIEW � POLICY NUMBER�G G I . � � - . ELECTRIC " � �ssEcr�NFIDwreEoon,�trmoFn€aEw.rrsrm�or+EMxar�Enoott�u(siaolor�tFss� PLUMBING ' l�� i t�ir . TJM �n L\ tt I�O� Z I CERTIFY THAT IN THE PERFORMANCE OP THE WORK FOR WHICM iHIS PERMIT IS ISSUED.1 MECHANICAL J `�LwS� L} SHALL NOT EMFLOY ANV PERSON IN ANV MANNER SOAS TO BECAME SUBJECT TO THE� � WORKERS'COMPENSATION LAWS OF CAIIFORNIA�ND AGREE iHAT IF I SHOULD BECAME �NSPECTION FEE = SU&IECiTOTHEWORKERS'COMGENS�TIONPROVISIONSOFSECTION37o00FTHEUBOR - � � .� CODE,I SHALL FORiMY1TN COAAPIY WIT1 THOSE PROVISIONS. ISSUANCE O p DATE: APPLICANT: �SMIP J WARNIN(i:�FAIWHE705ECUREWORKERS'COMPENSATIONCAVEMGEISUNUIWFUL,ANDSHALLBE ENERGYP/C � SUBJECT AN EMPLOYER TO CRIMINAL VENALTIES ANO CIVIL FWES UP TO ONE HUNDRED THOUSAN� ENERGY PERMIT DOLURS(5100,000),IN ADDIi10N TOTHE COST OF COMPENSA710N.DAMAGES AS PROVIDED FOR IN � SECTION 37oe OF 7HE LABOR CODE,INTEREST,AND ATfORNEY'S FEES. � RETENTION FEE: a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � 1 HEREBY AFFIRM UNDER PENALTY OF PERIURY THAT THERE IS ACANSTRUCTION LENDINO AGENCY n-� -FON T11E PERFORMANCE OF THE WORK FOR WHICH THIS VERMIT IS ISSUED(SEC:�3o97,CIV.C.). . Z W . . . . . . . . . , . � LENDER'S�NAME � I— LENDEftSADDRE55 /J W 1 CER7IFY THAT I HAVE READ THIS APPLICATION AtJD STATE THAT THEABOVE INFORMATION IS CORRECL TOTAL FE ES� 1\ �? � � 1 AGREE TO COMPLV M7TH ALL CITV A/JD CIXINTV OPDINANCES AND STATE UWS FELA7ING TO BUILDING V � CONSTRUCTION,AND HEREBV AUTHOHIZE REPRESENTATNES OF THIS CWN7Y TO EHfER UPON THE � Z RBOVE�MEMIONEDCROPERTVFORINSPECTIONVUfiPOSES. COMMENTS ' _ �'�-�. � ��C m PE tTT E( � ¢ � 6s�t_ � � � SIGN RE OF PERMI EE - DATE = RECPT.NO. PAID$Y VALIDATION ~ WHITE—De artrnent Co YELLOYV—Finance Co PINK—Assessor Co GOLDENHOD—File P PY. PX PY. Copy,GREEN—Apptic9nt's Copy r �/� � �--+�� ys � n . . � � � , _ . �„_ _ ' .i �, CITV fJF DIAMQIVD BAR IiVSPECTION R�C4RD ' � ,� �. ,. _ . . � � _- - � t � c.. . . � - v � � �� e � , ,� � aa�t : o � � �� v`� e � � o. -�- e �, � � �� r�� n � �� w +�', n..1,�. �� _ - .� SET BACK FLOOR JOIST FTGS/FORMS/STEEL FHA REQMTS _._._._ _...._.__ ___...__ _._._. _ ....______ .._.._. __ _..._._._ __----- ----- _._ __------ .__._.. _-------- .--__.._ ____--__ _._._.._ _ ._._._.. . _ .__. ELECTRIC GROUND :UNDER FLOOR DUCT � GROUND PWMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER 'FIREPLACE BOND BE�1M WATER SERVICE MID HT.BOND BEAM ROOF SHEATHING 8 FT.BOND BEAM FRAMING/VENTILATION FINAL BOND BEAM ROOF C�VER FRE-GRADING ------- ------ -------- ---- •-------------------- —__._.------------------ ------- ROUGH HEATING BENCHING ------------------...-------- ----.._._.._--------- ,___..__.._._...----------___..__—. ___..__..__..___..._.._._.__—_..__...---.._._...------ ROUGH ELECTRIC +ROUGH GRADING ROUGH PLUMBING 'FINISH GRADING SHdWER/TUBTEST POOL EL[CTRIC EXT.LATHlSIDING POOL FENCING WALL INSULATION POOL fiNAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING ;DEDICATIONS SEWER FINAL ENG. ------...------------------- --------- -----------------....--------- = ------------__..------------..__._._..---- ---------------------- SEPTICTANK I LANDSCAPE/IRRIG. - --- ------- ------- --------- ---- ---- -------- --__---------..__..----�-- SEEP PIT/L.L. ON SITE IMPS. GAS AIRTEST FINAL ZONING FINAL CONST. 'FIRE DEPT.FINAL FINAL HEATING HEALTH DEPT.FINAL FINAL ELECTRIC DEV.FEES PAID FINAL PLUMBING ENERGY FINAL PLANING FINAL ENGINEERING ' � o COMMENTS ---- � �� -�-��---`� '��`��--=-------�-�--�------------- --- --------- - --- �-- -.-_ �--- 3-- —y �� - _--- - -- SEPTICTANKSIZE SEEPFIT/U SIZE —..-------._._....—_..._...---------------.....—....__._....—.__._..._—..._.__....-------._._.-----..—.__..._....--- �� ' `�� "'$=.- — -- — -- , ,� �4 �. � .. '� � � �_,�� -. s� "' _ � � .�,. i. � --—------—--------- —_--—----.—._.._.._...-------.._....._._.—._. �� t,a k'� � _.. . .. - �-- — — �:�� t��a..�';�,�� . , : +� ' �:� . �' �..-, "�,�',�.a;-k� "-�=5' . . x,;� , , � �. .. �F' - - _ --_ _- �_ �.t��•�'� • , .�:v. _-- _ _ 1F� CTI'Y OF DIAMOND BAYt , ..- � DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICES � 21810 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 DDRESS_��S DATE CATION�` PERMIT f p/C ��in l�uL b"_ � �I� NUMBER��78z- # =° APN LOT TRACT ISSUE 7ypE � DATE I � �-- CONSTP�V� GROUP p OWNE��n'f�Y��t� " ADDRESS v� vt ZONING SETBACKS 0 Z CITY C�Cn�Nua. ZIP l � TE Y 0 FRONT qyy � p APPLICANT TEL. SIDFJSIDE STREET qyy p � CONTRACTOR : �• V SIDE ❑ ADDRES o CITY ZIP TE O PROPOSED USE�I/�,��•tT_� � �� ow ARCH/ENG/ z DESIGNER a ADDRESS NO.DWEL. NO. NO. � CITY ZIR TEL UNITS STORiES . BEDROOMS � � DESCRIPTION S�.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNEFi-BUILDER DECLARATION SFR/ADD/REM O 1 HEREBV AFFlRM UNDER PENALTY OF FERNRV THAT t AA1 E%EMPT FROM 7HE COHTMCTORS LI• GefB B/C9 Il W CENSEUWFORTHEFOILOWINOREASON(SEC.7031.SBUSMESSANDVROFESSIONSCODE:ANYUTYOR , (n �g � � COUMYWHICHREWIRESAPERMITTOCONSTAUCf,ALTEf�lA1PROVE,DEMOlJS1.ORREPNR�AM'STRV6 W P8tf0/DgCk � TURE,PRIOH TO RS ISSUANCE.ALSO REOUIRES THE APPLICAHT FOR SUCH PERMIT TO flLE A StONED W � STATEMEHf THAT HE OR SHE IS 110EN5EU PURSUANT TO THE�VHOVISIONS OF THE�COHfMCTOpS U- . , � CENSE UW(CHAPTER v(COMMENCIN(3 WITN SECTION 7000)OF DIVISION�OF THE BUSINESS AND PR6 V- PooVSpe FESSIONSCOD�OHTHATHEORSHEI9EXElAPTTHEREFROMANO7HEBASISFORiMEAlLEOEDE%E►IV• (' V TIDN.AN'/VIOLATION OF SECTION 7U,71.5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPIICANT 7O . Z RaRaof A CML VENALTV OF NOT ApRE�i}1AN FNE HUNDRED�OLlARS(i5oo).): Q ❑I,ASONMEROFTHEPROPERTY,ORMYEMPLOYEESVKTHINAGE3ASTHEIRSOIECOMPENSATpN, � 0 Commercial � - Z WILI DO 7/1E WORK,AND THE STRUCTURE IS F70T INTENDED.oR OFFEREO FOR 9ALE(SEC.�7ou,6uSF �_J � " � � NESS AND GROFESSbNS COOE:THE CONTiUCTORS LICENSE UW DOES NOT MOIY TO AN ONMEp OF � ' � . PROCEHTY NM1IO BUILDS OR IMPROVES 7HEREON,AND WHO DOES SUCH vqRK HIMSELF OR HERSELF OR � Q iHROUGH HIS OH HER OWN EMVIOYEES,FROVIDED iHATSUp1IMPROVEMENTS ARE NOT RlTENDED OR . m - Q OFFEREDFORSALEIF,NOWEVER711EBURDINOOHIMPROVEMFNTISSOIDWfTHMONEYEAROFCOMPLE- . Z TION,iHE OWNER�BURDER WILL NAVE TNE BURDEN OF.PROVMQ THAT HE OR SHE DID NOT BURD OR . . . = IMFROVE FOR THE P.UHPOSE OF SALEI: . . w OI,ASOWNEROFTHEPROPERTY,AMEXCLUSNELYCOHTMCTINON7IHUCENSEDCONTRACTOR3 . � TO CONSTRUCT THE PRWECT(SEC.7oN,BUSINESS AND PROFESSIONS CODE:THE CONTRAC70R311- V01V8t{OII ADJ.AREA. . � W CENSEUWDOESNOTAPFLVTOANON7lEROFAPHOPERT'WFiOBURDSONIMPi10VE9THERCd1,AND �� = N41000MMCTSFOHSUCHPRQIECTSN7T11ACOHfRACTOH(S)LICENSEDVUR6UAHf70THEODHrMO FEE � ~ TOHS UCENSE UWJ. . QUANTITY DESCRIPTION � ❑I AM EXEMPT UNDER SEQ� �B.6 F.Q FOR TFfl3 REASON Q � V � OATE � OWNER� H Z � . . � .... . . . . � U . � LICENSED CONTRACTORS DECLARATION W � I HEREBYAFFIRAI UNOER PENALTY OF PERJUHY 7HAT IAM LICENSED UNDER 7ROVISIONS OF CHAGTER � - � � Y(COMMENCINO WITH SECTION 7000)OF DIVISIOH J OF THE BUSINESS ANO PROFESSIONS OODE,AND Z, � !�� MY LICENSE IS IN FU.L fORCE AND FECT. � m � IICENSECLASS � LIC.NO.. ��F��V � - �� V DATE I . CONTRACTOR d . . . . W � � WORKERS'COMPENSATION DECLARATION Q � 1 HEREBYAFFIRM IINDER 7ENALT/OF VERIURY ONE OF THE FOLLOWIN6 DECURATIONS: Z � - , � I HAVE�AND WILL MAINTNN A CERTIFICATE OF CONSENT 70 SELF-INSURE FOR NqRI(ERS �� Q �PENSATIDN,ASPROVIDEDBVSECTION37GO�OF75/EUBORCODE,FORTHEPERWRMANCE � Q /6F 7HE WORK FOR NMICH THIS PERMIT IS ISSUED. - � - . w �1 HAVE AND WIIL MAINTAIN WORKERS'�COMPENSA710N IN3URA1tCE;AS REOUIRFD BY SECTION Q� 77oa OF THE UBOR ODDE,FOR TNE PERPDRMANCEOF TME WOiiK FOR WMf71TH15 PERMIT IS. ISSUED.MY WORjK(�f�iSy'CyO�MyPENSA�TION INSURANCE RIEH AND.70LICY NUMBERAAE: �CONSTRUCIION j CARRIEH I �i !1 �7 L G� _ PUVJAEVIEW Z0 POLICV�NUMBER �t,�y��C') ( �, . . ELECTRIC I� Q (n+gs[ctiaaNe�wieEoa.�FrmoFnf�rswaa+E�ra�000u�asgiroloA� PLUMBING r°Lp �U�4 Sf_=�.<< � \!�L 's w r �� Z I CERTIFY THAT IN 7HE PERFORMANCE OF THE WOPoC FOR NM111CH THIS VERMIT IS ISSUED,1 MECHANICAL U'� SMALL NOT EMPLOY ANY FEtiSON IN ANY MANNER SO AS TO BECOME SUBJECT 70 THE � � (q WORI(ERS'COMPENSATqN UWS OF CALIFORN�REE IF OULD BECOME �NSPECTION FEE� = SUBJECTTOTHEWORKERS'COM7ENSATION S SO � I� 3 OOFTHELABOR � � � / `` CUDE,I S FOi7THWITHCOMPLY P SI ISSUANCE � � p DATE: APMICANT: �SMIP W J W�RNINO:FAILURETOSECVREWOHKERS'COMPENSATIOHCOVERAGEISUNUWFUL,ANO.SHALLBE ENERGY�P/C J � SUBJEC7AN EMPLOYER TO CRIMINQ PENALTIES ANU CML FWES UP TOONE HUN�RED THWSAND ENERGY�PERMIT � DOlURS(i10o,000),�IN ADDITION 70 THE COST OF COMPENSATION,DAMAOES AS PROVIDED FDR IN J SECTION 37oe OF THE UBOR COOE.INTERES7.ANDATfORNEY9 FEES. � - ' ' - � oC RETENTION FEE: •O OCONSTRUCTION LENDING AGENCV PRE-ALT FEE: I � 1 HEREBYAFFIRM UNDER PENALTV OF PERIURY THAT THERE IS ACONSTRUCTION LENDMO AOEHCY i FOR T11E PERFORMANCE OF THE WONK FOR NM1i1CH THIS PERMR IS ISSUED(SEC.3Q77,qV.C.). Z W LENDER'S NAME � � � � � - � - � ' I-� LENDER'SADDRESS - w 1 CERTIFV THAT I HAVE READ THIS APRICATION AND SUTETNATTHEA80VE Mf-0MIATION 19 COqRECT. TOTAL FEES .'7� � 1 AGREE TO COMPLV MA7H ALL CfTY AND COUNTY ORDINMICES AND SUTE UN5 REUTM4 i0 BURDMO � CANSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO EMER UPON iHE � Z ABOVE-MENTIONED FROPEHTY FOfi INSPECTION VURPOSES. COMMENTS �� o !�2� ��' �. � °� i NAME(�R � G--��i -�� SION PE E . DATE RECPT.NO. PAID BY V/WDATION ~ WHITE—De Rment Co YELLOW—FNance - Pe py, Copy.PINK=Assessor Copy,GOLDENROD--File Copy,GREEN—Applkard'a Copy