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Home My WebLink About11-600 � CITY OF DIAMOND BAR . � ; ��-��`— DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21825 Copley Drive,Diamond Bar,CA 91765 ` (909)839-7020 Fax(909)861-3117 I3uilding Inspection Hotline(909)839-7027 PRESS '��' BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE APPLICATION PERMIT / QO P/C ADDRESS ��1' a. � �f' DATE NUMBER # � ISSUE { TYPE / l OCC i APN LOT � TRACT DATE � CONST�`�l�y�r��`�`r0R6UP p OWNER ' � ADDRESS ZONING SETBACKS 0 Z CITY' ZIP TEL. O FRONT pyy � � APPLCANT TEL. REAR � QSIDFJSIDE STREET RW ❑ � CONTRACTOR SIDE p � ADDRESS � j � CITY ZIP TEL. PROPOSED USE I-�7�'►�/�.if7 lt/A-L(� 3 1n�X /+-� w ARCH/ENG/ ��7 4 4'2� vrtA.x /� r�NJc'¢ z DESIGNER � —T`�� e�• � 5i/�F'YA�G7 1 a ADDRESS NO.DWEL. NO. �Z�Oy�� NO. C70'I'' � CITY ZIP TEL. UNITS STORIES BEDROOMS � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O ' � I HEREBV AFFIRM UNDER PENALTV OF PERIURV THAT I AM EXEMPT FROM THE CONTRACTORS LI� G8f2(J0/CBfPOh W CENSE UW FOR THE f-0LLOWING REASON(SEC.7037.5 BUSINESS AND PROFESSIONS CODE:ANV CITY OR (n U COUN7YVh11CHRE0UIRESAPERMI7TOfANSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- W P8�10/DBCk w TURE,PRIOR TO ITS ISSUANCE,AL50 REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W � STATEMENT 7HAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- � � CENSE UW(CHAPTER 6(CAMMENCING WITH SEC710N 7000)OF DIVISION 3 OF THE BUSINE55 AND PRO- POOVSpO , Q FESStONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDEXEMP- (� U 710N.ANVVIOLATIONOFSECTION7031.SBVANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICAN7T0 Z Re-Roof A CIVIL PENALTY OF NOT MORE THAN FIVE HUNORED DOLLARS(SSao�.): 0 ❑I,ASONMEROF7HEPROPERTV,ORMVEMPLOYEESWITHWAGESASTHEIRSOLECAMPENSA710N, 0 COrt1rtIBlClel Z WILL DO THE WORK,ANO THE STRUC7URE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7ou,BU51� J � � NESS AND PROFESSIONS CODE:THE CONTRACTOFS LICENSE UW DOES NOT APPLV TO AN OWNER OF � / PROPEHTY WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR Q THROUGH HIS OR HER ONRJ EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m 0 OFFEREDFORSPLEIF,HOWEVER,7HEBUILDINGORIMPROVEMENTISSOlDWI7HINONEYEAROFCOMPLE� Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING 7HA7 HE OR SHE DID NOT BUItD OR'� � IMPqOVE FOR THE PURPOSE OF S�LE). w ❑I,AS OWNER OF THE PROPERTV.AM E%CLUSIVELV CONTRAC7ING WITH LICENSED CONTRACTORS [[ TO CANSTRUCT THE PRQIECT(SEC.70�l,BUSINESS AND PROFESSIONS CADE:THE CONTRACTORS LI- V0IU8�1Of1 ADJ.AREA W CENSE LAW DOES NOTAPPLV TOAN ONTJEH OF A PROPERTV WHO BUILDS OR IMPROVES THEREON,AND � NM1IOCANTRACTSFORSUCHPROJEC7SWITHACONTRAC70R�S)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.�. � �I AA1 E%EMPT UNDER SEC. B.8 P.C.FOR THIS FiEA50N Q U � � DATE - � OWNE H � W �¢ LICENSED CONTRAC DEC ATION W CC I HEREBY AFFIRM UNDER PENALTV OF PERJURY THA7 I AM LICENSED UNDER PROVISIONS OG CHAPTER � • � B(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS ANO PROFESSIONS CODE,AND Z `X MY LICENSE IS IN FULL FORCE AND EFFECT. m � LICENSE CLASS LIC.NO. j U DATE CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION a � I HEREBV AFFIRM UNDER PENALTV OF PERJURV ONE OFTHE FOLLOWMG DECIARATIONS: Z ' ' Z _IHAVEANDWILLMAMTAINACERTIFICATEOFCONSENTTOSELF�INSUREFORWORKERS' _ , Q COMPENSA710N,AS PROVIDED BV SEC710N 3700 OF THE LABOR CODE,FOR THE 7ERFORMANCE U Q OF THE WORK FOR WHICH THIS 7ERMIT IS ISSUED. � � _I HAVE AND WILLl.1AINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BY SECTION Q370o OF THE LABOR CODE,FOR 7HE PERFORMANCE OF 7HE WORK FOR WHICH THIS PERMIT IS i /�/� ISSUEO.MV WORKERS'CAMPENSATION INSUFANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION �oci 0 j CARRIER PLAN REVIEW y�J•D C7 Z POLICY NUMBER ELECTRIC Q , �- (RiISSEC'IIONNE�NOTBE001�1R_ETEDOFiHEPERMfTISFORONEFNI�DREDD0.V1iS(f700)ORLESS) PLUMBING � Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUEO,I MECHANICAL C} SHALL NOT EMPLOV ANY PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO THE � WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE = SU&IECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSECTION37000FTHELABOR — n CA�E.I SHALL FORTHWITN COMPLY WITH THOSE PROVISIONS. ISSUANCE `� �� p DATE: APPLICANT: SMIP � �j � J WARNWG FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL.AND SHALLBE ENERGY P/C � SU&IECTANEMPLOVERTOCRIMINALPENALTIESANDqVILFWESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOLLARS(f10o,o00),IN ADDITION TO THE COST OF COMPENSA710N,DAMAGES AS PROVIDED FOR IN n p �}-�� SEF'fION 37oe OF THE UBOR CODE,INTEREST,AND ATfORNEV'S FEES. RETENTION FEE: Q�-V"�/"'� O CONSTRUCTION LENDING AGENCY p _qLT FEE�_ yJ,/ fJ � 1 HEREBY AFFIRM UNDER GENALTY OF PERJURV 7HAT THERE IS A CONSTRUC710N LENDING AGENCY / /7•J/V f, � FOR THE PERF-0RMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3087,CIV.C.). b Z .... W ? LENDEil'S NAME 7 F- LENDER'SADDRESS � ` w I CERTIFY THAT I HAVE READ THIS APPLICA710N AND STA7E THAT 7HE ABOVE INFORMATION IS CORREC7. TOTAL FE ES /�'� : � I AGREE 70 COMPLY WITH ALL CITY AND COUN7Y ORDINANCES AND STATE UWS RELA7ING TO BUILDING � CONSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATNES OF THIS COUNTV TO ENTER UPON THE Z ABOVE-MENTIONED PROPERTV FOR INSPECTION 7URPOSES. COMMENTS � j 70»,.*`1 Lr�� A s �TTy►-�N-N�-7 irvl� N ► m F�ERMITT)EE NAME(PRINT) I-��}"> ' ¢ / (��-��- � l O � � � � SIG TU OFPER ITTEE DATE � . _ �� RECPT.NO. - PAID BY` VAIIDATION ~ WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicanl's Copy CI�V �� 6lI��V�� ` � , .. I�S�I�C�i �� V�[�C�R� - Da�pCC�400�] o �5�@ :: * 0[r��f�,,�C�� t5�o G3 � . Oa�G�C��40� . '�DG�J`�- ��}�G°�C(�40G7, �� SET BACK ` � FLOOR JOIST !"`' FTGS/FORMS/STEEL: �� FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWEH FIREPLACE B�ND BEAM WATER SERVICE MID H'T. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM FRAMINGNENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL E�ECTRIC EXT. IATH/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 FINALCONST. .'` �<•%��, % " ' FIRE DEPT. FINAL F�NAL HEATING � � � HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ��o � COM IVI E fVTS _ _ Q ��a��►n. wa,JV�,_$,� 1� � - -- ---- � —� � �,�s/'��_��,�.s,��/��"��- SEPTIG TANK SIZE SEEP PIUU SIZE a � Q . �