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Home My WebLink About11-1246 � • CITY OF DIAMOND BAR ` � �-"--��` DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES a�� • 21825 Copley Drive,Diamond Bar,CA 91765 �� -• ,..:� . (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839�T P'H��l�J ,��. S '""'� BUILDING PERMIT APPLICATION ¢ DDRESS � G�� APPLICATION� PERMIT ]� p/C �\ � o DATE � I� NUMBER II �� # � � � ISSUE ,�q / TYPE yy� ��( � OC " APN�_ LOT TRACT DATE V � I CONST. I„eL7`� GROU p OWNER p ADDRESS I r ( ZONING SETBA KS z CITY AI ZIP � �1 TEL. -(� f FRONT qyy � � APPLICANT TEL. REAR p z SIDE/SIDE STREET RW ❑ ¢ CONTRACTO N � N�IA� SIDE ADDRE f ' � CITY ZIP Z- TEL. PROPOSED USE , r- � � o ARCWENG/ - z DESIGNER a ADDRESS NO.DWEL. NO. NO. � UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION O OWNER-BUILDER DECLARATION SFR/ADD/REM I p I HEREBY AFFIRM UNDEP PENALTV OF PERIURV THAT I AM EXEMPT FROM THE CONTRAC70R5 LI� G8f8QB/C8fP0li � W CENSEUWFORTHEFOLLOWINGREASON(SEC.7037.5BUSINESSANOPROFESSIONSCADE:ANYCITYOR (n U COUN7VVhiICHREOUIRESAPERMITTOCANS7RUC7,ALTER,IMPFOVE,DEMOLISH,ORREVAIRANY57RUG � w TURE,PRIOR TO ITS ISSUANCE,AL50 REOUIRES THE APPLICANT FOR SUCH PERMI7 70 FILE A SIGNED w Patio/Deck � STATEMENT THAT HE OR SHE IS LJCENSED PUFSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- � CENSE LAW(CHAPTER B(COMMENCING WI7H SECTION 700a)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOVSpO , Q FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEFiEFROMANDTHEBASISFORTHEALLEGE�EXEMP� � V TION.ANY VIOUTION OF SECTION 7031.5 BY ANV APPLICANT FOR A PERMIT SU&IECTS THE APPLICANT TO Z Re-Roof A CIVIL PENALTV OF NOT MORE THAN FIVE HUNDRED�OLURS(SSoo).): � ❑I,ASOWNEROF7HEPROPERT/,ORMYEMPLOYEESWITHWAGESAS7HEIRSOIECOMPENSATION, � Commercial Z WILI DO THE WORK,AN�7HE STRUCTURE IS NO7 INTENDED OR OFFERE�FOP SALE(SEC.70u,BU51- J - -" � NESS AND CROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF I PROPERTYNhiOBUILOSORIMPROVESTHEREON.ANDNMODOESSUCHWORKHIMSELFORHERSELFOR � ' /� 1 ,y i Q TMROUGH HIS OR HER OWN EMPLOVEES,PFOVIDED 7HAT SUCH IMPROVEMENTS ARE NOT INTENDED OR m • ]// /�� / . Q OFFEREDFORSALE.IF,HOWEVERTMEBUILOINGORIMPFOVEMENTISSOLDWI7HINONEVEAROFCOM7LE� I �I`�/ TION,THE OWNEF-BUILDER WILL HAVE THE BURDEN OF PROVING THA7 HE OR SHE DID NO7 BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). � W ❑I,AS OWNER OF THE PROPER7V,AM E%CLUSIVELV CONTRACTING WI7H LICENSED COIdTRACTORS Q TO CONS7RUC7 THE PR0.IECT(SEC.7aa,BUSINE55 AND PROFESSIONS CADE:THE CONTRACTOqS LI- V81U2f1Of1 W CENSELAWDOESNOTAPPLY70ANONTJEROFAPROPER7VWHOBUIL�SORIMPROVES7HEREON,AND i — � = NMOCONTRACTSfORSUCHPROJECTSWITHACONTRACTOfl(S)LICENSEDPURSUANTTOTHECONTRAC- � ' ~ 70RS UCENSE LAW.). �UANTITY DESCRIPTION � � ❑I AM EXEMPT UNDER SEC. 8.8 P.C.FOR THIS REASON Q ?� U LL � I DATE OWNER F— � Z U O w LICENSED CONTRACTORS DECLARATION -� � w I HEREBY AFFIRM UNDER PENPLTY OF PERJURY THA71 AM LICENSED UNDER PROVISIONS OF CHAPTER � d e(COMMENCING WI7H SECTION 70a0)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z X MV LICENSE IS IN FULL FORCE AND EFFECT. � LICEN LASS C� LIC.NO. �� V DATE �� CONTRACTO d � �� Q � WORKEflS'COMPENSATION DECLA -� � I H R BV AFFIRM UNDER PENALTV OF PERJURV ONE OF THE FOLLOWING DECLARATIONS: Z - � / Q s � I HAVE AND WILL MAMTAIN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' _ � ,^ ♦ Q �MPENSATION,AS PROVIDED BV SECTION 37000F THE LABOR CODE.FOR THE PEFFORMANCE U V Q F THE WORK FOR WHICH THIS PERMIT IS ISSUED. � w _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQ�IRED BV SECTION Q3700 OFTHE LABOR CODE,FOR THE PERFORMANCE OF THE WORN FOR WHICH THIS PERMIT IS ISSUED.MV WORK 5'CAMPENSA ION INSU CE C RRIER AND PO V NUMBEFARE: CONSTRUCTION j cnaaiEq • PLAN REVIEW Z POLICY NUMBER�I�� ELECTRIC Q � (IHLSSECiIONNEmNOTBECOMF�EfEDOF7NEPERMfTISFORONEHUPDRED00LLAFiS�t100)ORLE55} PLUMBING W Z I CER7IFY THA7 IN 7HE PERFORMANCE OF 7HE WORN FOR WHICH 7HI5 PERMIT IS ISSUED.1 MECHANICAL _ vZ 7 C3 SHALL NOT EMPLOY ANY PERSON IN ANV MANNER 50 AS 70 BECAME SU&IECT 70 7HE (n WOFKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE j SU CT T THE WORKERS'COMPENSATION PROVISIONS OF SECTION 3700 0F THE LABOF / COD ,I SH LL FORTHWITH COMPLY WITH THOSE PROVISIONS. ISSUANCE ��. / � p DATE: I APPIICANT: SMIP W J WARNING FAILUR TO SECURE WORKERS'COMPENSATION COVERAGE IS UNUWFUL,AND SHALL BE ENERGY P/C � SU&IECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT � DOLLARS(5100,000),IN ADDITION TO THE COST OF CAMPENSA710N,DAMAGES AS PROVI�ED FOR IN J SECTION 3708 OF THE LABOH CODE.INTEREST,AND ATTORNEV'S FEES. p� RETENTION FEE: • d OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDMCa AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.309�,CIV.C.). Z W � LENDER'S NAME F— LENDER'SADDRE55 w I CERTIFV THA71 HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. TOTAL FE ES /�� I AGREE TO COMPLV WITH ALL G7V AND COUNTY ORDINANCES AND STATE LAWS REIA7ING 70 BUILDING � CANSTRUCTION,AND HEREBV AUTHORIZE REP ESENTATIVES OF THIS COUNTV TO ENTER UPON THE Z ABOVE� ENTIONED PROPERTV FOR INSPECTI PuavosEs. COMMENTS � 0 � 1 � � vvt m PE E( NT) _ ' � 3 � URE OF PERMITTEE DAT ' = RECPT.NO. PAID BY 3 VALIDATION ~ WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROa-File Copy,GREEN—Applicant's Copy � C� Y � �� FYYtl1�II�lO.Y I�P9� � � ��u�-� �ti: �t"�� 1. . :.. �,,�k��,��a��Y. e��a�� :t� r�;�: �{��-`�� '� � . ,- ` �I� C� o� ` � o '4C� OUYJ�3pC�C�40O G3 � OG�J�pGC�40Q�1 D/1`t�C� 0[n��pGC�40O G� 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 H'L BOND BEAM � ' ' RbOF SHEATHING 8 FT. BOND BEAM FRAMINGNENTILATION ; FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHfNG ROUGH ELECTRIC , ROUGH GRADING ROUGH PLUMBING j FINISH GRADING SHOWERlTUB 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 LRNDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING i HEALTH DEPT. FINAL _.._ ._------ -—- --�----.___---------- -------� -- --------------_-----_..._..---...________------------____.._._-- FINAL ELECTRIC !�, �� DEV. FEES PAID __ FINA�PLUMBING ENERGY – ----- --- --— _1 �� ,; --------——_---_.---------- COMMEfVTS SEPTIC TANK SIZE SEEP PIT/U SIZE a � � �, o