The URL can be used to link to this page

Home My WebLink About12-702 _!��_ CITY OF DIAMOND BAR � � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS 'H"'. BUILDING PERNIIT APPLICATION FIRMLY � JOBSITE p APPLICATION .' / PERMIT -7 � �� i o ADDRESS 1�U �'r�K�e✓� '�Q�Y��V1• DATE � NUMBE�` �v #/C � ISSUE NPE pCC APN LOT-��TRACT DATE CONST. GROUP p OWNER CA�I r'O V�C.V1O o ADDRESS ZONING SEfBACKS z CITY ZIP TEL.� ��'T�1 FRONT qyy p p APPLICANT TEL. REAR p Z SIDE/SIDE STREET RW ❑ ¢ CONTRACTOR � � SIDE ❑ I � ADDRES � � CITY ZIP 3TEL PROPOSED USE G X�S � 'Q �� l,1 o ARCH/ENG/ e� �� z DESIGNER w NO.DWEL. '�o�.t. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNEA-BUIIDER DECLARATION SFR/ADD/REM O p I HEREBV AFFIRM UNDER PENALN OF PERIURV THAT I AM EXEMPT FHOM 7HE CONTMCTORS U- G2fdJB/CBfPOR W CENSEUWFORTHEFOLLOWINGREASON(SEC.7037.SBUSINESSANDPROFESSbNSCODE:ANYCITYOR , (n U CpUPRyWHICHHE�UIflESAPERMITTOCONSTRUCT,A�TER,IMVROVE,DEMOUSH,ORREPAIRANYSTRUC- w NflE,PRIOR TO RS�ISSUANCE,ALSO REOUIRES THE AP7UCANT FOR SUCH�PERMIT TO FILE A SIONED W Patio/Deck � 5TATEMEM THAT HE OR SHE IS LICENSEO PUp5UAN7 TO hIE�PNOVISIONS OF THE CONTRACTORS ll- � . � CENSE UW(CHAPTER Y(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF hIE BUSINESS AND PRP Pool/Spa . Q FESSIONSCODE)ORTHATHEORSHEISEXFAIPT7HEREFROMANDTHEBASISFORTHEALLE6EDEXEMP- �(� � , V TION.ANYVIOLATIONOFSECTION7o31.5BYANYAPPLICANTGORAPERMIT5U8JECTSTHEMPLICANTTO Z� Re-Roof rue� � � ACMLPEN�I7VOFNOTMORETHAN�FIYENUNDREDDOLLARS(35oo)J: Q ❑I,ASOWNEROFTHEPROPERTY,ORMYEMPLOYEESWITHWAGESASTMEIRSOLECOMPENSATION, - 0 CommerciaP - Z N7LL DO THE WORK�D THE STRUCTURE IS NOT INTENDED OR OFFERED FOR 3ALE(SEC.7osl,BU51• J � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT MPLY TO AN OWNER OF � - �� PROPEHTY VhiO OUILDS OR IMPROVES THEREON,AND VMO DOES SUCH WORK HIMSELF OR HERSELF OR � Q hiROUGHHISORHEROWNEMPLOYEES.VROVIDEDTHATSUCHIMPROVEMENTSARENOTINTENDEDOR m . Q OFfEREDPoRSALEIF,HOWEVER,7HEBUILDIN60RIMPROVEMENTISSOLDWfTHINONEYEAROFCOMPLE- Z TION,.7HE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING SHAT HE OR SHE DID NOT BUIID OR . = IMPROVEFORTHEPURPOSE�OFSALE). � � � w ❑I,ASONMEROFTHEPROPEFm',MIEXCLUSNELYCANTRACTINaWIT1LICENSEDCONTRACTORS Q TO CONSTRUCT THE PpOJECT(SEC.7oN,BUSINESS AND PROFESSIONS CODE:hiE CONTHACTORS LI- V81U8[IDfI� ADJ.AREA W CENSEIAWDOESNOTAPPLYTOANOWNEROFAPHOPERTVWHOBUILD50HIMPROVESTHEREON,AND � � � WHOCONTRACTSFORSUCHPRQIECTSWIhIACONTiUC10q�S)LICENSEDPURSUAMTOTHECONTMG pUANTITY DESCRIPTION FEE . Y TORS UCENSEUW.). � ❑1 AM El(EMPT UNDER SEC. B.8 F.C.FOR THIS�REASON Q � V � DATE � OWNER �r� �F'- � Z W ¢ LICENSED CONTRACTORS DECLARATION w [t I HEREBY AFFIRM UNDER PENALTY OF GERJURY THAT IAMIICENSED UNDER PROV�SIONS OF CHAPTER � � Y�COMMENCINO�WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z. X" 4Y LICENSE IS IN FULL FORCE AND EFFECT. m LLI � � 0 UCENSE CLAS LIC.NO. �� , � V DATE CONTRACTOR d � . . W � WORKERS'COMPENSATION DECLARATIO Q N1 HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE WLLOWING OECLARATIONS Z � � - � � � � � � _IHAVEAND,WILLMAINTAINACERTIFICA7EOFCONSENTTOSELF-INSUREFORWORKERS' _ CAMPENSATION,AS PROVIDED 8Y SECTION 37oD OF THE LABOR CODE,FOR THE PERFORMANCE �U� .Q OF h1E WORK FOR WHICH THIS PERMIT IS ISSUED. � - � w �1 HAVE AND WILL M/UNTAIN WORKERS�COMPENSA710N MSURANCE,AS RE�UIRED BY SECTION Q 370o OF-THE UBOR CODE,FOR THE PERFORMANCEDF THE WORK FOR WHICH THIS PERMIT iS. �I�! I� � /� ISSUFA.MV WORK�RS'{'AM�qENSATIQ�NSURAN�ARRIER AND POIICY NUMBER ARE: CONSTRUCTION�� I. l,1 ¢ CARRIER 1\r��\ T�•^i� . . > PLAN AEVIEW Z0 POLICYNUMBER ELECTRIC ¢ o (n+ssEciiaaN�r�o7ee�7moFn�vEw�rsraaor�Mx��oaursRtoo)aatFssl PLUMBING Z 1 CERTIFY THAT IN THE PERFORMANCE OF 7HE WORK FOR WHICH THIS PERMIT IS IS �MECHANICAL �j' SHALLNOTEMFLOYANVVERSONINANYMANNERSOASTOBECAME�SUBJE � � � � WORNERS'COMPENSATION LAVIS OF CACIFORN10.AND AGREE THAT IF 1 BECOME INSPECTION FEE � SUAIECT TO THE WOWCERS'�COMVENSATION PROVISIONS OF 5 � .3700 OF THE tABOR � � � � " ( � CO�,I 5 FOFiTHWITH COIAPLY WI7H 7HOSE PROVI ISSUANCE •( 1 ( Q r- I p DATE:�� APPLICA � �SMIP � ��' J WARNINO:FAILURE TO SECURE WORKERS'COMPENSATION C MGE IS UNLAWFUL,ANO SHALL BE ENERGY P/C � SU&IECTAN EMPLOYER TO CRIMINAL PENAL71E5 AND CIVIL S UP TO ONE HUNDRED THOUSMI� ENERGY PERMIT ' DOLLARS.(S1ao,000),�INADDI710NTOTHECOSTOFCOMPEN ATION,DAMAGESASPROVIDEDFORIN J SECTION 3708 OF 1HE LABOR CODE,MTEREST.AND ATTORNEI"5 FEES. - � � RETENTION FEE: O CONSTRUCTION LENDING AGENCY ppE�p�T p�E:^ � A -iO.-�i :.^�� . � I HEREBYAFFIRM UNDERPENQTV OF PERJURY THAT THERE IS ACONSTiiUCTION LENDINO AGENCY ]'"')�j�4—7 6} �FOR ME PERWRMANCE OF THE WOHK FOR NMICH THIS PERMIT IS ISSUEO(SEC:30Y7,CIV.G). � Z W ��, LENDER'SNAAIE F- LENDER'SADDRE55 w ICEq71FY7HATfHAVEREADTHISMPLICATIONANDSTA7ETiATTHEABOVEINfORMATIONISCORRECL TOTAL FEES �� d I AGREE TO COMPLV WITH ALL CT'ANO COUNTY ORDINANCES AND STATE UWS HEIATING TO BUILDIN6 � CANSTRUCTION,AND HEHEBV AUTHORRE REPRESENiATIVES OF THIS COUNTV 70 EMEH UPON hIE - Z ABOVE-MENTIONEDPROPER7YFORINSPECTIONPURP05 S. • �COMMENTS �� Q.A Z G��1 (� � � m PERMITTEE NAME(PRIN7� � Q � . . . . . . . . . . . . . � � SIaNANREOFPE I DATE PAID�B . VALIDATIO � _ �- RECPT.NO. � WHITE—Depertment Copy,YELLOW�inance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy � CITY 4F DIANIOfVD �AR IfVSPECTIOP� RECORD , _ � - - t.�, .. '` �� . � _ � a � 4 '�f - ' -_ � � �r�`� � o . :r z .,y „ ,� � ,s �' 6 � ,. _� '"�v c.a,'� ° w'ha 3�S - �•- - _ � - , � �� 5ET BACK ;FLOOR JOIST FTGS/FORMS/STEEL FH RA EQMTS — — —�--- ---- ------ ---- -- ELECTRIC GROUND ; UN�ER FLOOR DUCT GROUND PLUMBING � �UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND 6EAM WATER SERVICE � I MID HT.BOND BEAM ROOF SHEATHING ,�j _ �8 FT.BOND BEAM FRAMING/VEN7ILATION ' FINAL BOND BEAM ._-----.._._.._..-------------------—_._.._.------_.__....-----------___---—---------- --------.._..__--------—..._._.._..——._._-----------------------------.._.__..—..---------- ROOF COVER PRE-GRADING ----- ------- -- ..------ - -- — ---- ------------- —. -- -- — ...— - —__ __._. _...__ _.__.. . —-- ------- ---- ROUC,H HEATING BENCHING ___ ___ ___ _______ ______ ROUGH ELECTRIC f ROUGH GRADING ROUGH PLUMBING �FINISH GRADING SHOWER/TUBTEST I POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEII_ING INSULATION OFF SITE IMPS. DRYWALL NAILING �DEDICATIONS ________ ___________ SEWER �`—INAL ENG. SEPTICTANK 'LANDSCAPE/IRRIG. 5EEP PIT/LL. - ----- --- ------- ON 51TE IMPS. -- — ----- ------------- GAS AIRTEST FINAL ZONING FINAL CONST. ZG L �"'—' FIRE DEPT.FINAL FINAL HEATING � � HEALTH DEPT.FINAL FINAL ELECTRIC DEV.FEES PAID FINAL PLUMBING �ENERGY FINAL PLANING ------ ------- --- --------- ------- ---------------------- FINAL ENGINEERING ' o e �OMMENTS - - SEPTIC TANK SIZE SEEP PIT/U SIZE � J 1'. .� .,�t ��Ci T --_ _— ___ ___ _ �� 7 }� ��'T @ _ ��'3��'1k A_.i .��,Xya� y['� �.i..K �� t_. i �� {'+$ = t+. �'.,a FI ..�Y2� r - ��,.��,Lt;:�'s''`� '��: -- __ , _--___ ____ �- �i'��E��ta�--R:i�- . . "��`Z'7��{��' _ .--_ _---_ _ __._.__ _ K � �,� l�Y . ��'''� � —_---_____ __---- .__— . --_—___'___..__--___'__— 1 �j � '� ! ,L '