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Home My WebLink About12-930 ��_ CITY OF DIAMOND I3AR � , / •� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 1/ ` 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PIRESS \ ""'� BUILDING PERNIIT APPLICATION FIRMLY o� JOBSITE 'Z��,� ( l` („ Q� /�-�� APPUCATION''1 �2 PERMIT �Z o�7J� P/C ADDRESS � C��- l�F-` 1 DATE vJ I L NUMBER ri °r APN LOT TRACT DA EE �� Z� CONST.�OUT GROUP °C OWNER ' O ' o ADDRESS ZONING SETBACKS ' FRONT Ryy p Z CITY ZIP TEL. � � APPLICANT TEI. REAR p � SIDE/SIDE STREEf RW O ¢ � CONTRACTOR SIDE p ADDRESS . �l � CIN ti ZIP�_ TEL - PROPOSED USE __ ✓1 � � o ARCH/ENG/ —��f— �z DESIGNER . NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFRIADD/REM O p I HEREBY AFFIRM UNOER PENALTY OF PERJURY THAT I AM EXEMPT FROA1 THE CANTMCTDRS L4 Garage/Carport. W CENSEUWFORTHEFOLLOWINOREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANYCfTYOR (n -� U COUMYyyHICHREOUIRESAPERMITTOCONS7Al1CT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUG W Patio/Deck w TURE,PRIOR TO RS ISSUANCE,AL50 REWIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIONED w � STATEMEN!THA7 HE OR SHE IS LICENSED PURSUANT TO THE PROYISIONS OF THE CONTMCTORS LF � , � CENSE UW(CHAPTER Y(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO . POOVSP3 � FESSIONSCODE�ORTHATHEORSHEISEXEMPT7HEREFROMANDTHEBASISFORTHEALLEGEDEXEMP- (� � � O ^ V TION.ANVVIOUTIONOFSECTION7o31.5BYANYAP7LICRNTFORAPERMITSU6iECTShIEAFPLICANTTO RaRoal �LU ACML PENALTV OF NOT MORE THAN FNE HUNDRED DOLLARS(i5oD).): � �I,ASOWNEROFTHEPROPERTY,ORMYEMPLOYEESWITHIVAGESASTHEIRSOLECOMPENSATION, � CORIR18fC101� - Z WILL DO THE WORK�ND THE STRUCTURE IS NOT INTEN�ED OR OFFERED FOR SALE(SEC.1oni,BU56 �� NESS AND PROFESSIONS CODE:THE CANTRAC70RS LICENSE GW DOES NOT APPLY TO AN OWNER OF � � PROPEHTY NM1IO OUIIAS OF IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR wTHROUGHHISONHEROWNEMPLOYEES,PROVIDEDTHATSUqfIMPROVEMENTSARENOTMTENDEDOR m � � � � OFFEREDPDRSALEIF,HOWEVERTMEBUIlDIN00RIMPROVEMENTISSOLDVrtTMINONEYEAROFCOMPLE- Z TION,THE OWNER•BUILDER WILL HAVE THE BURDEN OF GROVING 7HA7 HE OR SHE DID NOT BUIID OR � � . � IMPROVE FOR 7HE PURPoSE OF SALE). � . w ❑I,ASONMEROFTHEPROPEHfV,�AAIEXClU51VELYCONTpACTINOWITHLICENSEDCONTRACTORS }� � Q TO CqNSTRUCT THE PRQIECT(SEC.701�,BUSINE55 AND PROFESSIONS CODE:THE CONTMCTORS LI- V01UflfI0R �✓ �� pDJ,AREA�. � W CENSE UW DOES NOTAP7LV 70AN OWNER OF A VROPER7V WHO BUILDS OR IMPROVES 7HEREON,AND � � = WFiOCONTMCTGFORSUCHPRQIECTSWITHACOHTRACTOR�S)LICENSEDPURSUAHfTOTHECONTRAG � � � � roas�se uw.�. �UANTiTY DESCRIPTION fEE � I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � U � � OATE OWNER �F— � . . . . . . �w . . � LICENSED CONTRACTORS DECLARATION W � 1 HEHEBY AFFIRM UNDER PENALT/OF PERIURV THAT I AMIICENSED UNDER PROVISIONS OF CHAPTER � - � - �- - p_ o(COMMENCIMO WITH SECTION 7000)OG DIVISION 30F THE BUSINE55 M1D PROFESSIONS CODE,M1D Z � . X IdY LICENSE IS IN FULL FORCE AND EFFECT. o � �S3 ' � � UCENSE CLASS LIC.NO.. � . V DATE `7—Z 3�/ Z CONTRACTOR a� . . . �, w � WORKERS'COMPENSATION DECLARATION Q � I HEREBY AFFIRM UNDER VENAL7Y OF PERIUH'I ONE OF THE FOLLOWWG DEClARA710N5: Z - - � � �HAVE AND WILL MAINTAIN A CERTIFICATE OF CpNSEM TO SELF•INSURE FOR WORKERS' _ � i Q COMPENSATION,AS PROVIDED BV SEC710N 37000F THE LABOR CODE,FOR THE PERFOHMANCE W Q OF THE WORK fOR WHICH THIS PERMIT IS ISSUED. � � I W _IHAVEANDWI�LMAIMAWWORKERS'COMPENSATIONINSUHANCE,ASREWIREDBYSECTION � � - �! ` I� Q 37oD OF THE LABOR CODE,FOR THEPERFORMANCE OF THE WORK FOR WHlq1 iH15 PERMIT IS_ I�'' y- Z ` ISSUED.MY WORNERS'COMPENSATION INSURANCcE CM-R-IER AND ICY NUMBER ARE: CONSTRUCTION � / � f jCARRIEa WP��!� �v PUWREVIEW � �Z POLICV NUMBER�(J/ .�Y Co I ELECTRIC Q I � (IH55ECIqNNFIDN0T8ECOI.RETmOF7/gPEFMRISPoFONEF#FOREDOOUAfLS�S10D)ORLESS1 PLUMBING � . . Z �CERTIFY THAT IN THE PERFOFMANCE OF THE WOR1C FOR WMICH THIS PERMIT IS ISSUE0.1 MECHANICAL (.�} SHALL NOT EMPLOY PNY PERSON IN ANV MANNER SO AS TO BECAME�SUB,IECT TO THE � WORNERS'COMPENSATION LAWS OF CALIFORNI D AGREE THAT IF I SHOULO BECAME �NSPECTION FEE � SUBJEC7 TO THE WORKERS'COMPENSATION P ISIONS OF SECTI�� a7000F THE IABOR �- �i, �—f � CAOE.I SHALL fORiHWITH CAAIPLV WITH 7H vaows s/ � � ISSUANCE _ _ :i. . / � � O 72 f �" p DATE: �"G��/ �' APPUCANL �SMIP v J WARNINO:FAILURE TO SECURE WORKERS'CAMPE ATION CAVE�cE is uNuwFu�,uao swLL�ee ENERGY P/C � SU&IECTAN EMPLOYER TO CRIMINAL PENALTIES AND�CIVIL FINES UP TOONE HUNDRED THOUSAND ENERGY.PERM�T DOLLARS(ita0,000),IN IDDI710N TO THE COST OF CAMPENSATION.DAMAGES AS PROVIDEO FOR IN � J SECTION 370E OF THE LABOR CODE.IN7ERE5T,AND ATTORNEYS FEES. � •OO p� RETENTION FEE: OCONSTRUCTION LENDING AGENCY Pp�-q�T FEE:�, � IHEREBYAFFIRMUNDERPENALTYOFPERIURYTHATTHEREISACANSTRUCTIONLENDIN6A6ENCY r�s�";__ t. Oc� FOR TME PERFORMAtJCE OF THE WORK FOR WHICH 7HI5 PERMIT IS ISSUED�SEC:�3a77,CIV.C.). Z W �� LENDEftSNAME F— LENDER'SADDRESS � ,/'�/ W I CERTIFV THAT PHAVE READ THI9 MPLICATION AND STATE hiAT THE ABOVE MFORMATION IS CORRECL TOTAL FEES � .D• V � I AUPEE TO CAMPLY N7iH ALL CITY AND CAUNN ORDINANCES AND STATE UWS REUTING TO BUILDING � CANSTRUCTION,AND HEREBY AUTHORIZE REPRESENTATNES OF THIS COUN7V TO ENfER UPWl.THE � Z ABOVE-MEHTIONED PROPERTY FOR INSPECTION URPOSES. 0 COMMENTS " � '� �f -`�- m PERMITTEE NAME Hn " � � �-- � -Z3- � S�ONATURE OF P DATE = RECPT.NO. PAID BY VALIDATION ~ WHITE—De rtment Co YELLOW�fnence Co PINK=Assessor Co GOLDENROD—File pa py, py. py, Copy,GREEN—AppltcanYs Copy ci-rv oF �sa�no�vD B�R - , Ii�S�ECTIOPI FiECOR� .�� .. �. �_ �. �. .�_, , • - �=�_ _ � A .� - = -�tirr ��- - � -°- ��- , � � s .. �p� � Q _. . B aX.. a T� e�-`�y3t .vf�w�: �s� � i" �,d. d �. �'4nh� - e. Q:..�� 7'r� av.t��:. � � .i"ee �'..�k�.r"� _R ��a�t SET BACK �FLOOR JOIST ---- ------- —— --- --- ------ --- --- -__ __. --- _.._.— - -- FTGS/FORMS/STEEL � 'FHA REQMTS ----- - ----._ _._ ----- ------ ---- - --- L__ - --_._ ____ __..- ----------- --_ _._._ --- ---._ _..____ f_LECTRIC GROUND �UNDER FLOOR GUCT GROUND PLUMBING � !UNDER FLOOR CONDUIT SLAB GRADE i FIRE�FQUNQATION TEMP PObVER �FIREPLACE BOND BEAM WATER SERVICE MID HT.BOND BEAM ROOF SHEATHING Z I 8 FT.BONQ BEAM FRAMING/VENTILATION _ I FINAL BOND BEAM____ _ _ _________ ROOF COVER �PRE-GRAQING ----...- -- --- ------------ '--.__—.----------------------------------------------- ROUGH HEATING �BENCHWG --------------- -- ----------------------. . _ ROUGH ELECTRIC �ROUGfi GRADING-------- -_---------- ------------- ROUGH PLUMBING �FINISH GRADING SHOWER/TUBTEST POOL ELECTRIC EXT.LATH/SIDING I POOL FENCING WALL INSULATION j POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING __ hDEDICATI0N5 _ _ ______ _ SEWER _ �NAL 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 o ;.�,�� '.� _ __ , �OM M ENTS -- --- --------- - -�-�----------_--------.___------------------------------------------------- ----------------__----------��-' �, ----___-------------________---- �.._ � - - ____-----..__._.__._._------------------------------------------_-,_-_____--- _.______ ___________.---.__._.__-_______._________------- -------------- SEPTIC TANK SIZE SEEP PITlU SIZE F 1 �C��'�� .�i '. v —____ -- __ — t �� `��: �� - _ �}r Y� �'� ::�y��- e �.r �f �aY 1 y 5 � v"� ,�,,r ' � r',Y . — X s — — __ _ �}�� . �, � �� . '_"—'_'—_—.._.__._...—..---"___'_"_'—_'— ,s.� "� — —_'_.-----'___'_—"_"'—_' —'—_— _..._.__.. ' � .��.�, r� "'. " � -----..-..------------- - ------------------._......_....-_..__.._.._.-.__..._...-------..__...----------------- �� -: °�� .�.' � CITY OF DIAMOND BAR `:":�; Community and Development Services Department :`� 21810 E.Copley Drive•Diamond Bar,CA 91765 - - Building Inspection Request Hotline �,�g� (909)839-7027 Building . Planning . Engineering • (909)839-7020 (909)839-7030 . (909)839-7040 �.:i CORRECTION NOTICE . ::` ^ PERMIT NO. � DATE: �. �.3 � Z"" TIME:��.�.�:��°� CONTRAGTOR/ `/�o� �� . OWNER BUILDER � ;� � ADDRESS(Project Site) '�� t' � `----�``•_ �t--�- �`��i--��--3 , / � . . �� . � . �----�� G"�..-�- e��.�t-� �,, _ . - �,-J . ! �--c�✓1�. �- � z� c -t_ , '�� . 7 �v_ . ' � �-.� `'` ' �� :� _ � _� . ❑PLEASE CONTACT THE UNDERSIGNED ❑PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION � `❑REINSPECTION FEE REQUIRED - ❑PLEASE MAKE CORRECTIONS AND PROCEED WITH WORK ;` ,'-,,� �— INSPECTOR: l i-� ,1Ji ri:� 1'� . l " [.�--� (print name) , ,: � SIGNATURE OF INSPECTOR: �� '� �'L'-"J � ' � . ;;` .