The URL can be used to link to this page

Home My WebLink About10-1058� - - - � I ��_ CITY OF DIAMOND BAR= � � � � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES I 21825 Copley Drive,Diamond Bar,CA 91765 � ��(� �;�r�;�-� _ (909)839-7020 Fax(909)861-3ll7 Building Ins�p`�ttYoil3�t�i�(9Q9�839-7027 PRESS "��' BUILDING PERMIT APPLICATION FIRMLY } JOBSITE `�j L�/C� L L/�-Y/.�O�N �� APPLICATION PERMIT p/C o ADDRESS DATE NUMBE��A�# � ISSUE TYPE OCC APN LOT TRACT � � .� p OWNER «/��7�!I 1--��/� DATE O � ��CONST.��ROUP o ADDRESS Z3 � y ��N � " ZONING SETBACKS Z CITY �/fi1'7�'��1i� �/7� EL. � -�3'T l FRONT pyy p o APPLICANT cJ REAR p Z SIDE/SIDE STREET RW ❑ � CONTRACTOR �« �/�.✓ /u SIDE ❑ o CDDRESS ��N ZIP�!'73 EL. " PqROPOSED USE �' � � � o ARCH/ENG/ / � �' � ,.�� z DESIGNER w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS cn cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION Q SFR/ADD/REM I HEHEBV AFFIRM UNDER PENPLTY OF PERIURV 7HA7 I AM EXEMPT FROM THE CON7RACTORS LI� GHf8g0/CBfPOfI W CENSEUWFORTHEFOLIOWINGREASON(SEC.7031.5BUSINESSANDPROFESSIONSCADE:ANVCITVOR (n U COUN7VWHICHREOUIRESAPERMITTOCANSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- W TURE,PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICpNT fOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck � S7ATEMENT THAT HE OR SHE IS LICENSED PURSUAN7 70 7HE PROVISIONS OF 7HE CONTRACTORS LI- � � CENSE LAW(CHAP7ER B(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- POOUSPB , � FESSIONSCODE)OR7HATHEORSHEISE%EMPT7HEREFROMANDTHEBASISFORTHEALIEGEDE7(EMP- (� V TION.ANYVIOLATIONOFSECTION7031.58YANYAPPLICANTFORAPERMITSU&lECTSTHEAPPLICANTTO Z pe-Roof A CIVIL PENALTV OF NOT MORE THAN FIVE HUNORED DOLLARS(f5ooj.): ZOI,ASOWNEROFTHEPROPER7Y,ORMVEMPLOVEESWITHWAGESAS7HEIqSOLECOMPENSATION, � CORIrtIBfCi81 WILL DO THE WORK,ANO iHE STRUCTURE IS NO7INTENDED OR OFFERED FOR SALE(SEC.7odt,BU51- J � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE LAW DOES NOT APPLY 70 AN OWNER OF � PROPERTY VhiO BUILDS OR IMPROVES THEREON,AND NM1iO DOES SUCH WORK HIMSELF OR HERSELF OR � THROUGH HIS OR HER OWN EMPLOYEES,PROVIDED THA7 SUCH IMPROVEMENTS ARE NO71N7ENDED OR m w OFFEREDFORSALEIF,HOWEVERTMEBUILDINGORIMPROVEMENTISSOlDWI7HINONEYEAROFCOMP�E- 0 TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING 7HAT HE OR SHE DID NO7 BUILD OR Z IMPROVE FOR THE PURPOSE OF SALE). _ ❑I,ASOWNEROFTHEPROPERTV,AMEXCLUSIVELYCONTRACTINGWITHLICENSEDCONTRACTORS W [[ TO CANSTRUCT THE PR0.IECT(SEC.7011,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- V8IU2IlOf1 ADJ.AREA W CENSELAWDOESNOTAPPLVTOANOWNEROFAPROPERTYWHOBUILDSORIMPROVESTHEREON,AND � � NM1IOCONTRACTSFORSUCHPROJECTSWITHACANTRACTOR(S)LICENSEDFURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.). � ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � U � � DATE OWNER v Z w � LICENSED CONTRACTORS DECLARATION W � I HEREBV AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM IICENSED UNDER PROVISIONS OF CHAPTER � d Y(COMMENCMG WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE.AND Z - X AIV LICENSE IS M FULL FORCE AND EFFECL � p � Q�(o(O� � � LICENSE CIASS LIC.NO. � V DATE � CONTRACTOR r • S U� d W � WORKERS'COMPENSATION DECLARATION Q NI HEREBV AFFIflM UNDER PENALTV OF PERIURV ONE OF THE FOLLOWING DECURATIONS: Z � _I HAVE AND WILL MAINTAIN A CERTIFICA7E OF CONSEN7 TO SELF-INSURE FOR WORKERS' a 2 Q COMPENSATION,AS PROVIDED BY SECTION 3700 Of THE LABOR fADE,FOR THE PERFORMANCE U OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. w � � Qw �I HAVE AND WILL MAINTAIN WORKERS'CAMPENSA710N INSURANCE,AS REOUIRED 8Y SECTION 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH 7HI5 PERMIT IS /�� GG> . ISSUED.MV WORKERS'COMPENSATION INSURANC,E(CARRIER AND POLICY NUMBERARE: CON RUCTI � .Q�.d j ' CARRIER �� U PLAN REVIEW I Z POLICV NUMBER � � � '� ELECTRIC ' Q � (iHISSECTIONNE�NOT8E�A4PLEfEDOFhIEPEfUMISFORONEHUFDREDDIXIARS(EtOD�ORLESS). PLUMBING Z 1 CERTIFV THAT IN 7HE PERFORMANCE OF 7HE WORK FOR WHICH 7HI5 PERMIT IS ISSUEO,I MECHANICAL C7 SHALLNOTEMPLOYANVPERSONINANYMANNER OMESUBJECTTOTHE Uj WORKERS'COMPENSATION LAWS OF CALIFO , D EE T T IF 1 SHOULD BECOME INSPECTION FEE � SUBJECT TO TH�FKERS'CAM7ENSATIO PRO ISIONS F 5 ION 3700 OF THE IABOR O �,I$HALL F T�H COMPLV WITH I OSE P VISION UANCE • p DATE� ��f /o.APPLICANT: � MI _ iS J WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWfUL,AND SHALL BE ENERGY P/C � SUBJECTANEMPLOYEFTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOLLARS(f1oo,0ao),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTION 3708OFTHE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. R N FE � L OCONSTRUCTION LENDING AGENCY P9E-9LT FEE: � I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THEFE IS A CONSTRUCTION LENDING AGENCY «e� '. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.30G7,CIV.C.). 'f�� Z W � LENDER'S NAME � F— LENDER'SADDRESS � TOTAL FEES �� (�� I � I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. w I AGREE 70 COMPLV WITH ALL CIN AND COUNTY OFDINANCES AND STATE UWS REUTING TO BUILDING � � CONSTHUCTION,ANO HEREBY AUTHORIZE REPRESENTATNES OF THIS COUNTV TO ENTER UPON THE Z ABOVE�MENTIONED PROPERTY FOR INSPE rioN PuaPoses. COMMENTS � 1 �7 � VO � � m PE 7TEE NAME(PRI � Q C/J � SIGNATURE.O__ EE DATE .1 = RECPT.NO. V PAID BY VALIDATION ~ WHITE—DepaAment Copy,YELLOW�inance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy �O�V �� BA6V�OI�D �A�ff� .BI�_�f�.l��0i� IR�COR� � . „�_-� � - �::QGf1�3pC�C�400a DG�� Oa�pLG40a �a�3pGC�0�b�] ��x �'°�o ; `�: .. .5-� �� SET BACK FLOOR JOIST FTGS/FORMS/STEEL FHA REOMTS ELECTRIC GROUND UNDER F�OOR DUCT GROUND PLUMBING UNDER FLO�R CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE � MID HT. BOND BEAM ROOF SHEATHING O • 8 FT. BOND BEAM FRAMINGNENTILATION FINAL BOND BEAM ` ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWERl�UB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FIM1IAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. � FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY �� COMMEIVTS SEPTIG TANK SIZE SEEP PIT/U SIZE a � � �ki,;_��. . x-��'�'1 4.^,ji*�: . �