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Home My WebLink About11-1458 _ _ _ _ . _ _ . .__ . . . _ .. CITY OF DIAMOND BAR �k�i r Q� '�/ -"-�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3ll7 Building Inspection Hotline(909)839-7027 PRESS �'°^' BUILDING PE T APPLICATION FIRMLY o DDRESS � �1 � � `f~ DATE CATIO � �( NUMBER �(�� #/C ��' � ISSUE TYPE OCC APN LOT TRACT DATE D CONST. GROUP p OWNER p ADDRESS ZONING SETBACKS FRONT z CITY ZIP TEL. RW ❑ � APPLICANT TEL. REAR � ¢ SIDE/SIDE STREET RW ❑ � CONTRACTOR (�S c SIDE � ADDRESS • � tr � CITY O(l+nr��2 ZIP�(� TEL.Gb�j-��-17OD PROPOSEDUSE � ' e oARCWENG/ z DESIGNER a ADDRESS NO.DWEL. NO. NO. cn UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION OWNER-BUILDER DECLARATION � p , SFR/ADD/REM � � I HEREBY AFFIRM UNDER PEN�LTV OF PERIURV THAT I AM EXEMPT FROM THE CONTRACTORS U- G8f8 B/C8 W CENSELAWFORTHEFOILOWINOREASON(SEC.7037.SBUSWESSANDPROFESSIONSCODE:ANYCITYOF (� 9 �� ZCOUNTYWHIC}1RC-0UIRESAPEfiMITTOCANSTRUCT,ALTER,IMPROVE,DEMOL15H2ORREPAIqM1V5TRUG W patlo/Deck W TURE,PRIOR TO RS ISSUANCE,ALSO REQUIRES iHE APPLICANT FOR SUCH PERMIT TO FILE A SIONED w � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CANTMCTORS LI- CENSE UW(CHAPTER e(COMMENCINO WITH SECTION 7000),OF DIVISION 3 OF THE BUSINE55 AND PRO- � PooUSpe � FESSIONS COOE)OR 7HA7 HE OR SHE IS EXEMPT THEREFROM AND TFIE BA515 FOR THE ALLEOED EXEMP- C7 ' V TION.ANV VIOLATqN OF SECTION 70.11.5 BV ANV APPLICANT FOR A PERMIT SU&IECTS THE APPUCANT TO Z Re-Roof � A CIVIL PENALTV OF NOT MORE 7HAN FIVE HUNDRED DOlLARS(f5oo)J: Z ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAOESASTHEIRSOLECOMPENSATION, � CORIRIBfCiBI WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7Wa,BU51- J N NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE UW DOES NOT APPLY TO AN OWNER OF � VROPER7Y WFIO BUIlDS OR INPROVES THEREON,AND NMO DOES SUCH WOPK HIMSELF OR FIERSELF OR w THROUGH HIS OR MER ONM EMPLOYEES,PROVIDED THAT SUCN IMPROVEMENTS ARE NOT INTENDED OR m Q OFFEHEDFORS�LEIF,FpWEVEi�7HE8UILDINGORIMPROVEMENTI550LDWITMNONEVEAROFCAMPLE� Z TION,THE OWNER-OUILDEP WILL HAVE 7HE BURDEN OF PROVWO THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). w ❑I,AS OMMER OF THE PROPE{iTV,AA1 EXq.U51VELV fqNTRACTING WRH LICENSED CONTRACTORS Q TO CONSTRUCT 7HE PROJEC7(SEC.70a1,BUSINESS AND PHOFESSIONS CODE:THE CONTRACTOR9 LI- V81UeYlOf1 � V ADJ.AREA W CENSELAWDOESNOTAPPLYTOANON?JEROFAPROPERTYWHOBUILDSORIMPROVESTHEREON,AND � WViOCONTRACTSFORSUCHPRO.IECTSWITHACONTRACTOR�S)LICENSEDPURSUANTTOTHECANTRAC- QUANTITV DESCRIPTION FEE � Y TORS 110ENSE LAW.). � ❑I AM E%EMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q U � DA7E ONRJEH � � LICENSED CONTRACTORS DECLARATION w � I HEREBY AFFIRM UNDER PEN�LTV OF PERIUFY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � Y(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS COOE,AND Z �� YV LICENSE IS W FULL FORCE AND EFFECT. m � UCENSE CLASS �f l,,�� LIC.NO. !`� � wDATE `Qf�y /I� CONTRACTOR '� Wld'fl a � WORKERS'COMPENSATION DECLARATION Q � 1 HEREBY AFFIRM UNDER PENALTV OF PERIURY ONE OF THE FOLLOWING OECIAAATIONS: � � Z � _IHAVEANDWILLMAWTAWACERTIFlCATEOFCONSENTTOSELF-INSUREFORWORKERS' ¢ G = Q COMPENSATION,AS PROVIDED BV SECTION 370o OF THE LABOR COOE.FOR THE PERFORMANCE U OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. W � � w _I HAVE AND WILL MAINTAW WORKERS'COMPENSATION INSURANCE,AS REWIRED BV SECTION Q 3700 OF THE UBOR CODE,FOR THE PERFORMANCE OF THE WOR)(FOR WHICH THIS PERAiIT IS �ry^ ISSUED.MV WORNERS'COMPENSATION INSUHANCE CARRIER AND POIICV NUMBERAAE: CONSTRUCTION �c� J jCARRIER PLAN,REVIEW Z POLICV NUMBER (�QQ��y 4UQ ELECTRIC Q 0 (1F65SECTqNNE�NOTBECJJAR.EfmOFhEPEpMTI3FpqpJEFAN�Oqmpq�Ai�R�pp�pqLE55} PLUMBING W Z I CERTIFV 7HAT IN THE PERFORMANCE OF THE WORN FOR WHIq1 THIS PERMIT IS ISSUED,I MECHANICAL C.�} SHALL NOT EMPLOY ANV PERSON IN ANV RIANNER SO AS TO BECOME SU&IECT TO THE � WORKERS'COMPENSATIONUWSOFCALIFORNIqANDAGREETHATIFISHOULDBECOME� INSPECTIONFEE S SU&IECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 9700 OF THE IABOR �\ `O CODE.ISHALLFORTHWITHCOMPLYWITHT OSEPR VISIONS. ISSUANCE � y 'p DATE:_�5�� APPLICANT: �l. SMIP � . JJ � WARNINO:FAILURE TO SECURE WORKERS'COMPENSATION CAVERAGE IS UNUWFUL,AND SHALL BE ENERGY P/C � J � SU&IECTANEMPLOVERTOCRIMINALPENALTIESAN�CMLFINESUPTOONEHUNDREDTHWSAND ENERGYPERMIT OOLLARS(f 10a.o0o),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN J SECTION 3708 OF h1E L/�BOR CODE.INTEREST,AND ATTORNEV'S FEES. w RETENTION FEE: a , �p O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFIRM UNDER PENALTY OF PERJURV THAT THERE IS A CONSTRUCTION LENDINO AGENCY �/�� \ O� � FOq THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.C.). Z W � LENDER'S NAME F— LENDER5ADDFESS w I CERTIFV TMAT I HAVE READ THIS APP�ICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. TOTAL FE ES 1�• `� � I AGREE TO COMPLY WITH AlL CITY AND COUNTY ORDINANCES AND STATE UWS PEUTINO TO BUILDINO � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTEF UPoN THE ' Z ABOVE-MENTqNED PR07ERTV FOR INSPECTION PURPOSES. COMMENTS � � � J � �� m PERMITTEE N (PRINT) ' � ¢ U � � SIONA OFP fTT ATE � RECPT.NO. PAID BY VALIDATION WHITE—Department Copy,YELLOW�inence Copy,PINK—Assessor Copy,GOIDENROD--File Copy,GREEN—ApplicaN's Copy CITY O� DIAiViOND ��►Fi I�ISPEC�ION RECOR� oa�p�c�ooa -�c�a� -. .oa�p��a aa�c��ooa -�` bc�a4� � �a�p�c�p 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 FIREPI�4CE BOND BEAM WATER SERVICE MID H'T. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM FRAMINGNENTILATION FINAL BOND SEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC RpUGH GRADING FiOUGH PLUMBING FINISH GRADING 5HOWER/TUB TEST POOL ELECTRIC EXT. L-�H'3�B}fd�6��y�'p _2/.�� ` POOL FENCIIVG WALL INSULATION POOL FINAI CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SlTE lMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ��e COMMENTS � SEPTIC TANK SIZE SEEP PIT/U SIZE a a Q � .