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Home My WebLink About12-874 �� CITY vF DIAMOND BAR � DEP�'iRTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection I3otline(909)839-7027 PRESS � '9^'. BUILDING PERMIT APPLICATION FIRMLY o DDRESSL-11�t�� /l�l�� I�I��.S YI`��% DATECATION� �t � '�j NUMBEH�� /C l � issue TYpE OCC I � APN LOT�� TRACT DATE f L Z- CONST. �� GROUP p OWNER 1 N�1•l% ��,�L .I,��✓ �� " ADDRESS - �'''C �3 � �- I�� ) � ZONING SETBACKS Z CITY� . IJ I� �� ZIP�'i G � TEL. FRONT RW ❑ li o APPLICANT �` � TEL. REAR p Z SIDE/SIDE STREET RW ❑ � CONTRACTC�R +N I�J t ! }�i�.��/ SIDE ❑ � ADDRESS � - : �-'�� - . _ � � CITY�� y �_ ZIP � TEL( '� � PROPOSED USE ! o ARCH/ENG/ '" � z DESIGNER w NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O p 1 HEREBV AFFIMI UNDER PENALTY OF VERJURY THAT I AM EXEMPT FROM 7HE CONTMCTO0.S LI• Gdf38B/C8fP011 W CENSEUWFORTHEFOLLOWINGREASON(SEC.7031.6BUSIHESSANDPROFESSIONSCODE:ANYCITVOR (n U COUNryWHICHREOUIRESAPERMITTOCONSTRUCT,ALTER,IMVROVE,DEMOUSH,ORfiEPAIRANYSTRUC• � - w NRE,PRK1R TO RS ISSUANCE,ALSO REOUIRES THE APPLICANf FOR SUCH PERMIT TO FILE A SIONEO w Patio/Deck � SUTEMFM THAT HE OR SHE IS LICENSED PURSUANT TO THE�PROVISIONS-0F THE CONTMCTORS U- � � � . � CENSE UW(CHAPTER Y(CAMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS ANO PR6 POOVSpd 0 FESSpNSCODE)ORTHATHEORSHE�ISE%EMPTTHEREFROMANDTHEBASISFORTHEALLE6EDE%EMV• (7 . V 710N.ANYVIOLATIONOFSECTION7031.5BYANYAVPLICMITFORAPERMITSUBJECTS7HEA7PLICANTTO Z R�Roof � AC141L�ENALTY OF NOT MORE THAN FNE HUNDRED DOLURS(S5o0).): ❑I,AS ONMER OFTHE PROPERTY,OR AIY EMPLOVEES WITH H'AGES AS THEIR SOLE COMPENSATION, Z WILL DO THE WORKµD THE STRUCTURE IS NOi INTENDED OR OFFEHED FOR SALE(SEC.7ou,BU51- � COl11fi10lCidl - � NESS ANO OROFESSIONS CODE THE CONTRACTORS UCENSE�UW DOES NOT APPLY 70 AN OWNER OF � -� PROPEfi�Y N?10 BUILDS OR IMPROVES THEREON,AND NM1iO DOES SUCH WORK HIMSELF OR HERSELF OR Q THROUGH HIS OR HER OHM EMCLOYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT IIfrENDED OR m - Q OFFEREDWRSALEIF,HOWEVER711EBUIlDINOORIMPROVEMENTISSOIDWfTMINONEVEAROFCOMVLE z TION,TME ONMER�BUILDER N7LL HAVE 7HE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR . . . . 7 IMPROVE FOR THE PURPOSE OF SALE). - �y� OI.ASONMEROFTHEPROPEfRV,AMEXCLUSIVELVCONTRACTINOWfTHLICENSEDCONTRACTORS . � TO CONSTRUCT THE PRQIECT(SEC.7oa1,BUSINESS ANO PROFESSIONS CODE:THE CONTMCTORS�LI- V81U8IIOI1� ADJ.AREA W CENSELAWDOESNO7MVlY70ANOWNEROFAPROPERTVWHOBUILDSORIMPROVE57HEREON,AND � � � � � NM1IOCONTRACTSFORSUCHPRQIECTSWITHACONTRACTOR(5)LICENSEDPURSUAHiTOTHECONTMG QUANTITY DESCHIPTION FEE . � TORS LICENSE LAW.). Q ❑I AM EXEMPT UNDER SEC. B.d G.C.FOR THIS REASON Q � � i � � r� � � P � — � ¢ � OATE OWNER F— Z W � LICENSED CONTRACTORS DECLARATION W � 1 NEREBY AFFIRM UNDER PENALTY OF PERIURY THAT IAMlICENSED UNDER PROVISIONS OF CHAPTER � � � : p_ Y(COMMENCIMO WITH SECTION 7000)OF DIVISION 9 OF THE BUSINESS AND PROFESSIONS CODE,AND Z �X MY LICENSE IS W NLL FORC�AND EFFECT. /� . m ' ' � % ( �./'� � � UCENSE C � LIC.NO. � /�p �q. t�1 � � _ V DATE � � ' / CONTRACTOR I'jl�� l; pJ, . . .. . . w i��IJ�� "1 �. ,�� I� WORKERS'COMPENSATION D�CIARATION Q � � ' � � � 1 HEREBYAFFIPM 11NDER PENAL7Y OF PERJURV ONE OF THE FOLLOWING DECLARATIONS: Z � � �� _IHAVEANDWILLMAINTNNACERTIFiCATEOFCON5ENT705ELF•INSUREFORWORKERS' _ Q COM7ENSATION,AS PROVIDED BY SECTIOH 3700OF THE LABOR CODE,FOR THE PERFORMANCE `U Q OF TNE WORK FOR WHICH THIS PERMI715 ISSUED. � ' ' � _1 HAVE AND WILL MAINiAIN WORKERS'�COMPENSATION INSURANCE,AS REOUIRED BV SECTION Q 37000FTHE UBOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS. . ISSUED.MY WORKERS'COMPENSA710N INSURANCE CAARIER AND POLICY NUMBER ARE: �CONSTRUCTION� jc�aaiEa PL/1NAEVIEW 0 POLICV NUMBER Z ELECTRIC ¢ o (nussEcrior+NeIDraree�rIDOFn�vEaMrsFoaoriEFaa�namoav�u(sim)aA�ss> PLUMBING Z I CERTIFY THAT IN THE VERFOHMANCE Of 7HE VIORK FOH WHICH THIS PERMIT IS ISSUED,I MECHANICAL U' SHALL NOT EM7LOV ANY VERSON IN ANY M/JJNER 50 AS TO BECOME SU&IECT 70 THE � � WORKERS'COMPENSATbNlAW50FCAliFORNIA,ANDAGREE7HATIFISHOULUBECAME INSPECTIONFEE SU&IECT TO7HE WORKERS'COMPENSATION FROVISpNS OF SECTION 3700 OF THE LABOR -� - OCO�E,I SHALL FORfM41T1 COMP�Y WIT1 THOSE PROVISIONS. ISSUANCE __ . �� p DATE: APPLICANTi �SMIP J WARNINO:FAIWRETOSECVREWORKERS'COMPENSATIONCAVEMGEISUNLASYFUL,ANOSHALLBE ENERGY�P/C � SUBJECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVII FINES UP TO ONE HUN�RED THOUSAND ENERGY PERMIT DOILARS(t100,000),IN ADDITION TO THE C0.ST OF CAMVENSATION,DAMAGES AS PROVIDED iOR IN � SECTION 370s OF TiE LABOR/.'ODE,INTEREST,ANDATTORNEYS FEES. ' RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � 1 HEREBYAFFIRM UNDER PENALTV OF PERJURY THAT THERE IS ACONSTRUCTION IENDINO AOENCY � � �FOR THE PERFORMANCE OF iHE WORK FOR WHICH 7HI5 PERMI7IS ISSUED(SEC:30Y7,CIV.C.} � Z W �, LENDER'SNAME ' F— LENDER'SADDRE55 � TOTAL FEES �3 ,�Q Q I CERTIFV THAT 1 HAVE READ 7HI5 APGLICATION AND STATE THAT THE ABOVE INfORMATION IS CORRECT. w I AGHEE TO COMPIV N7iN ALL C1TY AND CIXINTV ORDINANCES AND STATE UN5 REUTING TO BUILDINO � CONSTRUCfION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON 1HE ' � ABOVE-MEtRIONEO PROPERTY FOR INSPECTION PURPOSES. Z COMMENTS ' � ` ' ✓/�'�� . . � QPERAHT`f ElPRINT)' ` � � . . . cn � ' 1� i -� ��1 � SIGNA R E AT � RECPT.NO. . PAID BY VALIDATION _ WHITE—Department Copy,YELL01N—Finance Copy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—ApplicanCs Copy ce�rv oF �i�Mor�D BaR e�s��craor� �Eco�� r� r��c' � y.,{1} -D �� -'� ye' Q o' .� o � � B � �F s � '�;yo _-_ i�^ `�1. i ?+ SETBACK i ;FLOORJOIST -------. _ __ _. _ _ __ _ __. _.. _ _._._ _._._. ___ _— _.._ _.— __._ FTGS/FORMS/STEEL I FHA REQM f5 ---- ------ --- -- ------ --- -----._..---- __ i -__ _------ ------ -__ -------- ----- __._ - -- -- -- ELKTRIC GROUND , ; UNDER FLOOR DUCT GROUND PLUMBING � UNDER FLOOR CONDUIT SLAB GRFlDE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT.BOND BEAM ROOF SHEATHING 8 FT.BOND BEAM FRAMING/VENTILATION FINAL BOND BEAM --------------._.___- --------.----._.__ _ ------------------ -- -- ----.__.----- ------- -----------------------------------___ R00�COVER PRE-GRADING -------------------------------- - ---------.._.._- �---------------------------- .....------------------------- ---- ROUGH HEATING 'BENCHING ROUGH ELECTRIC ROUGH GRADIf�G ROUGH PLUMf31NG �FINISH GRADING SHOWER/TUBTEST �POOL ELECTRIC EXT.LATH/SIDING �POOL FENCING WALL INSULATION �POOL FINAL CEILING INSULATION OFF SITE IMPS. QRYWALL NAILING �DEDICATIONS -------- -------- --- ---------- ---- --------------------------- ---------_- ---- SEWER �FINAL ENG. SEPTICTANK LANDSCAPE/IRRIG. SEEP PIT/L.L. 'ON SITE IMPS. GAS AIRTEST FINAL ZONiNG FINAL CONST. ;FIRE DEPT.FINAL FINAL HEATING :HEALTH DEPT.FINAL F1NAL ELECTRIC q a '�, d�.. DEV.FEES PAID FINAL PLUMBING �ENERGY FINAL PLANING FINAL ENGINEER�NG • o o '*�� ` COM M E NTS _ --------�--- ---------._----------------------------------------------._.----__..-----------------_.------------- SEPTICTANK SIZE SEEP PIT/U SIZE �' �. -- -- ------- -------- -- ".� A `", ,. �1 '. �+ �� _..__._..—_"—__ �y. e'�ttE ___—____—. ._..__"____"____...__• __'—_—_.—_—'_' _—_'_'_____'_—_"_.._ g'S�n �ri�'��y�l . . '.� � '1 —.___.- ._._.._—._.._._.._.__....__..__-__.-_.._._.--._ ..— ._.-..__ —..___.-_-_—_-__._ _'__....__-'..._.- _ . '_'_-"'_'_—__ �� '��- _:�T�.� �� . '.�, ��- ��'� _ _' —'- --' _ "____ .—'____ x. LL�� _� _ _ '�: _.§�.�is'_ _ *��-��-.,�-�e�.° _ - Y.yT - ,�.��: 7