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_1�� CITY OF DIAMOND BAR 1� 1 N�L l�K- � /�
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DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES tJ
,�,w . 21810 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
""^'. BUILDING PERNIIT APPLICATION FVRMLY
o DDR1ESS �JS�LD CbTTE K_- ��1�� �� APPLICATION PERMIT I Z- g�'� p/C E��
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� CONTRACTOR H EL.l D P OWE� 1 1J C- SIDE
ADDRESS 71p� SG"F�EQ,Sp /� �, ( � �+ ❑
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v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
p� OWNER-BUILDER DECLARATION SFR/ADD/REM
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p 1 HEREBV AFFIRM UNDER 7ENALT'OF PERIURY THA7 I AM EXEMVT FROM THE CON7RACTORS ll- Gefa9B/CBfpOR
W CENSEUWFOR7HEFOLLOWINOREASON(SEC.7031.68USINESSANDPROFESS�ONSCODE:ANYGTYOR (n
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w TURE,PRpR TO RS ISSUANCE,AL50 REDUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNEO w Patio/Deck
� STATEMENT 7HAT HE OH SHE IS LICENSEO PURSUANT TO THE PROVISIDNS OF THE COMRACTORS LI• � .� � �
� CENSE lAW(CHAPTER i(COMMENCING WITH SECTION 7000)OF DIVISION 7 OF ME BUSINESS AND PR6 PooUSpa
Q fESSIONSCODE)OpiHATHEOR5HEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDE%EMV• � C7 . . .
V TION.ANYVIOLATIONOfSECTION7o31.5BYANYAPPLICANTFORAPERMITSU&IECTS7HEAVPLICANTTO Z R�Roof
� ACML PENALTY OF NOT MORE THAN FIVE HUNDRED DOlLARS(i5o0).):
Z ❑4�SOWNEROFTHEPROPERTV,ORMYEMPLOYEESWITHI4AGESASTHEIRSOLECOMPENSATION, O Commercial . -
N7LL DO THE WORK M10 THE STRUCTURE IS NOT INTENDED OR OFFERED FOR 9ALE(SEC.70u,BUSI- J
� NESS AND PROFESSIONS CODE:THE CONTRAC70RS LICENSE UW OOES NOT APPLY TO AN OWNER OF ?
PROPEHfY NRIO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WOqN HIMSELF OR HEHSELF OR
w7HROUGHHISORHEROWNEM7LOYEES,PROVIDEDiHA75Up11MPROVEMEMSARENOTINTENDEDOR m
Q OFFEREDFORSALEIF,HOWEVER,THEBUILDINGORIMPROVEMfMI550LDWfTMINONEYEAROFCOMPLE
z TION,THEON7JER-BUILDER WILL HAVE THE BURDEN OF.PROVING THAT HE OR SHE DIO NOT BUILD OR . � � . .
� IMPROVE FOR h1E PURP0.SE�OF SALE): - .
W ❑I,ASOWNEROF7HEPROPEHfV;AMEXCLUSIVELYCONTRACiIN(iW17HlICENSEDCONTRACTORS . .
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W CENSE LAW DOES NOTAP7LY TOAN OWNER OFA PflOPERTV WHO BUILDS OR IMPROVES THEREON,AND
� NRIOCOHTRACTSFORSUCHPRQ1ECf5WRHACOMMCiOR(S)LICFJdSEDPURSUANTTOTHECONTRAG pUANTITY DESCRIPTION FEE �
TORS LICENSE LAW.).
� ❑1 AM E%EMPT UNDER SEC. .�B.6 P.C.FOR THIS REASON Q
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DATE OWNER F'-
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�, LICENSED CONTRACTORS DECLARATION W
� I HEREBY AFFIRAI UNDER PENALTV OfPERIURY THAT IAMUCENSED UNDER PqOVISIONS OF CHAPTER � � �� � �
� Y(COMMENCINO WITH SECTION 7000)OF DIVISION 30F THE BUSINESSANO PROFESSIONS CODE,AND Z
XL� MY LICENSE IS W FULL FORCE AND EFFECT. m
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� UCENSE CLASS G`l�J LIC.NO.. � � �� _
U DATE corrraacroA__H�L�0 OW a - �� .. . .
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� WORKERS'COMPENSATION DECLARATION Q '
� I HEREBY AFFIRM UNDER PENALTY OF PERIURY ONE OF THE PDLLOWING DECLARATIONS: Z � �
O _IHAVEAND�WILLMAMTAINACERTIFICATEOFCONSEMTOSELF•INSUREFORWORKERS' _
Q COMPENSATION,AS PROVIDED BY SECTION 370o OF 7HE LABOR CODE,FOR THE PERPDRMANCE �U
Q OFTHE WORK FOR VAiICH THIS PEPMIT IS.ISSUED. � � � �
Qw �I HAV�D WILL MAINTAIN WORKERS'COMPENSATION INSUMNCE;AS REOUIRED BY SECTION � -
3700 OR7HE LABOR CODE,FOR THE�PERFORMANCE OF THE WORN iOR WHICH iHIS PEfiM1715 �j y� �
� ISSUED.MV WORNERS'COMPENSATION INSURAN E CARqIER�AND,POLICV NUMBER ARE: CONSTRUCTION� . .. ���1 ,
jCARRIEH h��J�-Du�� � �—u Q 1 C—� PLAN REVIEW 4--��� _ Q 3
� VOLICV NUMBER �Gct S Z q q b('j� ELECTRIC
� (tt+ssEc.'rpr+N�riateE�noFn+EaEw.irst�orrEHu��noau�s�sim�oq�ss} PLUMBING
Z 1 CERTIFY THAT IN THE PERFORMANCE Of THE WOR1(f R WHICN �� PERMIT IS ISSUED,1 �MECHANICAL
�} SHALL NOT EM7LOY ANY PERSON IN ANV MANNER 50 TO BECAM &IECT TO THE� �
� WORKERS'CAMPENSATpNLAVf50FCKtFORNI AN REETHAT I OUIDBE e 1NSPECTIONFEE
= SUBJECTTOTHEWOflNERS'COMPENSATIONP IS OFSE� 10 3 OF OR �� - - - •�7
CO�E,I SHALL FORTHWIiH COAIPLY WIiH 7H E R 10 S. � ISSUANCE c� •� /
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p DATE:�� Z �Z APPLICANT: / . . . �SMIP __ �"'O�
J WARNIN6:FAIWRE TO SECURE WORKERS'COMPE TION MGE IS UNUWFUI,AND SHALL BE ENERGY�P/C '
LL SUBJECTANEMPLOYERTOCRIMINALPENALTIESANDCMLFW UPTOONEHUNDREDTF9DUSAND ENERGYPERMIT
DOLURS(f100,000),IN PDDITON TO THE C0.570F COMPENSA710 ,DAMAGES AS PROVIDED FOR IN
� SECTION37oBOFTNELABORCODE,WTEREST.ANDATTORNEY'SFEES. � RETENTIONFEE: • ���
QCONSTRUCTION LENDING AGENCY PR€-ALT FEE:
� I HEREBY AFFIRM UNDER�PENALTV OF PERIURY THAT THERE IS ACONSTRUCTION LENDINO A6ENCY �S�'� � ��
a- �FOR THE PERFORMANCE OF TNE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,C1V.C.�. � �',
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� LENDER'S NMIE I
F- LENDER'SADDRESS
w ICERTIFYTHATIHAVEREADTHISAPPLICATIONANDSTATETHATTHEABOVEMGORMATIONISCORqECT. TOTAL FEES 4'S� 9� 5 � .
� 1 AGREE TO COMFLY WITH ALL CIN AND COUNTV ORDINANCES AND STATE UWS REUTING TO BU0.DING
� CANSTRUCfION.ANDHEREBYAIf�HOHIZEREPRESENTATNE50FTHISCOUH1Y70ENTERUPONiHE �
Z ABOVE-MENTIONED PROPERTY FOR INSPECTION CURPOSES. COMMENTS � '
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� SI ANR PE EE DATE
= RECPT.NO. I 11 LI I_ PAIDBY ��Z'� VALIDATION
~ WHITE-DepaRment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Appllqnt's Copy i
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Ii�SP�CTION RECORD
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_ __. _ -- ------... ._ _._ _._. __ ___ __ ___ _._. _.__ ___ ___.— ----- ---- ---
fTGS/FORMS;STEFL FHA REQMTS
--------- -- ---- .--- — -- ---- -------- --- ------ -- ---- ----- --- _._ _— ---
ELKTRIC GROUND UNDER FLOOR DUCT •
GROUI�Q PWMBING UNDER FLOOR CONdU1T
SLAB GRADE �FIREPLACE FOUNDATION
TEMP POWER 'FIREPLACE BOND BEAM
WATER SERVICE �MID HT.BOND BEAM
ROOF SHEFifHING ^8 FT.BOND BEAM
FRAMING/VENTILATION FINAL BOND BEAM
--- ---- —— --------- ------- -------------------- -- ------- --- --- _..-------- ___ — - —
ROOF COVER PRE-GRADING
---- -- ------ --------- - -- --- ------ --- -.—.. _----- --------
ROUGH HEATING BENCHING ____ _________
ROUGH ELECTRIC .ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUBTEST �POOL ELECTRIC
EXT.LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATION 'QFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
SEW E R --- — --- ---- 'FI NAL ENG. ----------------- ---------- —
SEPTICTANK LANDSCAPE/IRRIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIRTEST FINAL ZONING
FINAL CONST. �(�• i FIRE DEPT.FINAL
FINAL HEATING �HEALTH DEPT.FINAL
FINAL ELECTRIC ;QEV.FEES PAID
FINAL PLUMBING :ENERGY
FINAL PLANING
FINAL ENGINEERING ' � � ���` .-� �
COMMENTS -------...---- ----------------
SEPTICTANKSIZE
SEEP PIT/U SIZE
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