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Home My WebLink About12-1069 : _��_ CITY OF DIAMOND BAR ` , � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� ' 21810 Copley Drive,Diamond Bar,CA 91765 � (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-70 � �RESS ', �'�^'. BUILDING PERMIT APPLICATION FURMLY yN,� JOBSITE � APPLICA�_Q�I PERMIT�Z�. �bq P/C �Z o ADDRESS Z �L S Y� . �• DATE OIa�� NUMBE � # l`Z- 10(oq °r APN ��L. LOT O� TRACT �� -• DA EE CONST.�GROUP p OWNER S � � N p ADDRESS S C) ZONING SETBACKS Z CITY ZIPR TEL .Z " FRONT pyy p � APPUCANT TE REAR ❑ � SIDE/SIDE STREET RW O z , � CONTRACT + h- SIDE p ADDRE S (� � CITY Z TEL - �. PROPOSED USE C.� �n � I Oh 0 w ARCH/ENG/ �^ z DESIGNER _�n,v.ao w NO.DWEL NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION 5Q.FL FACTOR PSF ADJ.AFiEANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O 1 HER�Y AFFIRM UNDER PENALTV OF PEiL1URY THAT I AN E%EMPT FROM TME CANf{UCTORS L4 Garage/CarpoR W CENSEUWFORTHEFOILOWINGREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANYqTYOR (n U COUNTYWHIp1RE0UIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTHUG � - w TURE,PRIOR TO RS ISSUANCE,AL50 REWIRES hIE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED w Patio/Deck � STATEMENT THAT ME OR SHE IS LICENSED PURSUANT TO THE PROVISIONS-0F THE CONiMCTORS L4 CENSE UW(CHAPTER 9(COMMENCING WITH SECfION 7000)OF DIVISION 3 OF hIE BUSINESS AND PR6 � PooUSpa . FESSIONSCODE)ORTHATHEORSHEISE%EMPTTHEREFHOMANDTHEBASISFORTHEALLEOEDEXEMP- C7 . . � TION.ANYVIOLATIONOFSECTION7031:SBYANYAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z� qQ.Roof ACML 7ENALTY OF NOT MORE THANFIVE HUNDRED DOLLARS(i50o).): Z ❑4�OWNEROFTHEPROPERTV.ORMY.EMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, � Commercial -- VALL DO THE WORK�ND THE STRUCTURE IS NOT INTENDEO OR OFFERED FOR SALE(SEC.1ou,BUSI- J � NESS AND PROFESSIONS CODE:7HE CONTMCTORS LICENSE LAW DOES NOT APPLV TO AN OWNER Of j - VROPEHfY W/i0 BUI�DS OR IMPROVES THEREON,AND WHO DOES SUCH NqRK HI/ASELF OR HERSELF OR Q 7HROUGHHISORHERONRIEMVLOYEES,VROVIDED7HA7SUCHIMPROVEMENTSARENOTINTENDEDOR . m � . � OFFEREDPDRSALEIF,ViOWEVER711E8UILDINGORIM7ROVEMENTI550LOWITHINONEVEAROFCOMPLE- z TION,THE ONRJER�BUILDEH N7LL HAVE THE BURDEN OF PROVING 7HA7 HE OR SHE DID NOT BUIID OR . - = IMPROVE FOR THE PURPOSE OF SAI�. w ❑I,ASOWNEROFIHEPROPER7V,AAIEXQUSIVELYCONTMCTIN�Wf7HlICENSEDCONTRACTORS . . . � TO CONSTRUCT THE VRQIECT(SEC.7osa,BUSINESS AND PqOFESS10N5 CODE:hiE CONTMCTORS LI- V21U0f10I1 O ADJ.AREA � � � CENSEUWDOESNO7AP7LYTOANONTJEROFAPROPERTVWHOBUILD.40RIMPROVESTHEREON,AND , � NM1IOCONTRACTSFORSUCHPRQIECTSWITiACONTMC70R�S)LICENSEDVURSUANTTOTHECONTMG OUANTITY DESCRIPTION FEE . � TORS LICENSE LAW.). � � ❑I AM EXEM7T UNDER SEC. _8.8 P.Q FOR THIS REASON � O Y.0 1 , L � � i DATE OWNER �U � Z W � UCENSED CONTRACTORS DECLARATION W � I HEREBV AFFIRM UNDER PENALTY OF PERJUfiY THAT IAM LICENSED UNDER PROVISIONS OF CHAP7ER � � -- � p_ Y(COMAIENCINO WITM SECTION 7000)OF DIVISION�OF THE BUSINESS AND PROFESSIONS CODE,AND Z X ►IY UCENSE IS IN FULI FORCE AND EFFECT. m � UCENSE CLASS � ` � � , U DATE�2�•�2_ . CONiRACTOR d � � � W � WORKEAS'COMPENSATION DECLARATION Q • � I HEREBV AFFIRM UNDER PENALTY OF PERIUflV ONE OF THE FOLLOWING DECIARATIONS: Z h � _I HAVE AND W ILL MAMTAIN A CERfIFICATE OF CONSENT TO SELF-INSURE FOq WORI(ERS' _ � I: f,�- Q COMPENSATION,AS PROVIDED BY SECTION 3ioo OF 7HE LABOR CODE,FOR THE PERFORMANCE W V� Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � ' w �1 HAVEAND WILL M/UMAIN.WORKERS`COMPENSATION INSURANCE;AS REOUIRED BY SECTION � � Q 370o OF THE 1A80H CADE,FOR THE PERFORMANCE OF THE WORK FOR WHlq1 THIS PERMIT IS �—�p ISSUED.MV WO M�ENSAp10`��,INSUR CE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION . . �`+"�• �1 jCARRIER C Q " ?��, PLAN REVIEW �S�. �p�I Z voucrNUMeEa ��1 ELECTRIC � � Q � (IHSSECIqNNE�NOTBECOI.KLETmOF7HEPEPoufilSFORCNEF1NiNiED00l1AiLS{St0010RLESSI PLUMBING . . . . , G Z 1 CERTIFY THAT IN hiE PERFORMANCE OF THE WORK FOR WHICH THIS VERMIT IS ISSUEO,1 MECHANICAL . 1 . L}' SHALLNOTEMPLOYANVPERSONINANYMANNERSOASTOBECAME�SU&IECTTOTHE � WORKERS'COAIPENSATIDNLAWSOFCALIFORNt/�ANOAGREE7HA7ffISHWLDBECAME INSPECTIONFEE � SUBJECTTOTHEWORNERS'COMPENSA7qNPROV1510NSOF�SECT10Na7o00FTNELABOR - - O �E,I SHALL fORTHWITH COAAPLV W17H T OSE PROVISIO 5. � . ISSUANCE � p DA1E: �rZJ'l C_ APPUCANC.��' '� SMIP ,p,� ' � � J ��WARNINU:�FAIWRETOSECUHEWORKEfiS'COMPENSATIONCOVEMGEISUNLAWFUL,ANDSHALIBE ENERGYP/C . O�S . L>� ..�.� � SUBJECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFWESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT � � � DOLLAflS(i100,000),IN ADOITION TO THE COST OF CAMPENSA710N,DAMAGES AS PROVIDEDfOR IN � � SECTION37000FTHELABORCODE,INTEREST,ANUATTORNEY'SFEES. � �� (i.l g��J RETENTION FEE: � d CONSTRUCTION LENDING AGENCY PRE-ALT F� O � , O O � I HEREBY AFFIRM UNDER PENALTV OF PE0.IURV THAT THEFE IS A CANSTRUCTION LENDINO AOENCY �' �FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS VERMIT IS ISSUED(SEC:30u7,GV.C.). Z . W � � LENDER'S NAAIE F- LENDER'SADDRESS � ICERTIFYTHATIHAVEREADTHISAPPLICATIONANOSTATETiATTHEABOVEINFORMATIONISCORRECT. TOTAL FEES �1� `-, S� w I AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE.UWS REU7ING TO BUILDING � CONSTRUCTION,AND HEHEBY AUTHOfiIZE REPRESENTATIVES OF 7HIS COUNTYTO EMER UPON hIE � � ABOVE-MEMIONED PROPERTY FOR INSPECTION PURPOSES. � Z COMMENTS � �- � �� . �.�� . m P TTEE NAME(PRI � � . N �� e `�..; 'L� Plc 1�- ✓ s-� �r1 � SION F P RI�fT�E� DATE � � RECPT.NO. PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD--File Copy;GREEN—AppllcanCs Copy ' Cil'Y 4F DIAIUiOND BA� � ' � INSPECI'BON REGORD . . _ . ,, . � e - , .�r , � ' ��,. „- :.. u __ ,�. t, � o g .�.,4 � � '2�.. e � ��A rri`r��'� � Q. �'�� .p � �'a r s� �� e '�''..:6L iQs � Ft;�'':Y:� ' _ �d _s�#,' - _ , � • � .. _ , . _ . _ �: . � ..n ,.r - .� .;te Y.= ' _ SET BACK A . , . FLOOR 1015T � , -- - --....._ —__ _ --- - . ----- ------ .__._ _.__ ___ _---- ---..__ __ ---- ----- -------- _._._._ FTGS/FORM5�STFFL � � ;FHa REQMTS _______ ---- _---_--- �------ --._ ----_ __----- _._._._ _____.._ __.__._ ._.__.... ..__ --_ _.._._.._ . ----..__ ------ -____ ELECTRIC GROUND �UNDER FLOOR DUCT GROUND PLUMBING 'UNDER FLOOR CONDUIT SLAB GRADE Q; � ;FIREFLACE FOUNDATION TEMP POWER :FIREPLACE B�ND BEAM WATER SERVICE �MID HT.BOND BEAM ROOF SHEATHING i 8 FT.BOND BEAM FRAMING/VENTILATION � �� ;FINAI BOND BEAM-------- ------------ ---„---_..—..-------.----.._._._. ------------------------------ - ----- ------..—...---------- ROOF COVER 'PRE GRADING ---.--- - -._..._._ _ _..___._.__ �__ _____.__ _._._ . _._._ ___ __ ...._._._ _...._._. ------- -.___ ...._.__. _..---.- ----. ___ _..._ ---- _._. ROUGH HEATING BENCHING ------- - - ---- --- -_�. �� _ -- --__---------- �--------- ------- -___-_ __----------.__.__._. _ ROUGH ELECTRIC ;ROUGH GRADI�lG ROUGH PLUMBING � i FINISH GRADING SHOWER/TUBTEST `POOL ELECTRIC EXT.LATH/SIDING j POOL FENCING VJAL�INSULATION � Z��I � j POOL FINAL CEI!ING INSULATION �OFF SITE IMPS. DRYWALL NAILING I4_��..1-- - --- ------ - ._.__.._ �DEDICATIONS._._.- -- _.._ __ _.._ - - . - -- ..__. _._. ._ ._._ _ _.__ --- SEWER b �- �� _2�� _ �FINAL ENG _..-- - ---------- . --------- ------- ---- ;- ---- -------- - -...-------- - ---- -- -------- --.—--. .—. SEPTICTANK "--' i LANDSCAPE/IRRIG. ---------------- ------------------------- �----....------......-- ----- -____.. --------- — SEEP PIT!L.L. �ON SITE IMPS. GAS AIR TEST �FINAL ZONING FINAL CONST. �FIRE DEPT.FINAL FINAL HEATING i HEALTH DEPT.FINAL FINAL ELECTRIC �� ; y ;DEV.FEES PAID FINAL PLUMBING �ENERGY FINAL PLANING ' ----------------- . ! —, _._.. _._..---- -----.... _.—._.._ —.._._..____..-- FINAL ENGINEERING .__._.—..---- ------- ----.. ._._._. _._ _...—._._ . —._.---- � :_��.�e ,;�,�r� ,��"" .,_, \ t � • COMMENTS . ��-� l6 do �� 1,��—��'� �� -- � f , � . - �� +'Z '� 0 2 �-- ----- — � �_��_ -�..--ta. ---- —,--�� — — � — SEPTICTANKSIZE � SEEP PIT/U SIZE -------------- --------------------..—..__._...----_------.. , ; ., � -------__-------._...------........-----------------------------------------___-----------------------....---------------- r� � -- ----------------------------...-- � �EF �i�, -�'� _ ---------.._.._ � �x*�Y,,�,,� s,� �; ----- - — , t ��R } �� r'6-s��k� .��.. ,�i k � ' n ,'s�` 'a# � y>r. — �f q'� T �� .q:�� . p � �}�tc .�F'�nw�4' _' _ _'–'—____... _' ' — _—