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Home My WebLink About12-2064 �`_ CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS �''^'. BUILDING PERMIT APPLICATION FIRMLY ¢ DDRIESS �3�i<p,�� •�O �G.� 2D (� !!L � � PERMIT t�f_� �f�/_ /C r APPLICATION� p DATE NUMBER�v "v�v � � APN LOT ' RACT DA EE 1� !�-� � pNST.(6'�GROUP p OWNER � `L ADDRE S 4 m f' ZONING SETBACKS z CITY �Q�"�b'1t� [LIZIP EL. FRONT qyy � o APPLICANT �i � TEL. � SIDFJSIDE STREET pyy ❑ � CONTRACTOR U SIDE � ADDRESS � CITY tt/�� ZIP9.Z��TEL. PROPOSED U$E s O o ARCWE� � �L� a ADD ESS NO.DWEL. ✓ NO. NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBY AFFIRM UNDER PENALTY OF PERJURV THAT I AM EXEMPT FROM THE CONiRACTORS LI� G8feg0/CBlPOR W CENSEUWFORTHEFOLLOWINOREASON(SEC.7031.6BUSINESSANDPROFESSIONSCODE:ANYCITVOR (n C-� COUNTYWHICHREOUIRESAPERMRTOCONSTRUCT,�LTERIMPROVE.DEMOLISH,ORFEPAIRANVSTRUG W W TURE,PRIOR TO ITS ISSUANCE,AL50 REWIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIONED W Patio/Deck � STATEAIENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF 7HE CONTRACTORS LI- � CENSE UW(CHAPTER B(COMMENCWO WITH SECTION 70oa)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOUSPB FES4IONS CODE)OR THAT HE OR SHE IS E%EAIPT THEREFROM AND THE BASIS FOR THEALLEOED E%EMP- (� TION.ANY VIOLATION OF SECTION 7031.5 BY ANV APPLICANT FOR A PERMIT SU&lECTS THE APPLICANT TO Z Re-Roof A CML VENALTV OF NOT MORE 7HAN FIVE HUNDRED DOLLARS(5500).): � ❑lASOWNEROFTHEPROPERTY,ORMVEMPLOVEESWITHWA0ESA5THEIRSO�ECOMPENSATION, � COlfIrtlBfCl81 Z WI�L DO THE WORK,AND THE STRUCNRE IS NOT INTEN�ED OR OFFERED FOR SALE(SEC.701�,BU51� J N NESS AND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPEfin'HRiO BUILDS OR IMPROVES THEREON,AND NM1IO DOES SUqi WORK HIMSELF OR HERSELF OR Q THROUGH HIS OR HER ONM EMPLOVEES,PROVIDED THAT SUCH IMPROVEMEMS ARE NOT INTENDED OR m Q OFFEREDFORSALEIF,HOWEVER7NEBUIlAIN00RIMPROVEMENTIS50LDWITFqNONEVEAROFCOMPLE� Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THA1 HE OR SHE DID NOT BUILD OR � W PROVE FOR THE PURP0.SE OF SAL�. w OI,ASOWNEROFTHEPROPEHTV,AME%p.USIVE�YCONTqACTWOWITHLICENSEDCONTRACTORS O �a� � TO CONSTRUCT THE PROJECT(SEC.7oI1,BUSINE55 AND PROFESSIONS CODE:THE COMRACTOR9 LI- V8W9ll ADJ.AREA W CENSELAWDOESNOTAPPLVTOANOWNEROFAPROPERTYWHOBUILDSORIMPROVESTHEREON,AND � WFqCONTfiACTSFORSUCHPR0.1ECT5WITHACONTRACTOR(5)LICENSEDPURSUANTTOTHECONTMC� QunNnTv DESCRIPTION Y TOR9 LICENSE LAWJ. FEE � Q ❑I AM E%EMPT UNDER SEC. B.8 P.C.FOR THIS REASON � � � r(�, � � ?� U � � DATE ONTJER ~ � LICENSED CONTFACTORS DECLARATION w � � I HEREBY AFFIRM UNDER PENALTV OF PERIURV TNAT I AM IICENSED UNDER PROVISIONS OF CHAPTER � � e(COMAIENCIN(i WfTH SECTION 7000)OF DNISION 3 OF THE BUSINE55 AND PROFESSIONS CODE,AND Z �� MY LICENSE IS IN FULL FORCE AND EFFEC7. m � LICENSE CLAS � C� LIC.NO� � Y � U DATE CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION � � I HEREBY AFFIRM UNDER PENALTV OF PERIUFV ONE OF THE FOLLOWING DECIAAATIONS: � � Z 0 _IHAVEANDWILLMAMTAINACERTIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' ¢ G = Q COMPENSATION,AS FROVI�ED BV SECTION 3700 OF THE LABOR COOE,FOq THE PERFORMANCE U OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. W � � w IHAVEANDWILIMAIMAWWORI(ERS'COMPENSATIONINSURANCE.ASFEWIREDBVSECTION Q 370o OF THE LABOR CADE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERM 5 �� . � ISSUED.MY WORNERS' PEN^SA�TION INSURANCE CAHRIER AND POLICV NUMBER A . CONSTRUCTION jCAaRIER�;�f 11��VN�1 '�� PLAN REVIEVJ �5 � � 0 POLICV NUMBER � Z ELECTRIC ¢ 0 (rtusSECrqNNE�MOTBEm.1REimoFnlEpE ISwqp�IEHUMqEpppUpASR1pp)aqLEss? PLUMBING W Z I CERTIFV THAT IN THE PERFORMANCE OF THE WOR)(FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL C�S SHALLNOT EMPLOV ANV PERSON IN ANV MANNER SOAS TO BECOME SUBJECT TO THE [n WORNERS'COMPENSATION LAWS OF CALIFORNIA AND A�NEE THAT IF 1 SFIOULD BECOME INSPECTION FEE � SU&IECT TO THE K'ORKERS'COMPENSATION PRO SIO OF SECTION 37a0 OF THE LABOR � � CADE,I SH FORTHWITH COMPIY WI THOS RO SIO . ISSUANCE O - � p DATE: �� APPLICANT: SMIP w ENERGY P/C J WARNIN :FAILU TO SECURE WORKERS'COMPENSATION CAVERAOE IS UNLAWfUL,AND SHALL BE J � SU&IECTANEMPLOVERTOCRIMWALPENALTIESANDCMLFINESUP700NEHUNDREDTHOUSAND ENERGYPERMIT DOlLARS(f10o,o00J,IN ADDITION TO TNE COST OF CAMPENSATqN,DAMAQES AS PqOVIDED FOR IN w SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. q�ENTION FEE: �� . Q � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFIRM UNDER PENALTV OF PERJURV THAT THERE IS A CONSTRUCTION LENDING AQENCV � FOR THE PERFORMANCE OF iHE WORK FOR WHICii THIS PERMIT IS ISSUED(SEC.3087,CIV.C.). Z W � LENDEF'S NAME � LENDER'S AD�RE55 w I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORAIATION IS CORRECT. TOTAL F E ES /� )l •� � I AQREE TO COMPLV WITH ALL CITY AND CAUNTY ORDINANCES AND STATE UWS RELATWO TO BUILDINO { V � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE Z ABOVE-MEMIONED P PER/TV F�OR INSPECTION PURPOSES. COMMENTS � / � ( QPE T7EE N (PR1Nn � � �2J/!L �'O�''�l f��2�+�� SN3NANREOF E EE D E �� RECPT.N0. PAID BY VALIDATION WHITE—DepaAment Copy,YELLOW�Inance Copy,PINK—Aesessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy CiYV O� DIAf�ION[) ��4R Ih1SPECT00� RECORD ' DG��pGG400O�l , o , ri`�'��". . �G'�1�3G�Ct�`�G3 - OG�J�3pCC�400O[� oDC�4L :-= ' �G��G��":- . 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 FIREPLACE BOND BEAM WATER SERVICE MID Hr. BOND BEAM ROOF SHEATHING 8 FT.•BOND BEAM FRAMINGNENTlLATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBIPJG F�NISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. � DRYWAI�NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP P!T/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 ��O�l.� COMMEfVTS � SEPTIC TANK SIZE SEEP PIT/U SIZE a e� a 0