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Home My WebLink About11-1062 _. _ _ _ _ _ -- _.--.. _ . __ __. _ � CITY OF DIAMOND BAR EX�ZR� �051� �OCL ---�� &DEVELOPMENT SER�IC�5 —1 DEPARTMLNT OF COMMUNITY 21825 Copley Drive,Diamond Bar,CA 91765 PRESS '� (909)839-7U20 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 ��q��W BUiLDING PERMIT APPLICATION FIRMLY � JOBSITE APPIICATlO PERMIT "�P/C` o ADDRESS� � � 12 �",��'�� DATE �� NUMBER��#P�1��- 1�� ISSUE ` TYPE OCC � APN S2�Z'� LOT TRACT � DATE � � l( � i CONSTi�� GROUP � S v Z P ►� p OWNER � ZONING SETBACKS o ADDAESS FRONT RW ❑ � CITY ...� /?Mo�J � ZIP TEL.�SI'4e7�744 REAR ❑ APPLICANT A TEl�f�n•4��T� SIDFJSIDE STREET RW ❑ � CONTRACTOR SIDE � � ADDRESS PROPOSED USE � W � O C�Ty ZIP TEL. ,L z DESIGNER � � NO.DWEL. t I NO. � NO. S`►Ol�6 D o �S � a ADDRESS UNITS � STORIES BEDROOMS_s� IN Oely� � ciTv ziP rTe�.�f v�4-�•'Z,3 cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/A E O 0 I HEREBV AFFIRM UNDER PENALTY OF PERRIRV THAT I AM E%EMPT FROM THE CONTRAGTORS LI- Gefe9B/CBfPOR W CENSEUM�FORTHEFOLLOWINOREASON(SEC.7031.6BUSINESSAN�PROFESSION9COOE:ANVCITVOR (n ZCAUNTYWHICMREOUIRES�PERMITTOCOtJSTRUCT,ALTER.IMPROVE.DEMOUSN,ORREPAIAANVSTRUG W petio/Deck ' � w 7URE,PR10R TO RS ISSUANCE,AL50 REQUIRES THE APPLICANT FOR SUCM PERIAIT TO FILE A SIONED w g STATEMEKT THA7 HE OR SHE IS IJCENSED PUHSUAN7 70 THE PPOVISIONS OF THE CAN7W.CTORS L6 � CENSE UW(CMAPTER o(CAMMENCINO WI7M SECTION 7000)OF DIVISION 3 OF TME BUSINE55 AND PRO� � POOVSPB FESSqNS CODE)OR THAT HE OR SHE IS E%EMPT THEREFROM AND THE BA515 FOR THE/�LLEOEO E%EMP- i TqN.ANYVIOUTIONOF5ECT10N70.11.5BVANVAPPIICANTFORAPERMITSU&1EC15THEAPPLICANTTO Z Re-Root � A CML PEN/�LTV OF NOT MORE 7/WJ GIVE HUNDRED DOLlARS(i500).): Q OI,ASOWNEROFTHEPROPERTV.ORMVEMPLOVEESWITHWAGESASTNEIPSOLECOMPENSA710N, � Cpmrtl0fCi81 Z WILL DO THE WORI(,AND TNE STRUCTURE IS NOT INTENDED OR OFFERED FOA SALE(SEC.7M1.BUSI� J � NESS AND PROFESSIONS GODE:THE CONTFUCTORS LICENSE LAW DOES NOT APPLV TO Ml OWNER OF � VpOPERTV NhiO BUIIDS OR IMPROVES THEREON,AND NMO DOES SUCH WORN HIMSEIF OR HERSELF OR m � THfiIXIOH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCN IMPRO`�EMENTS�RE NOT INTENDED OR , QOFFEREDFORSALEIF,HOWEVERTHEBUILDWGORIMPROVEMFIITISSOLDW�THINONEYEAROFCOMPLE- Z TqN,TME OWNER�BUILDER WILL HAVE THE 9URDEN OF PROVINa THAT HE OR SH£DID NDT OULLD OR � IMPROVE FOR 7HE PURPOSE OF S�LE�. I W ❑I,ASOWNEROFTHEPROPEHTV,AMEXCLUSiVELYCANTFUCTINOWfTHLICENSEDCONTMCTORS , i � TO CONSTRUCT TME PROJECT(9EC.7oN,BUSINE99 AND PROFESSIONS GODE:TNE CONTMCTORS LI- V01U8SIOf1 O O ADJ.AREA , � CENSE LAW DOES NOTAPPLV TOM1 OWNER OF A PROPERTY NMO BUILDS OR IMPROVES THEFEON,AND � WFqCANTRACTSFORSUCHPR0.1ECT9WITMACONTRACTOR(S�LICENSEDPURSUANTTOTMECONTRAC- Q�J/��.fT�n' DESCRIPTION FEE Y TORSLICENSELAW.). I 0 �I AM EXEMPT UNDEf1 SEC. B.6 P.C.F-0R THIS REASON � � � � DI1TE OWNER U Z � LICENSED CONTRACTORS DECLARATION � 1 HEREBY AFFIRM UNOER PENALTY OF PERJURY THAT 1 AM LICENSE�UNDER PROVISI�NS OF CHAPTER � o(CAMMFJJCINO WfiH SECTbN 7000)OF DIVISION 3 OF THE BUSINESS M!D PROFESSIONS CODE,AND Z 4V IICENSE IS IN FULL FORCE AND EFFECT. m � � LICENSE CLASS � LIG.NO, �� J � ~ DATE�� ` CONTRACTO a W �� WORKERS'COMPENSATION DECLARATION a � U � I HEREBV AFFIRM UNDER PENALTV OF 7ERIURV ONE OF THE FOLLOWING DECLAMTIONS: (/� Q � _I HAVE AND W1lL MAINTpIN A CENT�FICATE OF CANSENT TO SEIF-INSURE FOR VJOHKERS' _ COMPENSATION,AS PHOVIOED BV SECTION 3700 OF THE UBOR CODE,FOR THE PERFORMANCE w QGTHE WORK FOF WHICN THIS PEF7MIT IS ISSUEO. � � / �� I HAVE AND WILL MAINTAW WOFiKERS'COMPENSATION INSURANCE.A3 REWIREO BV SECTION QQ 3�00 OF THE UBOR CODE.FOR THE PERFORMANCE OF THE WORIC FOR WHICH THIS 7ERAflT IS S$S. �� ISSUED.MY WOR�M�TION INS CARRIER AND POLICY NUMBER ARE: CONSTRUCTION .cnaaiER � �y.,/� 1�►� PLANFEVIEW ��'�• �� 0 POLICV NUMBER �w`�� ^ �1��`� ELECTRIC Z , ¢ 0 (fHISSEciIONNE�rJOisEOa.pLEfEooF7liEaEw�crlSroaoNE�aK%iEoOav.RSlt�aolaRLESsI PLUMBING w MECHANICAL Z I CERTIFV 7HAT IN THE PERFORMANCE OF TNE WORN FOR WHICH THIS PERMIT IS ISSUED.I �} SHALL NOT EMPIOV ANY PERSON 1N ANY MANNEF SO AS TO BECOME SU&IECT TO THE . � WORNERS'COMPENSATION UWS OF CALIFORNI0.NdD AGREE THAT IF I SHOULD BECAME INSPECTION FEE � S SU&IECT TO THE WORKEfiS'COMVENSATION PROVISION SECT TME LABOR 3 i � CADE.�SHALL F RtHWiTH COMPLV WI ISSUANCE � O \ APPLICAN7: � SMIP �' � p �ATE: w ENERGY P/C � WARNMG F 0.UR O SECURE WORKERS'COMPENSA N COVER IS UNLAWKUL,AND SHALL BE � SUBJECTAN EMPLOYERTO CRIMINAL PENALTIES AND ML FlNES UP ONE HUNDRED THOUSAND ENERGY PERMIT DOLLARS(5100.000),IN ADDITION TO THE COST OF PENSATION,D GES AS PROVIDED FOR IN �/ �.�� J SECTION 3]OB OF THE LABOR CODE,INTEREST,PND A s. RETENTION FEE: `�J � � w CONSTRUCTION LENDING AGENCY PRE-ALT FEE: d O '�¢,.,A'� � -O�'J � I HEFEBV AFFIRM UNDEfi PENALTY OF PERIURV THAT THERE IS A CONSTRUCTION IENDINO AOENCY � FOR THE PERFORMANCE OF THE WOFK FOR WH1Gi THIS PERMIT IS ISSUE�(SEC.908�,CIV.C.), Z �G�r•(��y��– b 4 �T� rJGYM 1�[ � � LENDEFYS NAME ' ` `� 1��• �� F_ LENDER'SADDRE55 1 4Q Q I CEFTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT 7HE ABOVE INFORMATKKJ IS CARRECT. TOTAL FE ES ` •� �� `• � w I A6REE TO COMPLY WITH ALL CITY AND COUNiV OiIOiNANCESI.NO 57ATE UWS REUrING TO BUILDINO � CONSTRUCTIpN,AN�HEREBY AUTHOR2E REPRESENTATIVES OF 7H15 COUNTV TO EN7ER UVON THE � q00VE-MENTIONED PROPER7Y F-0R INSPECT40N PURPOSES. . Z `� COMMENTS 0 J � m PERM ¢ tE Z 1 1 P C f l4�S �'''Yl � � 510 DAT RECPT.NO. PAID BY S VALIDATION � -- 2 � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GO ENROD—File Copy,GREEN—Applicant's Copy + �� `vi .��t"y .� ��s�`' •'Y �'�.+'�^4 r� p� ��- � �� i�s��c�oo� ��co�� ._ ,. . ._ `� rtJtJ� m.�. .� o :. .s r�a�p�c�400a aQ� �; o��c��a � aa��.c�aoa�_ :.�c� : � SET BACK FLOOR JOIST FTGS/FORMS/STEEL FHA REGIMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT � ' ` � � SLAB GRADE � FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID H'T. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM FRAMINGNENTILATION � i�� FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC -� ROUGH GRADING � �; ' ROUGH PLUMBING FINISH GRADING SHOWERlTUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION � �� POOL FINAL CEILING INSULATION � OFF SITE IMPS. DRYWALL NAILING _ 1�, DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/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 C��o � COM M E NTS —��_��-�'�---�--1�-�-�$��-1.� - �,_ �_v�n._e��— �%�N1 �i�a��i� �—lG►"�L''iei�=.c��,.v� � t� - ~ �_ ��J — -� _ _.Z 3 �� Z �.3 t - - �. 1��-- : �,_�� -- �� -,� S �3\ � �� 1��p- �cY�-r�'.�_�`ri:ns��-��—d_u$—� �xp,�� - c*'� SEPTIC TANK SIZE SEEP PIT/U SIZE a ;�r` a �f �.