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Home My WebLink About12-1188 ��_ CITY OF DIAMOND BAR ��/jL�� _ � DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES ` 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS • ��''^', BUII..DING PERMIT APPLICATION FIRMLY Q DDRESS ��" �_ APPLICATION � �� '�� pERMIT /�_I I� p/C o DATE NUMBER � p � ISSUE TyPE ' pCC APN LOT TRACT DATE p OWNER Q Sln CONST. GROUP p ADDRESS �- DY • ZONING SETBACKS Z CITY aI11 �" ZIP TEL. ��` (� FRONT pyy � gAPPLICANT TEL. - REAR p SIDE/SIDE STREET RW ❑ � CONTRACTOR �N' SIDE p ADD SS � CITY� ZIP I TEL ��i ' PROPOSED USE � � w ARCWEN / �z DESIGNER NO.DWEL. N . a ADDRESS NO. � CITY ZIF TEL UNITS STORIES BEDROOMS � � DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECI.ARATION - � p � SFR/ADO/REM p I HEREBV AFFlRM UNDER PENALiY.OF PER&1RV THAT 1 AII E7(EMPT FROY 7HE CAN7qACT0R5 L4 G8f8 0/Ce fl W CENSEUWFOqTHEFOLLOWIN(iREAuON(SEC.7031.6BUSWESSANDPROFESSIONSOODE:ANypT/OR (n 9 � C� COUNTI'WHIp1RE0U�RE5APERMITTOCONSTRUCT,ALTER�P��.DEAtOL15FI,ORREPAIRANV9TRUG P8«a�Btl( - w TURE,7RIOR TO RS 6SUANCE,AL50 REpU1RE5 THE APPLICANT FOR SUCN PERMIT TO FlLE A SIONED w � STATEMENT THAT ME OR SHE IS IICENSED.PURSUANi TO TiE PROVISION$�OF THE CONTMCTORS LI- . . � CENSE LAW(CNAFTER D(COMMENCW6 WITH SECTION 700o)OF DIVI$IW,��OF THE�BUSINESS AND PRO- � Pool/Spa - FESSqN5CO0EJORTHATHEORSHE�ISE%EMRT7HEREFROMMlDTHEBASISFOR7HEALLEOEDEXEMV- C7 V TION.ANYVpLATIONOF5ECT10N7031.68YANYMPLICAMTFORAPERMITSU&IECTSTHEAPPLICANTTO Z. RB-ROpI � A pVIL PENAL7Y OF NpT MORE TMAN FIVE HUNDRED UOl1MS(iSOD).): � 0 ❑4�OWNEROFTHEPROPER7V,ORA/YEMPLOVEESWfTH1NA(iESA57HEIRSOLECOMPENSA710N, � �mmercial� � Z VALL DO THE WORK,AND THE STRUCTURE IS NOi INTENpEp Oq OFFERED FOR SALE(SEC.7oa�,BU54 J � � � NESS AND PROFESSIONS CODE:THE CONTRACTORS UCENSE LAW DOES NOT APPLY TO AN.OWNER OF j FROPERN N410 BU�LOS OR IMPROVES THEREON,AND NM1fO DOES SUCH VqRK W AISEl,F OR HERSELF OR � THROUGHHISORHERONMEMPLOYEES,PROVIDEDTHATSUp11A1PROVEMEMSARENOTINiENDEDOR m , Q OFFEREDWRSALEIF,VqW6VERTMEBUIlDW00RIMPROVEMENT1950LDWfTMNONEYEAROFCOMPLE. � Z TION.TME OWNEA-BUILDEF WILL HAVE 7HE BUHDEN OF.VROVW6 THAi�HE OR SHE DID NOT BUIID OR . . . � IMPROVE FOR THE PURPOSE Oi SALE} � W ❑I,ASOWNEROFiHEPROPERTV,AMIXCLUSNELYCANTMC7WOWfTHLICHISEDCONTRACTOR3 Q TO CpJSTqUCT THE PRQIECT(SEC.7aN,BUSINESS AN�PROFESSIONS CODE:THE CONTHACTORS ll- VBIUflIIOf1 `(CXX� /iDJ.ARE(1'. � � CENSEUWOOESNOTMVLYTOANOWNEROFAPROPERTYWFq9UILpgOPIMPROVESTHEREON,AND - � ' 1N�OCONTRACTSFORSUCHPROJECTSWfTHACONTRACTOR(5)LICENSEDPURSUAMTOTHECONTRAG Q�J(U.JnjY DESCRIPTION �E , 70R3 LICENSE UW.). � ❑1 AM E%EMVT UNDER SEC. B.6 V.C.FOR THIS REASON � �I U ZDATE OWNER - . . �U . I � LICENSED CONTRACTORS DECLARATION � �W � 1 HEREBY AFFlRM UNDER PENALTY OF�PERIUqY 7TiAT IAM LICENSED UNDER PROVISIONS OF pfAPTER � - ' �� - � 9(COMMENCPlO NTTH SECTION 700D)OF DMSION�OF THE BUSINESS M1D PROFESSIONS CODE,AND Z. �� MY IICEN9E IS W FULL FORCE AND EFFEC7. m � UCENSE CLASS �`O� LIC.NO. CSV��O O. � -� � V DATE a��Z . CONTRACTORT��QT— a . .. . . . W � WORKERS'COMPENSATION DECLARATION � � ' � - �� - � � 1 HEREBY AFFIpM UI�ER PENAL7Y OF PERNHY ONE OF THE FOLLOW WG DECURA7qNg; V UJ Z � _IHAVE�ANDWILLMAINTAINACEftTIFlCATEOFCONSENTTOSELF•WSUREFOqWOPo(EqC � � � - COMPENSATION,AS PROVIDED BV SECTION 3700'OF THE LA80R CODE,FOR THE PERFORMANCE �U' OF htE WORK FOq WHlCFI TNI9 PERMIT IS ISSUED. � � � �IHAVEANDWRLM/JMAW.WOR)(EAS'COMPEN$AT�ONWSUqiWCf;qgREOUIREDBY5ECT10N . /�///��y Q 370o OF THE LABOR CODE,FOR 7HE PERFORMANCE OF THE WOR)(FOR WHICH TFIIS PERAl1T IS ��y Y ISSUED-MY WOPo(EAS COMP�EnNnSA7TpI�ONI InNSURANCE CAARIER'ANO VOLICY HUMBER ARE �CONSTRUCTION o � � CARRIEH (�r ��SV��t11�C PLANREVIEW o POLICV NUMBER WG UI�ZS Z�O� . _ ELECTRIC ¢ p (��+��+oTe��Tmo�n+�a�rawaa��xo�Euoau�u(noola+�ss� PLUMBING w Z I CERTIFV 7HAT IN THE PERFORMANCE OF THE.WORK FOR WHIqi TF11$PEiWR IS ISSUED,l MECHANICAL C.�} SHALL NO7 EMV�OY ANV PERSON W ANY MANNER SOAS TO BECOME SUBJECT 70 THE' � � � WORKER5COMPENSATqNUwSOFCALIFORNIA,ANDA(iREE7HATIFISHOIriDBECOME INSPECTIONFEE ' SUBIECT TO THE V10RKER5'COMPENSATION PROVISpNS OF SECTION 97000F THE LABOR ' - ' - O CODE.I SHALL FORfM41TM COUPLY WITFI B� PR vIS�ONS. ISSUANCE _ .. • .. p DATE�2 _ APPLICAN7: _ .SMIP s� � � W � WARNIN4�FAWRETOSECUREWORI(ERS'COMPENSATq COVERAGEISUNUWFUL,MIDSHALLBE ENERGY�P/C . � � ' � SUB.IECI AN EMPLOYER TO CRIMRlAL PENALTIES AND qVil FlNES UP TOONE HUNDRED THOUSAND ENER6Y PERMIT DOLLARS(f100,00o),�IN MDIT70N TO THE COST OF COMPENSATqN,DAIdAf3ES/S PROVIDED FOR IN J SECTION 37oe OF THE LABOfi CODE,17TEREST,AND ATTORNEY'S FEES. � - ' - w RETENTION FEE: _ � � CONSTRUCTION LENDING AGENCY p : �T . �RE� FE�, � I HEREBY AFFlRM UNDER PENALTY OF PE0.AIRY THAT 7HERE IS ACONSTRUCTION�ENDWO AOENCY �' (,.y�'�/ ( �FOR T1E PERFORMANCE OF THE WOPoC FOR WHICH THIS PERMIT IS ISSUED(SEC:3oe7,CN.C.} Z W �� 1.ENDEf�S�NAME . . . . __ F— LENDER'SAODqES3 � � � ICERTIFYT/iATIHAVEREADTHISAPPL�CATIONAND3TATETIiATTHEABOVEINFORMATIDNI9OORqECT. TOTAL FEES � /� •!� � 1 A6REE TO COMP�V WITH ALL GN AND COUHTY ORDMNICES AND STATE UWS FEUTINO TO BULLDINO � CONSTRUCfION.AND HEREBY AUfHORRE REPRESENTATNES OF 7HI5 COUNTV 70 EMER UPON TiE ' Z ABOVE�7.IEMIONED PROPERTI FOR WSPECTION PURGOSES. COMMENTS �� J � m PERMITTE NAM ' � �-i -c� Cn ��nR DATE � RECPT.NO. PAID BY VAIJDATION WHITE—Department Copy.YELLOW—Flnence Capy,PINK—Assessor Copy.GOLDEN OD—Ftle Coq.GREEN—ApplMant's Capy . CITY �F DIAMOND BAR , IIVSI'ECTION RECURD .. .,: , � .. s .,e . .. �,,��. . ,: . ., .. ... . . ' o . } � D � � � � � � ,. � � .��. � �SET BACK FLOOR)OIST FTGS/FORPAS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRAdE FIREPLA�E FOUNDATIQN TEMP POWER FIREPLACE BOND BEAM WP,TER SERVICE MID HT.BOND BEAM ROOF SHEATHIfVG 8 FT.BOND BEAM FRAMING/VENTILATION fINAL BOND BEAM ROOF COVER PRE-GRAdING ROUGH HEATING BEN�HING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT.LATH/SIOING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DftYWALL NAILING DEDICATIONS SEWER FINAL ENG. 5EPTIC TANK LANDSCAPE/IRRIG___ SEEP PIT/L.L. Otd SITE IMPS. GAS AIRTEST FINAI ZONING FINAL CONST. FIRE DEPT.FINAL FINAL HEATING HEALTH DEPT.FINAL FINAL ELECTRIC DEV.fEES PAID FINAL PlUM81NG ENERGY FINAL PLANING -- FINAL ENGINEERItdG � � • -- -- COMMENTS SEPTICTANKSIZE SEEP PIT/U SIZE � � � i, c � f y 1 ' -6" Q ,�_'�ldl�=�4 � ��i� _ � __ ...�aa�� _6„ �� -n j � r,rn� � � a C 't �1 3k w� � •P��4 ' O� O� r ry` � ..+��4'�� . p �,C � ,.-r�� = . o�o�� 7� H ; `�ji, �{��) C�`'�p' � ---- w _ v - --'�1 ( $, � Y� �. � �� O `,�� l ,` o��t _ 1 �' � � � �� x. I ��.-. � "' u4' I �� , �� p, ��N� 1r ��. G N� \�. `t� � �� . �O� � 1 . .— �S•�� - , ' . J .w � O g ' � �i� - \ 1 . C3� '�' �' J .��_ = _ - + �+1�'� ,�';� � � �� , �!, � `� l� �� , � �' � � � � , °�1 i �'� � m�w N � � 'O � N A� � N � ;e3,� � �_ n_Cn-i Z � ? -�i � CD � ,~�. �� ;i,�. m m�° `" Q -_+� � 0 � . � � o� � � � fl, � (� � {.�...,,,, y-_�.:._ 1,,..� _ �,,. �3 o v � �- tT � � � � � � ' ` '.'' �� w o °—' `j `.� S Ui �� < � � CD � Y µ' ,.� n� � m �o N -, _ � � � � �� N �.. � � �.;� � g �, o r � � � � �� . N � � •o �. 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