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Home My WebLink About10-1129 \ *-- � _!�`_ CITY OF DIAMOND BAR t�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21825 Copley Drive,Diamond Bar,CA 91765 �"2.�fl 6�� (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS ""�' BUILDING PERMIT APPLICATION FIRMLY � JOBSITE o ADDRESS Sd� �� C r DATE CATION��.�O��/O NUMBE�D✓/�� /C/D //�� ISSUE TYPE /��^ OCC AP��S�Z�LOT TRACT DATE CONST. �'l GROUP p OWNER A�f� i(. - q, � " AODRESS 07 .T�N G . ZONING SETBACKS Zcirv Di �af ZIP 9i�G,fTe�.909'-s6l-S3 FRONT Ryy p o APPLICANT TEL. SIDE/SIDE STREET RW ❑ ¢ � CONTRACTOR �✓'r�+�- ��y Go�'P SIDE p ADDRESS � f'�- e- � CITY c.�.- ZIP �/l786TEL.Qo9-$2o-T/Z- PROPOSED USE_F�"� I'��"� �a 4R � w ARCH/EN / z DESIGNER T�//� C"� a ADDRESS 6 7 !� /Y'o w , NO.DWEL. NO. NO. u� UNITS STORIES BEDROOMS N CITY V ZfP 9/7p6 TEL.gOf'12o.f��2-- cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� " OWNER-BUILDER DECLARATION SFR/ADD/REM O ' ' 0 I HEREBV AFFIRM UNDER PENALTV OF PERJURV THA7 I AM EXEMPT FROM 7HE CONTRACTORS LI- Gflf89B/CBfpOR W CENSE UW FOR THE FOILOWING REASON(S�C.7031.5 BUSINESS AND PROFESSIONS CADE:ANV CI7V OR (n U CAUNTYWH�CHREOUIRESAPERMITTOCONS7qUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC- � W TURE,PRIOR TO ITS ISSUANCE,ALSO REQUIHES THE APPLICANT FOR SUCH PERMI7 TO FILE A SIGNED w Patio/Deck STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF 7HE CANTRAC70RS ll- � CENSE LAW(CHAPTER e(COMMENCING WI7H SEC710N 7ooa)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOVSpO , Q FESSIONSCADE)OR7HATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDExEMP- (� V TION.ANVVIOUTIONOFSECTION7o31.5BYANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof F, A CIVIL PENALTV OF NOT MORE THAN FIVE HUNDRED DOLLARS(f500).): 0 ❑I,ASOWNEROFTHEPROPERTV,ORMYEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSA710N, � CORIrt18fCi81 Z WILL DO THE WORK,AND THE STRUCTUHE IS NO7 INTENDED OR OfFEFiED FOR SALE(SEC.7ou,BU51- J � NE55 M!D PROFESSIONS CODE:THE CONTRACTORS IICENSE UW DOES NOT APPLY TO AN OWNER OF � � VROPEHTV WHO BUI�DS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR CC THROUGH HIS OR HER OWN EMPLOYEES,PROVIDED 7HAT SUCH IMPROVEMEN7S ARE NOT INTENDED Oii m w OFFEREDFORSALEIF,HOWEVERTMEBUILDINGORIMPROVEMENTISSOLDWITHINONEYEAROFCAMPLE� � TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR Z IMPROVE FOR THE PURPOSE OF SALE). _ ❑I,AS OWNEF OF THE Pi70PEFTV,AM EXCLUSNELV CON7RACTING WITH LICENSED CONTRACTORS W � TO CONSTRUCT THE PR0.1EC7(SEC.7o4d,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- V81118fi0f1 o ADJ.AREA W CEHSELAWDOESNO7APPLYTOANOWNEROFAPROPEP7VWHOBUILDSORIMPROVES7HEREON,AND � WHOCONTMCTSFOflSUCHPROJECTSWITHACONTRACTOR�S)LICENSEDPURSUANTTOTHECONTfiAC- QUANTITY DESC IPTION FEE Y TORS LICENSE LAW.). � ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS FEASON Q G / (I G�J12�ZEG � � U � � DATE OWNER H � w � LICENSED CONTRACTORS DECLARATION W � I HEREBV AFFIPM UNDER PENALTV OF PERJURY 7HA7 I AM LICENSED UNDER PROVISIONS OF CHAPTER V. d e(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE.AND Z X MY LICENSE IS IN FULL FORCE AND EFFECT. � LICENSE CIASS V Y� ��.No. 6 3 �Z � wDATE�y��O CONTRACTOR d � WORKERS'COMPENSATION DECLARATION Q � I HEREBY AFFIRM UNDER PENALT'OF PEH.IURV ONE OF THE FOLIOWiNG DECURATIONS: Z Z IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELF�INSUREFORWORKERS' a 2 ¢ �Q MPENSATION,AS PROVIDED BV SECTION 3700 OF THE LABOR CODE,FOR THE PERFORMANCE U Q �F THE WORN FOR WHICH THIS PERMIT IS ISSUED. � QW �I HAVE AN�WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION 370o OF THE LABOR CODE,FOR THE GERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS � '� ISSUED.MV WORK S'CAMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: Q �j CARRIER G� j' ) LAN REV � � � POLICV NUMBER_�`�C J J � _� LEC C •tS� Z Q � (iHISSECfqNNEmNOTBEObMPLEfEDOFTHEPEWMISFORONEHUI�DREDDOU}HS(5100)ORLESS) PLUMBING Z I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT I5155 ED,I MECHANICAL (!3 SHAIL NOT EMPLOY ANV PERSON IN ANV MANNER SO AS TO BECAME SU JECT TO (/) WORKERS'COMPENSATIONLAWSOFCALIFORNIA,AND REETHATIF HOULD COME INSPECTIONFEE = SU&IECTTO THE WORKERS'COMFENSATION PR 10 OF SECTI 37ooOF E LABOFi . �[n.�.1 � CODE/,I HA FORTHWITHCOMPIVWITHT" RO SIONS. U. CE � �i O ��O p DATE (` APPLICANT: J WARNING:FAILURE TO SECURE WOFKERS'COM NSATION COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C � SU&IECTAN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND ENERGY PERMIT DOLURS(5100,000�,IN ADDITION TO THE COST OF CAMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTION 3708 OF THE LABOR CODE,IN7ERE5T,AND ATTORNEv'S FEES. ET TIO . s�� OCONSTRUCTION LENDING AGENCY P -ALT FEE: � I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS A CONSTRUCTION LENDING AGENCY �� FOR THE PERf-0RMANCE OF THE WORK FOR WHICH TMIS PEFMIT IS ISSUED(SEC.3087,CIV.C.). �/ Z W � LENDER'S NAME � F— LENDEH'SADDRESS � TOTAL FEES v2p6��--/ 3 a�� I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE WFORMATION IS CARRECT. w 1 AGREE TO COMPLV WITH ALL CITY AND fAUNTY ORDINANCES AN�STATE UWS REUTING TO BUILDING Z� CONSTRUCTION,AND HEREBY AUTHORIZE REPRESEN7A71VES OF THIS COUNTV TO EN7ER UPON 7HE //�(�� /`��'^,�/ A80VE�MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS � �� y� /��`r� � J � m PERMIiTEE NAME(PRINT) � � Q � N SIGNATURE OF PERMITTEE DATE - 2 RECPT.NO. PAID BY VALIDATION ~ WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Co ,GOLDEN O�File Copy,GREEN—Applicant's Copy co�v o� �u��o�� ,�� .��'� �, u�s��uo� ��o�� a�pC C�400a DQ4L �a�pC�(�40G3 Qa�pGC�400a DGJ4� Oa�3pC�C�4Q.� 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 H'T. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM FRAMINGNENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC � ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL ___ CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FIfVAL 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 DEPL FINAL _ ________ FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ��o � COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE a � � � �- 1"` CITY OF DIAMOND BAR ,;;;,\ Community Development Department I I I i ' �I 21825 Copley Drive•Diamond Bar,CA 91765 � ��, '' Building Inspection Request Hotline ��:=�•�. (909) 839-7027 ��iriN�� Building � Planning � Engineering (909) 839-7020 (909) 839-7030 (909)839-7040 CORRECTION NOTICE PERMIT NO. I � DATE: l� � � TIME: �� 6� �'n� p.m. CONTRACTOR/ I � OWNER BUILDER ADDRESS (Project Site) �� 10d�1 C� I l �DJ��a.,� �, ,,�•. I�' ( ��,e.�.�2 O��(3 c�.lv�s.�,�, c �G(�cT�t�� )� �� ❑PL��E ,S�E CONTACT THE UNDERSIGNED � ASE MAKE CORRECTIONS AND CALL FOR REINSPECTION ❑REINSPECTION FEE REQUIRED ❑PLEASE MAKE CORRECTIONS AND PROCEED WITH WORK INSPECTOR: (ptin[namc) SIGNATURE OF INSPECTOR: m�.o9zsio