The URL can be used to link to this page

Home My WebLink About17071 CITY OF DIAMOND BAR �� `----��`-- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERy�CES I 21825 E.Copley Drive U C I �5 2002 � pRESS '� (909)860-3195 Fa�c(909)861-3117 '"-��y',w BUILDINGPERMITAPPLICATION �� FIffiMLY o DDRESS /�y3/�l�v�N� �w��,,� I�/ DATECATION .../ �.v NUMBER(' � 1 I #lC � � issuE nPe � occ APN LOT TRACT DATE CONST. GROUP p OWNER � " ADDRESS ZONING SETBACKS 0 Z CITY ZIP TEL. FRONT RW ❑ � APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ z m CONTRACTOR /77.�d S�i e,�r��•,• l^+�y SIDE ❑ ¢ ADDRESS T C� ✓S ve ♦o� �- � CITY ZIP �,� TEL�/�7d.S�2'7.G%- PROPOSED USE o ARCH/ENG/ �z DESIGNER NO.DWEL. NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS c� cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBV AFFIRM UNDER PENALTV OF PERIURY THAT I AM EXEMPT FROM THE CONTRACTORS LI� G8fa9B/COfPOfS W CENSELAWFOR7HEFOLLOWINGREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANYCITVOR (n " U CAUNTVNM1iICHREOUIRESAPERMIT7000NSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANYSTRUC� � w TURE,PRIOR TO ITS ISSUANCE,ALSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W Patio/Deck S7A7EMENT THAT HE OR SHE IS LICENSEO PURSUANT TO THE PROVISIONS OF 7HE CONTHACTORS LI- � CENSE LAW(CHAPTER B(CAMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO� � PooVSpa O FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDE%EMP- (� V TION.ANYVIOUTIONOFSECTION7031.SBVANVAPPLICANTFORAPERMI7SU&IECTSTHEAPPLICANTTO Z Re-Roof A CIVIL PENAL7Y OF NOT MORE THAN FIVE HUNDRED DOLLARS(f5oo).): ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOYEESWI7HWAGESASTHEIRSOLECOMPENSATION, Q Z WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70a4,BUSI- J COmm0fCi21 ^ � NESS AND PROFESSIONS CADE:7HE CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPER7V WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR 2 THROUGH HIS OR HER OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT IN7ENDED OR m w OFFEREDWRSALE.IF,HOWEVER,THEBUILDINGORIMPROVEMENTISSOlDWI7HINONEVEAROFCAMPLE- � TION,THE OWNER�BUILDER WILL HAVE THE BUR�EN OF PROVING 7HA7 HE OR SHE DID NOT BUILD OR Z IMPROVE FOR THE PURPOSE OF SALE). _ ❑I,ASOWNEHOFTHEPfiOPERTV,AME%GLUSIVELYCONTHACTINGWITHLICENSEDCANTRACTORS W � TO CANSTRUC7 THE PRQIECT(SEC.7oal,BUSINESS AND PROFESSIONS CADE:THE CON7RAC70RS LI� VelUetlOfl ADJ.AREA W CENSE UW DOES NOTAPPLV TO AN OWNER OF A PHOPEHTV WHO BUILDS OR IMPROVES 7HEREON,AND � � WHOCANTRACTSFORSUCHPRQ1EC75WI7HACONTRAC70R(S)LICENSEDPURSUANTTOTHECAN7RAC- QUANTITY DESCRIPTION FEE Y 70RS LICENSE LAW.). � �I AM EXEMPT UNDEfi SEC. B.6 P.C.FOH THIS REASON Q � U u.. � DATE OWNER � Z w � LICENSED CONTRACTORS DECLARATION W _ • ¢ Q I HEREBV AFFIRM UNDER PENAL7V OF PERIURV THA7 I AM LICENSED UNDER PROVISIONS OF CHAPTER � �/�/� d Y(COMMENCING WITH SECTION 700o)OF DIVISION 3 OF 7HE BUSINESS AND PROFESSIONS CODE,AND Z � V i \ `X MV LICENSE IS IN FULI fORCE AND EFFEC7. m � LICENSE CLA � UC.NO. �� - � J V DATE CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION Q � I HEREBV AFFIRM UNDER PENALTV OF PERJURV ONE OF 7HE FOLLOWING DECLARATIONS: Z � IHAVEANDWILLMAINTAINACERTIFICATEOFCANSENTTOSELF-INSUREFORWOflKERS' a � - 2 CAMPENSATION,AS PROVIDED BY SECTION 37U0 OF THE LABOR CODE,FOR THE PERFORMANCE W OF THE WORK FOR WMICH THIS PERMIT IS ISSUED. � � w _I HAVE AND WILL MAINTAIN WORKERS'CAMPENSATION INSUMNCE,AS REOUIRED BV SEC710N ' Q 3700 OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORN f-0R WHICH THIS PERMIT IS ISSUED.MY WORKERS'COMPENSATION INSUFANCE CARRIER AND POLICY NUMBERARE: CONSTRUCTION J � CAFiRIER PLAN REVIEW Z POLICV NUMBER ELECTRIC ¢ I .S� (iHISSECIIONNE�NOTBE00MPLEfEDOF7HEPERMfTISFORONEHUPDREDDOILAFLS(5100)ORLESS� PLUMBING Z I CEFiTIFV THAT IN THE PERFORMANCE OF TNE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL � (} SHALL NOT EMPIOV ANV PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE N WORKEFS'COMPENSATION LAWS OF CALIFOFNIA,AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE � — ---- — = SUBJECTTOTHEWOi1KERS'COMPENSATIONPROVISIONSOFSECTION37000FTHELABOR f �—��=�\ � ' '1. � �` ' CADE,I SHALL FORTHWITH COMPLY WITH THOSE PROVISIONS. ISSUANCE � � J � SMIP p DATE: APPLICANT: � WARNING:FAILURE 70 SECURE WORKERS'COMPENSATION COVERAGE IS 11NLAWFl1L,AND SHALLBE ENERGY P/C � � SU&IECTANEMPLOVERTOCRIMINALPENPLTIESANDCIVILFMESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOLLARS(5700,000),IN ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SECTION3708OFTHELABORCODE,INTEREST,ANDATTORNEV'SFEES. RETENTIONFEE: �V: � � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: '"---"' / ' O � I HEREBV AFFIRM UNDER PENAL7V OF PERJUFV THAT THERE IS A CONS7RUCTION LENDING AGENCV FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.7097,CIV.C.�. Z W � LENDER'S NAME H LENDER'SADDRE55 � � I CERTIFV THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. TOTAL F E ES � � ♦ w I AGREE TO COMPLV WITH ALL CITY AND COUNTV ORDINANCES AND STATE LAWS RELATING TO BUILDING � � CANSTRUCTION,AND HEREBV AUTHORRE REPFESENTATIVES OF THIS COUNTV TO ENTER UPON THE Z ABOVE-MENTIONED PROPEfiTV FOfl INSPECTION VURPOSES. COMMENTS � l��L� ICn v rc.�-�P-� � � � m J/� a Pfi�1 (PFINT)�' / �/G' , N � AT EOFPERMITfEE �DATE = RECPT.NO. PAID BY VALIDATION ~ WHITE—Department Co YELLOW—Finance Co PINK—Assessor Co GOLDENRO�File Co GREEN—A plicanYs Co PY. PY, PY, PY, P PY ;�. .. . -.. :. . . . . . . .,. , , , . , ��f'?� �L �7��,1G�li�f�1� ��V� � o��uo�� . � . � s � � a �� L�Ga%t�� OU�� '° C�� Q�P � � Q �� : __.�._ �.___ _ . SET BACK j I ��j��F�L��O�O��R��JaIST � ; ------ _....._.�.:_._._.._�,_—....--------,-' G------ _._._ .__ ._.__-- -- - .... _. _ ___ FTGS/FORMS/STEEL � ; � FHA RE�MTS 1 _ ___—;-� ----- — -�- ---- --- ___._ ELECTRIC GROUND. , NdER FLOOFi DUC1' � • � _. — --- — _._. --- - — _-— � ____.__ __. --- � GROUND PLUMBING ` _ _ __ __�; UNOER FLOOR CUI��DUIT _�i u_ ' _ � ..__.....__. -�---- SLAB GRADE � ___ _ � FIREPLACE FOUNDATIOtJ ___�____ I TEMP POWER i -� FiREPLACE BOND BEAM ---�---- ---- WATER SERVI�E i � MID HT. 80ND �EAM _ __ ___ __ ROOF SHEATHING �:. 8 BFT OfVD SEAIVI_ � ___ FRAMINGNENTILIATION � FiNAL BOND BEAUI j ______ ROOF COVER ' ' PRE-GRADING ; ' ROUGH HEATING ' BENCHWG _ I ROUGH ELECTRIC � R�UGH GRADING ___ _________ , �— _---- ROUGH PLUIVIBIfVG �7�T ' --' � FINISH GRADIfVG __ ___ SHOWER/TUB TEST ' i POOt_ELECTRlC _ ___ EXT. LATH/SIDINC ' POOL FENGING WALL INSUI.ATION ! POC?L FINAL � � -- --_ ____-- ----- CEILIfVG IN�ULATION � OFF SITE IMPS. � —._ ___._ � _-_— - ------------ -- DRYWALL NAIUNG ;_ �DEDIC,4TIONS ----- __— _._._—.__ . _.- ----, -------...----- --- SEVdER FINAL ENG. -- �.-- __�__ ---- — SEPTIC TANK LAPJDSCAPElIRRIG. . ` _.__._...-- ---... � _�_—__..._. SEEP PITlL.L. ON SIl'E IMPS. ' GAS AIR TEST FINAL Zt�NiNG FINAL HEATING HEALT ^ FIN,4L CONST. � �!RE DEPT. FINAL ---- ---.. H UEPT. FINAL F1NAL ELECTRIC � j DEV. FE�S PAID � FINAL PLUMBING 1 EyEFiGY ; - ---- --- C�G�QG o c o�- q � j COMMEiVTS - SEPTIC TA�lK SIZE SEEP PIT/U SIZE -- � ---- �---- � -- •� �`5' _ — 0 >, _ _—_ � c� . . ` � _ �