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Home My WebLink About11-1221 . __ _ _ _ _ — _�` CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21825 Copley Drive,Diamond Bar,CA 91765 � (909)839-7020 Fax(909)861-3117 Building[nspection Hotline(909)839-7027� PRESS `��.. BuiLniNc rE�iT arrLicATiorr FIRMLY ¢ ADDR'ESS Zd `b S ��R�lG4t"'`P I UN �'r APPLICATION PERMIT %„ �p/C o DATE NUMBER�# � ISSUE i 7yPE �C APN LOT TRACT DATE Q /� p OWNER _ ��.N�1 C H G� CONST. �Q GROUP o ADDRESS ZONING SETBAC S FRONT O CITY �P L� TEL 5 5'6� REAR RW � d APPLICANT A Cm,v� TEL. �-4�I��26 ❑ � SIDE/SIDE STREET RW ❑ oCONTRACT�R �-�A �'� c+pFg SIDE p ADDRES �� PROPOSEDUSE l'�P 6 �X.\ST�N CITY ZIP�dTEL.! �� - w ARCH/ENG/ �¢-� �M � z DESIGNER w NO.DWEL. � NO. a ADDRESS 1 NO. v� UNITS STORIES BEDROOMS N CITY ZIP TEL. � DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O p I MEHEBV AFFIRM UNDER PENALTV OF PERJURV THAT I M/E%EMPT FROM THE CONTqACTORS LI- G8f89B/C0fP0A W CENSEUWf-0RTHEFOILOWINGREASON(SEC.7031.5BUSINESSANDPROFESSIONSCODE:ANYCIiYOR (f� C-� COUNTYWHICMREOUIRESAPERMRTOCONSTRUCT,ALTER,IMPROVE,OEMOLISH,ORREPAIRANVSTqUC- w Z TURE,PRIOR TO RS ISSUANCE.ALSO REWIRES THE APPLICANT FOR SUq1 PERMIT TO FILE A SIGNED w Petlo/Deck w STATEMENT THAT HE OR SHE IS LJCENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- gS CENSE UW(CHAPTER�(COMMENCINO WITH SECTION 70ao)OF DIVISION 3 OF THE BUSINESS AND Pq0- � POOUSPe X FESSIONSCODE)ORTHATHEORSHEISE%EMPTTHEREFROMANDTHEBASISFORTHEALLEOEDEXEMP- C7 � V TION.ANVVIOLATIONOFSECTION7031.58VANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof 2 A CIVIL PENALTY OF NOT MORE THAN FNE HUNDRED OOLLARS(t500�.): 0 ❑I,ASONMEROFTIIEPROPERTV,ORMYEMPIOVEESWITHWAQE5A5THEIR50LECAMPENSATqN, � COfI1rtIBfCi81 ' Z N7LL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFEFED FOR SALE(SEC.7Wa,BUSI- J � HE55 AND PROFESSIONS CODE:THE CONTRACTORS IICENSE UW DOES NOT A7PLY TO AN OWNER OF � PROPERTV NMO BUIIDS OR IMPROVES TMEREON,lWD WHO DOES SUCH WORK HIMSELF OR HERSELF OR w THROUGM HIS OR HER OWN EMPIOVEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NOT WTENDEO OR m � OFFEREDFORSALEIF,HOWEVERTMEBUILDINQORIMPROVEMENTISSOLDWITHINONEVEAROFCAMPLE- Z TIDN,THE OWNERAUILDER WILL HAVE THE BURDEN OF PROVIN�THAT HE OR SNE DID NOT BUIID OR � IMPROVE FOR THE PURPOSE OF SALE). w ❑I.ASOWNEROFTHEPROPERTV.AMEJ(CWSIVELYCANTMCTINOWITHLICENSEDCOHTRACTORS /-Cµ^ � TO CqNSTRUCT THE PR0.IECT(SEC.70/1,BUSINESS AND PROFESSIONS CODE:THE CONTRACTORS LI- V81U8t1011 .['7`x�J• �� qp�.qqE,q W CENSE UW DOES N07APPLV TOAN OWNER OF A PROPEF7TY NRiO BUILDS OR IMPROVES THEREON,AND � NM1fOCONTMCT5FOH5UCHPRQIECTSWITHACONTqACTOR�S)LICENSEDPURSUANTTOTHECONTqAG QUANTITY DESCRIPTION Y TORS LICENSE LAW.). �_ FEE � ❑I AM E%EMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q ?� U � DATE OWNER � Z U ¢� LICENSED CONTFACTORS DECLARATION w 2 I HEREBY AFFIRM UNDER PEN�LTV OF PERIURV THAT I AM UCENSED UNDER PROVISIONS OF CHAPTEF � � e(COMMENCINO WITH SECTION 7oa0)OF DIVISION�OF 7HE BUSINE55 AND PROFESSIONS C-0DE.AND Z � �� 4V LICENSE IS IN FULL FORCE AND EFFECT. m � LICENSE ClA S J LIC.NO. �� _ � V pq� ZG lZ CONTRACTOR � d W � WORKERS'COMPENSATION DECLARATION � � I HEREBY AFFIRM UNDER OENALTV OF PERIURY ONE OF THE f-0LLOWING OECLARATIONS: � � Z � _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' a 2 COMPENSATION,AS PROVIOED BV SECTION 3700 OF THE LABOR CODE,FOR THE PERf-0RMANCE U OF THE WORK FOF WHICH THIS PERMIT IS ISSUED. W O g � �1 HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION Q3700 OF THE LABOR CO�E,f-0R THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS /�� J/p ISSUED.MY WORCKERS'�C/�OMPE�N,iSAT�ION INSURANCE CARRIER AND POLICV NUMBERME: CONSTRUCTION � �yL � CARRIER � ]TK�+� �V�� PLAN REVIEW ¢ POLICY NUMBER DOC'J 1 I�S— Z�1� ELECTRIC 0 (IHISSECf10NNE�NOTBECOFW.ETEDOFhEpERMTISFpqp.lEµNfJq��1�R5(�700)OqLESS} PLUMBING W Z �CERTIFV THAT IN THE PERFOqMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL CS SHALL NOT EMPLOV ANY PEFSON IN ANY MANNER AS TO BECOME SUBJECT TO THE (/� WORNERS'COMPENSATION LAWS OF CALIFORN10. D�aREE THAT IF I SHOULD BECAME INSPECTION FEE S SU&IECT TO THE WORKERS'COMPENSATI R S OF SECTION 3700 OF THE UBOR �� / � COD I SH FORTIWITM COMPLV WITH 5 P OVIS NS. ISSUANCE � p DATE: � ,� APPLICANT: � SMIP _ a� W � WARNINO:fAILURE TO SECURE WOFKERS'COMPENSATION VERAGE IS UNLAWFUL,AND SHALL BE ENERGY P/C � � SU&IECT AN EMPLOVEF TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND ENERGY PERMIT DOLLARS(1100,000),IN ADDITION TO THE COST OF CAMPENSATqN,DAMAGES AS PROVIDED FOR IN J SECTION 3708 OF THE LABOR CODE.INTEREST,AND ATTORNEV'S FEES. � RETENTION FEE: �_.' � CONSTRUCTION LENDING AGENCY P/F��ALT FEE: � 1 HEREBV AFFIRM UNDER PENALTV OF PERJURY THAT THERE IS A CONSTRUCTION LENDINO AOENCV /',�J�T� �C�� n- FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUE�(SEC.3ao7,CIV.C.). Z W � LEN�ER'S NAME H LENOER'SADDFE55 w I CERTIFV THAT I HAVE READ 7HI5 APPLICATION AND STATE THAT THE ABOVE WFORMATqN IS CORRECT. TOTAL FE ES 't�I J�� I AOREE TO CAMPLV WITH AlL CITY AND COUNTY ORDINANCES AND STATE LAWS REUTING TO BUILDINO � CONSTRUCTIQV,AND HEREBV AUTHORRE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE Z ABOVE-MENTIONED Pq07ERTV FOR INSPECTION PURPOSES. COMMENTS � � � �G � m PE ?TEE E RINT) ' � Q � � 51 EO fUllTTEE E � RECPT.NO. PAID BV - CJ VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENR le Copy,GREEN—Applicant's Copy CIT'Y O� [3Ss4fi�OND 6AR 16�S��C�'IOi� 9��CORD - Toa�p�c�400a ��p�� n�i�pr��a ,oa�p�c�ooa �a�� .- -oa��G��M�� SET BACK F�OOR 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'r. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM FRAMINGNENTILATION FINAL BOND BE,4M ROOF COVER PRE-GRADING ROUGH HEATING BENCHIfVG 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 DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. �N SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. ��9 ( _ FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ��o � COMn/IEf�TS SEPTIC TANK SIZE SEEP PITlU SfZE a � � :�. � �a � -