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Home My WebLink About10-1140 CITY OF DIAMOND BAR �"�� i� �" � �` �/ , --�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS "�:9��. Buir.nirrc rEu�iT arrLicaTiorr FIRMLY o ADDRESS�3�LI l ��,yC� ��XI w DATEICATION /��I Z �O NUMBEfjID I��D�lC O'� / I � APN LOT TR CT ISSUE ` 2 7yPE �C 9 DATE rI r� ",'—� CONST.�GROUP p OWNER � G Y�'l�(y p ADDRESS Z3� I�.Q ZONING SETBACKS Z CITY �A n ✓ IP � � TEL. REART RW ❑ g APPLICANT � TEL�I� � ' ❑ � SIDE/SIDE STREET RW ❑ � CONTRACTOR �e�� IN SIDE � ADDRESS �"' � CITY�'� '� 0 I I ZIP �92TFI, I l0-7?��I-G�-1 a(� PROPOSED USE w ARCH/ENG/ �^�V` V 1 1W��i a� DESIGNER �. r-•- a � ADDRESS NO.DWEL. NO. NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION p SFR/ADD/REM � I HEREBV AFFlRM UNDER PEN/�11Y OF PERIURV THAT I AM EXEMPT FHOM 7HE CONTMCTOPS LI� G8l8gB/CBfPOR W CENSELAWFORTHEFOLLOWINQREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANYCITVOR (f� U �qJpJn'y�IC11qE0UIRESAPERMITTOCONSTRUCT,ALTER,IMGqOVE,DEMOLISH,ORREPAIRANYSTRUC� W w TURE,PFIOR TO IT$ISSUANCE,AL50 REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIONED W Patlo/Deck � STATEMENT THAT HE OR SHE IS 110EN5ED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI- � CENSE V W(CHAPTER e(COMMENCINO WITH SECTqN 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � POOUSPB � FESSIONS CODE)OR TiAT HE OR SHE IS E%EMPT THEREFFOM AND THE BA515 FOR THE ALLEOED E%EMP- � TION.M1Y VIOLATION OF SECTION 7031.5 BV ANV APPLICANT FOR A PERMIT SU&lECTS THE APPLIGNT TO Z Re-Roof A CML PENAL7Y OF NOT MORE THAN FNE HUNDRED DOLLARS(S600).): � . � ❑I,ASOWNEROFTHEPROPERTV,ORMVEMVLOVEESWITHWAGESASTHEIRSOIECOMPENSATION, � COR1ffIBfC18I I Z WILL DO TFIE WORK,/J!D THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70N,BUSI� J � NESS AND PROFESSIONS CODE:THE CANTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � . � PROPERTY WFp BUILDS OR IMPROVES THEREON.AND WHO DOES SUCH WORK HIMSELF OR HERSEIF OR �" . Q THROUGH HIS OR HEF OWN EMPLOVEES,PROVIDED THAT SUCH IMPROVEMEMS ARE NOT INTENDED OR m Q OFFEREDf-0RSALEIF,HOWEVERTMEBUILDINGORIMPROVEMENTISSOLDWfTHINONEVEAROFCAMPLE� � �ILA� z TpN,THE OWNER-BUIIAER WILL HAVE THE 9UPOEN OF PROVWO THAT HE OR SHE DID NOT BUILD OR � W PROVE FOR THE PURPOSE OF SALE). - W ❑I,AS ONMER OF THE PROPEf7n',AM EXQUSNELV COMRACTINO WRH LICENSED CONTRACTORS � TO CANSTRUCT THE PR0.JECT(SEC.70U,BUSINESS AND PROFESSIONS CAOE:THE CONTRACTOFS�I� V8I ADJ.AREA W CENSEUWDOESNOTAPPLVTOANOWNEROFAPROPERTVWHOBUILDSORIMPROVESTHEREON,AND • � WHOCANTRACTSFORSUCHPR0.IECTSWITHACONTRACTOR(S)UCENSEDPURSUANTTOTHECONTRAC� OUANTITY DESCRIPTION Y TORS LICENSE LAW.). FEE � ❑1 AA1 EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON � ?� U � DATE OwNER � Z U FQ IICENSED CONTRACTORS DECLARATION w 2 I HEREBY AFFIRM UNDER PENALTV OF PERJURV THAT I AM UCENSED UNDEF PROVISIONS OF CHAPTER � � D(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF 7HE BUSINE55 AND 7ROFESSqNS CODE,AND Z � �� MV LICENSE IS IN FULL FORCE AND EFFECT. m � LICENSE CLASS�% LIC.NO. ��I `u�_ � � U DATE CONTRACTOR 0. LLI � WORKERS'COMPENSATION DECLARATION � . � U � I HEREBY AFFIRM UNDER PENALTY OF PERIURV ONE OF THE FOLLOWING DECIAAATIONS: Z O _I HAVE AND WILL MNINTAIN ACERTIFICATE OF CANSENTTO SELF-INSURE FOR WORKERS' _ Q COMPENSATION,AS PROVIDED BV SECTION 37000F THE LABOR CODE,FOR THE PERFORAIANCE U /OF TME WORK FOR WHICH THIS PERMIT IS ISSUED. W � / � �I HAVE AND WILL MAINTAW WOFKEFiS'COMPENSATION INSURANCE,AS REOIIIRED BV SECTqN Q 3700 OF THE UBOR CODE.FOR THE PERFORMANCE OF THE WORK FOR WHICH 7HI5 PERMIT IS /l�� ISSUED.MV WORKERS'CAMPENSATION INSURANCE CARRIER AND POLICV N MBER ARE: UCTION '7 j CARRIER A�E F�trYl� .ri r':a ��s • p L. � POLICV NUMBER ;Z�G��I � ''r Q TRIC Z Q � (IHLSSECiIONNE�NDTBECOAaLEfEDOFTHEPERI.�TSFOHONEF1lN�DRmDOUAfiS(tlao)OqLESS} PLUMBING W � Z I CERTIFV THAT IN THE PERFORMANCE OF THE M/ORK FOR WHICH THIS PERMR IS ISSUED.1 EC—M HANICAL CS SHALL NOT EMPLOY ANY PERSON IN ANV MANNER SO AS TO BECAME SU&IECT TO THE (,/) WORKERS'COMPENSATIONLAWSOFCALIFORNIA.ANDAGREETHATIFISHOULDBECOME INSPECTIONFEE SU&IECT TO THE WORKERS'COMPENSATpN P OVISIONS OF SECTION 37oa HE LABO � .O .ISHALLFORTHWITHCOMPLVWITHTH S PROVISIONS. �� SUANC � w DATE:I • I Z APPLICANT: � � M � � WARNING FMWRE TO SECURE WORKERS'COMPENSATION CAVEMOE IS UNUWNL,ANO SHALL BE ENERGY P/C � SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ENERGY PE DOLLARS(f100,000),IN ADDITION TO THE COST OF CAMPENSATION,DAMAGES AS PROVIDED FOR IN �7 w SECTION 3708 OF THE LABOR CODE,INTEREST,AND ATTORNEV'S FEES. ION FEE: �L� O CONSTRUCTION LENDING AGENCY p � I HEREBY AfFIRM UNDER PENALTY OF PERJURV THAT THERE IS A CONSTRUCTION LENOINO AGENCY `.� FOR THE PEi7FORMANCE OF THE WORK FOR WHICH THIS PERAIIT IS ISSUED(SEC.70B1,CIV.C.). Z W � LENDER'S NAME . F— LENDER'SADDRESS � I CERTIFY THAT 1 HAVE READ THIS APPUCATION AND STATE TIiAT THE ABOVE INFORMATqN IS CARRECT. TOTAL FE ES �7 3a�9� ��I� � I AOREE TO CAMPLV WITH ALL CITV AND COUNTV ORDINANCES AND STATE UWS REUTINO TO BUILDINO ^ � CONSTRUCTION,AND HEREBV AU7}IORIZE REPRESENTATNES OF THIS CWNTV TO ENTER UPON THE ��{_��_/yI�.�� 4�� _ . // Z ABOVE�MENTbNED PROPERTV FOF IN57ECTION PURPOSES. COMMENTS�'—q �� f�1�X ��,dri --r- m PER TTE E(PRINT) J . � tn � �'\. 7/ U � SI(3NATURE OF PERMITTEE DATE � RECPT.NO. PAID BY VALIDATION WHITE—DepaRment Copy,YELLOW—Ffnance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Appllr,ant's Copy CBTY O� DIAMOY�D ��►Fi Ii�S��C�90f� R�CORD �l�'(�400 �� O�pC�Q' O[��P�t�`u� _ - , .. . __�. .a�, � y p � _ o �� ` � o , , �.. , � � � �- � e m � SET BACK� FLOOR JOIST FTGS/FORMS/Sl'EEL FHA REQMTS ELECTRIC GROUND UN�ER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MI� 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 FIfJAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FIfJAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY �� COMMEfVTS SEPTIC TANK SIZE SEEP PIT/U SIZE [:l ..h . ;�� G :��,, �_�, _ �-- .� � � -a� -