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Home My WebLink About11-757 CITY OF DIAMOND BAR �----�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES , /� I 21825 Copley Drive,Diamond Bar,CA 91765 �� (909)839-7020 Fax(909)861-3ll7 Building Inspection Hotline(909)839- 2 PRESS 4'°�' BUILDING PERMIT APPLICATION FIRMLY JOBSITE } � APPLICATION PERMIT p/C o ADDRESS '�.�i� S. IZOc 1C SZu�IP{/� )ZoI• DATE loI/t/�2[�i/ NUMBER ' � # i � ISSUE TYPE ��/��p� OCC APN LOT TRACT DATE G�//:�/2vl/ CONST.�.�=��4� GROUP pOWNER inr' �'r�tn �` ADDRESS .3,3� `,i•i�lk./c �iutr iPd. ZONING SEfBACKS o ' Z CITY 0iainc.�✓ t3nr ZIP �Ii](�.s TEL.l�Z.i.�-.7Ap7 FRONT qyy � o APPLICANT TEL. S DE/SIDE STREET RW ❑ � CONTRACTOR�.P.S .Qese-ur �f.nr- SIDE � � ADDRESS {/>��vrncu /t�y � CITY �,�ts.s�c PIZ hd1 TEL.GL�hA'-917f+�J PROPOSEDUSE o ARCH/ENG/ �z DESIGNER NO.DWEL. NO. � ADDRESS NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBY AFFIRM UNDER PENALTV OF PEfiIURV THAT 1 AA/E%EMPT FROM THE CONTRACTORS LI� G8f8g0/CBfPOR W CENSEUWFORTHEFOLLOWINOHEASON(SEC.7031.6BUSINESSANDPROFESSIONSCODE:ANVCITVOfi (n WU �qJpJTyWHICHREOUIRESAPEfiMITTOCONSTRUCT,AITER,UAPROVE.DEMOLISH,ORqEPAIRANVSTqUG W P8I10/DBC{( TURE,VRIOR TO ITS ISSUANCE,AL50 REOUIRES TNE APPLICANT FOR SUCM PEfiM1T TO FILE A SIONED W � STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PPOVISIONS OF THE CON7RACTORS LI- � CENSE UW(CHAPTER e(COMMENCMa WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO� � POOUSPB � FESSqNSCODE)OflTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHE/�LlEOEDE%EAIP- � TION.ANV VIOLATION OF SECTION 7a31.5 8V ANV APPLICANT FOR A PERMIT 5U&lECTS THE APPUCANT T0 Z Re-Roof A CML PENALTY OF NOT MOpE THAN FIVE HUNDRED DOLLAHS(f500).): � ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOVEESWI7HWAOESASTHEIRSOLECOMPENSATION, � CORIRIBfCIaI ' Z WILL DO THE WORK�ND THE S7RUCTURE IS NO7 INTEN�ED OR OFFERED FOR SALE(SEC.7041,BU51� J ' � NE55 AND PROFESSIONS CADE:THE CANTRACTORS LICENSE UW DOES NOT APPLY TO AN OWNER OF j PROPERTY NT10 BUILDS OR IMPROVES THEREON,AND VhlO DOES SUCH WORK HIMSELF OR HERSELF OR Q THROUGFI HIS OR HER ONM EMPLOVEES,PROVIDED THAT SUCH IMPROVEMEMS ARE NOT INTENDED OR m , Q OFFEREDFORSALEIF,HOWEVERTNEBUp.DINGORIMPROVEMENTIS50LDWfTHINONEVEAROFCOMPLE- Z TION,THE OWNER�BUILDER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). � W ❑I,ASOWNEROFTHEPROPERTV,AME%p.USIVELVCqNTRACTINOWfTHLICENSEDCONTRACTOPS Q TO CONS7RUC7 THE PR0.1EC7(SEC.7ou,BUSINESS u�D PROFESSIONS CODE:TME CONTRACTOqS LI� V81Udtlon ADJ.AREA W CENSELAWDOESNOTAPPLVTOANONTJEROFAPROPERTVWHOBUILDSORIMPROVESTMEREON,AND ' � WHOCONTRACTSFORSUCHPFOJECTSWITHACONTRACTOR(5)UCENSEDPURSUANTTOTHECONTRAF QUANTITY DESCRIPTION roas uceNSE uw.�. FEE � ❑I AM E%EMPT UNDER SEC. B.8 P.C.FOR THIS REASON � , �? U � DA7E OWNER � Z U � LICENSED CONTRACTORS DECLARATION W � I HEREBY AFFIRN UNDER PENALTV OF PENURV THAT I AM LICENSED UNDEfi PROVISIONS OF CHAPTER � � Y(COMMENCINO WITH SECTION 7000)OF DIVISION 3 0F THE BUSINESS AND PROFESSIONS CODE,AND Z �.� , - LLI MV UCENSE IS IN FULL FORCE AND EFFECT. m � LICENSE CIASS �'�G C�/2 LIC.NO. 7(b'�{�lS� � V DATE ��/L/�I/ CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION � � U � I HEREBV AFFIRM UNDER PENALTV OF PERIUFY ONE OF THE FOLLOWING DECIARATIONS: Z � �_I HAVE AND WILL MAINTAM A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WOqKERS' _ Q COMPENSATqN,AS PROVIOED BY SECTION 3700 OF THE LABOR CODE.FOR THE PERFORMANCE U OF THE WORK FOR WHlpi THIS PERMIT IS ISSUED. W � � w �i HAVEAND WILL A/AINTAIN WORI(ERS'COMPENSATION INSURANCE,AS REOl11RED BV SECTION Q 3700 OF THE LABOR CODE.FOR THE PERFORMANCE OF THE WOHI(FOR WHICH THIS PERMIT IS � ISSUED.MV WORKERS'CAMPENSATION INSURANCE CARRIER AND POLICV NUTABER ARE: CONSTRUCTION �j CARRIER Iifir.�s'S< <Sift3crin�tp (�C�i'A PLANREVIEW Z POLICV NUMBER rA�� CF�I�-TDY(2,��=�t7 ELECTRIC ¢ � (IHISSECf10NNE�NOTOECIJA�PLEfIDOFT-IEPEPMTISFORONEV0.I�DREDDOlLARS(t10o)ORlESS? PLUMBING � W Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORN FOq WHICN THIS PERMIT IS ISSUED,I MECHANICAL C} SHALI NOT EMPLOV ANV PERSON IN ANV MANNER SO AS TO BECAME SU&IECT TO THE (/� WORKERS'COMPENSATION LAWS OF CALIFORNIq A7JD AOREE THAT IF I SHWL�BECOME INSPECTION FEE SUBJECT TO THE WORNERS'COMPENSATION PROVISKKJS OF SECTION 370o OF THE I}BOq . � O CODE,I SHALL FORTHWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE p DATE:�� qpp�ICANT. �,��/71eS`�l� RQI'9�!✓ SMIP W J WARNING:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNUWFUL,AND SHALL BE ENERGY P/C � � SU&IECTMIEMPLOVEF7TOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOILARS(f100,oao�.IN ADDITION TO THE COST OF fAMPENSATbN,DAMAGES AS PROVIDED FOR IN J SECTION 3708 OF THE L/�BOR CADE.INTEREST,AND ATTORNEVS FEES. ��^ w RETENTION FEE: iV O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFIRM UNDER PENALTY OF PEFJURV THAT THEFE IS A CONSTRUCTION LENDING AQENCV FOR THE PERFORMANCE OF THE WORK FOF WHICH THIS 7ERMR IS ISSUED(SEC.3087,CIV.C.). Z W � LENOERS NAME � LENDER'SADDRESS � I CERTIFV THAT I HAVE READ TNIS APPLICATION AND STATE THAT THE ABOVE WFORMATqN IS CARRECT. TOTAL FE ES . �� I AGREE TO CAMPLV WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS REI.ATINa TO BUILDIN� � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE Z A80VE-MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS ' � J m �"��1�A�, Lar�� ¢ P�FBYLjTEE NAME(PRINT) � � \/1 t t9/>S/�1/ / N 9�IY�NRE OF PEfiMI EE ' DATE - � v RECPT.NO. Z 5�1 PAID BY `��-1�(p VAUDATION � WHITE—Department Copy,YELLOW�Inence Copy,PINK—Assessar Copy,GOLDENRO�File Copy,GREEN—Appllr,ant's Copy CITV O� DI�►f�IOND ��,R Ii�SP�CT90i� RECORD. _� -, � e o . � , e � e e � . � _ ,.� � ° ' • .. .�. - � a , �, � . � .. 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 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. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING � ENERGY O_0 ��-�� COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE � �} � ';� �'' �. � y>�, � , �- '� `�, �� } = ��-��, � _ � � �� J�. � ��_ � �� r,�� _ � - ��S fr i'y��;�.' �"k. ��9�,. 3" f x"a�' '-,.K t � .Y � 4 P+: �P �� .