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Home My WebLink About244611— DEPARTME T OFC OMMUNITY&DEVELOPMENT SERVICES r'9 21825 Copley Drive,Diamond Bar,CA 91765 909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 ,. - _ ,„ wA PRESS BUILDING PERMIT APPLICATION FIRMLY DDRESS APPLICATION PERMIT P/C p DATE 9 IEXc NUMBERo-(c I # o ISSUE q TYPE OCC APN LOT TRACT DATE 0 So CONST.GROUP p OWNER ADDRESS U ` ZONING SETBACKS O CITY i.7:q.nnOn L.4 ti ZIP L. Z u$ FRONT RW O REAR p p APPLICANT TEL. SIDE/SIDE STREET RWz CONTRACTOR SIDE ADDRESS O CITY ZIP TEL. PROPOSED USE G--r- y c.,-z-GY` 1_ w ARCH/ENG/ z DESIGNER w NO.DWEL. NO.NO. a ADDRESS CITY ZIP TEL. UNITS STORIES BEDROOMS n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p OWNER-BUILDER DECLARATION SFR/ADD/REMO I HEHEBV AFFIRM UNDER PENALT/OF PEFiIURV THAT I AM EXEMPT FROM THE CANTRACTOFS LI- G8189B/CBfpORWCENSELAWFORTHEFOLLOWINGREASON(SEC.7031.5BUSINESSANDPROFESSIONSCODE:ANYCIT'OF ( U COUHTVWHICHREOUIRESAPERMITTOCANSTRUCT.ALTER.IMPROVE,DEMOLISH,ORREPAIRANYSTRUC w NRE.PRIOR 70 ITS ISSUANCE,AL50 RE UIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W Patio/DeckSTATEMENTTHATHEORSHEISIICENSEDPURSUANTTOTHEPHOVISIONSOFTHECONTRACTORSll CENSE UW(CHAPTER e(CAMMENCING WITH SECTION 7o0a)OF DIVISION 3 OF 7HE BUSINESS AND PRO- POOVSPB FESSIONS CODE)OR THAT HE OR SHE IS ExEMP7 THEREFROM AND THE BA515 FOR THEALLEGED EXEMP- ( V TION.ANVVIOLATIONOFSECTION7031.SBYANYAPPLICANTFOHAPERMI75U&IECTSTHEAPPLICANTTO Z Re-RoofACIVILPENALTVOFNOTMORETHANFIVEHUNDREDDOLURS(f500).): 0 I,ASOWNEROFTHEPROPER7Y,ORMVEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, COf11rt18fClel Z WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OfFERED FOR SALE(SEC.7o4t,BUSI- J NESS AND PROFESSIONS CODE:THE CONTRAC70R5 LICENSE UW DOES NOT APPLV TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WORN HIMSELF OR HERSELF OR THROUGH HIS OR HER OMM EMPLOVEES,7ROVIDED THAT SUCH IMPROVEMENTS ARE NO71N7ENDED OR m QOFFEREDFORSALEIF,HOWEVER7HEBUILDINGORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE- z TION,THE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR i IMPROVE FOR THE PURPOSE OF SALE). w I,ASOWNEROFTHEPROPERTV,AMEXCLUSIVELYCON7RAC71NGWITHLICENSEDCONTRACTORS TO CANSTRUCT THE PRQIECT(SEC.70 1,BUSINESS AND PROFESSIONS CADE:THE CONTRACTORS LI- V21U2 1Of1 ADJ.AREAWCENSELAWDOESNOTAPPLVTOANOWNEROFAPROPERTVWHOBUILDSORIMPROVESTHEREON,AND WHOCONTRACTSFORSUCHPROJECTSWITHACONTHACTOR(S)LICENSEDPURSUANTTOTHECONTRAC- OUANTITY DESCRIPTION FEE Y TORS UCENSE LAW.. I AM EXEMPT UNDER SEC. B.6 P.C.FOR THIS REASON Q U DATE OWNER UZW LICENSED CONTRACTORS OECLARATION w I HEREBY AFFIRM UNDER PENPI.N OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER L' `. p(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE,AND Z Q T' X MY LICENSE IS IN FULL FORCE AND EFFECT. mLLI ._.3 c I UCENSE Cl/J$S LIC.NO, B Z l c' 1 J _ V DATE [ n CONTRACTOR_ JTG. d W WORKERS'COMPENSATION DECLARATION Q I HEREBV AFFIRM UNDER PENALTV OF PERJURV ONE OF THE FOLLOWING ECIAHATIONS: Z I HAVE AND WILI MAINTAIN A CERTIFICATE OF CANSENT TO SELF INSURE FOR WORKERS' Q COMPENSATION,AS PROVIDED BV SECTION 3700 OF THE LABOR CODE,FOR THE PERFORMANCE W Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. w HAVE AND WIIL MAINTAIN WORKERS'CAMPENSATION INSU{iANCE,AS REaUIRED BV SECTION Q 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED.MV WORKERS' MPE ATION INSURANCE CARRIER AND POUCY NUMBEHAHE: CONSTRUCTION IQjCARRIERcSP_ PLAN REVIEW Z POLICY NUMBER ELECTRIC Q G_ iHISSECt10NNE NOTBEOJMR.EfEDOF7F PEW YTISFORONEHUI DREDDOLIARS(S10D)ORLESS} LUMBING T,' o WZ I CERTIFY THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL 3 SHALL NOT EMPLOY ANV PERSON IN ANY MANNER SO AS TO BECAME SU&IECT TO THE WORKERS'COMPENSATION LAWS OF CALIFORNIA,ANDAGREE THAT IF I SHOULD BECOME INSPECTION FEE SUBJECTTOTHEWORKERS'CAMPENSATIONPROVISIONSOFSECTION37000FTHELABOR CODE.I SHALL FORTHWITH COMPLV WITH THOSE P VI O . ISSUANCE S^ SMIP p DATE: APPUCANT: J WARNING FAILURE TO SECUflE WOflKERS'COMPENSATION COVE E IS UNUWFUL,AND SHALL 8E ENERGY P/C SU&IECT AN EMPLOVER TO CRIMINAL PENAL71E5 AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ENERGY PERMIT OlLARS(Stoo,00OJ,IN ADDITION TO THE COST OF COMPENSA710N,DAMAGES AS PROVIDED FOR IN SECTION 37oe OF THE LABOR CODE.INTERE57,AND ATfORNEY'S FEES. RETENTION FEE: a CONSTRUCTION IENDING AGENCY PRE-ALT FEE: p,. I HEREBYAFFIRM UNDER PENALTYOF PERIURY THATTHERE IS ACONSTRUC710N LENDING AGENCV FOR THE PERF-0RMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUEO(SEC.7U97,CIV.C.). ZW LENDER'S NAME IENDER'S AODRE55 TOTAL FEES Cv 1• 5' I CERTIFV TFIAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. i w I AGREE TO CAMPLY WITH ALL CI7V AND COUN7Y ORDINANCES AND STATE LAWS HEUTING TO BUILDING CONSTRUCTION,AND NEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON 7HE Z ABOVE-MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS J m 7ERMITTEE N IN 9-/-0 SIGNATU F PERMITTEE DATE RECPL NO. PAID BY 4S \F' VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENHOD--File Copy,GREEN—Applicant's Copy L IC Y 6 l f l IR VI IS f I N fRf C$ Oa pC C 400a DQ4C Oa p@C 40G3 Oa pf C 400a DG 4( - nJ pL; .':, 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 HT. BOND BEAM ROOF SHEATHING 8 FT. BOND BEAM FRAMINGNEN7ILATION 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 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'o c COMMEfVTS SEPTIC TANK SIZE SEEP PIT/U SIZE a