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Home My WebLink About121297� _��_ CITY OF DIAMOND BAR � � I � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . ' 21810 Copley Drive,Diamond Bar,CA 91765 ^' (909)839-7020 Fax(909)861-3117 13uilding Inspection Hotline(909)839-7027 PRESS � "^'. BUILDING PERNQT APPLICATION FIRMLY 1 q�� / � � JOBSITE �G�(� s�-�,V. �. DATECATION D �/ NUMB R'(Z�1��/C � o ADDRESS_ °^ APN LOT TRACT ISSUE � ��TYPE OCC DATE � CONST.��+`�=— "ROUP p OWNER S v SaH C p ADDRESS l ' �4 S-I� I� ZONING SETBACKS i z CITY °�- ZIP I� TEL�{bA�� 'Ig FRONT RW ❑ . , � APPLICANT o N�,C�O. TEL.f l�L�s.S'�"f�� REAR � � zSIDE/SIDE STREET RW ❑ I � CONTRACTOR ✓�C-�, C Gla (6y1 SIDE p QCDDRESS ✓ . ZI, TEL / PROPOSEDUSE ,0 � ` �1� I�,��/ wo ARCH/ENG/ z DESIGNER � ADDRESS NO.DWEL. NO. NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS �. � � DESCRIPTION S�.FC FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBY AFFIRM UNDER PENAL7Y OF PERIURY THAT I AM EJ(EMVT FROM THE CONTRACTORS LI• G8feJ0/C9tPOA W CENSEUWFORTiEFOLLOWINOREASON(SEC.7031.SBUSINESSANUPROFESSIONSCODE:ANYCITYOR (n U COUNTyWHIqiREOUIRESAPERMI7TOCONSTRUCT,ALTER,iMPROVE,DEMOLISH,ORREPAIRANYSTRUG � W NHE,PRIOR TO RS ISSUANC�ALSO REOUIRES THE APPIICANf FOR SUCH PERMIT TO FllE A SIONED W PatiolDeck � STATEMENf THAT HE OR SHE IS LICENSED PURSUANT TO TiE PliOYIS10NS OF THE CONTRACTORS LI- � CENSE UW(CHAP7ER a(COMMENCINO WI7H SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � PooUSpa , 0 FESSIONSCODE)OqTHATHEORSHEISE%EMPTTHEREFROMANDTHEBASISFORTHEALlE6EDE%EMP- (� V TION.ANV VIOUTION OF SECTION 7031.5 BV ANV APPUCANT FOR A PERMIT SU&IECTS THE APPLICANT TO Z Re-Rool ACML VENALiV OF NOT MORE THAN FNE HUNDRED DOLURS(SSOD).): � ❑I,ASOWNEROFTHEPROPER7V,ORMVEMPLOYEESWITHWAGESlSTHEIFiSOLECOMPENSATION, � 0 COl�ffIBfC121 Z N7LL DO TNE WORK�ND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.�ou,BU51- J � � NESS AND PROFESSIONS CODE:THE CONTMCTORS LICENSE.LAW DOES NOT APPLV 70 AN OWNER OF j � �� PPOPEHfY NM1iO BUILDS OR IMPROVES hIEREON,AND WHO OOES SUCH WOqK HIMSELF OR HERSELF OR Q 7HROUGH HIS OR HER OWN EMPLOYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NO71N7ENDED OR m . � OFFERmFORSALEIF,HOWEVEF�THEBUIIDINGORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE- Z TION,THE OHMER$UILDER WILL HAVE THE BURDEN OF PROVING 7HAT HE OR SHE DID NOT BUIID OR . � IMPROVE FOR THE PURPOSE OF SALE). � w ❑I,�ISOWNEROFTHEPROPERTY;AMEXCLUSIVELYCAMRACTINOWfTFILICENSEDCON7RACTORS Q �TO CONS7RUCT THE FROJECT(SEC.70��,BUSINE55 ANO PROFESSIONS CODE:hIE CONTMCTOflS LI- V81U3f1Of1� ADJ.AREA W CENSELAWOOESNOTMVLYTOANOWNEROFAPROPERTYNRiOBURD50HIMPROVE5TIEREON,AND � NM1iOCAMRACTSFORSUCHPR0.IECTSWiT}1ACd7TMC70R(S)LICENSEDPURSUANTTOTHECONTRAG OUANTITY DESCRIPTION FEE � � TORS LICENSE LAW.). ` � ❑I AM E%EM7T UNDER SEG . . 8.8 P.G FOR THIS REASON Q � � �` E C(/�•�(L ?� U � DATE OWNER �F Z U � LICENSED CONTRACTORS DECLARATION W � I HEREBY AFFIRAI UNDER PENALTY OF PERIURV THAT I AM�LICENSED UNDER PROVISIONS OF CHAPTEfi � a, p(COMMENCINO WITH SECTION.70ao)OF DIVISION J OF THE BUSINE55 AND PROFESSIONS CODE,AN� Z � X A1Y LICENSE IS IN fULL FORCE AND EFFECT. /� T � UCENSE CL,A/�SS ve�w� LIC.NO. � `�� v � � V OATE �`� �• W �Z CONTRACTOR v�� d � � . . . , W � WORKERS'COMPENSATION DECLARATIO`N�C�� Q L Lw� / �� TV / � I HEREBV AFFIRM UNDER PENALN OF PERIUFV ONE OF TiE FOLLOWING DECLARATIONS: Z � � . � _IMAVEANDWILIMAMTAIHACERTIFICATEOFCONSENTTOSELF-INSUREFORWORKERS` a - COMPENSATION,AS 7ROVIDED BY SECTION 37000F 7HE UBOR CODE,FOR THE PERf-0RMANCE W� Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. � � � � �..w_, v 1 HAVE AND WILL MAIMAIN WORKERS`COMPENSATION INSURANCE,AS REWIRED BY SECTION � - � � Q 370o OF THE LABOR CODE,FOR THE PERFORMANCE OF TNE WORK FOR WHICH THIS PERMI715, ISSUFD.MV WO�]KERS�'��/PENS�AT�IO�N pIN•S�UR�A1NCE CARRIEH AND POLICY NUMBER ARE: CONSTRUCTION� j CARRIER_ _S.—s/7 •Q�r!/��• PLANFEVIEW � GOLICYNUMBER . L �'� ELECTRIC 0 (IH65ECiXJNNFIDNDTBE001.�'LEfIDOFhIEPEPofifI$FORONEHUPOREDpq�AR$�t100)OqIFCC' PLUMBING - W Z I CERTIFY THAT IN THE PERFORAUNCE OF THE N'OFU(FOR WHICH 7HIS PERMIT IS ISSUEO,1 MECHANICAL � SHAL�NOT EMCLOY ANV PERSON IN ANY MANNER 50 AS TO BECAMESU&IECT TO THE � � (/� N4RKERS'COAIPENSATIONLAWSOFCA�IFORNIA,ANDAGREETHATIFISHOUL08ECOME INSPECTIONFEE � SUBJECT TO THE WORKERS'COMPENSATION PROVISI�N�OF SECTION 770o OF THE UBOR � � � CODE,1 SHALL fORTHWITH COMPIY WITH THOSE P � I IONS. ISSUANCE L � � � � p DATE: ��.� r �r�l[PPUCANf: �SMIP J WARNINO:FAILUHE 70 SECURE WORKERS'COMPENSATION COVEM�S UNUWFUL,AND SHALL BE ENERGY P/C � SUBJEC7ANEMPLOYER70CRIMINALPENALTIESANDCIVILFWESUPTOONEHUNDRED7HOUSAND ENERGYPEFiM1T DOLURS(S1ao,0oo),IN ADDI710N 70 THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN ._r1 SECTION 37oE OF THE LABOR CODE,IMEREST,AND ATfORNEY'S FEES. - o� RETENTION FEE: • OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: —T � 1 HEREBY AFFIRM UNDER PENAL7Y OF PERIURY THAT THERE IS ACONSTRUC710N LENDINO AGENCY fOR TME PERFORMANCE OF THE WORK FOR WHICH 7HI5 PERMIT IS ISSUED�SEC.7097,CIV.CJ. � Z W � LENDERS NMIE - 1— LENDER'SADDRE55 w 10ERTIFY7HATINAVEREADTHI9APPLICATIONANDSTATETMATTHEABOVEINFORMATIONISCORRECL TOTAL FEES � 1 AGREE TO COMPLV N7iH ALL CITV AND COUNTY ORD�NANCES AND STATE UWS REUTING TO BUILDINO � CONSTRUCf�ON,AND HEREBV AUTHORIZE REPRESEN7ATNE5OF 7M5 COUNiY TO ENiER UPON iHE - Z ABOVE-MEMIONED PROPERT/FOR INSPECTION PUHPOSES. COMMENTS � � �� a m PERMI7TEE NAME(PRI " ¢ "7rl Z- � � SIGNATURE OF PERMI DATE = RECPT.NO. PAID BY VALIDATION ~ WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplkanYs Copy c�-�v oF oiA�norva ��R INSP�CTIOt� RECQRD ' ;� �� . _ ,. �rE: e . .; � ..x��,'> � `{��,l�_ e� `�'o� ,�,�.� e �� ,� �' = � i s�,, u� � � _,�`. , ,. , �,� . -: : ...�,. . .. . .. ._ _ SET BACK `FLOOR JOIST __.._ _..._._ __ _....__ _...__ — ------------ ------ -- -- ---- --- — -- --- ---- --------- --- --- FTGS;FORMS/STEEL __ �FHAREQMTS ----------------------- ---------- -------- -- --- _._.. ---- ------ — — ._._ --- --- - ELECTRIC GROUN� 'UNDER FLOOR DUCT• GROUND PWMBING i UNDER FLOOR CONDUlT � SLAB GRADE FIREPIACE FOUNDATION TEMP POWER �FIREPLACE BOND BEANI WATER SERVICE I MID HT.BOND BEAM • ROOF SHEATHI�lG ;8 FT.BOND BEAM FRAMINGNENTILATION i FINAL BOND BEAM_ _ ___ _ ---- ------------------------ ----------------------- , ------ - ----- ROOF COVER j PRE-GRAQING ----------------._...------------.------------------------------- �---..----------..__.._._....____..---- ---.---...__---..........--------------------...__ _.__._.._ ROUGH HEATING �BEN�HING — — — � ---- — -- ROUGH ELECTRIC j ROUGH GRADING ROUGH PLUMBING �i FINISH GRADING SHOWER/TUBTEST I POOL ELECTRIC EXT.LATH/SIDING �POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS ----------...___.-----------...---------------_ _._..-------------------...---------- -------.._.._._._._.__...._._..____._._....._.._._—_._...._..._..------._._.....----------._ _....._._._._._—...._...._._..--- SEWER FINAL ENG. _ __ _ ---- SEPTICTANK !LANDSCAPE/IRRIG _......._.—..'_".._...._..___'_'_'_' '—'"..._.._'__ __—' '_"__._._.____.—_ ..."_'—__'..__.__—_ 4—_'"'"'_"_."_—'--..__....__'—. ....__'__—. .._...__'_' ...___. ._.._'—' _ 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 PLUNIBING ,ENERGY FINAL PLANING � FINAL ENGINEERING • e .o - -----------.._.._....------------------------.._..-------------------,-----------�---- - . .-- --------------- ----------------------------..... C�MMENTS -- - - SEPTIC TANK SIZE SEEP PIT/U SIZE .�:��: �:." 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