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Home My WebLink About11-398 CITY OF DIAMOND BAR ' � --�``-— � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � ` �Q 21825 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS "��' BUILDING PERMIT APPLICATION FIRMLY ¢ DDRESS ��ta �Ctr�' } APPLICATION PERMIT �� p/C p DATE �/-8�f/ NUMBER # `r APN LOT�� TRACT �SSUE Q TYPE �!j`� OCC p OWNE�7� "!' J/.sM9JA Q4/- DATE � -�7�I I CONST. G�r,�. GROUP p ADDRESS ZONING SETBACKS Z CITY ZIP TEL. FRONT qyy p � APPLICANT TEL. REAR p ¢ SIDE/SIDE STREET RW ❑ � CONTRACTOR li� S �' e) SIDE ❑ ADDRESS / � cirvPhi//.� ¢Ac ZIP TE . D fj1,.Z- 6��/ PROPOSED USE �€J��r� �h Q.P.t Di- 0 0�p/Q w ARCWENG/ J�y�- `�" � 6 /y z DESIGNER r�— � ADDRESS NO.DWEL. NO. NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBV AFFIRM UNDER PENALTY OF PERIURV THAT I AM E%EMGT FROM THE CONIRACTORS LI- G8f89B/C81POR W CENSEUWFORTHEFOILOWINGREA50N(SEC.7031.SBUSINESSANDPROFESSIONSCADE:ANYCITYOR (n U COUNTyWHICHREOUIRESAPERMITTOfANSTRUC7,ALTER,IMPROVE,DEMOLISH,ORREPAIqANVSTRUC� w TURE,PRIOR TO ITS ISSUANCE,AL50 REOUIRES THE APPLICANT FOR SUCH PERMIT TO FIIE A SIGNED W Patio/Deck � STATEMENT 7HAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� � � CENSE LAW(CHAP7ER B(COMMENCING WI7H SEC710N 7000)OF DIVISION 3 OF THE BUSINE55 AND PRO- POOVSPB � FESSIONSCODE)ORTHATHEORSHEISEXEAIPTTHEREFROMANDTHEBASISFORTHEALLEGEDE%EMP- (� V TION.ANVVIOLATIONOFSECTION7o37.5BYANVAPPLICANTFORAPERMITSUBJECT57HEAPPLICANTTO Z Re-Roof � A CIVIL 7ENALTV OF NO7 MORE THAN FIVE HUNDRED DOLURS(5500).): Z ❑I,ASOWNEROFTHEPROPER7Y,ORMVEMPLOYEESWI7HWAGESASTHEIRSOLECOMPENSATION, � Commercial WILI DO THE WORK,AND THE STRUC7URE IS NO7 INTENDED OR OFFERED FOR SALE(SEC.70lI,BUSI� J � NESS AND PROFESSIONS CODE:THE CON7RAC70R5 LICENSE LAW DOES NO7 APPLV TO AN OWNER OF � PROPER7Y NhiO BUILOS OR IMPROVES 7HEREON,AND WHO DOES SUCM WORK HIMSELF OR HERSELF OR Q THROUGH HIS OR HER ONM EMPLOVEES,PROVIDED 7HAT SUCH IMPROVEMEN75 ARE NOT IN7ENDED OR m � OFFEREDWRSALEIF,HOWEVER7}iEBUILDINGORIMPROVEMENTISSOLDWITHINONEVEAROFCAMPLE- Z TION,7HE OWNER-BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUIIA OR � IMPROVE FOq THE PURPOSE OF SALE). w ❑I,AS ONRJER OF 7HE PHOPERTV,AM EXCLUSIVELY CqNTRACTING WITH LICENSED CANTRACTORS Q TO CANSTRUCT THE PRQIECT(SEC.70�1,BUSINESS AND PROfES510N5 CODE:THE CONTRACTORS LI- V81U0�i0f1 ADJ.AREA W CENSEUWDOESNO7APPLY70ANON?JEROFAPROPER7YWHOBUILDSORIMPPOVESTHEREON,AND � WHOCONTRACTSFORSUCHPRQIECTSWITHACONTRACTOR(S)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.). � O I AM EXEMP7 UNDER SEC. B.8 P.C.FOR THIS REASON Q •e�/.(. � U LL DATE OWNER H � w � LICENSED CONTRACTORS DECLARAT�ON W � I HEREBY AFFIRM UNDER PEN/�LTV OF PERJURV THAT I AM UCENSED UNDER PROVISIONS OF CHAPTER � � 6(COMMENCING WITH SEC710N 7000)OF DIVISION 3 OF 7HE BUSINE55 AND PROFESSIONS CODE,AND Z �� AIY IICENSE IS IN FULL FORCE AND EFFECT. m � LICENSE CLASS LIC.NO. j V DATE CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION Q NI HEREBV AFFIRM UNDER PENALTV OF PERJURV ONE OF THE FOLLOWING DECLARATIONS: Z � I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT 70 SELF•INSURE FOR WORKERS' _ Q CAMPENSATION,AS PFOVIDED BY SEC710N 3700 OF THE LABOR COOE,FOR 7HE PERFORMANCE `U Q OF THE WORN FOR WHICH THIS PERMIT IS ISSUED. � w I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REQUIRED BV SECTION Q 370a OF THE LABOF CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PEFMIT IS ISSUED.MV WORKERS'COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE: CONSTRUCTION J j CARRIER PLAN REVIEW ZPOUCVNUMBER ELECTRIC i Q 0 (�HISSECTIONNE�NOTBEO7MR.ETEDOFTHEPER�MISFORONEHUI�DREDDOLIl�AS(f100)ORLESS} PLUMBING Z I CERTIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICM THIS PERMIT IS ISSUED,I MECHANICAL (} SHALL NOT EMPLOV ANY PERSON IN ANV MANNER SO AS TO BECOME SUBJECT TO THE � WORNERS'COMPENSATION LAWS Of CALIFORNIA,AND AGREE THAT IF I SHOULD BECAME INSPECTION FEE � SUBJECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 370o OF THE LABOR ` CADE,I SHALL FORTNWITM COMPLV WITH THOSE PROVISIONS. ISSUANCE o ��+ � SMIP p OATE: APPLICANT: J WARNING FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNUWFUL,AND SHALL BE ENERGY P/C � SU&IECTANEMPLOVERTOCRIMINALPENAITIESANDCIVILFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT DOLURS(5100,000),IN ADDITION TO THE COST OF CAMPENSATION,DAMAGES AS PHOVIDED FOR IN � SECTION 3708 OF THE LABOR CODE,INTEFEST,AND ATTORNEY'S FEES. RETENTION FEE: �' OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � 1 HEREBV AFFIRA/UNDER PENALTV OF PERJURV THAT THERE IS A CONSTRUCTION LENDING AGENCY FOR THE PERFORI.IANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3097,CIV.CJ. Z W � LENDER'S NAME F- LENDER'SADDRESS � TOTAL FEES �j ,3, cJo'Z/ � I CERTIFY THAT 1 HAVE READ THIS APP�ICATION AND STATE THAT THE ABOVE INFORMATION IS CARRECT. w I AGREE TO COMPLV WITH ALL CITY AND COUNTV ORDINANCES AND STATE UWS REUTING TO BUILDING ' � � CANSTFUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPoN THE Z ABOVE-MENTIONED PROPERN FOR INSPECTION PURPOSES. COMMENTS � c �,-� s �; � � - m P ITTEE NAME(P - / � cn �� `��/ N SIGNATUREOFPERMITTEE DATE = RECPT.NO. PAID BY� VALIDATION ~ WHITE—DepaAment Copy,YELLOW�inance Copy,PINK—Assessor Copy, ENROD—File Copy,GREEN—Applicant's Copy CB�V OIF �BA61��6�� 4ff� - % If�S�(��0�� 6�(�C�(�� '��-:oa��c�ooa a��., ; aa�p�c�a aa�pc�400a.. :� Qa4� a��p��o�' 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. B�ND BEAM ' ROOF SHEATHING 8 FT. BOND BEAM ' �� ' FRAMINGNENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC R�UGH 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 FIfVAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. • • FIRE DEPT. FINAL FINAL HEATING HEALTN DEPT. FINAL FiNAL ELECTRIC DEV. FEES PAID ------- ---- ------_----- ------- - -- ---------- ------- FINAL PLUMBING ____ ENERGY __ _ __ C��O�`�o c ' COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE a --- ----- � c� �