The URL can be used to link to this page

Home My WebLink About12-227 .��_ CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&llEVELOPMENT SERVICES �I ` 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-70 PRESS � �9^'� SUILDING PERIVIIT APPLICATION FIRMLY � JOBSITE � ��`�� APPUCAT N PERMIT t P/C o ADDRESS ��-V DATE � o� I NUMBERJZ"�� 7t�,\"�-'�a• � ISSUE _ � TYPE .�� OCC APN LOT T ACT DATE CONST. � �f GROUP p OWNER p ADDRESS - ZONING SETBACKS Z C��, Z�P T � FRONT RW ❑ • � APPLICANT � TEt REAR ❑ o SIDE/SIDE STREET RW ❑ � CONTRACTOR P� �� LL (I _ SID p � �ADDRESS PROPOSED U E � " � � CITY �" �• ' ZIP TEL� - w ARCH/EN ,raf � �z DESIGNER � NO.DWEL, ` �SO. a ADDRESS� UNITS STORIES BEDROOM � CI7Y � ��TEL � � DESCRIPTION SO.FT. FACTOR PSF AW.AREANALUATION v� � � � OWNER-BUlLDER DECLARATION SFR/ADD/REM O p 1 HEREBV AFFlqM UNUER PEN�LTY OF PERIURY THAT t/JA E%EA/PT FROA1 THE CONTMCTOR9 L4 Garage/Carport W CENSEUWWNTIEFOLLOWPIOREASON(SEC.)0.91.60USINESSANDPqOFESSIONSCOOENJYCINOR � (n � U COUNTVNTIICHREOUIFiESAVERMITTOCONSTRUCT,ALTER.WPROVE,DEMOLISH,ORRE7AIRANYSTRUG W PO,� W NRE,Pit10R TO�RS 1SSUANCE,1150 R£WiAES THE APPIICANT FOR SUCH PERMR TO FlLE A SIONED STATEMENT TFIAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIDNS OF THE CONTRACTOIiS LI- -� � � CENSE LAW(CHAPTER Y(COMMENCWO WITH SECTqN 7000)OF DMSION 3 OF THE BUSINESS AND�PRO� � P��DB FE&4�ON8 COO�OR THAT HE OR SHE IS EXEMP7 7HEREFROM AND THE BASIS FOR THE ALLEOED EJ(EMP- TIDN.ANYVIOI.ATIONOFSECTION7o�1,6BYANVAPPLICMfTFORAPERAIRSUBJECTS7NEAPPLICANTTO . z qg-Roof A CIVIL PENAL'(�'OF NOT MORE LHAN FIVE HUNDREO OOIIARS(t500).�: � ❑I,ASOWNEROF7HEPROVER7V,oRMVEMPLOYEESWf7H1VAGESASiF1EIRSOLECOMPENSATION. � Q Q CiOfIIfflBfClB� ' Z Y.7LL DO THE WORI(,AND THE 3TRUCiURE 19 NOT W7ENDED OR OFFEAED FOR SALE(SEC.�7ou,BUSF J . NESS AND FROFESSIONS CODE THE CONTMCTOAS UCENSE V�W DOES NOT MPLV TO AN.OWNER OF � PROPERTYW/iOBUILD30i11MPROVES7HEREON,ANDWHO00ESSUCNWORKWMSELFORHEASELFOR = - Q THROU6H WS OR HER ONM EMPLOVEES,CROVfDED THAT SUCH IMPROVEMENTS ARE NOT p�TENDED OR m - �� - QOFFEREDFORSAI.EIF,HOWEVER,THEBUIIDWOORWPROVEMENTIS50lDWlTHWONEYF�IROGCOMPIE � Z TpN,THE OWNER-BUILDER WILL HAVE THE BURDEN OF 7ROVIN6 THAT�HE OR SHE DID NOT BUILD OR � = IMPROVE FOR'RiE PURP05E OF SALE} ' � w ' ❑1,AS OWNER OF THE PROPEHlY,AM E]cCLUSNELY CONTfUCTINO WRH UCENSED CONTMCTORS . . .. Q TO CONSTRUCT hiE PROJECT(SEC.7W1,9USINE55 AND PROfE5510N5�CODE:THE CONTfUCTOR3 LI- VelUBIfOf1 ADJ,AREA �L1 CENSEUWWESNOTAPPLY.TO7J10WNEAOFAPAOPERT/Wr1DBUA.DS�ORIMPROVE9THEREON,AND � NM1IOCONTRACTSFOHSUCNPROJECiSWITHACONTHACTOP�S)LICENSEDWRSUMlTTOTHECONiRAG qUANTITY DESCRIPTON FEE _ � TORS LICENSE LRW.). . � O I A1!E%EMPT UIJDER SEC. B.8 P.C.FOR TiIS FiEASON � � Q DATE O WNER �� 2 W �Q UCENSED CONTRACTORS DECLARATION � �W � - - �. � � � � � , CL I HEREBV AFFlRM UNDER PENALN OF VERIURY THAT IAM UCENSED UNDER PROVISlONS OF CHAP,TER � � ,� d Y(COMMENCMO WI7M SECTION 70ao)OF Dm510N J OF THE BUSINE35 AND PROFESSIONS CODE,ANQ Z X MY UCENSE IS W FULL FORCE AND EFFECT. � - � LICENSE CLASS � LIC.NO.,� / �O�� j� � . F— �--4� J �' U DATE_� '�_.v .✓..�2 n I�,t COMRACTOR a . . W � . � WORKERS'COMPENSATIONDECIARATION Q � .�}p � �,rI.Z- C � 1 HEREBV AFFIFM UNDER PENALTV OF PE0.NM ONE OF THE FOLLOWINO DEClAHA7�ON5: Z ' O •� I HAVE�AND�WILL MAINTAW A CERfIFlCATE OF CONSENT TO SELF-INSURE FOR MpPoCERS � T t 4 COMPBJ5AT1oN,AS PRONDED BY SECTION 37Uo OF 7}1E UBOR CODE,FOR THE PERFORMANCE U- Q OF 7HE WORK FOR NM111CH THIS PERMIT IS ISSUED. � -�- -... � .F _17iNVEANDNnLLMAWTAINWORKERS'COMPENSATIONWSURANCE,�ASREWIREDBYSECTION ' ' �� Q 3700OF TNE UBOH CODE.FOR THE PERFOFWANCE'oF THE WORK FOR WHIp1 THIS PERNIT i3. ISSUEO.MY WORICERS 00MPENSATtON INSURANCE G3iRIER ANU POl1CY NUMBER M� �GONSTRLiCTION / j cwRiEa PLAN REVIEW ,��` a S - Z vouCYNUMBER � � ELECTRIC - � ¢ o �rwssEcr�rur+�r�oreEoor.a�rmaFn+E�xrrsrar�a+etRx�oawsR�aolota�ss} PLUMBING � w �)/� • Z 1 CENTIfY THA7 tt7 TiE PERFOflMANCE OF 1Y1E WOR1(FOA WH7CH 7HIS PERMIT IS ISSUED,1 MECHANICAL !r. L O. � (,'} SNN1 NOT EMVLOY ANY 7ERSON IN ANY MANNER SOAS TOB ECOME SU&lEC7 70 THE� ..�� WORKEASCOMPEN5�710NLAWSOFCALIFORNIAµDAGR�E u rwueo.eeeoMe �INSPECTIONFEE SUBJECTTO THE WOAKERS'COMFENSATqN PROV�S OF 5 7a0 �iHE UBOR � 'J , �j COOE.I SHN1 FORTHWITH COAIPLV WITH THOSE VR0 ISSUANCE . .. �/ - - p DATE:��APPLICANT: '� �SMIP . JENEAGY P/C �O • WAiWINO:FA4LRE TO SECURE wORKEFiS'COMPENSATION COVERAGE IS UNUwFUL,AND SHAI,L BE J � SUBJECT AN EMPLOYER 70 CAIM WAL PENALTIES AND CIVtL FwES UP TO ONE NUNDRID THOUSAND ENERQY PERMIT l 3�•. MLLM9(f 10o,00U);IN ADDIi1QN T�THE COST OF CQMPENSATqN,DM4A6E5 AS PROYIDC-0 FbFi IN � SECTION 37oe OF 7HE LABOR CODE.INTEREST.AND A77011NEY'S FEES. � � ,�� RETENTION FEE: � CONSTRUCTION LENOING AGENCY p E-ALT FE O L �. � 1 HEREBY AFFIRM UNOER FEN�LSY OF PE0.IURY THAT THERE IS ACANSTRUCTfON LENDWO M3ENCY f • FOR THE PERFORAIANCE OF 7HE WORK FOR WHIGf THIS PERAnT IS ISSUED(SEC:70W.q�.G} - Z • ' W �'. LENDERS NMIE . , . .. - 7 F- LENDERSA�DRESS � ICERTIFYTHAT�HAVEREMTHISAPPLICATIONANDSTATE�7HATTHEABOVEMFORMATION�900RRECT. 1 OTAL FEES �� 1 � �� , ��jL�/q. ,� r 1 AOREE TO CAMPLY WITH ALL C�7V AND COUN7Y OROWANCES AND STATE UWS RELATINp TO BU0.DiN0 � CONSTRUCTION,AND HEREBY AUTHORIZE REPRESEN7ATNE5 OF THIS COUNiY TO EHTER UP�N 7HE � Z ABOVE�A1EMtONED PROPEP7Y FOR INSPECTION VURPOSES. �COMMENTS ` o N�.. �-. , � m 7ERMtTTEE NAfAE{P � � o P�G ►��a � �oa � ae EE DATE qECPT.NO. � �I SS PAID BY � ��1 a' VALIDATION WHITE—Departrnent Copy,YELLOW—Finence , INK=Auessa Copy,GOLDENROD—Ffle Copy,GREEN--ApplicanYs Copy CITY !JF DIAMUN[? BAR � INSPECTION REC�RD �� ' 0 �' - i: ' � � { �;� • g B � ;,' �, �'� SET BACK FLOOR J015T FTGS/FORMS/STEEL FHA REQMTS ___ __ _ ELECTRIC GROUtJD y.. � UNDER FLOOR DUCT GROUND PLUMBING .� UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER I FIREPLACE BOND BEAM WATER SERVICE �MID HT.BOND BEAM ROOF SHEATHIiVG ;8 FT.BOND BEAM FRAMINGNENTILATION j FIldAL BOND BEAM ROOF COVER PR G DIIVG ROUGH HEATING BENCHING ROUGH ELECTRIC L j ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT.LATH/SIOING POOL FENCING WALL INSULATION POOL FINAL CEILING 1(JSULATION OFF SITE IMPS. QRYWALLNAILING ��'i�.. � DEQICATIONS ____ _ SEWER FINAL ENG. _ SEPTICTANK LANDSCAPE/IRRIG. _ SEEP PIT/L.L. ON SITE IMPS. __ GAS AIRTEST FINAL ZONING FINAL CONST. FIRE DEPT.FINAL FINAL HEATING ' HEALTH DEPT.FINAL • __. FINAL ELECTRIC DEV.FEES PAID FINAL PLUMBING � EtdERGY FINAL PLANING __._ FINAL ENGINEERING � � @ ' - COMMENTS '� j 1 2 ' _4� . �/ 1 1 E ' '"L.-� c�Y�E C.' Z!�'`�� ..;-�c,�GC� ��.�_$'� � ,� �� . _ , ��, 'z -- , � I� o'G�.j !�i �b� �i a&. �� '. f3 �.: �, � � l SEPTICTANKSIZE SEEP PIT/U SIZE . � r - �� . r, . �.