HomeMy WebLinkAbout1155 DIAMOND BAR BL (10) ��� CITY OF DIAMOND BAR
DEPARTMENT OF CONIIVIUNITY&DEVELOPMENT SERVICFS C�/P����
21825 Copley Drive,Diamond Bar,CA 91765 G��
I (904)839-7020 Fax(909)861-311? Building Inspection Hotline(909)839-7027���j � � �,\EC� PRESS
���N'��w BiJII.DING PERMIT APPLICATION FIRMLY
� JOBSITE APPLICATION 2 PERMIT P/C j'�i� /
o AD RESS 1 i��L,�'(?[t'• �7U5,Hp��i..vh DATE �/�d�� NUMBER ��_ # v � �/
� ISSUE � � ��D.� 7YPE OCC
� APN LOT TRACT DATE CONST. GROUP
p OWNER HAC� (E� ZONING SEBACKS
o ADDRESS FFiONT RW ❑
Z CITY ZIP 7EL. REAR �
o APPLICANT TEL SIDE/SIDE STREEf RW ❑
� CONTRACTOR_��1 C�"Oln� c�(` 'rA'� SIDE ❑
o ADDRESS � PROPOSED USE S��GI/� �A� '�} /
CITY ZIP�$_ TEL �i�)_�a.a�
w ARCN/ENG/ �l�)33 ` �
z DESIGNER NO.DWEL. NO. NO. •
� ADDRESS UNITS STORIES BEDROOMS
� CI7Y ZIP TEL.
� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
Q OWNER-BUILDER DECLARATION SFR/ADD/REM
O
� I HEREBV AFFlRM UNDER PENALTV OF PERNRV THAT I AM EXENPT FROM TME CONTfUCTORS L4 Garage/Carport
W CENSEUWFORTHEFq.LOWINOREASON(SEC.7031.6BUSMESSANDPROFESSqNSCO0E:M1VCfTVOR (n .
U COUHTYWMI]1RC-0UIRESA7EAMRTOCONSTRUCT,N.TEf�WPROVE.DEAqL15M.OHREPAIRANI'STRUG w P0IIOIDBLK
WTURE.PRIOR TO I75 ISSUANCE,AL50 REWIRES THE APPLICANT FOH SUCH PEAMIT TO FILE A 516NED
� STATEAIENT THAT HE OR SHE IS UCENSED PURSUANi TO THE Vf�N510N5 OF TME CONTRACTORS LL � POOUS �
� CENSE UW(pU7TEA 9�COMME1iCR16 WITH SECTIOH T000)Of DIYt510N 3 OF T1iE BUSMESS M1D PRO- � Pg
^ FESSIONSCODE)ORTMATHEORSHEISEJ(EMPTTNEREFROMANDTHEBASISFORTHEALLEGEDD(EYV-
V TqN.ANY VqI�TqN OF SECTION 7071.6 BV ANV MPLICANT iOR A PENMIT SU61ECT5 THE APPLICANT TO Z Re-Roof
� A CIVIL PENALTY OF NOT MORE T1AN FIVE HUNDRED DOlLARS(f60D).):
� Ol�SOV�NEROFTHEPROPERTY,OR4VEMPLOVEESWfTFIl4AOE5ASTHEIP50lECOMPENSATION, � Cp/�mgfCl31 �
Z WtLL 00 THE WOPI(,M10 7HE STRUCNRE IS NO7 IMENDED OR OFFERE�f-0R SALE(SEC.Iou,BUS4 J
� NEu�ND FROFESSIONS CODE:TME CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF �
PROVERTVNM1fOBUCDSOPIYVf�VESTHERC-0N.ANDWHODOESSUp1WORKHIMSELFORHERSEIFOR m
[L THROUGHHISOHHEROWNEAiPIOVEES,PROVIDEDTNATSI%7iIMPROVEMENTSAfi£NOTINSENDEDOR _
� OFFEREDFORSPLEIF.HOWEVER7NEBULDMOORWPROVEMBlTISSOLDINTl9NONEYEAROGCOMVLE-
Z T10N,7HE OWNER-BNLDER WILL HAVE TME BUHDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR
� IMPqOVE FOR THE 7URPO5E OF SALE}
❑I,AS oHMER OF THE PROPERTV.AM EXCU15NF1Y CONTMCTIN(1 MATM UCENSED CONTN�CTORS
Q TO CONSTRUCT THE PRO.IECT(SEC.7oat,BUSINE55 Mi0 PROFESSIONS COOE:THE CONTRAC70R5 U- Va4uatlon O ADJ.AHEA
W CENSEUWDOESNOTAPPLY70ANOWNEROFAPROPEHT'MTIOBULDSORWPROVESiHEREON,MHI
� WFqCO/RMCTSFORSUCHPROJECTSWITiAWNTMC(OR(5)LICENSEDPURSUANTTOTNECOl1TiUC Q�Jq�TY DESCRIPT�ON FEE �
� TDRS LICENSE UW.).
Q O 1 AM EXEMPr UNDEfi SEC. B.6 P.G FOR THIS REASON �
� Q
� DATE 01�'�EA V
W
� LICENSED COIJTRACTORS DECLAFIATION �y
� 1 HEREBY AFFIRM UNDER PENAI.T'OF PERNRY THAT 1 AM LICENSED UNDEfl PROVISIONS OF CHAPTEH �r
� p(COMMENqNG WITH SECTION 7000)OF DMSION 3 OF THE BUSINESS AND PROFESSIOIJS CODE.AND Z
X 4Y LICENSE IS IN FULL FOFCE AND EFFEC7. m ,
LlJ r�.(cr� rr_�j 4 �
0 LIGENSE CI.A$S � 1 '� LIC.NO. �/ '�^� �/� J �
U pp7E � CONTRACTOR d
W
� WORKERS'COMPENSATION DECLARATION �
�. U
� 1 HEf]EBV AFFIRM UNDER PENALT'�OF PE0.IURY ONE Of TiE FOLLOVAN6 DECIAfiAT�ONS: Z
/ Q
p V I HAVE AND WtLL 1aAIMTAIN A CEHTIFICATE OF CONSFM TO SELF-INSURE FOR VARKERS' S
� CWIPENSATION,AS PROVIDED BV SECTION 3700 OF THE UBOH CODE.FOR THE PER WRMMICE W
OF THE WORK FOR NM111CN THIS PERMfT IS ISSUED. �
0
w _��{pyE AND W�LL MAINiAIN WON(ER5 COMPENSATION MSURANCE,AS REW W ED BV SECTqN 4
Q J70DOFTl/ELA60RCODE.FORTNEPERWRMANCEOF7}iEWORKFOHWWQITHISPE�RIS / Se �
ISSUED.MY NOPo(ERS'C0�IPENSATION WSURANCE CANRIER M1D VOLICV NUMBER ME CONSTRUCTION
jCAflWEA �TL��i E �f� PLAN REVIEW 3- �f
0 voucr rau�,reEa_T1 p�'+'?LT�T�� — ELECTRIC
� �Ss�cr�o�r�rqTeE�rmo�n��a,rrswqp��rn�po�ur�sa�oqoq�ss} PLUMBING
w MECHANICAL
Z 1 CERTIFY THAT Pl THE PEAFORMANCE OF THE YYORK FOH WHIC/1 THIS 7EFUI�T t5 ISSUED,1 ,
(,'} SHALL NOT EMPIOV ANY 7ERSON W ANY MANNER 50/5 TO BECOME SU&IECT TO THE INSPECTION FEE
� WORNERS'COMPENSATION UWS OF CALIFORNIA,AND AfiREE 7HAT IF I SHDULD BECOME K
S SUBJECTTOTHEWOilI(ERSCOMPENSATIONPROVISIONSOFSECTION37000FTHE4IBOR �SSUANCE �u•��
cooE.�stwl.Foatxwm+couvtv vnn+nase raov aN.
� (� . �� SMIP
p DATE:,,�L APPLICANT: � . .
w ENERGY P/C
--� WARNINCi:FAILURE TO SEWRE VNN(E�'COMPENSATqN� RA6E IS UHLAWFUL,AND SMALL BE
J SUBJECTM1EMPlOYERTOCftIM1NALPENALTIESlJd)CSNLFWESUPTOON£HUNDREDtHOUSNND
LL ENERGY PERMIT
OOLURS(floo.o00).W ADD�T�ON TO THE C0.5T OF COMPENSATION.DMUOES Il5�ROVIUED f-0R IN . O�
¢ SECT�DN 710!OF 7HE LABOR CODE a1TERE5T,AND ATTORNEY'S FEES. RECENTION FEE: .
w CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
a
� 1 HEqEBV AFFIRAI UNDER PENALT'OF VERNRV THATTHEqE IS ACONSTRUCTION LENDPIO AOENCV
FOR 7HE PEFFORMANCE OF T11E WORK FOR WHICH THIS PERMR IS ISSUED(SEC.3oc7.C7V.C.).
Z
W
� LENDERS NA1AE
H LENDER5ADDRESS »J� (`� 2
� ICERTIFYTNATIHAVEREMTWSAPPLICATIONANDSTATETMATTHEABOVEP7FORMATpNISCORAECT. TOTAL FEES V����`� �/'���O
w 1 A6REE TO COMPLV WITH ALL CRV PNO COUNTV OFDPlANCES AND STATE LAWS RELA7M0 TO BUtl,DINO
� CONSTRUC710N,AND HEREBY AUTHORIZE REPRESENTATIVES OF 7HIS COUNTV TO ENTER UPON THE
ZABOVE-MEMIONED VROPEA7V FOR INSPECTION VURPOSES. COMMENTS �
� 11 Y� Cl�'oc,� �,.���z—
m PERM�TfEE (PRiNn �
Q _�o /1 -�'o`o
�
� SIPNATURE EE DATE '
RECPS.NO. PAID BY VAUDA710N
� WHITE—Departrnent Copy.YELLOW—Finence Copy.PINK—Assessor Copy.GOI�ENR�Ie Copy,GREEN—ApplicanYs Copy
c�T� oF �m��ar�� ��R
tNSPECfil01� R�Ct'�Rl�
. � p j � • � p y � �
SET BAGK . . . ) , , FLUOR JOIST . . ;
- ---- ---- � --- .
�TGS/FORMSISTEEL �— - FNA REQMTS ' .
--f------ -_----------- ----....---�_` —�_ !
ELECTRIC CROUND ' UNQER FLOOR�7UCT —�- '
--. �_ �
GROUND PLUMBIPlG � UN(3ER FLC}OR CQi�DUlT � � ^
SLAB GRADE ~--�------^ j —�- ----� !FIREPLACE FQUNDATION � ----i-
TEMP POWER __ I ! i�FIREPLACE BQND BEAM �— —
WATER SERVECE, '� ! ---- �tv� QI HT. BOND BEAM ----� —_-r—_-_. __,. --.-
ROt)F SHEATN(NG I 8 TF BOND BEAM �
FRAMiNGIVEM"tLATiON � � �F�INAL BOND BEAM + j
Rt70F C4VER I PRE-GRADING ' �
ROUGH NEATl�4G � QEtiCNING '
' �
FiOUGH ELECTRIC 'RQL�GH GRRDING i
ROUGN PLUMBINC � ,_____._..__� 1 FINlSH GRFtDIfVG ----- ! -F- I
SHfJWER/TUB TEST L__�_-------._�__—__ �.POOL ELECTR(C _�
EXT.�ATHISIDING ^ �I ;PQaL FENCWG ��
+---
WALL INSULATION � � t PC3t�l.FINAL � ; � i
---- —.
CEILING {NSULAZION I ; i f3FF SI�E{MPS. � �
---- �-----------------------�-------�.__�_—__----------------------
DRYWAL�NAIUhG � 'DEDICA i 10lVS �
SEWER t i FIhAL ENG. �(
SEPT(C TANK ! 'LAf�DSCAPFJiRRiG. i � i
SEEP PtTlL..L ; � � t ON StTE fMPS. I
GAS AtR TEST ! ;FlNAL ZONlNG I 1
FiNAL CONST. � �FIRE DEPT.FItvAL � �
FiNAL HEATlNG j HEALTH DEPT, F1NAL ; I
FINAL ELECTRI� i ' ?DEV.FEES PA[D � ��
- �---------_._______—._.—�.- — '
�INAL PLUM8ING :E(�lERGY i !
� __—__--- - ; �-- �------
i l � j :.�
i -
_ i I g �� �
CQMMENT�
..;.
�
SEPT�C TANK SIZE
SEEP PIT/U SIZE � ---- ------------------ _�—
�'____._...__
'�,., .
,W
� �__