HomeMy WebLinkAbout1155 DIAMOND BAR BL (24)� __ --
- - --
' � CITY OF DIAMOND BAR
� DEPARTMENT OF COMMLJNITY&DEVELOPMENT SERVICES
� 21810 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
��'A^'� BUILDING PERMIT APPLICATION FIRMLY
� JOBSITE f��`�' Q APPLICATI N PERMIT ��' P/C
o ADDRESSI���I�L+'MQi'!�'��/��� - DATE �IIq I 1�"' NUMBER�a'�1�i� # b�T
c� ISSUE �`�q �`1 TYPE OCC
APN LOT-��,, TRACT DATE CONST. GROUP
p OWNER � ry�/�� fft/�ft/I?F�
ADDRESS ZONING SEBACKS
g CITy ZIP TEL. FRONT RW ❑
APPLICANT �EL. REAR p
SIDFJSIDE STREET RW ❑
� CONTRACTOR SIDE ❑
� ADDRESS
� CITY ZIP TEL PROPOSED USE �� `
o ARCH/ENG1. T-✓Y1o�o��G
�z DESIGNER NQ,DWEL. NO. NO.
a ADDFiESS
UNITS STORIES BEDROOMS
� CITY ZIR TEL.
c�a DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
� OWNER-BUILDER DECIAAATION SFR/ADD/REM
O
� 1 HER�Y AFFlRM UNOER PElULT'.QF PERJURV THAT 1/JA E%ENPT FROM THE CONTMCiOi15 LF Gerage/Carport:
W CENSELAWFORTHEFOLLOWINOREASON(SEC.7o31.60U5WESSANDPROFESSiON5CO0EANYCRVOR , (n �
U COUNTYWHIC}IqEOUIRESAPERWTTOCONSTRUCiALTERIMFHOVE,DEMOl15ri3ORREPNAANYSTRUG �,LI pBtiWDBCk
� TURE,PR10A SO RS ISSUANCE,hL50 qE0U1RE5 THE APPLICAHT FOR Slx�i PERMR TO FllE A SIONED w
STATEIIENT TFIAT HE OR SHE IS IJCENSED WRSUANT TO T7E PROVISIONS OF iHE�CONTRACT0R4 LL
� CENSE UW(CHAPTER v(COMMENCWO WITH SECT%)N 7oDD)oF DIVI510N a OF THE BUSINE55 AND PFlO� u' POOVSpe
FES;IONSCOOk�OqTNATMEOR3HEISD(EMPTTiEREFHOMANDTHEBASISFORTHEKLEOEOE%EMP- (�
V TqN.ANYVIO�ATIq10FSECTION7031.68YAN1'APVLICAHT�FOqAPEHMITSU&IECT9THEAPPLICANTTO Z Re-Roof
A CML PENN.T'OF NO7 MORE�TFUN FIVE HUNORED OqURS(l5oo).y.
� ❑4�.+�WNEROFTHEPROPERTY,ORMYEMPLOVEESWITHIVAGESASTHEIRSOLECOMPENSA710N, ' � �mercial . --
z WILL DO THE WORK AND THE 9TRUCNRE IS NOT INTENDED OR OFFERED FOR SALE(SEG.�iO+�,BU56 J � .
� NE55 AND PROFESSIONS COOE:11iE CONTiUCioRS UCENSE�Uw DOES NOT A7PLY TO AN OWNER OF j
PROPERTY W/iD BUILOS OR IMPROVES THEREON,AND NMO DOES SUCH WORN HIAISEIF OR HEHSELF OR
Q iHROU0HH13ORHERON?JEMVLOVEEB.PROVIDEDTHATSUpiIMPROVEMENTSARENOTMTEN�EDOR m � -
0 OFFERmFORSALEiF,HOWEYEiLTiEBi10..DWOORWPROVEMEHT15501DWI7MWONEVEAROFCOMPLE-
Z 710N,7HE OHTIER-BUILDER WILL HAVE iHE WRDEN OF PROVW(3 7HAT HE OR SHE DID NOT BUILD OR � � - �
� IMPROVEFORTHEPURP0.5EOFSN:E�
W ❑4A90WNEROF7HEPROPERfV,'AMEXCLUSNELYCANTpl1CtINOWfTNLICENSEDCONTRACTORS . .
� TO CONSTRUCT TME PRQIECT(SEC.7oN.BUSINE53 AND PROFESSIONS CODE:THE COHiRACTOR3 LI- V9IU8fI0(1' ADJ.AREA'
w CENSE UW DOEB NOT AP91Y TO Ml OWNER OF A PflOPEA7Y Y✓HO BULDS OR U.iPROVE9 THEPEON,AND , -. - �
; WHOCAMRACTSFORSUpiPROJECfSWRHACONTMCTOR�S)LICENSEDPURSUAHfTO7HECONTMO QUANTITY DESCRIPTION FEE .
� TORS IJCENSE LAW.). .
0 ❑I AM D(EMPT UNDER SEC. B.8 P.C.FOR 7H15 REASON
� U
ti �
DATE � OWNER �
2 . - . . . . .. . .. . W
� LICENSED CONTRACTORS DECLARATION w � - - - � � � .
� I HEREBYAFFIRM UMDER PENl�TY OF�PERAIFY THAT IAM LICENSED UNDER PROVISIONS OF C1IAPTER � � . ..
� Y(CWpdENCINO�WI7T1 SECTION 70ao)OF DMSIDN 30F THE BUSINESS MID PROFESSIONS CODE,NIO �.
X W LICENSE IS W FULL FORCEAND EFFECT. m � � � �
LLJ
� LICENSE LIC,NO. j - ,
U DATE . CONTRACTOR .� d � . ... . .
W
� WOqKERS'COMPENSATION DECLARATION � � -� ' � �� -
� I HER�YAFFIpM UNDER VENALTV OF PERIURV ONE OF TNE FOLLOWWO OECURAT10N5: Z �
� _I HAVE�AND�WILL MAINTNN A CERTIFlCATE OF CONgENT TO SELFiNSURE FOR WOHI(EAS' �, �
COMP@/SATION,AS PROVIOEU BY SECTION 37000f TME UBOR CODE,FOR THE PERfORMANCE �'
Q OFTNE WOPo(FOH NM1iICH 7HIS VERMIT 19,I55UE0. �
�I HAVE AND WILL MAINiAW�wONCER3'COMPENSATION INSURANCE,�AS REOUIRED BY SECTION
Q 37oD OF�THE LABOFi CODE.FOR TF�E PERFOR►IAI�ICE oF THE WONK FOR WHICH THIS PERAUT IS 3�y
135UED.MV WORK£AS'COMPENSATION INSURANCE CARAIER AND POIiCY NUMBER ME �CONS�RUCTION� �\ +
� c�aRi� PLAN.REVIEW CvC( . ��. .
� ao��crr�u�eER ELECTRIC � . �a
� (nessFCiioN�r�oree�moFn+E�ar.rrsroaor+Er+urn�oaiuuRirolcw�ssi PLUMBING
w
Z �CERTIFY.iHA71N THE PEPFORIAANCE OF 7HE.WOFIX FOfi WHICH TVIIS PER1dIT IS ISSUED.1 MECHANICAL�
�} SHALL NOT EMPLOY ANV VERSON W ANY MANNER$O AS TO BECOME Sl7H.lEC7 TO THE� �
� WORKERS'COMPENSATION LAWS OF GLIFORNIA,AND AGREE T}1A71F I SHOULD BECOME � �INSPECTION FEE
� SUBJECiTOTNEVIORKERS'COMPENSATIONFROVISqNSOFSECTIO a7o00FTHELABOR -�� � � .
COOE,1 HMLfOHiHWITHCOAIPLYWITHTHOSEFRO on+s. ISSUANCE �� - �+J'
� .SMIP . . . .s'o.
wp DATE: ' APPLICANT:. _
J WAANINO: A1LUR TO SECURE WOR!(ERS'COMPENSAT VEMGE�S UNUWFUL.AND SHALL BE ENERGY�P/C .
� SU&IECTAN EMPLOVER 70 CRIIdINAI PENALTIES ANU L FwES UP TOONE NUNDREA TfOUSAND FJ•1ERGY PERMIT
DOILAFi3,(S10u.900�,IN�DDI7iON TO THE C0.5T OF C6MPENSA710N.DAAIAQES AS PROVIDED FOR W � � -
� SECTION 370e OF 7HE LABOR CODE INTEREST,AND ATfORNEY'3 fEES. � RETENTION FEE: '\� + �
a . CONSTRUCTION�LENDINGAGENCY � PRE-cALT,`FEE:
� 1 HEfiEBY AFFlFUA UNDER�PEWJ.7Y OF PERIURY THAT 7HERE IS A CdJSTRUCTION IENDINO A6ENCY \.�'��` .. . � � .� .
Z �FOR THE PERFOH/AANCE OF�THE WORK FOR WHICH 7HIS PERMR IS ISSUED(SEC:3oH7,qV.C.).
L1! . . . . . . �
� LENDER'S NAME . . .. . . . . .
F— LENDERSAODRESS
�- I CERTIFY TIiAT 1 HAVE HEAD THI9 APPLICATION AND STATE TIiA7 TFiE ABOVE W fORMATION 19 COMECT. TOTAL F E ES� ��� �'�'•`�
� 1 A6REE TO COMPLY WITH ALL CIIYAND COUNTY ORpINA/JCE4 M1D STATE UN5 pELA7W0 70 BU4AIN0
� CONST(iUCT10N,ANDHEREBYAUi}IORI2EREPRESEMATIVESOFTTUSCOUNT`/70ENTEHUPONiHE �
Z ABOVE-AIEMKINED PROPERiY FOR INSPEC710N PURPOSES. .
�COMMENT$ -
p �
J
�
m GERM W WE(PRl " � �
Q
N
� 510NA OF PE EE o�T qECP7 NO. �,—c�to PAID BY � �—l8� VALIDATION
� WHITE—Department Copy.YELLOW—Finence Copy.PINK—Assessor Copy,GOLDENRO�File Copy,OREEN—Appl(canYs Copy
C1TY 4F DIAMOND BAR
fNSPECTION RIECORD
��; _ _ _ _. .
'� ; _ ��� � � � � , .• . a � o ` , .,,, ^ �o.. .g .�a '" � . . . , .
� . � , i Q m:_.�
SET BACK �FLOOR JOIST •
FTGS/FORMS/STEEL I FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PWMBING �UNDER FLOOR CONDUIT
SLAB GRADE ;FIREPLACE FOUNDATION
TEMP POWER 1 FIREPIACE BQND BEAM
WATER SERVICE i MID HT.BOND BEAM
ROOF SHEATHIIVG �8 FT.BOND BEAM
FRAMING/VENTILATION FltdAl BOND BEAM
ROOF COVER PRE-GRADING �
ROUGH HEATING BENCHIIVG
ROUGH ELECTRIC RdUGH GRADING J
ROUGH PLUMBfNG 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 51TE IMPS.
GAS AIRTEST FINAL ZONING
FINAL CQNST. FIRE DEPT.FINAL
FINAL HEATING NEALTH DEPT.FINAL
FINAL ELECTR(C DEV.FEES PAIQ
FINA�PLUMBING ENERGY
FINAL ALANlNG
FINAL ENGWEERING • � B .
COMMENTS
SEPTIC TANK SIZE
SEEP PIT/U SIZE
g�� � `'
,
�,
i ----