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HomeMy WebLinkAbout1155 DIAMOND BAR BL (27) �1'\ `�� , �_��_ CITY OF DIAMOND BAR � ,. _• � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21810 Copley Drive,Diamond$ar,CA 91765 �R�$$ (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)83J-?027 ���9�'�,� BUILDING PERMIT APPLICATION FIRMLY � JOBSITE \ � � j APPI.ICATI, N PERMIT p� � P7C �� �3 o ADDFtESS DATE �� �S��� NUMBER ��'�o # 84��_ o ISSUE TYPE OCC , °p APN__� LOT TRACT DATE �--l ac� ��3 CONST.,��, _ GROUP _„� � OWNERX � - ZONWG SEfBACKS o ADDRE�S ZIP EL. � FRONT RW ❑ Z CITY j� REAA ❑ o APPLI ANT TEL. J ` SIDE/SIDE STREET RW O � CONTRACTOR SIDE ❑ Q ADDRESS S D USE � � CITY ZIP�.q�€L w ARC ����� �J z DESIGNEFi NO.DWEL. NO. NO. a ADDRESS UNffS STORIES BEDROOMS � CITY � 1 L. `n DESCRIPTIQN SQ.Ff. FACTOR PSF ApJ.AREANALUATION cn � OWNER-BUILDER DECLARATION SFR/ADD/FiEM O � I HEREBY AFFlRM UNDER PENALTY OF PERIURY TNAT 1 AA1 EXFAIPT FROM THE CONTfUCTORS U- G8ldJB/CBfPOR W CENSEUWFORTHEFOILOWIN�REASON(SEC.70J1.6BI/SWESSANDPROfE5510N5CODEANYCfTYOR (n Ca COUNTYNRi1CliREWIRESAPQiMI77000NSIRUCT.ALTER,WPPOVE.DEMOLI5H,0AREPNRANYSTRUG IW Patio/Deck wTURE,VRIOR TO RS ISSUANCE.k50 REOU�FlES THE APPLICAM FOR 6UCH PERM�T TO FlLE A 91ONED � STATEAIEM THA7 HE OR SHE IS LICENSED PURSUANT TO 7HE PFOVI510N5 OF THE CONiRACTORS LF lL ppOUS 0 � CENSE UW(CHAPTER D(COMMENCINO WITM SECT�ON 7000)OF DNlS10N 7 OF THE BUSINE59 AND 7R6 � P _ O FESSqN5CO0E�OftTHATHEOFSHEISE%EAIPTTHEREfROMANDTHE8A515FOflTHEALLE6EDE%EMP- V TION.ANYVfOIATIONOFSECTlOt1To]I.SBYPNYAPPLICPNTF�RAPERMITSU&IECTSTNEA70lIC/J7TT0 Z qe-Roof � A GVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLAHS(fsoo).j: - � ❑I,ASOWNEROFTHEPROPERiY.OqA1VEMPLOVEESWITHWAGESA5THEIRSOLECOMPENS�110N, 0 (',pmm0fC18I _ Z Y7it1 UO THE WOAK�1ND h1E BTRUC7URE IS NOT INTENDED OR OFFERED FOR SALE lSEC.)oai,Bu51- J � NESS ANO GROFESS�ONS CODE TME CONTRACTORS IICENSE UW DOES NOT APVIY TO AN OWNEN OF � PfiOPERTY WHO BUILOS OH IMPROVES THEREON,AND WHO DOES SUC1i WOAK HIAISELF OR HEPSELF OR m [C 741ROUGH HIS OA HER OWN EMPIOVEES,PROVIDED TiA75l1GI WPflOVEMENTS ARE NOi 1NTENDED OR , � QOFFEREDFORSALEIF,HOWEVERTMEBUHDW�ORIMPROVEAIENTISSOIDW�THINONEYEAROFCOM7LE- Z TION,TNE OWNER-9ULLDER N1LL HAVE ME 9UROEN QG PROVINa THAT HE OR SFIE OI�NO�flU1lD OR = p.IPROVE FOR TME PUFlPOSE OK SALE). ❑I,AS OWNER OF THE PROPERTV,AM E%ClUSNELY CONTMCTW 6 wfTH IJCENSED CONTRACTORS a 70 CpNSTAUCT THE PROJECT�SEG.)0��,6USINE55 AND PROFESS1pW5 CODE:SNE CAWTRACTOAS Ll- VaIUHIIOfI�� ADJ.AREA � CENSE LAW�OES NOT APPLY TOAN OM7JEF OFA PROPERTY WHO BUILDS OR IMVROVES THEREON,AND -- WMDCONTMCTSFORSUCH7ROAEC7SWfTHACOMMCTOR(S7LICENSEDPURSUANTTOTiECONTRAG (�U(�7�N ESCRIPT N FEE � � TORS UCENSE UW.). � �.J - O ❑1 AN E%EMPT UN�ER SEC, 0.8 P.C.FOR TH�S REASON Q � _ � � 10 �" O�TF, , OWNER ~ � - U Z W � LICENSED CONTAACTORS DEClARA710N , �W � � � 1 HEFEBY AFFIFM UNOER PENALTY OF PERIURY THAT IMI LICENSm UN�ER PROVISION9 OF CFIAPTER p„ p�CpW./FTICINO WITM SEC�ION 7000j OF OMSION]OF THE BUSINE53 AND PROFESSIONS CODE,M1D Z X 7dY LICENSE 4S W fUIL FOfiCE AND EFFECL m LLl � � UCENSE CtASS 11C•NO. J U DATE CONTRACTOR • W o�u WORK S'COMPENSATION DECLARATION -� � ' � ¢ � I HEfiEBY AFF�PM UNDEA�ENALTY OF PERIUHY ONE OF THE FOLLOWWG DECURAT10N5: ' � �G 1 HAYE MID YtILL AWNiPlt1 A CEFiTIFlCATE aF CONSEM TO SElF�1NSURE FOR NlORKER5 � �COMPENSATION./�SPROVIDEDBYSECTIONJ7o00FTNEUBOHCODE.FORTHEPERFOHMMlCE W , OF 7NE WONC FOR WHICH 7HI3 PERMI7IS�ISSUED. � � w • I HAVE AND YlLLL MARlTAW WORI(ERS'COMPENSATION INSUFlANCE.ti4 HEOUIRED BY SECTION � 3700 OF THE LA80.1 CODE.FOf�'[HE PEAFONMfICE OF'ME WOAK FOR W WC11 T1NS PEHMIT IS . ��j� p?\ � ;SSUED.MYINORHERSCOMPcEtdSAT�ONINSURANCECAHR�eRANDPOIiC/MJMBERARE: ' CONSTRUCTION jCAAf71ER�fI�,�IFuc�.��.d1`�� PLAN REVIEW S��}- �.� ELECTRIC ��+ �� � POL!CV NUMBER ��. 9 Q (n�issEcncr�r�EIDNoiBE oFTHEVENMrsraAa+EFA�fiEln00lUf�K��l��1 PLUMBING Z I CERTIiY THAT IN THE PERFORMANCE OF TME WORK FOR WHiCH THIS 7ERMIT IS ISSUED,1 MECHANICAL ,� ' �� ` (} SHALL NOT EN�I.OY ANY FERSON W ANY A�ANNER SOA6 TO BECOME SUBJECf TO THE INSPECTION FEE � � WORKERS CAMPENSA710N lANS OF CALIFORNI�I AND AGREE THAT IF I SHOVLO BECAME � SUBJEC7 TO THE WDPoCERS'COMPENSA710N PROVISIONS Of SECTqN�70o OF THE UBOR •`'�t�, (7� � .i sw�u watrrvnni co+��r wini nass PAovisro� ISSUANCE � - SMIP ��• �S p DATE. ��� � � ' � ENERGYP/C s�'- 4�^ WARNIN4 FARLRE TO SEW RE WOPKERS COMPENSATION COVEMGE IS UNUWFUL,M!D SIiALL BE � SU&IECTANE1.1P1.0YERTOCAIMWALPENl�LT1E5ANDCMtFWES�UPTOONEVNNDAEDTHOU51J7D ENERGYPERMIT ��7'�a DOLURS(5100,000�.B1 ADDRION TO TME C0.ST OF COMVENSATION,pAMA0E5 AS PflOVIDED FOR IN a6ECTpN 37oe OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. {jETEN7ION FEE: w CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � I HEREBY AFFlR/A UNDER PEWLLTV OF PERIURY THA7 THERE IS A CONSTAUCTION IENDwO AGENCY a`-��� � ' �� z FOR TNE PERFORMANCE�F T11E wORK FOR WHICH 7HIS PERAl1T IS ISSUED(SEC.wo7,CN.G�. W � LENDER'S NAME � LENDER'3 AODRE53 �y � �CERTIFY THAT I HAVE RF�1D 7HI8 APVLICATION AND STATE TNAT T}iE.�80VE WFORMATION IS CARRECT. TOTAL FEES S�S • �T 1 Q�� , ,�� w I AOREE TO COAIPLY W1111 AL3.GTY M1D COUNTY ORDINANCES ANO S7ASE Uw5 flELA7M0 TO BUII.DINa � CON57iiUCTION,AND HEREBYMJTHORIZE NEPRESENTATNES OF 7HI5 CWNTI'TO ENfER UGON THE � Z ABOV6-MENT10NE0 PROPEH7Y FOR WSPECTION PUqPOSES. . � COMMENTS � J � m PERMI7TEE NAME IPRINT) ' � � `z 9 "`� t�'Ic ��s�o �✓ a co 31 ``-'� � 5�1 RE OF PERMRTEE o�i ' � RE��.No._i y.q 1 a PAID BY � VALIDATION� � WHITE-0epartment Copy,YELLOYV—Flnance Copy.PINK—Assessor Co{ry,GOLDENROD—Fle Copy;GREEN—ApplkanCs Copy ., G$`�'� �� D�Al�C�t�l�? .��l� , � � : � �6���'EC;TgC�� R���R� � �4 �. �'r-����}h� � �, '� �' � - ��. . s��ga � l � .`. " � . , _ , .. �. � . , � �..,� ' �: . , o � _. „ m . . SET BACf; FlUOR JOIST -----------—----- ------... --------_------- -- -------- F7GS/FORiViS/STEFL FHA REQNIT; ELEC7RIC GROIJ�dO ---__—�_..------- ---___---------�_ UNDER FLOOR DUCT — ------ ---------- �i �- I GROUPJO FLUMBING --—� 7�p//j. �--�—�---� UNDER FLOGR CdPJOUiT �— _- S�AE3 GR�iDE_, '�� HREPLACE FQU�dDATIUN �TEN1P POYl�ER � FlREPLACE E�DiJD BEAM VVATER�ERUICE �r - . MID HT.BOf•!D BEAM ROOF SHEATHI�G � '� �8 FT.BOND BEANi FRAMIhlG(VENTILATIO�d O ______ ______ 3 __�_____ FINAL BOND EEAM ROOF COVER PRE-GRADING ROUGH HEATING ---------------- -------------- DENCHING � � ROUGH ELECTRIC _ � ��` ROUGH GRADI�lG V ROUGH PLUM61P1G '1�13 p FINISN GRADING SHOWER/l�Uf3TEST POOL ELECTRIC EX�C LATH/SID(NG � POOL FEf��CING b�lALL iN$ULF�TIOP! � POOL FINAL CEIUI�IG IPdSUTATIUN OFF SITE 1MA5. DRYLVALL NAlLlNG _ S1 DEDICA.TIONS _�, SE4�lER —.- -^ �, � -- --- --�-- -�---- FINAL EhJG. SEPTICTANK ' � ~ LANDSCAPE/IRRIG 4 _ __---�—�. �-- SEEP PIT/L.L. ON SITE IMPS. �^ � � GAS AIRTEST Cp ( 'j' FINAL ZONING FINAL CONST. FIRE DEPT.FINAL ' FINAL HEATI�IG } HEALTH DEPT.FINAL ` FtNAL ELECTRIC `� DEV.FEES PAID FINAL PLUNiBING ENERGY FINAL PLANiNG RNAL ENGINEERIPJG —-- ---—-- ------------ -- . � � COMMENTS �e G�.�, S IZLt3 _-v� _` � � , --\--�-�-� l.�E� �'('e�} / B_�r—_�'�_�5 i n S��C�`a.v s�._� c � --- - 3 ^�-� �-_Qk. -� -- _------ -- -� �� - - ___��N !o S"1 �� . . -�-- .__� --- -�'-�--u- � 1- -�-� - - -- — � •� O a1C 2,0 x� � l �3 - --�'�-- �� � � ----------- _--- ---------- SEPTICTANK SIZE SEEP PIT/U SIZE -" —�-- 5' ^' --- -- ---- — - , ;1 -._-- -- - — -- -- � �� ----------- - — . i l ► ' ' CITY OF DIAMOND BAR Community and Development Services Department 21810 E.Copley Drive•Diamond Bar,CA 91765 - Building Inspection Request Hotline ,,�,��.� (909)839-7027 Building . Planning � Engineering (909)839-7020 (909)839-7030 (909)839-7040 CORRECTION N TICE a.m. PERMIT NO. � � DATE: TIME: p.m. CONTRACTOR/ OWNER BUILDER ADDRESS(Project Site) 1rDUL� ^ ✓ ' Ub � Ol,f� , .. .. O ,. 2 G � v . Y � Ub ' ��� �-�J � �' V � c . i". , ❑PLEASE CONTACT THE UNDERSIGNED � ❑PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION ❑REINSPECTION FEE REQUIRED ❑PLEASE MAKE CORRECTIONS AND PROCEBD WITH WORK INSPECTOR: (print name) - SIGNATURE OF INSPECTOR: t• ' ' . ' � ' CITY OF DIAMOND BAR Community and Development Services Department 21810 E.Copley Drive•Diamond Bar,CA 91765 - - Building Inspection Request Hotline .•� (909)839-7027 •�,�ese Building . Planning . Engineering (909)839-7020 (909)839-7030 (909)839-7040 �C��[��tECTION NO ICE ��o PERMIT NO. �' DATE: S � I � am. TIME: p.m, CONTRACTOR/ OWNER BUILDER • ADDRESS(Project C�rPI ��55 s ` r TG�.V"b 1 e 3 c.�.� , �� v � � � � o t..� ` h ✓ •� �.. � ' � � v '�' � o L i�bUl. �' `"� �v ' << S � ( � roo , 2.�I � -e �-v �n5 � � L 1,�1 0_ ��� g � O ❑PLEASE CONTACT THE UNDERSIGNED ❑PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION ❑REINSPECTION FEE REQUIRED ❑PLEASE MAKE CORRECTIONS AND PROCEED WITH WORK INSPECTOR: (print name) SIGNATURE OF INSPECTOR: � . • , � • ' ' CITY OF DIAMOND BAR � Community and Development Services Department 21810 E.Copley Drive•Diamond Bar,CA 91765 - Building Inspection Request Hotline '�ww��° (909)839-7027 �s• Building � Planning . Engineering (909)839-7020 (909)839-7030 (909)839-7040 � CORRECTION N TICE a.m. PERMIT NO. DATE: TIME: p.m. CONTRACTOR/ OWNER BUILDER S �, � I 1 ADDRESS(Project Site) � O 1, . ✓ ✓ � ✓ C. . . a�► od � � ❑PLEASE CONTACT THE UNDERSIGNED ❑PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION ❑REINSPECTION FEE REQUIRED ❑PLEASE MAKE CORRECTIONS AND PROCEED WITH WORK INSPECTOR: � (print name) SIGNATURE OF INSPECTOR: `�� CITY OF DIAMOND BAR � Community and Development Services Department 21810 E.Copley Drive•Diamond Bar,CA 91765 Building Inspection Request Hotline � �G,�DB�� (909)'839-7027 Building . Planning �. Engineering (909)839-7020 (909)839-7030 ' (909)839-7040 CORRECTION NOTICE a.m. PERMIT NO. DATE: TIIviE: p.m. CONTRACTOR/ ,c� 'CC S� '—T� • OWNER BUILDER I J) clr� -� ADDRESS(Project Site) l �� c. � ,r ► � � 5 � � ` � ,2�1 � � `� b � � � . � , `e � � ❑PLEASE CONTACT THE UNDERSIGNED ❑PLEASE MAKE CORRECTIONS AND CALL FOR REINSPECTION ❑REINSPECTION FEE REQUIRED ❑PLEASE MAKE CORRECTIONS AND PROCEED WITH WORK INSPECTOR: (prin[name) SIGNATURE OF INSPECTOR: \/ ` CITY OF DIAMOND BAR ' Community and Development Services Department 21810 E.Copley Drive•Diamond Bar,CA 91765 � Building Inspection Request Hotline <,.,;gae� • (909)839-7027 Building . Planning . Engineering (909)839-7020 (909)839-7030 (909)839-7040 CORRECTION OTICE PERMITNO. , 7�` ��� DATE: � TIME: pm. CONTRACTOR/ OWNER BUILDER . ADDRESS(Project Site) '� �� �� �""'� ✓'" � �� v� ✓`�'- � . A to h � 6�- C. ov� '� o� Doo� ' 2 f � `� / 5�'1 bu� O r �. o 0 vo �CZ � � '',��� - Qt, u� � 5 wvi �` �.� vJ w a � �-..� � � .-� �� �.. . r�v � q; � -� [c \ W ctv�, t3v ` � \V'S � �\ r � � � . � �t'�l ❑PLEASE CO TACT THE UNDERSIGNED `�v OW� l..e'Y"�� O 1 . � ❑PLEASE KE CORRECTIONS AND CALL FOR RE�SPECTION ❑REINSP TION FEE REQUIRED �v�0.�C ' ❑PLEAS MAKE CORRECT O S D PROCEED WITH WORK �� INSPECTOR: (print name) SIGNATURE OF INSPECTOR: