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HomeMy WebLinkAbout1188 DIAMOND BAR BL (3) _��_� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21825 Copley Drive,Diamond Bar,CA 91765 � (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS �'"�°� BUILDING PERMTT APPLICATION �IRMLY � JOBSITE l APPLICATIONp PERMIT R2 '�'p/C o ADDRESS I I$� S, �i v►�mil� �(a,r' (��/q DATE l•�2�� �� NUMBER �I—��- # �¢ � APN LOT TRACT �SSUE � / • TYPE CC DATE /�q /��• CONST.'�_ GROUP �P' _ p OWNER �•Q_'�QY'IbS�ANni�N L�'�i�' �r'u�}L�K< ' " ADDRESSCo c� ZONING SETBACKS 0 FRONT Z CITY ZIP yj'f�� TEL. � REAR RW � � APPUCA T j-�A MQ�Kr,.J/Ln/� TEL. 9 SIDE/SIDESTREET RW ❑ � CONTRACTOR�Ie��n�-�vY1 �1.�-.��r 5 SIDE � o ADDRESS � _ PROPOSED USE � e CITY 1 ry�✓�.L�- ZIP�7.C�r.� TE r0. o ARCH/ENG/ ��' ` E i � a ADD ESS r NO.DWEL. �, NO. ' NO. ` �n a�� UNITS STORIES � CITY __�r'U i V.t_ ZIP TEL. BEDROOMS ^ � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION p SFR/ADD/REM � I HEREBV AFFIRAI UNDER PENALTY OF PERIURV THAT I AM EXEMPT FROM THE CAN7RACTORS LI- GBfe(JB/CBfPOh W CENSE UW FORTHE FOLLOWINO REASON(SEC.70.31.5 BUSMESS AND PROFESSIONS CODE:ANV CIiYOR (� wV COUNTVWHICHREOUIRESAPERAIITTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANVSTRUC� w patlo/Deck � P� � /� �r. � NRE,PRIOR TO RS ISSUANCE,�L50 REQUIRES THE APPLICANT FOR SUp1 PERMIT TO FILE A SIGNED w �Y � � STATEMENT h7AT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF 7HE CONTMCTORS U- ' � CENSE UW(CHAPTER B(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF TME BUSINESS AND PRO- �'1' POOUSpB �`p r � �_�A , � FESStONS CODE)OR Ti/AT HE OF SHE IS EXEMPT THEREFROM AND THE&1515 FOR THE ALLEOED EXEMP� � (�1� �� TION.ANVVIOLATIONOFSECTION7o31.5BYANVAPPLICANTFORAPERMITSU&IECTSTHEAPPLICANTTO Z Re-Roof I � A CIVIL PENALTY OF NOT MORE THAN FNE HUNDRED DOLURS(5500).): � ❑4��WNEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAOESASTHEIRSOLECOMPENSATION, � CORIRIBfC18I Z WILL DO THE WORK,AND THE S7RUCTURE IS NOT IN7ENDED OR OFFERED FOR SALE(SEC.7a�,BUSI� J � NE55 AND PROFESSIONS CO�E:TME CONTRACTORS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � PROPERTY WMO BUILDS OR IMPROVES THEREON,AND NM1IO DOES SUCH WORK HIMSELF OR HERSELF Oq w THROUGH HIS OR HER OMM EMPLOVEES,PROVIDED THAT SUCH IMPROVEIAENTS ARE NOT INTENDED OR m � OFFEREDFORSALEIF,HOWEVERTMEBUILDINGORIMPROVEMENTISSOLDWRHINONEVEAROFCOMPLE- Z TION,iHE OWNER-&11LDER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR � IMPROVE FORTHE PURPOSE OF SALE). w ❑I,AS OWNER OF THE PROPEHTV,AM EXq.U51VELY CANTRACTINO WITH LICENSED CONTMCTORS � TO CONSTRUCT THE PR0.IECT(SEC.7oN,BUSINE55 AND PFOFESSIONS CODE:TME CONTMCTORS LI� V81U8110f1 ADJ.AREA W CENSELAWDOESNOTAPPLVTOANON?JEROFAPROPERTVWHOBUILASORIMPROVESTHEREON,MID � WHOCONTRACTSFORSUCHPROJECTSWITHACONTRACTOR(5)UCENSEDPURSUANTTOTHECONTRAP QUANTITY DESCRIPTION FEE � 70RS LICENSE UW.). 0 ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � U LL DATE OWNER � 2 U � LICENSED CONTRACTORS DECLAAATION w � 1 HEREBY AFFIRM UNDER PENALTY OF PERJURV THAT I AM LICENSED UNDER PFOVISIONS OF CHAPTER � � 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS ANO PROFESSIONS CADE.AND Z X� MY LICENSE IS M NLL FORCE AND EFFECT. u� v/2,� m � ICENSE CIASS �� UG.NO. l � V DATE CONTFiAGTOR d W � WORKERS'COMPENSATION DECLARATION Q N I HEREBV AFFIPM UNDEH PENALTV OF PEfiIURV ONE OF THE FOILOWING DECIAPATIONS: U � Z . • . � _I HAVE AND WILL M/JNTAIN A CERTIFICATE OF CONSENT TO SEIF-INSURE FOR WORKERS' a : � . � 2 Q COMPENSATION,AS PqOVIDED BY SECTION 3700 OF THE IAHOR CODE,FOR THE PERFORMANCE U OF TME WORK FOR WHICH THIS PERMIT IS ISSUED. W � � � _I HAVE AND WILL MAINTAIN WOHI(ERS'COMPENSATION INSURANCE.AS REOUIRED BV SECTION Q 3�00 OF THE LABOR CADE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS � ISSUED.MV WORI(F�15n'CO'MPE`NSLATION INSURA`NC�E CARRIER AND POLICY NUMBER AAE: CONSTRUCTION � � CARRIER � �CS Ll� PLAN REVIEW Q POLICV NUMBER �1�/I�K-rQ 7 �' I L I O ELECTRIC / t� ' , � (IHISSECTqNNE�NOTBECOh�LEfEDOFhEPEfL.TrISFpRpgHUliylmpqlqqg(S�pp�pq�ESS� PLUMBING W Z I CEi7TIFV THAT IN THE PERFORMANCE OF THE WORK FOR WHICH THIS FERMIT IS ISSUED,I MECHANICAL �J' SHALL NOT EMPLOV ANV PERSON IN ANY AIANNER 50 AS TO BECOME SUBJECT TO THE (/� WORKERS'COMPENSATIONLAWSOFCALIFORNIANdDAGREETHATIFISHOULDBECAME INSPECTIONFEE � SU&1ECTT0 THE WORKERS'COMPENSATION PROVISIONS OF SECTION 37000F THE LABOR � CODE,I SHALL FORTHWITH COMPLV WITH THOSE PROVISIONS. ISSUANCE 0 , p DATE: APPLICANT. -SMIP W 'J W�RNINO:FAfLURE TO SECURE WORKERS'COMPENSATION CAVERA6E IS UNLAWFUL,AND SHALL BE ENERGY P/C � J LL SU&IECTANEMPLOVERTOCRIMINALPENALTIESANDCIVILFINESUPTOONEHUNDREDTHOUSAN� ENERGYPERMIT DOILARS(f10o.o00),IN/�DDITION TO THE COST OF COMPENSATqN,DAMA�ES AS PROVIOED FOR IN J SECTION 3708 OF THE LABOR CODE.INTEREST,AND ATTORNEV'S FEES. w RETENTION FEE: O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREBV AFFIRM UNDER PENAIN OF PERIURV THAT THERE IS ACONSTRUCTION LENDINO AOENCV FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3007,CIV.C.). Z W � LENDER'S NAME �• � LENDER'SADDRESS � I CERTIFY THAT I HAVE READ THIS APPUCATION AND STATE THAT THE ABOVE INFO{UTATION IS CARRECT. TOTA L FE ES � I AGREE TO COMPLV N7TH ALL CITY AND COUNTV ORDINANCES AND STATE UWS FELATWO TO BUILDINO � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATNES OF THIS COUNTV TO ENTEH UPON THE Z ABOVE�MENTIONED PROPERTV FOR INSPECTION PURPOSES. COMMENTS � � '" 1 J � m P RMITTEE RI � ¢ D °l �1 I � � �i.� � , � IONATUREOFPERMITfEE ' ATE � RECPT.NO. PAID BY VALIDATION WHITE—DepaAment Copy,YELLOW�inance Copy,PINK—Aasessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy CITY O� DI�►NiONI) BAR � . , � . .� Ii�SP�C�'80i� ��CORD , :�rvt;�l3pCC�4DOa �� � � o e �_ 3�`1��: ri� Q�I�PCC�4QG� .Da�3pCC�t`�[lOa,. . o, . ..: C� I��. � :: GJ��, 0 4 SET BACK FLOOR JOIST � • • • . FTGS/FORMS/STEEL U � 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'L BOND BEAM ROOF SHEATHING ' 8 FT.80ND BEAM FRAMINGNENTlLATlON ��. FlNAL BOND BE,4M ROOF COVER PRE-GRADING ROUGH HEATING BENCHWG ROUGH ELECTRIC �i�„� i � ►����Q,-' ROUGH GRADING ROUGH PLUMBING � FINISH GRADING SHOWER/TUB TEST . - POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINA� CEILING INSULATION OFF SITE IMPS. DRYWALL NAI�ING , DEDICATiONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRlG. SEEP PIT/L.L. ON S1TE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ��� `� COMMENTS�- N�' (i�''��-=__`�.� - -—���-o�� ����-�� ►� �...�;�, t�11�. q 30�� -�L��,,,,�,��., � �_I�e'1_..M��S�1�AA.�A�-�BA�4_k�►�S ��1� -�.�� 'c�,-��= � _ .v -�" L� � +�,� —� ,t;�t��,�t�� ���.��c_I,� L - �J� �y�,@ �� : 4� . SEPTIC TANK SIZE SEEP P.IT/U S(ZE a � B ���{=a� � � � - -'��f,��-. : .. F � _ . x� �. � .