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Home My WebLink AboutPR12-2210CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY & DEVELOPMENT 21810 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax (909) 861-3117 Building Inspection BUILDING PERMIT APPLICATION cn JOBSITE �Q o ADDRESS X+�(��`�� 2 °O APN LOT TRACT O 0WNER�Ti�1 OI o ADDRESS oCITY ZIP TELCICq_�L/�-�L�� to APPLICANT TEL. CONTRACTOR �sT ns ADDRESS O CITY RRCs? kAj:,-A Z1PqLL20 TEL I -� ALU ARCH/ENG/ M DESIGNER LU ADDRESS � CITY ZIP TEL. rn cr OWNER -BUILDER DECLARATION O O 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I AM EXEMPT FROM THE CONTRACTORS U- W CENSELAW FORTHE FOLLOWING REASON (SEC.7m1.5 BUSINESS AND PROFESSIONS CODEANYCITYOR U COUNTYWHICH REWISrSAPERMATTO CONSTRUCT.ALTER IMPROVE. DEMOUSH,OF1REPAIRANYSTRLr- Z TUBE. PRIOR TO ITS ISSUANCE. ALSO REQUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SIGNED W STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORSU- CENSE LAW (CHAPTER v (COMMENCING WITH SECTION 7000) OF DIVISION 7 OF THE BUSINESS AND PRO• O FE SSIONS CODE) OR THAT HE OR SHE IS EXEMPTTHEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- LA TION. ANY VIOLATION OF SECTION 703 .5 BY ANY APPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO A CIVIL PENALTY OF NOT MORE THAN FIVE HUNDRED DOLLARS (3500).): O OI, AS OWNER OF THE PROPERTY. OR MY EMPLOYEES WITH WAGES AS THEIR SOLE COMPENSATION, z WALL DO THE WORK AND THE STRUCTURE LS NOT INTENDED OR OFFERED FOR SALE (SEC. 7044, BUSI- NESS AND PROFESSIONS CODE: THE CONTRACTORS LICENSE LAW DOES NOT APPLY TO AN OWNER OF PROPERTY WHO BUILDS OR IMPROVES THEREON, AND WHO DOES SUCH WORK HIMSELF OR HERSELF OR Q THROUGH HIS OR HER OWN EMPLOYEES. PROVIDED THAT SUCH IMPROVEMENTS ARE NOT INTENDED OR W OFFERED FOR SALE IF. HOWEVER, THE BUILDING ORIMPROVEMENT ISSOLD WITHIN ONE YEAR OFCOMPLF- TION. THE OWNER -BUILDER WILL HAVE THE BURDEN OF PROVING THAT HE OR SHE DID NOT BUILD OR Z IMPROVE FOR THEPURPoSF. OF SALE). 01, AS OWNEROF THE PROPERTY, AM EXCLUSIVELY CONTRACTING WITH LICENSED CONTRACTORS LLJ TO CONSTRUCT THE PROJECT (SEC. 7044, BUSINESS AND PROFESSIONS CODE. THE CONTRACTORS U- 4.; CENSE LAW DOES NOT APPLY TO AN OWNER OFA PROPERTY WHO BUILDS OR IMPROVES THEREON. AND 7- WHO CCNTRACTS FOR SUCH PROJECTS WITH A CONTRACTOR(S)LICENSED PURSUANT TOTHE CONTRAC- TORS LICENSE LAW.). Y Cr O 1 AM EXEMPT UNDER SEC. B. 8 P.C. FOR THIS REASON O 3-1 W DATE OWNER Z _ Q� LICENSED CONTRACTORS DECLARATION i7CF - [ HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT IAM LICENSED UNDER PROVISIONS OF CHAPTER 0. Y (COMMENCING WITH SECTION 7000) OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CODE, AND �•G MY LICENSE IS IN FULL LFFORCE AND EFFECT. C) LICENSECUSS LIC. NO. U OATS ; _[,.`. CONTRACTOR LIJ W I WORKERS' COMPENSATION DECLARATION C/J 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY ONE OF THE FOLLOWING DECLARATIONS: _ I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENT TO SELF -INSURE FOR WORKERS' 7 COMPENSATION. AS PROVIDED BY SECTION 37M OF THE LABOR CODE, FOR THE PERFORMANCE tc OF THE WORK FOR WHICH THIS PERMIT IS ISSUED. b 11' I HAVE AND WILL MAINTAIN WORKERS' COMPENSATION INSURANCE- AS REOUIRED BY SECTION G 3700 OF THE LABOR CODE. FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT 15 ISSUED. MY WORKERS' COMPENSATION INSURANCE CARRIER AND POLICY NUMBER ARE CARRIER �' 0 POLICY NUMBER fAi Lam` �-L e2 z (THIS SECTION NEED NOT BECOMFLETEDOFTHE PERM tSFORONEH)PDREI)WJAF%S(Slm)ORLESS} W Z 1 CERTIFY THAT IN THE PERFOTMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, I L•J SHALL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO THE U:) WORKERS' COMPENSATION LAWS OF CALIFORNIA. AND AGREE THAT IF I SHOULD BECOME F- SUBJECT TO THE WORKERS' COMPENSATION PROVISIONS OF SECTION 37M OF THE LABOR CODE, I S LL FORTHWITH COMPLY WITH THOSE PROVISIONS. O p7 n DATE ! APPLICANT: W J WARNING: FA011RE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL BE ' L.L SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND COIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS Is tO0,o00), IN ADDITION TO THE COS. OF COMPENSATION. DAMAGES AS PROVIDED FOR IN I SECTION 3700 OF THE LABOR CODE INTEREST. AND ATTORNEYS FEES. Q a- CONSTRUCTION LENDING AGENCY O I HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT THERE IS ACONSTRUCTION LENDING AGENCY FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED (SEC. 3007, CIV. G). LU W = LENDERS NAME -- )- LENDER'SADDRESS Q I CERTIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFORMATION IS CORRECT. W 1 AGREE TO COMPLY WITH ALL CITY AND COUNTY ORDINANCES AND STATE LAWS RELATING TO BUILDING WCONSTRUCTION. AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUNTY TO ENTER UPON THE ZABOVE-MENTIONED PROPERTY FOR INSPECTION PURPOSES 0 caERMIT-rEE NM�ME.(P.BINT) ,, Cj) (n I SIGNATURE -OF PERM_ EE " DATE WHITE—Department Copy. YELLOW—finance COPY. SERVICES Hotline (909) 839 • PRESS FIRMLY APPLICATI N Ca PERMIT P/C Via ` �g I I T I:S DATE NUMBER: ISSUE TYPE OCC DATE IA`I CONST. GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ SIDE/SIDE STREET RW ❑ SIDE ❑ 1, 1(l'TCrntXll�j-leis {IAMhG1e W011- G✓1 PROPOSEDUSEX NO. DWEL. NO. NO. UNITS STORIES BEDROOMS DESCRIPTION SO. FT. FACTOR PSF ADJ. AREA/VALUATION SFR/ADD/REM _ Garage/Carport U) WPatio/Deck LL Pool/Spa Z RaRool Commercial ' m Valuation Y iJlw ADJ.AREA QUANTITY DESCRIPTION FEE Q a. U Q N U W Z m M CL Q Z Q 2 U W ---- +. CONSTRUCTION REVIEW PLAN ELECTRIC PLUMBING MECHANICAL -_ INSPECTION FEE ISSUANCE- SMIP ENERGY PIC ENERGY PERMIT RETENTION FEE: 4:b, - PRE -ALT FEE C��.��' � • OCa TOTAL FEES COMMENTS T(c- ,� 1 RECPT. NO. 1?j,R-44r__� PAID13Y VALIDATION PINK -Assessor Copy, GOLDENROD -File Copy. GREEN -Applicant's Copy 'l ar m n 71 r� D e^ �� 'f v�E" ��i 9i7�3„�1\�� i..3 iii ,h Ih.. .7 .f' -a a-� IA...:3 '{ 1 s SE 1 BACK. I FFGS,''FORiA=r STEEL i iR rt �.7•-.�7]rT _4 7� _`. ..-A+ `� }' �._c.., u—.:�+i�.._.�'`._,..=.,,i4_..i„_ j 'c.J zy�a��T'� F1 -Y iP -_i:.u.�.__._�r...�_.�..+.�,•;.....,._ i FLOOR JOIST I �FHAREQvITS .1.=_.::._. j _i i3' -n y� 7 'NT• ---+fir �_,.—i.-:'�s r— ELECTRIC GP.00ND GROUND FLLRv18IfJGrJfdCER —---------- i UNDER FLOOR DUCT_ j FLOOR CONDUIT — SLfiB GRADE`FIREPLACE TEMP POWER-- T— — j —�-- FOUNDATIONI— FIREPLACE SOND BEAM V✓A,TER SERVICE —_� i l f -11D HT. BOND BEAM ROOF SHEATHING -- —� B FT. BOND BEAM FRAMING/VENTILATION ROOF COVER _—� -- ---- FINAL BOND BEAM PRE GRADING --- ROUGH HEATING---- i 1 —.�-- -------� BENCF�IfJG _ � ROUGH GRA DING -- — --- -- ROUGH ELECTRIC ----------— ROUGH PLUMBING j FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING I ( I POOL FENCING WALL INSULATION I j POOL FINAL CEILING INSULATION CFF SITE IMPS. DRY'AlALL NAILING i DEDICATIONS — SEWER__ _ SEPTICTANK _--_�--- _--- _ — — — — I -- --- FINAL ENG_._ _ LANDSCAPE/IRRIC, — -- — ------- SEEP PITrL.L-------- � f — � ON SITE IMPS.—_— GAS AIR TEST I FINAL ZONING FINAL CONST. I FIRE DEPT. FINAL FINAL HEATING # Aj HEALTH DEPT. FINAL FINAL ELECTRIC UO1 DEV. FEES PAID FINAL PLUMBING ENERGY FINAL PLANING j -- ------ FINAL ENGINEERING I” > _ ' MEMBER COMMENTS ---- I o � -- -- ---- SEPTICTANKSIZE _----------- ---- ---- — -- SEEP PIT/U SIZE — — — -- -- — — • State Farmindividual TRIMLE55 Letters -FABRICATED LOGO SPECIFICATIONS 2012 Red_SF_Iogo_horz_standard—PM S485.eps / RECESSEDDARNGRAY (r?a� �� CIAMO DFFN QtateFOrm15LAM RPl' I (aETi.AfLS AF TRANS RED— ._ ''^11� I,,. i! }.( CAP HEIGHT 1 , ICON HEIGHT Nq ICON Tri -Oval Logo: Red Tri -Oval with Gray inner ovals, 1R' thick Cyro# 2447 White Acrylic face (No Exceptions) with Red Vinyl Arlon# 2500-33 or 3M# 3630-33 on 1st surface - Recessed Inner Ovals and Side Walls painted Special Dark Gray Metallic (PMS# 432U) COPi OVERALL LENGTH varies per Icon and Cap Height 4' deep (4-1/9' overall depth) aluminum REAR•d6Y! LET TER FACES returns .040 painted Special Dark Gray Metallic (PMS# 432U) - .063 Aluminum backs (white inside) exterior painted Special Dark Gray Metallic (PMS# 432U) US LED Right Light Series 3 -Up Red LED Illumination. RLS -3 -12 -RX / (3 LED's per module/ 2 modules per foot) / and PSA -12V -60W (Power Supplies) NO EXCEPTIONS. LED Letters: STATE FARM - Red LED Channel letters in upper and lower case letters, 1/2' thick Cyro# 2447 White Acrylic faces (No Exceptions) with Red Vinyl Arlon# 2500-33 or 3M# 3630-33 on 1st surface. Al E ' � � � Dmli n rtaaLo •r :L?wirt2hfficia"oc i I t%� rJALLN r,� -r r _ i L....,,. rA. _ . y10! TG L.i.r--...;-ORl 's ODE ot, PL.A^iS SH:ALL Tf ,E J01 C2;+!=�TEi7INSoL^T10NS BLDG WALL!CONSIR VALLVARY, BE ION 4' deep (4-1/S'overall depth) Aluminum v f �l / /fig/� returns .040 painted Special Dark Gray „ - ,,� r - Metallic (PMS# 432U) - .063 Aluminum backs (white inside) - R<as eran.isrsserescm ( % exterior painted Special Dark Gray Metallic (PMS# 4320) � � a',N.Lm .ac..�oro.�,,ae«s�e IYP LEITEflSESILQN y SECTION A-A� US LED Right Light Series 3 -Up Red LED Illumination. RLS -3 -12 -RX / TRI -OVAL LOGO SECTION VIEW SAMPLE Not to Scale (3 LED's per module/ 2 modules per foot) and PSA -12V -60W (Power Supplies) NO EXCEPTIONS. NOTE: MUST be UL Approved and LabeledSir Aov.. ...� '.i'� All assembly and electncalLcomponents to, WL L..listed and labeled. QTHIS IMAGE IS A COPYRIGHTED WORK. USE OF THE IMAGE FOR ANY OTHERE PROJECT IS:AN'•UNAUTHOR(ZED USE OF NEW SIGNS AND PRINTING INC. JOB LOcATION48902 Garvey Ave., Rosemead, CA 91770 _Tel: 626-571-9288 Fax:'626-571-9286 1200 S. Diamond Bar BI. #212, Diamond Bar, CA 91765 www.NewSignsPrinting.com CITY OF DIAMOND BAR Planning Division Plan Check Approval Case/file number: Date: _1441C-1-Ia Apni--;ve^ L)v: With Cr)i-CV ; as,Lisped 1 This -p. \/ 1 e� i,r ov�' �� f,r:_ 1 y ai-_- y) 2. No ot�er appru 2i is imn 3. This a � I'Pd by ,ha one. 4. Shall omo lal is valid for —I— year(s). Engine p y �^ ith Planning Zoning, 9 ering, and Bldg g Safety requirements. The construction documents and/or subsequent development ftjl submitted i Int c compliance with the archil t wry _ be in (PlanningFolk, tial Hearin Commissio anning Divisithe 9 Officer/City C ministrative Division, as modified pursuant to the condit o with e Planning e, eafter maintained in conformancewith noted, and such approval. CITY OF DIAMOND BAR PLANS A,'10 DETAILS ARE AP E0 F -a BY_ 4301 v C14Li� ita 11 N Z M — 3/4" thk black 11 ue u Cull 113" 199" NOISE THEAPPRO\,AL CONSTRUED TO + ry. rylic)lette'rs"ODE Go. ='rig" ' ''`"" THESE PLAN° SE UB cro~i Q7,t,)!,ESTtLgF,_0ECTiONS Li q.?�—� Sign Area: 497sT.ft. THIS IMAGE IS A COPYRIGHTED WORK. USE OF THE IMAGE FOR ANY OTHERE PROJECT IS AN UNAUTHORIZED USE OF NEW SIGNS AND PRINTING INC. Gfos'APPROVED 48902 Garvey Ave., Rosemead, CA 91770 _Tel: 626-571-9288 Fax: 626-571-9286 1200 S. Diamond Bar BI. #212, Diamond Bar, CA 91765 -www.NewSignsPrinting.com