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HomeMy WebLinkAbout12-812 ___�,�_ CITY OF DIAMOND BAR � �/�—�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS ��''^'. BUILDING PERMIT APPLICATION FIRMLY � JOBSITE 'i ¢ ADDRESS�� A f'f�N'� ���✓"e- APPUCAI��f�J 7(_ ' � PERMIT '�-�'�j P/C p DATE �� �'�E� NUMBER q � APN LOT TRACT DA EE �( �� I� ONST.��vGROUP p OWNER C_ v � ADDRESS � P� ZONING SETBACKS 0 FRONT z CITY r►�n,�C�+ ZIP TEL�fU7 ZS}LS�I RW ❑ • � APPLICANT TEL REAR � QSIDE/SIDE STREET RW O � CONTRACT R �L��� �'F'✓�1-C SIDE p ADDRES � CITY d -1L ZIP TEL�(�i0�i/2,� PROPOSED USE oARCWENG/ z DESIGNER w NO.DWEL. NO. NO. a ADDRESS cn UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION � SFR/ADD/REM O p I HEREBV AFFlRM UNDER PENALTY OF PERIURV THAT I AM E%EMPT FROM THE CONTRACTORS LY Gerage/CarpoA W CENSEUWFORTHEFOLLOWIN(iREA50N(SEC.7031.6BUSINESSANDPROFESS1bN5CODEANYCfTYOR (n C� COUNNWHIGiREWIRESAPERAUTTOCONSTRUCT,ALTER,IMPROVE,DEMOLISH;ORREGAIAANYSTRUG W P8fI0/DBCI( < TURE.P(iIOR TO'RS ISSUANCE,ALSO REpU1RE5 THE APPLIGWT FOR SUCH PERMR TO FlLE A SIONED w � STATEYENT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIDNS�OF THE CONTMCTORS lF _ . � CENSE UW(qUPTER Y(COMMENpNO WfTH SECTqN 7000)OF DMSION 3 OF THE BUSINESS ANO PRO- � POOUSpB � . � FE&:iONSO00t�ORTMATHEORSHEISEXEMPT7HEREFROMANDTHEBA515FORTHEALLEOEDE%EMP- (� TqN.ANYVIOLATqNOF5ECT10N7071.6BYANYMVLICNfTf-0qAPERMITSUBJECTSTiEAPPLICANTTO Z Re-Roof � A CML PEN�LiY OF NpT 410flE 7HAN FNE HUNORED DOLLARS({500).): Z ❑I,ASOWNEROFTHEPROPERTV,ORMVE1dPLOVEESWITHWAGESASTHEIRSOLECOMPEN5A710N, � 0 COrt1f11BfC131� �- N7lL DO THE WORK,AND THE STRUCTURE t9 NOT INTENDED.OIi OFFERED FOR SALE(SEC.7041,BUSL �J � NESS AND PROFESSIONS COUE THE CONTRACTORS UCENSE UW DOES NOT APPLY TO AN.OWNER OF ? PROPEHfY WFiO BURD$OR IMPROVES THEREON,AND WHO DOES SUCH NVqK HIMSELF OR HERSELF OR W THAOUGH HIS OR HER ONM EMGLOYEES,PROVIDED THAT SUGI IMPROVEMEFJ7S ARE NOT PlTENDED OR m � OFFEAmFORSALEIF.HOWEVEf�THE8U1LD91(iORWPROVEAIENTISSp�pWfJMNONEVEAROFCOMVLE- Z TION..THE ON7JER-BUIIDER WILL HAVE h7E BURDEN OF PROVIN�TWV HE OR SHE DID NOT BUIID OR . � OAPROVE FOR THE PURP0.SE OF SALE} � � � �y,� ❑4�OWNEROF7HEPROPEHfV.AMIXCLUSNELYCON7RACTIN(iWfTHLICENSEDCONTRACTOpS CC T�CONSTRUCT THE P1IQIECT(SEC.7oN,BUSWESS AND PROFESSlONS�DE:TiE CONTRACTORS-II- V01Ufl110f1 ADJ.AREA � W COJSE UW DOES NOTAPVLV TOAN OWNER OFA PROPERTV WHO BURDS OR IMPROVES THEAC-0N,ANp � � WMDCOMRACTSf-0R9UpiPROJECfSWITHACONTRACTOR(S)IICENSEDPURSUPMTOTHECONTRAC- Q�fA�� DESCRIPTION TOHS UCENSE LAW.�. �E . � ❑1 A►1 E%EMPT UNDEH SEC. . �B.8 P.C.FOR THIS REASON � U LL DATE � OWNER f- z U � LICENSED CONTRACTORS DECLARATION W � � � - � 1 HEREBV AFFIRA/UNDER PENALTY OF PERIURY THAT I AM�LICENSED UNDER PROVISlON9 OF CFNPTER � - � � � D(COMMENCIN6 WITH SECTION 7000)OF DMSION J OF THE BUSINESS AND PROFESSIONS CODE,AND Z ' X� L1Y IICEN9E IS Pl FULL FORCE AND EFFEC7. � UCENSE CIASS C� WC.NO., ��� � � �- . V DATE ��""Z�^�� CONiRAbTOR d .. _ u� � WORKEfiS'COMPENSATION DECLARAIION U � UD� � I HER�YAFFIRII UNDEA PENALTV Of PERIURY ONE OF TiE FbLLOW WG DECURATqNS: Z UdO r / y'� � _I HAVE AND WILL MAINTAIN A CERTIFICATE OF CANSENT 70 SE�F-INSURE FOR NqRKEqS' s1 �� �� �,L ' COMPENSATION.AS CROVIDED BY SECiION 37000F 71/E LABOR ODpE,FOR THE PERFOqAIANCE V� �� OF THE WORK FOR NM17ICH THIS PERMIT IS ISSUED. � � Q �I HAVE AND WILL MAINTAW WOqI(Eqg'COMPENSATION INSURANCE;A4 pEpU1pED BV SECTqN 37oD OF�7HE UBOR�CODE,FOR THE PERFORMANCE OF THE WOPo(FOR WHICH THIS PEHM171S � ISSUED.MY WpRKFj75'�ENSATION INSURANCE CAARIER'MID POIICY tJUMBER�ARE �CONSTRUCTION� j �a� PLAN pEVIEW Z� ���-��ER � ELECTRIC ¢ 0 (i*ossEcr�r�wieEao�r�avn+eagutirsFoaa+er�irot�000u.v�sls+oo)a��ssl PLUMBING ' . w Z 1 CERTIFY.THAT W h1E PERFORMANCE OF THE Wpql(FpR WHICH T}IIS PERMIT IS ISSUED,I �MECHANICAL C7 SHALL NOT EMPLOY ANY PERSON W ANY MpNNER SO A9 TO BECOME'SU&IEC7 TO THE' �� ' � (/� WORKERS'COMPENSATION IAWS OF G�LIFORN11 AND AGREE THAT IF I SHOULD BECOME INSPEC710N FEE ' S SUBJECTTOTHEWOFlKERSCOMPENSATIONPRO SIONSOFSECT �7000 TH LABOR � � cooE.�s�w.i wRrrrv�ni coMair Nnn� ov�s�s. ISSUANCE � O C_�.��J/._!rJ � p DATE:�[J_G�L_APP��CnNi: ,��, .SMIP W � WARNINO:�FAILURETOSEWREWOFII(ERSCOMPENSATIONCOVERAQEISUMLAWFUL,ANDSHALLBE ENERGY�P/C � �y SUBJEC�ANEMPLOYERTOCRIMWALGENALTIESANDCMLFlNESUPTOONEHUNDREDTFqUSAND ENER6YPERMIT ��g(5100,000),W ADDITION TO THE COST OF COMPENSA710N,DAMAOES AS PROVIDED FOR IN J SECTqN 370E OF 7HE LABOR COOE,NfTEREST,AND ATTORNEY'S FEES. � � •�` w RETEtJTION FEE: O . CONSTFiUCTION IENDING AGENC`( � PRE-ALT FEE: � 1 HEREBY AFFIRM UNDER PENALTV OF PERIURV THAT THERE IS ACONSTRUCTION LENDWO AOENCY �z� FOR THE PERFORMANCE OF THE wORK FOR NM1i1CH 7HI3 FERMR IS ISSUED(SEC:7oW,qV.G). W �� LENDERSNAME .. . . . F- LENDER'SADDRE55 ' � n✓� � �ICERTIFYTiA71HAVEREADTHIyAPp�ICAT10NµDSTATE�TUTTHEABOVEWFOi1AlAT10N19CORRECT. TOTAL FEES C�L.�� w 1 A6REE TO COMRY H7T1 ALL C7TY AND COIRfTV ORDINANCES AND STATE UWS qELATINO TO BU0.DIN0 `� V Z� CONSTRUCTION,AMD HEREBV AUfHORRE REPRESENTATIVES OF T}QS COUNTV 70 ENTEH UPON TiE ABOVEM NED PROPERTY FOR INSPECTION PURPOSES. o �� 1 � \ �� COMMENTS ' J �i� � PE E(pRWT) � �� . � � OF CERAtl7TEE WTE � � RECPT.NO. PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessor Capy,GOLDENROD--Ffle Copy,pREEN—AppllcanYs Copy - CITY 4F DIAMCDi�D BAR INSPECTION R�CORD , , _ . _. , , . . . , . . �. � , . - , . ,- � _s -_ o ? � p, � ` ,.. � @ ' � „+ B ' _ -, � s :: , c. . .. , SET BACK �LOOR JOfST � � �� —-- ___ -- -- ------ --- FTGS/FORMS/STEEL I fHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE I�ID HT.BOND BEAM ROOF SHEATHING 8 FT.BOND BEAM FRAMING/VENTILATIOId FIldAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BEN�HING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER!fU6 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/I RRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT.FINAL FINAL HEATING HEALTH DEPT.FINAL FINAL ELECTRI� DEV.FEES PAID FINAL PLUMBING ENERGY FINAL PLAtdING FINAL ENGINEERING • d p COMMENTS � SEPTICTANKSIZE SEEP PIT/U SIZE ��` � �;� - s _ - �;�,_ �