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HomeMy WebLinkAbout12349 CITY OF DIAMOND BAR �F� � -- DEPARTMENT OF COMMUTTITY&DEVELOPMENT SERVICES � , 21660 E.Caplcy Drive Suite I90 (909)860-3195 Fa�c(909)861-3117 PRESS ���""�� BUII.DING I'ERMTP APPLICATIUN FIRMLY � JOBSITE APPLICATION PERMIT )�f2I1A P/C o ADORESS 2�2�t-b �A,U r c.EQ D Q_ pp� f O—S—`►�& NUMBER� # g ISSUE c� TYPE OCC APN LOT TRACT DATE � "S "' ( IQ CONST. GROUP p OWNER P t.l L j� �< <'t�Al�1 c� p ADDRESS �� z2(�_� (,T[.L�Q EJJR . ZONING SETBACKS � CITY bl A i-t o 1J C j�H_4 ZIP i./�� TEL. S'4 0-$3 I l FRONT qyy ❑ APPLICAN7 RA4L /���v ro TEL. '� REAR �j n o �nnn ❑ � SIDFJSIDE STREET W ❑ CONTRACTOR SIDE p � ADDRESS PROPOSED USE F= � CITV ZIP TEL � ARCH/ENG/ _, �� DESIGNER �i NO.DWEL NO. NO. a ADDRESS � CITY Z�P Td. IJNITS STORIES BEDROOMS � cn OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANAUJATION � ONMER-BUILDER DECURATION SFR/ADD/REM p I HEpEBV AFFtW UNDER PENAIiV OF GERIURY TNAT 1 M/E%EMPi FROM THE CONfMCTOR6 LI- GafegB/C9ryOR lL CENSEUWWRTf�FOLLOWINOREA50N(SEC.7IXi1.6&131NESSANOVflOFESSIONSCODE:MlYqiYOq (J� Cy COUNTYWINCMIIEd1WE9APERWTTOCONSTHULT,ALTEN,WPfqVE,OEMOLISH,OqREMIRANY5IAUF W Patio/�eck � TUNE.iRIDR TO ITS ISSUANCE,AL50 REOUIRES iHE MPLICMii FOR SUCI1 PERMIT TO FILE A SIGNED W � STAiEMEHt 7HIR HE OR SHE IS UCENSED PURSUANT TO THE PiqVISIONS OF THE CONTMCTOfiS U- � � CEN3E UW{CHAPTER v(CpAMENCWO YMTM SECTION 7ao0)OF DMSIWI3 OF iHE BUSMESS I�MJ PRO• POOU FESSIONSCOOE�OR7MATHEORSMEISEXEMPT7HEHEFROMAND7HEBASISFOH7HEALLEOEDEXENP- (� TION.MIYVIOLI1TqNOFSECT10N7W1.6BY11M'APPLIGNTFOq�PERA1R5l�JECTSTHEAPPLICl1NT70 R�Raof � Af7VILPEWLLTYOFNOTAIOHETMMIFlVEMINDRED00LUR5(i6oa).): � ❑L/SOqNEROFTHEPFWPEHIT,OHMYENPLOYEESWIiHWAGESASTHE1N30LECOAAPENSATION, Q COmfIIBlCI81 - YIRI.OD 7HE WdIK,AIK1 THE STiM1CTl1RE IS NOT IMENDED OR OFFERE�FOR 9ALE(SEC.7a4,BU51• J � I�SS ANO VNOFESSIONS CODE:7HE fbNTMC70R5 LICENSE UW DOES NOT APPLV TO AN OWNEN Of PpOPEpf'/YNlDBURD90RMPHOVE&7HEflEIXyANDWHODOESSUdiNpRKHIM3ELFORNER4ELFOq � Q TN11d10MM50RHEqOWME4PLOVEfS,VIqVIDED7HIlT5UtHH.�PROVEMENiSAFENOTMTENOEDOR m Q .OFfEREDibHSKEG,HON�€VERiHE8U0.DWOORMPROVEYBiTI550LOWI7MINONEYEAROFCOMPLE . � 71DN.l1fE dWNEN�&10.DER WILL HAVE 7HE BURDEN OF PROVIN6 TNAT HE OR SNE DID NOT BUILD OR IMPfiOYE FOR iNE PUHPOSE OF SALE). W ❑I,A90MMEROFTHEPFqPERTY,MIIXCLUSNELYCOHfR�CT1NON7MlJCENSEDCONfAACTOR3 � TO CONSTRUGT THE PROJECT(SEG.7oM,BUSINE55 MA PROFESSIONS CODE THE CONfMCTORS U• V9WBtid1 ADJ.AREA W CENSEUWDOESNOTMVLViOMIOwNEqOFAPROPERTVN010BUX.DSORWPHOVEST1EREON,AND � rnaconrn�crs�sua�Paa[crsvwrm�carrn�croR(s)��nseowRsuNrrrorneconrrrua QUANTITY DESCRIPTION FEE � ron`s u�c�aE uw.�. EI�o�ar�roER sec. e.a r.a Foa trire a�soN Q 3 �` �-' LL DATE I����/ � OMMER V . . � W UCENSED CONTRACTORS DECLARATION W � I NEREBY IIFFlRM UNDER PENPLTY OF PElLIUliY 7HAT I Nd LICENSEO UNDER PPOYISIDNS OF CXAPTEfl � . p, a(COAl1ABlCNIO WIT11 SECTIOH 7000)OF DM810N 90F 7HE BUSMES3 AND Pi�FES310NS CODE,AND Z X MY LIf.ENSE IS Mi Fl!LL FORCE AND EFFECT. m LLl � tJCENSE d.ASS IIC.N0. j V pA1E CONTRACTOR � W � WORKERS'COMPENSATION DECLARATION � N1 NER�Y�FFIRM UNDEP VENKtt OF FEft1URY ONE OF THE FOLLAwING DECUMTqNS: Z O _INAVEMqWIlLM/1MLWACENT�FlGTEOFCONSENTTOSELF-INSUPEPoRWORKERS' _ � COMPENSATION.ASPHOVID�BY�CTKW37wOfT1EUBORCODE,FORMEPERFORMANCE �U OF i11E WOpK FOR YVHICH 1HI5 PERMIT IS ISSUED. � O W _IlU1VEANDWILLMMiTAMWdiKERSCOMPEKSMIONINSUMNCE,�SREWIREDBYSECTION ,f Q s7000FTHELA80RWOE,fORTIEOEPWReiANCEOFTHEWORKWHWHICfi7HI5PEi»ARIS /_f D� ISSUm.MY WORKERS CONPEN5AT10N MJSURANCE CARRIER ANO POUCV DHIMBER 0.RE: CANSTRUCTION ('��r yc,�,�Ea PLAN REVIEW y raxrt�BEA EIECTRIC 6 (nassEcnoNr�NoreemtiaFr�oFn�aEaMrx�oaon�M�rna�oauasRia�a��ss� PLUMBING G Z I CERTIFV TH�T N THE PERFOPoANiCE OF THE WOPoC iOR WMICN TNIS PERMR IS ISSUE0,1 MECHANICAL �j SHALLNOT EMPl.OY ANV DERSON IN ANY MANNER 50 AS TO BECAME SU&IECT TO THE � YYORKERS'COMPENSATpNUM50FCAL�FONNIhANDAGREETHATIFISfKKILDBECOME INSPECTIONFEE S SVBJECT TO THE WOtil(E115 Cd.17ENSATqN PROVISIONS OF SECTIDN 97000G THE L4BOR cao�.�sw�uwrrnn�nnicoM�rwin�r�asEvrrohsior+s. ISSUANCE � �� ppp1E: AppLICAN7: SMIP r S� WWAFgiIH6:FAILURET09EWREWORKERSCOMPENSAT1INiCOVEMGEiSUNUWiUI,ANOSMALIBE ENER�YP/C �y SI�JECTMIEM�OVERTOCRMIMALPENALTIFSANDCMLFWESUPTOONEMJNDREDTFiWSRND ENERGYPERMIT OOLLARS(i100,000�,M!AODIiION TO iHE COSTOF WMPENSATqN,D�AtSGES AS PROYIDED FOR IN � SECT10N370YOFiHELABORCODE,WTENEST,MDATTORNEY'SFEES. RETENTIONFEE: nW. CONSTRUCTION�ENDING AGENCY PRE-ALT FEE: O � IHEREHYAFFIHIAUNDEflPENN.iYOFPERJURYTHATTMEREISACOMSTRUCTIONLENDINfiAGENCY Z FOR'IHE PER WRMIINCE OF 7HE WORK WH WHH%I IHIS PEI7MIT IS ISSUED(SEC.3087,qV.C.). W � LENDERS HMAE f— LENOER5M10RE55 � I CE1iTIFV THAT I HAVE REI1D THIS APPLICATION M10 ST�TE THATT7E ABOVE INFORMATION IS OJRRECL TOTAL FEES � �/J1 W I NiHEE TO COMPLY WITH ALL GTY AND COUNTY OHDINANCESANO STATE UWS REU71N0 TO BULDING / / � CONSTRUCTION,AND HEREBYAUTHORIZE REPF�SEMATNES OF 7HI5 CIXlNTY TO ENTER UPON THE 1 / zABOVE-MEMIONED PROGERTY FOH INSPECTION PURPOSES. COMMENTS � �/ � � (� A Gt� `L�L_ S C E'/V C /C7 m PERMRTE'E NAME(PRRl�7 a �.� D /1,C6�-�.: l O�.� 9� � y 910�T�iE OF E� OATE � RECPT.N0. PPJD BY VALIDAT70N . VJHITE—Oepertment Copy,VELLOW—Finence Copy,PINK—Assesaar Copy,GOLDENROD—File Copy,GREEN—Applitxnt'a Copy ,: � . - . ,, : ,. , . . �:.,., .. ._ . . ,.. ,,,,, , , .. . , � �►�iTY OF DIAMONd E3AR i'NSPECTIUN RECORD � � � a w ' ■ • * , � e • � SET BACK • FLOOR JOIST FTGSIFORMStSTEEL FHA REQMTS ELECTRIC GROUNd r ,..,, �,�� UNDER FIOOR DUCT GROUND PLUM8ING � � �` � � UNDER FLOOR CUi�IDUiT SLAB GRADE FIREPLACE F4UNDATiON - •- ' � TEMP POWER � FIREpLACE BOND BEAM ' ' WATER SERVICE MID HT.BOND BEAM RQOF SHE��HING • • - - 8 F?.BOND SEAM FRAMINC-i%VENfiiLfATlO(d ' FINA�BOND BEAM ROOF COVER PRE-GRADING RCJUGH HEATiNG BENCHING ROt7GH ELECTRIC ROUGH GRADING RdUGN PLUMBING FINISH GRADING SHOWEFUTUB TEST PqOL ELECTRIC EXT LATHISIDING PQOL FENCING WAI.L INSUUITION POOL FINA� CE{LING INSULATIC�N OFF SITE tMPS. DRYWAL.L NAILING DEDiCATiONS SEWER FINAL ENG. SEPTlC TANK �ANdSCAPE/iRRIG. SEEP PITJ�.I.. " ' '\ ' ON SITE IMPS. GA8 AIR TEST F{NAL ZONfNG FfNA�CONST. FiRE DEPT.FIlUAL f*,. FINAL HEA7ING ' HEALTH DEPT F4NAL FiNAE�E�ECTRiC � DEV. FEES PAID FIM1IAL PLUMBING - ENERGY � _ - r • COMh�ENTS SEPTIC TANK S1ZE S'EEP PIT/U SIZE � '� �I I� I' � II , �� �2 c� ��-z..c� . .• � COUNTY dF LOS ANGII,ES DEP?,RTMENT OF COUNIY ENGINEER-FACILITIES DIVISION OF BUILDING AND SAFET'Y � �� STATEi�NT TO BE SIGNID BY OWNER PRIOR TQ ISSUAI3CS OF SWIrII�iING YOOL PERMIT Water drained from swimming pools must not encroach on abutting property. The following are 1ega1 methods of s*�it�ing pocl waste water disposal: 1, To a sanitary sewer thraugh a 3" P�trap legally installed under permit from the Building and Safety Division of the County of Los Angeles. This applies anly to progerty which is connected to a public sewer. Swim�ing pool waste water shall not dis- charge to a private sewage disposal system. 2. To a storm sewer or established storm channel mhfch abuts the property if permission can be obtained from the Caunty Flood Control District. The general information te2ephone number there is (213) 226-4111. 3. To the street if a permit is first obtained from the County Raad � Department (213) 226-8188. 4. On the property if the property is l.arge enough t� insure that runoff will not encroach on abutting property. 5. In the case where none of the above can be accomplished, the pool contents must be removed by tank truck. This-is to certify that I have read and understand the foregoing and agree "fo pass this information sheet on to the next subsequent awner. ' 7 f���py x , Ownerts •Signature Date Subsequent Owner�s Signature Date Subsequent Owner's Signature Date Subsequent Owner's Signature Date EEW:uan 53 Form G - Two copies required. Owner retains ane.