The URL can be used to link to this page

Home My WebLink About12-1454 (6)' � CTTY OT DIAMOND BAR -�""-�F?j DEPARTMENT OF COMMUNI'I'Y&DEVELOPMENT SERVICES � 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS ��""'. BUQ,DING PERNQT APPLICATION FIRMLY } JOBSITE l��-y i1��n��p a ��c APPLICATION pO Z � PERMIT �7 C/��G p/C o ADDRESS 1 / �� /C ��lJ �� DATE r / NUMBER�G-/`- ( # `r APN LOT TRACT ISSUE O TYPE � DATE 2� I Z CONST.��+�—/ �C p OWNEFi �yYC-G�..Le�OUP o ADDRESS ZONING SETBACKS z CITY ZIP TEL. FRONT RW ❑ o APPLICANT TEL REAR 0 z SIDE/SIDE STREET pyy p m CONTRACTOR KJ� C'�O�G7Z SIDE � ADDRE S V /l"S� � � CITY EM.�1�lTIE 21P �I_o��TFI L/�l�!/4 - PROPOSED USE wARCH/ENG/ � — -r--`^r� �---- "�o�� z DESIGNER c1r//K� � a ADDRESS NO.DWEL. NO. NO. � C�TY ZIP TEL ` UNffS STORIES BEDROOMS '� DESCRIPTION S�.Ff. FACTOR PSF ADJ.AREANALUATION OWNER-BUIIDER DECUIRATION p SFR/ADD/REM p I HEREBY AFFlPo.1 UNOER VENK7Y Of PERAIRY THAT I AM EJ(EM7T FROM THE COMTMCTOiI,�L4 Gerage%CarpoA. W CENSEUWFORTVIEFOILOWMaREA90N(SEC.7o71.SBU51NE55ANUFROFE5SqN5CODEANYCfTYOR (n � V COUNT`lNMICFIREWIRESAVERMITTOCONSTRUCT,ALTER�PROVE,�EAqUSH;ONREPAIRANYSTRUG W patio/Deck w TURE.PRIOR TO RS ISSUANCE,ALSO REOUIRES iHE APPLIG!(f Wp SUdi PERMIT TO FlLE A SIOHED W . � STATEMENT THA'f HE Ofl SHE IS LICENSED PUHSUANT TO 7HE VROVISIONS OF THE CONfRACTORB LL CENSE UW(U1AP7ER v(COMMENCWO N77H SECiION)000)Of DIVISION�Of iHE BUSWESS MA Pq0 � PooVSpa � FESSIONS COO�ORTHATHE OR SHE IS EXEMPf THEREFROMAND iHE BA515 FOR iHEALLEOED E%EMP- C7 V TqN.ANY V10LATION OF SECTION 7071.3 8Y ANY APFLICA�lT FOR A PERMIT SUBIECTS iHE ACVIICANT T0 Z Ro-Roof A CML PENALTV OF NOT MORE THAN FNE MJNDRED OOl1MS�l500).): � ❑I,ASOWNEROFTHEPROPERTY,OqMYEMPLOYEE9WfiHWAGESASTHEIR50lECOMPENSATION, � Commercial Z WILL DO THE WORK�ND THE STRUCTURE IS NOT IMENDED.Oq OFFERED FOR 9ALE(SEC.7oai,BU51• J ' � � NE55 AND PROFESSIONS CODE:THE COf7TRACTORS IICENSE�UW DOES HOTAVPLY 70 AN OyMEp OF � . . VROPEHfY NTIO BURDS OR IM7ROVE5 iHEAE01{AH�WHO DOES SUqi WORI(HIMSELF OR HERSELF OR Q THHOUGH HIS OR HER OWN EMVLOVEES,VROVIOED THAT SUCN MPROVEAIENTSARE NOT pRENOED OR m Q OFFEREDRJRSKEIF,HOWEVER�BUIIDWOORIM7ROVEMEMISSOLDWR1iINUNEYEAROFCOMPLE Z TION.7HE OWNEH-BUILDER WIl1 HAVE TNE 9UROEN OF PROVMG THAT HE OR SHE DIO NOT BURD OR , � W PROVE FOR THE PURPOSE OF SAL�: ' � � - W O I,A9 ONMER OF 7HE PqOPEiiT1;AM EXCLUSNELY CANTRJICTPl�NTTH LICENSED COHfi1AG70R5 Q TO CONSfRUCT TME PRQIECT(SEC.7a��,BUSINE55 AHD PROFESSIONS CODE:THE COHTMCTOR9 LI- V01U0lIOl1 ADJ.AREA � W �CENSEUWDOESNOTMPLYTOANOV,MEqOFAFROPERTYWFi09UILD50HU1PROVEBTHEREON,AND = W/iOCONTMCT5FOR5UCHPROJEG?SN7i1fACOH�MCfOR )UCENSEU�URBUAHfTOTHECW1fRAG FEE � �' roas ucer+se uw.�. �UANTITY DESCRIPTION Y � O I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q � U � DATE � Ol1MER F- /� -- `�" �. �¢ LICENSED CONTRACTORS DECLARATION � � � il [C W I HEREBY AFFlRAI UNDER PENALTY OF PERNRY 7HAT IMI LICENSED UNDER PROV1310H5 OF CFWPiER � � I � Y(COMMENCMO WITH SECTION 7000)OF OMSqN]OF TNE BUSINE53 AHD PROFESSION$CODE,AND Z �� T�� MY LICENSE 4S M FULL FORCE AND EFFECT, w /� K m �/. � UCENSE CLASS L7 �IC.NO. �l � � � V OATE� CONTMCTOR d I W ' � WORKERS'COMPENSATION DECLARATION ¢ I N 1 HER BYAFiIRM UNDER PENALTY OF VERNRY ONE OF THE FOIIAWING DECLMATqNS: U � � �� I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSENlTO SEIFINSURE FOR WORI(Ep5 , Q COMPENSAT%7N,hS PROVIp�BY SECTION 77o00F THE UBOR COO�FOq iHE PERFORMANCE U OF THE MIORK FOR NMICH THIS PERMIT IS ISSUED. � - � � I w _1 HAVEANU WILL MNINTAIN WORKERS'COMPENSATION INSUMNC�AS REWIRED BV SECTION O 770o OF THE LPBOR CODE.FOR THE CERPDFMM7CEDF THE WORK FOR WHIOi iHIS PERMR IS /� / �^�� I ISSUED.MY(W1..O��RKdEliS CyOAAPE/NS�ATION MSURANC�E C,CM�R/IER AND PO�IJICY.NUMBE]R�ME: CONSTRUCTION ) � ( � j CARRIER V//TTe�Gl (�OJ�'�p 1Np�/� �(li{I`y.7 PLANREVIEW � Z POLICV NUA/BEH /�� '� D O OZ R� ELECTRIC � C��p• 3 3 Q - p (�+°sEcrioHr�rroTaEoc�T�oFn+Ea�ar.��sa�aonEM�ro��oawaRimla+�ss1 PLUMBING (,,, (�C) w /� Z 1 CEHiIFY TUT M THE PERFOHMANCE Oi THE WOPo(FOR WHldi TFIIS PEPoAT IS lSSUED,I MECHANICAL h"7 I 1 U' SHALL NOT EMPLOY ANY PERSON W ANY MANNER 50 AS TO BECOME SUBJECf TO T1E � v � VARKERS'CAMPENSA710NlAVf50FCAUWqN1�ANDAGREETHA71FI5HOUlDBECOME INSPECTIONFEE � SUBIECT TO THE WOHKERS COMFENSATION FROVISIONS OF SECTION a7a0 OF THE LABOR - � cooe,�s�uLL warrrmni cour�r win�� 'j SE VROVISIONS. ISSUANCE , O � oare:!� � �F�,�L� �ip��- `p APPtIcnMC c_� . . . �SMIP �O -'� WA/iNINO:FA E TO SECURE WURKERS'COMPENSATION COVERAGE IS UNUWFUI,AHD.SIULL BE ENERGY�P/C ' J � SUBJECTAN EMPIOYER TO CHIMINQ oENALTIES AND CML FlNES UP 70 ONE HUNORED THOUSAND ENERGY PERMIT DOLURS(Stao,000J,W ADDIiION TO THE COS'f OF COMPEHSA710N.OAMAdES AS PHOVIDED FOR IM J SECTION 37oE OF 7HE LABOR CODE INfEREST,AND ATTORNEYS FEES. � W RETENTION FEE: O CONSTRUCTION LEND NG AGENCY P�iE L[�lT FEje:. � 1 HER�Y AFFlRM UNDER PENALTY OF PEFUURY THAT TH E 19 A CONSTRUCTION LENDRlO AOEHCY ,�/P 1�� . (� � Z FOR TNE PERFORMANCE OGTHE WORK FOR WH1CH THI PERMR IS ISSUED(SEG 3oG7,qK C.j, � � W � LENDERS NAME . . . F- LENDER'SADDRE55 � � TOTAL FEES �2j�, W I CEMIFY THAT I HAVE READ THIS MFLICATION D 9TA7E iHAT 7HE ABOVE PIFORlAAT%7N IS COIiAECT. � IAOREETOCOMV�YVATHALLCRVANO � OROWANCESMIDSTA7EUWSRELATWOTOBU0.dN0 .� CONSTAUCTION,AND HEREBV AUfHOR12E ilEPfiESENTATNES OF T/115 COUNfVTO EHfER UPON THE Z A80VE-MEHTIONED PROPER7Y FOq INSPECfION OURPOSES. COMMENTS o K �� J � ¢ PEHMi77EE N�E( � � . � /U o�5��a2i uj SIONAN PE ATE � RECPT.NO. PAID BY VALIDATION � YVHI7E-0epaAment Copy,YELLOW—Flnence Copy,PINK=Auessor Copy,Gp�pENROD--Fila Copy,GREEN—AppllpnPs Copy �I_,� o�ar i.�u �_�i�'\1',t�-.��..,�_,� .^�>�1;i"�. . ��\�,�j��.3,.�,i'„�n ii':",..3;i=. .�...� ✓ ..a 6�`i��..: . iji .�_ � �.�� ! Ilyi..�r ��.a �� -e. ��rt�,`t � ��t Tj� � � : �17k Ily 1Ff fJ -��- '� :�) i�� j a rt1 �r� � � ltt,:.. ;;.: ".��.. F. . .I . t �l I 1 �� j 4 1 �-Y� .1 ` I 1y , � .,l 1� .� �, L � ��$�. . . .. � �. 1 �. 1 t �_ t i . . ._.:�. . .,_.._:,. _.__.,:.�.._.�.__'�� _.._.�.,� > . . - ,._ ._... ....-..,_....y..,_.....�_ .._._s....._.0 _..._.,." "'_',. ___„""__ " ._._._�.�_._,:.:�_._�.__..._ . �."'.. SET[�P,�I< I I ;F��10R IOIST I _ .. _ ... i . . , _. _ _. � . _.. _ . -�--------- FT��/�(1Ri'�A��T;�L i ; ;FHA RFOwITS --.._. . . _ _ _ _ ... _ _ -___. . ___ _.. _ ___ _ .. _. ___.._ .. , .. . ELECTRI[r^nUtJD ' � � ; l I��pEF�I.00r OIICT -- -- -- - — -;._. . __...__----------------- .__.._ -' �--_-------------------...--- � �--------- ---- (��RC)UI�D PiJ.!i��iPlf•!G I ; .Ut�C�=R FLGOR CO�lDUIT SLAB GRA[_i,_----------...-----' - --------------� I-_----------------�---------' T _ � ;FI�;�PIAC.E FOU1aDATIOM � -----�--- ._._....--- ---------------- — I ENiP PU4l�ER - �--�-----_-.------- -- -I '.FIRE°LACE BOPID BEANI--_- ------- ��IATER SERVICE I !_'v11D HT.BO�ID EEAM __ _ I ROOF SHEATHIfJG 1 ;3 FT.BOi�O BEAM -- FRAMI�lG/VENTILATfON i FIPdAL BOND BEAM _.__......__.----_----------..__---I---------- -- ----.._....------------ --------- - ROOF COV[R ;PRE-GRADING ----------------- -- -----._...--------... -.._._ - -----I--...._----- ----_.._..___-....._._. , _..--------- --------.. ROUGH HEATING �F,EfJCN!NG ....__------ ---------._.------------------ ----------------------------- �-----.�___...---------.-----.._- -------__- -- ROUGH ELEC�fRIC �ROUGH GRADING ROUGH PLUMBING _�_ j FINISH GRADING SHOWER/TUB TEST I I p00L ELECTP,IC EXT.LATH;SIDING � �POOL FENCI�G bVALL INSUI_ATIGN I POOL FINAL CEILING I��ISULATION �OF(SITE IMPS. DR'fUVALL P,I;aILiPJG i dEDICATIONS ----------------�----------------------_-------_._..----...------ - r -- -------- ;EN/ER �FINAL ENG. --.__...-------------- --- ---------------- ----- ------------------ --.._..---- SEPTICTAtdK 1 �LANDSCAPE!IRRIG. --..,.__...- ---- ---------- -- ----._.....---- �----------------------- -------- SEEP PIT!L.L. __� �OPJ SITE IiV1PS. _ __ '----- GAS AIRTES I �fINAL ZONING FINAL CONST. j FIRE DEPT.FINAL FINAL riEATING i HEA THL DEPT.rINAL •- FINF�L ELECTRIC j DEV.FEES PAID FINAL PLUpIIBING I E�IERGY FINAL PLANING FINA�ENGI�ItERING �- �`��1��'a ,�`��,�- '�,'y w;�. r� ------- -------- � ,•, ,- coMnnEr��s e�c�-, ,c� � , , � o � � � SEPTIC TANK 51ZE SEEP PIT/U SIZE �.z - -- .�.fi �, E�,�' i, �„ - ' iu �. ��.-�� : . .