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HomeMy WebLinkAbout12558 �,�_ 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 ��'""'.w BUILDING PERMIT APPLICATION FIRMLY i N JOBSITE / >- APPLICATI o ADDRESS �� S D I Q�Ar71�I.P B� � I�� DATE ��3 �. PERMIT �I ,I-� P/C NUMBE �� J #�� \a-S � APN LOT TRACT , �SSUE - TYPE � OCC DATE �I/ CONSL � � GROUP p OWNER � i o ADDRESS ZONING SETBACKS z CITY A ZIP TEL. FRONT pyy � , � APPLICANT �C� TEL. REAR � z SIDE/SIDE STREET RW O � CONTRACTO SIDE � QCDDRESS Z�P TEL %?{k��$��j' PROPOSED USE 1� A�� O�'��j wo ARCWENG/ I z DESIGNER a ADDRESS NO.DWEL NO. NO. � CITY ZIP TEL UNITS STORIES BEDROOMS � � DESCRIPTION SQ.FI'. FACTOR PSF ADJ.AREANALUATION p� OWNEF-BUILDER DECLARATION � . p � � SFR/ADD/REM C p I HEAEBV AFFlRM IMIDER PEWLL7V OF PERAIRV THAT I AM EXEAIPT FROM THE CONTRACTORS�F Garage/Carport - W CFlISEUWFORTHEFOLLOWINOREASON(SEC.7W1.6BUSWESSANDPqOFESSIONSCOOEANYqTYOR (n U COUMYMMICMREOUIRE9APERMITTOCONSTAUCT.A�TEq,qAPROVE.DEMOl,1$H;ORREPAIAANYSTRUG P8�10/DBCIC w TURE,PRqR TO RS ISSUANC�ALSO qEOUIqES THE APPLICANT FOR SUCH pERM1T TO FILE A SIONED W � STATEYENT THAT HE OR SHE IS LICENSED PURSU/WT TO THE PROVISIONS OF THE COHTMCTORS U- � CENSE LAW(qUVTER p(COMMENqNO WITH SECTION 7000)OF OIVISION a OF THE&15INESS AND 7H0� � Pool/Spe �� HO 0 FESSIONSCOO�OqTHA7HEORSHEIBEXEMPThiEREFROMANDTHEBASISFORTHEALLEOEDEXFJ,IP- � (!j V TqN.ANYVpLATIONOFSECT10N7o31.5BYANYAPPUGINJFORAPERMRSU&IEC737HEAPPLICANTTO Z Re-Root � � � � ACIV4.PENALTV OF NOT MORE THAN.FIVE�HUNDRED DOlLARS(f5oo).): � 0 ❑4��WNEROFTHEFROPERTY,ORMYEMPLOVEESVA7HfVAGESASTMEIR50LECOMPENSATIDN, 0 (`,pmm0lC18I Z WILL DO TNE WORI(AND THE STRUCTUR£IS NOT INTENDED OR OFFERED FOR SALE(SEC.�70N,BUSI- J ' ' � NESS AND GROFESSIONS CODE:THE CONTRACTORS LICENSE LAW OOES NOT A7PLV TO AH OWNEP OF j � PROPEHTY NTiO BUILDS OR IMPROVES THEREON,AND NM1fO DOES SUCH NORK HIMSELF OR HERSELF OR � 7HROUGH WS OR HER OWN EMPLOVEES,PROVIDED THAT SUCII IMPROVEMENTS ARE NOT RfTENDED OR m , Q OFFERmWRSALEIF,HOWEVEf�iHEBUILDPlOORIAIPROVEMENTISSO�pWRMNONEVEAROFCOMW:E. Z TIDN,TME OWNER-BUIIDER WILL HAVE THE BURDEN OF VROVINO THAT HE OR SHE DID NOT BUILD OR . . � �M7ROVE FOR THE PURP0.5E OF SALE� . . W ❑I,ASOWNEROF7HEPROPEiin;AMEXd.USNEIYCON7MCTWUWfTT1lICENSEDCONTRACTOR3 ^ � Q TO'CONSTRUCT THE PHOJECT(SEC.70aI,BUSINESS AND PROFESSIONS CODE;7HE CONTRACTORB U- V81U8IIOf1��O[11�� ��ADJ.ARE/1. ' � CENSE UW DOES NOTAPVLY TO AN ONMER OFA VROPERTY WHO BUp.DS OR UIPROVES 7HEREON,AND WHOCOMRACTSFORSUCHPROJECfSWITHACONTMCTOR(S)LICENSEDVUqbUAMTOTHECONTMP p�qN71TY DESCRIPTION �E . roas ucENse uw.�. � ❑1 MA E%EMPT UNDER SEC. B.6 P.C.FOR THIS REASON Q Z� �S � � �' v U � DATE OVMER � O U � � LICENSED CONTRACTORS DECLAHA710N w � I HEREBYAFFIRII UNDER PENALTY OF PERJURV THAT IAM LICENSED UNDER PROVISIONS OF C7UPTER � '' � Y(COMMENCIMO WITH SECrION 70ao)OF DMSION]OF THE BUSINESS AND PROFESSIONS CODE,AND Z 'l . ✓ ��� MY IICEN3E IS IN FULL FORCE AND EFFECT, �\ � £3 � � UCENSE CLASS UC.NO. � � U DATE I CONTRAC70R d .. ' W � WORKERS'COMPENSATION DECLARATION � - � ! � � � V J � 1 HEREBV AFFIRN UNDER VENALiY OF VERJURV ONE OF THE FOLLOW W(i DECUAATIONS; ' Z � - 0 _�NAVE AND�WIL�MIUNTNN A CEATIFICATE OF CONSENT TO SELF-INSURE FOR WORKEqS• � � ��� ,� / � COMPENSATION,ASPROVIDEDBYSECTION3l000FTMELABORCOpE,FORTHEPERWHMAHCE U � �(I OF THE WORK FOq VhiICN iHlg pERMIT 19 ISSUED. W -� � � w _IHAVEANDWILLMAINTAWWORKER3'COMPEN$ATbNMSURANCE;A3REWIREDBYSEC'f10N Q370o OF 7HE LABOR CODE,FOR 7HE PERFORMANCE�OF THE WOPo(FOR WHK]i THIS PERMIT IS � A� ISSUEO.MY WOHICEAS'COMPENSATION INSUR/WCE CAARIER'AND PO�ICy PpJMBER ARE CONSTRUCTION� �`1 �Q ��� jcuwiEa . . PLAN REVIEW �J�J3.C7, . . 0 POIICY�NUMBER ' � - � ELECTRIC � , p W (n�sEcrqMNFIDw76Eca.s�FfElnoFn+EaEaMrewaar+EM�D�E�ooauf�K+roloqLEss� �PLUMBING � �+ G.�a'� `�� Z �CERTIFY T1iAT W hiE PERFORAIANCE OF 7HE WORK FOR WHipi TH5 PEPoAR IS ISSUE�,I MECHANICAL� �� OS' CJ SHALL NOT EAIPLOYANY PERSON W ANY MANNEq 9p A,q TO BECOME SU&IECT TO THE � [/� WORKERS'COMPENSA7KIN LAWS OF CALIFORNIA,AND M3REE THAT IF I SHOULO BECOME INSPECTION FEE ' SUAIECT TO 7HE K'OAxERS'COM7EN3ATION PRpVISpNS OF�SECTION 97a0 OF THE LABOq \��-� O c°°e.i sw�u-waT�TH cor�pir`mn�TrasE aaohsionus. ISSUANCE —� p' DA7E� APPLtCANT: ��C�I_ � �SMIP � ,�� �w ENERGY P/C � .�� � WARNINO:�FAILURE OSECUREWOR10ERS'COMVENSA710NCqVERAGEtSUNLAWFUL',ANDSHALLBE � SUBJECT/JJEMP�OYERTOCFIMWII�PENALTIESANOCMLFWESUPTOONEHUNDRED7HOUSAND ENERGYPERMIT L��. S3 �� a(f1a0,oDo),IN AppI71bN TOTHE COST OF COMPENSATION,DAMA�ES AS PROVIDED FOp W � SECTION 370E OF 7HE LABOH COOE,INTEREST,AND ATTORNEY'b FEES ' RETENTION FEE: � ��a Q.�j W — O . CONSTRUCTION LENDING AGENCY PqE-ALT FEE: � 1 HEREBY AFFIRM UNDER PEN/�L7V OF PERIUM 7HAT 7HERE 19 A CONSTRUC710N LENOWO AOENCY �5�� 1 � � �FOR T17E PERWRMANCE OFh1E WOfiK FOR WHlp7 THIS PERMR IS ISSUEU(SEC.3077,CIV.C.). Z W ��. LENDFFSNAME . . . . . � LENDER'SADDRE55 ' � � w �ICERTIFYTHATI�HAVEREApTHISAPPLICAT10NµDSTATET1iATTHEABOVEMFORA1AT10N19COMECT. TOTALFEES ��� 3�-' �"t3 • `� � 1 A6REE TO COMCLY WITH ALL CT'AND COIMiY ORDPlµCES AND STATE UW$qEUTINO TO BU4DIN0 � CONSTRUCTION,AND HEREBV AUTHORI2E REPRESEN7ATNES OF THIS COUHTY 70 ENTER UPON,iHE � Z ABOVE-MEMIONED FROPER7Y FOR INSPECTION OURPOSES. —p COMMENTS ' J' (//� � � �\ / m PERMI77EE NMIE(PRINf� . Q � = � NATU OFPE EE DA7E � � RECPT.NO. PAID BY � VALIDATION ITE—Departrnent Copy,YELLOW—Flnance Copy,PINK—Assessor Copy,GOLpENROD—Ffle Copy;6REEN— g Cppy - � l 3�� ,/gs3.�� Y, ��, .c�� � CITY OF DIAMOND BAR � IfVSPECTION RECQRD ' - • , . , � � �� p � � B � �f� a o' 1 �. , .,� ' o' � o ' . ` � m + ��- • . � . � � � . . q,y�_W . , .:a K . -,y � . , ',k.. •y �..r� ..b: F SET BACK FLOOR JOIST _ FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING ; .� Y UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOfVD BEAM WATER SERVICE MID HT.BOND BEAM ROOF SHEATHItJG i 8 FT.BOND BEAM FRAMING� �"3� � FINAL BOND BEAM _ __ ROOF COVER _ PRE-GRADING ROUGH HEATING �� � F-�Z...' BENCHING — ROUGH ELECTRIC �, ' ;�O .2. ROUGH GRADING — ROUGH PLUMBING Z, FINISFi GRADING SHOWER/TUB TEST POOL ELKTRIC EXT.LATH/SIDING POOL FENC�NG WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILIPdG r''� DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. __ SEEP PIT/L.L. • ON SITE IMPS. GAS AIRTEST FINAL ZONING FINAL CONST. FIRE DEPT.FI(dAL FINAL HEATING HEALTH DEPT.FINAL FINAL ELECTRIC .:�` DEV.FEES PAID FINAL PLUMBING � " �"� ENERGY . FINAL PLANING .,.i` ' /� FINAL ENGINEERING ' • � � connnnENTs �" _ �? �-:�', {2,. � , tr,,ll�,,�,�:,�.,; , ,t �,_. _.3---�T r C7� •b . f '��- � — SEPTICTANKSIZE SEEP PIT/U SIZE � � E��� ��' � �G � � � '