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HomeMy WebLinkAbout12-168 CITY OF DIAMOND BAR � �–���— DEPARTMENT OF COMMUNITY&llEVELOPMENT SERVICES � � 21810 Coplcy Drive,Diamond Bar,CA 91765 `' � PRESS (909)839-7020 Fax(909)861-3117 Building Inspection Notline(909)839-7027 �������W BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE � [ I APPLICATI PERMIT P/C o ADDRESS������OA�D BA/e DATE �� �a � � a NUMBER/� /�� 1i �' ��l'�Ics� � ISSUE ���� /� lYPE -T "r OCC APN LOT TRACT DA7E l CONST.�_� GROUP p OWNER �D £RTiES L+LC' o ADDRESS I�/ �/AMBN �A� B t IQ. ZONING SEfBACKS Z cirv�iAM e ND1S�R Z�P TEL. SFs FRONT RW ❑ g APPUCANT Sl�o ��J TEL.42� �ST62 SID SIDESTREEf RW ❑ � CONTRACTOR � � ON� GONS SIDE ❑ o ADDRESS OD Z�p TEL - Z PROPOSEDUSE N US�G AA/T� �ANC� STLA/�0 cirr w w ARCH/EN�y z DESIGNER A B�� ���f� NO.DWEL. NO. NO. a ADDRESS � /�R 5l / N T UNITS STORIES BEDROOMS � CITY �-AKEu��OD ZIP 9'07�3 TEL. S�oL � DESCRIPTION SQ.Ff: FACTOF PSF ADJ.AREANALUATION � � OWNER-BUIIDER DECLARATION SFRlADD/REM O 1 N£REBY/SFlRM lA1DER PENALT'OF PERA/RY TIUT f!JA EXFIAPT FR01A THE CANTMCTORS Lf- Garage/Carport W CENSELAWFORTHEFOLLOWfNOREASON(SEC.70.91.6BUSWESSAND7ROFESSIONSCODEANYG7VOR (n , U COUNTVWHIq1RE0UIRE5APERW7TOCON37AUCT.N�TER���.����:ORREPAtAAN1'S7RUG W Patb/Deck � Z NRE,PRK1R TD RS ISSUANCE,AL50 REQUIRE9 THE APPLICAM FOR SUCN PERMR TO fILE A SIONED W STATE4EM 7HAT HE OR SHE IS LICENSED PURSUNdT TO THE 7ROVISIONS OF THE CONTMCTOR4 U� ' � CENSE UW(CFIAPTER B(COfAMENCINO WITN SECTIDN�000)OF OIVISION�OF THE BUS�NE59 ANO PRO- � P�VSpB � FE&410N3 COD�OR iHAT HE OR SHE IS DIEMPT 7HEREFROM AND iHE BASIS FOR THE ALLEOED E%FJAP• � � 7qN./JJY.VKK.ATIONOFSECTION7031.60YANYAPVLICI�NT�FORAPEHMIT5UBJECTSTHEAPPLICANTTO Z Re-Roof � 0.CMl7ENALTY�F N6T MORE 7riAN FNE MUMDflED DOLLAfiS(f5oo).Y O ❑4ASOWNEAOFTHEPROVERTV.ORMYEM7LOVEESWITHI4AGESASTHFJRSOLECOMPENSATION, � Commercial O D Z WILI DO THE WORI(AND THE 37RUCTURE IS NOT INTENDED OR OFFEREU FOR 9/�LE(SEC.70M,B�15F J � NE55 AND PROFESSIONS CODE:TME CONTfUCTORS LICENSE LAW DOES NOT APPLY 70 AN OMMER OF � PROPEHTVW/�OBUIlO30RIMPROVESTHEREON.ANDNM1lODOESSUCNVADAKWMSELFORNEASELFOR m � ilYtOU6F1 WS OR HER OWN EMPLOYEES,PROVIDED TFIAT SUqI IAIPROVEAlENT6 ARE NOT fNTENDEO OR � OFFEREDFORSALEIF.HO�NEVERTMEBURDNrC�OR4.�PROVEMENTISSWVATMNONEYEAHOFCOMPLE . . . z T10N,THE OWNER�BUILDER WILL HAVE 7HE BURDEN OF PROVIN6 THA7 HE OR SHE DIO NOT 9UILD OR IMPROVE FOR htE PUfiP0.SE OF SALE} O l�S OWNER OF�THE PROPERfV.MI E7(CLUSNELY CONTMC7VJC1 WRH LICENSED CONTiUCTORS � 70 CONSTRUCT 7HE PR0.IECT(SEc.�a1,BUSINE55 MIO PROFE5510N3 OODE:7HE�CONTRACTOR3 LI- VeluHflOn x O�� O O �AR� W CFNSE UW DOES N07 MFLY TOAN OINNER OF A PROPEHTV WYiO BULDS OR IAIPR6VE5 THEREON,AND . F 1rilOCONTMCTSFORSUd�PRQ1ECf5Wfri�A00NTMc70R(5)LICENSEDPURSUANTTO7HECONTMG ounrmTv DESCRIPTION FEE � � T00.5 UCENSE UW.). . O ❑1 AM piEAIPT UNDER SEC. 8.8 P.C.FOR THIS REASON � U � � LL DATE OWNER �U. � Z W � UCENSED CONTRACTORS DECLARATION � - ¢ W OC 1 HEREBY AFF�RA1 UN�ER PENALTV OF PERJURV T/UT IAM�LICENSED UNDER PROVISIONS OF CHAPTER � � Y(OQMMENCVKiWITN5ECT10N7000)OFOMSION90FTHEBUSINESS�NOPFOFESSION9COOE.AND Z. . . X A11'LICENSE IS Pl FULL FORCE AND EFFECT. m LLI � 0 UCENSE CU+ .NO. J . V p�� I CONTRAGTOR . .. . W � WORKERS'COMPENSATION DECLARATION � � U � 1 MEREBV AFFIRM UNDER PENALTY OF PERJUH'/ONE OF THE POLLOWINO OfCIAHAT10N5: ZQ � _I/NVEANDNALLMAM7AINACERTIFICA7EOFWNSENTTOSELF-WSUREFORWORNEFlS' T . . Q COMPENSJ��tON.AS PROVIDED 8Y 9ECTION 37000F THE UBOH CODE.FOR TME PERFORMANCE w. OF 7HE WOPo(FOR WHICIi TMIS PERMIT IS IS3UED. � � w _i HAVE AND WILL MAINTAW.WORKERS'COMPENSATION INSURANCE:A9 REOUIRED BV SECf10N ��,�./] . Q 37oD OF�7HE LABOR CODE.FOR THE PERFORMANCE OF 7HE WORK FOR WVOCli TM�S PERMR IS. ���� . . �SSUEp.MY WpA1(FRS'Ca.tGENSATqN INSURhNCE CMRIEH AND POL�CV NUMBEH ME CONSTRUCTION - j caqRrtR PLAN.AEVIEW �. ,�'-'�t dk' , S ^� �' � o po��cvrmin�eEA ELECTRIC '��/"'3 � �sEcnorrr�rareEmnr�rmoFnga�rsFoaar+e�oatuislsim)oa�ssl PIUMBING � .. .. . . . w MECHANICAL Z I CERTIFV THA�W THE PERFORMANCE OF iHE WOfM FOR Y/M�CN 7HIS PERAIR iS ISSUED,I � FiHALL NOT EMPLOY MfY PERSON IN ANY IIANNER SOAS TO BECOME SUBJECi TO THE' INSPECTION FEE Uj WORKERS'COMPENSATION U�NS OF CALIF RNI AND AOREE THAT IF I SHOVIA BECOM . SUBJECTTO EWbpKER5C�IAPENSAT P SIONSOFSECTION37WOFTHE �SSUANCE OI S eO�/R�TFiVnTM COMPLY Wl 5 ROVI . . . fj/, p DAtE: � L(/ �PPL�C/wi: .. . �SMIP �,'�` w ENERGY P/C � WARNINO:�FA0.URETOSEWRE`NOAICER9'COMPENSATqNCAVERAGEISUNLAWFUL,AND5HA1L8E - � � - ' �—y SUBJECT AN EMPLOYER TO CRIMINAL PENAL71E5 AND CML FWES UP TOONE HUNDPED THOUSAND ENERGY PERMIT DOLUF3S(5700,000),W ADD1T10N T07HE C0.5T Oi COMPENSATION,DAMAQ£S AS PAOYI9ED FOR IN /]P� � SECTION 37oe OF THE LABOR COOE.WTERE57,AND ATfOfiNEY'S FEES. � RETENTION FEE: �� �✓`� . �� CONSTRUCTION LENDMG AGENCY PRE-AL/T�FCEE: � �/�J� o pp � 1 HEREBV AFFlRM UNDER PENALTV OF PERNRV TNAT TNEHE L4 A CONSTRUCTION LENDW�AOQ7CY � FOR TME PERFORMANCE OF THE WORK FOR WHICN THIS PERAIIT IS ISSUED(SEC.3087,GIV.C.). Z W �� LENDER'S NAME . .. . , . � LENDER'811DDRESS \��, �� � I CERTIiV TMAT I HAVE READ THIS MPL�CATION AND STATE iHAi THEABOVE PJF01iMATION 19 CORRECT. TOTAL FEES j � I AdREE TO COMPLV WI7H ALL CT'AND COlF1TY OF1DwANCES M1D STATE.UWS RELA71N0 TO BUlD�NO , CON57AUCTION,AND HEREBY AUfNORQE REPRESEN7117NE5 OF THIS COUHIY 70 EMER UPON THE ZABOVE-MEMIONEDFROPERTYFORINSPECTIONFURPWES - COMMENTS � = Tj E}b bl Iv N � 9ERMIT7�E NNAE(p� • , O O I '3��f O I� �' C �`-+1� ` ' ' G�C,-tiw.� G.r f� � �SIONA EOF E M(TTEE DA RECPT.NO. PAID BY VAIJDATION � WHtTE—Departmant Copy.YELLOW--Flnenca CoPy.�NK—Assessor Copy,OOLDENROD--File Copy,6REEN—AppllcanPs Copy CITY 4F DIAMOfVD BAR � � INSPIECTION �ECORD . , , ,, _:.� , �: , . , ��� : _ � -� � x�� � t �,� �" � �'� � '������ ' � 8 .; '_' . D ' • � s - o � D � � ` x> .-, SETBACK ' � �,� � . �� jFL00RJOI5T � FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GRQUND PLUMBING �UNDER FLOdR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER i FIREPLACE BOND BEAM WATER SERVICE MID HT!BONO BEAM ROOF SHEATHIfJG 8 FT.BOND BEAM FRAMING/VENTILATION FINAL BOND BEAM ' ROOF•COVER PRE-GRADING ROUGH HEATING BENCHING � ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALI INSULATION POOL FINAL CEILING INSULATION OFF SITE IP/1P5. • DRYWALL NAILING � IY DEDICATIONS _ _ SEWER FINAL ENG. SEPTICTANK � LANDSCAPE/IRRIG. ___ ___ SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST / FINAL ZONING FINAL CONST. 51 Z /t- K . FIRE DEPT.FINAL FINAL HEATING HEALTH DEPT.FIfVAL FINAL ELECTRIC dEV.fEES PAID FINAL PLUMBING ENERGY FINAL PLAtdING FINAL ENGINEERING ' � @ connnn�NTs _._ y 1 �--� � Lti°wA<��� �y J �P�- u��� � Z l�M.1 ���c.��. SEPTICTANK SIZE SEEP PIT/U SIZE � iii �;