Loading...
HomeMy WebLinkAbout12-422 = , ���( ��c v U rL�e..J�C� -rf�-� .r`ea-c�_ Cv�-�' �'r' CITY OF DIAMOND BAR ����� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ; � '�` � ' 'f :r 21810 Copley Drive,Diamond Bar,CA 91765 � ' (909)839-7020 Fax(909)861-3117 Building Inspection Notline(909)839-702'7 PRESS 4'""+ BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE ✓nQ�y. Q r T� APPLICATIO PERMIT /C ADDRESS!� 250 v �.r �i ���'/�D $�� DATE S ' �01. NUMBERf z�y���a-� � APN LOT TRACT, D TEE � n'PE pCC p OWNER� TY ���I�TI�S L.L G CONST.� GROUP p ADDRESS_ Ld W F AiZlJS F� ZONING SETBACKS oCiTY �L ONDN T� ZiP� TEL. FRONT q�y � o APPLICANT TEL. REAR � ¢ SIDE/SIDE STREET RW ❑ � CONTRACTOR RI PLE ONE CpN ST SIDE � � ADDRESS__6�15/ �A-IR�t�! iV ST � ciTrl�3��oD ZIP PROPOSEDUSEX �2��T �ooMS �MPi2dVE�.l��v qa7/3 TEL w ARCWEN z DESIGNER�C. SRO �//LJf-� w --r`N� NO.DWEL. NO. a ADDRESS �v9�� FH/�QM K� � � NO. � ciTvt AK � Od� ZIP�7'/_4 TEL�2/ -S�T�� UNITS STORIES BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q �OWNER-BUILDER DECLARATION � O, SFR/ADD/REM p 1 MEREBY AFFlRM UNDER PENALTY OF 7ERIURV THA7 I AA1 EXEMPT FROM THE CONTMC70R3 L4 Gg�y BJCB W CENSEUWFORTHEFOLLOWIN�REASON(SEC.7031.SBUSINESSANDPROFESSIONSCAOE:ANY�GTYOR (n 9 �rt WCOUNTYWHICNREOUIRESAPERM1T7000NgTRUCT.AL7ER�1.7PROVE,DEMOLJSH.ORREPAIHANYSTRUG W PetiO/DBtk � . lURE.PRIOR TO RS ISSUANCE,ALSp qEpUIRES THE MVLICANt FOR$IXY{pEqMIT TO FILE A SIONED W � STATEMEM THAT HE OR SHE IS IICENSED PURSUANT 70 THE PROVISIDNS OF THE CONiMCTOR3 ll- c CENSE LAW(LNAPTEA Y(COMMENqNO WITH SECTION 7D00)OF p�y�glW1�pF 7HE BUSINE55 MID PRO- � PooUSpa -� � jFE&SIONSCOO�ORTHATHEORSMEISE%EMPTTHEHEFROMANDTHEBASISFOR7HEALLEOEDE%EMP• C7 TION.ANVVIOLA7qNOFSECTION703t.6BYANYAPPLICANTFORAPERMITSUaIECTSTHEAPPLICANTTO Z� Re-Roof � ACML PENAL7Y OF NO7 AqRE THAN FIVE HUNDRED DOlURS(S50o),r � 0 ❑I,A40WNEROFTHEPROPERiV,ORMVQIPLOVEESWI7HWA(iESASTHEIR50lECOMPENSATION, � Q COfI1RIBfC{al 3 O. Z WILL DO THE WOW(,AND 7HE 9TRUCNRE 19 NOT INTENDED OR OFFERED FOR 3ALE(SEC,ia�,BU51- J ' � NESS AND FROFESSIONS CODE TNE COMTMCTORS UCENSE UW DOES NOTAPPLV TO AN OWNER OF � PHOPEHiY MM11D OUSDS OR IAIPROVES THEREON,M1D WHO OOES SUCH WORK HI�ISELF OR HERSFIF pq � THAOUQ7IHISORHEROWNEMPLOVEES,PROVIDEDTHATSUq11MPROVEMENTSARENOTfNTENDEDOR m � OFFEREDPoRSALEIF,/iOWEVER,THEBUILDW00RWFROVEAIENTISSOLpWfTWNOryEVEAROFCOtdPIE- Z TIDN..7HE�OWNER�BUILDER WILL HAVE 7HE BURDEN OF PROVPIO THA7 HE OR SHE DID NOT BUILD OR . � IMPROVEFORTHEPURP0.SEOfSALE} . . . � W OlA90VlNEqOF7HEPROPEi7t�;'A►IEXClUSNELYCAN7RACTINOWrtNIICENSEDCONTRACTORS � TO CUNS7RUCT TME PROJEC7(SEC.7oN,�eU5iNE55 AND PROFESSIONS CODE THE CAN7RACTOR9 U- V81Ue�lOn � ApJ.AREA�. ' LL CENSEUWOOESNO7MVLYTOANOWNEAOFAPROPERTVWHOBULLDSORIMPROVES7HERC-0N,AND . F NMOCONTRACTSFORSUGiPR0.1ECf5WfTHACONiRACTOR(5)LICENSEDPURSUAM70THECONTMG QUANTITY DESCRIPTION �E , � TORS UCEIiSE LAW.). Q O 1 AY E7(EMPT UNDER SEC. . B.d V.C.FOR TFflS REASOH � S O U+� � U � DATE ONTJER � � UCENSED CONTRACTORS DECLARATION W � I HEREBV AFFIRM UNDER PENAI.TY OF PERNRV 7HAT IAM LICENSm uNDER PROVISION9 OF GIAPTER � I Tny � Y(COMMENCIMO Wlhl SECTION 7000)OF DMSqN J OF THE BUSWESS M�PROFESSIONS CODE,AND Z 7 v - MY LICENSE lS M FULL f-0RCE AND EFFECT. O `�r�s m Z UCENSE C S B LIC.NO. �S`�-��I �L � v onrE 20 Z. CONTRACTOR �/i0 ?�i/U�-/ a � 5 w � WORKEAS'COMPENSATION DECLARATION � � � � � I HEREBv AFFIfiM UNDER PENALTY OF VERJURV ONE OF THE FOLLOW WQ DECIAqAiqN9: V - � - � �� _I HAVE�AND WILL MNNTAIH A CERTIFlCATE OF CON$ENT TO SELHNSURE FOR WORKERS � � COAIPENSATION,AS PROVIDED BY 6ECTION 37a00F THE UBOR CODE.FOR THE PERF-0RMANCE W� OF h1E WORK FOR V/HICH THIS PERMIT IS ISSUED. � � � . � � _IHAVEANDWILLM/UNTAINWOR!(ERS'�COMPQ�SA710NINSU{UNC�ASREWIREDBVSECTION - � Q 3700 OF THE LAgpii CppE,FOR THE PERFOHA/ANCE OF THE WORN FOR WHI(7i THIS PERMR IS_ � � � � ISut`1ED.MV N�ORKEAS'00►/PENSATION INSURANCE CARqIER AND.POLICY NUMBER ARE CONSTRUCTION j GRRIER PUW REVIEW ��� • blp 0 POLICV NUMBEN � Zd ELECTRIC p (n+ssEcricrir�r+areEoor.s�rIDaFn�a�ur�aroaa�Fruar+�oavas(itaolot��ss} �PLUMBING w Z I CER71FY.7HAT W THE PERFORMANCE OF THE WORI(FOR WHIp17HIS PERMIT IS ISSUED.1 MECHANICAL� �'} SHALL NOT EMVLOY ANY PERSON IN ANV NANNER 50 AS TO BECOME SUBJECT TO THE�, � (/) WOPo(ERS'COMPENSA710N UWS OF CKiFORNIA AND AOREE 7HA71F I SHOULD BECAME �NSPECTION FEE SUBJECT TO THE WOAKERS'�COMPENSIITION PROVISIONS OF SECTION J700 OF THE UBOR - - ' OCOOE, HALL MMiN COMPLY VATH 7HOSE PROVI5pN5. ISSUANCE • " p DATE: � Q PPLICANT: .��6�� -SMIP r, v W ENERGY P/C � WARNINQ i RE TO SECURE WORKEHS COMPENSATqN COVERAGE IS UNLAWFUL,AND SHALL BE � �y SUBJECT AN EMPLOVER TO CRIMINAL PENALTIES AND GVIL FWES UP TOONE HUNDRED 71qU5AND ENERGY PERMIT DOLLARS(f100,000),IN PDDfTION TO THE COST OF COMPENSATqN,DAMA�ES AS PROVIDED FOR IN J SECTIDN 370!OF THE LABOR CODE,INTEREST.AND AITORNE`/'$FEES. � � aC RETEMION FEE: • O� . CONSTRUCTIONLENDINGAGENCY �PRE-ALTFEE: , I � 1 HEREBI'AFFlRM UNDER PENAL7V OF PERIURV THA7 THERE IS ACONSTRUC710N LENDWO Al3ENCY � O , �FOR THE PERFORMANCE OFTHE WORK FOR N?i�CFI THI9 PERMR IS ISSUEU(SEC:3U87,GV.CJ. W TS LENDER'S NMIE ` I S F— LENDERSADDRESS /^ �� I CERTtFY TiAT 1 HAVE READ THIS MPLICATION AND STATE 7HAT THE ABOYE INfORMATION IS CORRECT. TOTAL FEES �\\' �� / _ / .� J � � 1 A(iREE TO COMPLV WITH ALL C1TV AND COUNTV ORDPIANCE3 AND STATE UWS REUTWO TO BUILDINO `�7 (, � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF 7HI5 CWNTY TO EMER UPON iHE ' �� �� ABOVE-MEMIONED VROFER7Y FOR INSPECTION VURP0.SE5. Z COMMENTS � �/�NH m PE I7T NAME(P Nn . � D 7 ! �t� �� ,/a�-, � 5 FE OF P E DA7E � RECPT.NO. PAIDBY � VALIDAIION il WHITE—Departmen[Copy.YELLOW--Flnence Copy.PINK—Assessor Copy.OOLDENROD—Ffle Copy.6REEN—Applicant s Copy CITY OF DIAMOPlD BAR � ' :�.• � .' `•�- � INSPECTION FtECORD � � � Q ie ,'�� ��' q . m '� s ..-P. . .�. . � � . .ie.���. ;' �.., . o .� � SET BACK _ FLOOR JOIST FTGS/FORMS/STEEL _ ` _ FHA REQMTS • • � • ELECTRIC GROUND UNDER FLOOR DUCT • . • GR�UND PLUMBING 1 'Z UNDER FLOORCONdUIT � SLAB GRADE ���,'� + �wV�J FIREPLACE F�UNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT.BOND BEAM RQOf SHEATHIfdG 8 FT.BOND BEAM FRAMING/VENTILATIOPd FINAL BOND EEAM ROOF COVER ^ PRE-GRADING ' ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING � ROUGH PLUMBING FINISH GRADING SHOWER/TUBTEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOI FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING � p DEDICATIVNS SEWER FINAL ENG. SEPTICTANK � ' LANDSCAPE{IRRIG. SEEP PIT/L.L. I ON SITE IMPS. GAS AIRTEST � FIIJAL ZONING FINAL CONST. FIRE DEPT.FINAL FINAL HEATING HEALTH DEPT.FINAL FINAL ELECTRIC DEV.fEES PAID FINAI PLUti�BING I ENERGY FINAL PLANING - � FINAL ENGINEERING . � e COMMENTS iy 11�,,.1_R,��,����-��, �.,--t_y-_� __. e � 8 3 �"� SEPTICTANK SIZE SEEP PITr U SIZE �,,, t� . .Y,,. ��.�. � '4 _ �