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HomeMy WebLinkAbout12-1134 �� � CITY OF DIAMOND BAR : � DEPARTMENT OF COMMU1vITY&DEVELOPMENT SERVICES '' .. 21810 Copley Drive,Diamond Bar,CA 91765 I (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS \�''^'. BUILDING PERMIT APPLICATION FIRMLY � JOBSITE y PERMIT r P/C � ¢ ADDRESS ,� o� S S- G�/`Bt�� I��/� APPLICATION �Q / # j� �/� o DATE ` ` NUMBER` �—��� � DA EE � ONST. S 1 GHOUP l APN LOT TRACT p OWNER � •C o ADDRE S �'' ZONING SETBACKS � FRONT o CITY B'4� IP TE . RW ❑ � APPUCANT TEl` REAR � z SIDE/SIDE STREET RW ❑ � CONTRACT i ` ��rt ZqC • SIDE � ADDRE S � CITY ZI /'�91��0 TE y PROPOSED USE =\\wv��.r1Q-'�cY� ���\\ S•�q� w ARC NG/ _�rr CA.\�-V� r''�E'v� iz DESIGNER W�1- ��GLN ��NL NO.DWEL. C NO. NO: � ADDRESS UNITS t7 STORIES BEDROOMS N CITY ZI TELC, st a \ � DESCRIPTION SQ.FL FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION � SFR/ADD/REM � O 0 I HER�V AFFIRM UNDER PEtULTY OF VERIURY 7HAT I AM EXEMPT FROM THE CONTRACTORS LM Ge�e���„ ' W CENSEUWFORTHEFOLLOWWORFASON(SEC.7031.SBUSMESSANDPROFESSWNSCODEANYqiYOR (n C� COUMYWHICFIREWWESAPERlARTOCOMSTRUCT,ALTE0.�PROVE.DEMOl15H.ORREVAIRANYSTRUG W PetiO/DgCk � 7URE,PRIOR TO�RS ISSUANCE,ALSO qEWIRE3 THE APPLICAM FOR SUCH PEAMI7 TO FlLE A SIONED w STATEMENT THA7 HE OH SME IS L10EtJSED PURSUANi TO THE PFOVISIONS�OF THE CAMMCTOR9 LI- � CEN3E UW(CNAPTER B(COMMENCIN(i W�TH SECTION 7000)OF DMSION 7 OF THE BUSUIE59 AND PRO. � PoOVSpB � , � FESSIONSCOD�OR7HATHEORSlfEISEI(EMVT7HEREFROMANDTHEBASISFORTHEALLEOEOEXEMP- C7 V TqN.ANYVIOLATIONOFSECTlON7031.6BVANYMPLICANTFORAPERMITSU&IECTS7HEAPPLICANTTO Z� Re-Roof � � � A CIVp.PENALTY OF NOT MOAE THAN.FIVE HUNDRED OOLLARS(f6oD).): . Z ❑I,ASOWNEROFTHEPROVERTY,ORMVEMPLOYEESWI7HfVAGESASTHEIRSOLECOMPENSATION, � � CpmmBfC121 �� VALL DO THE WOHI(,AND THE STRUCTURE IS NOT INTENDED pq OFFEREO FOR SALE(SEC.iou,BUSF �J N NESS AND PROFESSIONS CODE:THE CONTMCTORS LICENSE�UW DOES NOT APPIY TO AN OWNER OF j - . PROPEHTY Wlip gURp3 OR IMPROVES THEREON,AND W/q DOES SUCH NOqK HWSELF OR HERSELF OR - wTHROlN3H HIS OR HER ONM EMVLOVEES.PROVIDED THAT SUCH IMPROVEMQfTS ARE NOT WTENDED OR m . Q OFFERmFORSALEIF,FIOWEVER7HEBUILDWOORIMPROVEMENT155pLpWfTFI�NONEVEAROFCOMiLE- � TION.THE OWNER�BUILDER YALL MAVE THE BURDEN OF PROVINf3 THAT HE OR SHE DID NOT BURD pq MPROVE FOR THE PURPOSE OF SALE). ' � - - w OI,ASOwNEROF�TiEPROPERfV,AMEXCLUSNELYCONTMCTW(iWIT1lICENSEDCON7MCTORS � 70 CONSTRUC7 7HE PR0.IECT(SEC.7as1,�BU5INE55 AND PROFESSIONB CODE:THE COHfRACTORS LI- V01U9tiDn � qp,�,qqEq - � � - • � CENSEUWDOESNOTAPPLYTOANONMEROFAPROPERTVWHOBUILDSORIMPROVESTHERC-0N,AND � N41000N�RACTSFORSUCHPROJECTSWITHACONTRACTOR(5)LICENSEDPURSUMfT707MEODNTM6 QUANTI DESCRIPl1ON �E , TOHS LICEHSE LAW.). Q ❑I AM E%EMPT UNDER SEC. .�B.6 P.C.GOR THIS REASON � � U LL DATE ONTJER �� � U. F. LICENSED CONTRACTORS DECLARATION � � � � � � I HEfiEBV AFFIRAI UNDER PENPL7V OF PERIUqY 7HAT I AM�LICENSED UNDER P{70VIS70N9 OF CNAFTER � � d, Y(COMMENCINO WITN SECfION 7oao)OF DNISION J OF THE BUSWESS M1D PROFESSIONS CODE,ANO Z ' X MY LICETI9E IS M FULL FORCE AND EFFECT. m � LICENSE CLASs,� LIC.NO.. ✓ � . . , � on� �'1 (o G corrrr�ncroR �1V Ci(`�tin ��ti'1 a � WORKERS'COMPENSATIONDECLARATION � �� - � 1 HEREBv AFFIqM UNDER VENAl7Y OF vERJUHV ONE Of THE FOLLOW WG DECLAAA7KINS: U � � C� Z O _IHAVEANDWILLMAWTAINACERTIFICATEOFCONSENTTOSELH7JSUREFpqypW(�• � � � Q COMPENSATION.IIS PROVmm BV SECTION 370o OF T1/E LABOR CODE,FOR THE PERFORMANCE �U: OF THE WOqK FOR NM1iICN iH13 PERIAIT IS ISSUED. � � � _IHAVEANDWILLAUWTAWWORNEfi3'�COMPENSATIONfNSUFUNCE:AgREd11HEDBV5EC710N � . . Q 370a OF�THE LABOR CODE,FOR THE�PERFORMANCE�OF THE WORN FOR WHICH T115 PERM7T 19. f55UED.MY WORKERS'COMpEN5A7�`r+�I�.AURANCE1C,A.RRIER AND POIICY NUM ER ARE CONSTRUCTION 8�a. �i�� jCARRIER ,nf�I��U 'S ',�7f� W'-f( ll�n� �h'�. L a PLAN REVIEW ��O� q-q � POLICV NUMBER � � � , . ELECTRIC S(o p (n+ss�cr�or+N�N°TeEoon�.�TIDOFn�v�aMrswaa+EHu+or�oatus(s�oo�oa�ssF PLUMBING w Z I CERTIFY THAi W THE PERFOfiMNJCE OF hfE WORK FOR WHIpi TF115 PERMR I5 155VED,1 MECHANICAL� C�} SHALL NO7 EMPLOY M!V FERSOH IN ANV MANNER SOAS TO BECOME�SU&IECT TO THE � ' (/� WORKER5CAMPENSATbNlAW50FC�LIFORN1IANDAGREETHATIFISHOULDBECOME INSPECTIONFEE SU&IECT TO7HE WORKERS'COMPENSATIDN PROVISIONS OF SECTION s7a0 OF THE U80R �� � s� O co`o'C§�.i sruu RrHvntH coua�v vnn�nwAs,E paovisiows. �/_��7 ISSUANCE _ ,p DATE v 1 �I�APPLICANT:��IvL��V\ tXU�I�I �SMIP SO 11 � J WARNINQ FAIWRE TO SECURE WORKER5 COMPENSAT�ON COVERAGE IS UNUWFUL,AND SHALL BE ENERGY�P/C � J LL SU&IECT AN EMPIOYER TO CRIMINAL PENALTIES AND CML FlNES UP TOONE HUNDPED THOUSMID ENERGY PERMIT DOLURS(t10D.000),�W ADDI710N TO THE COST OF COMPENSA710N,DMIAQES AS PROVIDED FOR�W J SECTION 370!OF TNE U100R CODE,IMEREST,AND ATfORNEY'S FEES. � - '- w RETENTION FEE: Cp •O"-� O . CONSTRUCTION LENDING AGENCY PqE-ALT FEE � I HEREBY AFFlRM UNDER PENAL7Y OF PE0.IURV THAT THERE IS A CONS7RUCT10N LENDINO AOENCY �� � �.� Z FOR THE PERFORMANCE OF THE WOPo(f-0R WHICH THIS pERMR IS ISSUED(SEC:7oW,qV.G). W � LENDER'S NM1E . , - . . 1— LENDER'SADDRESS - � , � 'ICERTIFYTHATIHAVEREADTHISAPPLICATIONANDSTATETiATTHEABOVEWFORAlAT10NISCORqECT. TOTAL FEES� �����$ � 1 A6REE TO COMPLY WITH ALL CITY AND COUNTY ORDMANCES AND STATE LANS RELATINO TO BUtl.DINO !� CONSTfiUCTION,AND HEREBY AUTHORIZE REPRESENTATIVES OF THIS COUHTY 70 ENTER UPON TiE ' /Z ABOVE-MEMIONED PROPERTV FOR INSPECTIDN PUR70SES. j o COMMENTS ' � e: CY1 h/1 �(/CL ' m VE I7TEE�E(M '1 U 1 G b� ZV1� � . . . . ' � � k Qv�t^ � SIONATURE OF PERMITTEE DATE � \� RECPT..NO. PAID BY VALIDATION WHITE-DepaAment Copy,YELLOW—Flnence ,PINK=Assessor Copy,GOLDENRO�FlIe ,GREEt�- �_ �oOY Applk:ant's Copy CITY OF DIAMOND B�4R . ' II�lSPECTION RECOFiD � � -� � , � .� � �„ . . . .. � .,� u ,. e . . , � p �, ' p , �y f� o � e ' ,- e � � p , . , �' m � SET BACK FLOOR JOIST , _ FTGS/FORMS/STEEL FHA REQMTS ` ELE�TRIC GROUND UNDER FLOOR DUCT GROUND PLUMElNG UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POdVER FIREPLACE BOND BEAM WATER SERVICE MID HT.BOND BEAM ROOF SHEATHIfJG 8 FT.BOND BEAM FRAMING/VENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING R4UGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOVVERlTUBTEST POOL ELECTRIC EXT.LATH/51DlNG POOL FENCING WALI INSULATION POOL FINAL CEILING IfJSULATION OFF SITE IMPS. DRYWALL NAILING �EDICATIONS SEWER FINA�ENG. SEPTICTANK � LANDSCAPE/IRRIG. 5EEP PIT/L.L. ON SITE IMPS. . GAS AIR TEST FINAL ZONING FINAL CONST. HRE DEPT.FINAL FINAL HEATING HEAITH DEPT.FWAL FINAL ELECTRIC DEV.FEES PAID FINAL PLUMBING EIJERGY FINAL PLANING FINAL ENGINEERING . � B COMMENTS C'1e�+ ��_�,\re.r���✓ � � ��.-�—�—`-�� - z SEPTICTANKSIZE SEEP PITlU SIZE �n ' -- ' ����� n ''' `� * ;��' i� 3ff.� ,7�� H ' 1 yk � `s: x 0 0 �' � - �� � � �p . �'�, 'p 9 � !�� � cAG� O .� O o � /� 'G� � '�'� � ` 1 /c� o �' j 0 �, •� 3 QQ � � �- � � � m �� � U �p -o r l• � ..� �. � ,, ,�'. c�n � K� � �' � ^ �a O ,� rG '�, �� y� c�j� 9c1� �l'�n � l 1 :�� ' � � Q ,�� �'a � l',�� �, � � 1,1 N o�. -d� p, K, � ���p, `� � � �2 � 9 � a . � c�� r � �a s c� o �. � '� � �' /� � ��co c�o � "��, � � � p �j � � '.�p "i %• �3 '�. 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