HomeMy WebLinkAbout12-923 CITY OF DIAMOPID BAR C�I � ��-��
---���' DEPARTMENT OF CO1VII1�fUNITY&DEVELOPMENT SERVICES
� 21810 Copley Drive,Diamond Bar,CA 91765`
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
��A���W BUII.DING PERMIT APPLICA�riorr � FIRMLY
� JOBSITE APPLICATION PERMIT I�, �� P/C
I Q ADDRESS V�Z DATE NUMBER it
� ISSUE n'PE ` / OCC
� APN LOT TRACT DATE CONST.I►.��1" .r� GROUP
p OWNER
" ADDRESS t c�C2 �7C tI �✓� ZONWG SEfBACKS
w CITY ��/�,�J�av�t'I IA�`►�_ �P .�76- TFI 3_ �I26I0� FRONT pW ❑
o APPUCANT TEL. ��� SIDFJSIDE STREET RW O
� CONTRACTOR StDE i � �
o ADDRESS PROPOSED USE ��� DO
C17Y ZIP TEL
w ARCH/ENGI
z DESIGNER NO.DWEL. NO. NO.
a ADDRESS UNITS STORIES BEDROOMS
N CITY ZIP TEL
�
DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
� �OWNER•BUILDER DECLARATION SFR/ADD/REM
O
I MEAEBY AFGIPoA UNDEA VENALTV OF P£{LR1RV THAT 1 Aid E%EA�VT FROM THE CONTRACTORS L4 GarapeJCarport
W CENSEIAWFORTHEFOIL�NORFASON(SEC.7o31.6BU5RiE55ANDPROFESSlONSCODE:ANYCI7VON (n . -
ZpDUNTYWHICYIRE0U�F1E5�PERMRTOCON4TRUCTALTERIMPROVE.DEMOLISN.ORREP/JRANYSTRUG W Patio/Deck .
w NRE,7RIOR TO RS ISSUANCE,�L50 REWiRES 7HE APPLIGW�FOR SU('Ji PERMR TO FlLE A SIONED w
� STA7EMEHT THA7 HE OR SNE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTMCTORS LF � pOOU H
c CENSE UW(CHAP7ER 9�COMMENCW�NTTTI SECTI�N 7000)OF OIVI310N J Of ME Bi75�NE59 NN�PN6 � �P
� FESSWNSODDE�ORTHATHEORSHEISE%EMPT7MEREFROA/ANOTHEBASiSFORTHEALLEOEDEXEMP-
TION.AN'/VKKhTIOMUFSECT10N703�.6BYANVAPPLICANTFORAVENA1TuU&IECTSTHEAVPLICANTTO Z Re-Roof
� A GVIL PEIULT/OF NOT MORE TY1AN FIVE MUNDRED DOLLARS(5500).)'
Q ❑4�`OWNEROFTHEPROPERT',ORMYEMVLOVEESWfTT114AqE5ASTHEIRSOLECOMPENSA710N, � �mmercial
Z WILI 00 7HE WORK MID TFIE STRUCTURE IS NOT INTENOED OR OFFEAE�FOR 9ALE(9EC.7�,BUSF J
� NESS ANO VROFESSIONS CODE:THE CONTMCTORS LICENSE LAW DOES NOT APVLV TO M1 dNNER OF ?
VROPERTYWNDBU�LDSOPIMPROVESTHEREON,ANDNI110DDESSUCHWORKHIMSELFORHERSELFOR m .
� 7HROUGH HIS Oii NER OWN E1iPL�YE£S.PROVIDED TiUT SUCN INPROVEMENTS ARE ttOT PlTENDED OR
QOFFEREDFORSALE.�F.HOWEVER7Y/EBULD�N�OR4�PROVEMENi15sOLD`N�TH�NONEVEMOfCOMPLE-
Z TION,THE OWNER-BUILDER WILL HAVE THE BURDEH OF.PROVW6 THAT�HE OR SHE DID NOT BUILD OR
� WPBqyEWRTHEPURPOSEOFSAIE). . .. ,
�6 4�OWNER OF THE PROPEHT'I,AA1 E%ClU51VELY COMiUCTINO VATH LK:ENSED CONTMCTOR.4
Q TO c6Rs7nucr�nie rAwEcr�sEc.�w�,euswEss u+o vRocEssior+s cooe:n+E cor+rw�croas u- Valuatbn ADJ•AREA �
� CENSE LAW DOES NOT APPLV.TOAN OriNER OF A VROPEA7Y WMO BURDS OR IMPROVES THEREON.AND . . -
W11pCONTRACT6FORSUCliPRP1ECTSWfT11ACOHfRAC70it(S)LICENSEDPUASUAM70THECONTM6 OUANTI7Y DESCRIPTION FEE �
T00.5 110EN5E LAW.6 �
O ❑I AM E%EAIPT UNDER 6EG B.8 P.C.FOH 7HIS REASON U
� �
LL' DRTE OWNER �~
U
Z W
� UCENSEO CONTRACTORS DECLARATION �
�-- w
� I HEREBY AFFlRAI UNDER PENALTY OF PERJURV THAT IAM'LICENSED UNDER PROVISlON9 OF CHAPTER � �
� v(WMMENCVM VnTH SECT�DN)000)OF DNiSqN�OF THE BUStNESS AND PROFESSIONS COOE,MID Z . .
� X W LICEN3E IS W FULL FORCE AND EFFECT. m ' .
LLl �
� UCENSE CIASS ��•N�� J �
U DA7E CONTRACTOii d . .
W
� WORKERS'COMPENSATION DECLAHATION � �
� (�
� 1 HER���FIRM UNDER VEN/LL'fY OF FERJUHY ONE OF THE FOLLOWW6 OECLARA710N3:
(/� . . . . ZQ . .. ,
� IHAVEANDWILLMAIMNNACEATIFICA7EOFCONSENTTOSELF-WSUREFORWORI(ERS' S .
� CpMVENSATION.AS PROVI6ED BV SECTION 37000F THE UBOR CODE,FOR THE PERFORMANCE W . . �
OF h1E WOFiK FOR WNICH THIS PEfW�?IS ISSUED. �
�
I HAVE AND W1LL AWNTNN WbRI(ERu"'COM?ENSATI0IJ MSURANCE,AS RE�UIRED BV SECTION ^� �
Q 370o OF THE LABOR CODE.FOH THE PERFORMANCE OF THE WO/iK FOR WMIGI THIS PERAUT IS �Z.,q C/
� ISSUEp.MV WORKERS COMPENSATION INSUfUNCE CARRIER MID F0.1CY NUMBER ARE CONS'TRUCTION� . ,
� �Ri� PLAN FEVIEW
Z poucv r�rtiMeEA .. - . . . . ELECTRIC . . _. . .
Q PLUMBING
� (fl'ESSECf10NtJ�NOTBECL71.RE7mOf7FIEPET�+TfBPoR01gF11N7RmOCtLAIiSlS10D)ORlESS1 . . .
W I CERTIFY THAT IN TiE PEFlFOHMANCE OF THE WORK GOR WHICH THI9 GERMR IS ISSUED,1 MECHANICAL'
Z
Lj SHALLNOTEMPLOYANYPERSONWANYMANNEFSOAS708ECOME�SUBJECT70THE INSPECTIONFEE
� WORKERS CONPFIlSAT�ON U`NS OF CAUf-0RNU�AND AGRE£M4T IF I SHWLD BECOME .... �
SUBJECT TO THE WO(iKER5�(bMPENSATION PROVISIONS OF SECTION 77ao OF TME UBOR ISSUANCE
O CODE,1 SNMl FOHTNW17H CMdPIV N17H THOSE PROVIS�ONS. . � - ,��"�1
SMIP ��
p DATE APPLICANf: . . . �
� ENERGY�P/C . . .
WARNINCi:FAILURE TO SECURE WOPKERS'CAMPENSATION COVEiUGE IS UNUWFUL.AND SHALL BE
� SUBJECTANEMPLOYERTOCRIMW�LPENALIIESANDGNLFWESUPTOONEHUNDRE��1� ENERGY�PERMIT _ . �
DOLLAfiS(f1o0.000).W PDDITION 70 THE CPST OF COMPENSA710N.DAYA(3E5 A9 PROV�DED FOA W .O.�l
J SECTION 37000F h1E UBOR CADE�NTEREST.AND ATfOHNEYS FEES. ' RETENTION FEE: �� .
�
w CONSTRUCTION LENDING AGENCY PRE f�LTFES^ , . . � � .'. _.�. �" �
0 � � )C..�i-� (� O
� 1HEREBYAFFlRMUNDERPENALNOFPERIURYTNATTHEFEISACONSTRUCTIONIENDW(��LIENCV �" %71 l -,� 1--
FOR 7HE PERFOFMANCE�F 7HE WORK FOR NM1CH 7HI4 PERMIT 19155UED(SEC:�3oe],CN.C.�
Z -.
W
�� LEHDENSNAME . . .
� IENDER'SADDRE53 . . . .. G
� 'I CERTIFV THAT I NAVE READ TMIS M7LICATION AN�STATE THAT hIE.�80VE�NFORMATIDN�9 CORRECT. TOTAL FEES- l oZ-��� �, I
w I AOREE TO COMPL�N�ITN ALL CRV AND COUNTV ORDINANCES AND STATE UWS RELATWO TO Bl71LDWO , ��
n" CON57AUC710N,AND HEREBV,�UiHORIZE REPRESENTATNES OF 7WS CqJM'/TO ENTER U70N THE
Z� I1BOVE-MEM�ONED PROVERTV FOR INSPEGTION PURPOSES. COMMENTS �
� � vl.�(. �ItiD�N
�
Q VERMITTEE NAME�PRINT) . � � I�l . . . . . . -
�/
N
N SqNATUREOFVERMRTEE � qECPT.NO. PAID�BY V/LLIDATION
�"" WHITE—Departme�t Copy,YELLOW—Finence Copy.PINK—Assessa Copy.GOLDENROD—FileCopy,GREEt�-AppllcanYe Copy
CITY O,F DIAMOND BAR
,
II�SPECTION REC4RD
,. . _ � „-_ , . ,; . , ;,: ,. . . QF -.B � p 0 p _
_ . � ?� : � �, _� , � e �, � . � '��
_ , . . . v ._ _ . -
SET BACK FLOOR JOIST
FTGS/FORMS/STEEL FHA REQMTS
ELECTRIC GROUND UNDER FLOOR DUCT
GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNOATION
TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID HT.BOND BEAM
ROOF SHEATHI�JG 8 FT.BOND BEAM
FRAMING/VENTILATION FINAL BOND BEAM
ROOF COVER PRE-GRADING
ROUGH HEATING BEN�HING
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUBTEST POOL ELECTRIC
EXT.LATH/SIDING POOL FENCING
WALL INSULATION PQOL FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILI(dG DEDICATIONS
SEWER FINAI ENG.
SEPTICTANK LANDSCAPE/1RRIG. _
SEEP PIT/L.L. ON SITE IMPS.
GAS AIRTEST FINAL ZONING
FINAL CONST. r i�f. FIRE DEPT.FIIJAL
FINAL HEATING HEALTH DEPT.FINAL
FINAL ELECTRIC DEV.FEES PAID
FINAL PLUMBING ENERGY
FINAL PLANING
FINAL ENGINEERING • A �
COMMENTS
SEPTICTANK 51ZE �
SEEP PIT/U SIZE
���"�� ' w� :t¢if'
i�� � � .
��' � � � "�',�
y �
�'�ei
�
s4
�, ,
RECORDER MEMO: This COPY is NOT an OFFICIAL RECORD. � ��
' 1�� �l�1��G . � s�z, a,2 �
RECORDINC REQUCSTEU BY �
ANO WH N RE ORDED NWl THIS DEEO AfVD, UNLESS +����5• v
E
07'HERWISE SH WN BEIOW, MAIL 7AX STATEMENTS 70
Name
SUeel Yue Zha�g 8
Address �052 Greycloud Lane
aty
Diamond Bar,CA 91785
sie�e
Zip
� HECORDERS USE OIYLY
� ORDER NO O6t220351-20
�-- - .. � G�_A._�IT �E��. __ � . � _.
ESCROW NO 9282-DA
TAX PARCEL NO 8704-054-032 \
The undersi�ned declazes that the documentary transfer tax is $424.05 and is
I X computed on the full value of the interest of the property conveyed,or is
computed on the full value less tho value of liens or encumbrences remaining thereon at the time of salc.
I The land,tenements or realty is located in `
unincorporated area X city Diamond Bar and
' FOR A VALUABLE CONS[DERATION, receipt of which is hereby acknowledged, ;
. ..
. . _....
Antonia�vlejia as a single Woman � '
. ... ' -- -.. . . '_. . .. , . . . ,. . I
. ,, ,.. . . . , . . .
.. .
- hereby GRANT(S)to _.,�„ ' ..
, .
_'l YueZhang, .A,SINGLE F� .. ., I
�7 ,. .
d The follo�ving described real property in the City of Diamond Bar
�,County of Los Angeles, State of California;
� Lot 53 of Tract No.35754 as per map recorded in book 1051.Page(s)84 through 88 of maps, in the office of the
trl county recorder of the sa�d counry.
�
� Dated OS/22l2012 -
� STATE OI' CALIFORNI } ,� �`'"�~"�`"` � �'"
Q COIJN OF 5 } Rnto�Mejia
V po before me,
� ,Notary Publ�c
0 personally appeared Anton�a Me ia ---�^""—"'-' pE�pq�k�,ARlAI�O �
� Conanl��lon I 1970�60 '
cv Noqry pY6�e�CWforn� ,
� who proved to me on the basis of satisfactory evidence to ba the persorj(�whosc tl61i
O name�'} �slyvE subscribed to tho within instrument and acknowledged to me that $����
Z fyc9'she/�executed the sarne m�Srslher/t�reuthon2cd capacuySJpe'j,and that by ��' � �}
V� Jx9herl�e�signatur on the vestrument the person�ej;or the entrty upon behalf
of which the person acted,exxuted the instrument OEBORAH l ARMIJO
a 1 certiFy u L?'1' OF PBRJURY under the laws of the State of California � Commisa�on� i870360
O is Notary Publ�c-Cilifornfo
that thc rcgoing pa� rrect ..
U -. San Sernard{rto Coumr
N WI" ESS my d an off'ic�al scal, . Mv Comm fxalre�,�18 i
�;' ,
F�—.
� Signatu ,Notary Public (Notary Seal)
� MA1L TAX STA'1'EMEN'f3 TO PAR SHO BELOW IF NO PARTY SO SHOWN, MAIL AS DIRECTED ABOVE
W
� .
� , Natne StreM Adckess Cdy a sia�e i
� 1
� , �
�
U
� 2��.