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HomeMy WebLinkAbout12-1282 _ �F�_ CITY OF DIAMOND BAR .,/f C � �� � DEPARTMENT OF COMMUNI'TY&DEVELOPMENT SERVICES a�`—Z 21810 Copley Drive,Diamond Bar,CA 91765 � (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 � PRESS ��'�^'�.w BUILDING PERNIIT APPLICATION FIRMLY � JOB I � �u/� }, STE 4 APPLICATIONQ / PERMIT f i1 ,/C o ADORESS ZZ��'� ��KL�tJJA.I� �.5� ?72vE %�60 DATE Ir � ( 7/ NUMBEFN� 4' q OCC `r APN LOT TRACT DA EE ONST.� GROUP p OWNER ���A�AADU� I.�1��L '�'ARiU�G��.�� o ADDRESS���,�yT !'�v� (1� ' ZONING SETBACKS Z CITY ZIP TEL� 1 �( FRONT pyy � � APPLICANT TEL. REAR � �� SIDE/SIDE STREET RW ❑ CONTRACTOR / S / SIDE p ADDRESS � o CITY 1'��'Y-Or tti�SA- ZIP�y�TE PFiOPOSED USE_�—�`t� l�3N-�LJ� �3(f��G��,s/� w ARCWENG/ z DESIGNER a ADDRESS � NO.DWEL. NO. NO. � C�TY ZIP TEL. UNITS STORIES BEDROOMS N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECIAAATION SFR/ADD/REM O p I HEREBY AFFlRM UNDER PENAL7Y OF PERAIRY THA7 1 AN EXEMPT FROM THE CONTMCTORS LI- G81agB/C8fp011 ' W CFNSEUWFORhIEFOILOWWOREA50N(SEC.7031.68USP1ESSANDPROFESSIONSGOOEANVCITYOR (n - � COUNTYWHICHREWIRESAPERAIITTOCONSTAUCT.ALTEA,lA/VROVE,DEMOl15H2OHREVAIRANY57RUG W Patia/Deck TURE,Pfl10R TO RS ISSUANCE,AL50 REOUIRES THE APPLICANT FOR SUp1 PERMIT TO FlLE A SIONED W � STATEMEM THAT HE OR SHE IS UCENSED PUqSUANT TO T1E PROVISIONS OF THE CONTiUCTORS ll• CENSE UW(CHAPTER Y(COMMENGNG WITH SECTION 7000)OF DIVISION]OF THE BUSINE55 AND PRd � POOUSPe 0 FESSIONSCOD�ORTHATHEORSHEISE%EMPT7HEREFROMANDiHEB/SISFOpTHEALLE(iEDE%EM7- (� - V TIDN.ANY VIOLATION OF SECTION 7031.6 BY ANYMPLICANT FOR A PEfiMIT 5U&IECTS THE APPLICANT TO Z Re-Roof qCIVIL VENALTY OF NOT MOFE THAN FIVE HUNDRED DOLURS(t50o),}. Z~ ❑IASOWNEROFTHEPROPERTV,oRMYEAIPLOVEESWfTHWACESASTHEIHSOLECOMPENSAT70N, 0 WILL DO hiE WOHI(AND 7HE STRUCTURE IS NOT INTENDED Oq OFFERED FOR 9ALE(SEC,7aI,BUSF _J CamTBfClal . � NESS AND vROFES510N5 CODE:THE COHTAAC70R5 UCENSE UW OOES NO7 APPLY TO AN OWNER OF � I PROPEHfI'NTiO BUILOS Oq IMPROVES THEREON,AND WHO OOES SUCH WORK HW SELF OR HERSELF OR w THROUGH HIS OR HER ONM ENPLOYEES,VHOVIDED THAT SUCM IMPROVEMENTS AAE NOT MTENDED OR m � � OFFERmPDR5PIEIF,FION�EVER71�E8URDwOORCdvROVEMFMI55OLpWfTHiNONEYEAROFCOMPLE- Z TION,THE OWNEREUILDER WILL HAVE THE BURDEN OF PROVP/6 7HAT HE OR SHE DID NOT BURD OR � W PROVE FOH TT1E PURPOSE OF SALE} W �4�OWNEROFiHEPROPERTV,/WEJ(CLUSNELYCAMRACTINOWfT77LICENSEDCONTMCTORS dG' �'f��-ADJ.AREJi Q TO CONSTRUCT THE PROJEGT(SEC.70N,BUSINESS AND PROFESSIONS CODE:TME CONTMCiOR3 LI- V81UaU0l1 �� W CENSE UW DOES NOTAPPIV TOAN OWNER OFA FROPEATV WMO BUILDS OR IMPROVES T11ERC-0N,AND �� ' � N'HOCONTRACTSFOHSUCHVRQIECTSN7TFIACONiRACTOR�S7LfCEN5E0VUR5UANTTOTHECONTqAG QUANTITY DESCRIP'flpN Y TORS LICENSE UW.). FEE � � ❑I A61 E7(EAIP7 UNpER SEG 8.8 P.C.FOR THIS PEASON � � U � DATE ONMER � Z —" — U � LICENSED CONTRACTORS DECLARATION W � � 1 HEREBY AFFlRAI UNDER PENALTV OF VERIURV THAT IAM LIGENSm UNDEA PqOVIS10N5 OF CMAVTEH � � Y(COMMENCINO WITM SECTION 7000)OF OMSION�OF THE 6USINESS AND PROFESSIONS OODE,AND Z �X� 1/Y LICEN9E IS w FULL FORCE AND EFFEC7. m 111 (� / �./a � UCENSE Cl//A7SS �l/ G��' q LIC.NO. (O ! / ��I � . V MTE� ^'I Z COMRACTOR d W � � WORKERS'COMPENSATION DECLARATION � � U � 1 HEREBY AFFIAM UNDER�ENALTY OF VEM1qY ONE OF 1HE FOLLOWPJG DECURATIONS: Z � _I HAVE AND WILL MAINTAIH ACEiiTIFICATE OF CONSENT TO SEIF-INSURE FOR VqRKEqS' a 2 COMVENSATION,AS PPOVIDED BV SECTION 970o OF TNE LABOH COD�FOR THE PERFpWAAPICE �U OFTHE WORK Fop WHipi THIS PERMIT IS ISSUED. . � � � I HAVEAND YALL MAINTAIN WORNERS'COMPENSATION INSURANCE,AS REWIfiED BY SECTION �/ / Q J70a OF THE UBOR CODE,FOR THE PERFORMMICE oF TFIE WORI(FpR WHK717HI5 PERMIT IS ��// OI/ 65Um.�1`/Wpp�(Eq$'ppIJVFN5AT10N INSUfUNCE CMAIEHAlD POLICY NUMBERME: CONSTRUCTION F T j �EA -�.�pQacz ��.�C7/Z.,4�C� PLANFiEVIEW � POIICY NUMBER��������_�f I I� 7a. —i-- ELECTRIC ' p (rass�cr�+r�nqrs��T�oFn�v�m*�sroaar+Eµanr+moa�sgiroloW�ss! PLUMBING , w Z �CERTIFY THAT R!h1E PERFORMANC THE WOPo(FOR WHICN THI$PERAIIT IS ISSUED,I MECHANICAL U' SHALL NO7 EMPLOV M7Y PEASON W ANNEF SOAS TO BECAME SU&1ECT TO THE (/� WORNERS'COA9VENSA710NUW5 CAl RNIh�NDA6REE7HA71FI5HDULDBECAME INSPECTIONFEE = SUBJECT TO THE WOAKER5 COMP NSAT N PiiOV1510NS OF SECTIDN�7000f THE VBOF . ^� GODE,ISWLLLFOHTMVIT/COMPL WI �SEPROVIS10N5. ISSUANCE / � p DATE �Z � aPPLicn .SMIP . �l. w � WARNWQ:FA4LAETOSECUREWORKERS PENSATIONCOVERAGEISUNUWFl1L,ANOSwLLeE ENERGYP/C � SUBJECT AN EAIPLOYER 70 CRIMWAL PENALTIES AND CML FWES UP TO ONE HUNORED THOUSMID ENER(3Y PERMIT DOLLARS(f100,oDo�,W ADD1710N TO THE COST OF COMPENSATqN,DAMAGE51�5 PROVIDED WH IN� J SECTqN 370!OF THE UBOR CODE IMEREST,AND A170R1JE1^5 FEES. � w REfENTION FEE: OC� O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � 1 HEREBY AFFlRM UNDER PENAL7Y OF PEAJURV THA7 7HERE IS A CONSTAUCTION LENDWO AOENCY FOR h1E PERFORAIANCE OF THE WOPoC FOR NMIG1 THIS PERMIT IS ISSUEO(SEC.3oW,qV,G} Z W � IENDEftS NAAIE ' � F— LENDER'SADORESS � TOTAL FEES 115 � 3�- � 1 CERTIFY THAT I HAVE READ THIS MPLICATIONµD STATE THATTHE ABOVE PlFORMATIDN 19 COMECT. w I A6REE 70 COMP�Y WI7H ALL CITY AND COUNTV ORDWANCEs AHD S7ATE UWS RELATINO TO BUILDINO � CONSTRUCTION,A1mHEREBYAUTHORREREPRE5EN7A7NESOFT1a5COUNT`ITOENTERUVONiHE Z ABOVE�MIXTION D PR07ERTV FOR WSPECTION PUR➢OSES. � COMMENTS -' (O S _ m PERMfT7E wwE lo . ¢ �Zs�2 � Uj SIONAN OF PE DATE � RECPT.NO. � PAID BY � . VALIDATION WHITE—Depanment Copy,YELLOW—Flnence Copy.PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy ' ' � '�9 �i 5� i.`�" �i r^�i 9sr�`�,����'i 1_� i)d"'1�3 �I�9�F"'�4.w T� 9�..�J tii i'i k..'_'�..,a,.�b�'i� , '7' ��,rr ��i�t1 1`-�a � :�i1;r:� ��i 4,�,,aW'2' �� r���-rf,+'� "f� �o''� i e; 'T;�r '(. = i. 2�J'� '�`� -�l'�i' 'i•.�i. �'�'� ��:k-S� � _._ y�. .� :-��,..� '-,�,,`ty--�--�„�...?{r �.. � tr *�. � � J. ��.'r�, � :X:��YJ�.��c,. �'-..A�-w: �� '�����^ ��p �'���-r s yi� 3 L,.� ({y��.���,il��.���'�F.ri�fJy��"7�^`4.t"'`"�.�,x��3�C��. �'-� ���4.' ��'(� �n , �S�.,... � . � i ��-x.�. _ ,�a, � . y �- � �c=� S..�'a ��1`._'r�rr i": . �.. r_�'� ��Y'S 1' .._1 F c� � a� ...�.. i . � � �< ��.tu .v . � iv__._ -. ...��.. s�..+,- . '�.�. C� ..1:.:.::� SE7 BACK � � FLOOR f01ST �` — . _._ ��_ ..�. __, - _ _ _ _-- -_ . . ._ --.. ____ - -- -__ _._ -- --- --- ._._. , �.. I—__ i - ---- FTGS/ ORfN�/STFCL �FH.4 REOivfTS --_ . __ _ _. ___ �. _ _- - _ _ _--- _ _ ___ -- ------ -___ _ .----- - ------ -- ELECTI?IC Gi nU�JD � I �1NDER FI OOR DIJCT — - --- — — ---------- ' �.---- ----�-- �_�RC)UIVD PU.Ji��iPl(�IG � '---��— _,___.________ `_ _ � f U�IDcR FLOOR CONDUIT I_ ----- ' SLAB GRAD�_ Flf E?LACE FOUI�lDATION ----------------- ----- ---------- —- �--'---- -fEMP PObVER ' �FIREP�ACE BOND BEAM � ��JATER SERVICE �MID HT.BON�BEAM ROOF SHEATHI��G j 8 FT.BOND BEAM ---- :-- — FRAMING/VENTILATION ----- --------------�_ I'FIPJAL BQND BEAM--i--- �--�----- ROOF COVER_ __ _ __ _ _ j PRE-GRADIPIG „ --I------ -- ROUGH HEATING 'BEfJCHING ----------- ----- ------ ----•--------- �----a---------------------- ROUGH ELECTRIC i ROUGH GRADIPlG ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT.LATH;SIDING �POOL FENCING �VALL INSUI_ATION �POOL FINAL CEILING I�•.151 ILATION �QFf-SITE IMPS. DR'fb�/AL�PJAILING �DEDICATIONS -------._� --------------__----------- - ---- �EN/ER ,FINAL ENG. ---------------- ----- ------------- — -- ----------- SEPTICTANK I LANDSCAPE/IRRIG. ----.._._ --— -------- -----�_._._` ..------------- SEEP-PIT,�LL. i OPJ SITE I�VIPS. GAS AIR TEST FINAL ZONING FINAL CONST. � -' FIRE DEPT,FINAL FINAL FIEATING • �HEA HTL DEPT.FINAL ---- -- FINAL ELECTRIC DEV.FEES PAID FINAL PLUpIIBING I E�IERGY FINAL PLANING FINAL ENGIh1tERING i o p ,�- connnnEr��s SEPTIC TANK SIZE SEEP PIT/U SIZE i1 � f �2