Loading...
HomeMy WebLinkAbout13-426 (7) - . ��_ CITY OF DIAMOND BAR "/ DEPARTMENT OF COMMUNITY &DEVELOPMENT SERVICES , ` � 21810 Copley Drive,Diamond Bar,CA 91765 " (909)839-'1020 Fax(909)861-3117 Building Inspection Hotline(909)839-70 7 PRESS ����� BUILDING PERMiT APPLICATION FIRMLY � JOBSITE � �,,, (�/��' ;-� APPLICATION c� (� PERMIT `� P/C o ADDRESS��'�,�x��OT `��1 � � �► 1• DATE � ✓ NUMBER N � ISSUE � NPE OCC APN LOT TRACT DATE S �� CONST.�����GROUP p OWNER o ADD�` S`S ��� '�(7 ✓Yl� I'�'1 I� '12 20NING SETBACKS z CITY�►/�Gl. ZIP �l��S TEL�Qq � FRONT RVd _ ❑ o APP�ICANT )P r �-�'X1`(��e'('e'� TEL. REAR ❑ � SIDE/SIDE STREET RW O Q CONTRACTO v� SIDE ❑ Q ADDRESS a`a�I I � .lL1C K-�'`"� PROPOSED USE � CITY�()(��_�✓�!� �: ZIP�3 TEL�'1�{� '� •�4• � w ARCWENG/ z DESIGNER NO.DWEL NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCAIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION cn ¢ OWNER-BUILDER DECIAAATION SFRIADO/FEM O p i Heamv�cFlrw ur+oea venwrr oF vewuAr nur i�u oc�uvr vaou n�corrtw�croas u- GaragelCarport � W CENSEUWFORTiEWILOY/�NORFASONISEC7m1.5BU5WE55ANOPflOFE5510N5CA0EAN1'C7TYOR (n U �pUNTYWMICl/flEWIAESAPERIGTTO00NSTRUGT.AITEFL1117HOVE.OEalOUSN,ORREVNHANYSTRUG W Patia/Dedc I Z TUHE,PRIOR TD RS 65UANCE��REOl11RE9 THE APPIICANT FOR SUCH PERMIT TO FILE A SIGNC-0 W ' W STATEMEtR THAT HE OR SHE IS LJCEN9ED PURSUAM TO hIE PqOVL5ION4 oF iHE CONTAACTOF75 LL � GENSE UW(Gl1APTEA Y(CfJY/dENCN6�N17N SECTION 7aa07 OF OIVLSION l OF THE BUSwE55 ANO PRO� � PooUSpa � � � FESSIOHs COOE)OH THAT ME aP SHE IS EXEAIPTTI7EREFifOM ANo 7HE BASIS FOH 7HE AILEG�E%EA/p- C7 � � 710N,AN'I VIOIATION OF 5ECT10N 7071.5 BY/V!Y APPLICA!!i FOR A PERAIIT SUalEGTS hIE MPUCAHT T0 Z RaRool I �, � A CmL VEtUL7Y oF NOT MaPE THAN FNE FRINORED OOLURS(sSoo1.Y .. � �I.A50wNEROFTHEPROPERTY.ORUYEMPLOYEESwfTH-WM3ESASTFIEIFSOLECOAIPENSA710N, � CpmmBfCial Z WILL 00 THE WORI(ANO TNE STHL1CNflE�NOT�NfENDED OR OFFEiiEU FOR SI�LE(SEC.7DN,BUSI- J . NESS ANO PROFE5510N5 COOE'THE CONTi7ACTOfiS UCENSE UW OOES NOT AVKY TO AN OVlNER OF � VROPEf7rYW�i08U1L0.SORIMPROVE57HEAE0l�ANDNM11000ESSUC11NqRKHIlA9ELFOqHEASELFOA m Q THROUGH HIS OH HER OYM EMPLOYEES,PPOVIOED hIAT SUC}i WPqOVEMENTS AAE NOT DfTEHDED OR . W p�pmFpqSILEIF.FIOM/EVERTME9ULDWGOflWFROVEIAQlTISSOIDWfTHINONEYEMOFCONR.E• 0 TiON.THE OWNER�BU0.DER YALL HAVE THE&1ROEN OF PftOVPlO lHAT HE OR SNE DID NOT 9UILD OH . Z UAPqOVEFORTHEPURP0.5EOF5/�LE} � _ ❑I,ti50WNEROfTNEPROPERTY,AA/IXClUSNELYCOMRACTPl6WIT/Il10EN5EDCOHTMCfORS w 7o CANSfRUc'T THE PRn1EC�(5EC 7w�.BUSINE55 At�D PROFESSIONS GDOE iHE CaNfAAGTORs Li� p� Valuation ADJ.AREA W CENSEUWDOESNOTMPIYTOANOVMFAOFAPFlOPERTYWHOBUIlD50RWPHWE9TIEREOIyM1D � YIFIOCOMAKTSFORSUOiPHOJEGf9WfMACOMMCTOF�S)I�CFNSEOPUHSUAHTTOTHECONTfiAG QUANTITY DESCRIPT70N FEE Y TO0.5 UCENSE UW.�. � J � ❑I A1J E7(EMPT UNOEA SEG 8.i P.C.FOR T45 REASON U � Q � OATE ONMER F' Z V W � UCENSED CONTRACTORS DECLAAATION w [C I HEREBY AFFlRM UNOER PEl7KTY OF PERRIRY THA71M1 LICENSED UNOFA PROVISIONS OF C11A➢TER V. p. 9(C1]AIMENCWO WITN SEGTION 7000)OF OMSION]OF THE&15PlE55 AND PFOFESSIONS COD�IND Z X u'/LICENSE 6 W FULL FORCE AND EFFECL L� 110EN5E.;AA55;`�'-r-r=ri-=r�'a O uc.Ho.�q I��-C5 j U wre'( ' �S• �3 corrrw�croa����+-�. a w � � WORKERS'COMPENSATION DECLARATION U 1 L� v c� h� � 1 HFAEBY AFFlRN lR1DER PENAL7Y OF FERIUHV ONE OF THE FOILOW WG DEQARATIONS: �„ Q 1 3,b d�or. c j2� a« ��,.t � 1 HAVE INU wILL 1dn1NTNN A CERTIFlGT6 OF CANSEHT TO SELF-WSUf4E FOR WOPo(EAS' _ +� C,p1ApE?lSATION,AS CROVIOED BY SECTOH a�aa OF THE UBOR COD�FOR THE PERfOfiMMICE w OF THE WOHI(FOR WHIOi Ti113 PEA/4T L4 ISSUED. � � w _IMAVEANOWILLWVMAWWON(EAS'COMPENSATidIWSUHANCEASREQUIREDBY5ECf10N • Q ]70o OF THE L/�BON COOE.WN T7E PFAFOFM/WCE OF THE WOPo(FOH WMCJ17145 PEAWT t9 ' . � L55UEo,uY NOAKERS couPENSATpN MSUw�NGE GRRIER ANO PaUGY NUMBER ME: CONSTRUCTION ' j c,wqt�t O � �'� PLAN REVIEW � P«��a�'�.P �(�a 8� � �ecrwc � �nvssecncNr�wreeap�'rmocn�v�w.rrsrcAa+ErAxo�oauns�mlaa�ssi PLUMBING z I CEaTIFY 7HAT W 7ME PERFOMUnCE OF THE WOHI(FOR wMQI TH�4 PERufT 15 L55UED.1 MECHANICAL � LJ SYVLL NOT EMPLOY ANY PEASON Rl ANY IJNiNER SOAS TO BECOME SU&IECf TO7NE �jJ WaRKERSCOMP£NSATqNUw50FGLiFORwAANOntiREETHA71FI5HOVlDBfmNE WSPECTIONFEE = SUBJECT TO THE WOFKERS COMPENSAiION PROVLSION4 OF SECTION]700 OF THE UiBOR cm�,i siuu warriwirn wuv�r wm�nwsE aao�sar+s. ISSUANCE •� O `"— p DA7E '� 15 •I� APPLIGNT: �T � SMIP W � WARNWa FAIIURE TO SEQ/fiE WOfUCEAS COAIPENSATION COVEiUGE IS UNUWFUL ANO 3N/�11 BE ENERGY P/C � SUB7ECT AN FIAPIOYER TO CNMINAL VENALTIES ANO tlVIL FPlES UP TO ONE MUN�RED hI0U5M10 .. �ERGY PEAMIT DOLLARS(SIOO,Oooj,P14ODI710N TOTME COST OF COMPENSdTH7N,OAMAG£S AS P0.0VIDED WR Qi JSECTION 370e OF THE LABOR COOE WTERES�ANO ATTORNEYS FEES. Q RE7EMION FEE: a CONSTAUCTION LENDING AGENCY pqE_p�T�E O Q 111EREBY AFFRiM UNDER PENKTY OF CERNRY 7MAT TNERE IS A CON9TRUCTION LENOIIW�GENCY ' �Z FOR TNE VFAFOHNN/CE OF 7HE WOfU(FOH WHiCH h09 VEAMIT IS ISSUED(SEG7CVJ,dV.G} , W S LENpER'S riNAE � F_ LENOER'SAODRE55 ' p � ICEHTIFYTHATIHAVEREAOTH�SAFP�ICATIONANDSTATETHATTliEA00VEP1FOiWATIONISC�RAECL TOTAL FEES , -O g � IAGREETOC6MRYWIh1ALLC1fYM�OCOUNTYOROWANCE5IlW3TATEUWSRFUTWGTOBUILI7W6 � CONSTRUCTIOH,�ND HEflEBY AUh10PIZE RFPqESENTATIYES OF Ttl5 COUNTY TO ENfEA UVON THE Z ABOVEJIE?R10NED7HOPEHTYFOFINSPECTIONPUqP0.5E4 COMMENTS � _ �'�o��� S��r�e�r r m vEaumEe wwe�vwrr� � �� � ��I�I13 N SIGNANFE OF PERMfTTEE OATE - � RECPT.NO. PAID BY VALIDATION � WHfTE--0epartment Copy.YELLOW---F�ance Copy.PINK—Assessor Copy.GOLDENiaO�le Copy.GREEt�Appl{canCs Copy ��1�ti x:r�" �������i��l� ����=a ' ' y��::��=��.:����1�a �a�.":��£� �ti7 'i qa' . .s-r:�r--y.,t, 5' ;��"_"^a'-�v�--'.,.,�h ,�.F_ z+ ss�,rt'�-mm�.c' �-i.�-�,°'z a. �4ti_�T � � �r�i'u y.+�. „" . ;�j�'t ^r- ^.r� . ,�v�"`p A...,"5 '�.�.� '3! � ��� .,�.�-'' e . �3�7 � i�'l� i, � l��Sl`)��,�.�: i.��J:fr 4j�.'ri"Fu� 4.�� �.'�' v���y�.,,t t����'�,�f��- d''�„�-\'�+��n�����.9���-tS��� �1;�"�� � � � �i'-.. ...i�-,.__:�-��_iz.._,.� �.:4:w_,__.-.�,���_�t�t .�_,.-_�:.�+��.,,��'-`����.�-r.. ._k'�rr�'_,'�`e'.�,�.L'.'�`..:10-,_�'��t...i r �-a,e �>r'-�,, r,,..�.�. _ '� - - �E, F3��-K �_� I I r"LOORJGIST -- ---- ------- -- - —--- ---------- --- ----- --- - --- --------- - ---- — — _� .__ ( FT:;'';;`r0�iti15:�TEFL { j f�H�REQf��IT� ---._ ^ ------- �---�- - --- ------ -- —_.------�---�---------, ------ --�--- __- - ---- ----.._..._..... .. �LC�T(?I�(��;CiU;ap � i �UfJDEP,�LC�OR DUCT -- GRGI�,!p Fl_U���1?i�lii - --i-.---—�-----------� I UPdDER FLc�OR CO�IDUIT SL59 GR�Lc —.----.--t----— -----�j FIREPLACE FOUP1DhTi0Pa fEtiiP PO'A/LR � j FIREFI.ACE SCfdD BE�h� Y!ATtR�ERVICE � 6:11D HT.BOf�ID BEAIr4 HOOF SHEATHItJG � 3 rT.BO�dD BcP.h'i FRF,N11f�IG!VE�ITILAT10�I _ _ _ _ ___ FINAL B�ND BcP.NI � __ ROOF COVER �PRE-�RAD�I�I�G ROUGH HEATI�IG^--,'------ --` --- I BE�JCf��fdG _ _ •---- FOUGH ELECTRIC I � I ROUGH GRADING P,OUGH FLUi`�1E31PdG FINISH GRAOING SH04�,'ER/TUB TEST PGOL ELECTRIC EiCT.LATHISIDING POOL FENCING bVALL iNSULATION POOL Fl1�lAL CE1LiPJG;�dSULATlOP7 CFF SiTE IMPS. GR'fV�lALL NAIIING DEDICP.TfOPJS SEti�,ER -------- _� - ---- FINAL ENG. _-- � ----- ---- SEPTICTANF: IP.NDSCAPEl1RRIG. _ _ __ SEEP PIT;'L.L. � ON 51Tc IIV1P5. t GAS AIRTEST FINAL ZONING fl�lAL CaNST. FIRE DEPT.Flh•JAL � FINAL HEATI�IG 2 '/ - 3 HEP,LTH DEPT.FINAL FIPJf\L ELECTRIC DEV.FEES PAID FINP.L P!UNiBING EP,IERGY FINAL PLANING =_ F1NAL ENGINEERIPdG-- — - -- --------- —— � ' �'� -.--- ------.- COtVIMENTS _.._—._�.� C� �—�2.� � —.— — — SEPTICTANKSIZE SEEP PIT/U SIZE '— '