HomeMy WebLinkAbout12-1192 �` Pro c��'T" 5���''�e.C.i- -{�j C��-'r �1 C�e.�no
�� CITY OF DIAMOND BAR ��'-��r�l C��S P^�od' la '�'���t� �
` � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES _
' - 21810 Copley Drive,Diamond Bar,CA 91765
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839:7027 � PRESS
\�'""'. BUILDING PERMIT APPLICATION FIRMLY
� JOBSITE 20� APPLICATIO� � /� PERMIT Z-� f l��f pJC�.��
o ADDRESS z3O /tiJq�jQ� U SpQIN4c DATE NUMBE� ��
� /L I OCC
I SUE TypE
� APN LOT TRACT DATE CONST. /� GROUP
p OWNER �[5 U$ �V EN�E .
o ADDRESS 2 3 0 NA�lA �o S p2�NOS P�t) ZONING SETBACKS
z CIN �N[l�'1ls 1� ZIP� TEL.`I Oq-L��-2 Y4� FRONT RW ❑
o APPLICANT O S�.rt_ GA-R.o TEL.7�v-31.S-11•to REAR p
z¢ SIDE/SIDE STREET RW p
Q CONTRACTOR ii-cs����6"�l YAYii '��r-�u,; tuppQ SIDE p
� ADDRESSIS2 5 L-'tJD�4�o�2 Pl �=
o CITY �'N(��'f�i rv. ZIP�.Z,f�,� TEL 71�-'�A'2-01'fa PROPOSED USE _ �� �
w ARCH/ENG/ f rG ���
z DESIGNER �' ob Yh,C_ rOWq�N
a ADDRESS NO.DWEL. NO. NO.
cn UNITS STORIES BEDROOMS
� CITY ZIP TEL.
� DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION
Q OWNER-BUILDER DECLARATION SFR/ADD/REM
O
p I HEREBV AFFlRM UNDER PENALTY OF PERJURY THAT 1 AM EXEMPT FROM THE CONTRACTORS LI• Gefe9B/CBfpOfl
W CENSEUWFORTHEFOIIOWINOREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANYCITVOR , (n
U COUNTYWHICHREOUIRESAPERMITTOCONSTRUCT,ALTER,U,IPROVE,DEMOUSV�ORREPAIRANYSTRUG patiolDeck
w TURE,PRIOR TO RS ISSUANCE,ALSO REOUIRES THE APPLICANf FOR SUCH PERMIT TO FILE A SIONED �W
� STATEMENT THAT HE OR SHE IS LICENSED PURSUANT TO hIE PROVISION&OF THE CONTMCTORS l4
� CENSE UW(CHAPTER v�COMMENCING WI7H SEC7ION 7000)OF DIVISION 3 OF THE�BUSINESS AND PR6 � POOVSpB
_ Q FESSIONSCODE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALlE6EDE%EMP- �('
V 710N.ANVVIOLATIONOFSECTION7o3t5BYANYAPPLICANTFORAPERMITSUBJECTSTHEAGPLICANTTO Z Re-Roof �
ACML PENALTY OF NO7 MORE THAN FNE HUNDRED�OIURS(5500).):
� ❑1A30WNEROFTHEPROPERTV,OqMYEMPLOYEESWITHI4AGE5ASTHEIRSOLECOMPENSATION, � COffIRIBfCl01
Z WILL DO THE WORK AND THE STRUCTURE IS NOT INTENDEO.OR OFFERED FOR SALE(SEC.7oa,BUSb J
� NESS ANO PROFESSIONS CODE:THE CANTMC70RS LICENSE UW DOES NOT APPLY 70 AN OVMER OF � �
VROPEHTY NM1IO BUILDS OR IMPROVES THEREON,AND WHO DOES SUCH WOqK HIMSELF OR HERSELF OR
Q THROUGHHISORHEROWNEMPLOYEES,PROVIDED7HA7SUp/1MPROVEMEHTSARENOTINTENDEDOR m
� OiiEREDPDRSALEIF,HOWEVERTMEBUILDINGORIMPiiOVEMENTISSOLDWfTHINONEVEAROFCOMPLE-
Z TION,.7HE OWNER-BUILDER N1LL HAVE THE BURDEN OF PROVING 7HA7 HE OR SHE DIO NOT BUIID OR .
� IMPROVE FOR THE PURPOSE OF SALE). '
W ❑I,ASONNEROFiHEPROPER7Y,AMEXQUSNELYCAHTRAC71NOWfTHLJCENSEDOONTRACTORS
Q TO CONSTRUCT THE PR0.IECT(SEG�ON,BUSINESS AND PROiE5510N5 CODE:THECONTMCTOqS�LI- V81Uflt1Of1� ADJ.AREA �
W CENSE LAW DOES NOTMPlY70 AN OWNER OFA PPOPERTV WHO BUILDS Ofl IMPROVES 7HEREON,AND
� 1rilOCOMRACTSFORSUGiVRR1ECT5WITHACONTRACTOR�S)LICENSEDPURSUAHfTOTHECONTqAG qUANTITY DESCRIPTION �
Y TORS LICENSE UW.). FEE �
� ❑1 AM EXEMP7 UNDER SEC. B.8 7.C.FORTHIS REASON Q � -
U
� DATE OVMER ¢ � �Q Y�' � • .
Z U
O J
� LICENSED CONTRACTORS DECLARATION w
� � I HEREBY AFFIRAI UNDER PENALTY OF PE0.IURY THAT IAMIICENSED UNDERPROVISIONS OF CHAPTER �,
� Y�COMMENCINO WITM SECfION.7000)Of DIVI510lJ�OF THE BUSINESS MJD PFiOFESSIONS CODE,AND Z
11J MY LICENSE IS IN FULL FORCE AND EiFECT. m
� LICENSE CLASS L� ���.No. 9 5 0�.9 3 � - ��
�
V onTe y-2O-1 Z CONTRACTOR PV�C,I�,�,A+ni a
w
� WORKERS'COMPENSATION DECLARATION Q �
� I HEHEBV AFFIRM UNDER PENALTY OF PERIURV ONE OF THE FOLLOWING DEClARA710N5: U �
C� Z
� I HAVE AND WILL MAINTAIN A CERTIFICATE OF CONSEM TO SELFaNSURE FOR VqHNERS' a - -
CC��PENSATION,AS PROVIDED BY SEC710N 370o OF THE UBOR CODE,FOR THE PEqFORMANCE U
/6F THE WORK FOR WHICH THIS PERMI715 ISSUED. W -
� �
� �1 HAVE AND WILL MAIMAIN WOqKERS�COMPENSATION INSURANCE;AS REWIRED BY SECTION � �
� 37000F THE UBOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS GERMR IS. /�'L, D I
. J ISSUED.MY COMPENS/tj/fIyO�N�,N�SU/qp��EOARRIER�u POII NU BERME: CONSTRUCTION�� _ 7
j CARRIER ���Y I"��!�• .G�'S � PLAN REVIEW . . .
0 POLICYNUMBER O�'J O �
� - ELECTAIC
0 ��ssH,-raNr�IDraraEoa�RFrIDOFnEv�rrsro�a+Eµiroamoouu�s�s�ao�oa�ssl PIUMBING
w
Z I CERTIFY.THAT W THE PERFOfiMANLE OF THE WORK FOR WHICH THIS VERMIT IS ISSUED,1 MECHANICAL
C7 SHALL NOT EMPLOY ANV PERSON IN ANY MANNER SO AS TO BECOME SU&IECT TO THE �
� VlORNERS'CAMPENSATqN LAWS OF CAIIFORNIti AND AGREE 7HAT IF I SHOULD BECOME INSPECTION FEE
� SUBJEC7 TO THE VIORKERS'GOMPENSATION PROV SIONS OF SECfION 97o00F THE UBOR � -�
OCADE,�1JSHALL FOHfHWIiH COA/pLY WIiH TNO VISIONS. ISSUANCE -
p oATE: 'Ll�- PLICANT. �SMIP �•
W
J WARNINO:FAIWRE TO SE(.URE WORKER5 COMPENSATION CAVERAGE IS UNUWFUL,AND SHALL BE ENERGY-P/C �
� SUBJECrAN EMVLOYER 70 CRIMINAL PENALTIES AND CML FWES UP TO ONE HUNDRED iHOUSAND ENERGY PERMIT
JDOLURS.(tloo,000),IN ADDI710N TO THE COST OF CAMPENSATpN,DAAIAGES AS PROVIDED'FOR IN
SECTION 370e OF THE LABOR CODE,INTEREST,AND ATTORNEYS FEES. - � `U
w RETENTION FEE:
� CONSTRUCTION LENDINGAGENGY PR1E-ALT�-FE//E''++:�-
� I HEREBYAFGIRM UNDER PENALTY OF PERIURV THAT THERE IS ACONSTRUCTION LENDING AOENCY ��L,,�'�/ t
�FOR 1HE PERFORMANCE OF THE WOFK FOR NM1i1Gf TMIS PERMR IS ISSUED�SEC:7087,qV.C.). ��'��
Z
W
�. LENDERS NAME _ � � `
f- LENDER'SAODRESS. -
w ICERTIFY7HATPHAVEREAD7HISAPPLICATIONANDSTATETIiATTHEABOVEINFORMATIONISCORRECT. TOTAL FEES /�(� �
� 1 AGHEE i0 COMPIY WITH ALL CITY AND COUNTY ORDWANCESMID STATE LAWS fiEUTING TO BUILDINO
� CONSTAUCTION,ANDHEREBYAUT1iOqIZEREPRESENTATNESOFTHISCOUNTY70EMfERUPONTHE �
Z ABOV,E-MENTIONED VROPERTY FOR INSPECTION PURPOSES. COMMENTS '
O,
� O C.�A-+'L ��w
m VERMRT AME(PRINn /� �
¢ _ZO_/Z
N ��' �•� =-�v
�/j OFPERMRTEE DATE -
� RECPT.NO. ��a, �.�-- pq�D BY � 3 VALIDATION
WHITE—Depertment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENFiOD—File Copy,GREEN—Applicanl's Copy
CI�Y OF DIAMCDMD BAR ` `
, INSPECYIC�N R�Ct�V�D
= -..� �,,. . . � r -
0
� �
�o � ��'� � e 8 0 � � �����'�J� .� �,� ��s � �� �•i-
ti.y�. —. , ,�., , .: � ��r
.
- , -
SET BACK FLOOR JOIST
— — --- — -------------------------- ---------------------------..__._._. _......._._._._._._..-----...._._._.__._..._---
FTGS/FORMS/STEEL FHA REQMTS
_.._._._._..-------__......._--._.._........_.....___...._.._._._._._..----- ----._.__._._.._......_._._._._._......----------- ------------------...-- --- --- —
ELECTRIC GROUND UNDER FLOOR QUCT '
GROUND PLUMBING UNDER FLOOR CONDUIT
SLAB GRADE FIREPLACE FOUNDATION
I TEMP POWER FIREPLACE BOND BEAM
WATER SERVICE MID HT.BOND BEAM
ROOF SHEATHING 8 FT.BOND BEAM I
FRAMING/VENTILATION FINAL BOND BEAM
_._.__._.-----._.--------------------- ----..-------------... --
ROOF COVER PRE-GRADING _
ROUGH HEATING BENCHING
---- ---- ----- ---------- --------------- ------._..__.___.._._..-------------
ROUGH ELECTRIC ROUGH GRAOING I
ROUGH PLUMBING FINISH GRADING
SHOWER/TUBTEST PQOL ELECTRIC
EXT.LATH/SIDING I POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS
-------------------------------._..__...---------------._.._...._...._._._._._.._._.._...----..._._.._...._..._..... .._..._..--------------------- - ------- --
SEWER FINAL ENG.
------------------------._..------------ ----- —
SEPTIC TANK LANDSCAPE/I RRIG. _
SEEP PIT/L.L. ON SITE IMPS.
GAS AIRTEST FINAL ZONING
F;NAL CONST. FIRE DEPT.FINAL
FINAL HEATING HEALTH DEPT.FINAL
FINAL ELECTRIC DEV.FEES PAID
FINAL PLUMBING ENERGY
FINAL PLANING __ _ _._____.—_--.____.
FINAL ENGINEF_RING ' • e
�OMMENTS ---
-- D ������- --- --------- - --
SEPTICTANK SIZE
SEEP PIT/U SIZE
----------._...—...----....__._....—...__ ---
�I '�II��I ___________-
I
