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HomeMy WebLinkAbout12-740 CITY OF DIAMOND BAR (/ II ----���'— DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21810 Copley Drive,Diamond Bar,CA 91765 PRESS (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 I `�����°��W BUII.DING PERIVIIT APPLICATION FIRMLY � JOBSITE / , APPLICATION�,.a �\ ,Z NUMB RI Z 1� #�� � oADDRESS ��i'� ��n��r7 D���l DA7E �� p ISSUE � NP� �C `r APN LOT TRACT DATE I � a 1 � � CONST. GROUP pOWNER�A-•�_ ��L f�►/`ve-� LL ,4 ZONING SEBACKS o ADDRESS FAONT RW O Z CITY ' v ZIP��� TEL.�/b��a REAR � o APPUCANT TEl�6,is''I R2Z ic,�Q� �% SIDE/SIDE STREET RW ❑ � CONTRACTOR I� ./�r^fY'i t�3 L C�` SIDE � � ADDRESS � � � PROPOSED USE �l'�'r i��.� � lC 6S'i�� — —- — o ciTvr'-��a.��H�;i�c ZIP��.�� TE w ARCH/ENG/ z DESIGNER . NO.DWEL. NO. NO. ' � ADDRESS UNITS STORIES �,�L BEDROOMS,�_ � CITY ZIP TEL. u� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION - � OWNER-BUILDER DECLARATION SFR/ADD/REM O i HEREBY AFFl{W UNDER�flENl1L1Y Oi PERIURV THAT I AA1 EXFlaP'T FROM THE CONTMC70R5��� G8f8Q0IC9fP011 W CENSEUWFORTHEFOIL�Mp10REA.aON(SEC.7o31.6Bu5P1E55ANDPROFESSION50DDEANYC77YOR (� . � U COUHTVWHIpIREOU1FiE5APERMITTOCONSTRUCT,ALTERIMPROVE.DEMOLISH.ORREVNRANVSTRUG w PatidDeck I w NRE,PR10R TO RS ISSUANCE�LSO HEOUIRES 7HE APPLICAM FOR SUCIi PERMR TO FlLE A SIONED � STATEMENT 7NAT HE OR SHE IS LICENSED PURSUANT TO THE PROV�SIONS'OF.THE COMRAC'TOiiS LL � P��DB � CENBE UW(CHAPTER 9(COlAMENCWQ�NIT11 SEC�ION 7000)OF DIYISION 3 OF h1E BUSWE59 PND PfiP � FESSqNSCODE�ORTHATHEORSHE�E%E1�IPT71iEREFROMANDTNEBA5ISFORTHEALLEOEDE%EMP• V 7pM,/�M'.VpLATIONOFSECT10N7o3�.6BVANY/WPLICMlTFORAPERMITSU&IECT37HEAPPLICANTTO Z Re-Rool � A CML PENALTY OF NO7 MORE iYiAN FIVE HUNDRED DOtlARs(f5a0).r _ � ❑L�OWNEROFTHEPROPERN,ORMYEMPLOVEE9WI7NlVA0E5A5THEIRSOIECOMPENSA710N, � CpmmBfCWI Z WILL DO THE WORK.AND THE 9TRUCTURE IS NOT IMENDED OR OFFERED WF SALE(SEC.7au,BU51- J � NESS AND PROFESSIONS CODE:THE CONTAACTORS IICENSE UW DOES NOTAVPLY TO AN OWNER OF j PROPEHTYWHOBUIIDSORIMPROVES7HEPEON,ANDWHODOESSUCHWORKHWSELFORHERSEIFOR m � TMROU(iH W S OR HER OYM EMPLOYE£S,PROVIDED TMAT SUp/IIAPROVEAIENTS ARE NOT INiENDED OR QOFFEAEDPDRSALEIF.MONJEVER7MEBNLD�NUORWPROVEMFi�lTISSOLDNrtTMNONEYEAROFWNPIE- Z TION,.THE ONTJER-BUILDER WILL HAVE TNE BUROEN OF PROVPIO THAT NE OR SHE DID NOT&IILD OR � DAPROVE FOR TiE PURPOSE OF SALE} . . . , w ❑4ASOWNEROFTHEPqOPEHTY,AAIE%CLUSNElYCONiRACTINOWITMUCENSEDCONTRACTORS TO CO1lSTqUCT THE PR0.1EC7(SEC.7oN,�6USINESS AN�PROFESS�ONS GODE:TME COtdTMCTORS ll- VelUflll0fl ADJ.AREA W CENSELAWDOESNOTAPPLYTOAN01N1EROFAVROPEATVWHOBURDSORW7ROVEg7HENEON,�ND - � ZWHOCON�RACTSFORSUCMPROJECfSN7THACONiRACTOR(S)LICENSEDPUASUMlfTOTHECONTRAG pUqN7�7y DESCRIPTION FEE � TOHS UCENSE IAW.�. � O ❑I AY E%EMPT UNDER SEC. B.d P.C.FOR THIS REASON � I � � � OATE , . � OWNER ~ U Z . . � . . �. . .. : . � t�t . . . . . . �¢ UCENSE�CONTRACTORS DEdLARATION �C w �HEREBYAFFIRM UNDER PENALTV OF PERIURY THAT IAM LICENSED�NDFA PROVISlON9 OF CFIAPTER � � p_, 9(COMMENCVKi WITM SECTION 7000)OF OIVI510N 1 OF THE Bi15W ESS AND PROFESSiONs CODE,M1D Z , . �L I,IY LICENSE IS�N FULL FORCE AND EFFEC7, m �/��a 0� � � LJCENSE CIASS � LIC.NO., � � v a,� corrranc� A E�l�[-�r i r eiL. C� a w � WOFKERS'COMPENSATION DECLARATION " � �, U � 1 HER�Y AFFIflAI UHDER PENALTV OF PERtt1M ONE OF THE FOLLOW W6 OECLAfUTION3: Z � _�W�yE�M�pWILLNAIMAQ/ACERfIFICATE�FCANSENTTOSELF-INSUREFORWOPo(ERS' � �j COMPEN5J1ilON./S PROVmm BY 6ECTION 3700 OF THE LABOR COD£,FOR TME PERFORIAANLE W `� OFTHEWOPoCFORNM1i1GiiHi3?ERA1I719.ISSUED. � O W 1 HAVE AND WILL AMIMNN WORICEA4'�COMPENSATION MSUR/WCE;AS REWIRED BV SECTION Q a7oo OF-THE LABOR�WOE,FOR THE 7ERFOMUNCE�Of THE WORK FOR W/iICH hIIS PERMR 13 1$SUEp,My WpPo[E{iS'COMPENSA7ION INSUHANCE CAHRIER�AND FOI.�C'/NUkBER�ME �CONSTRUCTION� jcaawER PLAN REVIEW z vo��cr Nin.�sea ELECTRIC �� � ¢ (fFB3GECf10N/1�NDT9E001.p1£fEDOFTfpEp.R6FOqCrFFA1t�OR�ppLlf�lflaMpqL�F PLUMBING , . . . . 0 w I CER7IFV 7HAT IN THE 7ERFOAMANCE OF THE WOW(FUR VMICFI THIS 7EMnT IS ISSUED,I MECHANICAL Z C} SMALLNOTEMPLOVANYVE '' INANYMMINERSOASTOBECOME�SU&IECTTOTHE INSPECTIONFEE � WORKER5COMPENSATIONLAWSOFC11LIfORN1AANDAfiREElHATIFISFiOVlDBECOM . ... . SUBJECT 70 THE WOAKERS'CAM7ENSATION PROVISqNS OF SECTION 9)a0 Of ISSUANCE �1 '� \� OCODE. S'IUqLL/Eojrr�rHrnn+coua�v wini nio VISIONS. . . Q •J�Z��F�//a�- AVPL�CM7T�� �SMIP . . � J� WAiWINO:�FAdURETOSECUREN'OFKER/ ENSATION VERAGEtSUN ANDSHALLBE ENERGY�P/C . . . �y SUBJECT AN EMPLOYER TO CRIMM�LL.PENAL7IES AND GVIL P HUNDRED THOUSAN� ENEROY PERMIT , . - DOLLARS(5700.000).'W MDITION TOTHE COST OF COMVENSAT . AMA�ES AS PRONDED FOR IN �( „y..` . J 6ECTION 3700 OF THE L�BOR CODE,INTEREST,AND ATfORNEY'3 FEE3. ' RETENTION FEE: � � Vv � W CONSTRUCTION LENDING AGENGY PREALT FEE: n. , CL IHEREBYAFFIRMUNDERPENAL7VOFPERIURYTHATh1ERE13ACONSTRUCTIONLENDWOM3ENCY nZ- FOR TNE PERFOW.IANCE�F 7HE WOFK FOR N?iIGH 7HIS PERMR IS ISSUED(SEC.5oa�,CIV.CJ. . W �. LENDERS NAME .. . . . . F- LENDER'SADORES3 � Q 2 � � '�CERTIFYTHATIHAVEREADTNIBAPVLICATIONANDSTATETHATTME�BOVE�NFORMATION�SCORRECT. TOTAL�EES DJ � w I A6REE TO GOMPIY N7iN ALL CITV ANO COIRfTY ORDPUNCES M1D STATE LAWS NELATPIU TO BURDINO n' CpNSTAt)CT10N,AND HEREBV AUTHORI2E REPRESENTATNES OF 7N�S COUNTY 70 ENTER UPON THE � '" ZABOVE-MEMIONED PROPERTV FOR INSPEC7�ON WRPOSES. COMMENTS � O _ ,T�ir �P � m VERMITTEE NAME IPRINT� - . . . . � �SIONA7UREOFPEPMtTTE � � RECPT.NO. ,���Go PPJDBY �� VALIDATION� � —Department Copy,VELLOW—Finar�ce CaPy.PINK—Assessor Copy,GOLDENROD—File Coq,6REEN—Applk�nYs Copy CITX pF DlAM4tVD BAR INSPECTION REC4RD �"y�`'� ` , � � D � � ° 4� �p�f:c�� ��`� ,o � ,R�R � , �� : . ��k . , $ v ,. � � , � "e' SEI"BACK • �FLOORJOIST : ,. , T . , ,, FTGS/FORMS/STEEL j FHA REQMTS ELECTRIC GROUND �UNDER FLOOR DUCT GROUND PLUMBING I UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER ,FIREPLACE BOND BEAM WATER SERVICE MID HT.BOP1D BEAM ROOF SHEATHING I g FT.BOND BEAM FRAMING/VENTILATION �FINAL BOND BEAM ROOF COVER �PRE-GRADING ROUGH HEATING BEN�HING ROUGH ELECTRIC ROUGH GRADiNG ROUGH PLUMBING FlNISH GRADlNG SHOWER/TUBTEST PpOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTICTANK I LANDSCAPE/IRRIG. SEEP PIT/L.L. Ofd SITE IMPS. GAS AIR TEST FINAL ZONfNG FINAL CONST. FIRE DEPT.FINAL FINAL HEATING �HEALTN DEPT.FINAL FINAL ELECTRIC �DEV.FEES PAID FINAL PLUMBING ENERGY FINAI PLANING �� FINAL ENGWEERING . � a ' COMMENTS SEP71C TANK SIZE SEEP PIT/U SIZE _ � �,��- �� . ��� , _ �; . i' �� " '� `'