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HomeMy WebLinkAbout12-0336 ^ _��_ CITY OF DIAMOND BAR � 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 '�'%A���W gU1LD1NG PERNQT APPLICATION FIRMLY � JOBSITE ,�/ .f /�/ APPIICATION PERMIT P/C oADDRESS / � �� l�v � �"' ' DATE *, ��� ��� NUMBER �Z`�33� 1t p ISSUE TYPE OCC `r APN LOT TRACT DA7E CONST. GROUP p OWNER ADDRE ZONING SEfBACKS o � FAONT RW ❑ ' Z C17,� ' � Z / TEL. REAR � o APPLICANT TEL. • y SIDE/SIDE STREET RW ❑ � SIDE a OCONTRACTO � ADDR S PROPOSED USE C CRy ZIP TEL �I I w ARCWENG/ z DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STOFiIES BEDROOMS � CITY ZIR TEL � DESCRIPTION SQ.FC FACTOR PSF ADJ.AREANAIUATiON Q �OWNER-BUIIDEfi DECLARATION SFR/ADD/REM ' O 1 HEREBY AFFlRM UNDER�PENIL7Y OF PERIURY THAT t IJA IXEMPT FR�M THE CONTRACTOR4ll- G8f8g0/C8fP011 W CFNSEIAWFOR7HEFOLLOWINOREA40N(SEC.7o31.681)SINESSANDPROFESSIWISCOOEANY�G7YOR (n � . . U qX1MYNRi1CHRE0UIRE5APEA4RTO00NSTRUCT,ALTER,IMVROVEDEAqlJSH,ORREPAIRANV37iNC- `W Patb/Deck WNRE,PRqR TD ITS ISSUANCE,MSO REW�RES THE AVPLICANT FOR SUCH PERMIT TO FlLE A&ONED � STATEMENT 7HAT HE OR SHE IS LICENSED PURSUANT 70 hIE PROVt510NS�OF 7HE�CONTMCiORS LF � CENSE UW(GiM7ER v(COMMFNCWt3 WITN SECiION 7000)OF DMSION 3 OF TME BUSWE55 AND PRO- � POOUS�18 ^ FESu101LSCt�D�OHTHATHEOFSHEISD(EMPTTHEREFROMANDTHEBASISFCi1THEALLEOEDEXEMP• � 7pN,ANYVI0LAT10NOFSECTION7o31.6BYANYAPPLICANTFORAPERMITSUBJECTSTHEAVPLICANTTO Z� RaRoot � �CML PElULTY OF NOT MURE 71'W�FNE HUNOREO�OI.LAR51f500).} , Q ❑I.ASOWNEROF7HEPROPERTY.ORMYEMPLOVEESN7T111VA6E3ASTHEIRSOLECOMVENSA7ION, � CORIrtIBfCi31 � Z NALL DO THE WORK.AND TI1E 9TRUCNRE LS NOT�NTENDED OR OFFEAED FOR 9ALE(SEC.�7�,BU56 J . , N NESS ANO GROFE5510N5 CODE:TME CONTMCTOFS LICENSE UW DOES NOT f�➢PLY TO AN OWNER OF ? ppppERtYN?�OBUM90RIMPROVE9THEREON,MIDWHODOESSUGIWPNKHWSELFORMERSELFOH m Q THROUGHWSORHEROWNEMV�OVEES,VHOYIDEO7HATSUCNIMPFlOVEMENT3ARENOTINTENDEOOR QOFFEREDPDRSALEIF,H0INEVERTMEBUNDINOORIM7ROVEMEN119'' '�W�IHPJONEVEAROFCOMPLE- Z TIDN,7NE OWNERAUILDEA W�LL HAVE THE BURDEN OF PROVWO THAT HE OR SHE DID NOT BU1LD OR = MPROVE FOfl THE PURP0.4E OF SALE). ' . . . . w ❑I,ASONRJEROF7NEPROPEFRV,'AMIXCLUSNELYCONTFUCTWaWITNLIC£NSEDCOFITMCTORS � TO CONSTRUCT THE PR0.IECT(SEC.7MI.�BUS7NESS/�ND PRpFES510NS CODE:THE fANTMCTORS LI- V8IU81IOf1 AQI.AREA'� CENSE LAW DOES NDT APCLY TO AN ON?lEA OF A PROPERTV WViO BUILDS OR UAPROVES h1EREON,AND � WHOCONTRACT6FORSUCHVf�JECfSWfT}7AOONTFiACTOR�S)UCENSEDPUA&UANTTOTHECONTiUG Qunrmrv �oescRiPnoN FEE � T00.5 UCENSE UW.�. �J . � O ❑I AN E% PT ER SEC. 8.8 P.C.WR TMS REASON Q U �r ¢ LL OATE OWNER - . . . U Z . . . . u� . . . . . � UCENSED CONTRACTORS DECLARA710N OC w �. I HEREBY AFFIRII UNDER PENALTY OF PERNRY THAT IAM�UCENSED UNDER PROVIS10N3 OF CFINP7ER Ur e 0 � d V(COMMENCINO�WITHSECTIDN70W)OfDMS10NJOFTNEBUSINE59ANOPROFES510N5000E,M1D Z. _ X A/Y UCENSE IS W KULL FORCE AHD EFFECL m /� 1 � llJ � �a � UCENSE CLASS LIC.NO.. J ' U p�7E ' � � CONTRACTOR a .- . . . W � WORKERS'COMPENSATION DECLARATION � - � � U N 1 HEREBV AFFIRM UNDER PENALTV OF PERJURV ONE OF THE FOLIAWING�DECIARATIOM3: ZQ O �IHAVEANDWILl1.WNTNNACERTIFICATEOFCONSENTTOSELFINSUREGORVIORI(EPS' S . . . . Q COMiENSATtON.AS PROVIDED BY SECTION JT00�F tHE U100R CODE,FOR TME PEFFORM!WLE W� OF THE WON7C FOR WNICH THIS PERMIT 19 ISSUED. � � � 1 HAVE AND M/�LL MAINTAud M'ON!(ER3'CWIPENSATI�N WSURANCE:AS REWIRED BV SECTION Q 870o OF 7HE LABOR CODE,FOH 7HE�PERFORMANCE OF THE WOR)f FOR N99p1 T17�5 7ERAIR IS. fSSUEA.MY WOH7(EA5 COMPENSA710ti INSIIRANCE CMRIER'AIiD POIICY NUMBEN AAE CONSTRUCTION�� � PLANAEVIEW t CARRIER 0 vaicr rnir,�eea ELECTRIG � a`�i-'j-e � Q (i1LL95£CIqN1�WT0ECp.FIETmOFhEpEqMTBFOqONEHIpIpiEppplL�ltl�NOplES51, PLUMBING . w 1 CER7IFY THAT IN h1E PERFOfiMANCE Of THE WOfU(FUR W�11Cli TN19 PEW.�R IS ISSVEO,1 MECHANICAL Z �} SHALLNOTEM7LOVM1YPEii:'iONWANYMMINERSOASTOBECOME�SU&lECiTOTHE�, INSPECT�ONFEE � '< < � � KbRKERS'COMPENSAT�ON LA1NS OF G11FOR A,�ND AOREE iHAT IF I SHOUID 9ECAME . . . SUBJECTTOTHEWOp1cER5COMPENSATION OVISIONSOFSEC 7o00FTHEUBOR ISSUANCE O :.�7� ^fiTHWI7H COMPLV N7 'E PROVI51 NS. / . .. � DATE: "'� `�• APPLICANP.. . l.lN� . . . .SMIP J ENERGY PiC J WANNINCiFMLURETOSECUREWOHKERSCOMPENSATION ERA ISUNLAWFUL,AND.SM�LLBE � SU&IEG7ANEMPIOYERTOCRIMW�LPENALTIESANDCML ES TOONEHUHDREDTHOUSANU ENERGV�PERMIT . DOlUA3151 p0.0oo).M ADDfT10N TO7HE COST OF COiAVENS .DAAUGES AS PROV�DEU i0i{IN � � SECTION 370E OF THE LABOR CODE WTEREST,AND ATfORNEV'3 FEES. ' RETENTION FEE: ����� . W� CONSTRUCTION�LENDING AGENCY ' PREALT FEE n.. O � 1 HEREBY AiiIRM UNDER PENALIV OF PERlURY TNAT THERE 19 ACONSTAVCTION LENDINO A6ENCY �- FOF 711E PERFORMANCE�FT11E WORK FOR WHICH T115 PERMIT IS ISSUED(SEC:3oe7,QV.C.1. . ' z • w �� LENDEfiSNM1E . . . - _ . F�, LENDENS ADDRE55 T - � - . �/y( � ICER7IFYTHATIHAVEREADTHISAPRICATIONANDSTATETHATTHE�BOVEINFORAIATIONI9CORRECL 1 OTAL FEES (�� �,3 � 1 AOREE TO CAMPIY N7TH ALL CfTV AND COUMV ORDMANCES AND STATE UWS REUTWO TO BU0.pNO . � � COtiSTRUCTION,u1D HEREBV AU7HOARE REPRESEM�TNES OF TN1S COUNTV TO EI7�ERUPON THE Z ABOVE-MEMIONEDPROPERTYFORWSPECTqNPURPO5E5. COMMENTS � a Qn �. PE E(P � ��� a c�� .�a.� � � � E OF P EE DATE Q � pqlD BY VALIDATI � RECPT..NO. � WHRE--DepaNnent Copy.YELLOW—Flnenae CcPy.PINK—Assessor Copy,GOLDENROD--File Copy;GREEN—ApplicanPs Copy . CIT'Y OF DIi4MOfVD B�►R . INSPECTION R.ECORD ` �4 ��. �,,. ,,. -., .� .: .. .. ' '�'�. . . .,.� _ ' i . .. , �.�tn. � -. ��,W... �,t . ,.. _ .. � ' �vi:� _ a. � � r. '' �,� � 9 � ` p o" p . .> g � y , � - .�- : - E • -�, � SEi"BACK FLOOR J015T FTGS/FORMS/STEEL FHA REQMTS ELECTRlC GROUND UNDER FLOOR DUCT . • . GROUND PLUMBING UNDER FLpOR C�NDUIT •• � � � • • � SLAB GRADE FIREPL/iCE FOUNDATION � � � TEMP POWER FIREPLACE BOND�EAM ' , ,; ,� ' ' � . WATER SERVICE '� • - � � � MIQ,HT.,B�N4 BEAM�- ROOF SHEATHING 8 FT.60ND BEAM FRAMING/VENTILATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROtJGH ELECTRIC ROUGH GRADIf�G ROUGH PLUMBING FINISH GRADING SHOWER/TUBTEST POOLELECTRIC � EXT.LATH/SIDING POOL FENQNG WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEQICATIONS � � SEWER • FINAL ENG. SEPTIC TANK ` LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST RNAL ZONING FINAL CONST. FIRE DEP7.FINAL � ., FINAI NEATING ' HEALTH DEPT.FINAL ` . FINAI ELECTRIC � ' DEV.FEES PAID FINAL PLUMBING ' ENERGY FINAL PLANING . � • FINAL ENGINEERING • p e ��' ' ' _ �,.', . C�MMENTS �M �,�,��� C����_�?� _ SEPTICTANKSIZE SEEP PIT/U SIZE � I" s�� i , � t _ .4 �,s , • � . � f .. ."_ . : : � " � . �l_.i"'333-�t���� �'re���i #�ve�er���+�#'�v� ��ce:�.t�;i��tt�al'�Ja�e�'�ea�na i �� C��t�forms�io� ., : - ; ,�:.b�:E- , .i� ! !�� Site Addr�sc � �� � �3�ss#c 7azas' - - � � . II N�}3�:7�sis osm is or.i� vr�'�n or adc'��an fl is'a� . , . . . . . ....� �r e ' : . ! �������{`s' �tZf�l i���92�� fl.�� I II ' �S��S�'!�7'OZF1G S�i�C���. • List water lxeaters c��ioiiers far����S4eS��� I���t�'F���ation fiz�m ilie f3Hi�'f�er3ter io#he ' keritters�t be ga.s nr�'o�.7� . ��l compai�t1,�aC�aes in.t�l clinsQ#e zo�es ka . . - kvchen{s)rnzd an crlt uriderg�'vu�'d Iu�t rc�r�i�ir re�u�`e� .� .��,ga�r or ' , '�rr a� " �'�alc��l 'C4�ea�sa� �ema�'�'au3�P Disi�ib�io�.T3� a�cz$R-V�e water H�ate�'3 y��� St�a�� > E�cie�v cx ' �'nei � �i�,, � .� ti _ . 1.irrts?u�te,T'3'�e fStorage Gas,l�eat Pua�.I�sur�rtrn�eous,e�.,) T a ISfl n The 3'r�scrii�five r�uir�menfr rIo d;s'e71"sig�riii�skatl m�i the re��ular�on regriu�menta .f {�- �.Recirailat�g�5�'S� ' �;..�F�dtve�ri�tr$iis. . notnllaw#hev�tull'�a+r a����xw�r�tgsrs�e�{ar � 3_T7xe soate�3reatn�t��P�P�'�1 be i�ssxlr�ted tu meel ihe r�����1• : � - � � E8�S�7DS.�1�#7�DC�8�SSj70Ii33;3�C��S nCf�&3'��i0����#} CO��C'dC#'AI'�n� . � � - . � . � .. i - �2�i7S��O��OIDp�"3TIlCe[�OC13iII£II�3E3DIt IS�3�C���"�E•. - c �.��{�wu 0 ... . . ..�.;� .. . . . � _ .. r ��'�?C�JIII.��.�IDC'.d�t '3 . . � • ,-�.: �.�..._. . .:..,��, .. ,. . � . . . • i am el�,gt�il�jmde•t Divisian 3 o�the Gal�'�iiiia Sivswess and Pro:essicins Code to��°� �' . ' this Cecti�cate of Cflmpliaaca_ ' ides�ed this Ce�tificate of Co�ka�tce� • i r.�itY tha�i�e�'�Y f'������cations ft�r t�e b ' �� to tk+e�qvsc�e�af T'tile 24,PazLs I�d S of tl�e Ca�faat�a Code of Regulati - -- �fnrsnat�an vided to doc�m ent t�is • Tfie bvitdina desigt�fraUses idevtifiect on fifis C,erti�cc�e of�omgli�uce are cc�sas-teut�it33. a��m�ta YI�e enforee�enY bw�d�g design an tfie ather applir�bie 35�ce ' wot�s3�eet��3ai?�=P� � . ffi �. ' iEv`s buil` ruut ��irx�i�s- . . - 1 — . N�_ �Z ��� . . � � �-_ ���'� w�.� ��xs o�y, �c_ __ _ . . . � '` Adc3r�.ss.,.:;9 7,.0:E:��IN„STRF.ET .�:2at7 , : ,..,- ._ , " __ _. ., . � 374573, , _,: _ _r . . .. :.�..- _ --- - _. _.. . . . C-ity/StarelGip: �1�AS� Vgl.�i.�Y, CA 95945 ��CS��} 835-83�t-� �,. �,.���utt��,,�,.u' � :;.?�t' �. '.�k�.Pu� >�4.*��, �M�:��`� . �,� ' (� � ' ' t� '� ' asr . �F ri� � � �� � � � _ << 98' F.����� s f �,�CF���t� R!-".��„ :j.: . ..... 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