HomeMy WebLinkAbout12-917 _��_ CITY OF DIAMOND BAR ��� ��
I
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��
21810 Copley Drive,Diamond Bar,CA 91765 `' ' ti^`
(909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS
"�^'. BUILDING PERNIIT APPLICATION FIRMLY
� JOBSITE .
DATEI�10 PERMIT IZ.� p/C
o ADDRESS ' �� NUMBER k
=-° C. LOT TRACT D TEE CONST. f ��-� GROUP
p OWNER S VS0.�. Q t�0.w�,�C�
ADDRESS� � a C ZONING SETBACKS
Z CITY . ZIP�1�I� TE� <l��''Ia�a FRONT � RW ❑
o APPLICANT . ttcr�,1� C���,�Q TEL. REAR p
Z SIDE/SIDE STREET RW p
� CONTRACTOR � SIDE p
o ADDRESS , �' • � PROPOSED USE 1' Rc7 � 0.l'e yy��,r��
o CIN �.ry4�ne�i w. ZIPq��_ T L'l � a' � .
o ARCWENG/
z DESIGNER
w NO.DWEL. NO. NO.
a ADDRESS
� CITY ZIP TEL. UNITS STORIES c�Z BEDROOMS a
�
cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
p� OWNEA-BUIIDER DECCARATION SFR/ADD/REM
, O
p 1 HEREBY AFFIRM UNUER PENALTY OF PERIURY THA7 I AM E%FJAPT FROM 7HE CANTRACTORS L4 GaragelCarpoA
W CENSEUWFORTHEFOLLOWINGREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANYCITYOR (n
C-) COUNfYNRi1Cl1RE0UIRESAPERMITTOCONSTAUCT,ALTER,IMPROVE.DEMOLISH,ORRE7AIRANYSTRUG �
w NRE,PRIOR TO RS�ISSUANCE,AL50 REOUIRES THE APPLICANf FOR SUCH PERMIT TO FILE A SIONED W Patio/Deck
� STATEMENT THAT HE OR SHE IS UCENSED PURSUANT TO THE PROYISIDNS OF THE CANTMCTORS lJ- � �
� CENSE UW(CHAPTER G�COMMENCING WI7H SEC710N 7000)OF DIVIS�ON 3 OF THE BUSINE55 AND PRd PooUSpa
� FESSIONSCOO�ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBI1515FORTHEALIEGEDE%EMR � C7 .
V TION.ANV VIOLATION OF SECTION 7031.5 BY ANV APPLICANT FOP A PERMIT SU&IECTS THE APPLICANT TO Z (�@.ROOf
� ACML PENAL7Y OF NOT MORE THANFIVE HUNDfiED OOLLARS(f5ao).�: -
� ❑I,ASONMEROPTHEPROPERTY,ORMYEMPLOVEESWI7HWAGESASTHEIRSOLECOMPENSATION, � � Commercial -
Z WILL DO THE WORI(AND THE STRUCTURE IS NOT IMENDED OR OFFERED FOR SALE(SEC.7o�s,BU51- J
� NESS AND GROFESSIONS CODE THE CON7fUC70R5 LICENSE UW DOES NO7 MPLY TO AN OWNER OF �
VROPERTY N?IO BUILDS OR IMPROVES THEREON,MID WHO DOES SUCH WORK HIMSELF OR HERSELF OR '
Q iHROUGHHI50RHEROWNEMPLOVEES,7ROVIDEDTHATSUCHIMPROVEMENTSARENOTINTENDE00R m � � .
�� OFFEREDFORSALEIF,HOWEVERTMEBUILDINGORIM7ROVEMENTISSOLDWfTHINONEVEAROFCOM7LE-
Z TION,7HE OWNEREUIIDER WILL HAVE T11E BURDEN OF PROVING 7HAT NE OR SHE DID NO7 BUILD OR . .
� IMPROVE FOR THE PURPOSE OF SALE).
❑I,AS OWNER OF 7HE PROPERTV,AM EXCLUSIVELY CONTMCTING WfTH LICENSED C01lTRACTORS
Q TO CONSTRUCT THE PRQIECT(SECJos1,BUSINESS AND PROFESSIONS CODE:THE CANTMCTORS LI- V81UflIlDO� � ADJ.AREA. �
W CENSE UW DOES NOTAPPLY TOAN ONMER OFA PROPER7Y WHO BUILDS OR IMPROVES 7HEREON,AND -
� NM1IOCONTRACTSFORSUCHPRQ1ECfSWITFIAC01lfMCTOR(SjUCF1�lSEDPURSUAHt70THECONTfUG OUANTITY DESCRIPTION FEE �
� TORS UCENSE UW.).
❑1 AM EXEMPT UNDER SE4 . B.8 P.Q FOR 7HIS REASON Q
� U
� OATE OWNER � Q'V\. -°\l� ¢
Z W
� LICENSED CONTRACTORS DECLARATION W
� I HEREBV AFFIRM UNDER PENALTY OF PE0.IURV THAT I AMlICENSED UNDER PROVISIONS OF CHAPTER � �
� 9(COMMENCIMO�WITH SECTION 7000)OF DIVISION a OF THE BUSINESS AND PROFESSIONS CODE,AND Z �
XL' I.IY LICENSE IS IN NLL FORCE AND EFFECT. m
LLI
� LICENSE CLASS WC.NO. j .
V DATE CONTRACTOR d � �� . .. .
W
� WORKERS'COMPENSATION DECLARATION Q
� 1 HEREBV AFFIRM UNDER PENAL7V OF 7ERJURY ONE OF THE FOLLOWING DE0.ARA710N5: Z � � � � �� -
� _IHAVEANDWILLMAINTAINACEi7fIFICATEOFCONSENT705ELF-INSUREFORNORI(ERS' _
� COMPENSATION,AS PROVIDED BY SEC710N 37000F THE UBOR COOE,FOR THE PERWRMANCE W�
Q OF hIE WORN FOR NM1iICH THIS PERMI7 IS ISSUED. � � - '
Qw IHAVEANDWILLMAINTAINWORKEf1S'COMPENSATpNINSURANCE,lSREWIREDBYSECTION -
37o00F THE IABOR CADE,FOR THE PERFORMANCE OF THE WORK fOR WHlp/THIS PERMIT IS /[�/ . �
ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIER AND.POIICY NUMBER ARE: CONSTRUCTION�� c7
jCARRIER PLAN REVIEW
0 POLICY�NUMBER �
Z ELECTRIC
¢
o fM�ss�cna+N�wre�o�a�rmo�n+�a�w.rr�s�a+«+EMxor�noau�K��)oR�Ess1 PLUMBING
Z I CERTIFY.THA7 IN THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL
C7 SMALL NOT EMPLOY ANY VERSON IN ANY MANNER 50AS TO BECOME SU&IECT TO THE
� WORNERS'CAMPENSATION LAWS Of CA�IFORN10.AND AGREE THAT IF I SHOULD BECAME INSPECTION FEE�
? SUBJEC7TOTHEWORI(ERS'COMPENSATIONPROVISIONSOFSELTION37o00FTHElABOR — � � �
CODE,I SHALL FORTHWITH CAMPLV WITH 7HOSE PROVISIONS. ISSUANCE
� SMIP d
p DATE: APPWCANT: �'
J WARNINO:FAILUHE TO SECURE WORKERS'COMPENSATION COVEMGE IS UNUWFUL,AND.SHALL BE ENERGY P/C
� SU&IECTANEMPIOYER70CRIMINALPENALTIESANDCIVILFWESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT
DOLLARS(5100.0oo),�IN�DDI710N TO THE COST OF COMVENSATION.DAMAGES AS PROVIDED FOR IN
J SECTION 97oe OF 7HE LAeOR CODE,IN7EREST.AND ATTORNEPS FEES. - .� v
p� RETENTION FEE:
a CONSTRUCTION LENDING AGENCY P�ALT FEE: �
� / .�1-^(�
� 1 HEREBY AFFIRM UNDERPENALTY OF PERIURV THAT THERE IS ACONSTRUC710N LENDINO AGENCY o 7 ��� � .
FOR THE PERFORMANCE OF THE WORK FOR WHICH 7HI5 PERMIT IS ISSUED(SEC:3097,CIV.C.} �
Z
W .
� LENDER'S NAA1E .
F- LENDEfYSADDRESS
� TOTAL FEES � �3- yr
� I CERTIGY 7HAT I HAVE READ THIS APPLICATIONAND STATE hUT7HE ABOVE INFORA/ATION 15 CORRECT.
W I AGREE TO COMPLV WITH ALL CITV AND COUNTV ORDINANCES AND STA7E UWS REUTING TO BUILDING
� CONSTiiUCfION,ANDHEREBYAUTHORIZEREPRESENTATNE50FTHI5CWNTYTOEIl�ERUPONTHE � �
� A80VE-MEMIONED PROPERiY FOR INSPECTION VURPOSES.
Z (� COMMENTS '
� �V��lQ��n Q O�L1L W\��
m PERMIREE NAME(VRINn -
� `u.�.,�,. r� . c��mh� a�I►�i ��a
� ,
� SIONANREOFPERMITTEE DATE �
= RECPT.NO._ PAID BY VALIDATION
~ WHITE-Department Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENHOD—Fle Copy;GREEty—ApplfcanYs Copy
— - --- I
„� � �, CIT'Y 4F DIf�MOfVD �AR
IfVSPECTION REC4RD
}i- =�- --^e t '.��:;- >;�.�-.���''�' e� 'Q -.F�' � - .. e � _ ��� � ;n. e Q�� o �t4
. F .
.
, . a �
. ��; �. . . �-t� ���. _
, .. 1 „ .� � � .�'�.
SET BACK i FLOOR JOIST
— — — � ----------- —
FTGS/FORMSlSTEEL � ”FHA REQMTS
_.-----------._.._..-----.----- ._....------__--- ---------------------- --------..._...._..------.._.____....._._ ___.__----._._...-----------.._._..._—__._._.......----
ELECTRIC GROUND UNDER FLOOR DUCT
C�ROUND PLUMBING �UNDER FLOORCONDUIT
`:LAB GRADE FIREPLACE FOUNDATION '
1�EMP POVVER FIREPLACE BOND BEAM
I�VATER SERVICE MID HT.BONO BEAM
ROOF SHEATHING �8 FT.BOND BEAM
FRAMING/VENTILATION �FINAL BOND BEAM
..__.__.__.._.__._.._._.._..._._.__---------------- ---.—...__------..._._._._._------._._ ,--------.—..------.—.------------------._.._..---- ...------------..—.-------------
ROOF COVER PRE-GRADING
ROUGH HEATING ~BENCHING
ROUGH ELECTRIC i ROUGH GRADING
ROUGH PLUMBING �FINISH GRADING
SHOWER/TUB TEST 'POOL ELECTRIC
EXT.LATH/SIDING POOL FENCING
WALL INSULATION POOL FINAL
CEILING INSULATION ;OFF SITE IMPS.
DRYWALI NAILING DEDICATIONS
_..-----..__...._--------------....____.. .------------- -------------------------- �— ------------------------_._... _------------------._..._.__ -------
SEWER �FINAL ENG.
SEPTICTANK LANDSCAPE/IRRIG.
SEEP PIT/L.L. `'ON SITE IMPS
GAS AIR TEST ':FINAL ZONING
FINAL CONST. �FIRE DEPT.FINAL
FINAL HEATING HEALTH OEPT.FINAL
FINAL ELECTRIC ��EV.FEES PAID
FINAL PLUMBING 'ENERGY
FINAL PLANING
------------------ ---- ---------- --- --------------------- ---------
FWAL ENGINEERING �. • �a e
C�MMENTS ------ -�`�-'e��'�-'-"_�,,,� -�-`�-,4r�-•___...�-_�!.���-�-'�T�-------.._...----------..._._..--------------__._._.
` .
SEPTIC TANK SIZE
SEEP PIT/U SIZE
!1 d {� L'� R�.- —_____ _—'___""__'—_--_______"__—'—__'
------...----------------------
� � k ,
�
�.� ��. , . ..
: � ,�'`{i��r�z`y`3" yS.'y-w'u f'' .
hT� +-r ` h 53� . _____'__"_'_'_'"__' _____"____—"
' � •tl� :. 'a-��' 'iyy�� . '_'—_.____'_—'_'__'—'__"_'_—_'_____'"'_"—__"" .
�S }� T�i p�a:� ��e r1'�+.
� � e� ���'.'te� S� •�... _ __'
`A.A�, ��a ,� ,, � " .
� . .��5�fi� �.. ..
...—... .._._...__...'__.___'— ....—..._...—_
�, � .._..._"_
' _._..—...—_—.._._..._.._'_.._—_._.. . ....—'_'_'_.__.._.__.
'_'"__"—'—_'—""— '...—...___—_'___'
t-
^ e'r±e:,�. z+�`.y.� � �''.�_•+..w
r
r� . $�" � -�y..=.
'.�—'�7d b.1" _0. M1�'.�'%�4� — — _ _—
L` ��
� ;
.:ZFG : .':�� ,1�_s.. _.�' — — _____
K_ro
; . . , �
.: -r . ��_ �c�. -s.,
��, � ,n � k�, �---------------------�----�—�----------�—��--