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Home My WebLink About12-1020 !�, ��_ CITY OF DIAMOND BAR � DEPARTMENT OF CONIMiJIVITY&DEVELOPMENT SERVICES 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection I3otlinc(909)839-70 7 PRESS 4'9^' BULLDING PERMIT APPLICATION F� Q JOBSITE �� \��— �� I�� NUMBER/� /� �Z' /� ¢ ADDHESS ` � N �,1 C,��,� � APPLICATION PERMIT � p/C DATE � ISSUE TypE APN LOT �RACT� DATE CONST. � GROUP p OWNER � p ADD S, ' i 0. ZONING SETBACKS gCITY � �' ZIP �TEL. g ' FRONT qyy � . APPLICA �1� EL. p REAR p zQ -1 SIDE/SIDE STREET qVy _ p � CONTRACTOR SI _ ADDRESS � CITY ZIP TEL � PROPOSED � V' � ��h M��L �2,ypr� w ARCH/ENG/ \ �• �z DESIGNER .-J O �-�� N��hE ' NO.DWE . NO. NO. a ADDRESS 9 D � cinr Fa��A ZIR 2S �L �7 7.. G s , UNITS STORIES BEDROOMS � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OWNER-BUILDER DECLARATION O Y SFR/ADD/FiEM p I HEREBV AFFlRM UNDEp PEN�I.TY OF PERAIRV THAT I AM D(EM7T FROM THE CON7qACTORS LL GaragelCarpoA. ' . . W CENSEUWFORTHEFOLLOWINOREASON(SEC.7031.6BUSfNESSANDPROFESSIONSCODEANYC1iYOR (n � U COUNNWHIQiREOUIRE3APEAMfTTOCONSTRUCf,ALTERIMPROVE,DEMOLISH.ORREPAIRANYSTRUG PB�IO/DOCII . . .. w iURE.PRIOR TD RS�SSUANCE,AL50 REpU1qE5 THE APPLICAN�FOR SUCH PERMIT TO FlLE A SIONED w � ,.STA7EMEM THA7 HE OR SHE IS LICENSED PURSUAHT 70 TME PROVISIONS�OF 7HE CONTRAC70R5 LL . , _ � "CEN3E UW(CHAVTER D(COMMENCINO WI7H SECTION 7000)OF DMSION 3 OF THE BUSPlESS AND PRO- u- PooUSpe � fESSIDNSODD�ORTHATHEORSHEISEXEMFTTHEREFROMANDTHEBA515FORTHEALLEOEDEXEMP- (� V TION.AM'.VpLAT10NOFSECT10N70]t.6BYANYAPPUCAMT�FORAPERA/I7SU8JECT37HEMPLICMITTO� Z R8-ROOf QA CML VENNJY OF NOT MOiiE THAN�FNE HUNDRED DOLLARS(t5oo),j: ❑I,ASOWNEROFTHEPROPERTY,ORMYEMPLOVEESWRHl4AOE5A9THEIR50LECOMPEN5AT10N, � COfI1RIB/CI81 Z WILL DO THE WORK,M1D THE BTqUCTURE L4 MpT INTENDED.OR OFFERED FOR 9ALE(SEC,7ou,BuS�- �_J � ' � NESS MID PROFESSIONS CODE:THE CONTPACTORS LICENSE lAW DOES NOT A7PLY TO AN OWNER OF � ' - �ROPEHfV NRIO BUIIAS OR IMPROVES 7HEREON,PND WHO DOES SUC}1 WORI(HIMSELF OR HERSELF OR C'L THROUGHHISORHERONMEMPLOVEE3,7ROVI�EDTHATSUCHIMPROVEMEMSARENOTIHfENDEDOR m Q OFFERIDFORSALEIF,HOWEVEi�7HEBU0.DINOORIMFROVEMEMISSOLpWfTWNONEVEAROFCOAIPLE� Z TION..THE�ONTJER�BUILDER WILL HAVE TME BURDEN OF PHOVING THA7�HE OR SHE DID NOi BUIID OR ,. . � IMPROVE FOR 7HE PURP0.SE OF SAI�. � � - � W ❑I,ASOWNEROF�THEPROPERTV,AMEJ(CLUSNELYCONTRACTWaWRHLICENSEDCONTf1ACTOfi3 � � TO CONSTRUCT THE P1IQIECT(SEC.7WI,�BUSINESS AND PROFE$$IpN$CppE:THE.CONTMCTORS U- V81U9tI0I1' O O � /�p,J,qq�� • I � CENSELAWOOESNOTAPPIYTOAHOWNEROFAPROPERTVWMO&19.DSORIMPROVESTHEREON,AHD � - � �i MM1/OCONTRACTSFORSUCHPROJECTSN7THACONTRACTOR�y7LICEN5E0PURbUANTTO7HECONTRAC- ioas uceNse uw.�. DUANTITY DESCRIPTION • FEE � +� I � � S � ❑I AM E%EMPT UNDER SEG .�B.8 F.C.FOR THIS REASON � I ` ✓� � U � DA7E'� :��` I�� OWNER ,� SW T�W� 7 O V C.�itS � UCENSED CONTRACTORS DECLARATION w . � I HEREBV AFFlRAI UNpER PENALTY OF�PERJUM THAT IAM LICENSED UNDER PROVISION9 OF CHAPTER� � � - �. P(��MENCINC7 W�71�SECTION 700o)OF DIVISION J OF THE BUSINESS M!D PROFESSIONS CODE,AND Z ' �X MY LICEN9E 14 IN FULL FORCE AND EFFECT. m � UCENSE CLASS LIC.NO.: � � - . � (~j �TE CONTRACTOR d . . .. W � WORKERS'COMPENSATION DECLARATION Q � � � - � � � 1 HEA�Y AFFIRAI UNDER VENALT'pF PERJUfiY ONE OF TiE FOLIOW W(i DECLAAATIONS; V � C!� � � . .. Z . � _�MAVE'AND WILL MAINTAIN A CEfRIFlCATE OF CONSENT TO SELF�INSURE FOR MqRKER5 g1 � � ?� ' COYPENSATION.AS PROVIDm BV SECTION 3i000F T//E UBOR CODE,FOR THE PERFOFlMANCE CJ� . Q OF 7HE WORK FOR WHICN TMS PERMIT 19155UED. � 11.1 . . � _I HAVE AND WILL MAVlTA1N WOR1(EfL4'�COMPENSATION INSURANCE,A4 qEWIRED BV SECTION � � O J700 OF THE LABpR CODE,FOR TNE�VERFORAIANCE�OF THE WOPo(FOR WHICH THIS PERMR IS. �� ISSUm.MYN�ORKEAS'.COMPENSATtONINSURANCECAAfUER�AND.POLICYIJUMBERARE: �CONSTRUCTION� > ��ER PLAN pEVIEW � � 0 POLICV NUMBER - � � �' � ELECTRIC ��J.�� 0 (fFBSEcna�NE�NOTeEooAPLErmoFnEPEfXTiEFOaa+EM1rOR�0a.Uf6lsloo)oaLESSy PLUMBINCi � - `� W Z 1 CERTIFY.THAT IN THE PERFORMANCE OF h1E.WORN FOfi WMIC1{7j��g pERA1fT tS ISSUED,1 MECHANICAL' �� C7 SHALL NO7 EMFLOV ANY 7ERSON W ANY MANNER 50 AS TO BECOME SU&IECT TO THE� � � (n WORKERS'COMPENSATbN LAWS OF CA�IWiWIA,AND AGREE THA71F I SHOUID BECOME INSPECTION FEE .SU9IECT TO THE WORKERS COMPENSATION PROVISqNS OF SECTION 9700 OF TME LABOR '� - - - O CODE.I SHALL fOR7HWITM COAIPIV WI7HTHOSE PfiOVIS1ONS. ISSUANCE . . . . . . p DATE APPLICaNT:� �SMIP W � WARNINO:�FAILURE TO SECURE WORKER9'CAMPENSATqN COVERAGE IS UNLAWFUL,AND SHALL BE ENERGY�P/C . � - - � SUBJEC7AN EMPLOYER 70 CRfMWAL PENqL71E5 AND CIViL FlNES UP TOONE HUNDRED 7TqUSAND �EROY PERMIT ♦ DOLURS(t10o.00D),'W ADDI710N TO THE COST OF COMPENSATqN,DAMAGES AS PROVIDED FOR IN J SECTqN 37aD OF THE LABOR COOE,IMEREST,ANDATfORNEV'S FEES. � � ' - ) � W RETENTION FEE: � O . CONSTRU,CTION LENDING AGENCY pRE-p,LT FEEy� � 1 HER�YAFiIRM UI�ER VENALTY OF PERIURY THAT THERE IS ACONSTRUCTION LENDW6 AOENCY j i i��7j _ O � Z FOR 7ME PERFORMANCE OF�THE WORK FOR WHICN THIS PERAUT IS iSSUED(SEC.3oY7,CIV.G). ��-i- W . TS LENDEitS NAME . ' S F— LENDER'SAODRESS. � ' � � �ICEHTIFYTHATIHAVEREADTHISAPPL�CATIONAtJD3TATEh1ATTHEA80VE1NFORAlAT10N19CORRECT. TOTAL FEES� �3 � //J � 1 AQREE TO COMPLY N1TH ALL CIiY AND Cq1MJy ORDWANCES AND STATE UWS RELATW�TO BURDWO - ��/ .�� CONSTRUCTION,ANp HEREBY AUTHORIZE REPRESENTATNES OF THIS COUNTY TO EMER UPON THE � z �EMIONED7ROPERTYFORINSPECTIONPURVp$E5. �COMMENTS � � � J�•=N m Pt+i..vAN�iEE N/J�IE(PRINTJ � � ' Q � � ` � I VJ �. . . . � - - , . .� r4'^e.._'_', µ. � 'SIONA R ERMITTEE ' DA7E � FiECPT.NO. PA�D BY VALIDATFON WHITE--Department Copy,YELLOW--Finance Copy,PINK—Assessor Copy,GOLOENROD--File Copy,6REEN--ApplfcanYs Cqpy CITY QF DIAMOND BAR . - INSPECTIOfV RECORD � o � � B � � �� .. ..� rt'�' � �. �_� :' ,_,;y . e ° Q �� -, , � , ,. , ... __. _ . , , <,,:. . .._,.: SET BACK FLOORJOIST FTGS/FORfv15/STEEL rFNA REQMTS ELECTRIC GROUND UNDER fLOOR OUCT GR�URID PLUMBING UNDER FLOOR CONDUIT Y SLAB GRADE FIREPLACE FpUlVDATION TEMP POWER FIREPLACE BOND BEAM ,,. WATER SERVICE MID HT.BOND BEAM ROOF SHEATHING i�' � 1 8 FT.BOND BEAM FRAMING/VENTILATION 1i+ FINAL BOND BEAM ROOF COVER r�� PRE-GRADING ROUGH HEATING BENCHING ROUGN ELECTRIC � ROUGH GRADING ROUGH PLUMBfNG FINISH GRADING SHOWER/TU8 TEST POOL ELKTRIC EXT.LATH/SIDlNG � '2 POOL FENClNG WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYV�lALL NAILING � DEDICATIONS SEWER FINAL ENG. S� 1 l�� - 2 •-� _ LANDSCAPE/IRRIG. SEEP PIT/L.L. Otd SITE IMPS. GAS AIRTEST FINAL ZONING FINAL CONST. fIRE DEPT.FINAL FINAL HEATiNG NEALTH DEPT.FINAL fINAL ELECTRIC DEV.FEES PAID FINAL PLUMBING � ENERGY F1NAL PLANING ' FINAL ENGINEERING 5 9j ,� t ' o � COMMENTS ��fl �S�r�JJ(, QA�� Q'i1L� �b `�2.�� . , .�. . 7.'�'Tr� , �' _"a� 1 - i '� ��.Y. �+��l3.�_ 1� � �Z � SEPTICTANKSIZE 5EEP PIT/U SIZE ' r' ', . ;� , . � . . :'�=,r,..v�,,. CITY OF DIAMOND BAR `k� �` BUILDING AND SAFETY DIVISION � �:��;��p�" . ROUTING SHEET � To: Plannin�/Alesia H Date: May 2,2013 . Project PR 12-1020 From: Esmmy Magallanes B&S The project located at 23864 Sunset Crossin�-Addition 489 sq ft has requested: ❑Building Permit Issuance ORough Framing �Final Inspection ❑Others To be performed by the City's Building & Safety Division. The Building Division will not allow the �il project to proceed or be finalized until alI the following department(s) have reviewed the project for completeness. � � PlanninE Denartment ❑Engineering Department ❑ Building& Safety ❑ Others � Comments❑ Corrections❑ � �•`�` • �w �/Kl�v��vY � v1 )�� • :., „�.` OK to Proceed �Yes ❑ No ' Name Title D te If comments are not received by Mav 7, 2013 the Building Division will assume there are no .comments � from your office/department. Should you require further information regarding this project, please contact Esmeralda Magallanes: dJstella/fortns/b&s routing sheet.doc , � - . . .�a;��i,.,. = �-:„ � � � CITY OF DIAMOND BAR � �� "�� BUILDING AND SAFETY DIVISION � �'"'� ROUTING SHEET ,.�,.,u�: . sa -'� To: Engineering/Kimberly Y Date: May 2, 2013 Project PR 12-1020 From: Esmmy Magallanes B&S � The project located at 23864 Sunset Crossin�-Addition 489 sp ft has requested: ❑Building Permit Issuance ❑Rough Framing � Final Inspection ❑Others To be performed by the City's Building & Safety Division. The Building Division will not allow the . project to proceed or be finalized until all the following department(s) have reviewed the project for completeness. ❑ Planning Department �Engineerin�Department ❑ Building & Safety ❑ Others Comments❑ Corrections ❑ � OK to Proceed �Yes ❑ No � • . S �. i3 Name Title Date If comments are not received by Mav 7, 2013 the Building Division will assume there are no comments from your office/department. Should you require further information regarding this project, please contact Esmeralda Magallanes. d:/stella/forms/b&s routing sheeLdoc