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HomeMy WebLinkAbout12-2171 1�,�_ CITY OF DIAMOND BAR � DEPARTMENT OF CONIMUNITY&DEVELOPMENT SERVICES 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Iiotline(909)839-7027 RE$$ ��''^'. BUILDING PERMIT APPLICATION FIRMLY N JOBSITE d APPLICATION� I!j�/ 2` PERMIT rZ-2�?' P/C I ¢ ADDRESS 231'2 1 1410 �.o�cxC �+Oa� p1a.�o.� bwr o DATE NUMBEF� # ='- APN LOT TRACT q EE � �3 Z L CONST. �� �"�� GROUP ' p OWNER r�o. � ' o ADDRESS 2 t / �Cio ZONING SETBACKS FRONT RW ❑ Z CIIY rctw�o r ZIP TEL ' o APPLICANT Er�t. "'tn[�.�_tt� TEL'.32^.l-(�3?•/Sf3 REAR ❑ � SIDE/SIDE STREET RW ❑ � CONTRACTOR A✓ �vr✓ G SIDE p ADDRESS f# �f" /� /� � CIN l�r�.,�dw/�' ZIP ���L TEL.g?3 L.37-/cD PROPOSED USE� 7, i ,d/i � ,, // w ARCWENG/ z DESIGNER ��� C�• ��t C . a ADDRESS � 3G o r oo� NO.DWEL NO. NO. � CITY ZIP 860 TEL.�/8-�70• f6y UNITS STORIES BEDFOOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUIIDER DECLARATION SFR/ADO/REM O I HEAEBY AFFlRM WJDEA PENAL7Y OF pEiWqy 7}UT I AN EXENPT FpOM THE CONTRACT00.5 LI- GarageJCarport W CENSEUWFORTHEFOILOWWOREA50N(SEC.7o77.6BU5WE59ANOPROFESSIONSCODEANYCI7YOR (n ZCWIfTYWFiN]/REOUIFESAPERMITTOCOHSTAUCT.ALTERDAPROVE.OEMOLISH.OqqEpNHANYSTRUG W Patio/Dedc W TURE.PRIOH To RS ISSUANCE AL50 REOUIqES 7HE AFPLICANT FOR SUCH PERMR TO FlLE A SIGNEO w STATEUENT THA7 HE OR SNE�5 LICENSED PURSUANT TO THE PROYLSlONS OF THE CONTMCTORS LL � CENSE UW(OUPTER D(COMMENCW6 vATH SECTION�000)OF DIVISION]OF 7HE BUSWESS AND PRO- � PooUSpa � FESSqNSCOOE�ORiHA7MEOq5HE19IXEA1PTTHEREFROMANOTFiEBASI5FOq7HEALLE(iEDEXEMP- � V TION.ANYVIOLATIONOf5ECT10N7o31.5BYANVMPLICAHTFpqAPERMITSUBJECT3THEAVPLICMITTO Z Re-Roof A CML PENALTY OF NpT NOFE THAN FIVE MUNDRED OOIJ.AAS(fsro).r � ❑1�50WNEROF7HEVROPEHTv,ORMYENPLOYEESWIh1�WAGE5A5THEIRSOLEC0IAPEN5qT1ON, � �mmercial Z YALL 00 THE 1NOR1(AND 7HE STRUGTURE IS NOT IMEN�ED OR OFFERED WR 9ALE(SEC.7oN,B175l- _J � NESS ANO PROFESSIONS CO�E THE CONTRACTORS lICE1d5E LAW DOES NOT AVPLY TO AN OWNEH OF � � PROPEHTY VJ�10 W 0.D9 OR IMPROVES iNEREON,�ND NMO OOES SUCN WOqI(HIId9ELF OR MERSEIF Oq Q THfiC%1G11 HIS OR HER ONT!EAIPLOYEES.PROVIOED TFI.�T SUUI IMPROVEMENTS ME NOT bffENDED OR m - Q OFFERmFORSIIEIF.HOWEVEi�THEBUILDW(iORWPROVEMENTISSpIpWfIWl/pNEYEAROFCOMPI.E- Z TION.7HE OWNER�BUILDFA WILL NAVE THE BURDEN OF PROVPJ6 THAT HE OR SHE DIO NOT 8U0.D OR . � 41PROVE FOR THE PURP0.5E OF SAL�. w OI,ASOWNEROFTHEPROPERlY,AME7fCLU5NELYCAMMCTWOWTI�ICENSEDCOHiMCf0R5 Q TO CANSTRUCT THE PR0.IECT(SEC.7w�,BUSWE53 AND 7ROFESSIONS CODE:T/E CONTMCTOR3 LL ValUBtfOn ADJ.AREA w CENSE UW DOES N07MVLY TOAN ONTlER OFA PROPER7Y WHO BU7.DS OR WPROVE9 THEREOI�AND = MMOCOHfAACT5FOA5UCHPR0.1ECT9WfMACONTRACiOR�SjLICENSEpPURSUAHTTOTHECONTMG � �E , �"" � roqs ucENse uw.). a�ANTITY DESCRIP710N Y Q ❑1 A►1 E7(ElAv7 UNDEA SEC 9,a F.G FON 71115 REASON Q � U � OATE _ ONMER � Z U � LJCENSED CONTRACTORS DECLARATION W � I HEREBY AfFIRM W�IDEA PEWLTY OF PEiL0.1RV THAT I AM IICENSW 11NDEA PpOVISpNS OF Q7ADTER � � 9(COMMENCllq M/17H SECfION 7000)OF DMSION 7 OF THE BUSINESS NID PROfE5510N5 CODE,M!D Z ��� MY IICENSE IS RI FULL FORCE AND EFFECT. /f q72'LZ� m � UCENSE CiASS `�O IIC.NO. � � v on� /Z-�3.�y corrrrucroa `7. «r � �.�n v w� a w � WORKEAS'COMPENSATION DECLARATION Q � � U N I HEREBY AFFIRM VNDER PENA�TY OF PE0.tt1fiY ONE OF THE FOLLOHANG OECLAAATIONS: Z � _IHAVEANDWILLAWNTNNACEfirIFICATEOFCANSQfTTO3ELF-WSUREFORWORKEAS a S CONPENSATION,AS PROVIDED BY SECTION 3700 OF THE UBOR COOE,FOq T}IE PERFOHMANCE U OF THE WORK FOR WHICH THIS CEAAqT IS ISSUED. W � � w �1 HAVE AND WILL AWMAW WORKERS COMPENSATION INSURANC�A5 REd11AED BY SECTKKJ � ^ Q ]7ao OF 7HE LABOR CODE,FOR THE PERFOfU1MlCE OF 7ME WORK FOR WHltl/THIS VERA11715 ��7, �� ISSU�.MY WORKEAS COMPFNSATION INSURANCE GAqRIER AND POIICY NUMBERARE: CONSTRUCTION > c�w�, s'f�o.-rG �=v rva Puw c�nen, 3 . t7' 0 POLICY NUMBEP 9D����IO�Z O/L_ Z ELECTRIC 5 •�Z Q p (�++ss�cna+r+�IDwTeEmr.aEr�oFn�v�,+rswaanEMrna�oaius�simlor��ssl PLUMBING w Z �CERTIFY THAT W TViE PERFOHAIANCE OF THE WOHI(FOR WHlpi THLS PERlAIT IS ISSUED,1 MECHANICAL C`S SM�LL NO7 EMPLOY ANV 7ERSON W M!Y II/WryER SOAS TO BECOME SU&IECT TO THE N WORKERS COMPENSATION UWS OF CwLIFORNI�AND AGREE 7HAT IF I SHO BECAME INSPECTION FEE SU&IECTTOTHEWORKERSCOMVEN5ATK1NPqOVI510NSOF5 IONa70 FTHEUBOR � '^ . O coo�,�sruu warHvnn�couvtr Nnni nr PROVISIO s ISSUANCE \Y p DATE �2-/3•!2 APPLKaMr: �SMIP �.O a �,.� J WARNINO:FAWRETOSECUREWOPoCERSCOMPENSATION RAGEISUNIAWFUL,AND5IUL�BE ENERGYP/C J � SUBJECf AN EMPLOVER TO CRIMWAL PF1IA�TIES ANO GVIL FPlE TO ONE HUNORED h10USAND ENERGY PEAMIT DOIURS(f1a0,0oo�,W PODITION TO THE COST OF COMPENSA710N,DAMAGES AS PRONUED FOR IN J SECTION�7ae OF 7HE LA80R COOE INTEAEST,ANO ATTORNEY'S FEES. ' w RETENTION FEE: O CONSTRUCTION LENDING AGENCY PL �FEE� � 1 HEREBY AFFlRM UNDER PENPI7Y OF PERNqV TIUT THERE IS ACANSTRUCTION LENOWO AGQlCY ' dZ FOR TNE PEAFOiiMMlCE OF iHE YIOPoC FOR WHIC117HI5 PER►IR�,S ISSUE�(SEC,�097.py.C,} W � LENDEAS NMIE � � LENOER'SAODRE55 w ICEfiTIFYTiATIHAVEREAD7H19APPL1C11TpNM1D5TATETIIATTHEA90VEP1FORMATIONI3COi7RECT. TOTAL FEES � �'I . 3� � I AGREE TO CAMCLY WIiN ALL CRV M1D COUNTY ORDPlANCES ANO STATE UWS REUTING TO BU0.DIN0 . � CONSTRUCTION,M!D HEREBY AUhiORIZE REPRESENTATIVES OF h115 COUNi'/TO EMER UP'ON iHE Z �eove�Errrnr+En aaov� Foa rruPEcrqH PUaaosES. COMMENTS � �riG (li ..�t2 m P EE NAAIE(P � M Cn , I�'�3' � . � NA7l1REOFP DATE � ' � RECPT.NO. PAID BY V/WDATION WHITE—Department Copy.VELLONF–Flnance Copy,PINK—Assessor Capy,GOLDENR D—Fle Copy,GREEt� Appl{canCs Copy �c"�'3� �� ���4������� �!��� ��������r������� ��.���� :,�� �� a ��t, aa � • �- v: ,.. ,; i Pt7 ?'��7 � Y` �-'`""��.'d k��.: ��� --i ��,. `q'��`�i.,.a' �,9�'�''v '?�' �'t' 'F`� 'x,.� 3. . . �,. . r � '� C�1 7� -.. ��!��s_ � `Y �oy o '�s r� 2� �..,..- ��2 a ��� .m f. .y � '� a. o O r vr. �` � � �K+ �y „1: �-tlh� �.+_ {L. ����4 5� .q`2r_4d or Y����-�c.0�}' ��.�1"' �T��'��.�P ��'�`� �.�'-���"" �(.�i''�� ..��"�L��aY-r'r x-�a�:+''g�. ..c "'i',�, �av' -�'� _�.�r.�=.���x-. �.._ ����.,.��e ��5-n ��-L°�''LE.�,,_,.a,.=-..,.,�,. s -� `�:�,..'�,...,;�_:,y �� �� - � a � � ��� . . :;El Br1CK � �-LOOftJGIST - ----�----- - ---------- ------ ---- ---- ------- ---�-- --- --...—---------- -- - -- f7GS;FOh�VIi'�TEFL _._ - -- i � FHA REQfv1T� ----..-- -- -- ---_ ------..-------�---- - --.-.__._. __.._...-------I---------... ..------ -- ELEC�i�RiC GF;G}U"IQ � --- ; ' UNDEA FLOOR DUCT GROIJP.!D FLUfv161NG -----� ---�j-----------�---� UhdDER FLuOR�ONDU17 �— SLi,Q GFADE _� FIREPLACE FOUI�!DATIUP•! T ---j----- i TENiP PO4VER � FIREPLACE BOtJD BEAM V:1.�TER�EFVICE __I I�r11D HT.BOf�lD BEAM ' R�JOF SHEATHIt��G � _� �3 FT.BOND BcANI FRA.MING!VE�ITILA.TIOM FIfVAL BOND BEAiYI ROOF COVER ----f- ------ ---- ------ LPRE-GRADING---- ---- — ----- ROUGH HEATING � BENCI-�ING __ _ __ __ ROUGH ELECTRIC � � ROUGH GRADING P,OUGH PLUME31P1G � I FINISH GRAOING SHO�A/ER/TUB TEST POOL ELECTRIC EXT.LATH/SIDIfJG POOL FENCING �NALL INSULATIO�! POOL FI�IAL CEILING I�dSULATIO�J OFF SITE IMPS. DRY�VALL NAILING DEDICA.TIONS SEV�/ER---------- --- ---_ __----� FINA�ENG---- --- ------- SEP71C TANK LANDSCAPE/IRRIG � SEEP PIT!L.l. ON SITE IMPS. GAS AIRT[ST FINAL ZONING FINAL CdNST. FIRE DEPT.FINP.L FI�aAL HEATING HEALTH DEPT.FINAL FIPJr\L ELECTRIC QEV.FEES PAID FINAL PLUNI6ING ENERGY FINAL PLANIfJG _ _ _� _ ' v_ __ __ ----�--- - FINAL ENGI(�IEERING • � o - ------------------ - -�---------- ---- ----- -----._...--- C�MMENTS _.._�._' ��— _�l—��.��--��— -- — -- S�PTICTANKSIZE SEEP PIT/U SIZE � — ----------------- -- ----