Loading...
HomeMy WebLinkAbout18684 �` CITY OF DIAMOND BAR � DEPARTME:`'T OF CONIIvIUNTfY&bEVELOPMEM SERVICES � � 21825 E.Copley Drive (909)860-3195 Fax(909)861-31 l7 PRESS ��%�A BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE / � APPLICATION `U� NUMBER_ O��? #/C ADDRESS L- DATE g ISSUE TYPE OCC APN LO � TRACT DATE CONST. GROUP p OWNER f=` �__t���IL=��� o ADDRESS � ZONING SETBACKS gCITY • 21 TEL. � - _ REART RW p APPLICANT TEI. SIDE/SIDESTREET RW O � CONTRACTO _ � SIDE ❑ ADDRESS � CITY • , ZI TEL. PROPOSED US �e w ARCH/ENG/ ���� z DESIGNER � w NO.DWEL. :•NO. . NO. N ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AAEANALUATION p� OWNER-BUILDER OECLARATION SFR/ADDiAEM O p I HEREBY AFFlRM UNDER 7ENALTY OF PEiLNRY TMA71 AM E%EMPi FROM THE LONiRACiORS L6 G8f09B/C81POR � W CENSEUWFORTMEFOLIOWINCqEASON(SEC.70�I.SBUSMESSI.NDD�70Ff55iON5CODE:ANYCITYOR (n U, COUNTyWNICHREWIRESAVERMITTOCONSTRUCT,AITER.IMPROVE.DEMOLiSM,ORREPNRANYSTRUC• W P2110/DBCIC W IURE.PRIOR TO RS ISSUANCE.ALSO REd11RE5 THE ADGLIGNT FOq SUCN VEHMIT TO FILE�SiGNED w STATEMENi hiAT HE OR SME IS UCENSED CURSUAIIT TO TNE PROVISION5 OF 7HE CONTMCTORS 11� � CENSE UW(QIAPTER 0(COMMENCIN6 WITH SECTION 700U)OF OIVISION]C�F TNE Bl1SINE55 AND PRO• V' PooUSpa fE55lONSCODE)OHTHA7MEORSHEISE%EMPTTNEPEFqpMANOTMEBA515FOR1HEALlECEDExEM?- C7 VTION.ANYYIq.ATqNOFSEGTKK'�70J7.58'/ANY�PFUCAN�fOFAPENMITSV&lEGTSTME.AVVUCANTTO Z RB�ROOf � � A GYVIL VENALIV OF NOTMOR�TNAN FNE HUNDRED DOlUAS(f5o0)�: • � 04�SOWNEROFTHEiHOPERTY,ORMVEMGLOYEESW�THWAGE5A57NF�R50�ECAMPENSATqN, 0 Commercial VALL DO THE WOHK,ANO TNE STRUCTURE IS NOT INiENDEO OR OFGEiiEO FON SALE(SEfl toa,BUSI. N NESS AND FiqFESSIONS CODE:TNE GONTRACTORS LICENSE UW DOES NO'AGPLY TO AN OYINER OF ? PqOPERTY WHO BULOS OR IAIPROYES THEPEON.M101A?IO DOES SUCM WbFK HIMSELF OR HEHSEIF OR � TMqOUCHHISORHEqONMEMPIOYEES,PROYqE�iHATEUCMIMPROVEM[NTS�RENOTINiENDE00R m QOFFEREOFOq5ALE1F,FqWEYERTMEBUILO'NCORIMPROVEMENTISSOIDWIiMiNONEYEAFOFCDMPLE• Z TION.TNE OWNERbUtLOER YnLL HAVE TME BUPDEN OG PROVINO'MAT HE OR SIaE DiD NOT BV,tD OR = W PROVE FOfl TME PURPOSE OF S�LE} W 04ASOWNEROFTHE7RODERTY,AI.1E%CLUSN[LVCOMMCTINCWITHIICENSEDCONTRAC70R5 [[ TO CONSTRUCT THE 7RQIECT(SEC.70N,BUSiNE53 AND VROFESSIONS COD[:THE CONTMCTORS U• V2W811011 ADJ.AREA � W CENSEUWDOESNOTAPVLYTOANONRJEHOFAiROFERTYWHOdUIIDSORIMCROVESTMEi1EON.AND � WNOCOMMCTSFORSUCilORO1ECi5WIiHACONTMCTOR(S�LICEtiSCDPUHSUANTTOTHECONTRAG QUANTITY DESCRIPTION FEE � TORSUCENSEUW). � O I A/A E%EMPT UNDER SFC. 8 8 P.G FOR TMIS REASON Q � U LL" DAiE OWNER � Z W � LICENSED CONTRACTORS DECLAFATION W � IMEREBYAFFIPMUNDERPEN,LLTYOFPE0.IURYTHA7IAMLICENSEDUNDERPROVi510NSOFCMAP7ER � d 0(COMMENCINCWITHSECTION7000�OFDMSiON70FTHEBUSINE55ANDVP.O�E55i0N5CODE.A4D Z X �!Y UCENSE IS IN FUI�FORCE AND FFFECT. m L1J � LICENSECUSS � LIC.NO.� j V DATE�� CONTFACTOFi��/II��I���r,. a W � � WORKERS'COMPENSATION DECLARATION Q - = U � I HEREBYAFi1RM UNDEq 7ENAlTY OF PEfUUFY ONE OF THE FOLIOW:NC DECLAMTIONS; Z 0 _IMAVEANDWIlL1AAINtAIN►CERTIFICATEDfCONSENTTOSELF�NSUREFORWORNERS' _ � COMPENSAi10N,A5ifiOVIDEDBYSECT10N71000FTHElA80FCODE,iORTHEPERFORMANCE U � OFTHEM/ORKFONWN�CNiH15FERu�TISISSUED- � � W �IHAVEIWDWILLMA:NTNNWORKERS'COMPENSA7qNIN5UiUNCE.ASREWIqEDBVSECTION Q 77000F TME LABOR CODE,FOR TME 7ERFORMANCE OF TXE WORK iOR VMICH TM4 VERMIT 15 ISSVED.MVWOPKERS'CAMPENSATIONINS 'CECApRIERAND�OL�CYNU/AOER�AE: CONSTRUCTION 31� /� � GRPiER PLAN REVIEW � Z raicrr+vMeER /1'1.-/ �� ELECTRIC ¢ � �Ta55ECi1CNNEmNOTBECU.REfmOF7�EPERMT6H%10NG`4lWPFDDOLLAR+IS�0o1CA1E55} PLUMBING Z I CEHTIFY 7HA7 M RIE VERFORMANCE OF THE WORK FOR WNICM THIS PEiiMi7 15 ISSUED.1 MEGHANICAL (} SFWl�NOT EMP�OV ANV PERSON M ANY MANNER SOAS TO BECOM'c SVBJECT T07HE [/� MqRKERS'COMFENS�T�ONUWSOFCALIFORNI/�ANDAGREETHATIFISHOVLOBECOME INS?ECTIONFEE '� SU&IECT TO TNE WORKERS'COMGENSATiON PROVISiONS OF SECTION�70o OF iHE L�BOR � � CODE.ISMALLFORTMNI7HCOMPLYWI7HTHOSE ROVi5qN5. �SSUANCE \I � � Q SMIP .�_ p DATE:(J�.'�C�APMIGANT: J WARNING:�MM1UPETOSECURE WORKERS'COMPENS�TION COYER�GE IS 1NUWFUL,�ND SN�LLBE ENERGY P/C LL SUfl1ECTANEMPIOYERTOCPIA/WAL7ENALTiESANOCIVILFWE5UP700NEM1NDREDTIqUSAND ENEFGYPERMIT OOLURS(f 100.000I.IN pD01TON TO THE C057 OF fAMPENSATqN,OAMAGES AS VROVIDEO fOf1 IN �m � SECTION]/aeOCT11EUDORCODE.WTERE5T�1dDATTORNE'PSFEES. RETENTIONFEE: r+� ' aW.. CONSTRUCTION LENDING AGENCY pRE-ALT FEE: ' � O � IHEREBVAFFIFAIUNDERPENAITVOFPEFUURVTHATTH'cREIS�CONSTRUCTIONLfNDINCAGENCV d FOR 7ME VERFORMANCE OF 7HE WOFK FOR W�CH Mt5 PERMIT I5 155UED(SEC.]oY),CIV.G�. Z ' W � LENDEA'S NAME 1— LENDER'SADONESS � TOTAL FEES I�� , Q 1 CEHi1FY TMAY I HAVE READ TMIS APGLILATpN ANO STATE M�1 TME ABOVE MiORMATqN I$CORRECT, W I AGREE TO fAUPLY NATM ALL CRV AN�COUNTY OR�INANCES AND STATE UWS RELAfING TO BU0.DING � CONSTRUCTION.ANOHEREBVAUTMOfi1ZEREPi7ESENT�TIVE50FTMISCWNTViOENTERUPONTHE Z A60VE�IAENTIONEDVROCERTYFORINSPECTIDNPURPOSES. COMMENTS � ��s=��_L..��� J m ¢ PERMiTTEE NA � INT� [n � � ��_ � SIGNIITURE .EE D�` � RECPT.NO. PAID 8V � VAUDATIO _ WMITE—Department CopY.YELL.OW—Finance CoDY.PINK—Assessor Copy,GOLDEMROD—File Copy,GREEN—Applicanfs Copy Ci�Y� Q�= Dl�,P�rt�I�i? BA� • IN��'ECi'RQ�� �?EGOi3D .`i����!`1'T"1�'.�1��.��.�+Cn����_'�. � ��A.�.afrF�F^� �rYl�,��_�,��l�i�)_���.._..J., �D_n_:....��.:��� � �I 5ET BACK i_ -_- i ' FLCOR J0157 ' -- I�y -- FTGS/FORMS/STEE� _:�___� � FHA REQ'v9TS _I �_�..�._ t — - ELECTRIC GROUND I I UNDER FL�GR DUC7 GROU�JD PLUMBI�JG � _ �_UflDE:h FLOOR C��!QUIT SLAB GRADE __�� _________ I FIREPLACE FOUNDATION _ TEP�IP POWER i FIREPLACE E30N�BEAM ^ VJA7ER SERVICE ' � � ti91D HT. F30PJD E3Ef,t•�I ROOF SHEATHING. /pJ�(o c9L /c,_��_�`__ �_r � �• 60ND EEF,h1 ______ _ _ t---- FRA6111NGNENTILIATION _ � _ `.'r� ____ FIPJAL E30PJD E3EAFf _ ROOF COVER b Z�a7.� _/���` I PRE-GFiADItdG ROUGH HEATING BENCNING ROUGH ELECTRIC _ __1 ROUGH GR�IDING _ ROUGH PLUrv�BWG ; FINtSH GRAolNG SHOVJER/TUB TEST POOL ELECTRIC - ---� ----- EXT. LATH/SI�ING POOL FENCit•dG WALL INSULATION " POOI.FItJAL CEILING INBULATIO�J !_`. __ � OFF SITE IPJIPS. DRYWALL NAILING ( _ _'� DEGICATIONS SEIh'ER i FINAL EPJG. SEPTIC TANti � LANDSCAPElIRRIG. SEEP PIT/l.L. ON SITE IDAPS. GAS AIR TEST � � FIPJAL ZQPJING FINAL CONST. � Z I _� , FIRE DcPT. FiNAL a t�aL.�_' FINAL HEATIVG � 1� _ ;�HEALTF I DE�T. FINAI Fi[JAL ELECTRIC I i DEV. F�ES PAID FIPIAL PLUMBING ~ I, ENERGY � --- ,i — — —— � — - ------ ����'�:a +.,c ci�i. _ I _ -- - __ � . _._ _... CUMMENTS � SEPTIG TRNK SIZE � SEEP PITIU SIZE ' —�--- — _ ...�..�., ,.��� { — -- — -- . a .�� — — — �'����p �� ��'�,:����,' _ ----- -- �I � _ i , _ . _ . ti _ ;