HomeMy WebLinkAbout13076 CITY OF DIAMOND BAR �
--� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �
w 21660 E.Copley Drive S '
(909)86Q3195 Fax(909 861-3117 PRESS
� '°^'�, BUII.DING PERMTT��AT�orr FIRMLY
o D RIESS ���S `�� _1J -- � " • DATEICATION �-1-- � NUMB R L���� �/C
�
� ISSUE TYPE OCC
� APN LOT TRA T DATE CONST. GROUP
0 owNe�C...`e N
p ADDRES Qtf� eV ZONING SEfBACKS _
� CITY ZIP � 7-Z FRONT RW ❑
APPLICANT REAR ❑
� SIDE/SIDE STREET RW ❑
CONTRACTOR SIDE ❑
� ADDRES ' PROPOSED USE
o CITY ZIP T
o ARCFUENG/
�,-, DESIGNER NO.DWEL. NO. NO.
� CnDRESS ZIP TEL. UNITS STORIES BEDROOMS
�
�n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
¢ OWNER-BUILDER OECLARATION SFR/ADD/REM
O
� I HEREBV AFFlRAI UNDEH PENALTV OF PERRIRY THAT I AM E%EMPT FAOM THE CONTMCTORS Ll- G8ffl9B/CBfPOfI
COISEUWFORTHFFOILOM�INOREASON(SEC.7031.6BUSWESSANOPROFESSIONSCODE:ANYCITYOR (n
COUNfYWHIp/REOIARESAPERMRTOCONSIAUCT,ALTER,IMPROVE,DEMOLISH,ORREPAIRANY57AUG W P9i10/DBCk
7URE.VRIOfi TO ITS ISSUANCE,/�L50 REWIRES 7HE APPLICANT FOR SUdi PERMI7 70 FlLE A SIONED w
� STATEMQJT THAT HE OR SHE IS LICENSED WRSUANT TO THE PROVISIONS OF THE CONT{iACTOR3 l4 LL
CENSE LAW(CHAPTER Y(COMMENGNO WITH SECTION 7000)OF OIVISION 3 OF THE BUSINESS AND PRO- PooUSpa
FE9SqNSCOOE�ORTFIA7HEOR5HE19EXEMPT7HEREFROMAND7HE8A515FORTHEALLEOEDEXEMP- (�
TION.ANYVIOLATIONOFSECTION70J7.6BVANYMPLICANTFORAPERMITSUBJEC7STHEMPLICANT70 Z RB-Rpp}
� A CML PEWLLiV OF NOT MORE THAN FNE HUNDHED DOLURS(i600).j:
� ❑4�SOWNEROFTHEPROPERTV,ORMVEMPLOYEESWITHWAOESASTHEIRSOLECOMPENSA710N, 0 COfflrtlBfCl01 -�
WILL DO hiE WWU(MID 7HE STRUC7URE IS NOT INTENDED OR OFFERED FOR S�LE(SEC.7ou,BU51- J
N NE59 AND PROFESSIONS COOE:THE COHTMCTORS UCENSE UW DOES NOT APPLV TO AN OWNER OF �
PROPEHfY Vhq BUILDS OR IMPROVES THEREON.AND WHO�OES SUCH WORK HIMSELF OR HERS0.F Oq '
� iHR0U0H HIS OR MER OM�H EMPIOVEES,PROVIDEO THAT SUq/pAPROVEMENTS AAE NOT INTENDEOOR m
0 ,OFFEAmFORBALEIF,HOWEVERINEBULDINOORIMPNOVEMENTISSOIDWITHINONEVEAROFCOMRE-
Z `TION.7HE OWNER�UILDER MALL HAVE 7HE BURDBI OF PiiOVINO THAT ME OR SHE DID NOT BUILD OR
� IMPiqVE FOR THE PURPOSE OF 9ALE} .
� ❑4ti4�WNEROFTHEPROPEHTY,AMIXCLU5IVELYCONTMCi1NONrtTHUCENSEDCONTRACTOR3
TO CONSTRUCT THE PRO.IECT(9EC.ta1.BUSINESS Al61 PROFESSIOHS CODE 7HE ConfTRAC70R3 ll- V91UetlOfl ADJ.AREA
CENSE UW OOEB NOTMPLV TOAN ONMER OFA PROPERTY WFIO BUILDS OR IMPROVES THEREON,AMD
� �COu�EUW.FORSUCHPROJECT5WIT1A00NTMC70R(9)LICENSmPUpSUAHfTOiHECONTMP pUANTITY DESCFIPTION ���-O E .
� ❑I AM IXEAIPT IMDER SEC. B.6 P.C.f-0R THIS REASON � �
3 DATE OWNER � D� '• � � 1
�
LICENSED CONTRACTORS DECLARATION
� 1 HEREBY AFFlRAI UNDER PENALTY OF PERJUM TMAT I MI LICENSED UNDER PROVISIONS OF CHAPTEH
� Y(COAIYENCPIO WfTH SECTION 7000)OF OMSION 30F 7HE BUSINESS NID PROFESSIONS CODE,M1D � �
W LICENSE IS W FUIL FORCE AND�FFECT. .�`
1 GiL� � C{ ,u
� UCENSE CUSS LIC.NO. � � ` �'V �
V DATE � " � CONTRACTOR
W
� WORKERS'COMPENSATION DECLARATION ,�q �
NI HEREBV AFFlRM UNDER PENALTY OF PERJl1RV ONE OF THE FOLLOWING DECUM�:� Z !�
� _jj N��M�VEANDWILLMAI/lTAINACERTIFICATEOFCONSENTTOSELFaNSUflEFORWORKERS' T � �
Q �CONPENBATION,A9 PROVIDED BV SECTION 370a OF THE LABOR CODE,FOR 7HE PERFORAIANCE U
Q OF 7HE WORK FOR WHlql THI9 PERMIT 131S3UED. �
� I HAVE AND WILL MAINTAW WOfY(ERS'COMPENSATqN INSUiUNCE,AS REWIRED BY SECTION
Q 97000F 7HE LABOR CODE.FOR TME PERFORMANCE OF THE WORK FOR N711CH 7HI5 PERMIT IS ,�
� rssUEo.�,rvvrorixeas'oaa`ETG11Nsuww�w�D��cVnuMBER�wE: CONSTRUCTION
� CARRIER 1/� '��� PLAN REVIEW
Z �oucr�u�sER ~ ELECTRIC
a 1
(fFssEcrnMN�ra7eEoo�.�LFfFlDOFnEPEA.�reFOaoNEF4J�nREo � (itOO)aR PLUM
PEA�
Z I CERTIFY THAT M THE PERFORMANCE OF THE WOR1C FOR WHICH THIS PERMIT IS ISSUED CHANICAL +
U' SHALL NO7 EMPLOV ANY PERSON W ER SO AS T ME SU&IECT T THE -
(/� WOPo(ER5 COMPENSATION UW5 CALIFO ItiAND EE MAT IF I SHOU E INSPECTION FEE
SUB.IECT TO THE WORKERS'COMPE T VIS S OF 70o O TH R
• I • •
O °'o�ooE,i swvl Fo�rr�wirr� qo�i �N. ISSUANCE � �
p DA7E: �� APPWC',�T� 'v �SMIP
� WARIJINO:FMURE TO SECURE WORI(ER5 COM SATqN COVE 6E IS UNLAWFUL,MID SH�LL BE ENERGY P/C IH '
LL SUBJECTANEMPLOVERTOCRIMWALPENAL71E5 VILFMIESU 700NEHUNDREDTHOUSAND ENERGYPERMIT�i
r DOLLARS(SlOo.000),PI ADDfTION TO THE COST OF COMP OES AS PROVIDED FOH IN �
J SECTqN 370!Of hIE UBOR CODE,INTEREST,AND ATTORNEI"S FEES. ' B TTTT T177\TFia�^^
w RETENTIONFEE: _..Lu�v�tl�jHrC,l �
O CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
� 1 HEREBY AFFlRAI UNDER PENPL7V OF PERNRV THAT 7HERE IS A CONSTRUCTION LENDIN�AQENCV '
z FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERAIIT IS ISSUED(SEC.30Y7,CIV.CJ.
W
QT LENDER'S NAME �
i
F— LENDER'SADORESS
� ICERTIFYTHATIHAVEREADTHISMPLICATIONANDSTATETHATTHEABOVEINFORMATIONISCORRECT. TOTAL FEES � �
� I A(3REE 70 CAMPLV WfTH ALL CfTY AND COUN7V OfiDINMICES AND STATE UN5 REU7INO TO BULLDINO
� CONSTRUCTION,AND HEREBV AUTHORIZE REFRESENT TNES OF THIS COUNiY TO ENTER UPON THE
Z ABOVE-MENTXINED PHOVER7V FOR INSPECTION P ES. COMMENTS �
� �J
�
m PE PRINn
' Q ' 1
�� SIO EE OA E
RECPT.NO. PAID BY VAUDATION
� � WHITE—DepeAment Copy,YELLOW�Inance Copy,PINK—Asaesaor Copy,(iOLDENR00—�le Copy,GREEN—
ApplicanYs Copy
�ITV O�' CDB�,(�icC91��D ��9�
E1�9 rf��(��'10� E�$EC��'8D
�. � .: � _ ,
{�...�. o `�� . ,, o � (�'�'��" . .
�� ` (ltti C��� o t '� � � '�Q & +3T, p � ° �
,:t � ��.+
SET BACK - , � FLOOR JOIST , ; . . , , , , . . . ..�
FTGS/FORMS/STEEL FNA RE(�MTS
ELECTRIC GROUND UNQER FL�OR DUCT
GROUND PLUMBING UNDER FLOOR CUMDUIT ' . �
SL.AB GRADE FIREPLACE FOUNDATION � " . "
TEiViP POWER FIREPLACE BQND BEi4M` � ' '
WATER SERVICE MID HT. BOND BEAM T ' • .- �
ROOF SHEATH(NG 8 F7. BUND BEAM�- � � , � -
�'RAMItVGNENTtL1ATfON FINAL SOND BEAM
N�OF COVER PRE-GRADING
ROUGFi}-IEATING ' �� S4 ENCHING
ROUGH ELEC7RIC ROUGH GRADING
RQUGN PLUMIBING FINISH GRADING
SFiOWERlTUB TEST POOL E�ECTRIC �~
�EXT. LATH/SIDING POOL FENCING �
WALL WSULATION POOL FINAL
CEILIPlCd INSUL.ATION OFF SITE tMPS.
DRYWALL NAILING DEDtCA710NS
�E��� �INAL ENG.
SEPTIC Ti4lidK LANf�SCAPE/IRRIG. �
SEEP PlTiZ.L. ON SI7E IMPS.
GAS A1R TEST FINA.L ZQNING �-
FI�IAL CQhlST. ' FIRE DEPT. FINAL
FiN�L HEATIPJG � ' HEA�TH DEPT. FINAL
�i(V/�L EL�CTRI� ' '� ' . ' DEV. FEES PA(D
�i�lAl�F'LUNiBING ENERGY
�� - _ - �— �� . _ , � �� D d' ��� _. �
' �€�����rs - . _ � . � - ,�
� Uqv GPi. / ,
\ � t-(-[-c�d.._ �
. �
�� �---�1 � � ��1-G_(� . , - _---
. . . ,
. :---- , . , .
. . . . ,
SEPTIC TA�IK SIZE. - � � �. �—�---
S�EP PiT1U StZE �
� � �
. � g �,;:
� �.� ,1 � � _�L
� ,�� t �:�
�_ ��• .�;- _ -
, , , . , .
. � �. p�
ca ` _� � � . '