Loading...
HomeMy WebLinkAbout17772 .�J��- _�' 4 J� CITY OF DIAMOND BAR • � DEPAR'I7v�NT OF COIvIIvfUNTTY&DEVELOPMENT SERVICES 21823 E.Copley Drive (409)860.3195 Fax(909)861-3117 �� �RE$$ "->�' BUILDING PERMIT APPLICATIOI�1 FIRMLY y JOBSITE {� ^ 1 n o ADDRESS ��2� �/tZ1U�€Glj� j� l DATECATION � _�'a„Oa NUMB R1� l�pfC v1 � , issue TYPE occ APN LOT TRACT DATE CONST. GROUP p OWNER ar'S�'F" Lf�►�t�f�WL�K�►� " ADDRESS A1 ' i� . ZONING SETHACKS Z CITY I1?�I�tJ� zIP TEL. qlF!-GZI•2L FRONT RW ❑ g APPLICANT �F�SS L1fr!✓ TEL. REAR p � �' SIDFJSIDESTREET RW ❑,,,__ � CONTRACTOR 1�i.1 3lLL�A:b�L: ��htn,o (�t� 51DE ❑ ADDR SS 1 140 "'(rK,l�LGC� � ` � CfTY�rl+:.rk�lo.�s�' 21P�In739s TE �5. IPROPOSEDUSE o ARCH/ENG/ � DESIGNER��'�elx+ht �,NO.DWEL NO. NO. n. ADDHESS IUNITS STORIES BEDROOMS � CITY ZIP' TEL N I DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUIIpER DECURATION . SFRlADD1REM O ' Ip I HEREBV AFFIRIA UNDER VENALTV OF GEfUXiv TH►T 1 AA1 E%EMPT iROM THF CONTRACTONS l4 GBfegB/CBfpOf1 W CENSELAWFOqTMEFOLLOWINGREA50N(SEG.70.71.SBUSP/ESSMIDGROFESSIONSCODE:ANYCITYOH (fj U COUNryWHICHpEOUIRESACER/ARTOCONSTRUCLAITEH.tl.1PROVE.DEMOlISH.ORFEVAIRANV4'�RUG �,1J PetiWpBCk � TURE.PNOH N RS 65UM/CE,AL50 HEWIRES THE MPIICANT FOR SUCM PEHMR TO FI�E A 516NED W STATEMENT TNAT HE OR SNE IS UCENSED Wf75UM1T f0 THE PROVISIONS OF THE COHTMCTONS L4 � CENSEUN�(CMAMEHY(CqAMENqNdN7THSECTqN7W0)OFDIVIS�ON70FTHEBVSINESSANDPRO- � PooVSpa FESSpNS tOOE)di THAT HE OR SNE IS E%EIAP7 TMEREFNOM AND TME BASiS FOq THE ALLEOED E%EUP• � TIDN.ANYVIOL�TqNOFSECT�ON70.71,6BYANYMPLIGANTFOflAFE�liSU&1EC15TMEAPPLICAl17T0 Z Re•Roof ACMLPENALTYOFNOTMOREiMANFNEHUNORED�OLURS({SOD).): ��, • � ❑4ASOWNEHOFTHEPROPERTY,ONNVEMPLOYEESN�7MWAGESA5IMEIRSOLECOMPENSATION, � COmmeMi31 - Z WILL DO THE WORN,MA TFIE STPUCTURE IS NOi INTENDED OR OFFERED FOR SAlE(SEC.7W�,BU56 J N NE55 AND PROFE5510NS WOE:TNE CONTMCTOR9 LICENSE LAW D�ES NOT AVPLY TO AN OWNER OF = PROPERTY NM11D BUILDS OR pAVRpVESTHEREON,AND N710 OOES SUCN WORN MIIASELFOR HERSELL OR Q 1MRIX1(3HHi50RMEHOYMEMPLpYEES,YROVIDED7HAT5UCMI�IPROVEMEMSMENOTWTEN0E00R m � OFFEREDFORSALEIFMOWEVER7MEBULDINGORIMPNOVEMEMISSOIDWITMHONEYEApOiCOMPLE� Z TION.TME OWNER-BUIIDEF YNLL HAYE iHE BURDEN OF PROVINO TW�T ME OR SHE 010 NOT BUIID OR J MPROVE FOR T11E PURPOSE OFSALE} �� I �� O 4AS OwNER OF iME VROPERTI:AA1 E%CLU9NELY CONfMCTINO WITH LICENSEO OONTRACTOi15 _Q TO CONSTRUCT THE PROJECi(SEC.70N,BUSINESS AN�PROFESSIONS COOE:THE CONTMCTOAS ll� Vellla110� ADJ.AFEA W CENSEUW�OESNO7APPLYTOANOWNEflOF11PROPERiYNRfOBU1LDSORIMPROyEgTMEflEON.AND � NRfOCONTMCTSFORSUp17RQIECTSWIINACONTMCTOi1(S)LICENSEDPURSUANTTO7MECONTMG i� pUANTITY OESCR�PTION FEE Y TOfi5l10EN5E UW.I. � ❑IAMF%EYPTUNDEHSEC. � B.tP.C.FORTHI5qE1150N q ---� � U u' OATE OWNEH � � � LICENSED COh1TRACTORS DECLAFlATION w - �2 � �NEREBYAFi1qMUNDERPENALTYOFVERIURYTWITIAMIICENSEDUNOERVRONSION50FCNAPTEN Vr p., 9�C01.o.lENpNCi VATH SECTION 7oao)OF DMSqN]OF THE BUSINESS ANO DqOFE5510NS CODE,AND Z X M UCENSE IS N FULL FORCE�ND EFFECL � m �-c'.,/ Gy�, 0 UCENSE c[,tss G Zf7,G3(oi��'N�T� 7(p7? . ,� � . V DATE T�C�7� CONiMCTOR W I � � WORKERS'COMPENSATION DECLAHATION ' Q � � V N IHEREBY�FiIRl1UN0ERGENALTYOFPERNRYqJEOFTNEFOLLOWit��ECURA7qN5: Z I d � �IMAVEANDWILLMAINTAINACER7IfICA7E0iCON5ENTTOSELF-INSUqEFORWOFNERS Z � COMPENSATION.AS PROVIOED BY SEC710N no00F TME LABOR CODE,FOR iNE PERiOPoAMICE U � OFTNEYYOiiKFORYMId1TH15PERMITISISSUED. � 0 � i . � �IINYEANDIN�LLMAINfARiWOpKERS'COAIPENSATIONINSUMNCE.ASREWIREDBYSECTpN I I Q07aoOFTHEt/�BORCOOE,FORMEPERFORMANCEOfTHEWORNiORW111pITHISPERMITIS i J SSUED.I,IV1N0 ERS'COMPENSA��j}INSURANCECARRIEHANDVOLICYNUMBERAAE: I � CONSTRUCTION � GRRIER �/7E• �' L�L�i*�t/'? .Ti1K�'�iCs/L��[S ��, PLAN REVIEW � POIICY NUMeER ! _l9/p 4 Z7�� � �I' ELECTRIC i � (MSSEcrcNNEmN�TBEOp.a.EfmOCT+EVEw.iistL^AOr+Ew�PEo00tiu+s6�aqoalFssl �'I PLUMBING i Z ICEi1TIFYTHATNTHEPERFORMMICEOFTNEV10i1KFORWMICHTHISPFRMITi5155UE0.1 MECHANICAL U' SHAl1NOTEIAPLOV�MlPEHSONINANYMAMIERSOASTOBEG061ESU&IECTTOTNE I _. . � � N'ORNERS'CqAPENSATI0NUW50FCAiFOHNIA,AND�OREET11AT615H0UL08ECOME , INSPECTIONFEE � 'SU6IECTTO THE WOiiNERS'CCMPENSATqN VROVISIONS OF SECTqN TOOOF THE UBOR OLODE,I SIULL fOfiTiNA7H COMPLY WITII THOSj�PPOV�� � I �SSUANCE p DATE: �3�/Z�0 PPLICANT. FQi�v ��� � SMIP W �� ' '� ENERGY P/C � � W LUFLRO S�ECU E WORKEM1+'CdJPEN5AT10N COVEMGE IS UNUVYFUL.AN�SMALL BE I SUBJECT EMPLOYERMCflIMW�LVENAlT1ESN10CMlFWESUPTOONEHUNDRE0T/0U5AN� I ENERGYPERMIT OOLURS(f l0U.D0o),IN ADDITION TO TME C0.5T Of COMPENSATION,DIU/AGES A9 FROVIDE�FOR IN ,�.}J 6ECTqNa�oeOPTHELAB011CO0E,IN7ENEST,ANDA7TORNEY5FEE4. � qE7ENTIONFEE: � 2 � - a CONSTHUCTION LENDING AGENCY i PRE-ALT FEE: - � IHEREBVAFFIRIAUNOEHVENAL7VOFDERJUMTNATTHENELSACONSTqUCT10NLENDINOAGENCY � n- FORTME FERFORMPNCE OFTHE WORK FOR NT1Nx1 TNIS PENAIT IS ISSUED(SEC.90YT,qV.G� I, Z I w � LENDER'S NAI.1E � � IEN�ER'SADDRESS � �. w ICEHTIFYTHATIHAVEHEADT7ISMPLICATIONMASTATETHATTHEABOVEINFORMATIONISCARREtt 'TOTAL FEES � p� 111CPEETOCOMPLYN7THALLCfTYANOCOUNiYORDINANCE5AND5TAiEUWSREU71N4TOBUILD�NO � CONSTPUCT�ON,ANDHEREBYAUT/iORREREPRESENT11T1YE50FTHISCWN7YiOENTERUPONTHE � Z ABOVEJAENTIONEDVROPERiYFORINSVECTIONVURPO5E5. COMMENTS � �� ���/✓ �. �, � m CEH�E N�IAE�vRl!!T)� ^ � ' �a i�_..� } � 3�/Z-aZ �' I �n %•'LP �4� � 816NATUREOFPERMiTfEE DA7E .�I � RECPT.k0. � _PIUD BY � VAUDAT�ON WHITE—Depanmant CopY.YELLOW—Finence Copy,PINK�1lssessor Copy.GOLOENRO�File Copy,GREEN—ApWicanYs Copy • �- _.__ , .. ' � ��T`,' �F �IAPJi011td BAR � lf�!SF�w�a�Q!`�! RECO�D _ _. �-�--�- ., � 1������nt��! ,����� I��-'���'��a�;� '� 1���=���`���°��`:tl. .. ��r�p,� ��q����`���.�� _ _ ...e,�.�_ �._,�_�_,�_�. . �:_ .� _.._. _ SET BACK ��I �i� - � FLOOR JOIST �(J� _� �— � FHA REQMTS FTGSlFORMS/STEEL -�— � ELECTRIC GROUND � I UNDER FLODR DUCT . GROUND PLUMBING ^ I UNDER FLOOR CUf�!DUIT ' SLAB GRADE � I I FIREPLACE FOUNDATION ' ' TEMP POWER I I I FIREPLACE BOND BEAM I WATER SERVICE . ' MID HT.�E30ND BEAM ROOF SHEATHING ' �, II Fr. BOND.BEAM . FRAMINGNENTIUATION , � ! FINAL 80ND BEAM � ROOF COVER PRE-GRADING ROUGH HEATING � BEhICHING I ROtJGH ELECTRIC � ROUGH GRADING j ROUGH PLUMBING I3't2'°�- �� I FINISH uRADiNG I SHOWEF�ffUB TEST i ;� POOL ELECTRIC EXT.LATH/SI�ING � , POOL FENCING WALL INSULATION I � POOL FINAL CEILING W8ULA710N i � j OFF SITE IMPS. � DRYWALL NAIUNG � DEDICA710NS I I SEWER j � FINAL ENG. SEPTIC TANK ; ' � LANDSCAPE/IRRIG. � SEEP PIT/LL. � ! ON SITE IMPS. GAS AIR TEST ; � J�FINAL ZONING FINAL CONST. I ' ! GIRE DEPT. FINA� FINAL HEATING � j HEALTH DEPT. FINAL i FINAL ELECTRIC I �,_; � ; i DEV. FEES PAID FINAL PLUMBING I �,��;.t..! ,—�� `-� ----w ! I ENERGY � � ' � ; cc� cr f-;a e,r,�? - ��� COMMENTS . ---- ----- -- -_ ._____ ..___ .---_-_ ----__ _ _-___ . SEPTIC TANK SIZE SEEP PITIU SIZE lti.� . ..._�� � �'� I,�� . , ._, .. . . . i :_.r. . .. _ , _ ., i ._ � , .�_...._____°`�y._.. _ M_1 . - ,� �. ,