Loading...
HomeMy WebLinkAbout18006 �__-__ _ _- - --. --_ _____ _�-- _ - - _ _ _ _ ---- �.,--- . . ` �� CITY OF DIAMOND BAR �i DEPARTMENT OF COIW�iUNITY&DEVELOPMENT SERVICES 21825 E.Copley Drive - (909)860-3195 Fax(9U9)861-3117 PRE$$ ��'-�» BUILDING PERMIT APPLICATION FIRM Y a ADDRESS����� �nV47I �IS'(� APPLICATION� 3 / O � � f (��PERMtT P/Cn� _� o DATE NUMBER p� � APN LOT TRACT ISSUE /�,/ TYPE OCC DATE ` " / �Z CONST. GROUP p OWNER /ilt T " ADDF�ESS Cn1 S ZONING SEfBACKS 0 gCITY����1 nT�'�+ ZIP TEL. REAR RW p APPLICANT TEI.�, - � � � SIDE/SIDE STREET RW ❑ QCONTRACT R eC 1�"� �r nG �I . SIDE ❑ � ADDRESS � PAOPOSED USE V��n V��I � CITY ZIP TEL.1 o ARCH/ENG/ w DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � cn OESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFR/ADD,'REM O 1 HEflEBV AFFlRM UNDER PENALTY OF PEiWRY TNAT I AIA EX[MPT FROM THE COHiMCTORS LI- G8ffl08/C81POR W CENSEUWFORTHEfOLIOWINGREASON(SEC.)0]1.68USINESSANOiROfESSIONSCODE:ANYGITYOR (n U COUNryWHICMREWiRESAGERMRTOCONSTPUCLALTE0.IMVROVE,DEMOL15M.ORREPMRANYSTRUC• W P3t10/DBCk � NRE PRqR TO ITS ISSUMICE.AL50 REWIFiES THE APPIICANT FOR SUCH 7ERMIT 70 FllE A SIGNE7 W STATEMENT THAT HE OR SNE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTRACTORS LI• � CENSE UW(dUVTER Y(COMMENCINO WITM SECTION 7000)OF DIVISqN 9 OF THE BUSINESS AND VRO- u' PooVSpa FESSIONSCOOE)OR7HATHEORSHEISEXEAIPiTMEREFROAIMIDTHE9ASISFDfITMEAILEOEDE%EIAD• (� � TpN.ANVVIOLATIONOFSECT10N70�t.68VANYAPPLICANTFORAOERMIT5U0lECTSTNEMPLICANTTO z Re-Roof !1 CML VENALiY OF NOT MORE THAN FIVE FIUNORED DOLLA0.5�f Sao))� Z04�OWNEROFTHEPROPERTY,ORMVEMPLOYEESWITHWAGESASTNEIRSOLECOMPENSATqN, O CORI1IIBfCl2I - WILL DO 1HE WORK,ANO THE STRUCTURE IS NOT IMENDE�OR OFFEREO FOR SALE(SEC.7a�,BUSI- J � NESS/�ND GROFESSIONS CODE:THE LONTMCTORS LICENSE UW DOES NOT�iPLY TO AN OWNER OF � PROVEHTY MAIO BUROS OR RAPROYES THEREON.M!D MMO DOES SUCH WORK NIMSELF OR NEflSELF OR Q THRIXICMMISORHEROMMEMPLOYEES.PROVIDEDTXATSUp11MPROVEMEMSMENOTPJTEN0E00R m pOFFEREDFORS/LLEIF,HOWEYERTMEBUILDINOORIMPROVEMENTISSOIDWITNINONEVEAROFCOMPLE- Z TION.iHE OWNER�BUILDER V11LL HAVE TrIE BUMEN OF VROVWO THAi ME OR SME DID NOT BUItD OR = IMPROVEFORTMEPURPOSEOFSALE). . �y,� 04ASONMEROFTHEFROPER7Y,ANEXCLUSIVf�YCANTRACTINOWITMUCENSEDCONTMCTORS Q i0 CONSTRUCT THE PROJECT(SEC.7a��.BUSINE55 AND VRO�ESSiDNS CODE:7NE CONTiLICTORS LI- V31Ueli0fl ADJ.AREA L11 CENSEUWDDESNOTMPLVTOANM4NEROFAGROPEflTVNMOBUROSORIMPROVESTHEREON,AND F WHOCONTMCTSFOi15UCHOROJECTSWITHACONTMCTOR(SjLICENSEDPURSU/�MTOTHECONTiUC- QUANTITY DESCRIPTION FEE Y TORS LJCENSE Uw). ,,J � �I M/EXEAIPT UNOER SEG B�6 P.G FOR TMIS REASON Q � U li. � DATE OYYNER U 2 W �Q LtCENSEO COtJTRACTORS DECLAFiATION W 2 IHEREBYhFFIRMUNDERVENAINOFPERIURYTMATIAMLICENSEDUN�ERPROV15lON50FCMAPTER � � Y(QDMMENCPlO WITM SECTION 70oD)OF DIYISION�OF THE BUSINESS AND PROFESSIONS COOE,AND Z �� MY LICENSE IS IN FUl FORCE AND EFFECL m � LICENSE CLASS �^ � �� LIC.NO. S o � . V DATE CONTRACTO� �� d W �� � WORKERS'COMPENSA710N OECLARATION a � 1 HEREBYAfFIRM UNOER VENALTV OF CEiLURY ONE Of THE FOLLOYf.NC OEClAMT10N5: Z Q � _IHAVEANOWILLMNNTAMACERTIFIGITEOFCONSENTTOSELFJNSUREFOqV/ORKERS' _ � CpAPENSATION,AS PROVIDED BY 6ECTKK1 9T000F THE LABOR COOE.FOR THE VERFORMANCE w OF TNE WORK FOR WHIp1 THIS VERMIT IS ISSUEO. � � W _I HAVE AND VIRL MAIMAIN WORKERS'LOMPENSATION INSURANLE,AS REOUIRED BY SECTION Q770D OF THE 1A80R CODE.FOR TME VERFORIAANCE OF THE YYORK iOR WMICH iHIS CEN.�IT IS �n�.�� � ISSUED.MY WORNERS'�PENSATION WSUHjAN L CARRIER NA POLILV NUMBER ARE: CONSTRUCTION - lY � CAftRIER �C4 � F!�/�VI PLAN REVIEW L� ' _ Z PoLICYNNAeER�KD7SFS � ""d I ELECTRIC ¢ � (M65ECIIONNEEDNOTBEOOb�tETmOFTFEPE(#tlT6fi7ROhEYUrURm0011/�FSS(S100I�7LE557. PLUMBING Z ICEHTIFYTHATNTFIEPEPFOPMMICEOFTHEWORNFORWHILHiHISPERMITI5155UE�,1 MECHANICAL (,'} SMALLNOTEMPLOYANIYERSONplANVAUNrvERS ASTOBECOMESUBJECTTOTHE �/j WORKEfiS'CpAPEN5AT10NUWSOFCALIFORNiti/W GREEiMATIFISMOULDBECOME INSPECTIONFEE SUBJECTTO TNE V/ORNERS'COIAPENSATqN P(30N510 SECTION 7700 OF iHE 1A80fl �j COOE.ISMALLFORTHWIiHGdAPLYWITH SEPR �SSUANCE �_ - _- � SMIP .�� p DATE:S�D^�Z— APPLICANT: . � ENERGY P/C WMNINO:fIULURETOSECUREWORKERS'COMPE ATIONCOV LAWFUL,ANOSMALLBE LL SUBJECTANEMPLOVERTOCRIMINAIPEWLLTIESIW�CMLFWE TO NEMI,NOREDTHOUSAND ENERGYPERMIT DOLUitS(f100.0001.W�DDIT10NTOTHECOSTOFCOYPENSAT DAMAGESASPROVIOEDFORIN � SECTioN�7oeOFTHEU90RCO0E.NTEREST.AN�A7TORNEYSFEES. RETENTIONFEE: nW., � CONSTRUCTION IENDING AGENCY PRE-ALT FEE: O Q IHEREBYAFFIRMUNDERVEN►LIYOFVEqJURYTHATTHEREISACONSTRUCTIONIENDINaAGENCY �Z- FON THE PERFORMAHCE OF THE WORK iOR WNICH THIS GERMIT IS ISSUEO�SEC.709�,CIV.C.� W � lENOER'SNAME F-- LENDER'SAODRE55 � TOTAL FEES ¢ I CERTIFY iMAT I MAVE NEPDTNIS APGIICATION IWO STATETHATTHE ABOVE INFOPoAATION IS CORRECT. W IAGFEETOCOMPLVWITHALLCIiYANDCOUNTYORDiNANLESANDST�TEUWSREUTINOTOBUILDINO � CANSTRUCTION.AN�HERfBYAUTHOR�ZEREPRESENTATNESOFTHISCOVNTYTOEMEHUPONTME '�� Z ABOVE�MENTIONEDVROPERTYfORINSVECTqNPURDOSES. COMMENT$ I � O�_�� �• �� ' � � aPERMITTEE WVAE(PRIPfT) ' � � � S16NATUREOfPERMITTEE DAtE � pECPT.NO. PAID BY VALIDATION WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy V� • ,(a , . . , .. . _ , . .. .,� . , .. _ ,. . ; ... . , . . . .. �4 i�` Q� DlAfJ;atvD �36;�; If�S�=EC�10T�! }�E+CC7�D 1��-'��I�`r rC���i.p � �y.v��.`_.._I►�l-y i�r��,�):� �_..� I�►��:1.� ���:�(e�l►�I � �r�1��= 'I►+�����;�t�o�:� � . - � - - -- -_. --..�.___�___.._.___�.. __.__ _._�--` ._�__ . _ . ._______�---.._.__----.� ___._.__---_ ..__.__�_____._---.___._____._.Y___ SET BACK ___� � FLOOR JOIST �__�_____ FTGS/FORMSlSTEEL i , FHA REQMTS 1 ELECTRIC GROUND ---� �UNDER FLOOR DUCT � GROUND PLUMBING �I Ut��DER FLOOR CUt�IDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER � FIREPLACE BOND BEAP�t WATER SERVICE I MID HT. BOND BEAP.1 ROQF SHEATHING ' 8 FT. BOND BEAh1 ; FRAMINGNENTILIATION FINAL BOND BEAM I ROOF COVER I PRE-GRAUING j ROUGH HEATING BENCNING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST __� POOL ELECTRIC EXT.LATH/SIDING � POOL FENCING I WALL INSULATION POOL FINAL � CEILING IN�ULATION ��F 51TE IP.4PS. DRYWALL NAILING QEDICATIONS SEWER FIfJAL ENG. SEPTIC TANK LAPJDSCAPEIIRRIG. SEEP PIT/L.L. OPJ SITE IM�S. GAS AIR TEST FINAL ZONIfJG FINAL CONST. ��1 � • �lRE DEPT. FINAL FWAL HEATING � HEALTH DEPT. FINAL FINAL ELECTRIC ( � DEV. FEES PAID FINAL PLUMBING � � ENERGY � �.��;�;.�;��.�.j;.,,; ..�_.__�. cor,�nnEN-rs SEPTIC TANK SIZE SEEP PIT/U SIZE !�`!� � � >;���� ��I - , _ _______ _ ...`� ---�------__�