HomeMy WebLinkAbout17810 �1 C1TY OF DIAMOND BAR Q/ � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � ��� 21825 E.Copley Drive (909)860-3195 Faz(909)861-3117 PR ESS � �`:�'�' BUILDINGPERMITAPPLICATION ' FIRMLY d ADDRESS ����,A,,k�P��Ti k��IR� APP�ICATION ��ag p�,UMBER�� k� � DATE c� ISSUE TYPE OCC APN L07 TRACT DATE CONST. GROUP p OWNER l7Al2G S 9 1.LT " ADDRESS 4S�'� !'N�FIMCniC�X�A/ ZONING SETBACKS z CITY �7_d' -M�o--n.l�� TZ4—J721P / -��T�� kr'� FRONT RW ❑ REAH p o APPUCANT ��N ►S o5 S TEL. 7iQ�-�� SIDE/SIDE STREET RW ❑ � CONTRACTOR 2LL _T3b5S S1DE p o A�DRESS P"�/"3 .�/i+[t �li PROPOSED USE G o CITY 2 rrir.e sr n f ZIP,�,�� TEL(��64) r182�� n o ARCH/ENG/ � DESIGNER NO,DWEL NO. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION 50.FT. FACTOR PSF ADJ.AREANALUATION � a OWNER-BUILDER DECLARATION SFR/ADO/REM O p 1 HEREBV IIFFIRM tMOER PENALTY OF PEMIih'TNAi 1 AM E%EMPT FROM THf CONiMCTORS lb G818gB/C3fp011 W CENSEUWFORTHEFd10WINQNEA50NRFG70.71.S8U5RiE55ANDVROFE5510N5CODEANYCIYYOH (� � COUNTYNMICMPEGAHESAVEFMRTOCONSTRUCT,ALTER�PROVE.DEAqLISM.ORiIEVIUPANYSTFlUC� W P8fiO/DBCk TURE.PRIOR TO RS t55UANGE.ALSO NEWiRES THE APPLIGM FOR SUCH PERMR TO FILE A SIGNED W .� STATEMENT TIUY HE OR SHE IS LICENSEO PUHSUANT TO iHE PROVISIONS OF THE COMMCTONS L4 .� CENSE UlW(GIAPTER Y(COAIMENdNO N7TH SECTqN 7000)OF DNISiON 7 OF TME BUSINESS AND PqO. � POOUSPB FESSIDNS COOE)OH TFU7 NE ON SHE IS EXEMVT THEREFROM AND iHE BAS�S FOH iHE ALLE�ED EXEMP• � TION.ANYVIOLATqNOfSECTION70J1.6BYANYAPPLICANTFOHAFEAMITSUBJECTSTNEMPLICANTTO Z Re-Roof F ACMLCENAL7YOFN0T►WRE7NANFNEMUNORE�pIXUiis(l5o0).1: Q ❑4�30WNEROF7HEPROPERTY,ORMVEMPLOYEESVATHWAGESASTHEIRSOLECOMFENSIITqN, O COTTefCl01 ' Z NALL DO THE WORK,MA THE STRUCTVRE IS NOT INTENDED OR OFFEAEO fOR S/�LE(SEC.701I,BU54 J NE55 ANO VROFESSIONS COOE:TME CONiMGTOR3 UCENSE LAw OOES NOTAVPLY TO AN OWNER OF � ►pOOERTYW/10BUILOSORMPR7VE5TFIEREON.ANDNMODOES5l1CMYqRKMIA/SFLFORHERSELFOq � Q THHOVQHXISONHEHOWNEMROYEES.PNOVIDEUTYUTSUp71MPqOVEMEMSARENOTINTENOEDOR m u1 OFiERED FOR SILE F,IqWEVER 1ME BUtDiN60RIMPROVEAIEMIS SOtD wITMN ONE YEAR OFCOMPLE- 0 TION,THE OWNEH�BUILDER NALL HAYE TME BURDEN OF PROYINa THA7 XE OR SNE�ID NOT BUILD Ofl j MPROVEFORTHEPUPPOSEOFSAIE). 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CONTfiACTOR�u� 6',TS n- W � WORKERS'COMPENSATION DECLARATION a � IHEREBYAiFIRMUNDERPEWLL.TYOFPERNMONEOFMEFOLIOWINciDEGUMTIONS: U u' a � �IIUVEANDWILLMAINTAINACEHTIFIGTEOFCONSENTTOSELF-INSUREFORWORKEfiS' 2 � COLIPENSATpN.�SPROVDE08YSECT10N�7000FTMElA80RCO0E.FORiHEGERPoHAUNCE W Oi THE YVOPoC FOR WNICH THIS PERMIT IS ISSUED. � 0 I FUVE AND WILL MMNTAM WORKEHS'GOMPENS�TqN INSUMNGE,AS REOUIREO BY SECTION �}� Q 87000FTMELABOACOOE,FORTHEGERFORMANCEOFTHEWORNiOAWMiCHTHISPERM1T14 � \ t] ISSUED.MVWORKERS'COUPEN5ATI0NINSURANCECMRIEqANDVOLICYNUMBER�FE: CONSTRUCTION ,EC�y}_ j CARRiER STiaT,e .CU.��7 - PLAN REVIEW Z voucY rrtn+BER_a..Z��••�7 O A/f'�c!'� - ELECTRIC ¢ p (fF�55E�7qNNEFpNpTBEW.P�EimpFhEpEqMrISFOqCNEFtRDRmpcuulS(i+oo)DriLEss). PLUMBING Z ICERTIFYTIURINTHEVEAFORM+WCEOF7NEYroRKFORWHICHTHiSPERMITRI55UE0.1 MECHANICAL L) SHAlLNOT EMVLOY ANY PERSON W MIY MANNEH SOAS TO BECOME SUBJECT TO iHE Uj WORKERS'CONPENSATIONUN+OFCAL�FOFWIAANOAGREETMATIFISNOULDBEOOME IN9PECTIONFEE SUBJECT TO TME WOfiKERS'COMPENSATqN PRON310N3 OF SECiqN�70o OF TNE UBOR O CODE,I SHALI FOR7M+ATM COMPLV VA1M THOSE PFlOVi510N5. ISSUANCE FlD ! p �ATE:'�r'/?�t]�J APPLICANT: �U N /_?6 S�. SMIP • J � W ENERGY P!C � WARNINCS:FA0.UAET06EW0.EYJOfUCERS•COMPENSAYIONCOVERAGEISUNUwFU4/�ND51uLleE �y SUBJECfANEMPLOVEflTOC1UMINALFENALTIESANOCMLFWESUPTOONEIM1INDRE071qUSAND ENERGVPERMIT OOlURS(f 10o.D00).N ADDIiION i0 TME COST OF COIA7ENSATION.D.UMGES AS 7ROVIOED FOfl IN ¢ EEC7bN]1GlOFTMEIIBORCOOE.NTEREST,ANDATfORNEY5FEE5. RETENTIONFEE: oCONSTRUCTION LENDINGAGENCY PRE-ALT FEE: � IHEREBVAFFIRMIM�ERPENALTYOFpERJURYTHATTNEREISALONSTRUCiIONLENOWO�GENCV I — _ � Z i0ii TNE PERWqM.WCE OF THE WOFK fOR WHICH TNIS VERAAIT IS ISSUEO(SEC.7oV7,GV.C.�. W ' � LENDER'S NAYE � LENDEiCSADDNE55 � � _� WICERTIFYfHATIH�VEREADTHI$APPUCATqNANDSTATERMTTMEABOVEINFOWAATIONI4COqRECi TOTAL FEES � O � IAGHEETOCOMPLYWITHAILCITYANOGOUNTTOR0INANCE5IWO5TATEUWSRELA'fINOTOWlDINO /�''� . CONSTRUGTION.ANO HEflEeY AUT+OWZE HEPRESEMATIVES OF THIS COUNT'TO EMER UOON THE �(1"'�+ Z ABOVE�MENTIONEDFfiOPERTYiORINSVECTION WRPOSES. COMMENTS v � 0 _ ,��A �I"fi Cs[i ¢ iERA1ITfEE NMIE(PPiM� � Cn /� � S NATU EOFPERMI OATE � RECPT.NO. PAID BY VALIDATION WNITE—DepaAment Copy.YELLOW—Finance Copy,PINK—Aesessor Copy.GOLDENFiO ile Copy,GFEEN—ApDlicanTs Copy nls.�:Y�'n�i�...}. ... .�. . . ... ,: t'�.�.. . ..,..:j Y.a;�.:��1Ja.�.,,_. . ...4 a.i "t.5•%r�r�ri,�•7�,�z.i`y;ri?"r�r�', ,Yi'.q,«,s-x<Y�a , . . -l:..r.=•3;� ,.�...,. c,c._. .. , . �.. , .. . . -� ,����;-Z�' , �1 i"Y OF QlAfJIOi�lD BAR � if'dS�EC i i0id R�COf�D F -�} .�,.....� .,.....�...w �.j,.....�.y�....*�.��..�.+--M^�.....�..�.-..�.....�.�.^.. �r � � �`�����}ll,��� - :. �'�'���. a.11r.�.�7L�.^�1�t$��if,�w�p �.I.A.���a.�,�,1����.. . . ,','.+fn�.�+.� � `���� ���1'E' , : . - .�._.....:.... . ....._ ..._..,...... . .._ __.._..W,__,....�..._.. _. .�._. SET BACK; ��. � � ��FLOOR JOIST I� . FTGS/FORMS/STEEL I FHA REQMTS � ELECTRIG GROUND i UNDER FLOOR DUCT � GROUND PLUMBING I I UNDER FLOOR CUt�!DUIT SLAB GRADE � f FIREPLACE FOUNDATION TEMP POWER �� I FIREPLACE BOND BEAh1 WATER SERVICE I - i � � MID HT. BDND BEAM ROOF SHEATHING � i � � I 8 FT. BOND BEAM FRAMINGNENTILIATION ' I I FINAL BOND BEAM ROOF COVER i PRE-GRADING I � ROUGH HEA'TING BENCHING i ROUGH ELECTRIC � ROUGH GRADING ROUGH.PLUMBING I FINISH vRADING SHOWEHlTUB TEST P�OL ELECTRIC EXT.LATH/SIDING I I i POOL FENCING ' WALL INSULATION � j POOL FINAL i CEILING INSULATION � OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEP7ICTANK . LANDSCAPFJIRRIG. SEEP PI7/LL. i -' ON SITE IMPS. GAS AIR TEST - � FINAL ZONING FINAL CONST. � p�%�_�.�/_l— j � � �IRE DEPT. FINA'- FINAL HEATING � � ; HEALTH DEPT. FINAL � FINAL ELECTRIC _f�(}� i DEV. FEES PAID FINAL P�UMBING I ; � ENERGY � � � , _ --- _ _I _ ._ .: ;- --- -- _`._ _ .} , ,�r�^� � �� c,s-: .. . _ . COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE , !��- . :'�j� I:a ' t � - f . t � .. ..�_.�`��_�..���,! �