Loading...
HomeMy WebLinkAbout13642 (17) J J� CITY OF DIAMOND BAR !/ DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 (909)8643195 Fax(909)861-3117 P E$$ ���A BUII.DING PERMIT APPLICATION FIRMLY JOBSITE /��� APPLICATION�^ �Q PERMITI /C o ADDRESS I S� � L�CJ DATE � / NUM8EE1 x � APN LOT 3 TRACT �SSUE TYPE OCC DATE CONST. GROUP � OWNER „ �V 5 / P.is t�" ADDRESS S d" ZONING SETBACKS � CIN�fL%_kl�C�i ZIP TEL.� � R�RT RW O APPLI ANT 7")�ilP �rn �er�r TEL YB `/ � SIDFJSIDE STFiEET RW ❑ CONTRACTOR E�C.N�G SIDE p q� ADDR r O lJC � CITY �''- 21P L EL '�?ZLc+ O�fc PROPOSED USE o ARCFUENG/ • � DESIGNER �'�-�� NO.DWEL NO. NO. ADDRE / (j�_ `�s� Yl-�c� V�' UNITS STORIES BEDROOMS � CfTY 21P�'�73TEL. y DESCFiIPTION SQ.FT. FACTOR PSF ADJ.AREANA�UATION Q OWNER-BUILDER DECLARATION SFqlADDiAEM � O p I MEREBY AFFlRM UNDER iENALTY OF PEfWM THAT�AA1 EXEMPT FRqA TNE W�fTMCTOHS L4 Garage/CaryoA LL CFHSEU�NFORTHEFOLLOW'NCNEASON(SEC70.7I.68VS�HESSANDGFlOFESSIONSCOOE:AN`/CITYOR (� C� COI.'NfYNT71U/REOIARESAVEfWRTOCONSTRtKT.ALTER�MPROVEOEMOLISM.ORHECMRANYSiRUC• W Z NRE,PHiOR TO R9 6SUANCE.JLL50 REWIRES iHE ADPL1CANf FOR SUCH PERUIT TO�RF A SIGNED Pdi10/DOCk �� BTATFMENT TlM7 ME OR SHE IS UCENSED PURSUANT TO T11E PF70V�510N5 OF 1T1E CONTMCfOHS lJ• � � CEN6E UW(QUVTER 0(Cd.7MENqNa WITH SECTION 7D00)OF DIVISqN 1 OF TNE BUSINE55 ANp PRO- POOUSPa FESSIONSCODE]ORTHA7MEORSMEISE%EUPT7HEREFROMMIOTMEB115i5FORTNCALLEGEDEXEMa• � TqN.M1YVI0LAT10NOFSECT10N70�1.6BV�NYAPPUG7RFORAPE��TSUf1JECTSiH[MPLICJVfTTO Z Re-Root F ACMLVENALTYOFlATAIORETNANiNE/1UNOREODOLLAR5p500�.�: O OI.IlSdPMEROFiHEVH07ERTY.ORMYEMPLOYEESMATHWAGES.ISTHEIRSOLECOMPFNSATION, � CORIR16fCl�l - Z YALL DO T11E WORI(,AND THE STRUCTLNE IS NOT INTEN�EOOR OFFEHED FOR SAIE(SEC.70u.BU56 J N NE59 AND PHOFES:�ONS COOE:ME CONTMCTORS LICENSE UW DOES NOT APOLY TO AN OwNEN OF ? iROPERTY 1M10 BUlDS OR IYPR01lES iMENEOfL�N�1N10 DOES SUCH WOHK HIYSELF OR MERSELF Oq Q TIHOUOf1H190RMENONRIEMPLOYEE5,Vf10V10EOiTUTSUGIMVPOYEMENTSMENOiINTENDE00R m � ,OfFEREDiORSALE1F,IqWEVER71iEBULD'lqORWPROV[IAFNTISSC(DWfTNNONEYFAROFC04APlE• �TIOf1,iHE OWNER�U0.DER YALL F7AYE iHE BURDEN OF iROVwO THAT HE Ofl 6HE DO NOT BURO OR W PROVE FOii THE FUi1PQSE DF SALE} . uJ 04A30vMEROFiMEiROPERTY,AME%CLUSNELYCONTMCENOWrtHtICENSEDCONTMCTOR4 � TO CONSTRUCT iHE VRO.IECT(SEC.7os/.BUSn:E55 AND OROGESSiONS CODL T11E CONfRACTORS LI- V0!u91i0n ADJ.AREA � CENSEUWDOESNOTAPPIYTOANOYRIEROFAGROPERTY1Nq8UlO50RIMPppyE9THEflCON.AND WIqCOMMCT4F01iSUGIVPQIECT5N7T1fACOMRACTOR�S)UCENSEDVURSUAMTOTIECONTMP pUANT1IY DESCFitPTiOV FEE � TORS UCENSE UW�. OIJUAO(EMVTUNDERSEC B.iP.C.FORTMISPEA:ON Q 3 � � � a�� ormea v � w LICENSED CONTRACTORS DECLARATION J � w I HEREBY AfFGiI UND[N VENALTY OF 7ERlUf7Y TNAT 1 AG LILENSEO UNDER 7ROVISIONS OF CWIPIER A `1 s ��C/�M4ENCHOWfT115ECT1ON7000)OFDIVISION70FTHEBUSINESSANOPROFESSIONSCOOE,AND Z D � (�v � � / ! LL� W LICENSE l5 N FUIl FQRCE ANO EiFECi. _ m �. � � LICENSE CUSS ' _IIC.N0. �� � J ! O �j DATE � � CONTRACTDR� . d _ . W � WORKERS'COMPENSATION D[CLARATION a N �HEREBYAFFlRM UNDER iENALTY Of PE0.AIRV ONE DF7HE fOLIOYfNG DECi/lRAT10N5: Z ' . , , �� � �NAVEANDWILIMNMAHACEfiiIFlCATEOFWNSEMTObC1FaN5UREFORM/ORKERS' _ . . ' � ' •� � ' • , C011PENSATI0N,A3VHOVIOEDBYSEC710N77000FTHElA➢ORLOOE,FORTHE7ERFORMANCE W Q OF TlIE WORK FOii WMp1 iW5 PEflMIT IS ISSUp. � _I HAVE AND YNLL WIMAN MlOf1KER5'COMiENSATION INSUWWCE.AS REOUIqEO BY SCCTION � 77oD OFTHE LADOR CDOE.FOR 711E iERFORAIANCE OF TNE WONK FOR WHICH 7HI9 PERMl113 ISSUED.MYwp��/ty��}_CO�IAPENSATWNW9.1flANCE/�+RRIEFANDFOCICYNUMOERARE: CONSTRUCTION jcuiwEn � I /T`7 L�� S' �D PLAN REVIEW � P0.1CY M11.�ER � ,[,_�I ELECT - � (f}GSECICtINEmNOTBLW.f�E7IDOfhEPEi►d16Fp10NE1UWf1CD00LURSR��)�LESSI UMBING Z ICERTIFYTM11TNiMEPERFORMANCEOfiHCWORKiORWNICHTHISPEpMiT1565UE0,1 MECHANICAL -'�� •""Z (J SMALLNOiEIAPLOVANYPEHSDNNANY�IANNER50A5TOBECOMES�BJERTOTHC .+-�.-:,+� � YIORKERSOJMPENSATqNUYV50FCALIFORNIAANOAGREETUTIFISHOULpBECOME INSPECTIONFEE S SUIiJECTTOTHEW0�1NER5'C0IAPEHSATIONPROVISIONSOFSECTICN1 OFTFIEUDOR �SSUANCE G�DDE,1 SHAl1 cFO�HQfINlITH CqAPLY WIiN TFIJSE VRO`ISIONS. � r/ )/j� � SMIP f!I?i : r �nnfl p DATE: �_� • / APPLIGWT:_/�� �.�� �- V 1��� J WMNINO:FAM1URCTOSEGUft[VAfiKEAS'COM ENSATIONCOVEMGEISUNLAWFULANDSMALLBE ENEHGYP/C � SU0.1ECfANEA1PLOVERTOCRDAiNALPENILT1E5M10CMLFNESUPTOONEHl1NOREDTMOUSAND ENERGYPERMIT • � ��' 1�� ����J ,�1J t�t"~ r DOU,ARS(7100.0001•INAODITIONTOTNECOSTOfCqAPENSATIOH,O�ACE5A5PROYIDEDiqiIN �U1:_Lil\�r f:!'•i_.'.Jf�:�Ll � J SECTqN77aOFiHEUDORCODE,WTEREST,AN0A7TORNEYSiEES. qETENTIONFEE: Q a CONSTiiUCTION LENDING AGENCY PRE•ALT FEE: O � IMEREBVAFFIRMWDER7ENALTYOFFERIURYTMATTHEREISACONSTRUCTIONLENDWOAGENGY z FOR TME PERfORYA1:CE OF TME WOfiK FOR WHICM TNIS VEW�IT IS ISSUED(SEC.�aa7,CIV.C.). W � LEIIDERS NA1AE � LENDERSADORE55 � ICfRTIFYTMATIIUVEKEPDTH15AFPUCATqN/JIDSTATETNATTIEABOVENFORYATpNISf�MECT. TOTAL FEES / 7D W IAGREE70C01APLVWITH�LLG7YANDCOUNTYOROPIANGE5AND5TATEUwSNEIATINOTOBVILDiN6 � CONSTRUCTION,AAUHEREBYAUTIqRREREDRESENTATNE50GTHISCOUMYTOEMERUPONTNE ZABOVE�MEMIONED PHOPERT'I FOR INSVEGTION CURVOS[S. COMMENTS � l l� _ Y' � m �rw� � � � ���,� � N SO TV PERMITiEE DA7E � � RECPT.NO. PAID BY � _VAL�DATION � NMITE—DepeRmenl Copy.YELLOW—Finance Copy,PINK—Aasessar Co ,G ENROD—File Copy,GREEN—Applicant's Copy � CITY OF DIAiVfO��lD BAR 1ttiSPECTIOh! REC�(�D r _-�-•---•--^_.__.__...r__ __...._�..�...� _...�. P......'.--�--•--_._..�_�--.-.�-_..._.r---,-_,--...._ �� .� .d���.;.��`:��i�lEtt ���i�'= ;J►���;.��c=�i±l:i. �.. I���y.�:;�;�l�l►�J:� �+'Re�e����'= .���F-'�'���''d���� I�Si.T 5ACf: .. :..I. . �.,..�...............__.:_._,,.....I,:i•'FLO�R JOIST .._..,_.._ ._..... _i. ,.:_ ..___ .....,...,._...,. .-.�_ . __...... E�"�GS't-��:"S,'STEEL � � FHA R��;�1TS' � _ � . _ FLECTRIC GROUND UNDER FLOOR DUCT `I ' �+ GF;OU;d�PLUt.^,filNG I � UNDER FLOOR CUtdDUiT � SLAF GR.qG� rI � FIREP;IICE FOUtdDP,TIO�d �� T��.1? FO�VER I I FIREPLIICE BOPJD BEAh1 ' ' --=--- — - I � �TER S�RVICE � P�"ID HT. BOND BEAhS ^ i f-,�''.------- � F'^^�SH��1THIfJG� � R F7. 60ND BE/1h^ • • • �,,:�._--�—,_ r � _-_ j FR;:""I�,!a;•��ENTI:.IAi ION! I � FINAL EOND E3EF�PA � � � �;OOF COVFR ( I I PRE-GRA�ING - � � �-~ • • • �'�'JG" h;GF,TiN,a � � _ BENCt�ING � � . �!��+3H�L�GTRIC � ROUGH GR!',DING ���� � fl:)U�f i PLU��",BING ` FIUISN GRADING � S>�O'�'JFR�TU�TEST POOL ELECTRIC � � Ei'.i.LF:i'H;S!DING � POOL FENCI�JG � t"1A:.L I"dSULF:TlO^t POOL FItJAL I � CL'ILIIV�a RvSU�kTlOid � I OFF SITE li�."PS. i _ I : ___ DRYb`�;�LL�dF,ILING � t� �EDICATIONS __ � �F�'w'"; � FIP:AL ctJG. i ��_'TIC TA�JK LAhJDSCAPE/IRRIG. —�� --� � �[Ei :'IT/L.L. I i � O�J�ITE IMPS.• � • _• -- ; }���S r'•.IR 7EST � � � FIP;F,L zOi�I;�JG `j �_ '---- —,--- { � i=�`:"�l COP•1ST. J/.3��oa - .i-- — I_l FIRE DE?T. FI^1kL I � j.__ - _ + �i,�%�.:.H..r-.r.TC�u —��- �i j � HFAL'iH DEPT. FINAL I +------ -- - - — � > �':%:��LE:�TR!�� j ; DEV. FEr=S Pi1iD �-� - -�---- �_ ��------ !�_....•�\!Pi.Ui:9!hd� � !._Ei•lERGY_ `_ � . -- � --- , i�__-- _ -- � ' �; ; � �. .� � _:^...__r_. . _._. 1� -�----_ � �::;.�� :���i- :�:�ir . . , i , . . , .. , �--•_.-—-- — .•- . ,-,•... .,< � _ . � ,.. . . , . ---- --- • ----- -_. . .____�—_..--- _ .... _. . .. _ . . . , � i:i_'i:�;�/i��,TC . _ — i � ,/ , �/' I j�/_�o jy► � ,�'/, ��'_�'��nG��!_'�c3<�<`�-ar2���,�K`� _� �•�-��(/_--.-�q1;T(_,__ .� �; - J �,'� �- ------ �. _^- ; . ; _ . . ;-- - _ ---- _ -. . -- - , . , . j---...-.-_.—:=— — -- -- --- — �, i�, -- -- ; , . , ;_..------- ---- ---------- ----- i S��'i IC TkN� SI�E — ij�r F'f'f T/U S IZC - - -------- ----- -------- i ,, ___. .....� _._. i � ^•�r;. _ _ ; — - --- ! - - � �_ . . ! F' � . � . .. . j '. '," ', ' � _ . . . . 1 : + �� `�_�"__'� "'��"'_�__�"_�'� i ; . — � ; .. i + � � . ��_� . � 1 � . �. —. � � "w.% • � e . I `1• •l ' _I • . . i t. ... ... i..............._ ..... � —1_ __�_ 1