HomeMy WebLinkAbout16663 (22) �� CITY OF DIAMOND BAR
� DEPARTMENT OF COMMiJN17Y&DEVELOPMENT SERVICES ��
�Y` 21825 E.Copley Drive �
(909)860-3195 Fax(909)861-3117 PRESS
��-«��� BUILDINGPERMITAPPL[CATION FIRMLY
o� J08SffE 2�226 S�I�Qb�.00C Davan at. APPLICATION (� Jl PERMIT ����,"s�'--' P!C
A�DRESS �Q DATE l% �� v� NUMBER � � a
� APN LOT_�_ TRACT ISSUE � TYPE OCC
� DATE CONST. GROUP
p OWNER Mr. Burmeister
4' ADDRESS ZONING SETBACKS
�z" CITY ZIP TEL. FRONT RW ❑
g APPLICANT TEE�� REAR ❑
SI�E/SIDE STFiEEf RW ❑
¢ CONTRACTOR SIDE ❑
� CD.TMDRESS ZIP TEL. PROP���SE � t`hl�D EL
0
w ARCH/ENG/
iz DESIGNER N0.DWEL. S NO. NO.
� ADDRESS UNITS STORIES BEDROOMS
� CITY ZIP TEL.
� DESCFiIPTtON S0.FT. FACTaR PSF ADJ.AREAIVALUATION
p� OWNER-BUILDER DECLARATION SFRlADD/REM
O
p 1 HENEBY AFFIPA�UNOER PENAL7Y OF PEfWRY THA71 Nd E%EMPi FRdA TNE CONTMCTORS LL Garage/Carport
W CENSEUWFORTMEFOILOWRM.REA50N(SEC.7071.68USINESSANOPROFESSqNSCODE:ANYGTYOfl (n
U OpUNiYWHIpfREWIRE5A0EN.IRTOCONSTRUCLALTERIMPROVE.OEA�OL15H2ONNEFNRANYSTRUC- W _pgIiOJOBCk
_ � NRE.PRIOR TO RS ISSUANCE.ALSO RE�UIRES THE APPt1LANT FOR SUCH DERMIT TO iILE A 61GNED -•� W -- - — ""'- -" - ' - ���� �� J
STATEM[NT 7HAT HE OR SHE IS LICENSED PURSUANT TO TNf PIiOVI510N5 OF THE CONiMCTORS Ll-
�S CENSE LAW(UTADTER Y(CqAMENCIN6 YYITM SECTION 7000)OF pIVISpN 1 DF TME BUSINESS MO PRO- LL POOVSPB
z FESSqNSCOOEjORTFUTHEORSHEISE%EMPiMEREFpOMANDTH[B�iSFOf1TMEALIEGEDE%EMP- C7
� 71DN.ANYVIOLAiIONOF5ECT10N7071.6BYAM'APPLICANTFORAPERMITSUBJECTSTHEAPPUCANTTO Z qe•Roaf
� �CML PENALiY OF NOT MORE TM�N FNE HUNORED DOLURS�S50o).):
� ❑I,ASOMMEROFiHEVROPEPTY,ORMYEMPLOYEESWITHWAGE5A5TNEIR50lECOMPEN5AT10N. � Commereial �
Z Wlll DO TiE WORI(,AND THE SiRUCTURE IS NOT INTENDED OR OFFEREO fOR SALE(SEC.70N.BUSI� J
NE55 AND Vi10FE5510N5 CODE:TME CONTMCTORS IICENSE LAW DOES NOi AP7LY 70 AN OYlNER OF
N PflOVERTYWF108U0.050RIMPROVESTHEREON,l1NDWHODOESSUdiYlO(iKNIMSELFORHERSELfOR =
� THqOUCHHISORNEROWNEMPLOVEES,VROVIDED�TSUCHMPROVEMENiSARENOTWTENDE00R m .
� OFiEREDFORSKEF.FIONEVERTMEBULDINGORIAIPROVEMEMISSqDWRMNONEYEAROFCOMPLE•
Z TION,THE ON�NER�UILDEH WILL N11VE THE BUfNEN OF PPONNO TMAT HE OH SHE Om NOT Bl11lD OR
= W PR01lE FOR TME PUNPOSE OF SALE}
O 1,AS OtYNER OF TME VROPERTY,IW EXCLUSIY0.Y fANTPACTW 0 WI7H LICENSED CONTMC70R5
Q TO WNSTRUCT TME FHO.IECT(SEG.70s1.BUSINESS AND PROFESSiONS CODE:TME CONiRACTORS LI� V�IudtiIXl ADJ.AREA
W CENSEUWOOESN0T11PPLYTOANONMEROFAPROPER7VVFiDBUlOSOR1A17ROVE5THEREON.AND
� Nf1000NTMCT5FOR5UGNPp0.1ECf5VAT1ACONTMCTOR(S�LILENSEDPURSUANTTOhIECONTMG QUANTITY OCSCRIPTIO�! FEE
Y roac uccr+sE uw.�.
¢ O I AM E%EMPTUNDEH SEC. B.i P.C.FOR THIS REASON Q I
3 U
� H
DATE OwNER V
Z W
�d LICENSED CONTRACTORS�ECLARATION W
LL 1 HEREBVAFFINIA UNDER PENALTV OF PE0.NRY TUT IM1 LICENSED UNDER VROViSi0N5 OF CNAPTEF �
p. Y(COMMENqNa K'ITFI SECr10N 7oaol OF DM510N 7 0f THE 8U51NE55�NO PROFE55iON5 CODE,AND Z
X AO'LICENSE IS N FULI fORCEAND EFFECL m
LL1
� LICENSECUISS IIC.NO. j
V DATE CONTMCTOR a
W
� WOFKERS'COMPENSATION DECLARATION ¢ .
N IHEREBYAFFWMUNDERPEN.LLTVOFFEFWRYONEOFTHEFOLLOWINCDECURATIDNS: U
`—" a
� _IHAYEM'DV+�LLMAINTNN�CERTiFICA7EOFCON5EN7TOSELF-INSUREFORIMORNEFiS' _ . �
COMPENSATION.ASPROViDE08YSECTON77ooOFTHEUBORCODE,iORiMEPERFORIAMICE w
OF7NE WORK FOR WHICM TNIS DERMIT IS ISSUED. �
G
W �IM�VEANDYALLMMITA:NWORNERS'COMPENSATIONINSURANCE.ASREOU�REDBYSECTqN
Q 97oaOFTHELABORCOOE,FOqTHEVERFOfWANCEOFTMEWORKFORNT11GT1TMI5PEPMiT15
ISSUED.MYWOHKERS'COMPENSA710NINSURANCECMRIER+WOPOL�CYNUMO[RME: CONSTRUCTION
-.--->. __. c,v+nien — PLAN HEVIEW - -
Z POLICYNUMDER ELECTRIC -
om+ss�cr�,�r�ore�oor,s�ErcooFnE�w.rrswaa.e�ooaw�sa,o�ion�essx PLUMBING � =� .
Z I CERTIFY THA71N TNE VERFORA/ANGE OF TNE WORK FOfl WMIp7TM15 PERMIT IS ISSUED.1 MECHANICAL �
(J $HALINOTEMP�OYM7YVEflSO�iINANVMANNERSOASTOBECd��ESUBJECTTOTME
(n VKIHI(ERS'C04PENSAT�ONUWSOFCALIFORN10.�1D�GREETMATIFISFIIXILOBECOME INSPECTIONFEE
S SUBJELTTOTHEWORKERS'COAIPENSATIONPROVISqN50FSECTION�7000FTHElA80R
cooE,�sw�u soan�wm�ca.��.r wini rirose vaansia+s. ISSUANCE
� SMIP
p DATE: APPLICANT: .
W ENERGYP/C '----J--�'—- .
J WARNiNC:FAILUHETOSEGUREMNRKERS'CAMPENSATIONCOVERAGEISUNUWFUL,IWOSHAILBE
LL SU&IECTIWE1ePLOVERTOCWMmALPENALTIESANDCMLiWESUP700NEXlM'JFED7F10US�N0 ENERGYPERMIT
DOILAfiS�f lao,oavl.N�DDIiION TO iME GOST OF LOMPENSATION,D�AGES AS PROYI�ED FOR IN
� SECTION77000F1NEUDORCODE,NTEREST,/WDATfORNEY5FEE5. {�E7ENTIONFEE:
oCONSTRUCTION LENDING AGENCY PRE•ALT FEE: , __
� IHEREBY�FFIPIAUTAERPENALTYOFPERNRYT/MTTHEREISACONSTRUCTIONLENDINCAGENCY
fOR 7HE GERFORMANCE OF THE WORK fOR WHiCH TIliS PERMIT IS ISSUEO(SEC.709�.CN.C.�
Z
w
� LENDER'SNAME
S
� LENDER'S/�WHE55
w ICERTIFVTMATIHAVEREADTHISAPPLICATqN/WDSTATETUTTMEA80VEINFpqAUilON15fARRECT. TOTAL FEES
� IAGREEiOCOMV�YWITMILLICT'ANOCOUN7YORDiwWCE5�ND5TATEUwSREUiINGTOBUILDING
� CONSTRUCTqN,ANDNfREBVAUTMOWZEAEPfI[SFNTATNESO�TMiSCdIN7'/TOEMERUPONTHE t^� �� n /�j��i����
AOOVE�ME �ONEDPROPERTYF RINSPECT�ONPURPOSES. � ��� �J�/
Z COMMENTS_��ii —�
� �.1„ �l�/Idt s%��C' ^ '�
m� �' -
¢ VER EE N ME(Vpl
C1J
� SIG REOFiERMI E � �
— RECPT.N0. PAID BY � VALIDATION
WMITE-0epartment Copy,YELLOW—Financa Copy,PINK—Assessor Copy,GOLDENFOD—File Copy,GREEN—Applicant's Copy
„ .._ .. �....., ...,.......-.....�.�.,,..�.T.... -. _ . ......._ ...� ...�..... •'.. .. ' "'. . . . . ____.____ .. ... _.._.... ,.� . . .. ... ... . . . .......�.. • . � ' . '1.
CITI' O�' DIa�JOf�D BAR
i�`SPEC i 10lv �ECOrD
l►��-����:�I�7�k �'')_�[= I�`�'i��=c;;�'�.�:t � ,l►���.�=;�'::�'(c�`1►�� �r':LE'� ► .7_c'� ,
���_��. �1��f�
---_._.��__.__.__ .. _...-- ---.__...__.____...................----�--.._._._.._.�._��_....__....----�_----_...__..._._.--.--_._._--------- .—.
SEf BACK � � _ ___� FL�OR JOIST �, c, I _
FTGS/F�RPJISISTEEL 1 � � , FHA REQ'lTS I
ELECTRIC GROUND � ' ' ' ” UNDER FLOOR DUCT � I
GROUND PLUP,�BIfJG I I Ut��DER FLOOR CU�IDUIT J I _
SLAB GRADE 1 I FIREPL'r",CE•-FOUtJDATIOPJ �
7EMP POWER I I FIREPLI�CE BOND BEAP�1
WATER SERVICE I NID HT. �OND BEA�^ I
ROOF SHEATHING � � • •-- --I----f3 FT. BOND BEADJI j
FRAMINGNEPJTILIATION r� FIi�AL BOtJD BEAM �
ROOF COVER I~ PRE-GRADItJG I
ROUGH HEATING BENCHIWG
ROUGH ELECTRfC � I ROUGH GRADING
ROUGH PLUMBING I FINISH GRADIPJG
SHOVJERl1'UB TEST I � � � POOL ELECTRIC __�
EXT. LATH/SIDING � I POOL FENCING
4VALL INSULATION POOL FINAI �
CEILING INSUI.ATION OFF 51TE Ih�1PS. �
�
DRY�^JALL NAILING � DEDICATIONS
SEWER FINAL ENG. L_
SEPTIC TANK LIIPJDSCAPEIIRRIG. �
SEEP PITIL.L. OPr'SITE INIPS.
GAS AIR TEST � FINAL ZONiNG
FINAL CO^lST. �f�p( �,� , �IRE DEPT.FINAL
FINAL HEATING ( HEA�TH DEPT. FINAL
FINAL ELECTRIC � DEV. FEES PAID
FINAL PLUMBING ENERGY
e�-1rc. �,1:,cIc.;,r
.�_L..�...��:�.��C'�.K..4�_'�.����.���
COtv1NfENTS ��,s��c.�-�1�..- �y.�. � �
pG��� �5_6Je�
SEPTIC TANK SIZE
SEEP PI�`lJ 51ZE
,��� .
',�,� _ .
. , � , .
, � �
. � , , . , .
- � ,
,`� - ' . . . •