HomeMy WebLinkAbout18353 J� C[TY OF DIAMOND BAR �
DEPARTMENT OF COMMUM7Y&DEVELOPMEM SERVICES
21825 E.Copley Drive ' •
(909)860-3195 Pax(909)861-3117 PRESS
' `'%��` , BU[LDING PERMIT APPLICATION FIRMLY
< DDRIESS Z����' �¢�� """ . DATEICATION j,��Q_ b�NUMBER O( 3�3 x�� ����
o -�-
� AP LOT TRACT �7530 ISSUE.� n 7YPE OCC
� DATE `3 ��-- ' CONST. GROUP
p OWNER ��I"
" ADD ESS Q r*. ZONING SETBACKS
'�z' CITY� ZIP (7 TEL FRONT RW ❑
g APPLICANT � TEL. ' ^ REAR �
� SIDFJSIDE STREET RW O
� CONTflACTO nS iov�� SIDE O
ADDRE � � '
� CITY ZIP TEL. PROPOSED USE
o ARCH/ENG/ ' I �
z DESIGNER� NO.DWEL NO. NO.
nW., ADDRESS UNITS ' STORIES ��BEDROOMS
� CITY ZIP TEL
y DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION
p� OWNER-BU�LDER pECLARATION SFR/ADDhiEM
O I
p 1 HEREOY AFFlRY UNDEfl PENALTY OF PERNHY THAT 1 AM E%EMPT FROM THE COMMCTOR 4 � G8f8g8/C81POR � '
W CENSELAWFORTHEFqlOWNOREASON(SEG]Wt.68U5WESSANOPROFE5SI0NSCODE:AM� OR
�� U COUNT7WNId/REOUIRESA7ENMRTO�NSTFUCi,ALTERMPFOVE,DEMOLISFf,ORREVN STRIIG W PBIIOIDBCK
� NRE.PiUOR TO ITS ISSUANCE,A150 REWIIiES THE MGLIGWT FOR SUQ�VEiW1T LE A SICNED W
STATENEM TNAT NE OR SHE IS UCENSED W0.5UANT TO THE PHOVISIONS OF MMCTORS L4
$ CENSE�AW�CFUPTER9�G01.IMENLMNOWfTHSECTION7000)OFDIVISION70F BUSINESSANDPR? � PooUSpa � � .
FESSqNSCODE)ORTWITMEOR511EISEXEIAPTTHEREGROAAAN�T11E0 FORTHEALLEGEDE%E4P•
� TION.ANYVIOLAT�ONOFSEGTWNM��.68YANVAPP�ICANTFORAP � SUBJECTSTMEAPPIMN�TTO Z Re-Roo1 -
A CML CENALTV OF NOT�100.E THAN GIVE HUNDRED DOLURS .g � �. - ��:��i
ZOlA50NT1EROFTHEVROPERTY,ORMYEIJPLAYEES WAGESASiHEIRSOLECOM�EN5�7qN, 0 COR1mBfC�a1 ��
WILL 00 THE WORK/WO THE STRUCTURE IS NOT INT D ON OFfERED FOR 6ALE(SEC.7M1,BUSi• J
NE55 AND PROFESSIONS GODE:iHE CONTRACTO CENSE UN�DOES NOTAGPLY TO AN OWNER OF
� PROPERTVWFIOBUILDSOHIMPROVESTNERE ANDWNODOESSUCMWdiI(NIMSELFORMERSELFOR m
� THROUGHHISORHEROWNEAIPLOYEES YIOEDTIATSUpfIMPROVEMEMSARENOTttffENOEDOR .
� OFFEREDFORSALEIF,fpWEVER7N ,IDiNGORMPROVEMEMI450lDWfTMINONEYEMOfCOMPLE-
Z iION,THE OWNER�BUIL�ER YA E 7ME BUF67EN OF PqOVINO THAT ME OR SME Oi0 NOi BUILD OR
= IMPROVEFORTHEPURP0.5E SALE} ' , ' :.I
❑Lh50NMEROF HOPERTY.AMEXCLUSIVELYCOHTMCTN6YATNLICENSEDCONTMCTOR3
" Q ro car�srnucr nie v ECf(SEQ 7oN,BUSINESS IND PROFESSIONS CODE:TME CONTMCTORS L4 V3�U0SiOf1 ADJ.AREA
W CENSEUIWDOE3 AVPLYTDANOWNENOFAPflOPERTYN'HOBUILDSORIMPROVESiMEREDN.AN�
� WVqCOMiUC ORSUCNPROJEGT9MATHIICOMMCTOR(S)L�CENSEDPURSUANTT07HECONiMG QUANTITY ESCRIPTION FEE
Y TORSLIC WJ. I '' � '� �.'I
¢ OIA6�E%EYOTUNDERSEG B.BP.GFORTXI51�REASON U -� D
3 � �✓ �XF'✓/'CS
Z D�7E � OWNER U Z SW.
W
�Q LICENSED CONTRACTORS DECLARATION �i� W
CC IHEREBVAiFIHMUNOERPENALttOFVEPJURY7NATIAMLICENSE0UN0fRPRON510N50FduPTER V.
d .Yf�MENdNfi1MTNSECTION70oo)Oi0M5iON00FTHEBUSINE55ANDFROFE5510NSCOGE.ANO Z
X 1AY LICENSE IS N M'l7FOPCE ANO EFFECT. 11 -.; .
� LICENSECUS ✓_�`,,..+.� � LIC.NO. ��y • v ' ' '''I�' j .
V pp7E ��Z3-L/L CONTRACTOR �� ���� a .
.
. W _ .. ..-._._... . ...... .. .. .. ., .���� . �
� WORKERS'COMPENSATIONDECLARATION ^ ,
� IHEREBYACFIRMUNDERPfNALTlOF7ERJURYONEOiTMEFOUAWiNODEd.AFAT10NS���;-'�,II Z
I Q
� _IMAVEANDWiLLAWNTAtt/ACERTIfICATEOiCONSENTTOSEtF-INSUREFOi1WORKERS' _ , .
COIAPENSATqN,ASVROVI�EDBVSECTION77ooOFTMELI80RtODE,iORTHEiERiORNANCE `U
OFi11E WORK FOR WMIp1TM15 PERM1TI5155UE�. ' � .,
� �IHAVEAND'MLLMNMAWWORKERS'COIAOENSATIONINSURANCE,ASREd11RE�BYSECTION � � � �
O �7o00FTNELABORO00E,FORTNEVERFORMANCEOFTHEWORKFORWHICHTH15PERMli15� 1
� i55UE0.MY N'OfiK S' PENSA INSU CE CARFIEN AND POIIGY NUTAeER AHE: CONSTRUCTION 1 O
] CARRIER S�'�A.' �� �I' PLAN REVIEW � '`
� iOLICYNl1M9ER�1Y � ._^� ' ��' EIECTFIC ��v
.Z �1
Q
� (nass[cna+NemrinreEm�t�oaneverr.+rswAarvE�noaluasRiaol�lFss} PLUMBING
��Z ICERiIFYTHATMiMEPERFORMANCEOFTNEWORKf RYMI 7MISPE ISISSUED MECHANICAL �
� V' SHN.LlqT EMP�OVANY PERSON W ANV MANNER 50 T BE E S Ci 10 E
N WORKERS'COMPENSAiqNUW50FCAlIFORNIAA � IEE HIITIFI qULD AE INSPECTIONFEE
?� SUBJECTtOTHEWORKERS'COMPENSA7iGJPROV F EM�O 7ooOF �E OF
COOE 1SHALLFORTNWITHC0IAPLYWIiH7HOSE v ISSUANCE '
� SMIP
p DATE: �Z ��APPLICANT:
� WARNiNG:FNLURETOSECUREWORKERS'ODidPENSATIONCOVEM6E15UNUWFUL.AN�SMALLBE ENERGYP/C •L
� SUBlEMMIEMGLOYEiiTOCRIMINAI.OENALTIESANDCMLFWESUPTOONEHUNDHEDiHOUSAND ENERGYPERMIT ` �
OOlLM5litao.000),N ADD�TION TO TNE CASi OF fAM0EN5ATION,DAMAGES AS PROVIDED FOR IN
� SECTiON 77oe OF THE LABOR COOE.INTEREST.ANDAITORNEV'S fEES. RETENTION FEE: � •��
�
oCONSTRUCTIONLENDINGAGENCY . PREAITFEE:
� IMEREBVAFFlRMUNOEHPENALTY�FPE RY NTTNEflEISACONSTRULTIONLENOWOAGENCY
fOR THE GENFORMANCE OF THE WOR FO WH Xi5 CEiUA1TIS iSSUED(SEG]007,GV.G6•�
W
� LENDERSNAME �
� LENDER'9/�DDRE55
� ICERTIFYTHAiIHAVEREADTHISAPPLIGTIONANOSTATETIUTTHEA60VENFOWA�TpNI50DRRECT. TOTAL FEES �
� IAGREETOCOMPLYWITH/LICIiY/�NDCOUNTYDRDINANCESANOSTATEUwSREUTINOTOBVLLDINO
CONS7qUCTION,AND HEREBV AUT1qRIZE REVRESENT�71VE5 OF n115 COUNT'TD FNTER UPON THE
Z �BOVE•MEN710NE0 PROVERTY FOR INSiECT WHPOSES. � '. COMMENTS
� �k 1
�
m PEN.IIT7EE E( iNT
� S''Z3'O� b P�.A,.�►.=„ ,-�� '
� SICNATU EE OATE -
� � .' ECPT.NO. PAID BY VALIDATION
WH17E-0epartment Copy.YELLOW—Finance Copy,PINK—Assessw Copy,GOLD6NROD—File Copy,GREEN—ApplicanPs Copy��
. . ' ..... . . ��. . '.+, . .y�� . .. . . ... . .. . �a- ' .. .. �, '-' - ...,�� . , ,� .. , .. - ,- . . . .. , ..��
� . . . � c�i�� o� �i�►r,���c� ���
C�' _ � .
�,_vi � 'Ii'�l.�i�L�C i oOf�! RECCSt�D .
..
. . _.
"'{���-��_--����- c`���,�� i�i�-�����m�Rt . ,.I►�..�,���s�C����� ���.'��� . sl►� `�+R..���
SETBAC}C ._... .,.�_ _.._ _i-._...�..._,_.._.�_.�,W.�---��-�-FLOORJQIST ` � __.._.�_ - ---
FTGS/F�RMSlSTEEL "1_�-pZl � �I FHA RE�^AT5 . � ,
ELECTRIC GflOUND � � ` UNDER FLOOR DUCT i��
GFiOUND PLUMBING I UNDER FLOOR CUMDUIT
SLAB GRADE - I FIREPLACE FOUNDATION
TEMP POWER � � FIREPLACE BOND BEAM
WATER SERVICE i MID HT. BOND BEAM
ROOF SHEATHING• ' g''(,'O�Z, R_(,�{k-� ' 8 FT.BOND BEAM. ; • �
FFIAMINGNENTILIATION���12,wZ. � I FINAL BOND BEAM
R00 "COVER � �'� PRE-GRADING
ROUGH HEATING � BENCHING
ROUGH ELECTRIC $��2�'Zc� ROUGH GRADING
ROUGH PLUMSING -�- � FINISH GRADING
SHOWERl7U6 TEST I ,�—-�"}- POOL ELECTRIC
EXT. LATH/SIDING ( $ �SI/ri /t R"�`�'� ' � POOL FENCING
WALL INSULATION $ or�� . � POOL FINAL
CEILWG INSULATION �.-G2,0�2� � I OFF SITE IMPS.
DRYWALL NAILING l,y��v i���sr"- �` � I DEDICATIONS �
SEWER ( FINAL ENG.
- SEPTIC TANK � LANDSCAPE/IRRIG. �
SEEP PIT/L.L. ; � ON SITE IMPS.
GAS AIR TEST � FINAL ZONlNG j
FINAL CONST. � � �Z� , FIRE DEPT. FINA!
FINAL HEATING �J ; •:� HEALTH DEPT. FINAL
FINAL ELECTRiC ` �2 ( I DEV. FEES PAID �
FINAL PLUMBING ! I ENERGY �
9c� .-6�oL ����- I I
_ i ('i2�-�n����'�.r�,r"��e�lj ' _ '
.
,_..s.x. �......._....-_
1 — _._.._..-.�_.,.r._—..._..�:_� . _—_,'
r__ __ - _ --. _. _ __._-_ _. __-- --- .
COMPJfENTS �-2C�-oe Frx,�cax.s ►�tT p� 6�c�•t,, r:,�-� . i�c�uz �.isl��'o� IP,�R�T �—��_
+. ►-��- t-,Po7�y uSrc
�S=o2"s[-1�t-�as_IJAc�e►,�-�- P�'s . f�t?L 8�'� f�sr�,t,y-i�-E9��'-�e�-�- _ l,�c.c- c�1L fZa�
vh��, P�_��-'�— �—�����-a�r�
' Q'��k�s'c"- ' •�� �^_c'�SL-�-JCt�, -%Y�
i1
�'
! � � .
, ,
SEPTIC TANK SIZE
� SEEP PIT/U SIZE
' . I�� . 1- ` � .
.. . ... . _ ... �3
.. . . . . . . ... , 1 � . .
.. . . ,
f'���� , _ I��
,� . I�
, � �_ I , � .• -
� � �
�.._....�_. .-�' .__ ._ Y_. ' � ,