Loading...
HomeMy WebLinkAbout18243 �` CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21825 E.Copley Drivc (909)860.3195 Fax{909)861-3117 PRESS "'%�� BUILDING PERM[T APPLICATION FIRMLY y JOBSITE �ZZ N '/E� So C L.4i✓C APPUCATION ���� �(��PERMIT (('i�U� P/C o ADORESS DATE •r� NUMBER��L3•�t � ISSUE TYPE OCC APN LOT T ACT DATE CONST. GROUP p OWNER L SN 2,�'N 6 _ o ADDRESS -2 �Z SOL G N� ZONING SETBACKS Z CITY � ZIP 1�6.� T �9fr b��L FRONT RW p g APPUCANT_L1`ih� Lfi.-r�ri--�-�✓ TEL. REAR � � SIDE/SIDESTREET RW ❑ � CONTRACTOR ���"•� �SSvG SIDE p o ADDRE�$�2�I Allrr/f' s' PROPOSED USE o ciTr �l/ ,rlo 11 yc,ma-b ZIP9L6t35 �f �1d 7l Z`Y� o ARCH/ENG/ � z� DESIGNER NO.DWEL NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP •TEL � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER OECLARATION SFRlADD/FiEM O p 1 HEREBY AFiWM IM�ER PENILLN OF PERRIRY THAT 1 AM E%EMPT FROM THE CONTMCTOR3 U• G8f2Q0/C3fpOR W CENSEUWFORTNEFOLLOWIN6REASON(SEC.70]7.6BUSINESSAN07ROFESSqNSGODE:AMfC1iYOR (n U WUNTYVA11piqE0U1RE5AVERMITTOCON57NUCi,ALTEqMVROVE,�EMOLISl1,ONHEP�IRANYSTRUC• W patio/Deck Z TURE,PRIOR TO RS ISSUANCE.ALSO REOUIRES THE APPLICANi FOR SUpi PERMIT TO FIIE A SIGNED W STATEMENT TUT HE OR SHE IS LICENSEO PURSUMIT TO THE PROVISIONS OF THE CONTMC?ORS lb w � CENSE UW(CHAVTER Y(OOAIAIENCWa VAiH SECTION 7000)OF DMSION�OF THE BUSINE55 AN�PA0. � PoollSpa iES510N5 COD�OR THAT HE OR SHE IS E%EA7PT MEREFROM AND THE BASIS FOR THE ALLEGED EXEIAP- � TION.AM'VIOLATKKJOFSECTION7D71.68YANYAPPLICANTFORAPEPMITbUBJECTSTHEAPP�ICANITO Z Re•Roof A CML VENALTY OF NOT MORE TWw FIVE HUNDRED DOLURS(fsoCl.): z ❑1A501MiEROFTNEPfiOVERiY,OfiMYEMPIOYEESWITMWAGE5A5TMEIR50LECOMPENSATION, � COrtIrtIBfLIBI � WILL DO THE WORI(AND THE STRUCTURE IS NOT INTENDE�OR OFFEREO FOR S�LE(SEG 70��,BU51• J N NESS AND DROFESSIONS COOE:THE CANTRACTORS LICENSE UW OOES NOTAPP�Y TO AN ONMER OF ? FROPERTY WF10 BUILDS OR IIAPROVES THEREIXJ.AND MMO DOES SUCN WOPK HIMSELF OR HERSELF OR Q TMROUfiHHISORHEROWNEM7LOVEES,PRON�EOTHATSl1(:NIMPROVEMENTSARENOTIMEN�EOOR CO � OFFERfDFORSALE1F,110WEVE0.7HEBU0.DIN00RtlA7ROVElAEMIS50lOWRMNONEYEAROFCOlAPLE- Z TION.THE OWNER-BVILOER WILL HAVE TME BUpDEN OF PROYWG THAT HE OR SME 010 NOT BURD Oq = WPROVE FOiI TME PURPOSE OF 5/LE). W OI,ASOWNEROFTIEPROVERTY,AMEXCLUSNELYCONIMCTWOWRIIUCENSEDCONTRACTOR3 Q TO CONSTRUCT TNE PROJECT(SEC.70M,BUSINESS M!D VROFESSIONS LODE THE CONTML70RS li- V81U0GOf1 ADJ.AREA W CENSEUWOOESNOTMPLYTOIWOWNEROFAVROPERTYWMOBUM1DSOflIMPROVESTMEREON,AND � W/qCONTRACTSFORSUCHVRQIEGTSWITHACONTMCTOfyS)LICENSEDPURSUMli70THECONTMF DUANTITY DESCRIPTION FEE Y TORSLICENSEUW). ¢ O IAM IXEAIPt UNDER SEC. B.t D.0.FORTH�S REASON Q � U � � DATE OWNER V Z W �Q LICENSED CONTRACTORS DECLAHATION W 2 IHEREBYAFFlRMUNOERCENALTYOFVERIURVT1uTIAMLICENSEOIIN�ERCRON510NSOFCHAPTER Z ('V T2 "LIIf—T' G Q p„ 9(COUMENCINfi WtiH SECTION 7000)OF OIVISION 3 OF THE BUSINESSAND PROFESSIONS CODE,ANO � X MYI�CENSEISMFULLFORCEMDEFFECL ����OS � � UCENSE CLASS � L�fJ IIC.NO. . ^ ` J V DATE ���7�V Z+ CONTMCTOR ,��-• c irrfo a w � WORKERS'COMPENSATION DECLARATION a � U � INEREBYAFFlPAIUNDERPENALTYOFPEtiNRVONEOF7HEFOLLOWIN6DECUMTqNS: Z 4 0 INAVEANDNILLI.WMAINALERTIFICATEOFCONSENTTOSELF�INSUREFDNWORKERS' 2 � COMPENSATION,ASVROVIDEDBYSECTION71000FTHELIIBORCOOE.FORTME7ERFOR/AANCE W OF THE WORK FOR WNlpi THIS CERMIT IS ISSVED. � � W �IHAVEANDIMLLAWNTIUNWORKERS'COMPENSA7qNIN5URANCE,ASREW�REDBVSECTION Q �70o OF iHE LABOR CAOE,FON THE PEtiFOPAIANLE OF TF+.E WORK FOR ri711p1 THIS PERMIT IS � ISSUEC.MYWORKERS'COIAPENSATqNINSyURA.NCECARHIERANDVOIICVNUlAOERARE: CONSTRUCTION � CARRIER r'/�'�- T���£� �NSG`/4►~u PUW PEVIEW � POLICY NUMBER��...(��� ELECTRIC � � (IHsSECnoNniEmNo'ieEooAfIFTEDOFIFfPEaMt6FOf70NEFlf�ORED00t1A0.SIS100lORLE551 PLUMBING Z ICEHTIfYTHATNTHEPERFORMANCEOFTHEri'ORKFORWHiCHiHISPERMITISI55UED,1 MECHANICAL U' S14LLLNOTEMPLOV�NviEit50NWANYAAANNERSOA4TOBECOMESUBJECTTOTME � WORKERS'COMPENSATpNUWSOFCALIFORNIAANDAGREETMAT�FISNOULDOEGOME INSPECTIONFEE S SUBJECTTOTHEWORNERS'�PENSATIONYRDVISIONSOFSECTqN77o00FTMELABOR ,� CODE.I SHALL FORTHWITH COMPLY WITHt TMOSE PROVISiONS. ISSUANCE O I'}y� p DATE: ~�7�Z APPLICANT: ""V I� SMIP � ENERGY P/C WARNIN6:FAILURE TO SE W RE WORKERS'COMPENSATUN COVEMGE IS UNUwFUL.AND SMALL BE J SUBJECTANEMPLOYERTOCFIMINALPENAlT1ESANDCIVILFINESUPT00NEHUNDHEDTIqUSAND LL' DOIURS(f�Oo.OW1.INAD01710NTOTHECOSTOFCqAGEN5AT10N.DAMAGE5A5PFOVIDEDFORW ENERGYPERMIT � SECTION370lOFTHEUBOHCODE,INTEREST,AND�TTORNEY'SFEES. RETENTIONFEE: d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBYAFFIRAIUNDERFENALTYOFPE0.M1IRYTHATTHEREISACDNSTRUCTIONLENDWOAGENCY Z FOR TME GERFORMANGE OF THE WORK fOR VMlpl THIS GERMIi IS ISSUEO(SEL.]097,CIV.C.1. W � LENDER'S NAME � � LENOER'SADDRE55 �� ¢ I CERTiFY T1uT I M�VE READTHIS APVUGTION AND STATE THAT THE ABOVE INFORMATION IS CARRECL TOTAL FEES �J� W IAGREETOCOMPLYWITHALLCT'ANDCOUNTY0�7D!NANCESAN�STATEUWSREUTINOTOBUILOINQ n' CONSTRUCTqN,ANDHEREBVAUTHORRERE7RESENTATNE50FTH15COUNiYTOENTEHUPONTHE � ZABOYE-MENTIONEDPROPERNFORINSPECTIONPUHPOSES. COMMENTS � �� ��}"�A S �i9��✓ � PERAy=T�NyNE(PR�C � ¢ /�� �c.._,...� 6 Z 7—o�2�. ���ar-��—�- � SIGNATUREOFPE�A11TfE DATE � RECP7.N0. PAID BY VALIDATION � WHITE—Departmenl Copy.YELLOW—Finance Copy,PINK—A55e55orCopy.GOLDENRO ile Capy,GREEN—ApplicanTs Capy , .:.,...���...,.-�-�.,,._,..,� - �.,�....; -�. .;...y �- , . _ . - _-_.. �-.:a.-e .- „ .��,� — .., , ,..,.-r.:.. -.--. _:... , . , . �... , .r. ��I�� {��_ �SI���Q�'�R� �/��� it�!SFE�c 90��! �LCU�C1 - -..: _,.,..�__.�_.._._ 1 k �'..._._._....�... _.__.__ , _..�_.._.. . --------- il�k-'��a=�l�k.['I��aE �� °i�'= I►�F_���"i� �`�a.'d: 1� 7;1_t. h1C�li�E �k �,r�. '�►��.'i.a�r'��'c)��' I __—__...-_---,_--- .--- ____�.. _. ._..________ 1 : .. . � _ .. ...... ...__..__....____.___. - ,- --_____ ----__..�_-----_.____.....�______ SE7 BACK _ i __ _ I I FL��R J015T � . FTGS/FDRMS!STEEL �� � � FHA REQF,ITS � ELECTRIC GROUND � � �,_UNDER FLOOR DUCT � i GROUND PLUP�1BING J� __ __� UNDER FLOOR CU��IDUIT _ SLAB GRADE I I FIREPLACE FOUNDATION I TEMP POWER i ' FIREPLACE BOND BEAM � WATER SERVICE � I PAID HT. E30P�D BEAP�� ROOF SHEATHING __I � I F3 FT. 60ND BEAPJI FRAMIt�dGNENTIUATION � ! FINAL 60ND BEAM ROOF COVER I PRE-GRADIfJG I I ROUGH HEATING � BENCHIyG � � ROUGH ELECTRIC ROUGH GRAOWG ROUGH PLUMBING � i � FINISH GRADIPJG _ -�—.— SHOWERRUB TEST i j POOL ELECTRIC EXT.LATH/SIDING I I ; POOL FENCING WALL INSUI.ATiON —r-- POOL FIPdAL i CEILING INSULATION � OFF 51TE IMPS. QRYWALL NAILIP�G � DEDICATIONS SEWER i FIPJAL ENG. SEPTIC TANK LANDSCAPEIIRRIG. SEEP PIT/L.L. ON SITE 1�,1P5. GAS AIR TEST FINAL ZONING FINA�CONST. �!RE DEPT. FINA! FINAL HEATiNG � HEALTH DEPT. FINAL FINAL ELECTRIC � DEV. FEES PAID FINAL PLUMBING _6;�� ENERGY �� � � � - � �,�«_-.."-,�-_,�'�-��r;��- ._�.__._�..�_.:t.a.:------��____.� cor,nnnEr�Ts - - - -- SEPTIC TANK SIZE SEEP PIT/U 51ZE _,_I'`� �. y��� i� i i �1 .__.-"_.._.._._.._.~_.__._._......_..__..J -� '