Loading...
HomeMy WebLinkAbout16975 (37) �� CITY OF DIAMOND BAR i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �y, 21825 E.Copley Drive (909)860.3195 Fax(909)861-3117 PRESS ������ BUILDING PERMIT APPLICATION FIRMLY JOBSI7E /� APPLICATION PERMIT P/C o ADDRESS II(�!� S. l7/�f1't OIV I� F.3/�7Q. � •DATE 7 � �� NUMBER �� ft � � O � APN�7�bTd� TRACT DA EE CONST. GROUP p OWNER �,'�I�IL 1f-1 't'If'E 8t'�x 1l.1G. "" ADDRESS �233� 13fkL-C���/�. /{'1J�� ZONING SETBACKS gCITY C�� O ZIP���Z�?�S TEL. � 5'71-2) ( FRONT RW ❑ APPLICANT ¢L Co�tST�• /n.�•TEL 240 • REAR p � SIDE/SIDE STREET RW D � CONTRACTOR RG �r Co- 1..tC. SIDE ❑ ADDRESS � � CITY Sp�St/ytNCA�o. ZIP r7 TEL. l 240� - PROPOSED USE O ' 7fc r 2 w ARCH/ENG! w OESIGNER �Y C�W11�'� NO.DWEL. NO. NO. a ADDRESS UP�ITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER•BUILDER DECLARATION SFFi/ADD�AEM O W CENSEUWFORTNERFOILOWNGECA50N(SEC.77�13BU5?NE SAN�FROFE SIONSWD�:µE CITVOR Garage/Carport U ��(TyWHIpIpEONRESACENAA�TTOCONSTRUCT,ALTERIYOROVE,�EMOLISH,ORR[VAIRA4YSiRl1G � Z iURE,PRiOR TO RS�SSUANCE.hs0 NEOU WES THE 11PPLICANT FOA SUG7 PERMiT TO fllE A SiCNED w Patio/peck W STATEMENT THAT HE OR SHE 45 LICENSED PURSUANT TO TME FflOVRIONS OF TM[CONTMCTORS L4 w � CENSE Uw(duPTER Y(COu4ENpNU WITH 5EC7iON 7000)D�DNiSqN 7 0F THF BU5iNE5S MiD Pfaa � PootlSpa FESS�ONSGODE)ORTHATM[OASNEISEXEMP77HEREFRdAAN0iHE8A5I5FOR7YIEMLEGEDExEMP- (�] V TION.AN'/VqLATqNOFSECTION70]1.60�ANYAPVLICANTFDRAPERAl115U61ECT5TNEAVPLIC�NTTO Z q�.qoo( F ACINL VENAl7Y OF NOT MORE TWJi FNE HUNDREO DOLURS(SSoc)�� � ❑4ASONRIEROF7MEPROPERiY.ORMYEMVLOYEESWITMWAGE5115TNEIfl50LECAMPEN5AT10N, � COTR16fCi21 Z W�LL00111E WORIC,AND THE S7RUCTURE IS NO7IN7E�:DEO OF OFiERED FOq SALE(SfC.7o�L BU56 J NE55 AN�YROFESSIONS CODE:TME CONTqAC70R4 LICENSE UW DOES NOT AVVLv TO AN OWNER OF � VROPERTYINIOBUILDSORIUCROVESTMEREON,Ml�NR1000ES5UCNWORKHIMSCLFORMERSELFOR = � TF1RpU411HISORNEROYMEMPLOVEES,PROV10E0THATSUCNtlAPqpyE�EN75ARENOTMTENDFDOR m � OFFEREDfORSAlEF./1OwEVER1HEBlnIDiNGORiMPROVEMENTISSIXDwIT11�NONFYEAROFODAIPLE Z TqN,TIE OwNER-BUILDER YnLL HAVE TNE BUROEN OF OflONNC TMA7 ME OR SHE Di0 NOT BUIID OR = IMPibVEFORTMEPUNPOSEOFSAlE4 O L AS OWNER OF TNE VROPERTV,IIM E%CUISNELY GONTRACTING WITH LILENSED CONTPACTORS � TO CONSTRVCTTH[VRQIECT(SEC.7C��,OUSINC55 ANO PROFESSIONS CADE:TNE CQ`lTRACMRS LI- VBIUaiiOR� ADJ.AREA W CENSEUWDOESNOTMPL�TOANO`M�EROF�VROPERTYWNOBULLOSORMiROVESTMEFEON.MlD � WLqCOMMCTSFORSUCHPRQIECTSWI7HACONTRACTOR(S)IICENSEDPURSUANT707MEGQVTMC• QUANTITY DESCRIPTION FEE TORS UCENSE UW). ��p� � OIAME%EMPTUNDERSEC. B1p.C.FORTHI5RfA50N U Z N��� OR' ✓�7 � ¢ V" DATE OwNER F" Z W �¢ LtCENSED CONTRACTORS DECLAFiAT10N W LL INERCBYAFFIRYUNDERVENALTYOFPERM1IRYTMATIAMLICCNSEDUNDERPROVISKK1SOFpUPT(R � 2 1,' �' p„ �(COMMENCPIOMAMSECTIDN700010FDiVIS10N]OFTHEBUSINESSIWOPROFESS�ONSGODE.ANO Z 7 w X MY LICENSE IS M FU.L iORCEAND EFFECT. n'.`�� lll �¢� �f � K r�i � LICENSE GUS �/ �G LIC.NO. �``/?�"'� J Z �.MJ S � V �ATE L �I•bO L CONTMCTOR��{�,�E7r LO ll n. W � WORKERS'COMPENSATION OECLARATION a N INERCBVAFFWUUNOERPENALTVOFPEiWRYON[OF7HEFOLIOw:NGDECIARATIONS: U `�' a � �IH�VEAND1NLlMA1NTAiN/.CERT�fIGTEOiCONSEMTOSElFdNSUREGOiiWOHNERS' 2 � �MPENSATION.ASPRWIOEDBYSECTON77ooOFTMEI�BORCODE,FORiHEGERFONdANCE �U OF TNE WOHIC FOR WNICH TNIS VERIIIT IS ISSUED. 0 � `2 w �IHAVEANOWRLAIAMTA�NWOPKERS'CON�ENSA710NINSURANCE.ASREWIRED8v5ECTION 0 77000FTMEVDONCOOE.FORTME7ERFORMANCEOFTHEWORKFORWHICH7M15PERMITIS � In� ��� ISSVED.MYWORKERS'CWPFNSATqNINSURANCECARR:ERANDVOIICYNUTA6ERARE� CONSTRUCTION � Q � CAfiqiEq �fa�r�c !J PU1N REVIEW �� r T Z oa�cYNur.�O[R�l � ELECTRIC ¢ o �rwsseernr�r+emr+orazm.�oanev�aarswna+e�uaoa�s�s�m�rn�Ess� PLUM�ING �� w MECHANICAL Z ICERTIFYTMATWTMEVERFORMJWCEOFTMEWORKFORWHipi7H15FERMiTI5155UED,1 (�} SwLLINOTEMPLOVANVGEH50NP1ANYMMlNERSOASTOBCCAMCSU9JCL7i0iHE � VpANERS'LOA�FENSA710NUN50FCALIiOANIA,ANDAGREEiMATG1 FqULCBECOME INSPECTIONFEE _ S SUOJCCTiOTMEY10flNEA5'COMPENSATpNP OY iON50F5EC DOOFTHEUIBOR cooE. s ormM�1rHcour�vwin�r . rnsior+s ISSUANCE pDATE:�I �APPLIGINT: � SMIP (���i� � � ENERGV P/C WMNINQ:FA�LURETOSECVREWONNERS'COMPfN5A7 ,:OVERACEISUNLAWF�IL.IINOSNALIBE �y SUOJECTANEMPLAVERTOCRIM:NALPENlLLTIESANDCMLFINESUPTOONEHUNORCDTHWSAND ENERGYPER6�17 DOLURS(f I00.000�,IN ADDITION TO TNE CAST OF COAIPENSATION.DAMAGES AS PROVIDEU FON IN ,F. .�J SECT10N7�OEOF711EtABORCWE,INTEA[ST,AND�7TORNEYSFEES. RETENTIONFEE: �� � CONSTRUCTION LENDING AGENCY PFE-ALT FEE: O CC IXEREBYl.�FiRMUNDEROENALTYOfPE0.NNYTHATTHEREISACONSTRUCTIONLENDINCAGENCY d FOR TME VERFOR6111NCE OF TME WORN FOH WMiGI TNIS GEflMIT I5155UED�SEG 7oY�,CIV.CJ. Z w � LENOER'SNAME S F— LENOERSADDRE55 ¢ ICERTIFY7HATIMAVEREADTMIS�V7lICATIONAN�STATET41iTHEA90VEMFORM�TqNISCOARECT. TOTAL FEES `�D • OO • W IAGFEETOCOMPLYWITMALLCRYANDCOUNlVORO:NANCEStiyDSTATEUwSRE.ATINGT08UIlDINC �" CON57RUGTION,AfMOMERE�YAUiHOFIZEREVRESEN7�TIYE4O�THISW�1rvTYTOENTERUPONTHE ZABOVE�MENTIONEOPHOVERTViORINSPECTIONDUHCO5E5. COMMENTS � �l�1�7'/lC/C(70�1 �O. 1/.fC• !j� _... ¢ FERMiTr E(PP n .. /�J ���«����1 R'�• ` N � (f� Z�0� � S' � NL I TEE � E � FECPT.AO. PAID BY VALIDATION WHITE—Depariment Copy,YELLOW—Finence Copy.PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanPs Copy _ '�.OQ. O-0 . ._."_ '__'._� .. �,.�._.�. __':�'�..�....r.-.....�_�..-.�._... _ . • __"'._ "�. ._ � `.I' . _. �v' ...--..�..� :. ....� �. T,Y. �...... . � �. � _ . . .. .. C!i`: �� Gi,��f��Q{�'!!� r1�^-.� E(�'.c:'i=C.';'3 r�.;,1 :=�F.�C��;:,►� ���E�:a�C. ����1�1�--,---�.j-*r -._..._-_�l"r=i:�=.t 'C�1:�__ __._..�--��'F-`I:!--C-:"��1�.�---�----------CJ--,i_ _.__—I►—�-`1:1C•[';CC�)�j ___. -- -- - - - . ....._ . .._ . . . . . . _. . . .- .. . ..... ... ..-_... , _.. ----�---------—- - SET F3F,CK i � � ' ' ; FLOJR,!DIS i � --- ---. :.._ ..-------...—_—.� . --•-�--------- ------ — ---� -- --- FTGS'FOR��1S,'STEEL j • I FH�".RFQ!.1TS � -- •----�-----�---=---- ----•�•---- ------ FLECTRIC GROUND � -- — - --- - ---r I Ui:�ER FL�OR DUCT ----�-- -�--; -- ; __,`__ � -- --- GROUND PLUi�131tJG � �_! U�1JER FLO��CO'�'�UI i i i -- -- - - - -----�—.._....__,,.-- ------ 5LA6 GRADE --- —�-- ------- -----� � FIR�PLI,CF�FOU�•J7A:�I�'�: I � TEP:1P P01rVER � I--- --I_I FIR�PLACE 60�d���F,�.4_—�-- -�--- — --_ VVATER SERVICE �` � i ' P•.1ID Fil. E3J":D I3Cr^�':1 I � ROOF SHEATHIfJG ` I -- -----------i � G FT, �OPJD E3�d,';" ---------�--- ---� - FRAPAING,NEf4TILIF,TlO"J���� � i Fli•JAL 6O�dL' E=At:1 J � .,2 �1i--=- _ -- _.----------_---_--- -----� — - s=.�. ROOF COVER I i FR�G��A�JIFd� � . ROUGH HEF,TIiJG I��� � ; B�P.•�HR�.0 _ j� —{ ROUGH ELECTRIC ��Lj I��� !!'�--------I-�-ROUuti GF.t,DRJG------�— � - FiOJGH PLUi�,BIiJ:a__��Y�itfQ/�� I I F�IivISH uF3ADIiJ� --- � I --- SI-101�"JERrfUis TEST 1 �i __ I � PCOL ELEC�RIC _ � —� EXT. U'�TH/SIDING i � PGOL F�NCI".�a ___� i �'JALL IfJSULATiOfd � � , F'OOL FINAL ! � CEILIPJG I�dSULl,TION � � _1 i OFF 51TE I`;1PS. � i �_ _ DRYLNALI.PJAILIPJG � �_ � j DFDIC�',TIOPdS ! �_ SE�"JER � � � FIiJAL EfJG. ; SEPTIC TANK I � _ ` �_; LAPdDSCF,PE/IRRIG. � SEEP PITlL.L. I ^__�1 O"d SITE R:"PS. __ � GAS AIR TEST _�_ � I FIN.AL 7_ONING FINAL CONST. ���p� ' ��� `-� �!RE D�PT. rRJ!lL _—�-J FI�dAL H�ATI�vG � � HEALTH DEPT. Flfd�,L � �—_-- FIPJAL ELECTRIC /� �� — ' � r1FV. FcES P��ID ; � FItJ!';L PLUP.IBING `Z � I I EP:ERGY _� i I � I i ___..._..�.�� I ---- � –�----- � �_ �_p�.........:.�_;=��'�'-_..___ ..__ .._..._----- � ---- CUfJIMENTS SEPTIC TAf�JK 51ZE SEEP PIT/U SIZE -- -�- — --- --------'i f---..��_ ---- -- �'�� . . r . � • , ; -- , ----------- �: , _