Loading...
HomeMy WebLinkAbout16477 (35) J� CITY OF DIAMOND BAR DHPARTMENT OF COMMUNITY�DEVELOPMENT SERVICES �� 21660 E.Coplcy Lhive Suitc 190 (909}860-3195 Faz(909)861-3117 PRESS ���� BUQ.DING PERMIT APPLICATION FIRMLY o DD ESS �VJ I"1 5� �1C�mona P�G{ f)�4�U DATECATION 1 NUMB R � 1C � � ,. ISSUE G /� TYPE C APN LOT TRACT DATE `� � v CONST. GROUP / p OWNER bCl l.l 1'11 C' ' p ADDRESS b �i. 1 ( r'1 Cl Y ZONING SE7BACKS � CITY ��a�►'�pn .� ZIP ��7 TEL. O' Z'I4��� FRONT RW ❑ APPLICAN7 A CfEL. � l �1 REAR O � 51DE/SIDESTREET RW O CONTFiACTOR O'�l � (TY1 YY Q C��� � SIDE ❑ ADDR SS� G� W u � CITY eY1 ZIP��TEL � -I I I PROPOSED USE � ARCWENG/ � � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CI7Y ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BL11lDER DECLAHATION '�, SFR/ADDlREM O p I HEREBY AFFIiW UNDEN VE�ULTY OF VEfU1Rv T1uT I AM EXCMPT FROM iME CONTMCTORS U• G8f8g8�C8ry0R W LENSEUWFORiHEFOIidWINOHEA50Nf3E470.77.6BU5iNESSANOPROFE55qN5CO0E:AHYCITYOR (� � CWNiYW1ACHREOUq£SAPERMTTOCONSTitt1CT,lLLTERMPROVEDEFIOUSH,ORREPAIRANYSTRUG W patio/Deck TURE,PWOR TO fTS ISSUANCE.ALSO pEW�RES iNE APPLICANT iOR SUp1 PERIJIT TO iILE A SICNEO w � STATEYEM iHAT HE OH SHE IS LICENSED VUfLSUANT TO 7NE PROYISIONS OF TME CONiMGTORS L4 � CENSELA1Y�pUPTEqY(WMUENCWOYATHSECiiONl000lOFOfVISICN]OFTHEfiUSINE55AND7qP �- PooVSpa iE" SOODE�ORTFUTMCDRSHEISEXEMPTTHEHEFROMMDTNEBAS�SFONTHEAlLEOEDfXEMP- TION.ANYV�OLAT�OflOGSECTION7U]1.68YAHY�PP�ICANTiOHA7EHY1T5JBJECiS7H[AFG�,ICANTiO Z Re-Roof � ACIVILPENALTYOFN0IMORETLWFIVEMUNDHEDOOLURSIS+�)�1: ' � O�ASOWNEROFiHEFNOPER7Y,OqMYEMPLOYEESWITHWAGFSASTHCIq50LECOMPENSA7qN, ❑ CpmR10fCId1 - WN.L DO iNE WOPo(AND 7FIE STRUCTURE IS NO'IMEhDEO OR OFFER�O FOR S/�LE(SEC.70u.BU56 J HESSANO VROFESSIONS CO�E:TNE CONiMCTORS LICENSE lAW�OES NOT APPLY TO MI OWNER Oi � VROPERTYWMOBVIlD90RMPRpyESTMEREON,ANDN'/10DOES5UCMWOAKNIAISELFORHEitSELFOR � � THROUO/IWSORNERW.TIEMPLOYEES,PHONOEDhtATSUCHIMPROVFMENTSARENOTTITENOEDOq m � OFFEREDFORSALEIF,NOVfEVERTMEBUILON�MMAFRDVE1AEMt5501DW17/1INONE'/EMOFCOMPIE� � TqN,THE OWNEF�BUttDER YALL MI1VE THE BUROEN OF 7FOYIN�TNAT ME OR SHE DID NOT BIALD Ofl MPROYE FOR THE iURPoSE OF SALE. - �y„� 04ti`+010NEROFTNEPROPERTY,AME%ClUS!YELYCON'fMR�N6INTHLICENSEDCO"fTMCTOH3 W CFN�UWDO-C NOTAFGLYTOANOtiM1EHOFAPROP RTYWMOBUttDSO MPROVE�REON,�`D VBWati0fl A0.1.AREA � WIqCOMMCT5FOR5Up1VR0.1ECTSYATI�AWNTiLIGTOR�S)LICENSEDOURSU.47TTOTMECONTMP qUAMITY D[SCRIPTION FEE � toas uca+sE uw.�. OIAAIIXEAIPTUNDCRSE0. BiPGFORMISREA50N ¢ 3 � ¢ u$' DATE OWNEp U o UCEN3E0 CON7RACTORS DECLARATION ' � • � �I W . IHEREBYAFFUWUNDENPEWLLNOFPE0.IUNYTNATIANLICENSEDUN�EFVROln5loNSOFCHA�7EH V. 1 \A { . / S ��COMMENCHOWIiN5ECT1ON7000�OFOMSiDN]OFTNEBl151NE55ANJPROFESSM'X.�SCOOE.�ND Z ��'� • X I{YUCENSE�N iCRCEANDEfFEC7. � � LICENSE CLASS �✓� IIC.NO. l.� S���� � 7 .~+ DATE �� COMiUCTOR On � � a l��l ^ � WORKERS'COMPENSATION DECLARATIO�J'• � a � INER[BYAiFlRMUNDERFEN�INOKOEiilURY0NE0FTHEFOLLAYANG0ECUIUTIONS: U y Z Q � �IIMVEMlDWILL�MAd1/10ERT6ICATEOLCONSEMTOSELFJNSUqEFORYqRKERS' _ �i COMVfN5AT10N,AS OROVIOCD BV SECTION S]DOOF THE LABOH CODE.fOF TNE PENfORYANCE �U OF TNE WOFK FOR WM�CN iHIS FEf!MIT IS ISSUED. Q � 2 �I MMEAN7N1LLM.VMAW N'ORI(ERS'COMPENSATiON INSURANCE.AS REO��'�7E0 BV SECTION 4O 77oaOFTMEUBORCOOCFORTM[PER�ORMANC[DF7HEwORKfORNMiCNTNISPERUITIS ISSVED.YYY:OR!(E.f.{15�.'COLIPENSA�INSUR�`+CECARRIERANCDCIICYNUAIBERME: CONSTRUCTION � uawEn � \ (��f G � PUW REVIEW � POLICY NtABER � �D� � �Z 1 ' ELECTRIC � o �:.�cnor�r�c�r�oreeae.st�moFn�rEwarsxnonc�+uor�noaiuu�s+ro�onu3s� PLUMBING — z ICERTIFVTHATNTHEPEqrORMANCEOFTHEN'ONKFORWHIp/iH15DER/11T1$ISSUED.1 h1ECNANICA� () SiIALLNOtEMVLOYANYDER50NM/�M'I�IMINEHSOASTOEELOMGSIJBJECTTOiHE -' ' '" - � WORKERS'CO�AVEN5AT10NlAW50FCALIFORNIA�ND�GREETIUTIF�SMWLOBECAME INSPECTIONFEE SU0.7ECTT0 THE WORKERS'COMPENSATION OaOYi5lON50F SECTWN J7o00F TMF U80R c, utFo in�ca.�a�rwin+riascPao�ns i ISSUANCE � pOATE���APPLICAM: ��n11 ',v"���U� SMIP � �� ' ENERGY P/C WARNINa:FAiLl1PE TO SECVRE WORKERS'COMPENSA71pN COVERAGE IS UNU'NFl1L ANO SHALLBC � SUBJECTANEMP�WERTOCiUMINALPENALTIESANDCMIFWESUPTOOHENUNDACDT�KKISMID ENERGYPEflMIT DOIWiS(j100,000),N IDOITION TO THE COST OF COAIDENSATION,O�ACES AS VHCVIDE�FOR IN � SECTION l70!OF TIIE U80H CODE,NTEHEST,ANDATTORNEYS FEES. F'{�ENTION FEE: pw,., CONS7RUCTIONLENOINGAGENCY ��, PRE-ALTFEE: O � INEREBYAGFIRIJUNOEflCENALTYOFPCRIURYTHATTHEREISACONSTRUCTK`NLEA�WCACENCV FOR T11E PEFFORIMNCE OF i11E WORK FOR WNICJI THIS 7ERMIT IS ISSVED�SEC.]OUJ.qV.C.�. � I � IENDER'SNAIAE � tENDER'9ADOHE55 � ICERTIFYTH�Tt1UVEREAOiH�SAFPLIGTIONM'OSTATETNATiHEABWEMLORMATIONISCORRECT. TOTAL FEES 1 W IAGREETOCOMPL�N'ITHALLWTYANDCOUNTVO�OINANCE5ANO5T�TELAWSRCU7:NpTOBURDIN6 � CONSiRUCTIq{ANDXEflEBYAUTHORi2EREPftESENTATIVE50FTHI5CWNTYTOENTEAUMNTHE � � A80VE�MENTIONEOiROCERTYPoRINSPECTKKJPURPOSES. � COMMENTS o . _ � U _ m VERMITTEE � wtin N � � 1 N SIG ATU OF EE DATE' 2 �, RECPT.NO. _PAID BY V/WDATION �' WHITE—Departmont Copy,YELLOW-Financo Copy,PINK—AssessorCopy,GOLDENROD—File Copy,GREEN—Applicant's Copy I . . . . . .�. . . . , . .. ' � CITY (�F D1kfti�OP��D Bfaf-� ' � If�a���i l�J�: RF��'D:� ^:��`�: ;{:,:'^x'�nl�`��------ G,i.."+1' Ti4�'"i�i:.i;,°F;cj.^}___�-�_ d��f:3r�=+."FI=.I►7P�'__.i�^.�.[,,��C___..,-_li�i=i:!=� '+ cl.{~-.__ . . . ..._.:;.,.._,.�...,..-� � .w_._.._ ..._.._.v.�, . . ,.-..._..._....�«...__.....__._ .... . e .� . . � � • sG-r��,cf; ' � ' � - i=.� � � ��oo�;��is� � � . -�� FTGS!FCP"�"5/S��EL_�__ � � FH,A REQ�ATS -- . �� �. ----�---` - ELEC i RIC GROUfdD � -�-�� � ' � Ui�1DER FLOOR DUCT �- I _ 1 GROU�JD PLUff�!NG Ir � UND�f�FL,�OOR CU';�!UIT I --- _- _ � SLABGA.rDE ! i 4 I FIREPLP,CEFOU�J�/�TIOhJ �~ � • . — ----)--- , f 'TL:h.�P PO�^lrri i - FIRCPLACE$'J"JD E3EkM I I --- WATER S�R1,'ICc ---J--- -t� P�ID HT. EOND BEAt." - - - ' `_-I ROOF SH�E.THltJ: 1_�f-T. 60CdD BEA^A '� -- -�-`�_._ _i rRAF^RvGiV�NT1LIATiOPJ �� I FINAL BOND BEAhA i `-I R:�OF�COE�r_R I PRE-GRADING � � ! RO:JG!'HFF,TlPJC: �!_ BENCHING i �ROUG�•i E!ECTRiC _ ( ROUGH GRADING �RO:1G}; PLU�:�51i�G i � FINISH ^vRADIPJG � -I SHO:"J!:Fr"TU�TEST � � POOL ELECTRIC —� � � E}�T. Lt.TH!SIDI[�1G � POOL FEf;CING _ i �� I 1 L'J,-��L i�1�U:.ATlO^! � POOL FINAL � -- -�--I I T-. 'I^� ^� T O � � �L!,,� �.7c,JLA�10'� � � OFF SITE 14,1, S. � � ~--�-- -- i � Dr;Y\�J.,LL�v�;f�CJG �� __�j DEDICATI��NS- --�-- �~ � +----- � '-�1`,'ci� � � FI�JAL EWG. � t _! i S��TICT!`,N;�: -- � LA,�J�SCA°E;IRRIG. �- —;--------- -- 1 � � S�E= Pir��.L. � � O�1 S1Tr IP.1Pj_ �_ I '--- _„_I � Gr-_,,';'i EST �_ � � �ir�f,L ZOt�J!C�G � � I `— �.;=i":".. �'�dST. I ( � FIi,E DEFi. Fiid^,L � ----- •' � i=:,'.. ._f�ic!',TI,`:G j � IiEr`-.L1�H D�P�. �INC,L '; -i �.,:�. _�__i_�ECTR;C �_ ! ��DE`' rCt> �AID --_--- i �� --------------� , ,.. . .�f , P' l�Pno�rJ� I�.� y� �� r �r,,-P.GY � -- - - � .�.. � � i . -=--- ---L -- - -----�=-- ------- - �----- - � � � � i ( , _._,_., ,._.... .:. . ____ ,-1, ______�..---•--- , - -----. , . , ._ , - , { . . ,.,.. � p �. . , f v:�',t;�.;�i�i:,; � ��� ,/"l� �ttyL f�'�^....e `� ---- . ,------ '- I ----- - �� � �- -- -----------^��--- -- I � -- ---- ---- -- --__------I f � ----- ------ --- -- -------� i .—�. . - - - -- ----.---- . _..-----------------._ . .--+ . , - : -- -- ------�-----...- _-� ------- --------- ------------ � . .. ( . � � �- - ---------- ----� � � ,, , _. . .�- -----------�--------------- ' . , ,, -- --: ---,---- •--� IStP i iC T�1P�i�.; c�;� _ , -- - ------- --------- - i -- — —— - - --------- -- -- --- �EF{' �;T,'iJ �IZ` -- ; ! � ._- . ___. ._... _ .._... _._.._.. � t k � — --- ------ ----- ---------------------� � � � -- ---- — — ---- � 6!,if,i� ^ '---�'.'.--"-- ""�-----�--------- .._ _...._--— ------i i ^ _' ' _ -__ '__.___ ___' _' � __ �_" . �—. ,'__—'_'__""_ _'_"_ ' I � �,e . .• '_.".,— _ '— _.,-_—____— , . ' ._--_" "_-_—___—_ . r � .T_ Ir � . . . �� '., i ..._ .._ . .:_..... .. . . .r_�__��. . . -_------ ---------- -- ----�---�------ �