HomeMy WebLinkAbout1242 (19)I
CITY OF DIAMOND BAR PRESS
DEPARTMENT OF BUILDING AND SAFETY FIRMLY
BUILDING PERMIT
WHITE—Department Copy. YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN—Applicants Copy
JOBSITEADDRESS
APPLICATION ...1— 1 NUMBSPERMIT SE
NUMBER R
ADDRESS / �a t.c_.� �d
7
ATE CODE
,
YPE OCC.
USSUE TCONST
=
APN LOT TRACT
DATE GROUP
'-OWNER
CROSS STREETZONING
SETBACKS fsr+o�hEUTs
❑
A3 t&A It-
FRONT RW
0
ADDRESS T La S b 0 o( -TE V I S? A :IN R.
REAR ❑
Me
CITY CH % M O N 1 LLS ZIP lilli k"1 a TEL
SIDE/SIDE STREET RW-11—
W ❑APPLICANT
Me
SIDE ❑
APPLICANTTEL
se
CONTRACTOR o e-ap,
SEWAGE
❑ PUBLIC PMT A
ADDRESS er
DISPOSAL
❑ PRIVATE SQ. FT./ 100 GAL
y
CITY 'F Z z'� 4 -6,ZIP_, =, 1 TEL. //z Z Z
GRADING
❑ CU. YDS. EXC. CU YDS FILL
z
STATE
LIC. NUMBER 3 6 e G q
CO
TYPE I SQ FT FACTOR PSF ADJ. AREA/VALUATION'
ARCH/ENG/
DESIGNER
W
I
2
ADDRESS
LL
3
0
CITY ZIP
4
PROPOSED USE e. G
J
GARAGE
o
NO. DWEL. NO. NO.PORCH
=
UNITS STORIES BEDROOMS
CIO
En
s
LOT DIMENSIONS
1
VALUATION ADJ. AREA
1QUANTITY1
DESCRIPTIONp.FEE
o
NO. OF BLDGS HOW
W
C=
ON LOT USED
a
U
e—
1 fNS[O CONTRACTORS DECLARATION I hereby affam That I am tensed oder provitians Of [tripler 9 Icamlancirrp
_
•• -
56'
%oh Secoon 7000) of Ovisnn 3 of the Business and Professions Cade, and my license is n full force and effect
W
w
3
❑
U=
OkYNER BUILDER DECLARATION 1 hereby affirm that I am exempt from the Cantrwan'a License law lot the following
reason (Sec 10315. Business and Piefessrons Code Any city or county which requires a pima to construct,
t7
O
after improve, demolish, Or lepra Any, stluctute, pinion to as issuance. also regswes the spplicant for such puma
K
I-
to Ire a signed statement that he is licensed pursuant to the provisions of the Contractor's [cense law (Chapter
CO
¢
9 konmennnq with Section 7000) of Division 3 of the Business and Prolessans Codel or that he is exempt therefrom
d
and Me basis for Me alleged exemption Any violation of Sedan 70375 M any +ppbcom M ■permit subjects
W
Me apdcam to a cml penalty of rat mare than two hundred letters 13500)1,
a
e�
~
❑I, as owner of the property. or Pry employees wtth wages as Ihec sole eompensanon. WdI do the writ, and
Pafessans Cade The Can's"'i License
W
asestructure is nit intended or offered far sale Sec 1044. Business and
law does Pal apply to in owner of property who budds or mproves blunter. and who does such work himself.
v tivough his own employees. provided that such mprwements sit nm intended or offered for fink II. however.
'z
�� .� C -J �+ 2
cc
the buildmil or improvement Is said Within one year of rnmpletan, the owner -builder w41 have the buaden of proving
Q
e
y
that he Md n01 build a improve for the purpose of sale 1
U
rn
❑I, as owner of the property. m exckpvely contrscpng with kensed contractors to construct the project (sec
W
7044. Bus.mss and Professions Code The Contractor's License Law does rot apply to an owner o1 prowty what
cm
=
builds or initiatives thereon, and who contracts for such pnlects with a contrxnflsl hien ild porwanl 10 the Conin.— t
e
LcenseU.)
CONSTRUCTION
t�
❑ 1 am exempt end" Sou . B b P.C. IAII%h Cerbficale)
PLAN REVIEW
°ore ONnef
ELECTRIC
riORKERS' COMPENSATION DECLARATION I hereby affum that 1 have a uro'icale of consent to sdf insure. or
PLUMBING
Comsaba ont Insurance, a entified copy thereof ISP: 3800, Lab C).
a certificate of thorkeri pen
.�
2—Cr�
C3Cashedcopy is hereby IWmshed
ANICAI,% 5� �Iei 00
o13Ceruhed
Copy is Idea with the Budding Inspection Department or Dep nmem
Q
GRADI - -
W
z
ci
CERTIFICATE OF EXEMPTION FROM WORKERS' COMPENSATION WSURANCE Thus section rand Pot be completed
d Me permit is for one hundred (31001 a less 1 candy that n Me perlo mane of the work for which this
ISS
=permt
cLaws
is rived. I than Pat amptoy airy person n ma—r so as a become wtlec dr vib nwtian
at Canine ;P
_%
W
SMIP
ARK FEE
o
...
ic'ne
NOTICE TO APPLIO d, eller maks Mn Cerblicate of F splen, you sfauid become t m the Wurkn's
NOT
SCHOOL FEES
Compensation provisions at the labor Cade. you mutt far M comply with such provisions a this M-0 sfift
be deemed revoked _
a
cr
Otv1SION OF WOUSTRIAL SAFETY PERMIT CERTIFICATION I :� ;7 �i I, •1
d
❑I barely entity that no excavation hew (5) air more flet m pth'frlo vvluich a pension O regwed b demand.s
wdl be made in connection with work audarved by this permit. and that no b ildap structure. mallolding, falsnvak,
CL.
a dernolaan a damaretkng thereof, will be more Man forty six 138) tee high. (Chap 32. Grp 2. An 2. Sec
=
W
lit 1. Trek B. CAC 1. i• (�p9
`i
S
3
El A, trimer bwlden, I will rat imply arryorw 10, w ld repiare a pemt ban the Division P1
L11 1�'a alp
e—
Indusural Safety, as noted above, unless such person Ns a Pe—t to do such wit hm she division.
W
Cl_
❑d tan of Indumial Safety Perrmt Na
TOTAL
FEES
QZ
CONSTRUCTION LENDING AGENCY. I hereby aunty Thal then u a sonseuctrun k" agency I—the g+rlann+nce
ton
of the work la which Mrs Wrist u owed (SeF�097, .fer,.G1.. r
JO
LenderiName
COMMENTS
CC
lender's Address
-
knion and sta
CERTIFICATE OF CDAPLIANCE ANO AUTHORIZATION OF ENTRY. 1 entity I have nail furs appr
eve
mat ON erformatan gown n correct 1 own to comply with al sur laws and city ad+unces renting to buil6ng
;
vin
construction. and suthan e a reprtsentatiw of M Ma I I d Bueldvtg ala Sakty b Pnns roan the properly
wheclryye app[ for Mrs r n br a rPefid makinglau
s
L
Hla
X // f %
RECPT
NO.. PAID BY VAUDAT
Snq.tua of Apailt a 1
WHITE—Department Copy. YELLOW—Finance Copy, PINK—Assessor Copy, GOLDENROD—File Copy, GREEN—Applicants Copy
,
I
za
HASPECTION RECORD
-
i( -_ -
f 'L
f .Cl.^.dJOiSTS
1
....._....__..__,.-._-_-____........................................
r1
_.... ..........
_
......
ELEC, H:113 [SRC) J,NC} j J 11Fd }Ef; I Lf}OR UU'v'-1
—
PLUMBING
_...._._,.._ .........................._...� __ - _.._..._.....-......_.............. _...__.._ _._......-_......_.
; UNDER FLOOR CONDUIT
:3LAR GiR�+D
. ...... .. .. ..... .. ........................
j FIf,FC'L.E:CE FOUNDATION__ ....i..
.__............. ...... .. .......
-_.__-• _
I I t P PO7,NE f�
- ,
--- _- i _I
........ _— _ __.. _---------C F GOND C3 F_ Ey
-r
-1-
v�<.�f . b._:'iV; ,�
C
—
R' .) SH iiFil't^aB
Ff EOLdD CSE_
t F,r,"."i{:(: JFPi'EEl_AiEJiJ
; i.. E It�/,E
R 01 0F= C'Vl !=i
_..... I (f'Rr !aR ~tiE)l lig - -----� -----
It , 1 , HEATING
.......................... _ .... ---
I I i E� NGt11114
.........._.............- -... __ .._..._......... - - -
-_.-_
' RC. 1 :f':
E�CIt C. ,
--...__.......... --
I ' {CLJR^F
GRADING' ING
'I
;JtCi.
..__._._...___..____.__-__._______.._.....
S4LG E'LU`BUNG
- -- .................
FINISH GRADING —_ ...
-i
_..ii
_l
A'Yf
' .:
COL ELECl,Ia.
_if..
.__........................_._'I1
j`C:• }1.:.5>
!':rLI IFidU
_ .
!
�Yrii_L., INSUVLA- i.dw
.
POOL -4,1 A L
-_.._.__........___....-.._
CEILING 114SULATION
__.._._........_...._._...._....._.._.--._..__
-............................_.....- .__.. .O..._....... -.......... ..
:..-..._...-_._.-
I C F SITE IMP
.....____..._..:._.-....
-
.._..._.-_-._---- _.-.-_
._..........................._.
—.__._.............._.........._...
.........._....—--- :- ._.._._.......
_.:Utis
.............
.__.
-=.._......... ........
SEWER.
.... ............-.-._.......--.--..,f.Y.;�,!.LrcIl{�c
I.NAL ENG,
-.T
SEP, 10, TA.,th
LANDS -AF E'RRIG.
SEP r'I;E�; L.L.
.:_.-.........._._....._.---___.........................__....................._..._.,....
........... -
,I.! SITE IMPS.
_-
-__- ...-
{
_--
GAS AIR TEST
... ... ...... ......................
..._-_._..___
Ii .....................
_..-......
...... .... ..._.......
.-......_.........:_..
FINAL HEA1
:-! EfL.Ti { DEPT. FINAL
- --
._......-_......_..._.._.._. .__.
r,AL ELECTRIC-;
._................:.:...�.........--...................
...._._._...-
!;
bFti. FEES fAl) �
._.. — ....__.__-....
_-- I ENEfIG I