HomeMy WebLinkAbout15275 ' —= /`.
�/ .
�� CITY OF DIAMOND BAR ; � �
DEPARTMENT OF COMMLJNITY dt D VELOPMENT SER E
zi�oE.coP��yn,;Y�s�c�i90 _ PRESS
�����y BUQ.DING PERMIT APPLICATION FIRMLY
� JOBSITE � APPLICATION "1 �� �'(J PERMR ,�]�] P/C
o ADDRESS v � r'' DATE NUMBER� r
ISSUE TYPE OCC
� APN LOT TRACT '� _ DATE �� I ^�-'O CONST. GROUP
� OWNER ZONING SETBACKS
ADDR
W CffY � ZI � TEL � FRONT RW ❑
� APPLICANT TEL REAR ❑
SIDEISI�E STREET RW ❑
� SIDE ' ❑
CONTRACTOR
� CnDRESS ZIP T� PROPOSEDUSE '��1 - G�� � --��� c �
� ARCH/ENGJ �
DESIGNER NO.DWEL NO. NO.
ADDRESS UNITS STORIES BEDROOMS
� CITY ZIP TEL
� DESCRIPTION S�.Ff. FACTOR PSF ADJ.AREANALUATION
�
Q OWNER•BU�IDER DECLARA710N SFR/ADDIREM
O
p 1 HEREBY AFFliW UHOER CENALTY Oi VEiWRY TUT 1 AM EXEMai FROM TiiE WrfTMCTORS L4 GaragelCarport
lJ,l CENSEUWFOF1THEfOILOWN(]REASON(SEG70.11.60USWESSANDFROFESSIONSCOOE:ANYCITYOR (n
C) COIMiYMMICHREOUIRESAFEIWRTOCOKSTLri1CT.ALTE0.�PFiOVE,�[IAOLISH.ORREPA:RANVSTRUG W Patio/Deck
�LNRE,PILOR TO RS 156UAHCE,FLSA NEW�RES THE MMICIM FOR SUCH OEiU11T TO FILE A SIONE� W
� STATENEHT THAT HE Ofi SHE FS UCENSED WRSUANT TO THE iROVI5iON5 OF TH[CONTfU.C70RS L4
� CEt�E�11y/�tlU7TERY(CpAMENC710WITN5ECTpNTo00)OFDIY45WN90FTHEBUSINESSM'DPRO- u- PooUSpa
FESSqNS WOE)OH TIN7 ME OR SME IS EXEMPT TNEREFROM AND THE B�SiS FOR THE ALLECEO E%EMP-
TqN./NYV�OLATIONOFSECTION70.71.68YANYAPVLICANTFOq�VERMIT5U0JECT5TNEAPPLIGVfTTO Z qe�Roof
�,,,� ACM4VENALTYOFNOTMORETHJWFNENUNOREDDOlLARS(t50oG):
^ p�A60WNEROFiHEPROGERTY,ORAIVEM�0�EE5WITHWAGESASTHEIR50LECOlAPENSATION, � CpmmBfCi31
� MKL 00 TNE WOqC M/D THE STRUCTl1aE IS NOT hTENOED OR OFFERED fOR S/�LE(SEG 7W/.BUSI- J
NE55AlDPROFFSSIONSCOOETHECOHTMCTORSUCENSEUW�OESNOTAVRYTOANOWNEROF = `�
� PNOPERTYMFIOBULDSORMP{qVESTNEREON,NA'M1000ESSUCIIN^DRNHIAISELFORHERSELFOH
� TM110UOMNISORFIEROYMEMPLOYEES,VROVI�EDiNATSUGIW7ROVE/A[NTSMENOTNTENDEDOR m
LjJ OFFE7�OFORSAlEff.110M'EYFR�DU0.DINOORMPROVEMEMISSq.OW!TNIHONCYFAROFCOA/PLE�
', TION,TIE ON7IEN�BURDER WILL MAVE TME BUIiDEN OF PROVWO TUT ME OR 6ME DiD NOT BU4D OR
� W 7ROyE FOR THE iURPOSE OF SALE7.
W y'j1,ASONNEHOFTHEPROPER'V./U�E%CLUSIVELYCONTMCTWONrtTHULENSEDCONTMCTON3 _ ; ..
� TO d6ASTRl1CT iHE VRO.IECT(SEC.7oM.BUSINE55 AND PROFESSIONS CODE THE COHTMCTORS U• V81112�IOf1 ' ADJ.AREA
� CENBEUWDOESNOTAVVLYTOANOWNEROFAPROVERTYNT100UILD50HWPiqVESTMEREON.AND
YAqCOMILlCf5FOR5UC71PR0.1ECTSWITNAODNTiUCTOR(5)LICENSEDWASUANTTOTHECONTMG QU �ESCRIPTION FEE
� TOASt1GENSEUIMI. ;
O I/M EXEMPT UNOEfl SEG B.�V.C.fOR TNIS REASON U
�
u' DATE u OWNER V
� J
LICENSED CONTHACT S DECLARATION ' W
� 1 MEREBY�F'iIRM IMDER PEWLLTY OF PEiUURY TMAT IAtA LICENSED UN�ER PROVI510N5 OF CHAPTER V.
s �(COMMENCNOW�THSECTION70WI�Drv�5iON70F7HE0USINE551WDDHOFE55�Orv5CODE,IWD Z
� W 110ENSE IS W FULL FORCE ANO EffECL � m
O �
� LICENSE CLASS ���N�� J
� pq7� GONTRACTOR a
W
� WORKERS'COMPENSATION DECLAAATION a
� U
� IHEREBYAFFlMIUNDFRVENALTYOFDERIURVONEOFiHEfOLLOWINGDECLAMT'ONS: Z
Q
� �IMAVEIINOVALL�NI�INACERTIFIGATEDFCONSEMTOSELfdNSUREfORWORNERS' S
COMPENSATION,ASVRONDEDBYSECTION77000FTHELABIXiC00E.fORTMEGEHFORM�NCE W
OF7HEWORKFORWHiCNTH15DERMITISISSUED. , �
� �
�I FNVE AND WILL 4AMNN WORKERS COA�PENSATION INSUM�CE.�S RE W IHED BY SECTION �H1
Q �7000F7HELA80RCOOE,FORTHL�ERFORMANCEOFTMEWORKPofi1M1ILHTHISGERMITIS �J �J
ISSUED.YYWORKERS'COMIPENSATIONINSUP.INCECARRIERANDPOIICYNUMBCRME: CONSTRUCTION
y c�waEa PUW flEVIEW
z vaicrNuuaEa ELECTRIC
�Q
� �nassEctnr+r�rareEm.�rmoFnEverowrsxaa.�[�u�nnm ts�oolon��`l PLUMBING
►+� MECHANICAL
Z I CERTIFY THAT IN THE CENF00.uANCE OF IE VfORK F0 WMICH TH:yI RIAIT tS 15SUED.1
(�} 6MALLNOTE�PLOY/WYGERSONNANYM NNERSO�ST BECO�SU&IECTTO1FiE
� WORKEftS' PENSATid!UM50F CALIF IA AND AC H1T IF I SNOULD BEC0IAE INSPECTION FEE � �
S SUBJEGTT HEWOR _RS'COMPENSATION SIDN SCCTIONfl000FTMEUBOR �SSUANCE
,1 FON i7NCOMM�WiTM�SE `� 5.
o �h � SMIP .,,� n , 7(1 �i
p DATE. w ICAN� � �
�
W ENERGY P/C
WARNING: URET SECUREWOW(ERS'COMPENS qN LMGEIS NUwFVLANDSHALLBE �^ �
W
� SU&IECT EMPlO ERTOCNMINALPENALTIES CML ESUPTOONEHUi�R[OTIOUSAND ENERGYPERMIT i��
pOLURS(f 100.000).IN ADDITION TO THE COST OF OMP SATION,DAMAGES AS PROVIDED FOR IN
� SECTqN 770t OF iHE LA90R COOE,tNTEREST, OF17E'/'S FEES. � 1
RETENTION FEE: $T t�¢���
w CONSTRUCTION LENDING AGENCY PRE-ALT FEE:
n.
0
Q IHEREBVAFFIRYUNOERPENALTYOFPERIURYTMATTHEREISALONSTRUCT10NlENOWCAGENCY
aZ- FORTHEYERWRMANCEOFTMEM/ORKf-0RWMK?1TMl`+VERMITISISSUED(SEG7097,CN.Gj.
W
� LENDER'SNM1E
� LENDERSAD�RE55 \
WICERTINTHATIMAVEREADTHISAPVlIG710NANO5TA7ETHl1TTMEAeOVENiORMATpNISCORFECL TOTAL FEES � �
a IAGREENCOMPLYMATH/LLCITYANDCOUNTYORDINANCESANOS7A7EUw5REU71NaTOBU0.A�N0
CONSTRUCTION.ANDHEREBVAL/T1K7RREREPRESENTA7NESOFiHISCOUNTYTOENTEHUPONiHE � ( � � /
� A80VE�MEMION VROPERTYFOR INSPECTION PU SES. , COMMENTS �
� 6S.-U 2��/-�'_ ` �_
Q flMRTEEN SPFU .+� ��rJ �
� L/
C1� --
� NR EE � E',
RECPT.NO. PAID BY VALIDATION
� WHITE—DeDeRment Copy,YELLOW—Finence Copy,PINK—Assessa Copy,GOLDENROD--File Copy,GHEE I' nt's py
, . , - � .� , . .ri. . . . . . „ . , .. ., . , ,.... . .. .. , •-. , � ., . ,
i , ,
' � � , CITY OF DIAY�O�!D B�R
� , .
IPvSP�CTfOP� �ECOE;[�
(���.���"'c;�p��eljw� � ��1'�����1►`.E-.���.c:�:���_� 1►`�.`1��F,�' 'I rj_ �' I�`.!:'�:-!aE;tii�c�=t_'_T
.-;.. _ _ , � r. ..��.-.._ `il. a►. �t'..,�#M,
._...e. ...._�.:....,..,.`....`.._.. — _...� .Sa ,...—'��-......,..._.............�...._.._ .._._�.=�'.:...,._._.•...._�,_. �" R
SET BACK � � 1 - ' " FLOOR JOIST �
FTGS,�FORD�IS,'STEEL � FHA REQtATS . � "
ELECTRIC GROUND � ! �• ' '� UNDER FLOOR DUCT ,
GROUND PLU"ASING I UNDER FLOOR CUP•�DUIT �
SLAB GRADE FIREPLACE.FOUNDATION I
TEP�1P POWER I FIREPLACE BO�JD BEAM (
WATER SERVICE I MID HT. BOND BEAtJ'
ROOF SHEATHING � II FT. BOND BEAP�t
FaAMIh1GNENTILIAi"ION � FINAL BOND BEAh1
ROUF COVER � PRE-GRADING
ROUGH HEATIf3G BENCHING
ROUGH �LECTRIC ROUGN GRADING
ROUGH PLUMBING � FINISH GRADING
SN�VJEf�,'T"UB TEST � POOL ELECTRIC
EXT. LF,TH/SIDiNG POOL FEfJCING
INALL 1CJSULATION POOL FINAL
CE(LtNG 1��7SULATiOi�� OFF 51TE Ih1PS. _,� __ I
DRYI�"JALL NAIUiJG DEDICATIOtJS
SE1NcR � � FINAL ErJG.
SEPTIC TANt: LAP:DSCAPc/IRRIG. �
SEEP PITlL.L. I � • ON SIT� I�A?S. j _ ' �
G�,S kIR TEST FINAL ZOPdIMG �
FI'JF,L CONST. FIRE DEPT. FIPJAL �
Fli�:�L HFATING ! � � HcALTN DFPT. FINAL —i—I
;itJAt.ELECT-fiiC ! � � DEV. FELS FnID • �
i=1'•:!�,t PLUtl�Bi�dG � �td�RG`r' � —�-- -
�i --- � l I >ra-.:v—�r,�....,..e-.•+s�^—_^---�— ! ----�1
P.__.-:= .. . .. _". .- -- ----�
- . _ . ._. �
� corf���NTs
�
- __ __,
I
_ _ �
---,
� . ;�,:. �
__�
;,,,,,. �
Y _� _
._ _. 1�'; , __
�.�� .-___.
SEPTIC TANK•StZF I�T �� --------
SEEP PiT/U SfZE �� ' � --- —
.»____ ,.�+�_._..._�r.._._ - -- - ------ �
- �
z �
,,,#,f , �_i
� , .
; -
; � �
....._..�. _..._.�.���.__... .._ . _ ! , , , -- �