Loading...
HomeMy WebLinkAbout17987 (17) �\ CTTY OF DIAMOND BAR � � DEPARTMENT OF CONII�t[JNITY&DEVELOPMENT SERVICES / � 21825 E.Copley Drive � (909)860-3195 Fax(909)861-3117 PRESS ��-�A�� BUILDINGPERMITAPPLICATION FIRMLY o� JOBSITE � APPLICATIO PERMIT J p/� ADDRESS DATE �Z' NUMBER/79�7 p � APN LOT_ TR T ISSUE TYPE OCC DATE CONST. GROUP p OWNER , o ADDRESS ZONING SETBACKS S C� ��L.�� REART RW �p APPLICANT SIDE/SIOE STREET qy�/ ❑ � CONTRACT SIDE p Q ADDR S � CITY P TEL PROPOSED USE e�'�- � �l � o ARCH/ENG! DESIGNER +�� N0.DWEL. NO. � _ a. ADDFiESS �/S � �1�" � CITY ZIP TEL UNITS STORIES BEDROOMS � � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OVYNER-BUILDER DECLARATION SFR/ADDiAEM O I HEREOV AFFIRM LMDER DENALTY OF PERJJRY TMAT I/Ud E7(EtAPT FROM hIE CONiMCTORS U� Gdf0Q8/CBtpOR W CENSEI.AWFORTHEFOILOWINfiHEASON(SEC.70.]1.6BUSMESSM'OPROFESSIONSCODE:ANYCITYOfl (n �V COUNTYNMIp1REGURESAPERMRTOCONSTRUCT,/1LTEitIMPROVE,DEMOlISH,ORREPNRANYSTRUG W PdIlOIDBCic TURE.PRIOR TO ITS ISSUANCE,ALSO REOUIRES TNE APFUCANT FOR SUCM PEFMIT TO FILE A SIGNEO w .� STATEMEM THAT HE OR SHE IS LICENSEO VUFSUANT TO 1HE PROVISIONS OF TME GONTMCTORS U� � CENSE Uw�p/APTER i(COMMENCiN�WITH SECTION 7000)OF OIVISION]OF THE BUSINE55 AND PPA• LL PooUSpa FESSIONSCOOE)ORTHATMEORSHEISEXEMPTiHEREfRdAANDTMEBA515FORTHEALtEGEDEXEMP• (� 710N.ANYVKKATpNOFSECTION7W1.6BYANVAPPLICANTFOqAPERMITSUBJECTSTHEAVPUCAMTO Z Re-Roof A qVll iENALTY OF NOT MORE THAN FNE HUNORED DOLURS�i5oo).]� 0 OlA50NT�ENOFTHEOHOPERTY,ORIAVE�A�LOYEESWITNWAGESASTHEIRSOLECOMPENS�TION, 0 Commerefal Z VALL DO THE MlORK�ND THE S7RUCiURE 6 NOT INTENDED OR OFFERED FOR SPLE(SEQ 7a�,BU51� J � � NESS AND PROFESSIONS COOE:THE CONTiUCTORS LICENSE UW DOES NOT MPLY TO AN OWNER OF = PROPEHT`/W110 BUILDS OA IMPiqVES THEREON,AND WHO DOES SUp1 riORN MIMSELF OR MERSELF pq CL THROUCIfHISORHEROW�IEMPLOYEE9,VROV10EDTHATSUCMIMPROYEMENTSARENOTINTENDE00R m W OFFEREOFORSPLEIF,HOWEVER7MEBUILDINGORIMPROVEMENTISSOLDWITMNONEYEAqOFCAMRE � TION.TME OWt1ERSUIL�ER wILL MAVE TME BUROEN OF VPOYIN6 THAT HE OR SNE DID NOT BUILD OR wZ IM7RDVEFORTHEPUNPOSEOFSALE} OlA30WNEROFiHEPROPERTY,AAIEXC1U5fVELYCONTMCTIN(iWRHLILENSEOCONTRACTORS � TO CONSTRUCT THE PR0.IECT(SEC.70�t.BUSINE55 AND PROFESSIONS CODE�THE CONTRACTORS U• V01Ue�lOf1 AQI.AREA CENSE UW DOES NOTAP�LV TO AN ONMER OF A VPOPERTY W/q BULDS OR IMPROVES lHEnEON,AN� � V/MOCONTMCiSiORSUCHPp0.1ECTSWITHACONTMCTOq(S)LICENSEOPURSUANTTOTHECONTMG QVANTITY DESCRIPTION FEE � TORSLICENSEUW). O ❑IAMEXEMPTUNDERSEC. B.6P.C.FOFTNISREASON Q ?� U �=' DATE OYINER F- Z U F LICENSED CONTRACTORS DECUTAAT�ON W � IHEREBVAFiIR1AUNDERVENALTVOFPERRIRY7HATIAMLICENSEOUND PROVISIONSOFC/UVTER � � •(CqAMENCINO MATH SECTION 7000)OF DM510N 7 0F iHE BU if�E�PROFE5510NS CODE,AND Z �O MYUCENSE IS N FORCE AND EFFECT.I/'}-��{p �- � � � UCENSECLA v�IC.O/ V OATE cON7RACTOq W � WORKEfiS'COMPENSAT�ON DECLARATION � � IHEREBVAFFIHMUNDERiENALiYOFPERNRYONEOFTHEFOLLOWiNODECIAMTIONS: Z O _IXAYE�NDVALLMNNTAMACERTIFICATEOFfANSEMTOSELFaNSUREFORWOfU(ERS' 4 � CdAPENSATIDN,ASOqOVIDEOBVSECTION]7DOOFTMEUBORCOOE,iORTHEVERFORMANCE U Q OFTHEWORKFORWHICHTMISPERMITISISSUED. � _I HAYE AND WILL MAINTAIN WORKERS'COMPENS�TION INSURANCE,AS HE WIRED BY SECTION �D � 77000F THE LA80H COOE.FOR THE PERfORMANCE OF THE WORK FOR WHICH iH15 PEHu1T15 I J ISSUED.YYWORKERS'COA/DE SATIDNINSURANC RRIER DOLICYNU�ABERARE: CONSTRUC7ION __ j�/, f � CAAHIER PLAN REVIEW � POLICYMIMBER� �' � ELEC7RIC - -- --- �.-�----�. � (1}55ECfI0NNEmNOTBE00APlETIDOf7FEPEf0.if6FORONEF4l,DREDDIX1AiL5�t1D�OR � PLUMBING - -�� ,� ���� �� �'--�� w Z ICERTIFYTW�TNTHEPERFOfWANCEOFiNENURKiORWHICHTHISVERAIITI5l55UED,l MECHANICAL C7 SHALLNOTEMPLOYANYFERSONNMIYMANNERSOASTOBECOMESU&IECTTOTXE � �; (/j WORKERS'LOIAPENSATIDNUWSOFCALIFORNI/�MlDACREETHATIF151i0ULOBECOME INSPECTIONFEE S SUBJECTTO TME WORKERS'COMPENSATqN FRONS WNS OF SECTION 970o OF THE LABOR cooe,i sruu FOAn+mn+cornr�r vnrn nrosE raonsar+s. ISSUANCE Q p OATE: APPLICANT: SMIP �D W - -- _._ _..... . - � WARNINC:FAILURETOSECUREWORKERS'COAIPENSATqNCOVERAGEISUNUWFUL,ANOSHALLBE ENERGYP/C �y SUBJECTANEMPLOYERTOCRIMINALpENALTIESANOCMLFWESUP700NE1NNDHEDTHOUSMlD ENERGYPERMIT � OOLLARS(3 t0o,0a0�,IN ADDIiION TO iHE CO3T OF COMPENSATpN,DMIAGES AS PHOVIDED FOR IN SECTpN�10eOFTHEUBOFCODE,NTEREST,ANDATTORNEYSFEES. RETENTIONFEE: b � CONSTRUCTION LEND�NG AGENCY pqE-ALT FEE: � IHEREBVAFFIflMUNDERPENAITVOFPERNRYTHATTHEREISACONSTFUCTIONLENDIN6A0ENCY FOR TME PER�ORMANGE OF THE WORK FOR NMlp1 THIS PERMR IS ISSUED(SEC.]077,CIV.G�. � � LENDER'SNAAIE � LENOERSADDRE55 �� TOTAL FEES j��,�� ICERTIFYTNATIMAVEREADTHISMPLICATIONANDSTATETHATTNEABOVEWFOPIAATION15fARRECT. p„ IA6REETOCOMP�YWITMAILCITYANDCOUNTYORDINANCE5ANO5TA7ELAWSREUTINGTDBVILDIN6 � QONSTRUCTION,ANDMEREBYAUT/IOfiREREPflESENiATIVE50fTH15COVNTYTOENfERUPONTHE Z ABOYE�MENTIONED7ROPERTYFORM57ECTIONPURPOSES. COMMENTS � �U _ QPERM E N.1E(PRINn � ,,, �. ,�.��� �s/q/F� � 5 TU �OF�'��TTEE OATE � RECPT.N0. � PAID BY � J � VAUDATION WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessw Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy CiT'�� G� �ir�r�nor�,�fl �r.�� �r�s�-��a�iQti� ��c�r�D __ ,__ __.___�____ __ ___�_______�__ �-- 1�1���i�=i�."��C'��1 �� �1.'.�i'S�- '��`�+`3 ��,�.� �C'�ir:' �►r�±j:� �C.����"'�1y� ^ C'y`� r,�. �i�1��.`���.��{.E ,�'!C�*{' i . . _ _._____.______ . _._._._.__' _ .. .__._ . _ ._....___---__ __---._.._.__._._._ --- -_._._...___.�_.__.�---_�. _ . . _ SETBACK -- . I-- --- I i FLOORJOIST ---- � __�_�_ FT'G5/FORP�iS�STEEL I FHA REQMTS ELECTRIC GROUND } UNDER FLOOR DUCT � � GROUND PLUMBING � ( UNDER FLOOR CUP�!DUIT I �. ___ SLAB GRADE � FIREPLACE FOU�JDATION ; TEPAP POWER I I FIREPLACE BOND E3EAM WATER SERVICE I i M!D HT. �OND BEAM I ROOF SHEATHING /�OZ I a �L BOND SEAM I FRAMINGNENTILIATION �'/ FINAL E30ND BEAh1 I ROOF COVER ��pj J�/ PRE-GRADING �� ROUGH HEATING BENCHING � ROUGH ELECTRIC ROUGN GRADING � ROUGN PLUMBING 'l � FINISH GRADING SHOWER,rI"UB TEST � `1 _POaL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FIPJAL � CEILING IN�ULATION OFF SITE IMPS. � DRYWALL NAILIPdG DEDICATIOiJS - SEWER FINAL ENG. SEPTIC TANh LANDSCAPE/IRRIG. � SEEP PIT/L.L. ON S17E IMPS. GAS AIR TEST � FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FIfJAL FINAL ELECTRIC � DEV. FEES PAID FINAL PLUMBING EfJERGY • ��•,w.���r.r� :`�IC��'(ti��� . . , _.:__:_..._._:.:___...E__.,.._...__._._._.._.._--_.. COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE ��� I yly� =:�I ,��