Loading...
HomeMy WebLinkAbout18090 (17) �� CITY OF DIAMOND BAR � ! DEPARTMENT OF COMMUNITY&DEVELOPIv�NT SERVICES � 21825 E.Copley Drivc '� (909)860.3195 Fax(909)861•3117 PRESS ��'<�� BUILDING PERMITAPPLICAT[ON F MLY � JOBSITE � ¢ ADDRESS ��� F0.r be,r� �r. APPLICATION PERMIT � P/C o DATE � NUMBER A � ISSUE TYPE OCC APN LOT TRACT DATE �CONST. GROUP p OWNEfl �' l o ADDRESS �f' . ZONING SEfBACKS z CITY � r ZIPq 111��TEL�ICS1 •�.�l�l FRONT RW O g APPLICANT TEL. REAF p zd. SIDE/SIDE STREET RW O � CONTRACTOR SIDE p o ADDRESS CITY ZIP TEL PROPOSED USE o ARCH/ENG/ � DESIGNER i�i� N0.DWEL NO. NO. n. ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � N DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION p� ONfNER•BUI[DER DECLARATION SFR/ADWAEM O p 1 HEREBV AFFIqAI UNDEH PENALTY OF FERRIRY TWtT I AM EXEMPT FPqA THE CONTRACTORS Lb G3f2gB/Ca1pOA W CENSEUwFORTHEFOILOWINOHEA50N(SEC.70.71.68USINESSIWOPROFESSIONSCODE:ANYCI7YOR (n V COUNTYWHIC}1REOUIRESAPERMITTOCONSTRUCT,ALTER,IMPROVE,DEMOlISN,ORREPNRANYSTFYUC- W patio/Deck � TURE,PRqR TO RS ISSUANCE,AL50 REWIRES THE A7PLICANT FOR SUCN PERMIT TO F4E A SIGNED W � ST�TEMENT THA7 ME OR SHE IS LICENSED PURSUANT TO TME GROYISIONS OF THE CANTMCTORS LI• � � CENSE UW(CHAPTER Y(COMMENCIN6 N7TH SECfION 7000)OF DIVISION�OF iHE BUSINESS AND VRO- PooVSpa � iESSqNSWD�ORTHATHEORSHEISE%EAIPTTMEREFROAIANDTMEBASISFORTHEALLEGE�EXEMP. (� V TpN.ANYYIOLAiqNOFSECTION70�1.66YM1YAPPLICIWTFORAPERMIiSU61ECi5TNEAPVLICANTTO Z Re-Roof A CIVIL GENALTY OF NOT MORE THAN FNE NUNOREO DOLURS�f 500�.�: 0 OI,ASOWNEROFTNEPROPERiY,ORMVEMPLOYEESWITHWAGESASTNEIRSOLECOMPENSATbN, � COR1RIBfCIdI Z WILL DO THE WORK,ANU THE STRUCTURE IS NO7 WTENDED Oii OFFERED FOR SALE(SEC.To��,BU51• J N N[SS AND GROFESSIONS CWE:iHE CONTMCTORS UCEN4E UW DOE3 NOT APPLY TO AN OWNER OF � iROPERTY Vrt10 BUILDS OR IMPROVES 7HEREON,M!0 WMO DOES SUp7 WOHK HIMSELF Oq MERSELF OR CL TMROUGMNISORHEROWNEMFLOYEES,PROVI�EDTHATSUQ11MPqOVEMENTSARENOTR7TEN0E00R m � OFFENEOFORSALEIF,IqWEVERTMEBUILDWOORIMPROVEMENiISSOIDMrtTHINONEYEAROFCOMPLE- Z TION,THE OWNER�BUILDER WILL HAVE THE BURDEN OF PppVINO THAT HE OR SHE DID NOT BVIID OR _ = MPROVEFORTHEPURPOSEOFSAlE4 ❑4�OWNER OF T11E VROPERfY,11M ENCLUSNELY CONTMCT W6 WI7H LICENSED COMRACTORS � TO GDNSTRUCT TNE FROJECT(SEC.TW�,BUSINE55 AND PROFESSIONS COOE:TME CONTMCTORS LI- V i0l1 ADJ.ARE11 � lt1 CENSEUWDOESNOTAPPIYTOMlOWNEROFAPROPERTYNRIOBVILDSORP/PROVESiHEREON,ANO � M/NOCONTRACTSFORSUCMPRQIECTSMATMACONfMCTOfyS)LiCENSEDVURSUANTTOTHECONTMG QUA TY DESCRIPTION FEE Y TORS UCENSE Uw.�. � DIAME%EMPTUNDERSEC. 8.6P.C.FORTHISNEASON Q '�y U � '—1 O}— owr� V . FQ LICENSED CONTRACTOFiS DECLARATION W CC IHEREBYAFFIRMUNDERPENALTVOFPEiUURVTHATIAMIICENSEDVNOERGROYIS10N90FCHAiTER � � O�COAIMENCWOWIiH5ECT10N7000)OFDMSION]OFiHEBU51NE55ANDVROFE55lON5CODE,MlD Z �j� W LILENSE IS W FULL FORCEAND EFFECi. m � IiCENSE CUSS LIC.NO. j V DATE CONTRACTOR d W _ '_ _ . � WOFKERS'COMPENSATION DECLARATION , a NIMEREBTAFFIRMUNDEHVENALTYOFVEfUURYIXJEOFTHEfOLIOWIN(30ECURATpNS: Z � _IHAYEANDWILLIAAINTAINACERTIiIC�TEOFCONSENTTOSELF-INSUREFONNURNERS' _ Q LOMPENSAiION,ASVflOVIDEDBVSECT10N77000FT/1EU80RCODE,FORTMEPEfIFpRMANCE U Q OFTHEWORKFORNMICHTHiSPERMITI5I55UED. � _I NAYE ANO N'ILL MAINTAIN WORNERS COM7ENSATION�NSURANCE,AS REWIRED BV SECTION � QQ ]7000FTHELABORCOOE,FORTHEPEPFORMANCEOFTHEWORNFORWHICHTHISVERMITIS � ISSUED.MVWORKERS'COMPENSATqNINSUNANCECARRIERANDPOIICYNUMBERARE: CONSTRUCTION ] CARRIER PU4N REVIEW 0 VOLICY NUMBER Z ELECTRIC .Q 0 (RlSSECTIONNEmNOTBE00ARETEDOfhEPERMT6FORONEH,�DDOLLAfLS12100�OR1E551 PLUMBING Z ICE0.i1FVTHATNTMEOERFORAl1WCEOFTNEWORKFORWHICHTXISPENAITISISSUfD,1 MECHANICAL (} SHALLNOT EMPLOVANV GERSON W ANY MANNER SOAS TO BECOM[SVBJECT TO TNE � WORKERSCOMPENSATIONUWSOFCAIIFORNI^MlOA6FEETHATIFISFKK1lDBECAME INSPECTIONFEE S SUBJECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSELTION77000FTNEUBOR .�1 QODE,1 SHALL FORTHYATH COMPLY WITH T/IDSE PROVISIONS. ISSUANCE 0 `�1 p OATE: APPLICAM: SMIP r 1 � ENERGY P/C WARNINO:FA0.URE TO SECURE wORKERS'COMPENSATION COYERACE IS UNUWFUL,AND SHALLBE � SUBJECTANEMPLOYEHTOCFIMINALPENALTIESANDCMLFINESUPTOONEHUNDREOTHWSAN� ENERGYPERMIT OOLLARS�5100,000j.N MOITION TO TME COSTOF COMPENSATIDN,OAMACES A5 PROVIOEO FOR IN ¢ SECTION070EOFTHELABORCOOE,INTEREST.ANDATTORNEYSiEES. RETENTIONFEE: 1 oCONSTRUCTION LENDING AGENCY PpE-ALT FEE: � IHEREBYAFFIRMUNOERGENALTYOFPEiWRYTHATTMERE15�GON5TFUCTIONLENDINGIIGENCY n' FORTHEFERfORMANCEOFTNEWORKFORWMICHiMISPERMRi5155UEO�5EF30v7,CIV.CJ. Z W � LENDER'S NAAIE F-� LENOER'SADORESS w TOTAL FEES i . 3� � I CERTIFY THAT I HAVE READ THIS APPLICATION AND STAiE TF4ITTHE ABOVE INFORMATqN IS COFRECT. � IAGREETOCq.IPLVWITHALIGTYANOCOUNTYOqDIN/WCESANDSTATEUWSPELATWGTOBVIDING � � CONSTRUCi10N,ANDHEREBYAUT110fUZEREPRESENTATIVE50FTM�SCWNTYTOENTERU70NTHE Z ABQVE�MENTIONEO�fiOPERTYFOHINSPECTIONPUHPO5E5. COMMENTS Q � � � m E � � (� * ��� (n SI ER1AI DA E � RECPT.�O. PAID BY VALIDATION WHITE—Depanment Copy,YELLOW—Finenee Copy,PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—ApplicaM'a Copy .. , .. ,..,.,.:_. . ._-- - - r�_.r .:.�,7�r r �.�� .:7_. ..:-� n�;�.,.e r�....y.4,i...-.,..--y,-•- ....,a,�..�..-•�•;.� rJ,., ,,,.T,....-r. . .�- .._ __._.. .. , -.-.......�. .. -. . .. . ... ,- � ,� . . . . . . ..I!: _ . ��T�R' �Jr ❑i,�h(�iOf�� BA,t� Ef�!Sr�Cs�'iOP; R�CO;�D .- .�,CM,,^ C 1 [�j 1C��. �w 1 `'�RI..1C,, � „ �,`� �f,,T f L� ^I �.`j ��i i�►'E-`iR� ��( �'d �I'!- !' a��.__ � ��Ri' �� `�Il:� �)i�! � ��: ►W ��C�IEo ��. �i _._._._.._.__..---__.__.__.___.. _ _ _..�__.._._._.. _.. •._ __..__ .--___.._:_._ -�...__. .________......�.-----=__..�___-----------�=---�----- SET BACK � FLOOR JOIST � � FTGS/FORMS/STEEL ' FHA REQMTS __� ELECTRIC GROUfJD j i UNDER FLOOR DUCT GROUND PLUMBING I � U(��DER FLOOR CUNDUIT • � SLAB GRADE _ � FIREPLACE FOUCJDATION ' TEMP POWER � _ I_ FIREPLACE BOND BEAM WATER SERVICE _ _ _} PAID HT. �OND BEF,PJI _ ROOF SHEATHING ��LJ/�_2�� I_� 8 F7. BOND BEAM i FRAMINGNENTILIATION( I FINAL�,pND BEAt�1 � ROOF COVER ��r��'�y,� PRE-GRADING ROUGH HEATING 9ENCHiNG flOUGH ELECTRIC ROUGH GRADING ROUGH PLUh�1BING FINISH GRADING SHOWER�UB TEST __�_ POOL ELECTRIC EXT.t�1TH/SIDING I POOL FENCING UlA�L INSULATION POOL FINAL CEILING IN�ULATION OFF SITE I�,�PS. DRYWALL NAILING CEDICATIONS SEWER � FIP�AL E�,IG. SEPTICTANh ' LANDSCAPElIRRIG. SEEP PIT/L.L. � ON SlTE It�1P5. GAS AIR TEST ' FItJAL ZONIPJG FINAL CONST. � . F!RE DEPT. FINAL F�NAL HEATING � j HEAI_TH DEPT. FINAL FINAL ELECTRIC � � DEV. FEES PAID FINAL PLUMBING � � ENERGY � � ��.;"1 �� '�;�'� i �����::_______,___.__._.� � CUMMENTS � � SEPTIC TANK SIZE SEEP PIT/U SIZE ►�G ,��i� �'I, i � `i j '