HomeMy WebLinkAbout17997 (17) �� C1TY OF DIAMOND BAR.
,i DEPARTMENT OF COIvIIvIUNITY&DEVELOPMENT SERVICES
�� �21825 E.Copley Ihive
(909)860-3195 Fax(909)861-311� PRESS
����� BUILDINGPERMITAPPLICATION FIRMLY
� JOBSITE �7 ^ � APPLICATION PEFiMIT P/C
� ADDRESS !� � �/Y�'��i✓ AJ�"��� DATE �'J v Z' NUMBERl799 7 #
� issue TYPE occ
APN LOT TRACT DATE CONST. GROUP
p OWNER « O�f��
"" ADDRESS,2,��j f'/t'2 ��✓ --F C� ZONING SETBACKS
LLz' CITYIJ�aM.+NH �rt�[ ZI I7bT TEL 32 f�' FRONT qyy ❑
g APPLICANT TEL. REAR ❑
� SIDFJSIDE STREET RW O
a� CONTRACT�R SSa C� _ SIDE ❑
� ADDRESS��o.A
� CITY/V-��jl_. t�� ZIP C TEL 2, � PROPOSED USE
� ARCFVENG/ �-
� DESIGNER NO.DWEL. NO. NO.
n. ADDRESS
� CITY ZIP TEL. UNITS STORIES BEDROOMS
�
cn �ESCRIPTION SQ.FT. FACTOR PSF ADJ.AFiEANALUATION
� OWNER-BUILDER OECLARATION SFR/ADDlREM
�
p I NEREBY AFFlRAI UNDER PENAITV OF 7ERJURY THAT 1 A4 E%EYPT FROM THE COMRACTORS L4 GaragelCarport
W CENSEUWFOqhIEFOILOWINOREA50Nf9EC.7o71.68U5WES3ANOFROFE4S10NSCODE:M1YpTYOR (n
U COUMyNMId1RE0U1RESAVERMI7TOCDNS7PUCT.ALTER.OAPFOVE,OEAAOL15H2ORREPAiRM1V5TRUC• W PBtlOIDeCk
� lURE,PNOR TO RS ISSUANCE.AL50 AECUIRES THE APPIICMlT FOR SUCH PERMIT TO FlLE A StONED W
STAiEYEM TMAT NE OR SHE IS UCENSEO PURSUANT TO TXE PRONSIONS OF THE COMRACTOR4 l4
� CENSEIaW�tHAPTERO(C061MENdNOWRNSECTION7000)OFD��4^iON70FTNE8USMESSANDPRO- � PooVSpa
� FESSqN5CO0E)ORTHATXEORSHEISEXEMPTiMEREFROMANOTMEBA515FOR7HEALLE4EDE%EMP• (�
TIDN.ANYVIOLATqNOFSECT10N7091.6BYANYAPPLICAMFORAPERMIiSUBJECT3iHEl1PPL�CANTTO Z RaHoof
A CML VENAL7Y OF NOi MORE TMAN FIVE MVNDRED OOIURS p5oo1.1:
ZOL�+��EROFi11EGHOPER7Y.ORMVfMPLOVEESWITHWAGESASiHEWSOIECOMPENSATbN, 0 (`,pmmBfCiel
WILL DO THE WOFiK,M!D THE STRUGTURE IS NOT INTENDED OP OFFERED FOR SALE(SEG TW�,BU51• J
� NESSAND PROFESSIONS CODE THE CONTRACTORS LICENSE LAW DOES NOTAPPLV TO Ml OWNER OF �
PROPEfiTY W/10 BU0.D3OR IMPROVES TNEREDN,AND NAq OOES SUCH WORN NIMSELF Ofl MERSELF OR
wTHROUGHHISORHEROWNEYPLOYEES,DiiOV10EDTHATSl1CNIAAPROVEUENTSAHENOTIMEN0E00R m
� OFFEREOiORSALEIFl10WEVE0.111EBlAlDINOORIMPfiOVEMENTI550lDNn7MNONEYEAROFCOMPLE•
Z TqN.TME OWNER•6NLDER MnLL HAVE TME BURDEN OF PpOYING TiuT NE OR SHE OID NOT BUILD OR
� MPROVEFORTMEPURPOSEOFSA�E}
W ❑1A50WNEROFTHEVROVERIY,AIAEXCLUSNELYCONTMCTq10W1TMlICENSEDCONTMCTORS
(L TO CONSTRUCT THE PHOJECT(SEC.7a�,BUSINE55 ANO VROFESSIONS COOE THE CONTMC70R5 U� V31U91�W1 ADJ.AREA
W CENSENN�DOESNOTAPPLYTOANOWNEROFAPFOPER7YYV/qBUILD50RIMPROVE97/1EREON.AND
� NAIOCOMRACTSiORSUCHDROJECT5WI7HACONTMCTOR(S)LICENSEDPURSUANTTOTHECONTRAC- QUANTITY DESCR�PTION FEE
� TORSIICENSEUWJ.
❑IIWEXEAIPTUNDEPSEC. B.6P.G.FORTHISREASON Q
3 �'
� ¢
DATE OWNEF V
O W
� LICENSED CONTFACTORS DECLARATION W
� 1 HEREBY AFFIRM UNDER PENALTY OK VERIURY TH�T IAM LICENSED UNDER DROVISIONS Of CHMTER V, .
p. i(COAIMENCINONAMSECTION7000)OFOMSION70FTHE&151NESSANOVROFESSiONSCODE.ANO Z
W UCENSE IS W FULL FOPCE M1D EFFECT.
� LICENSE CUSS �� ./� LIC.NO. �� � [ 0� j ��/��! ��'�L/� •�
v onrET=��—n� ca+raacroa f}-L� P a
w �
� WORKERS'COMPENSATION DECLARATION -�
¢
� I HEREBVAFFIRM UNDER PENALTY OF PERIUAV pJEOFTHE FOLLOVnNG DECLAMTIONS: Z
� _IHAVEANONnLLMAINTAINACER7IFICATEOFCONSEMTOSEIF-INSUREFORWORNERS' _
p0/APENSATI0N,A5VROV10EDBY5ECT10N77DOOFTHEtAeORCOOE.iORiHEDERFpRMANCE �U
Q OF 711E WORK FOR WHIp1 THiS PERMIT IS ISSUED. �
�W _I/UYEANDN7LlMNMAINWOIiKERS'LOMPENSATqNINSURANCE.A9RE0UIREDBY3EGT10N
J7o00FiHEUBORCOOE,FORTHEPERFOPMANCEOFTHEWOHKFORWHICHTMSPEWAiTIS
J t55UEO.YY NqRKFjiS'j,OMPENSATION INSURANCE GqRIER AND VOLICY NUAIBERARE: CONSTRUCTION
?'
� CARPoER � ! PLAN REVIEN!
� va�crnuasEn 1w/C .� � �,y,� ELECTRIC
Gi
�rrnssEcronr�rtmnoreem.�r�oocn+EVEarRrsroaa��Daunc�+ao�oa� PLUMBING i � �v
Z ICERTIFYTUiNTHEPERFORMANCEOFTHEWORKFORYMICH7HI5VERMIT1565UE0.1 MECHANICAL ��"�� � •��"'�� �T"----
G7 SNALL NOT EMPLOV ANV PERSON IN ANY MANNER SO AS TO BECAME bU&IECT TO TNE �^"���-� . � - , !� �� ���
� WORKERS'COMPENSATIONUWSOFCAUFORN10.ANDAOREETIUTIFISHOULDBECOME INSPECTIONFEE
SUBIECTTOTHEIMORNERS'OW��PENSATIONVFOVISIONSOFSECTIONf7000FTHEUBOR I . � �`
�j- �DDE.ISl1AlLFORTNWITMCOMPIYWITHy�EPRWIS�ONS. ISSUANCE �T,Ia�_ ; n n __
o �-�3-v'Z (% ,{� �, ��
�ATE: APRICANT: � 'f�LR' �"� SMIP
w ENERGY P/C �
� WARNiNO:FAILURETO3ECUREWORKERS'COA1aENSA710NCAVERAGEISUNUWFUL.AN051u1.1BE
� SUBJECTANEMVLOYERTOCPIMINA�iENKTIE3ANDCMLFWESUPTODNEHUNOREDTIWSANO ENERGYPERMIT ����y-a •
DOLIAi1S(f100.000),W ADDITION TO THE COST OF LOMPENSATqN.DM/AGES AS PROVIUE�fOR M
� SECTqN]70e OF THEUB�R CODE,NITERESi,ANO AITORNEY'S FEES. RE7EMj�ON FEE:
OCONSTFiUCTtON LENDING AGENCY PRE•ALT FEE:
� INEREBYl�FFlRMUNOERPENALTYOFPERNRYlHATTHEREISALONSTRUCTIONLENDIN�AGENCY �
Z FOR TME VERFORMANCE OFiHE WOPK FOR WHICH TNiS PERMIT K ISSUE�(SEC.]OY7.dV.C.).
W .
� LENOER'S NAME
� LENDERSADDRE55
W ICERTIFYTHATINAVEpEADT115APPLICATIONANOSTATEiHATTHEABOVEWFORMATqNISCORPECT. TOTAL FEES lj���
p� IAGREETOCOM�LVWITMALLCRYANDCOUNTVORDINANCESANDSTATELAWSPEIATINOTOBUR�INd
� CONSTRUCTION,ANDMEREBYAUiIqRIZEREPRESENTATNESOFTHISCOUNTYTOENTERUPONTHE
Z /IBOVE•MENTIONEDPROPEHTYFOflWSCECfIONPURPO5E5.
COMMENTS
� �//I�--- L /�L./�-.T�Y�/�
�
d PERMITiE NAAIE(PRINn
N �_,��1;�-a�Q..,�.�.._ S��3�a Z
y SiG REOfPERMITTEE DAiE
� RECPT.N0. PAID BY VALIDATION
WHITE—Department Copy,YELLOW—Finence Copy.PINK—Aasessa Copy,GOLDENROD--File Copy,GREEN—Applkant's Copy
. : _. . . . , . ., . _ ...
� , , •,•.,: , ...,� -
. ... . ,.,.. .�; . , , ..... , , . . .. • .
CITY UF DIAMOh1D BAR
IP�SPEC�I�t� RECORD .
' �.� � �i .� :��_ � `�' � � �1�.�� �:�;`- .-
. _
_ _. ._ _ �, _.
,
..a.i� '�,�.w��t�T� j� �.i�;�.� alr� ,�F c ��o�„� I � ,� c' ��,° R J�. l.e.��;���- ��!��_�� Q �
` _� _ r
. __ _._..�._. _.....�.:.......__._...._.......__ ..�.. . - -._ _.. _ _....�.._._�._ _ -- __ _
SET BACK �.-W wV� FLO�R JOIST �
FT'GS/FORM5/STEEL FHA REQMTS
ELECTRIC GROUNO ^ I UNDER FLaOR DUCT �
GROUND PLUMBING i UNDER FLOOR CU�IDUIT
SLAB GRADE 1 ! FIREPLACE FOUNDATION � '
TEMP POWER I I ' FIREPLACE BOND BEAM
WATER SERVICE I I I P,AID HL BOND BEAP�I
ROOF SHEATHING ' 8 FT.BONO BEAM , .
FRAMINGNENTILIATION FINAL 60ND BEAM
ROOF COVER j i PRE-GRADING I i
ROUGN HEATING BENCHING I �
ROUGH ELECTRIC I ROUGH GRADING �
ROUGH PLUMBING i FINISH GRADING �
SH�WEFilTUB TEST POOL ELECTRIC
EXT. LATH/SIQING j � POOL FENCIP�G
WALL INSULATION I POOL FINA�
CEILING INSULATION � Or=F SITE IMPS.
DRYWALL NAILING i � DEDICATIONS �
SEWER � FINAL ENG.
SEPTIC TANK � LANDSCAPEIIRRIG. j
SEEP PIT/L.L. I ON SITE{ti4P5. �
GAS AIR TEST , FINAL ZONING
FINAL CONST. � ! FlRE DEPT. FINA!
FINAL HEATING ' HEAL7H DEPT. FINAL !
FINAL ELECTRIC _� ; � DEV. FEES PAID
FINAL PLUMBING ����� ! I ENERGY
1
t_ _ _ _ _ . .0..^'v�,G�"`•;� -:E" C� , ,: � - -': I .
I
COMMENTS
�
SEPTIC TANK SIZE
SEEP PIT/U SIZE
�. --��----�
. °�.� _.
ti��� �.��
ii
{
a
. . _ ti.i' - W� `. . . , •
�