HomeMy WebLinkAbout13235�_-� . EXPIRED
� CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES MAY O 9 Z003 I
� 3 21660 E.Copley Drive Saite 190 _
";A�,+` BUII.DINGSPERMTI'APPLICATION FIRM Y
I
� JOBSITE APPLICATION PERMIT �2� �L��.�/C
� ADDRESS � DATE NUMBERJ�./—�#
� ISSUE TYPE OCC
APN LOT RACT DATE y"I CONST. GROUP �
� OWNER
O
�` ADDRESS ZONING SETBACKS
� CITY � � EL. FRONT / RW ❑
APPLICANT TEL. REAR ❑
� SIDFJSIDE STREET RW ❑
CONTRACTOR SIDE ❑
Q ADDRESS — �
p PROPOSED USE O�
CITY ZIP TEL.
� ARCH/ENG/
� DESIGNER NO.DWEL. NO. NO.
ADDRESS UNITS STORIES BEDROOMS
� CfTY ZIP TEL.
�
N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
� WNER-BUILDER DECLARATION ' SFR/ADD/REM
O
p I HEREBV AFFlRM UNDER PENKTY OF PERIURV THAT�AM D(EMPT FAOM THE CONTRACTORS LI- G8f9g9/C81P011
lll CEfISELAWFORTHEFOLLOWIN�HE�50N(SEC.70.71.68USINESSMIDPROFESSIONSCODEMIYCITVOR (J� ,
L7 �yW{��qEpUIqESAVERMRTOCONSTAUCT,ALTER.lA1PROVE.DEMOLISH,ORREPAIRANVSTRUG W Patb/Deck
Z lURE,PRIOR TO 179 199UMICE,AL50 RC-0UIRES THE APPLICANT FOR SUCH PERMR TO FILE A SIONED W
STATEMENT THA7 HE OR SHE IS UCENSED PURSUANT 70 THE PROVISIONS OF THE CONTRAC70RS LI-
� CEN9E UW(CHAPTER Y(COMMENCWO N7TH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � PooUSpa
FES310NS CODE)OR THAT HE OR SME IS D(EMPT 7HEREFROM AND THE BASIS FOR THE ALIEOED EXEMP-
TION.ANVVIOLATIONOFSECTION70.71.68vANVAVPUCANTFOqAPEPMITSUBJECTSTNEAPPLICM17T0 Z RB-ROO}
� A CML PENALTY OF NOT MORE THAN FNE HUNDRED DOIURS(i600).):
� ❑4ti^ONMEROFTHEP{iOPERTV,ORMVEMVLOVEESWITHWAOESASTHEIRSOLECOMPENSATqN, O CpmmBfd91 -� . '
WN.L 00 iHE WORI(AND THE STRUCTURE IS NO7INTEN�ED OR OFFERED FOR SALE(SEC.7W1,BUSI� J
� NE55 NJD PpOFES510NS COOE:THE CONiRACTOR3 LICENSE Uw DOES NOT AVPLv TO AN OWNER OF �
PROPERTY Yh10 BUILD9 OR IMPROVES THEREON,M1D WFIO DOES SUCH WOqK HIMSELF OR MERSELF OR
Q iNROUGH HIS OR HER ONM EAIPLOVEES,PROVIDm THAT SUCFI WPROVEMENTS ARE NOT INTENDED OR m
� OFFEAmPORSALEIF,FIOWEVE0.7NEBUILD�NOORIAIPROVEMENTISSOLDN7T1nNONEYEAROFCOMPLE� ,
Z �'TION,THE OWNER$UpDER MIILL HAVE THE BURDEN OF PROVINO THA7 ME OR SHE DID NO7 BUIID OR
� IMPHDVE FOH hIE PURPOSE OF S/�L�.
w ❑I,AS OYMER OF THE PROPERTI'.AM EXCLUSNELYCONTMCTINO WRH IICENSED CONTMGTORS
� TO CONaTAUCT THE FROJECT(SEC.7041.BUSINESS AND PROFESSIONS CODE:THE CONiMCTORS LI• V81U8�IOf1 ADJ.AREA
CENSE UW DOES NOTAPPLY TO AN ONMER OF A PROPERTY WHO 8 S OR IMPROVES TIEREON,AND
I` � NTIOCONTMCfSFORSUCHPROJECT9WIhIACONTRACTOR(S)LI� SEDPURSUMfT707HECONTRAG ouaanrv DESCAIPTION � FEE .
\ `70RS LICENSE IAW.).
X O I AM D(EAIVT UI�IDER SEC. B.a P.C.FOR TH Q
�
\1 3 �� �
i � ¢
o�re � o U
z
� LICENSED CONT RS DEC N w
� � 1 HEREBY AFFIRM UNDER PENALTY Of VE0.IURY TT1AT I AM LICENSED UNDER PROVISIONS Of CHAPTER �
d Y(COMMENCWO WITH SECTION 7000)OF DMSION 3 OF THE BUSINESS AND PROFESSIONS CADE,ANO Z
X W LICENSE IS BJ FU.L FOHCE M1D EFFECT. m
LlJ �
� IACENSE CUSS LIC.NO. � ,
� � J
U DATE CONTRACTOR a
LL
� WORKERS'COMPENSATION DECLARATION Q � •
�-^• -' �-- -IMenE�YM/11u1uNDen�PeNAITYOP.PERnJMONEOPTI1E�FOLLOWmaoECLA101710N9:� � . Z ... , - _ y . _ _ .. t . . n...
� _IHAVEAI�WILLMAMTNNACERTIFICATEOFCONSENT70SELFaNSUREFORWORNERS' _ � ' � ' . ' ' ; ' � i
Q COMPENSA7pN,AS VROVIDED BY SEC710N 370o OF iHE LABOR CaOE,FOR THE PERFORMANCE `U
O OF THE WOpK FOR WHICFI THIS PERMIT IS ISSUED. • � .
_I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS RE�UIRED Bv SECTION
, Q ' 370o OF THE LABOH COOE,FOR THE PERFORMANCE OF THE WOH1C FOR WHICH 7HIS PERMfT IS �"')� 1'� (��
= �ISSUED.MY NORI(ERS'COMPENSATION INSURANCE CARRIER AND POLICv NUMBER ME: CONSTRUCTION v '—r/ �
j caaAiea PLAN REVIEW
� aa.�crriuuBER ELECTRIC
� �rwsstcr�r�r+araeaoas�rIDOFn�a�rr.�rsa�aor��oou.ws�siao)oRtFss} PLUMBING
w �
Z I CERTIFV THAT M 7HE PERFOftMANCE OF THE MIORK FOR WHICN THIS PERMIT IS ISSUED,I MECHANICAL-,- A� �
(,�} SHALL NOT EMPLOV ANY 7ERSON W ANY MANNER SO AS TO BECOME SU&IEC770 THE' �� �
� WORKERS'COMPENSATIONUWSOFCALIFORNItiANDAOREETMATIFISHOUL�BECOME INSPECTIONFEE �
� � SU&lECTTOTMEWORKERS'COMPENSATIONPROVISqN50FSECTpN3�ooOFTHELABOR �^� [_,
COOE,I SHALLFOR7HWITHCOMPLV WITITHOSE PROVISIONS. ISSUANCE A v� - J
�� � SMI.P . .
-. p DATE: APPLICANT: . . . v�� �/
� ' w ENERGYP/C �P (�i\� .�['�� 71.
� WARNINO:FA0.UHE TO SECURE WORKERS'COMPENSATqN COVERAOE IS UNLAWFUI.AND SHALL BE —��-^� ,,=�`.` —�y��
� � SU&IECrANEMPLOYER70CRIAIWALPENAL7lE5ANDCNILFINESUP700NEHUNDREDTHOUSANO ENERGYPERMIT '�4 �/�j-((�j J'"
� DOLURS�S700.000),INADDITIONTOTHECOSTOFCOMPENSATION,DAMAOESASPROVIDEDFORIN ;v,y `,�
J¢ SECTION 370E OF THE LABOR CODE,INTEREST.AND ATTORNEYS FEES. ' RETENTION FEE:C�t�T� '(�G �
a CONSTRUCTIONLENDINGAGENCY PRE-ALTFEE: Bv���
O
� I HEREBV AFFIRM UNDER PENALTV OF PERIURV TNAT THERE IS A CONSTRUCTION LENDINO AGENCV
FOR THE PERFORMANCE OF 7HE WORK FOR NM1iICN THIS PERMIT IS ISSUED(SEC,30V7,CIV.C.). . .
Z
W
� LENDER'S NAME
F— LENDERSADORE55
W ICERTIFY7HATIHAVEREADTHISAPPLICATqNAIJDSTATETMATTNEABOVEINFORMAT10NI5CORRECT. TOTAL FEES
� I A6REE TO COMPLV VJfTH Nl CfTY AND COUHTY ORDINANCES M!D STATE LANS RELATIN(3 TO BULLDINO
CONSTRUCTION,AND HEREBV AUT}70RI2E REPRESEN7ATIVES OF 7HIS COUNTV TO ENTER UPON THE
� ABOVE-MENTIONE�PROPERTV FOR INSPECTION PURPOSES. COM TS �
�
� �S d. � • ' •
m I N IPRI
¢ �i
UJ , r.- _
� ONATURE F P DATE qECPT.NO. PAID BY VALIDATION
� �WHITE�)epertmenl Copy,YELLOW—Flnance Copy,PINK—Assesaor Copy,GOLDENROD—File Copy,GREEN—AppllcanYs Copy
►
`'�.���l:_'��'..���'�� ���V V� D�i"i�VCO�� �l/�VY Y
�:��;; ;• f3 � �_'� BF�lS��CT806�9 �E���BfI� � "�'
. .
, , . ,
�(_l(�pC�J�� o ��� � r; g = _ . . , . p��� � � .����y� � �
_� ' ��G'��,� '� ��3;�. ' o ;,,►'� D�' , -3. .�V"�5�U " s�;'f;
� . _ ; . �r.,
SET BAGK � . '. � �, , FLOOR JOIST � .) � f � �
---- - r - -
=-�----�---�-
FTGSIFORMS/STE�L� �� ' ' � ., - , FHA RE�MTS ' ' ' ' '
ELECTRIC GROUNQ . . ` i'�'� t - UNDER FLOOR�DIJCT, �
GROUN� PLUMBING UNDER FLOOR'CUKIDUIT` 1� ; ,' ,-;'` ' ';_", �
SLAB GRADE FIRE'PLAGE�FOWNDAl ION' � �;.�>_.; .,';.{ �; ;�; i `;. ;
� TEMP POWER ' FIREPLACE BOND BEAM ,; :�..=
� TER SERVIGE _ - _ M1D HT. BOND BEAM .
, �x .(�fF�SHE�1TH�l (�a--1 .�,� �! � ! ',.. ? {'`�: -.�y�"-� 8 FT. BOND BEAM
' �' FRAMiNG/�/EN71LlATIQ , ! r FINAL BOf�iD BEAM
RUVF C�VER ��"�� �
PRE-GRADING � .
ROUGH HEATWG � BENCHING
RC�UGH ELECTRlC � R�UGH GRADING �
ROUGH PLUIVIBING ` FINISH GRADING
SHOWEFVTUB TEST POOL ELECTRIC �
� EXT: I..ATH/SIDING POOL FENCING �
UNA�L INSULATION POOL FIFVAL �
CEfLIPJG INSULATION OFF SITE IMPS.
DRYWALL NAIUNG QEDICATIONS � '�^
�SEV4/ER F1NAL EIVG.
SEP71C�fAt�K ^ LANDSCAPE/IRRlG.
: �� �
� SEEP PiT1Ll.. _��: i ': - CN SITE lMPS.
GAS A!R TEST FINAL ZONING � `
' F!�lAL CUNST. FIH�i�EPT. FINAL �,� ;�
r!f��L HEATING HEAL�H DF_PT. FINAL � �
;=ii���',L ELECTRIC DEV. FEES PAID �
_ �i[�lA�PLUMBING �N�RGY
� --,.---.... _�___
� o
�_____ . .�°iC �6: ,�h.� �,�;; I
� i_:�i��fl���s��RFq.7�` __CoQ�c-rrov c.:r�irt r{�_�'c w_i_T_I�F .�o�ra.G_T� Q `
_��--- - -- - ,- --- -. . � _ _ . - --� - --��---- - - - - - � _
�-�'"?-��_.�COv�.��T4___�_W.�7�.SstucEe{_LA�� _ ' � �� — -
`.._`/'/�4���'�'�'r c r Biv ��—"�— -�i /�� '�'
4--S��b�`��`�-�,�`"-�'�(,�, ���n.� ��/�o[/ ��j%�p �- ._.,�p�ir_���"---------_��
� ?� /<.G �
l���G�`'? � � '�'�� `�� . -
�.�V.�6�.j2_�_...��_�_ _�_ �� , � '
�_��`��'._.� Q��_�i�—��
s < < �� .
�c.�-:��,,
- �� �-�--�`� - - __i_
;
: ; ..
! 5��71C TANK SIZ�
� SE�P PfT/U SiZE �
r ; ' Mh - - .
1 i . . p :V V � A`-...'�� k
i ! j ! � e
� u� � . � ��[� ------
� � —
� , , a K 't - J..1�.. '�,/��I . ?!
�. � L .
•� ' ^.�t't� '. k 1, i l
�,j �f _ .I�: