HomeMy WebLinkAbout18233 (19) �� CITY OF DIAMOND BAR -�,' � DEPARTME?`'T OF COIvQv1UNITY&DEVELOPMENT SERV[CES 'r' 21625 E.Copley Drive (909)860-3I95 Fax(909)861-31 l7 PRESS ���� BUILDINGPERMITAPPLICATION FIRMLY � JOBSITE � APPLICATION PERMIT /�'7�� P!C o ADDRESS �- DATE Z z NUMBER� # $ ISSUE TYPE OCC APN LOT TRACT DATE Z CONST. GROUP °C OWNER O p ADDRESS ZONING SETBACKS gCITY 21P TEI. REAR Rw o APPLICANT TEL. SIDEISIDE STREET RW ❑ � CONTRACTO � � - SIDE ❑ � ADDRESS PROPOSED USE 0 CITY w ZIP / TE� ' o ARCHlENG/ � DESIGNER NO.DWEL NO. NO. a AODRESS UNITS STORIES BEDf100MS � CIN ZIP 7EL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � Q ' OWNER-BUILDER OECLARATION SFR/ADDlREM O p I HEREBY AFFIRM UNDER iENALTY OF CE0.NPv TFIAT I AM E%EMP7 FROAc THE CANtMCTORS ll� � Gara9e�Carport W CENSEUWFORTHEFOLLOWINGREASON(SEC.70.71.SBUSMESSANOPAOFESSqNSCODE:ANYCITYOq U COUNTYWH�d1REWIRE5A0ERAlI7TOCON57RUCT,AITER�°�E.DEMOlISH.CRAEPA�RANVSTRUC- W paiiol0eck WNRE.PRIOR TO RS ISSUMICE/L�AEOUINES TNE APPLICANT FOR SUCN PERMIT TO FRE A SiGNE� � STATEMENT THAT HE OH SHE IS UCENSE�GURSUANT TO TNE PRONSIONS OF THE fANTRACTORS U� � GENSE UW(CHAPTER Y(COMMENCiNG Nnin SECTION to0o�OF DIVISbN]OF THE BUSINESS AND PRO- � PaoVSpa � FESSqNSCODE)ORTHATHEORSMEISE%FAIPTTH�PEFRONI�NOTHEBASISGORiHEAILEGEOE%ENP• V 710N.ANYYIOIATIONOFSEGTION7071.4BYANYAPPLICAN:FORAVERMIT5U9JECT5TMEAPpLIGANTTO Z Re-Roo1 � ACMLVENALTYOFNOTIADRE7HANFIYEHUNDREODOlUR51S5oa)1: O ❑�A90YRiEROFiHEiROPER7V.OR4�YEM7LOYEESWiTHWACFSASiHEIR50LECOMPENSATiON, 0 �pmmercial Z 1MlL DO TME WORK.AND TNE STRUCTURE IS NOT IN�ENCED OR OFFERED FOH SALE ISEC.70�a,BUSI• J NESS AND PROFESSIONS CO�E:TNE CONTMCTORS UCENSE UW DOeS NO:AVVLV TO Ah OWNEA OF � iROPER7YN7iOBUIIDSORIMPRO�E5711EREON,ANDWMODOE55UGMWOANMIMSELFORNERSEIFOR � (L hIRd16HMtSORHfROWNEMttOYEES,VROVIDEDTVIATSUC111A1vpOVEA�ENTSARENOiW7ENDEDOR m LL OFFEREDFORSKEIF,HOwEVER'MEBNLD'NGORiMFROVEMENTiSSIX.DNniHiNONEYEAROFCOMPLE• 0 7qN,TME OwNfR-BU�LDER N'ILL iUVE TNE BURDEN OF VqOVwG'FIA1 HE OR SHE DIO NOT BUILD OR Z MPROVE fOR TME PUHPOSE OF SKE� = OlA50WNEROFMEPRODERTY.AMEXCLUSNEIYCONTRACI1NCYnTMLICENSEDCONTMC70R5 W � TO CONSTRUCT THE OROJECT(SEC.7D�I,BUSiNE53 AND PROFESSION9 CODE�.TNE OONTRACTORS LI• VBIU3li0f1 � ADJ.AREA W CENSEUWDOESNOTMPLYT0IWOWNEROFADPOPERTYWFqdUn.DSORIMPfiOVESTHEREON,AND � WMOCONTMGTSFORSUCHPROJECfSW17NACON1MCtOR(S�UCENSEDOUNSUANTTOTH[CONIRAG QUANTITY DESCRIPTION FEE Y TORSUGENSEUw). , ¢ O IAM E%EMPT UNDER SFC. B.t P.Q FOR TMIS REASdJ U � Q Ll" DATE OM'HER V � LICENSED CONTRACTORS OECLARATION W � IHEPEBVAFFIP4UNDERDENALTYOF�EIWqYTHATIAMUCENSEDUNDERPROVi5qN50FCHA7TER V. p� Y(COMMENCINO WRH SECTION 7000)OF DMSION�OF iNE BUS:NE55�NO DP.OFESSANS CODE.RN� Z X MYLICENSEISMFUILFORCEANDEFFECT. e m N � LICENSE CUSS� LIC:NO. S�7 Z S J __ , . V DATE l�Zle —b Z� corrrancToa__ L— a w � WORKERS'COMPENSATION DECLARATION a � IHEREBYAFiIR4UN0ERDENAL7VOFPERRJRVONEOFIHEFOUOWIN60ECLAMTpNS: U � Z Q � �INAVEANDWILLAWNTAMACERTIFIGTEOFOJNSEMTOSELFdNSUREFORWOW(ERS' S � COMPENSAtpN,ASPROVIDEDBYSECTION»ooOFTNEUBONCODE,FORTHEPERFORMANCE w OF THE WORK FOR MMip/TNIS PERMIT IS ISSUED. � � W �IHAVEANOWILLMAINTAWWORKERS'COMOENSATqNINSURANCE,�SREOUiRE08YSECTqN Q ]7000FTHELABORWOE.FORTMEPEHFORMANCEOFiHEWORKFORYRUCHTHISPEPUITIS ISSVED.MYM�OHNERS' pENSAiION URANCECARPIfRANDPttICYNUTABERARE: CONSTRUCTION j aAaEn �tA� � PIAN FEVIEW o voucrriuMa¢n ' ��� 0^ ELECTRIC � (nassEcm+�mrmeEm.s�Frmoanfv[w.+isca+or+e�ooau�+s�xirola��s? PLUMBING w MECHANICAL Z I CfRTIFV TMAT IN iNE PE0.FOR/AANCE OF iHE WOHK FOR WHICH THIS PERMIT IS ISSUE0.1 (.'} SHALL NOT EMPLOY ANY PERSON N ANY MANNER SOAS TO BECOME SUBJE�i TO7NE N WORKERS'CdAPENSATIONU�NSOFCALIFORNI O�G TMAi ISHOULDBEGOME INS?ECTIONFEE S SU&IECTTOTHEWORKEaS'COMPENSATiONP V KKJS F ECTi 170oOfMElA80R �_ %� E I S FORTNJITH COMP�Y WIIHTMO E PR VISI NS � ISSUANCE � � �ATE:� ��APVLICANT: _ SMIP J '� � � ENERGY P!C � WARNINQ:FA0.UHETOSEWREVAAICERS'COAIPENSATIDNCOYEMGEISUNLAWFUL.ANDSHALLBE �y SUBJECTANEN7LOYERTOGfY1MWALFENALTIE3M7DLNILFWESU�700NEMUNDREDTFKKISAN7 ENERGYPERMIT pOLURS(Stoo.000).W ADO�TION TO iHE COST OF COMPENSATION.D�AGES AS DROVWEO FOR M �,� J SEGTqN]7000ihIEUBORCOOE,WTEREST,ANDATTORNEV'SFEfS. RETENTIONFEE: Q d '�� CONSTRUCTION LENDING AGENCY PRE-ALT FEE: ' O C� IMEREBVAFFIRMUNOERPENALTYOFPERIURVTFU7THEREISACONSTRUCTIONIENDiNGAGENCY �- fOR TNE CERFOP��INCE OFTME WOFK FOR WHICH THIS PENMIT IS I55UED(SEC.]097.CIV C.} � � IENDER'S NMIE F_- LENOERSADORE55 � �� � ICERTIFYiHATIMAVEREADiHISAPMICATIONANDSTATETHATTMEA80VEINFORMA1qNI5CARRECT. TOTAL FEES ,_—• w IAGREETOCOMPLYWITHJLL�CITYANDCOVNTVOi7D�NANLESANDSTATEUN'SRELAiINGTOBV0.01N6 � CANSTRUCTiON,A�DHEREBYAUTMOH�IEREPRESENTATIVE50FTM�5COUNTYTOENTERUPONTHE Z A00VE#IENTpNEDCROOERTVFORINSPECTiONPVRPOSES. - COMMENTS � � �� I.� � PERMITTEE NAME�N� � �--ZS �-OZ� � SIGNATV _ F FE 1lEE D�TE . RECPT.N0. PAID BY VALIOATION � WHITE—DepaM1ment Copy,YEU.OW—Finante Copy.PINK—Asse55or CoOY•GOIAENROD—File Copy,GREEN—ApplicanCs Copy C;i 1� �F DI�'tiPti��P}i� EA -f''s � iP�l::,���`i'6C7i`� ���Oi=ZD ` r�� 1 ld _, 1 �] 'y'� �j �I�1h�►�����A��y� �r��G�l aj��C`�►'���Frf,�R� ItI��7M��i�►;'�er°r�� � �� � I�J��Qg!'�7''����.��.,«1Q @ }S __.�___ . _.... _... ..�.... _ _____ __.__.��._!, SETBACK �.�i � __y. __...�_. _ _� I (_.FLCORJOI�T--_u.�__._.�.i.. FfGSiFORMS/STEEL � I � I � FHA REQ�,ITS' ^� i _—., — � �__- --_ �.,-------- ELECTRIC GROUND � � _ � __' {• � U�JD�R FLOCR DUCT � ! GROUND PLUMBITJG I I UI��E:R FLOOR CUP�IDUIT �-i_._ SLAB GRADE —� � � FIRFPLACE FOUNDATION ---_I--------- - � TEPAP POWER I i � ; FIREPL�CE E3QND BEAM - ----- ---• --- — WATER SERVICE I --._^�—_. ----i- MID HT. �0^JD EtEF,t�1 � . , - ROOF SHEATHING ! � a FT. BO�1D E�AM ' . J FRAh11NGNENTILiATION I � FIi�A�E3GtJD BEA��1 � - —. ,--- -�----- -- __ --- ROOF COVER I PRr-GRADING � " ROUGH HEATING , BENC;HIUG � ROUGH ELECTRIC � ROUGH GRADI^du _ ROUGH PLUMBING ^ ! FINISH uRADiNG SIIJWER(T'UB7EST i I f'OOLELECTRIG EXT. LATH/SIDING � j t POOL FENCIfJG ' LVALL INSULATION i ___�i P(JOL FINAL __ CEILING INSULATION i �� _ I OFF SITE Ih1PS. QRYWALL NAILING � ' DEDICATIONS SEVVER FIP�AL EPJG. �^ SEP'i IC TANK � LANDSCF,PEiIRRIG_ � SEEP PIilL.L. I ON SITE Ih1PS. �.��_�__, GAS AIR TEST _�_ ' FINAL ZONING _ FINAL CONST. � I I �IRE DEPT. FINAL t-- -- FINAL HEF.TING HEALTH DEP'f. FINAL — �------ FiNAL ELECTRIC I '; i DEV. FEES PAID� FItJAL PLUh481NG --,A�—� � ` ; ; ENERGY + _ ; � � - -- � —.,.r...,.o.,.�,.:-•--'�.•,,•-r------ - — - --- fw�`� fit2:r.E`i^'rllA�c$?_ y: I I --_ _` �� ���...,■Ly.�.:es.,�!:,. _....� _ _ f CUMMENTS SEPTIC TAP�K SIZE SEEP PIT/U 51ZE _.�..�....�.., � � ������� -- -- —�— . 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