Loading...
HomeMy WebLinkAbout17495 (23) f� CITY OF DIAMOND BAR � i DEPARTMENT OF COMMUNTTY&DEVELOP1vIENT SERVICES Z�s2s E.coP��nr��� EXPIRED (909)860-3195 Fax(909)861-3117 PRESS �`•�� BUILDINGPERMITAPPLICATION � FIRMLY � JOBSITE r /� APPLICATION � PERMIT �n�a\ P/C a AODRESS � pLOLf� /�'�S o �� 4 DATE 2 I �� (VI NUMBER I FJ p � APN LOT TRACT �SSUE �-TYPE OCC DATE CONST. GROUP p OWNER __ A�IL p ADDRESS_ S FX�I� ZONING SETBACKS gCITY ZIP TEL._ FRONT RW ❑ APPLICANT TEL_��7•s'� REAR ❑ � � SIDE/SIDE STREET RW ❑ � CONTRACTOR � � EN � �� /to' ./- SIDE ❑ ADDRESS �l)B�- Ga M f.� Sf � G�7lJt fi. S�1�'1�'�1 / v � CITY A't rn���+I A- ZIP � al TEL u 1� Yf3Y PROPOSED USE r -L d1 6 oARCHIENG/ � Z ' ' c.✓�.o�� DESIGNER � ,iz.i N0.DWEL NO. NO. a. ADDRESS � CITY Z�p EL UNITS- STORIES Z BEDROOMS 3 � cn DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER DECLARATION SFR/ADO/REM O � 1 HEREBV AFFlRM UNDER VENALTV OF PE0.NRY THAT 1 AM EXEMPT FROM THE COMTMCTORS LM Garaga/Carport W CENSEUWiORTHEFOILOWWOREASON($EG70]1.6BUSINESSANOiflOFE5510N5CODE:IIMIGT/OR (n GJ COUNTYWHIp1qE0UtNE5�PERMRTOCONSTRUCT,ALTER,IlA7ROVE,DEMOLISH,ORREPNqANYSTRUG W patialDeck � �TURE VRqR TO RS ISSUANCE AL50 HEWIRES THG APPLICANT FOR SUCH PEW.IIT TO FILE A SICNED W � STATEAIENT THAT HE OR SHE IS UCENSEO CU0.5UANT TO iNE PROViSiONS OF 7HE CONTMCTORS LI• � CENSEUWICHAPTERY(COMMENCINOWITHSECTIONT00010FDMSION�OfiHEBUSINESSMIDPRO POOUSpH FESSqNSCODEIORTNATHEORSHEISEXEAAPTTHEREFROMiU1�THEBA515FORTHEALlEOEDE%EIAP• (� TION.ANYVIOlA7lONOFSECTION7W1.5BVANYADGLICANTFORAVERMITSUBJECTSTHE�7PLICANTTO Z Re-Roo1 Z F, ACMLPENALTV OF NOT MORE 7HAN FNE NUNDHED DOLUlRS(fs0a).�: ZOt�a�'NEROFTHEPROPERTY,ORMYEIAPLOVEESWITHWACESASTHEIRSOLECAMPENSATION, 0 COrtIrtIBfCl81 - VALL DO THE WOPoC AND TME SiRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEG 70��,BUSI• J � NESS M!D PROFESSKKiS CODE:THE CONTMCTORS UGENSE UW DOES NOT APPLV TO IW OWNER OF � PROPEfiTY WHO BURDS OR P.IPROVES TMEREON,AND NM110 DOES SUCH WORK HIAISELF OR HERSELf OR [L THROUGHHISORNEROWNEMPLOYEES,PROYIDEDTHATSULHYAPROVEMEMSARENOTINTENDEDOF LO � OFFEREDFORSALEIF,IqWEVER7MEBUILDINOORIIAPROVEMENTISSdDWITHINONEYEAROFCOAIPLE� Z TqN,THE OW�IER�BUILOER WILL HAVE TNE BURDEN OF iROVINO THAT NE OR SHE DID NOT BUILD OR = WGf10VEFORTMEDUHC0.5EOFSALEy O l AS OYMER OF 7NE PROPERTY,AM E%CLUSNELV CONTRACTWO WRH UCENSED CONTMCTORS Q TO CONSTRUCT iHE PR0.IECT(SEC.70U,BUSINE55 AND PHOFESSIONS CODE:TME CONTMCTORS LI- V0�I181IOf1 � ADJ.AREA W CENSEUWDOESNOTMPLVTOANONRJEROFAOROPERTVWMOBUILDSORIAIPROVES1HEflEON.AN� � VAIOCOMMCTSiORSUCMPR0.1ECT5WITHACONTMCTOR(S)UCENSEOCURSUNfTTO7HECOMMG QUANTITY ESCRIPTION FEE � TOflSLICENSEUW.). � O IAM EXEMPTUNOERSEC. B.\P.C. MIS REASON Q � U lL ¢ OATE OVMER U Z W � LICENSED CONTRACTORS DECLAHATION W � I HEREBYAFFIRM UNDER PENALTV OF PEiL1UM TMAT I AA1 LICENSE�UNOER PRON5qN5 0F CMAVTER � p� 9(COMMLNpNOWITH5ECT10N7000�OF01VI5qNJOFTN[BUSINESSANOVROFESSqNSCODE,ANO Z X MV LICENSE 15 M N FORCE 1w0 EFfECT. � LICENSE CUSS �+'"'� LIC.NO. �'�� j ~ DATE_ I� I I�'�DI COMRACTOR Gn d W �- � WORKERS'COMPENSATION DECLARATION 4 NIHEREBYAFiIRMUNDENPENALTYOF7ERIUH`IONEOFTHEFOLLOWINODECUMTIONS: Z � _IHAVEAN�WiLLM�MTAINACEFTIFICATEOFCONSEMTOSELF-INSUREFORWORIfERS' _ � COMPENSATqN,ASPqOVIDE0BY5ECTION97oaOFTNELA00RCO0E,FORTHEPERFORMANCE W Q OFTME WORK FOR YMICH THIS PERMIT IS ISSUED. � � �IHAVEANOWILLAIAINTAINWORKERS'COMPENSATIONINSURANCE,ASREWIREDBYSECTION Q ]7000FTMELABORCO�E.FORTHEGfRFOR1AANCEOFTHEWORKiOPWHiCNTHISVERA1IT15 ISSUED.MYWORKER5COMPENSATON SURANCECARi11ER/W�POIICYNUMDERME: CONSTRUCTION j CARPoEfl � �� �JA't-n'1 PLAN REVIEW Z POUCYNl1M�ER W G Z`{�I (��Z'� ELECTRIC ¢ o RrassecrnrrNEmrar�oons�maFn�aEaMrs�a+E�ooaiusR+��a+�ssl PLUMBING Z ICERTIFYTHATNiHEPERFORM/�NCEOfTMEWORKFORWHIp1TNISPEHMITISISSUED,1 MECHANICAL U' SHi4LNOTEMPLOVIWViER50NWANYMANNERSOASiOBECAMESUBIECTTOTHE (/� WORKERS'COMPENSATqNUW50FCAlIFORN1IANJAGREETMATIFISMOULDBEGOME INSPECTIONFEE SUBJECi TOTME WORKERS'COMFENSA7IDN PfiOY1S10N50F SECTION J7DOOF THE UBOR �j COD.I SHALLFORTM'ATH COMPIV WITH T1105E PRONSIONS. ISSUANCE � O p DA7E: � I 0 APRIcnNi: SMIP ..�� � ENERGY P/C WARNINO:FA0.URE TOSECURE WOfiKERS'LOMPENS 10N COVER IS UNUWFUL.AND SH�L�BE �y SV&IECT/WEMPLO`/ERTOCRIMWALVENALTIESANUCMLFWESU IOONEMUNOREDTMOVSAN� ENERGYPERMIT DOLIAFiS�f�00.000j.N ADDITION TO THE COST OF C041PENSATqN,DAMAGES AS PROYI�EO FOR IN � SEGTpN770lOF7HEV�BORCOOE.WTERESLANDATfORNEY3FEE5. RETENTIONFEE: OCONSTRUCTION LEND�NG AGENCY PRE-ALT FEE: � IHEREB�AFFIRMUNOERVENALTIOFPEWURYTN��11['f1E15ACON5iRUCTIONLENOWOAG �ICY FORiHEPEfliORMANCEOFTHEWORKFOR EffIM15PERMITI5155UE0(SEC.9aY7, . Z W � IENDERS NAME � LENDERSADDRESS � TOTAL FEES �J � ICERTIFYTHATIHAVEREADTMISAPPLICATIDNANDSTATE7HATTHEABOVEINFORMATqNISCORRELT. I� w IAGREE TO CAMPLY WRH ALLCITY ANO COUN7Y ORDINANCES AND STATE UWS REUTWO TO BUILDIN� I �F� � CON57RUCTION,ANDXEREBYAUTHORREREPRESENTATIVESOFTHISCOUHTYTOEMERUPONTHE Z ABOVE�uENT10NED7R07ERTYFORINSPECTqN7URPO5E5. COMMENTS � c�' !' -r ` � s � m PERAI�TTEE NAM[PRR�7T) c¢i� �L 1'� J N SKiNATU f PERM REE OATE � RECPT.NO. _PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—AssessorCopy,GOLDENROD—File Capy.GREEN—ApplicanPs Copy ,. _.. :,:--. ��t.�:� :,r..:- -� ._,., �-� . . --.,... � -.. , . . . .. .. ,,.r� - � . .. -� . . .... �. ... _. . .,.. ` . .��. .."' '.'% -.l.' . ,h�Y.'.'. . . . . JE ( �l' �,� ��IG��L�a���iD ��-�� iras�c�:�or� ��co�;� � ,._.� ._.,____.___. __ _ ._______�__ __ ___________._._. �►�-'��_�e rCo1►1 ?);.i�,�- :1►��-`S�j ,��C�1;,� I►`�'i:� 1e�.�Ce)i�G ����.�"� I►�����c`'j���� �...._._ _______-____._� ----- .. .,...: _--- �...-_ . - _ _ _..._...._- ---- ___ ....___ _. __. _...___.--------------- ----- 5Ef BACK i �_ __ � FLOOR JOIST.• •, � i FTGS!FORMSISTEEL ( FHA REQh9T5 I I ELECTRIC GROUND � Uf�DER FLOOR DUCT �--� - GROUND PLUMBING UNDER FLOOR CU(�IDUIT i ' I SLAB GRADE FIREPLACE FOUNDATION � TEMP POWER l �_ FIREPLACE BOND BEAM I WATER SERVICE I _ �..�=.� F�11D HT. BOND BEAP�1 ROOF SHEATHING �,30� , II FT.60ND BEAP.1 FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHIiJG ROUGH ELECTRIC � ROUGH GRADING ROUGH PLUMBIPJG � � FINISH GRADIPJG SHOWERRUB TEST j POOL ELECTRIC EXT. LATH/SIDING � POOL FENCING WALL INSULATION POOL FINAL CEILING IN�ULATION OFF SITE IMPS. DRYWALL NAILING � DEDICATIOi�S SEWER J FINAL ENG. SEPTICTANK � LANDSCAPEJIRRIG. SEEP PIT/L.L. � ON SITE Ih4PS. GAS AIR TEST FINAL ZONITJG FINAL CONST. ! } FIRE DEPT. FINAL FINAL HEATING � HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING i ENERGY � • -- - ��:�:?'�'et� �i�:;c� � ..-.Y��_.....�..a..__�..��..Y__�__.._,�._._..._.__�_ CUMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE ���� �1 _ s�r,� .::; i `� ' ...