Loading...
HomeMy WebLinkAbout16653 i . . _ J� CITY OF DIAMOND BAR � DEPARTMENT OF COARvt[JNITY&DEVELOPMENT SERVICES 21825 E.Copley Drive (909)860.3195 Fax(909)861-3117 PRESS �`%�� BUILDING PERMIT APPL1CATlON F�R JOBSITE �� �('� APPLICATION PERMR I,I��I,��P/C o ADDRESS /O S� � DATE NUMBER�� � ii � APN L T TRACT �SSUE j'� TYPE OCC � DATE � CONST. GROUP p OWNER t-�L ' "" ADDRESS . ZONING SETBACKS gCITY�d ZIP TEL. —i�s� REAR Rw ❑ APPLICANT �� TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR O SIDE O � ADDRES PROPOSED USE � CITY P�13 TEL.��� o ARC N / ��� � DESIGNER I III� NO.pWEL. NO. NO. ADDRESS UNITS STORIES �_BEDROOMS � CITY ZIP TEL. � DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � � OWNEH•6UILOER OECLARATION SFFUADD/REM O p 1 MEREBY AFFIRM UNDEH VENALTY OF PERA/RY TMA71 AM E%EYPT iRpA 7ME CONTMGTORS LI- Gaf8g0/CB�pOR W CENSEUM�FORTHEFOLIOVANCREASON�SEC.�0.9t.5BU5WES5MlDPNOFESSIONSCOOE:�NYCIiVOR (� U COUNiYVMICHREOUIRESAVERMIT7000N5TRUC'�.ALTER.OAPflOYE,OEMOl151lOflREVAIRANYSTRUC• W patiolDeck .._ _ �L TURE.PRpR TO R9155UANGE/�L50 PEOUIRES THE APPL�CANT fOP SUCM PERMIT TO fdE A SiGNED � w ' ...._'.. ._' '- '_".'—`—"'...'"'�—"–"" "—._._.... . � STATEYENT THAT HE OR SHE IS LICENSEO iUqSUMlT TO TME PROVISIONS OF iME CON7MCTORS li• � CENSE UW IGIAGTER i(COMMENCWO YATH SECTION 70001 OF DIVIS�ON]OF THE BUSINESS M1D PRO- � PaoVSpa ^ FESSpNSCODE)ORTHATHEONSHEISIXEAIPTTHEREFNOMIINDTHEBASISiOfl7HEALLEGEDE%EMP• (� � TION.ANYYqUTIONOFSECTION7071.7BYANYAPP�ICAMFOFAOEW.�ITSUB.lECT57MEAPPUCANTTO Z Re-Roo1 � � ACMLOENAITVOFNOTMORETHANFNEMINDRE��OLURS(f50D}�: � 01ASONMEROFTF7EGfiOPEHTY.ORMYEM7lOVEE3N7THWACESASTHEiRSOIECOMPENS�TbN, ❑ COmmBfCi�l � Z MALL 00 THE WORN.PND TNE STRUCTURE IS NOf IMENOE�OR OFFER[0 FOR SALE(SEG 70N,81151• �l � NE55 AND PROFESSIONS CODE:THE GONTMCTO�lS UCENSE UW OOES NOTAPPIY TO I.N OWNER OF ? PROPEHTY MM1IO BU0.D5 OR UAPROVFS TNEREON,AND WHO DOES SUCH WDRK MIMSELF OR HENSELF OR � THqOUGHMISORMEROWNEMGLOYEES.VROYiDEDTMAT5�1Q111APROVEMENTSAHENOTINTENDEDOR m w OFFEREDFORSKEIF.1101NEVE0.7MEBULDINGOHIMvqOVEMfNTIS50LOwIT1aNONEVEAROF[OAIPLE• � TION.THE OwNER�BUILOER'MLL NAVE THE BUROEN OF GRWWG 7W�T ME Oq SME DID NOi BUILD OR = IMPROVE FORTME PURP0.5E OF SJ�IE). w OI�OWNEROFiMEVROVEHTY.lu1E%CLUSIVELYCONTMCTWQWRHLICENSEDCONTMCTORS (= TO CONSTPUCT TME CflQIECT�SEG 70��,BUSINESS AND PROFESSIqJS COOE:TNE CONTRACTORS U� Vd�11811 AQI.AREA W CENSEUWDOESNOTAPPLYTOMIOWNEROFAPROVERTYWNOBUILDSOHIMPROVESTNEREQV,ANO � N'HOCONTiUCT5FOR5UGiVROIECTSYnTHACONTMCTOR(S�UCENSEDPUqSUANTi07HEGONTMG OUANTIN DESCRIPTIOtI FEE Y TORS LICEUSE UW). � O I I1.I f%EMPTUFDER SEG B.[V.G FOR TNIS REASON U " � � LL DATE OwNER � • Z W ♦ �q LICENSED CONTRACTORS�ECLARATION w fL IMEHEBYAFFIRMUNDERPENALTYOFPE0.NRVTHATIAMLICENSEDUNDERDROVISIONSOFCHAPTEN Vr d Y(CqAMENCw�riRMSECTiON7000IOFDM510N]OFTHEBUSiNE55ANOPROFES4qN5CO0E,IWD Z � X MY�10ENSE IS N FULI FORCE�ND FFFECT. m lll � � LICENSE CUSS IIC.NO. J V OATE ' GONTMCTOR d ad WORKERS'GOMPENSATION DECLARATION a � U N IHEREBYAFFIRMUNDERPENALTYOFPEiWRYONEOFTHE�OILOMnNCDECLARA710N5: N a � _IHAVEANDWiLLMNNiAINACEPTIFICATEOFLON5ENT708ELFaNSUREFORVYORKERS' _ ENSATqN,A5�F10VDE�8Y5ECTION�7000FTMEU00RCO0E,FORTNEPERFORAIANCE �U 7H[WOHN iOF NM�CHTMIS 7ERIIIT IS ISSUEO. � � ^ IN�YEANONALLWVMAPIWOqKERS'C0IAPENSATqNINSURANCE,ASREWIREDB�SECTION j^ Q ]Yoo OF iHE LA80R CODE.FO 711E PERFORAIANCE OF 7NEwONK ioR WHICH 7Hi5 VERA11715 � ���J� = ISSUEO.MYYADRK P 'SATpN�RANLE �RIERANDPOLICYNUMBERAAE: CONSTRUCTION LE Q c,�aAi¢a PLANREVIEW - - -- - - � �'�� / � � Pa��cY NtneBER__�(�_�q ELECTRIC rC7/ E'/ 0 (f/i55ECiONNEmNOrOEWM1i'IETmCfT[PEfi1.T16PDROhEIU[1RCDDOLLARS(5�00)OHLE`•+S) PLUMBING Z ICERTIFY7H�TNTHEDERFORIAMICEOFTHEWORKFORWMICHiX15PEM11TI5L55UEO,l MECHANICA • q� _ - – ('� SHALL NOT EMPLOY ANY YERSON P1 ANY MANkER �L4 TO BECOME SUBJECTTOTHE f���) � y WORNERSCWAPENSATqNUWSOFGLLiFORNI� �ACREE NATIFIS OBECOME INSPECTION �1 //�"�\ '�� S SUBJECTTOTHEWORKERS'COMVENSATqNVR SqNS ECi1DN] OFTHE R cooe,i onnrmn+cw�air vnn�na ao� . ISSUANCE � SMIP p DATE:. APPLIWNT: . � ENERGY P/C WIRNIN�:f�ILURE TO SE W RE WOi1KEFt5'COMPENSATIDN COVERAGE i5 UNUWF�L.M'O Sw1Ll BE � SUBJECTANEUPLOYERTOCP:MINALPENALTIESANDCMLfINESWTO0NEMINDRE�7110U5AND ENERGYPE DOLURS�f100.000).N ADDITION TO THE COSTOF COMPENSATqN.UM111GE5 AS PflOViDEO fOF IN Y� � SECiqN970EOFTNELABONCOOE,NTERE9T,ANOATfOflNEY'SFEES. RETENTION EE."""��–"'-'--'�� pw_. CONSTFUCTION LENDING AGENCY PRE-ALT FEE: � 1NEREBY�FFIRMUNDERPENALTYOFPERJURVTIUTiMEREIS�CONSTRl1CT10NLENDINCIIGENCY a- FONTMEPERFORMMlCEOFTNEWORKFO THISPENMITISISSt1ED�5EC.1ov7.CIV.G). - W �1I � IEnDEHSN�ME��,/ � LENDER'S/DDRESS � ICEH7iFYiMA71MAVEREMTMiSAPPtMA710NAND5TATETruTMEABOVENFOw.lA7qNI5COHREtT. TOTAL FEES � �5V w IACHEETOCOMPLYWfTN/LLCT'ANDCOUNTYORDINANCESANDSTATElANSRELATW6TOBUILDING � CONSTRUCTIOILANDMEREBYAUfNONIZEREPRESENTAiNE50FTHISCCUNTVTOENTERUPONiHE � ABOVE-MENTIONEDpPOPERTYFORIN57ECT10N7URDO5E5. COMMENTS � J � m PERIAITTEE E(P � //�� fn � �_ �J SiCNAT .EOFP HMITTEE �� � RECPT.NO. �• PAI�BY VALIDATION WHITE—Depanment Copy.YELLOW—Finance Copy,PINK—Assessar Copy.GOLDENROD—File Copy,GREEN—ApplicanPs Copy � ,,. �� �. . ...-.F. •r , �'�t:. ,'iY`:.. . . . . • • „ . , .>......—��„-. .. � . ^,'xalX7_..�,�: _ •.,y. ... �<,.. �� o�v.�, —' � .J,..y.�,-.-.-.....�...r ' . , � .. .a..• , CiTY or- oi�.r�or�� �t�r� !f�!SF��C`i IOf�! RC�Oiic7 �►��'�:����.t'1�7►�1 E)��C= I►��-`.1Fi�i,`.Ge�.� R� 1��=�:�=t�`:Elc.j��l Gy�ll"=. (►���;����1'��:� , _ .. .. ...---------�--�---..��--�..�...----- --- ---—-- :.........----i...._ ..:...._..._---._._.._____.._.�. .:---------..,._ _.�..__._- - --- -- -- - -- 5ET BACK • � �__ _ I � FLOOR JOIST�� ��� • FfGS/FORMS/STEEL � _�__' ' '� : FHA REQ��iTS , I, . � ELECTRIC GROUND � � � j U[JDER FLOOR DUCT ` . , � . . GRDUP�D PLUME3I�JG � �� U;•1DER FL�OR�-C�"•IDUIT • � � • � ' __ SLAB GRADE FIREPLAG'E FOU�iDATION '• ' �–�� TEMP P�WER � � _FIREPLA�;�BbP�D BEAP,� - � � � - ^ WATER SERVICE � � I �.�ID HT. �O"dD BE11P.1� �—� • ' - ROOF SHEATHIPJG �,-Z7–a(,� _ ~, E3 FL E30N�,8�1,"�4�. � ; ,,- I — FRAP�IINGNENTILIATIOPJ � { FIPdAL E�OND EiEAh^ ROOF COVER /.��f �� ; PR�-GRF,DING j � ROUGH HEltTING �r I � BENCHING ROIJGH ELECTRIC ROUGH GRADING ROUGH PLUP.rBIt�G FINISH GRADIPdG SHOVVERti'UB TEST I POOL ELECTRIC EXT. LF,TH/SIDIPJG POOL FENCING 4VALL INSULATION ' POOL FINAL CEILING INSULATION OFF SITE IP.4PS. DRYWALL NAILING � DEDICATIOfJS SEVVER FINAL EFJG. SEPTICTANK -. , �,`-•` LF,NDSCAPEIIRRIG. SEEP PITlL.L. ` � ON 51TE IP.1P5. GAS AIR TEST FINAL ZOPJIPJG FINAL CONST. �t �v ! FIRE DEFT. FItJAL FINAL HEATING � � HEALTH DEPT. FINAL � FINAL ELECTRIC - � DEV. FEES PAID FINAL PLUMBING• . • ENERGY � ' � • � _ � --- � -_�J=17��='�: �1c:t�. ._�_�� � . . . COMMENTS . � SEPTIC TANK SIZE SEEP PITIU SIZE , '!r� �1�� = , , . . � --.� � � ,- ;� � � ; .