Loading...
HomeMy WebLinkAbout16586 ; ..... ._ .. . _ .. ......:. ... _. .. . �� ' CIIY OF DIAMOND BAR � � DEPARTMENT OF COIvL'vIUNITY&:DEVELOPMENT SERVICES �� � ry,��y � 21825 E.Copley Drive (909)860.3195 Fax(909)861•3117 P R ESS � BUILDING PERb4IT APPLICATION FIR Y � JOBSITE �/'����� /��,�i �� � APPLICATION �j I PERMIT P/C Q ADDRESS �� b -/ o DATE NUMBER # c� ISSUE TYPE CC APN L03��TRAC�� DATE�� Q CONST. GROUP p OWNER /��i—�f� �� ADDRESS I`YR r ZONING SETBACKS z CITY ZIP TEL.e��O� FRONT RW p g APPLICANT TEL.�.�$�y a S DE/SIDE STREET RW O Q CONTRACT GP�O O�� SIDE O � ADDRESS PROPOSED USE � CITY r? • ZIP �.����,y'� w ARCH/ENG/ z DESIGNER AI� oW.. ADDRESS � NO.DWEL. NO. NO. UNITS STORIES . BEDROOMS. = CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARAT10Y SFR/ADa'REM O � I MEREBY AFFIRM UNDEA�ENALTY OF VE0.IURY THAT 1 AM E%EMPT FROM THE COMMCTORS L4 Garage/Carpan W CENSEUWFORTHEFOLLOwINGHEASON�5EC.707t.SBU5WES5Al:DFROFESSIONSCODE:ANYCITYOR (n U �qJNTYYMICHREOU�RESAGEW.IRTOCONSTRUCT,ALTEA.�PF70VF.DFA�0U5H2ORRE7AIRANVSiRUC W patio/Deck � ��� � -� � � NRE.VRIOR TO 1T5 ISSUANCE.ILL50 REQUIRES TME�PPIICMlT FOR SUCH PERMIT TO FILE A SiGNED W � S7A7EA1ENT TNAT HE OR SME IS LICENSED PURSUnNT TO THE PROVIS�ONS OF 7ME CONTMCTORS LI- � CENSE UW�qUOTER Y(COMMENCINQ WITH SECTION 7000)OF DIVISION 7 OF 7HE BUSINE55 AN�OFO- � POOUSp2 FESSIONSCOOE)ORTMATHEORSHEISE%EMP7THLREFNOMANDTHEBASiSFORTMEALIEGCDE%EMP. (� VTION.AN'�VIOLATIDNOFSECTION70.71.SBYANVA7CLICANTFORAPENAIITSU0.JECT5iH[APDLICMNTTO Z pe_Roof O � ACMIiENALT/OFNOTMORE7HANFIVEMINDREDDOLUR5�f500).�: p O1A50`M�EHOF7NEPROPERTY,ORIAYEIAPIOYEESWITHW'AGESASTHEIRSOLECAMPENSATqN, ❑ COTTBfCt31 ' Z VALL DO THE WORN,M!D THE STRUCTURE�NOT INTENDE�OR OFFERED FOR SALE(SEC.7011 BUSI- J NE55I�ND PROFESSIONS CODE:TME CONTPACTORS UCENSE UW DOFS NOT A7PLY TO I1N OWNER OF � GRO�ERTVK'HOBU4OSORIMOROVESTH'cR[ON.ANDWNOOOESSUCHVfJRKNtA15ElFORHERSEIFOq m � TMROUGHNISORHEROMMEMPLOVEES.PROVIDEDTHA75UCNIMPROYEMEMSARENOTINTENDEDOfl w OFFEREDFORSALEIF.HOWEVER7ME9UILDINGORIMPFOVEMEMISSOLDWiTMIYONEYEAROFCOMPLE- � TION.TME OWNER-BUILDER WILL HAVE THE BURDEN OF PROVWO THAT HE OH SNE DIO NOT BUIID OR Z IMPROVEFORTHEPURPOSEOFS+LLE). _ �I,ASOwNEHOFTHEPROVERiY,AUIfXC1U5NELYCANTRALTINGN77HLICENSEDLONTMCTORS W � TpCANSTRUCTTMEpRQ1ECT�SEC.70N,BUSINESSANOPROFESSiOl:SCODE.TNECqITMCTOiYSU- VeIUBIIOtI _! ADJ.AREA W CENSEUWDOESNOTAPVL�TOANOWNEROFAPROPERiYWHOBUrtD50RIMPPAVE5TIERLON.�ND � NM1qCOMMCiSFORSUCXipQlECT5WITNACON7RACTOR(S�LICENSEDPUqSU/WTTOTXECONTRAG Q�JANTITY DESCRIPTION FEE Y TORSLICENSEUML). � � � OIAAIEXEMP7UNDERSE0. B.BP.C.FORTMISREASON U � � u" DATE OWNER V / � O W C. � LICENSED CONTRACTOFS DECLARATION �j � ��� � IHEAEBVAFFIRAIUNOERPENPLTYOFPEIINRYTMATIAMLICENSEDUN�CRDROVISIONSOFCHAPTER V. / d p((,'pMMCNCINC WIiH SECTqN 7000)OF O�V�SION 70F 7HE BUSINESS ANO PAOFESSIONS CO�E,AN� Z �� X MY LICENSE IS M Ml FORCE AND EFFECT. � ,� � LICENSE CUSS ��LIC.NO.�'7��� � J v DATE�� corirrucTon_�,p�O�C a w �� WORKERS'COMPENSATION DECLARATION Q = U � IHEREBYAFFIRAIUN'JERPENILLiYOFPERNMONEOFiMEFOLLOwWGDECUM710N5: C/� Z Q � _IHAVEANOW�Ll1AA�NTNNALEHTIFICATEOFCONSENTTOSEIF�INSUREFOaWURKERS' S � CAMPENSA710N,A5 PRONOED BVSECTION 71000F TMG IMOR COOE.FOP iME VERFOfWANCE W OF . ORK FORYA11p1 TMIS VEFMIT IS ISSUED. � � W _IHAYEANDWLLLMAINTAINWORKERS'CqaPENS�TqNINSURANCE,ASREWIREDBYS[CTION QJ7000FTHELABOHCODE,FORTHEPERFORMANCF�FTMEWORKFORNM11Ip1TMISPEN.��T15 � � ISSUED.MYWORKERS'COMPENSATIONiNSUFUN�ARR:ERANOPOLICYNUMOERARL: CONSTFUCTION � -' CARPoER--���-i��---- �PLANREVIEW � Z vOUCYNUMeER �...��__� ELECTRIC ¢ 0 (I3nsSEc�oNNEmNo78Caxs'LErEoocMVE%RsinqouE�a.f�DRm0al�lsRtaa)onLEs.,°} PWM1181NG Z ICERTiFY7HATINTN[pERFORIAANCEOFTHEwORNFORWMICHTH�SPERMITI5155UED.� MECHANICAL � � ('J SMALLNOTEMPLOYM7YPERSONINANYMANNERSOAST08ECAM'c5U0.1ECTTOTHE � WORKENS'L0IAPENSATIONUN50FCALIFpRN1/�IINUAGREETIUTIF15HOULDBECOME INS?ECTIONFEE SU&lECT70iNEMeORNERS'COMVENSATiONCROV510N50F C1iON7lOr THE A�OR �� �j CODF I N ORTMWITMCOMPLYW�TNTMOSE '.OVISIO' "� ISSUANCE � � O �� ��r gMIP `p DniE:���___L_ APPLICANT. `� � ENERGY P/C WARNING:FARl1HE TO SECURE WORKERS'GOUPENS�TqN COVEMGE IS UNUWFUI.AND SHKL BE B�� � SUBJECTANENP�OVERTOCRIMIWILPENA:.TIESANDCMLFINESUPTOCNEHUNOHEDTHOUSIWD ENE-RGYPERMIT ' � DOLUAS(5100.0001.��DITION 70THE GOST OF COAIPENSATqN,DMUGES AS PflOV'DED FOR�N J SECTqN]70lOf7H[LABORLODE.INTERE5T,0.YOATfO�N[YSFEES. RETENTION FEE: � d CONSTFlUCTION LENOING AGENCY PRE-ALT FEE: O � IHEREBYIIFFIRAIUNDERPENILLTYOFVEHJU YTHA7iMEAEISACONSTRUCTqNIENDINOAGENCV FOR TME PERGOf761ANCE OF iHE W�OF HIG iH15 DERIAIT IS ISSUED(SEG]007.CIV.C.�. Z W � LENOERSNAME � S C LENDER'SPDDRESS ¢ I CER7IFV TNAT I NAVE PLAD THIS APPLICATION AND STA7E iW1T THE ABOVE NFOIiMATqN IS CORqECL TOTAL FE�S ��� � I AGREE 70 COMPLY WITH ALL CITY AND Cd1NTY 011DINANCES AND STATE UWS RELATINC TO BUIIDING CONS7RUCilON,An'O HEREBY AUTMORRE PEVFESEN7ATNE5 OF THIS COUN7Y 70 EN7ER UPON THE Z /BOVE��/EMIONEOCROPERiYFORINSPECTiONVURPOSES. COMMGNTS � ���� �� J � m iEHMI N : �INT) �/ d � r_�/ � � .NAT c h E��77EE OATE � RECPT.NO._ _PAID BY _VALIDATION WHITE—Department Capy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Appl�canCs opy �. '- . • -,�,- .,� ., ... �n�^.. ..,�.. .��... ri.> ,..� ..�:, -., . , ......, 1� Y4 ^T , -v....r„^....�.,:•. .._ . ..�._... �. � . , , . . :kr;, :.7' vt�r r.r �,r�: . a . -r. �i.. CIT�' OF DIAP��Of�D B/�P. IfVSPEC'i'IOf�! RECORD �I�k��:�=lf;'�[Io�►� ��):.�C=� ;1��-y.a�4'^['�a���T �11�-7:��c,�[(c)►�I oy.ti�= 1►�E-��;1 k'.]�� _ . _ _.. _.�._.-------�.__.._.--- --- -----. _.._ _..----•--�--� _ ,.__._._�__:�_ ____. 5ET BACK , � ^- ---..�-�'FLO�R JOIST—•, . • �:j .� I (__. _ .. . l ,_�� FTGS�FORP�IS;STEEL I I � • ! FHA REQ��ITS L I ELECTRIC GROUND ' � � ' ; UN�ER FLOOR DUCT' •. •�.�; -� GROUND PLUMBItJG I I Ut•JDER FLOOR CUP•!DUIT � � ��i • - SLAB GRADE � FIREPLACE FOU.NDATIO�d ` � ' ' TEMP POWER FIREPLA�E'BOPJD B�APJI �• -� � ' WATER SERVICE ,._ I MID HT. BOND BEAF.9 ' _� ' ROOF SHEATHING ��b�_ e FT. BOND E�EAM., FRAh11NGNENTILIATIOPJ I I I FINAL BOND BEAPA ' ROOF COVER �-1�-�( I _ PRE-GRADING � ROUGH HEATING BENCHING � I ROtJGH ELECTRIC � ROUGH GRADING � ROUGH PLUPJIBING � FINISH GRADING SHOb'VER/TUB TEST POOL ELECTRIC EXT.LATH/SIDING � POOL FENCING VUALL IPJSULATION • � POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIOPJS SEWER FINAL ENG. SEPTIC TANK . . . � ��. LANDSCAPE/IRRIG. SEEP PIT/L.L. ` ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. ;' �L " � � FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC • • • -• DEV.FEES PAID� FINAL PLU��IBING ENERGY J � ' ' - � • , . . . El:i.r4 r.il= elciF �. _� � .� —----- ,.-a,-:___:--..._T.��•.._ - - -- r , , . . . •..�:�, ��., , COMMENTS , � - :� . . , , SEPTIC TANK SIZE SEEP PIT/U SIZE �6 �i�� �� ��� ^I - � . . ., �. ___--_--`�----_�__._...� , . � ,