Loading...
HomeMy WebLinkAbout17702 �� CITY OF DIAMOND BAR � � �i DEPARTMENT OF COAM�fUNTtY&DEVELOPMENT SERVICES 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS `%��' BUILDING PERMIT APPLICATION FIRMLY � JOBSITE t�-` APPLICATION PERMIT P!C o ADDRESS���Y V�� /�I/Q1�.. �IZ-- DATE�G Q Z NUMBER 7�L # c� ISSUE TYPE OCC APN LOT�_ TRACT DATE CONST. GROUP p OWNER � " ADDRES ZONING SETBACKS gCIN ZI TEL REAR RW Q APPLICANT TE SIDE/SIOE STREET RW 0 � CONTRACTOR SIDE ❑ � ADDRE S PROPOSED S o C ZIP TEL. � � � 0 o ARCFUENG/ •,���� � DESIGNER NS�D EL N . d ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD�AEM O p 1 HEREBV AFFIRM UNDfR PENAL7Y OF PERJURV 7HAT I AM EXEIAPT FROM THE COMRACTOfiS LF Garage/Carport W CENSEUWFORTHEFqlOWNOREASON(SEC.7Wt.58U51NESSANDGROFE5510NSCOOE:ANYGTVOR (n U GOUNTYNRIId1REWIRESAPERMRTOCONSTRUCT,IITE0.�P��E,DEMOUSN.ORREPAIHANYSTRUG W PatiolDeck � 7URE,PPIOR TO RS ISSUMlCE,AL50 flE0U1RE5 TME APPUCJWi FOfl SUCN PEP/.11T TO FILE A SIGNED w STATEMENT THAT HE OR SNE IS UCENSED VURSUANf TO 7FIE PROVISIONS OF 7HE CONTRACT01i5 LF � CENSE LAW(CHAPTERY(COMMENCINO WITH SECTION)ODO)OF pIVISION 9 OF THE BUSINESS�ND PRO• � Pool/Spa FESS�ONS COO�ORTNAT NE Oi15HE IS EYEMPT iHEREFROM ANO THE BASIS FOH THE AILE�EO EXEMP• � TION.ANVVIOUTIONOFSECTION7o71.6BVMIYAPPLICANfFORA7ERMIT5U0JECT5THEAPVLICMITM z Re-Roof F ACMLPENALTYOFfpTMOAETHANFNEHUNOREDDOLURS(f500).): � 04�S��EROFTHEPRDPERTY,ORMYEMPLOYEESWITIWAGESASTMEIRSOIECOMPEN5AT10N, � �mmerciat - WiLL DO TME WORK,AND T17E STRUCiURE IS NOT INTENDED OR OFFERED FO(1 SALE ISEG 7oa�,BU51• J � NE55 ANO PROFESSIIXiS CODE:THE CONTMCTORS UCENSE UW DOES NOT A7PLYT0 AN OYYNER OF ? PROPERiYNM1lO BUIIOS OR IMPROVES THEREON,AND WT10 DOES SUCH WORK HIMSEIF W{HERSELF ON � THROUGHHISORNEROWNEMPLOYEES.PROVIOEDTHATSUd11MPROVEMENTSAREHOTINTENOEDOf1 m QOFFEREOiOR3ALE.IF,IIOVIEVERIMEBUILOIN60HMPRDVEMEHTI550LOWtiHINONEYEAfiOFCOMPLE• Z TION,THE OtN1ERAUILDER WILL NAVE iTIE BURDEN OF VROVINO THAT HE OR SNE�ID NOT BUILD OR = IMPROVEFOqTMEPUHPDSEOFSALE} . W OL�40WNEROFiHEPROPEHTI;MIE%ClU51VELYCOMMCTWOWITHLICENSEDCONTMCTORS ¢ TO GONSTRUCT TNE PR0.IECT(SEC.701a,BUSINESS ANO iROFE5510N5 CODE:TME GONTMCTORS LI- V8IU0IIOf1 �ADJ.AREA W CENSELAWOOESNOTMPIYTONiONTlEROFAPROPERTYWMOBUIL080RIMVROVESiT1EREON,AND � WHOCONTRACTSFORSUCHiRQIECTSWITHACONiMCiOR�SjLICENSEUYUfi5UAN770THECON7MG OUANTIN DESCRIPTION FEE � TOHSUCENSEUW.). � O I AA1 E%EIAPT UNDfN SfC. B.t D.C.FOR THIS PEASON U u' �ATE OWNER � Z W � LICENSED CONTRACTORS DECLARATION W � IHEREBVAFFIR4UNOER�ENALTVOFVERIURVTHATI/W�ICENSEOUNDEH7ROV1510NSOFCHADTER �r p„ 0(COUAIENCR1fi WTTH SECTION faoo)OF DNISiON]OF THE BUSINESS AND PROFESSqNS CODE,AND Z X MYUCENSEISINFULLFORCEANOEFFECL m 0 LICENSE CUSS LIC.NO.�� j V DAT�� CONTRACTO n- ... W � WORKERS'COMPENSATION OECLAi7ATION Q = U � IHEPEBYAFFIRNUNDERFENALTYOFGEfUUHYONEOFTMEFOLIOWiN6DECLAH11T10N5: z d � _I/UVEANDW4LAUMTAINACERTIFICATEOFCONSENTTOSE�F•INSl1REFORWC]RNERS' _ COMPENSATION,ASPi10WDEDBYSECTION]7000FTHELABORCODE,FORTHEPERFORMANCE W OF THE WOP.K FOR WHIC11 T111S 7ERMIT IS ISSUED. � � � _IHAVEANDWILLIAAINTAINWORKERS'COMVENSATIONINSURANCE.ASREdUIRE0BV5ECT10N `� Q 07000FTHELABOROODE,FORTHEPERF00.MANCfOFTMEWOpKFORWHICHTH13VERMRI4 /�/' 7 ISSUED.MY WOP RS'COMPENSATqN IN E CA(��8I F�R AND POIICY NUMBER ME: CONSTRUCTION � j GMRIEP____��T�__d����B/ PUN REVIEW � POLICYNUMBER ������1 ELECTRIC p (nuseci�airhmrooTBEmr.�LEimoFnEve%riswaOhEVA�D�EDoalu�sa+oo�aAtFss1. PLUMBING - � Z I CERTIFYTIIAT N T11E PERFORMANCE OF TME WORK FOR WNIGH TNIS VERMIT IS ISSUED,I MECHANICAL � � �""'"'� ' U' SHALLNOt EMFLOYANY PERSON N ANY MANNER SOAS TO BECONE SU&IECTTO TME � � YYON1(ERSCOMPENSATiONUWSOFCAL�FORNItiAND11GREETMATIF15110ULDBECOME INSPECTIONFEE SUBlECTTOTHEWORKENS'COMPENSATIONPROVISqNSOfSECT10N�7000FTMELABOR (, � rj COOE.ISMALLFORTMAnT/COMPLYWITHTF105EPqOVISIONS. ISSUANCE n�� pDATE: APPLICANT. SMIP � � WARNMO:FAILUNETOSECUREWDANERS'COMPENSATqNCOVERAGEISUNLAWFULANDSHALLBE ENERGYP/C +L A^.- � SUBJECTANEMPLOVERTOCRIIAINA�VENALTIESANOCMLFWESIIPMONEFn1NDRE0TH0U5AN0 ENERGYPERMIT �•-�`- OOLURS(f 100.000),IN ADDRION TO TFIE COST OF COMPENSATION,DAMAGES AS�ROVIOED FOR M � SECTqN�70LOF1NElABOfiCOOE,INTEREST,ANDATTORNEVSFEES. RETENTIONFEE: ~ a CONSTFiUCT10N LENDING AGENCY pqE•ALT FEE: O � IHEREBYAFFqMUNOERPENKTYOFPE0.IURYTHATTHEREISACANSTRUCT10NlEN0�NOAGENCV Fdi THE FERFORMANCE OF THE WORK FOR WHICH 7HI5 OERMIT IS ISSVED(SEC.ioY7,CN C.). � � LENDER'S NAME � IENDER'SADORE55 �7 � ICERTIFYTNATIHAYEREADTHISAPOUCllT10NAND5TATETHATTHEABOVENFONAATqNI4CORRECT. TOTAL FEES /7 /. �O w I AGREE t0 COIdPLV WITM ALL GITY ANO COUNiY ORDINANCES MIO STATE UWS REU71N0 TO BU0.DIN6 � CONSTRUCTION,Ml�HEREBYAUi/10RIZEREPRESENTAiIVE50FTMI5LOUNtt70EMERUPONTME Z /�BOYE•NENTIONEOPRO ENTYFORINSPECTIONVURVOSES. COMMENTS � .�--�-�r� _ �ll�E� . m PERMITTEENAME 71HT) ¢ -��� by- � r � SIONANREOFPERMITfEE ` D�TE , . � HECPt NO. � PAID BY VAUDATION WHITE—DepaRment Copy,YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—App�icanCa Copy . f c.; � �. ......... ..-., :�...�.• n�.�.. •:�•u..i -...... . ,'. :::[. . ... � ,:r-�.t -v � .�e,� ., � .. ... .,..T„ . . .. ,......_. , ... .._ . .. .. . . . � ... . , •�'.: .. ..f; . w . CITY OF DIAMOf�D BAR � � lP+�SPEC s I03d RECOR� , �. . ._ . . -. ,, � i.l►"_�-�;����.�G:_. . o�''��� I���l�������� . _. `.1�,���c�'' .�a��1 .°.����� �.Iar��� .�1� I __ .....� .�_w __.� .� _ __________� _.�__ �,� ��m_ , ._. �.�_... w_, _�_ ___. ___V.__ _ ,_ . SET BACK ' . \ ' • � FLOOR JOIST . FTGS/FORMS/STEEL � ' FHA REQPATS ELECTRIC GROUND UNDER FLOOR DUCT • GROUND PLUMBING I UNDER FLOOR.CU�,IDUIT ' SLAB GRADE � FIREPLACE FOUNRATION • � • • TEMP POWER FIREPL'AC�'BONQ 6EAM WATER SERVICE � MiD HT. BOND BEAM � ROOF SHEATHING , 3 ZG'�O �-Z'%�"�' , . . 8 FT. BOND BEAM FRAMINGNENTILIATION � FINAL BOND BEAM ROOF COVER � /,2�aZ, ���{-vs�V'�� PRE-GRADING ROUGH HEATING j BENCHING ROUGH ELECTRiC ROUGH GRADItJG ROUGH PLUMBING FINISH uRADING SHOWER/TUB TEST � POQL ELECTRIC EXT. LATH/SIDING � 'i POOL FENCING WALL INSULATION • ' POOL FINAL i CEILING IN�ULATiON � j OFF SITE IMPS. ' ; • DRYWALL NAILING � C DEDICATIONS • SEWER � � � ; � �INAL ENG. SEPTIC TANK j_ r LANDSCAPElIRRIG. � � SEEP PIT/L.L. E f ON 51TE IMPS. GAS AIR TEST ! + ; FINAL ZONING i FINAL CONST. � ' ' r!RE DEPT. FINA! + FINAL HEATING ( HEALTH DEPT. FINAL FINAL ELECTRIC ! - � ; DEV. FEES PAID FINAL PLUMBING ! ENERGY j I I $j �dQ lG' f"�b C a9.::,..,,>�.�...: - . - . ��.._ �._.v_.._,.._.__..__«___.....,�.__. , _ ._ ._ - - --_ _-- - - __.. � -- _ - --- ._ -._ _ . _ _ COMMENTS i . . - SEPTIC TANK SIZE SEEP PITlU SIZE _ (��. _ '-""I f �4�,��'� i.:+`� , ���! � ` . � .. . I � � - _ �__._ . �r .. .