Loading...
HomeMy WebLinkAbout13-266 (7) • CITY OF DIAMOND BAR � ✓ � ----��— DEPARTMENT OF COMMUIVITY &DEVELOPMENT SERVICES � 21810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Fax(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS �������. BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE ��Jj� Z(D(.�f,� C� DATE CATION I (!� � � NUMBER �—� k/C ADDRESS 7YPE OCC m ISSUE APN LOT TRACT DATE t l� l � CONST. GROUP ¢ OWNER � ZONING SEfBACKS o ADDRESS . z C�7Y ZIP 'TEL. FRONT RW ❑ REAR ❑ o APPLICANT TEL SIDFJSIDE STREEf RW ❑ z � ¢ CONTRACTOR �o�- �'�'`~{ �- �•�.�'��'"� e-� SIDE ❑ ADDRE S Rl 2 ����-✓' �'�w PROPOSED USE � � CITY /K/� ZIP C TEL7�b $�7�'✓'r70' w ARCWENG/ z DESIGNER NO.DWEL. NO. NO. � ADORESS UNITS STORIES BEDROOMS N CITY ZIP TEL � DESCAIPTION S�a7_FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDER DECLAAATION SFR/AD IRE L S O 0 1 HEAEBY AFFliUI UNOEA PENAL7Y OF VE0.AlRV 7HAT I MI E7(FJ.IPT FROM 711E CONTRAGTORS LI- G�g���h W CFNSEUWFORT1EFOlLOW�NGREASONl5EC7o]t.3BU5WE55ANOPHOFE55iON5CO0EANYGTYOR (n U COVHfYWHICHNEOUlAE5A7EiWITTOCONSTAUCi,ALTEFIWPROVE,OE)AOUSH,OflREPNRAHY9TAUG W PatldDed� Z NRE,PRIOR TD RS LSSUANC�NSO REOUIqES THE ADPIICANT FOR SU01 PEAWT TO FlLE A SIGNED w w STATEl1ENT TYUT ME OR SHE LS LICENSED PULISUAH�i0 THE 7ROV1510N5 OF THE CONTiUCTORS LL � CENSE LAW(OUPTER Y(CDAI/IENQNC WfTH SECTION 7000j OF OMSION]OF 7HE BUSWE55 M�O PRO- � PooUSpa � FESS�ONS COOE�OR iHAT HE OH SHE IS EXFIdPTTHEREFROM ANO THE B/Sl5 FOfi TME ALLEGED E%EMP• O El U 710N.ANYVIOIATIONOF5ECf1ON7o]t.58YM1YAPPUCulTFORAPERWTSUBJECTSTHEMPIIGNTTO Z qe-Rool � A CML VE W�LTY OF NOT A/OAE TFIAN FlVE MUNORE-0 OIXLAiiS(SSaol.k . .. Q ❑I,ASOYMEf10FTNEPROPEHiY,OFMYEhIPLOVEESWfiHWAGE9A5THF1R50lECONPEN5AT10N, � �mmercial Z WILL 00 THE WOR1(INO THE STRLGTURE IS NOT IMFNOEO OH OFFFAED FOR SALE(SEG 7W�,BU51- _1 . HE55 ANO PflOFE551ON5 COOE'THE COMiUCTOfiS UCENSE UW DOES NOT AVPIY TO IN OWNEA OF � VfiO➢ERTYVh10BU1L0.50HWPHOVESTHEPEOflANOWHO00E55UCHVMOPI(HWSELFORXEASEIFOR m [[ THfiOUGM HIS OR HER OYM EAIFLOYEES,Pi70VtOEO THAT SUdI IMFROVEAIENTS ARE NOT INTENOED Oi7 w OFFEREDPoRSALEIF,HOWEVERT�'�EBViIOWCORWFROVEA1BfTI5501DWfTHINONEYEAROFCOMPIE � TiON,THE OWNER-BUM1DER YALL HAVE T1iE BUHOEN OF PROYWO iNA7 HE OR SHE DIO NOT BURD OH Z 0.1PROVE FOFl TY1E PURP�SE OF SALE} = OI,ASOWNEAOFT7/EPROPERTY,AAIDfClUSNELYCOHTiUCTPlOVRTTil10Eq5EDCONfRACTORS ¢ 7o CONSTRUCT THE PRUIECT(sEC 7va�.BVSINE55I,NO VROFESSIONS COOE hIE CONTRAGi0ii5 U- ' ValUHtion AOJ.ARFJ� W CENSE UW DOES NOT APPLY TOAN ONT7EA OFA PflOFEATY YhiO 9UILD5 Ofi NIPROVES THEAEOI{ANU = WHOCONTAACiSFORSUO1PRUlECf9YrtTHACOMMGTOR(�LICFNSE�PUASUA1fTTOTHECONTMG Q�Jq�'� DESCRIPTION FEE ~ TORS LICENSE UW.). Y J �l ¢ ❑I MI OCENFT UNOER SEG 8.i 7.0 FOH THIS REASON Q �`7 I � U � � DA7E _ OWNEfi ' U . . Z W i � LJCEIJSED CONTRACTORS DECLAAATION w � � � 1 HEREBY AFFIAAI UNOER PENALTY OF PERAIRY h1AT IAM UCENSFD lFIOEA PRWISIONS OF C/1APTER V, � Y(WAwENGINd YrtTH SECf10N 7000)OF DM510N J Of TNE BVSWE53 AND PROFESSIDNS COOE.AN[1 Z � X 1dY LICENSE ts W FtAL FaiiCE ANo EFFEGT. m �ti L11 � � UCENSE CLASS � � LIC.NO. O . � � j H v o�rE ���0�20 1� corrrrucroa ' �,--.-�-��` a w � WORKEAS'COMPENSATION DEClAF1AT10N v� � � 1 HEREBY AFFIR/A UN�EFl PENAL7Y Of 7ERIUFiY ONE OF THE FOLLOWfNG DEQAMTIONS: Z � _I HAYE ANO WILL HP1HT�1N A CEATIFlGTE OF CONSEM TO SELHNSURE FOR WORKEAS S � � COMPEN5A710N,/S PFONOED BY SECTION Poo OF THE UBOR CO�E fOq THE PEAFON.IANCE W OF T11E WORK FOH VMldi TH73 PEAMIT l3 ISSUED. � � / w _Il1AVEANDWILLMAIMAWWOHKERSCOMPENSATIONWSUMNCE.ASREOUIREDBYSECTION �]✓ O ]70o OF THE UBOR COOE.iOH THE PEAFOFAIINCE OF TNE WORI(FOfl WM01 THIS 7EAA11T IS "�� ISSUED.A1Y WORKFAS cOUPENSAiION INSUMNCE UARIEA ANO POl![.l'NUM9ERARE: CONSTRUC710N J � �w,�, Pvw aenEw , 3 . � POIICY NUMeER ELECTFIIC p �r�Ss�crcNr�IDr+are�apup�ErFnc�n+��rsrcqor�Erna�pu�sRioo�oa�sst PLUMBING �• �EfFD w MECHANICAI �(r Z i CERTIFY TTUT IN TNE PERFOWAMICE OF THE WOiiK FON MM1iI(71 7H�3 PERWT IS LSSUEO.1 (J SH.V1 NOT EHYLo1l I�NY 7ER50N P1 ANY/IMlNEA SOAS 70 6ECaME SU9JECT To 7HE � WORKERS COMPENSATION U'MS OF CALIFORNI/�ANO AOpEE 7HAT IF 1 SNOUID BECOME W SPECTION FEE SUgJECf 7p 7}�E N/oR10EA5 COMPENSATpN PROVI51oN3 OF SEC71oN a7oo Of 7HE U00H � cooE i sruiy wanrmn�couv�v wrtH�aoviswrvs./ ISSUANCE O C ��U p OATE���Ib'"Z O 1�pPLICANT: e SMIP , W ENERGY P/C J WMMN(3:FAIWRE TO SEGVRE W0 COMPENSATI MGE IS UNUMfFUI.ANO BHNL BE � SUfl1ELTAP1fJAPlOVERTO PENPLTIESMIOCIVILFWESWTOONENUN�HEDTKIUSI�NO . �E�jyP�MIT DOLLARS(Slao,000�W IODI710N TO TiE COSf OF COMPENSAiION,OAMAGES ti5 PNOVIOED FOH�N � SECTION 370e Of THE LA80R COOE NRERES7.ANO ATTOfiNEY3 FEEi q�'�7�pN FEE: � OCONSTAUCTION LENOING AGENCY P�RE/-ALT FE � I HEAEBY AfFlRN UNDER PEHALTY OF 7EFLNRY THAT 7HERE IS A CANS7AUC�ION 1EN01N0 AGENCY 4�� FOfl TNE PEAFORMANCE OF TNE WOA1C FOP NTiltl7 7H5 PERFUT IS LSSVE�lSEG]a47.QV.G4 Z W � LENDEFrS N.WE . F— LENDERS AODRE53 . CL ����FY7�{�7��{/�yEqE/ip7WgpYPUCATIONANUSTATET1A77HE�BOVEPIFOAA1A710NISCORRECT. TOTAL FEES " � I AGREE TO COMDIY N77H ALL C1iY ANO COUNiY OFDPIliNCES N�D STATE LAW3 R8ATN6 TO BURDING " � CONSTPUCr10N,IVA HER�Y AUfHOME HEPRESENTATIVES Of Tw5 GOl1NTY TO EMEH UPON THE ZABOVE-MENTIONED PROPEHTY WH WSPECTiON PUHPOSEA COMMENTS � �-` 5�-�-�-�--Z--. � 4 PERAni7EE NAME ZO I—J . � ���� � SIGNA FERMfTTEE DATE � RECPT.NO. . - . PAID BY� VAL1DATfON � WHITE—Department Capy.YELLOW--F§nance Ccpy.PINK—Assessor Copy.GOLDENNOD--File Copy.GREEN—AppllcanCs Copy �t�'•1° �.3� ��#=��u�a...+1'��3 �!�`a$`i ' , y 1`���:���:.'�.; ��'�3't� �a�a,'r'���j 7/''_7 . "'z"`4' , $'��1+A{? ��`T� r �=a+�I �,,� z` R`� �..i�r-f,,p-T�arsr.� ��I `L*:`�.�::�sa.:d � ' �iv� ' x-:� IG �i ��;��l�J Y�. .� ��T! l 1 4�.x.� �"���� . � r `i •L.3��'��/t'`�� ��4{'��.f .G`�`� * � "yt7'".4y,.�'��7,-� �.kF��"'� � „e-o � ��� � m - �:�: l�.,t:...}._.5._i.�".�`,.��._i�='..w �','��.,;C �`:r��. ��>:�yi� :�""3 s�� n s.a '1�`�''Yv ��P p�3, �'��''����-r � �� ���s � � - ..4.', u�-�"ru:..sl�� .�o-x�.��:..��a�'-u.�-�i '+Y�,:�f„�' �Ti.,_. ,�f.��— �: `ip� �:� «�""-:�=��_t._� . �x�--�,�,�e �„f.�;�,i�`-�� �E� E���'K . ---- ---- -4- — --- � �rL00RJGIST � --j--- ---- - - ---- - ---— --- -- - - -�---------_ . . FT:iS;`FOrii41i:�TEEL � I FHP,REQfvIT;� --^----�----- - -�--- ------- -- -- ------------------ -, - ------ --�--- --------- ---..------ - ELE�I�RIC c�ROUi J� � UPJDEP FlOOR pUCT ---�- - - -.._ --- ----- GRGI�i?D FLU��:iBiMi; I f � UNUER Flt�On�Oh1DUIT � ---�— — SL_ti9 GRADE I _ --� FIREPLACE FOUPdGhTIUrd TEtiiF PO'rVCR � FIREFLACE BCtvD BE;;M1 ��!.4TtR�ERVICE __�--�- t�ID HT.BOf�1D BEAN9 H��OF SHEf1THIhaG I 3 FT.BO�dD BEA,NI FRAMIhlG�1EP�ITILA.TION � � a FINAL BO�1D BcANI ROOF COVER � PF�RAOING _ _ _ __ ROUGH HEATIMG __ r BEN�hIPdG ROUGH cLECTRIC � I r�,OUGH GRl;DIN.ri POUGH PLUI`�1QIPdG FINISH GRADING SHOLS,'ER/TUB TEST PGOL ELECTRIC EXT.LATH;SI�ING POOL FE�JCING ��VALL INSULATIO�! FOOI FIrIAL CEILIrdG I�dSULATIO�! CFF SITE IMFS. DRYb�/ALL NAILING ___ �j 0 1 DEDICA.TIONS SE45lER _ -- ___ __ FINAL ENG� ---— —. — SEP7ICTA(`Jh: _ _ LA.NDSCAPEiIRRIG. SEEP PIT,%L.L. ON SIT�IN1P5. � GAS AIRTEST FINAL ZONING fl�lAL CONST. FIRE DEPT.flh•lAL ' FINAL HEATIrlG HEP,LTH DEPT.FINAL FIi�IAL ELECTRIC DFV.FEES PAIO FINP,L PLUNIBING EPdERGY FIN�.L PLANIfJG FIN�.L ENGI�IEERIMG__ I - ___ __ _ _ � . �o� CQMMENTS �.:--�--- .-L�?.- 13 -- - - �- SEPTICTAiVKSIZE SEEP PIT/U SIZE `- -