Loading...
HomeMy WebLinkAbout17668 (17) �� _�� CITY OF DIAMOND BAR � i DEPARTMENT OF COIvIIvIUNITY&DEVELOPMENT SERVICES 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS "'-�� BUILDING PERMIT APPLICATION FIRMLY yN, JOBSITE • APPLICATION - I PERMIT P/C o ADDRESSYIb`ibL�t cJrt���_Or Diq �tj-- DATE � f NUMBER��� � � APN LOT TRACT �SSUE TYPE OCC DATE CONST. GROUP p OWNER. " ADDRE ZONING SETBACKS � c gCITY ZIP � TEL. - FRONT RW ❑ APPLICANT TEL. REAR p � SIDE/SIDESTREET RW O � CONTRACTOF ��_ . SIDE p ADDRESS L� � CITY Z� TEL PROPOSED USE I' o ARCH/ENG/ z� DESIGNER NO.DWEL. NO. , NO., a ADDRESS � CEN Z�P TEL UNITS STORIES BEDROOMS � N DESCRIPTION SQ.FT. FACTOR PSF ADJ.ARENVALUATION Q OWNER-BUILDER DECLARATION SFR/ADDIREM O p I MEREBY AFFlRM UNDER PENALiY OF PERIURY THAT 1 AM E%EGPT FROM THE COf1rMCTOHS LM Geffl 0/Ce R W CENSEUWFORTHEFOILOWMOREASON(SEC.70JI.68USp1ES5hNDVROFE5510NSCO0EANYCRYDR (/� 0 � U COUNTYWHICHpEOUIRESAPERAUTTOCONStRUCT,ALTE0.��A�E,OEAIOLWf,ORREVMRANVSiRUC W patiolDeck � TURE,PRION TO RS ISSUANGE.ALSO REOUIRES TNE ADVLICAHT FOR SUC/I PERMIT TO FIIE A SIGNED W � STATEIAEM THAT HE OR St/E IS IICENSEO PURSUANT TO THE PROVIS�ONS OF THE COtdTMCTOfl3lF CENSE UW(G/APiEfi Y(COMMENqN(i WITI SECTION 70Da)OF OIVISION 70F iHE BUSINE54 AND ifl0� �- PooUSpa � FESSIONSCOO�ORTHATMEORSHEISIXEMPTTHEREFHOMANDTMEBASISFO(1iMEAlLEOEDE%EMP• C7 V TION.ANYVpUTqNOFSECTIONTa71.eBVANYA77LICAMFOfiAPERMITSUBJEC73TNEAPPLICANTTO Z Re-Roof A qNL VENALTY OF NOT MORE iW W FIVE HUNOHED DOltM51S500).�: � OlA50VMEROFTHEPROPERTY.ORMYEMPLOYEESWITHWA0E5ASTHEIRSOIECOMVEN5A710N, � Commerciat Z WILL DO iNE WORK�D iHE STRUCTURE IS NOT IMENOED OR OFFERED FOR SALE(SEC.7a�,BUSI- J � NE54 ANO PROFESSION3 CppE:ME CONTRACTORS LICENSE UW DOES NOTAPPLY TO AN OWNER OF � PROVERTV Vhq BUILDS OR MPROVES TIEREON,MlD WHODOES SUp/WOi1K HIMSELF OR HERSELF Oq � THROUGFI HIS OR HERONTI EMPLOYEES,PROVIDEO THATSUCH MPROVEMENTSARE NOT WTENDED OR m 0 OFFEREOFORSDLEIF,MOWE1/ERTMEBUILDINOORIMPROVEMIN;1350L�WfTMMONEYEAROFCOMPIE� Z TION,7ME OwNER�BUILDER WILL HAVE TNE BURDEN OF PROVINO THAT ME OR 6ME D�D NOT BUILD OR = p.1pRDVEFOFiTMER1HPO5EOF51LLE4 w OI,ASOVMEROFTHEPROPERTY.MIE%CLUSNELYCONTMCTINfiWfTHIICENSEDCONTpACTOHS � TO CONSTRUCT THE PfWJECT�SEG 7ot�.BUSME53/w0 PROfE55tON5 CODE:7HE CANTRACTOqS U- VelU3�lOn ADJ.AHEA W LENSEUwDOESNOTA7iLYTOANOWNEROF�PROPERTYWIqBUILD50RIti1PROVESiMEREON,AND � � Vn1000NTMCT5iOR5UpIPiiO.JECTSWITHACANTMCTOR(S)LICENSE07Ui1SUANTMTHECONTRAp QUANTITY DESCRIPTION FEE � TORSUCENSEUwJ. � OIAMEXEMPTUNDEHSEC. B.iP.C.FOHTHISREA50N U � � DA7E OWNER ¢ Z U �Q LICENSED CONTRACTORS DECLAFlATION W fL IHEREBYAFFIN.IUNDEHPENAITYOFPERRIRYTHATIAMLICENSEDUNDERPROYISqNSOFq1MTER � � Y(COMMENqNONATMSECTION10oa)OFDMSION�OFTMEBUSINESSAN�PpOFES5qN5CO0E,iUlD Z �� MYLIGENSE IS N NLL FORCE AND EFFECf. m � UCENSE CUSS LIC.NO. � V OATE CONTMCTOR 6J. W � WORKERS'COMPENSATIONDECLARATION Q • NINEREBYAFi1RAAUNDERPENAITYOFDEfUURYONEOFTHEiOLLOWiNODEttARAT10N5: Z � �IHAVEANOVALLMAINTNNACERTFICATEOFCONSEMTOSELF-MSUREFORWORKERS' _ ,� COMPENSATION,ASVipVpE�BYSEC710N�7000FTHEU80RCODE,FORTHEPERFORMANGE �U Q OFTHEWORKFORVMICHTHISPERMITISISSUED. � W L1_IHAVEANOVnLLMARRNNWORKERS'COMPEN9ATpNINSUMNCE,ASREOUIFEDBYSEGi10N /� Q � 9700 OF THE LABOH COOE,FOFI TME PERFORMANCE OF THE WORK FOR WMICH TMIS PERMIT IS G� / � ISSUED.MYWOfiKERS'COMpj01SATION�RAN ARRIERAN DOIICYNUMBERME CONSTHUCTION n v [i� !l{J\ � GRRIER PLAN REVIEW � POLICVNUMBER_`�.J{��'� Z ELECTFUC ¢ � (MSSEGTIDNNEmNOT8E00MREfmOF7)EPER�Ti6W(+a�tEll.�EDOatui5lf�a�OaLEssy PLUMBING W Z I CERTIFV THAT W T1E PERFOHMANCE OFTHE WORK FOR WHlp/TNIS VERUIT IS ISSUED,1 AAECHANICAL C7 SHALLNO7EMPLOYANVFERSONINANYMANNERSOASTOBECOMESUBJECTTOTHE (/� WORKERSCDMPENSATqNUW50FCALIFOPoJt^MlOAGREETMATIFISMOULDBECOME INSPECTIONFEE � SUBJECT TO THE WORKERS'COMPENSATqN VROYI510NS OF SECTION 77000F TNE UBOR �j COOE.ISHMLFORTHWITiCOMPLYWITHTHD vaohsans ISSUANCE _ p DAiE:����,.�APPLICANT: ��`�+�_ SMIP __ V� Q � ENERGY P!C WARNINO:FAILUflE M SECUHE WO/uCEflS'NMPENSATION COVERAGE IS UNUWFUL,AND SHALLpE � SUBJECTANEMGLOYERTOCRIMINALPENALTIESANDCMLFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT OOUARS(Sl 00.000�,IN ADDITtON TO TME COST OF COMPENSATqN,DAMAGES AS PROVIDEO FOR N � J SECTION�70lOFTHELABORCOOE.INTEREST,ANDIITTORNEYSfEES. oC RETENT�ON FEE: ( . � CONSTRUCT�ON LENDING AGENCY PHE•ALT FEE: � IHEREBYAFFlRMIdi�ERPENALTYOFPE0.NFYTHl1TTHEREISACONSTRUCTIOHLENOWOAGENCV FOR THE PEPFONMANCE OFTHE WORK FOR WHICH TNtS FERIAIT IS ISSUED(SEC.SaV7,CIV.C.�. � � LENOER'S N�/AE � IENDEt#SAOORESS � ICERTIFYTHpTIHAVEREADTNISAFFLICATIONANDSTATET1iATTNEABOVEINFORMATIONISCORRECL TOTAL FEES � � ^� /� pW,,, IIWREE TO COMPLY MATN ALL GTY M1D COUNTY ORDINANCES M1D STATE UWS RELATIN6 TO BUi�INO J ( � CONSTRUCTION.AND HEREBV AUiF10RRE REVRESENTAiNES OF THIS COUNTV f0 EMER UPON THE Z ABOVE•1AENTIONEDiROCERTYFORINSPECT10NiURVO5E5. 0 . _ COMMENTS m PERM E�-/�� N Ci1�� �J'��q�Q-�-, ' (n SiG T OATE � RECPT.N0. PA�D BY VALIDATION WHITE—Department Capy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy N,.�. ..'i�.. .+�. . .�,.. . -. ...__S._ .,n..� . " ,-...yti�..,p�t.."l'�'�i'•el�:i?)b�\ y�.�'Cti3��..A4`.(.'ar�+.'�-"�•:f.�'•n. ... . . ,... .�r ,-- ..'�r�rt�,.nt'?��'.:n.au,.:•l�.:•a^F'�d:�:�,.<�.. � CITY OF DIANGfJND BAR iN�PEC�"ION RECURD .i����..��1�;J,��...� I"/`�.�� '�I.rS`�il'�'S��'�JM! . .. . '.11�j`�r��1 d�l� ��,F-- . .. ':.f.^.Y� - ����i��,�.'+� SET BACK � � ���J��� ' V� FLOORJOIST: ;, I y •� FTGS/FORMS/STEEL I FHA REQMTS ELECTRIC GROUND � ' UNDER FLOOR DUCT GROUND PLUMBING UNDER FL.00R CUPIDUIT � , , �,. I. � SLAB GRADE FIREPL'AC� FOUNDRTION '� •' � TEMP POVJER FIREPLACE BOPJD BEAM WATER SERVICE I MID HT. 80ND BEAPJI - ROOF SHEATHING _i s����/�/.�-- ' 8 FL BOND BEAM. , ' .; • FRAMINGNENTILIATION _ _ -$-�� _ I � FINAL BOND BEAM ROOF COVER ��c/ 6� � PRE-GRADING ( ROUGH HEATING � I BENCHING � ROUGH ELECTRIC I � ROUGH GRADING � ROUGH PLUMBING I � I I FINISH GRADING � SHOWER/TUB TES7 � j POOL ELECTRIG EXT_ LATH/SIDING ( i ' POOL FENCING � WALL INSULATION POOL FINAL I CEILING IN�ULATION � OFF SITE IMPS. DRYWALL NAILWG I �EDICATIONS SEWER ' i � FINAL ENG. SEPTICTANK � I � LANDSCAPE/IRRIG. SEEP PIT/LL. � I ' ; ON SITE IMPS. GAS AIR TEST j � FINAL ZONING FINAL CONST. � � FlRE DEPT. FINAL FIPJAL HEATING � I j HEALTH DEPT. FINAL FIIJAL ELECTRIC j ! i ; DEV. FEES PAID � FINAL PLUMBING I i ENERGY i I i � j �c �- �a;n �SR�c ri . . , , , , . r.��,�,.� � . —- - — - - ... -._-- -..- -- . . . . CUMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE ��� � . s :� ����� ��j �a� ,a.........�_ �►�,4- --� . ' , ,