HomeMy WebLinkAbout17200 (26) �� �` CITY OF DIAMOND BAR LXPIRED DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES JUN 191Q�2 ,� , �y� 21825 E.Coptey Drive PRESS (909)860-3195 Fax(909)861-3117 "'%�� BUILDINGPERMITAPPLICATION FIRMLY IM r APPLICATION � �, PERMIT P!C o DDR'ESS� ��relr��'1_�1���ia►nond bar DATE�O O� NUMBER � �A � ISSUE TYPE OCC APN G _ LOT TRACT DATE CONST. GROUP p OWNER p ADDRESS ZONING SETBACKS Z CITY .D.�amen ZIP TEL� D FRONT F{W ❑ o APPLICANT TEL.� _ � S DE/SIDE STREET RW ❑ � CONTRACTORun ���� � C � ��._ SIDE ❑ � CITY E,�(QI�� ZIPG'1�',�j�_ TE .q �a� PROPOSEDUSE '��n✓ p�.. -� � w ARCH/ENG/ w DESIGNER NO.DWEL. � NO. vY�-G NO. n. ADDRESS UNITS STORIES BEDROOMS = CITY ZIP TEL. � � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•B111L0EA DECLARATION SFR/ADD/REM O p I HEREBV AFFIRM UN�ER YENALTY OF PERNRV iMAT 1 AM E%EM7T iROM THE CONTRACTORS LI• GaIBgB/CBfpOR W CENSEUWFORTHEFOLLOWIN�REASON(SEC.TO]1.SBUSINESSMlOPROFESSIONSCODE:ANYCI7YOR (n (..) COUNiYWHICHpEOUIRESAPERMITTOCONSTRUCT,ALTERIMPROVE.CEMOL15KORNEPAIRANY5IRUC• W PatiolDeCk Z TURE.GelOfl TO RS LSSl1ANCE,ALSO REOt110.E5 THE A�PIICAMT FO(i SUCH PERMIT TO FILE A SIGNED W STATEMEM TNAi HE OR SHE IS 110ENSED VURSUANT TO THE PROVISIONS O�THE CONTRACTORS L6 W � CENSE UW�CHAPTER Y(COAIMENCM�WITH SECTION 70Do)OF DIVISION]OF THE BUSINE55 M10 PRO- � PoollSpa FESSIONSCOD[�ORTHATHEORSHEISEXE1APTiHEREFROM/UlD7HEBASISFOfITHEAUEGEDEXEMP- � � TION.ANYYIOLATqNOFSECTION70]1.6BVMlYAPPUCNITFORAPERMITSUOJECTSTHEMPLICANTTO Z Re-Roof ' A qVIL VEN/�LTY OF NOT MORE TMAN ffVE MUNORED DOLURS(S50o�.�: Z ❑I.ASOMMEROFTHEPROPERTY,ORMYEMPLOYEESWITNWAGLSASTMEIRSOLECOMPENSATION, 0 COrtlfflefLl3l WILL DO THE WORK,AND THE STRUCTURE IS NOT MTENDED OR OFFERED FOR SALE(SEC.70��,BU51- J N NESS AND PROFESSIONS COOE�.h1E CONTRACTORS LICENSE LA'N DOES N07 APPIV TO AN OWNER Of = VROPERTV VAp BUILDS OH IMPROVES 7NEREON,/W D Vn10 DOES SUCH WORK HIMSELF OR MERSELF OR � THROUGlINISORHEROV�'NEIAVLOYEES,PROVI�EDiHATSl1p1�MPROVEMENTSARENOTWTENOEDOR m w OFFEREDiORSALE.IF,NOWEVERTMEBUILOINGORMPROVEUEN7LS50l.DWITHiNqJEYEAROFCONVLE• 0 TION,TME OWNEF-BUIIDER WILL HAVE TNE BURDEN OF GROVMG TNAT ME OR SNE DID�OT BVI�OR = pAPRWEFORTHEPUFPOSEOFSAIEG w OlA50WNEROFTHEPROPERTY,AME%C�US�VEIYCONTMCTINGWITHLICENSEDCOMMCTORS [[ TO CONSTRVLTTNE PRQIECT(SEC.70N,BUSINCSSAND PROfE5510N5 CODE:THE CONTMCTOFlS U- V3IUBSIOf1 ADJ.AREA W CENSEUWDOESNOTAPPLYTOMJONMEROFIIPROPERTYWHOBUILOSORIMPROVESTHEREON,AND � Yn1000NTMCT5FOR5UG1PR0.1EC75Nn7M11CONTMGTCR(S�UCENSEOGURSU/WTTOTi1ECONTRAG OUANTITY DESCAIPTION FEE Y TOHS IICENSE UW). � O IAM E%EIAPT 11N0ER SEC. B.l P.Q FOR THIS REASON Q � U U. ¢ DATE OWNER V Z W ¢ UCENSEO CONTRACTORS DECLARATION W OC IHEREBYAFFIRMUNDERVENAITYOFOERJURVTHAT1AMlICENSEDUND[RVROVISIONSOFCNAPTER �. d 0(COMMENCINO WITH SECTION 7000)OF DNISqN 30F TNE BUSINESS AND PROFESSIONS CODE,AN� Z X W UCENSE IS W NLL FORCE ANU EFFECT. � LLI a �a �I7 � UCENSE CUSS Q�"/ /L�9 H 1 G LIC.NO. �D�1"�r J V DATE�a�=Q� CONTRACTOR V�Sl. _Q_���_ n- . W � WORKERS'COMPENSATION DECLARATION Q � U � IHEHEBYAFFIRAlUNDERDENALTYOFVEMIRVONEOFTHEFOLLOWiNGOEQAaAiqNS: Z Q � _IHAYEANDWILLMNNTAINACERiIFICATEOFCONSENTTOSELF-INSUREFORWORKERS' _ CAMPENSATION,AS CROYIOE�9Y SECTION 77000F THE LABOR CODE,FOR TNE VERFORMANCE W OF TNE WORK FOR WHICH TMIS 7fRM1T�S ISSUED. � � w IMAYEMlOWIILMNMAINWORKfRS'COMPENSATIONINSUiiM10E,A5RE0UIREDBVSECTION /� /\ /\ '~2 97000FTMEUBORCODE,FORTMEiERFORMANCEOFTHEWORKFORWHICHTHISPERMITIS � � 11 1 � ISSUED.MYWORKEfc�$'FOMP NSATIOry1N5URAN�CARRIERANDiOUCYNUMOERARE: CONSTRUCTION J'(J�� � CANRiER J l, F V� PI.AN FiEV�EW Z vo��'r�uraoEa�]��L�$���� ELECTRIC ¢ � (f1iR5ECIiONNCmNOTBENIN'LEfEDOFTNEPEFe.�T6iOR0�:EFUrDt�EDJ0UA1iS1S+0%OqL6S� PLUMBING Z I LERTIFYTHAT IN TME PERFORIAANCE OF iME WORK FOR W„ICn THiS PENMIT 15155UEU.l' MECHANICAL C7 SHALLNOTEMPLOYANYPEASONINANYMMlNERSOASTOBECO . .IBJECTTO7NE N WORNERS'COMPENSATIONLAWS � LIFORNiAAND .��c�TH .IF5F10ULD8ECOME INSPECTIONFEE s CO EEISHALLFORTHWITHCOMPLYNSTMTv9 E�1 t0 i5ioN5.F. �ION 'oaOFTME .OR ISSUANCE ..�I I�-'�"'I��' ��^� �� ��� �..-.c�' . + O �/� • p DATE: �y�_ APPLICANT. . SMIP � WABNiNC:fALURETOSECUREWORKE :, PENSATpN .IS NUWFUL SHAUBE ENERGYP/C � � �y SUOJECTANE4PLOVERTOCRI�a^IALPENALTIESAN�CMIFWESUPTOONEHUNDR 0 KK15AN0 ENERGYPEAMIT � DOLUiiS(f1ao.Dao�MhDDITONTOTHECOSTOFfA4PEN5AT10N.0AMACESASPR .-OFORIN � S[CiION]]OEOFTHELABOqCODE.WTEHEST,ANDATTORNEV'SFFES. RETENT�ONFEE: ' �'�ir� � _ � pW.. CONS7RUCTION LENDING AGENCY L��"�� � � � � PRE•ALT FEE: O � I NF_REBVAFFIRM UNDER DENALTV OF DERJURV THAT THEHE IS A CONSTRUCTION IENDING AGENCY FOR TME 7ERFORMANCE OF THE WORN FOR WHICH TMIS PERMIT IS ISSUED(SEC.7087,CIV C.�. Z W � LENDER'S NAME � LENDER'SADDAE55 ¢ ICERTIFYTHATIHAVENEADTHISAPPLICRTIONANDSTA7ETMATTXEABOVEWFORM�TIONISfARRECL TOTALFEES 1 l�� � W IACREE7000UVLYN7TNALLCRYANOCOUNTYOIiDINANCE5AND5TATEUWSREUI�NGTOBUILDING � � CONSTRUCTION,ANOMEREBVAUTNORIZEREPaESENTATNE50LTHi5CWNTVTOENTERUFONTHE ZABOVE-MENTIONED PROPERTY FOH WSPE r. uaaos[s. COMMENTS � —� � _ PERMITT�HAME(PRI i) � —O I o'� I (A SIGNA I OF V lMl EE DI1TE � RECPT.h0. . PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLD NR D—Fite Copy.GREEN—Appl�canYs Copy e:���r. .- n 'a.•i•':f�.:l. r:. r� � .. . r � � ..�� ,.r. .. �. .F�,��T.�'Jyl,.v�.�:.t. "4`�.� ..i . ;�I;'. . . . ;.'r.... . . ... .... . ..-, w . . . .. .. - . .. �., ' ci��r oF oi�r��or�� Bwt� � ir�s�=E�c i ior�� ��car�D - ---- ---___.__ � I��-y:�=t�.'�°FII��►''I �!)�'4f=' ,I►'!I-'� '-;+.c,it'�J�� I!�E�i.a_�c..`.r�l��l��! rk��n: (���-y;al�c'^�'c1C{ � ___-----------__.------_� --___.._..__. .___ _ --_.__. _--�. __ ....----------- =-. _ __._._. �---___ _--__--_ SET BACK � � � FLO�R JOISii;.+j , � , ---______�_ FTGS,�FORP�IS/STEEL � � I FHA REQ��.1TS ELECTRIC GROUND UNDER FLOOR DUCT � �. .., GRQUND PLUMBING I UNDER FLOOR GUPdDUIT SLAB GRADE FIREPLA�E FOIJIVDA710N • ' ' � TEMP POWER FIREPLACE�OND BEAM . WATER SERVICE 1 MID HT. BOND gEAh1'' '� ' ' - ' ROOF SHEATHING �S=o1 8 FT. 8011D''�3E;4M ( FRAMINGNENTILIATION � I FINAL BOND BEAM I RO�F COVER ~ PRC-GRADING ROUGN HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING I FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF 51TE IMPS. DRYWALL NAILING DEDICATIOtJS SEWER FINAL ENG. SEPTICTANK . LANDSCAPE/IFIRIG. SEEP PIT/L.L. ' ' ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTFiIC DEV. FEES PAID FINAL PLUMBING ENERGY ..,...._.._�...��.�,�.-.. �j�err` c,�:. tzc.ir. - . . . __ �..__._.____._. . — -= -- • � . __.r-------�----, COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE ---------, 1y� ,►j�� e , , � �