HomeMy WebLinkAbout1493 (19)' CITY OF DIAMOND BAR PRESS
DEPARTMENT OF BUILDING AND SAFETY
BUILDING PERMIT FIRMLY
JOBSITEAPPLICATION
ADDRESS -I _
PERMIT SE
DATE Q� NUMBER _CODE
TYPE
DATE '+ �! CONST. GROUP
APN LOT TRACT
CROSS STREET wA-e- lZy7`- lin •
OWNERX. v
ZONING SETBACKS waiep' WNrs
FRONT RW ❑
ADDRESSI iie III ✓
REAR ❑
CIT ZIP O/ TE9P.L x0i
SIDE/SIDE STREET RW El—
APPLICANT TEL?
APPLICANT
SIDE ❑
CONTRACTOR r
' - ll
ADDR�S ! �' �
CITYjyA'rU o4'7' B ZIP ,TEL
LILSTAT UMBER '— I 2
SEWAGE ❑ PUBLIC PMT #
DISPOSAL 1:1PRIVATE SO. FT./ 100 GAL.
:`.
+
Sr��JQS GRADING ❑ CU. YDS. EXC. y CU YDS FILL
Cl)
W
TYPE I SID FT FACTOR PSF. ADJ. A EANALUATION '
1 3 tea
ARCH/ENG/
DESIGNER ����
ADDRESS /gJSa AW 6'422 "Llk tBLA"� ��%
2
CITY-4-U/M Zl�r� TET
. 3 , _ y _ —
,_ —
PROPOSED USE ' '
Z
4
�_
GARAGE
NO. DWEL. NO. NO.
UNITS STORIESJ— BEDROOMS N
LOT DIMENSIONS
PORCH .
m
VALUATION ADJ. AREA
QUANTITY DESCRIPTION FEE
NO. OF BLDGS HOW
ON LOT USEDD�N%'PlKsJL
a
LICENSED CONTRACTORS DECLARATION. 1 hereby affirm that I am formed under prarisions of Chapter 9 (caronencirg
with Sacnw 7000) at Division 3 of the Business and Professions Cade, and my license is in lull force and dfecs
F -
C7
W
El
OIVNER BUILDER DECLARATION 1 hereby dhrm that 1 am 9—al Ilam IN Contractor's License law for the following
stn
reason (Sec 7031 S. Business sed Professions Code AM City Of catty which fell A panic Am Canrcl
aIle, ..prove, demolish, a ", any stroc"ne, prior to its asWnee. Also erguees the sPPIKwt fat such panni
to file a signed statement that he is licensed pursuant m the provisions d Me Contractor's license Law [Chapter
9 fcommemmng with Section 70001 at Division 3 of the Business and Profession Code) a that he s straits Mrefnom
and the basis fa, Me alleged erzmphon. Arty violation of Section 70315 by any applicant fa a termini subects
she applicant to a evil penalty of not more than five hundred dollars IS50011.
1:11, as mm, of the property, 0' my rnFloyets with wages as Mar sale compensation, vi do me work, and
the suucloe s not intended ar offered fa sale (Sec 7044. Business and P,olesswns Cale The Contractor's License
Law does mt All to an ower of property who builds a enprwes threw, and who does such work himself,
at thraurh his own employees. provided that such anprovements we net intended a offered for two If, however,
tho burdmg a improvemenl is sold within ane Yea of completion, the owner bwlda wit have the burden of Waving
Mat he did not bukl a wprove for The purpose at safe I
❑I. is owner of the prOi am ascklsiveN eonbaneg with licensed contractors to canitirct the poled (Sec
i 7044. Business and Professwns Code The Convector's License taw does not apply to an owner of property who
builds or improves threw, and who contracts lar arch protects with a contracta(s) licensed pursuant m Me Cmvaetol
Leense law L
E7
Z
m
A
'
M
-j
CL
Q
'U
- Z
Q
_
W
! 1
CONSTRUCTION 1
r ❑ I am etempt under Sec . B b P.C.IAttach Cerbleatel.
PLAN REVIEW
°oreOwnerELECTRIC
J
PLUMBING
MECHANICAL
f MRKERS' COMPENSATION DECLARATION I hereby affirm that I have a certificate of ""sent ea "'1 .sure. a
a terbhure of V*,ki Compermatm Ins Ancef, or a catdKd copy threat (Sec 3800, Lab. C.1.
i
❑ eenulKd taps is hereby IwnrslKd
i❑ Certified copy is filed with Me Building Inspeenw Department o Deportment.
Q
GRA NG
i CERTIFICATE Of FyfMPTION FROM IpARKERS' COMPENSATION INSURANCE. This wt. need tot De connotedN`^
I the permit is for one hundred (SIDE) or less 1 certify slut in the performance of Me work fon which this
- perm s sued, I Mag rot employ arty person in arty manner so as to biome sublect to the Nhrkai Compensalm
Laws of Callorme
> y-r�
> Care i' Applicant
' N(1TCF TO APPLICANT. n, after iriakmp ths CertflKate Yif feemptwn, you should became >t6Kct m dere Yiwker's
Compmsatiw provisions of the Labor Code. you must twth-Ah comply with such provisions or this Forme Shap
W
LL
Q
S 1 7
PARK FEE
SCHOOL FEES
be deemed revoked
' DIVISION OF INDUSTRIAL SAEF rill �tg41FIOAACN r
a ��1� Kt t4;le lJ
� Of hreby tertAy that hwtwn Ihg ISI ac mea Teel in depth into which a genes is required to descei
will be made An cwnetlm with work aulhaited by the permit, and lost no building structure, scafloNmg, tals"ork,
a demabnm or dsmwtarq threat, will be more than thrty, sie,(36).hel high. (Chap 3.2, Grp 2, Art 2, Sr:
341. Tide 8.0ACI CITY O. D.;",',.,. to c:r- M
.
= ❑As owner-bwlde l'`wii moi,!mDloy.wym La �a work wtiK .Id rpuire a paint hoe IM Division d
- Industrial Safety. as noted above, unless such arson has A germs to do such wok Nom tae drinon.
❑Di'e'm of Industrial Sate" permits No.
TOTAL FEES It
KY Won +KY he the FactormarKs
CONSTRUCTION LENOMIG AGENCY. I hereby affirm that dwo is A twSbrcim8W
of the work fee which lois perms i; issued (Sec. 3091, Civ C.).
tender's Now
lender's Address
COMMENTS
d URTIFICATE OF COMPLIANCE AND AUTMRZATIDII OF ENTRY. I c waft' I have mad this sem lcatiw and par
ti
that the .lamas. given b eared I cyte to ply with a1 state laws and city ordiruacn mobling m building
o sOfwthonire a aprtRntahrt Oepalmwt d BuiWag and SahtY m wain spun iM papery
pal' a this ge 1w ice d m.trg nsprowl.
/L- e
-
RECPT NO. PAtD BY VALIDATION BS
s .
Signal., d t er Agent Oele
WHITE -Department Copy' YELLOW -Finance Copy, PINK -Assessor Copy, GOLDENROD -File Copy, GREEN- Applicants Copy
(fi t ii .S.PEC I.101 �C i
+ � �• _.��+'\ '!r {,.re •*ia' '{! r,r r�^yy �. yy`,. m 1•-.y..4.r. rsww.w.+a+ .,-....y r•p�+..�.w�.•.*^�a+-a.n+.,....�*.�.r
w...�0}1-rlsC f �?1 ., i l u:v �. l�fi F�'��' p ► ...
r . r r;Fi„r( j ! . I ► FLO/OR JOISTS ,
---..................._..__
.-El_CTC_ t I Iv G Jt.D Ili; DER FLOOR U€J:� r t.
.....
r ,0U ;i) PLARilDINIGGC)NDU 7 j — --- --
SC aC GnADEf lia�'�P t!; �Uhlr)F.TIUrti
:._...._...................... I.. ....................
-- ....ti_•.-- -� _ _-- — ----' _ —___ - -
'- —__.........._._..__......_._.........__....___ - - - - -
t. .
A
FtFtcf'LACE•I3.. D FA.:h.
........_.......... _
VIA,H : SEl3L'I €=
_.__..__......,__._._.._....._......................................_............_...:....... - - - _ �.____...........__......._._................._...... _
I
Ir•700l SHEAl11rdG I ! I`GF7- F�_RJEsf
Fr A tyU E EIt AI'IJ: ,. _
REAM
���F s sr r r�
t......... ._...,. —_._._ i --
OF G `VE
I, L,. �.C, i i I PR FADING 1 .
... ._..._,._.___.....__........ ... .............. .. _ ._,_`-"_____ _ .. ...._ ._.._.. _.....____ ... __..._.-__.�
J :[i r'it r�Tiir i j _i__ ...' ;=NCI IG' m
:f_C .IE'7iti'. _I _ -.' S S. I IN
..-.------..._.....__....._........_ ... .. _._ ...- ..... _ - - --- -
fiU i GF7A�J ..�
r ) GiPLU` flJ _- _-.—
r( € <i:.51�Vt7 i �.�.. Ev-i fT �..�.7
-t- I
' 3AB 9 Zoe • • _� Z� --- - -- - - -
r i t I +. 1 I { >ttilidtj' fC)L. f- E NC,Ia
WALL INSULA: 1001P(� 7i '
__ 6I1�
. - - - i
;4'7 ........ _ l
GEILI I SUC.F,TI 3;� ; q- • �C._ OFF .S' 1 f: I* r'S — - — ”- - _---
r•��
tY
_.__...__ NAILING ___...-.•___ �_ //�, - I. DLUICA IvJ
r
SFP T'IC TANK LAPJD5Cr1;�F:;IRRE^.-• l.' _ —...
........._.........__........_,—.............. ....._.................._.._..---...--•---........_._._ _.._...__... ----------'— - --- --- -
;_. ----
CiFEP PRVI...L j ON SITF I"9PS. '
GAS AUR _PE ST :__..............
_. FINIAL CONST. -- �FIRE DEPT, -FINAL �__-_.-------------_----
-._..�..,I
-' —'-
[ FINAL-EiEA r1„G j— . I HEEALT! I DEPT. FI'NAL — --- - -
t NAL ELECT f31C I _ I
......_....._.
I n __.._. F.E..ES.PAID
..__ _-- __.' _c...__-'-- - -----------..-.---'- '-”—
--'-- FINAL PLUMBING -Y
....... ....... ---- ......... _.__.............
- - ----------.._...._:..... _......_......... ....
------___....------..--- ____-
-'--•_.�I
__.___....._..._._._..._..._.. ._.___._. �..,—__.___......_.__.f _.......__.____._ __._...__............... .._.�
i
7
4._....._..._....—.._._....__........_._.....___._�..
�'"