Loading...
HomeMy WebLinkAbout17143 (23) _- . . .. .__ .....------.._.... 2�� .� � J� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��� 21825 E.Copley Drir•e � `���;�� (909)860-3195 Fax(909)861-3117 � PRESS BUILDING PERMIT APPLICATION FIRMLY o ADDR'ESS �702� /YI� DATE CATIO��2, `� � NUMBER I� I`}3 p���� ��3 c� ISSUE TYPE OCC APN---�}- LOT TRACT DATE CONST. GROUP p OWNER _ RU�IlS MA� / ; � " ADDRESS f S/�.1 �Sd�G31 ZONING SETOACKS o CITY �ZIP TE REORT RW ❑O o APPLICANT _,�QbW��.f TE��f�f�� SIDE/SIDESTREET . RW O � CONTRACTOR ` SIDE ❑ ADDHESS � CITY r 4-C.TCJ ZIP �L'�I 4 ���-�_y2+5�, PROPOSED USE w ARCI-UENG/ � DESIGNER ?�I� S .�/dJC� f�,��s:S�� NO.DWEL. NO. NO. a ADDRESS - UNITS STORIES ,,,_,��BEDROOMS � CITY rv11?'�'/''�D ZIP TEL. S- . y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNEFi•BUILDER DECLARATION SFRlADD/}iEM O p I MEREBY AFFIRAI UNDER GENAITY Oi PERNRV THAT I AM E%EMPi FROM iHE CONTMCTORS Lb � Carega.�Carport W CENSEUWFORiHEFOLLOWINOREASON�SEG)0]I.68USiNE55A�DVPAFE5S10N5CODE:ANYGTVOF ZCIXrtJiYWHICHREOUIRESAPERMITTOLONSTRUCT,KTER.IIAPROVE.DEM0U51i.ORREiAIPANYSTRUC• �,�J patio/peck w TURE PRpR tOITS ISSUANCE.�LSO REOUIRES TNE MPL�CANT FOR SUCM GERMiT TO iILE A SICNEO W � STATEAIENT THAT NE OH SHE IS LICENSEU 7URSUANT i0 TME VROViSIONS OF iM[CONTMG70R5 LI� � FESSIDN50 0)E OR7HA7MNMOFISHE SExEMPTiMEREFROOMAtiD'TM BASSFOR711E�:LEG[EXEM�• � POOVSp� V TION./WVVIO{l�iIONOFSECTIONT091.SBVANVAPPI�CANTFORAPERIAITSU&1CCTSiHLAPP�ICANiTO z Re-Roof C�� � A CML DENAL7V OF NOT 110i7E TMAN FIVE/NNDRED DOLLARS�f50C).): � ❑�ASOWNEROFTHEPROPERTY,ORMYEMPLOYEESWITHWAG[5115THEIRSOLEfAMP[NSATqN, � COR1171BfC181 Z W�LL DO iNE WOR1C,AND TM[STRUCTURE IS NOT INTENDEO DH OFFEREO fOR SALE(SEL.70N.BV51• J NE55 AND iROFE55lON5 GOD[:THE CONTMCTORS UCENSE LAW DOES NOTAPPLY TO AN OWNER OF N PROVERTVNTqBU1LD50RrAvpOVESTMEREON.AND'M�OOOESSUCNriT]fiKHIMSELFORHEPSELFOR � C[ TMRWGHMISORMEROMRIEMttOYEES,VROVIDC�TMAT5�ICNIMPFOVEMENTSARENOTWTE�DEDOP � w OFFEREDFORSAIE.IF,NOWEVER7HE8UIlDINOOHM7ROVEN[NTISSOLI)YATM�NDNEYEAROFCOMPLE• 0 TqN.iHE OWNER�BUIIDER WILL NAVE TME BUf7OEN OF PROYWG iF1AT HE OR SHE DID NOT BUILp OH Z MFROVEFORiMEPURPOSEOF5ALE1. _ ❑IASONMEROFTHEVROPERTY./ME%CLUSIVELYCANTMCTINGWiTHUCENSE�CONTMCTOR3 W (� TO CONSTRUCT iHE PROJECT(SEC.70�4 BUS:NESS AND FROFESS�ONS CO�E:T11[CONTRACTORS L6 V0IU3�1OR A0.1.AREA W CENSEUWDOESNOTA7PLTTOANOYMEROFAPRO�ERTYINHOBVRDSOHIMPROVESTHEHEON.AND � WHDCONT{iAGT5FOR5Ud1GRWECTSW�THACONTRACTOR(S�UCENSE�DURSUANTTOTHEfANTMC Q�JANTITY DESCRIPTION FEE Y TORS 110EN5E IAW.). � OIAUE%EYPTUNOERSEC. B.tP.C.FORTNi5PEA50N U � 2 u" D11TE oNMEa V � LICENSED CONTRACTORS DECLARATION �j � IHEREBVAFF10.UVNOEROENAItYOFVENUFYTHAT1Al1�ICENSEDUNDERVROVIS10N50FGHAPTEfl Vr d i(WMMCNCINOWITHSEGTIONTo00)OFDiNSION]OFTXEBUSINESSANDPROFESSiONSCODE,AND � X MYUCENSEISNFULLfORCE/✓�DEFFECT. m LLI � UCENSE CU55[; 3 2 ���.��. G�`�YO�_ j � � onre g'^•a-/—O/ corrrrucTon a w � WORKERS'G061PENSATION DECLARATION a � U � IHCRCBYAFFIMIUNOEAPENALiVOFPE�ON[OFiHEFOLLOWiNGDECLARATCNS. y 2 4 0 IMAVEANDWILL/.WNTAI`lALERTIFIGTEOFCONSENTTOSELF-INSUREFO�K'ORKERS' � � COMPENSATqN.AS PRONOED B�SECTION 710o OF TNE UOOR COOE.FOR THE PEHFORAIANCE W OF711E WORN LOR WHIp17Hi5 PERMIi15155UED. .2 G W ��IH�VENN'MLLMA:MN4WORNERS'COIIPENSATIONINSUMNCE,ASREd11RED8Y5fLiqN �/ � Q �7000FTH[LA80HCAOE.FOflTMEVERFORMANCEOFTMLWORNFORXT1ip1TMI5YERMlT1S 1 f1Q �t � ISSUEO.MYWOfU(ERf�'OOLIPENS�TONINSl1RANCEC�Ff11ERANDPOLICYNU1ABfR�RE: CONSTRUCTION � «� � � CARiUER - � ���� PLAN REVIEW �.� Z POLICV M1u�ER ^a' e�ECTaic Q � �nusccma�mwreEoor.+r�Ermoanevcwartaronv+er�ru�[�oouusp+m�rn�as? PWMBING Z ICCRTIFYTHATPlMEDfRFOi1MANCEOFiMEWORKFONWHICHTNISPERYITI51S5UED.l MECHANICAL (9 SHALLNOTEM7LOYANYPERSON�NANYMANN[fl50A5TOBECOMESV&lECTTOTHE N WORKfRS'COMPENSATIONUWSOFCALIFORNIA,►ND�GREETMATIFISHOl1LDBFCOME INSPECTIONFEE _ SU&IECTTOTNEWORNERS'COA�PENSATIONPROYi510N5 7 7MELA[30A �J[� �� O /C�ODE.�SHALLLORT1MnTNCd.1Pl�W�TMTMOSEPROVIS S. ISSUANCE �� •O p DAiE:7�I'O,L APPLICANT: _ SMIP W ENERGY P/C � WARNiNG:FAIWfi[TOSECURE RKERS'COMPENSATIONCAVEMGEISUNUWFUI.AN�SH�LLBE �y SU0.IECTANENPLOVERTOCRIMiNALPENN.TIESANDCNILFwESU7TOONEMUNOREDT1qU5AND ENERGYPERMIT DOlLARS(f10a.000).N ADOITION TO THE COST OF LOMPENSATqN,DAM�GES AS FRONDED fOR IN � SECTION]]OEOFiHEU00RCODE,W7ERE5T,/WDATTORNEY5FEE5. F{E7ENTIONFEE: ^� d CONSTRUCTION LEN�ING AGENCV PRE•ALT FEE: O Q IHEREBYAFFINIAUNDERPENALIYOFPEfZ1UMTHATTHEREL5ICONSTRUCTIONLEND�NGIIGENCI' d FORTNE7ERPDRMANGEOFTMEN'ORNFORWHICHTMISFE�MiTISI55UED(SEL.30ol,CIV.C.). Z • W � LENOER'SNAME F- lENOER'SPDDAESS /'�,/'� �/-� y\I � ILEH11fVTMAYIMAYEpEADh115��FLIGATpNA4D5TATEiMATiNEABOVENFORMATIONISCOFRECL TOTAL FEES 1 / -1�1 ,�✓�� W IAGREETOCddPLYN7TNALLCITVANOCAUMYO�L7LYhNCE5AND5TATEUWSREUIINCT09U4�ING C�� � � � CONSTRUCTION,ANDMEREBVAUTHORIZEREPRESENTATIVE50FTM5COUNTYTOEMERUVONTHE � Z /�BOVE�AEMIONEDPROPERTYFORINSGECTIONVUFPOSLS. COMM[NTS � .,�- f��G��L1- _ m PERMITTEE NAME(PRINn �e�' N "'O�� C/ Vy cOFPERMITIEE DATE RECP7.�O. PAI�BY VALIOATION � WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—Filo Cepy,GREEN—ApplicanCs Copy . . . . . . . .. .. .. . . .... . ..... _ _ ._......._ - - . . .,. . . . .... . . . . . :a., , �::�... . — .. ; . •.,.T.r.,-, � . . . .. ........ ..... . .. .. , . -- �- .. ._ . ... . _ . ��i�" �F� f�lE�[��C:i�'L� c3:i.[? li�.�F'�a":iG„! l��=G�"���C� -- ..._______^.._._.___-- --- ._ .. . _ _ . _�--- ---- ---_.,...� . ,. , , I►��'�.�=.�. E:[C)►�G f9:.F:f= i►��-�i�:�=". Fe1:{-v----------I��E--�'-.1�- �`.;'��; •_- - .\�- - ��� .1^ - . . � _: .. -�. '� [y.. _ _.__ _. .... .. . .........._.. .. . ._ . . .. ... . . . _.. . . � . �. r.r_: I '1..._ �'�E'e)�t i ... - -. .. ._. . _ . . . ---...._.. . ---- ' SET BAC'!: ; ' ;"Li)OR J:?IS�i � . _. ..__.____._---- - � � ; --- �---- ---- ...----- � FTGS,'FORh9S;STEEL � --.----- -�-- �-- � : I - -- --- —J j FHA REQ^.'i 5 __`I.-------- � ----------- -- -• ELECTR�C GROUND � j � ; UhJD�R �LO�R DUCT � • -- -- - ----�------- ---------- -•--- --`_-- . � .� _...._ GFiOUND PLU?YIBING I � Ut•1D�R FLOOR CUi��GUIT � "j. - SLAE3 GR.ADE �`----�------�----------I I f"IR�F'LF,GE F.OUiJDATlO?� I -• . � • -- TEDAP PO4"JER I !__ _ __ri_; FIREPLACE B�fJD GEAt�S I I i,^JATER S�RVICE � � `". i j ^,1;�HT. �O�dD Q`nr.^ � ; � — _ '_ �' �/� _"""' _ -'.0 � •'_..__ ROOF SHEATH!Nu ��i�.1//_.._.i!C_>_ -�— I I F FT. 60ti: 6E-r,".! _ � �----,,-------- -!— FRAMiNGNENTILIATION� � � I I FI?.AL EOiJrJ E�F,��� _ �_`_ � ROOF COVER �j/oJ�.�� � i FRE-GRl1U��.G � I ROUGH HEP�i ING I � ; T��r!c!{ir:, � � ROUGN ELECTRIC � _ I _ ' __ ' �~ROUGN GF'iADI�J�� � 1 FiOJGH PLUtv1SIiJG � i _' 1 FIhJISFi G�1ADI�JG ------ � r --- SNOL"JER/TUB TEST (� i � POOL ELFCTRIC j � �— EXT.LA7H'SIDING� � ^ I I PQOL FEi�dCiNG � � : 4'lALL I�JSU;.ATIJ�d -�--�--I .-- -----�-i'POO!_F1�.1F,L - - � .� CEILING If�JSUL!`,TIOi� � 1_ _ O�F SITE 1^,'FS I ' —�_�_ DRY1^JALI.NAILIfJG 1 �__ _ �_ �'r_blCr"�TIOi_S j � SE�"JER I I ( FINAL EPJG. SEPTICTANK � j � � LANDSCt1PE/IRRiG. � SEEP PIT/L.L. ! � � T j O��SITE I�."PS. � GAS F,IR T�EST � ( � FIPdAL.Zv��l!JG � I FINAL CONST. � � ! ! F!RE D�r T. FRJ:1!_ FINI'�L H�ATI�'VG � � ,i � HEALTf-i DEPT. FIfJAL FIfJAL ELECTRlC I � I I nEV. FEES P:,ID J FINAL PLUP.981PJG � I � I^( EiJEF�GY � � ��_ -�-•----�----____�-- — ----- � -----1 --- - I----�.�"'� '.�.. '� c... __..__..- � cor,nr�nErv-rs SEP.TIC TANF�SIZE SEEP PITIU SlZE -- — _ -------..rj`�-_._Vw_ •— --- — _ ��t,f _ • 4 � _. _ Z�