Loading...
HomeMy WebLinkAbout17714 (19) �,\ CITY OF DIAMOND BAR � � DEPARTMENT OF COMMUMIY&DEVELOPMENT SERVICES � 21825 E.Copley Dcive �"" (909)860-3I95 Fax(909)861•3119 PRESS '"'���'" BUILDINGPERMITAPPLICATION , ��� FIRMLY o� J08SITE ' 1,// �) APPL�CATION -� �UMB R�#� ADDRESS �`� V DATE � APN LOT TRA T ISSUE TYP6 OCC p OWNE�i��V�A� DATE CONST. GROUP "" ADDFiESS�— ZONING SETBACKS Z CITY _ ZIP TEL. FRONT RW ❑ g APPLICANT TEL. R�R O � SIDFJSIDESTREET RW ❑ � CONTRACT • • SIDE ❑ � ADDRESS PAOPOSED USE � CITY ZIP !� TE o ARCWENG/ � DESIGNER NO.DWEL NO. NO. a, ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.Fi: FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFR/ADO/REM O p 1 HEREBV AFFIfUA UNpEH VENALTY OF CE�1RV TW�i 1 MI E%EM�T FROu ME CON7MCTORS L4 GaraOe/Carport W CENSEUWFOqTF1EFOLlOVfINOREA50N(SEG70.1t.68U5ME55M1DPROFE3510N5CODE:ANYCITYOR (n U OOUNTYNMICHREW�RESAPERMITTOCONSTRUCT,ALTER�PROVE.DEIAOUSM.ORREPAIRANYSTRUG W P0li0lD6Ck � TUNE,GRIOR TO ITS ISSUANCE ALSO REOUIRES THE MPUCANT FOR SUCH PERMIT 70 i1LE A SIGNEO W � STATEMEM TXAT HE OR 6HE IS LICENSED PUNSW WT TO THE PROVISIONS OF THE CONfMCTO0.S U- LL � CENSE UW(WMTER Y(COMMENCTI�WITN SECTION 7000�OF DMSqN]OF iNE BUSINESS ANO PNO- PooVSpa FESSqNS COD�OR THAT HE OR SHE 13 E%EMPT THEREFROM AND THE BA514 FOR TNE 14.LE6E0 EXEAIP- � TION./NYYpUTIONOF$ECTiON7W1.6BYANYAPVLICANTFORA7ERMIiSU&ECiSTMEAPPLKaWTTO Z RB•ROOI ApN�PENALTV OF 1qT MOHE THAN FIVE HUNORED OOLURS�f5oal.k 0 OL�SOWNEROFTNEPROPEqTV.ORMYEMPLOYEESWITNWAOESASTHEIfl50LECOMPENSATION, � (`,pmMBfCidl ' Z YNLL DO THE WORK AND 7NE STRUCiURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.)ON,BU51� J N NE55 AND PflOFE5510N5 COOE:TME CONTRACTORS LICENSE UW OOES NOT AVPL1'TO AN OWNER OF � GROCERIV NT70 BUILDS OR MPROVES TMEPEON.ANO WHO DOES SUCH WOqK HiMSELf OR HEFSEIF OR � TNNOUCMMISORHEROK'NEMVIOYEES.PROVIDEDITNTSl7CMMVROVEMENTSMENOTINTEN�EDOR m QOfiEREDFOq5ALE1F,/qWEVER7MEBUiI.DIN60RUAPROYEMENTISSIXDWRHINONEYEAROFCOMPLF Z TIDN.7HE OWNER�BUILDEH NnLL HAVE THE BUFDEN OF PROVW�TMAT ME Ofl SNE DIO NOT BUiID OR = IMPFIOVEFORTIEPVRPOSEOFSAIE�. W O4�ONMENOFiHEPNOPEHiY.AMEXCLUSNELYCONTRl1CTM�N7THlICEN5E000NTMCTOFiS (,� TO CONSTRUCT TNE PRO.IECT(SEG TW�,BUSINESS AND PROFESSIONS CODE:T/1E CONTMCTORS Lb V01Ue11Of1 AQI.AREA W CENSEUWDOE3NOTAPPLYTOMIOWNEROFAGROPEHTYWMOWRDSONIMPqOVEST/1EREON.AN� � 1M�OCOMMCTSFORSUGIPROJECTSMAMACONTMCIOR�S�LICENSEDPURSUANTMTHECONiMF OUANTITY DESCRIPTION FEE . Y TORSLICENSEUW.). ¢ ❑IAMfXEMPTUNDERSEC. B.iV.C.FORiHI5REA50N � � . 3 � � � DATE OWNEN U Z W FQ LIGENSED CONTRACTORS OECLARATION W CL I HEREBYAFFIRAI UNDER PENAITY OFVERNM THATIAM IICENSED UNDER GRON510NS OF CHAP7ER Z � � fI�MENCNOWRNSEGT10N7o0o1�DN13tON]OFTHEBUSINESSANDPfWFES410N500DE,M1U W LICENSE IS IN FULL F E ANO EFFECT. m � LICENSE CU S LIC.N0. � � � V DATE '� � CONTMCTOR ' a W � WOfiKERS'COMPENSATION�ECLARATION ¢ = U � IHEREBYAFiIRAAUNOERPENALTYOFVERRIRYONEOFTHEFOLLOWINaDEClAM710N5: Z Q � _INAVEANDYALLMAMTAINACEHiIFICAiEOFCONSEMTOSELF-INSUAEFORWbRNERS' _ � � CpAPENSATqN,1l5oHOYQ1ED8Y5ECT10N77000FTMELABORCOOE.FORTHEPERFOflMANCE �U OF THE WORK iOii NR1Ip1 THIS PERMtT IS iSSUED. � O _I MAVE�7l�WILL IMMTAIN WOR1(ERS'CO�dPEN5�T10N INSUMNCE.IIS REOUIREO B'/SECTION � J'!oo OF THE IABOR CODE,FON TME iERFORMANCE OF THE WONK FOR WHlpi TMIS VERMIT IS J ISSUED.MY EPS'CdAVENS TION/��{RANCECAR{UERANDGOLICYNUMBENARE: CONSTRUCTION j CARRIER_��� ��i.V PLANFEVIEW � pO�IGyNM1IMBER ��_ - _ ELECTRIC � (M1955ECfI0NNEmN0TBE00A6LEfmOLhEGERMT6fOqONEHI�D(7EDOd.lARSIt�W)ONLE55) PlUM81NG .��C� G Z I CERTIFYTHAT N THE PEAFORMANCE OFTHE WORK FOR WHIpi TH15 PERMIT I5155UED,� MECHANICA� (} SMALINOTEMDLOVANYPER50NINANYMANNER50A5TOBECOMESUBJECTTOiME � � YlOR1(ERS'COMPENSATIONLAWSOFCALIFORNI�,AtAACREETHAi1FI5HOULDBECOME INSPECTIONFEE S 5�18.�ECTiOTHEWORKE0.5'COA/PENSATIDNGROVISIONSOFSECTION71000FTHElABOR � (�t COOE,I SHNl FORniwiTl CO�N'LV WI PR qN3. ISSUANCE �n-� � SMIP p oarE:��vRicarir: � ENERGY P/C WAPNINO:FNIURE TO SECUAE WORKER5 C0IAVENSATIDN[t7VERAGE ISUNUWFUI.AND SHAILBE � SUBJELTMIEMPLOYERTOGRIMWALiENAL7IESANDCMLFwESUPTOONEHUNDREOTMWSAND ENERGYPERMIT OCIUHS(!f 00,000).W ADDITION TO THE COSTOF COYPENSATqN,O�AGES�5 PROVIOEO FOR PI /� ¢ SECTION]70eOFTMEUBORCODE,NTEREST,ANDA7TORNEY5FEE4. RETENTIONFEE: � V� pW., CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O Q IHEREBVAFflRMUNOERPEHK7YOFPEiWRVTHATTHEREISACON57RUCT10NLENDINOAGENCY �Z iOR iHE PERFORMANCE OF 7NE WORK FOR W WCM 1H15 PERMIT IS ISSUEO(SEC.]Oo7,CN.C.). W �Z LENDEH'SNM1E y � LENDEICS�DORE55 W� TOTAL FEES �j�,� 1 CERi1FY THAT 1 HAYE READ THI$APPLICATION ANO STATE THAT iH6 ABOVE INFORMATpN IS CAi1RECT. , � IAGREEiOCOMVLYWITMALLCRYANDCOUNTVORDWANCESANDSUTElANSHELATWOiOBUR0ING � CONSTRUCTION,/WDHEREBYAUT/qRREREFRESENTATNE50FTHI5CWNTYTOENTERUPONiHE . Z ABOVE� NTIONEDCROPERIYFORINSPFCTqNPURPo5E5. COMMENTS 0 ¢ VER1diTTEEN� J 1 � �, /-lG-b Z � SIGNAIUREOFPERMiTfEE D�TE � RECPT.NO. AIO BY VALIDATION WHITE—Department Copy.YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—ApplicanPs Copy ..�........ ....�. F;..�.... .., . . . �t�� ' '.. ..�.ii�.�.,•t'�n��.vL:. • N_.�..P, . . .. .•. .� . . ..� e ,.ti.�,...�t.Jr tr•-i.�•�i'4�.�� �,1'"Iv . . .. . ♦ . ..., - � .. 1 . . . � .. a ... .t � . . . � . . s , - ` . Cf�i'Y OF DIAMOND BAR If�SPEC�"(OP�I RECORD . ._ ..�., . _ .. i ��' ��'���'�' i�3''�= 11��������a � :. �jw�:�,� f t"�f� :. � � , k�;��`��'�;��=� �� � � ..___..�. " '..._�._,..r. � ._._r .! � �F � � _��':�i p.�. _ r SET BACK � -- .: � FLOOR JOIST � ir FTGS/FORMSISTEEL FHA REQMTS � EL:ECTRIC GROUND ( U�dDEFi FLOOR DUCT GROUND PLUMBING lJNDER FLOOR CU��DUIT SLAB GRADE FIREPLACE FOUNDATION - TEMP POWER - I ; � FIREPLACE BONO BEAM WATER SERVICE I i � MID HT. BOND BEAM ROOF SHEATHING � , £3 FT. BOND BEAM ' ' � FRAMING/VENTILIATION I FINAL E30ND BEAM I ' ROOF COVER I PRE-GRADING � ROUGH HEATIN� - I E3ENCHING � ROUGH ELECTRIC I � ROUGH GRADING � ROUGH PLUMBING I FINISH GRADING SHOWER/TUB TEST � POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CE{LING IN�ULATION j OFF SITE IMPS. DRYWALL NAILING � �EDICATIOPJS SEWER FINAL ENG. � SEPTIC TANK LANDSCAPE/IRRIG. j SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONItJG FINAL CONST. � � FIRE D�PT. FINAL FINAL HEATING � HEALTH DEPT. FINAL FINAL ELECTpIC � � � DEV. FEES PAID FINAL PLUMBING � ` I ! ENERGY I 'J'�5f��W�1�1_ �d/�Z- _ ' r ;c�_.. r�� :ioee, COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE (�� =_.:, . 'sy��� i�� ` � _ ; ,, . _ r , '� - .r..._::.��.....:.,�:���._....y......_.... -- - _ _ ' ,