The URL can be used to link to this page

Home My WebLink About15775 _ \ I �� CITY OF DIAMOND BAR � , DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES : 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 PRESS �'^�' BUILDING PERMTl'APPLICATION FIRMLY. � JOBSITE � DATEICATION NUMB R �� #/ .., /� nf �'�f� � o ADDRESS ��'� �� I /Ai�'DIt � � I—v b V- �" � APN LOT TRACT ISSUE /��/� TYPE � OCC DATE I I �/V CONST. GROUP p OWNER fp�N �hKA�Y� � ADDRESS ZONING SEfBACKS � CITY ZIP TEL. REART RW p APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR ' SIDE ❑ o .ADDRESS PROPOSED USE�7[{7l_Iao _ o CITY ZIP�TEL. Y - . wo ARCH/EN / � DESIGNER C�i.C_ ��AA' a ADDRESS '1 1- , W NO.DWEL. NO. NO. � CITY �d��y3, ZIP i � TEL� _ � UNITS STORIES BEDROOMS cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREA/VALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O I HEREBY AFFlRM UNDEH PENALTV OF PERNHY THA7 I AM E%EMPT FROM THE CON7RAC70R5 LI- GdfeQB/CB�OA W CENSEUWFORTHEFOILOWINOREASON(SEC.7031.SBUSINESSANDPROFESSIONSCADE:ANYCITYOR (n C� COUHTVNMICMREWIRESAPERMRTOCONSTRUCT.ALTER,IMPROVE,DEMOLISH,ORREPAIRANVSTRUG W P8fi0/DBCk NRE,PRIOfl TO ITS ISSUANCE.AL50 REOUIRES THE APPIICANT FOH SUCH PERMIT TO FILE A SIGNED W STATEMENT THAT HE OR SHE IS LICENSED W RSUANT TO THE PROVISIONS OF THE CONTRACTORS LI� w � CENSE UW(CHAPTER Y(COMMENCiNO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PRO- � PooUSpa � FESSpNS00DE)ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDEXEMP- (� � TION.ANY VIOLATION OF SECTION 7031.b BYANV APPLICANT FOR A PERMIT 5U&IECTS THE APPLICANT T0 Z Re-Roof � ACIVIL PENAL7V OF NOT MORE THAN FNE HUNDRED DOLURS(i500).): , � OI,ASOWNEROFTHEPROPERTV,ORMYEMPLOVEESWITHWAGESASTHEIRSOLECAMPENSATION, � COfI1rtlBtCl81 � WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7011,BUSI� J � NESS ANO PHOFESSIONS CODE:TME CANTMCTORS LICENSE UW DOES NOT APPLV TO AN OWNER OF � � PROPERiV N710 BUILDS OR IMPROVES THEREON,AND Nh10 DOES SUCM WORK HIMSELF OR HERSELF OR Q THHOUOM HIS OR HER OWN EMPLOYEES,PROVIDED THAT SUCH IMPROVEMENTS ARE NO7INTENDED OR m � � ,OFFEREDFORSALEIFMOWEVERTHEBUILDINOORIMPROVEMENTISSOLDWITHINONEVEAROFCOMPLE- Z 'TION,THE OWNERAUILDER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR . � IMPROVE FOR THE PURPOS�OF SALE). �y ❑I,/�SOWNEROFTHEPROPERTY,AME%CLUSIVELYCONTRACTINOWfTHLIQENSEDCONTRACTORS [[ TO CONSTHUCT THE PRQIECT(SEC.70M,BUSINESS AND PROFESSIONS CODE:THE CANTMCTORS LI- V81U8}I0� ADJ.AREA � W CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPERTVWHOBUILDSORIMPROVESTHEREON,AND Z VAiOCOHTMC7SFOR5UCHPH0.1ECT5WIT/ACONTMCTOR(S)LICENSEDPURSUAMTOTHECANTMG QUANTITY DESCRIPTION FEE� Y TORS LICENSE UW.). � ❑I AM EXEMPT UNDER SEC. B.8 P.C.FOR THIS REASON Q 3 c> � � DATE OWNER U Z W � LICENSED CONTRACTORS DECLARATION W � I HEREBY AFFIRN UHDEP PENALTY OF PERIURV THAT 1 AM LICENSED UNDER PROVISIONS OF CHA7TER � � Y(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PROFESSIONS CO�E,AND Z �� W UCENSE IS IN NLL FORCE AND EFFECT. m � LICENSE CLASS . (��'a.��IC.NO. ��/ �� j ~ • J WDATE 'I=�� CONTRACTOR 1 d � WORKERS'COMPENSATION DECLAAATION � ¢ � I HEHEBY AFFlRM UNDER PENALTY OF PERIURY ONE OF TNE f-0LLOWING DECI.AMTIONS: � C� Q � 1 NAVE AND N7LL MAINTAIN A CEHTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' 2 � COMPENSAiION,AS PROVIOED BY SECTON 37o00F 7HE UBOH CODE.FOH THE PERFORMANCE W OF THE WOHK FOR WHICH THIS PERMIT IS ISSUEO. � 0 W �I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION Q 7700 OF THE UBOR CODE,FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PEHMIT IS � � ISSUED.MY WOW(ERS'COMPENSATION INSURANCE CARRIER AND POLICV NUMBER ARE: CONSTRUCTION � J � CARRIER PLAN REVIEW 0 POLICV NUMBER ELECTRIC l.J.��,� QZZ � � Q (IFLLSSECf10NNE�NOT8E001.�LETmOF7HEPERMT6FORONEFIU�DREDDOLI?3iS(StOU)ORLESS} PLUMBING ��:.i/'�5�1�-`�� .e.l L:�:i:.�J�' Z 1 CERTIFY THAT IN 7HE PERFORMANCE Of 7HE N'ORK FOR WHICH 7HIS PERMIT IS ISSUED.I MECHANICAL (} SWLLL NOT EMPLOY ANY PERSON IN ANY MANNER SO AS TO BECAME SUBJECT TO THE � N WORKERS'CAMPENSATION LAWS OF CALIFORNIA,AND AGREE TNA7 IF I SHOULD BECOME INSPECTION FEE SU&IECT TO THE WORKERS'COMPENSATION PROVISIONS OF SECTION 97000F THE LABOR (� (�❑ �{/�/�� CADE,ISHALLFORTHWITHCOMPLYWITH7H aowsioNs. ISSUANCE �U�e�' �- � �^�o^`� C lYY."V"1 . .Q ,' � . p DATE:� APPIICANT: SMIP • .. , ��^'a�'^t'tA A� 0 �C�J w �..`.��i'':.,:r�-�-�:��_.: ENERGY P/Ci„.„a - -.� -.• -�*^�^^� J SUBJECT AN EMPLO ER TO CRIM~NAL PENALTOIES AND CML FCNES UP 70 ONE H NDRED HOUSAND � (y-�+��'��i�% ':'�'y ��"v�y a � DOLURS(S7oD,00O),INADDITIONTOTHECOSTOFCOMPENSATION,DAMAGESASPROVIDEDFORIN ENERGYPERIul1T � SEC710N 37oe OF THE LABOR CODE,IN7ERE5T,AND ATTORNEV'S FEES. RETENTION FEE: � OCONSTRUCTION LENDING AGENCY PRE-ALT F�� ` �� '� � I HEREBV AFFIRM UNDER PENALTV OF PERIURY THAT TNERE IS A CANS7RUCTION LENDING AGENCV � � Z FOR THE PERFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED(SEC.3oY7,CIV.C.). n M ➢,!,�/_ - . W �� IENDER'S NAME � � � !_ LENDER'SADORESS � I CERTIFV THAT I HAVE REM THIS APPLICATION AND STA7E THAT 7HE ABOVE INFORMATION IS CARHEC7. TOTAL FE ES � �'�n� � . � w I AGREE TO COMPLV N7TH ALL CITY AND COUNTV ORDINANCES AND STATE UWS REL�TING TO BUILDING ' � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF 7HI5 COUNTY TO ENTER UPON THE ' � ZABOVE�MENTIONED PROPER7Y FOR INSPECTION PURPOSES. COMMENTS � � � �n�� J � m PERAIITTEE NAME(PRINT) . Cn I ' '�a� , . � SIGNA7URE OF PERMITfE DA7E = RECPT.NO. PPJD BY VALIDATION ~ WHIT —DepaAment Copy,YELLOW�inence Copy,PINK—Assessor Capy,GOLDENRO�File Copy,GREEN—Applicant's Copy CI�V OF �8A6i��V�997 �AF� � . 6P�IS��6� If�f��ff�� p• ^ � �• � � •.� .o ;� � "WV�:/�1�� . � . �DW� �o� � 0 0 . SN . ar� .,.-.,n.� . ..c.x-s. �...�_,_, . . . . . . SET BACK + � , _ FLOOR JOIST , . ..-:: � , � � ;<...• �,- _ _. . . FTGS/FORMS/STEE� p��LL � � ' FHA RE�MTS �� ' �LECTRIC GROUND • � UNDER FtQOR DUCT ' GROUND P�UMBING I _ UNDER FLOOR CU�iDUiT �T_'��-r,-�T'�;`�;;,;�.- _ _v .` SLAB GRADE FIREPLAG��Fp�1�ATiON '� � ' ' TEMP POWER FIREPLACE BOND SEAM �� ``'�'; ` _� •� WATER SERVICE MID HT. BOND BEAM ,;,�• ; ,:-..c��.v•,�• . .. •; t , ROOF SHEATHING ` ' � 8 Ff. BQND BEAM, •``• ':-" •"'"�; ''�.;• �•_ �; .a: , :.. , � •j r.._.u... ., FRAMINGNENTILIATION� FINAL �ND B�AM ROOF COVF_R PRE-GRADING ' �`"�::' �' ` ' .`' �--. . ROUGH HEATING BENCHI ,.;�t ,,..,,.,•�. 4 ��• `� � :: �.�;.. ROUGH E�ECTRIC ROUGH GRADING ROUGH P�UMBING FINISH GRADING ^ � SHOWER/TUB TEST POOL ELECTRIC � EXT. LATH/SIDING POOL FENCING �� WALL INSULATION POOL FINAL i CEILING INSULATION OFF SITE IMPS. DRYWAL.L NAILING _ DEDICATIONS SEWER � FINAL ENG. SEPTIC TANK , LANDSC�4PE/IRRlG. SEEP PIT/�.L ``4��c-t� ON SITE IMPS. � GAS AIR TEST FINAL ZONING FINAL CONST. �.-3.� � �'� �, FIRE DEPT. FINA� � � � FINAL HEATING �,�. ? �..:•'�--��•�=-ti � HEAL7H DEPT. FINAL � FINAL ELEC7RIC � DEV. FEES ?AID FIN/�L PLUMBING � ENERGY I � �---- -- '��''�:� � :� . . '�.�� <:i — :h�- . —i' `:.... .. . 'i COM(VIENTS __ �.. ,i.� ., ��3� . �: . �. � ., . , ,';' . �,.;. - ---�-.-:—��-- , .. , ..—�;------------ SEPTIC TANK SIZE ~ ~ SEEP PI�'/U SIZE � -"�-�---- � d ��.(�� }= _ � — � � ]�� '� ��Y - f `� _ { 4 . IT : yt �` 'L r 9 ;� . __ �:rY �,x...�,c + 4,.,,i' " . �e C .;:b �v --- r.Q c �r� ��' �t �� 7��. �s! �;A„ � ' �,�, � ___ ' ' '_ ��+�!° �,,,yDA�i 4�,'y: ��t;� . �� f�4 xy�1 ➢ � '��`'��. f i.�;x t'-�a rz Se`. �. .._. ' .._.__.._.— t � t �4 s'�� c " . '. �� . . �� l l �F�Z'a�.�F' y M� � . t� ��'�� }� � � � ._'_�_'._.._. '�` „� Sr�yt �� . 't"- . � 1 � .., � �.'. � � �., .��. i st�i,K...�1 -�n.• k'k x.. , _ ' . . ..