The URL can be used to link to this page

Home My WebLink About15642 (22) -- i _�� CITY OF DIAMOND BAR � EXPIRED DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ' a i�o E.coPiey nri�e s,��i90 J U N 17 2002 (909)860-3195 Fax(909)861-3117 � PRES$ �-`TM�� BUILDING PERMTT APPLICATION FIRMLY o DDRiESS L I \�ZS ��N� � ��SN L� DATE CATION � � � NUMBER� P/C $ ISSUE TYPE OCC I APN LOT TRACT DATE CONST. GROUP p OWNER ��1 fl � S � ADDR SS � �� 17 1..�' ZONING SETBACKS Z CITY � - C�A� ZIP 1 TEL.Q�1 '76 REART RW ❑ g APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR O�lJ P Q_ lJU 11..�� SIDE ❑ Q ADDRESS ROPOSED USE ��RQ. 'OF�. l��D �i-�R��CE 0 CITY ZIP TEL. / 1 tJS�� tITE��- C)C� �C wo ARCH/ENG/ IJS RL!` L -- � DESIGNER ADDRESS NO.DWEL. NO. � -Q � �1 � CITY ZIP TEL. UNITS STORIES BEDROOMS � y DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREA/VALUATION ¢ OWNER-BUILDER DECLARATION SFR/ADD/REM O 0 1 HEREBY AFFlRM UNDER PENALTV OF PERRIRV THAT 1 MI ExEMPT FROM THE CONTMCTORS LI- GefeJ6/C3fPOft W CENSEUW WRTHEFOILOWINOREASON(SEC.7031.SBUSINESSANDPROFESSIONSCODE:ANYCI7VOR (n U COUNTYNMICHREIXIIRESAPERMRTOCONSTRUCT,AITERIMPROVE,DEMOLISH,ORREPAIRANVSTRUC- W Patio/Deck lURE.PRpR TO ITS ISSUANCE,ALSO REIXIIRES THE APPLICANT fOR SUCH PERMIT TO FILE A SIGNED w STATEMENT hiAT HE OR SHE IS LICENSED PURSUANT TO 7HE PROVISIONS OF THE CONTRAC70R5 LI- W � CENSE UW(CHAPTEfi 0(COMMENCINO WITH SECTION 7000)OF DIVISION 3 OF THE BUSINESS AND PNO- � POOVSpB FESSqNS CODE)OR THAT HE Ofl SHE IS EXEMPT THEREFROM AND THE BASIS FOR THE ALLEGED EXEMP- TION.ANY VqLATpN OF SECTION 7031.5 BY ANV APPIICANT FOR A PERMI75U&IECTS THE APPLICANT TO Z Re-Roof �p � ACIVIL PENALTV OF NOT MORE THAN FIVE HUNORED DOLURS(i5ao).�: � ❑I,ASOWNEROFTHEPROPERTV,ORMVEMPLOVEESWITHWAGESASTHEIRSOLECOMPENSA710N, � Commercial — NALL DO THE WORK AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7ou,8U51- J � NESS AND PROFESSIONS CODE:THE CONTRACTORS LICENSE UW DOES NOT APPLY TO AN OWNER OF � PROPERTY NM1IO BUILDS OR IMPROVES THEREON,AND NR10 DOES SUCH WORK HIMSELF OR HERSEIF Oq Q iHROUGH HIS OR HER ONM EMPLOYEES,PROVIDED THAT SUCN IMPROVEMENTS ARE NOT INTENDED OR m � ,OFFEREDPDR3ALEIF,HOWEVEil7HE8UILDINOORIMPROVEMENTI550LDWITHINONEVEAROFCOMP�E- Z �TION,THE OWNER�BUIIDER WILL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUILD OR � IMPROVE FOR THE PURPOSE OF SALE). w ❑I,ASOYYNEROFh1EPHOPEHf1;AMEXCLU5IVELYCONTRACTINGWI7HLICENSEDCONTRACTORS ,� Q TO CONSTRUCT THE PRQIEC7(SEC.1os1,BUSINESS AND PROFESSIONS CODE:THE CONTMCTORS LI- V81U8fI011 ADJ.AREA W CENSE LAW DOES NOTAPPIY TOAN OWNER OF A PROPERTY N710 BUILDS OR IMPROVES THEREON,AND � NTiOCONTMCTSFORSUCNPRQ1EC75WI7HACONfRACTOR(S)LICENSEDPURSUMfT70THECONTMG QUANTITY DESCRIPTION FEE � TORS LICENSE UW.). � �AM E%EMPT UNDER SEC. 8.8 P.C.FOR THIS REASON Q 3 � � ��1 M _ o� DATE ��/' `lAJ ONMEH� �7� W Z � LICENSED CONTRACTORS DECLARATION W � I HEREBYAFFIRM UNDER PENALTY OF PERJURY THAT I AM LICENSED UNDER PROVISIONS OF CHAPTER � � Y(COMMENCiNO WITH SECTqN 7000)OF DIVISION 9 OF THE BUSINESS AND PROFESSIONS CODE,AND Z MY LICENSE IS IN FULL FORCE AND EFFEC7, m LLI O � � LICENSE CUSS LIC.NO. � � J V DATE CONTRACTOR d W � � WOFiKERS'COMPENSATION DECLARATION , � Q NI HEREBY AFFIRM UNDER PEN�LTV OF PERIURY ONE OF THE f-0LLOWING DECLARATIONS: Z Q � _I HAVE AND WILL MAINT/JN A CERTIFICATE OF CONSENT TO SELF-INSURE FOR WORKERS' _ COMPENSATION,AS PROVIDED BY SECTION 370o OF THE LABOR CADE,FOR THE PERFORMANCE U Q OF THE WORK FOR WHICH THIS PERMI7IS ISSUEO. � � I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS REOUIRED BV SECTION /.� `� /� Q 370o OF 7HE UBOR CODE,FOR THE PERFORMMICE OF THE WORN FOR WHICH THIS PERMIT IS � U ISSUED.MY WORKERS'COMPENSATION INSURANCE CARRIEP AND POLICY NUMBER ARE: CONSTRUCTION ��c• jCMRIER PLAN REVIEW � VOLICYNUMBER ELECTRIC � (fHFSECIIONNE�NOT8E00h�LETIDOFhEPEAXfLSFORONEMJ1iJFiFDDOLUAS(5100)ORIESS} PLUMBING W Z I CERTIFV THAT IN THE PEHFORMANCE OF THE WORK FOR WHICH THIS PERMIT IS ISSUED,I MECHANICAL �}'� SHALL NOT EMPLOY ANY PERSON IN ANV MANNER SO AS TO BECAME SUBJECT TO THE }'7� n � WORKERS'COMPENSATION UWS Of CALIFORNI/1 AND AGREE THAT IF I SHOULD BECOME INSPECTION FEE �V r.c 1 S�rP"' ll � SUBJECT TO THE WORI(ERS'COMPENSATION PROVISIONS OF SECTION 37000F THE LABOR {1� e('��f� �t S CODE,i SHAl1 FORTHWITH COMPLV WITH 7HOSE PROVISIONS. ISSUANCE -�� SMIP ( � p DATE: APPLICANT; nY . w ENERGY P/C O�• ^ n � �� J WARNINO:FAILURE TO SECURE WORKERS'CAMPENSATION CAVERAGE IS UNUWFUL,AND SHALL BE � �� V,� � SU&IECT AN EMPLOVER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND ENERGY PERWIIT DOLURS(i1a0,o00).IN PDDITION TO THE COST Of COMPENSATqN,DAMAGES AS PROVIDED FOR IN �.��,t.,�,t��q }�� d J SEC7qN 37oe Of hIE LABOR CODE.INTEHEST,ANO ATfOFWEPS FEES. - RETENTION FEE:� p �1�1 LJ B Fi TP a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: �J��U rl-��S�+" +�1'FT O _ " � I HEREBV AFFIAM UNDER GENALTY OF PERJURV THAT THERE IS A CONSTRUCTION LENDING AGENCY � FOR THF PERFORMANCE OF THE WOHK FOR WHICH THIS PERMI7IS ISSUED(SEC.3087,CIV.C.), - � Z W � LENDER'S NAME F= LENDER'SADDHESS � � � I CEHIIFY THAT I HAVE READ THIS APPLICATION AND STATE THAT THE ABOVE INFOPMATION IS CORRECT. TOTAL FEES { w I AGREE 70 COMPLY WITH ALL CI7Y AND CAUNTV ORDINANCES ANO STATE LAWS REUTING TO BUILDING � CONSTRUCTION,AND HEREBV AUTHORIZE REPRESENTATIVES OF THIS COUNTV TO ENTER UPON THE ZABOVE•MENTIONED VROPERTV FOR INSPECTION PURPOSES. COMMENTS � � � Sclv�, �Q4'�ST CMAc..�Gf' m ERMITTEE NAME(� ) (� ' cn � �.n�.�i�.�we-�� l u-IF ".2 OU c� � Uj SIONATUREOF RMIT7EE DATE = RECPT.NO. PAID BY VALIDATION ~ WHITE—De artment Co YELLOW--Finance Ca PINK—Assessor Co GOLDENROD--File Co GREEN—Applicant's Co P PY� PY. PY� PY. �' . . . , .. . , , . — .-� ... ,., , . . .� 4. • �. . . � p./� II 1f �� WIAHII�UCI� �/Ydd'�G . 8�1Sf�fE��O�f�i (�l��ff�� _. , . � n . � ,. � - ,; (y� _ . ,,. _ w t t �� '� dlfU � � �� '' ° � `,,r �° � � ;m i� ' �� SET BACK I FLOOR JOIST FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT .._ , ._._� -- - --�.___ _. GROUND PLUMBING � UNDER FLOUR�t7P��t�UIT ' ' � - --- _ _ .._ ...... SLAB GRADE FIRERLAGE F(�UNDATION ' ___.__.— TEMP POWER , FIREPLACE BOND BEAM WATER SERVICE MID HT. BOND BEAM � __ ROOF SHEATHING ��. _ 8 FT'. BOND BEAM � FRAMfNGNENTILIATION FINAL BOND BEAM � ROOF COVF_R :•.� PRE-GRADING ROUGH HEATING BENCHING FiOUGH E�ECTFi1C ROUGH GRADING ROUGH PLUN181NG I FIt�ISH GRADING SHOWEI��fUB TEST PUOL ELECTRIC ^� EXT. LATHISIDING PODL FENCING WALL INSULATION POOL FINAL GEILlNG IhSULATION OFF SITE IMPS. . DRYWAL.�NAILING DEDIGATIONS , SEWER FINAL ENG. � ` SEPTIC TANK LANDSCAPE/IRRIG. SEEP PlTILL. ' �.� ON SlTE IMPS. GAS Al�t TcST FINAL.ZONING � - FINAt_t�UNS7. FIRE dEPT. FINAL � �� FIiVk�NEATING HEALTH DEPT. FINAL , �.:EN6«ELECTRIC . . - ... . . {3�3;��'€ES`:PA('D:<,,..—, ..� , .,t,� _„ ... - ` i=:�!l�.t_PLUMBING ENERGY — , ._..._... —_ _ � ��v��y�` ----- � — � � - , , j COkVi�/iENTS SEPTIC TAiVFC SIZE ' � SEEP PIT/U SIZE ---. � .J� , ��, _ �__. � .'� :�t, .. . � " _____"""_ .