Loading...
HomeMy WebLinkAbout17057 (42) �� CITY OF DIAMOND BAR � � � DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES 21825 E.Copley Drivc �������� (909)860.3195 Fax(909)861-3117 PRESS BUl LDING PERM[T APPLICATION FI R M LY ¢ ADDRESS �2! N• PAL-O I.�VG�' DATECATION�_�/�� ) NUMBER �7��� #/C 7 � � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER " ADDRES� ' 2 N' ZONING SETBACKS Z CITY ZIP TEL. - FRONT RW O o APPLICANT V /LC TEL.'jiy?7N�9r1:G REAR ❑ SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE O oADDRESS -��p �'• PROPOSED USE R KL- L . o CITY ZIP�Q1 TEL.��y�_9a3f, � r wo ARCH/ENG/ ���s � ,�. - z DESIGNER NO.DWEL NO. NO. a ADDRESS UNI7S � STORIES I BEDRQOMS� = CITY ZIP TEL. y DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AFiEANALUATION p� ' OWNEfi-BUILDER DECLARATION SFFUADD/REM O 1 NERE9Y AFFIRM UN�ER PENAiTY OF iERIURY THAT I 11M ExEMPT FHOM THE GONTRACTORS L6 G3fa90/CaIPOII W CENSEIAWFORTHEfOLLOWINCREA50N�5EGTW1.S8V5iNES5M1DFfiOFESSWNSCA�E:ANYCITYOR (n U COUNTyWNIpIREWIRE51l0ERMITTOCONSTRUCT.ALTER7.�PF�OVE,OEMOLISN.ORFEPA1RMlY5TRUC• W P8110/DBC�( W TURE,GP10R TO ITS ISSUANCE,K50 REW IRES THE APPLICANT FON SUCH PERMIT TO FILE A SIGNED W � S7ATE1ALYf THAT HE OR SME IS 110EN5ED CUFSUAN7 TO 7HE FROVISIONS OF iNE CONTRACTO{iS Lb � CENSE UW�CMAP7ER Y(COMMCNCINO NATH SECTqN 7o0a)OF DIVISiON 1 OF THE BUSIHESS AND PRO� u' PooUSpa FESSIONSCOOE)ONTHAiHE�SNEISE%ELIPTTHLREFPO�ANDTMEBASISFORiMEALLEGEDE%EMP• (' � TION.ANYVIOLATpNOFSEGT�ON7WI.SBYANYAPPLICANTFOR�FEflMITSU&lECTSTNEMVLICM�TTO Z Re•Roaf F ACML PEN�LTY OF NOT 40RE THAN FNE HUNOPED DOlURS�f;00),I� � 04��EHOFTNEPROPERTV,ORMYEM�'LOYEESw�TNW�GE5A5T/EIRSOLECOMPENSATbN, 0 CpmmBrCial Z VALL DO THE WORK AND THf SiRUCTURE 45 NOT INTFNOE7 OR OFiERED FOA SALE(SEG 70u.BUSI- J N[55 AND PROFESSIONS CODE:TME LONTMCiORS LICENSE LAW DOES NOT APPLY TO AN OWNEfl OF N PROPEHTYNM1�OBVILDSORMPROVESTHEREON.ANDNMODOESSUCMNpqKNIIASELFORNCRSELFOR m � MROUCNMISORHEFOVJNEMPLOYEES,iRONDCOTHATSUCMIIAPROVEMEMSARENOTINTENDEDOR w OfFEREOFORSALE.6.HOWE�'FRTNEBUIIDINCONL4PROVfMEMI5501DW�7MNONEYE�ROFCOU�LE� � TqN,TME OWNER�BUILDER YALL NAVE TME BUHOEN OF VFOVWG TMAT HE Ofl SNE DID NO7 BUIID OR � MPRpVE FOR TME PURPOSE OF SALE). W ❑I�OWNEROFiME7ROPENTY,AYEXLLUSNELYCONTRACTPlQWITMUCENSEDGONiRACTORS (Z TO CONSTRUCT TH[PR0.IECT(SLC.70N,BUSINE55 M1D 7ROFESSIONS CODE:TME�RIUCTOPS LI. V81U31i0f1 ADJ.AREA W CENSEUWOOESNOTAPPLYTDANOWNEROFAiROPERTYWF108U0.DSORIIAPROYESiMEREON,AND � W11000MMCTSFONSUCHPP0.IECTSW�TNIICONTHACTOR(S)LICENSfDGURSUANTTOTN[CONTRAG QUANTITY DESCRIP710N FEE Y TORS LICENSE UW 1. � O I M1 EXEYPi UNDER SEC. B.8 V.C.FORTNIS RE^Md U � Q LL DA7E OwNEH � U �Q LICENSED CONTRACTORS DECLARATION w 2 I MER[BY AFFIRN UNDER VENAIiY OF VE0.NRY TMAT I fM L�CEN5E0 U�0E11 VROV15iON5 0i CMAGiER � d 1(COMMENCIN6WiTHSECTION7oo0)OFDINSqN70FTHEBUSINE55u:DPROFE55lONSCODE,IWD Z W IICENSE lS IN FULL FONCE AND EfFECi. � LICENSE CUSS`,��� / LIC.NO. �b �/ j V DATE �9 � 0�,CONTMCTOfI d W � WORKERS'COMPENSATION D[CLARATION 4 � U � IHEREBVAfFIR/1UNOEROENALTYOFPEfWfiYDNEOFTHEFOUAW:NGDECIAMTqNS: � Z Q � _IFL�VEANDWI��IAAINiAINACERTIFICATEOFCCNSENTTOSELFJNSUNEfORWORNERS' S � COMPENSATqN,ASFROVIDEOBYSECiION]"loaOFTMEUBOF�CODE,FORTMEPERFORMANCE w OF THE WOaC FOR WH�CN 1Hi5 PERM1715155VED. � O w _IMAVEANDW4L►1AIN7AINWORKERS'CpAPENSATIONINSURANCE,ASFEWiqEDBYSECTION /� Q �700 OF THE LAOOR CODE.FOR iHE VERFORMANCE OF THE wORK fOR WHiCH TH�S OERA1I715 7 A. Z O ISSUED.IAV WORNER5 CONi�ENS�TqN INSURANCE GRPIER AND VOIICY NUMOERARL: CONSTRUCTION o y CARR:ER PLAN REVIEW Z va�cYNur.�OER ELECTFiIC 4 (iNSSECfqNNEmN�78E001.iLETEDOFTIEPEPo.�f6FaNOMK►.OREDOOLIMSlf1oCI�LE5S1 PLUMFiING _-----^—=-�_�'��—� � 1 i �� W h,!ECHANICAL ����J��:,\\,' � Z 1 CERTIFYTFI�T INTHE PERFORMANCE OF T1E WORK iOR WHICH THIS PERUIT IS ISSUED.I (.�J SMALIlqTE�PLOYINY0EF50NM11WYM/WNER50A5TOBECAME5U0.1ECTTOTIIE � WORKERS'COMPENSATqNUMlSOFCALIFOP AN�ACREETMATIfI5HOl1lOBECDI.IE WSPECTIONFEE 5�10.1ECT TO THE WORKERS'COUPEN5ATl0 lON5qN5 OF SECTION P00 OF TME U130R � OLODE.ISIULLFORhIWIMCOMPlY1M ' PROVISIONS. ISSUANCE / DATE: —`�_...F_. APRIGANT: ' SMIP , I �V O W WARNINp:FAILUFETOSECUFEWONNERS' PENSAiqNCOVERAGEISUNUM/FUI.ANOSMALLBE ENERGYPlC � •_—__ _ � SIl[iIECfANEMPLOYERiOCRIMINALPENALTIESANDLIVI�iINESUPTOONENUNOREDT1�0U5AN0 EN[RGYPERMIT �� DOLURS�Sto0.0a01.��DITION TO TME CO57 OF COMPE45ATqN,DUJAGES AS PROVIDED FOR IN � SECTIDN77aeOFT1[UBORCODE.INTEREST.�NDATTOiL4EY5FEE5. RETENTIONFEE: ��� a CONSTRUCTION LENDING AGENCY pRE•ALT FEE: O Q IMERCBVAFFINAUNDERPENAL7VOFGERNi1Y7MNTTMEREISACONSTRUCTIONLEND:NOACENCY d FORTHEPERFORMANCEOFTHEWORNFORNT11L11TMISVERMITISISSVED�SEC.�oY7,CN.C.�. Z W ' � IEN�EH'SNAME S H LENDER'S�DDRE55 /�'^/ ¢ ICERTIFYTMATIIUVEREIIDiH15APPLiCATqNAN�STATETMATTHE�90VE�NFORMATqNISCARRECL TOTALFEES / /���O W IACREETOCOMP�YYATNJLLLCRYANOCWNTYORDIN4JCES�YDSTATElAWSREUTWGTOBUILDING a' CANSTRUC710N.ANDHLREBYAUTTqRI$EHE7RCSENTATNESOFiH15COVN7VTOENTERUPONTNE Z IBOVE�MENTqNE�PROPfR7YFORINSPECTIDNPUFPO5E5. COMIAENTS � L G�t���� _ m OEHMi N (PqINn ¢ e��/ � N SiCNA �LOFVERAI�TTEE D�TE � RECPT.�O. `. PAID BY � s VALIDATION WHITE—Department Copy.YELLOW—Finance Copy.PINK—Assessa Copy.GOLOENRO�File Copy,GREEN—ApplicanYs Copy , ., . .... - - , - - . �, ti . -.. ---._ -.,..-..... .. . . - -�---. - . - - - , - r . , . . . . .. .-: .. . . , . . � . . _ . . .. . ,. _ , . .. � . .. _ ... , , ... .. . , �vi � .� i°{' �.��!-^�.�1'I�ILSr� �Jftill �f�Sl=:=:.� ."�C;iti ��C::.`>C�i� _ —__.--------_--_.___._...._.�--�--------__... _.._---------------- -------- ----------- - --�----�— — (►E���=C"Eff'J►v� ri�'�I (►��i.�:.�f '�C.l�f (ij�'1.�'.L'��[Cli". fl��:rr. �i�F.y..�:C`'i'C�,:t -. ................ . .. ....._. .. . ... _ .. .. .. _ . -•- - ---.._. ....._------------ SET E3ACK � i ' '� I , '�OOR JOIST.. � r � ' -�- -- '---_---- FTGS!FOR�.1Sr'STEEL -- --- -� -------- - .- - � f=H:,i7E=a'.STS , _ , � � . 1_;------- --- --- t ---! ELECTRIC GqOU�JD � ; � j UPJD�R �L��R DUCT � GR�UPdD PLUP.1�I�uG-- �--------I ------.._'---I-I Ut1D�F. FLOOR CO^,IDL'IT �— --- SLA6 GRADE i I � ' ; FIREPLF;GE.FCU��:DATIOP! ; TEPlP POVJER I - � ---.------_.._1_l"IRePLACt; EO�JD E3EA��1-- I ____----�-- _- 4'lATER SEAVICE f i i P"!D HT. G�O^�'7 L'Er^�!." � ROOFSHCATHIiJG r-----�-------- — ---i-;"6 F-T. 50.`J� �r..��:------�-i ---i - J ���.. i —• --------- ----- -��---._ . - -•— --- FRAP:"{NG,'VENTILIATIOiJ � I i Flfd.�L GOtJD B�A':" I_ _ � ___ ROOF COVER � �i � i i ��+C-G=�r,D��;:G I I R�UGH H�Ai INu � � � t BE%;CHIt�dG I I RO'JGH ELECTRIC � j � ROUGH G�iP�DI^:u —�__ �------------i_.'__ ,.i cH uRA�licG ROUGIi PWP.1rR�G � ! , � FL.I� � �_ -- �--- - SHOb"JER,rT'UE3 TEST _ I __ ;_;_FOOL El_ECTRIC__ � _ EXT. LFiTH/SIDI�JG � � : � PCOL FEi:CIP:G � i l':�ALL IfJSULATlO�•1 �--------� ------� j-j f'OOL FI'•1F,L - -- � ` CEILIhdG IN�ULF,TION � I _� j 0��=SITE I�^PS. _ 1__ -----� DRY4"JALL NF,ILING I � I ; DEDICP,TIOf•�5 I I SEVJER �— �- --�_�-�I"J.AL EP�G. ----- _�_ 1- SEPTICTANK �_ ( I LF;�JDSCAP�;IRRIG. � � SEEP PIT/L.L. � I_ I.f_O�d SITE IP:1?5. � G.AS AIR TEST I I __ j � E=1�`,AL ZOPJIFJG � FINAL CONST. � � ! '• �!�E DEPT. FINr"�! � --- ' FINAL HEATING�— ; ; f1EALi H DEPT. FINF,� i ,�------------ FINF,L ELECTRlC � � i DEV. FEES P�'�ID � � FINAL PLUP.181PJG I I I i E�JEP.UI' I I I i I � ------ -----_._-�-I— --{ -- i i ; r�.-. _�`�-�=� � � -.---- -- -- .__.. - - --��--- . . .. - CU�ti�1NMEfJTS , , SEFTIC TANK SIZE SEEF PIT/U SIZE - - - --- — - — _,_..___!�i.._____._�.T_.. _.. _. --- r,ti,� — � . � �- •.a � , - - - --- . .__ . , ��_ _