Loading...
HomeMy WebLinkAbout11509 �y ' CITY OF DIAMOND BAR �� �1..� COMMUNITY DEVELOPMENT DEPARTMENT -;,.w 21 fi60 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS �""" BUILDING PERMIT APPLICATION FIRMLY y JOBSITE � !' �" APPLICATION �... PERMIT l�`�� P/C o ADDRESS �� Z S /-R�32G� �'��/2,��Cj DATE � � NUMBER�� � �- �� ISSUE TyPE p�C APN LOT�_ TRACT�f �,� DATE CONSL GROUP p OWNER �bN�l"�i"[�I[-� ��@�.� � p ADDRESS � "C� �(.. ZONING SETBACKS FRONT g CITY r2t� ZIP TEL.- REAR RW ❑ APPLICANT TEL. ❑ � CONTRACTOR I�E����� SIDE SIDE STREET qyy p � ADDRESS � /+ � � CITY ZIP TEL. PROPOSEDUSE �C�?T �Tl��-��-�c-�'Z`Q �� w ARCWENG/ "� z DESIGNER �� � < < a ADDRESS NO.DWEL. NO. Np, � CITY ZIP TEL. UNITS STORIES BEDROOMS cn � DESCRIPTION SQ.Ff. FACTOH PSF ADJ.AREANALIJATION � OWNER•BI:ILDER DECLARATION SFWAD�/REM O I HEREBY AFFIRM UNDER PENALTV OF PERJURY THAT I AM E%EMPT FHOM THE CONTRACTORS LI- G8(fl BICB Of[ W CENSELAWFORTHEFOLLOWINGREASON�SEG7o31.50U5iNE5SANDPROFE9510NSCODE:ANYCITYOR (n 9 � U COUN7YWHICHREOUIRESAPEHMITTOCONSTRUCLALTEfi,IMPROVE,OEMOLISH.ORREPAIRANYSTRUG W Patio/Deck W TURE,PRIOH TO ITS ISSUANCE,AL50 REOUIRES THE APPLICANT FOR SUCN PERMIT TO FILE A SIGNED W � STATEMEN!TNAT ME OR SHE IS LICENSED PURSUANT TO THE PRDVISIONS OF THE CONTRACTORS LI• � � CENSE LAW(CHAPTER 9(COMMENCING WITH SECTION 7000)OF DIVISION 3 OF TNE BUSINESS AND PRO- PODYS�IB 0 FESSIONSCOD�ORTHATHEORSHEISEXEMPTTHEREFROMANDTHEBASISFORTHEALLEGEDEKEMP- (� V TION.ANV VIOLATION OF SECTION 7031.5 BVANYAPPLICANT FOR A PERMIT SUBJECTS THE APPLICANT TO Z Re-Roof � A CIVIL PENATV OP NOT MOPE THAN FiVE Hl1NORE��OLURS(fsm).�: � C11,ASOWNEROFTHEPROPERTV,ORMVEMPIOYEESWITHWAGESAS7HEIRSOLECOMPENSATION, 0 Commercial WILL DO THE WOqK,AND THE STRUCTURE IS NOT IN7ENDE0 OR OFFEREO FOR 6ALE(SEC.7ot1,BU51• J � NESS AND PROFESSIONS CODE THE CONTqACTOFS LICENSE LAW DOES NOT APPLV TO AN OWNER OF � PpOPERTV V/I/O BUILDS OR IMPf10VE5 THEREON,AND WHO DOES SUCH WORK HIMSELF OR HERSELF IX�1 � THROUGHHISORHERONTIEMPLOYEES,PROVIDE�THATSUCHIMPROVEMENTSARENOTINTENDEDOR C� Q OFFEREOFORSPLE.IF.MOWEYER,iHEBUIL�INGORIMPROVEMENTISSOLDWIiHINONEYEAROFCOMPLE- Z 710N,THE OWNER-BUILDER WILL HAVE THE 6URDEN OF PROVIN�THAT HE OR SHE DID NOT BUILD OR IMPqOVE FOR THE PURPOSE OF SALE). = OI,ASOWNEROFTHEPROPERTY.AMEXCLUSIVELVCONTMCTMGWITNLICENSE�CONTRACTORS W � TO CANSTRUCT THE PROJECT(SEC.7064,BlJ51NESS AND PROFESSIONS CODE:THE CONTqpCTORS LI- VdlUeiiOn ADJ.AREA W CENSEUWDOESNOTAPPLVTOANONNEROFAPpOPERTYWHOBUIIDSORIMPROVESTHEREON,AND � NM1IOCOMRACTSFORSUCHPRQIECTSLNTHACONTRACTOq(S�UCENSEDVURSUANTTOTHECONTiUG QUANTITY D SCRIPT�ON FEE � TORS UCENSE LAW.). � ❑I MI EXEMPT UNDER SEC. B,6 P.C.FOfl THIS REASON Q � � �ATE �J[ � ONRJER H .- Z U � LICENSED CONTRACTORS DE LARAT N W � I HEPEBV AFFIRM UNDER PENALN OF PERJURV THAT I Nd LICENSEO UNDER PROVISIONS OF CHAPTER � � 9(COMMENCING WITH SECTION 7ooa�OF DIVISION 30F iHE BUSINESS AND PROFESSIONS CODE,AN� Z �X MY UCENSE IS IN FULL FORCEANO EFFECT. m � LICENSE CLASS L1C.N0. j V DATE CON7RACTOp d W � WORKERS'COMPENSATION DECLARATION Q � I HEREBY AFFIRM UN�ER PENALiY OF PEqJURV ONE OFTHE FOLLOWING DECI.AMTpNS: Z � _IHAVEANDWILLMAINTAINACEHTIFICATEOFCANSENTTOSELF-INSUREFORNfORKERS' _ Q CAqPENSATION,ASGROVIDEOBVSECTION37ooOFTHElA80RCODE,FORTHEPERFORMANCE U Q OF THE WORK FOR WHICH THIS PERMIT IS ISSUED, � QW _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,AS RE0111RED BY SECTION � 37000FTHELABORCODE,FORTHEPERFORMANCEOFTHEWORKFORWHICHTHISPERMITIS 0 ISSUEO.MY WORKEFS'CO�APENSATION INSURANCE GRRIER AND POLICY NUAIBERME: CONSTRUCTION 4 J �Q,. CAPRIER PLAN REVIEW Z POLICYNUMBER . ELECTRIC Q 0 (iHISSEGTpNNE�PpTBE00M1V'LEfEDOFhEPERNfTISFORONEFNNDRE00CUAR5(5100�ORLESS), PLUMBING W Z i CERTIFV THAT IN THE PERFORMANCE OF THE WO(iK FOF WHICH THIS PERMIT IS ISSUEO,I MECHANICAL y�. C,7 SHALL NOT EMPLOV ANV PEFSON IN ANY MANNEq SOAS TO BECOME SUBJECT TO THE � � WORKERS'COMPENSATION LAWS OF CALIFORNIA,AND AGREE THAT IF I SHOULO BECOME INSPECTION FEE - } = SUBJECTTO THE WOiiKERS'CAMPENSATION PROVISIONS OF SECTION 37000F THE LABOR a+�-��- CODE.I SHALL FORTHWITIi COMPLY WITH TFqSE PROVISIONS, ISSUANCE ♦ � p DATE: APPLICANi SMIP r � ENERGY P1C � ! J WARNING:FAILURETOSECUREWORKERS'COMPENSATIONCOVEpAGEISUNUWFUL,ANDSHALLBE � SU8JEC7RNEMP�OVERTOCRIMWALPENAL71E5ANDCIVILFINESUP700NEHUNDREDTHOU3AND ENERGYPERMIT DOLLARS(S1 a0.000),IN ADOITION TO THE COST OF COMPENSATION,�AMACaES AS PROVIDED FOR IN � SECTION3708OFTHELA90qCODE,INTEREST,ANOATTORNEV'SFEES. RETENTONFEE: � pCONSTRUCTION LENDING AGENCY pRE-ALT FEE: � I HEREBY AFFIRM UNDEF PENALN OF PENURY THATTHERE IS ACONSTRUCTION LENOING AGENCY FOii THE PERWRMANCE OF THE WOHK FOR WHICH THIS PERMIT IS ISSUED ISEC.J087,CIV.C.). Z W � LENDER'SNAME F— LENDERSA�DRE55 .. . . .... .. � w ICERTIFVTHATIHAVEflEADTWSAPPLICATIONANDSTATETHAT7HEA80VEINFORMATIONiSCORqECT. TOTAL FEES P � I AOREE TO COMPLY WITii ALL CT'AND COUNTV ORDINANCESAND STATE LAWS RELATING TO BUILOING � CONSTRUCTION,AND MEREBY AUTMORIZE REPRESENTATIVES OF TMIS COUNTY TO ENTEfl UPON THE Z FBOVE•MENTKKJEDPflOVERTYFORINSPECTIONPURVOSES. COMMENTS 0 _ � �G! lr/y�/Z�/ , �lc3�i2 1 m PERMITTEE NAME(PpINr) ' � � y-/„� Sf � SIONR HEOFPERMI EE DATE � � RECPT.NO. PAID BY � VALIDATION � WHITE—Depadment Copy,YELLOW—Finence Copy,PINK—Assessor Gopy,GOLDENROD—File Copy,GREEN—AppllcanYs CoGy r::...., .....:-�,V'; +'k�`�'��'Y2��"r4blY>�1:�,!tg+,rt'S �q^'`:.�K"�t'C`'i?::nY','.�`.,�4�6��,,,$'r�"?S!�'�Mt�'����i�,�',`+s+G�.ty,��:�":�:^�,,.}`'d�'�'.�'y;,S`°�1'a'"£�'f+!'7�%+.9P;'���``*a�,`b�'•'I�S�"��t�v���d&'�., Rd.`S�h"'�y'?�j.,�`'1�"°A?7#�if� . . . . .. . . � � , .C�� ��,����Q�� ���" f�f��,�"�:+��� ���P�{��'��� ��1�+���. ��,�� ���:.a..�. � � � � . s . a e � � � S � 5ET BACK,r _w." __ _ . , FI�OnR JC�15T `:_. __ _ ' FTGS/FOf`{MS/STEEL 'a+i�; _ __ ' FHA�iEQMTS � . : �. ELECTRIC GROUND -, .�,'. + ,•. .UN;D�R FLOOR DUCT � _ . �w� ; �~ -------,- . . __ _ �_._ .. _ GROtJND PLUMBlNG '' _ -- 11ND�R FLOOR CC�t�ID1117 �: SLAB GRADE ':r �: '`; ! FIREPLAGE FOUNDATfON — ' ' — --- --- - � FIREPLAGE BOND BEAM ° ` � TEMP POYVER _, , _ , :r. WA7ER SERVICE ., � � , ,_ , _�.. _ ..—_— :, -- .. . �; rr� __ MID HT. B(JNQ BEAM ROOF SHEATHING : �`j�( . .���._ _._-- 8 F`I'.BOND BEAM � �_. � _; FRAMING/V�NTIUATION / � -`'- �" ' 'F'INAL BOND BEANt __ _--.____. ___ _ . .�. o � . --�-- . ROOF COVER _ _._.:__ _ _. ._ _ PR�-GRADING q,< . _ Y-: `� � . �,_ _.. _ _..__. _..-- - _ ROUGH HEATINC; �*` ' . BENCHING ------- ' ,�' , � - . " ROUGH,GRA�ING .r,-: . .� ..: � .. ,:. ;ra.,, ",, ROUGH ELEGTRIC . __. .. _ _..� ,;: ;... , �, _.. . —�- ROUGH PLUMB11�tG ; _. � __ �fNlS'H.'.GFiQ�)IIVG a:,u � ,, .. > ,�� � t �,� _._., � , : ,,�s�, ,. SHOWERfTt3B TEST _ _ __ _..___. _ _� _._ ..- � pC�OL ELECTRIG '� �',, r,� :. F PtJOL FiIVAL1Nta ; , �,� at �, ;,--� --- EKf.LATHISIDING - _ _ � - �` � �� � -�� �.I i ,� . . . . ;: ' .1'! '� IJ Yr.'.. ^ _".,.._..,� �......_._ ... �,.. . , . e � ,..� 1NALLINSULATlON ! �,;.x� � ' ' ,,. CEILING IIVSULATION�___ _ __ __..__ _. �F�SITE IMPS. . � �` � ' .p:t/f� u�3'�+DR'v � DRYWALL NAILINCa � f�FbICAT10!�IS� � " ��" i' �;i�` �a ,�����ri SEWER ; _ F.�.j ___.__ �iNAL ENG.,, ^ ,_ . _ __ , - _ _ ..�_: ...._______ . , ; � ,� - "' 1 R.I9"�1 ll 4':.up'. ..-. � ., . . _SEPI"IC.TANK . _:..,-i "'"a -� ... ._: -_:, ,..:�...L.ANDSCAF'EIIRRIG. ;,, � , , ���, � _ . —c , , , ; . SEEP PiT/C:Lj ; _ ._.._.._ ` `_ .�' ___`..' ' I' ON SITE IMPS. c��^_� ., , �,; � GRS AIR TEST _ ' _.__._ ` _._ � FINAL ZONING y "'� - .' k FINAL CONST. /�'% ' ' , !� � � ' �IRF DEF''f. Flh1AL_ `: , . ; � � _ . E 2`'� '� � _ . _ , �, �; FINAL HEATING _ ! � � :HEALTH DEF�T. FiNAL �� „_.. ,. _ . k _^ _.__ j FINAL.ELECTRIG I ---- � _ ._. _. _ _ D�V Ft�ES PAID _� ,. :-`,.'�� _ � _ `� �-- �..,.. .. .. � f _ .__ ._ -I NERGY i " — _�,� tl �INAL pLUMBiNG ' _.� � ', '__� _.�. —.�_ -,-----� .....__ . .. ,---- ,.__< � „ . _ .__. ._ ._ � � , � , , ---. ______.._..__ . ; __ �__ _ . ._ _ _ _ __ __. ��, � - � • • _ , � , . ,..,,,.,- ---- , ,' _ _ ; � CC)MMENTS ___ _ _ _ _ _ _ . ------ - '.: T .... .�� :',..` ', FA 4.V1A ..._... ' '.' '�:. .�x <,o..� ��di^t.�A._ - . .!. i �"' i bi� ,,i�i t� .;'. �...._..... ._. . ... .. . . . . ..__ . � u �_.__ _____._�_._.� ..�.�. " _ �. .,.._ ..... . .._.. _ ... ..._ ..... ._.. �� . i f � i .i i , � i � __ _.'� � ,,�� . .r ,_.� , .. ,.,_.. -- . f .. .. - �..�..�.._ ..__......�._... iT`.�,—.'_— ,iF ------"TM;s----r,y.—^-w� �� i ...._ t ._.__ �__..�_^ ._,.___. . . ..._, ...� , . ^....'-' . �� ._ __ .. . T"� ._...._" '� ._._...�_' ._'_'_—_'_..�_.�-_. .._.._.�...__�� �"___".-.."'_""._�_.-._—._ .�._."_'_._`___�_..__..__-._.__ ... .. ' ' . ' ...._. . . . . n��f.�'... .,.... . � ' —_� ..__'_ ____. ._ . _ � ___. ..__ i,. , .� �.. _. , � � „ � t _----- �__._.� __ _� __ _ , '_—__' , . . , , . - , � �. .�.. ,id . .. S Yti":,{ ., i.z)0% F:vV i ' I���i . .. . .. in� �,� ' .... � �• 'i-. . :. . r, ..^�. .. .-.. � i.4)- .. . i .,. . ., ..__,. " ...:: ,��,�., . . . k. ..; .. I . a_ ._ ,;. ..... .._._. ., . � A.. "... i ._�......_.._._ _..�.�._..�...�.�.�..._ , �_ ��—._ _—._--I �. ... . . .... . ... . .. i�� ... . . . ... . I • .: a . .we l, � . ... . , ��__�.y.y. •� _.�______.—�...�__�_. .�.—rr_., �.T,—^i .�y',';5���—,-��.i .'n'.: �._r.��.l.-I. ..�..:�;:':en�'In ...W�:�h..kY I ,___ . . . . . . .. _ �� .. .. . _...�- �:.,-.... ..: i :_'.'i: <).'�u R f'1- W4 6. t �. . . .. . . .. ' � . - , . , - �_Y:�r..._. .._, ...__.... . _. ._.__... _ .._. ..�i ...r . s� '.:i _�� .t . r::.:� � ��� 1 — .�.�... ..__�__— —._ _.._..., ,.. . . M SEPTIC TANK S1ZE � ___ ,> _._ ! _ _ . _ _ _ � �E�F��'It/U SIZE _ _ _. __ .__._.. , _., — -- p _ _� ._: . , � ; . � _. . , :.:," y �,�:. ___. ._.__ _. --- -- --._ _.. . +� � ^ _ .� �.. ..n': . . i ..�:t �! .. —'_.— .. . . __.._ . .... . ___... ._. ._ ._ .._._. . ._ __.._ . . ._ __.. . ,._ . .,.,` N ..- ,. .... .. ._ . ... . _ _ _. .. . _. ... f..�d�i ,.:. �i .I'tJ.:�:.i?I.%:�lJ a.t n��.�u�x ':.17TAY!'.. . 'JNh.✓".14,:l��..:'. ': - ,:3'.:,.yi ,�yrr-.'. ..:� "' -�, . � ...R.,... .�.. .., .. ..,�...i....i ,.� �i.' ..�e� li_ :.�;.�... ��i :.:a�t,": .i i .. , �..', � �.,.�"�GI'� �:_,e3v11 ;Yx"L�.'���-a���:�'�:tji�Ja 3 . ,.,. 2,5-...� - .. ..,.:,�J'; ... .., . . ., . .. _ .. ' " ' . t .... . . . ... . .... . .. ' . ., _.rv,,. _, ".=.t: . �