HomeMy WebLinkAbout17338 CITY OF DIAMOND BAR �
��� DEPARTMENT OF C�MMUNTIY&DEVELOPMENT SE CE�
��y 21825 E.Copley Drive
(909)860.3I95Fax(909)861-3117 PRE $
�"-�M�� BUILDING PERMIT APPLICAT[ON l� 2,3 �� F LY
� JOBSITE 1,1(� APPLICATION 1 ,� � �
o ADDAESS v�/ � ` DATE I 1 INUMBER �
� .� ISSUE TYPE OCC
APN LOT TRACT DATE CONST. GROUP
o OWNER Pulte H�mes
p ADDRESS 18401 Vor�Karman SfP ��� ZONING SETBACKS
gCITY trvine ZIP��y��'EL_ QLLQ797114(IQ REAR RW ❑
APPLICANT TEL. n
� SIDFJSIDE STREET RW O
� CONTRACTOR SAME SIDE p
� ADDRESS
� CITY ZIP 7E�, PROPOSED USE
� ARCH/ENG!
DESIGNER Hove Design NO.DWEL. NO. NO.
n_ ADDRESS 21L.O N�Pw�01"t CP.l�tP►" nr- UNITS STORIES BEDROOMS
� ��TM f�le�par�—Bc�tR—92660TE�—949Zfi0-48-1
cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
p� OWNER-BUILDER DECLARATION SFR/ADDIREM
O
p I HEREBV AFFIRAA UNDER PENALiY OF FEfWRY THAT 1 AM E%EYVT iFiOM iHE CONifUCTORS LI• GefBQe�C3fpOR
W CENSEUWFORiHEFOLLOWINGREA50N(SEC.70.71.SBUSMESSANDCROfESSIONSCOOE:l1NYCITVOR (�
U COUNTYWHICHHEOUIRESAPEMIITTOLONSTRUCLALTEH,MVqOVE.DEMOl15M,ONflEVAIRANYSTRUG W patiolDeck
� 7Uf1E PRpq Tp RS ISSUANCE,ALSO R[OUIRES THE APFIIGWT FOR SUp1 PENMIT TO i1LE A SiGNED w
't STATEMEN7 THAi ME OR SME IS LJCENSED iUR5UAN7 TO iME PHOVISIONS OF 7HE CONiMCTOflS L4
CENSE UW(CNAPTER 0�CAMAIENCIN�W1TH SECTION 7000)OF OIVISION�OF THE BUSINESS AND PRO� � POOVSQB
`f iES510N5CO0E�ORTHAIHEORSHEISE7(EMPTTHEREFFOMANDiHE8A515fORiHE/LLlEOEDEXEMP• C7
� iION.ANVVI0UT10NOFSECT10N70]1.SBYANYA7VLIGWiFORAiEHA1RSU&IECTSTMEA70LICANTTO z Ro-Roof
ACML PENALTY OF NOT A10RE 7MhN FIVE NUNDRED DOLURS(f500�J:
Qp4�..^OWNENOFTHEPROPERTV,ORl1YElADLOVEESWITNWACE5I5THEIRSOLECOAIPEN5AT10N, � Commercial �
z NALL DO THE WORK AND THE STRUCTURE IS NOT INTEND[D OR OFFEREO FOR SALE(SEG 7at,BU56 J
N NESS AND PROFESSIONS CODE:THE CONTMCTORS LICENSE UW DOES NOTA7PLY TO AN OWNER OF �
PROPERTY WIiD BU�lD4 OR 0.1PpOVES THEREON.MJ�WI/O DOES SUCH WOFK HIMSELF OR HEFSELF OR
� THf10UCHMI50qHEROWNEMPLOYEES,�ROVIOEDTMAT5Up71MPROVEMENTSARENOTINTENDE00R m
p OFFEFEDFORSALEIF,MOwEVE0.7MEBV0.DWGORNIPROVEIAEMISSqDMnTHINONEYFAHOFCOMDLE�
� TION,TME OwNER•BUIIDER YnLL W1VE THE BURDEN OF GHOVINO THAT ME OR SHE DIO NOT BUILD OR
� IMVROVE FOR THE DURPOSE OF SALEI.
O L A3 OWNEP OFTHE PROPEHiI;AM E%CLUSIVE�Y CONTMCT71a MrtiH LICENSED CONTMCTORS
(Y TO CONSTRUCTT/IE PNOJECT�SEG TMl BUSINESS/ND PR�FESSIONS LOOE:THE CONTPACTOflS�I• V0IU8�i011 ADJ.AREA
W CENSEUWDOESNOiAPVLYTOANOMMEflOFAPROPERTVNRq0UpD50RPIPROVESTHEREON.AND
� YRIOCANiMCT5FOR5UQ1VR0.1ECi5WITHA00NTMCTORIS)IICENSEDPURSUANTTOTMEGONTMG QUANTIN DESCRIPTION �E
Y TORSLICENSEUW.1.
0 O IAM E%EUPT UNDER SEC. B.L P.C.FORTHiS NEASON �
� �
LL DATE ON7JER �
� w
FQ UCENSE�COMRACTORS DECLARATION W
IL IMEREBY�FFIRMUNDERVEN�LTYOFFERJUHI'TNATIAMUCENSEDUNOERPROVISIONSOFCNA�iER ue
(L Y�CqAMENCINf'IW?HSECTION7000)OFDIVISqN70FTME8U51NESSANDDPOFES510NSOODE,AND z
X ►1YlICENSE IS W FULL FONGE ANO EfFECT. � Ir� •C O
{JJ Y J
� u��SE ouss q ��o.No. 51759 3 �
V WTE- F Y tl Q I���CONTRACTOR_��tP CL
W
� WORKERS'COMPENSATION DECLAHATION Q
� IHEREBVAFfIRMUNOERPENALTYOFVERNRYONEOFTHEFOLLOWINOOECURATqNS: z
Q
0 _11uVEANOWILL6WMAMACERTIFIGTEOFCONSENTTOSELFaNSUREFORWOHKERS' Z
l COMPENSATION,ASPHOYIDEDBYSECTION370oOfTHELABORCOOE,FORiHEPERiORMM10E U
d OFTIEN/ORKFOqNMId1TM15PEWAITI5155UED. �
C
�I HAVE M!D VYiLL MAIMAIN WORKERS'C0IAPENSATION INSURANCE,AS REOUIHED BV SECTbN
Q 87000FTMEUBORCWE,FORTMEPERFORMANCEOFTMEWOPXFORWI+ICMiH15PERMIi15
ISSUE�.MYWORKERS'CpAPENSATpNINSUWWCECARPoERANDPOLICYNUMOERARE: CONSTRUCTION
� CARRIER Pacific Em(2 Ins. Go. auvvRewew
p POLICYNVMBER wnrt t t�3D1�R� ELECTRIC
0 (nusEcnaNNEmNOTBEooMttE7EDOCT1EVEw.�rSFnad�El+ru�Eooa1M5(Sim)aritEss} PLl1MBING 4�.5�
Z 1 CERTIFYTHAT W TNE PERFORMANCE OF THE WORK FOR WHICH iM15 OERMIT IS lSSUEO,I MECHANICAL
CJ SHAILNOTEMP�OYANYiER50NWANYMANNER50A5TOBECOMESU&lECT70iME
� WOPoCEfiS'CO6iPEN5ATIONLAV750FCALIFORNIA�MDAGREETMATIFISHOIM1DBECOME INSPECTIONFEE
S SUBJECTiOTHEWORNE�'C0IAPENSATiONPROVISIONSOFSECTKK1f7ooOFTNEUBOR
CODE.1 SHALL FOqTHMATH LOMPLV WIiH iHOSE PflONSI0N5. ISSUANCE
0 oA�: 5-�n-p���,� �t��te�iames SMIP '
� ENERGY P/C
WARMNC:FAIIURE TO SECURE WONNERS'L'OA�CENSATION CAVERAGE IS UNUWFUI.AND S WLLlBE
� SV&IECTANEMPLOVERTOCRIMINA�PENALTIESANOCMLFINESUVi00NEHUNOHEDTFKKISAND ENERGYPERMIT
DOLUAS(f I00.000).N IDORION TO THE fAST OF CdACENSATION.DAMACES AS PflOVIDEO fOfl IN
J SELTqN]70lOFTHEUBORCADE,WTERESiANDATTORNEYSFEES. RETENTIONFEE:
�p� CONSTRUCTION LENDING AGENCY PRE•nL7 FEE:
O
� IMEREBYAFFIRMUNDERVENALTYOFVERNRYTMATTMEREISALONSTRUCTIONIENDW6AGENCV
FOF iHE DERLOPMANCE OF TNE�.'�RK fOq WHlpl THIS PER111T IS i55UED(SEG 7097.CIY.G).
�T LEN�E0.'SNAME�pp�(p�lYe�
T
� LENDEKSADONE55
� ICERTIFYTHATIHAVERE/�DTHISMPUCATqN/�NDSTATETHATTHEA00VEMFORYA710NI5CORRFCL TOTALFEES 6'6'•5O
0. 1 AGREE TO COMPLY N7TH/1L CITY AND COUNTY OiiDINANGES ANO STATE UWS REUTING TO BUILDIN6
� CONSTiiUCTqN,ANDMEREBYAUTHOiiIZEPEPRESENTATIVESOFiHISODUN7YTOENTFRUPONiNE .
2 ABOVE�MENTIONEDPNOPERiYFORINSCECTGNiURPO5E3. , COMMENTS
�
J
�
m PERMITTEENAME�PRINn
4
�
y SIGNATUREOFVERMITTEE DATE
i RECPT.KO. PAIO BY VALIOATION
F WMRE—Department Copy,YELLOW—Finance Copy.PINK—AssessorCopy,GOLDENROP—File CoDY.GREEN—Applicant's Copy
`,".c.; ....,__.. �, ... .. .;.,.. •...._._'_.,.�.. _..._. .. .,.•.,._�,. �..7} t - .,, t�... ,._. . :��._. .. . , . . .--�i. : '- -... _�_ .._ . , . , .. - .. , ,.. .. ,
C!Z"Y CrF �1�'�.ft�iC2f�D Br�a€�
- ii����EC:'iar� �L'COi��
. _ _ _ _
_._.._._._.._ _ __�.__
---
1►�-��=��.PCe]Ii�€ �1��`�t'= 1►�k�`� �..-�. �"�'.1;� � J��f:�:} ,c;•��1[�7��t ���`�r�:. il���.`�:��c;��_:� I
�._-___.___. .__._.-- . _.._____ . ... _..._..________. ... ._ _ .__ __._�,._._ _ ....---___,___ �__
---___ �______.._�....__-
SET BACK ' I � � FLOOR J�IST.. '
i I I i_�_.
FTGS/FORMSISTEEL f —�~ FHA REQh1TS I �
ELECTRIC GROUND � UNDER FLOdR DUCT {1 �
GROUND PLUMBING � _�_ UIJDER FLOOR CUi�IDUIT I I
5LA8 GRADE i I FIREPLAC�FOU`dDP,TiO^J_ i
TEMP POWER I i FIREPLACE BOND f3EAM
WATER SERVICE MID HT. �OND E3EAh1
ROOF SHEATHING 8 FT. 60ND BEAM
FRAMINGNENTILIATION FINA�E30ND BEF�M
ROOF COVER I PRE-GRADING ;
ROUGH HEATING BENCHIPJG
ROUCH ELECTRIC ROUGH GRADING
ROUGH PLUMBING ; ! FI�dISH GqADIhJG
SHOWER/TUB TEST I j POOL ELECTRIC
EKT.LATH/SIDING POOL FENCING �
WALL INSULATIOPJ POOL FINAL �
CEILING IN�ULATION OFF SITE IMPS. �
pRY1�VALL NAIUNG , . '_ DEDICATIOP�S
SEWER �/ ��/'Y':. FINAL ENG.
� �.�-..��-�.__.._-_ �_.__
SEPTIC TANK LANDSCAPE/IARIG.
SEEP PIT/L.L. ON SITE IMPS.
GAS AIR TEST FINAL ZONIPJG
FINAL CONST. � F!RE DEPT. FW�L
FINAL HEATING HEAI.TH DEPT. FINAL
FINAI ELECTRIC l DEV. FEES PAID
FINAL PLUD�IBING ENERGY �
�.�.-.-�.
r'4=�I�P���a�l` �:Ic:lc
COMMENTS
SEPTIC TANK SIZE
SEEP PIT/U SIZE
����
'�d�l�
^I
i
i
�
y�