Loading...
HomeMy WebLinkAbout17060 ,�� CITY OF DIAMOND BAR DEPARTMENT OF COIvIIv1UNITY&DEVELOPMENT SERVICES � 21825 E.Copley Drive "� (909)860-3195 Fax(909)861-3117 PRESS ��%��" BUILDING PERMIT APPLICATION FIRMLY JOBSITE �1 n�-= �,7 APPLICATION q -�j..� PERMIT ���l D P!C 4 ADDRESS �7�� A tvy.._•f/ ./A i l,�t .��_ DATE �� V � NUMBER �1� S 0 c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER t IC fj Al2c Lc�c=C�E% � ' 0 ADDRES � , I T7 !_ "' ZONING SETBACKS z CITY ZIPy/7,� TEL..�� •-=5< - FRONT RW ❑ o APPUCANT � ti r' ' � -/' TEL.ry��?-rJ?�% REAR p '—'-"T�- SIDE/SIDE STREET RW D � CONTRACTOR 1 �'�' /111G4 ' SIDE ❑ p� ADDFESS U- L9= T � L�/ � CITY ZIP�tz« TEL.4r-'�-`�"4 q��/� PROPOSED USE o ARCWENG/ I z� DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCAIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNEF-BUILDER DECLARATION ' SFRlADDIREM O � I HEREBY AFFlPoA UNOEii PENALTV OF OERIUHV iHAT I AM EXEMPT FR011 TMf CQ'JTMCTORS L4 � Garage/Ca2ort W CENSEUWFOHTHEFOLION�IN6REA50N�5EC.70.71.68U51NE55ANDPROF�SSION4CO0E:ANYCINOR C.1 Cd1NTYNMItl1REWIRESAPERMITTOCONSTRUCi.ALTER�.IPROVE.DEMOLISM,ORREPAIRNIYSTRUC- W PaliO�DBCk NHE PRqR TO ITS ISSUANCF,A150 REWIRES THE MPLICANT FOR Sl'CH PERMIT TO FILE A SIGNE� W SiA7EMENT TNAT ME OR SME IS UCENSED GURSUANT TO THE PROV�S�ONS OF TME COPIiFwCTORS LI• � � CENSEUW�CHMTERO(COMAIENCINOWITHSECTiON7000)OFDIVISqN]OFTrIEBUSMESSANOORP � POOVSpa V FESSqNSCODE)ORTHATHEORSHEISE%EMPTiMEREFROMM7DTHEBA515FDRTMEALIEGEDEXEMP� V TION.ANYVIOLATIDNOFSECTION70]7.58Y11NYAPPLiCANTFOFAPERMITSU&IECiSTMEAPPLICpH7T0 z Re�Roof ACMLDENALTlOFNOTMORET/ANFIVEMUNOREODOLLARS(t5oo).)� � � 04ASOWNEqOFTMEPROPERTY,OHMYEMPLOYEESNATMWACE5A5THElR$OLECOMPENSATqN, Ll COrt1f110fC181 Z WILL DO THE WOR1L ANO THE S7RUCTURE IS NOT INTENDEO OH OFFERED FOR SALE(SEC.7011 BU51• J � NESS/WD CflOFES5lON5 COOE:THE CONTMCTORS UCENSE UW DOES NOT APPIY TO AN OWNEFl Oi ? PROPERTY YYF10 BUILDS OR 4APROVES TMEREON.ANO W/10 DOES SUCH KORK NIMSEIF OR HERSELF OP Q 7HROUCNNISORHEROV�'NEIAPLOVEES,DROVIOEDTHATSUp/1MVPOVEAlENTSARENOTWTENDEDOR LY� W OFFEREDFOqSKEIF,MOWEVERiMEBU0.DINGORtlAPROVEMEMIS50tDWiTNINONEYEAROFCOMCIE� � TION.THE OWNEH-BUILDER WILL NAVE THE BURDEN OF FROYiNG THAT ME OR SMB DID NOT BWtD OR Z IMCROVEFORTME7URPOSEOFSALEI. ' = OlA50wNEROFTHEP�IOPEHTY,AME%CLUSIVE�YCONTMCTWOWITN�ICE�SEDCONIRACTORS � TOCONSTRl1CTTHE GR0.IECT(SEC.70N.BUSINESS IWD PROFESSIONS CODI:THE CONTMCTOfiS LI� VaIt18IiOR ADJ.AREA W CENSEUWDOESNOTAPPLYTOANOWNEROFAGROVERTYWHOBURDSOR0.IPROVEST+EREON,AND � WFqCONTHl1CTSFORSUq1GROJECfSMlITMI1CONTRACTOR(5)LICENSEDVURSUM7TTOTNECONTRAG pUANTITY DESCRIPT�ON FEE Y TORSLICENSEIAw). i � O I AM EXEMPT UNDEH SEC. B 6 P.C.FOR TNIS REhiON � / � � � C � j�C 1 u" DAiE OWNER �"' Z W � LICENSED CONTRACTORS DECIARATION I �y � IMEREBY/�FFIRMUNDER7ENd1TTOFVERIURYTHATIAM�ILENSEDUNDERPPOY1510N50FCHAPTER Vr � 9(CdAMENqNGWITHSECTION70oo)OFDIVISiON30FTHEBUSINESSAN�OROFES5lON5CADE.AND � �� MY L�CENSE IS W FUIl FOFCE AND EFFECL ' � � LICENSE CUSS�'—� LIC.N0. f � yL'�� �' J �j DATE ��C�V�- [�� COMRACTOR fr.5�f"�^ a � WORKERS'COMPENSATION DECLARATION � Q = U � INEREBVAFFIRMUNDERVENALTVOFOERJUHVONEOFTMEiOLLOWWGOECUiUTIONS. (� 4 � _I/UVE/J.'OWiLL1AAINTUNALERT�FICA7EOFCONSENTTOSELF-INSURLiORWORNERS' 2 � COMPENSATION,ASPRONDEOBYSECTION�7ooOFTMELA00RCo0E,FORTHE7ERFORMANCE w OFTHEWOFKFORWHICNTHISFEHAlITI51S5UED. � � G w �I H�VE ANO WiLL AIAIMUN WORKEAS'COIlPENSATION INSURMlCE.AS REOl11FE0 BY SECTION � '/��}� Q 77000FiMELA80flCODE,iORiHEiEHFOFMANC[OFTHEY70Po(FOFWHICHTHISOERMITIS Q V ISSUED.MVWORNER5COMPENSATIONINSU CECMRIERM1DPOlICYNUAIBEFME: CONSTRUCTION � GARRIER .s%�rr F��� � PLAN REVIEW Z vaicrNuueEq Ly�� �U7 ELECTRIC d 0 (fFASSECf1p�NEmNOTBEOCMREfmOFTfPERMT6fORC�:EW,D�7CJDOLL�1i''ifSiOoJORLESS�. PLUMBING Z ICERTIFYTMATINTHEPERFORMANCEOFTNEWORKFOHWNIGHTHiSPERUITISI55llE�,l MECHANICAL (�' SHALLNOTEMPLOYANYPERSONiNANYMANNER50A5TO8ECAML5V0.;EC7TOTME ---T -- N WORNERS'COMPENSATKKJUWSOFCALIFOfl41A,ANDAGREET/UTIF�5Hp�1L02ECOA/E INSPECTIONFEE —" '� — - O � SU&lECT70MEWORKERS'Cd.�PENSATiDNPROvt510NSOF5ECTqN77o00�h1EU�OR �SSUANCE J l , ~/�� �\ � 1 �•—�J COOE.ISN/LLLfORTHWITMCOMPLYWITHT OSE7HQVISiONS. �,` p DAt��C�L� _ APPLICAPlE ��'C ^_�V` SMIP �� I1�II'1 • �] � ' ENERGY P/C WA F�UHE 5 ' REY10P1(Efl5'COMPENSATIONCAVERAGEISUNUwFUI,MlDSHA�{,BE �j SU0.1 TANEMPLOVERTOCRIAIINAL7ENALTIESANDCNILFWESUPTOONCHUN�REDTNOUSAND ENERGYPERMIT �N OOLURS(f 100,000).W MDITION TO TH[COST OF COIAPENSATION,DAMAGES AS PROVIOED FOR IN � SECTqN]7080FTHELABORCODE.WTEflEST,M'OAiTORhEY'SFEES. � RETENTIONFEE: ���T' ��-f a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAGFIRMUNOERPENRLTYOFPERIURYTMAT7HEREISACONSTRUCTiONIENDPIGAGENCY n- FOR THE CENFONMANCE OF TNE WORN FOR WNICH THIS DERIAIT IS ISSUED(SEC.JOY7,CIV C.�. Z W � LENDER'SNAME H LENOERSAODRE55 WICERTFYTHATIHAYERE/�iMISAPPLKATIONANDSTATETHATTMEA80VE�NfORMRTqNISCARRECT. TOTAL FEES �, � 1 AGREE 10 COMPLY WITH�LL GTV MJD COUNTV ORDI!lANCES AND STATE U'NS FEUTING TO BUILDING � CpNSiRUCTION,MlDMEREBYAUTIKIRIZEREVRESEN'ATIVESOFTHISCOUNTYTOENTERUPONTHE Z ABOVE.uENitONEDCRO0EN7MFORINSPECTqNVURPOSES. I COMMENTS _ ��/i9G�s ,�h '-`/�t��=' � PERMITf AME(VWM) � U] � � r� ..��'-('� (n SIGNATUREOFPERMITTEE DATE , � RECPT.k0. _PAID BY VALIDATION WHITE-0epartment Copy,YELLOW—finance Copy.PINK—Assessor Copy,GOLAENROD--File Copy,GREEN—Applicant's Copy . .�� � ._. . . ;: .1.:;; , '. . ._ . ,�; �; +: .__ ,, . __ .. ,. _. . . . . . ,�_ . ,"s�. � � , .�.._�. ,. .._ ___------ -- _ ._ ._.... . _. .. - .__ . _.___ . _ _. . � . - - �1�E-1:�= f I ��-1:' • i,,. . �, � .. , e � _--- - - - - - - � — , ,_ i.}.,..�. � � i:: �:,c:,° : 4 : 's:�,.: , _ ���F��.�_ ���;'el'c SET BACK -- - ! '' FLO.)P�,l:;IST . . — _ i --- ---------�- -t ��---- --------- ------- • - -- -- F-TGS!r=OR"�1`:;�TE"EL __� _`_ . ---- , Fi-i-�R`..'."�� - - � ELECTRIC GR�Uf1D � UiJD;R F�QOR GU;T i--- -- i -�- -+—----- - ----. _ _ : :---------- ---—;----- -- --- --- --- j . U'JDi=R F�00!� CC'•�DU'T �i GRQUfJD PLU�.i._IiJG � -♦ - -------- __, ------- - ------- -- ---�--- --- --- SLAS GRF,DE _ �-- I -- ----- - ! ' FIR=PI nC� F(�lJ'•:��4TI'�'d- -- I TEirP POVJER '- ---- �' ------ -- ! �I��r LACc EOtd7 ��A"�? i �--- -- - -- �- -- - ------------------------•------ Vdt1TER SERVICE � ( ' + ,, � � --- � � f,ID HT. �'.��1D E3�,",":' ---- ROOF SH�r�i Nff�lG � -- -- ---- - _� ! 5 i7. GO;JD EE�,i,^, --'-- - � --- � ----- - _- -- ------ -� ------ -- ^._. FA11�.9!�JuIVEtJTILI.�.TIOf!j -- � FI�JAL GOIJD BEl�,',1 � j ---- R07F COVER - I=-- I ---- -- - ' FR�-GF;P�.LI�J;; .- —i --- i_ ---- ROUGH HEATi�!G ' -- - --- _ ; I� EEr�cFiir��- . _----------- ROUGH ELECTRI� ! '�i ROUG�I G�?� — ( ---- ------- D;�;G - - FiOUGH PLU��'?1��!G i � �I�JI�F' G�F,DI��G � - - SH01^JEq�TU6 TEST _ '� ------- i F�CO�ELECT RI:; �4 L ---- ___. -- --------- ---�---- EXT. LF,THISIDIfJG ( � ; POOL FEf1Cl�'.� � i �'JALL i�dSULF.Tf�;J �-_ ��'-- --------�j-POOL Fli�!��L --- I -- --- ---- - ---� ---- CEiLI�dG I�JSU��';TIO�d __ _ _, 1_ OFF SiTE I!;1��. � � DF�Y`"J��LL flAIUP:G - -- --- ---- � DEC�CF,TIO�JS -- � - -- ---- 5E4'.'ER �. ! _� �IFJF�!Ef•;;�. ------i ---- r-- SEFTIC Tr"�t�:C i I __ j LANDSC/',PE/IRRIG. i ^ 5EE(' PIT/L.L. j }! ' D�J 511�C_ i`.1P: � ! � G.AS F.IR TEST � ;` _ _ —I_� •`"Ii�AL�CtJii�G j I FINAL CO"�ST. i ; ---- � i �i��-- -- �� -- ----- i n�_D�?i. Fli J, . t F=1ftAL HEF,TING ! I F'E�,LTf{ DEPT. FI'v-,L FI'.r1LELECTRIC -- ------= pEl,—. FE�S P;11D --- — --- --- —=-------- ' - -- -- ----- -----� EiJ�R��r FI�dAL PLU'lBIf�G � , � ��� � -- — -- — � I I ; --— ----- —- — ---------� .. -. . ...._ .. .... --- _ _ — � --�------- ---- � - - � � ---- i cc�r,�r,�Er�i s _ —_ _— � SEPTIC TAt�:i: SIZ� ----- ----- -- ---- SEEP PITiU SIZE - --- -- -- -- -__ , _. . _ . -� - � i�r ----- ----- - �,�` .. ----- ___ �