Loading...
HomeMy WebLinkAbout18225 (21) �� CTTY OF DIAMOND BAR DEPARTMENT OF COIvIIviUNTTY&DEVELOPMENT SERVICES 21825 E.Copley Drive '" (909)860-3195 Fex(909)86I-3117 PRESS �''%«��� BUILDINGPERMITAPPLICATION FIRMLY N JOBSRE APPLICATION PERMIT �s��� P/C o ADDRESS DATE �Z' NUMBER���.d.�.Z_ u $ ISSUE� TYPE OCC �- APN LO TRACT DATE CONST. GROUP o OWNER o ADDRESS ZONING SETBACKS QCITY a�....y� RR� ZIP TEL � o- FRONT RW ❑ APPLICANT TEL. REAFi p � SIDE/SIDE STREET RW D a� CONTRACTOfl . SIOE ❑ o CDDRESS � 21 TEL u .- PROPOSED USE � !J�S`/� oARCH/ENG/ S �.. DESIGNER � �fi NO.OWEL NO. � NO. = C'DrDrRESS ZIP TEL UNRS STORIES BEDROOMS � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O I MEREBV AFflPA/UNDER PEWLLTY OF PERJURV THAT I IVA E%EMPT FROA1 THE CONiMCiORS L4 C,arape/Carport W CENSELAN'FORiHEFOLLOWINORE�50N(SEC.70.77.68USINESSANOFROFESSiONSCOOE:ANYqT/OR (n U COUNiyWNICHpEOUIRESAGERMITTOCONSTRUCT,ILLTER,M7ROVE,�EA10115H2ORRE7AIRANVSTRUC• W pat(o/Deck � TURE,FRIOH TO RS ISSUMlCE,ALSO REOUIRES THE MPLICAHi FOR SUp/PERMIT TO FlLE A SIGNEO W � STATEMENT THAT NE OR SHE IS UGENSED VURSUANT Tb TME PROVISIONS OF TME CONTMGTORS LF CENSEL�W(GUPTERY(COMMENCW6WITHSECTION7aoo)OFDIV1510N70GTHEBUSINESSANOVR6 � POOU$pe iES9qNSCOOt�ORTHATHEORSHEISEXEMPiTHEREFRqAAHOTIEBA514FOHTHEALIEOEDE%EMP• (� � TqN.FNYVIOIATIONOF5ECf10N7071.6BYMlYAPPLICANTFORAiERMRSUBJELTSTHEAPPLICANTTO Z Re-Root A CML PEN/LTY OF NOT MORE THAN iNE HUNDRED�OLUAS(f 5oo�.r � OI.ASONTIEROFTHEPROPEHTY.ORMYEMPLOYEESWITMWAGESA57MEIRSOLECpMPEN5ATI0N, 0 CpTTelCial � WILL DO 7HE WORIC,ANO THE STHUCTURE IS NOT IMENDED Ofl OFFERED FOR SALE(SEC.70//.BU54 _I � NESSAND PROFESSIONS CODE:TNE CONTRACTORS UCENSE UW DOES NOT APPIY i0 AN OWNER OF j � CROPERiV Yrtp BUILDS OR MPROVES T1IEHEON.AND YA10 DOES SUqI WORK HIMSEIF OR MERSELF ON � 7HROUGHNISORHEHOWNEMPLOYEES.PROVIOEDTHAiSUCNIMPROVEMENTSAiiENOTWTENOEDOR m QOFFEqEO�ORS�lE1F.HOWEVER7HEBUILDIN(SONII.IPROyEMENTISSOIDWITMINONEYEAROFCOMPLE- Z TION,7HE DYINEflAU1LDER VALL NAYE TME BUROEN OF PROYW6 7NAT NE OA SME O�D NOT BUI(p Ofl � UAPFIOVEFORTHE%1RPOSEOFSALE�. W O4ASOVN�EROFTHEPROPERiV.AMEXCLUSNELYCONTMCTINONrtT11LICENSEDCONTMCTORS 2 TO CONSTRUCf THE PFiJJECT(SEG 70M,BUSINESS ANO VROGESSIqJS CAOE:TNE CONTMCTORS L4 V81U8110f1 �"C A0.1.AREA Lll CENSEUwDOE4NOYAPPLVTOM10wNEROFAPROPERTYWFIOBUILDSORWPROVESTNEREON,AND � Z SNqCONiMCT5FOR5Ud1PRQ1ECTSWIT/ACONTMCTOR(SJI�CENSEDPUPSUANiTOTNECGITM6 QUANTIN DESCRIPTION FEE � TORS UGENSE LAWJ. O I AM IXEMPT UNDER SEC. B.�V.C.FOR TMS REASON d � U � DATE OWNER r y W �4 UCENSEO CONTRACTORS DECLAFiATION W [� IHEREBYAFFIRAI UNDER PENAl7V OF PERIUHY TlUT IAM LICENSEO UNDER PPOVISqNS Of CHAPTER Ur � i(COMMENCINO NnTM SECTION 70001 OF DIVISqN J OF THE BUSiNE55 AND CROFE5510N5 COOE,AND Z �� W LICENSE IS M!FUII FONCE AND EFFECL m a Z � 0 UCENSE CIA�yS G _��C.NO. � . V DATE b 7�Ay'� COMRACTOR oO 6J. _ . . . . . . . W a� WORKERS'COMPENSATION DECLARATION a NI HEREBYAFFIRM UNDER PENALTY OF VERIURV ONE OF7HE FOUOWINO DECUM710N5: Z � _IHAVEANDWILLUAINiAINACERTIFICATEOFCONSEM105ElF�NSUREFORWORKERS' $ COMPENSATION.ASPPOVIDEDBYSECTION77000FTMEUBWICOOE.FOHTHEPERFORIAANCE W OF 1NE WOPoC FOR WMICH THIS PERMIt IS ISSUED. � Q W _IIWVEANOWILl1.1AIMAINWORNERS'COAIPENSATIDNINSURANCE,ASPEOUIREDBVSECiqN 0 97000FTHELABOFCOOE,FORTHEPERFORMANCEOFiHEWORKPoNMT11p1TNI5fERMR15 ���Q � ISSUED.MV WOR1cE COy PENSATKKJ INSUIi/WCE CMRIER MID POL�CY NUMBEAME: CONSTRUCTION � CARRIER `'1��TC M� __ PLAN REVIEW Z poucvNuuBER � ,t,�,. ELECTRIC 4 o InissEcnor+r�r+oreea�.r�r�oFnErE%�rc�orre�ra�000u.u�sK��«+trss/ PLUMBING Z ICERTIFYTHATINTHEPERFOiiMANCEOFTHEWOfUffORN711CHTHISDERMITISI55UE0.1 MECHANICAL (} SMALLNOTEMPLOYANYiEH50NNANYMANNER50A5TO8ECOMESUBJEC7TOTNE � W01iNER5'COMPENSA71ONUW50FCALIFORNIA�N�AOREEiHATIFISHOUI�BECOME INSPECTIONFEE S SUBIECTTOTHEWORKERS'GOMPENSATIONPROVISqNSOFSECTION77000FTNElABOR �^�� � 000e i snui c armnrn ca.�r�rwirn nase vaohsia+s. ISSUANCE ^� /� �'^ �--•--�V"" h A ^ �� . i � �. / p DATE: '�2'" APPLICANT. ///�/YL�I{/�f f��-7L•�1 SMIP ,� � ••✓, . �0 —� W�RNIN6:F�LURE TO SEWRE WORKERS'LOIdPENSATqN COVERAGE IS UNUWFUI. 1� ENERGY P/C � � J SUBIECTANEMPLOVERTOCWMINALPEN�LTIESANDpNLFINESUPTOONEHUNOREDTHOUSMID • W DOLL�RSlftao.o00),INID01710NTOTNECOSiOFCOAIOENS�tqN,DAMAOESASOROVIOEDFORIN ENERCiYPERMIT � � SEGTpN770eOF7MEU�BORCOOE,INTEREST,ANpATTOfiNE'f5FEE3. RETENTIONFEE; � p d CONSTRUCTION LENDING AGENCY pRE-ALT FEE: � O - ..__.------� --- ._ _. � INEREBYAFFIRMUNOERPENALTYOFGEiUUqVTNAiiMERE15AfAN5TPUCTION�NDNOAGENCY Z FOH THE PERFORMANGE OF THE WORK FON WHICH TMIS PENMIT IS ISSUEO(SEC.70G7,CN.C.1. LLI � LENDERS NiV.1E � LENOER'SADORE55 � IGEHTiFYTHATIIMVEREAD7HI5APPLICATqNANDSTATETMATTHEAeOVENFORM�T10NI5CORRECT. T07AL FEES / ��•�D � IAGREETOCOMVLVNI7HALLCfTYIWDCWN7YOHDINANCESANDSTATELAWSREUTINOTOBU0.01N4 ( � � CONSTRUCTiWl,ANDNEREBVAU7110R12EPEPRESENTATNE50GhU5COVNTYTOENTERUDONTNE Z ABOVE-MEMqNED VROVERTY FOR INSPECTqN 7URPQ4E3. COMMENTS � �'uU K� H�R _ //� � PERMITfEEWu1�{DA1 71 I// ✓�.1-�IOl. � II N SF'�'i7Af/OFFERMITTEF � DATE � RECPT.NO. 3 PAID BY VALIOATION WHITE—Depanment Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Gopy ♦ ,.�`i.J�r.T,`' �-y�. .. ..", .. • . .. . •. .,. + -•.-� - .-;._. r-•-, . � •r-�.� -...C• - _ ".A �.. �� ;1,�'�.+.*•]i�--- r.T-r . �t�. ,..�.. :1-, .. ._- cir�r oF �in►r��os�� �A� If�dSC�EC s'��iV REC�Ul;D � °ll►'.��?��C��� . �x'��'�_ al���.���i����� !I�`�-�.•��cai����� �..__. - _��;��� .�],r�;�=���� SET BACK �' � �� ��" ��FLOQR JOIST �� W - �� ' ~ F7GS/FORMS/STEEL � FHA REOMTS ELECTRIC GROIJND � UNDER FLOOR DUCT GROUND PLUMBING � ( UNDEA FLOOR CU��DUIT SLAB GRADE I I � FIREPLACE FOUNDATION TEMP POWER I � I FIREPLACE BONQ BEAM WATER SERVICE , i � MID HT. BOND BEAM � ROOF SHEATHING I ����_�� ' 8 FT. BOND BEAM , FRAMINGNENTILIATION j � FINAL BOND BEAM ROOF COVER. � � ,�/Z-�2g�!/ PRE-GRADING ROUGH HEATING � � BENCHING R�UGH ELECTRIC I ROUGH GRADING ROUGH PLUMBWG I i FINISH GRADING . SNOWERIfUB TEST I POOL ELECTRIC EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INBULATION ' OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER j FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. � SEEP PIT/L.L. � " � ON 51TE IMPS. � GAS AIR TEST � � FINAL ZONING FINAL CONST. � ! FlRE DEPT. FINA! FINAL HEATING � i , HEALTH DEPT. FINAL FINAL ELECTRIC � i ; i DEV.FEES PAID FINAL PLUMBING � j � ENERGY ;if3 ��" 'i,[s:,�e L.�. ' � i. . . � . _ � �....� - --- COMPJIENTS SEPTIC TANK SIZE SEEP PIT/U SIZE _ ,I��� __ . . _ .. . _. _ , � ,����� _ ' ' I_�I � _ . : I . , _ _ _, ; _ : , . c �� \ ,\