Loading...
HomeMy WebLinkAbout16836 (44) C-` � CITY OF DIAMOND BAR � �� � DEPARTMENT OF COIvIIv1UNITY&:DEVELOPMENT SERVICES `/ � / i ��� 21825 E.Copicy Drive �� (909)860-3195 Fax(909)861-3(17 PRESS ���� BUILDINC PERMIT APPLICATION FI R M LY } JODSITE r r �. APPLICATION � PERMIT P!C o ADDRESS Z1�{ 1�w�✓a.• l�i1/`�f G.� . DATE � NUME3ER�� p � APN LOT TRACT �SSUE TYPE OCC p OWNER S�� DATE CONST. GROUP " ADDRESS ZONING SETOACKS 0 � CITY ZIP TEL. FRONT RW ❑ g APPLICANT TEL. REAR 0 z� _ SIDFJSIOE STREET RW ❑ QCONTRACTOR (.'�-J�C.T =�'-�— SIDE p ADDRESS_ �C)H C� ✓`+�Y52 (O�p T O!i � C�TY CG(�a�- ZIP Z�TEL 23�7�'3 PROPOSED USE o ARCH/ENG/ Z DESIGNER a ADDRESS NO.DWEL. NO. NO. cn UNITS STORIES �EDROOMS N CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER��UILDER DECLAFiATION p SFWADDlREM p 1 HEREBY AFFIRM UNOER DfNAITY O�FEiWRV THAT I AM E%ElAPT FR011 THE CONTMCTORS l4 Garage/Carport W CENSEUwFORTHEfOLLOWINCREASON(SEG7a71.sBUSIN[SSANDPROFESSIONSCOD[:ANYGRVOR (n ZCOUNiYNHIpIREWIRESAGERMITTOCONSTRUGT,ALTER,IMPROVE,OEMOLISH,ORREPAIRANYSTRUG W Patio/peck w TURE,PRqR TO ITS ISSUANCE,ALSO REWIRES TME MPLICANT fOR SUp7 PERMIT TO F0.E A SiGNED W � STATEMENT TMA7 ME OR SME 6 LICENS[D R1RSUui7 70 7HE iNOV1510N5 OF iH[CONTRACTORS l4 � CENSE Uw(p1AVTER i(COMMENCING WITN SECTION 7000�OF DMSqN�OF TME BU5iNE55 ANO VRo. V" POOUSp� 0 FESSqNSCOOElOfl7FUTMEORSHEISE%EMPTTHEREFROMAND7HEB.1515FOR7HEILLLECEDEJIEIAP- (� V TqN.ANYVIOLATIONOFSECT10N70]t.6BVA4YA0P�IG�NiFORAVERAI1TSUtiJECTSTNEMPLICANTTO Z Re�Roof 'Zj � A CML OENALTY OF NpT MORE iNAN FNE XUNDRED DOLlA0.5�f50D�,j: � 04ASOWNEROFTHEPROPERTV,ORMYEMP�OYEESWITHWACESASTMEIRSOLECOMVENSATqN, � COTRIBIC18I Z W�LI DO THE WORK,AND TME STRUCfURE IS NOT INTENDEO OR OFFEREO fOR SALE(SEG 7W�,BUSI- �J � NE35 AND GROFESSKKIS COOE:T1E CONTHACiORS UCENSE UW DOES NOT AGRY TD AN OWNER OF ? PROPERTY VAIO 6URD5 OR IM7ROVE5 THCREON,AND N/HO pp[S SUCli WOHK HIMSELF OR NERSELF pq Q THFiOUGMM150HHEROK?lEMPLOYEES,VROVIDEDTHA75UCMIMPROVEAICN7S�RENOTPITEN�E�OR LL� � OFFEREDFORSILE.IF,HOWEVEF�iNEeuILDwGORu.1PROVEUENTL550LDK�TMiNdJEYEAqOFCOMPLE- Z TION.TNE OWNER-BURDER WILL HAYE TNE BURDEN OF PROVINO THAT HE OR SHC DID NO7 BUIID OR � 11.1PROVE FORTHE DURVOSE OF SALE� w O4ASONMEROFTHEVROPERTY,AMEXCLUSNEIYCONTMCTINOWITHLILENSEDLONTRACTORS � TO CANSTRUCT THE iRO.lECT(SEG 7a1,BUSINC55 AND PFqFE55lON5 LODE:TX[LONTR�CTORS LI� VdI11911011 ADJ.AREA W CENSEUWOOESNOTAPGLYTOhNONNEROFAPROPEHTI'YYMOBURDSORIMPROVESTHEREON,MlD � WIqCANTRACT5FOR5UQIPRDJECTSMAiH11CONTMCTOR(S�I�CENSEDPUfi5UA4T70THECONTMG OUANTITY DESCRIPTION FEE Y TOfi5l10ENSE UW.�. 0 ❑IAu E%EuvT UNDEi7 SEC. B.t P.0.FOA THiS REASON Q �/l�'1.�.2�Q �� U � OATE OWNER F�- �� ��tr a �Rr Z U [` ��..T e � � UCENSED CONTRACTORS DECLARATION W � IHEREBYAFFIRMUNDENPENAITVOFCE0.IURYTNAT1AULICEYSEDUNDER7l70vISION50cCHAv7ER V, � 0(CdAAIENCINGVlITHSECTqN70o0)OFDIVISqN]OFTMEBUSINESSANDPROFESSIONSCODE.A.`1� Z �� ►�1'LICENSE IS N R1Ll FORCE AND EFFECT. m 0 LICENSE CUSS L_�� ���.No. G6 3�2 a � v ��rE-_�� 20- G l coraraacTor� �-lG�/��(�C c,d a w � WORKERS'C06APENSATION DECLARATION Q � IMEREBYAFFIRMUNOERPENAITYOF�EfW1iVONEOFiHEFOLLONANGDECLAMT10N5. Z � _INAVEANDWILLMAINTAINACENTIFIGTEOFLONSENTTOSELF�INSURLFORWORKERS' a CpAPENSATpN,ASPROVIDEDBVSELTIONl7DOOF1NEUtDORCODE.iORTNEVERFORMANCE U Q OF THE WORK FOR WM�CM iMIS VERMIT I5 155UED. � �W _INAVEANDWILLMAIMAINWORKERS'COMPENSATIONINSl1RANGE.ASFE�L'IRED6YSECTqN ��,��^///��� /// ��, 17oaOFTH[UBORCOOE,FORTXECERFORMANCEOFiHEWORKFORYniICHTHISPERMITIS � '�R J ISSUED.MYWORKERS'C01.�PENSIITIONIN3URANCECAgRiERM1DiQI�YNUMBERARE CONSTRUCTION V � CARRIER���r�,RT�� t t���\. PLAN REVIEN/ � 0 POLICY M1M9ER_ . �E�`O l �a ��( ELECTRIC Q o (nassEcrnuu[mwre[oou.�oocnsvcwwrswaor,[�oottw�sR,ao�on�rssa PLUMBING Z ICERTIFVTMATWTNEPERFORMAYCEOFT/1EWOFKFORWMiQ1TH15PERMIT15155UED.1 MECHANICAL C>' SMALLNOTEMPLOYANYVERSONINANY4ANNERSOASTOBECOMESU0.IECTTO7HE (n WORKER$'COMPENSATION UWS OF CALIFORNIA,AND AGREE THAT IF I SHOULD BELOYE INSPECTION FEE SUBJECTTOTHEWORKERS'COMPENSATIONPRONS .NSOFSECTION7700OFTHEU�OR rj cooe.isHsucoarNwin�caav�rwm�rNo�.v �ion�s. ISSUANCE � � �""��=1� 1T 1� .V — O --. • - DATE: ��Z.�'GI APPLICANT: SMIP J� wWARNING:FARURE TO SECURE WOIiNERS'COMPENSATION CAVERAGE IS UNLAwFIII,AND SHALl BE ENERGY P/G I `�'I� `� 11 2 Q�1 � � SUOJECT AN EA�PIOVFR 70 CRIu1NAL PENALTIES AND CML FwES UP TO ONE MVNDREO TMOUSAND ��-- LL DOIUPS�ff00.000j,NID01T10NTOTHECOSTOF(pAAPENSATqN,OAMAG[SASPROVIDEDFORIN ENERGYPERMIT I J SECTqN]10lOFTHELA[iORCOOE.NiEREST,ANDATfORNEY5FEE4. ' I.,,� �L 1 � RETENTION FEE: � OCONSTFlUCTION LENDING AGENCY PRE-ALT FEE: ����-�'-=--- --,----I � I HEREBYAFFiRM UNOER VENILLTY OF PE0.1VM THATTHERE IS A CONSTRUC710N LENDING ACENCY � FOH THE PERfORMANCE OF THE WORK PoR WNIp1 THIS PERM?IS ISSUEO(SEC.�oG�,CIV.C.). Z W � LENDER'SNu1E S � LENOERSI�DOR[55 w I CERTIFY iHAi I HAVE READ TMIS�VVLICATION AND STATE THAT T1E ABOVE INFORM�TqN IS COflRECL TOTAL FEES � �� �O � IAGRCETOCOMPLYWITMALICRI'ANDCOUNTfO�L7iNRNCC5MID5TATEUWSREUTWGTOBU�0IYG � � CONSTiLL1CT10N.M1�MEREB'fA:JT1qRIZERE7RE5ENTATNE50FTW5COVNTYTOENTEflUVONTHE Z AWYE�MENiIONEDVROPEH7YFORINSPEC710NPURPO5E5. COMMENTS � � ��� J � � O° vEauine �ani ¢ � [n SIGNATVHE F PERNI EE �7 DATF� �� ' - 2 /� �.CJ�O RECP7 NO. ��PAID BY_ VAUDATION F NmiTE—DeDanmern Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--Fiie Copy,GREEN—ApphcanPs Copy '• '-_��,�- •.1•.�..:.:. ..., 1....-y:l:�....�.:b.,.'.f:�:-�. .� �e.Yll�... . --� f '1'�"1:�:'.T' . . I , . .. �. �.� . . . •. .. ..... �� . .. 4 � �. . ...V . ...� � v,. . � .. . . . . , . r.. �l1�'�� t� ' Q1i�'a���!QI`'�! L'�_'�f��i �f,,���-��-:i�i�: ��_�,Ga=�G .�� .______________----.----_—. ....._..,_.._�._ .�_ ._._._ __------_-.--- - - -._..__._____...__..---.------.— ----_..._._. � l�`E�l�a=l�:f(�1i.`! �'i�`:� - I►�Ey��=��,`"�1:. I�`l:i:��c' !',(�1►'E tJ�k'r`= 1��1=i.l�c'.`�cy�{ _...—... ....... .. ....... . .... .. .... _. ..... . ....._ . ... . . . . . ..___.. ....---------�------�- . _... ........ .. . ... . . ._ SET�ACf; i ; � � : FLCQR J�IST i _� - ---*-- ------�------ -------- ---•-� ---�- �-- •— ,--....-- FTGS,'FOR'�1S,'STEEL � � j I FFi�"�REQ`,1TS � � -- ELECTRIC GROU�JD �-----�—;---- ----�-' Ui,��R (=LOJR DUCT -�----- GFiOUND PLUi�1EItJG I UD1D�R f=LQO,CU?�I�UIT � -1---- SLAB GRADE � _ � _.�I_FIR�PLACE FOUi•JDATIOtJ__ I TEhAP PObVER I � _ I I FIREPLACE 50?dU F�AP,1 _l � �•':ATER SERVICE � � �- �• � ! P_41n hIT._.���JD BEAt.1 � ROOF SHEA7HIhJG ;'�3-'%�� _�_I &FT. 60i�� I3�A"�1 � _ ! _ FRA�JIING.NENTILIATIO�J� � I FIfdAL E?O�•JD EiEA�" I ROOF COVER 7--- lD1i { I FRE-G,ri!`,DUJG -----� ---� --- ROUGH HEATING �` TI ac�dCN��•JG I !� _ ROUGH ELECTRIC � I :I i ROUGH CRADI�JG � FiOUGH PLUi�'E'IiJG I ; � FI�'JISH uiADli•J� �.—._ SHO�"JERli'U3 TEST � ; I PQOL�LECTRIC _ I __.� ___ EXT.L,/1TH'SIDING j I POOL FFi•.CR�G f ; 4^lP,LL I�JSULATION —�— �� POOL FIhIALi _ � CEILIPJG Ii��ULI',TION � � � UFF 51TE IP"?S. � DRY�"JALL PJE;ILING � I I_i DEDICATIONS i � SEVJER � � FIiJAL Ef�G. � SEPTICTAPJK � � � LAPJDSCAPE/iRRI�. j � SEEP PIT/L.L � � � ON SITE I"�1P�. � G.AS AIR TEST -�-- - { � FINAL ZO"Jit•J� ---- 1 � FINEIL CONST. Z Q/ � � 1 F!RE D�PT. FINP�!_ I 7 7 - � � F I N A L HE F,T I N G _ �__ _I H EA L T H D E P T. F I P J A L � FINf,L ELECTRIC � � DEV. FEES P:JD �_ � FINAL PLUhiBIPJG � � Eid�RGY � � I l-� ,_ _ :_ r____.�.__._� --� _ - .� _, .� _ :,. _.. . ,.. . r�- .;� .: CU(11PJIENTS SEPTIC TANK SIZE SEEP PIT/U SIZE - - -------1��_.�.--. _ �_ �+��. _ � - -.: