HomeMy WebLinkAbout14178 �_ CITY OF DIAMOND BAR
DEPARTMENT OF COMMLJNITY 8r.DEVELOPMENT SERVICES
21660 E.Copley Drive Suite 190
, (909}860-3145 Fax(909)661-3117 PRES$
`'^�'. BUILDIIVG PERMIT APPLICAT[ON FIRMLY
�� JOBSITE • "� APPLICATION - � � PERMR P/ -��
o AODRES DATE NUMHER' �
$ ISSUE TYPE OCC
APN LOT T ACT DATE � CONST. GROIJP
� OWNER Q "�' . _
p ADDRESS ZONING SETBACKS
CITY.�t�1 ZI TEL FRONT RW p
APPUCANT ��� � TEL. REAR ❑
SIDE/SIDE STREET RW ❑
CONTAACT SIDE ❑
� ADDR SS PROP�SED U5E Q -.S
o C1TY �ZIP TEL.
ARCH/ENG/ ��Gi�
DEStGNER NO.OWEL. NO. NO,
ADDRESS UNITS STORIES BEDROOMS
yCI'M ZIP TEL.
DESCRIPTION SQ.FT. FAGTOR PSF ADJ.AREANALUATION
Q OWNER-BUILDER DEGLARATION SFR/ADD/REM �
O
1 NFAEBY AFFlNY UNOER PENK7Y OF PEIUURY TNAT I AM E7CEMVT fAOM THE COMMCTOfi3 LI• GO�Q�+W�h
CENSE UW FOR 7HE fOLLOW WO REA80N 18E0.7oe7.6 BUSINE33 AND PfY�FES510N5 ODpE:ANYqTV OR
COUNTYMhYC11RE0UI11ESAGERYRTDO0N5TRUCT,ILTER�PFqVE.DEMOUSH,ORREP/URAM'91AUC• w pg�lQ/DBCk
711RE PRIOFl TO IT6135UANCE.AL90 REQ�ME9 TNE MPIICANT POR BUCH PERMiT TO FILE A SttiNED
BTATEMENT THAT NE OR BHE IS LlCEN6ED PUiieUMlT TO THE PNOVI610N6 OF T1E CCNfMCiORe L4
CENSE IAW(dU7TEA Y(OOAIYENLMNO WI7H 8EC710N 7aoo)�D�NSCM1 9 0F 7NE a1S�NE5S MD VR6 u' POOVSpe
FE8910NS COOE]OR TIAT NE OR SHE 18 EXEMFT 7MEPEFROM AND 7HE BASIS FOR TiIE KLEOEO E%EMP•
TpN.ANYVI0URi0NOF8ECT10N7971.6BYMIVMPLICANiWq�PERMITBUBJEC757NEAPPLIGINTTO z q�q�
� A CML PENAIr OF NOT FIOFE 7N�N FNE MUNDRED DOLWiS�i5�0).)�
OI,ASOVMEROFiHEPIWPFFi7Y,ORNYEMPLOVEE3WITHWAGE3ASTNE1R80LECOMPENSATqN, D COmrtIBRiBI
WILL DO TIIE YlORK,AND 7HE STRUCTIRE LS IW7INTENDED OR OFFFNE�fOR W.E(9EC.7W,6U51- J
NESE AND PROFE95IOM5 CO�6:TFIE CONTRACTOAS LICE119E LMM OOES NDi APPLY TO AN OVMER OF �
� P110PERT'YNIOBUILDSORNIPROVEST/EREON,MIDWIIODOESSUp/WO1L(HNSELFOHNERSELFOR
TMt1IX1OHHSOR11Ef10WNEYCLOYEES.►POVIDEDTHATSU!'11IMPROVEMENT6ARENOTINTENp�UOq CO
OFFEREI]PDRBAIE F NOWEYEF�1HE BURDINGORIMPROVEMENi1S SOID YVITMIN OHEYFAHOf QDMPLE
�TqN.TIE OWNER�BUttDER YMILL FNVE 7HE BURDEN OF PROVIN6 7HM NE OR SHE OID NDT BULLD Ofi
�IPROVE FOiI T11E vuHP0.SE aF S/�LE}
O 4��1MIEROF 1NE PqOPERfY,AN E%CIUSIVELY COMIUCTINO Nrt7H IICENSED COHTRACTOR9
TOWNSiRUGTTHEPROJECT�SEC.7oµlUSINE55MIDPROFESSIONSOODE:TiECOHfRACTJRSII- Ve1u9110R ADJ.AflEA
CENSE UW OOES NOTMPLY TOAN DY1MEfl OF IIPROPEFYfY Mf1iO8UILP6 OR IMPHOV�TMEREON.NO
N4pOONTAACf8FOR9Ud1PROJECTeWT1A00NTMCTD11�e�LICEN3EDR1HeUMf�TOTHE00NTM0. pUANTITY DESCRIPTION FEE
-I iOftS LILENSE UIYV.). ' .
�
� O I Nd ENEEIPT UNDEA BEC. B.a P.C.FOP THIS qEA60N �
U
DATE OWNEFi
� LICENSED CONTRACTORS�ECLARATION ' ' �
� INfiREBYAFFlRMUNDERPENALIYOFPERJURYTUTIAMIICEN5E0UI�DERPROVI610N5OFCHAPTEH
�(DONYENC7/(3 WfiH SEGTION 700�)OF DIVISION 9 OF THE BUSINESS AND PROFFSSIONS COUE.AND
W UCENSE IB IN FLLL FOPCEAND EFFECT.
� LICENSE C S UC.NO. a
...� DATE �- CONTMCTOR - �
' WORKERS'COMPENSATION DECLARATION ,�/ a
yIHEREBYAFFIRMUNDERPENALTYOFPEMJIiYONEOFTHEFOLIAWINODEClARA710N5:\� � ,
� �I HAVE AND YYILL MIAMTAN A CERTIFIGTE OF CONSENT TO SELFJNSl1RE PoA WOqKER3' � , , , , . . ,
OOMPENSA710N,AS PROVIDE�BY BEC710H 970o OF THE UBOR COOE.FOq THE PEWFORMANGE W
O _�OF E WOAK FOR WNICFi T1q3 PEqMIT I6 ISSUED. �
�AND N7LL MAMJIIN WOqKER3'COMPENSATKW INSURAWCE,AS REOUIREO BY SECTpN � ' (']. �
'O 3700aF7HElABORCdOE,FORTNEPERiDFiMANCEOFIMEWORNWRWMiCH71715PEliM1T15 J�
ISSUED.MY K S'COMVENSATION INSURANCE GARPoER AND POLICY NUMBER ARE: CON$TRUCTION V I O
jGRRIER PUW REVIEW ,_
� POLICYNUAIBER ELECTRIC —
t
� (114ssEClpNr�rq78EmAPlE�EDOFnErEEa.frl6rt7qoWEr#RufiEDoouMe(i�ao)paL�s} PLUMBING
I GEHTFY TNAT M 7HE PERFORMMICE OF THE WORK FOR WNICH THIS PEflY ISSl1E0. �1 MECHANICAL
(y7 9FIALL NOT EMPLOYMIY VEHSON N ANY MANNER 50 TO BECAME S O THE � "
(/� WDRKEFS'COEIPENSATqNUW50FCALIFORNI/� REETHATIF BE INSPECTIONFEE
SUB.IEGT70TNEYYONKEIiSCOMVEN5AT10NPq0 f �C 700 F ON
OCODE,I9H wn caav�vwini ISSUANCE �_ . CfC�
� pA ' PR�cAMT. / SMIP
WMNWO:FM.UAE T08EWRE WORKERS COMPENS ION OOVERAOE IS UMAWFUL,AND SHALI BE ENERGY P/C
�y BUBJECTANEMPLOVENTOCRIMIWLLPENAL71E8ANUCIVILFINESUPTOONENUNDREDTIIOUSMID ENERGYPERMfT
r WLLARS�i10a.000).W ADDIiION TO iHE COST OF C061VENSATION.PAMpGE3 AS PHOVIDEO FOR�N '
�J BECTION8�090F7HEUBONCODE,INTEREST,ANDATTORNENSFEES RETEN FEE: C �m
���,�-, �����i'VII
� CONSTRUCTION LENDING AGENCY pqE_ � ��
4L IHEHEBY/1FFIRMUNDENFENKTYOFPERIURYTHATTHEREISACONSTqIICTqNIENOIN(3AfiENCV �L
�- FOq 7HE CERFONMANCE OF 7HE NIORK�OF WHICiI TNIS VEWd1T IS ISSUEO(SEC.30Y7,CIV.C.). .
� IENDEfYSNM1E
�S LENDER'SAOORE55 /�
`� ICEfYTIFYi1NT1NAYEREADTi1SMPLIGITIONMIOST�TEhNTT/fEABOVEINFORIMTIONIBCOXRECT. TOTAL FEES � V'I/�
� IA4REETOCpAPLVWITNALLCRYANDCOUNTYOR�INANCESANDS7ATElAWSREIATNq�D6U401NO
� WNSTNUCf10N,MO NEH�Y Alfi'lIOFIZE NEPR SENTATIVES OF iX15 Cq/NT 70 EN7Efl VPON TNE
J4BOVE• 710NED VROFERIY PECT �GURP09E5.
� COMMENTS
1
� PERMIT7EE E
� �r'1 1 t � /
y fKiNAT1FE EE DA
j� . RECPT.NO. PAID B ` VIWDATION
F YYFi1TE-0epartment Copy.YELLOYM—fhence Copy,PINK—Assossa Copy,GOIDENFiODfleCopy.GREEN—AppicanYs Gopy
�;,:_.:� . CITY OF DIAI�tOND BAR
_ .,
lht�P�t;T!(�hE �ECUf�D
. ` � + E . . 0 � , � � �
'�,SET BACK FLOOR JQISfi . ; ,
FfGS/FQRMS/STEEL �r � FHA REQM7S �
ELEGTRIC GROUND UNDER FLOOR DUCT -,
GROUN�PLUMBING UNDER FLOOR CO�IDUIT �
SLAB GRAOE FIRERLACE FOUNDATION -!- ` ' - • ;
TEMP POWER I ' FIREPLACE B�ND BEAM ; ' ' '
1NA7EFi SERVICE • MID HT. BON1D BEAM. � , � C� `�1L • .. -
ROOF SHEA`F.HING � • - 8 FT.80ND BERM � " �-
FRAMINGNENTILlAT10N � FINAt BOND BEAM ' � '.' '
ROO�'GOVER PRE-GRA�ING _�i '
ROUGH HEATING BENCHING �
ROUGW ELEC7RIC ROUGN GRADING
ROUGH PLUMBING FINISH GRADING
SHOWER/TUB TEST POOL ELECTRIC•
EXT.LATHlSIDING . POOL FENCING
WALL INSULATION ' POOL FINAL � •
CEILINC'.,INSULATION ' OFF SITE IMPS.
DRYWALL.NAILING DEDI,CATIONS' �
SEWEFI • FI1�AL EN'G. '
SEPTlC TANK � LANDSCAPEARRIG. �
--�-�==� _
SEEP FIT/1�.L. ' ' �N S17E IMPS. '
GAS AIR TEST � ~ FINAL ZONING � �
FINA�CONST. . FIRE•DEPT.FiNAL i ��
FINAL:HEATING � . HEALTH DEPT. FINAL
FINA�ELECTRIC � � � 'DEV. FEES PAID
FINAt PLUMBING I ENERGY
'�--- , t -- „_
} � r. �.. � �
. ... � ._ 1 '. J 1 T .
. . . . . . . . . . . ._....._._.._ ...._'__. .__..___.".�.a..-...,-.... .
. .... ....... .. .
. . ..._,. .... .. . ... . .
COMMENTS �al�tla4 ,V �er.
� 2 G �� �
_a�-� �...�.�°��_�- ����s�4��� ���1�����-c� a
__.C�.�/�.._._P�sSc�� .���6��a �l�? __
;' .�
SEPTIC TANK SIZE
SEEP PIT/U SIZE
�° � �;''
��'' � �
';�. ,
� '' ` --
. ; .
� -. . : �. . -