HomeMy WebLinkAbout17981 (30) _�� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNTIY&DEVELOPMENT SERVICES � 2 t 825 E.Coplcy Drive (909)860.3195 Fax(909)861-3117 PRESS `�:� BUILDING PERMIT APPLICATION FIRMLY } JOBSITE 1 �f, C � APPLICATION 5�g�02 PERMIT 17981 P/C o ADDRESS ✓ �J DATE NUMBER M c� ISSUE TYPE OCC APN L TRA T DATE CONST. GROUP °C OWNER 0 "' ADDRESS ZONING SETBACKS Z CITY ZIP L. ' Z FRONT FiW ❑ g APPLICA TEL. REAR ❑ � SIDFJSIDE STREET RW ❑ � CONTRACTOR APPUANCE IN " SIDE ❑ � ADDRESS ����- 0 PROPOSED USE o RCH/ENG/ Z�P�(562)88F=5�trt- � DESIGNER C36�5942E�2 NO.DWEL. N�. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER OECLARATION SFR/ADD/REM O p 1 HEREBY AFFlN.1 UNDER CENAL7Y OF PERlURv TMAT 1 MI EXEMVT FROM TME CONTRACiORS Lti Garage/Carport W CENSELAWFORTHEFOLLOWW�HEASON(SEG7071.6BUSINESSANDVROFESSIONSCODE:ANVCITYON (n � COUN7YWHICMREWIRESA�ERMITTOCON57RUCT.ALTER.DAPROVE.DEMOLISH.OHREPAIRANYSTRUG W Pdtb/DBCk TURE.VRqR TO RS iSSUANCE AL50 AEOUI0.E5 THE APPLIGt1T FOR SUCH PENAT TO FILE A SIGNED W � STATEMENT TNAT HE OR SHE IS UCENSED PURSUANT TO iHE OROVISIONS OF TNE CONTRACTORS L4 � CENSE UW�CHAPTER Y(COIAMENCWD W17H SECTION 7oD0)OF DIVISION 70F THE BUSINESS M1D PHO. �- PooVSpa iE55lON5 GOOEI�T�7 HE OR SHE IS E%EMPT iHEREFROM AND THE BASiS FOR 1NE ALLEGEO E%EMP- V TKKi.ANYVqUT10NOF3ECTION7Wi.5BYANYA7vLICANTFORAPERMITSU&lECi57HEAPPLICANTTO Z Re•Root A GYIL 7EN�LiY OF NOT MORE 77NN i1VE HUNOHED DOLURS(f 500)�: Z04��N'NEROFTMEPROPERTY,ORMYEM7LOYEESWITHWAGESASTMEiRSOLECOMPEN5AT70N, � COrt1rtIBfCl31 1NLL DO THE WORIC AND THE SiRUC?UqE IS NOT INTEN�ED OR OFFERED FOR SALE(SEC.70N,BU51� J NE55 AND VilOFE551ONS COOE:iNE CONTMCTORS IiCENSE UW DOES NOT AP7lY TO AN OY/NER OF � VRD7ERTVVAqBURDSORIAIVROVES7HEREON.MONMODOESSUCHWORKHIMSELFORHERSELFOH = � THPWCHHISORNERONTIEIAPLOVEES,OROV10E�1HATStKHIMPROVEIAENTSAPENOTMEN0E00H m QOFFEREDFORS/lE1F,HOWEVEILTNEBUItDWQORU.�PROVE/AENT4550LDVATHiNONEYEAROFCOAI7LE- Z TqN,TME OWNER-BUILDER WILL HAVE TNE BURDEN OF PpOVIN6 TNAT ME OH 511E DID NOT BUILD OR � RAPROVE FORTME PURPOSE OF SALEG O I.AS OYMER OF THE iROPERT;AM E%ClUSIVELY CONTMCT WO WITH LICENSED CONTFACTOqS Q TO COI�STRVCT TNE VRQIECT(SEG 70N,BUSINE55 AN�PHOFESSIONS CODE:7NE CONTMCTORS LI� VdIU8210f1 ADJ.AREA W CENSEUWDOESNOTAPPLYTONiONMEROFAYROPEflTYY.T108UILOSORIMPROVESTMEREON,AND � WNOCONTMCTSFORSUCH7R0.1ECTSWI7HI1CON7MCTOR�S�LICENSEOVURSUA1fITOTMECONTRAG QUANTITY DESCRIPTION FEE Y TORS UCENSE UW�. � OIAME7(EMPTUNDERSEG B.SP.C.fORTHI5REA50N U � � � DATE OVINEH V � UCENSED CONTRACTORS OECLARATION i j � IHEFEBYAFFIRMUNDERPENAITVOFPFyD������Ly1{y1LW'��'�NPf7�AFCMMTER Vr d �(COMIAENCINOWITHSECTION7000)6F'DM ys �.OIZfA0FES5iONSCOOE,AND Z u� YY IICENSE LS IN FULL�ORCE AND EFFECT. n Ilsl ��vti o L��e ood,CA. 90712 � � � LICENSE CU55 J V DATE C � �@�� d W � � WORKERS'COMPENSATION DECLARATION d � U � 1 HEREBYAFFIRIA UNOER PENALTY OF PE0.A1R'/ONE OF 1HE GOLLOW�NG DECLAMTiONS [� a G _IHMEMlO1MLlMAMTAMACERTIFIGATEOFCONSENTTOSELF•INSUHEFORWORKERS' _ � COMPENSATqN,/S VROVIDED BY SECTION 77000F iHE VBOR CODE.FOH TME PERFORMANCE W � / OF 7HE WORK FOR Nh/1CH T/15 PEfiMIT I5ISSUED. � � \/ �l 1 HAVE AND WILL MAiNTMN WORKERS'CWAPENSATION INSUiNNCE,AS REOUIRED BV SECTION Q 7�77o00F THE OR WOE.F TFIE iERi NMANCE OF THE WORK FOH WHid/THIS PERMi71S ISSUED.IAY 1 5 AIP ATo I URANCECARRIERANDPOlIC1'NUMBERARE: CONSTRUCTION J � pqaEq PLAN REVIEW � POIICYNUMBER_ }��� ELECTRIC 0 (�FiSSECIICNNEmNOTBE00�.pLE7EDOF11EPEfiARBiaRONEMI�O�EDDttJMS(5�00)MLESS) PLUMBING Z ICEHTIFVTHA7INTHEPERFORMANCEOFTHEWORNFORV1HIpiiMiSPERMITI5155UED,1 MECHANICAL C7 SHALLNOTEMPLOVANYPERSONINANVMANNER50115TOBECOMESUBJECTTOTME N WORKERS'COMPENSATIONUN�SOFG�LIFORNIA,ANDAGREETNATIFISNOULDBECAME INSPECTIONFEE S SIIAIECTTO THE WORNERS'C01.IPENSATION PROYI IONS OF ECiqN�70D F THE UBOR E, coua�rNn r e visi P ISSUANCE � �� ����v ��� SMIP p DATE: PLICANT. W ENERGY P/C WApN�NO:iA111RE 70 SECl1RE WORKERS'COMGENSATpN COVEMGE IS UNLAWFUI.AND SHALL BE �y SUBJECTANEMPLOVER70CRIA1wAlVENALTIESANDGYILFINESUPTOONEHUNDRED7H0USAN0 ENERGYPERMIT OOlURS(1100,000).N MOITIONTO THE COSTOF COMPENSATIDN.DAAIAGES AS PROVIDED FOR IN J SECTION�70lOFT1ELABORCODE,NTEFEST,ANDATTORNEY5FEE5. RETENTIONFEE: � d CONSTRUCTION LENDING AGENCY ppE-ALT FEE: � I HEREBV/�FFIRM UNOER PENALTV OF PERIURY THAT THERE IS A CONSTHUCTION LENDINO AGENCY FOR TME VERFOHI.�ANCE OF TXE WOHK fOR WHICH THIS PERMIi IS ISSUEU(SEC.70Y7,CIV.C.�. Z w � LENDER'S NAME F- LENOE(1'SADDRESS Q ICERTIFVhUTIHAVEREADTHISAPGlICA710NANDSTATETIUTTHEABOVEINFORMATpNISCORRECT. TOTAL FEES ���� W I�CREETOCOAAPLYWITNALLCRYANDCOUNTYORDINANLESANDSTpTEUWSREUTM�TOBUILDINO � CONST�UCTION.ANO NEREBV 11UTNORIZE REOH SENTATNES OF 7HI5 COUNTV TO ENTER UPON THE ZA �IAE EDD ERTYf S'CTp auavoses. COMMENTS � � _ � m ER � NAE R n �� 4 N � s ruruHtoFPE irrEE ��E RECPT.�O. PAIDBY 41111$ VALIDATION ['(= � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessw Copy,GOLDENRO�File Copy,GREEN—Applieant's Copy . . .. . . ....... ,,... . ...• , . .. .,... . .,,.,`�.�;7„r. c .�.a.��...1 �. .��.���:���r:7..�,:,"t�;l,f:.�7Y,t�..���{. ^�r'' -�". .. , �'i y d„ . ..�-.. . F- , .� . , . , ,,.r^'. .... .� . . . ..... ..... .. .. �, CIT�� �F ��AWIC�I�Q f3P�R . Ila�I�EC s 90��! RECUE�E� �Iw��-�'•a��:i'C�►�� � �)t.�'i`�' � I►��.��=���,.Fc�;�-_____.__�►��M:��c;�Ete�►r& .i�:���'�= I►��-���������: � ______._._..__�..Y.---------_. .=...___. .__--.--=- .- ,-, -- - --.._..___._._.._..___...__.-----------.._._.__..-.._._�._.._.._...__._._.__..�_...___.:...._� SET BACK � ! FLOOR JOIST FTGS/FORMS!STEEL j �rFHA REQP•.1TS �� ELECTRIC GflOUND � UNDER FLOOR DUCT � GROUND PWi�1BING i UiJDER FL•OOR CUf��DUIT ; SLAB GRADE FIREPLACE'FOUTJDATIO�d TEMP POWER I FIREPLACE.�C�ND�BEAM • WATER SERVICE I MID HT. �OND.'�EAPtI ROOF SHEATHING I a F7'. BOND BEAM �� • ••.••��', ' FRAMINGNENTILIATION I FINAL BOND BEAP�1 � - � ROOF COVER I � PRE-GRADI�JG ROUGH HEATING BENCHI�JG ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING i FINISH GRADING SHOWERRUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING � WALL INSULATION POOL FINAL i CEILING IN�ULATION �FF SITE IMPS. DRYWALL NAILING DEDICATI�NS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. OfJ SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. , . �IRE DEPT. FINAL FINAL HEATING � HEALTH DEPT. FINAL FINAL ELECTRIC � --��-�FEES PAID FINALPLUMBING I���J� _ � f r•.�rt Y..:� :''; : ..,._. , .; .. � . . � - - ---- �; c,)�:r,�f�;.r.lcy,��,--� --�. ... � � -. - - _ - ;, , . COM�JIENTS �- : ; ' SEPTIC TANK SIZE SEEP PITIU SIZE �v� � ,��Y� �: � , i � �