Loading...
HomeMy WebLinkAbout17801 (449) . ... . ....-�_.� ,. . . �. . _ ._ __.. . . ., .. � i . _�� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES 21925 E.Copley Drive '"` (909)860-3195Fax(909)861•si» PRESS `%�:�` BUILDINGPERMITAPPLICATION . FIRMLY o ADD ESS ��V �,`J�•�Y �I�/"Q APPUCATION'7..., 2Xj_ M PERMIT �I�,fj P!C DATE CJ �f "C•-NUMBER ([Jv p � issuE 3 2 �,.� TrPE cc APN LOT TRACT DATE CONST. GROUP p OWNER � A�✓I "" ADDRESS .UL ZONING SETBACKS gCITY IP �� TEL. FRONT RW O APPLICANT � TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ � CONTRACTOR G Q� Gdill /TIOiI.IJ /I( _ SIDE O Q ADDRESS � � � � CITY � ZIP��Q_ TEL, PROPOSED USE � ARCWEN W DESIGNEA N0.DWEL. NO. NO. d ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION y � OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HERFBV AFFlRAI UNDER 7EN�V.TY OF VEiWRV TNAT I AM E%EIA�T FPON TI/E CONTRACTORS U• GdfBQB/C01�OA W CENSEUWFoqTHEFOLLOWRlORFJ�SON(SEC.7D71.SBUSINESSANDPROFESSIONSGOOE:ANYCITYOR (n C� COUNTYWMp1REOUIRE3APERM1TT00DNS7AUCT.ALtE0.1MPNOVE.DEMOUSM.ORREFAIRANYSTRUC- W P8110/DOCk b T1RE.PRIOR TO 17S ISSUANCE./LSO REWIRES TNE APVLICANT FOfI SUCH iERAIIT TO F0.E A SIONED W � STATEMENT THAT HE OR S11E 13 LJCENSED YU0.5UNNT TO THE PAOVISIONS OF TME CONTMCTORS lF $ CENSE UW(CMAPTER/(WIAMENCCJU WIiM SEGT�ON 70W)OF OMSION 70f THE BUSiNE43AND GHO� � P��Pa FE951ON5 CODE�OR THAT HE OR SHE IS EXEMPT TNEIIEFROM M1D THE BASIS FOR THE ALI,EOED EXEMP- � TqN.ANYV10UTI0NOFSECT10N7a91.6BVANYAOPIICANTFOFAPERMITSUBJECTSTHE�PPLICA11TT0 z Re•Roof � ACML VENAITY OF NOT A10RE THAN FIVE HUNDRED DOLURS(f500),I: . � plA50NNEHOFTHEPROPERTY,OHMYEMPLOYEE5N17MWAGESASTHEIRSOLE00MVEN5A7qN, 0 CpmmBfCla� Z WILL 00 TME WORN.M10 THE STRUCTURE IS NOT INTENDED OR OiiERED fOR SALE(SEC.7o1L BU51- J NE55�ND DROFESSIONS CODE:TME CONTRRCTOflS LICENSE LAW�OES NOT AGPLY TO Ml OWNER OF N PHOPERTYMT108URDSORIMPROVESTIIEREON,MIDNMODOE95UCHWORNNIMSELFORHERSELFOH � ([ TMROIMHHISORHERONMEMPLOYEES,PROVIDEDTHATSUd11MPROVEMEMSARENOTMfNOEDOH m QOFFEREDFORSALE.IF,IqWEYER7NE8UILDM60RMPqOVEA1EN7i550LOVAnANONEYEAROFC�RE• Z TION,TME OwNEN•BInLOER WILL 1uVE 7HE BURDEN OF PflOVINO TMAT NE OR SHE DID NOT BUIID pR = MPROVEFOHTMEPURPOSEOFSALE} O l�lS OWNER OF TME PROPERTY.AM EXCLUSNEIY CONTMCTRJO VATN LICENSED CONTMCTORS � TO CONSTRUCf THE iROJECT(SEG 70Y.Bi151NE55M10 VHOFESSIONS CODE iHE CONfRACTORS LI- VBIU8110I1 ADJ.AREA CENSE LAW OOE9 NOTAPILY TO Ml OYMER OF A iHOPERTY Vn10 BUIIDS ON�dPROVE3 TMEREON.AND NnIOCONTMCTSiORSUp1PR0.1ECTSNnTHACONTRACTOR(SjLICENSEDPURSUANiTOTHECONTM6 Q�J/�Jj�N DESCRIPTION FEE � MRSLICENSEUWJ. � O I AM E%EMPT UNDER 9EC. B.i V.C.FOR THIS REA£ON Q � U V"' DAtf OWNER r Z W �.Q LICENSED CONTRACTORS OECLARATION W l= INEREBYAffIRAlUNOEFVENALT'/OFVERJUFYTHATIAIAUCENSEDUNOERVRONSIONSOFLNAVTER � � Y(Cp./YENCPlOWfTHSECT10N7000)OFDIVISqNJOFTHEBV5INESSANDPqOFESSIONSOODE,ANO Z X MYLICENSE�SNFULLFORCEANOEfFEC7. m ll l /' /� /�/J /� 0 UCENSE CUSS v�-!�0 LIC.N0. F7�rI G S ij ~' DATE 'j— �-1 �-CJ� corrra�croa PP7'.L AI_.E'_�/7 7r � , . __ _ _ . _ _. ., . _._ � WORKERS'COMPENSATIONDECLARATION U C ¢ G � �� '—� � IHEREBYAFflRMUNDERPENAL7YOFPE0.RIRVONEOiTNEfOLLOWINGDECUAATIDNS: a � � O � !LI G) �IHAVEMION�LLMAMTAINACENTIFlCATEOFCONSENTTOSELF-INSIIREFOPNR%iKERS' 2 � CpAPENSATION,/SPRDYIOEDBYSECTON77000FTMELABORCODE.FORiHEiEAFORMANCE W OFiHE WORK FOfi WNIp1TH1S PEHMIT IS ISSUED. � � � �iHAVEANDV+iLLL7AINTAINWO(7KERS'C01.IPENSATIONINSUR/NCE,ASREOU�PEDBYSECTqN Q 07o00FTHEUBORCO�E,FORTHEOERFORMANCEOFTHEWOAI(iORWH1o17111SDERMiT15 � ISSUED.MYWORKEHS'CCMPENSATIONWSURAN�CE�"RRIEqANOPOLICVNUMBEHARE: CONSTRUCTION � CAARIER /I�JSLI N� PLAN REVIEW � POIICYNUMBER,�j,j, %;� ���L ELECTRIC � (1}EssECi�oNNEmr+oTeEmM1ri£rmoFhEVEaMiBfORouF�uDnEODOLLAi1S61mJcaLEss} PLUMBING Z ICfRTIFYTHATMITHEPERFORMANCEOFiHEWORKFOHWNICHTHISPERMITI5LS5UED,l MECHANICAL (,'J SHALL NOT EMPLOYMIY VER50N INANY MANNER 50A5 tO BECOME SUBJECT TOTHE N Y/ORKERS'COMPENSATION LAWS OF CALIFORNIA,AN�AdAEE TMAT IF I S/qULD BECOME INSPECTION FEE � SU&1ECTTOTIIEWORNERS'COA�PENSAiqNVRON510NSOF5ECTIDN]]OOOFTHEUBOR s eooe.iSHutcor�r�rncowr�rwin�ri+osevArnnsaHs. ISSUANCE � SMIP p DATF: APPLICANT: � ENERGY P/C WARNINO:FAILURE TO SECURE WOHKERS'CdAPENSATION COVERACE IS UNUWFUL AND S WLLL BE �y Et1BJECTIWfMV�OVERTOCRIAIINALVENALTIESANDCMLFWESUPTOONEMUNDREOTHOVS/NO ENERGYPEFlMIT OOtURS(f t0o,000y IN ADDIT�ON TO THE COST OF COMFENSATqN,DA/MGES AS PROViOED FOR IN ¢ 6ECTION�7o00FTHEL/�BORO00E,IN7ERE5T,ANDATTOHNEYSFEES. RETENTIONFEE: ' • nW.. CONSTRUCTION LENOING AGENCY PRE-ALT FEE: � IHEREBVACFIRYUTAERCENALTYOFGERIURVTNA7TMEREISACONSTRUCTIONIENOWO�4ENCY FWi TNE iERFORMANCE OF TNE WOqN FOfl WHICN THIS 7EFMIiIS ISSUED(SEC.70o7,CIV.4�. Z W � LENDER'SNM�E � LENOERSAD�RE55 � ICERTIFYTHATIHAVEHEADTMISMPLICATpNAND4TAIETNAT7NEABOYENFORMATIONISCORqECT. TOTALFEES �5�� d IAOREETOL�MPLVWITIINACRVANOCOUNTYOHDWANCESANDSTAtEUWSREUT�NUiOBUIIDINC CONSTRUCTIdJ,AND HEREBY AUTHORRE RE7NESENTATNES OF THIS COUNTY TO EHTER UPON TME ZI180VE-MENTIDNED7ROPERTYFOHMSPECTIONVURPOSE3. COMMENTS g L m E PRlqn 6 N SiGNAN �OF iERMiTIEE OATE RECPT.NO. PAID BY VALIDATION NMITE—Department Copy,YELLOW—Finance Copy,PINK—Assessoi Copy.GOLDENROD—File Copy.GREEN—Appl� nfs Capy . ..- .,..__,w., .....,.-.,_., �,,.....-...F-�,�•-.,._..._,.,..-:.---;,r,y-:1A,-•.�r—�r� �. r�::rC. ,.-....:>C;wrr•�1^,�,�,•:,r-r•�s2�- ,�t+w�c-. . ,: .. -.r.�r:. � .v . ... • , _ ,. - .. , . v.�r,.., . . .. . CITY UF D1�4t�ADP�D BAf� lt�9�REC�'IQt1 RECORD . ,�,�.----*- ---*..,..-��,....-�------a^� � �l►!����:�.�d��.�� . , :��'��'� _ .:�►��=�����:��:�.. . �(�.��.:�����.1�.��., _;o�"r�.�i � �j����:� o-� .._ . ._ .._. L , i�, ...�..Y..._ - �___...�.._._.__.._�.__ - SET BACK � , —•__.V........ _._...._._..`_...i,..__�._. FLOOR JOIST ._.. �..r..— -- FiGS/FORPJISJSTEEL , FHA REQMTS � ELECTRIC GROUND j � I UPJDER FLOOR DUCT � GRQUND PLUMBING � i I UPJDER FLOOR CU�IDU17 � : I SLAB GRADE i FIREPLACE FOUNDA710N TEMP POWER i ', ' FIREPLACE BOND BEAM WATER SERVICE I I MID HT.�aND BEAM I ROOF SHEATHING I t3 FT. BOND BEAM, ' ; � FRAMINGNENTIUATION� I FINAL BOND BEAM Fi00F COVER PRE-GRADING ROUGH NEATING BENCHING ROUGH ELECTRIC ROUGH GRADIPdG � ROUGH PLUMBING I i FINISH GRADING ; SHOWEFt/7'UB TEST j POOL ELECTRIC EX7.LATH/SIDING 'I � POOL FENCING WALL INSULATION , I 'i POOL FINAL CEILING IN�ULATION i, ' ' OFF SITE IMPS. DRYWALL NAILING j DEDICATIONS SEWER � FINAL ENG. SEPTICTANK i � LANDSGAPEIIRRIG. � SEEP PIT/L.L. � � ON 51TE IMPS. GAS AIR 7EST I � FINAL ZONlNG FINAL CONST.- � ; ' � F!RE DEPT. FINA� FINAL HEATING . �t.. '� I HEALTH DEPT. FINAL � FINAI.ELECTRIC ' ! DEV. FEES PAID FINAL PLUMBING �, ; ! ENERGY � i I ,;�, ..�gin �:.i�,`f,�.l - . i .���� ; • - -_- - _- --- -- � . COMMENTS � � �'• SEPTIC 7ANK SIZE SEEP PIT/U SIZE ��+���- . , � . l ;,���� ' ��: � � .�..___._.���Y.._.�.�._�. � � . � - - �