Loading...
HomeMy WebLinkAbout16789 (1774) . �- / � �_ �� . CTTY OF DIAMOND BAR � � i 'DEPARTN�NT OF COMMUNTTY&DEVELOPMENf SERVICES � zieu E.coqry nrrve • (909)860-3195 Fax(909)861-3117 • PRE$$ � ' " ��%�� BU[LDING PERMIT APPLICATION FIRMLY Q ADDRESS ����/� ��►1S �"1 JaAy'�'�� �'� APPLICATION . /� >- � . � „ PERMR P/C• o DATE Vr NUMBER N � APN LOT TRACT DA EE �I CONST. GROUP p OWNER __ t'f ! • 'f .� s !t p ADDRESS '� � :^� � " I.� • . � -% r•... ZONING SETHACKS � � CITY r� 21P �� � •'l .`-TEL i�1fl s:c/ � REAR RW ❑ APPLICANT• TEL � ' � SIDE/SIDE STAEET RW ❑ CONTRACTOR__ O= : r+- ? �: f SIDE p AD�RESS �'"�t I t.�� :/ � '! � CfTY r' '� h ZIP'/�'•. TEL�- C< �/( i�/:�. PflOPOSEQYJSE — o ARCHlENG/ � OESIGNER NO.DWEL NO. NO. ? CnDRESS Z�P TEL UNITS STORIES eEDROOMS � . v� DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION _ p� OWNEFI-BUILDER DECLARA710N SFRlADD/REM O 1 NEREBY AFFlIW UNOE0.PEWLLTY OF OEMJitY TU71AA1 EXEMPT FADrA T11E CONTqAC}MS l} Garapa�Carport �. W tt�16EUwFOqTHEFOLL,CWNGRFJl9pN(SEG7071.6EU3NE65AMDPAOFESS�OIWCOOE:ANYGTY00. . (n � . • ••.�C.1 WUMTYMTPQIREOU�IESAVEFMI77000NeTRUGLKFEq7�PR(�'EOEMOL1S1lOilRETYRMtt . �J,J �NWID�CI(�-- �' • ' . . .. �'.. .. . . . '_ "' " " � TUFE,PRIDX i0 RS ISSUMICE A150 REOUIRES iHE APPLICMlT fOR SUCH VEIYAR TO FU.E A SIGNED W � •'� � "' ' . -..-.� _.... .. � STATEMEM THAT HE OR SHE LS LICENSED PURSUANT TO iME PRDVISIOM6 OF TNE CONTMCTMS LL � _ - � CEMBE UW(0iA0TEN 0(OOYMENCNU WITI SECTION 1000)OF DNIBqN]OF T11E BU51NE55 ANO PR6 � POOUSP9 FEBiqNS COOE)OR THAT HE OR SFIE 15 EXEMM if1ENEFHOM ANO T1E BAStS iON h1E ALLEOED EXENP• TqN.ANYV10lATqNOF$ECTIp/7001.6BYAHYAPPLK�WTFORAVERMITBU&IECTSTFIEMPIICAHTTO Z Re-Root / A CIVt►ENALTY OF NOT YORE T1AN i1vE/0.1NDRE0 DOl1AR5(tboo).1: ' �O�ASOMMEHDFTNEPROPERT/,ORWEMPLOYEESWITN�WIOESIISTHEWSOlECO4CENSATION, ❑ (`,pTTB�CISI � � W1LL DO T1�E W01�C M1D iME 5TpUCiURE IS NOT IMFWED Ofi OFFEREO FOR S.LLE�SEC.7aat.&151- J N NESS ANO 7ROFESSIONB COOE:iHE COHTRACTO0.5 LIGEMSE LAW DOES MOT APPLY TO MI OWNER OF j , _ Vi10VERTY M410 BUIL.DS OR MPROVES TMEREON,ANO YIWO DOES SUCN WORK MMBEIF OR HEH6ELF OR ' Q iHROlNY1 w5 OR MER GM�EMPLOVEEb.PHOVIDm THAT 6UL�1 MPf10YEMQrtS AHE NOT MENDED OR m Q OfFEiiEDiORSALEtF,FqNkVE0.iNE8U�pN60RMPROVEYEHT1590lDNnTIWp+EYEMOFWYiLE- . Z TqH.TME OYVNER�BUItDER W1LL/IAVE T1E BUPDEN OF VROVWO i/NT YIE OR 6NE DO NOT BUIID O!1 , � IMifqVE fORTNE iUflPO6E OF SALE� O 1,AS OMMEROF THE PROPEHfY,AIA EXCLUSNELY COHTRACTRIO WRN LICENSED WNTMCTOfiS owC To ca+sTnucr n�c vAaeer Isec ma�.eusn�ss u�o vtro�ssaHs cooE:n��crons u• Vsluetion AOJ.AREA . W CENSEUWDOESNOTAVOLYIOANONNEROFAiROPERTVW110BUtD50RMDiqVESiNEREOµMD =+ YA�OCONiRACTSFORSUGIPRQIECTSMATMACONiqACTOR(S�UCENSED7URSUAHT70iMECONTqAC• QUANTITY DESCRIPTION FEE � TORS UCENSE UW} . .— • O IAM E]CEMP1 UHDER SEC. B.{G.G FOq 7W5 PEASON Q � � 3 • x � _.. • � � . LL' DATE OWNER�--r ��— , .._ �: O � W • "_'". . F LICENSED CONTRACTOAS DECUIRATION W .:- � IMERE81'AFFIRNUIOERiENALTYOFVE0.RINYTHAT1AlALIGENSEDUNDERiROVISqNSOFpUPTEN �r � . � �.. •(CdWENqNO YYfiH BECT10N 70001 DF DMSqN]OF THE BUSINESS AND VROFESSqNS COOE.ANO Z � . X W UCENSE 6 N FUL FORCE AND EFFECT. m LL �.^ .� LICENSECUI � •- {^� LIC.NO. ? /� �fl�� ` � � ' V .DATE � t� � � CONTRACTOR � '. • � W �. �. .. ��.� �,. -. __.. � � ' ���, :(,r WORNERS'CAMPENSATION DECLARATION � N �MEREBY�FFiR1AUNDERVENALT'OFPE1W1iYONEOFTMEfOLLOwPIGOECURATK7115: Z � � _11uVEANDWILLIAANITANAGERTiFlCATEOFCONSENTTOSELF�INSUREFOqYADqKERS = , Cd/PENSAiIOH.ASPROVIDEDBVSEGT10N770oOFT1ElABOACODE.FORTHE►ERFONAANCE �U . Q OF T1E WONK FOR YY1aGI T/n5 VERAVT I5 i55UED. • � ._. � �IIUVEAHDNnLLWMfANWOiKER4'COYVENSAT10NVJ5UqANC�A5pE0UIRE0BVSECT10N 4 l7DOpFTHEUBORCOOE.FORTMEPERFORAI/HC£OFTHEWOqNFORYMIpiTHSPEiWR15 . . . � ..- . � ._. ... .Mit/0wtlw!'cer►!r`ai+Boq�neuNwoE. .. .. .__. ^ _ __wx+cr- [`nySTRIY`T�Qd...... . . .. ... _ .... _ . owc � uwiiEn •,••• PLAN REVIEW -�.�,�� , . •~i+ � .... .,:.�+. '�,, 0 POLICY NUIIBEH ELECTAIC � (ifas5Eci10Hr�qoiBEmMRFimaFTEPfSMfsroaorE�alOREDDaINlsR+ao)oqlESSy PIUMBING .S Z I CERIIFY TMAi MlTHE FERFORMANCE OF THE WORK FOR WHICH iHIS VERMIT 6155UE0,l MECHANICAL � �� ' C7 SHALL NOT EMPLOYANY iER50N N/NY MANNER SOAS TO BECOM[SVBIECT f0111E y WONKERS'COMPENSATIONUN50FGLIFORNIti/NDAGREET1U7613H0ULDBECOAIE INSPECTIONFEE . S SUBJECT TO 7ME N'O�KE0.5'CO►1PENSATION PROVISIONS OF 6ECi10N 170o OF ME IABOR . . . - COOE,1 SW1LL FORiYM'I7H COVPLY WITH hqSE PROVISqNS. ISSUANCE 0 � p DATE: APPLICANT. SMIP � ' ENERGY PIC WARMIM:FI1tURE TO SECUFE VAAKERS'COMPQ1511170N COYEMCE IS UN.AwFU�HO SNALL BE � SU&7EGTANEMPLOYFRTOCRIMNALiENALT1E51WOCMLFlNESUVTOONEMUNDRED7/qUSAND ENERGYPERMR '� ' � --� DOLW15�t100.000),N AOOITION TO TME COST OF COMPENSATqN,D�QES AS VROV�DED FOf11N � SECilON770lOFiHEU80RCO0E.NiEREST.IWOATfORNEYSFEES. RETENTIONFEE: � O OCONSTRUCTION LENDING AGENCY PFE•ALT FEE: �� ` � IHfREBVAFFIRYUWERVENALTYOFVERAIMTHATTHERESACONSTRUCTqNIENOWOAGENCY ' FOF iHE PERiORMANCE OF iME W0(iK FOR YV1/1U1 TIIS PERMT IS ISSUEO(SEC.]oY7,dV.GJ. _ �� �ZJJ ' ..-.+.�1 LfPIDERSN/WE _..- - � . S F— LENDER'Sh70RES5 � ICERi1FYTMATINAVEREMh45APG�KA710NANDETATETMATTHEhBOVE1NFORYATqNISCORRECT. TOTAL FEES . � (,p,'S,,�� (� d 1 AGREE TO OO�.��LV VATH ALL CRY IlNO CWNTY ORDINANCES AND STATE UN5 RELATNG TO BUlDiH6 � � CONSTRUC'TION,MOMEREBYAl7f110p12EREPRESEMATfVESOFTWSCOIdJTYTOEHTERUGONiNE ' Z IIBOVE�AENTIONEDVilOOERTYFORrt15PECTIONYURPO5E5. COMMENTS � J � m PERMITfEENAM6ryqNn / G� 1 �j.l. .�._.. .. '' \ � (n SiC+NA7uREOFPERMITTEE DATE . RECPT.NO. PAIO 8Y � VALIDATION � . WFiITE—DeDartment Copy.YELLOW—Fnanea Copy.PINK—Asseesor Copy,GOLDENRO ile Copy,GREEN—Appicant's Copy �� �. ,a. � � �i�'�" C�1� �.:1�-,.i.r i;�'t. !3 f1 ^ •r� `� i 3�.��{=�=�';i�"1i�° t=y[�C:.���Ct i ` ;� c _ ._ .�� . .__.__.-......_.._.._ _. _ _ ...-'--�•-"-'.��.— --�..,. -_�'-'-'�._- —_,�.��.._�-,._ • �� -.-.,_�..___,_�.......__._.�.. . .... _�s _ ' • R ��,�f�r�.it. ��C�ItiI � „F'r`.fF... ...1,�[�. . �•'���r. � �I.���L�l-�� . ,�L'�•�I�I . • L�E.�f:.�,:t� � �1`�yl.�-���'•rC� _ ..� . . ..��1 ••'' 'e, "7 . „ .., t . �: , y : _ .� . . . # - - - . ..........-. --- �-- -- ...... .... ..... . . . . - -- ._ . _... ..,.. . -- .... . � . ._ _ . . _ . . - --- 5cT 6F,Ct. � � FLOOR J71S i j I ---- -----�-- ---=--=-- ------ -----�------- ------- - �—_� FTG�'FOGP�rc!S7Ef�L � ` FFi%�RFQ':iTS ----� � � ��EC�RIC G.�iOU�•1D --I--.------- ------------ ; UII�ER FLQ�R GUCT � I , _ .. . _:_f_________----_;-_--_--� . _________._. :______._____. _____ , , GROU�•dD PLU��1�ItdG I ___I_i_UiJ�ER �LO::�? C'U:"d7UIT --- ----------�--- ------------ ---- ------�----- SLAB GRA.DE I I � I �If�=r LACE FO!)hi)F,TIdN '� --� •-=-=------- - -- TEP,1? PO�VER -�—. �----------- � � t=1E�.EPLAC�B�?JD BEAP�" -;-----� - .�.. --- -- �^JATER SERVICE • I __� -___-- _-._ I I �:iC�HT. E?0"JD �E/1";", ---� --:----- ROOF SNEATHi�dG � � i S f7. f30�J'J EEF•,'" �, + -- -- FRF�PA;hdG.NENTILiP,Ti�"J�------ �-------- � FI"�IAL EiOiJU Ei�AtS --J�-------�-- ---- = --- - ----- -�-� - --- --- -- -- RO�FCOVER �- --i- i j P�i�-GFir"�Dli.�_a I I ROUGH HCl1i I�•!G � I E�NC��ItJ•:a � _j __ �----�— ._----- � --J-------------� � c;7'J G f! G R AD I���, �- ROUGFi EL�CTRIC i I - -�-------- -------------; - ROUGH PLU�:;51�•13—_ _i _-_ _-_.--- _ --- I I FI^:IS'r� G;�,SDING ---� - � - SH�4"dER/TU�TEST -_� _------! ------- I-I-i•C7L Ei.r=G�T'rilC � :I -- _ _ • ----� --= — EXT. U1TH/SIDING ! j I, I FC7L FE:;.C1"JG � I - -=------— - ;r�� r� n n`..._--------------� I - ..-..----- ALL IfJSUV`,TIGN � i-------------- � C..' Fi�:AL CEILING If��ULAT10�� �� ' U^F S17E I�1" 'S. � i -� —�-- --�-�----�---�- DRYI,^�.a��rar.ILlf•1:, I --- _ 1 � D�DIC!',TIO�JS � ; ! SEl"JER -�--�--- __ — -�_� F1NC,L �N'3. I � -- SEPTIC TAtdK � ; � � LP,hJDSCI',PE/i�RIG. � I i------ --- SEEP PIT/L.L �--- � ; l O"J SITE C�PS. --- �- - i -+----�— - - GF�S AI�TEST � i � � FI"JAL ZU`JI�Ja ' � Flf•1AL CrJNST. . � I !� '=!r�.F DE�T. Flf�i�!. � i FINAL HCATIi;G � �.�}, O j ffEP,tTfi UE:Pi. FIiJAL � � --�-�- -- ---- - _�-----------...---- ; I - FIi�AL ELECTRlC � i i D�V. FEES P�11U , FIN�,L PLU";"E31�JG � ---,-------- -�_i' E:NrP,G1�--- - �- ---% � - I ------ � , .}'..". .. ... .: _.:_._Y.�;.�'.�.I ' - co�4�rti�Er�Ts _ _ SEPTIC TAN;� SIZE ^ SEEF PIi/l1 SIZE - ---- --- — - --_ ___ F���-_._--------: ------ �- .�.� , , ---- — i,��+ i �. f.� i '. - -- '---- � — P ! Y � . 1 � ` _ �� > L� Li \