Loading...
HomeMy WebLinkAbout15652 (32) �j -� J� � CITY OF DIAMOND BAR • � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ' 21660 E.Copley Drive Suitc l90 (909)860-3195 Fax(909)861-3117 PRESS ���� BUQ.DING PERMIT APPLICATIUN FIRMLY o ADDRESS ���� R��-KC`y�G�Lf�I DATECATION NUMB R I�vS�i� ��S c� ISSUE �� . /� � NPE:-• OCC -- APN LOT TRACT DATE CONST.'� ` GROUP p OWNER 1 i Nd L✓Z'2-.� p ADDR SS?"7l9c7 RDr���taL- L-/V ZONING SETBACKS "' CITY ���h Z ZIP„�j?� TEL..Sy-, -7/f(o FRONT RW ❑ � APPLICANT �f.✓D L-✓zZ-i TEL. REAR D � SIDE/SIDE STREET RW ❑ CONTRACTOR SIDE O � ADDRESS CITY ZIP TEL PROPOSED USE � ARCH/ENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BE�ROOMS � CITY 21P TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER•BUILDER DECURA710N SFR,'ADDhiEM O p I MEREBV AFFIFBA LNDER VENALtt OF PERAIRV TNAT t AM E%EWPT fHO�a THE CONTRACTORS L4 Garage/Carport W CENSEUWFOR7NEFd10wNOREA50N(SEC.707t,6BUSP1ES5ANDGROFESSiONSCODE�.ANYCITYOR (n � WUNT7YN71CHREOUIRESAPEfWRTOCONSTAUCf.AITERMPROVEDEMOlISM.ORREPti�hNYSiRUG W PaIIOIDBCk TURE.ORqR TO R9 65UANCE,/LL50 RCWIRLS 711E APPLICANT iOA SUCH PERMIT TO FILE A SiCNED w � � STATEMENT 7H11T HE OR SHE LS t10EN5E7 VNiSUMlT TO TME PiqVI5lON5 OF TNE CONTRAGTORS LF � CENSE UW(QUPTER O(COMMCNCNO MATH SECT�ON 7000)OF DNISION 7 0F TNE BUSWESS AND FR6 LL" POOVSaB O FESSbNS COD�OR THATHE Oi15HE IS EJ(EMVi 1MEREFpOM 11ND THE BASIS fOfl THE ALLEGFD E%EMP• TION,AHYVqLATIONOF6[CTION7Da�.6BYANYAPKICANTiOqACEN4ITSU&lECT57HEAPPLIGNTTO Z RaRoof � ACMLVCNAUYOFNOTMdiETY4WFIYEHUNOHEDDOIURS({500�.1: � O�A4OWNEROFTMEPROPCRT/,OiIMYE'IPLOYEESN9MwACE5AS7HEIR" COMPENSA710N, Q (`,pmmOfCia1 � WILL DO iME WORI(ANO iNE STRUC'TURE LS NOT INTENOCD OR OFFEWCO FOR SALE(SEC.70t�.BU56 J �55 AHD YROFE5510NS COOE:TME CONTMCTOR9 LICENSE UW DOES NOT APP�Y TO AN OWNER OF N OR07EHiYW110BUIlD90RMDROVESTNEREON.ANDW/qDOE55UCHW017KHIMSELFORMERSELFOR = (� 7HRDU!'aH MS OR MER OWN EMPIOYCES,GROVIOED THAT S110/WPROVEMEHT511R[NOT MENOFD OR m OOFFERCDiCRS�LE6.NONFcVE0.1HEBULDIN00R�7ROVEUEHTI550lf1WITHWONCYEANOFCOMPLE Z TXkt.THE OWNEH�BNLDER YALL MAVE iHE BURDCN OF VPOYWO iHAT ME OR SHE DiD NOT&AlD OR = MPfiDVEFORTMEWRPOSEOFl�LE�. �y,� ❑I�ISOW''7EROFTMEPRO�EHfY.AME%CUISNELYWIfTMCiHOYrtiHLICCNSEDCONiMCfOP3 � TO CONSTRt1Cf THE PFIOJECT(SEC 70N.BU91NE55 AND FROfE5510N5 CODE:TXE CONiMCTORS LL V01U�tip1 ADJ.ARFJ1 CEN6E UN�DOE9 NOT APPLY TO AN OWNEfl OF I1 FROPENT!KMO DUM1DS Ofl IMPR01lES THEREON.NtD � WIqCOHTMCT5FOq5Ud7PH0.1ECTSWIT/ACOHTMMOR�SJUC SEDVUNSWWTTOTH£CONTMG pUANTITY 0-S RiPTiON FEE � lOfSl1LEN5EUW.J. p IAY EXEYPT UNOER SEC. '0�P.C.FOR TH'S REASON U � � o�,��— ��� � �-y� � � LICENSED CONTRACTORS DECURATION w - � J � W IHEREBY�FFIPoJUNDERPE4IU.TYDFDENUNYTU71AULIGENSEDUN�ERVNOVi5qN50FCHAPTEN Vr � � /(CqA11ENCf�q WIT115EC7qN 1000)OF Dih510N�OF THE BU51NE55 AND VFOFE55qN5 CODE.�ND Z ►NUCENSEIS�NFULLFORCEANUEF�ECT /{ O L1J m V 0 LICEtL^E CUSS LIC.NO. J V OATE COMFiAGTOR a - lL � WORKERS'COMPENSATION DECLAHATION -� ¢ N IHER[BYAFfIRAIUNDEAPENALTYOFFEQR1q'/ONEOFTHEfOLLOK�NC,DECLAAATUNs: U � Z Q G _IHAVE/WDWi:LMAMTNN�CERTIFlGTEOFCONSENTTOSEIF-WSURLFOFiNt�RNERS' _ � CpAP[}lSATION,/SPi10V�DfDB�SECTONf7o00FTMELABORCOOE.FORTME7ERfOi1MMlCE �U OF TME YVORK FOR WHIPI TMiS VE W.�IT IS ISSUED. � G �I HAVE N�D W�LL MAMAIN WOiiKERS CC4PENSAi1ON INSUM4CE,0.5 R[WIREO BY SECTpN /�+/�� Q 97000FTHE LABOR COOE.FOR iNE VERFORMANCE OF TME W01iK FOR YMIp/THIS PER1Aii 1S � y ISSUEO.M'�W(%�KERS'COM�ENSATIONINSUMNCEWiRIERMlDPOLI�VNUM9ENARE: CONSTRUCTION ( � GARRIER PLAN REVIEW � POLICVM1ueEN EL[CTRIC � � (MSSCCfUNNC�NDTBE0p.4tETIDCFMPCPMT6iCi1WE�U�Di1EDOCUA�R�m)MLE55� PLUMDIN���� J �/ Z ICfi1TICVTMATINTHEOEAFORYANCEOFTNEWOfiKi0livM�G1THi5PEAwITI5155UED.� MECHANI�`A • (•J SIIA:iNOTEMPLOYIIM'OEfl50f1NANYMANNER50ASiOBEC0/.�[SW:ECTTO7N[ � NORNERS'CWIVENSA710HUWSOFGLIFONNIA.ANDAOREETNA71F15110VLDBELOME INSPECTIONFEE ^ S SU&IECT TO THE WORKERS'COAIPENSAT:ON PROVi5iON50F SECTION 7�00 OF THE UBCR �S� 1 O L��� COOE,ISMALLFOR711NnTiCOMR.�wRNiMOSEPROViSiONS. �S ��- � � � p�7�: APPLICAM: ��DiAIVI � � WMNINQFM.UflETOSECUFEVAIYLERS'COMPENSATqNCOVEAAGEISUNLAWFl1�AND5HALLB[ T�T/� LL SUBJECTINE�PLOYEFTOCRIAI�NALPENALTIFSAN�CNdFNESUPTOON[MtMDtiEDTHWSAND �� DOLUiiS(S tOC.000).N 11bDITION TO THE COST OF COMPENSATpN,DIIMAGE9 AS FROVIOEO FMl IN � 9ECTION170eOF1NELABORCOD[,HTEqEST,INDATNRNEY5iEE5. FlETENTIONFEE: a CONSTFUCTION LENDING AGENCY PRE•ALT FEE: � O Q INEREBYAFFlPAIUNOCRGENALT'OFPE0.IUH'/TXATTIEREL`ACONSTHUCTIONLENDWG�CENCY �- FOR 7HE 7ENF�FlMANCE OF TME M/ORK FOR WMICH THIS PENAIT IS ISSUEO(SEC.�oV7,CIV.G). � � LENDER'S NAME � S lEN0ER5ADDHC55 �� �w �) � � � 7 � I CERT�FY TNAt I NAYE PEAD TH�S APPLICATIDN AND 51ATE TIUTTMEABOVE INFORIAATION IS CORRECL TOTAL FEES V W IAGRCETOQDAIPLYWITHALLGTYIWOCOUNTI'OFlDINANCESIWOST�TEUv!^+REUTINOTOW4DIN0 � CONSTRUCTION,ANDHEREOYAUT110(i�ZENEPRCSEN?ATIVESOFTHISLOUNTVTOENfEpUVONTNE Z AOOVE�4EMIONEO7ROVENTY FOR MSPECTION PURPOSES. COM F_NTS � - �p L v t � _ m v¢auine ��vwirtl 4 �D-!d 'Ot7 � � � S�GN�it .O RMI tEE D�TE � RECPT.N0. PAID�Y �VALIOATION WHITE-DaCahmeM Copy.YELLOW--Finence Copy,PINK-llssessaCopy,GOIDENROD-File Copy,GREEN-Applicant's Copy . CITY OF DI/af��iOtVD B/�R - . � It�SPECTlO��! RECORD � �!���;� =i ` �t�l i�� �. � .�:�.:._..�......._-��----�----- .. ... ... _ .. _ _�. . _.__ - _ _ . .. �� �d�" ���:�I'.= [►�E- �.�.�y�c r. I►�7..;e:�"at�1►Ew i���y_��- '�►rE;'yr��c����`a�i. .... SET6ACY.,.�.,......�.��:_..._..I_....�._.......I....�...i _ , FLO�R JOIST_._......._.....,,,�_. ..._._._...._-_. ..,...0 .. .,._ . ..,_ .�. .. . _ . ; =�-�, !FTGS/FOf�P�",S�STEEL 1 �'y�� _� � FNA REQ"dTS 1 , __ ELECTRIC GROUND ��� \ � ' ' � UtJDER FLOOR DUCT - _ GROUN�J PLUG4f31NG J UNDER FLQOR CUi�D'JIT, �-T�� � ' ! ' �r. — . . . -• � -.- - iSLAB GRADE - - FIREPLIiGF FOUN�AT,ION � :; ; �TEh�P POWER-- FIREPLACE BOND BEAP�� ' � ' � ' `VVATER SERVICE - P�11D HT. BOND BEAtA _ , ;ROOF SHEATHIfJG � ' ' 8 FT. BOPdD BEA��1 ' ;FRAPAING,NENTILIATION � � I FINAL BO�dD E3EAP�1 '•ROUF COV�R PRE-GRADIPJG �ROUGH HEATiNG � � � BENCHING � . �:ROJGH ELECTRIC ' • ROUGH GRADING - . :RUU:�}i PLUM8ING -- - � FINISH GRADING 'SHO.vFR:'TUB TEST - � - PCOL ELECTRIC ���2�� ` EXT. LS�H!SIDING- - ' � POOL FENCIP��G 3=.29-�r,� _ !WALL INSUL1tiTION • _ POOL FINAL e��i��(, j -- - ;CEILt��CC�RdSULATtON OFF SITE IMPS. . _� _ 'DRY�itAL.L PdAILIrdG OEDICATIO��S ' � � �SCI"dEP � FINAL Et��3. �'SEPTIC TANK ' LAhdDSCAPEIIRRIG. ( � :SEEP PiT/L.L � � OfJ SITE Ib1P5. � ,GMS F,I�T�ST FINAL ZO"JING � rl�•iAl.CCJ�dST.. . " ; =L3-U- - . :. � FIRE DEPT. FINl1L � ' _�=1i_:L H�ATING I HcP,LTH DEFT:FI�:A�' _i . � ELECTRI� f�,��) � �V. FEES PAID � �- �--��-- (� - - - �'�.:�PLUP.151�vu "� • Et�EF1GY ' '.._ � .,�,,,�--..�_�..__,E ' � �. ; I „„e.-��.-.�. ,, . . ..•.,..,. �- . .. , ,. � , ,.�....,.� ,. . ti• tE —., _�...r._.:.___..._� �...,................. _.. _ � CO�f�JiENTS �.I�S�-_-c(�v---�" ; � � . � , . • • -- � � ' .;��+,-,.. � ` ' - Ei;,�(;� I � i .1�: ;;;�>,F�C1;�r,�!r�.:c; -,:, ,. ; — x'"�..`�i<:cT"i;.; "*•'',—,i; . --- .SEPTIC TANK SIZE ' ' :SEEP�PIT/U SIZE � � — __..._,;}�_��__._..._.._.� �. � . ,}�1�. . '� � � . ; � . • , �. � ' ; . � � . , . -- — , . . . . . . ' -- ___.• ' ' � � ' �__.,__...____._:.r____.._..�