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HomeMy WebLinkAbout18092 �` CTTY OF DIAMOND BAR ! DEPARTMEM OF COMMUNITY&DEVELOPMENT SERVICES � 2I825 E.Copley Drive �"" (909)860-3195 Fax(909)861-3117 PAE$$ ��%»�� BUILDING PERMITAPPLICAT[ON FIRMLY � JOBSITE ��� �SC�}j�� PI..Q� APPUCATION PERMIT (� P/C / �j o ADDRESS� DATE L �Z NUMBER I�Q(Ti# OZ"/�/ � APN LO^Tn TRACT D TEE -�/��f�/Z ONST. GROUP p OWNER �LI�I� ����IdlAti� —r— p ADDRESS ZONING SETBACKS gCITY � �ZIP��� TE . �.s R�RT RW Q APPLICANT TEL. SIDFJSIDE STREEf RW ❑ � CONTRACTOR SIDE ❑ o ADDRESS CITY ZIP TEL PROPOSED USE�CcMD��I T�Tf.���S o ARCH/ENG/ z DESIGNER w NO.DWEL NO. NO. = CfDTMDRESS Z�P TEL UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFR/ADD/REM O p I HEREBY AFFIRM UNDER iENAITY OF PERNRY THAT I AM EXEMPT iRqA TNE CONTMCTOflS Ll• Gef2g0/C81pOR W GENSEUriFORTHEFOLLONnNOREASON(SEC.70.71.SBUSiNESS/WOPROFE5SI0N5CODE:ANYCITYOR (n � U COUNTyWHIp1NEDUIRESAPERMITTOCONSTqUCLALTERIMPROVE.DEMOIISH,ORREPAIRANYS7RUC• W w TURE,VRIOR TO fT5 ISSUANCE,ILSO REOUIRES THE APPLIWIT FOH SUCH VERAIIT TO FlLE A SIGNED W Pdtio/DOGk STATEAIENT THAT HE OR SHE IS t10EN5ED P�RSl1ANT TO TME PROYISIONS OF THE CONTRACTORS LI• � CENSE UW�C1IAPTER Y�COMMENCINO MnTH SECTION 7000)OF DIVISiON�OF THE BUSINESS AND PR6 � POOVSp3 0 FESSIONSCOOE)ORTHATHEORSHEISE%EAIPTTHEREFROMANDTHEBASISFOHTNEALLfCEDEXEMP- (� V TION.ANVVqIAiqNOFSECTION70Jt.68YANYAPPUCN7TfORAPERMIiSUBJECTSTHEMPIIGNTTO Z Re•Roof A GVIL FENALTY OF NOT MORE THAN FNE HUNDRED DOlLMS(f50o�.}. ZOI��YJNEROFTHEPROPERTY,ORMYEMPLOYEESWITMWAGESASTMEIRSOLECOMVENSATqN, O COTR7BtCi01 N'ILL�O THE WORK,ANO THE STRUCfURE IS NOi INTEN�EO OR OFFEHED FOR SALE(SEC.701�,BU51• J � NE55 AND VROFESSIONS COOE:THE CONTMCTORS UCENSE LAW DOES NOT 11DVLY TO AN OWNER OF = PROPERTY WF10 BUILDS OR IMPROVES THEREON.AND WMO DOES SUpi WORK HIMSELF OR HERSELF OR � THROUGHHISORNEROWNEA/DLOVEES,DHOVIOEDIHATSUCH0.IPROVEUENiS�RENOTNTENDEDOR ID OOFFEqEDFORSILEIF,/10WEVE0.TME8UILpINGORDAVROVFAIENTISSOLDVA7HINqJEYEAROFCOMP�E- Z TION,7HE OWNER�BUILDER YALL HAVE TXE BUR�EN OF PROVINO THAT HE OR SHE DID NOT BUILp OR � IMPROVEFORTHEGURPOSEOFSALE� W D4�OWNEROFTHEVROPERT'I,AME%CLUSIVELYCON7MCTINfiYA7HLICENSEDCOMMCTORS Q N CONSTRUCT THE VFlOJECT(SEG 7W�,BUSINESS AND PROFESSIONS CDDE:THE CONiMC70H5 LI• V811J3f1011 ADJ.AREA W CENSEUWDOESNOTA7PLYTOANOWNEROFA7ROPERTYWHOBUIlD50RU1PROVESTHEREON.AND f- WHOCONTMCTSFORSUd1CROJECTSN'ITHACONTMCTOR(SIUCENSEOPURSUANTTOTHECONTMG QUANTITY DESCRIPTION FEE Y TORS LICENSE LAW.�. � ¢ O I AA1 EREMPT UNDf R SEC. 8.d P.Q FOR THIS REASON Q ' � U �„ b u" DATE � ���N���7 OWNER � O• Z � W � UCENSED CONTRACT W 1 HEREBY AFFIRIA UNOER PENALTY OF PEiWRv 711AT I MA IICENSED UNOER PROVISIONS Oi CHAPTER d Y(COI�IMENCplOWITHSECTION7000)OFDNISION70FTMEBUS�NESSANDPROFESSIONSCODE,AND Z S X MYLICENSEISNFULLFORCEAN�EFFECT. � /. lll � � LICENSE CUSS UC.N0. � _ . � J V DATE CONiRACTOR a W � WORKERS'COMPENSATION DECLARATION a = U � I HEREBYAFFliiM UNOER PENALTY OF PERAJFtY ONE OFTHE FOLLOYnNG DECUMTqHS: Z � _INAVEINDNnLLMAINTAINACERTIFIG7EOFCONSENTTOSELF�IN5t1REFORVdORKERS' _ � COMPENSATqN,ASPF10YtDEDB�5ECT10N�7o00FTH[LABORGODE.FOflTHEPERFOiiMANCE U Q OF7HEWORI(FORWMIp1h115PERMITI5155UED. � � � W _IHAVEANDWIILMAMTAINWORKERS'COMPENSATIONINSUMNCE.ASREOUIREDBYSECTION Q �7000FTIiEUBORCODE,FORTHEVERFORMANCEOFTHEWORKFORNMICHTHiS�EiWR15 xO ISSUED.MYWORKERS'COMPENSATIONINSURANGEWIRRIERANDPOIICYNUMBERARE: CONSTRUCTION �_ j uaaiEq PLAN REVIEW 7`�, �� � POLICYNUMBER ELECTRIC 7�•S� � (IYaSSECiqNNEmNOTBE00MPLEfEDOFTEOEiAR6F0{SONEHJ�Df7EDDpUliS(S1ro)ORLESS} PLUMBING �� So Z 1 GERTIiYTMAT Pl THE PERFORMANGE OF TME WORK FOR WHipf TNiS PER�AITIS ISSUE0,1 MECHANICAL (7 SHALL NOT EMPLOY�M'PERSON IN ANY MANNER 50 AS TO BECOME SUBJECi TO TNE � WORKERSCOI.IPENSATpNUWSOFG1LIfOfiN10.1WDAGREETHATIFI5H0UlD8ECOME INSPECTIONFEE SUBIEC7 TO THE WORKERS'COMPENSATION PROYISIONS OF SECiION 7700OF THE LABOR COOE.15/ULLiORT11wI7HCdAPLVNnTHiNOSEDROVISiONS. ISSUANCE �I • p DA7E: APaLICAtdT: SMIP +SV � ENERGY P/C WApNINO:GAILt1PE TO SECURE VIOHKERS'COMPENSATqN COVEMGE IS UNUWFUI.AND 5 WLLL BE � SU&IECTANEMPLOVERTOCRi1.�iN�LPENALTIESANDCMLFWESUPTOONEHl1NORE�THd)SAN� ENERGYPEFiMIT DOLURS(f 100.000).W ADDITION TO TNE COST OF COIAPENSA7qN.DAIAAGES AS OROVIOED FOF IN • J SECTKKJ970BOFTHEUBORCODE,NTEREST,ANDATTORNEYSFEES. RETENTIONFEE: � a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBYAFFIRMUNDERPENALTYOFVEiLRJRYTHATiNERElSACANSTRUCTIONLENOWGAGENCY n- FOR THE CERFORMMICE OF THE WORK FOR NM1IICN TNIS PERM1715ISSUEO(SEC.]OY1,CIV.CJ. � � LENDER'S NAIAE � IENDEH'S PDORE55 w ICEflTIFYTHATIHAVEREADTH�SAPPUCATiONAND57ATETNATTHEABOVEINFOR/AATqNISCARRECT. TOTAL FEES �/•1��� � IAGREETOCOMGLVWITHALLpTYANDCOUNTVORDIN/�NCESANDST�TEUN5REU71NCTOBU1LDiN6 CONSTRUCTION,/W 0 MEREBY IIUTHORRE REPRESENTATNES OF TW 5 COUNTY TO ENTER UPON THE . ZABOVE�MENTqNED 7ROPERTY FOR INSPEGTION WRPOSES. COMMENTS � J _ m PERMiTTEE NM1E(PpiNi) 4 � � SICNATUREOFVERMiTTEE OATE � RECPT.�O. -� PAID BY Zi VALIDATION WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—Applieant's Copy .y. . ..,. .. .- .. . .. . , _ . . .. � .. . . . - , .i _. �. .'1�1.. ,. .. ,�. -• ' .. ,.. � .. . . . . .. , . ..... . ... . .. c«-�s or- �i�,r�roraG �,��� i��SFEC s iOF��! ��CGRD __________.._.______ .�:_.�._._ _ �____�_. - - - -., _ � e� �; � � ; I��-'i�a�c'�ric�►�6 �� 1C= �i��d=�.�=i �:' a�� __...__. �,r�=i:a i `�C i►�I a�Ei!� ;I���.'l:i::�s; �e�=� . ► -� _ .__-__.__. __ �.___:. ... . _.....i___ __�.._____._.:...�._._____.__.._____._.__,___.____.._._._._._..._. _�__ SET BACK------- .�-�V 4.- � � � ; FLOOR JOIST ' � �__ FTGS/FORMSlSTEEL ' I ; FHA RE�MTS ��� ELECTRIC GROUND _� j � _____ ' UNDER FLOOR DUCT i' � GROUND PLUMBING � _f��/_� UP•1DER FLOOR.CUP�IDUIT j I SLAB GRADE � _ I FIREPLACE FOUNDATION 1 � I TEPAP POWER ( FIREPLACE BOND BEAP�1 _� WATER SERVICE ; I h11D HT. E30ND BEf�h1 ROOF SHEATHING _ � 8�_O JD BEAM • FRAMING,NENTILIATION `��,.��j r FINAL 60ND 6EAM ROOF COVER �_ � PRE-GRADING I I ROUGH HEATiNG �� OZ ScNCHING � ROUGH ELECTRIC ��I ROUGH GRADING l� � _--lrt--- ROUGH PLUP✓�BIPJG �j�lliL ; FINISH uRADING __ SHOWER(tUB TEST I _ POOL ELECTRIC EXT. LATH/SIDING I I POOL FEPdCING V'JALL INSULAT{OP� � POOL FIPIAL ' CEILING IN�ULATiON OFF SITE IP�PS. DRYVJALL NAILING DEDICATIONS � SEWER FINAL ENG. � SEPTIC TANK , LANDSCAPE/IRRIG, � SEEP PITJL.L. � OfJ 51TE I�APS. GAS AIR TEST _ � FItJAL ZONIPJG FINAL CONST. � � ! ��RE DEPT. FINA'_. 7 _23 b Z FINAL HEATING -�- HEALTH DEPT. FINAL FINAL ELECTRIC � (�'' � � DEV. FEES PAID � FINAL PLUMBING � �� tSZ �/ I I ENERGY � � I '� � �,-..�..,..._•-�-� -.- - _ --- --- — -- ---_ _ .,.? ;�1.r: �r ,e;.::. , _ ...__ _. �.��---._....�-----_�_�_�.___�___..___ i _ COMMENTS SEPTIC TAN}< SIZE SEEP PIT/U SIZE ;j�� � ,���� :P; _.- f , � _.._.._�. • -,'