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HomeMy WebLinkAbout18224 (19) - -- - � - - - - ----- - - - . . _ ---, �� CITY OF DIAMOND BAR - � '' DEPARTMENT OF COMMUNITY 1�DEVELOPMENT SERVICES ^ ; � � 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS .. .. " BUILDINGPERMITAPPLICATION FIRMLY �i � JOBSITE �+ f� \ APPLICATION PERMIT P/C o ADDRESSJ��4 f��'�.r^'Kovd GOV�r� DATE �� �� NUMBER if d '�3 �, � ISSUE TYPE OCC APN LOT TRACT DATE �LCONST. GROUP pOWNER � �n � p ADDRESS HA`M �r �'Y. ZONING SETBACKS Z CITY � Zi�� TEL� ' REAR Rw p g APPLICANT TE '� � � SIDEfSIDE STREET HW ❑ � CONTRACTO, a k YY��t� SIDE p � ADORES �`� dt � CITY � �ns'� Z P � ' TE . - PROPOSED USE �h S A � o ARCFUENG/ 1 � � � DESIGNER �Y�L 'r 'e-��'�F-UW/ NO.DWEL. N0. NO. a ADDRESS W UNITS I STORIES �L- BEDROOMS D � CITY ZIP TEL. � �n DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFq/ADDlREM O p I HEREBV AFflRM UNOER GENFLTY OF PERIURY THA71 AM E%EMPT iqOM THE CONTMCTORS U• G2f8g91CefpOR W �NSEUWFq1THEFOLLOWINUREA50N(SEC.7Wt.SBU5WE5SANDVROFES510N5CODE:ANYqTVOR U COUHTyWHIpiREOUIRESAPERMITIOCONSTRUCT,ALTERR.IPRWE.DEMOLISH,ORREPNPMIYSTRUC- W pgtip/�OLk � � 7URE.PRqR TO(TS ISSUANCE,1LL50 REOUIRES TNE�PPLICANT FOR SUCM PERMIT TO FlLE A SIGNED W SUTEAIENT THAT HE OR SHE LS UCENSEp W1RSl1ANT TO TME FROVISIONS OF TME CONTRACTORS LI• � CENSE UW(CF�APTEH Y(COMMENCINO N71H SECTION 7000)OF DINSION�OF THE BUSMESS AND ORO- �' POOUSp33 FESSIONS COOEI ORTIIAT ME OR SHE IS E%EMPT TMEREFROM AND iHE BA515 FOR iME ALLEGED E%ENP- V TION.ANYVIIXATIONOFSECTION70Jt.68VANYA�DLICANTFOqAVER4ITSU&lECTSTNE�P7L�CANTTO z Re-Roof A dVIL PENALTV OF NOT MOfiE 7HAN FNE HUNDRED DOlURS(f5o0�.F Z04�30VMEROFiHEPROPERT/.OFMYEMPLOYEESWITNWAGE5A5THEIRSOLECOMPENSATqN. O Commercial VAl1 DO THE WORK,AND THE STRUCTURE IS NOT INTENOED Oq OFFEREO FOR SALE(SEC.70u,BU51� J N NESS/WD PROFESSIONS CODE:TME CONTMCTORS LICENSE UW OOES NOTAPPLY TO/�N OWNER OF � DROPENTY WHO BUQDS OR IYPqOVES THEREON.AND MMO DOES Slltll WOFN HIAISELF OR HERSELF OR Q THROUCHXISOpHERGWNEYPLOVEES,PROVIDFOTHATSUCHMPpOVEMEMSAHENOTMENDEOOR m � OfFEREDFORShLEIF,l10�wEVER1NEBUt➢INGORIMPROVEMENTISSOLDWITWNONEYEAROFCDMPIE• Z TION,T11E OwNER�BUILDER MnLL IUVE THE BUROEN OF PFOMN�T1UT HE OR SHE 010 NOT BUILp OR � MPPOVEFORMEPURPOSEOFSALE} � O l�OWNEP OF 7HE PROPERiY.AM E%CWSIVELY COMFUCT W O WfTN IICEN5E0 CONTMCTORS Q TO CONSTPUCT 7ME PRQIECT(SEG 70U.BUSMESS AND OROFESSIONS CODE:7HE COMRACTORS U• VHIUBSIOf1 �-� ADJ.AREA W CENSEWNDOESlqTMPIYTOMIOWN[ROFAPpOPERTVWHOBUILDSORIMPROVE3TMEREON,AND � 1MHOCONTRNCTSFOFSUGMVR0.IECTSWITHAGONTMCTOR(S�LICENSEDGURSUANiTOlHECONTMG QUAMITY DESCRIPTION � FEE Y TORS LICENSE UW). � O I AM EXEMPT UNDER SEC. B.t P.C.FOfi TMIS REASON Q ^� � U � l� ¢ CATE OwNER V Z W ¢ LICENSED CONTRACTORS DECLAHATION W � - OC INEREBYIFFIRM�NDERPENALT'OFPE0.RIRYTNATIAMUCENSEDUNDERPROVISIONSOFCHAPTER Vr � C`� p_, 0(COMMENCUN3 NnTN SECTION 7000�OF�NISION 70FTHE 8U51NE55 AND PROFE55qN500DE.M!D Z ��`� X 1.1V LICENSE IS W FU�L7L FOF AND EFiECT. � UCENSE CLA?SS •�,�UC.NO.� 1 �J ^ V DATE ��^7 D•�� CONTRACTOq P Y� 6. W � WORKERS'COMPENSATION DECt.AHATION a � U � IHEREBVAFFWAUNDERGENALTYOFVENURVONEDFTHEFOLLOWWG�ECUPATqNS: Z 0 �II/l1`�EANOWILLIAAINTNNACERTIFlCATEOFCONSENTTOSELF•INSUREFORWORNERS' $ � COMPENSATION.ASPROV�DEOBVSECiK1N�7o00FTNELABORCOOE,FORTMEPERFORAIANCE W OF 7HE WORK FOR WHICH THIS CEHMIT IS ISSUED. � O W �IHAVEANOWILLNAINfAWWORKER4'COMOENSATIONINSUMNCE,ASREOUIREDBYSECTqN 0 97oaOFTNEU80RCODE,FOqTNEVERFOR�IANCEOFTNEWOP1cFORWHICNIHISOEPlArt15 ISSVEO.MY WORK HS'CO��FFNSATION INSIIRANCE CARRIERANO GOIICV NUMOERARE: CONSTRUCTION � \� O � CAARiER S ���,r���S71, PLAN REVIEW �_ � PoLICYNUMBER �b d ELECTFiIC o �sEcrqnr�rtmrnieeanv�r�ovne�w.+rsroaa�Nut�ootur�s�s�oola+tEssi PLUMBING Z ICERTIFYTNATPlTNEGERFOqMANCEOFTMEWORKFORWHIp1TMISPEHMITISISSUED,1 MECHANICAL (} StiALL NOT EAIPLOV/�M!7ERSON W ANY MANNER SOAS TO BECOME SUBJECT TO TME � WOW(ERS'COMPENSATIONUWSOFChLIFORNIA,ANDAGREETHATIFISHOVLDBEC0IAE INSPECTIONFEE S SUBJECTTOTHEWORNERS'COMPENSATIONPROYIS'ANSOFSECTION77000FTHEUBOR �— coo�,�sw�u roan�vnn�cour�r vnn+nase vaovisior+s. ISSUANCE . � SMIP p DATE: APPIICANT: � ENERGY P/C WqRNING�FAI�URE TO SECURE N'ORKERS'COMPENSATIDN COVEHAGE IS UNUWFUL.ANO SHALL BE LL SUBJECTMlEMPLDYERTOCRIMINALPENALTIESMlDCMLFWESUPTOONEHUNDREDTNOUSAND ENERGYPERMIT OOlUFiS(i100,OD0).W/�DDITION TO THE COST OF WMVENSATION,DAMAGES AS PROVIDEG FOR IN ¢ SECTION 3108 OF THE UBOR COOE.V17E0.EST,ANO ATTOPNEY'S FEES. RETENTION FEE: • pW.. CONSTRUCTION LENDING AGENCY PRE-ALT E: O � IMEFEBVAGFIRMUNOERPENALTVOFPERJUHVTHATTHEREISALONSTRUCTIONIENDIN6AGEN�Y � FOHTHEOERFOR�MNCEOFTMEN^ORNFORWHICHTMISVEPIAIT�5155UED�5EG]ov7,QV.G). ��, � LENOERS NAME �'(�� �'A � LEN�ERSADDHE55 r � ICERTIFYTHATIHAVERE/�DTHIS�PPLICATqNANDSTATETHATTHEABOVEINFORAIATqNISLORRECT. TOTALFEES ''Iy?. � � w IACREETOCO/APLVWfTMAILCT'ANDCWNTYOROMANCESANDSTATEUWSREU.TIN6TOBUILOM6 � CONSTRVCTION.MIDMEREBYAUTHOfUZEREPRESENTATNE50FTHiSCWN7VTOENTEflUPONiHE Z ABOVE-MEN7qNEDPFiOPEHiY ORINSVECTiONPUHVOSES. COMMENTS_�l,�- 0 J _ m PE 7'7EE NAA.1E(FINI) / � 'Z '�-�-Z � N BIG F ITT E DATE � � RECPT.NO. _ FAID B VALIDATION WHITE—DepaAment Copy,YEILOW—Finance Copy,PINK—Assessw Capy.GOLDENROD—File Copy,GflEEN—Apptiranl's Copy r' ,.. _. . � . , � . .. ,.. . . , . . .. , . . � ' ..., . . ,, . . _ _ ., ... . _ , ... . . � . i . � �! ! �� QF= �I�t'11C�r�C� r�3,�-�f: Cf��r�f`.-`s"FGf� F=���O9�D �;1►F�1�-I=��.�f�J�►�'�..�. _n��'�.!'_ .__ li'�-`�::{_sc����c);1� I��4-'�:�=�:e �i'lcii'fi ��1:.VC= �►`j�y;.l:cy p'eJr� _ .._ ___-_---..__..._...--- ------ - — - --- - - - - - _. ...--- -----..._ _ - ---- ------------ ----- -�------_._.�__._--- ' - SFT BACK � I � FLOOR JOIST i �---- -- �� FTGS/FORMS/STEEL �-iZ.oz � � ��FHA REQP,4TS '�'� ELECTRIC GROUND � I UPdDER FLOOR DUCT - ��� ` GROUND PLUP�IBING �=�''a�- �_ � UNDER FLOOR CU�IDUIT SLAB GRADE .(2-0� �— FIREPLACE FaUNDATiON TEMP POVb'ER _i FIREPLACE BOND BEAM � WATER SERVICE j � MID HT. BOND BEAM � ROOF SHEATHING � ��C� ' ~ 8 FL BOND BEAP�I FRAP�IINGNENTILIATION �` -�2 _,� FINAL�OND BEAh4 , � ROOF COVER PRE-GRADING ROUGH HEATWG BENCHING � � � ROUGH ELECTpIC �,� _� ___I ROUGH GRADRdG ROUGN PLUti181NG � �� � FIfJISH uRADING SH�WERrfUB 7EST �� POOL ELECTRIC ' E�T.L.ATH/SIDING _� _ POnL FENCING I WALL IPdSULATION � ?.,� POOL FINAL � CEILIPdG INSULATION � OFF SITE IMPS. pRYWALL NAILING �-���' _�I�y DEDICATIONS ' SEWER FIPJAL ENG. � ,' " SEPTIC TAt•�K IJaNDSCAPE/IRRIG. � �� SEEP PIT/L.L. ' ON SITE IhAPS. GAS A!R TEST ���� � � FINAL ZONIPJG f=1NA�COTlST. ' /Y� i— - � , r!RE DEPT. FINAL FINAL HEJITIPJG �s ' HEALTH DEPT. FINAL � � — , FINAL E�ECTRIC `� DEV. FEES PAID FINAL PLUDlIBING ` ENERGY �,� 9���' _ _--� I �, i �.�� i.'��.�fSrC')'' fkfr.r COMME��TS_8�•02 - �.�-�_��Pc-�2: pxPr�,�t;.,r�-�,7�5—��� o�, �,�c,Ws� -------- — — SEPTIC TANK SIZE SEEP PITIU 51ZE _ � :����� � � . . i ���t� _ � - , , � , _.__. --__._ - - -----� ' _.