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HomeMy WebLinkAbout11323 (5) i , - CITY OF DIAMOND BAR ///"���/ COMMUNITY DEVELOPMENT DEPARTMENT ./� � 21660 E.Copley Drive Suite 190 / PRESS � � (909)8643195 Fax(909)861-3117 ' � 4'�". BUILDING PERMITAPPLICATION FIRMLY o D RESS DATE CATION� 2 �� NUMBER /��� N� c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER �s �C�=f� " ADDRES,� L � � ZONING SETBACKS � CITY / ' ZI T . FRONT RW O APPLICANT TEL. REAR ❑ SIDFJSIDE STREEf RW ❑ � CONTRACTO ' SIDE ❑ ADDRE '�`� PROPOSED USE o CITY ZIP�,��)� TEL. . . w ARCWENG/ � DESIGNER � ADDRESS NO.DWEL. NO. NO. UNITS STORIES BEDROOMS � CfTY � ZIP TEL. N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER•BI:ILDER DECIARATION SFR/ADDIREM O p 1 HEREBY AFFlRM UNDER PENALTY Of iERJURY THAT I AM E%EMPT fROY TME CONTRACTORS U- GBfe�B/CBfpOR W CENSEUwFORTHEFOl10WNGREA50N(SEG70�t.6BU5iNE55AN0GRCiES5bN5000E:AN'/CITYOR (n U COIMTYYrtnGl1RE0U�RE5AGERMITTOCONSTRUGT,ILTER�P��.DEMOt15N,OflNEPAIflFNYSTRUC- w P8�i0IDBCk WTURE.PRpR TO RS LSSUANCE,AL50 i1EWIqES TNE MPUGWT FOR SUCN PERMiT TO FILE A SIGNED � STATEMENT THAT HE Ofi SME IS UCENSED PURSUANT TO THE PRONS�ONS DF THE COHTMCTORS ll- � tENSE UW I��ER 0(CO►wENCIN6 WITH SECTION 7000)OF DMSION]OF THE BUSINE55 NID PNO- � PooVSpa FESSIONS CODE�Oq T1UT HE OR SME IS E%EAIP7 TNEPEFp0A1 AND TME BA515 FOR iNE ALLEGED E7fEYP• TION.ANYVqlAT10NOFSECTION7071.68VANVMPLIGAN7FORAPERAIITSUBJECiSTMEMPLIGWTTO Z Re-Roat � A GVIL YENILiYOF NOT MORE TFIAN FIVE HUNDREO DOLIARS(f5o0).): � ❑I,ASW�NEROFiNEPROPERTY,ORMYEMPLOYEESWITNWAGE5A5THEIRSOLECOMPEN5AT10N, O COrtIrtIBfClal Z 1NLL DO TNE WORK,AND THE STHUC'fURE IS NOT INTFNDED OR OFiERE�FOR SALE(SEG.70a1.BU51• J NE55 AND FROFESSIONS COOE:iHE CONTMCTO0.S LICENSE UW DOES NOi AFVLY TO AN OWNER OF N VROGERTYVAq&1RDSORIYViqVEST�ENEON.ANDVM11000E55UCHYl'JfiKHIUSELFORMERSELFOR = � fL TMROVCHHISORMfROWNEUDLOYEES,GROV10EDTHATSUd114PROVEMENTS�R[NOTWTENDEDO(i . m W OFFENEDFORSALEIF,HOWEVERTMEBUROWOORMPROVEIAENTISSOIDWRMNONEYEMOFGOAI0.E- ' � i10N.iME OWNERBUIDER N1LL HAVE T11E BURDEN OF FROVINO THAT HE Oi1 SME DD NOT BNLD OR Z pAVROVE FOR TME VURFOSE OF SALEI. = OIASWNlEROFTMEVROPERTY,AME%CLUSIYEL`ICON7RACfMGN7TMUCENSEDCONTMGTOR3 � TO CONSTRULT THE iR0.)ECT(SEG MK BUSINE55 AND PROFESSIONS CODE:THE CONTMCTORS ll• V3111fi11011 ADJ.AREA • W CENSEUWDOESNOTAiVLVTOANOWNENOFAPROFERTYWMOBUILDSORMGRDVE57HERE0H.AND � M7/OCONTRACTSFORSUp1VRDJECTSWITMACONTRACiOP(S�UCENSEDM10.5UANTTOTMELONTMG OUANTITY DESCRIPTIO ' FEE . � TORS UCENSE Uw.). 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B.�V.C.FOR THIS REASON U � � u" DATE OWNER V Z W � ' � LICENSE�CONTRACTOAS DECLARATION �j � IHEREBVAF�IRAIUNDERPENALTYOFPE0.RIRVTHATIAMLICENSEDUNDEflVROVi510NSOFCNAVTER Vr d 9(COuuENCWO W1iN SECTION 700010F DMSqN 70F THE BU51NE55 AN0 VROFESSqNS C00E.AND X NY LKENSE IS W FULI FORCEAND EFLEC7. � , • � / 0 UCENSE CUSSI�"��LIC.NO. �� J h V OATE CONTRACTOR � - a W .�vc. � , � WORKERS'COMPENSATION DECLARATION � a = U � IHEAEBYAFFIRAIUNDEHVENALiYOFVE0.JUR'/ONEOFIHEPoLLO`MNODECWUTqNS:(?j�� tn j�,� Q � _IHAVEANDWILLIANNTAWACERTIFIGTEOFCONSENTiOSELFaNSUREFORYVORKERS' _ � CCUPENSATqN,AS iROV�OED BV 9EC110N�70o OF THE IABOR CODE.FOR T1E PERFOiWAHCE W OF THE WOHK FOR WHIA1 TM�S GEPIAR 61SSUED. � � W _IHAVEM7DVnLL�IMAINWORKERS'Od.�PENSATIONMSURANC[,A4REOl1iHED8YSECTION � Q ]70aOFTHEUBORCOOE,fORTHEVERFORMANCEOFTHE4VORKFORwMILHTMISPfRUR15 ISSUEO.IAY S' PE S�TqN CEGARfU ANOPOLIGYNUAIBERARE: CONS7RUCTION T� > GRRIEH PLAN REVIEW � POLICYNUI/BER� ELECTRIC � 0 (f}CSSEC110NNEIDN0T8[WI�iLETEDOFTEPEii.1T6Pof30NEHlNJ ottl�isA+��IE� LUMBIN � '� � Z ICEq71FYTHATWTMEiERFORUANCEOfTHEWOHICFOHNR11tl/THISiENAlITI5155UED.1 ECHANICAL ('} SHALLNOTEUPLOYANYVER50NNANVAIANNENSOASTOBECO/AESUBJECTTOTME � WOW(Efl5LOA1PEN5AT10NUWSOFCALIFORNt�ANDAGREETMATIFISMOVLDBECOAAE �NSPECTIONFEE S SUBJECTTOTIEWON(ERS'COMVENSATIONGf10YI5�ONSOFSECT10N�7000FTHEtABOR COOE,1 SNKl FORM+YITM COMPLY YnTH T1105E VNWi5iOn5. ISSUMJCE � 0 SMIP p DATE: APPLICANT: W ENERGY P/C WARNINO:FAILURE TO SE WAE NAFlKERS'COM7ENS�TqN COVERAOE IS UMAVYFUI.M�D 5 WLL BE � St1BlECTANEMPLOYERTOCAMWALVENALTIESANOCMLFNESUPTO0NEMINDRED7HDU5AND ENERGYPERMIT DOlUR5Itt0o,o00�,W ADDrt10H TO TH[C0.5TOF COMPENSATION,DAIAAGES AS PHOVIDEO FOR IN � 6ECTqN]70lOFTHEUBOAWDE,H7ERESLANDATfORNEY5FFE5. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � I HEREBV AFFIRM UNDER PENILLTY OF PERURY TMATTHERE IS AOONSTR;ICTIDN LEN�INOACENCY FOR 7HE PERFOR4ANCE OF TME WOPoC FOR wMKN 7N15 Vf W.��TIS ISSUED(SEG foa7.CN C.). � � LENDER'SlU/AE � LENDEf#511D�RE55 W ICEqiIFYiHATIMAVEREADTtlSMGLIGATIONANDSTATETHATTIEABOVENFGiMATIONISWiifl[CT. TOTAL FEES � � � IAGREETOCOMVLYYATNALLCRYIINOCOUNTYON�INANCESIiN�STATEUwSREUTu.IG70BURDINU . CONSTRUCiION.AND HEREBY AUTHORIZE N[PRESEN7ATIVES OF iHiS COUNTY i0 EKTER UPOH TNE z ABOYE�NENTIDNEDVNOVERTYfOi11N5PECTIONGURPoSES. COMMENTS � �,����'/�y� `��-'. _ ¢ VERAUTTfE (DH�NT) � N ..' . � � p� DATE � PECPT.N0. PAID BY VAUDATION WHI rtmen .YELLOW—Fnanee Copy.PINK—Asaeseor Copy,GOLDENROD--FIIe Copy.GREEN—AppllcanYa Copy .+. .. .�.. . .. ..:J. �...� �n._. . ..�� .'+.'-.•�:. ...�:2.:�•�Mi: ....�1.. . i �"�'....M.� ..7'�� V ..I•�J.1..�..�. H,.�.:�C'i.• , �s r�1. . . . . a . ... . . . �, e'�:. CITY,OF DIAE��OI�Q i3AR '. �;... ��:.�'.' . : . : � II�lSPECTIO� f�ECOF�i? ,�,: :: : : ; _. � : : .. . ��:, : . , I�k-`f�1�.c��1�)�} . ���tr= �.1�`E-'��=�''ro��� , . .. (,yk-�a3�~[C�1�,� o ,�;K= �, ���.�..s,��. _. . - � -�� - . t �� �I►.F:1 ��� �.�.,_.. � --------: ... _ �-----------.... _....:..._ ..--�-----•-----�---�-------_.-•--- -� �-------- -__ .__.._._... _� ..__._��-_��:__. SET BACK;� I � , f FLOOR JOIST � � FTGS/FORP.ISlSTEEL ' - � 'FHA REQMTS - � . - - ,'„ i - , ELECTRIC GROU�JD �UNDER FLOOR DUCT � : ; ., • I GROUND PLUP�IBING � ' - -- -� . ' UNDER FLOOR CUf�IDUIT ' ' � '• ' SLAB GRADE • � � � FIREPL.ACE FOUNDATION . :- . - - _ TEh1P POVVER . __. - __�. ... .. fIREPLACE E30ND BEAt�I � -�-- - . � j ': YJATER SERVICE �- �� j�F t� - � I ti11D HT, BOND E3EAM •• � � � •, i ROOF SHEATMNG - - £3 FL BOND BEAh.1 � ' ; � ' FRAMINGNEN7ILIATION � � � FINAI BOND BEAD�1 - � �- "� � . � � ROOF COVER - - - -- - - - - - - PRE-GRADING � .. ti; �, • ROUGH HEATING - ' ' - ' ' ' pEF�CHING � ; ROJGH ELECTRIC ' - - --- - - - -- � - ROUGH GRADING . ' �- ROUGH PLUt�1BING - � - � - �INISI-i.GRADING � ' SHOWERlfUB TEST - - - � � POOL ELECTRIC � EXT.LATH,'SI�ING -� -- - . � POOL FEPJCING � NJALL INSULATION � POOL FINAL . . CEILING INSULATION OFF SITE 1P:1P5. � • . . DRYWALL NAILING DEDICA7lOP�S . . 8EWER _ FINAL ENG. . . SEPTIC TANK.. . .. ' ' _ LANDSCAPE/IRRIG. " SEEP_FIT/L.L. ' _. _ . _ _ ' __. ON SITE ID,APS. � - GAS AIR TEST --� > - � � -� � .:-..: - FIPJAL ZONING ° • �� - � � • FINAL CONST. ; -- - - -- � • --- � FIRE UEPT. FIPJAL � FINAL HEATING - � � -• � - -� �- :• -_� H�ALTH DEPT. FINAL � ��- - - - � FINAL ELECTRIC' � - ��- - . " DEV. F=EES PAID - , � 1_� � �. FINAL PLUD.1BING _ 2,_�.�y�` �` �� _ EhJERuY . , � � 1 -�;_. , . , _. _ � , - ----� �a: ���_�a�.�,1;��.�"" _.__�� _ ' , . , � . - - , —. � . __ ; , -- --- - .._ COMMENTS . � � � • . . : �- -- _. -����;:� -- - - -- , ; . . . � � --' - �`_ .�" � �; \, , ,� ,� , ^ . . . ,-�`\`\.�\ _\-�,v___�_._l�t:�_`.�. _ .. . ; ,. `., . _ � � ; . i • , .. , . _... .... . .. .. . _ - � _ ; - � ' ,. SEPTIC TANK SIZE . _ . . . i i_._.. ..-- --- -- - . - SEEP PIT/U SIZE , , , , �V� i . . -. �. , , - .�--- ; _ _ , , ,..,..-- . . . , .. ..... , _... .._..... .._. _. . _.. . _ . i , - I : i , • , , �����' �_°; _ j . ,- , - _, _. . . . ; _. _ ; i .. . � � , _ , ; - - .. , � " ' � `- -: _. . . �. �1�.. .:.. , �.- - ' i. ... .. --�-- - -- ---- - - _ ' _. . .. '..._ .... -