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HomeMy WebLinkAbout13816 - ...----- ... _ ... ..--- .. .�.�--- — . . . . _ �� CITY OF DIAMOND BAR i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � (909)66Q3195 Fas(909)861-3117 PRE$$ ����^� BW.DIIVG PERMIT APPLICATION FIRMLY o� JOBSITE a��'i�� C� C�?�� APPUCATIO !�� G� PERMff � I � �.Z� ADDRESS G � DATE �`� NUMBER � ISSUE TYPE OCC APN � TRACT DATE CONST. GROUP � OWNER " ADDRESS ' ZONING SETBACKS � 'CITY ZIP TEL. REAR Rw ❑ APPLICANT TEL SIDE/SIDE STFiEET RW O � CONTRACTOR F / G - SIDE ❑ ADDRESS� �_/ �J � �n�l? FQ tiJf TA G L '�- O � CfTY �2�di✓�� ZIP 1ELy / PROPOSED USE � � ARCH/ENG/ ,/ �'l/7� ��� ��-�`�y�i�. �f/' /1 C' � DESIGNER AT F-f nE �� NO.DWEL. NO. NO. ADDRE S UNITS STORIES BEDROOMS N CITY �',dsJ(E Z�l��T , � N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ONMER-BUILDER DECUIRATION SFRlADD,'REM O [� 1 HEREBY AGF7M U�DER FENAL7Y OC PERMiY THAi I AM EXEYPT fROM TH[WHTMCTOiiS t4 G8f3QB/C21pOR W CENSEUWFON7NEFOLLON'IN6REA90NISEG7W7.68USR1ESSANOPFlOFESS�ONSCOOEANYCITYOR (n � COIIHTTWHILHREOVIRESAVERlARTO�NSTRUCf.ALTERMVROYE,DEMOUSItORPEPNRl1NY5TAUG W Patio/Deck 7URE,PRqR TO fT3 RSUANCE.ALSO REOUIRES 7HE 11PPlICANi FOH SUGH PERMIi TO fllE A SIGHED W BTATF4IEM THAT HE OFI SHE IS UCENSEO MIRSVANT 70 THE PROYISIONS OF TN[CONTMC70RS U- � CENSE UW(QUPTEA 0(GUYMENCW4 MATN SECf10N T000)OF�IVlSqN!OF THE BUSINE55 ANO DH0. �— PooVSpa � ��� FESSqMS CODE)OR TliA7 NE OR SHE IS EXEMPT TIEREFROIA IND THE BA515 fOR THE ALLEG[D EXEIAP• TION.NlYVIOLATIONOFSECT10f170�1.6BYANYAPPLICNffFOqAPERMITSUB.IECTSTH[APPUGWTiO Z q�p�� F ACMLOENAL7YOFNOTAqRET11ANFIVEHUNOREDDOlL�AS(isoo).y. � OLASOMMEROFTHEPROPERIY,ORMYEMVLOYEE5W17HWAGE5A5711EIH50LECAMPEN5A7qN, 0 COffIfil0fCl91 ' � MALL DO THE WORK AN�TME 57RUCTURE IS NOT MlTEN�ED ON OFFERED FON SILLE(SEG.701�,9US1� J N HES3AND iROFES510NS COO£:THE CONTRACTORS LICENSE UW DOES NOT/�PLY TO AN OWNER OF ? . . , VROPENTYMF1D8U0.DSOR MCROVESTNEREON.1NDMh10DOE55VCHVJORKHIMSEIFORHERSELfOH � i1810UCHHISORHEROMNF�ROYEES,0ii0VIDEDiHA75uCl/WPROVEUEMSMENOTNTENCEDOR m � ,OiFEREDFONSALEG,IqwEVER7HEBULDIN(i0i7MPHOVElAEM4550lDwITHMONEYEAROF00MPLE� � TION.TME OWNER�BUIIDER M'ILL YUVE TF1[BURDEN OF YROVHO TNAT NE OR SN[DID NOT BUIID OR , IMPFqVE FOR i11E PURPOSE OF SALEF � OI.ASOWNEROFTHEYROPERfY,A4E%QUSNELICONTRACTPl�YnTHLICENSEDCONTRACTORS TO CONSiFKJCT ME PRO.IECT(SEG 70u.8U51NE55 MO iROFES5lON5 COOE:Tl1E CONTMCTORS LI• VelUdti011 ADJ.AREA CENSE UW OOES NOT IIPPLY 70AN OwNER OF A 7ROPERTV WFIO BI1lD50R UAPROVE9 iM[REON.AND � YMqOOHTRACT5FOR5UCHVROJECT5WITIACONTMCTOR(5)LICENSEDOURSUANTTOIHECONTMG pUANTITY DESCRIPTIQN . FEE � iORS UCENSE Uw.). O IAY EJ(EYPT UNDEH SEG B.i P.C.FORTHIS REASON Q 3 � , - . � � DA7E ONNER V . . . . .. .. _ 1�Q— W LICENSCD CONTRACTORS DECLARATION -� w ¢ IHEREBYAFFWMUNDERPENAL7YOFVERRIRYTUTIMIUCENSEDUNDERCROVISIOhSOFCHAPTER � J � � •(OOI.MrENCNOWRMSECTqN70ao!OFCMSION]OFIHCBUSINESSAND7ROFESSiONSCOCE,J�,tiD Z - YYUCENSEl;NFU1FORCEAYOEFiECT. � C1TY DIAM � r J � � UCENS[ SS C / � ���.No. Oo2�J � �3 UII,I)ING A " J -~v -o"TE . , . corirrwcroA N a .- - . . . .._..._.__. . W . ._..._ .. � Y/OflKERS"COMPENSATIONDECLARATION � �J_ a y ra U N IHEREB7PFFIRMUNDENiENKTYOFGEFUVMOhEOFTXEFOLLOwINGDEClAMT10N5: Z Q O _IFUYEMDWILLYAMTAINACERTIFICATEDFO0N5EMiO5ELf-INSUR�FOR140RKER5' S L Cq1PENSATqN,A50ROVIDEOBVSECTON77000FTMEU80FlC00E,iGRTNEPERFONAANCE U Q OFTMEKORKFOHWHILHTNISiEAM�TI5155UED. � � 1 HAYEAND WILLMAIHLA?I WON(ER�COMPENSATIDN INSURANLE,AS HEWIR[D BY SECTpN r+ / � 77aoOFTNEUBORO00E,F0(17H[OCRFOiWANCEOFiNEWORKfORWHiCF1TH15PERA1'TIS �/ �� �v ISSUED.IdYY.VRKE 5'CLYAPENSATpNINSUMNLE-C1ARPIERAN^POLICYNUMB[RME: CANSTRUCTION /� � CARAIE��Q/C'yd N C�t,� PUW REYIEW • _1 Z va�cr r+u•�eER�.tJ�_ ����� 'i ELECTRIC �`Z`_� < � (M1SSECI1�RraEE�NOTB[OOMt1.ETEDOFTEPERMT6i�i0n�EH.�O�IEDDOIUAS(Stoc� ss� PLUMDING Z ICERTFYTHATNTMEPEAfORMM10E0FThEWORKfOFWHK]iTWSYERu1T6I55UED,1 MECHANICAL (i SHALLNOTEUPLOY/JIYVENSONNANYMMMERSOASTOBECp.�ESUBJFCTTOTHE N M/OPxERS'COUPENSATqNUw50FGLIFOiiNIA�NDACREETFUTIF15110ULDBECOYE INSPECTIONFEE S SIAJECTTOTMEN[1FKER5'CO��vEN5A7qNPPOV15qN50FSECT1DN17000FME1A8011 ce,i srw.�Famnwn�couv�r win�nasc rnovisior�s. ISSUANCE ��j ]� � `�.� Gq�L(��o—s�.l� SMIP "7 .•I 'i p DATE:��APPLI . � ENERGY P/C ,J WARNINO:FAIURETOSECUREWORKEflS'CG.�PENSATIONODVERAGEISUNUWFULANDSHAl18E LL SUBJECTANEMP�OYEH70CRIMWILPENALTIESANDCMLiINCSUPTOONEHUNDREDTHW5AN0 ENERGYPERNIT ' pOLWLS�flOo,000),NADDfiIONTOTHEG0.5TOFCOMPE`lSATION,DNdAGE5A5PROVOEOFORIN ¢ SEGT�ON770lOFTIEUBORCOOE,IN7ERGST,ANDA7TORNEY'SFEES. RETENTIONFEeE: � OCONSTRUCTION LENDING AGENCY _P61�ALT F�7� yG� ' � IHER[BYAFFIRMUNOERVEN�LTtOFPER7URVTNATTNEREISACONSTRVCTIONIENDPMAGENCY V �� n- FOR THE G[RFORNANCE OF THE WORK FOR WHICH TMIS VEW.�R IS ISSUE�(SEC.70Y�.CIV.C.} � � � LENDER'SNAME � LENDER'SADORESS . W ICERTIFYTHAiIHAlERE11DTi15MPliCATIONANOSTATETlUTTNEABOVENFORA1ATqNISCOHKECT. TOTAL FEES � IAGRFETOCOuvLVN17HALLdT'ANDCIXINTYOROiNANCESAN�STATEUwSREUTNGTOBURDING � CONSTPUCTION,AI:DNEREBYAUTHORQEREPRESENTATNESOFTHISCOIMTYTOENTERUPONTIIE Z FBOVE-HEMIONEDPROPERTYFORIHSPECTIONPURPOSES. COMMENTS � `S"v�- S>a.� c� �d � a ^ ¢ P EENAMEIFPo(r!n�� � �.�..�. N� ,` �t�4GKiY�'�-c � J N SIONATURE O uin E� DATE qECPT.NO. FAID BY VALIDATIO � WHITE-Oepartment Copy.YELLOW-Finante Capy,PINK-A�sessot Capy.GOLDENROD-File Copy,GREEN-AppliranPs Capy CITY OF DIAh�OND.BAR , . . , . �. . • � � ; • . •" ifdSPECTiO!` RECORD �'. � �_. _ �; _ . - �- -�; - - - , _ �J►'�-'�..X::i;�'[�i,�� ��c:�r�.I�: 'Ii�E-����a �-�F �11�`�-y.���.'�l�)►� ~� ��:�i'= -I►�.k-�1�=r�''�'ml�a - . .�._. . . .. ._...._ ,z... . .w_�_.�... -•--..�....�._. .. .. -..,�.._._..... ........_.._.,........ _ .: -- �S�T B�CY�..)j:;`:.. _ ._� ..�..�y . ( I FLOOR J015T� . ..�... .. .•._.. .._ �FiGS/FORP.1 '!STEEL� - � 1 ' FHA REQMTS _.. ,�---- — •ELECTRIC GROUNQ _. ; � - -...- ( UNDER FLOQR DUCT ' - ' �I' i GROUiJD PLUMBI�dG • • • UNDER FLOOR CU'�^UIT " • � � � SLAB GRA�E-- - - - - ' FIREPLACE FOUNDATIOPJ _ � 1TEF,1P POVVER � � � � �_ FIREPLACE BOND 8EAh1 - - � � ;l'dATEP,,SERVICE � � P�11D HT. BOND BEAP,1 - • `;�•=; - � , ~R00,:..�'riFATHING � - - � •� � .� , . � F F',1:.E30PdD BEAh1.� � . . • . • i . � ._ • ; - �Fcr�":"���'L��N�(LIATION • � - • ` I FINAL'�OND.E3EAh1 ,��• i . ;. , . , . ��r �--t"'� � .•. .� . ROUFCOVFR .�' PRE-GRADING . -, � R:)i;.�f i.�icATING . - _ I I E3ENCHING ; . , � . . �\ '..�.`� `.... .. : � a�;�'_fl.F�����FiIC... ... � ROUGH GF7ADING�`•,�' ' , , �C?;;;;:i_�L-i1t�1BII�G-- ' - FINISH GRADING ' � �?��Y��R,;U6 TEST-, . � - POOL�ELECTRIC � . . r :-- --- � -;{�-�.�i+=r'SfDfF,G--;--- - POOL FENCING i . , � ----- ' :`;�t`,_�-t''vSif�1TION---;-- — - - - - - - - POOL`FINAL � .,�i�_�TG.a 1i•:;'Z7Lf�TiOiJ;---j---" . - - OFF SITE I`�1PS. . --- ' �Dt,�r,T•�"L1-1V�^�"1�7G—i- ----- - DEDICATIONS i�`;�;`� ---�---�- - -- FINAL'Ef�G. , . y _-__ _ _ - _. .___ __ _ _ i :E.P !�TANt:- --j--- I LAPJDSCAPE/IRRIG. ; , c�:�=�'_��'i1 _ n,;�:,: . �� s •. \' ON SITE ID,1PS. � - ��r? ��T�-12-= -• - . � FINAL'ZOiVING - —1---------- � : ' '' • •`'N --- ---- - - - FIRE DEPT. 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