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HomeMy WebLinkAbout14128 (16) _� _ CITY OF DIAMOND BAR `� DEPARTMENT OF COMMUNITX dz DEVELOPMENT SERVICES � 21660 E Copley ihive Suite 190 (909)860-3193 Fax(909)8G1-3117 PRESS '��^'�.�.' BUQ.DING PERMIT APPLICATION FlRMLY � J08SRE [ � APPUCATION �� PERMIT / P/C o ADDRESS � � �/ � DATE NUMBER� M � ISSUE TYPE OCC APN L TflACT OATE CaNST. GROUP � OWNE�� ADDRESS w. ZONING SETBACKS CI � ��, FRONT RW p APPtICANT TEI. ' REAR � SIDEJSIQE STREET RW ❑ CONTRACTO :ti SIDE ❑ ADDFES PROPOSED USE � t/ � CITY ZIP TEL I � � ARCFUENG/ DESIGNER Nd.OWEL. I NO. NO. A�DRESS UNITS r STORIES�_BEDROOMS�._ � CITY 21P TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION SFR/ADD/REM O 1 MER�Y AFFIRM INJDER VENALTY OF VER0.INY nuT 1 AM QEMP7 FROM 1HE CONI'RACTORS lF GSfBQfl�CBryOf� CENSEUNYR7R7FIEPOLLO�N�NONFA9GNISEG7W1.6BUSINE59ANOPROFESSIONSCODE:ANYCI7VOR ,(n OOLIMVWIi1C{IREOUIRESAPERMRTOCON67RUCf,ALTERIMPROVE,OEAlOLISH.ORREPAIRMIYSTRIIG W P81�� TUqE.PRqfl iD ITH 169VIINCE,/ILSD REOU�RE9 iT1E 11MPLIC'•NVT FOR SUCM PERMIT TO FlLE A 816NED OT�TEMEM THAT HE OR 8HE 18 LICEIK.ED PURSUANT TO TNE Pl1DVIEIONS OF THE CONTMCtOtiS U� CENSE LAW(CiMTER��COMMENdNO WfTH SECTqN M00)OF OIVISION.t OF TFIE 9uSINESSMID VNO. � PWII�Pa fF&SpNS GO�E)OR TIIAT NE OR SHE IS EXEMPT TNEREFHOMMIO 7HE MSIS fOH 7HE ALLEOED E%EMP• TION.ANYYIOUITIONOFSECTION7097.6BV,WYAPPLICANTFOHAPERMITSUBJECTSiHEAPGLICAM'TO � {�-Rppf � A CMl VENAL7Y OF NOT MORE THAN FNE MUNOREO�OLLARS�f5d0�.$ OtA60NT1EROF711EPNOPERT;OR4YEMPLOYEEBYYITHWAOE9ASTHE�RSOLECOMPEH5AT10N, Q COIIITBfCl61 WILL p0 hIE WONC AN�7NE QTRUCNHE IS NOT�MFNDED OH OFFERW FOR BALE(SEG 1oM,BU56 J lESS M�YROFESSIONS COOE:TNE CON�MCTOflS LIC£NSE LAW DOES NOTMPLY TO IW OYVNER OF � PROPER7YMR108UlASORMIPROVEBiHElIEOH,ANDNMODOESBUCHWORKHIMBEIFORHERSEIFOH � � 1HROUGHF9SOPHERON7iF/APIOYEES.PpOV��TIIATEUCMIMONOVEYEMSARENOTIN7ENDE00R CO � OLF61WP�i1SlY.E.F,NOWEVERTMEBULpN00RWPROVEMEMISbOIDWfTMNOHEYEAHOFWMP{.E• TION,711E OWNER�UIIDER MALL HA�E TME BURDEN OF RiOVINO 7HA7 HE OR 6HE OID NOT BUILD OH MPROVE PDR THE PUHPOSE OF BALEI. y� ❑4��NEROFTIiEPROPFA7Y.AMEXq.USIV�YCON�RACIINON7THLICBI9EDCOHTRAC�OH9 � TO CONSTAUCr TIE VAOJECT(SE0.TON.BUSINESS ANU PROFESSIONS CODE:7FIE CONTAACTOH9 LI- V91U91b11 � ADJ.AREA CENSE LAW DOES NOTAPPLYTO AN OWNER OF A VNOPERTY NRIO BUl�50N IMPROVES iNEXEON.MI� WHpDON�MCT6PopBUG1PROJECfSWITiA00N�MCTOH(S�LICEN9EOPURSUANTTOTHECONfMP p�qNn7y �ESCRIPTION FEE � 70R,.IJCEN6E UW.). � O I AM E%EIAPT UNDER SEG. B.i P.C.iOH THIS pEASON � u' CATE OWNER � � LICENSED CONTHACTORS DECLARATION r � W IMEqEBYAFflRMUNDERPEWLTYOFiEFWRY7MATIAMLICENSEDlN7DERPROVI510N30FCHAPTER �� � �(OOIAMENCWO NRiN SECTI�N 7000)OF OMSION 30F THE BU3tNE55 AND DROFESSIONS OW E,AND Z MY UCENSE�N R1Ll FORCE AN�EFFECf. m ...__.._.. .� � LICENSE C SS LIC.ND. .. � ` � w�� corrrancma a � � ,,1` � ' WORKERS'COMPENSATION DECLARATION J � r' � IMEREBYAFFlRMUNDERPENALTYDFVERNRY�NEOFINEFOLLOWINOOE`'y'RA710N5: � __IWWEANDY/ILIWINTAINACERfIFIG4fEOF00N5EN'fTOSEIF-INSL�iEWRWORKERS OOAAPENSATpN,A6PROVIDEDBV6ECilON7'7o00FhIELABORCOD�FORTHECERFOqMANCE W OF TiE M/ORK fOR NMICN MIS PENMIT IB ISSUEP. �.. � � _�I NAVE AND WILI IMYlTAIN YiOHKER500MPEN5AT10N INSURANCE,AS pEQt11RED 8Y SEGTIOM""-' ' Q 77000F TME LABOR OODE,FOR THE PERFORMMlCE OF TME WORK fOR WMICN TMIS PE � VSSUED.MYNOFlKE 6' ENSATIONqYS�CEGRRIERANDPOLICYMUMB£ � �STRUCTION � CAphIER w N REVIEW r_�� � � POULW NUMBER V EIECTRIC �rassEar�wr�rqreEoa�Fr�ocl�vEa�xrswaa�e�mu.�rsR+m)on�ssF PLUMBING � I CERTIFYTMT IN h1E PERFOHMANGE OFhIE WORK FON WHICHTHIS PERMIT IS ISSUED,1 MECHANICAL n r�' n � � SHNl NOT EMPIAYANY PERSON INANY MMINEH SOAS TO BECOME SUBIEC'f T07HE y WOPo(ERS'CONPENSATONUW90FCALIFORNIAANDAOREETNTIF15/101/LDBECOME INSPECTIONFEE �j S Sl18JECTTOTHEWOFi10ER9'COMPEFSAiIONPqOV1510N50F5ECTIUN]f000FTHEUBOR nR - cooe,i seuu wmMnnn�coMa�rvnn+irrosE v�nsioxs. 15SUANCE �� -� � SMIP �� p pqTE: APPLICANT, � ENERGY P/C WAIWING:FALURE TO SECURE WORKERS'COMPENSATION COVFM�E IS UNLAWFUI,AND 6NAL1.BE �y SUBJECTAPIEMPLOYERTOCRIMINALPENALTIESMIOCIVILFNJE5l1GTOONEHUNDFED7li0USAND �ERGYPERMIT DOIIJ�A51i700.000),W AD�17fON M tME COST OF COMPENSA7ION,�AMM3Eu AS PqOVIDEO FOR IN � SECTION770eOFiHEU80RCODE.NIEREST.AND�7TOHNENSFEE4. qE7ENTIQNFEE: � CONSTRUCTION LENDINO AGENCY PRE-ALT FEE: � IIffR�VAFFlfN1UN0ERPENKTYOFPERIURYTW�T7MERE16ACON5TpUCT10NlENpIN0A0ENCV FOR THE VEHFORMANCE OF THE WORK FOR WHICH TMIS PEflMIT IS ISSUEO(SEC.9oiT.CIV.C.} � � �ENDERS NM1E �s LEN�EFTSADUNE55 � `� ICERTIFYTNATI/NVEREADTIISl�PPLICATIONAND9TATE1F7AT7HEABOVEINFORAAATIONISCONIIECT. TOTAL FEES � I -3Cj � IAGREETOCOMPLYN7IFIK�CRYANDOOUNTVORDMANCESANDSTATEU'NSNEUTMIOTOBUIDING CONSTXUCTIOPL AND HERE6Y AUTl10flIZfi REPRESEMl1TNE5 OF iH15 COUHTY TO ENTER UPON 7HE , S�. ABOVEMQ�TIOP7ED 7AaPERTV FOP 9PECfqN M1FiPO6E5. COMMENTS � $�fC-� m PERAIRTE MIE IP � � �d 4� , � 8q1UN PENMITfEE ATE � RECPT.NO. PAID BY VAUDA770N WHITE--0apeRment Copy,YELLOW—finance Copy,PINK—Aseesaor CApy,GOLDENROD—File Copy,OREEN—AppliCentY CDpy . .. .. �� . . � . ��, ,,.��.. _.�. .�.. ..�,..., ,��.,, ,�: . . i .r �•�•a .: .-.. ....�.. �r i;:.,....i ,... ., , nr . . �.-... .� . ....� . . ., �, . .... ... , ,..... ,,.�.... . .... � . ,�. .. . . ,_ . . . . .. . -r.•.; r . . � ... , .. � . CITY OF DIA19ltOND B�R . IhlSPECTIUN RECOf�D � � - � E � • � - • a • • . � . SET BACK . ; - FL�OR JOIST :, ,•, , , ; ,: �. FTGS/FORMSISTEEL � FHA REQMTS - ELECTRiC GROUND ' UNDER FLOOR DUCT j ,. ;� GROUND PLUMBING UNDER FLO�R CURID.UIT_• }. - ; - SLAB GRADE FIREPL/��G'�E"FEJUNI�ATION�':`� ,•:1� . • ' ` . - `e TEMP POWER � FIREPLACE BOND B�AM ` `� WATER SERVICE - - MID HT. BOND BEAM '.'f • ' - - RO F`SHEATH( �G 'G�-7� a • .�'� s F-r. eONd b��M�" - •- .. f _ FRAMINGNEIVTILIATION � � ��'i .,{;.�.+ FtNAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING RGUGH ELECTRIC ROIJGH GRADING ROUGH PWM8ING FINISH GRADING SHOWERlTUB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION C POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING QEDICATlONS SEWER FINAL ENG. SEPTlC TANK _ LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST ' FINAL ZONING � FINAL CONST. � FIRE DEPT. FINAL FINAL HEATiNG I ~ � HEALTH DEPT. FINAL FINAL ELEC7RIC � DEV. FEES PAID FINAL PLUM8ING ENERGY �. � . � . , ..,--_. .. .1. . ...------._....�, .,. � . - , �� 1 � .:..1; : . COMMENTS ' ` - , • , ; , , - K . • .. .. . , � , .� . . , ., ,-. . , ,. :.� • _ . . • ,..� , ,. SEPI'IC TANK SIZE SEEP PIT/U SIZE II ;��'������,��,. �� �;r . �. f , 1. i i�. � �'. .,��. .,