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HomeMy WebLinkAbout17645 (17) �,` CITY OF DIAMOND BAR � ? DEPARTMENT OF CONIIviUNITY&DEVELOPMENT SERVICES � 21825 E.Copley Drive (909)860.3195 Fa�c(909)861-31 l7 PRESS �`%:.� BUILDING PERMIT APPLICAT[ON FI R M LY � JOBSRE I /�'/�A ` / .�,��/— APPLICATIO PERMIT p/C o ADDRESS �� i �T'�7 V 1-C/"' • OATE i� �Z� NUMBER �� N U/� - g ISSUE TYpE pCC -- APN LOT TRACT DATE CONST. GROUP p OWNER p ADDRESS ZONING SETBACKS gCITY ZIP TEL. REAR Rw ❑ APPLICANT TEL. SIDE/SIOE STREET RW O � CONTRACTOR �� �' � � SIDE p ADDRESS Z � � CITY ZIP�,jEL ' PROPOSED USE /o �5h l i o ARCH/ENG/ °� DESIGNER ,tz.r NO.DWEL NO. NO. a ADDRESS � CITY ZIP TEL. UNITS STOFiIES BEDROOMS cr� cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BU�LDER DECLARATION SFR/AD�/REM O p 1 HEREBY AFFIR/A UNOER PENALTY OF DE0.AIRY IYUT 1 AM E%EAIPi iROAI THE CONTMCiORS LL GaragelCarpart W CENSEUWFORTMEFOLLGN'INOREASON(SEC.7NI.SBUSINESSAI:DPROFESSqN5CO0E:ANYCITYOH �1 �C� COUNTYWMIp1HE0UIRE5ACERMITTOCONSTRUCT.ILTERIMVqOVE.DEMOL15N,ORREPNRANYSTRUG ��jf L��.�' � �L1 (}X 17',X iJ TVRE,PiiIOR TO RS ISSUANCE.ALSO qEOUIRES THE APPUCANT FOR SUCH OERAIIT TO FILE A SIGN'cD w Patio/Deck .� SUTEMENT THAT ME OR SNE IS LICENSED VURSUANT TO THE PPONSIONS OF TME CON7MCTORS L4 � � CENSE UW(OIAP7ER i(COMMENCINO W1TM SECTION 7000)OF UINSION J OF TH[BUS�NESS�ND OR6 PooUSpa � FESSqNSCOD�ORTHATHEORSMEISE%EMPTTHEREFRpA�µ0THE0A515FpqTHEALLECCDE%EMP• � TqN.ANYYIOl�T10NOF5ECTION70]1.68�ANYMPLICANI'FORIIPERMITSU8IECTSTMEA7PLIC/VITiO Z Re-Rool � A CML iENKTY OF NOT 1AORE i17AN FIVE NUNDHEO DOLLMS(SSW).): � ❑�ASOWNEROFTMEPROPERT'l,ORMYEMPLOYEESWIMWAGESASTY+EIRSOLECOMPENSATqN, 0 C,ommercla� - Z VlILL DO THE WORK,AN�iHE SiRUCTUqE IS NOIIHTENDED OR OFFERED FOq SALE ISEC.70u,9U51• J � NESS JJlD PROFESSIONS CODE:T1E CONTRACTORS LICENSE UW DOES NOTAPPLV TO AN OWNER OF j VROPERTY MTq BUILOS OR IMVROVES TMEREON.AND WHP DOES SUCM WOPKMIMSELF OR MERSELF OR � THqOUCH NIS OR NER OVM EM7LOYEES.PRONDEO THAT SUCH pAPROVE4ENT5 ME NOT MTENDED OR m QOFFEREDFORSAIEIF,N0IMEYERTNEBUILDIN60RIMPqOVEMEMIS50LDWITMNONEYEAROFCOA17lE� Z TION.THE 01NNER�9UILDER WILL HAVE THE BUiiDEN OF PHOVWQ THAT HE DA SHE DID NOT BUIID OR IIAPROVE FOR THE PUqPOSE OF S�ILE� W O�ASOWNEqOFTHEVROPERTY,AAIEXCLU5IVELYCANTMGTINOWRMUCEN5EDO0NTMCTORS � TO CONSTRUCT TNE VROJECT(SEG 70.1�.BUSiNE55 AND PpOFE55lON5 CODE:THE ODN7MCTORS L4 VBIUeUOf1 ���'� ADJ.AREA W CENSEUWOOESNOTMPLYTOANONNEROFAPROPERTYWMOBURDSORIMPFqVESTHEREON.AND � W/IOCOMMGTSFORSUCHPRQIECTSVATHACONTMCfOR(5)LIGENSEDPURSUANTTOTHECONTMG OUIWTITY �ESCRIPTION FEE � MRSLICENSEUW.). , � O I I)A EXEIAOT UNDER SEC. B.l P.C.FOR TH�S PEA50N Q D� L? � oC ' (O ►� � {ti'�L7. p J �ATE OYMER U Z W � LICENSEO CONTRACTORS DECLARATION W 1 HEREBV AFFIRM UNOER PENALN OF PERNM TNAT I AA1 t�CEN5E0 UNDER PROVISiONS OF CHAPTER � •(COMMENqNOYATN5EGT10N7000)OFDNISION]OFTMEBUSINESSANDPROFESSIONSCOOE,AN� Z ` ���'E � 5�0 �� Mv LICENSE IS W iULL iORCE AND EFFECT. m l/ � � UCENSE CUSS �J � GZ�UC.NO. L+„(,E I 7� � V DATE �CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION -� ¢ � IHEREBYAGFIRAIUNOERPENALTYOFPE0.RIRYDNEOFTNEFOLLDYAN60ECLARATIONS: Z ' � _IHAVEAN�WILLl1AINTAINACEHTIFICATEOFLONSEMTOSELF-INSUREFORN'ORKERS' S � Gt1A1PEN5ATKKJ,�5 CROVIOEO BY SECTiON 7l0o OF TNE LABOR CODE,FORTME GERFORMANCE w OF THE WORN FOR WHId/7MIS PERAIIi IS ISSUED. � G W _I HAVE AND WILL MA�MAM WORKERS'COMPENSATION INSURANCE,AS PEOUIRED BY SECTIpN QJ7oo OF TNE UBOR CODE,FORTFIE PENFORMANCE OF THE WOPX FOR WHiCH7HI5 PERMIT IS 7� J ISSUEO.MY NqRNERS' P SATION WSURANCE C1ARRIER AND OOLICV NU.18ER ARE CONSTRUCTION . � C�RRIER �'� �l.v�+ C • PLAN REVIEW � GOLICY NU/ABER �(���e�1 Y ELECTRIC � (R455ECI10NNEmNDTBEO]M1PLETEOOFIFEPERMTSFOROhEMM7REDOd1MS(ftW10RlE5S� PLUMBING �ID'S Z 1 CERTIFY T1uT N iME PERFORMANCE OFTHE WORK iOR WHICH iN14 PER'nii IS ISSUED,I MECHANICAL ------ — - C7 SHALLNOTEMPLOYANVPERSdJINANYMANNEN50A510BECOMESl1BJECTTOTHE I I t"""" _ \, � WORKERSCOMPENSATIONLAwSOFCAL60RNI�JWOAGREETMATIF�51qVLDBECAME INSPECTIONFEE S SUBJECT7OTMEWORKERS'COAIPENSATIONPROVISpNSOF5ECT10N71000FTHEUBOR � COOE,ISFWLiOqTMWITMCdA7LYWIT7T EMi00t5pIS. ISSUANCE p DATE: Z'v� �Z APPLICANT:� SMIP � 1 %, f� � � WARNINQ:FAILURETOSECUREWOANERS'COA,PENSATIONCOVERAGEISUNUWNL�1dD5NALLBE ENERGYP/C �� ' �y, SUBJECiANEMPLOYERTOCPIMINALGENALTIESANOCNILiWESUPTOONEHUNDREDTHWSIND ENERGYPERMIT ����T- r DOLLAHS(ftoo.000),W�DITIONTO7HECOSTOFCOMPENSA710N.DAMAGESASPHOVIOEDFORIN �__, .., , ^ � SECTION]70eOFTHEUBORCOOE,IN7ERE5T,ANOATTORNEY'SiEES. RETENTIONFEE: �� ' �• OCONSTRUCTION LENDING AGENCV pRE•A T E/EJ: �n7 � IHEREBVAFFIRMUNOERGENALNOFpERIURYTHATTHEREISACANSTPVCTIONLENDINOAGENCV �`,Lt/(,� I FOR ME PENFORMANCE OFTHE WORK fOR WHIq1 iMiS PERMIT IS I55VEO(5EC.7oV7,CIV.C.� �D���L� W � LENDEflSNAME �,.� � LENDER'SADORESS I CERTIFY 7HAT 1 HAVE READ iT115 MVI�CATqN ANO STATE TNAT THE ABOVE INFORMATqN IS CORqELT. W TaTAL FEES /� � �v � IAGREEiOCOMP�YN7THALLCfTVANOCOUNTYORDININCESMIDSTATEUWSNELATINGTO8U0.DIN0 /�) ��/ �� � CONSTRUCTION,AND HERE9Y AUTTW fU2E REPRESENTATIVE$OF THIS COUNTY TO ENTER UPON TNE � Z /�BOVE�MENTIONEDGROPERTYFORINSPECTIONWRPOSES. COMMENTS ` � V C� �� �7 m VE rRI l��.� u¢, �� 2— 6�t7 L� [/� T DATE � RECPT.NO. PAID 8Y�'� VALIDATION WHITE-0epartment Copy,YELLOW—Financa Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicanfs Copy ....' '^ '., '".'. . '. .'- . r. _" � ' \. • , -r ...... �. �.. _ . � . . -. .. . -. .. • . . • . , �.-. �' .. . r�- • • . . ♦ . .. . ,. � , � � . . . , � , . �i !'°�` Q� �il�.A�Ui'�D FA� sr�rs►��.��ior� ��ca�� il►"k-'��a�:c�iCl�ai`& �':�.'�['��. I►`����c'nt`��;h..T.._.. 11���-`tP?=��;Cl`cl►�� � e�;'�F':� �l�;f-7;�.�c`i�c�:t •--------__-�------�-----...___. . � .._..�. .___._.__ ---- •-----__.._..__...___._____..._. — ._._ ....----_ .. .. SET 6ACK � FLOOR JOIST ' - .I_ _ ____._..-- -_._._...._�____. ---- FTGSlFORMS/STEEL ���GZ_._��� f-HA REQ"ATS � ELECTRIC GROUND j _ UNDcR FLOOR DUCT �} � ' GRQUND PLUfJIBING I UNDER FLOOR CU��IDUIT I I , SLAB GRADE � FIREPLACE FOUNDATION TEMP POWER � FIREPLACE BOND BEAP�A I WATER SERVICE j MID HT. �OND BEAP+1 � ROOF SHEATHING � G Ff. BOND E3EAPJI i FRAMINGNENTILIATION _��Zi� FINAL F3�ND BEAP,� I ROOF COVER ! PRE-GRADING ROUGH HEATING BENCHiNG ROUGH ELECTRIC ROUGH GRADING ROUGH PLUP,�CiIfJG I I FINISH GRAUING SHObVER�fUB TEST � POOL ELECTRIC EXT. LATH/SIDING � ; POOL FENCING WALL IPJSULATION POOL FINAL CEILING IN�ULATION OFF SITE IMPS. DRYWALL NAILING � DEDICF�TIONS SEWER FINAL ENG. SEPTIC TANK LF�NDSCAPEIIRRIG. � SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST � � FINAL ZONING • FINAL CONST. I ������� � �IRE DEPT. FINA! FINAL HEATING �_ � HEALTH DEPT. FINAL FINAL ELECTRIC f�j� 1 DEV. FEES PAID FINAL PLUMBING �� ,�I � ENERGY __. .... I . .. . � ! __ " _' F 1•;�-.�;Nt' W 1� ,�i�: . .. � ....�.Ca."""._�.'�.._�. ' _..�._"'"__'�4'---�.. I '__'—' ' COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE �y i, �j1� O � `� I .