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HomeMy WebLinkAbout17656 �` CITY OF DIAMOND BAR � DEPARTN�NT OF CO1�IIvtUNITY 8c DEVELOPMENT SERVICES �. � 21825 E.Copley Drivc (909)860-3195 Fax(909)861-3117 PRESS ''h�:' BUILDING PERMIT APPLICATION FIRMLY N JOBSITE ^ APPLICATIO PERMIT P/C o AODRESS��y 3.�LJ T��7�iri)J�I� DATE �Z NUMBER��# �` �7 � ISSUE �• 7YPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER p ADDRESS ZONING SETBACKS gCITY ZIP TEL. FRONT RW ❑ APPLICANT TEL. REAR O � SIDE/SIDE STREET RW O � CONTRACTOR CO SIDE ❑ � � ADORE S PROPOSED USE �'7'+' ' ' 1 � CI7Y �� 21P 7'y"�'"y"TEL. - o ARC NG/ � DESIGNER NO.DWEL. NO. NO. a AD�RESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARA710N SFR/ADD/REM O p I NEREBY AFflRM UNDER PENALTY OF PE0.RIRY TFNT I AM E%EMPT FAWd THE CONiMCTORS LI• � Garapa/Caiport � W CENSEUN'FORTHEFOLIOWINOREASONI5EC.7a71.6BU51NE5SANDPpOFE5S10N5CODE:ANYCm'OR � COIMfYYN11CHHE0UWESAVEN.IITTOCONSTRUCT,ALiER�MPROYE.DEMOLISH,OHREPAIRANY9TRUG W P8Si0IDBGk � TURE,VRIOR TO RS ISSUANCf.ALSO REOUIRES THE APPLICMlT FOR SUpI VEPA�IT TO FILE A 6iCNED w � S7ATEMENT 1HAT ME OR SHE LS 110EN5ED PURSUANT TO TME PROVISIONS OF 1ME CONiMCTORS lF $ CENSE UW(CHAPTER/(COMMENCWO WITH SECTION 7000)OF DIVISION]OF THEBUSINESS ANO PqO. �- PooVSPa FESSqNS t00�ORTH�.T HE OR SNE IS E7(EMPT THEREFROM�ND THE BASIS FOR 7XE ALLEGED E%EIAP• � TION.NlYVqlAT10NOF5ECT10N70J1.68YANYA7PLICANTiOftAFERMITSUBIECiSTHEAFFLICANTTO Z Re-Rool . � r AGVILPEN.LLryOFNOTMOqEiWWFIVEHUNDRFDDOlLARS(f5oq.g � ❑I,IISONTlEHOFiHEPROPEHTY.ORMYEMPLAYEESY�7THWAGE5A5THEIR50LEWMPENSAiqN. � COTm9fClal ' Z N7LL DO THE WORKµ0 THE STIiUC7URE IS NOT IMENDED OR OFFERED FOR 6�LE(SEC.7u1.BUSi- J NE55 AN�CROFESSIdJ9 COOE:THE CONTRACTORS LICENSE lAW OOES NOT APVL1 TO AN OY/NER OF � VROPERTYMA/OBUILDSORIMGilOVE57HEREON,ANOW110DOE55UpINqRKNIMSEIFORHERSELFOR = K THROUGHHISORNEHOWNEYPIAVEES,VROV�DEDTHAT5UC11WPROVENEMSANENOTMENDE00R m � OFFEREDFORSKEFFIOVIEVERTMEBULDINGOqMPROVEMEMIS50LDW�THINONEYEAROFCOMPLE y TION.THE OWNER-BUILDER VnLL IUYE THE 6LIROEN OF PROVING iHAT NE OR SHE DID NOT BUILD OR = WPROVEFOiIiHEiURPOSEDFSILLE� O�AS OWNER OF THE PROPERTY.M1 E%CLUSIVELY COMMCTN61M7N LICENSED CONTMC70RS W CENS�EUWDOESNOTAPPIYTOANONMEHOFAPROPER�WFq8URD50DMAPFqVE�STH RETON,AND V01Ueti0� 0 d � pQ1,qqEA � N11000NTMCTSFORSUCi1VROJECTSVATH�COMRACTOR(S)LiCENSEOPURSUANTTOTIIECDN7RAG pUANTITY DESCRIPTtON FEE � TORSUCENSEUW.). \ � O IMI E%EMPTUN�ER SEC 8.6 P.C.FOqTH15 REASON U v 3 ' �. W ¢ OAiE ��y"�-` �— OWNER U �� - F LICENSED CONTRA -ORS DECLARATION W - � IHEREBY�Fi1RMUN0EPPEN�INOFPE1iNRVT/UTIAMLICEN5E0UN0Ef1PROVIS10NSOFCHAPTER Z f� C�� . � p� 0(CdAMENpNOWITMSECTION7000�OFOM510N70FTHEBU51NE5SIWDVROFE5510N5C00E,AND _ X MYUCENSEISNFULLFORCEANDEFFECT. _ � �� �� 7,�.3 '3 ' v LICENSE CLASS LIC.NO.� "� � - � �j OATE CONTMCTOR���� 0. 'S Ow� W � � � WORKERS'COMPENSATION DECUIRATION 4 ,.{U• � IHEREBYAFFIRMUNDERVENALTYDFVERN1i70NEOF7HEFOLLOVYING�ECLAMTIONS: U � � d 0 _IHAVEANDNnLLMA1NTNN1ICERTIFICATEOFCONSEMTOSELF-INSUREFOAWORKERS' z � CpAVENSATION,ASVRONDEDBVSECT10NS/ooOFiMELAeORCOOEFORTNEVEpFORUANCE W Of TME WOfiK FOR NM111CH TNIS VEHMIT IS ISSUED. .� C _IHAVEANDNnLLMAnfTA�NWOFNERS'COMPENSATIONINSURANCE,ASREWnREDBYSECYION ��� ,/�� dO l7000F1HElA90RCO0E,FORTHEVERiORMM1cEOFTNEWORKWRWHtp1T1115PEfIMIi15 � � � ISSUED.MYWORNERSCOMPENSATIONINSURANGEGNRIERANDPOLICYNUMBEHARE: CONSTRUCTION 1 � CARRIER PLAN REVIEW 0 pOLICYNUMBER ELECTRIC � , � (IMSSECIIONNEfDNOT8E00�.171E7mOchEPEFl/.�TBPoqd+ENLlD�EDDOl1AR46�aqd1�ESS7� PWMBING 4 Z IGERTIFYTMATWTHEPERFORMANCEOFTHEWORKFORWHICHTHISOERMIiI5155UE0.1 WIECHANICAL (, SHl1LL NOT EMttOV ANV VERSON IN AN'I AIANNER SOA3 TO 9ECdAE SU&IECT TO 711E �, �WORNERS'COMPENSATqNLAW50FG�LIFOFMA,ANDAOREETNTIFISIqUlDBECOME INSPECTIONFEE SSU&IECTTOTMEYJORKERS'COMVENSAT�ONPROVISIONSOFSECiION�7o00FiMEU100R � � ) coo��SHALL F�ni ww+vir win� se vAov�sioras� ISSUANCE p �j / � �DATEO �"� APPLICnNT: (�±%�J.!(_ SMIP O � ENERGY P!C I WMNINCi;FNLUNE TOSEWRE WORKERS' PENSATqN COVEHAOE 19 UNUN'FUL.AND SMALL6E � � 6UBJECT/VlEMPLOYERTOCRiM�NQPENQTESANDCMLFINE5UP700NEM/NDREDTMOUSAND ENERGYPERMIT DOILARS�f 1m.00o),N AO�ITIaN TO THE COST OF GOMPENSATpN,O�GES AS PROVIDED FOfi IN ¢ SECTqN17o00FTNEUBORG00E,INTEREST,ANDATfORNEY'SFEES. qETENTIONFEE: � oCONSTRUCTION LEN�ING AGENCY pRE-ALT FEE: . � IHEREBVAFFlRMUNDERPENALTYOFPf0.1URYTNAiTHEREISACONSTRUCT10NLfNDWGAGENCY FON TME�ERFOWAlWCE OF TME WORK FOR WHlq/TFNS FENMIT IS ISSUED(SEC.Mi7,CIY.C.). v Z �W �� LENDERSNAUE O�L� F- LENDEH'SMORES9 w ILERTIFYTHATIHAVEREADTHISM7LICATIONMIDSIATETHATTIEABOVENFORYATqNISCONRER TOTALFEES �O• �� p IAGHEETOCOMPLYWfTHALLCT'ANOCOUNTYORDWANCESANDETATEUwSREI.�TWOTOBUILWNO CONSTIIUCTION,AND HEREBV AUTHORIZE REPRESEMATNES OF THIS CWIRY TO ENTER UVON TNE ��� ZABOVE•MENTIONEOVROPEHTYFORINSPECTIONVURPOSES, COMMENTS ���• � J D/�,� d�c��^�-� � m PEWAiTTEENM�E Nn � � � � ' �'-� Z� �' - y S16NATl1REOFVENd�Ti DATE � RECPT.NO. � PA1D 8Y VALJOATION WHITE—Departmenl Copy,YELLOW—Finenee Copy,PINK—AssessorCOpy.GOLOENROD—File Copy,GREEN—ApplicanYs Copy ^L�. ,} s •.r;r � (.,T.,,,. ���.,.. .��•.::,-.1:,r �r:�.. � .v. . ,.. �..�.,.-�. . - . � Ai-� . :9• _ , .... .�. . �.. .. ,. _,�.ir ..ra ... .n«- .. . .._.. . .. . . .,.. ;... .... „�.. y,. .. _ _-..�.-., ..•�,. ..,. ��� .. •� , ' .' ' . . . . . ' 4�..t ' " • � ^ITY �F DIAMOi�lD Sl�R � IP9S�EC o i0�'�! RECt�€�D , ._� _ . � ''���-�:����.C�7►� _; ��''��� � > ;`j�F-������^�r�' _ l;l�j.�,���.��������:,.. ..._. ���;t�"� �� �� �.�� - ..._._.._._. ___ . .__.____._ ....�.�_...____ ���- SET BACK �� � __' � �YFLOOR JOIST ' .; , . � FTGS/FORMS/STEEL 3l(��Z ��iG- FHA REQMT5 • I ELECTRIC GROUND I UNDER FLOOR DUCT 1-� GROUND PLUMBING � _•�fG i-,����� I Ut�IDER F1.00R CU�IDUIT SLAB GRADE I���;-�,,�� ,� FIREPLACE FOUNDATI�N TEMP POWER � FIREPLACE BOND BEAM - WATER SERVICE �I MID HT.BOND BEAM � ' • ROOF SHEATHING 8 FT'.BOND BEAM • FRAMINGNENTILIATION I�_p3I ! FINAL BOND BEAM1 ROOF COVER I PRE-GRAOING ROUGH HEATING i BENCHING I AOUGH ELECTRIC � � '. . ROUGH GRAD�NG ROUGH PLUMBINC ` � ; FINISH GRADING SHOWERII'UB TES7 /\ i ' _ � POOL ELECTRIC EXT.LATH/SIDING I ' POOL FENCING WALL INSULATION POOL FINAL � CEILING IN�ULATION j OFF SITE IMPS. DRYWALL NAILING /y�OZ ,�EDICATIONS SEWER F�INAI ENG. SEP71C TANK LANDSCAPE/IRRIG. � SEEP PIT/L.L. � 1 ' ' . ' ON SITE IMPS. � � GAS AIR TEST � _�_ FINAL ZaNirJG FINALCONST. ��jj��� , , FIRE DEPT. FINA�_ FINAL HEATING �l���U� , ' HEALTH DEPT.FINAL FINAL ELECTRIC ' ; DEV. FEES PAID ,�-�1��Z FINALPLUMBING �3( Gt! � -• • I (-ENERGY • � I. , .. . .. , � � - .^�,.;�s-..�'l.:�° "�F;1C�f'._. - ' _ � _'"' ___ " __ . - _ - -� --.. . --- - . _. .__.�_� _ _ �' _ � _ __ . _..._ ----- - . ..-.-— - ------_._ ___�_.._._ _.___.�..�_..____ .�_ ._ _�. . - --- - --- COMMENTS • SEPTIC TANK SIZE SEEP PIT/U SIZE � !,��� ��� � ' _ � � ,��,� i�� , - . � �� _ ' '' �..._��... ..._. � � „ . . � ,