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HomeMy WebLinkAbout16420 / �, _ .. - - _. . �„ _�� CITY OF DIAMOND BAR EXPIRED DEPARTMENT OF COMMi1WITY&DEVELOPMENT SERVICES 21660E.CopleyDriveSuite190 ��N 171��2 PRESS (909)860-3195 Faz(909)861-3117 �`'*^� BUII.DING PERMTT APPLICATION FIRMLY ��.,� JOBSITE `' APPLICATION � 1�..�I NUMB R I� 1� N/C a ADDRESS � OATE p-" � ISSUE TYPE OCC APN T�--��, � TRAC� DATE CONST. GROUP g OWNER a � / J��I�� � p ADDR S ~ ZONING SETBACKS W CITY " ZIP TEL,���,� REA�R RW ❑ APPUCA TEL. SIDE/SIDE STREET RW O CONTRACTO SIDE ❑ � CITY ES�_� ZIP� TEL,�/���y�S't�S,7 PROPOSED USE - ,-� L r� j � � ARCH/ENG/ �� ��"'�� � OESIGNER NO.DWEL. NO. NO. AODRESS UNITS STORIES BEDROOMS � CIN TEG � v� DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANAIUATION ¢ OWNER-BUILDER DECLARAT�ON SFRlADD/FiEM O p I MERE9Y AFFlRM UNDER iEWLLTY Of iE0.1URY 7HAT I MI E%EMPT FROA1 THE CONTRAC70fi5 L4 Garege/Carport � CENSEUWFORTHEFOl10WNOREA50N(SEG70.71.6BUSME551WDVROFESSIONSOODEANYpTYOH (n COI.NTYN4i1QiHEWIRESAVEiWRT000NSTRUCf,ALTERMPHOVE,DEM0U5M,OflRE7AIHANYSTFiUG W pd110/DBd( TUHE iR10R TO RS ISSUANCE ALSO REWIR[5 THE MPLICANT iOR SUCH PERAtlT TO f0.E A SIONED W E7ATEMEM i11AT ME OR SHE lS LICENSED DU0.SllAM TO T17E VfbVL5lON5 OF 7HE COMRACTOR3 LL � CENSE Uw(CHADTER a(WIAYENCINO MATH SECTIDN 7000)a DM51oN�OF THE BUSMESS AND Dq6 �- PooVSpa FESSqNSCO0E�0i1THATHEORSHEI3E%EMPTTIIEREFPOMAND711EBASISFORTH[ALLEOEDEXEMP� (� TION.NlVVKKATIONOFSECTIdi)W1.68YNIVMPLICANTFORAPEPMI7SUBJECTSiHEAPPLICANTiO Z Re-Rool �,�, ACMLPENALttOFNOTMORETIANFNENUNDREODOUMS(fSao).): O Ot��NEHOFTMEVRO7ER7Y,OqYYEA17LOYEESWiTHWAGE5A5THEiRSOLECOMPENSA7qN, 0 �mmercla� . �.- � � WILLOO TME WORK,AND TME STRUGTURE IS NOT IMENDED OR OFFERED FOR SALE ISEG)ON,BU54 J � NESS IWD VFIOFESSIONS CODE TME CONTHACTORS IICENSE UW DOES NOT MPIY TO/W OWNER OF � , GROPEHfY W/10 BUlD4Ofi IIAPIpVES THEREON.ANO VMODOES SUd/V.ORK NIMSELFON HERSELF OR ¢ THROUGHHISORHEROMMEMPLOYEES.VROViDEDhUTSUCNMPpOVEMENTSARENOTIHTENDEDOR m y� OFFERmFOR4ALEIF.HOWEVER7NEBUlDIN00RIMPPAVEMINT1950L�YlIT4NONEYFAROFCOMPL6 Z ��TION,TNE OAMEReUIDER YnLL NAVE TNE BURDEN OF VROVWO TMAT HE Op SHE DI�NOT BUILD Oil = MVROVE FOp TNE VUHPOSE OF SALE} � 04A."�EAOFTHEPAOPERfY,M1EXCLUSNELVCONTMCTWOYATHLICENSEDCONTMCTORS TO CONSTRUCT TNE FROJECT(SEG 7M1,BUSINESS NA ii1DFE5510N5 CODE:TH[CONTMCTOFlS LF V8IU8lI0f1 ADJ.AREA CENSE UW DOES NOT APPLY TO AN OWNEH OFA PflOPERTY WHO BUILDS OR MPROVES iNEflEON,AND NRfOCOHTMCT5FOR5UpIPRQJECT5MA7T/ACONTMCNiySJLIGENSEDYURSUANTTOMECONTMG pUANTITY DESCRIPTION FEE � TORS UCENSE UW.} OIAIIEXE4PTUNDEASEC. B.IP.C.FORTHISREASON � U li.. � DATE OMmER V . � UCENSED CONTRACTORS DECLARATION � � w INEREBYAFFMMUI.OERPENALTYOFPEflA1f1YTHATIFMLICEN5E0UNDEHVPOVISION50FCHAFTEN Z �`� � �(COMMENCNO N77N SECTION 70ao)OF OMSION J OF THE BUSINESS AHD PROFESSIONS LODE,�ND W UCENSE IS M fUl FORCEAND f FFfCT. m � LICENSE�S � " LIC.NO. , j F J � o�� corrrrucroA a ORKERS'COMPENSATION DECLAHATION d = U � IHEREHVAFFlRYUIDERVENALTYOFVERURYONEOFTHEFOLLOVANG�ECLARATIONS: Z � �IH�VEANDWILLAWMAINACEFRIFlCATEOFCONSENTMSELF-INSUREFORWORKERS' _ - CDMPENS�TqN,ASPFiDVi0ED8YSEC710N]10oOFTNELABORCODE,FORiHEVERFORIAANCE `U OF iNE WORK FOR MAIICH THiS FEfUUT IS ISSUED. � � O �IWNEANDWRIMAMTNNWORKERSCOMPENSATIONMSUMNCE./14RE0U1RE08VSECTIDN �� �O 77oo0FTHEUBORCODEfORTMEGERiORMMICEOFTHEWORKFORN7IICHTH15PERMITIS � ISSUED.MYWOflKERS'COIAPENS IONINSUqANLEGMRIERANOPOLICYNUMBERME CONSTFlUCTION � ] CMRIER PLAN REVIEW � P0.ICYNUABER ELECTRIC 0 �ssccnwrkmrooraecanErfnaFn�aEw.�rawaontwr�oau�R,m)oa�ssl PLUMBING z ICEf171F'ITIA7NTHEFERGOWAMICEOFTHEWOwCfORWnIG1THt5PERMiTISt55UED,l MECHANICAL C7 SMALLHOTEMPLOYANYPERSONINANVMN:NERSOASTo6ECOMESUEUECTTOTHE � YIORKERSCOMVENSATIONLAWS GLIFORNItiANDl1G[7EETHATIFIS/IOULDBECOME INSPECTIONFEE S 3UBJECTTOTMEWdtKERS'COMPE �ON7HOViSIONSD SECTION�7000FiMEUBOR 000ei uts amm�n�caavirvnn+ rnansior+s. ISSUANCE O �p DATE: 4 APPLIC/�NT: -- SMIP " . W � ENERGY P!C � WARNIN6:Fl1ILUR OSEWREN'ORNERS'COMPENSATIONCOVEH�GEISUNUWFUI.,ANDSMALLBE �y 6U6JECTANEMPLOVERTOCRIMMALVENALTIESIWOCMIFNESUPTOONENUN�REDTFIOUSANO ENERGYPERMIT DOLLARS�f 1m,0ao),IH AODI710N TO7HE COST OF COMPENSATION.DAMAGES AS PROVIOED FOR IN � BECTION770lOFiHELABOiiCOOE,HiEREST,AN011TTORNEY'SFEES. RETENT�ONFEE: a CONSTRUCTION LENDING AGENCY . PRE•ALT FEE: � � IHFRFBYhiFIRMUNOERVENAITYOfGE0.1UfiYTHATTHEREISACONSTRUCTIONLENOWGAOENCY � z FOR TNE PERFORMMICE OF THE WORK FOR WHICH THIS GERMIT IS ISSUED(SEC.0oY7,d¢G�. . W � LENDERSNMIE � C LENDEF'SADORESS � ICERTIFVTHATIHAVEREADTHISMPLIGTIONANDSTATETHATTHEABOVEN�OH1AATqNISCORPECL TOTAL FEES � � IAGREETOCOMVLYN1THALLCIT`/ANOOIXINTYORDINANCESANOSTA7EUWSREUTN10T08UlDIN6 � ,_ � � CpLSTRUCTION,ANDHENEBVAUTl10RIZEREPRESENT�7NESOFTMISCOVNTYTOENTERUPONiHE . � VE�11EMpNED VROPERTV FOR INSPECT1011 7URPOSES. COMMENTS 0 � � m rwr+r� Q � (n 51 � FPEFMITTEE DATE � � RECPL NO. _PAID BY VALIDATION ITE—Department Copy,YELLOW—Finance Copy,PINK—Asaessor Copy,GOLDENROD--File Copy,GREEN—ApplicanCa Copy CITY OF DIAMfJND BAR � � . :� ' . INSPEC�'IOfV RCCORD . , . - : � '�'T� o '�Y � �r '�� '-j�� . �'}y�;.����4��►'�" "'` µc,���r'... ._..'�►�}"y''"``�����..� ... SETBACK �' ;_, �' -, � �:� ;��I FL00[iU ST/,- � . i FTGS/FORMS/STEEL ' � ` FHA R QMTS � � . . . ' " ` - - ELECTRIC GROUND _ UNDER FLOOR DUCT GROUND PLUMBIPJG UNDER FCOOR•CUl�IDUIT ' '' ` ' " � ' _`_ SLABGRADE - - `. -- - - - FIREPLACE'FOUNDATION ' . ... , '-� . �— TEMP POWER FIREPLACE BOND BEAF�1 ^ WATER SERVICE-- - - ' MID HT. BOND BEAM . • ,"• • - ; ` � ROOF SHEATHING`, r • �'I�-Z`{-0� • - '.�� 8 FT.BOND BEAM ' '. , - ',FRAMINGNENTILIA710N = "�` -• '�� ` '-� FINALBONdBEAM ' � �' " ' ROOF C�VER � PRE-GRADING � ;ROt1GH HEATING 6ENCHIh�G ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING - - I FINISH GRADING SHOWERlTUB TEST POOL`ELEGTRIC EXT:LATH(SIDING -- - - POOL FENCING `WALL INSUTATiON - - � POOL FINFIL ' __�. �GEILING INSULATION -- - - OFF SITE IMPS. DRYWALL PJAILIPJG DEDICATIOPJS SEWER FINAL ENG. ^� SEPTIC TANK LANDSCAPEIIRRIG. � SEEP PIT/L.L. � -- _ ;"�:-_ ON SITE IMPS. G.AS AIR TEST : FINAL ZONING � � �FINAL CONST. FIRE L7EPT. FIN�L :F1NAL HEATING _ -_- HEALTH DEPT. FINAL � ---�— -- -- 'FiNALELECTRlC- DEV. FEES PAID � �� - FiPJAL PLUMBI!JG - ENERGY � ^ - -- ------------- _ - -- _ _ _ ( — `. „�. ...--e„� ..-....-,-�---�---.— ._- ----- _ ._ -_ . _ :,.. -��ri � ���,m.�� f,�r �'.".�: . - '`-- - . . . .._:1.�:1'.�l,. . >TrC_��. .�_�.._.. . ..... . �_ ' �r 'f..� :n�t�:. .i• .. . ..w. i• "._� � �.._.._ . . ._ _ . -_ � �. . . �. �� "• 1'. , . _._ _ _` ' - 3 � _' .. ._, i �COMMENTS � ; ;� � � , ------ , : ', � — . . • . ��..! � - ---- � . . — - . . . SEPTIC TANK SIZE � ' ' , 'SEEP PIT/U SIZE - � ',, �', - --- � _ ! �� _�- , .._ — --- � ;�y� " _ ------_-- ' � . � " . �:.�..'�5; . , _ _. . ___._ . . -"_`'S -. ..�.., . .+` . . ' � 4- l, .. _ _. . , - � -- � ' . -