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HomeMy WebLinkAbout17618 (17) "� . ' . . .. '. . ' ' . - 'L CITY OF DIAMOND BAR EX P I R ED �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � 2(825E.CopleyDrive x_..c '"�' � Q 1002 PRESS (909)860-3195 Fax(909)861-3117 �'�" — ` �`%�::�� BUILDING PERMITAPPLICAT'ION FIRMLY o ADDAESS I 5 Z��?ee�� C roS S►NG � APPLICATION 0 2� PERMIT /�/_/p �P/C DATE 3 NUMBER «'�� � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER �� , p ADDR S r �U � ZONING SETBACKS z CITY G N. H ZIP TEL. • 2 FRONT RW ❑ g APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACT SIOE ❑ � ADDRESS PROPOSED U,SE �'� ` �-- � CITY ZIP TEL, p o �� w ARCH/EN WT � DESIGNER � ADDRESS NO.DWEL. NO. NO. UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION SFWADD/REM O � I HEREBV AFFlRM UNDER DENAL7V OF DE0.AIHV THAT I AM FXEMPT FROM THE CONTMCTORS Lb � Garage/Carport W CENSEUWFORTHEFttLOWWaREA50N�5EGla71.68USINESSAN�DROFE551DN5[D�E:ANYLITYOR U COIMiYWHIp/REWINESAPERMITNCONSTRIICT,/�LTER.AIVROVE,OEIAOLISH,ORREDAIRIINYSTAUC• W PaIIO/DBCK u� TURE,PRqR TO RS ISSUMICE,/�150 REOUIRES THE MPLMANT FOR SUCH PERMIT TO FILE A SiCNFD W .� STATEMENT TMA1 ME OR SME IS UCENSED PURSUANT TO THE PROVISIONS OF THE CONiMCTORS ll- .� CENSEUW(CMAPTERY�COMMENCINOWI7NSECTpN7000)OFDIV�SION70FTHEBUSINESSANOVRO� � PooVSpa ^ FESS�ONSCODEIORTHATMEOASHEISE%EMPTTHEREFROMMDTMEBASISFORTHEIILLECEDE%EMP- (� � T10N.ANYYpLAT10NOFSECTION1071.68YANY�PPLIL/JifFORAGERMITSU&lECTSTMEMPL�GwTTO Z Re-Roof � ACIVIL GENALTY OF NOT MORE THAN FNE HUNORED DOLURS(f5oo)); � OI.ASONNEROFTHEPROOEHTY.ORIAYEMPLOYEESWITMWAGESASTHEIRSOLECOMPENSATION, 0 COrtIf1lBfCl81 Z VALL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOH SALE(SEC.70��.BUSb J NE55 AND Vi10FES510N5 COOE:THE CONTRAC70RS UCENSE UW DOES NO7 ACGLY TO AN OWNER OF � FROPERTYNR108UILDSORpAPROVESTHEREON.M1DN910DOES5UCHWORNNIlASELFOHHERSELFOF � ('L THRIXJ6HHISORNEROWNEMPLOYEE5.7ROV�DEDTHATSUdiIMPROVEMENTSARENOTNTENDE00R m Li1 OFFERED fOR SPLE i,/10WEVER'ME BU0.DPIG OR IMPROVEAIENTIS SOIDNnTM�N ONEYEAR OF COMPLE� ZTqN,THE OWNER�BUILDER WILL HAVE TME BURDEN OF PHOVINO i/NT HE OR SHE 010 NOT BU4D OR = WPROVEFORTMEVUHPOSEOFSALEI. O t AS OMMER OF ME PROPERTY,A►�E%CLUSNELY CON7FACiPJO WITM UCENSEO CONTMGTORS � TO CONSTRUCT THE PROJECT(SEG 70N.BUSINE55 AND PROFESSIONS CODE:TNE CONTMC70Fi5 LI• V81U811W1 AQI.AREA W CENSEUWDOESNOTA7�LYTOANOWNEROFAPROPERTYWHOBU0.050RIMPFtOVESTHEREON.AND S WHpCpNTMCT5iOF5UCHVRQIECTS'MTMACONiRACTORlS)LICENSEOPURSUANTTOTNECONTMG p�qp�7�7y DESCRIPTION FEE F- TORS IICENSE UW.1. � � OIAME%EMPTUNDEHSEC. B.IP.C.FORTHISREASON U � � LL" DATE OMn1ER � Z W �¢ UCENSED CONTRACTORS OECLARATION W CC IHEREBYAFFIRAIUNDERPENALTVOFPf0.1URYTNATIA4LICENSEDUNOEHPRONSIONSOFCHAP7ER Vr d i(COMMENC�NOWiTM5ECT10N7000)OFOMSiON70FTHE8U51NE5SAND7ROFE55qNSCODf,AND Z X MYUCENSEISINNLLFORCEA E�ECL m LLl �• � O � r, LICENSE CUSS IIC.N�. J _ � DATE ��_CONTRACT _ a W � WORKERS'COMPENSATION DECLARATION Q � U N IHEREBYAFFIRMUNOERPENALTYOFPERIURYONEOFTHEFOLLOWINODECIAMTIONS: Z Q � _INAVEANDYnLL1AAIMAINACERTIFICATEOFCONSENTTOSELF-INSUREFOHWORKERS' S Q COrAPENS�TqN,ASPROVIDEDevSECTIONTooOF7HEUBOROODE,FOHTHEVERFORMANCE W OF hIE WOfiK FOR WNICH iH15 PERMIT 5155UED. � 0 W _IHAVEANDWILLMAIMAINWORKERS'COMPENSI1TqNW5UfUNCE.ASREWIRE0BY5ECTIDN /�/ .1'� ?G Q ]70o OF TNE LABOH CODE.FORTHE FERFORMANCE 0F TyE WORK FOR WHICH7HIS YERMIT 15 ISSUED.LIVW'ORNERS'C0IAPENSAT 11R/NCECAi�ERANDPOLICYNUA�BEHARE: CONSTRUCTION 7 � GRRIER �JT �N�� PUW REVIEW ZppIICYMIMBER��/�A �f'1 .'� ELECTRIC ' d ...V � .r � _ ` (fHISSEC1�d�NEmNOT0E0Ch1REfIDOFT�EPERMf6fOROh'EF1lX�DAED0�L1M5pt0�OqlE55} PLUMBING I'l�i-�-- � 0 -' Z (CERTIFYtHAT P!TME PERFORMANCE OF TNE WONK FOR WNICH TN6 PERMI IS ISSUED.1 MECHANICAL r�` �`1'�� � ��� (,'} SIVL�NOTEMPLOYANYPERSONINANVMANNERSOASTOBECOMESUBJ . TOTNE ' '� '� ' N WORKERS'COMPENSATIONUWSOFCAUFORNIA,ANDACREETMATIFIS DBEC06/E INSPECTION FEE . S SUEUECT TO THE WORKERS'CO�dPEN5�710N P ASIONS OF SECT�ON�7 F THE 1A80R �SSUANCE " � COOE,ISHALLiORTMWI7HCOMal1 I MO PROVI510N5. o �J�� ��) � sMir . r; [�D( { p DATE:��►PCfCA . w ENERGY P/C ��� . � � WARNINO:FAII ETOSECVNEWORKERS'OOMPENSATIONCOVERAGE45UNUWFULANDSNALLBE _ � SV&IEGTI�NEMPLOYERiOCRIMIW1LiENALTIESANDGVILfMESUPTOONfFNNDREOTMOUSANO ENERGYPERMIT --- � ' -'�� DOLLARS�3100.000).IN AOOITION TO TME COST OF COMPENSATIDN,DN.�AOES AS PROVIDED FOR IN � SECilON770lOFTHEUBORCODE,NTEREST,ANDATTORNEYSFEES. RETENTIONFEE: �• a CONSTRUC710N LENDING AGENCY PRE•ALT FEE: � IHEREBYAFFIRMUNDERPENALT'OFPERJUMTHATiHERE15ACONSTRUCTWNLENOINOACENCY FOR THE VERFOHMANCE OF TME WORK fOR WMICH T/+IS PENMIT IS ISSUED�SEC.3ov7,CIV.C.). Z w � LENDER'S NAME � LENOER'SADDNESS • �` ^ �� � TOTAL FEES v��' W 1 CERTIFY TNAT I MAVE READ TH�S APGUCATION/�NO STATE TNAT T1E ABOVE INFORMATqN IS CORFECT. � IAGREEiOCOMPLYWITHALLGTYANDCOUMYOROINANCE5AND5TATEUWSRELATINOTOBVILDINC CANSTRUCTION,ANDMEREBYAUTHOR12ER RESEMATIVESOFTHISCWNTYTOENTEHUPONTHE Z ABOVE•I.�ENTqNE POPERTYFOFINSPE PUR705E5. COMMENTS � 'c. /�t v5� ,c.� m CERA1 E N I NT I Q � � S A � P Z7 DA1E � RECPT.NO. PAID BY VALIDATION WHITE—Department Copy.YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy .. , .. ..... �_ .. . „ � ,. . .,, , , ��,- :f'. .� , ... . .. , , 7s =,,'. .. .. .. , ,. ,. . ,. , , i ... . . . , . . + ci��►� �r- oi�r��or��!D B�R ir�s��c:Ear,� �cco�� � __,__.._....._._._._..___�.�....�.______.___.._ . ___ _. -- - . :1��-'�:�1=1�;rC��►�l c1��:f'= I►�ti'.I�a�c�C'cl.c �►�.-i;�a"r'i�'lf�jii! c"x:.�:ri= �►��.�;��c��e.�1.^� . _ . _ .___.______�__.__.._.__.__.._._ . .__.__. .. . _ _, .. . __.._._ ._ .. _..._ --�_____.____ ..____.. ..r..._._. SET BACK - , - '•-� - - OOR JO�ST� , � . I .I I I.FL__. ._.W- --• --.-. -- FTGS,iFORb1SlSTEEL i ^ I FHA REQMTS � ELECTRIC GROUN� UNOER FLOOR DUCT GROUND PLUMBING �' UPJDER FLOOR CU�IDUIT ' SLAB GRADE FIREPL.ACE FOUNDATION I � TEMP POWER � FIREPLACE 60N� BEAM ' WATERSERVICE I P�11D HT. �O�JD BEAh1 ROOF SHEATHING ��y� ---�'_!: 8 FT. BOPJD BEAM FRAMINGNENTILIATION I I FIPdAl.BOND BEAM ROOF COVER I PRE-GRADING ROUGH HEATING BENCHING � ROUGH ELECTRIC � RUU�H GRADING ROUGH P�UM8ING � FINISH GRADIPJG SH�WERrfUB TEST � ; P�OL ELECTRIC EXT. LATH/SIDING � � POOL FENCING VJALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. • • DRYWALL NAILING DEDICATI�NS SEWER FINAL ENG. SEPTIC TANK , LANDSCAPEIIRRIG. SEEP PIT/L.L. .`�: OfJ 51TE Ih9PS. GAS AIR TEST FINAL ZONING FINAL CONST. , �lRE DEPT. FINA'_ FINAL HEATING HEAL7H DEPT. FINAL FIfJAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ,, "'_ �___'_' '�'_�_� _.�. _�J-� �'�`�y P 1 �t'����-���`�1`r•-•--�-.�.-.��.M` ' . . CUMFJIENTS , SEPTIC TANK SIZE SEEP PIT/U SIZE "1 I'�� �I I •��►t� o;I�', � . , :,; � - --------- ---`"Y------___ __•