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HomeMy WebLinkAbout17992 (19) _ _ _. -----�---_____ __ - - - - -- ___ . CITY OF DIAMOND BAR � f� DEPARTIvIENT OF COMMUNITY&DEVELOPMENT SERVICES � 21825 E.Copley Drive x'""' (909)860-3195 Fax(909)861-3117 PRESS ��?�� BUILDING PERMITAPPLICATION FIRMLY } JOBSITE APPLICl�Ippl., b� NUMBERj 7(��p/C o ADDRESS Q� r DATE S//,S ISSUE� TYPE OCC � APN LOT TAACT DATE �I�� O�CONST. GROUP p OWNER � � ADDR S ZONING SETBACKS 0 Z CITY pZIP TEL - FRONT RW ❑ g APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ � CONTRACTOR O T/L SIDE ❑ ADDRESS � CITY ZIP�_ TEL p.-Cf PROPOSED USE e /hCl{re 2 Tit <, oAHCH/ENG/ ��P; DESIGNER ,�j NO.DWEL. NO. NO. N ADDRESS UNITS C�Z Q STORIES �u�_BEDROOMS � CITY ZIP TEL. � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p 1 HEREBY AFFIRM UNDER iENALTY OF PE0.RIRY TMAT 1 M1 E%E1AFT FROM iME CONTMCTORS L4 GaragelCarport W CENSEUWFORTMEFOILOWINfiREA50N(SEC.70.71.6BUSINESSMD7ROFESSqNSCODE:ANYCITYOfl (n U CpUNTYNMICHREWIRESAGERMITTOCONSiRUCLALTEi�IMPROYE.DEMOLISH.ORREPAIRANVSTAUG W W 7URE.PRIOR TO ITS ISSUANCE.K50 RE4UIRE5 iHE APPLICANi FOR SUCH PEKMIT TO FILE A SIGNED W PatlolDeck STATE�IEM TNAT HE OR SNE IS UCENSEO GURSUMIT TO iHE�RONSIONS OF 1HE CONTRACTOFS LI• � CENSE LAW(dUPiER 0(CdAMENCIN�WITH SECTION 7000)OF DIVISqN]OF THE BUSINESS AND PRP �- PooVSpa FESSIONSCO�E)ORTHAiHEORSHEISEXEAaPTTHEREFRqAM1DTHEBA515FORTMEILLEGEDEXEMP� C7 � TION.ANYVIOLATIONOFSECTION10�1.68VANYMPUCANTFORAVERMITSU&lECTSTHEAPPLICANTiO Z Re-Roof A GML VENAL7Y OF NO7 MOfiE 7H/W iIVE NIXJORED DOLURS(fS00).): � ZOI.�SOWNEROFTHEVROPERTY,ORMYEMPLOYEESWI711wAGE5l15T11EIRSOLECAMPENSATION, O COmmBfCifll WILL DO THE WORK,AND TME STRUCfUHE IS NOT INTENDED OR OFFERED FON SALE(SEG 70��,6U51• J N NESS AND CROFESSIONS COOE:THE CONTMCTORS UCENSE LAW DOES NOTA7PLY TO AN OWNER Of = iROPERTY YA100URDS OR MPROVES TNEREON.ANO W5q DOES SUCH WORK HIMSELFOR HERSELF OR 2 7HROUGHHISORHERONMEIAPLOYEES.PROVIDEDTHATSUpiIMPROVEMENTSARENOiINTENOEDOR m � OFFEREDFORSALEIF,FIOWEVER7HE6ULLDINOORnAPROVEUENTISSOlf7WITNINONEYEAqOFC01AFlE• Z 710N,T11E OWNER•BUILDER WILL HAVE THE BURDEN OF VROVINO THA7 HE OR SHE DID NOT BUILp OR = kAPROVEFORTHEPURPOSEOFSALE�. O l AS OWNER OF TNE PflOPERTV,MI E%CLUSNELY CONTFACTW O VlITH LIC[NSED CONfMCTORS Q TO CONSTRUCT TNE PN0.IELT(SEG 70N,BUSINESS 11ND GROFESS�ONS CODE:THE CONTRACTORS 4• V3IU8�IOf1 G ADJ.AREA W CENSEUWDOESNOTAPPLYTOMlOWNEROFAPROPERTYWMOBUILDSORIMPFtOVEST/EREON,AND F W11000I7�MCTSFORSUCHVR0.IECTSNnTHACANTMCTOR(S�LICENSEDPURSUANTTO7HEGONTRAG OUANTITY DESCRIPTION FEE Y TORS UCENSE UW). V' OIAME%EMPTUNOERSEG B.iG.C.FORTHISREASON Q � U lL. ¢ DATE OWNER U Z W �Q LICENSED CONTRACTORS DECLARATION w ¢ IHEREBYAFFIMIVNDERPENKTVOFPE0.)URYTNATIAMI�CENSEDUNDERPROVISIONSOFCHAPTER � � d i(COMMENpN6W17H5ECT10N700010FDIVIS10N70FTME8U51NE5SAN�VROFESS10N5CODE.AND Z MY LICENSE IS W Rhl FORCEAND EF CT. !' � m � LICENSE LUSS r LIC.NO. v �� � V DATE CONTRACTOR a W � WORKERS'COMPENSATION DECLARATI N a = U NIHEREBYAFFIRMIINDERFENALTVOFDE0.111HVONEOFTNEiOLLOWINfiDECURATbNS: Z � �IHAVEANDWILLMAMTNNACERTIFIC�TEOFCONSENITOSELF•INSUREFORWORNERS' _ Q COMPENSAi10N,A5PROVIDE�BY5EC710N77ooOF7MELABORCOOE,FORTMEPERFORMANCE W Q OFTHEWORKFORWHICHTHISPERMITISISSUEO. � W _IHAVEANDWILLMAINTAINWORNERS'COMPENSATqNINSURANCE,ASHEWIqE0BY5ECT10N Q �7000FTHELABOROOOE,fORTHEPERFOFiMANLEOFTHEWORKFORWHICHiH15PERM1T15 J��J,7O � ISSUEO.MYYVORNE�RSs'CJ�t PEN 1/1T�IONINSURANCECARRIERAND OULYNUMBER�RE: CONSTRUCTION / oC, ] CARRIER -lT .T `�!//1� PLANREVIEW � POLICYNUMBER �^, ELECTRIC 0 (Ri55ECilONNEmNOTBEODMPLEfmOFhEPERMTISpItONEF4I�DREDDd1ARSKtWjORlE55} PLUMBING ��i"" ,� ,'1 'r-r ��-r---� ZICERTIFYiHATPlTMEGEHFORMANCEOFTHEWORKFORWHiCHTNISPEFMITI51551/ED,I • MECHANICAL I j � (} SHALLNOT EMGLOYANV PERSON IN ANY MANNER SOAS TO BECOME SUBJECi TO THE I (n WOfU(ENSCOMPENSATIONUWSOFCALIFOfiM0.�NDl�GREET/UTIFISMOUIDBECOAIE INSPECTIONFEE S Sl1BJECTTOTHEWORKERS'COMVENSATIONPROVI510N50FSECTqN77000FTHEUBOR I ��� � � � COOE,IS N.IFORTMM)THCOMPLYVAMTMOSEV OVISIONS. /J� ISSUANCE / O DATE:__`��l�✓_/M L./zR SMIP ' I• ,Y p PLICANT: _ - - . � WARNINO:FAI URE TO SEWRE WO(1KER5'COMPENSATION VERAGE IS UNUWFUL.AND S E ENERGY P!C ��V'�' '�-- - �y Sl1B1ECTANEMPIOYERTOCRIMINALPENALTIESIWDpVILFWESUPTOONEHUNORE0iFN7U5AN0 ENERGYPERMIT DOLURS(5100.000),IN ADDRION TO TNE COST OF COMPENSATION.�AMAGES AS PNOVIOED FOR IN / � SECTKKJ�7oeOF7HEU00RCODE,INiEREST,ANDATiORNEY'SFEES. RETENTIONFEE: /. ~ aw. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IMEREBVAFFIRYUNOERGEN/�LTYOFP[RNRYTHATTHEREISACONSTRUCTIONLENOINQAGENCY �Z FORTNE PERFOiUAANCE OF THE WOi1K FOR WMIdI TH15 VERA7ITIS ISSUED(SEC.�077.CIV.C.). W � LENOERSNAME F- LENDE(YSMDRE55 /1 W ICERTIFY7MATIHAVEREADTHISAP7LICATIONAN�STATETHATTHEABOVEINFORMATqNISCARRECL TOTAL FEES ,V (• �O d IAGREETO[b/APLVWITMALLCRYANOLWNTYOR0INANCES+WOSTATEUWSREUTINOTOBUILDINO � CONSTRUCTION,ANDMEREBYAUT110RREREPRESENTATIVESOFTHISCOUNTYTOENTENIIPONTHE Z ABOVE�IAENTIONEOCROPERTVFORINS�ECTIONVVNPQSES. COMMENTS _ � � � m pERA��RE AME(OfU ¢ I ,C? o � (� SiGNATUREO ERMITTEE ATE � RECPT.NO. PAID BY �S VALIDATION WNITE—Department Capy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Appliwnfs Copy . .. . .., �. ,. � , � ��, -r,. .�...��'. .�. , . .., ��, , h. . ., ,. — .. . .. . .. . . . . . . . . .. . .� • . . .. „ . _ �. � ... . . , . ,. .. , , �iT1' rJF [alAP�f�tv[� B/�,� fP�.S��"EC i IGT�! RECGRD � li�k-'�.���`,'I�C�l�� �.���:C�. �:i��f-yG,=iE:�:�)n�t _.��.,.�_����.'�:.��;�'`i'lcl►+�. ___..___�Y��:i^� 1►'���1:�ctir'�1C� , - - - _ _ �_�.___--____..�.__._.__........ .. --.-___�.._._...._ . . . . ..__"--- --._.__--._�__.� ___-----�---..__..__-----..._------------._�r. SET BACY. � � . FLO�R JOIST j , . 1 • • . '� FfGSlFORMSISTEEL I _ {_ FHA REaMTS _ ELECTRIC GROUND � UNDER FLOOR DUCT � � GROU�dD PLUPJIBING � �_� Ut�1DER FLOOR CUt�IDUiT __ SLAB GRADE I FIREPLACE FOUNDATION ': TEMP POb'VER T FIREPLACE BOND 6EAM I WATER SERVICE �,_ MID HT. �OND BEAh1 �ROOF SHEATHING � __%��2�,��" 8 FT: 60ND 6EA�:1 FRAMINGNENTIL�IATION-�—� FINAL aOND BEAM ROOF COVER �"���Z _ PRc-GRADING I ROUGH HEATING BENCHIPJG I ROUGH ELECTRIC ROUGH GRADING � ROUGH PLUMBING � FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING VVALL INSULATfON POOL FINAL CEILING INBULATION OFF SITE IMPS. DRYWALL NAILING " DEDICATIOPJS SEWER FINAL ENG. SEPTIC TANK L.�INDSCAPE/IRRIG. � SEEP PIT/L.L. ON SITE 1��4PS. GAS AIR TEST ' FINAL ZONING � FINAL CQNST. �IRE DEPT. FINA! FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY � � i . t:�:!rs'q i'):'�FTl�ii^� ; _�.-:._._....._,_._==--- --—_---._--_ CUMMENTS , SEPTIC TANK SIZE SEEP PITlU SIZE �,�wk �� ���� �' �� I � ___�_---_=�,.�____..____...I� – - .