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HomeMy WebLinkAbout18310 �,` C1TY OF DIAMOND BAR , DEPARTMEN7'OF CONIlvtUMTY&DEVELOPMENT SERVICES �/'�� 21825 E.Copley Drive (9U9)860-3195 Fax(909)861-3117 RESS `'%::�'+ BUILDINGPERMITAPPLICATION FIRMLY o� JOBSITE 3 7! S� j'� APPLICATIO PERMIT �( /� P/C ADDRESS I,J�i�- SOL L�iJ. DATE 7 � NUMBER �+.� J� M c� ISSUE TYPE OCC APN-�- LOT TRACT DATE CONST. GROUP p OWNER t�A t1.L. l7 u � i G N "-' ADDRESS � � trl. S L . ZONING SETBACKS z cmr DrAv►�oun Nc�.ZIPQf?6� TEL.�lD�/-KG�lSS73 FRONT RW ❑ g APPLICANT TEL. REAR ❑ SIDE/SIDE STAEEf RW ❑ � CONTRACTOR 'C/�I,` G011S'F' 12��1^!G- �l•k. SIDE O � ADDRESS 'r � PROPOSED USE � � �Zt~2 St''P-.0�G-�� o CITY tA ZIP 2a�!_ TEL �-� 7�// ��s . � (- � C�(l wo ARCH/ENG/ - z� DESIGNER NO.DWEL. NO. NO. n. ADDAESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � p� ONMER•BUILDER DECLARATION SFRlADD/REM O p I HEREBY AFFliUA UNOER PEIULTY OF PERRIRY THAT�AM E%EMPT iROM TME CONTFUCTONS LF Garege/CarpoA W C£NSEUWFORTNEFOLLOWINGREASON(SEC.70Jt.SBU51NE5SANDiROFE55qN5C00E:ANYCI7YOR (n � COIAJTYNR9LHREIXIIRESA�ENFARTOCONSTRUCT,AITERIMPHOVE.OEIAOLISH.ORREPAIRANYSTRUG W P31i0/D6Gk TURE PR�DR TO ITS ISSUANCE,ALSO REWIRES THE APPLICANT iOR Sl1CH GERMIT TO FILE A SIQNED w � STATEMENT THAT HE OR SME IS UCENSEO PUI35UANT TO THE DROVISIONS OF 771E COMTiUCTORS L4 � CENSE UW(CHMTER 0(COMMENCINd WITH SECT�ON 7000)OF DMSION 7 OF THE BUSINESS AND PRO- u' POOVSP2 FESSqN4 COOE)OR THA7 HE OR SHE IS EXEMPT THEREFROM AND THE BA5�5 FOR TNE ALLEGEO E%EM�- � TION.ANYYIOLATqNOF5ECf10NTo71.5BYANVAPPLICANTFORAiE1UAIT5UB1EG75THEAPPLICANTTO Z Re•Roof !1 CML PENAL7Y OF NOT MORE iHAN FIYE HUNORED DOlURS(S5a0).�: 0 �4�0'M�EROFTHEPROPENTY.ORMYEIAPLOVEESWITHWAGESASTHEIRSOLECOMPENSAiION, O CpmmBftlel � Z NALL DO THE WORK AND THE STRUCTURE IS NOT IMENDED OR OFFERED fOR Sh1E(SEC.10�t.BU51• J NESS ANO PFOFESSIONS CODE:TME CdlTRACTO0.S UCENSE LAW OOES NOT AD7LY TO AN OWNEN OF � PROPERTYWHOBU0.ASORMVROVESTHEREON,ANDWHO�0ES5Up/WORKHtA15ELFORME0.5ELFOR = � THROUCHHISORMEflOWNEYPLOVEES,PROVIOEDTHATSUCHMPROVEMEMSARENOtMENDE00R m QOFFEREDfORSALEIF,HOWEVER71/EBUlDIN00RIMPROVEMEMI550LDWIh11NONEVEAROFCOIAPLE- Z T10N.THE OWNER-BUIIDER WILL f/�VE TME BURDEN OF PROVINO THAT HE OR SHE DID NOT BUIID OR = MPROVE FOfl TME PURPOSE OF SALE} 01,AS ONMER OF THE PROVEHTY,AM EJ(QUSIVELY CONTMCTING WITH IICENSED LON7RAGfOFS � TO CDNSTRUCT THE PRO.IECT(SEC.7W�,BUSINESS AND PNOFESSIONS CODE:THE CONTRACTORS LI• V31t12t1011 ADJ.AREA W CENSEUWDOESNOTAPPLYTOANOWNEROFAGROPERIYWFIDBUILOSORIMPRWESTF7EREON,AND � MhpCOMpACT5FON5lKH7RD.lECTSVATHACONTMCTOR(S)IICENSEDPUH5UMITTOTHECONTMG QUAMITY DESCRIPTION FEE � TORSLICENSELAW.�. �� � D I IUA E%EA�PT UNDEH SEG B.d G.C.fOR THIS NEASON U � � LL" DATE OWNER � Z W FQ UCENSED CONTRACTORS DECLARATION W CC 1 HEREBYAFFlRM UNDER PENALTV OF PERNRY TMAT I M/LICENSED UNDER PpOVI5lON5 OF CHAPTER p. 9�COMMENdNO WITH SECTION 70001 OF DMSION 70F TME BUSINESS�NO 7ROFESSIONS COOE,AND Z , C Q ��� t P �O ID �1C�S* �D .D� LL' MY UCENSE IS W FULL FORCEAND EFFEG7. f�F,u^t� . �j /_ Q m �. � LICENSE CUSS � .-/� IIC.NO.�� l�J� � • • � r` f- � I.le r � Ghc. LvAt�B./ftah�Q �� 7 VDATE 7� ��� �� COMMCTORCAL�CrAS* �!//Q�((� d w � ���LuA4'Cll s'k-'Q(/lG�� � WORKERS'COMPENSATION DECLARATION a � U � IHEfiEBYAFFIRMUNDERPENALiYOFPERNRYONEOFTHEFOLLOWINODECLAMT10N5: a' a O �IHAVEANDWILLMNNTAMACERiIFICATEOFCONSENTTOSELFdNSUREFORWORKERS' $ � COMPENSATqN,115 VROYIDED BY SEGTION 7fooOF THE LAeOR COOE,FOR ME PERFOMIANCE W yF THE WORK FORVlHICH iH15 iERMtT IS ISSUE�. .� � / V INAVEANDW�LLI.WM/UNWORKERS'C0IAPENSA710NINSURANCE,/SREWIHEDBYSECTION Q 97000F7HELABORCADE,FOIiTHEPERFORMANCEOFTHEWOFlKFORM/NiCN7HISVEFMITIS ISSUE�.MVVIORKERS'CnOM7ENSATIDNWSURANCECMN�ERANDPOLICYNUMBERARE: CONSTRUCTION jG1RR�ER FV't'„'�� NAt/o N�L PLAN REVIEW � POLICYNL°C��y��� �007�0�� ELECTRIC � �nusccnor+NEmr�oteeoor.r�rEoocnEVEaurtswaor��000tur+sp+ao�ontFss} PLUMBING � Z 1 CERTIFV 7HAT N THE PERFORMANCE OF TNE WORK FOR WMICH THIS PERMIT IS ISSUE0,1 MECHANICAL (7 SHALLNOTEMPLOYANVPERSONINANYMANNERSOASTOBECOMESUBlECTTOTME N WORKERS'CDMOENSATIONlAW50FCALIFORNIAANDACREETMATIFI5H0UL�BECDME INSPECTIONFEE �J j� /�� S SUBJECTTO THE WORKERS'COMPENSA710N VROVISIONSOF SECTqN�1000F THE LABOR ISSUANCE G��l A] COOE,I SILLLL FORTFMnTH CdA��V NA7H THOSE CROVISIONS. � SMIP p DATE: APPLICANT: � ENERGY P/C WARNIN6:FAiURE TO SECURE WORKERS'C0IAPENSATION COVEMGE IS UNUWFUL.AND 514LLL BE � SIAlEC1ANEMPLOVERTOCRIMINALPENALTIESANDCMLFINESUPTOONE/RINDREDTHOUS�N� ENERGYPERMIT DOIURS(f tO�.WC).N ADDITION TO THE COST OF COMPENSATqN.DAMACES AS PROVIDEO FOR IN � SECT10N�70lOFTMELABORCADE,WTEREST,AND�TTORNEY'SiEES. RETENTIONFEE: a CONSTRUCTION LENDiNG AGENCY PRE•ALT FEE: Q IMEREBYAFFIRMUNDERGENALTYOFPEiilURVTHATTNEREIS�CONSTRUC710NLENDIN6�GENCV d FORiHECER�ORMANCEOFTMEWORKFORWMICHTHISPERMiTISI55UEO(SEC.�OY7,pV.G). W � � lE�1DER5NAME � LENDEH'SADDRESS wICERTIFYiHAT111AVEREAOMISMPLICATIONANOSTATE7W�TTNEABOVE�NFORMATqNISCORRECT. TOTAL FEES I S�,$c� � IAGREETOCOMPL�N77MALLCRYANDCOUNTYOROINANCESANDSTATEUWSREUTWOTOBUILDING CONSTRUCTION,M1D HEREBV AUT110W 2E REPPESEMATNES OF TNIS COUNTY TO ENTER UPON TME Z A80VE�AIEMIONEDPROVEH7YFORIN57ECTqNPURPO5E5. COMMENTS � �Io H�-� 2«�rs ¢ OERMITTEE N (PRiNn � 7����0 �n � � SN', VftEOFPERMiTTEE OATE � , RECPt NO. PA�O BV VALIDATION WHITE—Department Copy.YELLOW�inance Copy.PINK—Assessor Copy.GOLDENRO�File Copy,GREEN—Applicanl's Copy . . . . : .:. .. . .. , .� ._....... -�..... _ . . . ..'r•r•'_. . i ' 'i -�� .. . .. . � � - .� .-. � ._.._' "' '" .. ,- .. . , G..r��:� l�i- D�f�I li V l'�Li �'/��l'i If''�S�F=C�i IQi'�l -�tL=C��i? ._...__..�______.._._._._ ,..._...�_ ._ _. . _ , _: _ 1►�E��l=l�:'�ka�►�k �Y:��C= l►r�-`f.-I�e.C�1R� . �i�E�l:� ,&: �t�'1i°Q " ey 491= �'�I►�ti'�:��ac�:�e"l=t I _ � -------.____------._.____..__._.... . ___ _ _ __----._.. . ___. .._..-----_.-- ._ .__.__' ._.._.__ __.___ -- _-.=�_-------�.__..:_._ �_____ SET BACK � � ,' , � FLOOR;JQ(ST ' � \ FTGS'FORMS�STEEL � FHA REQP�ITS � ELECTRIC GROUND UNDER FLOOR DUCT .. 1 GROUND PLUM6ING UNDER FLOOR CU�IDUIT SLAB GRADE FIREPL`ACE'FOUfvDATION � • • TE�AP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT. BOND BEAM � ROOF SHEATHING � 8 FT. BOCJ� E�Ex,h'9 � . , FRAMINGNENTILIATION I FINAL BOND BEAM ROOF COVER � PRc-GRADING I I ROUGH HEATING BEh1CHING ROUGH ELECTRIC I ROUGH GRADING ROUGH PLU1481NG � � FINISH uRADING SHOWERITUB TES7 � �� POOL ELECTRiC EXT. LATH/SIDING I POOL FENCIP�G WALL INSULATION POOL FINAL � CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATI�NS SEWER FlNAL ENG. • SEPTIC TANK LANDSCAPE/IRRIG. � SEEP PITlL.L. ON SITE IMPS. • GAS AIR TEST FINAL ZOPJING FINAL CONST. � , �lRE DEPT. FWAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING I Z�iZ, ; iENERGY �_.. � �- z. ��"rjr�_�*' ���� rle�.�r�''.. . ` ....�....- �...Y__ _..��....�.�'____....._.�. .. . . _ ... _ .- . . - _�rr_w..1 w ��._ �...�� ..._ ._ . _. . . . '.�` . COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE ---f�5 a�--�------- ,��r� ,., l ; _ ; ti ; .. . � �