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HomeMy WebLinkAbout10834 (7) -...- - - ..... __�� .. . .. _ . ._ _...... . _ _ . . . ��"i\ �- ; - CITY OF DIAMOND BAR � � COMMUNITY DEVELOPMENT DEPARTMENT � /,�.�R�f ;.. s�66o�.coP��y o���s��c�i90 � PRESS ( C� (909)860�3195 Fex(909)861-3117 � �"""� BUILDINGPERMITAPPL[CATION FIRMLY o DD ES � /��H �ra M aT�!� �A 1Z-� � OATE'CATION q ��. ! '� NUMBE f� • �~2� I �ssue nrPe occ � APN LOT G TRACT '— p OWNER .� '� L �� DATE CONST. GROUP p ADDRESS . 1`�101J �3L ZONING SETBACKS � w � � FRONT RW ❑ CIN D� �7 N��AI�ZIP TEL Zl� � � APPUCANT � . L-A-�-W��hl• TEL SIDFJSIDE STREET RW ❑ / � CONTRACTOR SIDE ❑ � ADDRESS PROPOSED USE ! � �D�/ n��"ri�� SC�1✓1 � o C(TY IIP TEL. ����,5 O � o ARCH/ENG/ � DESIGNER ADDRESS NO.DWEL r .NO. .. � ,'. • NO. � CfTY ZIP TEL UNITS STORIES • �BEDROOMS � �n DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER•BI:ILDER DECLARATION SFR/ADD/REM O I NEREBVAFFIiW LNDER VENAL7YOF PERIURYTHAT IAM EXEMPTFROY TME CONTRAGTORS L4 Garape/Carport W GENSEUWFORTNEFq10VAHQREA50N(SEC.70.7t.6BU51NE55ANDVHOFE551QV5C00EMfYCI7YOR (n � C� COUHTYWHIGIREW1if1E5J1PERAIRTOCONS7RUCi,AITER�PROVE,DE►IOLISH,WiRERUHANY9Ti1UG (L . . W NRE►Rqf1 TO RS ISSVANCE.A150 REOUIRES iME AP7�ICANT fOR SUCH iER41T TO FRE A SiGNE� W PatiolDeck � ' STATEYENT T1uT 11E Oq 811E IS LICENSED OURSUAN7 TO T1E DiiOVIS10N5 OF TNE WNTRACTOHS L4 � CENSE Uw(dUPTER 0(COUGEHCw(i WITH SECTION 7000)OF DIVISION!OF iHE BUSINESSAND VRb ' � POOVSpi ' . FESSIONSCOOE�ORT1ul7HEOHSHfISE%E�IPTTHEREFROA/ANOMEBASISFORTXEALLEGCOEXEMP� (ry TION.ANYVqLAT1DNOF3ECT10N7of1.68YANYAPPLJCANiFORAFERAIITSUBJ[CTSTHEMPLIGANTiO Z RB-R001 A GVIL iENA�TY OF NOT MORE TNAN iNE HUNDREO DOLlMSIfSOD)): � ❑6ASOwNEROFTIIEPROVERTY,ORM'IEMPLOYEE9W17HWAOESA57T1EIRSOIECOMVEN51UqN, � (,`pTm6fC181 ' Z WILL 00 THE N�DRK.IWD THE SiRUC7URE IS NOT INTENDED OR OiFEHED FOR S/�LE(SEC.70�s,BU51• J � NESS MID PROFESSIONS CODE:TNE CONTMCTORS IICENSE LAW DOES NOT APPIY TO AN 01MNEN OF . FROPEHTYWHOBURDSOR4VPOVESTHEREdJ.ANDIM�ODOESSUCHNARKHiMSELFOqNERSELFOR � � TFIROUC,MNISOFMERWMEYPLOYEES,PROVIDEOTHAT6UCHMPROVEIAENTSARENOTMENDEDOR m \ � OFFEREDFORSALE.IF,FqWEVE0.INEBULdNQOHIGPROVEYENTIS" 1WITNWONEVFIWOFCOYPIE• - � �� ��d� . . . Z TION,THE O'MIER�BUILDER WILL NAVE TME BURDEN OF PROVIN61/1AT ME OR SME DiD NOT BUILD Oti . YAVROVE FOR iME VURPOSE OF SALE} W �4�SOWNEHOFTMEVROPERTY,MAE%CLUSNELYCONTMCTINOYYRHIICENSED[ONTMCTOR9 Q M CONSiHUCT 1HE PRWECT(5EG 7oN.BUSINESS AND VROFESSIONS COOE:ME CONTIIACTOR3 Ll• VelUBtiM � AQI.AREA L11 CENSEUWDOESNOTAPPLYTOANOWNEROFAOROPERTVVAIOBl11LD30RMCROVEgMEREdJ,t.NO L VAqCONiMCT3FOA4UCHDR0.1ECT4WITHACONTRACTOR(S)LICENSEDFURSUANTMTHECONTMC QUANTITY DESCRIPTION FEE �� TWiS UCENSE UWJ. � O 1 AM EXEMPT UHUER SEG B.�P.0.F TM� E Q - � 3 , c� .\. r - '� TE v' �L7 OMmE V . . . . �' W LICENSED CONTRACTORS DECLAHATION W � , ' �YAFFWMUNDERiENALiYOFPERRIRYIHATIAMLIGENSEDUN�ERVROVISIONSOFG/nCTER � . � , _ MYENCNU YYITH SECTION 7000)OF DMSION�OF THE BUS�NESS AND FHOFESSi0N5 COOE.AND Z '' ' JCENSE LS W FULL FORCE M1D EFFECT. m CENSE CU55 LIC.NO. j J a�Te corrtrucroR a � � WORKERS'COMPENSATIONDECLAAATION d ""��� INEREBYAFFliWUNDERiENALTYOFPE0.lURY0NEOFTMEFOLIAIMN�DECURATION3: Z / � _INAVEANDINLLAIAMTNNACEHTffICATEOFCONSENTTOSELHNSUt1EFORYeOiN(ERS' a1' COMPENSATIOM,IISPROVIDEDBYSEC710N77ooOFTMELABORCOOE,FOHTHEPfRFORM/WCE w Q OF THE WORK iOfi WMICFI 7HIS PERMIi IS ISSVED. � _I NAVE AND YALL►UWT�IN WORKERS COMPENSATION INSURANCE.AS RE WIRED BY SECTION /U Q 77oD OF THE UBOR COOf,FOR ME OERFORMIWGE OF TIE W01iK iOR WHICH TNIS FFPAl1T15 �i� �/Z Z �' J ISSUED.MYMIORNERS'COMCENSA7qNW5UMNGECARRIERANDPOUCYNUMBERARE: .�vac�y�yy.�. > �,aEa PLAN FEVIEW Jg�r►.7�'i n 0 iOLIGYNUMBER � ELECTRIC p (nssEcriwu�mwieeaorxaFhnoFne�aMrtsxaonE�aep�mootuasR+m�aatFss� PLUMBING. Z I CERTIFYTHAT N THE PEAFOM1u10E OF TNE WORN FOR WHIG111115 PERAlITIS 65UE0.1 MECHANICAL (7 SHALLNOTEMPLOYANVPERSONINAM/A1MINERSOASTOBECOMESUBJECTTO7HE � ' WORI(ERSCOMPENSATIONUIWSOFCAI.IFORNIA�NDAOREE7MATIF15/101AD9ECOME INSPECTIONFEE S SUBJECT TO THE YVORKERS COAI7ENSATION VROYISIONS OF SECTION�700 Oi iME UBOR �� cooe.is+uucoannwnrear,�vtrNnn+n+osevr+ovisar+s. ISSUANC �l � ' � � % � 1�'^. p DATE: APPLICANT: � ENERGY P/C t� •�"� WARNING:FAILURE TO SECUiIE MVRKERS'COAIPENSATION COVERAGE IS UNUWFUI,AND 51/ILL BE � 6UBJEGTANEMP�OYERTOCRI4NALiEwLL71E5ANOCMLFwESUPTOONEHUNORED7H0USIWD ENERGYPERMIT DOLIARS IitoO,000),N ADOITION TO iH[COSTOF COUPENSATqN,OAMAGES AS PROVIDED iOR W _¢ 6ECTION]7DlOFTHEU80RCODE,NTEREST,MIDATTORNEV5FEE5. RETENIIONFEE: ^ � OCONSTRUCTION LENDING AGENCY PRE•ALT FEE � !' "��� � I HEREBYIIFFIRM UNOER 7ENALTY OF PERRIRY TUTTNERE R A CONSTRUCTqN 1FN01N�AGENCY � � iOR ME VERFORYANCE OG TNE WORK W R WH�C/I 1H15 PERMIT IS ISSUED�SEC.lOv7,pV.G�. � LE�ERS NAME \ C IENDEH'S/�DORE55 I[ERTIfY TMAT I MAVE REIID THIS AV%.N'JTION AND STATE iHAi THE ABOVE W FOHMATION IS GORNECT. a � IACREETOCOYVLVNITNALLCITVIW�COUI7YOROWANCFSAHOSTATEUWSRELAlP16TOBVRDING TOTAL FEES � � �. � � CONSTRUCTIOH,ANDNEREBYAUr/qiU2EREPRESENTA7NE50FTHISCOUNiYiOEKTERUPONTHE , JIBOVE�MEMIONED PROVERTY FOR W SPECTIOH Vl1RPO5E5. � n � • til����ti �� ��N \ C MMENTS � m PE EE M1AE �' - � - � 14-0$-9 � OFPEPwTifE , � � '_� � DATE � • —'�—�. � RECPT.N0. PAID BY VIWDATION • � WHITE—Dep�rtment Copy,YELLOW—Flnana Copy,PINK—Aaessaor Copy,GOLDENRO�Ie Copy,CaREEN—/1pplcenCs Copy . ..,..... _ ,:.. .....,,.;...�,.. .., ,.r _ , ., . �. .. . . �'• . , . , •. • �+ ,.'. . .....; . 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ELECTRIC GROUND <.� .;,-;.. . �UNDEFf Fd.0C7R DUCT:�;,''/�-'i '�.c_.� � < �' � ' �' � -:i'• I � � ----s�— -- - GROUND PLUMBING `. , - --- ----- - '� :. : � UNDER-fLOOFi�GC1;�1DUiT�.�l �t-. .•;^'=': '":'�;:�'`� �; •`�' : � '� - ----r--. .�--�. � . _ ;��..._� • �, ... . � , . , SLABGRADE- ---- . ''`' ---.------ - �-�. �:. ."= + FIFiEPLACE.FOUNDATION---- ----- ------ ----------------...---_-' � �— — -- ...�.-- TEMP POWER _�---__:.- .:- -.:-:_--::__; :.___=. .: - ---�- --__ : :FIREPLACE BOND BEAM - — r�:.�:;..�r •:.:� : , WATERSERVIC[ - � !;-t > ,`_� ��' 1 =` - l � --:. �;..,:- h11D HT. BOND BEAM ;..:-- ;.::- --- ----...----- � �-�� � '' --- --..—__ FI�OF SHEATHING---- -- . . _. _ 8 F'T.E30ND BEAM '��•.•-:'��;'. ; = ; ----- — -- ----=---_:,_.___..._ FRAMINGNENTILIATION p I� -� � -- ----_- '�'FINAL BQND BEAM - -- _-. - -- -- - -- . :;, �-�: ' ; .._.. r_.�_ — —. . .— - ---- _ • RC50F COVER - ---.. _.. . ---- ---- �------- - -�-- -PRE-GRADlNG --..._. . .i�: � . _ ...- -�-- --- �---- `���:� ; �: -- ------- --- - ------- -=--- . . - - --- - - _ . .. .. - --.._. .------ - ROUGl�"HEATING_-'..---- � � '-- ------------ _ . . E�EPJCHING--------------- --='' '�� - -----�...;.. -; -- --- ------ - -ROUGH ELECTRfC--; , � -- - ROUGH GRADING .... 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'� � '�.• •: SEEP_PIT/L:L:_:.-------- ---- -- ----- - '-�:...-�=- -- -�-- '- ON SITE Ih1PS.. _ _ , . . ,. r, :- GASAIRTEST . .---- -- - ..- ----_ _ - -- - -Fir�nl:7_OF�4N�,;+_ � J , —• ,,. , ,-. - - - . - , FINAL-CONST:-' •------ / /�j - --�--..•----- .FIRE•p�Pl�.�FIiJF�L"•_..-.:;`,_,:.. � `�� .•; �, . ,;,� _� ���/�-� o > --- -�--- --'� _.. .. . _. '-=— �- -' _ FfNALHEATWG��------..._.. - -- - ------ / _` _ __ H�ALTHDEPT'FIiJAL__;..,.�: ; _. • I •' .. — -- � — - -- - - — -- ------- FIPJAL ELECTRiC - --- --- � � � DEV. FF[S.PAID..,,..,r ., . , . , , . .. : . • . � y__ - -______�_._.� __ _. _ _ . � _ . ___ _. ._. . l�i�: _ I �— _ -r���.�Y � :. �:� �; . - ;,. I � --- ---- .._:,,. . i •. , FINAL PCUh4BING - • � - ' _ _.. .. . _ . - - - ---- �. ---------- - ,:,,,.r.--T�.,.----- . � :�.,-r.c.t. :�_(e,r _ _ - -- � �. - r_ ..�,,._._. . _ I . -•i••I. � . � . . .. . .,. � ' .. i, .. '_'_'__"—__'""'_ '. "_""' '._.c."_—' _' _'_._...... ____'.._......_—"...__' � . 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