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HomeMy WebLinkAbout18209 s �11. C�►�� ---���-��— � �, �— � C1TY OF DIAMOND BAR � �' �� DEPARTIv�NT OF COI�M�SUNTTY&DEVELOPMENT SERVICES � . �y 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS �`��� BUILDING PERMIT APPLICATION FIRMLY � JOBSITE ��y A J' O��L�����P�l) Q APPLICATIOIJ� 'L �� PERMIT ` P/C r } ADDRESS C1 /" � � I� p DATE `J NUMBER� # � ISSUE TYPE OCC APN LOT TRACT DATE ' I ���CONST. GROUP p OWNER o ADDRESS ZONING SETBACKS Z CITY ZIP TEL. FRONT RW ❑ g APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW O � CONTRACTOR'� '�L'£�/�I t�-�- �t,`��r SIDE ❑ � ADDRESS��� . fnCt�1 fl�l L�t�- Al�� � CITY�,-�L�11.:P_1�- ZIP�1_ TEL 'Lk'��» PROP�ILSE �� o ARCH/ENG/ [^�.�L[ Coa•7(•, 7��� � DESIGNER IF'?R NO.DWEL NO. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFWADDlREM 1� O p I HEREBY AFFlRM UNOER PENALTY OF PE0.NRY MAT I AM E%EMM FROM THE CONTRl1CTORS U• G8(8g6/C81pOR W CENSEUWFORTHEFOLLOWINOREASON(SEC.70.71.SBUSINESSAN�PROFESSIONSCOOE:ANYCITYOR (n C� COUNTYWH�CHREOUIRESA7ERMITTOCONSTRUCi.I�iTERIA�PROVE,DEMOl15M,OHREPA1flANYSTRUG W patiO/DBGk w TURE,PRIOR TO ITS ISSUANCE.ALSO REWIRES THE APPLM.�NT LOR St1CN PERMIT TO i1LE A SIGNED w STATEIIENT THAT HE OR SHE IS UCENSED GURSUANT TO TXE PROVISiONS OF TNE CONTRACTORS lb � CENSE UW(CHAOTER Y(COMMENCWO WITH SECTION 7000)OF DIViS10N 7 OF TNE BUSINESS AND PRO- LL" POOUSp3 fES510NSC00E70RiMATHEOHSHEISE%EMPTTHEBEFRdAANDTNEBA515FORiHEALLECEDE%EMP- (' TqN.ANYV10UT10NOF3ECilON7W1.SBYANVAPPLICANiFORAPERMITSUBJECTSTMEAPPLIGW7T0 Z Re•Roo1 A CML PENALTY OF NOT UGHE THAN FIYE HUNDRED DOlURS(f SOO�J: Z04��N�NEROF7HE7HOVERTY.ORMYEMPLOVEESWITNWAGESASTHEIPSOLECOMPENSATION, ❑ COrtIrtIBrCldl YALL 00 THE YJORK MID THE STRUCTURE IS NOT INTEMJEO OR OFFEFED FOR S�LE ISEC.70��.BUSI• J � NESS AND PROFESSIONS CODE:TME CON7MCTORS IICENSE UW DOES NOi APVLY TD AN OWNER OF ? OROPEqiY MM1iO BU0..D5 OR IIAPROVES T1IEREON.ANO VMO DOES SUCH WORK HIIASEIF OR HERSELFOR Q THqOUGHHISORHEHONME4vLOVEES,VROVIDEDTHIR5UCH0.1PROVEMEMS�RENOTINTENDEDOR m w OFFEREDFORSALEIF;IIOWEYE0.TMEBUIIDINGORIMPROVEMEN'ISSOIDWfTMNONEYEAROFCOM0.E- 0 TION,THE OYltiER-BUILOER WILL HAVE THE BURDEN OF FROVIN�TNAT HE OH SHE DIO NOT BUILD OR Z MPiqVE FORTNE PURP0.5E OF SALE� �=yJ 04ASOWNEROFTHEPROPEfliY,AMEXCLUSNEIYLONTRACTINaWITML�CENSE�CONTMCTORS ^r l � TO CONSTRUCT THE PROJECT(SEC.Tw�.BUSINE55 AND VROFESSIONS CODE:THE CONTMCTORS U• __\Valuation �'� 4W ADJ.AREA � CENSEUWDOESNOTAPPLYTOANONMEROFAVROPERTYWFq8U1LD50RMDqpYESTHERE0N,M1D YNIOCONTRACTSFORSUdiPROJECTSMATHACONTMCTOR(S�LICENSEDPURSUANTTOTHELONTMC- QUAMITY DESCRIPTION FEE Y TORS UCENSE UW.). � O I AM E%EMPT UNDER SEC. B,i C,Q FOR THIS REASON ¢ � U � � DATE OMMER V Z W F�Q LICENSED CONTRACTORS DECLARATION W 2 IHEREBYAFFWMUNDERPENALTYOfPER1URYTHATIAMIICENSEDUNOERPPAVISIONSOFCHAPTER V. ' p„ Y�CqAMENCPlOVATHSECTION7000)OFOMSION70FTHEBUSINESSAND7ROFESSIONSCODE,AND Z X AfI UCENSE IS IN FULL FORCE M!D EFFECT. � IICENSE CLASS LIC.NO. �Y' � • � V DATE 2' CONTRACTOR �- ��� a ' '� _ W � WOHKERS'COMPENSATION DECLARATION Q �� _ ' U � IHEREBYAFFlRMUN�ERPENAITYOFFEH.IUFT'ONEDFh1EFOLLOWINGDECLA3Ui1DN5. Z � �NAVEMlOMALLMAiNTAMACERTIfICATEOFCONSENTTOSELF•�NSUREFORWORKERS' S '7�- COAIPENSATION,ASFROVIDEDBYSECTWN7)OOOFTHEUOORCODE.FOi1THEPERFORMANCE W OF iHE WORK FOR WMIp17H15 PERMiT IS ISSUED. ,� w �HAVEM1DNnLl►IARRAINWOPKERS'COMPENSATIONINSUMNCE.ASREWIRE08VSECTION � Q �7000FTHELABORCODE,FORTFIEiERF00.UANCEOFTHEWORKFORWHICHT1115VERMRIS ISSUEO.MYWORKER5COMPENSATqNINSURANQECARRIERANOPOIICYNUMBERARE: CONSTRUCTION j CAqRIER ��� ���+ PLAN REVIEW � . � VOIICYNUMBEH �I�)7 ELECTR�C �D Q �nssEcnorar�mr�oteEooi.r��oacnfo[wwrsPoaau��ooaumts+m�or�� PIUMBING -` Z ICERTIiVTMATPITHEPERFORMANCEDFiHEWORKFORWHip1THI5PEFMITI5155UED.1 MECHANICAL v C7 SHALL NOT EMPLOY M!Y�ERSON IN ANY MANNEH 50I15 T E SUBJECT TO TME � �� (/� VYORKERS'COAIPENSA1pNUW50fG�LIFORNIA,ANDA EE UTIFISHOULDBECOME INSPECTIONFEE S SUBJECTTOTHEWORNEf35'COMPENSATION ON51 OF C7 77000i7MELA00R coo,is coaniwnr+caao�rNnn�t eoA � � ISSUANCE O M ,� p DA7E: LI V`' APPLICANT. L SMIP 1 � ENERGY P/C J WAqNINO:fAILUPETOSECUREWOFiNERS'COMPE SATqNCOVEMGEISUNUYlFULANDSHALLBE �y SUBJERANf1APLOVERTOCRIMIWLL�ENALTiESANOGVILFINESUPTOONENUNORED7HIXISAN� ENERGYPERMIT DOLLARS(f lao.000y W ADDITION TO TNE COST OF COAlPENSA7qN.DA�.UOES AS PROVIDED FOF W � SECTION�70EOFTHEUBORCODE,NTEREST,ANDATTORNEYSFEES. RETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE-ALT O � INEREBVAFFIRMUNDERPENALT/OFPEMJRYTNATTHEREISACONSTRUCTIONLENOINOAGENCY �- FOfl TME PERFORMANCE OF THE WORK FORNyiCN TH�S PERMiT IS ISSUED(SEC.bY7,CIV.C.�. � /''�/ � LENOER'S NAA1E �/� � F= LENDEfi5A0DRE55 � ' � I CERTIFY 7/UT I HAVE READ THIS APPLICATqN AND SUTETHATTNEABOVE INFORA1ATqN IS CORRECT. TOTAL FEES I�/ '�`�' ' � OU y�3 � IAGNEETOCOMVLVWITH DCOU�TYORDiNANCE5ANO5TATEUWSFEUTINdTOBU1LDIN0 I.,r��� � CONSTRUCTION,AN�MEREB �UTHO ZEREPRESENTATIVESOFTHISCOUNTYTOEMERUPONTME ZABOVE�MEMqNEO DROP TY FOR IN PECTION iURPO5E4. COMMENTS � � � � �L" �( � ���� ¢ PER AA1E(P � �) �ry (n G / � L'►' \ � SI NAT EOFCFR �TTEE OAT 1 � RECPT.�0. PND BY VALIDAT�ON ',1 , WHITE—Department Copy.VELLOW—Financa Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanCs Copy � - - - _'— '_ _ _"_ _ "' ' _ ..4: �f.:�� . . _ . I�.. .'e �.. . e � . �;.�`.. � ... . 4 J t`, ;.,t . : . � ��!�i �� ��1�{�s����� ��F? _, , � . it���=Er r�or� RE�o;:o 11►�1-'��R7�.�;`�C[��►`l �'�_�:i': ---_.i���-�Fa��„Ce�pi..._._._.�'..'����F�:ac;,Cl.E�i�R � e�''.�G�= �1►.f�`i:l�c�!F��,��i I ---_--______.._�__-_____..... ....-. -- =�- -- - ��--___.._,...--- _ '- -_.. �..------._....__.___�._..__�._�. SET BACK � I �...-FLOOP,JOIST.. .______.�_..._,__ __......_..._ FTGS/FORh1S'STEEL �I � FHA REQD�1TS � ELECTRIC GROUtJD � UNDER FLOOR DUCT GROU�ID PWh/1BING Uf��DER FLOOR CUMDUIT SLAB GRADE FIREPLACE FOUfJDATION TEPRP POWER FIREPLACE BOND BEAIvI WATER SERVICE • • I141D HT. �OND E3EAP�1 ROOF SHEATHING �• ` &FT. BON� BEAM FRAMINGNENTILIATION� ���" ,��� FINAL BOND BEAM ROOF COVER ` /� �/� PRE-GRADI��G ROUGH HEATI�UG ;�/ "�`'c���y BENCHING � � / ROUGH ELECTRIC �jr�j C�,� ROUGH GRADING • f�OUGH PLU„�BING � FINISH GRAD�PJG SHOWERlTUB TEST POOL ELECTRIC EXT. Ll1TH/S�DING i POOL FENCING WALL INSULATION i F�OOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIO��S � SEWER FINAL ENG. SEPTIC TANK . � L�',NDSCAPE/IRRIG, � � SEEP PIT/L.L. � ' OPJ SITE Ih�PS. GAS AIR TEST FINAL ZONING FINAL CONST. '1.. p• FIRE DEPT. FINAL FINAL HEATING �,`���_ _ � HEALTH D�PT. FINAL FINAL ELECTRIC \0�� � DEV. FEES PAID FINAL PLUMBING ! ��' I I ENERGY -- � 1�` �O �I'� �`Z--�-_ _ �e�-�-�-,�...-�.--�-=--,_,:...,._ � -- __.. .- ,,. _ _._,. --- - - - - - ---- - � -- - -^ --- � -- -t- �____.____--_...�.________.__� COMMENTS SEPTIC TANK SIZE SEEP PIT/U 51ZE �.��� _ i � , � I �f���" :� I -- � , � � ' , . _._ __.____.---.._---- ----�_.---� , -- ---- - - --- -—- .r...,....�.....__��._.___.._._ -.,.�..�.`...._...._._ - -- -- _-._._.......s,.....,......_ T r � i ti � Ii - � b a �I � � � '� V m O � � V c o0 Q m� � U 1,'' � > > N O (�0 � N U � m m a � � m ,o oo � .o a N ° € > o o 'n � � > � � � oo � � N i a o � � � � o o � 1� c s �3 0 � ` F�+ � .= � Z a� � — — O U ;.-. 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