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HomeMy WebLinkAbout18121 (17) �� CITY OF DIAMOND BAR ._�� DEPARTMENT OF COMMUNTTY 8c DEVELOPMENT SERVICES 21825 E.Coplcy Drive (909)860-3195 Fax(909)861-3117 PRESS "-•� BUILDING PERMIT APPLICATION FIRMLY N JOBSITE . yy0� /C�51.1/�„ /� b2 DATE CATION �I NUMB R N/C./ Q ADDRESS �-+ � � o �T�7� � ISSUE � � PE OCC APN LOT TRACT DATE CONST. GROUP p OWNER J� eN "' ADDRESS - ZONING SETBACKS Z CITY ZIP TEL��'y�(�(�- REART RW O g APPLICANT TEL��� SIDE/SIDE STREET RW ❑ � CONTRACT � SIDE p � ADDRESS � CITY ZIP TEL. � PROPOSED USE oARCH/ENGI E}f�{- ^� z� DESIGNER l NO.OWEL NO. NO. a ADDRESS UNITS STOFIES BEDROOMS � CITY ZIP TEL. Nn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDEFi DECLARATION SFR/ADD/REM O p 1 HEREBY AFFlRM UNDER PENALTY OF PERAINV THAT I IM EXEMPT FROM 7ME CONTMCTORS U• GdfflgB/C21p011 W CENSEUWFORTHEFOILOWMOREASON(SEC.70�t.68U51NE55FNOPROFE5510N5CODE:IWYCI7YOR (n � COUNIYWHICHREWIRESAPERMRTOCONSTRUCT,ALTER�MFROVE,DEA70LISH.ORREPAIRANYSTRUG W POtb/DOtk NRE GHIOR 70 rt5 ISSUANCE,ALSO REOUIHES THE MPLILANT FOH SUpI PERAIIT TO FILE A SIGNED W STATEMENT THAT HE OR SHE 4S LICENSED PURSUANT TO TME DHOVISIONS OF 7NE CONTRACTORS L6 � CENSE UW(CHAP7ER Y(COAIMENCINO WITH SECTqN)000)OF DINSION 70F THE BUSMESS AND PRP � PooVSpa FESSIONSCOO�ORh1ATHEOR5HEI5EXE61PTTHEREFiIOMANDIHEBASISGORTHEALLEOfDE%EMP� C7 TqN.ANYVIOIATIONOFSECTION70J1.SBYANVMPLICANTFORA7ERMITSUBJECTSTHEAPP�ICANTTO Z Re-Roof A CML VENALTV OF NOT MORE 7}WI iIVE INN�RED DOLLARS(f 500).1: � ❑�ASOWNEROF7HEPROCERiY,OFYYEMPLOYEESWITHWAGE5A5TNEIR50LELOMPENSATION, 0 �mmercial - Z WILLDOTME WOFK,ANO THE S7RUCTURE IS NOT IMENOEOOROFFEREO FOR SALE(SEG 7oN,BUSi• J N NESS ANO PROFESSIONS COOE:THE CONTRAC70R5 LICENSE UW�OES NOT AVPLY TO AN OWNER OF ? YPOPERTYYrt108U0.050RIMPROVESTHEREON,ANOWHODOE55UCHVrbRKHIMSEIFORHERSELFOR � TMROUC/IHISOflHEHONMEMPLOYEES.PROV�DEOTHATSUCHYAPROYEAIENTSARENOTINTEN�EDOH m QOFFEREOFORSALEIF,110WEVE0.TMEBURDINCONIFAPROVEAIENTISSOL�WIiMNONEYEAROFCOMPLE Z TION,TNE OWNERBUILDER VALL HAVE THE BURDEN OF VROVWO THAT HE Oq SME DID NOT BUIID OR = pAPROVEFOHTHEPURPOSEOFSALE4 W OI.ASOWNEROFTHEPROPEiffV,AMEXClUSNELYCANTMCTINOWRMLICENSEDCONTMC70R5 (= TO CONSTRUCT THE FRO.IECT(SEC.7DI�,BUSME55 AND iROFE5510N5 CODE:THE CODlTMCTORS LI• VelUef(Ofl AQI.AREA W CENSEUWDOESNOTMPLYTOANOMMEROFAiROPERTYWHOBUItD50RIMPROVESiHEREON.AND � WNOGONTMCTSFORSUqIPRO.lECfSMnT11ACONTMGTOfyS)UCENSEDPURSUANTTOTFtEGONTMG QUANTITY DESCRIPTION FEE � TOfLS LICENSE UW.). � OIAMEXEAIPTUNOERSEC. 8.6P.C.FOHTHISPEASON U � � u" UATE OWNER f' Z W � LICENSED CONTRACTORS DECLARATION W � IMEREBYAFFIRMUNDERPENAITYOFVEiWRYTHAT1AMl�CENSEDUNDERYROVI510N50FCNMTER � p., 1f�MENGINOWI7HSECT10N700o)OFDMSION]OFiHEBUSINESSANDPROFES5�ON5CODE,/J10 Z X IAYLICENSEISHMLFORCEANDEFFECL p LLI ^7 ^ m �,� � LICENSECUSS C�3C� LIC.NO. J�'-7 I � J V DATE�3���`� CONTMCTOR n- W � WORKERS'COMPENSATION DECLARATION Q N U N IHEPEBVAFFIRMUNDERCENAITYOFDE0.)UMONEOFTHEGOLLONANODECLAMTIONS: Z Q G _IIUVEANDWILIMAINTAINACERTIFICATEOFCONSENTMSELFdNSUREFORWOiiKERS' $ � C0IAPENSATION,AS VROV�OED BV SEC710N a7oo OF THE UBOR CODE,FOfi THE PERFOHMANCE 'U Q OFTHEYVORKFORN711C11TMISPERMITI9�SSUED. � �I HAVE AND WILL MNMAIN WOPKERS COAIPENSATqN MSURANCE,AS RE W�REO BV SECTION O ]7ooOFTHELABORCODE,FORTHEFERLORMANCEOFTHEWORKFORWHIpiTHISPERMITIS ISSUED.MYN9 5'COMPENSA710N1�u1RM�IC_EW1RRiEHANDPOLICYNUMBERME: CONSTfiUCTION jCARRIER - "r"�/(��� PLAN REVIEW � POLICYNUMBER , n 1 U'�Z1 �� ELECTFIC � o �nassEcna+r+�mrareeann�ocn�oEa�wrsFoaa,[�000uu�sh+oo)oa�ss� PLUMBING Z I CERTIFYTMAT IN THE PERFOHMANCE OF TME WORK FOfl WMlpl THIS 7ERMIT IS ISSUED,1 MECHANICAL C) SM�LL NOi EMPLOY ANY PERSON W ANY MANNER SO AS TO BECOME SUBJECT 70 TME � WORNERS'COAIPENSA710NUWSOFCALIFORNItiANDAGREETHATIF15MOULDOECOIAE INSPECTIONFEE S Su&IECTTOTHEIM�RNERS'tOMPEN5AT10NPRONSiONSOFSE TION77000FTHEUBOR CODE,I SHALL FORTNATII COMPLY VATHT}�Q SE N ON/g� ISSUANCE O DATE:d��APPLICANT.�(1 ��� SMIP W � W�RNINO;FAILURETOSECUREWORKERS'COMPENSATpNCOYEMGEISUNUWFU4AND5FULL6E ENERGYPlC �y St1alECTANEA1PlOYERTOCRIMINALPEN/LLTIESANDCMLFMESUPTOONEHUNDRED7l10USAN0 ENERGYPERMIT DOlURS(f+oo.000).IN ADOITION 70 iHE COST OF COMCENSATION.OAMAGES AS PROVIOED FOR IN J SECTION 77ae OFTNE UBOR CODE,NTEREST,AND ATTORNEYS FEfS. RETENTION FEE: Q � a CONSTRUCT�ON LENDING AGENCY PRE-ALT FEE: O CL IHEPEBVAFFlRMUNDERPENALTYOFVERJUMTHATTHEREISACONSTRUCiIONIENOWdAGENCY 0- FOHTNEDERFORMANCEOFTHEWORNFORWMICMMISPERMRISISSUED(SEG.7097,qV.C.L � . Z W � LENDER'SNAME � IENDER'SADDHESS W ICERTIFYTHATIHAVEREADTMISAPPLICATIONANDST�TETHATTIIEABOVEPJFORMATqNISCORRECT. TOTAL FEES (/�) � IAGREETOCOMDLYN7THALLCRYANDCOUN7YORDMANCESANOSTATEUWSREUTWOTOBU0.DIN6 ��( V� CONSTRUCTION,ANO HEREBV AUT1W RRE REPHESEN7ATIVES OF THIS COUNTY TO ENTER UPON TME ZABOVEJAEIlTIONED FROVERTY FOR INSPECTION PURPO �5. COMMENTS = les s� m PERA11 E (PWHT) a � � � SIGN k MITT 0�7E � RECPT.NO. PAID BY VALIDATION � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—ApplicanPs Copy _ . . . ... � 1� .�t a. � .�.i..:��1..�.:, •,,�l-�� �.. �,�!' �.,°;d .i -S x',rrc�.r,�C7.: �.o;;�r,.S... ..,._..... , �—. . "__.., . , . _..,. � _ � _...- �—.. . .... . . . . .._ . _ . ,.. _,� ,,, . . . .. . . ClTi l' OF D1�,fJ�Of�D �/�F� I�'aSF�EC�'i�t� RECOR� ���_.�..._.._.... __ �_ ______.__ R�_,_..____...�._ ' ,f►`�;-i�a��:�t�)►rl n�'��.: i�j`fy�?�i�, t�)R� ����-7��e;;.�'Ce�i�R E���i'� '1►`�-�;��c�i�`i?j�# �' - _._..__.___._.___�._�4__..._. _ ._ _.._.- --.._.__._._.._.. . , _ __.. ._. �__. ____.__.._._.- --- _.------. _.____�.__ ____.__ _ _._ _--__ . _--.- --- --- SET BACK , ��� � FLfl�R JQiST I I I Fi'GS/FORMS/STEEL —��__�___ ' FHA REQh1TS _ ELECTRIC GflOUND � � UNDER FLOOR DUGT . . � • GRaUND PLUMBING i UNDER FLOOR CU�!DUIT � • • SLAB GRADE FIREPLACE�OUNDATIdN _ TEMP POWER I FIREPLACE BOPdD BEA�4 WATER SERVICE � M!D HT. EOND E3EAPA • I • ROOF SHEATHlNG B FT'. BOND B�AP�t� . . � FRAMINGNENTILIATION ( -1t FINAL E30ND BEAM I AOOF COVER I I PRE-GRADING ROUGH HEATWG BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING I FI��ISH GRADING SHOWERITUB TEST � POOL ELECTRIC EXT. LATH/SIDING POOL FENCING ' WALL INSULATION POOL FINAL CEILING INBULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL EPJG. SEPTIC TANK LANDSCAPE/IRRIG. � SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ���Z. � • ENERGY a.��j�j;.fr �,�ts�b .._� _ _, . . - i.�:�___. CUMMENTS . _ SEPTIC TANK SIZE � SEEP PIT/U SIZE ��I � ,��r� ,:'1 i ;Tj I ` , . .__ , . . .