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HomeMy WebLinkAbout17525 (19) _�� CITY OF DIAMOND BAR � DEPARTMENT OF COIvII�fUNITY&DEVELOPMENT SERVICES •� � �T� 2182i E.Coplty Drive � (909)860.3195 Fax(909)861-3117 � PRESS ������ BUILDING PERMITAPPLICATION FIRMLY o� JOBSITE /y�.�.�1 r���� � �I_ �/ APPLICATION 1 �,� NUMBER �S��J M�C h__I�.I I L: ^ ADDRESS � -� �� DATE � �/�-��f � ISSUE TYPE OCC APN LOT T ACT DATE CONST. GROUP p OWNER _'��� o ADDRESS ' � % _. ZONING SETBACKS w � APPLICAN7. � �� TEL � �/���,-� I REAR RW � O SIDE/SIDE STREET RW p a� CONTRACT SIDE p o C�RESS ` T ROPOSED USE±��t i�'11C� _ �����;n/l�'�} C(= oARCH/ENG! ' U �l�^� \ ����_.�1���G�1� l�1-� . DESIGNER � ��1 � NO.DWEL: NO. NO. � = CIDTDYRESS ZIP TEL. UNITS I STORIES 2 BEOROOMS � cn DESCRIPTION SO.Ft FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDEP DECLARATION SFFVADDlREM � O p I HEREBV AFFlRM UNDER PEN�LTY OF PEM1qV TIMT 1 AM EXEMPT FROM THE COHTMGTORS ll� G8298/C81pOR W GENSEUWFORTTIEFOLLOW�NOpEASON(SEC.7W7.6BUSINESSANDPROFESSIONSCODE:ANYCfTTOR (n U COUHTYWHIp7qE0UIRESAVERMITTOCONSTRUCT,ALTERIIAPROVE,�EAlOUSN.OFREPA1R41V5TRUC• uf W NRE.VRIOR TO R9 ISSUANCE,AL50 pEOUIRES 7HE MPUCANf iOR SUq/PERMITTO FIIE A SiGNED W PatiolDeck � 6TATEMENT THA7 NE OR SHE IS UCENSED PURSUANi TO THE PROVISIDNS OF TNE CONTRACTORS U� � S CENSEUW(CHAPTERO(COM4ENCINOWI7NSECTION7000)OFOIVISiON10FTHEBUSINESSANDPR0. PooUSPa iE55iON5CO0E�ORiNATMEOR5ME15E%EL�PTTNEREFROMANDTXEBASISFORTIIEKLEOEDE7fEMP• C7 � TION.MlVVIOLATqNOF6ECTION7m1.6BYANVAPPIIGMiOqAPERMITSU61ECT57HEAPPLICANTTO Z Re-Raol A CML VENAI,TY OF NOT MORE TVUN FNE VNNDRED DClURS(f5oo).): � ❑I,ASOYVNEROFTHEGHOVER7Y.ORMYEM7lOYEESWITMWAGES115TNE1R50lECOMPENSATpN, 0 COTTBfCl21' ' � - � - Z WILL DDTHE WORI(AND TNE 57RUCTUHE IS NOT IMENDED OR OFFERED id�EALE(SEC.7a�,BU56 J � NESS ANO VROFESStONS CODE:T/E COMTMCTORS LICENSE LAW DOES NOT MPLY TO AN OWNER OF = � PROVEHiY NMO BUILDS ON PdPROVE5711EREON.M1D YYMO DOES SUp1 YVOfiK MIMSELF OR XERSELF Ofl K THqWCHHISOHHERONT1ElAPLOYEES.FROVIDEOTHAT5Up1MVROVEMENTSAREN0IMENDEDOR CO W OFFEREDWHSALEIF,FqWEVER,TIEBU�IDINOORW7ROVEMENTI5501DN77HINONEYEAROFCOM%,E 0 TIDN.THE OWNER-BUIL�ER YALL HAVE THE BUR�EN OF VROVWO i1MT HE OH 6HE DO NOT BULD OR 7 � = W PiqVE FOR iHE PURPOSE OF BALE} w ❑4�30wNEROFTMEPROPERTI;AME%0.USNELYCONiMCTW(1WfTHUCENSEOCONTRACTORS Q TO CONSTRUCT TYIE PROJECT(SE4 70N.BUSINE55 ANO FHOFESSIONS OOOE:TNE CONTMCTOflS U• g�� ` 7 DJ,AREA � CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPERTYWNOBUM1DSORIMPpOVEgTHEREON,�ND W1qCONTMCTSFORSUp1VRCLIECTSWITHACOHTMCTOR(SILICENSE�GURSUAN7TDTMEOONTiiAG pUANTI'TY DESCPIPTION FEE Y TORS UCENSE UW�. 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B.1P.C.FORTXISREASON q � U � V'" DATE OWNER � — Z W � LICENSED CONTRACTORS DECLARATION W � � Z v C.'1_ t HEREBYAFFINM UNDER PENALTY OF PEiWflY THAT IAA1 LICENSED UNDER FROVISIONS OF CHAPTER �r d 0(COMIAENCINOWR115ECTION7oDo�OFOM5iON10FTNE8U51NESSANDiROFF55iON5CODE,AND Z X 1�lYUCENSEl51NFULlFORGEANOEFFELT. �u ! a'�' /� .Z � O ouT'C►CT' v� LICENSE CUSS �y�LIC.NO.��(O� 7 • a�re Z OZ� corirrucroR !{�w1✓�S��SGhL °J' I �I . tiwtY3� I�/L w - � WORKERS'COMPENSATION OECLARATION • a � ` _,I c-a � IHEREBVAFfIRMUNOERVfNALTYOFOERIURYONEOFTHEFOLLAWINODECLARATIONS: Z � � � _IHAVEANDYNLLMAMTNNACERTIFICATEOFCONSENfMSELF-INSUREFORWOiU(ER5 = _ COMPENSATqN,ASYROHIDEDBYSECTION]7000FTMENbORGOOE.FORTMEiERFORMMIGE W OF THE WOFK FOR WHK?/THIS iERMIT IS ISSUfD. � G �I NAVE ANO WIIL MAl17TA1N WORNERS'CdAPENSATqN INSUiUNCE,A4 REOUIRED BV SECTqN �7 Q 97ooOFTMELABORCODE,FOqTHEPERFONMMICEOFTHEWORKFORWHIp1TNI5PERMRIS � • �� / ISSUEO.MVWORNERS'COMPENSATIONINSU0.WCEGRRIERANDPOLICYNlA18ERARE: CONSTRUCTION � � CARRIEH �'r'Y�r7'E FfJWY� '�� PLAN REVIEW _ . � vaicrNuraeEA,—���� ELECTRIC A (nassecnarr�mrqreeoannEr�ncFnfvE�arsronor�rua�ooawup+oqat�ssl PLUMBING w ' Z ICERTIFVTHATNTHEPERFOFMANCEOFTHEWORKfORWHICHTHISPERMITI5155UED,l MECHANICAL _ O U^' SHALLNOTEMPLOYAM'PERSONINMIYMIWNERSOASTOBECOMESUBJECTTOTHE N WORKER5COMVENSATqNUWSOFCALIfONN�A.ANDAGREETMATIFISHOlADBECOME INSPECTIONFEE 5 SU&IEGTTOTHEWORKER9'COMGENS�TIONPHOVISqN50FSECTKKIJ7ooOFiHEUBOR eooEisH,u�coATMvnn�canttrrnmr osevaowsior+s. ISSUANCE � SMIP ,O O p OATE: � �Z l e� APPLICANT: � ENERGY P/C W�fplINO:FA�IUNETOSECUREYVORKEP5COMPEN iONCOY MGEISUNUWFUL.ANOSNALLBE �,y SUBJECTANEMPLOYERTOCa�IWM.FENALTIE4AND SUPTOONEMINDHEDTIUISAND ENERGYPERMIT � DOLLARS(5100,000�,IN ADDITON TO iHE C0.ST OF COMPENSATqN,DAMAOES AS PflOVIDED FOR IN � SECT1DN17oeOFTMEU80RCO0E.INTEREST,ANU�TTORNEY'SFEES. RETENT�ONFEE: oCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHEPEBVAFFIRMUNOENVEN�LTYOFPE0.AIRYTHATTHEHEIS�CONSTPUCT�ONLENDINpAGENCY FORTHE PERFORAIANCE OF TME WORK FOR Nh/ICH THIS PERMIiIS ISSUED(SEG 70v7,CIV.G). . � W � IENDERSNAME - � LENDERSADORE55 Q ICE1iT�FYTMATIHAVERE110iHISAPDLICATIONANDSTATETIATTIIEABOVEWFORMAT10NI5CORRECT. TOTALFEES ,�,qS� •5_ n � IAGPEETOCOAIGLYN7MALLCITYANDCOUNiYORDINANCESANOSTATEUWSRELATWOTOBU0.01N0 � .� CONSiRUCTION,AND HEREBY AUTiqRIZE REVRESENTATIVES Oi THIS COUNTY TO ENTER UPON TNE , z �BOVE�MENTIONEDGiqPER7YFORINSGECTIONVUR70SES. COMMENTS�r�n 201D l _ �y� � la2cb 1�1Da��e+V �t c,c9✓'✓'� � �_'� m PER TTEEHAAIEI�aNTI ,3,14z`�'S � O � a (/� iGNANRE EE DA E � qECPL NO. PAID 6Y VALIOATION � WHITE—Department Copy,YELLOW—financa Copy,PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—Applicant'a Copy .. ,.._... ••—pVi+-•;.—vr.�. 4.Y"-•..^'� a'IMc,::'�.^M1�'.L` :.S`1.,T'Y:f.: ..'.A'_ � .�'7.'•' . . - • �r♦ � ' • . . • . ;I�: . '+:1.'.f�.?'xY:':'.. � r. / �'J;.F•n,.y.-,i�-r�l`y'• ..I. ' , ea. �... .��. � � C!Z'�" O� DI�P�iO�D BQR � 1t�1SPEC i ION RECOi�D , -�.��.�=��?��'I�I�►� . . ip��c�� li►��,�'�r�'o7� ..�t�Y}-7���C�.���� .. � !°�r��`� .. �I�������� _..��. _...�..�_ �... __._ . ..�� __ ,..r. SET BACK�� � � �; ( ' ti�� , � FLOOR JOIST�� ;__�� FTGS,�FORMSfS7EEL � � FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT • GAOUND PLUMBING UNDER FLOOR�CU�IDUIT .. - • SLAB GRADE I I FIREPLACE FOUNDATION. ' 'fEMP r�OWER i I FIREPLACE BOND BEAM ' ' � WATER SERVICE I I � MID NT.:BOND BEAM ROOFSHEATHING' �' - � ' ' � 8 FT.BdNQ BEAM5.1 `-- • � i FRAMINGNENTILIATION OIO � I FINAL BOND BEAM ROOF.COVER I I PRE-GRADING �ROUGH HEATING rG�I/ _ __ RENCHING ROUGH ELECTRIC - �'� � ROUGH GRADING ROUGH PLUMBING � �� � ) FINISH GRADING SHOWERITUB TEST ; POOL ELECTRIC � EXT. LATH/SiDING POOI.FENCING WALL INSULATI�N Z��� POOL FINAL � CEILING INSULATION � OFF SITE IMPS. DRYWALL NAIUNG � j OEDICATIONS SEWER � ; FINAL ENG. SEPTIC TANK � � LANDSCAPEIIRRIG. � ' SEEP-PIT/L.L. - � -' � ON SITE Iti1PS. � GAS AIR TEST I I I FINAI_ZONING j FINAL CONST. � � � �ti� . " � FIRE DEPT. FINAL , FINAL HEATING � '� �,, , .!C TH DEPT. FINAL F1NAL ELECTRIC � i .��� i !, DEV. FEES PAID FINAL PLUMBING � � I ENERGY I ; �._ -- - - - --- . � `;e :+��.::�r:,n(�a>,, • { �..�. �--- . - — , - - -- -- --_._._ -- -..- .•-•- -�__ _ - - - �----- -,. . --- COMPJIENTS ' � . i . . SEPTIC 7ANK SIZE ' SEEP PIT/U SIZE � _. ����:._ i _ : --.. � _ r���� � .:.�, �� �� � . . . ,, ..� I, . . . . . � i '- � i ' i 1�� l _„ . .