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HomeMy WebLinkAbout15965 (35) � _ . . ... . _ ..- ------— ---...- _ . . . � �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY 8t DEVELOPMENT SERVICES Zi�oE.copioy n�i��s�ic�i90 PRESS . ' (909)860-3195 Fax(909)861-3117 '*^� BUILDIIVG PERMTT APPLICATION � � FIRMLY � JOBSITE /�� a ADDRESS 2'(�� GA"�FJw Y� '�I1FT� L� APPLICATION I�11Q_�j1 PERMfT � P/C �L(�� o DATE tl- � �J NUMBER M � � APN LOT TAACT ISSUE TYPE OCC DATE CONST. GROUP p OWNER � OW p ADDRESS ZONING SETBACKS � CITY � ZIP z EL. FRONT RW ❑ APPLICANT V..- � 7E�, � REAR ❑ � SIDEJSIDE STREET RW ❑ CONTRACTOR L � / t, SIDE ❑ ADDRESS g CITY�LACF�vr7�i ZIP 9� Tn TELyI� S7�'07� PROPOSED USE�_,,,�_ P+� ARCH/ENG! � ,/ � � �,-� DESIGNER � G'V�'�/ NO.DWEL ��0. NO. N CDDRESS �ZIP � TEL. Y UNITS STORIES BEDROOMS ti v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLAF{ATION SFR/AD0IREM O p I MEREBY AFf1FW UNDER iElU1TY O�PERIURY TFIAT 1 M1 EXEMPT FROIA THE CONiMCTOfYS L4 Garape/Carport 111 CENSEUWiORi}IEFOLIOWNONEASON(SEC.70.71.68USMESSANDPROFESSIONSCOOE:ANVCRYOR (� 5� WUITYVMKNREOUIRESAVE(WRTOCONSTRULT,ALTE0.MAPNOVE.DCA10L19f,OflHEP/JRANV�TRUC. W LL� 7URE.GRqN TO R9 ISSUANCE.IL50 REOUIR[3 T11E APFLICMlT Fqi SUp/VERAtl7 TO FILE A SiGNED W Pa110/DOCk � ETATEUENT TIAT HE OR 8HE IS LICENSED PURSUAHT TO THE PROVI51ON5 OF TME CONfRACfOR9 L4 CENSE UW(OUPTER 0�COMMENCNO NATH SECTION 7oDa)OF OMSqN 90F THE BUSINESS AND PRO� � POOVSpe FESSqNS OOOE)OR TMA7ME OFt SME IS E%EMPT iMEHEFAOM AND TY1E BASIS iOR iME ALLEOED EXEMP- TqN.ANYVqIATqNOF5ELT10N7071.68Y11NY/�PLICNffFOPAPEiWI75lAJECTSTHEAPPLICANTTO Z Re-Raot � ACMLVENAL7YOF NOTAqRE T1An FIVE HUNDRED DOlURS(i5oo1.1: I . ^ � O1�40Y1NE0.0FTHEPHOPER7Y,0i7YYEY7LOVEESWIiIIWAGESIlST1EIR50LECOUPEN5AT10N, COTfnOfCl.71 - WN.L DO TNE WOq1C ANO T11E Si0.UCTURE IS NOT IMENDED OR OFFERED FOR S�LE(SEG 7oa1.BU54 � N NE6SANDPROFE4SIONSCODE:7NECONfMCTORSLICENSEUwDOESNOTAPPLYTOFNOWNERDF ? - � . iROPEfTfY YRiO BU4D9 Oil MPROVES iHEREON,JWD WHO DOES SUCH WqiK MIM9ELFOR HERSELF OR � TMROUONYUSOHNEROWNEMV�OYEES,PROVIDEDTNTSULMMPROVEMENT$AflENOTIHTENOEUON m OFFERED fOR 3KE FlqWEYER7NE BUIIDING OR IAIPROVEMENT IS SOID WfTHNONE TEAR OF COMRE TION,THE 0'NNER�BUILDER 1MLL NAVE TM[BUNDEN OF PflOVNO iT1AT H[Oq SHE DD NOT BUIID OR = WPROVEfORi1fEVURPOSEOFSALE4 • y„� ❑4A40WNERDFiNEVROPERiY,IWE%CLUSNELYCONTMCTINOWRHU:ENSEDCONTMCTOHS (= TO CONSTRUCT THE PRO.JER(SEG 7G1,BUSINE55 AND PROFESS�ONS WCE:TNE OONTMCTORS L4 VLIU3ilOfl A0.1.AFiEJ1 «� CENSEUWDOESNOTMOLYTOANOwNEROFA7pOPERTYMRqOULDSORMPROVESTHEREON,AND � 1NqCOHiMCfSFOH8Up1PROJECiSWI7HACOHfRAC10FyS1LICENSEDiURSUNl770MECONTMG OUAN7ITY D[SCRIPTIOtJ FEE � ionsuc[xseuw.� OIAUIXEMVTUWERSEG B.IP.C.FORTHISREASON Q 3 � . .. � � o�h o�meR V � LICENSED CANTRACTORS DECLARATION � • � w IHEREBYAFFWRI UNOER PENALTY OF PE0.IUFIY THAT I/UA LICENSED UNDER CROVISIONS OF CHAPiER Vr s ��COYYENCwOWRXSECTION7o0o)OFOMSION]OFTHEBUSINESSAND7ROFESSKwSCODE.IWD Z X W LICENSE IS IM FULL FORCE AND EFFECL m � IICENSE CUSS LIC.NO. l�� � j ` � w�� !� 3)—D coNTnecron�t3�� � a W � WORKERS'COMPENSATION DECLARATI04 Q . yIHEREBYAFFIfWUNDERPENALTYOFPERRIRYONECFT/1EFq1A1MNG�ECLAMT10N5: Z � � � _IMAVEANDWILLMIUNGINACENiIFlCA7EOFCd:SEMTOSRF.INSUREFORWORKERS' S COYPENSA7fON,A50ROVIDEDBYSECTION77ooOFiHEUDORCODE,FORTMEVERFORMANGE W OF TME YIORK FOR WFUCN TMS VER/A�T IS ISSUm. � � �IHAVEMIDMALLM.UMANWORKERS'COUPENSATI0NPl5lritWCE.ASRE�UiRE�BYSEC710N Ol7DOOFiH[1A80RO00E,fORT1EPERWRMI�NCEOFTHEWOFIKFOHN7tld/7Hi5PERMITIS L � ISSUED.IIY ER"CpAPEN5AT10NW5URINCELARRIERMIDiOLICYNUMBERAAE: CONSTRUCTION �1� j�' 5 ,� cawuEq t�. I fM U ITU PLAN REVIEW � POLICYMIMBER 'S �� ELECTRIC � (MSSECI�ONN�rvOTBE00wsLFtIDOFTEPEF�,�RBPoRdr[�OO�U15R+�%ORLE¢s'� PLUMBING oI„�N�_��,Z�,�� Z I CEHTIFY TNAT W THE PERFORYANCE Of THE WORK FOR WHICHTHIS PERMR IS ISSUED,1 MECHANICAL (J SHALL NOT EYPIDYANY iERSON N INY MANNER SOAS TO BECOME SUBJECTTO7HE —�'V OT.lll y WORKERS'Cd1VENSATIONUM50FGLIiOHNI�ANDAGREETUTffISWUIDBECOIAE INSPECTIONFEE 1 i �,�'� � 6UBJECTTO7HEMtlFYCERS'COMPENSA7iONPROVI510NSOFSECT10N�7oaOFTXEUBOR — eao�,isw�uFomx+rrneourtrv+in�T�SEPROVISqN ISSuaNCE B�ILT�IN�AND • '7� � � /J � � SMIP _T �,J v OATE:r -� APPLICANT.,j� ,` � WAANiNO:FAWRETOSECUREWORKERS'Cd SENS�TqNCOYERACE N AND6WLLLBE ENERGYPlC ��`J r'y SUBJECTANEYPIOYERTOGN0.IPULPENALTIESIWOCMLFWESUPTOON� NOREDiHOUSAND ENERGYPERMIT DOlUFtS(f�oO,Ooo),N I�DOITION TO TME GOST OF COMPENSATION,DMUGES AS PftOVIDED FOR M ¢ 6ECTIDN770lOFiHEIABORCODENTEREST,/iN�ATTORNEY'SFEES. � RETENTIONFEE: a CONSTRUCTION LENDINGAGENCY PRE•ALT FEE: O � IHEREBYAiFlRAlUNOERVEN�LTYOFPERAIHYTMATTNERE15ACON5TRUCTIONLENOPlQAGENCY FOR ME CERfORNANCE OF THE WORK FON MMlpl THIS VEiWI715155UE0(SEC.70Y7,CIV.C). � � LENDER'SNM1E � � � IENDERSADDRE55 W ICERTIFYTHATINAVEREAOTUSAPPUCATIONANDSTATETNATTIEIIBOVEWFOR4IATIDNISCORRECL TOTAL FEE� ���g �� � IA�REETOCOAIPLYWITHALLCRVAN�[DUNT`IOR�INANCESANDSTATEUWSREUTNQTOBULDIN6 ^ ^ CONSTRUCTION,iU1DNEREBVAUi4qRIZENE7RESENTATIVESOFTM15COlMfVTOEMERUPONiHE r � �� "]_ 1 „ � ABOVE-MEMqNE�PROPERTYFORINSPECTIONPVRPOSES. COMMENTS � � �J�'� 0 � J _ m PE EE WwE(VRiHT1 � 1-t�l y IG 7UflEOFGERMIREE OATE � RECPT.NO. PAID BY � VAUDATtON WHITE-0epertmen[Copy,YELLOW—Financa Copy,PINF(�Aasessor Copy,GOLDENROD—File Copy,GREEN—Applieant'e Copy .. . . .... ..... .. . . . . ;.. . , . .. , .. . . , . . , .. � ,. . .. , . � •. , , , .. . .. . ,. . . . .•; _ . . : CITY OF DIANiOND BAR , . . ' _. . '. .� . IPJSPEC i lOi�1 RECOF�D ' , . __._:._��__ , ._...:. ..._.._ t _� . . .�.._. __ _..,. _ . _'`[ , �I _.____�____ .. . '1+ � r��C'�1' �'' �, D l� ��t. �� fr'i C .• ►� �{C'�IQ�� �� k� . s' L �4��� I���� �� Q•: �I ��,. �,, ,.C.���,.� '�..�1!._ �.-��?�..a .F...�.�.�. '�_E-��._�_� .I -- �_ 'J'. _^1����.�.,,� C.�:-�-----� .S�TYBACK __. • t��.� , ; F1.00R JOIST , .. . ,, i_.-....,......_.�--• i• . � . .Y . � . '� ;. FTGS�FORt."5I5TEEL . . � � ,. • . FHAREQ��fTS��—.~— • ,_ '.�_ -=r�'--- _ELECTRIC GROUP•1D ._ ..�_ • I . _ _ . UNDER FLO�R`DUCT'"�;� . �_ • GROUND PLUiABING � UNDER FLOOR•CONDUIT ��'` — ' ''� r' ' ` ' � - � .,— �,-. , ; , 1'�� SL_ABGRAQ� '• l FIREP�A'�EF;Ol1�1qATIONI �.I'..:f -. � - 7E��^P P01�NER I ~ FIREP�ACE'�OiJLI�EAhd � . � , , '�:• �„ -. . .. V�lATER SERVICE - - . I MID HT.B.ONQ BEAb1�= •� .- � ••c�, i I=• � � ROOF SHEATHIN� V 8 FT. BOND.BEA"�1 J '�''`�' ,'�'�' ' � r�-^---^-�.`J ..' . . _... . .. � FR/�i•l�ItdG/1IENTILIATfON I I FINAL'BOND BEAP�I . � � � � ' ROUF COL�FR � I �'RE-GRADING.�: .� • - • • = � - � RO'JGH HEATIN� EiENCH(N�.;�-r •�;�. °' r '_ ;I��- -.. �:_ ; _- ROUGH ELECTRIC . '.. • ROUGH GRADING - � - • RDJGH PLU��"BING � - - � - FINISH GRADING ' -. ' SFiOVJER.rTU6TEST ' • I POOL.ELECTRIC —� � E?;T. LATH/SIDING - � - POOL FENCING ' I ' :"JALL tN5tJU1TION POOL FINAL � C;E(�1��G 1�ISULP,TI�N �- ; OFF SITE I"APS. � � � (-- - :DRYL'JALI:NAtLI"JG �t L �p�� D=DICATIONS I_ SEb'UER �� FINA�E�JG. S�PTiC TAtdK IANOSCAPElIRRlG. ' � SrEF' FIT/L.!. ' . ��`'. 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