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HomeMy WebLinkAbout18088 (26) � V ` �\ CTTY OF DIAMOND BAR 1 � DEPARTMENT OF COiv4vtUNITY&DEVELOPMENT SERVICES �! , Y� 21825 E.Copley Drive � (909)860-3195 Fax(909)861•3117 PRESS ��'��+ BUILDING PERMITAPPLICATION FIRMLY � JOBSITE ���,n /?� r - y^ o ADDRESS���V� `�'KLltu Co,r�. Cjpr?{{r Dt:Jf DATECATION�� OL NUMB R�a ��� p/C � ISSUE TYPE p�C APN LOT TRACT DATE CONST. GROUP p OWNER p ADDRESS ZONING SETBACKS z CITY ZIP TEL. FRONT RW ❑ Q APPLICANT TEL. REAR ❑ �� SIDE/SIDE STREET RW ❑ CONTFiACTOR D - _ S��E � ADDRESS_2 � (.)�n ' :,r A � CITY��oA! ZIP�I z u TE .�L' �Y PROPOSED USE_G�I�G��f:!n I [..c�.�,off�.,'.,. Un,� oARCH/ENG/ DESIGNER t�ii NO.OWEL. NO. NO. = CnDRESS ZIP TEL. UNITS STORIES BEDFOOMS � <n . DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-Bl11LDER OECLARAT�ON SFR/ADD/REM O p I NEPEBY�FflRM UNOER PENALTY OF PERIURV 7HAT I�M E%EIAVT FROM THE CONiMCTOHS LI• G8I999/CBIpOR W CENSEUWFORTHEFDILOWIN6REA50N{SEC.707I.SBUSINESSANDVROFESSIONSCOOE:ANYC�T'OR (n U COUN7YWHICHRE�UIRESAVERMITTOCONSTRUCT,ALiEH.IMPROVE,DEMOl15H.ORREPAIRANYSTRUC• W Pefi0JO0Ck � TURE pRpR TO RS ISSUANCE.AL50 REOUIRES TME APGLICANT FOR SUCH VEHMIT TD F1LE A SICNEO W ETATEIAENT THAi HE OR SHE IS LICENSED PUq5l1ANT TO THE PROVISiCNS OF THE CONTqAC70R5 LI• � CENSE lAW(CHADTER 0(COAAAIENCWO NATH SECTION 1000)OF DNISION 70F TNE BUSINESS AND PRO- � POOVSPB iES510N5C00E�0i7THATHEORSHEISE%EMPTTHEREFROAIANOTMEBASISFORiHEALLEGEDE%EMP- (� TION.ANYVIOU710NOFSECTION70]1.58V/�N1'APPLICAMFORAPERMITSUBJECTSTHEAPFIICANTTO Z R8-RO01 A CML PENALTY OF NOT MORE THAN FNE HUNDRED DOLURS(f Sao).�: 0 O�ASOWNEROFTMEPROPERTY,ORMYEM7LOYEESWITMWAGESASTMEIRSOLECOMPENSATION, 0 COmTefCl31 - ,-� WILL00 THE W(Nil(,M1D TME STRUCTURE IS NOT IHTENOED OR OFFEFED FOH SILE(SEC.7G�,BUSI• J y NESS AND VROFESSIONS COOE TFIE CONTMCTORS IICENSE UW DOES NOT MPIY TO AN OWNER OF j VR07EiTfY VAIO BU0.050R IMPROVES THEREDN,�NO WHO DOES SUCH WORK NIMSEIF OR HERSELF OR � THROUCHHISOflHENOMMEM7LOYEES.PROVIDEOTHATSIKHIMPROVEMENTSAPENOTIlRENOEJOR m � OFFEREDFORSALEIF,NOWEVE0.TMEBUlDINGORIYPi10VEMEMIS50tDWRHiNONEYEAAOFCOMPLE- Z TION,THE ONMER�BUILDER MnLL HAVE THE BUHDEN OF PROVIN6 THAT HE OR SHE DID NOT BUIID OR = tuP1iOVEFORTNEPUNPOSEOFSALE4 W 04�^+OwNEHOfTHEVROPER7Y,AMEXCLUSIVELYLONTMCTINOWRHLICENSEDCONTMC70R5 (t TO CONSTRUCT THE PRO,IECT(SEG 7W�,BUSiNE55 AND FROFESSIONS GODE:THE CONTRACTORS LI• ValU8SI0f1 ADJ.AREA W GENSEUWDOESNOTAPV�YTOMlOWNEROFAVROPEFTYWNOBUILDSORIMPROVESTHEREON,ANO � WF�OCONiMCT5FOR5UCMPR0.1ECi5WIiHAWN�MCTOR�S)LICENSEDVURSUANTT�TMECONTRAC• QUANTITY DESCRIPTION FEE � TOFS LICENSE UW.} � 0 O�AIA EIfEMPT UNDER SEC. B.t P.C.FON THIS REASON 4 j Q_ U 1 ll" DATE � pWNEq U Il A� 7•b.. f � �4 Z � UCENSED CONTRACTORS OECIARATION w �y �?�•V 1 HEREBY AFFlRM UNDER PENALTV OF VERIUM THAT I M1 LICENSED UNDER PROVISIONS OF CHAP7ER �} p. i(COMMENCINO WITH SECTION 7000)OF DINSION 00F THE BUSMESS RID PROFESSIONS CADE.�4D Z Z Z �. / �S `' X MY LICENSE IS IN NLL FORCEAND EFFECL � tL O � r � p._, UCENSE CUSS LIC.NO,� `, j V OATE �Z '� CONTRACTOR IQC�r� E� •L a W � WOFKERS'COMPENSATION DECLARATION a � IHEREBYAFFIRAIUNDERVENALTVOFGE0.1URVONEOFTNEfOLLOWINGDECLARATIONS: Z � �IIWVEANDMALLMAINiNNACERTIFIC�TEOFCONSENTTOSELi-INSUREFORWOW(ERS' _ COMPENSATION.ASPqOVIDEDBYSECTION]7000FTMEUBORGOJE,FORTHEPERFORMANCE w Q OFTHEWORKFORWMICHTHISCERMITISISSUED. � � �INAVEANDWILLMAINTAINWOHKERS'COMPENSATqNINSURANCE,ASHEOUIqEDBVSECTqN � J70oOFiNELA80RO00E,FORTNEPERFORMANCEOFTHEWORKFORWNIp/7MI5PERM1T15 ISSUEO.MY'NURKERS'COMPENSATqN INSUfUNCE CARRIERAND VOLICY NUMBERAFE: CONSTRUCTION jLAHRIER PLAN REVIEW 0 POLICYNUM9EH EIECTRIC ��y3. a 0 (MSSECIIONNEmN0T0EOdX'tETEDOF7VEPERM6�ORONEF4IDRED00lU0..(fiOoJORLESS} PLUMBING �-,+�. Z ICERTIFYTHATNTHEPERFORMANCEOFTHEWOPICFORYMIp1TMI5PERUIT45I55UED.1 MECHANICAL ��--- -'� ��1—'% - C7 SHALLNOT EMPLOYANV PERSON IN ANY AIANNER SOAS TO BECOME SUBJECT TO1ME -�' . � � , N WOfU(ERS'COMPENSATIONUWSOFCALIFOflNIA,ANOACREE7HATIFISHOULDBECOME INSPECTIONFEE __I -- ��� SUBJECTTOTMEWORKERS'COMPENSATIONGHOVISIDNSOFSECTION77o00FTHElABOR � `O s� s COOE.I SHALL FORT11W�iH COMPLY W17H TMOSE 7ROV�SIONS. ISSUANCE —� ����= n n n.. _� p DATE: APPLICANT; SMIP � � � JENERGY P/C _ I � WAfiNiNO:FAILURE TO SECURE WORKERS'COMPENS�TION COVEMGE IS UNUWFUL�fl0 SHALLBE � ,,[ � SUBJECTANEMPLOVERTOCi11AAINALPENALTIESANOtlVILFWESUPTOONEHUN�PEDT170115AN0 ENERGYPERMIT '�-- �"�-- OOLURS(f 100,000),M!ADDITON TO THE COST OF CqAPENSATqN,DMIAGES AS PROVi0E0 FOR IN � SECTIDN770lOFTHELABORCOOE,INTEREST,ANOATTORNEY'SFEES. RETENTIONFEE: ~ - •� OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHEHEBVAFFIRMUNOEiiPEN1LLTYOFPENURYTHATTNEREISACONSTRUCTIONLENDINGACENCV FOR TNE DERfOFMANCE OF TME WORK FOH WHICH TMIS 7ERAllT IS 1554E0(SEC.7DD),CN.G�. Z W � LENOER5NAME � LENOERSADDRE55 W ICERTIFYTHATIHAVEREADTHISAPPLICATIONANDSTATETHATTHEABOVENFORMATIDNISCORRECT. TOTAL FEES 3 (�•�O I ACREE TO COAIPLV VYI7N ALL GTY ANO COUNTY OROINANCES AND STATE IAWS PEUTINO i0 BUILDING � � CONSTRUCi1dyANDHEREBVAUf110qIZEREVRESENTATIVE50FTHI5COUNTYTOENTERUPONTME Z hBOVE�uENiIONEDCROGERTYFOFINSPECTIONCVRPOSES. COMMENTS � c1li m PERM NAME(PRIM) CA rI� l� � �� �V� (n 6IONAT F PERMITTEE DAT � RECPT.�O. PAID BY � VALtDATION WHITE—Oepartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENAOD—File Copy,GREEN—Applicsnfs Copy �,� . . .. ., •.. •-C'�. .,.. , .. �._�� . i . .... .{:,�,•rr. .. , r�.2.�,�(""_ •^�:�l�.%yRy`.. p.a� . � .1 -.. i�o 'J-r.. ., r'.. .'t' . .�it"1 „ i �.. , . " ��Y'�` t:3� L�l/°lf�ni��[_7 Fr'i'-,t� ir��s�=��k ior j r;����:� :1��l-'�:I�:¢�:t�t��kG .___,�}.�:+'-- �►�k-`�.a=�:�;t'��;d� � (►�F-`1:a=:s;'��C��i►�@ ~�'i��'��'=� I►�(-�:��,e;;t'm.7:� I ___..------_-__.._.-__...__.._ _. . -. _. _. _... . .. . �..__ ,.___...�_:_._.--_"_�____--- _. _._.___.�.�.._..._..�___-- 5ET BACK _�_ _ ; _ , u FLOOR JOIST, ^_� _ FTGS!GORP�ISlSTEEL � _� � FHA REQPv1TS j � ELECTRIC GROUND �__ � UNDER FLOOR DUCT 1 � GROUND PLUMBING I ___ I UNDER FLOOR CUf�IDUIT_ I SLAB GRADE � �I FIREPLACE FOUNDATION ~ TEMP POWER I �I_�FIREPLACE BOND BEAM _ WATER SERVICE I I � P�11D HT. �OND BEAM � � ROOF SHEATHING � i 8 FT. BOf�lD BEAf�1. j FRAMING,NENTILIATION �— ! FINAL BOND BEAtf i ROOF COVER I PRE-GRADING ROUGH HEATING BENCHI�dG �,__ __ I ROUGH ELECTRIC i _ _j ROUGH GRADING ROUGH PLUM8I�JG i ; FINISH uRADING SHOWER/TU8 TEST � i POUL ELECTRIC EXT.LATHlSIDING � j I POOL FENCING VVALL INSULATION -�� POOL FINAL � CEILING IN�ULATION O�F SI i E Ih4PS. pRYWALL NAILING � DEDICATIOidS SEWEH � FIiJAL ENG. SEPTIC TANK LANDSCAPEIIRRIG. � SEEP PIT/l.L. � ON SITE IMPS. GAS AIR TEST FINAL ZaNIPJG FINAL CONST. • � � FlRE DEPT. FIPJA! FINAL HEATING --* __ 'f;l HEALTH DEPT. FINAL FINAL ELECTRIC I I I DEV. FEES PAID FINAL PLUR�E3ING � ENERGY ci:;,r± r�: knlr,r � _s_:.,..__---�--�� .______._-- COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE �� .�� i y��� ,�I :� sa