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HomeMy WebLinkAbout17660 (40) .�� CITY OF DIAMOND BAR �,� DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES 21825 E.Copley Drivc (909)860-3195 Fax(909)861-3117 P R ES5 ����� BUILDING PERMIT APPLICATION FIRMLY o ADDRESS7-C��7 1`f�6'{�TtN��'�F+ �Q--- �ATEICATION � �Z NUMBER �.� N/C/ ISSUE l� �„ ONST. GROUP � APN LOT TRACT DATE p OWNER a ADDRESS ZONING SETBACKS z CI ZIP TEL — FRONT RW ❑ g APPL ANT TEL. REAR p � SIDE/SIDE STREET RW ❑ � CONTRACTO SIDE ❑ � ADDRESrS ppppqSED�1SE � CITY ZI TEL 03 �,�6.�E^ o ARCHlENG/ 1l (�- � ADDR SS NOVD�EL ' , NO. NO.• � C(N ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O 1 MEREBY AFFIRM UNDEH PEN/L7Y OF PEFWFY MAT I AM EXEM�T FROM ME CONTMCTORS lF Garaga/Carport W CENSEUWFORTHEFIX10NnNOpEASON(SEC.7071.SBUSINESSANDPROFESSIONSCOOE:I�NYGTYOq (n U COUHiYWHICHRE0NRE5AVERMITTOCONSTRUCT,ALTER�PR��.DEA101J51{ORREPAIRANYSTRUG W PatiO/D6Ck � NRE.PRIOR TO fiS ISSUANCE.ALSO RE�UIRES iHE APVLICANi FOH SUCH CERMiT TO FllE A SiGNED w STATEAIENf THAT HE OH SHE IS LICENSEO VURSUANT i0 THE PROVISIONS OF THE CONTMCT00.5 L4 � CENSEUWµ]/APTERY�Cd.1MENCMOMATM5ECT1ON7000)OFOIVISION70FTMEBUSWESSANDiRQ �- PooUSpa FESSIONSCOOE�ORTwl7HEORSHEI5EXE4PTTHEREfPOAIANDTME8A5i5FORi77EALlEGEDEXEIAP� (� 710N.AN'/VIOIATIONOiSECTION7W1.6BYANYAPPLICANTFORAPERMIT5U6)ECTSiNEAPPUCAMTO Z Re-Roa1 A pVILPEIULTY OF NOT MORE iHAN FNE HUNORED DOLURS(f50o).�: Z ❑4���NNENOFTMEiROPERTY.ORMYEMPLOYEESwITMWAGESASTHEIR50LECOMPENSATION, � COrtIrtlBfti21 - 1MLlD0 iHE WORK,AND TME STRUCTURE IS NOT INTENDED Op OFFERED FOfl S�LE(SEG TON,BU51� J N NE55 AND iROFESSIONS COOE:THE LONTMCTORS UCENSE UW DOES NOT MPIY TO M!OWNER OF � PROPERTV MM1iO BUILRS ON MPROVES THEREON,AND MA10 DOES SUCH WORN HIMSEIF OR MERSEIF OR [L TMROU(iHMI40RHERONMEAIP�OYEES,VROV10EDTHAT5Ud11MPROYEMENTSARENOTMENOEDOR m � OFFEREDFOHS/LEIF,NOWEVEFLTHEBULLDWaONIMPROYEMENT550lDN7THINONEYEAROFCOMRE• Z 710N,T11E OwNER�BUILDER MnLL HAVE THE BUH�EN OF VROVIN6 THAT HE OR SHE DID NOT BUILD OR . = IMPHOVEFORTHEPURPOSEOFSILLE} . �y,� 04�`�M'NEROFTHEPROPEHTY,AMEXCLUSIVELYCOMMCTWOWIiHLICENSEDCONTMC70RS � TO CONSTRUCT TNE PRQIECT(SEG 70N,fiUSINES511N�PROFESSIONS CODE:h1E CONTMCTOqS LI• V8IU0fi ADJ.AREA LL1 GENSEUWDOESNOTAPPLYTOANONMEROFAPROPERTYYAqBURDSCFIMPflOYESTNEREON,ANO � Yn1000NTMC75FORSUCMPROJECTSWITNACONTMCTOR(5)LICENSEOPURSUIURTOiMEGONTRAG QUANTITY DESCRIPTION FEE Y TORSUCENSELAW.). V' ❑IMIEXEAIPTUNDERSEC. B.iP.C.FORTHISREASON � � � (� �= DATE OWNER r z W �Q UCENSED CONTRACTORS DECLARATION W CC IHEREBYAFFlRMUNOERPENALTYOFPERNRYTHATIAML�CENSEDUNOERiflOVI5qN50FCHAPiEH � � 1 � Y(COMM[NCIN6WITHSECTION700010FDNISION70FTMEWSINESSANDPROFESSIONSCODE,ANO Z �� IAY LICENSE IS IN NLL FOHCEAND EFFECT. m � LICENSE CUSS LIC.NO.-l�.—� � F— _ .. "'i U DATE ��- � CONiRACTOR�� d W � WORKERS'COMPENSATION DECLARATION Q = U NIHEHEBV AFFIRII UNOEH DENALTY OF CE0.)UM dJE OF T11E LOLLOWINO DECUfUT10NS: Z � �IHAYEANDWILLNNNTNNACERi�FIC�TEOFCONSENTTOSELF�NSUqEFORNORNERS' S Q COAIPENSATION.AS PROVIDEO BY SECTION�7ao OF i17E LABOR CODE,FORTNE GERFORMANCE W OF THE WOHK FOR WHICH THIS iERM1T IS ISSUEO. � 0 _IluVEANDNALLMAtMAINWORKERS'CAMPENSATIONINSUMNCE,ASREWIREDBVSECTION � ��l . /` � 77ooOFTXELABORCOOE,FORiHEGERFORMANCEOFTHEWORKiORWHIp/THISPEF1Mrt15 v V ISSUEU.MYriORKERS'COMPENSATqNtIN/SUR�AN�CECARNIERANDVOIICYNUAIOERARE: CONSTRUCTION � CARRIER �.� ��l"'SC� PLAN REVIEIN � Z raucrriuueEa ����Q '� i ELECTRIC ¢ � (�Vi55ECIlONNCmNOT8E00MREfEDOFhEPERMR6FOqONEF�l1�DF7EDDOLLMS(f�ro10RlESS} PLUMBING Z I CERTIFY iHAT W TME PERFORMANCE OF THE WORK FOR WMIpI THIS PERMIT 6�SSUED,l MECHANICAL - C7 SNALL NOT EMPLOV/UJY PERSON W ANY AIANNEH SOAS TO BECOME SU8JEC7 TO iHE � WORKERS'COIAPENSA7qN LAWS OF CKIFORM0.�D AGREE TIUT IF I SHOUL�BECOME INSPECTION FEE S SUOJECTTO THE VYORKERS'CAMPENSATION VROVISIONS OF SECTION 1700 0F TME LABOR COOE,1 SHALI iORTMMTH C0IAPLV MAIN TFqSf FROV15iON5. �$$V�N�'+E � SMIP p DATE: APPLIG4NT. � WAPNINIl:FAIUIRE TO SECURE WORKERS'WIAPENS�TION COVERAGE IS UNUWFUL,ANO SHALLBE ENERGY P/C ' �y SUfl1ECTANEUPLOYERTOCRIMINALPENALTIESANOCMLFWESUPTOONEHUNDREDTHWSANO ENEROYPERMIT DOLLARS(S I00,000),IN ADDITION TO THE CAST OF COMCENSATION,D/JAAGES AS PROVIDED FOR IN � SECTION770lOFiHEUBORCODE.INTEREST,MIDATTORNEY'SFEES. RETENTIONFEE: nw. CONSTRUCTION LENDINGAGENCY PRE•ALT FEE: O � IMEREBYAFFIRUUNOERPEN�L7YOFPERAIRVTHATTHEREISACONSTHUCTIONLEN0INGAGENCY ' FOR TNE 7ERFORMANCE OF THE WORK FOR NMICN TNIS PERMIT IS ISSUEO(SEC.70Y7,CIV.C.). Z ' W � LENDER'SNAME �� � IENDERSADDRE55 ¢ ICERTIiYT11ATINAVEREADTNISAPPIICATIONANOSTATETNA7T/EA80VEINFORMATqNISCORRECL TOTAL FEES � \ �,J W IAGREETOCO�IPLYWRHALLCT'IWOCOUNTYOR�INANCESANOSTATELAWSRELATINOTOBUILOING � CONSTRUCTION,ANDHEREBVAUf110RREREPRESENTATIVESOFTHISCOUNTYTOEMERUPONTME . ZABOVE-MfMIONEDVR PERTVFORINSPECTIONPVRPOSES. COMMENTS � J � m FERMITTEENAME(PRj1lT) � 4 � y SIGNATUREOFVEHM �� AT / � � RECPT.NO. PAID BY VALIDATION WHITE—Oeparlment Capy,YELLOW—Finance Copy,PINK—Assessa Copy,GOLDENRO File Copy,GREEN—Applicanl's Copy ._ __.,__..:.,. -�--. ,_. • . . . .�..;:•..� '_'L.. C1T1' OF I�I�;W;Oi�E� �r;,R IP�1�r EC�i�f� t s�CD�D w____.�_� _.�.._.�..�.....�... --- �_.__...��,� _ I�l-�':a�c�t'C�,]►�k C1���;�= I��!'i i-.;e,°�c')�wt II►��-'�:.1.�� .p'�('�1►`L --- ej�v.�'- I►�}-.� ��c;��'�`1:� � ____,_.____..._..._._...____--- _ �._. __ ___�.._ ._�_._... .__._.. __. ___.._.��.:�_ . � i _____.. ..---._._., _.�____�___.________y____� SET BACK i _ � I FLOOR JOIST � FTGS/F�RMS/STEEL __ I FHA REQMTS ELECTRIC GROUND � ! I UND�R FLOOR DUCT � GROUND PLUM6ING I UI�dD�R FLQOR CCf,IDUIT ( SLAB GRADE FIREPLACE FOUP�IDATION TEMP POWER �__FIREPLACE BOND BEAM WATER SERVICE I � MID HT. �OND BEAPy1 • I ROOF SHEATHING !y OZ �� �� 8 FT. 60CdD BEAPA �� FRAMINGNENTILIATION '.� �- � �� —iI'FINAL EiO�JD BEAM ROOF COVER ��Z I PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC I ROUGH GRADING ROUGH PLUMBWG FINISH GRADING 5H01'JERlTUB TEST I POOL ELECTRIC EXT.LATHlSIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FIfJAL ENG. • SEPTIC TANK LANDSCAPE/IRRIG. � SEEP PIT/LL. CN SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINA! FINAL HEATING HEALTH DEPT. FINAL � FINAL ELECTFiIC DEV. FEES PAID FINAL PLUMBING � ENERGY � •��' :T" :�l��lE.i! .-._ �'_"'" . CUMMENTS SEPTIC TANK SIZE SEEP PIT1U SIZE �� � ,`��� � � � � `' ' � � � �.