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HomeMy WebLinkAbout18285 (19) �. CITY OF DIAMOND BAR �i DEPARTN�NT OF COMMUNITY 8t DEVELOPMENT SERVICES � '21825 E.Copley Ihive (909)860-3195 Faz(909)861-3117 PRE$$ ��<��� BUILDINGPERMITAPPLICATION F MLY a A DR'ESS �� LG ���� � APPLICATIaN �Z � PERMIT Q r p/C o DATE U NUMBER 0 x � ISSUE /'1� / TYPE OCC APN lf�j��TRACT ,^,,! DATE V v CONST. GROUP p OWNER t�� SH N p ADDRESS_ �/�-�'J�� ZONING SETBACKS z CITY ZIP TEL. FRONT RW O g APPLICANT /L/�v� TEL D — REAR p z� SIDE/SIDE STREET RW O r� CONTRACTOR 4 SIDE ❑ � ADDRESS � CITY � ZIP TEL PROPOSED USE N � o ARCH/ENG/ , ri2 z DESIGNER �� N - ��Y = CnDRESS ' Z�P TEL UNITSWEL STORIES 5�� BEDROOMS � �n DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFRlA�DlREM O p I HEREBV AFFIRM UNDER PENALTY OF PERAJRY THAT I AM E%EIAPT FROM THE CONTMGTORS LI• Gef2Q0/COryOR W CENSEUWFORTHEFOLLOW�NOREASON�SEC.70.t1.6BU51NE5SAND7ROFE5S10N5CO0E:ANYGITYOR (n V COUNiYWHIp1RE0UIRE5AVERMIT7�CON5TRUCT,ALTERIMPROVE,DEMOLISH,ORREPAIRANYSTRUC• W W NRE,PRIOR TO RS ISSUANCE,ALSO REOUIRES THE APPLM.IWi FOR SUCH PERMIT TO FILE A SIGNED W PatiolDeck STATEMENT 7HAT HE OR SHE IS LICENSED PURSUANT TO THE PROVi510N5 OF THE CONTMCTORS ll- � CENSE UW�CHAVTER i(COAIMENqNa MATH SECTION 7000)OF DIVISqN 3 Oi THE BUSINESS�ND PRO. � PooUSpa � FESSIONSCODE)ORTIUTHEOHSHEISE%EMPTTMEREFROMANDTHEBASISFORTHEALLEGEDE%EMP� C7 TION.11NV1/IOIATqNOFSECTION7071.6BYANYAPPLIC�AMTFORl1PERMITSUBIECTSTHEA�PLICANiTO Z Fe-Raof U� A CML VENALiY OF NOT MORE THMI FNE HUNORED DttLAiiS(i5oo�.}. ZOI.ASOYMEROFTMEPROPEHTY,ORMYEMPLOYEESN'iiMWAGESASMEIR50lECOMPEN5AT10N, O COmm0fCl01 WILL DO iHE WORK,AND THE STRUCTURE IS NOT INTEN�ED OF OFFEfiEU FOR SALE(SEG 70�1,BUSI• J � NESS IWO PROFESSIONS COOE:THE CONTRACTORS UCENSE UW�OES NOTAPPLY TO AN O'AT1ER OF = VROPERTY WNO BUILDS OR IMPROVES iNEREON,AND NMO DOES SUp1 WONK HIMSELF OR MERSELF OH � THROUCFIMISORHEROWNEI.IPLOYEES,PiiOVIOEDTHATSUCFIMPROVEIAENTSARENO7RJTENDEDOR m Q OFFEREDFORSlLLEIf,110WEVER11�E8ULDWGORI/APROVEUEMI550LDN1TNINONEYEAROFCOlAOIE� Z T�ON,7HE OWNER-BUILDER NnLL HAVE TNE BUHDEN OF PROVINO TMAT HE OR SNE 010 NO7 BUILD OR � 0.�71WVE FOR THE FUAPOSE OF SALE� W OI�OWNEROFTHEPROVERiY,AME%CLUSIYELYCOMMCTINGWITHIICENSEDCONTMCTORS Q TO GONSTRUCT TME PHOJECT(SEC.7W�.BUSINE55 AND PROFESSIONS COOE:7NE WNTMCTOqS U• Va111 2 1 1 0 11 ADJ.AHEA W CENSEUWDOESNOTAPPLYTOIWOWNEROFAPROPERiYNM1qBUILD50RUAPROVESTHEREON,AND � MAIOCOMMCTSFORSUCHPRO.IECfSVATHACONTMCTOR(S)UCENSEDFURSUANTTOTHECONTMG QUANTITY DESCRIPTION �E Y TORSUCENSEUWd. ��, 0 O I AM EXEMPT UNDER SEC. B.d P.4 FOR THIS REASON Q � U � � z DATE OYMER � 0 W 4 UCENSED COPlTRACTORS DECLARATION w OC 1 HEREBV IIFFIqAI UNDER GENALTY OF DERJURY THAT I MI LICENSED UNDER PROVISIONS OFCHAVTER � p� Y(COMMENCWOWITHSECTION7000�OFDM510N�OFMEBUSINE55ANDPROFE55KKJSCOOE,AND Z MY LICENSE IS W FN.L FORCE AND EF T. ` m � IICENSECLASS L�C.NO. ��r � ___. .0 DATE �O (� CONTRACTOR� _ a. W � I,WORKERS'COMPENSAT�ON DECLARATION Q � IXEREBVI�FFIRMUNOERPENALttOFPE0.M1IRYONEOFTMEFOLIAwMGDECUMTIONS: Z � _INIVEANDN11LlMAINTAINAtERTIFICATEOiCONSENTTOSEIF.INSUREFORWORKERS' _ CO�IPENSATION,ASPROVIOEOBYSECTION37000FTMELABORCODE.FORTNEFERFpRMMlCE �U OFTHE WORK FOR WMIGf TF115 VERMIT IS ISSUED. � • 0 _I MAVE IND WILL MA1 SAIN WORKENS'COMPENSATION INSUMNCE,AS REWIRED BY SECTION ��/. �� 0 l70o OF THE UBOR CODE.FOR THE PERFORAIANCE OF THE WORK FOR Nn/1CH THIS VERMIT IS ISSUEO.MYWORKER'COId ENSATIONWSUHMICECARRIERAND ICYNUMBEflME: CONSTRUCTION j c,�awEA � � PLAN REVIEW � POLICYNUM6ER� �� ELECTRIC � (REssEcnoNNEEnwTBE EtEDOF'nEVEw�isFOaohEHl�DRmDaUiS(t+ao)ca�Ess} PLUMBING Z ICERTIFYTNATINTMEPERFORMANCEOFTIIEWOHKFORWMICHTMiSPERMITI5155UE�.l MECHANICAL (,`} SMAIL NOT EMPLOYANY PERSON P!ANY MANNER SOAS TO BECOME SUBJEGT TO TME � N^DRKERS'COMVENSATIONLAWSOFGLLIFORNI,��NDAGREETHATIFIS/IOUlDBECOME INSPECTIONFEE S SU&IECTTOTHEWORKERS'CAIAPENSAipNVROV15qN50FSECT10N770o 1!'CABOH WDE,ISHALLFORT/M�iHCOIAVLYW1iHT SEDRONSIONS. ISSUANCE � � A � '.� SMIP � � D p DATE�APPLICANT: J WARNIN(i:FAILURETOSECUREWORKERS'COMPENSATqNCAVERAGE�SUNUWFUI,ANDSMALLBE ENERGYP/C �y SUBJECTANEII7LOYERTOCRiMWAIVENALTIESANDCMLFWE511P700NEHl1NOREDhbl1SAN0 ENERGYPERMIT DOlLARS{f 100,000),IN ADDITION TO THE COST OF CqdPENSATqN.DAMAGES AS PROVIOED FOR IN � SECTiON770eOFTHELABORCODE,INTEREST,ANDA7TOiWEYSFEES. RETENTIONFEE: � a ' CONSTRUCTION LENDING AGENCY PREALT FEE: O � IHEREBVAFFIP/AUNDEROENALiVOFPERNRYTMATTHERE15AfAN5TRUCTION�.ENDINOACENCY FOR 711E PERFORMANCE OF 7ME WORK FOR wHICN 7MiS iERMiT IS ISSUED(SEC.0ou7,CIV.C.). � � LENDER'SN.WE C IENDER'SPDORE55 � ¢ ICERTIFYTNATIHAVEREADTHISAPPIIUTqNANDSTATETNATTNEA80VEINFOFAIATqNISCORRECT. TOTAL FEES ��u'M�l \ � 1 AGREE TO COMPLV WITH ALL CITYAN�COUNTV ORDtNINCESAND STATE UN5 REUTINO TO BUILDIN� v 1 v � CONSTRUCTIDN.MlDHEREBYAUTFIOFREREFRESENTATIVESOFTMSCOUNTYTOEMERUPONTHE �•� Z I100YE�MENTIONE VROPERTYF RINSPECTIONPURPOSES. COMMENTS � �� � m �ERMITT E(Pfl11in a J 6 � N SiGPUTUHEOFVENMiTTEE 0 . � �. RECPT.NO. PAIO BY VAUDATION �� WHITE—Depanment Copy,VELLOW mance Copy,PINK—Assessor Copy.GOLDENHOD—File Copy.GREE —ApplicanYs Copy �._...;....�.._..,.-"-'...._,�.....,.....r..j. ,.�.,.;,..-...w. - t _ �r- -...�.- ' � — ' ..--. ..- - T ' � --- • - - . . . . . . .�_'....- _._...�-. -.. ..-,;.-.. ._ __ . _ -.- . �. ...�...,-. �... .�. .�.. ._ ' .' . . , . . . . . .. .. .. ..� � a..4 " . . ^ .n, . . . � ���<< �F CFi�.�ti�Cf°�'D ��r� �iv�Pc�C���(Of'�! ���tfFsD l��f=�o�=e:Eit��►�! —_����'���`.._ �4��`i�,a�;e;�s;�jp��._,._.._.._.. ,f�`}�:7=;c;�ctcj��k r����r= I►'f-7:i=�cs��o��,-� � _..-- --__.--.--._.___._..._....---. . __. . _ _,_ _.___.._. . ..�. ._.___._....- --_.._...,_..__�_.._._.-.-----.._.--.. __._�-�_-----------.---______-------- SEf BACK ' ! ; � � � FLOOR JOIST - - — -.__ , ��— FTGS/FORP�IS/STEEL �_ I � : � FHA RE�MTS � ELECTRiC GROUND � j ' ; ; UNDEA FLOOR DUCT I I .� GROUND PLU�•ABIWG I ' 'JNDER FLOOR COf�!DUIT • SLAB GRADE �_ � � FIREPLACE FOUP.DATION I TEMP POWER I —�_--T FIREPLACE BOND BEAM i WATER SERVICE � � M1D HT. BONp Q�APA ROQF SHEATHING ��`�(f2������ � I 8 FT. BO"�C��aFA(v�• . • _ FRAMING,NENTIUATION _ � ' I FINAL B01•JD'•BEAM • ROOF COVER ���'/a� /I_�� PRE-GRADI�JG I ROUGH HEATI'JG � BENCNIP�G � ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING ~ � FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDIfJG POOL FE�dCING b'UALL INSULATION � POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING � � DEDICATIONS 5EV'JER FIPdAL ENG. SEPTIC TANK , , LANDSCAPElIRRIG. SEEP PIT/L.L. ' ' ' ON SITE I��IPS. GAS AIR TEST FINAL ZONING FINAL CONST. � F!RE DEPT. FIPJA! FIPJAL HEATING i HEAI_TH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY � . -.,�.T.,�....,..�. -...-�<-� �'��"��" �'.1:s'�r�r � . COMMENTS SEPTIC TANK SIZE SEEP PITIU SIZE ►r� I '���� ��I I � ,�� � . . _, ,