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HomeMy WebLinkAbout17733 (48) i _ - -- ._ - — _ �.,--- �� CITY OF DIAMOND BAR � DEPARTMENT OF CONQvIUMTY&DEVELOPMENT SERVICES 21825 E.Copley Drive (909)860-3195 Fa�c(909)861-3117 PR ESS ''%:�� BUILDINGPERMITAPPLICATION FIRMLY � JOBSITE � 1 Q/� /� APPLICATION PERMIT P/C o ADDRESS��'I D �L�/�/�����t"G D 1\ DATE�� �L' NUMBER f 77 33 # c� ISSUE TYPE OCC APN OT� TRACT DATE CONST. GROUP p OWNER /(/ "" ADDRESS � ZONING SETBACKS g CITY ZIP• TEL. � - � �j FRONT RW ❑ APPL CA T TEL. � REAR ❑ SIDFJSIDE STREEf RW O � CONTRACTOR vG SIDE p QADDRESS J! - �� J� p _ � PROPOSED USE � o CITY��_ ZIP TEL /����1 . � ��� S� wo ARC NG/ � DESIGNER NO.OWEL. N . N . � n. ADDflESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILOER DECLARATION SFWAO�/REM O p 1 HEREBY AFFIRM UNDER VENALTY OF VEfWRY THAT I AM E%EMPT iROM THE CON7MCTORS U• GelegB/C81pOR W CENSEUWFOFITHEFOLLOWINCiREA50N(SEC.7031.68USINESSANOPROFFSSIONSCODE:ANYGTYOR (n U COUNTYNM1IICHREOl11RE5APEHMRTOCONSTRUCT.ALTERIMPROVE,0EM0USH.ORREPAIRANYSTRUC• W Patio/Deck L TURE.VRIOR TO R4 ISSUANCE.AL50 REd11RE5 TME AFVIICJWT FOR SUtl/VERMIT TO flLE A SIGNE� � STATEAIEM THAT HE OR SHE IS LICENSED PURSUANT TO THE DHOVISIONS OF THE CANTMCTORS U• W � CENSE UW(pUPTEi1 Y(COMMENd1W VATH SECTION)000)OF pIVISION]OFTME BUSINFSS ANO PR0. �- PooVSpa FESS�ONS CODE)OR THAT HE OR SHE IS EXEMPT THEREFROM AND THE BAS�S FOR THE/�11EGED E%EIAP- � TION.ANYVIOLATIONOFSECTION7W1.6BYANYAPPLICANTFOR�PERMITSUBlECTSiNEMPLICANiTO Z Re-Roof A CML VENKTY OF NOT MORE TMAN flYE HUNDRED DOLURS(f5[o).): 0 04�OWNEROFTMEPROPEHTY,ORMYEMPLOYEESWITHWAGESA57HEIHSOLECOMPENSATION, 0 CORIR1BfC181 -' Z WILI DO THE WONK,AND THE STRUCTURE IS NOT IMENDED OR OFFERED FOR SALE(SEG 70u,BU51• J NESSlWD PHOFESSIONS CODE:THE CONTMCTORS ULENSE UW OOES NOTAFPLY TO AN OWNER OF � VROVERTYNRIOBUILDSORMPROVESTHEREON.ANDWHODOESSUpIWOFKHIMSELFORHERSELFOR = � THRd1CNItl50RHEROwNEMPLOVEES,VHOV10E0THAT5UCHMPROVEAIENTSMENOTMTENOEDOR m QOiFEREDFORSALEIF,FIOWEVE0.TNE8UILDiNOORRIPROVEYENTlS50LOWIiHINONEYEAROFCOMPLE- � TqN,T11E GWNER-BUILDER VALL HAVE THE BUROEN OF GROViNfi TIUT HE OR SHE D�D NOT BUILD OR MPROVE FORTHE PURPOSE OF 6ALE). O L�OwNER OF THE CROPER'iV,IUA E%CLUSNELV CONTMCTINO WITM IICENSED COIRMC70q5 � TO CONSTRUGT 7HE PRO.IEGT(SEG.7W1,BUSINES9 AND FROFESSIONS CODE:TME CONTMCiORS U• V81U2fi0f1 � ADJ.AREA W CENSEUWDOESNOiMPLYTOANOWNEROFAPROGERTYWIqBU0.DSORIMPROVESTHEREON.ANO � ri1qCONTMCTSFORSUCHVROJECTSWITHACONTMCTOH(5)IICENSEDPURSUANfTOiHECONTMG QUANTITY DESCRIPTION FEE � TORS LICENSE UW.). � O I AM IXEAIPT UNDER SEC. B.t P.C.FORTHIS REASON U � DATE OWNER � Z W �¢ LICENSED CONTRACTORS DECLAfiATION W CL 1HENEBYIIFFlHMUNDERPENALNOFPERNRYiHATIMILICENSEDUNDERVROVi510N5OFCHAPTER Vr � Y(COMMENCPIO WITH SECTqN T000)OF DMSION J OF TME BUSINESS IW�PROFESS�ONS COOE,M1� Z ��� YY LICENSE IS N FULL FORCE AND FECT. m � LICENSE CLA LIC.NO. 7" fl I A'� J V DATE - COMRACTO Nra . . . .. . _ ._. W � WORKERS'COMPENSATIONDE LARATION � N IXEREBVAFFlRMUNOERPENALTYOFPERNRYONEOFTHEFOLLOWINQDEClAMT10NS: V � Za � _I HAVE AND WILL MAMTNN A tERTIFlCATE OF CONSENTTO SELF.INSURE fOR riORKERS' $ � COMPENSATIDN,ASPROVIOEDBYSECTION770oOFTHELAeORCOOE,FORTHEPERFOIiMANCE W OF iHE WOPoC FOR WHICM TMIS FERMIT IS ISSUED. � 0 W _INAVEANDWILL4AINTAMWORKERS'COAAPENSATIONINSUf1ANCE,ASREWIREDBVSECTION O �7o00FTFIELABORCODE.F00.THEPFRFORMANCEOFTHEM/ORNFORNIIICHTHISVERUITIS �� 13SUE0.MY WGRKERS'COMGENSA710N WSUR�N E CARRIER FND POIICYNUTABER ARE: CONSTRUCTION ��f 4 ] CAiiR1ER PLAN REVIEW Z POIICYNUMBER ELECTRIC 4 � (MssEctlONr�Emw7sE aFhEVEAMfsf+oaa+EtUrOHEDD�IUASIt�O�IOnLEss1 PLUMBING -5�•'"•'.- - Z I CERTIFYTHJIT IN h1E PfRFOM1ANCE OF TNE WOHK FOR WHICH TNIS PE�IT IS ISSUED,1 MECHANICAL �L � �� I � (•} SHALLNOTEMPLOYANYGERSOHNANYMANNERSOASTOBECOMESUBJECTTOTNE N YK7RKER5'COMPENSAi10NlAYV50FGALIFORNtA,ANOAGREETMATIF13110ULDBECOME INSPECTIONFEE ' f-�R pe��- S SU&IECTTOTHEY70RKER5'COMPENSATqNPHOVI510N50FSECTION]looOFiHEUBOR � �Yln" �J ���� coo,is Foannnn+cornr�rwin�n+os vaowsior+s. ISSUANCE 1 � SMIP f • D pATE: Z APPLICANT: W ENERGY P!C �,�Y� ' J WMNI ,:FA4 ETOSECUREWORKERS'COMPEN ATqNCOVEMGEISUNUWFUL.ANDSHALLBE _��_ SUBJ TANE.PLOYERTOCRIMwALPENALTIESMlDCNILFINESUPTOONEINNDREDTFIOUSAND ' �` ' u. ENERGY PERMIT --- (f l 000),N IDUI710N TO TXE GOST OF COMPENSATIDN,DAMA6ES AS PROVIDEO FOR IN ¢ SECTION770lOFTHEL/�BORCODE,NTEREST,/N011TTOiWEY'SFEES. FiE,TEMIONFEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IMEREBVAFflM1UNDERVEN�ITYOFPERNHYTHATTMEREISACONSTRUCTIONIFNDWOAGENCY dZ FOR THE 7EHFORMANCE OFTME WORK FOR WHICMTHIS PE(iMIT IS ISSUED(SEC.1oY7,CIV.G�. W � LENDER'S HAME � �ENOERSAOORESS � � ICERTIFYTHATIHAVEPEADTHISAPPLICATIDNANOSTATETMATTNEABOVEINFORMATIONISCORRECT. TOTAL FEES / � W IAGREETOCOMPLYM7TMALLCRYANDCOUNTYORDINANCESANDSTATEUWSREUTWOTOBUILDINO � � CONSTRUCTION.ANDHEREBYAUTMOR2EREPRESENTA7NESOFTNISCWNTYTOENTERUPONTHE ZABOVEMENTIONEUPROVERTYFORIN57ECTqNGURPOSES. COMMENTS o �M _ m PER ITf NMIE�PWFIT) - ¢ 3 �� �z � � S,N EOFPERMI D E � RECPT.NO. PAID BY S VAUDATION WHITE—Departrnent Copy, LLOW—Finance Copy,PINK—AssessorCopy.GOLDENROD--File CODY.GREEN—AOdicant's Copy :.�:..^v� ,. •S:'irr. �,��.a.:.4{'ir."rt�^.7+..��• .���.Te;. ' . ' v'^f�"•`T':�` ..- .—'^:+i.,x�,�;a�t�'i1r'�,7•:,— _ v.� ..,.... ,i�-..._.,... .. �.'• � .�... _..' . .. ,,. .. .. . .... , ... CIT°r' OF QIAMOND B1aR 1�SSFEG�'IOh! RECOI�D ` -� �---- - r �, y�,� � -'�1�������..�t►�,� . ..;- �n�1��. i��i��������.�� . . ;,�1�.���a�1.�4�� ..., rd�� � �.� ,I�J�.�.� `J � . , , � . . . 0 � - ' -- ._._.`.Y_.__._<_.._..�.r ........ _,..... .Y..._..�._._.,...._. - . - �. , .. ,. .h .' SETBACK � . I I'FLOORJOIS,T•'\'"': : � '., � `,, .. 'FfGS/FORMSISTEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT r � GROUND PLUMBING UNDER FLOOR CU�IDUIT=".;:• �. _�. I •- � SLAB GRADE FIREPL'ACE'FOUNDAI'ION � • • TEMP POWER FIREPLACE BOND BEAM � WATER SERVICE �__ MID HT. BOND BEAM� '` "� _ ` • ROOF SHEATHING ` �l� - � 8 FT:'BOND BEAM�-� _ - FRAMINGNENTtLIATION � � FINAL BOND BEAM ROOF COVER ���� PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC , ROUGH GRADING ROUGH PLUMBING I I ; FINISH GRADING SHOWER/TUB TEST � POOL ELECTRIC EXT.LATH/SIDING � � I POOL FENCING WALL INSULATION � POQL FINAL I CEIUNG W�ULATION I 1 ' OFF SITE IMPS. DRYWALL NAILING i ' DEDICATIONS � SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/LL I 1 � � �N SITE IMPS. GAS AIR TEST � FINAL ZONING FINAI.CONST. � ���Z, . GIRE DEPT. FINA! FINAL HERTING ' HEALTH DEPT. FINAL FINAI ELECTRIC ; DEV. FEES PAID • • FINAL PLUMBING � � ENERGY° � � � . ic �;a�l.,.�c e;�. ... .�.i � . . . ' �.... --- -__ -- - --�--r-- �. .=- - ----.. ._�......�.�..,.. . I COMMENTS - _. ' ,, ., . - , ; . � .- � � '. .. SEPTIC TANK SIZE SEEP PIT/U SIZE _ _ -j�. ... t . _ . . � _ _. j . - - � ���j�,� ' !�i �! . i . . _. .. - f ,\ , , . I �r,....o " � . _ ' . � �i � ' . . •