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HomeMy WebLinkAbout16255 �� CITY OF DIAMOND BAR . � DEPARTMENT OF COMMUNITY dt DEYELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 (909)860-3195 Faa(909)861-3117 - PRES$ �`��`� BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE �I��,+n ,� �^� ��p �/ APPUCATION � '1 (j I PERMff ��n���j�/C �I�(� Q ADDRESS !IJ L� � cS/-/'1l�[�� o ( — j DATE NUMBER�Y KJ � � ISSUE � � OI TYPE OCC APN � LO ��j T OATE � CONST. GROUP g OWNER ��/`- ADDRESS ��� ZONING SETBACKS Z CITY ZIP TEL R�R RW � g APPLICANT TEL SIDFJSIDESTREET RW ❑ � CONTRACTOR' C O SIDE ❑ � ADDRE S CITY ZIP T PROPOSED USE � ARCH/ENG/ ; • OESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION �n � OWNER-BUILDER DECLAAATION SFR/ADO/REM O I NEREBY AiFHi�l UNDER PENALTY OF PEiWRY TIIAT I MI E%EMPT fROM THE CONTMCTORS L4 GaragelCarport � � � - 8 CENSEUWFORIHEFOLLOM7NCiREA50N(SEC.70.71.6BUSiNESSINOPROFES510N9CODE:AM'CT'OH (� � COUNTY1MAp1RE0URE5APERMRiOCONSTRUCf,AITEf�WPROVE.�EMOL13l/�ORREPAIRM7YSIRUG W patfo/Deck NRE.PiYOft TO ITS RSUANCE,AL50 REOUIRES THE MPUCANT FOR SUC/I PERMIT TO f0.E A SI(iNED � ETATEMEM 7HAT HE OR SHE IS LICENSED VURSUANT TO THE PROVISiONS OF THE CONTMC10R5 lF � CENSE UW(OUPTER Y(ODMIAENtlNO MA7H SECTION MOOI OF DMSION]OF THE BUSINESSAND FRO� LL' POOVSpB FESSIONS CQO�OR THAT NE OR SNE IS E%EIdPT THEREFqOM ANDTHE BASIS FORTHE ALLEOED E%EMP• TqH,ANYVIOLATIONOF6ECT10N7W1.6BVANYMPLICANTFORAPERMITSU&IECTSTIEAVPLIC/JJTTO Z q�p� F ACMLPENKTY OF NOT MORETUN FlVE INNDRED DOIURS(f5oo�.r ' ^ p�A90MRlEROFTHEPRD7ERTY.ORMYEMVLOYEESWITNWAOESASIHEIRSOLECOMPENSATION, � CORIflIBfCl81 � � - � � MALL DO TME WOFIK,IVA TME SiRUCTURE IS NOT INTENOED OR OFFERED FOR S�LE(SEG Ta�.BUSI- �- J NESSIVO PROFE35lONS CODE iME CONTRACiOFiS LICENSE Uw DOES NOT AP�LY TO AN OWNER OF � N pR00EqiYMhpBURDSORMVROVESTHEREON.MAWNODOE55UAfYIOfiNMIMSELFORHERSELFOR = (� THROUGHHISORHEROWNEMPLOYEES,iROVIDEDTHAT5Ud1MPROVEMENTSARENOTMENDEDOR m � Ll� OFTEAmiOR3ALE.G.HOwEVER7HEBUlDiNCidiIIAPROVEYENTLSSOIDWITHINONEYEMOFCDMPIE Z �TqN,THE OYMEReUM1DER WiLL NAVE TME BUROEN OF VROVINO iIUT XE OR 511E DIO NOT OtnlD OH � M7HOVYE FOii TF1E PURPOSE OF 8nLE} - O I.A4 CM1�EN OF ME PRDPERfI:AM E%RUSIVEIY COHfMCTNO YAT�LICENSE�CONTMCTOIiQ � TO WNSTAVCf THE PRO.IEGi(SEG 7ou,BUSINE43 AND VROFESSIONS COOE THE CONiMCTORS U� ValU2tl ADJ.AREA CE1bE UW DOES NOTMPLY TOAN OWNER OF A iflOPER7Y riT�O BUlDS OR IMPROYES TMEREON.AN� � Mh1000NTMCTSiOHSUQIVR0.JECi51MiF1ACONTMCTOR(S�UCENSEOPURSUURTO7HECONTMG pUANTITY DESCRIPTION FEE � _I TOf{9IICENSEUWJ.��� a01 MI D(EAIPTUNDER SEG B.l G.0 FOfi THIS REASON U 3 � �= DATE OWNER V - � � �� J 4 UCENSED CONTRACTORS DECLARATION W [L IHEREBVI�FFiPoJUNDEFGEN.LLTVOfiE0.R1RYiHATIMILICENSEOUND[FPRO\'ISiONSOFCHAPTER Z _ . 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J V OATE CONTMCTOR a . lL � i YJORKERS'COMPENSATION DECLARATION a �J �� �� � N IMEREBYAFflRMUNDERiENALTYOFVERM1lFlYONEOFTHEFOLIONANGOECiAfUT10N5: U J� /�� N Q � 1lUVEANDWILLMAINTNHACENTIFICATEOFCONSENTTOSELHNSUREFORWORKERS' _ � � � � FNSATI0N,A5 VROViOED BY SEC710N�10o OF 7ME LABOR CODE,FOH TNE iERFORAIANCE W F ME YJORK fOR WNICM MIS PERAIIT IS ISSUEO. � 0 IHAVEANOYVILL�MAINWORI(ERS'CDIA7ENSATIONINSURWCE,ASREWiHEOBYSECTION {^ ^_ /y� O 777o OFT1[tABOi1 COOE,fORTHE VESFORMANCE OFTHE WORK FOR WMIp1iH15 VERMIT IS ►"{ �1 �•A ISSUEO.UYYfdilfER5CO1dPEHSATqNWSU_RA�NC./EGR0.i[RAN�POLICYMIMOERAR� CONSTRUCTION I� l 1 t jWRRIEii 3�"V� PLANREVIEW ( � vaicr nuMeEa� ` (�` EIECTRIC 0 (ilassECt�oriN[IDNoiB£a).siETIDOFTCPEfi.ft6FORUiElu�Oii[DDoIUu�(Siro)oRtESsF PLUMBING Z ICERTtFYTNATNh1EPERFW�MANCEOFTHEWORKFOHVMiCNTHtSFEiWiTI5155UED,l MECHANICAL (�' SHAILNOiEMROYANY►ERSONMANYMANNERSOASTOBECO1dL5UBJECTTOTME � WORKERSGOMVENSATICNLAWSOFCALIF IA,ANDAGREEiHATIF19KK1LOBECOME INSPECTIONFEE SUBJEC 10TH WUNKERS'W�.�PENSA P90VISiONSOFSECTIOND70oOFTNEUBOR �SSUANCE s COOE. 1W.[ OHTIMATN COMPLY WI �OSE P OVISiONS. ��� 'y . C� pDATE: APPLIGtNT: - G F�"��T SMIP � •f-'�� � ENERGY P1C WMNIN(i:FAIUR TOSEWREWOFiKERS' PENSATIONGOVEMGEISUNUWFUI.ANDSHALLBE � SUBJECTANEMPLOYEHTOCRIMWALPEN ESMIDCMLFPlESUPTOONEMUNDREDTKKISAND ENEiiGYPEAMIT DOl1AR5(f100.D00�N1J1OR10NTOTHE TOFCO/APENS�TpN.DM1AGE5A5PROV10EDFORM � SECMN77oeOFTHEIAeORCODE,NTE sr.um�itoauErsFEcs. qETENTIONFEE: '� a ''�. CONSTRUCTION LENDING AGENCY PR6ALT FEE O ' � IHGREBVAFFIPoAUNDEROfNALNOFPERJURYiHATTHEREISACON57RUCTIONLENDINOAGENCY FOR iME VERFOPM/�NCE OF THE WORIC fOH NMiCH THIS GEIW IT IS ISSUEO�SEG Jo07,pY.G). W I � LENDEfY3NAME � IENDER'SADORE55 �- , �� t, � ICERTiFYTMATIHAVEREADTN15MPL1CATIONANDSUTETHATTHEABOVEMFORMAT10NI5WRRECT. TOTAL FEES . � U W IA6REETOCpAVL�WRHALLCRVANDCOIMTYOROINANCESANDSTAiEUMSREUTWGTOBU0.DIN(i _ � CONS UCT�ON.ANOHfRE8Y11UT10RREREPRESENTATIVE50FTHISCDUNTYTOENfERUPONiME , Z '�MENT DGROV€�rvFonwsrEttia+aup¢os[s. COMMENTS � �/Ct ,P�j Gf?7 �' m /� I'{ ry 4 Ea NAEIrwMT1 / _/i/7„,�♦ � _[ (n � � C/(!i`'��L � 'OF PERIAITTE DATE j RECPT.NO. -PAID BY VALIDATION � �. WHITE—DepaRment Copy,YELLOW—Finence Capy,PINK—Assessor Copy,GOLDENROD—Fite Copy,GREEN—ApplicanYs Copy . _ . _. . . __ , . . . . . . . � . .. . . .. . .. , ,. . - .. ....�. . .. :. .... , ,. ..1 � ..., . � � �. . . _ . , • r . . .. r I!• r' � '�. CITY OF DIAil�iOND.BAR ; , .••;,:; ; ;..., � , �> I��fSPECTIO� F�ECt?FiQ . • � _ . � ,,_.�_,� - � ,,, . .. . . ... . ��.'2�g���[�i�#�'_'`' °°�:���: ��� � e ,1��.-��,� -��'ple.����... .. � �ti���-: Y(���.;���.�`������' SFTBACK� �y � , l i; 1 r- I �^ �:.. FLOO�iJOIST ,,.'W..,. ` t,_...,.,; f \�.f,...�`.,e.y. . - ,.i. �FTGS/FORMS/STEEL .: � . ,. � ,-'-- __. , .__ . .._ - FHA REQMTS � - - . .- � � �-' ---; `;' �ELECTRIC GROUND _.. - ' + ' :. UNDER FLOOR DUCT - -- ' � -� �GROUND PLUMBING >> . UNDER FLOOR CU�IDUIT ' ' ' � " " �SLAB GRADE-- - � - - ---- FIREPLACE FOUNDATION � �` TEMP POWER � � • FIREPLACE BOND BEAM - - • � i �`� WATER SERVICE - -- - ' MID HT. gdPJD BEAM '� '�, . . . . � �ROOF SHEATHING = . r� • 8 FT. BOND BEAM :� • • • � � � • 'FRAMINGNENTILIATION - ---- - - - FINAL'BbND BEAM � � � � � � � - -� ! ��. �ROOF COVF_R PRE-GRADING -- ` ' - - 'ROUGN HEATING� -- - � - - BENCHING , �ROUGH ELECTRIC ' '... __ �_ ' R�UGH GRADING � --� - - 'ROUGH PLUMBING -�-- - - '- - -- FINISH GRADING � ;_� �SHOIh'ER/TUBTEST '- POOUELECTRIC � ; !EXT:LATH/SIDING - - - POOL FENCING ' iWALL-INSUlATION -` -- - - - - POOL'FINAL �CEIUNG tNSULATION - -- �- -- - " - � OFF SITE IMPS. - DRWJALL NAILING - , - DEDICATIONS + -- i SEl'YER � FINAL�ENG. � ;SEPTICTANK •., LANDSCaPt/iRRiG. �ScEP_PITlI.L �',+�:`',�J r�.-", �� ON S17E IMPS. 'GA�AIR 7EST � FINAL ZONING !FI(��AL CONST. � FIRE DEPT FiNAL � , - - --- -- iFI�AL HEATWG _ ____ __ :_ NEALTH DEPT. FINA� � 'FiNALELECTRIC - ---- -- DEV. 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