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HomeMy WebLinkAbout16585 (22) ! _ . . ..._ - �\ CITY OF DIAMOND BAR � DEPARTMENT OF COMMUMTY R,DEVELOPMENT SERVICI'sS / r � �M� � 21825 E.Copley Drive (909)860.3195 Fux(909)861-3117 PRESS `-:� BUILDING PER1�lIT APFLICATION FI LY o ADDRESS�y�S S' �R� �� � N APPLICATION I O PERMIT P!C DATE NUM�ER # c� ISSUE O TYPE OCC APN �T TRACT DATE CONST. GROUP °C OWNER 0 -� o ADDRESS �� � ZONING SETBACKS Z CITY ZIP TEL.��} _��o� FRONT RW ❑ o APPLICANT Lr T � �36-gt3� S DE/SIDE STREEf RW O ¢ CONTRACTOR _ O�L!/ _ /'�' SIDE ❑ Q ADDRESS_ _�I• V f~'� r�e�s PROPOSED USE o cirv �, ziP y�6.� TEL�lrS=o'!!� w ARCH/ENG! �z DESIGNER�V�A_ N0.DWEL. _ N0. NO. = CDDRESS Z�P TEL. UNITS :TORIES BEDROOMS � DESCRIPTION SQ.Ff. FACTOFi PSF ADJ.AREANALUATION � OWNEH-BUILDER DECLARATION SFFi/ADD/REM O � 1 HEREBY AFFlRM UNOER DENALTY OF PE0.R:RV TMAT I AA1 FXEMPT FROM iHE CONTRACTORS U� G0fB9B/CBIpOfI W CENSEUWFORTHEFOLLOWINOREASON�SEC.70]1.SBVSMESSANDPROFESSiON5CO0E:ANYCITVOR (n U Cq)f(T`(WNICHREOUIRE511PERMITTOCONSTRUCT,ALTERWAFNNOVE.DEA1qL151{ORREPAIRANYSiRtJC . Z TUflE.PR10F TO ITS ISSUMICE,K50 REOUIRES TM[APVIICANT FOR SUCM PEiiMIT TO FIIE A SIGNED W PatiolDotk-��- W STATEMEM THAT HE OR SHE IS LICENSED PURSUANT i0 TH[PROVISIONS OF TME CO4TMCTORS LI� � CENSE UW IC}IAPTER 91COMMENCING MATH SECTION 700a)OF DIVISION]OF THE BUSINESS AND PFO• LL' POOVSp3 � FESSIONSLO�E)ORTHA7NEORSHEISE%EUPT7NEREFROUIWDTH[BASISFORTHEALLEGEDExEA1P. (� � TION.M!'/VIOLATIONOFSECTION7Q71.68`/ANYAPPLICANTFOR�DERMiTSU61ECT5iHEIPPLiCANTTO Z Re-Root � ACMLPENAIttOFNOTMOREiWWfIVEHUNOREDDOIURS(f5o01.Y. O I,AS OWYER OF TNE PROPERTY,OF MY EMVLOYEES WITM WAGESAS TFIEIR SOIE COM7ENSATION, Z 0 Commerciai VnLLDO TME WORICAND THE STRUCTURE IS NOT INTENDEDOR OFFERED FOR S�LE(SEC.70��,BUSI• J NE55 AND GROFESSIONS CODE:TNE CONTHALTORS LICENSE UW DOES NO7 APPIY 70 RN OWNEF OF � PROPERTYWHOBUILDSORMPROVESTMEREON.ANONHODOESSUCHWOHKHIMSELFORHERSCLFOR = � 7HROUGHH1500.NEROWNEIA7LOVEES,OROVI�EDTNATSl1CHIMPROVEAIENTSARENOiINTENOEDOfl m w OFFEREDiORSI�lEIF,MOW[VE0.TMEBUILD�NGORiMPROVE1dENTI550LOK97MINONEYE�ROFCOA�ttE• 0 TqN,THE OWNER�BURDER WILL HAVE iHE BUR�EN OF PROVINO iHAT HE OR SHE DID 1:0T BUIID OR Z IMPROYEFORTHEVUflPO5EOF3AIE). �_ ❑IASOWNEROFiHE7ROVERTY,�IAE%CLUSNE�YCONTMCTWGWRHLICENSEDCONfMCTORS TO CANSTRUCT THE PPQIECT(SEG 70U.BUSII.E55 M10�ROFESSiONS CODE:TF�E COHTRAC70R5 U- V31U31i0f1 _ADJ.AFEA W CENSEUWDOESNOTMPLYTOANOWNEROFAVHOPERrYW1q8UILD50RIMPf10VE5TH[RCON.AND � W/IOCOMMCiSFORSUCHPR�lECfSWITHACOHfMCTOR�S)LICENSEDPURSUANTTOTHECONTMC- QUANTITY D[SCRIPTION FEE Y TORSUCENSELAw.). � J 0 pIAME7fEMPTUNDERSEC. B.BP.GFOR7NISREASON Q LL a �k / DATE OwNER V / Z W � �Q LICENSED CONTRACTORS DECLARATION W CL IMEREBYAFFIRMUNDERVENALNOFGE0.IURVTHA71/MLICENSEDUNDERDROVIS�ONSOFCHMTER � p„ 9�CUMMENCINOWITMSEGT�ON7000)OFOm510NaOFTNLBU51NE55AnDPROFE55iO1:5CODE,/�N0 Z X YY LICENSE IS IN iULI FORCE AND EFFECT. t m � LICENSE CU55 � � UC.NO. ��`� � �- J V DATE���� f� CONTMCTOH��O.. �� n' . . . _. _ . _.. . 74_S/�"r"''/ LL, � WORKERS'COMPENSATION DECLARATION � � ¢ � I HEREBV AFFIRM UNDER PENAL7V Of PERJURY ONE OF THE FOLLOwING DECLARATqNS. V N Z < � IHAVEANDWRL►1AINTAINACERTIFICATEOFCONSENTTOSELF�RISUPEFOIIN'ORKERS' S � PENSATION.ASPRON�EDBYSECilON770UOF7HELA80RCODE,FORTHEPERFORIAANCE W F iHE WORK FOii WNICH THIS VfRMIT IS ISSUED. � � W I HAYE MI�W�LL MAI!JTAIN WORKERS'COMVENSATqN MSURANCE.AS REOUIRED BY SEL110N �n � 97000F THE LADOR CODE.FOf1 THE PERFORMANCEOF THE WONK FOR WHICHTH15 VEAMIT 15 , 1 ISSUED.AIYIMDRNERS'C04PENSATION�"'URMI�LARR'ERANDGOLICYNl1A1�EHAHE� CONSTRUCTION ��I l/� � CARRIER � �n�/ � ' � � PLAN REVIEW - � Z POUCV NU/ABER y ��L�_� ELECTRIC ¢ � (I}355ECfI0NNEmNOTBECd.1REfEDOFh+EPEM�T5fi7RON[Hll�ic'DOOUIfIS(fi0D10f1lESSl PLUMBING _ Z ICERi1FYTHATINTHEiERFORMANCEOFTHEWORKFORYMICHTHISPEW.UTI515SUED.1 MECHANICAL �� (J SHILL NO7 EMPLOY ANY PERSON W ANY MANNER SOAS TO BECCME SUBJECf TO THE (/� WORKERS'COMPENS�TIONLAWSOFGLLIFO(iNI/�ANDAGREETMATIFI5MO11LOBECOME INSPECTIONFEE S SU0.IECT TO TNE WORKERS'C0IAPENSATION PP IONS SECiION 77o iF TME 7F COD'�LLORTHVNTMCOMPLYVfTMiHO° MRONS ISSUANCE � ' i SMIP p DATE: O� APPLICANT: . _ _ w ENERGY P!C � WARNING FALURE TO SECURE WONKERS'LOMPENSATqN COVEAAGE IS U�'UWFU�,AhD SHALL 8[ LL SUNECTANEMPLOVERiOCRI1AL4AL0EUALTIESA.UDCMLFWESUFTODNEMUNORED7FqUSAND ENERGYPERMIT — DOIURS(f 100.D00�W ADDITION TO THE COST OF fAA1oENSIT10N.0AMACES AS DROVIOED FOR IN J SECTION7�OeOF7HELMORCODE.WTEREST,ANDATTORNCVSFEES. RETENTIONFEE: � a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IMEREBYAFflRMUNDERPCNALNOFPERJURYTHATTMEREISACONSTRUCTbNIEN�INOACENCV �- FOfi THE FERFORMANCE OF THE WORN O�THIS PERMIT IS ISSUFD(SCC.7oV1.CIV.G�. W � LENDER'S HAME � LENDERSADDRE55 w I LERTIFY MAT I IUVE PE/�D TMiS APPLICATION AND STRiETUT TME ABOVE WFOPMATION IS CARRECL TOTAL FEES O�5� � IAGREE7000MVLYYVITHALLCIiYANOGOVNTYOf7DINANGE5AND5TATEUWSREUT�NGTOBUiIDING � CONSTRUGTION,/iNOMEREOVAUTNORIZEREPRE5ENIATNE50FiM15CWNTYTOENTERUPOYTME Z ABOVE�MEN710NEDPROVERTVFORttJSPECTiONPURPO5E5. COMM[NTS � _ �o oG� m - Q vcw.�mt Na¢�v � — � � � (A S�GNA ii[ rPtRMItTEE D�fE � RECPT.NO. . _ _P/11D BY . �VALIDATION WHITE—DeOartment CeDY.YELLOW—Finence Copy,PINK—Assessor Copy,GOLOENFOD—Filo Copy,GREEN—Appllwnt's Copy � .• ��IFr.Y! � �..� . �.. ��A�. r.��1���:�:1.. :►.L�•'1Y�+'�:�T y. ill'^(iS'�.�:r'T.mi!Vr-6`5S�! , .����i A!:'n.,h:�:ar,..:r_„d^f/'."�.�1:t:.�M:i•.I,.y..�fjV� . ".f!I"'....R��.�L.A�i.iie•m � . • . _. . � . - ... f CITY Of-Dlt'�►f��O��D BAR INSPEC�lOf� REC�f�D ____�.__ �_ . _ _ _ _. . . .... _ .. li'��Fa�c,"C1�,1►�1 ,�j'�tid�'.=� ��►'�-'�:a�c:..r���� :Ir��'1�?��;'CCc]►'E , :cj_�1'= I►�E- ����a)� - -- - � - - ---..______.---------_..---..._._......._._......._--�-------------� .... ___— ..__.._..----------_.r_�_ Y, �__ - _ .. �. 1;.._�,_-..'�_...,,__}_.i.._. SET BACK � - � . . � � � FLOOR JOISl'.� ��-: . FiGS/FORMS'STEEL �_ I . I FHA REQ"�1TS � , ' . .` � ELECTRIC GROUND � � ' ' ' UfJDER FLOOR DUCT , 1. , _._ .� GROUND PLUMBING ! UtJDER FLOORC:111�U1�' � •••'�• ., i :• . - SLAB GRA�E FIREPLF,�CE�f;OUMbATION '�• • � TEPAP POVVER I I FIREPLA��BOND B�Ah1�= • ' � - ' �- WATER SERVICE � I MID HT. �OND BE,flt�1 ��'I � • � ROOFSHEATHING �'�-c�(��-------_..�I S FT�. BOPJ{?,P.E�A:.1., ..,. - �;-. , � � - • . . FRAMINGNENTILIATION FINAL E30ND E3EA�,,1 � ROOF COVER �--12-�C � PRE-GRADING ROUGH HEATING BEPJCNING ROUGH ELECTRIC ROUGH GRADIiJG ROUGH PLUMBINu FINISH GRADING SH0I�NERlTUB TEST � POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INBULATION OFF SITE IMPS. DRYtiNALL NAILING DEDICATIOPJS SE4"JER FIPJAL ENG. SEPTIC TANK . -�C. LANDSCAPE/IRRIG. SEEP PIT/L.L. ' ' " ON SITE Ih1PS. GAS AIR TEST � - FINAL ZONIP�G FINAL CONST. 6_(�-��, � ' � " FIRE DEPT. FIPJAL FIfdAL HEATING • � • '_ - HEALTH DEPT. FIiJAL FINAL ELECTRIC ' ' ' � DEV.FEES PAID FINAL PLUMBING ' ' ENERGY . � —�------ - c��i�r; cj: E•)cic, --- •- .. K._.�.__.�L.....���ii��'� � t . ._ . • r ��... . . . � �- . — . � ' ' . . � -� COMMENTS � . , .. ,. . .� �, _ �� - �� � � • . . SEPTIC TANK SIZE SEEP PIT/U SIZE !'`� . i ���1 �: _, I, . - . - _ . . � . , . � . � `�.. . .. . � , . � , , . . . '� .