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HomeMy WebLinkAbout17625 _�� CITY OF DIAMOND BAR i DEPARTMENT OF COMMUNTIY&DEVELOPMENT SERVICES EXP I R E D ��� 2►823 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS '����� BUILDINGPE ITAPPLICATION JUN 181��'}? FIRMLY ¢ DDRESS �'r2� �LVfV�O� � APPLICATION r� o DATE �f�v"` NUMBER I��� p/C $ �SSUE TYPE p�C � APN LOT TRA,� DATE CONST. GROUP p OWNE o ADDRES � ZONING SETBACKS z CIT�f� O/'� IP STEL. FRONT RW O g APPLICANT TEL. REAR p zd SIDFJSIDE STREET RW ❑ � CONTRACTOR �L • SIDE p A�DRESS � CITY ' ZIPI�TEL PROPOSED USE o ARCWEN z� DESIGNER NO.DWEL. NO. NO. = CIDTMDRESS Z�P TEL UNITS STORIES BEDROOMS � � DESCRIPTION Sa.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O � 1 MEREBY AFFIRM UNDER iENALTY OF PEFWHY MAT 1 AM E%EMVT FROI�1 THE CONTMCTORS ll• � Garaga/Carpart W CENSEUWFORTMEFOLLOWINGRE�SON(SEG70]1.SBUSINESSMIDPROFESSIONSCODE:ANYCIiYOR U COUNTYWHICHREWIRESAiEPA11TTOCONSTRUCT,ALTER.M7ROVE,DEMOl15H.ORREPAIRANYSTRUC• W P8I10l�BCk � IURE.PRIOR TO RS ISSUANCE.ALSO RE�UIRES TNE APPLICANT FOR Sl1CH PEHMIT TO FILE A SIGNED W � SUTEMENT THAT HE OR SHE IS LICENSED VURSUANT TO THE PRONSiONS OF TNE CONTMCTORS U� � � CENSE UW�pUPTEH 0(COuuENCIN�MAT1 SEMION 7oDo)OF DIVISION 70F THE BVSINESS MJD PFO- POOVSp2 � fES510NSCO0E�ORTHATHEORSHEISE%EMCTiHEREFROMANDTHEBASiSFORT7EALLEOEDEXEMP• (� V TKKJ.AN'/VIOUITIONOFSECT10N7W1.S8Y/�NYA7GlICAMFORAPERMIT$UBJECTSTHEA7PLICANTTO Z RB•ROOI F AGYILGENALTVOFNOTMORETIWIfNEHUNDREDDOLURS(f500).�: � ❑4��WNEROFTHEPR07ER7V,ORMYEMCLOVEESWITHWACE5A5THEIq50LECOAIPENSATION, � COrt1R18fC131 � Z NnLL00 THE WOHK,ANO THE S7RUC7URE IS NOT INTENDEO OR OFFERED FOR SALE(SEC.70a1,BU51• J � NESS AND GROFESSIONS CODE:THE CONiRACTORSIICENSE UW OOES NOT AGPlYTO AN OWNER DF ? CROPEHfY Yh10 BU0.05 OR IMPROVES THEREON.AND WHOOOES SUCH W+ORK HIA/SELF OR HERSELF OH 2 THROUGHHISOflNERONTIEMPLOVEES,PROVIDEOTHATSUCNMIPqOVEAlEMSARENOTINTENDEUOR m O OFFEREDiOpSALE.IF,HOWEVERTMEBULDIN60R11AVROVEMEMIS50L�WITMNONEYEAROFCOMPLE- Z TqN,THE OWNER�BUILOER WILL HAVE TNE BUROEN OF PROVW 0 THAT NE OR SHE Di0 NOT BUILp Ofl = IUPfiOVEfOqTNEPURP0.5EOFSALEI. LLJ ❑lA..`OWN[ROFiMEPROPERTY,AAIE%CLUSNELYCANTMCTWaWITHLICENSEDCONTMCTORS Q TO CANSTRUCT THE PRQIELT(SEG 70H,BUSINE55�NO iHOfESSIONS LODE:TME CON�MCTORS Lb V8IU2UOf1 ADJ.AREA W CENSEUWDOESNOTAPPLI'TOIWOWNEROFIIPROVERTYWMOBUILOSORIMVROVESTHEREON.AND � WHOCONTMCTSFORSUCMGROJECTSWITHACONTiUCTOH�S)I�CENSEDWR5UMITTOTMECONTRAG OUANTITY DESCRIPTtON FEE Y TOHSLICENSEUWJ. � ❑IAM El(EAIPTUNDER SEG B.i P.G FOR TMIS RfASON a �+ U � � DA7E OWNER M� 0 W � UCENSEO CONTRACTORS DECLAHATION –r � . w IHEREBYAFFIRMUNDERVENAITYOFPE0.IURVTHATIAMLICENSEDUNDERPROVISqNSOFCHAPTER Vr /i p� 9(COMMENCINQWIiHSECT10N7000)0 DNISION70FTHEBUSINESSANOGROFESSIDNSCODE,ANO Z Y �X ►IY IICENSE IS N FULL F E E CL � m � UCENSE CUSS �' UC.NO. C j V DATE CONTMCTOR � W � ORK 5'COMPENSATION DECLAFlATION 4 � IHEREBVAFFIFMUNDERPEWLL OFVE0.NRYONEOFTHEFOLLAWINCDECLARATqNS: Z � _IMAYEAND NTAMAGERTIFICATEOFCANSEMTOSELf-INSUREFORWORKENS' _ � COM ATION,ASPROVIDEDBYSECTIONri000FTHEUBORCO�E,fORTHEGERFORMANCE U Q HE WORK FOR WHIdITH15 PERMIT IS ISSUEO. � � �IHAYEANOVALLMAINTAWN'ON(ERS'COMPENSATIONINSURANCE,II3REWIREDBYSECTION Q ]7000FTHELABORCOOE,FO iHEVERFORMANGEOF ORKFORWMILF7THISPERMIi15 J ISSUEO.MY WORKE ' EA� S R/WCE A�EEi1�Np POLICY ' YG� A CONSTRUCTION M //f— � j CARRIER ��� ��'�� PLANREVIEW Z voucrrouuaEa`�V« ELECTRIC ¢ � (f}1SSECiIONNEmNJTBEWI.6LEiEDOFTIEPE .6FOR +e n�oouutsR��lon�ss? PLUMBING Z I CERTIFY THAT W THE PERFORMANCE N 0 il THIS PERMIT IS ISSUED.1 MECHAN�CAL C7 SHAtLNOT EMPLO ANY iERSON IN S 8 E SUBJECT TO THE (n WORKERS' dAVF SATIDN UWS OF 'O HAT IF I SNOULD BECOME INSPECTION FEE SUBJECTT THE ORKERS'COM7E �AT N ECTIDN]�OOOFiMEUBOF Oeaoe isH F nTNWITHCpA�LV in�r _ ISSUANCE Q�++ OATE: r APRICANT. SMIP � WARNMG:F HE SECUREWORKERSCOlAP ATbNCOYE .,UNUWFUL,ANDSHALLBE ENERGYP/C �y SUHJECiMIE PL ERTOCRIAIWALVFNALTIESANDCMLFWESU�TOONEHUNOREOTFIOUSAND ENERGYPERMIT DOLURS(f IOo. .N�DDITION i0 T1E COST OF COMPENSATqN,DAMAGES AS PROVIDEO FOR Ml .r_I SECTqN 97oe OF THE U�BOR COOE,WTEREST,AND�TTORNEY'S FEES. � � , � - ---�- -- Q RETENTION FEE: � oCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � " " CL IHEHEBVAFFINAIIXJDERDENALTVOFPE0.IURVTNATTHEREISACONSTRUCTIONLENOWGACENCV FFR l'i " ^�� 0- fOR TME CERWRMANCE OG TNE WORK FOR WHICH TMIS FERMIT IS ISSVEO(SEC.]aD7,QV.C.�. � [..�� Z w � IENDER5 NAME � LENDERSADORE55 � TOTAL FEES ¢ I CERTIFY TMAT I H�VE REA�THIS APPLIGITION AND STATE THATTHE ABOVE INFORIAATION IS CARRECT. W IACREETOCCMPLVN7TH LCRYANDCOU RDINANCESANDSTATEUWSREIATWGTOBUILDINO n. � CONSTRUCTION E BVAUTqRR RES)))MATNESOFTHISCWNTYTOEMFRUPONTHE ABOVE-MENT EO 0 'F FOR INS � T�HPq�y. 0 //// COMMENTS � � a�<<�_ � / ¢ PERMIRE � / � [/� SIGNATU �O MITT E , ATE � RECPT.AO. PAID BY VALIDAT�ON NMITE—Depenment Copy,Y OW—Finance Copy.PINK—Assessor Copy,GDLDENROD—File Copy.GREEN—Applicant's Copy . � .� . �'l:. � .� . , -� �i�� . .. �J. . , - •,- .� . ,. . . ,-�__••'_�.,_�v,-i_ .nF•, . --• n ' . , . w . .•:s^,•.: o .�.. .a���'..' . . .. .. ..e . :}r:. ♦: �t-.• •!. ce�-�,• or- ���r�:�or�Q ��r� � ir�s����;��or� R�ca�� � 4 'r . = � _ _- r~ _, .• v �I Y _ � 's;'"� II►�-y:��.��t'[o)►t �1_�e'- ,1��-`iK���;t,F1�t. I�ti'�:�'�a',;E,[e`1►l �;}��:�'� ;���'��I�r.�r'e� ;l ._.....__.._____._..._____.�__.._ . , . �_ � �. - -� __._�_.__.._.__ .._ ....__.. __.._,.._.__._ ..t .. ._.._,...____._...____....__....-- -.._ ___ . . _ ..._...-----�__-- 5ET BACf: � _� � � FLO�R JCIST' I --- -- - —�—�1-- FTGS/FORMS/STEEL ; `� !-� FHA REQ^ATS ELECTRI�GROUND � __ j j_UNDER FLOOR DUCT � GROUND PLUMBItJG � ( Uf�lDER FLOOR CU�IDUIT � I SLAB GRADE I ` FIREPLACE FOUNDATION '; TEPJfP POWER I FIREPLACE BOND 6EAM � _ WATER SERVICE —I-- I P�11D f iT. L'OND E3EAP�1 ROOF SHEATHING -{ 6 F-T.BONO BF�,^.� � • FRAMINGNENTILIATION I FINAL BOND BEAh9 1 ROOF COVER I PRE-GRADING ROUGH HEATING EiENCHING ROUGH ELEC7RIC � � ROUGH GRADING ROUGH PLUMBiNG j I FINISH GRADINu SHOWER�fUB TEST ' POOL ELECTRIC EXT. LATH/SIDING � POOL FENCING WALL INSULATION POOL FINAL I CEILING INSULATION � �FF SITE IPAPS. DRYWALL NAILING �EDICATIONS SEWER FIPJAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. � SEEP PITlL.L. ON SITE IMPS. � GAS AIR TEST FINAL ZONIPJG �FINAL CONST. � , FlRE DEPT. FINAL • FINAL HEATING hiEALTH DEPT. FIfJAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUME3ING \ E�dERGY �1-�rr..� .,a-,��t�.� � .� .,�._.....;_�_�:�:�= .�.�.__..�__ COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE � IA�p ��I ,��►� �� ,� ,