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HomeMy WebLinkAbout18095 f_' . . _ ' __ ._. CITY OF DIAMOND BAR �� DEPARTMENT OF COMMUNITY&DEVELOPIvIENT SERVICES �— �� 21825 E.Copley Drive � (909)860-3195 Fax(909)861-3117 RESS ��'-�� BUILDING PERMIT APPLICATION FIRMLY o ADDRIESS 24161 Highcrest Ave APPLICATIONf Z �fZ NUMB R ��93A/C DATE �J $ , ISSUE TYPE OCC APN LOT 7 TRACT 31977 DATE .-S Z��O� CONST. GROUP p OWNER _S;o��Investment Group o ADDRESS 1595 C� @Y'1� Yaf1 V@. ZONING SETBACKS gCITY Mpnt�r�i P�QP q17r,ijEL. fiZ6S275HB7 REAFiT RW O APPLICANT TEL. � � SIDElSIDESTREEf RW O � CONTRACTOR' SIDE p � ADDRESS � CITY ' ZIP TEL PROPOSED USE o ARCH/ENG/ I � DESIGNER NO.DWEL. NO. NO. a ADDRESS UNRS STORIES BEDROOMS � CITY ' ZIP TEL. � cn , DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� i� OWNER-BUILDERDECLARATION SFWADD/REM O p 1 NEREBY AFFIRM UN�ER iENAITY OF VERNRY T1AT 1 AM EXEAIPT iHOM TNE CONTMCTOiiS tl• GdfBQB/C9fpOR W CENSEUWFORTHEi0L10WINORE/150�7(SEC.70.7i.68U51NESSANDVROFESSiON5GO0E:/NYGITYOR (n U COUNTYWMICHREOUIRESAFEMIITTOCONSTRUCf,ALTER�PROYE,DEMOlJSH,ORREPNRANVSTRUG W P8110/DBCk � TURE.PRIOR TO RS ISSUANCE.ALSO REWIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SICNEO w STATEMEM THAT HE OR SHE iS 110EN5ED PURSUANT TO THE OHONSWNS OF THE CONTMCTORS tl• � CENSE UW(CW.CTER 0(COM/AENCMO WITH SECTION 7000)OF OIVISiON]OF TME BUSINE55 AND VRO• LL' PoallSpa FESSIONS CODE)ON iMA7 HE OR SHE IS E%EMPT THEREFROM AND THE BASIS FOq TMEAIIEGED EXEIAV- � TION.l�M/VqLIRqNOF5ECT10N70�1.60YANYAPPUCM7TFORAPERMITSUBIECTSMEAPP�MaWTTO Z Re•Roo1 A GML IENALTY OF NOT MORE TMN1 FNE HUNORED DOLURS(fsool.k � 04�o'N��EROFTNEFROPEHTY,ORMYEM7LOYEESWITHWAGESASTMEIRSOLECOMPENSATION, 0 Commercial - Z IMLL DO TNE WORK,AND THE STRUCTURE IS NOT INTEN�ED OF OFFERED FOR SALE(SEG 7W�,BU51• J � NESS AND iROFES5WN5 CODE:THE CONTRACTORS LICENSE UW DOES NOTADPLY TO AN OWNEF OF ? PIiOPEATY VYMO BUttDS OR IMPROVES THEREON.AND VAIO OOES SUpI WORN HIMSELF Ofl HERSELF OR Q TNiiOUCHNISORHEROWNEIAPLOVEES,PPoDV10E0THATSUG/1MPppVEMENTS�RENOTWTENDEDOR LY� pOFFEREDFORSALEIF,HOWEVERIHEBU�LDWCORIM7ROVfMENTI550lDNATMINONEYEAROFCdADLE- Z TION,T1E OWNEfl�BUILDER WILL HAVE TME BURDEN OF PROVINO THAT HE OR SHE Dlp NOT BUI�p OR � MPROVE FOH T1E PURPOSE OF SALE} ❑I��WNEROFTNE PROPERT`/,AM E%CLUSIVELYCONTPACTINO WRN LICENSEDCONTMCTORS Q TO CONS7RUCT THE VRO.IECT(SEC.70u,BUSIM1E55 AN�PROFESSIONS CODE:7ME WNTMCTORS LI- ValU8lI0f1 ADJ.AREA . W CENSEUWDOESNOTAPPLYTOANOYMEROFAVROPERTVWMOBUIIDSONIAIPROVESTHEREON.ANO � WHOCOMMCTSFORSUCFIPROUECTSWITHACONTMCTOR(S)LICENSEDVURSUIMTOTHECONTMG �UANTIN DESCRIPTION FEE � TORSUCENSEUW). '�,. � OtM1EXEMPiUNDERSEC. B.1P.C.FORT1115REASON < General Electric � � ain Panel o''O, Z DATE o�Ep � anel d � ' UCENSED CONTRACTORS DECLARATION W � I HEREBVAFFlRM VNOER PENAITY OF FERIURY THAT IAA1 LICENSED UNDER OROVISKKJS OF CHAPTEF V. O p„ 9(C0IAMENqNfi W1TM SECTION 7000)OF DIVISION�OF TME BUSINESS AN�PROFESSpNS COOE,M1D Z `L MY LICENSE IS IN FULL FORCE ANO EFFECL m � LICENSE CLASS � LIC.NO. � V DATE CONTRACTOR a W � �',WORKERS'COMPENSATIONDECLARATION a Ve anS N IHEREBYAFFIRMUNDERPENALTYOFPERJURYONEOFTHEPoIIAW�NODECUMTIONS: 4 Re ister N � �I HAVE AhU WILL MAINTAM Il CERTIFlCATE OF CONSENTTO SEIF•INSUNE FOR WORKERS' S • p T U EX COMFENSATqN,AS VROVIDED BY SEC710N 71ooOF TME LtBOR WOE,FOR ME PERFORMANCE U OF THE WORK FOR WHiq1 iH15 iERMIT IS ISSUED. � F A C � _INAVEANDWILLMAIMAINWORKERS'COI.IVENSATqNINSUMNCE.ASREWIREDBYSEC7lON R rns Q J7oo OF h1E UBOR CADE,FOR THE PERFORMANCE OF THE WORK iOR WHidI7HI5 VERIAITIS ISSUEO.MYWORNERS'COMPENSATIONNSURANCECARRIERANDPOIICYNUMBERAAE: CONSTRUCTION j CARRIER PLAN REVIEW � � POLICY NUMBER ELECTRIC � � massEcnora�nwreEoa.aFrEoocnEVEarartswnnor��ar��ooiuuK�ml��u1 PLUM8ING Z I CERTIFY 7HAT N THE PERFORMANCE OF THE WORK iOR WMICH THIS PERMIT IS ISSUED,1 MECHANICAL C7 SWLLLNOTEMPLOVANYVERSONWANYMANNERSOASTOBECOMESUBJEGT70THE � WORNER5GOM7ENSATqNUW50FCALIFORNIA,ANDAGREETHA71FI5HOULOBECOME INSPECTIONFEE S SU6IECTTDiHEWOFNERS'QOMPENSAiIONDRDN510N50FSECTION77000F7HELABOR COOE,I SHA11 FORTHwITH CdAPL'/WiTM TF105E VRON510N5. ISSUANCE � . � ' SMIP p DATE: � APPLICAM: J ENERGY P/C WARNM�:FAILURE TO SEIXIRE WORKERS'L04PENSATION COVEMGE IS UNUWFU�ANO SMAIL BE LL SUBJECTANEMPLOYERTOCRIIAINALPENALTIESANDCNILFINESUPTOONEHUNDREDTf10U5AND ENERGYPERMIT DOLURS(f toa,o0o1.IN ADDITION TO TNE COST OF CdACENSAiION.DAMAGES AS PHOVIDEO FOR W J SECi1DN370lOFTHEUBORCODE,IN7ERES�AND11TfORNEY'SFEES. RETENT�ONFEE: � � � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IMEREBVAFFIRMUNDEROENALTYOFPE0.NRVTNATTHEREISACONSTRUCTIONLFN�WGAGENCY d FOR THE PERFORMANCE OFTHE WORK FOR VMiCN TNIS 7ERIAIT I5155UFA(SEC.]097,CN.C.�. Z W I � LENDER'S NAME F_ IENDER5110DRE55 �' /� WI CERTIFY THAT I HAVE READTHIS AVPLICATION AND STATE TMAT iME ABOVE INFORYATION IS CORRELL TOTAL FEES I ��• /� � IA6REETOCOM7LYWITHALLCT'ANOCOUMVOPDINANCESANDSTATEUWSRELATWOTOBUILDINa � A CON57RUCTION,AN�HEREBVAUTYIORI2EREPRESENTATNESOFTHISCWNTYTOENTERUCONTME \.i � ZABOVE�MENTIONEDGROPERTYFORINSPECTIONPURPOSES. COMMENTS � J � m PERAlI7iEE NAME(PiUtin Q � � S�GNATUREDFDERu1TfEE DATE �� � , RECPT.NO. PAID BY VAUDATION , WHITE—Departmenl CopY.YELLOW—Finance Copy,PINK—AssessorCopy.GOLDENRO�File Copy,GREEN—AOPlitant'a Copy � .. .. . . . . i. v . lw. ... ,. � �i . . �. Y.� .... - . �,�. n .. . , �l'•' ' r , > i r • ..F._ . .. '� . '. ' . . ca�� �r �o�r�J10f'�!D �/"-�R �r�s��:c�ia�. ��co�n �_____ .�__._�_______.�._.. _________ �.._.__... _ ...� � � _.,_�^. 'V 9 '�1-��;� � � . _.{. t .: Y 1 �� '� �� � �,(v� i � - II►�-�.a�c,.�I�►x �� ..._. i►�`9.�a:�,a c.c��� 1►F-`l:� �€.�ric`�►� �� �a�'-. ►��1:�f�c �"al��� ___.___�____._______.__._ .. . _ _____ _----..: .....__... _._..:___ --W.______---,----�.:�__.�......___.__..__�_-� -� SET SACK � _�' � ' FLO�R J�IST � l � FT'GSIFORMSlSTEEL I � FHA REQDATS � ELECTRIC GROUND j ' � UPJDER FLO�R DUCT ( GROUND PLUiJ1BING I I U��1DER FLOOR CUP�IDUIT I SLAB GRADE I FIREPLACE FOUNDATION I I TEh�P POWER I I� FIREPLACE B�ND BEAPJ{ WATER SERVICE I � h91D HT. E30ND BEAP�1 ROOF SHEATHING ~_l 8 FT. 80ND BEAM i FRAhAINGNENTILIATION I FINAL QOND BEAPJI I ROOF COVER I PRE-GRADING I ROUGH HEATING BENCHIi�JG ROUGH ELECTRIC �Z'�J�� ROUGH GRADING ROUGH PLUMBING j I FINISH GRADIPJG SHOWER/TUB TEST �� POOL ELECTRIC EXT. LATH/SI�ING I POOL FEf`dCING WALL INSULATION POOL FINAL CEILING IN�Ut�`,TION OFF 51TE IMPS. DRYWALL NAILING � DEDICATIONS SEWER � FIP�AL ENG. SEPTIC TANK . LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE It�1P5. GAS AIR TEST FINAL ZONIPJG FINAL CONST. FiRE DEPT. FINAL FINAL HEATiPJG � HEALTH DEPT. FINAL FINAL ELECTFIIC � ���-.� � DEV. FEES PAID FINAL PLUMBING ��� r EP�ERGY � r:��,,c•�::y�s=i�t� � . .....---_._�..___..._y�.__._.___��_..._: COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE _..� I��_�.�.___._. ,��`� ,a I i .�a i