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HomeMy WebLinkAbout13367 (7) J� — CITY OF DIAMOND BAR . r .',. � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES c , 21660 E.Copley Drivc Suitc 190 . . � (909)860-3195 Fax(909)861-3117 PRESS '��►�� BW.DIlVG PERMIT APPLICATION � FIRMLY o DD ESS �SO � � `� �'`�. DATE CATION 8�/L���NUMB R_1_2_��J—L A� ���a�1 � , issue TYPE occ � APh L T TRACT DATE � CONST. GROUP. � OWNER "' ADDRESS � . ' ZONING SETBACKS � �"' Cf'TY • • ZI TEL REAR RW ❑ APPUCANT .�•,.�DI�Af.I TEL SIDE/SIDE STREET RW O � CONTRACTOR SIDE ❑ � ADDRESS PpOPOSED USE N k1 I o CITY ZIP TEL. � o ARCH/ENG/ �IW. 0 L�A'N N C�. ,�, DESIGNER NO.DWEL /� NO. NO. � CD�D�RE��S ��� ZI � UNITS `T STORIES �L"' BEDROOMS ftTjL � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BU�LDER DECLARATION SFR/AD�/REM O 1 HER�`/AiFlfil UNDER PENALiY Of VEfWRY THAT 1 AA1 EICEMPT FROM THE CONTMCTOHS tl• G8f8Q9/CAIpOR �8 C£NSEIAWFORiHEPDlLOYVINOREA50N(SEC.10J1.68USINESSMIDPROFESSqNSCO�E:ANYp7YDR (n - � COUHTYWMtliRE0URE5AGERIARTOGDNSTRUCi.ALTfR1YPPAVE.DEAKKISH.ORREPAIRNiVSTRUC• W PetiO/DeCk • � 7Ui�,VNOR TO R9 69UANCE.A150 REOUIRES THE M7LICANT FOR SUCH PEMIR TO iILE A SIGNED W � STATEMENT lluT HE OR SHE IS UCENSEO A10.SUANT TO TNE VROV610NS OF TIiE CONTMCiOR4 LI• � C875E UW(CNAPTER Y(COMMENpIW WI7N SECTION 7000)OFDN�SION�OF THE BUSMESSAND PR0. � POOVSp3 iE5S10M3 OODE)OR hIAT HE OR SHE IS EMEMPTTNEREFRpA AN�tHE BA515 FOR THE ALLEGED EXEMP• TIOM.ANYY�OIATONOF5ECT10NT0]1.6BYANYAPPLICANTFORAPERMRSUOJECTSiHEAPPLICANTTO Z Re-Hoo( �„_ AGNLPENKTTOfNOTMOf1E71WIFlVEHUNDRED00LURSfiSWl.f _ � O�A90MMEROFTHEPROVENT`/,ORMYEMPLOYEESWIiHWACE511SiHE1R50lECOMPENSATION, 0 (,`pmmefClel � W61 DO THE WOIiC MO THE SiAUCTURE IS NOT It7TEN0E0 OR OiFERED FOR SALE(SEG 70u,BU51• J NESSAND PROFESSIDNS CODE T11E CONTMCTORS IICENSE UW DOES NOT APPLY TO AN OWNER OF � OROVEHTYMAqBUIDSOi1WVROVE3T11EREON.MIDVAiODOE35UdiMlOFi1fWM5ELFORNERSELFOR = ' � THROUONN�SORHER0INIEMCLOYEES,Ci10VIDWTHAT6UGI�APROVEMENTSARENOTINTEI�mOR m OFFFiim FOH SALE.F,HOMlEVER h1E BUlDIN60R IMVROVEYENT IS SOID WRMN ONEYEAROF CCMPLE• �'TION.T//E OWNEi48UM1DER WILL W1VE THE BURDEN OF PRONN6 1MAT HE OR BHE DIO NOT BUIID OR MPROVE FOR TFP►URPOSE OF BALE} � 04�O�M�FROFiMEVRDPERi1:AMEXCLU5IVELYCONTMCi1NON7TILICENSEDCONTiUCTdiS _ . Tp CONSTAUCf T11E VRD.IECT(SEG 7oN.BUSINE55 AND VROFESSIONS CO�E:7ME CONTNACTORS L4 V8IUBIIOf1 AQI.AREA CENSE UW DOES NOTAPFLY iOAN OWNEH OF A VROVEFTY YAq BU4D5 OR MPRDYES 1HEREON,MD � wHocartrucrswr�sua�vaa�crswinuoorrrrucron(s�ucENseovunsuuvrroniEconrruc pUANTIlY DESCRIPTION FEE � roasucEriseuw.). - �J OIMIE7�MPTUNDERSEC B.1O.GFORTHISREASON 4 3 . � .. � "":'�•. 1 ' .. u" DATE OWNER � . . U . �.-.___ . � J UCENSED CONTRACTORS DECLARATION W � IMEREBVAFFWYl1NDERPENAITYOFVEM1ilYTHATIAAILICENSEDUNDERPROVIS10N50FCHA7TER Z '/� � U �� i`�� s ��COWIENCN(]NrtTNSECT%7N70Do)OFOMSION]OFTHEBt151NE55ANDPROFES510NSCODEANU /�`) �X W LICENSE IS W RILLFORCEANO EFFECT. � � A l.!;1��`.i�) �Sl11\ � tICENSECUSS LIC.NO. J ,�n �,•,.Tr� .N�S.-':�L�i�Y �"j onr[ corm+�croa a . w � WOFiKERS'COMPENSATION DECLAAATION a � U � INE1iEBYAFFlPMIMDEROENAtTYOFFERNRYONEOFTMEiOLLON�NCDECLARATqNS: Z 6 O _IIMVEANDWILLMAMAINACENTIflCATEOFCONSENTTOSELF•WSUREFORMIORKERS' _ � C0IIPENSATION,ASVHOViDEDBV5ECT10NT7000FT1EUBOFlCODEFORiHEGERFORMINCE W OF ME WOPX FOR MA/IC/l TMS FEiW IT IS ISSUEO. � G � Q _I HI�VE ANU WILL MAINTAIN WOiU(ER5 COM7ENSATION MSUMNCE,AS REOUtRED BY SECTION � / 7/000FTHEVBORCOOE,fOFliNEVERFORMMICEOFTHEWIXiKWRWHI(71TMISFERMITIS �//� � � 155UED.WWORKERS'Cd1PENSATIONINSURANCECARRIERMIDVOLICYMIYBERME: CONSTRUCTION �-s�� � u,qaEp PLAN REVIEW > ELECTRIC. _� ��� � POLICYMJAIBER p �Ss�cr�r�wre�Wn��fnocnEpepMrsFanor�r�.�o�fnpat�nspim�rntEssy PLUMBING Z ICERTIFYTHATMlTHEiERFORYANCEOFTHEWORKFOHNRIICHTF115PERAIRISISSUED.1 � MECHANICAL� (,�' 6NALLNOt EMPLOVANV VERSON N MfV MANNER SOAS TO BELOME SU6IECTTO THE � WORKERS'COMPENSATIONUN'SOFCAIIFORNIAAND�GPEETW�TIFISNOULDBECOAIE INSPECTIONFEE �� S SUBJECTTOTFIEYlORKER5COMPENSATIONPROVISqN50FSECT10N�7ooOFTNEIABOR ISSUANCE COOE I SM�W.FORTMMTM CONPIY YATH T1/05E iHOVi5lON3. 0 SMIP p DATE: APPLICANT: � —� � � WARNINO:FAILURETOSECUREWONCERSCOMPCNSATIONCOVEMCE�SUNUWFUI.ANDSHALLBE ENERGYP/C � SUBJECTANEMPIOVERTOCWMPIALPEIULTIESNIOCMLFWESUPTOONENUNOREDTKKISIW� ENEFlGYPERMIT � pO11N14 ploo,000�IN AO�I710N TO T/1E COST OF CUAPENSATqN,DMuaES AS VROVDEO FOR rt1 J¢ SECTIDN77oeOFiHEUIBORCO0E.N7ERE57,Iw�ATTORNEY5FEE3. � RETENTIONFEE: G�• oW., CONSTRUCTION LENDINO AGENCY pR - LT FEE: � � ' O � IMEREBYAFFliiMUNOERFENAITYOPFE0.1UfiYT/UTTMEREISACONSTMICTKK1lENDWOAOENCY � FORTHEPERFORMNICEOFTIEWORKPoRWHICHMISFERMITISISSUED(SEC.3007.pV.G). �T� �/ � LENDER'9 WWE �� �/•� � � LENDER'S�DDRESS � �CERTIFYTIATINAVEREAOT4SAPPLICA7%1NMRISTATEiHATT1EABOVENFORMATIONISWRRECT. TOTAL FEES �.� � IAOREENCOMPLYN7THILLUttANDCOUNTYOR�NANCESANOSTATEUWSRfUTNOTOBVRDIN� . . � CpISTRUCfKKi,ANDMEREBYAUT110FYZEREGRESENTATIYE50FT11SCOVNTYTOENiERUPONTME . . . . � S� A90VE�ME171qHEAiH07ERT`fFORWSPECTqNVURPD5E5. COMMENTS � m � U � �l � PERMRTEE E�vw . . . . . . .. , . /� N � � SqNANREOF E � � , , _ . . . . HECPT.NO. PAIDBY WWDATI - WHITE-0epertment Copy,YELLOW—Ffnence Copy,PINK—Aseeseor Copy.GOL�ENROD—File Copy,GREEfV�11ppllcanPa Copy� ��� , . .. . ... . _. . _ . . . , . ., _. . . . . _ A...,- , . , . , . ��. . . , .. . CITY OF DIAMOND BAR -, � �; .: .. �.:�.,:;....,, ...;_. INSPECTION RECORD�;:. :: . _ � . } � ,, _ o � � • - � � � s - SET BACK � . 1.',` ,_ . .;_ :. �'-�� � FLOOR JOIST �.ii� + . ;_�:;'� r:. t �;;., .�� . , -� .y. FTGS/FORMS/STEEL '� `` ;.)-_ ,:-. �;: FHA REQMTS - - EL:ECTRIC'GROUND � ' - _- :" _ ' ` � ' UNDERFLOOR DUCT - , -, ;; - �- � - � ', GROUND PLUMBING -� UNDER FLOOR CO�IDIJIT� t a;'��i -�: ; ��.���;' _ SLABGRADE - . -- FIRE LAGEFOUNDA ION'�ti ;,' .:. .''� �;' ' ' ,. . . ... , TEMP POWER - ' - -- _ _ :-- , � FIRE CACE�ONb' EAM. _ _ ' _ . -- - _ _ WATER SEFIVICE - _ _ , .- _._ ; --_ _ ___ _- MID HT.BOND BEAM _ _ '� • - + - ROC�F`SFi�A HkNCi_ '''�.: , � � .. r ., �_'� � .�,.r ' 8 FT. BOND BEAM - -- _ � FRAMING7VENTILIATION � � � FINAL BOND B�AM. , ,;r. r. •,1 ^ , „ , • r�` ROOFCOVER : `:� " -'=� PRE-GRADINGI _�-a' :,.:�,;�".� •,,}':: . `..;,�.'• ROUGHHEATING - � _ _ _. BENC I�'dG� '-�- _;;i , r. �-;�,, :�_i::t-A.,'••,i 'ROUGH ELECTRIC - �- - ROUGH GRADING - • ROUGHPLUMBING � - " - FINISH GRADING SHOWERIfUB TEST� POOL ELECTRIC , ' ' - _ _ EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL ' CEILING INSULATION OFF SITE IMPS: DRYWALL NAILING � DEDICATIONS . . SEWER ___ FINAL ENG. SEPTIC TANK __ . _. ,._� ,�,,_ LANDSCAPE/IRRIG. SEEP PIUL:L:- . ___ :_ _. - ._. \. � ON SITE IMPS. ;: ,. GAS AIR TEST' � - - - FINAL ZONING FiNAL-CONST.� - - �j -,- � FIRE�EPT. FINAL ` FINAL HEATING � - " HEALTH DEPT. FINAL FINAL ELECTRIC - �- ' DEV.FEES PAID - FINAL PLUMBING ENERGY �I` � i� - - -- -� -- __ _ . . _ _. . _ , . COMMENTS---_. _. ---- .- .- - - � � �-' _ .'�'�,-` � _ _ ._ _ . ,'� . -, _ • � � . -� _ . _- - ' �� .. � �_' ,�. � _ i : SEPTIC TANK SIZE . , SEEP PIT%U SIZE . . .. . . ,_ . , � - - , . � � . - _ _ _ � � . r� - , . , . .'. . , . . . _ __.. ___._ , _ � � !, - �- _._ _ _ _ , \ � ,_ ,. --._ , j � .� . . . ' ,�;J_ _ _. �� � .=a� r . . ,�\ .\; — -. , . . �_'.\ /