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HomeMy WebLinkAbout16012 (23) �"`� � �" CITY OF DIAMOND BAR � --J� --- DEPARTMENT OF COMMUNITY dt DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 • (909)8603195 Fax(909)861-3117 PRES$ ���� � BUQ�DIIVC PERMTT APPLICATION - FIRMLY y JOBSITE ' � � `�_ APPLICATION l I� 0 PERMIT �� P/C� � o ADDRESS DATE NUMBER M c� � ISSUE TYPE OCC APN L T TRACT DATE � CONST. GROUP p aWNER a� "" AODRESS � ZONING SEfBACKS �"' CITY ZIP TEL. REAR RW p APPUCANT TEL.�e�S"c•��W SIDFJSIDE STREET RW O � CONTRACTOR SIDE O AODRESS u PROPOSED USE CI71( ZIP�L�} TEL (�,��i o ARCHlENG/ � � UESIGNER NO.DWEL NO. NO. ADD S UNITS STORIES BEDFOOMS � C ZI� TEL N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ONMER-BUILDER DECLARATION SFR/ADDIREM O p 1 HfREBY AFFIRM UNDER PFNALiY OG OERAlRY 7}UT IAA1 EXEMVT FPAu THE CDNTMCTORS LI• G0f0Qe/CBfpOR W CENSEUwFORTHEid10WNOREA.ONISEC.7Wf.68USP/ESSANOPROFE5510N5CODE:ANVCI7YOR (n �—, _OOUNTYMAAdIRE0U1HE8APENMTTOCON6TiAlCT.ALTERMPf70VE,DE1AOlI5H2ONREPAIRANYSiRUC- � W patidDeck � -� � - � TUiE,YRqR TO IfS IS9U�NCE 130 REW�RES TME APPLICANT FOR SUCM PERMIT70 FILE A SIGNED . W 5TA7EMEM iHAT HE OR SHE b UCEN9ED PUR9UANi TO TME PRDNSIONS OF T11E CONTMCTORS LI• CENSE UW(qUOTFR�(C04NENCNO N17H SECTION 70001 OF DIVISION 70F THE BUSINE55 ANO FNO• u" 'P��Pa FESStlM4�OE)di iHA7 HE DR SHE 19 D(EYPT 7HEREfROM ANO TNE BA515 FOR T1E ALLECED E%EYP- �- ' �T10N.AM/VIOU1TqNOFSECTI0N7Wt.68'1ANYAVPLICAlRF00.AOERMITSUBJECTSTMEAVVLN7UlTi0 Z Re•Roo1 � � A qNL PENALTV OF NOT MORE THAN FNE MJNORED DOLUV35(fSOD�,k � 04ti40WNEROFTHEPi10CEflTY,ORMYEMPIOYEESNnTHwA0E5ASTHEIFSOLECOAIPENSATqN, � .(',pmmBfCl31 ' WILL DO TME WOHK,AND THE STRUCTURE IS NOT WTENDEO OR OFFEREO fOR SALE(SEG 7a�,BU51• J NF55 AND PROFESS�ONS CODE:TME CONiRACfORS UC£NSE UW DOES NOT�P7LY TO AN OWNER OF y PiqPENiYW/10BUIL.DSORMVHDVESTMEREON,ANDMAiODOESSUCHWORKHIMSELFORMERSELFOR = � hiNOU0H1Y50RNERONTIEGPLDYEES.VIpVIDEDT/1AT5UG11YVROVE4ENT5MENOTNTENDEDOR m � OiFFAFDFORSAI.EIF�NOWEVERTI1EBUlDINOORM7i10VEMEHTiSSOIDNnTMMONEYEAROFOOMPLE- . Z TqN,iHE OwNER-BUItDER MnLLlUVE TME BURDEN OF PROVNO TNAT ME OR SNE DD NOT BUILD OR � MOROVE FOR 7ME PURMSE OF SALE). O IA+dNNEROFiHE PROPERiY,AM EXCIUSNEIYCOtRMCTNO WITTI LICENSEO CONTMCTORS � TO OONSTRU�T TME PRO.IECT(SEG 7aa�,BUSINE55 ANO PROFESSIONS CODE iHE CANiMC70H5 LI• VaN8l10fl ADJ.AFEA CENSE UW DOES NOT MPLV TO AN OIMIER OF A iHOPER7Y N?q BUlDS OH IMPRDYES TMEPEON.AND � rnacorrrw��crsFORSucHPAaEciSwm�AcariwicioR(5)l�NSEDvu�tsU�t�itonrEwr+TruG QUANTIN DESCRIPTION FEE � ra+s uccr+sE uw�. . ..J � OIMIE%E►1PTUND[RSEG B.LP.GFORTNISREASON Q � U u.. �DATE OWNER . � UCENSED CONTRACTORS DECLARATION W _. W . � IHEREBYIIFFIPoAUNDERGEWLLTYOfVERNRY7FU71N.ILICENS[DUNDERPRONSYJNSOFCMAPTER V. _�,. ---._. - „�, • " ' � ''�. � �(COMMENCNOWRMSECTi0f17Doo)OFOMSqN�OFTMEBV5�NF55ANDPROFES5qN5CODE,ANO z ` ' ' ' y �� 4Y UCENSE IS PI FUl FORGE�NO FFEGL m � LICENSE 55 UC.NO, � . ... -._-._-.._.._ 7:�'`C. : - V UATE CONTRAGT011 d W � WORKERS'COMPENSATION DECLARATION a ' � N IHEREBYAFF6WUNDERGENALTYOFVEMJRYONEOFTHEFdlOvnNOOECURAT10N5: V ' y Z � Q � _IiUVEANDW:LLLUMLUNAGEftTiFICATEOFCONSEMTOSELFdNSUREFOHWONKERS' 2 � QDMVENSATION.ASPROVIDEDBYSECTON�7000FTNEUBORCOOE,FORTHEPERFORMANCE W OF THFNGRK iOR WHlpi T7U5 D£R41T IS ISSUED. � � �I HAVE AW 1MLL WIHTAW YYOANERS'Cp�PEN5AT10N WSUMNCE,AS REOUIRE7 BY SECTION 4Q �700OFTHELABOROOOEFOR7HEPERFORMMlCEOFTHEWORKFORH711CMiM15FERMITIS _� . 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RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHERE9YAfFIq1.lUNDERPENA�TYOFPE0.IURVTMATTNEREISACONSTRUCTI[NIENDWAAGENCV FOii THE GEAFORIAANCE OFTHE WOR1(FOA wwCHTHIS VERuii IS i55UED�SEC.7oc7.CIV.Gl. � � IENDER'S NAME � IENDER'SADDRESS W ICEqTFYi11AT11/�YEREMTMISADPLIGATIONAND3TAiETUTTHEFeOVEINFOR1AAtqNtSCORRECT. TOTALFEES . ��j�5 . d IAGHEE TO CCM7lt WITH 11LLG�TY NVD COUNfV OfiDINANCES AND STATE UYIS REtATM6 TO BULDINO � CONSTRUCTION,/WDHEREBYAUITKN7REREPRESENTATNESOFiWSCOUN7YTOEMEHUPON7HE � A �AIENTION[D 7f10PEHTY FOR WSPECTqN PURPOSES. COMMENTS � � � / _ . J � 4 E ?fEE v - \ � � \ � TMt DA7E � RECPT.NO. _PAID BY VALIDATION IZ�-O enment Capy,YELLOW-Finence Copy,PINK-Assessor Copy,GOLDENftOD-File Copy,GREEN-ApplicanCs Copy � .., , : ..�, ..�. �.... .;•...,. . ,w.. y .... ... . . . ... .... ... . � • . . . . � . . , �. , . � . . . CITY OF DIAMOND BAR , _ •: ;_� � ,�..r.��:�,�� ,: . �., . . � . .�`�: ���:•: .:It�1SPECTiION�RECORD '. . �i: . .. .. .. .. c• . __.c ,... ,. �� . - . , _ . . ...., _ _ �,�:.,• � --. _. _. . . . . .... . .. _ :.�... � f+�'I 9 � D . �� � . � �..r � � , � � � �'� . _ • � _ . � .�,. �► _ ... _� . ...�.�..R'..��# - - . ,.�:. . ___.�._ . �SET BACK. . ;, ., '. � •, � j • •FLOOR JOIST• �`` ; _ � , : , . • (FTGS/FOR��15I5TEEL�-� � • .,... . - • • _ ;.'�..�-- - ,FHA REQMTS�.._.-----...:._:.-.�:•. -. - `''.`.. '_ '. .__ _ _._ . .I :; jELECTRICGROUND__. ___ •���'• -'• _ . _.� ._. _`' if f -___ _ UNDERFLOORDUCT � � • " ' � - - � - - ; -. , . ... IGROUND PLUPrIBING � -� - UNDER FLOOR Cd��DU1T-- - _-: . '``; :; ' . "'. " , i `-• ... , , . _ . . . ----- ISLABGRADE_..._._...._ ,. _ :. ... .-- I--- - ---- .� � : FIREPLACEFOUNDATION . - _, ._ �, _... ; �., ITEMP POWER- -----� ,,.- _. _.._._. . . . ._-.._..: .�• : : � FIREPLACE�BOND BEAM • � �.. :� � ' . i : � . _ ' iWATER SERVICE - - -_ _ -- - --- -- " . MID NT. BOND BEAM ; : , ,. ; ,,i '. , ' :�; � . . . . .. ',ROOFSHEATHING. .., :.. 8 FT.BOND BEAM . _ �._�.� . . .: • �' : .+,. �..; .;�.... .. , � '. - . . ... _ _. ., ... _ . , . iFRAMINGNENTILfATION - - - -- - - - • FINAL BOND BEAM ' ,.. , , ; � ,`� iRO�F COVER .'�, : � .' ' PRE-GRADING-- , .�...' ' "": i . : i ;. IROUGH HEATING'_. . • . , . - ----_----- --... . BENCHING.; ,.. .r ,1� ..._..,: :\ _ . .. .. - . : . ,: � ; ::� :ROUGH ELEGTAIC - - ' , .• .;:'. : ! __• . ., ._ : :. ;.. :,- . ,AOUGH GRADWG-- ..- --.... , - ------. .. ._... _._. .---- -�---; �:. �ROUGH PLUMBING� ---- ---- --- - - • • ' FINISH GRADING ? ;� rSHOVVEF�fUBTEST - - -- -- � -- - - - -POOL�ELECTRIC' ' . — — — �EXT:-l.ATN!SIDING --- _.. ----...._......._. ;_. ..... . _ ..... ... . POOL'FENCIN OY�oi-al — - , . ;INALL-iNSULATiON --: -_ - � - -- � _ . . POOL FINAL . ; . S_LY�— — ; ;CE1LINu If�'SUTATION _ - -- --- -- ---; . :OFF SITE IMPS. ; , j- - �DRY�NALLNAILING-- � - -- '-- - ; DEDICATIONS • � � ;:,� SEWER -- - --. _ . _ _. _. . FINAL:ENG. . , ;. . . ... ' � � ;SEPTIC TANK • LANDSCAPE/IRRIG. ' . �SEEP PITlLL. __..... . . • + ' ON SITE IMPS. ' !GF,SAIRTEST ,'.. . � � FINALZONWG � � . --, �FIN.�+I CONST...! _ . _.• ' � � '' " .. ..... . FIRE DEPL FINl,L ,� . ' , _� , •�. i !Fl!v/1L.HE4TING ... .-.--.-.. � -.--. .'-.... .... . .... .. tiEALTH DEPT. 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