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HomeMy WebLinkAbout13381 (7) -1� CITY OF DIAMOND BAR . � ' r DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . � 21660 E.Coplcy Drive Suitc 190 (909)860-3195 Fa�c(909)861-3117 PRESS �^�'� � �BUILDING PERNIIT APPLICATTON FIRMLY o DDRESS �Lr'1TJ6 (Mit'1au�A ��`C.�'G DATECATION ¢ ILf��'� NUMB R I�Jv �/C I� p � o r � ISSUE '� TYPE OCC APN LOT - TRACT DATE � ��' CONST. GROUP, � OWNER Z H .D.A . � ADDRESS 20NING SETBACKS � CITY ZI TEL FRONT RW ❑ APPUCANT TE REAR ❑' � SIDElSIDESTREET RW ❑ CONTRACTOR SIDE - D p� ADDRESS PROPOSED USE�'�_E-► R�s.��II�� W 1 N.db�WS Q CITY ZIP TEL. ���� wo ARCH/ENG/ . � DESIGNER •� ' NO.DWEL /� N0. NO. . = C�ESS ZIP �L ' UNITS �1 STORIES �L BEDROOMS y DESCRIPTION SQ.Fi: FACTOR PSF ADJ.AREANALUATION � Q . .OWNER•BUILDER DECLARAT�ON . , ,- � SFR/AOD/REM � � � - � -� � � � O p 1 11EREBV AFFlRM UNDER VENALTV OF VEIWRY THAT IAM EXEMPT FHOM 7HE CONTMC10R5 LF G8f8q6/C81pOrt _ . . iii CEHSEUWFORTHEfOLLOWw�NEASONI5EC.7Wt.6BU5�NE55AN00qOFE5510N5CDDE:ANYCrtYOH (n t� �`/NR/p1qEpUWESAVERMRTOCON57iH1GT.ALTER�MPROVE,DEMOUSH.IXiREMUR/NYS1FiUG W P0SI0/�BCk � TUi�,M110q TO RS ISSUAHCE,ALSO REOUIRES THE AV�LMINT FOR SUd/FERMR TO FlLE A SIGNEU � W B7ATEMENi 7WU ME OR SME IS 110EN5ED GURSUANT TO T11E PROVISIONS OF TNE CONTMCTORS U• � � CENSEUW(��PTERi(COMMENqNQWfTHSECT10N70U0)OFD�HSIONlOFTHEBUSINESSANDVRD. ' � POOUS� FESSUNS WDE7 OR iNAi HE OR SHE IS E%EMPi TMEREifiOM ANP iME BA515 iOq T1E N1E6ED EXEMP• TqN.NtYVIplAT10NOFSECTIOH7W1.6BYANYADPLICANTFOqAVERMITSU81ECiSTHEMPl1CANTTO Z RaRool � ACMLiENALT/OFHOTMOAEiNANFIVENUNDflEDDOUMSpSoOI.k ' . � OL�SOWNEROFiMEPROPERTY,ORMVEMPLOYEFSWITNWA0E5ASiXEIqSOLECOMPENSATION, 0 (`,pmmBftl81 � � YMI.DO 7HE MIORK.AND iHE STRUCTURE 6 NOT kRENDED Oft OFFEHEO FOR SALE(SEC.701�,Bl154 J NEgS Nq iROFE551p.13 GDDE:TNE COHiMCTORS LICENSE LAW DOES NOT APPLY TO AN OwNER OF • � � N iROPEHTYNRIOBLRD50i1MPFqVE57HEREOfIANOW110DDES5Up1WOfiKHIMSELFORMERSELFOR � � � � 7M10Ud1MSORHEROWWE4PLOYEES.PROVOEDTUiSUCHMPROVEMEMSAPENOTMENDWOq m , OfFBim�OR SAIE IF./IOM'EVERME 9UL�WOOR uAPRDVFNENTIS SOID WRHINONEYEAROF COMvIE �TIOH.T/E OM9IER�BUILDER N7LL HA�E 7ME BUPDEN OF VROViN�TMAT HE OR 6HE DID NOT BUID OR = M�i10VEiOHTNEPUflPOSEOFSALE4 W 04�4�ROFTHEVROPERfV,M/FXCLUSNEIYCDi1TRACTIIJ�WRMLICENSEDCONTRACfORS . . .. � TO CONSTRUCf THE VRn1ECT(SEC.70u.BUSINESS/WD iROFE5S10NS CODE TME CONTHACTORS LI- V21u8110f1 AQI.AREA � CENSE UW OOE9 NO'TAPPLY TO AN ONNER OF A FROPERTV W110 BUILDS OR MPiqVE3 iHEREON,AND W1pC01(TMCTSFOi15lICHGF1�lECT5W1iH11CONTRAGION(5)I�CENSEDPURSUANTTOTFIECONiMG pUANTITY �DESCRIPTION . FEE ; � 7DIi4LICFNSEUW} .. . . . _.. . . . . _ . O I AI.I OCEMPT UNDER 6EC. B.l V.C.FOR THIS RFASON � u" OATE OWNER � .. � .. � � W I , UCENSED CONTRACTORS DECLAAATION W _� � IMEPEBYAFFlNMUNDERPENALTYOFVER1UItY1NATIAMLICENSEDUNDERPROVISION50fCWlPTER � '�"^-"' � � s •�CO��BlCWUWIT1/SECTION7000�OFOMS10N70FTNEBVSINESSANDPROFESSpNSCWE.AND z � �j� MY LICENSE q N FU.I FOliCE ANO EFFECT. m � 0 UCENSE CLASS UC.NO. j . /� \/ L ,, ,Isr U j �JJ �j DATE COFfTRACTIXi ' n• � � yr��. r,�.,.,.�.�lil lt . WORKERS'COMPENSATION DECLAFtAT10N U .,T +�-���•r • . -'�, �`!'rf�TY �� IFIEPEBYi1FiIRMUNDERPEtUITYOFiEiIAIRYONEOFTIEFOLIAWiNOOELUMTIONS: . . . �� ._ .- .. � Q � _INAVEMAWILLMMITAINACERTIFlCATEOFWNSEMTOSEIHNSUREFORNOPXERS' 2 . COMPEHSAiION,ASFHOYDEDBY6ECilONJ7000FTMEIJ�ORC00E,FORTHEVEPFOPMANCE �U OF TNE WORK FOR WNICH T/IIS VERYR I91SSUE➢. � G ��t HAYE ANO WILL MAIMAPI WOPKERS COMPENSATION INSURANCE,AS REOUIRED BV SECTION Q l7oo0FTHELA80RGO�E,iOi1THEPERFORMANCEOFTHEWORKFONMMICHiHISPERM1T15 / 7 /b I$SUED.{AYNOPo(EHS'COMPENSATqNINSURANCEGARRIERANDPOLICYHUMBERME CONSTRUCTION � ��Eq PUW REVIEW S � � paicrrn».isER ELECTRIC ` Q �sEcnwr,�wreem.c�rman+er�w�rsrnr+a�M,ra��noa�a,��� PLUMBING � ICERTIFYTHATNTNEPERFORMN:CEOFiHEWOW(FORwHICHTMISVERMIiI5155UED.1 MECHANICAL � (7 SM�ILNOTEMFLOVINYPERSONNANYMANNERSOIISTOBECOMESUB.IECTTOTNE INSPECTIONFEE � WOPo(ERS'COIAPENSATtlNUN50FGLIFORNIAAND��REE7HAiffISMOULDBELO�AE . S SUBIECTTOTNEYqAKEH9'COMPENSATIONFROYISIONSOFSECTION7�ooUFi11EUB00. coo&i sww.FoarHvnn�couv�r win�nasE vao�sor+s. ISSUANCE / %� . �O . � SMIP (• lJ p DATE: - �MPLICANT: .. . -. - .. w ENERGY P/C WARN�N�:FA0.URE TO SECUflE WDi1KERS'COMPENSATION COVEMGE IS UNUNTUl ANO SHAI.L BE � 6UBJECTINEMPLOVERTOCRIMiNALPENALTIE5ANDCMLFWESUPTOONEMUN�HEUiHWSMD ENERGYPERMIT � D�Ll/�F15Iit0o.0001,W/�DD�TION TO T11E COST OF 001APENSATiON.0AMA6E5 AS PNOViDEO FOH IN � J 6ECf�ON97oeOFTHEUBORCdOE,WTERES�ANDATTORNEY'SiEES. RETENTIONFEE: � CONSTRUCTIONLENDINGAGENCY PRE�L�'F"EE:. _��I,,,,,,„JJJ�� � 1MEREBYAFFIHMUNOERPEN/LNOFGE0.NR'/TMATTHEREISACONSTRUCTIDNIENDWOACENCY I L/� FOHTMEPERFORMANCEOfTNEWORKFORWN�d/TMISiERu1T4515511ED�5EG]OW,CIV.GJ. Tj-t� � � � LENOEpS WtME . . . C LENDER311D�RE33 � �CEpTIfYTHATINAVEREAOTHISAV7UGT10NMID5TATEifNi7l1EABOVENFOfWATqNISCOPAECT. TOTAL FEES � - � . . �� w IAOflEEiOC17�PLYWRHALLGT'ANDCOIMTVORDWANCESANDSTATEUWSREIATNOTOBVILDINO - � ' � CONSTRUCTION,MIOMEREBY/Wf110RIZEHEVRESENTAT1VE50FTHISCOUNTYTOEMERUPONT}7E .. ._ . , � S� ABO'JE#1ENTIONWFi10PERT'lFOR�NSPE wAroscs. COMMENTS � � �_ • � � � m ►EPMITTEENAME(PiU Q N � 1. � � {16NA1U(7EOFiE fT7E DAiE � . . , RECPL NO. PAID BY VMIOATION YVHITE—Dep9rtment Copy,YELLOW—Fhance Copy,PINK—Asassea Copy,GOLDENRO�File Copy,GREEN—ApolceM'8 Copy � � CITY OF DIAMOND BAR. , : ;.,, �,••�;; , � �. •� :�INSPECTlON RECOFiD.' - �. ; ; . , . . . . ... . _ , � -'�c '� 'V Q . • - • � � � - SET BACK ' i, , -�_1 .. ._ -� �l, _ .�_�� . FLOORJOIST 'l,,'.:�,! �'�.`,�i._+.•'�il� �:1���,,� • - FTGS/FORMSlSTEEL . _ � ..-:, ��__ '. - :�1 "FHA REQMTS _ _. �- _ . . _ . _ .. __ _. ELECTRIC GROUND : �; _ __ ' . y - __ - -- 'UNDER FLOOR DUCT, _; .,-� ti ,; ��: . ; s,� ; , GROUNDPLUMBING - UNDERFLOORCO�IDUfF=�::.. :''r.��.i�ti": •';:�,�:` ' • SLAB GRADE - --- . _ _ _ FIREP GE FQUNDA�ION .``: !1; •�:�,�� ': '� TEMP POWER______ ` , __ _ , ` '� FIREf��'AC�E Z7ND 6'EAM ' ,.:__� � ' , :� . : WATER SERVICE . =- � -- - .- -_ = MID HT.BOND BEAM � RO6��SHEATHJN�..� ,.;; ,_- ,��,.. .�.. .� ,?_- 8 FT'.BOND BEAM _ _ . _._ . FRAMINGNENTILIATION � � � � � FINAL BOND BEAM.,, ; ••; i e . , � , :. ., t ROOF COVER -,.:~ �L' PRE-GRAD{ G �/::� ..•; ',:",:'t�� ':, '. :,. : , ., . , ROUGHHEATING- .. __ __ ___ __ _ _ _. - - BENCH �I ,,,,.w:Ci;'y ;":f,� -_�:::=����', '.+,-=_ . . ROUGH ELECTRIC � - -� - ROUGH GRADING , � i : ROUGH PLUMBING - " "- - - � - FINISH GRADING � '- SHOWERITUB TEST, _ ---- _ - POOL ELECTRIC _ ; -, ; __ EXT.LATH/SIDING i POOL FENCING � � WALL INSULATION POOL FINAL ,. . :,. ; CEILING INSULATION OFF SITE IMPS.'. ' DRYWALL NAILING i DEDICATIONS SEWER_- - -- --- - - -- FINAL ENG. _ SEPTtC TANK_ _ _ _ _- -__ _ ._,-.. . ..,. � LANDSCAPE/IRRIG. ; SEEP PITlL:L. .--- _--, _ � � ; �- ON SITE IMPS. . ; GAS AIR TEST' -- --- -- - FINAL`ZONING � : FINAL-CONST: - - - - -- • FIRE DEPT. FINAL' -- 1 FINAL HEATING"-" - - O ct� i - " " HEALTH OEPT. FINAL _ ; ,: FINAL ELECTRIC - - � - ', DEV. FEES PAID FINAL PLUMBING ENERGY - � . ����p�,`!�,1' a - .._ _ . __! .._ _ _ � � _ . . — - � ; , i � , COMMENTS - - � ' ' � , ; , _ --- -- _ .-- - _ i , ; - _. � .,, , � ; . , , , , , _ .. . , , .__ . ..__ . _. . •• �r.- , ., � , . . , . . i . . � , ' ` . . - . i . .."""_. . . _ � . -- . . � � . ._ _'. _. . .. . .: . .� • � . . .. � _ _ _ . . . . _ . _. . � _ . _._._.__ ._. ._. .' _ '_ _. . . .. . . . . i . . . , . � . , - . . . . . ` �. . --�. .� . . . ..-. . , .. ._ .. ... .. . . . . . .. . . . . � i . . .. � � � � -�- � � . .. � '_ .' __ __.... _ ... ._. . ... . .. . .. � � � � I . . . , .. . . . � _ SEPTIC TA�lK SIZE — � , . ., . ; �:. „ � � SEEP PIT/U SIZE_� , _ , I� ,. „ ' i , ` � . __ _ _ _ __ i � _ _ -:". - _ : . �- ' _ _ - - __ _ ; _, :,��� , _ _ � ; ; , - -- _ __._ _ , . , � , : . -. . � � � • , i \ ��, ';-. i . . _ _ � �`,\\\�\f_ u • . �(... - - _ _ � , � .. , __ _. _._ . ` � -� �.` - �; , _ � � �, . ` -- , . . `� � , �J� t C: ` ` �