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HomeMy WebLinkAbout18256 (21) i �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVTCES � � 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS "%�` BUILDINGPERMITAPPLICATION FIRMLY ¢ ADDRESS (`��� !�', ���OW GLEN �A _ APPUCATION PERMIT /�h�G P/C o DATE O Z— NUMBER � � APN LOT TRACT ISSUE TYPE OCC p OWNER L�U ��/t' DATE CONST. GROUP p ADDRESS � 3 - ��1VW LL'N ZONING SETE3ACKS z CIN ' ZI � b� TEL.y �0 FRONT RW O g APPLICANT jy�_��L.t_*'2-�r� TEL. REAR p � SIDE/SIDE STREET RW ❑ CONTRACTOR L SSuL SIDE p o CfTY�• �l �w�.a'1 ZIP �zo S TE _ Y0�7 PROPOSED USE �A rFr.� I fl.�.a^-.c o ARCH/ENG/ DESIGNER t�ii NO.DWEL NO. NO. = CDDRESS ZIP TEL UNITS STORIES BEDROOMS � cn DESCRIPTION S0.FC FACTOR PSF ADJ.AREANALUATION p� � OWNER•BUILDER DECLARATION SFR/ADD/REM O p 1 NEREBY AFFlqM UNOER�ENALTY OF VERNRV iHA7 I/A1 E%EMPT iHOA1 THE CONTMC70R5 LI• � Garage/Carport W CENSEUWFORTHEFOILOWINdREASON�SEC.7m1.68U51NESSANDVROiESSiON5CO0E:ANVCITVOR U �pUNTyWNICHqEWIRESAVERMITTOCONSTRUCT,ALTER�PROVE,DEMOl15H2ORREPAIRANYSTi1UC• �(f w TUHE,VRIOR TO iTS ISSUANCE.�LSO REOUIRES THE APGLICANT FOH SUCM VERMIT TO FILE A SIGNED W Patio/Deck STATEIAEM THAi HE OR SHE IS LICENSED OURSUANT TO TNE PROVISiONS OF THE CANTRACiORS 4• g CENSE UW(CHAPTER 0(COMAIENCWO V11TN S[CiqN 7000)OF DIVISION 9 OFTHE BUSMESS FNO VRO. V" PooVSpa � FE5510NSGOOE)ORTIUTNEORSNEISEXEMPTTMEREFROMANOiNEBASISFORTHEALLEGEDEXEMP. C7 TION.ANYVIOL�TIONOFSECfION7U71.69YANVA07LIGMGORAGERMIT5U91ECTSTNEAFPIICANTTO z Re-Root A pVIL VENALTYOF NOT I.tORE TNAN FNE HUNDRED DOLURS(SSDa�.} � 04�3�WNEROFTNEPROPERTY.ORMYEMPLOVEESWI7HWAGESASTHEIRSOLECOMPENSATqN, O CpmmO�Ciel M11LL DO THE WORK,AND THE STRUCTURE IS NOT INTENOED OR OFFERED GOR SALE(SEG 7w1,9USI• J � NE55 AND VROFESSWNS CODE:TNE CON7RRCTORS LICENSE UW DOES NOTA�PLV TO AN OwNER OF ? ►ROPERTY W/q BUILDS OR IMVROVES TNEREON,ANO WMO DOES SUG1 WORK HiMSELFOH HERSELF OR Q TMRWGH NIS OR HER ONM EMPLOYEES,PRONDEO THA75Up/1MPROVEMEMSARE NOT WTENDED OR m � OFFEREOFORSILEIF,HOWEVE0.TMEBUILDINfiORnAPROVEIAEMI55dDNnTMINONEVEAROFCOI.�PLE- Z TqN,TNE OwNER�6U1lDEH WILL HAVE THE BUHOEN OF PROVwO THAi NE OR SHE DiD NOT BUILD OR = MPpOVEFORTHEPUflPO5EOF5AlE). w �1A50WNEROFiHEDROPERiV.AME%d.USNELYCANTRACTINGWRHLICEN5E000NTFUCTORS Q TO CONSTRUCT iHE PROJECT(SEC.)ON,BUSINESS AND PqOFESSiONS CODE:THE WtRMC70R511• VffIUOI'IOfI ADJ.AREA W CENSEUWDOESNOTMPLYTOMlOWNEROFAPflOPEfliYWMOBUILDSORIMPROVESTMEHEON,MID �1 W1qCpNTMCT5FON5tKNDiWIECTSVnTHACONTRACTOR�S)LICENSEOPUHSUANTTOTXECONTMU OUANTITY DESCRIPTION FEE Y TORSUCENSEUW.). I � ❑IAM b(EAIPT UNDER SEG B.t V.C.FOR TNIS NEASON 4 � U LL � DATE OWNER � Z W �Q UCENSED COMFACTORS DECLARATION W [L IHEREBVAFFIRNU/1�ERPEN/�LTVOFPEfWRVTHATIFA1lICENSE�V�'DERPROVISiONSOFCHAPTER V. t_r�� �./g.�,�. ��S( Q d t(COMMENCVNiWITHSECT�ON70oo)OFDMSIONJOFTMEBUSINESSANDPROFESSiONSCODE,/wD Z V" �� � YY UCENSE LS IN M1 FORGE M1D EFFECT. m � UCENSECLASS � �r v UC.NO. ��`` �� j V DATE � �L-- CONTMCTOR ��- �J�u d _ W � !WORKERS'COMPENSATION DECLANATION -� _ � U � IHEREBVAFiIRMUNDERPENALTYOFDERJURYONEOFTHEFOUDINNGDECLARATIONS: Z i � _INAVEANDWILLMAINT/UNACERTIFICATEOFCONSENTTOSELF-INSUPEFORWORKERS' S COAIPENSATION,ASPROVIDEDBYSECTION�7000FTHElABORCODE,FORTHEPERFORAIANCE W OF TNE WORK FOR WHICH THIS PERMIT IS ISSUED. � � 0 W �IMAYEANDNnLLMAINTA�NWORKERS'GOMPENSATIONINSURANCE,ASPEOUIFEDBYSEGTpN ]70oOF THE LABOR COOE.iOR THE VEFFORMANCE OF THE WOPI(iOR WHId1 THIS PERMIT IS � ISSUEO.MYN+D KERS' SAjQfiINSU �CARRIERMID icvNurnseaiwE: CONSTRUCTION /y�(/ � c�RRiER ""�� PLAN REVIEW � POLICVNU/ABER �A/C��� I Sf�,(` ELECTRIC � (n+ssEcnp�r�IDt+oteEo�.RE7mOFn#acw.�tsroaa+EruonmDaWas(stao)o�ttFss� PLUMBING r Z ICERTIFYTHATINTI/EVERFORAIANCEOFTHEWORKFORWMId1TNISVERMIT5lS5UED,l MECHANICAL C7 SWLLLNOT EIAPLOY IwY VER50N W ANY MANNER 50 A5 TO BECOME 5U8JECT TO THE � V/OFKERS'COMPENSATION UWS OF CALIFORNI�M!D AGREE THAT IF I S/qUID BECOME INSPECTION FEE ` f�1 �1 -.—.._ S SUBJECTiOTHEWORKERS'COMVENSAT10NPRONSbN50F5ECTION7)OOOFTNEU�BOR -- /� coo,i s w.voRnmmH con+v�v win� se PAotnswHs. ISSUANCE _�\ �---�, O (/ ; p DATE: l �� APPLICANT: �i 71�'l/q'�T��'/�`� SMIP ' � ENERGY P/C � WARNiNO:FAILURE TO SECURE WONKERS'COA�PENSAiUN COVEMGE IS UNUWFUL,AND SMALL 9E J SUBJECTANEMPLOYEflTOCRIMINALPENALTIESANOCIVIIFINESUPTOONENUNDREOTHOU5MID � DOlURS(5700.0OO�,INADDITIONTOiHECASTOFCqAPENSATION.DM7AGE5A5PFOVIDEDFORIN ENERGYPERMIT � ¢ SEMIDN37oeOFTHELABORCODE.�NTEREST.ANDATTOiUJEY'SiEES. RETENTIONFEE: � a ��, CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � ' O � IHEREBYAFFIRMUNOERPENALTYOFPERNRVTMATTHEREIS�CONSTRUCiIONIENOWGAGENCY a- FOH T11E VERGORMANCE OF TME WORK FOP WHILH hI1S GERMIT IS ISSUED(SEC.�097.dV.C.1. Z W ' � LENDER5 NAME � � LENDER51lDDRESS � w� TOTAL FEES 1 CEFTIFY THAT I HME READ T11S MPLICATION AND STATE THAT iME�BOVE NFORMATION IS CORRECT, � �� ,G p_, IAGREEiOCOMPLYWITHALICITYANDCOVNTYORDINANCES/✓�OSTATEUWSREUTINaTOBUM1AING � CONSTRl1C710N.ANOHEREBYAUTHORIZEREPRESEN7A7IVE50F7HI5COVNT'TOENTERUPONTHE Z /180VE�1AENTIONEOFROPERTYFORINSPECTIONVURPOSES. COMMENTS � �/�t-� l�-��-.T�-,g,,-� _ m PEMU qE W.�E(PpRlT) ,/ � !!�t"`�c�cs.C�cf��e..�.. � �� Z � SiC URE RAUTT E � DA E � i RECPL NO. AID BY VALIDAT�ON WHI7E—Department Copy.YELLOW—Financa Copy,PINK—Assessor Copy,GOLDENROD--F'ile Copy,GREEN—ApD�icant's Capy .. .. . . .. � , . . . . „ ..� � �., . . -, • - , ._.. ,. . �;c•;, ._.. ._ r �m...,.. . .,r,Y . .. . , . .'.. �.. .. . � ,. .. .. . ... .. v!�]r V�" aJ'�P'w�Vl�l�ti�' �/�k,� t6�..�'sP�C ,���P�! �LC���-rD �..� _.,_.�_�___�__�_�...._ _.._._,._._.._, �_. __ __......_.._ ...�...��_.. ._., , �1►F-'i'a�l�'��Il�.is�t �1_��C... !e`E`,�.�a��, ��lai Ii'�.:�; �, �,�`�'(�;1�'k ey��.r.=: .I►��.''�.l�c'it.'a�:'� _.---_ _..___._ --_._.__.._ .__ ..___._. _ _ . _ -- ---------- - - _ ___� __ ______ __._------___--_----. SET BACK � – j __. __..._. �=i_FLOOR JOIST � ' i , I l f TGS/FORP�IS'STEEL � ___� FHA REQMTS � ELECTRIC GROUND � UNDER FLOOR DUCT i� I GROUND PLU�v1BING T � UIJDER FLOOR CUNDUIT i j SLAB GRADE FIREPLACE FOUNDATIO� j ^ TEMP POWER I I I FIREPLACE BOND BEAM WATER SERVICE i � h41D HT. �OND BEAh9 ROOF SHEATHR�G i j 8 Fl". BOND BEA^�1 � i FRAMINGNENTILIATION I _� I FINRL E30ND 6EAM � ROOF COVER ( �— PRE-GRADING ROUGH HEATING BENCHING r ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING 7 fd 132= FINISH GRADIfJG I I-/---}- � - SHOL'VER/TUB-TEST ��'——� POOL ELECTRIC EXT H/SIDING POOL FENCING 1�tiALL IP�SULATIOPJ POOL FIP�lAL CEILING INSULATION Or=F SITE Ih�PS. � � DRYWALL NAILING DEDICATIONS SEWER FIhdAL ENG. SEPTIC TANh LANDSCAPE/IRRIG. SEEP PIT/LL. � ON SITE It�1PS. GAS AIR TEST FINAL ZONING FINAL CONST. FlRE DEPL FINA!. FINAL HEATiNG j HEAL.TH DEPT. FINAL FINAL ECECTRIC I �� I DEV. FEES PAID FINAL PLUMBING 7/�6/DZ I/ l V � ENER.�Y 1 /�\�� I C •�I�i.s° c�' �;a,: ��---^' . COMPJ{ENTS ��- __ — _ SEPTIC TANK SIZE SEEP PITJU SIZE – ._._.____��w�,_.__.__�_�� ,��f� v ! � � . ;