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HomeMy WebLinkAbout15998 (9) . _`� I � . ._ ..._.`_�_'_._��� .._._��.__�..�-.�_._��.__ _` . __ • \ . �� CITY OF DIAMOND BAR �� --' DEPARTMENT OF COMMUI�IITY&DEVELOPMENT SERVICES , � � . 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-311T . • PRE$$ ��^�^�� BUILDING PERMIT APPLICATION FIRM o DDRESS�� `SS � w DATE CATION 15 Q 1 NUMBER��� N/C � ISSUE TYPE _ OCC APN LOT TRACT� DATE CONST. GROUP °G OWNER �j �` ADDR SS ` J".P � � ZONING SETBACKS "' ITY ZIP 9/]L.t-5'EL. XLr 1—OOy�, REART RW p PPLICANT TEL. i� SIOE/SIDE STREET RW ❑ CONTRACTOR SIDE ❑ � ADDRESS �f Y ` � CfTY ZIP TEL. PROPOSED USE � ARCH/ENG/ � DESIGNER NO.DWEL �NO. NO. ADDRESS UNITS 'STORIES BEDROOMS � CITY ZIP TEI. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ONMER-BUILDER DECLAMTION SFR/ADDlREAA O � p 1 HEREBV AFFlRM UNDER PENALTV OF 7EIWRY THAT 1 AM E%EI�1PT LNOM THE CONTMCtORS U- G8180a/CHfpOR � LLJ CENSEUWFORTHEFOLLOWiNOREASON(SEG7W7.6BUSNESSANOPROFESSIONSCOOE:ANYqTYOR , (n -----u- .00UNttYAfIG1RE0UIRE8AVEi1MIiTOCON6TRUCi,ILTERIMPROYEDC�lOUd1.OHHEDNRANY87RUC-. --W �13I10/DBCk.�_...•+ .. . b TlNiE,iRIOR TO R9 ISSUIINCE/LLSO REWIRES TME A7PLICANT FOR SUGM PENMIT TO FILE A SIGNED •��_ ~ � STATEYEM TIAT HE OR SHE IS UCENSED PURSUiWT TO TME PHOY1510N5 OF TME CONTfUCTORS Ll• CENSEUWI��A�I�MENCWOYATHSECTION�o00)OFDIVISION70FTHEBUSINESSANDPR0. � PooVSpa FES4IDNS tDD�OR TU1T ME OR SHE IS EXEIIPT iHEREFRdA ANO TNE BASIS FOR 7NE ALLEOED E%EYP-' TqN.AN'IVqlA710NOF5ECT10N70.11.6BYANYAVPl1G4MiORAOERM�TSUBJECTSiHEI➢VLH'.ANTTO - Z Re-Roo1 � ACMLPENAL7YOFNOTMOiiETWWfNEHUNDRE000LUR5�iSaolk O 04ASOMMEROFiFIEPROiEHTY,ONMYEMP�OYEESWIiNWAGESA3THEIRSOLECOMPENSATqN, � �mmerclat �- � MLL 00 TME WOi1K AND TME STRUCfURE IS NOT MTENDEO OR OFFEREO fOR SALE(SEG 7w�,BU51• J N NESS AND VROFESSIONS COOE TME CONTMCTORS IJCENSE Uw DOES NOT AC7LY TO AN O'NNER OF = , iROVERTY W110 BUILDS OR IIAPROVES 7HEREON.AND MA10 DOES SUCH WORN HIMSEIF OfIHERSELF OR Q TNNOUGHHSORHEROMTIEAIPLDYEES.OROVIOE�THATSUd11A1VROVEMENTSMENOTMENDEDOR m � OFGEiiFAPDRSALEIF./101VEVE0.TNFBUIDWOORM7i1DVEMQfT�S50LDWITHINONEVE�ROFCOMPLE. . Z �TqN,TME OWNER�ULDER YALL HAVE iHE BURDEN OF PRWN6 THAT HE OR SNE DID NO7 BUIID OR � = MiiqVEFORTHEVURPO5EOF5ALE} � W OtI�OWNEROFiNEPROPERTI:AMEXCLUSNEIYCONTMCi1N6WITHUCEN5E0CAHTMGTORS � TO CONSiRUCT THE PROJECf(SEG 70a/,BUSINE55 ANO PROFESSIONS CODE TNE CONTRACTORS LI- V811181b11 ADJ.AREA �17 CBISEUWDOESNOTMPIYTOFNOWNEROFAPROPEHtYW1i0BULDSORWPPOYESTHEREON.AND � MhtlCONfRACT3fOi15UGIDR61ECT5WfiHACONTRACiOR(S)IILENSEDPUi1SUANfTOTHECONTMb pUM1TITY OESCRIPTION FEE � iOR4 LICENSE UW.} �{ '. " � OIAMIXEMPTUNDER9E4 B.�P.C.FORTHISREASON Q U LL DATE 01N�ER �• � . � LICENSED CONTRACTORS DECLAAATION W � I HEREBYAFFIiW UNDEH PEtU1TY OF OE0.ttlRY TFUT IAM UCENSED UI:DER VHOVISIONS OF CNAPTEH � � �(COMMENClW YniH SECTRNi 7000)OF DM510N J OFTHE BUSINESS AND PROFESSiONS CODE,AND Z �� W LICENSE 6 W FULL FORCE/JA EFFECi. m � LICENSECUSS LIC.NO. J �j �ATE CONTRACTOR d � WORKERS'COMPENSATION DECLARATION —� _ . a � I HEREBV AiFlRA1 UNDER PENAL7V OF GERIURY W:E OF THE FOLIOVJItNJ OECLARATIONS: U C� Q � _INAVEMqW�ILAUMTAMACEHTIFIGTEOFCONSENTTO6ELFdNSUREFORWOiU(EPS' _ � 001IOENSnT10N,IlSVROVIDE�BYSECTION]7000F1HEUBOHCOOE.FORTHEVERFOPAWICE �U OF iHEK'OPoC FOR WHiCN TH�S PERMIT IS ISSUED. � � � _I HAVE AND N7LL WP7iAlN WOPNERS OOMPENSATION INSURANCE,AS REOUIRED BY SECTION ry Q a7oo OFTHE LA90R COOE,Fdi THE PEH�ORMANCE OF THE WORK FOR WHiCHTHIS PERMIT IS Y �r � ISSUEO.MVWORKERSMIIDENSATIONINSURANCECARRIERANOVOIICYNU�IBERARE: CONSTFIUCTION_ � � �� junwen _ —_ — PLAN REVIEW � pa�cvr�eER ' ELECTFlIC o �ssEcrnrrr�a�rioTeeoo�moFn��aMrsr�or�t��noat�ws�s�m�catFssl PLUMBING Z ICEitTIFYTNATNTIEPERFORMANCEOFiHEYVORKFORWHIqiTHISPEAMiTI5t55UE0.1 MECHANICAL (� SHALLNOTEMPLOYANYVERSOHW�N1'MANNERSOASTOBECOMESU&IECTTOTNE � � WORKERS'COMPENSATIONUWSOFCALIFORNIRMIOAGHEETNATIFISF1DUlD8ECOME INSPECTIONFEE S SU&IECT TO THE WORKERS'OOMFENSATION�RONSIONS OF SECTION 7700 OF THE U�BOR ' �O�- COOE.I SHALL FOpTNWITHCOMPLY WI7H T/DSE PROVISIONS. ISSUANCE � � SMIP / � OA1E: APPIIGAM: � WAqNIN�:FARl1i1ETO5EWREYK%iKERS'COMPENSATqNCOVEf1AGEISUNLAWFULFNDSMALLBE ENERGYP/C �y SUBJECTAN EUPLOYER TO CRIMitU1 VENALTIES AND CN1L i1NE5 UP TOONE HUNDRED THOU5AN0 ENERGY PERM�T DOLLARS(S1oo,o00�,IN ADDITION TO i71E CAST OF COMPENSATION,DAMAGES AS 7POVIDED FOR IN ¢ SECTION]Ia OF THE LABOH GODE,IMFREST,AND ATTOPNEYS FEES. RETENTION FEE: � pw.. CONSTRUCTION LENOING AGENCY PRE•ALT FEE O � IMEREBYAFFlRMUNDERVENKT/OFPERJURYTHATTH[REISACONSTRUCTIQVLENDIIVQAGFNCY � FORTHEPERFORMMICEOfTNEWORKFORNT11pITH150E1iMITI5ISSUCD�SEFioi7,CIV.0.J. � � lENOER'S NAME • � � LFNOER'SAO�RESS , W ICEHTIFYTHATIHAVEREADTHISAVPUCATIONANDSTATET/ATTHEABOVElIFOMIATIONISCOqqECT, TOTAL FEES . . � � p_ 1 A6REE TO COMPLY WITH AlL GTY M10 COUN7Y ORDP7ANCE5 ANO SU7E Uw5 RELATNO TO BULOINO � COHSiRUCTION,ANDHEREBYAUIHORIZERE7RESENTATIYE50F7WSCOUNTYTOEMERUVONTHE ABOVE�e1ENi1OHED VROVERiY fOH WSPECTION PURPOSES. COMMENTS 0 N � . J � �'77 �l� �� • � (�� . 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CITY O�F DIANfUND�BAR , , � '.j• .,. _. .,. . . . ... , � � •:� �: ,. _-_.�r�.�1('+�SP�CTION RCCf?'RD �� � .. .-..=- - �...i��•. � '� ,• � . _ ,. � . -.; .� �,,.. ��[�.��=��.��I�i�� � �M:����i"� ��`:��:��,�. o +�!I►`��-��� �ir:t��`:� ;�.����i���,�, �..(���.������J�� ; ��.�. :a�:�:,,x _.rz�� - - - �SETBACK �`. =:��;(�.:: .- �� �.�,-==1� • . . . �FLOORJOIS7 , � \ �� � �- ��^��_ _, _ , _ � . ._. . -- �FTGS/FOR��1S/STEEL'---- -+ ' _ . : , ..-i• _.-- i . ._. __._ ;FHA REQMTS_:".:.'. -- -. _ _ . .. _ _ . _., I ELECTRlC'GROUND__._ _ _._ �-• - -; �;�`��. - -.:_-- UNDER FLOOR DUCT- - - - - - - ---- - ' ; �- `GROUND PLUMBING - •UNDER FLOOR GUf�IDUtT. �. � ` �� - " �'- '--�" "'t ' - ' � '. ,i:. �SLA�GRADE------� '"� ----- - - - �,"`--` ' FIREP.� CE FO NDATION , � � � i � Ci ���; �T IT�MP POWER------,,-, -- -- _- - . ,. .: . ,::r FIREPLACE 60ND BEAM� ... , ;,:. � .,;., i .� ..__-;�- • ____. . .1�.1'�._ `,WATER SERVICE - -- - - -- �� � '" ` MID HT. BOND BEAM _ t,�� : ;��;�;�: � 1 ' 'Rbb�SHEATHlNGI 12`, O -' 't'j` �' 1 F3 FT. BOND BEA�.4 - �- - --- --- - -.--- __,., � ��� �� �, 14� `` f � - --- - ----- . �FAAMINGNENTILiATION ��• � l FINAL BOND BEAM . + I RObF COVF_R r;,i O!�3-�'l � . PRE-GRADING — --------'�_ �; - --- _ .. I ROUGH NEATING� - - - , .. - - • - -� - BENCHING .. : ,. �:,� v;�,, ; ; ' !ROUGH_ELECTRIC---� - -"_ i. '- ' -`; . .: , . :,r_,-;: ROUGH GRADING - - - -- -- - -- ---- - --' �ROUGN PLUMBING- ! - --- - - ' � - - �` •- FINISH GRADING ' , •;SHOVJER(fU6 TEST ' - - - :. - .== . . ,P,OOL�ELECTRIC.. _._ _. . . : , ;EXT. LATH/54DING--�- - - - -- -- ,- -- - -. __. :.._. POOL FENCING ,' . ,_ ; ;WAL�-tNSUt:ATION -r-- - --- � -�,\','�;"�,:�� : ; . _ POOL'FINAL _ � �� � V ' OFF SITE IMPS..' � ' ' ' { _ - --- -- - - , . _ . . . - iCEiLtNGiySULATiOy . DRYWALCNAtLIP1G"� - - -- --- •-; . . DEDICATIONS : � ; , . � - __ _ _- - , , . . �ScWER -- ; FINAL'ENG.' . � !SEPTIC 7ANF: i ,�J >�`," L'ANDSCAPEIIRRIG. ' ' ;SEE?_PITlLL. -- -- ' v'•� ;-i�t_.- ON SITE IMPS. �, i ;G_�.S hIR TEST ' .' FINAL ZONIrJG . ' . ' : , j = IF.li�l�',l,CQNST..--------- --- . FIRE DEPT FiNAL � _ . � . -_ I ; ' , ;Elf��':LHE4TI:JG --_---_ - - - ' --... . HEALTH,D�PT. FI�IAL , • . ;, -- - ; ;�� .,,-, � - : - 'i iN:;L ELECTRIC--..__- - - --- - - - - ' . . . . ,DEV. FEE5 PAID-- .- -_ � - --'�. - >..- -' ' �_._— i�i'd/`-,tPLUiNBING -- - - -- --- �� - - ENERGY . . . I � . �'---- - - -- ----- - - - ---- - - � �-- - ,. , I j � ....._ �,,,,r, � '__"'__."'f' _"_""___'_. ._._'_'__ _. . _- �i7�.1�' (J�Q� � T � . ' _ __ . . �'R�,., -•-•�...... � . . . . -, , _ 'i�~i. iu�.�1Si:.Y._�s.i��w.:�..��_..,-..;._r.,-"-- '-1.�.. , - . __._�____'_"" . " "_'_"."_' " _ ._ _' __' __ . . . _. .- '" .. . ' ' '_ "_' _ . � I �� - . . . ' ' ' ' __ _ ' � �, � _' ' _' _"" ._ "'__ ' ' ._' ' . ; ;. 6iCiQf'.�M���I cJ - ; i , . _ . ._ � • � � ; , ' -- --- ----- � �-- -- - -- _.. ... _ '_ , - - - ; .. 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