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HomeMy WebLinkAbout11341 (5) y . . . � / �----J��--• C[TY OF DIAMOND BAR • " � �' �i COMMUNTfY DEVELOPhtENT AEPARTMENT , _f� 21660 E.Copley Drive Suite 190 J � (909)860.3195 Fax(909)861-3I17 PRESS ''~' � BUILDING PERMITAPPLICATION / FIRMLY o ADDRESS ��O 7 ��V�L�'K Iy�CFt. DATE CATION il C NUMBER ^ q� { � ' ��� !r � ISSUE TYPE OCC � APN LOT TRACT DATE CONST. GROUP � OWNER W� �—�^�— O o ADDR�SS /8 7 v E!�Lo ' ZONING SETBACKS z CITY I7• >is/L ZIP 17L TEL. �O� /c1 FRONT RW ❑ g APPLICANT • !S/+N TEL. REAR ❑ Z SIDFJSIDE STREET RW O � a CONTRACTOR DOL M���� SIDE p ADDR r � 0 PROPOSED USE -� o � CITY «�a- ZIP �7 TEL 2 -UY / � o ARCFUENG/ �z DESIGNER NO.DWEL NO. NO. a ADDRESS UNITS �'STOFiIES BEDROOMS � CITY ZIP TEL. c�r� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � --� - OWNER•BCILDER DECLAAATION . . . SFR/ADDh1EM � O p 1 HEREBY AFFIRM UNDER PENFL7Y OF PEfWHY THAT I AM E%EMPT FROM THE CONTiLtCTORS LI• G3r e/CdryOh W CENSEUWFOR7HEFd.LOWINGPEA50N�5EC.70.tf.SBUSINESSANDPfWFES510N5CODE:ANYCI7YOR (n U COIAJTyNT11piRE0UIFE5APEAA7ITTOCONSTRUCT,ALTER��ROYE,DEMOLISH,ORREPAIRANYSTRUC• W P3t� BCk NRE,VHiOR M ITS ISSUIWCE.AL50 REGUIPES 7HE APPIKANT FOR SUGH PERMIT TO FlLE�SIGNED � $TATFAIEM THAf HE OR SHE IS UCENSED WRSUANT TO THE PROVISIONS OF iNE CONTRACTORS LL- � . .� GENSE lAw ICFUv7ER v(CqAMENqNG WI7H SEC710N 7000)DF DIVI5IJN J pF THE BUSINE55 M!D FRO• OOVSpO FESSIONSCOOEIOAiVMTHEOR5HEISEXEIAPTTMEREFPOMAN�THEBA515FORTHERLEG[DEXEMP• (� VTIDN.ANYVIOlAT1ONOF5ECT1IXJ7071.5BYANYAPPLIGNiFORAPERMiT5l18JECT5THEtiPRICANiTO Z Re•Rool A CML VENA�ry OF NOT MORE 7M�N FNE HUNDRED OOUARS�S5o0��: z04�SOWNEROFTHEPPO�ERTV,ORIAVEMPLOYEESWI7HWACESASiNEIR50LECOMVfNSAiION, � COrt1m6fC181 WILL DO THE WORK A1<�iME STR(KTURE IS NO7INTENDED OR OFFEHED FOR SALE(SEC.701�,BU51• J � NESS NJD PFOFESSIONS CODE:THE CONTRACiORS L�CENSE UW�OES NOT MP�V M AN ONTlER OF ? VROPERTY YYFq B111L�5 Ofl MPROVES iT1EREON.AN�NR70OOE5 SUCM YVORN HIMSELF OR HERSELF OR CL THROUGHHISORHEROVMEMPIOVEES,FROYIDEDIN�TSULHYA7pOVEM[NTSApENOTMENOEDOR m Q OFFEREOFOqSAIEG,HOWEVERTNEBUI�pINpORUAPROVEMEMIS50LDYJfT19NONEYEMOFCOMCIE� � TiON.717E OWNER$UILDEfl WILL HAVE THE BURDEN OF PROYING THAT ME OR SNE Di0 NOT BUI(D OR � I/AVROVEFOqTHEWHPOSEOFSALE} - �yJ OLASOWNEROFiHE7ROPEHTY.AME%CLUSIVELYCAMMCTWGWITHLICENSEDOONTMCTORS [L TO CANSTRUCi hIE PROJECT(SEC.70�4 BUS�NESS ANO PqOFESSIONS COOE:TME CONTMCTORS L6 Vd1113ii0f1 ADJ.AREA W CENSEUWDOESNOTAPPLYTOANOWNEXOFAPROPERTYN7VOBVILDSOHIMPfiOYE51HEREON,AND � NM1iOCONTMC75FOR3UCH7R0.1ECT5VVIiHACOffTMC70R�5)LICENSEDPURSUANTTOTHECONTMG OUANTITY DESCFiIPTION FEE Y TORSLICENSEUN!I. . Q O I IM EXE�PiUNDER SEG. 8.6 P.C.FORiHIS REASON U � � _. - . LL' DATE OWNER U . . Q� LICENSED CONTRACTORS DECLAFlATION w CL IMEREBYAFFIRMUNOERPENALTYOFPERM1IRYTNATIAMLICENSEDUNDERGHOVISIONSOFCHAPTER V. d. Y(COYMENCMOVAhiSECTION7000�OFDNI510N�OFTHEBU51NE55MlDPROFESS�ONSWOE,AND Z X 6N LICENSE IS IN FULI, ORCE M10 EFFECT. � LICENSE CUSS LIC.NO. ` (d � � j � � J . V pATE 2 CONTFiACTOft d W � WORKERS'COMPENSATION DECIARATION Q NIHEPEBYAFFIRMUNOEHPENRLTYOFPEiWRYONEOFTHEFOLLOWWGOECWU7qN5:_ z � ��IHAVEANDMALL►�NNiAMAGENT�FlCAYEOFCONSEMTOSEIF•INSUREFORYRIRKEHS' _ COMPENSATION,ASPROVIDE�BYSECTIONSIOOOFiMELABORCOOE,FOfliHEVERfORMMlCE W OFTHEWORKFORWHICH711ISPEHMIi13155UE0. � —�� . . . . � � � - . • � . � Q . w �IHAVEIWOW4L�IRJTIJNWORKERS'OddPENSATqNINSURANCE,ASREOUtFED8Y5ECTION O 77DOOF TNE UBOR GODE.fOq THE PERFORMANCE OF THE WORK FOfl WnICH7HIS FERMIT IS ��� ISSUED.MYWOFiKERS'COMPEHSATIONWSUiLWCECARRIERANDFOLICYNVAIOERAnE: CONSTRUCTION � � j GIqRIER S A7�'E ���p PLAN REVIEW _ _ � .. ... POIICYNUA9EH_ I.l�' 7 (fiV��' ��fJ[. (�(_� E�('iTR�Ci � . d (fHsSEctILYJNEmn�oie[m.vlE'fEDOcnEVEa.RswRONEHI�aa[�oa1ARs(i+ao7anlESSG PLUMBING O Z 1 CERiIFYT1/�T IN THE VERFORAIANCE F THE WORK FOR WNICH THIS 7ERNiT IS ISSUED,I MECHANICNL (9 SHALLNOTEAIPLOYANYOERSON NERSOASTOBECOMESU&IECTTOTME � WOWCERS'COMPENSA7qNUW40F � iPpiwi DACREETHATIFISr10ULDBEGOME INSPECTIONFEE� � � � SUBJECTTOiMEWORKERS'COMPEN TIONv iSiONSOFSECT10N77000FTHEU�DOR SCOOE,ISNALLFOFTHWITHCdAPLYW HT VISION ISSUANCE � � SMIP � p OATE: APPLICANT: lll J WAPNINQ:FNLURE TO SELURE WORNERS'NMPENSATION COVERAGE IS U u�uao sM�uee � ENERGY P/C W SUBJECiANEMPLOYERTOCflIMINALOENALTIESANOCMLFWESUPTOONEHU REDTHOUSNJO ENERGYPERMIT OOLUf15�f I00.000).P!AD�ITION TO THE COST OF COMPENSAiqN.�AMAGES AS PROYIOED FOR IN � SEGiiON77ooOFTHELA60RW0E,INTEREST,M:DATTORVEYSFEE3. FlE7ENTIONFEE: � a CONSTRUCTION LEND�NG AGENCY PRE-ALT FEE: � ' O � 1 HEREBYAFFIRM UNDER PEN�LiV OF PERIURY iMATTHERE IS A Cd15TRUCTION IEND�NC AG[NCY FOR TNE PERFORMNJCE OF 7ME WORK FOR WHICN THIS PERIAIi IS ISSUE��SEG]OY7,[IV.C.). Z W � LENOER5NAI.�E . 1-- LENDER'S/�DDRESS �� � � � � TOTAL FEES < W ICERTIFYtMATIHFVEREAOTHISAPFUCATqNFNDSTATETMATTHEABOVEWFORMATIONISCORRECL � IAGREET0004DLVWITMAILGTYANDCOtINTYORDININCESANDSTATEUWSNELATIhGTOBUIL�l4p � CON,aiRUC710N,ANDNERE8YAU7HORIZEHE0RE5ENTATrvE50F7Hi5COUNTVTOENTERUPONiHE Z ABOVE�uENTIONE00ROVERTYFORINSiECTqN � oO5E5. COMMENTS � �1�L�r is � ¢ PEAMI ENAM6(PfU1Jn � . . . . , � az � . � SIGNA P cc D�TE � � � RECPT.N0. PAID F3Y _ VALIDATION � WHiTE—Oepanment Copy.YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENFOD—File Copy,GREEN—Applicant's Copy -.- . ., � . ... . . , . .. - , i. � . .. � . , -. � ., . ��'• - . . � .. , , . . ..�.r�.,..y..y�.-..�a..e.... . . . •.,a.:...«.. '. . � � CITY �OF,DIAMOND BAR'` ,;�. �•�•.�. ; ; .' , '-�' �. � INSPECTION RECORD != . ' `,:.``. �; . .. .. � �:; ..., , i: ;: . . . � ' e � ' �����!!l��.�.,,�.�.� ° ` �_ A � ' I SET BACK� : - � � ��' 1 FLOORJOIST - - ' ' FTGSlFORMS%STEEL �- - � FHA REQMTS - - - - ' ' ELECTRIC GROUND • UNpER FLOOR DUCT • ` � � GR�UND PLUMBING � " � UNDER FCOOR CONDUIT ' � ' ' SLAB GRADE- -- -�� - - ' ' � ' i FIREPLACE FOUNDATION � " � ' � " TEMP POWER- - - . -- - FIREPLACE 80ND BEAM �� �' WATER SERVICE `- -' •' ., ,� ` •` , MIO HT.i�OND BEAM -. . . ., : � ., � . ,,, � ' ROOF SHEATHING ��. �� � - �- 8 FT.BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM - - • � I �•� ROOF COVER -- - --- -. . .._... ... . : .. .- ._: . __ PRE-GRADING _ � ,:., � ,. _. .... _ . . _ AOUGH HEATING - - ' - ' BENC,HING -- - ROUGH ELECTRIC - -- � � -- - ROUGH GRADING. ! �- ROUGH PLUMBING -- - - � -1 �� " �FINISH GRADING SHOWEFUTUB TEST� - - - ' � ` � PODL ELECTRIC � • EXT.LATH/SIDING� � -- � � � � PODL FENCIhlG ' WALL INSULATION PODL'FINAL ' ' -_ CEILING INSULATION OFF SITE IMPS: • • DRYWALL NAILING DEDICATIONS SEWER__ _ _ _ '. _ - . .i ,. FINALENG. � `• SEPTIC TANK. . :... . . ' __. .. ' --=! j' - LANDSCAPE/IRRIG.,. ; •.. SEEP PIT/L.L. - ---. - -. - . . ON SITE IMPS. ' GAS AIR TEST• - -- - - FINAC ZONING ` • FINAL CONST. - / � - FIRE DEPT.FINAL : � .. FINAt HEATING- - - --- � HEALTH DEPT. FINAL- - - - - � ---- -- � �.; FINAL ELECTRIC"" -- - ' � "� - - - ' DEV. FEES PAID . , i , . FINAL PLUMBING � ENERGY j ; j • � - , �'• - i < ,`,E� ��1'i0 :'f 6 - •- l 1 , .. '1 - . .. - -- ... . -- --- , .--, - . � K _ ---- ... -� -. . _._. .- - - ; ' : _ . , C�MMENTS ' . . , . . - , - . , . ., , , � g_�-��.�—.��.�r�= . , . ; , ; - -- - - - . � . ., ; ��., s�:�;. , , .._. � . , ,— - _ ,. _. , .. . . _ ,, . _ . - , ; . . , . - --. ---- -- . . . ; . , . .._ _ . _ . .- --. ._ ... , _ , . . � � - - �.�!'l��,�� � ; _.. .� .. . _ . ;. . _ , . � _ . - � ; � _ - ; . . ,.,. , , , , ::. .... SEPTIC TANK SIZE �� � � � ' ' ' ' ' ; _. .. ... ..-- - --- - - � .,- � .,. . SEEP PIT/U SIZE - � . ., � u. . . .. .. . . , v _ . _ ; . , . 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