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HomeMy WebLinkAbout17622 (48) . i_:�_::_ �� CITY OF DIAMOND BAR C� � DEPARTMENT OF CONIIvIUNfCY&DEVELOPIv1ENT SERVICES 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS `'��' BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE �3 ? �CA..� /�����. „/�� APPLICATION l (''�1 PERMIT �} P/C ADDRESS I �� �� DATE � `� v v"NUMBER 1��� � APN LOT, TRACT ISSUE TYPE OCC DATE CONST. GROUP p OWNER �� �/��l p ADDRESS ��+� p9 ZONING SETBACKS z cmr�/o�-�� `���3���1- Gr/>� FRONT aw ❑ g APPLICANT TEL P A�R ❑ � SIDE/SIDE STREET RW ❑ � CONTRACTOR �-� n C • SIDE ❑ ADDRE $ p �m, � �«/ Z�P a� TEL /� PROPOSEDUSE oARCH/ENG/ � OESIGNER NO.DWEL. NO. NO. = CrD�D�RESS ZIP TEL UNITS STORIES BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFR/ADD/REM O I NEREBY AFFlRM UNOER PENAITY OF iERM11RY THAT I AM E%EMP7 FROM T71E CONiMGTORS L4 GaregelCarport W CENSEUWFORTHEfOLIOWINOREA50N(SEC.70.71.68USWE55l�NDPROfE5510N5CODE:ANYCfTYOR (n V COIRJTYYYHCHREOUIRESAPERMITTOCONSTRUCiALTERRAPHOVEOEMOUSH.ORREPAIRANYSTRUG W patio/Deck � NRE,PRqR TO ITS ISSUIWCE,ALSO REOUIRES THE APPLIGWi FOR SUd1 YERMIT TO FILE A SI(iNED W � 8TATEMENT THAT HE OR SHE IS UCENSED PURSUANT TO THE VROVISIONS OF THE CONTRACiOR3 lI- � � CFNSE LAW(CHAD7ER i(COMAIENCW�YATH SECTION'l00�)OF DIVISION 90F THE BUSINESS NJO VRO. POOVS�3 fE55qN5CODE)OR7HATHEORSHEI3IXEMPT711EREFpOMANDTHEBA5ISFORTHEALLE6EDEXEMP- (� � TqN.ANVVIOLATqNOFSECT10N7W1.5BYlVJYAPPLICANTFORAGERAIITSUB1ECiS1HEAVPLICANTM Z RaRaol � A CML GENALTY OFlbT MORE THAN FNE HUNDRED OOLURS(f5ao�.r p 04�SO�YNEROFTHEGROPERTV,ORMYEMPLOVEESWITNWAOESASTHEIq50LECOMPEN5AT70N, 0 COIT1rtIBfCl81 - Z YnLL DO TF7E W011K AND THE STRUCTURE IS NOT�NTENDED OR OFFERED FOR SALE(SEG 70u,BU51- J N NESS 11ND GfiOFE5510N4 GODE:TME CON�M(.TORS LICENSE UW DOES NOTAPPLV TO AN OWNEq OF � PROPERTT NR10 BU0.DS OR MVROVES TNENEON,AND WMO OOES SUGI WORK HIMSELF OR MERSELF pR 2 TMROUGHNSORHEROWNEMPLOYEES,VRONDEDTHATSUGIIAIPROVEYENTSMENOTINTENDEOOR m 0 OFFEREUFORSALEIF,IqWEVERTHEBULDINGOflIMPROVEMENT4550lDNATHINONEYEAROFCOMPLE• z TqN.THE OWNER�BURDER YALL II�VE THE BURDEN OF GROViNO TIUi ME OR SHE DiD NOT Bl11tD OR = NIPpOVEFORTMEVURPOSEOFSAL�. W OlASOWNEROFiHEOROVERTV,AME%ClUSNELVCONTMCTWOWfTHLICENSEDCONTRACTORS (,'r TO CONSTRUC'T THE PRQIECT(SEC.70I1,BUSiNE55 AND P(10FESSIONS CODE:TNE CONTMCiORS LI- V3IU8�IOf1 ADJ.AREA LL CENSEUWDOESNOiAPPLViOANONTIEROFAPROPERTVN7100UM1DSORIMPFIOVESTMEREON.AND � NM1IOCOMMCTSFOHSUCHVROJECTSYYI7HACONTMCTOR(S�LICENSEDPURSUANTTOTHECONTMG pUANT�TY DESCRIPTION FEE � TORS LICENSE UW.). � O 1 AM E%EMPT UNDER SEG &6 P.G iOR THIS REASON Q � U LL" DATE OYlNER V Z � UCENSED CONTRACTORS DECLARATION W � IHEREBYAiFIRMUNOERPENALTYOipERJURYTHAiIAMUCENSEDUNOERPROVISIONSOFCHAPTER Z /1� -iJ�+�1 G O p„ �(COMMENqNO VnTM SECTION fOOD)OF DMSION�OFTHE BUSINESSANO iHOFE5510N3 COOE,AND �"r 77/F• � MY LIGENSE IS N FULL i E AND E ECT. � LICENSECUSS � � � LIC.NO. ��/��� j V DATE �^I r�L CONTMCTOR � d ua __ _ . � WORKERS'COMPENSATION DECLARATION Q � INEREBY�FFlRMUNDERVENAItYOFiEiWRYONEOFTMEFOLLOWINGDECUMTqN4: Z � _I HAVE M1D 1M MAINTAIN A CERTIFICAiE OF CONSENTTO SELFdNSURE FON WORKEHS' 2 COMP ASOROVIDEDBYSECTION]7ooOFTHEUBORCOOE.fORTHEVFPFORAIANCE W Q E WOPoC FOR WNICM THIS GENMIT IS ISSUED. � ' � _I HAVE AND WILL IAAINTAIN WORKENS CAMPENSATION INSUMNCE,AS REOUIRED BY SECTION � J7000FTHE LABOR CODE.FORTHE PERFORMANCE OF THE WORK FOR WHICH 1HI5 PERMITIS � ISSUEO.MYN'ORKERS'COMP NSATIONIN URANCECAARIERANOPOLICYNUMBERARE: CONSTRUCTION � CARRIER �/a'��� —�h s. pLP,N FiEV1EW Z va��crNuueEn ��12����� ELECTR�C ¢ o �wssEcrv+r,��noreeoo�oFnEaEaiwrswao��uo�[ooatnws�sioo�an�s� PLUMBING (� Z I CERTIFYTHAT INTHE VERFORMANCE OF TME WDRK FOR WMI i111 ER l5 t55UED,I MECHANICA� CS . SMALLNOTEUPLOVANVPER50NINANVM�NNER ASTO F U&1 TTOTNE � YqRNERS'COIAPE SATqNUWSOFCN.IFOR A �.TNA IS ULDBECOME INSPECTIONFEE S SUBJECT TO T E ANERS'COMPENS�TION 07 OF THE LABOR ` coo�.�sN v r�nnn�cana�rmnir v ,arr ISSUANCE _ �X1 O p DATE: PLICANT: SMIP w ENEFGYPlC �-X�"''_--'-----------_ W�RNIN6:fAILU SEWREMlORNERS'COMGENSATIOf G ., WFUI_ANDSNALLBE �y SUBJECTIWEM L ERTOCiUMINN.PENALTESANUpVILFINESUPTOONENUNDREDTMW5AN0 �'���J �."' -:�� I � I � � DOLLMS(ftoo. WMDITIONTOTHECOSTOFGOMPENSA710N,DAAUCESASPROViDEDFORIN ENEFiGYPEFMIT ¢ SECTION7loeOFTHELABORCODE,NTEREST,ANDATTORNEYSFEES. RETEPITION FEE: � � � a CONSTRUCTION LENDING AGENCY pRE-ALT FEE: � � � � y ^ O � IHEREBVAFFlRMUNDERPENALTYOFPERJURYTHATiHEREISACONSTRUCTIONLENDINOAGENCV FOR THE PERFORuuaCE OF TNE WORK FOR VVHlp1 THIS PEW.nT IS ISSUED�SEC.7oa7,CIV.Q�. .��', 7� ��_.�;`Z� � LENDERS NAME •.."—'•_-.--.'--'_ .;---' � IENDERSADDRE55 Q ICERTILYT/uT11uVEREADTMISAPPIICATIONANDSTATETNATiNEA00VE1NFOa4AT10NISCORRECT. TOTAL FEES O d IAGREETOCdA7LYWITNALLCITYANDCOVNTVORDINANCE5ANO5TATEUNSREUTM�TOBUILOING �� � CONSTRUCiKKJ,ANDHEREBYAUTXOPIZEREPRESEMATNESOFTHISCOVNTYTOEMERUPONTME ABOVE-MEMqNED P TY FOR W N PURPOSES. COMMENTS p Lf�� • _ � �c,�� m PERMITTEEWVAG � t �.—�`�Z � SKiNA7UREOFPERMI EE DATE � RECPT.�O. PAID BY � VALIDATIO WHITE—Department COD%YELLOW—Finance Copy,PINK—Assessa Copy,GOLDENROD—File Copy.GREEN—ApplicanPs Copy l.`Vi � .�}��l..t'h�l')y'I'.:8'YIS.YT.��.lY�:`!:,. . .'..T.:'.'w�� ,• �:'r . ;.��.r..^�.^tli'-rT'v�'L<r^t.l<�.�r. .�.'sYM1tl!'yntw�r „ �� . � .. ... �.7•, rti.,q��i:: f;:PI.:I��✓ .•r�•riy�....�:.c"'_--..�cc r:�":-...�Y:�?xn., CITY OF DIAM�RD BAR INSPEC'FION RECORf3 � �. .. �_._..,�.�...� � r ;y-,-��, _ y ,. . ., �, 7--�__ r� �r^ �{ �, �L��r^._"�.�.����1�J . _ . ;..,�n�h.� .. tl_�1�������F�,.e:� :�lR�i'`�� �f5�.�0�`� .. . D ���i,G��� �.�!�,�1,�^' �: .� D. -- -- _ _ .�..._...�.�.� ;.,,_w. _ __. , _� �_..,, , SET BACK . ; -. � FLOOR JO{ST � t � . - ' \ � 1_ , FTGS/FORMS/STEEL � FHA REQMTS ELECTRIC GROUND � UNDER FLOOR DUCT •, >>,' - GROUND PLUMBING UNDER FLOOR CU�IDUIT SLAB GRADE FIREPLACE FOUNDA710N " � � TEMP POWER I FIREPLACE BOND BEAM WATER SERVICE I MID HT. �OND BEAP�1 � ROOF SHEATHING 8 F�'.BOND BEAM� • ' FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER `" PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT.LATH/5101NG POOL FENCING WALL INSULATION POOL FINAL I CEILING WSULATiON OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK IANDSCAPE/IRRIG. SEEP P!T/L.L. � ON SITE IMPS. GAS AIR TEST � FINAL ZaNING FINAL CONST. � . GlRE DEPT. FINA!. FINAL HEATING HEALTH DEPT. FINAL � FINAL ELECTRIC � DEV. FEES PAID FINAL PLUMBING � ' --��--' � '� ` ENERGY I ��►l�i.t. �'14�.FK� Z�f+/�OZ- I/t•� � - � ;C�..� �'tC�lr id��`F � - ---- ----� �. _----- - ... --- -- - � COMMENTS � - ,,, � SEPTIC TANK SIZE SEEP PIT/U SIZE _ ��,� ---,-�r . .` ,, 3�a�,� � �d; ��, , _: :_� , . . _ , _ ! , , . _ . - - ��,�. .�! .