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HomeMy WebLinkAbout12248 CITY OF DIAMOND BAR " - --- DEPARTMENT OF COMMUNTfY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suitc 190 (909)Bb0-3193 Fax(909)861-3117 PRESS �'�°�'� � BUQ.DING PERMTT APPLICATION FIRMLY � JOBSITE s APPLICA710 PERMIT P/C o AODRESS � DAT� '� � "'� NUMBER 21 2�8' � � APN LO T DATE '"1"�I'! ` [ TYPE OCC CONST. aROUP � OWNER ZONIN4 SETBACKS B CITY�S TEL. � FRONT RW ❑ � APPLICANT /' REAR ❑ SIDElSIDE STREET RW O CONTRACTO SIDE p g ADDRE55 PROPOSED USE ► ^ Pii RCH/ENC3! ZI�DO` TE � dESIGNER NO.DWEL. NO. NO. ADDRESS UNITS l � STORIES I BEDROOMS � CITY 21P TEL. �n DESCRIPTION SO.Ff. FACTOR PSF ADJ.ARERNALUATION Q OWNER-BUILDER DECLARATION SFFUADD/REM O I NEf#81 N�FIRM UNUER PENALT'OF VERAJRY Ml7 I AM E%EMPf FROM TNE CONIRACTORS L6 GB�pAg/(�.eI�OM CFlISEUWFORTMEiOLLOWNOREASON�36C.70.91.iBUSINE6SANOPROFE54qNSCODE:ANYCITVOR (n COUNiYMMIChII¢WIRESAPERMRTOCON97RUC7,II�TER�P���DEMOUSN,ORNEPAIRANY6TAUG IJ,J pg�l0/�BCk 7lIRE.VPWR TD RC 159UANCE,ALRO REOUIRES 7HE APPIICANi FOR ffi1[YI PERMIT TO FR,E A SIONED W ETIRENENT THAT HE Oq SFiE IS LICENSED PURSUAHT TD TiE PROVISIONS OF lHE CONTRACTORS LI• CEI�RE LAW�GN7TER�(GOMMENCNO 1MITH BECT�ON 7aao1�D�VISqN 9 0F iME BUSINESS AN�PNO. � POOV3pe FESSIDNSOODE)OR7HATMEOii8V1E13EXEMPTi11EiffFROMANDhIEBA315FORTHEALLEOEDEXEMP� (' TpN.N1YVqlAT10NOFSECTION7oa7.6BYANYAPPLICANTFORAPERMIT9U&78CT8THEAPPLICANTTO Z Re-RODf � 11pVIL►ENALTYOFNOTMORE111ANFNENUMDREDOOLµR3It5�%,1: .. 04�0'MIEROFTNEPROVERTV,ORMYpAPLOVEESNA7HWA0E311STMEIqSOLECOMPENSATION, �',pmmgfC181 WILL DO 7HE YYON(AND 1HE BiRUCNRE IS NOT MfTENDEO OR OFFERED fOR SALE(SEG 7ou,BIJ56 J N MEffi ANO PROFESSIONS OODE TNE CdffRACTOFLS LICENSE U1W DOES NDT MPLY TO AN OWNER OF ? PIqPER1Y MRiO BULDS OII IIAPROyEe 7HEREON,AND MMO DOE6 BUCH WOF1K HIMSELF OR 1{EqSELF OR � TIIOUGH MS OF4 MEP py}M p,IROYEE3.PRONDED TXAT BUCM 6APROVENEM8ARE NOT INTENOED OR m OFFERm FOq BIILE i,MOWEVER7HE BllILDINC!ORMiPROVEMEM 18 SOIDYNTHIN ONE VEAR OF OOM%E- TOH,TNE ONRIER�UILDER NtLL W1VE iF1E 6URDEN OF PROVINO THAT HE OR SHE DIO NOT BUIID OR M1Pp�YE PDq i11E PURPQ4E OF BAL�. � � OI./SOY�MERDFI}IFPIIOPERiY,AMIXCLUSNELYCONTRACTWON7THUCENSEDCONTRACTOR6 TO OMiSTAUCT TIE Pf10JECT(SEC.ioN.8U81NE53 AND►ROFESSIONS CODE TME CONTW4CTOR5 LI• V91U81i0R ADJ.AREA CENSE U1W DDES NOTAFPLY TO AN ONRJER OF A VROPER'TY W110 BUlD50F IhAPROVE97NEREON.AND WNOOa7TRACTSFORltIqiPNWEC78VY1THA00M'MCTOR(6)LICEN9EGCUR6UANiTOhIECONTMG pUANTITY OESCRIPTION FEE � 70fi4UCENSEIAri.). O I AIA IXEYPT 11NpER SEC. 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WORKERS CAMPENSATION DECLARATION �i�Ci � N � � y INEREBYAFFItiMUNOERPENAITYOFPERIURYONEOFTHEFOLLOWINODECU� 5: z � __I INVE AND YVILL MAMNTAIN�CERTIFICATE OF CONSENT TO SELFaNSUHE FOR WOHKERS' OCMPEN6AT�OM,1�5 PROVIDED BV BECTON aToo OF THE LABOR CO�E,FOR 7HE PERWRMMICE U OF TF1E WORK FOR WNICH iHl6 PERMIT 16 IBbUW. � �W WE AND MIILL MIUIifA1N WOHKENS'COMPENSATION INSUNWCE,AS REGNRED BY SECTION d� �� � DO OF THE R CODE,�OR THE PERFOiNI OF THE RK Pofl NhtICH THIS PERMA 18 �/Jy�/ � SUED.MY RSj001�' iqN INs CARqI �POLICV NUMBEN ARE: CONSTRUCTION � —� "/�! � � �/y �j GARIEit �V� PLAN REYIEW � ra�cr�weE � ELECTFIC � (na58EC11oM�lDiBEmARtEl�oFnEPERMisaoRn+Elal�nREDOounR.s(ttm�atLEsS} PLUMBING 1 CERTIFY TFUT N THE PEqFOH1AANCE OF THE WOpK FOR WXICFi TNIS PER41T IS ISSUED.1 MECHANICAL SM�LI NOT EMPLOV ANY PER90N IN M!Y MANNE AS TO BECOME BUBJECT 70 TFIE (n riORI(ERS'COMPENSATIONU1N50F I 0lGREE IFI MOIADB INSPECTIONFEE � SUBJEC7701HEM/ORKERS'COMPE 0 IONSOF IDN�70o0 R / �coo�,�isru�u.w�rnrimn�con�r�r � -wN ISSUANCE � p OA :TE%(=(�j�APPL�CANT: SMIP � WAiWING:FA0..URETO9ECUREWOFV�RS'COMPENSATIONCOYEM6E19UNlAY/FUL,ANDBFW.LBE ENERGYP/C �y BU&IECTANEMPLOYEH70CRIMINALPENAL71ESM10CIVILFlN6UPTOONENUNDREDTNOILSAN� ENEROYPERMIT DOLLMS�100,000),W NIDITION TOTHE COST OF COMPENSATpN,ONAllOES AS PROVqEO FOFi IN � 8ECf10N aNe OP�HE LABOR CO�E,NVTEREST,AND ATTOfW EYS FEEs RETENTION FEE: O CONSTRUCTION LENDIN6 AGENCY PRE-ALT FEE: � 1 HEREBY AFFIRM UNOEH PENALTY OF PEiiJUflY TFI�T TXERE IS A CONS7AUCTqN LENOINQ AOENCY � FONTNEPERFOXMANCEOFTHEWOPo(FORNT11CH1HISVERMIT15195UED(9EGaoB7,qV.C.�. � �EN�ER'S WIME �S LENDEH'9�DDRE59 `� ICERTIFYTHA7IYMVEqEADTi19MPLIGMTpNANDSTATETIV.TT1E11BWEWFORMATqNISCORRECL TOTAL FECS � �a � IACiREE1000NP�YNITXAL1.Cf1y,4I�COU1JrypqpINANCfSANDSTATEUWSRFL1lTINOTOBUILDINO ' CONSTAUCi1W{AND HEREBY AUT110RIIE HEPRESQITATNE!OF THIg COVN7Y TO EtrtER VPON TME ' � ED 7NOPEHTY WR MSPECfpH VURPO5E5. CQ�AMENTS n 9= �����f/ G�fO,�� � 4 vEn� e Nnuni " =.., ��.��... . . ' y l �� y � o�tE �S FECPT.NO. PAID BY VALIDATION ► F WNITE-0epertment Copy,YELLOW—Finpnee Copy,pINK--Asseesa Copy,GOLDENROD—F"le Copy,aREEN�Applicant's Copy CITY OF DIAMOhID BAR ;,, � If�{SPECTION REC�RD . � ; . . :' � � ` , . � . . o � � . ` . SET BACK , .�, `.. . . FLOOR J ,I$, :�,.I�1s. j� ' � '�,�� :.:1. � ,`:, . t— FTGS/FORMS/STEEL ' • FNA REQMTS ELECTRIC GRUUND ' UNpER FLOOR DUGT• �� , ; .; ,'{•,.;.E :'. - ,:: GROtJND PLUMBING � ° UNpER F ��t�A� UNDt:l1T ��-���,;'•�.`• �•; SLAB GRADE FIRE�'t,�G�#E3UNOA�ION •' �•, '�;` •' ',;_° . �h�>�s - � ► TEMP P(3WER FIREf'CACE$bND llq:+�''. •�;;'';'�^�` 's' �'�.`:',� WATER SERVICE ..._ - - r.. MID F{T.'Bbf�Iti'B �i,f: 's , ,��;�'� ' :--'� : ' • -',",,�1 R00��8H�ATFIf{VG ` — — � ' S FT.�{3,0 �M ' ! '•�. ',� ' `'`` -�: ��;. , ',.. FRAMING/VE[V71LI�1TION �: � � `,%'� '+� � FIt�lAL��OND BEAM ��`� -y� �! • ROOF CUVER . b:.l � � PRE-GRADING � ROUGH HEATiNG BENCHING F?OUG}i ELEC7RIC ROUGH GRADING RDi1GH PLUMBIiVG � FINISH GRADING SHOWERlfUB TEST , PpOL ELECTRIC EXT. LATH/SIDING I POOL FENCING WALL lNSUlAT10N • .. POOL FINAL CEILING 1NSl1LATION OFF SITE IMPS. DRYWRLL NAILING ! DEDICATIONS SEWER j ; FlNAL ENG. SEPTIC TANK , „ LANDSCAPElIRRIG. SEEP PITlL.L. . ; , ' ' ' ` ON SITE IMPS. GAS AIR TES�' _ - ,�=�, FINAL ZQNING ` FINAL'CQNST. � �•�' �''•j��.:tRd ' � ! FIRE DEPT. FINAL � F,4Nl�L 1-��A�`fNG. �+ '� �` � ! • ,s �, 1 HEALTH DEPT FiNAL � � '. �,� FIIVAL ELE TR1C ,. � ` DEV. FEES PAID ' FINAL PLUMBING '�-= ; i: . � � '`, �'-.,.,J'.�� , ENERGY z ' �.- . ; ; .. ,. 1 (.��• : r: . . i � " d! 4 �I . —' ' _ � .� , r,, --.. �, 1 �. . ,� . .t, � , . .. ---;� � `.. CO�tV{ENTS � � � • • , � '',- • :� , .���, ',.•�C`�,_ :a;�.-�i;..+ '' :) .. .. 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