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HomeMy WebLinkAbout17062 �` C1TY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVIC 21825 E.Copley Drive (909)860-3195 Fax(909)861•3117 PRESS "%•�� BUILDINGPERMITAPPLICATION FIRMLY o� JOBSITE � r1� {��� ���� ' APPUCATION a � b NUMBER �D(Q ��C ADDRESS d5 /� DATE � APN LOT TRACT D TEE � V CONST. GROUP p OWNER �-A�'K��'1 ADDRESS ZONING SETBACKS Z CITY ZIP TEL. - FRONT RW ❑ g APPLICANT TEL REAR O SIDE/SIDE STFiEET RW O � CONTRACTOR �� �� 1ht� ►�,C• SIDE ❑ � ADOR . �• �'^ ' PROPOS D USE T (AAK�S ��n (I �1�� ��4 C�- o CITY ►'� H ZIP TEL. 1 . 1 oa � � o AACH/ENG/ �D � DESIGNER N0.DWEL ~ ' NO. NO. ^J ADDRESS UNITS STORIES I BEOROOMS � CITY ZIP TEL. N DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER�ECLAHATION SFR/ADD/REM O p I XEREBYAFFlpM UN�ER iENALTY OP iEiWRY THAT I AM E%EMVT FNOM THE COMMCTOitS Lb � GarageJCarport W CENSEUN�FORTVIEFOLLOWINOREASON(SEG70f1.68U5WE5SMIDVROFE55qN5CODE:ANYCITYOR U COUNiyWMCHREOUIRESAVEHMITiOCONSTRUCT.ALTE0.nNPRWE,DEMOUSN.OHNEVAIRANY5T1iUC- W Patlo7Deck � IURE,PRIOR TO RS ISSUANCE,ALSO REWIFFS THE APPLICANf FOH SUCH PERMIT TO fILE A SiGNED W STA7EMENT iHAT ME OR SHE IS LICENSEO VURSUAN�T07ME PROVISIONS OF THE CONTMCTORS L4 $ CENSEUN�(CIIAOTER 9(C0IAMENCINO WITH SECTqN 7000)OF OIVISION�Of TNE BUSINE59 ANO PRO- � PooUSpa iE5510N5 LO��OR THAT HE ON SHE IS E7(EAIPT TNEREFRpA AND THE BASIS FOR iME ALLEOEO EXEMP- � T10fl.MlYVIOL�TIONOFSECTION7o97.68YANYMPLN:ANTFORAPEHMItSUBJECTSTHEAPPLICANiTO Z Re-Rool A tlVIL DENALTV OF NOT MORE THIN iIVE HUNDREO DOLURS�f500)J: ZOL��EROFTHEPROPERTY.OHMYEMPIOYEESINTNWAGE5A5THEIRSOLECOMGENSA710N, 0 CpmTefClel - WILL 00 THE WORK,AND THE STRUCTURE IS NOT INTENDED OP OFFEREO FOR SILLE(SEG 7au.6U51• _! N NE35IWD PROFEgSION3 CODE:TFIE CONTR�CTOitS IICENSE UW DOES NOT APPLY TO AN ONMER OF ? VROVERN W/108U0.DS OR IIAPqOVES 1HEREON.AND W/10 DOES SUCH WORN HIAISELF Oq HERSELf OH CL TMf10IXiMM150RNEROWNEMPLOYEES,PROV�OEDTViATBUCHIMPHOVEMEMSMEHOTMENDEDOR m QOFFEHEDiORSALE1F,/qN�fVER7NE8UILDIN00RMVRO�E6IENTISSOLDNIIIHNONEYEAROFCOMPIE• Z TION,THE OVrt1EF-BUtLDER WILL HAVE THE BUROEN OF PRpVpp THAi NE OR SHE DID NOT BUILD DR � MPROVE FOR T/1E VURP0.5E OF SALEj. W ❑4�OWNEROFTMEPHOPERTY,AMEXCLUSIVELYGONTMCTWOWRMLICENSEDCONiMCTORS (= TO CONSTRUCTTHE CROJECT(SEC,7a�,BUSINESS IWO PROFESSIONS LODE TME CONTR�CT00.5 U• V01U8110n ADJ.AREA � W CENSEUWDOESNOTMPLVTOANONTlEHOFAPROPERT'YAfOBUILD50qIMPROVEST/EHEON,ANO � W41000MMCTSFORSUCHPRQIECTSN7THACdRRACTOR($�L�CENSEDRIRSUAMTOTMECONTRAfi Q�J/��.Jr�T' DESCRIPTION � FEE � TORSUGENSEUW). � ❑IAM EXEMPT UNDER SEC. B.8 i.C.FORTMIS NEASON U u" DATE OWNER r Z W �Q UCENSED CONTRACTORS DECLARATION �j CC IHEREBYI�Fi1fiMUNDERPEtULTYOFGERRIR'/TMATIAMLIGENSEDUNOEHDROVISIONSOFGHMTER � p. �(COMMENCINO WITH SECTION 7000)OF ONiStON 1 OF1ME BUSINESS AND PROFESSiONS COOE,ANO Z X NY LICENSE IS W FULL FOHCEANO EFFECT. � UCENSECU55 `•�� LIRNO. � �O �J .. V DATE �—.S�O� _ CONTRACTOR 0. W � WOAKERS'COMPENSATION LARATION Q = U � IHER�VAFFl{iMUtiDEflVENALTYOiPEK1URYONEOFTHEFOLLOWWCDECLAH11T10N5: f� Q � _IMAVEMONn�LIMINTAIN�CERTIFICATEOFCONSENTTOSELF�INSuqEFOHWORKERS' S � QOMPENSATpN.ASVROVIDEOBYSECTON]7ooOFTMEIABOHO00E,FOi1iMEPENFONYANCE W OF THE WORI(FOR VMIp17/115 PERMIT IS ISSUE�. ,� 0 w _INAVEM1pMnLLMA1MNNWORKERS'COMPENSATpNINSUWWCE,ASREOV�REDBYSEC710N /� f Q �7000FTHEUBORCODE,FORTHEPERFORMANCEOFTIIEWORKFORWHIp/iHISVERA1rtIS / 1 A� I O �$SUEp.1.lYWDRKERS' PEN INSIIN CECAPRIENANOPOLICVNUMBERAfiE: CONSTRUCT�ON l ��� � WRRIER � PLAN REVIEW � POLICYNUMBE���I�_—,�� ELECTRIC . � (f1�S5ECIqNNEmNOT8E00NroLE'fE.00FTEPEfiMTBFORONEFIIl���UR5Rf0olORlE551 PLUMBING Z I CERTIFY iHAT N TNE VERF0��INCE OFTHE WOR1f FOR WHICH TNIS PFRAIITIS ISSUED,1 MECHANICAL (�7 SHALLNOTEMPLDVANYPERSONPlANYMNJNERSOASiOBECOME JECTTOiME vj WORKERS'C0/.1PENSATIONUWSOF � AGRE T 1 DBECOME INSPECTIONFEE S 5�1B.�ECTTOTMEVIORNERS'COM7EN iIONVROV'IONS TiON OOOFTMEUbOR coo�.is�uuFoan+wm+coMv�rvn nas Aohs ISSUANCE � � � SMIP � � p UATE:��L APPLICANT: W ENERGY P/C WARNINO:FA0.URETOSEWFEWOPKERS'L01A7 ATIONtOVE ISUMAWM.MIOSHALLBE � SUBJECTANEMPLOTERTOCiUMINAL ANOWVILFINESUPTOONEHUNOREDTHOUSANO ENERGYPERMIT OOLLARS(f10D,D00).W ADOITqNTO THE COSTOF WIAPENSA710N.OAAAAQES�l5 VHOVIOEU Fqi IN � SEC�qN970lOF7HELABORCODE.L4TEREST,ANDATTOfWEYSiEES. RE'fENTIONFEE: � pW.,' CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEAEBYAFFIqMUNOERFENALTYOFPEiUUFWTMATTNEREISACONSiRUCTIdJLENOW6AGENCV Z FORTHE PERWRMANCE OF TNE WORK FOR WNICH TMIS PERMIT IS ISSUED(SEC.iDV7,CIV.CJ. W � LENOER5NAME � LENOER'SADDNESS ¢ IGEHTIFYTHATIlNVEREADTHISMPLICATIONANDSTATEiHATTMEABOYENFORM�TIONISCORRECT. TOTAL FEES ( � � W I ACREE TO COAIPL�WITH ALL CRY AND COUNTY Oi1DINANCES/NO STATE U1W5 REUTIN6 TO BUIL�M� � CONSTRVCTION,/WDMEREBYAUhpRIZEREVPESEMATIVESOFTH15tOUNTYTOENTENUPONTHE Z qNEDOHOPERiYPoRINSPECTiONPURPO5E5. COMMENTS O � w �K�t f,o.. m E(�a� r¢n �'S-0 y 51GNAiUREo ERMI7T E OATE � RECPT.NO. PAID BY VAL�DATION WHITE—Oepartmem Copy,YELLOW—Finance Copy.PINK—Assessa Copy.GOLDENROD—file Copy,GREEN--ApplicanTs Copy +.�.. s , ..�,•,.cwr�,;c..t;�*r . � ... �-.5�..- t;:m+• +� � ,n�•:r �� �v;•�=�r,r.,,-�9,.•.T .. .- !��.y ;.3 Ft��j� 9.. . ,. ..1 j����"3��l.:Yt"l.�tJ7�?t"'.ky.t�C�{,yy5�r.n,,... � . .,,r�.:.............r-c..�+r• '•-...e.w+i�<�:x'.:ri^.• ,�«K �� ^1"�'l.t..l1� e..: `�7!+M»�•.r�..... �f'�• �� . .`,s.�..:+:`��.::''..�;'..' r ..._� .. _ _ . . �IT't OF DI�`�►�J9Q(�"D BAR ', , _ �,�' It�lSF'ECE iON REC�O[�E7 �,, �.:._.. .. ., _.:; � ,:� . . �._��.,,�� _^`�� l��� �� �r � i �i� 1.� 3 '�►�..�`�i��,��� I���-��r�� (o �' �`�C _.� �• ���'e�c `�_ G��:�qF;: _X��� �._ I��fi�� - 6 �' SET BACK �~.�-. �� FL�OR JOIST ' �I__i__I _ FTGS/FORMSISTEEL �__ ' � �, FHA REQMTS I ELECTRIC GROUND UNDER FLOOR DUCT . � : . � GROUND PLUMBING � _� � U�dDER FLOOR CUPIDUIT I SLAB GRADE I- � FIREPLACE FOUNDATION I TEMP POWER I FIREPLACE B�ND BEAM WATER SERVICE_ L � MID HT. BOND�BEAPJI I ROOF SHEATHING ' �_ �-U�� :��� � 8 Fi'. B�ND BEAM �� I FRAMINGNENTILIATION FINAL BOND BEAM � ROOF COVER �-7�I��� � PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC I I ROUGH GRADING FiOUGH PLUMBING � i ' FINISH GRADING I SHOWERJTUB TEST ; � POOL ELECTRIC , EXT. LATH/51DING � � i POOL FENCING � WALL INSUTATION j POOL FINAL CEILING WSULATION j � � OFF 51TE IMPS. �RYWALL NAILING DEDICATIOPJS SEWER FINAL ENG. SEPTIC TANK , i LANDSCAPFJIRRIG. � SEEP PIT/L.L. � ' ! ON SI7E IMPS. GAS AIR TEST ; �, FINAL ZONING j � FINAL CONST. � � ' FIRE DEPT.FRJAL � FINAL HEATING ' � I HEALTH DEPT.FINAL � FINAL ELECTRIC ! DEV. FEES PAID FINAL PLUMBING � i ' ENERGY � ; I I I ;�;='�::�;� :� ,; . - - - --------- _ ____-___._._. _ - ---- -- _ , - COMMENTS ' , _ `� SEPTIC TANK SIZE � ' SEEP PIT/U SIZE . i�� .. . . ; ' : � ,,���� � i�� . _ _ I . _ � i _ ..�'� �, , . . _ � , ._.�.__ ��_�