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HomeMy WebLinkAbout18340 �\ CITY OF DIAMOND BAR � i DEPAR'TIv�NT OF COIvQ�1UNITY&DEVELOPIv�NT SERVICES 21825 E.Copley Drivc (909)860-3195 Fax(909)861-3117 PRESS �"'-�� BUILDINGPERMITAPPLICATION FIRMLY o ADDRESS_t�G� ��D GLU�D ��- APPUCATION '� � PERMIT r P/C DATE NUMBER # � APN LOT TRACT t.,. ISSUE TYPE OCC DATE � � CONST. GROUP p OWNER ✓ � ADORESS ZONING SETBACKS z CITY - I EL. FRONT RW ❑ g APPUCANT ��, �J 1 REAR ❑ � 1� SIDElSIDE STAEET RW ❑ c� CONTRACTOR SIDE ❑ AODRESS � CITY ZIP TEL. PROPOSED USE o ARCWENG/ � DESIGNER NO.DWEL. NO. NO. n. ADDRESS � CITY ZIP TEL UNITS STORIES BEDROOMS � �n OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADDlREM O 1 HEREBY AFFIR61 UNDER VENALTY OF OE0.AIRV 711AT I AY EXEIAD7 FR01.1 THE CON7RACTORS L4 Garape/Carport W CENSEUWFORTNEFOLLOWINOREASON�SEC7071.6BUSWESSMIDPROFESSqNSCODE:/INYCIT'OR (/� U CqJy}yWNldlp[OUIRESAFERMITTOCONS7AUCT,ALTER�MPROVE,DEMOLISN,diHEPAIRANYSTRUG W Pgt10IDfiCIC � TURE.PNOR i0 RS ISSUANCE,AL30 REWIRES TNE APPLICANf FOR SUCH YERMIT TO FILE A SiGNED W STATEMEHf THAT HE OR SHE IS UCENSED FURSUANT TO TME PFlOYISIONS OF TME CONTRACiORS LF �� CENSE UW(CMMTER Y(COMMENCIN�W1TH SECTION 7000)OF DIVISqN]OF THE BUSINESS AND PRO• V' PooUSpa fESS10N5COD�ORTHATNE0R5HEISE%EMPTTHEREFNOMANOTHEBASISFORiNEALLEGEDE%EMP- (' V 71ON.ANYVIOLATIONOFSECTION70�t.SBVANVAPPLICANTFORAPERMITSU&IECTSTNEAPiLIGWTTO z R8-ROO� Ad V NALiYOFWOTMORET/ANFIVEMINDFEDDOlUR5�f5o0�.r � . .ASOWNEROFTHEPROPERTY,ORIAYEMPLOVEESWITHWACESASTHEIRSOLECAMPENSATION, � CORIfI1BtCI8I � Z WI iHE WORK,Ml�THE SiRUCTURE IS NOT IMENDEU OR OFFERED FOR SALE(SEC.7o1I,BU51• J � NESS AND iHOFES3lONS WOE:TNE MMMGTORS LICENSE LAW DOES NO7 AVP�Y TO AN OwNER OF = PROPERTYYrttO8U1LDS OR IMPROVES THEREON.IWO YMOOOES SU(?1 WORK HIMSELF OR MERSELF OR [t 7MROU6MMISORHEROWNEMPLOYEES,PFlOVIDEOTHATSUCHIM7ROVEMENTSMENOTINTENDEDOR m � OFFEREDiORSILEIF,HOWEVERTHEBUIDIN(iORIMPROVEAIENiI550lDVATMINONEYEAROfCOM7LE Z TION.7ME OWNER•BUILDER WILL HAVE TNE BUfiDEN OF VROVp10 iHAT HE OR SHE DID NOT BULO OR _ /AVROVEFORTHEVURPOSEOFSALE� W 04��NNEROFIHEPROPER7Y,MIEXCLUSNELYCOMMMINQWITMLICENSEDCONTMCTORS (= TO CONSTRUCT THE PRQIECT(SEG 10N.BUSME55 M!D iROFESSIONS CO�E THE CONTAACTORS Lb VaIU8IIIX1 ADJ.AREA W CENSEUWDOESNOTAPiLYTOMIOWNEROFAiflOPERttW/qBUiLDSORIMPROVESTMEREON,/�ND � Vrt10GOMMCTSiORSUp1PR0.1ECTSWITHAGONiMCTOR�S)IICENSEDPURSUANTTOTMECONTRAG QUANTITY DESCRIPTION �E � TORSUCENSEIAWJ. � OIMIEMEMPTUNDERSEC. .B.IP. FOHTNISiiEASON Q � U u' WNER � Z W �Q LICENSED CONTRACTORS DECLARATION W 2 IHEREBYAFFIRIAUNDERPENALNOFPERIURYTNATIAAILICENSEDUNOERPROVI510NSOFCHAGTER � � 0(COMMENCYN6WITHSECTION)000)OFDIVISION�OFTHEBUSINESSANDDqOFE5S10NSCODE.AND Z ��� MV LICENSE IS IN M1 FORCEAND EFFECT. m � LICENSE CIASS LIC.N0. � V �ATE CONTMCTOR d W � WORKERS'COMPENSATION DECLAHATION -� NIHEREBYAFflRMUNDEROENALTYOFVEHJUMONEOFiHEFOUAW:NGDECUMTqNS; Z � _IIUVEMlDWIILMAMTAINACERTIfICATEOFCONSENTTOSELF•INSUREFORWORI(ERS' _ COAIPENSATION,ASPROVIDEOBVSECTIONl7000FTHEUBWiGODE,FORTHEOERFORMANCE W O OF TFIE WORK FOR YNIICM TN�S VERMIT IS ISSUEO. � QW _INAVEMlDWILLMAMIAINWORNERS'COM7ENSA710NMSURANCE.ASREIXJIREDBVSECTION �7000FTHELABORCOOE,fORTNEPER�ORMANCEOFTHEWOPoCFORYMIpITHISVERYRIS �� ^ �` � I65UED.MV WORKERS'COMPENSATION INSURANCE CMPoER AND POIICY NUMBERME: CONSTRUCTION � Ll J ] CARqiER PLAN REVIEW � VOLICYNUMBER ELECTRIC p (nossEcroran�mr�orseoorm�oaFnevEw,�rts�oaeMwnmoou�as�,mloAtFssF PLUMBING Z ICERTiFYTMATMTMEPERFORMANCEOFTMEWORKFORWHIpITH15PERMtTI5155UE0,1 MECHANICAL (> SWLLINOTfMPLOYANYYER50NINANYMANNER50ASTOBECOMESUBJECTTOTHE � 1WRKERS'COMPENSATIONUWSOFCALIFORMA,AND�GFEETHATIFISMOULOBECOME INSPECTIONFEE SUBJECT TO TME WORNERS'LOMPENSATION PNOVISIONS Of SECTION 9700 OF THE UBOR s CO�E,ISHALLFOIiTHNATHCOMPLYWI7HTVb5EVROVISIONS. ISSUANCE � SMIP p DATE: �PPIIGANT; "'� ENERGY P/C � WMNINO:FA4URETOSECUREVYORKERS'COMPENSAilONCOVERAGEISUNUWM.ANDSHALLBE � SU6IECTANEMPIAYEFTOCRIMWALPENALTESANOdVILFWESUPTOONEHUNORED7HOUSAND ENERGYPERMIT Dd1AR5(f 100,000),N1ID01TION TO THE C0.5T OF CdAPENSATION,DIJIAGE4 AS PROVIOED FOR IN ¢ SECTqN97oeOFhIEUBORCO�E,R7TERE5T,ANOATTORNEY'SFEES. RETENTIONFEE: _ oCONSTRUCTION LENDINGAGENCY PRE-ALT FEE: � IHEREBYAFFIRMUNDERVENALTYOFPfRJURYTMATTNEREISACONSTRUCTIONLENDtN6AGENCY fOR TNE PERFOiWUJCE OF THE WORK FOR WMICH THIS PERMIT IS ISSUED(SEC.]oa7,CN.C.). . Z W � LENDER'4 NAA�E � LENDEFfSADORE55 � ICERTIFYTNAiIHAVEREAOTHISAPPLICATqNANDSTATETHATTHEABOVENfOH1AATqNISCORflECL TOTAL FEES � l .�� � IAOREETOCOMPLYWITHALLCITYAN�COUNTVORDiNANCE5AND5TATEUwSREUTiNOTOBUILDING � CONST iON,MIDNEREBYAUTMORIZEREPRESENTATNE50FTH15COUNTVTOEHTEHUPONTHE Z ABOVE� .N O DPROPERTYFORINSVE vuRPoSEs. COMMENTS O_ � Y m PE TT ��Nn � Q � �. TURE PE ITT T � ' RECPT.NO. PAID BY VALIDATION WHITE—Depanment Copy,YELLOW—Financa Copy,PINK—Assessor Copy,GOLOENRO�File Copy,GREEN—Applicant'a Copy 'Y.>'••• . ,P"y'".•,....K;.y�•rn.l�;lr�t;�t�1'S':^•r�:t":�:i:l«"-.;,,C^�a a'r,�f:•t.•..�.,i,r�,,. ....---.�-�-^.r-•" . __.-_.....__._..__..,.. . . .... . .. ... � c�-r�� OF Di�fa'IOND B�,R if'��P�C�'9UP! I�E�URD i"C►��.�,.�w���,�1��,�_ . : :���',�� �(k��-���,"E�e.�R� �_,._ '�C►����rC�.�►����--� ����.�k��. ���� ����,�� � SET BACK ' _��� � � � � �FLOOR JOIST" � . � � FTGS/FORMSlSTEEL � � FHA REQMTS� �, ' ELECTRIC GROUND � �!' ' UNDER FLOOR DUCT ' GROUND PLUMBING � UNQER FLOOR CUP�IDLJIT . � SLAB GRA�E � ,� FIREPLACE FOUNDATION TEMP POWER , � 'r FIREPLACE BOND BEAM _ � � WATER SERVICE I - � MID HT. BOND BEAM ROOF SHEATHING `l/?�J�fS� � � � F3 Fi'. BOND BEAM FRAMINGNENTILIATION ! u. � ' I � FINAL BOND BEAM ROOFC�VER o o�-- i PRE-GRADING ���/— ROUGH HEATWG BENCHING � I ROUGH ELECTRIC � ROUGH GRADING ROUGH PLUMBING ; FINISH GRADING � SHOWER�T'UB TEST ! i POOL ELECTRIC EXT. LATH/SIDING I � POOL FENCING WALL WSULATION ; I I POOL FINAL CEILING INSULATION i OFF SITE IMPS. i �• • DRYWALL NAILING I j ', DEDICATIONS ; SEWER � ; FINAL ENG. SEPTIC TANK ; - , � ; LANDSCAPElIRRIG. ' SEEP PIT/L.L I ` ` ON SITE IMPS. � GAS AIR TEST j � FINAL ZONING j FINAL CONST. �..�d�pZ ' �� i ! GIRE DEPT. FINA�. �, FINAL HEATING I ' ; � HEALTH DEPT.,FINAL' ' j - FINAL ELECTRIC � ' i DEV.'FEESPAID � FINAL PLUMBING ' j j ENERGY ; � j ;a �� ;�atc:�. _ _ .-- _ _. _ __ __ _ _ _-,--- – - _ _ _--------- . COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE k ,��,. . I . , _ � � �����"- �:�k ,� _ , , . •� . . .. � , i ._;.�: ' -_ � I I ; . , - ------ � '