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HomeMy WebLinkAbout17324 (26) J __ __ —__ --. . _._ . _..- -. -. _ J� CITY OF DIAMOND BAR �. • � DEPARTMENT'OF COMMUNITY 8c DEVELOPMENT SERVICES � x 21660 E.Copley Drivc Suite 190� _.._ �i/�5.�'l ��� U � (909)860-3195 Faz(909)861-3117 PRE$S ''A^'�� ✓�(� BiIII,DING PERMTT APPLICATION ��• FIRMLY } JOBSITE L�Sz��jL/��'y►I/dU(/ [i� APPLICATION r� /'1� PERMfT �� , P//�� � ?,q o ADDRESS y • � DATE � NUMBER O� M�l-��� � APN LOT RACT �Z-zG� �SSUE TYPE OCC � OATE •CONST. GROUP p OWNER i o ADDRESS d ► Fz- � NINCa SET6ACKS ,_ , ' . � , z CITY ZI TEL��L J 7�7 S�/J FRONT � ' RW Q g APPLICANT � TEL REAR p � SIDFJSIDE STAEET RW p CONTRACTOR SIDE ❑ � ADDRESS , PROPOSED USE CfTY ZIP TEL . � ARCH/ENG/ DESIGNER F -f NO.DWEL `.NO., .. NO. ADORESS UNITS STORIES � , BEDROOMS � C(TY � IP�Q TEL. � � N DESCRIPTION SQ.Ff.� FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADO/REM O I HEREBY AFFliW UNOEH iENALtt Of VEFtNRf THAT 1 N.�EXEMPT FROM THE�NTMCTORS lF Garape/Carport - ' " L 8 CEHSELAWFOqTHEFOl1pNNOREA50N(SEG70.71.68USINESSANDOROFESSIONSCOOEANVCRVOR (n � COIHTYNHI(]1REOUWEHAiERMITTOLONSTRUCf,ALTERDAPROVE.DEMOLISH.ORREPAtRANY3TRUG W P8110/DOCk � 7URE PRIDR TO RS ISSVANCE,ALSO FIEWIRES THE AVDLIGNT FOR SUCH VERMITTO FLLE A StCiNEO W � � ETATEMENT 7MAt HE OR SME IS UCENSEO PV0.5UANT TO THE PROVISIONS OF THE CONTMCTOR9 LI� � � � CENFiE tAW(p1APTFR�(COMMENpNO VrtTH SECTqN 7000)OF DMSION]OF THE BUSINESS ANOOPO- LL PooVSpa FESSIONSOODEIORTHA?MEORSNEISEXEMPTMEflEFROMANOTHE8A5I5FORTHEALLEOEDE%EMV• (� TqH.AGlYVIOlAT10NOF8ECT10N7071.6BYANYMVLiCANTFMAGER4ITSUBJECTSTIIEMPLICANTTO z Re-Raol � A CIV¢.VENAL7Y OF NOT MOIiE TWH FIVE HUNDRED 00LLARS If5001.): � p�A30NT1EROFTHEPROPERTY.ORIAVEMPLOYEESWITHWACESASTMEIti50lECOMPENSATION, ❑ �mmercial � ' - riLL1 DO TME WORK M1D TME STRUCTUFE IS NOT INTENDED OR OFFERED FOR SALE(SEG 7aa,BU56 J NE53 MD PROFESSIONG COOE:THE COMiUCTORS 110ENSE Uw DOFS NOT AVGLv TO AN OWNER OF rJ 7 � N iRDVEHfT1YH7BUlDSORMPfqVE51HEf1EON.HJ01M10DOE5SUp/WORKHIMSELFOfIHERSELFOR � /� � � Q TMROUGHWSMIHERONMEMPLWEES,PROVIDE�THATSUCHMPROVEMEMSARENOTMENDEDOfi m � OfFEREUFORSALEIF.110WEVEiIiNEBU4UNGORIAIPROVEMEHT4450LDWfT111NONEYEAROFLOM7LE- � TqN,THE OVMER-BUIIDfA Wttl HAVE TME BUROEN OF GROY.NO iHAT HE OR SNE DID NOT BUIID OR .y = MPROYEFOqTMEPUNPOSEOFSN.E4 G O � 04A.^O'NHEROFTNEPROPEiiTY,AMpICLUSNELYCONTRACTINONThILICENSEDCONTMCTORS 70 CONSTRUCf TME iR0.1ECT(SEG 70N.BUSMESS MID iiqFE5510N5 GOOE:TME CONiNAC70R5 LI- V01U8110f1 �AQ�.{�REA CENSE UW OOE9 NOT/PPLY TO AN OWNER OFA PPOPERTY 1N�0 BUILDS OR IIAPi10VE3 THEHEON,AND � WVqCONf11ACTSFORSUp/VROJECTSM7THACONTMCTOR(S�IICENSEDPURSUANTTOiHE00NTFiAG qUANT�TY DESCRIPTION . FEE � � TOh,UCBISE IAW.). /! \ �IAA1 EXE�PTUHDER SEC. B.i i.C.FORTHIS REASON U ((J�� �- C �' a I. L u" OATE OWNER � � � W ^�. I LICENSED CONTRACTORS OECLAHATION -i � W IHEREBVIIFFIWAUNDERPENALttOFPERIURYTNAiIAMLICENSEDUNDERVRONSbNSOFLHAPTER V, r � �(CqMENCIN01YiTHSECT1ON70w)OFOMSpN�OFTMEBU5INESSANDPNOFES4lON500DE,ANO Z !C� MY UCENSE IS N FL7LL FORCE�ND EfFECT. m o ���s u�.�. S/ � 3 � � 0 � oxre . � corrrrucroR a -WORKERS'COMPENSATION DECLAHATION a �`�L � U � INERF AFFlRAIUNDERVENAL7YOi0ER1UR1'ONEOFTNEFOLLDWINGDECLAMTIONS: Q � �. . . `7� � � IIUVEMlDWIILMAIMAINACERTIFlGTEOFCONSEMTOSElF�NSUiYEid7WOqKFPS' S I Tv � �� ' I�� . COAIPETJSATION,hSPROV10EDBYSEC710N7700OFTHELABOqCODE.FOR7HEGERFORMANCE �U OFTMEWOi1KiOFWMICHTHiSiERMITISISSUED� � . •-� � -, . � �//�/ �.�-�C 1 HAVE ANO YIiLL MlVNTAPI WOFY(ERS'COM7ENS�TION INSURANCE,AS REW�NED BY SECTpN � O Y � ]7ooOFTHEIIBORCODE,iOR7HEPER�ORA4WCEOFTHEWOPJCFORWM�CH7HISPFNARIS asu[o.rrr woa RS'NNPENS.�7pN INSURMKE CARRIER AN0 VOUCV eEau+ CONSTRUCTION � CARPoER � G � PLAN REVIEW � po�cr MBERn ELECTRIC ��- -a� � ^����s�ufbNoreE�an�vew+rswnor��oauasa+Wi«+�ssx PLUMBING � � (�, � � ICER'TIFYTMATINTNEPE�i���NCEOFTMEM/OitKFOFWHICHTMI5Df0.uITI51SSUED,I MECHANICAL � �v SNALL NOT EMVLOY AN'!PERSON IN ANY MANNER 50 AS TO BECOME SUBJECT TO TNE � � VIOR1(ERSCOMPENSA710NUw50FCALIFORNU�ANOAGREETNATIFiSHOUIOBECOME INSPECT�ONFEE SUfl1ECT TO THE WORKERS CDMPENSATION PRONSIONS OF SECiION 770o OF THE UBOR caoe,isr+�roHnnnn+ca.��vMnn+�1�rAo�n�sari.�s. ISSUANCE • pDA,�;�/v D/APPLICANP. +/ U I/.<= �Oj'G�'�,� SMIP � � : �• W � � � � WMNIN6�FAILUflE TO SECUPE MfORKENS COMPENSATION CWEHAGE IS UNUWFUL.�ND SMAILBE ENEFGY P/C SU&IECTMIEMPLOYERTOCRIAIINALPENALTIESANDCMLFWESUPi00NEHUNDHEOTMOUSAND ENEFGYPERMIT � DOLUF45(SI00.000),lV A�DIlION TOTME COST OF COMPENSATION,DN.UCESAS PROYDED FORIN � ¢ SECTIONTOEOfTNEI�BORCOOE,MEflEST,ANDATTOiWEYSFEES � RETENTIONFEE: �" a CONSTRUCTION LENDING AGENCY pRE•ALT FEE: ��� O .[�L INEREBVAFFI0.YUNOERVENALTYOFPERIURYTHATTHEREISACONSTflUCTKKiLEND�NOAGENCY fOil7NE PEHFO 4��q{�FjTl1E MlOHK FOR WMi01 THiS DER IS SSUED�SEG] CN G�. , � IENDER'SNAMER�V! TJ7�I�/:l/�/� ��v/I�� � . � IEHDER9ADDRE33 � � ICERTIFVMATINAVEREMTHISAP7lICATqNMASTATET1iATTHEA80VENFORMATpN15CORRECT. TOTAL FEES � � � , d IAGREETOCOMPI,YN1h1/�LLCfT1'ANOCOUNTYOi7DWN10E5ANDSTATEUWSREUTWOTOBULDINC I � � CONSTRUCTION,ANDNEREBVAUi1K1RIZEREVRESENTATNE50FTH15�YTOENiFRUPONTME � , , � � �BpyE•MENTIONEO GROVERTY FOfi IN50 ar�wr�voscs. COMMENTS � � � r�� �N�s m OEFM E N/U.1E loRl 1 /O v O� 1 G 1'1 - - - � � � . � u� � o y 8 UREOfPER EE DATE : � RECPi.NO. • PAID BY VALIDATION WHITE—OaOertment Gopy,YELLOw�nance Copy.PINK—Aasessa Copy.GOLDENROD—Fite Copy,GREEN—Applkant's Copy ---:�� . CITY OF DIAMOND B/�R � _ , . I��SPECTIOh! RECORQ � � l�,, ; � , �+. �� � � � � -.-..,.-.-,,,,�fi�_.........-.�t._-.,.-.._. _,.... _ _.._ -..'�.�.,,, a ���. ° '���_:� :�.�����'�. �� :.�.,�._,.,.�(��E-y•�-��'�RIm1►'�.,�...u..., :!`�'�'r.� _ .����'`'..'.�`�.�"a�,t. � SET•BACK . `� , : � i - �OORJ�IST =- • �, Jj.. T------ 'FTGS/FORMS/ST�E� ' ' FHA REQMTS �,� . j ELECTRIC GROUND . _ UNDER FLOOR DUCT - - � � � GROUND PLUMBING UNDER.FLOOR COM1IDUIT � ' SLAB GRADE FIREPLACE'FOUNCATION ' ' � TEMP POWER FIREPLACE BOND BEAM - - � WATER SERVICE - - MID HT.BOND BEAM ' ROOF SHEATHING �� „L. � 8 FT. BOND BEAP�i FRAMINGNENTILIATION - �f-� _ FINAL BOND BEAM ^ ROOF COVER _�j/ �'j,� PRE-GRADING ' ' 'ROUGH HEATING _$� BENCHING � � ROUGN ELECTRIC .: -�-o-��� RQUGH GRADING � IROt1GH'PLUMBING�� - - �G FINISH GRADIPdG ` 'SHOV1�'ERffUBTEST - - • POOL ELECTRIC 'EXT.LATH.�SID1�lG � f1 � POOL FENCING � WALI iNSULATiON ��. •p2 POOL FINAL CEILING iNSUtATION �( �a OFF SITE IMPS. ____ _ DRYWALL NAILING � �jj�_Z � DEDICATIONS � _ ! SEWER ' � —t �` .FINAL ENG. _�_._.___._. , �-- ----------— - ISEP7IC TANK . - -. LANDSCAPE/IRRIG. { � �SEEP P!T/LL. . ! ' �';`; � ON SITE IMPS. ��i---------,-- GAS AIR TEST �lj p� FINAL ZOP�IING �'v � ,FI�, .�CDTaSI �Ij�. � FIRE DEPT. FINAL --�--- --- FII�lALHEl�iING � � - HEALTH DEPT. FI�JAL __ _� _� . FiNAL�ELECTRIC " � - DEV. FEES PAID � - FIhJ/�L PLUMBING r � . i ENERGY ��rt ---�_� :^+�xfL-�C� -�' , ., �' - ----—�—-- - -_----•�--- I � f � � i ��. ,.r-..-- , ::i �� r�"'�.,���. � : I t:::��z., _i.i_._._ ��..�a- ._.. � ---- — . _. ,_ • I i . . . � cor,nr�c�r�-rs _ _. � � _ .- � ----- �------ - _ z-o�� �vSoc.J4�lcc�.1 �c.�P°t.�� � ___._ ____----------- --- �( �.fyU S�%5c:5.��ca�� Ztacuvcp�-r�. l� ,J '� — -- --- _—,` . �, - r. r.', ' s .�_J �--1�;,----- ._ -- � - , - � �,;, 1I • i . . , ► � � , ` ---- � . �����h���!/ . . . . .. �___.�_.' '_'_"_"_ _ . i . .� � .�- „ , • . � . , . I ;SEPTI�TANK SIZE �� �SEEP PIT/t1 SiZE -- - -- � -�li. "�.,....�,..,.."1 ----- — -�', ��� �� � .�.; - - • , , . . _�; . ---- �,;i _ --- :.���� -- -------- �� -- ' i; — . � . � :; �__� � ,. _ � .. ,_ _.. .� ""���_ . . ----