Loading...
HomeMy WebLinkAbout12158 (14) �,� _ CITY OF DIAMOND BAR � DEPART2++IENT OF COMMUNiTY&DEVELOPMENT SERVIC � 21660 E.Copley Drive Suite 190 (909)86Q-3195 Fax(909)861•3119 PRESS ��-�"��' svn.nnvG rE�trr A�caTTox FIRMLY Q D RESS Z77� /�.00..�Y�I�/f��,e'wI/�i- � �p�' DA�CATION-- Z�Q � NUMB R v �� �� � ISSUE TYPE pCp AP� LOT TRACT� ��7,g pATE CONST. GROUP � OWNER ADDRE S , I ZONING SETBACKS � CfTY a r • Z�p TE�, FRONT, py� ❑ APPI.ICANT TEL REAR ❑ SIDFJSIQE STREET RW ❑ � CONTRACT SIDE ❑ � CITY E S � ZIP T0.. 'r� PROPOSED USE aPi ARCH/E G/ �( � DESIGNER�F� � Lr`�P NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS CITY ZIP TEL. � DE5CRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUIL�ER DECLAHATIDN � $FWADD/REM � O I iEREBYAFFlRM l9AER VENALTY OF PEFWRY THAi 1 AM IXEMPi FROM iHE CONIRACTOitS L4 GarepelCeryorl CENSEIAWiORh1EFOLLOWAIGREA50N�8EG7IXi7.6BUSINESSIWDPROFES510N5CODE:M1YCIiYOR (� COIX�TYMIIRCHREOl11RES�PERAIRTOCONSTRUCi,ALTER�PHOVE,OEMOl1SH.ORREPMRANYBTRUG W Patlo/Deck TURE.PRqR 7D 4T8 168UANGE,AL80 REOUIHES 7HE MRICANT F�$�PEfiMiT TO FILE A 81(3NED w lTA7EMENT 1W171iE OR SHE 18 LICENSED PUR6UA1?TO iNE PRDV1810N9 OF THE CONTMC71DiiS LI- CENSE LAW(CNMTER�(COMMENCINO N1TH BECTIDN 7aaa)OF OIVISION 7 OF TFIE DUSINE55 AND/R6 u' POOVSpe FESSIONS OOD�OR iNA7 NE OR 9lIE IS IXEMVTMEREFqOM M1D THE BA416 Fdi iNE ALL60ED IXEMP• 7GN.ANYVIOIATqNOF6ECTION'Po81.68YANYlVPLICAHffORAYERMITBUBJ@CT87HEAPPIK'.Ml�TO a Re-Rao1 � AC1VIl/ENILL7YOFNOTYl7RETMNFIVEMUNDREDDOlLAR9(t6oD).)- � � _ pI,ASOMMEROFTHEPHOPERT;ORMYEMPLOVEESN7THWADESA9TiEIN90LE00MPENSATION, 0 CpmTBfd91 WILL DO TME Y(ORK AN�7FIE eTRUCi11RE IS HOT INfEf�LD OR OFFERED FOR SALE(6EC.70Ja,BUSb J NESS AND PROFESS�ONS OODE TIE CONTRAC70R3 LICENSE UW DOES NOT APPLY TO u1 OWNEH OF � PpDPEffiYMTID9UILD5011MPHOVESlT1EREON.AN�MM1f0f70ESSUpIWOtiKXIMSEIFpiFIERSELFOH = � TNi10UGHNISOFiNEROWNENPLOYEE3.PROV10mTNTeUd11YPFOVEMENTeAPENOTR7TpVDEDOH m . OFFEAEDPORlAIE IF,lpWEVER 7Mfi BULDINOOq WPROVEM9Vi IB SOLD NrtTIiN ONE YEAq OFCOMPLE• 7qN.TNE OWNER�lNLOEA N7LL NAYE 1XE WRDEN OF VROYWO TIIA7 XE Oq 6NE UD NOT BU14Q pR YPROVE WN TN:PURPDSE OF BALE} .. . � OLh°OWNEROFTHEPIqVERT7.AlAE%CLUBNELYODNTpACTWOWIiNL10EN5E000NTRACTON9 TO CONSTHUCT 7}IE PRQIECT(BEC.7oN.BU91NE89 AND PROF�9IONS CODE:THE CONTFACTORS�F VBW9tI0f1 ADJ.ApEA CENRE 111W OOFS NOTAPPLY TO AN ONMEH OF A VROPERTY WlID BL7ROS Op M1PR�VE9 THEpEOH,At� YhqOOMRACiBFOR6UWPRO.IECTSNA7HAOqfTMCTOH�6�LICENSEDPURSUANfTOTHECOHTRAG QUANTRY DESCRIPTION FEE � TOi15 LICENSE UWJ• O I AM D�AIPf UNDER BEC. B.i P.C.WR TNIS NEASON � 1 U u' DATE OVMIEfl � � LICENSEDCONTRACTORSDECLARATION � � , � I MEqEBYAFFIIW tMDER PENK7Y OF PEilA/M THAT I AM LICENSEO UNDER PROVISIONS OF CHAPTBR � � � �(CONMENCYN3 WIiH SECTION Muo�OF CIV1610NJOF TF1E eUSINE55NtO PHOFESSqNS CADE./ND .z W IICENSE IS M!FUIL FOFlCE AND EFFECT. m � t.ICENSE CU15S'�_y .�_UC.N�. � _ j � DATE ��M"�J� CONTMCTOR•� d WORKERS'COMPENSATION DECURATION ��I'L� _ � yIF7EflFBYAFFlqMUlmERPENKTYOFPEIWRVONEOFTHEPoLLAVVINODECLAMTION3: � X � _IhUYEANOWILL�IMAINI10ERfIFlCATEOFO]HSENTTO6ELFaNSUREf9RWORKERS' _ COMPENSATION,AS PROVIOED BV SFCTION s7o0 OF iME LABOF CODE.FOH THE PERFORMANCE �U OF1NE WDRK WR WHIG1 TNIS PEHMIT IS ISSUEO. � �INAVEANOVYILLMAIMAINM/ORKER5•COYFENSATIOtJINSURANCE.113F1E0UtREDBv6ECTbN � �4 l70o OF 7NE LABOR CODE,FOH TNE PE ANCE OF THE WOAK FOR WHIp1 TXIS PERMR IS 139UEO.MV KE 'COVPEN91�TpN UPANCECARRIFPAN�POLICYNl1MBERME: CONSTRUCTION � CJwaiEft PIAN REVIEW � VOLICYNUMBEF �EL i'�`a 1 0 (nissecr�r�rureEm,�at�IDOFn�rEraars�a+er�moawsRi aa�tss� PLUMBING Z 1 CERTIFY TUT W THE PERFORMANCE Of THE WORK FOR WHICN iWS PER41T IS ISSIIED.I MECHANICiAL S�ULLNOT EMPLOYNfY VERSON W ANY MANNER SOAS TO BECOME SUBJEC7T0 THE (p WORKEIIS'COIAPENSATIONUN90FCALIWRNIAMIOIIGREETHATIFISNOUL�BECOME INSPECTIONFEE � Sl/BJECT M THE WdiKEAS'MMPENSMqN PRONSIONS pF SECTIDN 97aa OF THE LA90R - • CODE.1 BHNIFORTMWIINCOMPLY W17HTFp6E►ipVl&qNS. ISSUANCE � oare: �r��Nr: SMIP WAHNING:FMLRETOSEWREWORI(ERS'CAMPENS�TIONCOYERpOEISUNUWFUL.AN�3HALLBE ENERGYPlC (= 6UBJECTANEMPLOYEHTOCRIMWALGEN/�LiIESANCCrvILFINESUPTOONEHUNOREDTHOUSAND ENEROYPERMtT OOLLAAS fif OD.00D),W ADDITION T07NE COST OF CdAPENSATAN.�AMIW ES A9 PRDVI�ED FOR M/ � BECTIDN S70lOFh1E U4BOR WDE.N7EREST,FNDAnORNEYS FEE3. (jE7ENTION FEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � _ � INEREBYAFFIRMUNDERPENALTYOFPEtLIURYTNAT7HERE18�00N57R4CTIONLENDIN0�0ENCY FOq 71¢PERFORMMICE OF TME WORK FOR WHICH THIS PERAIIT IS ISSUED(SEQ 70P7.CIV.C.). � LENOERSNAME . � lE1J�ER'SA�DRESS � ICERTIFYTHATIHAVEREADTiWAPPLICATIONANDSTATETUTIHE�OYE�NFpRFAATIONISCORRECT. TOTAL FEES . �; IAfiqEE 10 COMFLY YYfTH ALL GT'AND CAUNTY OiW NANCES ANO ST�TE UWS RELAiMq TO BUIL�INCi COHSTqUCTWN,ANC NEREBY AUhqpRE AEARESENTATIVES OF iW5 COl1NTY TO ENTER UPON TIE ABOVEdiENTqNW FROPERTY FOR INSPECTION►URPO6E5. �MMENTS � PERAAITT Rllfn 1� � �� . 6 [l) � 61ONA DFPERMfTTE D E � RECPT.N0. PAID BY VAUDATION WHITE—pepartment Capy,YELLOW--Flnance Copy,WNK—Aasessa Copy,GOLflENROD—File Copy,6REEN--ApplioanYs Capy . CITY OF DIAMOND BAR , ' I(�SPECTION REC4RD ; . � � � , � . . a E � . i . SET BAGK FLOOR.IOIST+ , ' FTGSlFORMS/STEEL FHA REQMTS � - ELECTRIC GRaUND UNDER FLOOR QLtCT " � GROUNl7 PLUMBING UNDER FLO�R CU�IDUIT _ . SLAB GRADE FIREPLAC�FtJWf�DATiON ' - • �- TEMP POWER � FIREPLACE�OND BEAM -' �' " ' ` WATER SEFiVICE Mlp HT.BOPJD:BEAM- � -- �• •- ~ - RODF SHEATHlNG J 8 FT. BONa BEAM � - � � FRAMINGNENTILIATI�N FINAL BOND BEAM ROOF C�VER PRE-GRADING R�UGH HEATING BENCHING ROUGH ELECTRfC ROUGH GRADING ROUGH PLUMBING � FINISH GRAbING . SHOWERlTUB TEST POOt ELECTRlC , EXT. LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INStJLATION OFF SITE IMPS. DRYWALL NAILING ' DEDICATI�IVS SEWER � FINAL ENG. � SEPTlC TANK LANDSCAPE/IRRIG. SEEP PIT/L..L. ON SITE IMPS. ' G/�S AIR�'EST FINAL ZONING FINAL C�fVST. • -•- FIRE DEPT.FINAL ; � ___ FiNAL HEATINC'a � � j ` � HEALTH DEPT. FINAL j FINAL ELECTR#C Ji � DEV.FEES PAID i � FINAL PLUMBING j ' E� NERGY � � i � i �" � � � . � COMMENTS ; SEPTIC TAt�K SIZE , SEEP P1T/U SIZE - ` _ ,