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HomeMy WebLinkAbout17917 (30) �--��" .. ._.�._"" " � _ 1 V �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVIC � 21660 E.Copley Drive Suite 190 PRESS ������ BUILDING PERMTT APPLICATION FIRMLY o� JOBSITE APPLIC!}Tf0_��/ �-,� NUMB R�_.!1/C ADDRES�I DATE,�" Y—fJ � issue TYPE occ APN LOT TRACT DATE CONST. GROUP g OWNER ZpNING SEfBACKS � C��, � T = FRONT RW ❑ APPLICANT REAR O � SIDE/SIDE STREET RW O CONTRA O � � SIDE D � AD / pqOPOSED USE C � � ARCH/ENG/ • DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECIAFiAT10N SFR/ADDlREM O p 1 HEREBV AFFlRY U1�ER VENALTY OF iE1WRY THAT 1 M1 E%EAIPT FRDlA TME COHTMCTORS LI- G3fBg0/Ce�pOR � CENSEUWFOit1HEfOLLOMlINOREASON(SEC.�m1.68U5PlESSANOVROFESSIONSCOOE:ANYCITYOR (n <1 WUNiYNHIpIREOUIRESAPEAMRTOCONSTRUCT,ALIERDAOROVE.0EWt15H.ORREPAIHANYSTRUG W PetiOIDBCk �� TIRE,FRqR TO rt3 ISSUM7CE,/L50 R[OU�F1E5 TFIE APPLICANT FOR SUGI VERMR TO FlLE A SICNED w STATEMEM THAT HE OR SHE IS LICENSED PU0.5UNfT TO iNE PROVISIONS OF TME CONTMCTOFiS U- � CENSEUW�QUVTEHi�COh�MENqNOVATMSECTIONJ000)OFDIVISIONJOFTHEBUSINESSANDVRO- u' POOVSpB FESSqNSCDDE)�RTW�THEORSMEISEXEMPTTMEREFROM/JiDTHEBA515FIXiTHElLL1E�EDE%EMP• (ry T10N.PN1'VIOLATIONOFSECTIONN]1.6BYANYAFPIICANTFOIiAVERMITSUBJEGTSTMEMPIIGWTTO Z Re-Roal � A CML iENALTY OF NOT MORE THAN FNE HUNOR[D�OLURS(f`+00)): � Ol��1EqOFTHEVROPEHTY,ORMYEMPIAYEESMlIiHWA0ESA5THEIRSOLECOMPENSATqN, 0 (ypmRlBfCl21 WLL DO ME WOPoC AND TME STRUCTURf IS NOT IN7EFOE�OH OFFERE�FOR SALE(SEG 7W�.BU51• J NES$/JD PROFE38101l9 COD&7NE CONTRACTORS LICENSE UW OOES NOT ADVLV TO AN ONMER OF � PROPEHTYYNIOBULD90RMPROVE57HEREON.ANOMM1IOOOESSUCNWORKHIAISEIFORHERSEIFOR = [[ iTW0U6MHISGiHEROWNEMPLOYEES,FROHIDEOTW�T5Up/MPROVEMENTSMENOTNTENDWOR m W OFFEREpfORSME6FqWEVER7MEBULDINOORIMGROVEMENTISSOLDWRHNONEYFAROFCOMPLE- ZTION,THE ONT�EN-0URDEH YALL W1vE Ti7E BUftDEN OF VROVIND iHAT ME OR SNE DIO NOT BUIID OR = NAPIqYEFORTMEVURPOSEOF8ALEj. W ❑�ISOWNEROFTHEFROPEHf`f,AME%C1U9NELYCOHTMCTIN6N9TNlICENSEDCONTMCTORS � TO CONSTRUCf THE VFlO.IECT ISEG 7oN.BUSINE551WD PROFESSIONS CO�E:THE CONTMCTOfiS U• V9111d11IX1 ADJ.AREA � CENSEUWDOE9NOTAFOLYTOANOwNEROFAiROFER7YYv}qBUttDSORPIPROVESiHEREON.MD WNOCOMMCTSFORSUCNiRQ1ECT5VATIACONTMCTMI(S)UCENSEDVURSUANTTOTMECONTM4 ounrmTv DESCRIPTION FEE � Tqi.^.LICENSEUw.�. , �1 IM D(EMPi UHDEH SEG B.d P.C.iOR THIS REASON Q U � LL OATE OWNER � � W UCENSED CONTRACTORS DECIAHATION � � w I HEREBY/�FFaiMI lMOER PENALTY OF VE0.IURV THAT 1AM IICENSED UNDER DROVISIONS OF CHA7TER Vr � ` � �(COMMENC►M WITH SECTION 7000)OF OiVISION�Of TME BUSMESS AN�PROFESS�ONS COOE,AND Z MYLIGENSEISW FORCEANDEFFEC'L � ��J�'�A L1J ��y!�7_ ✓A'''� � LICEN S -W LIC.NO.[�[ J V pA7E � CONTMCTOR d . W � WORKERS'COMPENSATION DECLARATION Q N IHEREHYAFFlRMUNDERPENALTYOFGER1UFiVOKEOFTHEFOLLONnN(iDEC1MAT10N5. U C/� Z Q � _IHAVEANDVALIMAMTAINACEiRIFICATEOFCONSEMTOSELF•INSUNEFORN'OR1(E0.S' 2 � COMPENSATION,ASGROVIDEOBYSECT10N�7ooOF7NEtABORCOOE.FORTHEPERFOiWANCE W OFT/1E WOW(FORYVI/Ip1THIS PERMITIS ISSUED. � � _I HAVE/WD YYILL►WMAPJ WORKERS COMPENSATION MSUMNCE.A9 FE WIRED BV SECTION Q ]7oopFTHELABORCOOE,FOR7HEDER�ORA/AHCEOi'THEWOR1CiORNMICN7MI5PENMRIS � ISSUED.WWOPotEAS'COMPENSATqNINSVRMICECARPoERANDPOUCYNU/A�ERARE: CONSTRUCTION � upqiEq PLAN REVIEVJ � ra�cYnuMBER ELECTRIC � (M1�SSECTIONN�N71pE001.REIfppFTEpEp�,fT6FOqpJEHIRpREp �o0oqlf55� PLUMBING W MECHANICAL z IGERTIFYTMATNTHEPERFOMW�CEOFT7EW0� ORWMIC .,PEWAit ISSUED.1 �'} SINLLNOTEMPtOYM1YVER50N�NANY►1AN' so Toe e � roTNE INSPECTIONFEE � WOPKEK3'COb�VENSATIONUN50FCAllF �AAN AORE 51101ADBECOME �!{� S SUBJECTTOTHEWOR%ERS'CO�.�PENSAT PROVI 5 ION�7o00FTMEUBOR ISSUANCE �v• e s ro rovm+ca.��rvnrn se rnns � SMIP o �,�: � a P���: � ENERGY P/C WARNIN(i:FA4URETOSEWREWOFiKERS'GOMPENSATIONCOVERAGEISU ri ANDSMAlLBE �y SUBIECTANEAIPIAYERTOCAUAiWLLVENALTIESANDCNiLFWESUPiD NUN EOTNOUSANU ENERGYPERMIT D�LU0.51f1oo.aool.alPDDITiONTOTHECOSTOFCOMVENSA7pN,DAMAG SASi OV�DEOFORIN � SECf10N77oeOFT11EUBONCODE,INTEREST,ANDAT7OANEY'SiEES pETENT10NFEE: w CONSTRUCT�ON LENDING AGENCY PRE-ALT FEE: a � IHEREBYAFFIRMUNDERFENALTYOFPERNRVTFIAT7NENEISIICONSTHUCTIONIENDiN(lAGENCY z FOR THE PERiORMANCf OF ME WORK F08 WHidl TNIS VERMI7�S ISSVED(SEG Joo7,qV.C.j. W � LENDfR'SNAME � lEN0EiC5AD�RE54 (1+/ � ICERTIFYTNAiIHAVEREADTHISAPPIICATIONIWOSTATETHATT�EABOVEWFORIAATIONISCOFRECT. TOTALFEES ��-/ n W IIWREETOCOAIPLYN7TIALLUTYAN��UNTYOROINANCESANDSTATEUWSREUTWOTOBVILDIN6 � � CONSTRU ANDHER �AUT1iORRER[PNESENTATNESOFTHISCOUrRY70ENTERUVONTME � ABOVE•IAE EDV R FOFi1NSPECTbNVURPO5E5. COMMENTS � i W!� � � VERMI E(P / ` � �/j SIO OF EE DATE � FECPT.NO. PAID BY VALIDATION WHiTE—Oepartment Copy.YELLOW—Finance Copy.PINK—Aasessa Copy,GOLDENROO—File Copy.GREEN—Applicanfs Copy .� . . ... . . .,. . .. ., ..,. .. � . . • «ti; ., s f ,�.,.,;�:r�. „ , • , , . __ . . . ., . . . _ . ` �, CITY OF DI/�MOND BAR � . � .��INSPECTIO�! RECOR� . - , ,. . : �1��9;���n���,�j�:��':!9�� �l�!��.�.���r �'1���-'1�,3°r���,�'�i''(!► �����i'= liE- a=<i':''.� �� - -- - - � - -_.a�,....,._u.�..,......,�.......,...,a SET�BACK ,, � FLOOR J�IST ( � '� � � � i iFTGS/FORP�15/STEEL-` ' ' ' - - ' ` ` FHA REQMTS _. . _ '_-" " '- '.'`�. _ _ _._. � IELECTRIC GROUND _ � UNDER FLOOR DUCT �. ' � • 'GR�UND PLUMBING �� � UNDER FLOOR COP�IDUIT � ' � i �SLAB GRADE - - - � FIREPLACEFOUNDATION - � � � � �TEMP POWER - � FIREPLACE BOND BEAM . � �- - � � � - � ' iWATER SERVICE - - - MID HT. BOND BEAM - . �'. • • - . ' � ;ROOF SHEATHING 8 FT.80ND BEAM � ' - - " � iFRAMING,NENTILIATION - FINAL'BOND 6EAM � � ` ' � ;ROOFCOVER _': _ PRE-GRADING -- - �ROUGH HEATING -� - � � ` BENCHING � iROUGH ELECTRIC_ �' ` :� _ _� ' ROUGH GRADING -- - --- � ;ROUGH PLUMBING - - FINISH GRADING !SHObVERIT'UB TEST - - POOUELECTRIC EEa'T.LATNlSIDING - POOL FENCING !WALL INSUTATiON ' - r POOL FINAL �CE1LlNG 1P•:SUL:AT(ON " � - - OFF SITE IMPS. ' ;DRYVVALL NAILING ; - DEDICATIONS ' . iSEWER - - - ; FINAL'EWG. : 'SEPTIC TANK i LANDSCAPE/IRRIG. , jSEE�'PlTlLL. __ _ . • ON SITE IMPS. �GAS f.IR TEST ' FINAL''ZONWG . ;Fi���t.CONST,_ __ __ _ FIRE DEPT. FINAL �F1i�U'�L HEATING _ _ _ ., __.__ . _ HEALTH DEPT. FINRL ;�=l�J�� ELECTRIC-- --- DEV. FEES PAID - �_ •�h.t.PtUPA91NG /� � ,ENERGY ' �, '.� - -- - - - - : � , . -- ------- - - - , s =�1� e�i:xa��{e , �.I_ � ' s.tlr�...._ � ' _a,�aw.�....____.._..1 ' . ' !, - -- - - f„___J_;� . . , . _ _ � � `;COfVIMENTS - - , � . _. _ . , ' _ ., ..� , I , � i � - � ' I -� '� . _ . ' ; � �- -- . -, . - � , ;SEPTIC TANK SIZE ' ' !SEEP PIT/U SIZE � � � - � '� . ... '�'�� � - - - � � � � - - I � , �: � _ _ . I I i_ - — -_ . - — ' j���j�' I^= _ _� , . ; . - - � _ _ � - , � , — — ' i: - . _. � - - � � ' , - � - ` , ,....�. --•_-_.'�--o....._..._._.J, � 1 'i i� J � ' ,