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HomeMy WebLinkAbout12044 CITY OF DIAMOND BAR ��"-� � �� �`''"' � "�"��--- DEPARTMENT.OF COMMUNTfY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 „� , (909)860-3195 Fax(909)861-3117 PRESS ,�'^�'�., BUII.DING PERMIT APPLICATION FIRMLY � DDRESS__ l S �O l�-y1�'�I l�0 NY'� APPLICATION �Z D PEFMIT I zo� P/C o DATE ���' NUMBER b �e $ ISSUE 'rypE p� APN IOT� TRACT pqTE CONST. GROUP °C OWNER v� Re-tL Gi e S ADDRESS ZONING SETBACKS CITY ,Cr� fY�[s a ZIP�� TEL � � FRONT qyy p APPIICANT_'„P, _�.�o_ TEL. p REAR p SIDEJSIDE STREET Ryy ❑ CONTRACTOR � '� E.K I"'� SIDE p � CITV'V�;f S e..-+ t�i t� ZIP 6 f�re�.j y�' )Y � PROPOSED USE � ARCFUENG/ DEStGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. �n DESCRIPTION 5Q.FT. FACTOR PSF ADJ.AREANALUATION Q ONMER-BUILDER DECIARATION SFR/ADD/REM O I IIEREBY 11FFlqM IAJ�ER VENALTV OF PEfWM THAT I AM OfEMPT FqOAI THE CONfRACTORS LF Garage/Carpon CENSEIAWPOR7NEFd1AWWOREA50N�SEC.7031.6BUSINESSANDPROFE3SIOHSCODE:ANVCRYOR (� OOIRRYYMFYCHREOUWEeAPEi1MR1DO0NSTRUCT,lLLiEl�WPROVE,OEMOUSH,ORHECAIRNIY9TRUC- W patlo/Dock 1URE.PRIOR 70 R8 165VANCE,AL80 itEOUtREB 7HE 11PPLICANT FOR EUCM PERMIT TO FILE A SIGNED 6TATDAENT hiAT ME OR 8ME IS LIGENSEU PURSUMR TO 7NE VHOVISIOMS OF 7F1E fAMAACTOR3 U- CENSE L�W(G4NTER Y(OOMMENCOIO YA7M SECTION 700oJ OF�IVISqN 1 OF TNE WSINESS ANO iR0- �'L' POOVSpB FESSqNSOOOE)OR7HIITMEO/iBNEISE%EMPTTHEREFROMANDTNE9ti41SFORiHEALLE0EDE1(EMP• (� TION.MIYVI0.ATIONOFBECTION7011.6BYMIVAPPLICANiFORAPERMITBU&IECTS7HEAPPLICIWTTO Z pe.pp� � IICfVIL►EW�LiYOFNOTYOFE7N/NiIVEHl11AHEOOOLUWS(iGro).): � y 04A.D�NiERGFTMEPROGERT;ORMYEMPLOYEE3MA7HW�0ESAS7HEIR40LEOdAPENSATION, 0 CW1�1fl6fC181 WILL 00 iME WOIIIC,AND TNE STRl1CTUqE IS NOT INTENDED OR OFFERED FOR 6ALE IBEC.7o�a,BU51- J � NESS AND PHOF�SIONG COOF:ME CONTIUCTORS UCENSE LAVN DOES NOTAPPLV TO AN pWN�q OF ? PROPEfifY WFiOlW,DS pq�,iPqOVEB if1EREON,AND riH0 DOES BUCH WORKNIMSELF OR NERSKF OR � 1XROUGH MS OtiMEN OYM BJPLOYEE8,PROVIDE�hUT SUCN MAPHOVEMQlT9 ME NOT INTENDED OR m OFFERm R�RSI�LE E IIOYYEVEq,71iE BURDINp ORIMPROVEMENT IS SOLD WRIpN ONE YFAR Of COM%.E- 110N,TNE OWNER�BUlLDER NALL HAYE TFIE BURDEN OF PRONN�iHAT NE OR iFiE DID NOT BUILO Op RIPROVE FOR 1NE PURPOSE OF SALEI. i � O�ASOIM�EROFTHE OROPERIY.IW EXCLUSNELY OOMiUCTINO NrtTH LICENSED COMRACiORS 7D CONSTRUCT TII[VipJECT(BEC.7oM,BUSINESS AN�PROFESSIdJ3 CODE:THE C0IRHACTOR3 ll- VSIUBtl011 �,J,q�J� CiNSE LAW DDES NOTMPLY TOIW OVMER OF A PROPERTI'WF7D BVILDS OR IMPROVE9 iHEREON,MA Nk1DOONiAACT6FOR8UpiPAWECf9WfT11ACON7RACTOR(9)LICENSEDPURSUANTTOTI7EOONTMG QUANTITY DESCRIPTION � fpqsucerwq¢uya.�. FEE 0 I AM EXEMPTlM-lOEH SEG B.i V.C.FOR THIS REASON � U�L LL' DATE OWNER t- � U Q UCENSED CONTAACTORS DECUIRATION W � INEREBY11FFiWUNDERPEW1lTYOFPEfWRYlHl171AMlICENSEDUNDERPpOYISIONSOFCHAPTEF Vr �(COM4ENCINO WRH SECTqN 7000)OF DMSION�OF TME BUS WESS ANO PROFESSIONS COOE,AND z MY LICENSE IB N FU.L FORCE AND EFFECL m � � UCENSE CUSS UC.NO. �J � OA7E � CONTMCTOR �� a WORKEFlS'COMPENSATION DECLARATION �'{�i.. � � 1 MEfiEBYKFlRM UTAER PENALTV OF PERNRV ONEOFTHE PoLLOVIING DECIAHATION6: Z � _IMAVEANDWILLMWNTAMACERf1FIG17EOFCONSENTTOSELFdNSUREFORWORKEHS' Q OOMPENSATpN,ASPROVDm8Y8ECTI0Nd7000F7HEUBORCO�E.FOHTHEPERFOPMANCE U Q OF 7ME MIORK FOR WHltll T1115 PENMIT 16 i55UE0. � � �I HAVEAlID WILL MNMAN YNDRKER9'COMPENSATION INSURANGE,A9 REOUIRED BV BECTION � Q 97au OF TME IJIBOR OOOE.FOH THE PERFOHMANCE OF 7HE WORN Wq YYHICH iNIS VERAIR IS ISSUED.MYVNOR ERS' PENSATIONINSIHUNCECTARR'IE'RANOPOLICYNUMBERARE: CONSTRUCTION � GRHIER �TD��H �4 It r�,y. PLAN REVIEW � POLICV NUMBEH f J�,�I �'�`�'�i O O ELECTRIC t � (nssEcria+r�mraTeeaa.a�r�oFnevew�rsa�+or+Erxirormoauws�s�ro)ar��s1 PLUMBING �i Z 1 CERTIFYTHA7 N TME PERFOqAAl�NCE OF THE WORN iOR WHICM TNIS _RMIT IS ISSUED,I MECHANICAL SM/LL NOT EMPLOY MIV PERSON IN ANY YANNER SO AS TO BECOM BJECT TO iHE y YVOpNERS'COMPENSATqNLAW50FCALIFORNIqANDAGREETVN .SHDUTABECOME INSPECTIONFEE S 6UBJECrTO THE MIOfiKERS'CqAPENSATqN OROVISIONS OF SE ]T00 Of THE tABOR cooE, snuLrogn�rncaar�r�rt9�»� visrons ISSUANCE f �p DATE: �A PRICANT:'/� SMIP � WMNINO:FMLUR[TO BECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL,AND BHALL BE ENERGY P/C � SUBJECTANEMVLOYERTOCRIMPJA�PENPLTIESANDGMLFINESUPTOONEMINOREDT110USAN0 ENERGYPERMIT � DOILARS(i100.000�.IN ADOITION TO TFIE COSTOF�OMPENS�TION,DAMA(3E5 A9 PROVIDEO FOfl IN eECT1�Nl70BOFTIiELABORWDE,MTEREST,ANDATTORNEY'SFEES. RETENTIONFEE: OCONSTRUCTIONLENDWGAGENCY PRE-ALTFEE: ����� . �� � IF7EREBYI1FFIqMUN�ERPEWILTYOFPERIURY7M�T7FIEREI5AWN5TIAICTIONLENDINOAGENCY 2 FOR TNE PERFORMANCE OF 7NE WORK fOR YVFIICH THIS PERMIT IS ISSUEO(SEC.7M7,pV,C.�, W � LE1�qER5 W1ME "�' � LETOER'S�DDPE55 TOTAL FEES `tp � I CER77FY TNAT I HAVE qEAD T/11S APPUCJ1T10N ANU 9T�TE TXIU iFIE A90VE INFOWAATION I5 CORNECT. ' / �3 d IAaFEETOGOMPL7WI7MNiCT'IWDOOUNTYORDq7ANGESANDlTATEUWSREUTINOTOBUILDINO S/ � OONSTRUCTION,AND HEREBY AIRHORQE AEPRESENTATNES OF THIS COUNfY TO ENfER UPON 7HE � IiBOVELIENTIONE�VROPEHTY FOH INSPECTION VURPOSES. � COMMENTS ��-�+a rd �• ,e-1 e� � PERM AME(VRI ^ + �+� fn I� /� /'? a !_�� N BNiNA OF ERMITTEE pATE � HECPT.NO. ,T P/UD BY YAUDATON��� WHITE—DBpartment COpy,YELLOri--Finence Copy,PINK--Asesssor Copy,60LDENROD-flla Copy,CiREEN—ApqiceM'a Gopy � � - . . . .. .. .. .. ... .. . ... ' . .. . e ... y � �.�.. � . . .� r. �le i . .� .�I'• .. � �.y'. . .r � . . .. . . . . ... CITY OF DIAIIl�OND BAR • ' � INSPECTtON RECC?Rl3 . � t , . i . ! � . � . SET BACK . 'FLOOR JOIST �, . , FTGSlFORM�/STEEL FHA REGIMTS ELECTRIG.GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FI.QOR CGPIDUIT..- ' ��� • SLAB GRADE FIREPLAC�FOUNDATION •-• �• � TEMP POWER � F1REP�ACEB'C4PfD$EAM - - - "' '�� -' WATER SERVICE M1D WT.BOND BEAM�= -- � ROOF SHEATHING 8 Ff.B�NQ BEAM , , i •. - ' ' � � FRAMINGNENTILIATION FINAL BOND BEAM R�OF COVER� PRE-GRADING ': RQUGH HEATING BENCHING ROUGH ELECTRIC AOUGH GRADING ROUGH PLUMBING FINiSH GRADING SHOWER(TUB TEST POOL ELECTRIC EXT. LATH/SIDING � POOL FENCING WALL INSULATION P�OL FiNAL CEILING INSULATION ; OFF SITE IMPS. ' DRYWAIL NAILIN� I DEDICATIONS SEWER �� •-_� j FINAL ENG. ' ' SEPTlG TANK � LANDSCAPEIIRRIG. ' ; SEEP PITlI.L. ON SITE IMPS. . GAS AIR TEST � FINAL ZONING ��.� FiNAL CONST. i FIRE DEPL FINAL ' FINAL HEATING � 1 � HEALTH DEPT. FINAL FINAI:ELECTRIC j I DEV. FEES PAID FINAL PLUMBING � � ENERGY ' • i � � i I � � �i_i COMMENTS ' ' ' ' ,, � . SEPTIC TANK SIZE � SEEP PIT/U SIZE � �- - _ ,.. , . � . . . .