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HomeMy WebLinkAbout12943 (13) _J� _ CITY OF DIAMOND BAR �'—"' DEPARTMENT OF COMMLJNITY&DEVELOPMENT SERVICES � � 21660 B.Copley Drive Sirite 140 (909)860-3195 Fax(909)861-3117 PRESS ����� BUII.DIIVG PERNIIT APPLICATION FIRMLY � JOBSITE APPLICATION PERMIT ^ p/C o ADDRESS � a ��"C. � DATE NUMBER J-I_ G�-3 � � APN LOT TRACT ZZ.�Z, ISSUE 1r�I _ _ TYPE OCC � —�-- DATE �Q CONSI: GROUP OWNER G�Ch. �� '04'i � ADDRESS _�/ �yy � i ZONING FRONTCKS RW ❑ � CITY z P M� �- REAR ❑ APPLIC NT T��• €r t ~2'�= SIDEISIQE STREET RW ❑ � CONTRACT R .i-.� SIDE ❑ � ADDRESS , ppOPOSEDUSE ''`-g�.���,c�cg�I CfTY�'JY���JI r�� ZIP� - TEL��°� �� � ARCFYENG/ DESIGNER NO.DWEL. NO. NO. AUDRESS UNlTS STORIES BEDROOMS CI7Y ZIP TEL. � : DESCRIPTION SQ.FT. FACTOR PSF AW.AFiEANALUATION � OWNER-BUIiDER DECLARATION SFR/ADOdREM O 1 NEREBY AFRI►1 IpAER PENALTY OF PERLMiY TMlIT I AAt IXEMM FI�M THE COH�HACTORS LI. G81�g9/CelP011 CQISEUWCORTHEFGILCWNGREA..ON�SEC.7C31.68USME55ANDPROFESSIONSCODE:ANYCITlOR (J) COIR(iTMMK]IREOUIRESIIVERMR70WNSTRUCT,ALTERIMPROVE,DEMOlJSH,ORNEP1�61M1YSTRUC• w Pe1�� TURE,/RIOR TO ITS 1B9UANCE,1LLS0 REOUWE9 7HE APPLICANT FOR SUCH PER{AIT TO FII,F A S�GNEO 6TATEMENT TTMT NE OR 6ME IB LIGENSED PU0.4UM�T TO tHE if WVISIONS OF TF/E CONTpqC70R3 U� CENSE UW�CNAPTEN�(COMMBdCINO WIiN SECTION 700D)OF DNISION 70F THE 6USINE55 AND PRO• ' �' POOVSp9 fES3qN6 D00�OitiHAT ME OR BHE IS EXEMPT THEREfpOM AND THE BA81S FOR THE ALLEOED FXEMP• 7qN.11HYV1IXJ(TqNOFSECTION7031.68YANYAPPLICAN'fWRAPERMITSUBJECT6TNEAVPLICANTTO Z p@{jpp� � A CML PENALiY OF NOT MORE TMIJi PNE HUNDFED DOILARs(i5oo)J: . 01,ASOWNEROFhIEPROPERTV,OqMYEMROYEESWITHWAOESASTHEII150LE00MPENSATION, � [� Cpmmg�Cldl WILl00 TME YYOFK AND TME STRUC7URE IS NDT NITENDED OR OFFEREO FOR SALE[SEC.70N,BU31• . 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B.i P.C.FOR T115 REA50N �� U � ¢ DATE OWNER � U � UCENSED CONTRACTORS DECLARATION W • � I MEREBY AFFIHM UNOER PENALTY OF PEfiIURY THIR I AM LICENSEO UNDER PROVISIONS OF CHAPTER � � ��COMMENCW6N7TM6ECTION70oo)OFDMSIDNeOFTHEBUSINESSANDPROFFS510N5CODE,M1� z W 11GR73E 18 IN FULL FORCE AND EFFEGL m � UCENSE CUSS �j.�� �—�� LIC.NO. C Z � � w� I— �3—�_ �«�rrrucroR •l�w�i �' WORKERS'CAMPENSATION DECLARATION �� _��(,/� � � I HEREBY AFRRM UNDER PENN.7Y OF PEaUf1Y ONE OF THE�OLIAWING DEClAMTION3: Pt� � � � __IWIVEJWDWILLMAMTMNACEICf�flCJ1TEOFCONSENfTOS0.F-INSUREFORVpHKERS' _ COYPEh6ATpN,AS PROVIDED BY SECl10N 9700 OF TFIE LABOR CODE.FOR 7HE PERFORMANCE � OFTHE WORK FOR WHICHTHIS PERMIT 16155UE0. � �IHAVEANONALLMAINTAPIWWiKERS'COMPEM'ATIONINSURANCE,ASREpU1REDBYSECTION Q 97Do OF THE UIBOR CODE,FOR TNE VERFOHMANCE OF Tl/E VYORN FOR WHK)1 h115 GEi1MR IS � ISSUEC.MYYNDip(ERS'G�OMPENSATIONWSURIWCECARRIENANDPOIICYNUMBERARE: CONSTRUCTION � CARRIER � PLAN EVIEW —��— � POLICYNUMBER � ELECTR� �9 —�UV p (nwssEcroNr�noreeaor,w�ErEDOFne�rswrra�EMru+moauws )aA �G * Y� <tl� � ICEATFY7HA7WTNEPERWRAIMICEOFTHEWORNFORWHICHTi15PERMITI5155UE0.1 MECHANICAL t��� C�S SMALL NOT EMPLO`/ANY PERSON IN ANY MANNER SO AS TO BECOME SUBJECT TO TNE -� �� (q WORKER500LIPENS�TqNLAW50FGALIFOHNItiMlDAOREETH�TIF�51701ADBECONE INSPECTIQNFEE � 6I18JECTTO THE WORKERS'CdAPEN5A710N PROV 8'EF CTION 3700 OF TNE IABOR t'j 000e.iar+u.�warHvnnicon�r�rwi'n� isp � ISSUANCE _�1 Q��(�S 2 ^�j � ^,�^q SMIP ��� p DATE:��y�, MPLICANT: � i`v� � WARNINO:FAILURE TO SECVRE 1WRKERS'COMPENSATpN COVEflAOE IS UNUWFU4 AND BHALL BE ENERGY P/C �� LL BUBJECTANEMPLOYEHTOCRIMINALPENKTIESM/DCNILFINESUPTOONEMINOREOTFpU$AN� ENEROVPERMIT pOlLAR3�Z700,OW),Iu pppfflON Tp THE COST OF COMPENSATION,DMIAOE3 il5 PROVIDEO FOR IN � 6ECTIDN 87W OF7HE LABOR OODE,NTERESi,M1D 11TTORNEI"5 FEES RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � I HEfiEBY AFFlFM UNDER PENALTY OF PENJURY TM�T TNERE IS 11 ODNSTRUCTpN t,ENDN�AOENCY FOR 7HE PERFORMANCE OF TlIB WOHK FOR WHlpi THB PERMI71515SUW(SEC.70a7,CIY.G). � � LEN�ER'8 NM1E � � LENOERBADORESS � ICE1i�IFYT/UU1lUWEREA07l113APFUCFTqNANOSTATE7NATTHEl1BOVENJFORMATIONISCORf�CL TOTAL rEES I!W REE M CdAPLY IMTN ALL CRY AND COVNTV ORDINANCES ANO 57�TE lAM'S REJRINO TD BURAIHO � CON57NUCTION,ANONEREBVMITI/OPoZEqEPRESENTATNE50FTH13COUNT/TpEHTERUPONTHE 11BOVE•MENTIONE�PROPEHiYFONINSPECi PURPOSES. COMMENTS � _ m PERM P 1 4 � N 81GHA7URE Of PERMtTTEE DATE � FECPT.NO. PAID BY VAL.IDATION � WHITE—DepaAment Copy,YELLOW—Finence Copy,PINK—Asseasa Copy,GOIDENROD—File Copy,GREEN—Applicant's Capy C1TY OF DIAMOND BAR � INSPECTiC)F+t RECORD � s � � . i . . � ! , � . SET BACK ' FLOOR JOIST � ,t� FTGS/FORMS/STEEL � � ' FHA REQMTS „ t.. ,. _. . ' " ELECTRtC GROUND _ ' ' ' UNDEFI FLO F�.DUCT , . „ • ,�^, GROUND PLUMBING UNDER FLOOR CG�I[?U!T , �. r, ,.,: � SLAB GRADE FIREPL CE�OUNDATIdN � � ' � . � TEMP POWER FIREPLACE B�ND'BEAM � WA7ER SERVICE _. MID HT.BOND BEAM ...-.. _.; � • � •- • � -- ROOF SHEATHING - - • � ' ' � 8 FT.BpND BEAM ' ' � � � " � FRAMINGNENTI�IATION FINAL BOND BEAM AOOF COVER PRE-GRADING { ROUGH HEA7ING BENCHING j ROUGH ELEC7RfC . ROUGH GRADING ROIJGH PLUMBING FINISH GRADING SWOWER/TUB TEST PdOL ELECTRlC EXT. LATH/SIDING PQOL FENCING WALL INSULATION POOL F1NAL CEILING INSU�ATION OFF SITE IMPS. DRYWALL NAf�lNG DEDICATtONS SEWER � FINAL ENC. SEPTlC TANK LANDSCAPE/IRRIG. ^ SEEP PIT/L.L. � C?N 51TE lMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL � ; FINAL HERTtNG HEALTH DEPT. FINAL --'— � FINAL ELECTRiC 2 .,DEV. FEES PAID ! ' � � i FiNAL PLUMBING � ENERGY • J� i � - r ��Ra� .i. ¢ ' — � �Jt-- — _ �.��' �li ii i • ' _�.,�,.�—_. COMM�NTS � - . - Y'.��' _.._. ' .'�.}': . . � , . _. � ��l , . Y?. ' . . , � t�� � --`---- --^ r ---- — . , , •. . .. . ,. .. . �....�. , , � . _ . . _r.— . : -- SEPTiC TANK SIZE SEEP PIT/U SIZE -- ----- �i' ��. — � j _�� � .� �. � . t ' � . � ,. ' - {