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HomeMy WebLinkAbout14126 (27) -� �` CITY OF DIAMOND BAx �j DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICES ` � . 21660 E.Copley Drive Suiu 190 (909)8643195 Fea(909)861-3111 PRESS BUII.DING PERMIT APPLICATION FIRMLY N JOBSITE r� �} y� � ��X �� DATEICATION I `� �� � NUMBE It� Q ADDRE3S +���� / ��^• 0 � ISSUE TYPE OCC APN LOT TRACT DATE CONSI: GROUP � OWNER /IC�fa�IC - ADDRESS ZY'�� � S'��'- F��'N _�� YONING SETBACKS CITY ,1,�,L,�=+_r_�,T/�+�s�- ZIP,�ly,� TEL.�Qb''/ �0 FRONT RW ❑ APPLICANT TEL. REAR ❑ SIDFJSIRE STREET RW ❑ CONTRACTOR � ,�...��,,� SIDE ❑ g ADDRESS M � PROPOSEQ USE CfTY elFi.rr+ ZIP Q�L TEL. � ARCHIENG/ � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.Ff. FACTOR PSF A�J.AREANALUATION Q OWNER-BUIIDER DECIARATION SFR/ADDIHEM O 1 HEAEBY AFFIqM UNDER PENAI.TY OF PEFWNY TNAT 1 A1A E%EMPT FRON THE CaNTfUC70R5 Lb� GBfflgB/C91pOA CENSEUWWNTNEFOLLOMANOREA90N(eEC.70.91.EBUSINEBSANOP0.0FE5910NSCO0E:l1NYG7VOR (n COUNTYNA�ICFfREOUIRESAPERMR717CONSTRUCT,1LLTEfiIMPpOVE,DEMOLISX,OfiRE7Att1ANYSTRUG• W pat�ck TupE PRIOR 7D rt5 RSIIMICE.AI.S�REQU�NES iNE MPLIGMR FOR 6UCH PERMIT TO FI�E A 9iGNED� BTATEMENf 7lMT HE OR BHE IS UCENS€�PUR6UANT TO TNE PROVISIONS OF THE CaMRRCTONS L�• @ISE LAW(��R Y ICOMMENCN(i YVfTH SECTION 7aao1�DIVISION i OF iME BUSINFSS AN�PNO• LL' POOVS�fB � FE5810N5 OCOE�Ofl 7}IA7 ME OR 6HE 16IXEMPT7HFREFROM M1D iNE BASIS FOR THE ALLEOED E%6MP- TqN.ANYVIOLATIONOFSECTIONTDS1.69YM1YMPLICANTFaNAPEflMITSU&IECTSTNEAPVLICANTTO � pB-�i00I � ACML PENAL7Y OF NOT MOAE 1HM1 FNE HUNDRED C011ARS KSoOJ.k , ❑�A60WNEROF7HEVFOGERTY.ORYYEMPLOYEESWITHWAOESA97NEIqSOLfOOMPEN3�TqN. ❑ COIIITB�NBI ►M1L,L pp THE WpqK,Mp 7}E STiA1CfURE IS NOT IMENDED OR OFFEREO FOR SALE(SEC.70u,BU51- J HE58M�VROFE981pJ6 CO�E TME aJNfR.�C1'OR9 UCENSE LAW�OES N07AVPLY TO AN OWNER OF � PROPERfYYM1iOBU6D80RMPqOYE97HEREON,ANDWHODOESBUCHWOpKHIMSELFORHEN6ELFOR � � 1Hi1d10H1Y60itMERdWNEMPIOYEES,PRONDE�TF�AT&Y7iWPNOVENEM3MEN0'fWTENDEOOR m OFFEHED FORSALE F,MOritYERTME 9U0.DINOOR IMPROVENENT 18 SOLDYNhNN ONEYFARDF COMPLE- liON.T/1E OWNERBUILDFR NALL II�VE THE BUROEN OF PqOVINO THAT NE OR 6HE DID NOT BIIRD Oli MPHOVE fOR 7HE PURPOSE OF SN.k�. � OI,A60MRlEROfTMEPROPERINAM6XClU8IV�YCON�IiACTINaNrtTHLICENSEDCaNTRACTOqS Tp CONS7FR1GiTME PAWECT(9EG 7W.,BUSINE56 AND V110FESSION9 COUE:THE O�NTR�CtOp9 U• VBW91i0n ADJ.AREA CEN6E LAW DDFs NOTAPPLY TO AN ONMER OF APqOPEAlY WHO BURDS DR MAVROVES 1HEREON,ANO wxoaoHrp�ctsFopau[�PnaEc'r9wm+Acorrtrucron(e)L�cENSeoPUAsuurrron+Ecanrtrua QUANTITY �DESCRIPTION FEE � lORS UCEN6E IAW.J. .,J 0 I AM E%EMVT UNDER 8EC. B.L P.C.FOR THIS REASON Q � u" pATE OYVNER V ��[ LICENSED CONTRACTORS DECLARATION W 2 1 MEREBY KFlRIA IMDER PENAL7Y OF PENURY T1uT IAM IICENSED V1AER PROVISiONs oF CH�PTEH � �''y � � �(OOMMENCWO W11}IBECTION)000�OF DMSION 9 OF THE BUSINE55 AND VROFESSIONS COOE,AND � �C'�' �^�����f^ '� X NY LICENSE 6 N FULL FORGE AND EFFEGT. m � �.�_�� � 0 UCENSE daS9 � �� LIC.NO. �• �� �� �j pATE �P CONTMCTOR � �f rWORKERS'COMPENSATION DECLARATION ///��� � ^ � a . . � . � •��. � IMENE8YIIFFIRYUlDERPEWLLTIOFPERR/RYONEOFh1EFOLlANANODECLARA�/SNS: Z f�] �INAVEIWDWILLIMIHfANACERTFIGTEOF00NSEMTOSELFdNSUREFORNORKERS' 2 Z Cq/PEN5AT10N,A5PiqYDWBYBECTION1�000F71iELA80RCODE.FOHTHEPERFORMANCE C� Q OF iHE WOHN FOR WHICH TFpB PEHMIT IS I65UED. � O �_I HAVE AN�WILL AWMMI riOfiKERS'COMPENSATqN MSUWW CE,AS REOUIRED BY SECfION Q a7a00F 7F1E LABOR CODE,PDfi THE PERFORMANCE OF 7HE WORK FON Nhi�01 TH�S PE11MiT IS I&SUED.MYWORKER'CONVEN6ATION�NSURMICECAiiRIEqANOPOUCYNU4BERARE GONSTFUCTION � �yqiEq - I.a7 FL.� LAN REVIEW � raicrr�uMeER e- ELECTRIC pp (�1165EC�qNNE�NOTgECUi1.E7moFnEpEp.�i6fOqprE�n �rimjoat6s} PLUMBING s NE ' Z 1 CERTIFY TW1T MI7NE PERFORMANCE OFTIE WOPo(FOR WHlqi tH19 PERMIT IS ISSUED,I IAEC CHAN�CAL (� SYULL NOT EMPWV ANY PERSON IN ANY M/WNER SOAS TO BECOME 91191ECT TO THE y YMORKERS'GOMiENS�TqNWNSOiCALIFORNIA.ANDAGREETHA7IFISHOUlDBECOME INSPEC110NFEE S SU&IECTTO7HEWORKERS•COIAPENSIRIDNVROVISqN30F5ECTION97ooOFTHELABOP cooE,.i�sHu�.�w•�nTmQ�mH coMr�r vnn+ir/a��s. ISSUANCE � p pATE:__��!�ACPLICANT: /� SMIP � WARNINCi:FA�LUHETOSECUREYAHNEHS'COLIPENSATKKJCOVERAGEISUNLAWFUL,AND3H�LL8E ENERGYP/C &B.IECfANEMPLOYEHTOCWMINALPENALilESANDCIYIIFINESUPTOONENUNORED7M0USMID ENERGYPERMIT pO�URS(i10D,000),ri ADDRIDN M TNE C06T OF O�I.IPENSATION,DAAAAOEu A8 PROYIDED FOR W � BECTIDN 3708 OF T1E 4BOR COOE,NTEREST,ANO�TTORNEY'S FEES. RETENTION FEE: ��v T g�1999 CONSTRUCTION LEN�ING AGENCY pqE-ALT FEE: � I MEREBYAFFIfIM UNDEH PENAL7Y Of PERIURY THA7THERE 19 AGONSTRUCTIOH IEN�ING AGENCY � FOFl THE PERFOHMANCE OF 7NE M/ORK FOR WHICH THIS VERMIT IS ISSUED(SEC.30Y1,CIV.C.�. � . � LENDERSNAME C LENDEH'SADDRE35 . /� /� � ICERTIFYTWITIHAVEREAD7HISAPpLIC�TIONANOSTATEhUTTHEAHOVEWFORMATIONISCQRRECT. TOTAL FEES � `�J^7 �/�(/ � IAOREETOCO/�I%.YWITH�LLCITYAHDGOUNTYOROWANCESAN�STATEUWSRELATNOTOBV&DING �/ � • CONSTRUCTION,/ND HER�V AUIHOqIZE REPRESENT�TNES OF THIS COUNN TO ENTE0.UPON iNE S� IIBOYE#IEPRIONED PROPERTY FOR INSPECTION PURPO6E5. �MMENTS � L' O C.L�/Ir � PERMIITEENMAE(PflIFlT) �� ,� ^ . (�j � �� �-�LA' � � A .��1 � � � &ONATUREOFPERMRTEE OATE —� RECPT.NO. PAID BY VALIDATION WMITE—Department Copy.YELLOW—Finence Copy,PINK--Aaseasor Copy.GOLDENROD--Fib Copy,GREEN—Applicanl's Copy CITY OF DIAMOND BAR . � � If'+�SPECTION RECOF�D . � � , . � _ , � � , . � . SET BAGK FLOOF�JdIST. • . � � ' ' � FTGS/FORPJIS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GAOUND PLUMBING UNDEl�FLOOR CUh{DUfT.. , _. Sl.A6 GRADE FIREPLACE FDUNb�1T10(V - � - � �� . TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT.BOND BEAM - - - ROOF SHEATHING 8 FT.BOND BE�M . - � FRAMIIVGNENTILIATION FINAL BOND BEAM ROOF COVER PRE-GRADING ' R�UGH HEATING BENCHING ROUGH ELECTRIC RC�UGH GRADING ROUGH PLUMSING FINISH GRADING SHOWER/TUB TEST � POOL ELECTRIC • � " ' EXT.LATHISIDING C POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION QFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LRNDSCAPElIRRIG. � SEEP PIT/L.L. ON SITE IMPS. � GA5 AIR TEST FINAL ZONING FINAL CONST. I FIRE DEPT. FlNAL I FINAL HEATING , HEALTH DEPT. FINAL F INAC ELECTRIC I DEV. FEES PAID E FINAL PLUMBING... � ; ENERGY _� i - .. � � --`—�i ' � 4 C�MMENTS 0 SEPTIC TANK SiZE,.::1� + , SEEP PIT/U SIZE � ' — . �� .��.., � �, � r � i •. .�.s „ ,� '� ��� i.'� �.' :�.�.?:.�.,. I