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HomeMy WebLinkAbout10511 (5) -,-- ---_.. _��.� �...... _........___.._..___.._.. C1TY OF DIAMOND BAR � COMMUNITY bEVELOPMENT DEPARTMENT ,.�C 21660 E.Copley Drive Suite 190 (909)860-3193 Fu(909)e61-3117 PRESS '""'� BUILDING PERMIT APPLICATION FIRMLY o J��g I�OO �l�z`ccs� �/�7Ei�� APPUCATION ? � �',PERMIT � P!C DATE NUMBER M � ISSUE 7YPE OCC APN� LQT�,rT{2ACT DATE CONSL aROUP � OWNER %�J� t5�'2��C� ADDRE ZONlNG SETBACKS C�n, Z�P TE� ,; FRONT RW ❑ � APPUCANT : TEL. REAR ❑ SIDE/SIDE STREET RW ❑ � CONTRACTOR. • � ' SIDE p p� ADDRESS ' � CITY � u►.,i�tP�.�gTEL PROPOSED USE � � AACWENGI DESIGNER NO.DWEL. NO. NO. ADDRESS UNfTS STORIES BEDROOMS � CITY ZIP TEL. y OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BULDER OECLARATION SFR/ApWAEM p 1 HEREBV hFFIRM UNOER PENFLTV OF PERRIRY TFUT I AU EKEMPT FROM iHE CWJTRACTOFtS L4 ��O�B�� U�J CENSEIAWFOR7NEFp10WINOREASON�SEC.7671.6BUBINE33ANOVHOFES510NSOODE:AN`/CI7YOR (n �.7 COUNTYYMICFIREGUIRESAPENMITTOOON37f1UGT.ALTERMAPROVE,DEMOl15H2OF1IEPAIRANY87RUG- W PitIOIDBCk TIXiE,PHIOH TO ITS I�UANCE,AL90 ilEOUIRE9 TXE 11PiLICANT FOR BUdi PENM�T TO FILE A 816NE0 W BTATE4IENT TIAT ilE OR 6HE IB LICENSE�KIRSUANT TO THE PFlOVISIONS OF THE CqJT1UCTORB L4 W . � CENSE U�N'(GIAPTER Y(COIAMENGHG N7TN BEC710N 7000�OF OMSION a Of TME 9USINElS MW PRO- � POO�SpB FESSIONS CODE)OR iHAT HE Oit 3HE IS E%E4Pi THEAEfpOM AND TE BASiS FOR iHE�LI.EOED Elf[MP- ipN.ANY VIOL�TqN OF BECTION 7W1.6 BYANV APPLICAM fOR A PERYIT SUB.IECTS THE�PPLIC►NT TD z aO.Rpp} � Aq1nLVEN��LTYOFNOTMOqETHANFlVEMUNDHED00LUF51i50o1.1: OI,A80WNEROF7HEPROPER7Y,OqMYEMM.OYEESNATHWMiESASTHEIR30LECOMPEN6ATpN, � (;pmmg�Cl81 WILL DO TH6 MIORK,AND TFIE BTRUCTURE IS NOT MI7ENDED OR OFFEREO FOR BALE(SEC.7ou,BUSI- NEffi ANO P110FE3810NS COOE:TI1E CONTMCTORS IICEN3E LAW DOES NOTAPPLY TD AN OWNER OF = � PpOPERTYNM1qBULD90RIMPROVE9THEREON,ANDYNfODOESBUCHYNDRKHIMSELiOHHERSELFOq Q TMfqUON HIS OR NER OWN EYPLOYEES.PRON�EO TiMTf�CM IFAPROVEMENiS Mfi MOT W7ENDE�Oi1 LY� �W OFFEREUFORSIILEIF.hIOWEVE0.TlIEBUILDIN6ORNAPROVEMENTISSOLOYATNNONEYEMOFOONPLE• Z TqH,THE OYYNER�BUILDER NnLL W1YE TNE BUROEN OF PPOVWO THAT ME OR SHE DID 1qT BUpD OR � WPROVEFORTHEPURPOSEOFSAL�. W ❑I,ASOMMENOFTiEPqOPEfffY,A6IEX0.U5NELICONTMCiWQ1MITNLICEN6EpCONTRtiTOR3 � TO CONSTiWGT 7NE►ROJECT fSEC.70M,SUSINE55 AN�PNOFESSIONS GOOE:TME WNTWICiOR6 LI• VgIWIf011 ADJ.AREA � CEN9EIAWDOESNOTAPPLVMANONMER�APROPERiYWMOBULO80AWPROVE9THEREON,ANO w�+000nrra�cTawnsua�vAo.�ecrsNnni�caNr�ucTon�s�i�ceNseovimswwrroniew�rtruc QUANTITY �ESCRIPTION FEE � rons ucENse uw.�. ❑I MA EXEMM UNDER BEC. B.i P.C.FOR THIS I�ASON � =' WTE OWNER � Z ��Q UCENSED CONTRACTORS DECIARATtON W LL I HEREBV 14FFIRM UNOER PENALTY OF IE0.NNiY TWR I JJA LICENSED UNDER PROVISION9 OF CHMTEN � �(OOMMENCINfi W17M BECTIDN 7000)OF DmSION 7 0F 7HE 8U81NE38 AND PROFE9310NS MC6 AND Z � MY UCENSE 5 IN Ml FORCE AND EFFECT. � � LICENSE CLASS UC.NO. �j pATE � CONTRAC7DR � � YVORKERS'COMPENSATION DECtAFiATION � � I HEREBY AFFIHM UNDEH PENAl7Y OF VERR1FiY ONE OF THE FOLLOWINO OECLAMTpN3: � N � _IiiAVEANDWRLMAINTAINACERTIFlGYEOiCONSENTM6ElFdNSUREFORWOANERS' _ � COIAPENSATION,ASVqOV4)EDB�SECTION97000FTNELAEORCOOE.FOA7MEPERfORNANCE IU OF iXE WORK FON WMIp17N19 VEflMIT 1915SUED. � � _I HAVE AND WILL MAIMAIN WOAKERS'OOMPENSATqN INSUMNCE,Il6 REallREO BY 9ECT�ON 4 77oDOFTHEL�BORCODE,FORTNEPERFORMJWCEOFTHEVlOWCFORWH�CH7}tlBPERA1Rl8 � ISSUE0.MVKWiKER3'OW�PENSA7pNIN5URANCFGARRtERANDPOIICYNUMBERMF: CONSTRUCTION � CARRIER PLAN REVIEW � va�crru�ER ELECTRIC � (17YssECfpNNE�NoiBEaoMPLEfmOFnFaEp.filScbaoMEMJf�OriEo00ltuls�CtaolORtESry. PLUMBiNG � 1 CENTIFY THAT W TNE PERFOfMANCE OF TNE WONK FOR WMCM T1115 PEIWIT IS ISSIIEp,I MECHANtCAL `�' N 3HALLNOTEMPLOYANYPERSONMIANYM4WNER80AB70BECOME9U&lECTTOTHE �� I„ • � WORKERS'COGIPENSATIONLAWSOFCALIFOpN11AN0AOREETMATIFISNq1LD9EC01AE INSPEC170NFEE , l .t� S SU61fcCTTOTMEWORKERS'COGPEN5AilONPROVISION50GSECTION]7000FTF7EL�BOR caoe.�srwl rnqrNxnn�cwv�r wi ry�'isions. ISSUANCE O /(�� p DATE:�1�19 7 APPLICANT: /D�.[A/[ / SMIP � ENERGY P/C WAiW NG:FA0.URE TO BEWRE WOiiKER5'COY�ENSATION COVEMOE IS UNU@VFtll.ANO SHALL S[ � BUBJECf Ml EMPIOYER TO GRIMW�L PENALTIES M1D CMl FWES UP TO ONE NUNDRED 71pU9AN� ENER(3Y PERMIT Y DOLLARS�t700,000�,N/�DDRION M h1E C0.ST OF COMFENSATIDN,DMUOES AS PROVIDED WH IN � BECTION7fOBOFTFIEUBORCCOE.WTERE9T,ANDATTOFNEV'SFEES. p�ENT1ONFEE: � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: 1 HEREBYAFFI1iM UNDEF iENALTY OF PEiW RY TM�T 7HERE 19 A CONBTRUC710N LENDINO A6ENCY Z FOR TF1E PERFORAIANCE OF TME YYORK PDN MMIG1 iNl4 PEFMIT IS 1G&UED 19FC.10o7.qYf C.). W � LENDEN'S NNAE � LENDER'S AOORESS � IGENTIF/TiAT11UVEqEApTHISAPPLIGTIDNMIDSTAiET1ATTIEABOVEWFOWAATpNISCORRECT, TOTAL FEES a�IS d 1/�REE 70 CdAPIY WITN ALL CRY AND COUNTY ORDWANCES M�D 87AiE LAWS REUTNO TO BUIlDINO . � COMSTXUCTION,ANDMEREBY/U1fFqRIZEREPHESEIRATIVESOFTFIISfbINdTYTOENTERUPON7NE ABOVE►IENTIONED PROOERTY FOfl INSPECfION PUHPOSES. COMMEMS � J � m PENAUTiEE NMIE(ORINT� ,f�-s c_�n ` � AX�i� '7���'I 7 ✓ y WlW1iyREOFPE1iMIT7EE. . DATE T— � ', � •,a. . RECPI:N . PAID BY ` VALIDA't10 WHITE--OapaAment Copy,YELLDW—Fhence C.opy,PINK—Assessa Capy,GOt,DENRDO—flle Copx GREEN—ApWlcanY�Copy ,. r . .� - _ . ..>: CITY OF Dlafv'IOf�[?� BAR � . IP�[SPECTIOf� RECCIRE) • � ' �; . � � i � � � � - ...,�-�' . �9�►� � ' `A' • ■ . ., .... . . _ . _...._ .._.� .. . ......_ . . . � . . .... . . _. . __ _. -. _ SET BACK , FLOOR JOIST - ''� --- , ,,..,: ,e - -- - -- ..— ------------- --P' .. FTGS/FORMS/STEEL FHp AEQMTS � - �---- --� . ELECTRIC GROUND UI�IDER FLOOR DUCT . , . _.._ _.....__..----.-_. , --- _ . .. GROUND PLUMBING ' i UNDEfi FLOOR�COrIbUIT'_ .� .: ` ' ' —. --- -- � ...�. I ---- — — SLAB GRADE ' �� FIRFPLACE_FOUNDATION � �,�_ . � ' ---- � TEMP POWER- I. ; � FIREPLACE BOND BE��• ����' :.•� ' ••� , . . . ---�------ --��*ft .,. N�b-t�,•'� -- ; WA7E1�SERu�CE :' . °,_ _ ,�. , .. . ---..__� MID HT.BON(�BEAIv4.----� ' , ' ROOF SHEATHING . .��` .` : . , . . . . : � 8 FT. BQND BEAM ;.• • • _._�—. _ -___ � FRAMINGNENTILIATION ''�FINAL BOND BEAhi1 -- 1•----- � , � ROOF COVER PRF-GRADING � i R�UGH HEATING _ _J � �BENCHING�- —��— � _� ROUGH ELECTRIC ; ROUGH GRAQING ROUGH PLUMBING ' FINISH GRADING ` ,, _ __� __ � SHOWERlfUB TEST PQOL EIECTRIC • _... _---- --- ---------------- EXT. LATH/SIDiNG � POUL FEMCING � WALL INSULATION POOL FINAL � . 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