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HomeMy WebLinkAbout17687 (35) J� CtIY OF DIAMOND BAR .: DEPARTMENT OF CONIlvtUN1TY&DEVELOPMENT SERVICES � �.�� 21825 E.Copley Drive (909)860-3195 Fax(909)861-3117 PRESS i ;; �`�� BUILDINGPERMITAPPLICATION . FIRMLY 'o� 1',DD ESSQ`���5 C��CT�TVO�3�-t�-1" �� DATECATION� �� b� NUMB R I�7 �'�.� � , ISSUE n TYPE OCC APN LOT�_ TRACT DATE d�- CONST. GROUP p' OWNEF{T�Ct-C7S-t' C31_11�C3fw l p 'ADD ESSZ'�Co W - �- ZONING SETBACKS z ICfTY�� � ZIP TEL: j-k -k'�- FRONT RW ❑ 'APPLICANT�"' ` TEL: Eal-SC4-S['=- REAR ❑ g � � SIDE/SIDE STREET RW ❑ � I CONTRACTOR SIDE ❑ � '�ADDRESS � ''CITY ZIP TEL. PROPOSEDUSE � o 'ARCHIENG/ ai DESIGNER NO.DWEL NO. NO. i ADDRESS' UNITS STORIES �_BEDROOMS �"� � 'CfTY I ZIP TEL. � m , DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q I OWNER-BUILDER DECUIRATION SFR/AD0lREM O 1 HEREBY AFFlHAI UNDER PENALTY OF GE0.NRV THAT 1�M EXEIAPT FHOM 7HE CONTMCTORS L4 Garape/CarpoR W�� ICENSEL►WFORTMEFOILOWINQREASON(SEG70.71.68USWESS/JJOFROFESSIONSCDDEANYCrtVOR (n � - U�, ��,COUNTYWF11d1RE0UtRESAPERMITTOCON5IRUCT,ALTERMPqOVE,OEMOlISH.ORREPAIRANVBttiUG W PaIiOIDOCk � I TURE,PRIOR TO RS{SSUANCE,ALSO REWIRES THE APPUCANT FOR SUCN PERMIT TO FILE A 61GNED ' �'�STATEMINf THAT HE OR SME IS LICENSEO PURSUANT TO TME PROVISIONS OF TME CONTMCTOHS U• W .; $' iGENSEU�N(CMAPTERY(COMMENCWOWITHSECTION7oDa10FDIVI510N70FTME8U5�NE55ANOPRO• LL' POOUS�'78 - �FESSIONSCOO�ORTMATMEORSHEISE7(EMPTiHEREFROMANDTNEBASISFOfliHEQLEGEDEI(EMP• � �� �710N.IU7NVpLATIONOFSECTION7071,6BYMlVAGPLICANTFOf1APERMRSU&lECTSTMEAPVLIC�NTTO Z Re•R001 �,AdVILiENAL7YOFNOTNORETUNfIVEHUNDRED00lUR5�fsool.k � �, ��. '� . '[11,ASOWNEROFTHEVROPER7Y,ORIAYEI.�DLOVEESNnTNWADESASiNEIq50LECOMOENSAiqN, � (jpmrtlBfd01 - . Z. ,VAU.EO THE WORK,ANU hIE SiRUCTURE IS NOT IMENDED OR OFFERfD FOR SALE(SEC.1a�,BU56 J �. ��NE55 AND PROFESSIONS COOE:7HE CONTMCTORS UCENSE UW OOES NO7 APPLY TO AN OWNER OF = ��VRDGERTY WF1D BUtWS OF PAPROVES TMEREON.Ml0 WHO DOES SUCH WORK NIAISELF OR NERSELf OR . �;' �'�7MHOUCM MIS OR HEROMM EMVLOYEES,PHOVIDE�TFNTSUp11MvqOVEYENTSlIRE NOT IN7EN0EU DR m �� 0; �iOFFEREDFORSALEIF;HOWEVER7HEBUILDINGORIMPROVEMENTIS50LDWITHINpJEYEAROFCOMPLE• ; Z. �TION.THE OWNER�BUILDER WILL HAVE THE BUROEN OF PROVPIO THAT HE OR SHE DID NOT BURD OR . _, �i WPROVEFORri1EPUNPO5EOF3QE� , � �. W � Ot�OWNEROFiMEPROCERN,/JAEXCLUSIVELYCOMRACTINQWITHUCENSEDCDNTMCTORS �. (L I 70 CONSTRUCT THE FROJECT(SEC 7W�,BUSINESS AND FROFESSIONS CODE:TME CONTMCTORS U- VBIIIfl1I0(1 ADJ.AREA W ���NSEUWDOESNOTMPLYTOANOIN�EROFAPROPERTYW/10BUILDSORIUPflOVESiHEREON,MID �; �I VAIOCONTMCT9FORSUCHPRQ7ECf51MTHACONTMCTOR�S)UCENSEDPURSUMlTTOT1ECONTMG OUANTITY DESCRIPTION FEE Y 'lORSUCENSEUW.► � � �. ' �' '�, � D I EXEM UNDER SEC. B.i P.C.F 'HIS PEASON Q � U LL DATE ZOO� . ONMER ti---- � Z W �4 LICENSEO CONTRACTOFS DECIARATION W 2 1 HEREBYAFFIRM UNDER PENALTY OF VERJURY THAT IAM IiCENSED UNDER PROVISION CHAVTER � � C W �� . d: ',YfCOMMENpNOWRHSECTIONI000)OFDMSION70FTHEBUSINESSANDPROFESSIONSCAOE.AND Z : X' YY LICENSE LS W FULL FORCEANO EFGECL � LLI . � �.�� � � UCENSE C1A55 LIC.NO. � � * � V� �pAiE � CONTMCTOR � ' a t'G R. W w � WORKERS'COMPENSATION DECLARATION a _ �- IHEREBYAFFIRMUNDERGENALTYOFPERNRVONEOFTHEFOI.LOWIH6DECUMT10N5: Z � ' � _IWNEANDWILLMAINTAINACERTIFIGTEOFCONSENTTOSELFaNSUREFORWOHKERS' _ COUPEN5AT10N.ASCROVIDEDBYSECT10N�7o�OFTHEUBORCOOE,FORiHECERFORMANCE W OF TME WOHN FOR WNICH TNIS PEPMIT IS ISSUEO. � � �I MNYE AND WILL MAINTAM WORKEHS'COMPENSATqN MSUMNCE.AS REOUIRED BY SECTION �� � QO � �7000FTHEUIBORCOOE.FOfiTHEPENf-0RM�NCEOFTHEWOi1KFORWMICHiHISPEpMiT13 �� tSSUED.MVVWR1fER5'COMPENSATIONWSURANCECARRIERANOPOLICYNUAABEFARE: CONSTRUCTION juwaEn PLAN REVIEW Z ooucruuueFa ELECTRIC ¢ 0 (iHSSECTIONNE�NOTBE0D6�LE(EDOFTIEPERlARBFORONEMl�t7REDD0UARSRta�ORLESS) PLUMBING • Z ICERiIFVTHATINTHEPEHFORMANCEOFTHEWOR1CfORWHitHTHISPfRA11TISI5SUED,1 MECHANICAL U' SNALLNOT EMPLOYANY PERSON N Mrv MANNER SOAS TO BECOME SU&1ECTT0 THE (n WORKEfl5COMPEN5AT10NUW50FCALIFOFWIAANDAGREETMATIFISNOULABECOME INSPECTIONFEE S SUBIECTTOTMEMI'ORKERS'COMPENSA710NPROVISIONSOFSECTION7TOOOFTHEUBOR , i'� COOE.I SHh1L FORTMMTH COMPIY WITH TF105E PROVISIONS. ISSUANCE � SMIP p DATE: APPLICANT: � ENERGY P!C WAFWIN0.FAILUHE TO SE WNE WOHKERS'COMPEN511TqN COVERAGE IS UNLAYYFUI.AND SWLLL BE � SUBJECTANEMPLOYERTOCRWWALVENALTIESAN�CMLFWESUPTOONEMJNDREOTIqUSANO ENERGYPERMIT DOLURS�f 100.000).IN AODITION TO THE COST OF COMPENSATION.D�AGES AS PROVIOED fOR IN � SECTIONf7o80FTHELABORCODE.INTEREST,ANOATTORNEY'SFEE4. RETENTIONFEE: i d CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O �. IHEREBYAFFWM UNOERiENILLTYOFPEfWRYTHATTHEREISACONSTRUCTIONIENDWOA6ENCY Z FOR THE DERFOHMANCE OF iNE WORK FOR WHICH iFIIS GERMITIS ISSUED(SEG]097,CN.C.). W � LENDER'SNAME � LENDER'SADDRESS � ICERTIfY7NATIHAVEREADTHISAPOIIGTIONANOSTATET/UiT1EAHOVENFORIAATIONISCORflECt TOTAL FEES I �� �l j p� IAGRE CONPLVWITMALICRVANOCOUNTYORDINANCE5ANO5TATEUW5REL11TINOTOBUM1DIN6 �� CON UCTION,ANDHEREBYAUf110RIZEREPRESENTATNESOFTHISCWNTYTOENTERUPONTNE E�NEMIONED PROPERTY FOR INSPECTION PVRPOSES. ' Q r� COMMENTS _ �...� ( c � P E Ev 2 zz: �z , y IGNATU EOFPERYI � ATE � i — � RECPT.NO. PJUD BV VALIOATION I� WHITE—Depa ment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy.GREEN—ApplicanCs Copy �t,..;�.. •J':'�::'•t.ti�.:>:.r..i,r�y=�y�� �' . .v .r,. , •_• .r �, . ..n i .. i. -�'. .... n.nt . a-..♦. � .... f�, .. ... � . ,. ..��. .�. ✓ ���1. .�14• v�.r re• '1�5�' KZ'7+. ., v'�� .1.. _ . C1�"lf' OF [31AMOhD BAR ' 1F�SPEC c�OFd RECC3f;'D i.X����..�dl��l ��'t�= aI�C- ���,� �.� . ���j�'i � C r� : ' � ���� . ..: �� �� c� e �.. ._.,_. _�..__� � ° _..� _ ����� °^��_.._.._..... a�_ �..� �.����....���.�°a,� 5ET BACK - f ��� � . � ,�; FLOOR JOIST",,> � � . • __L _ FTGS/FORMS/STEEL I � FHA REQMTS ELECTRIC GROUND � � UPJDER FLOOR DUCT: GROUND PLUMBING ^ U�dDER FLOQR COMDUIT _ � _. i SLAB GRADE FIREPLA�E fOUNDATiON ' I TEMP POWER I • FIREPLACE BOTJD BEAM WATER SERVICE � I P�11D HT. BOND EiEA�.4 ROOF SHEATHING ' � ' � ' ' � 8 FT. BOND BEAM � FRAMING/VENTILIATION FINAL BOND BEAM I ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PIUMBING Z�,�-p� — FINISH GRADING SHOWER�TUB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING � WALL INSULATION POOL FINAL ( CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING '1�oZ �� /�� DEDICATIOfdS SEWER � FINAL ENG. SEPTICTANK ; , LANDSCAPE/IRRIG. SEEP PIT/L.L. � '" `' � ON SITE IMPS. GAS AIR TEST i � FINAL ZONING FINAL CONST. � � • FIRE DEPT. FINA! FINAL HEATING ; HEALTH DEPT: FINAL - _. � . FINAL ELECTRIC ! DEV. FEES PAID ; FINAL PLUMBING , � cZ ` ,- '�'� ENERGY � � � ,. , , , � _ . .. _._. :c;�Wr;1ey�e► .�: � _. . -----_ .._ - - - - .. _�: �, ,- —- - COMMENTS • . , ,_.� : I ij SEPTIC TANK SIZE SEEP PIT/U SIZE ��� . . , . . � . 1���� I�� . - : � , . - . � �. ..r...�::...J ' . ;+ _ � _ . . _ . _ . . ,