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HomeMy WebLinkAbout13441 (14) ���� CITY OF DIAMOND BAR � ,� DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES : � 21660 E.Copley Drive Suite 190 -�- (909)66Q3193 Fax(909)861-311? PRESS '��r� Bw.tinvc rE�rr Ar�.icATTox FIRMLY o ADDRIESS DA�CATION NUMB R I 3�"C I �1C � � APN �,�_ LOT T pA EE �'��� CONST. GROUP p OWNER � ADD SS � ZONING SETBACKS � CI _ Z . TEL FRONT RW ❑ APPUCANT �T REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACT R SIDE ❑ � ADDR � — PROPOSED USE L o CITY ZI� TEL. __ � ARCH/E G/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. c�_n DESCRIPT(ON SQ.FT. FACTOR PSF A�J.AREANALUATION p� OWNER•BUIIDEii DECLARATION SFFVAOD/REM O � I NEHEBY AFFIR61 UNDER PfNALTY OF PEFiIl1RY TFUT I AA1 E%EMPT FROM THE CdJTRACTORS LI- 48f89BIC81pOM CENSEIAWFORi}IEFaLIOWINOREASON(SEG7D]7.6BUSINESSANDVROFESSIONSCOOE:ANYCI7VOR (n OOUMYYV!#CMRFGUWESAPERMRTDCONStAl1C'f,ALiER�MPRDVE,DEMOLISH.ORREMIRANY67ilUG- W Pg�iON6dc 1lIRE,/RqR TO R8 158UANCE,AL90 11EW IRES 7HE APPLICAM FOR BUCH PERMIT TO FILE A 610NED W BTATEMENT 1HAT HE OR BHE IS UCENSED PURSUANT TO THE PROYISIONS OF THE CONTRAGiORS 4 � CkT15E LAW(CFW7ER Y(cOAIMENCINO WITM BEGTION 7o0D)OF DIVISION 7 OF TME BU91NE5511N0 PRO �' POOVSpd FESSIDNS WUE)OR hU1T ME OR 6HE IS EXEMPT i11EREFAOM AND iNE BM415 FOR iME 1LLLEaED EXBdP- TpN.ANYVIOURIDNOF5ECT10N7W1.6BYANYMPIICANTFOR�PERMI75UBJECTSTHEAPPLICAMTiO z p�q�{ � ACML VEW�LTY OF NOT MaRE TMAN FNE HUN�RED 00LUNS p6001J: � 04��tiNNEROFIFfEGHOPEiiTV,ORNYEMPLOYEESWI7HWACiE5A4THEIRSOLECOMDENSATION, COTTBfCIflI - MALL DO 7HE WORK,/ND TME 9TAUCTUF[13 NOT INTENDEU OR OfFERED FOR SALE(SEC.7ua,BLISI- �J NE55 M1D PROFESSIONS CODE:THE CONTRACTORS UCENSE LAW DOES NOTAPPLY TO AN OWNEq OF � PROPEFfTYYVHOBULD50RINPROVEBiHEREON,AN�NMODOESSUCHM/OHKHIMSELFORHE1iSELFOR � � fHH0UGH1#SOHHENOWNEMPIAYEES,PHOYl0E0h1ATSUCHIMPHOVEMEN7SARENOTINTENDEOOR � GFFEflEO FDR&LLE�F.lqVYEVER 7ME BULONOORIMPROYEMENi I9 80LD WiT111N ONE YEAR OFCOMVLE- ipN,TXE OWNE148UILDEF MIILL NAYE 7FIE BUqDEN OF PROVINO THAT IE OR BHE OIO NOT 9UIlD OR MPROVE FOfl THE PURPOSE OF 8ME). � OI,ASOWNEROFTHEPROPEfiTV,AME7(CLUSIYELYCONTMCTNOWfTHLICENSEDCONTRACTORS TO COIdSTRUCT TME PFmJECf(SEC.7aa,BUSINE59 AND FROFESSIONS CODE:iNE CONTMCTORS L4 VelUOtlOf1 ADJ.AREA CH/SE UW WE9 NOT APPLYTO AN OWNER OF A GROPERTYNM1IO BUlDS Oq IMPROVE9 THEREON,MA � MIIIDOONiRACf8FON9UCHPROJECTSVAT1A00NTMCTOR�S�UCENSEDPURSUAHTTOh1ECONiRl�G pUANl7TY DESCRtPTION FEE � TOA6l10EN6E LAW.). ❑1 AM IXEMPT UNOER 8EC. B.8 P.G.FaR TMIS flEASIXJ Q � jt � � � DATE OWNER � W • LICENSED CONTRACTORS DECIAqATION � � INEREBY�FFIRMUNOERPENALTYOFPEfUURYTHATINAUCENSEDUNDERPROV1910N5OFCMAPTER � S Y�4VMMENf.7KiWR}ISECiqN�OW)OF�IVISIONSOFTHEBUSINESSNIOPROFESSIONSOOOE,MID Z X MY LICENSE 6 PJ FUl F MID EFFEC7. S� m tL � uceru ss uc.rio. j o�� corrtruc d WORKERS'COMPENSATION DECLARATION � 4 � IFiEHEBY0.FFlRMIUNDERPENALTYOfPER1URVONEOFTHEPoLLONfINGOEIXARATKKJ3: Z � _IIUVEAPIDNAILMAINTAWACERfIFIGTEOFCONSENTTOSELF•INSUREiORWORKERS' _ COIAPENSATION,A9PRDVIDWBYBECTIONSlOOOF7MEUBORCOOE,FORTHEPERFORMANCE W OFTHE WORN FOR WHICN THIS PERMIT IS ISSUEO. � O � I HAVE MID MALL MAIMAW WORKEHS'COMPENSATION INSUMNCE,AS REWIRED BV SECTIOIY Q370o OF 7FIE LABOR COCE,FOR 7HE PERFORMANGE OF TiE WORN PoR WIIICH TNIS PEFMI715 � ISSUED.MYYVOPoC� Q'OQAIPENSATIONINSUHAN RIEqANDPOLICYNUMBERARE: CONSTRUCTION � CARRIER � 1� PLAN REVIEW � POLICYNUMBER j°i"b` p EL 0 (MsaEc��ne�rareeao�stE�aFnEve�.rrrer�a�ruroAmoowws�s+aoiot�t�ss� PLUMBING �W 1 CERTIFYTIA7IN iHE PERFORMMICE OF THE WORK fOR WHICH 7HIS PERMIT IS ISSUED,I MECHANICAL � \.! �I 1 SHALL NOT EMPLOY ANY PERSON IN ANV MMINER 50 AS TO BECOME SUBJEC7 TO TNE ��y'Tj—���1� � NIORKERS'CdAPENSATIONUW50GGLIFORNIA,IWUAGREETHA7IFISFiOUL�BECOME INSPE NFEE � SUBJECTTOTHENIORKERS'COMPENSATIONVRONSIONSOFSECTION770oOFTHEUIBOR y' f..��y't•�.+� � �+ J �j OOOE,ISHALLFORTHN7TNCOMPLYVATH7HOSEPRONSIONS. � SUANCE !'�1���Yd• i�1 _.�.r^Y` C"�S� �-l� / O ti.1 q ,/ IT �v y y'FP.�i.'7:. � DATE: r�-� APPLICANT: y��,f �� y'•, WMNINO:iALUREMSEWREMK%iNERS'COMPENSATpNCOVERAOEISUNLAWFUL,iWDSHALLBE ENERGYP/C �y SUBJECTANEMPLOYERTOCRIMIN/�LPENALTIES/WDCMLfINE6UPTOONENUNDREDTYIWSAND ENERGYPERMIT r DOLLAfiB(it00,000J,WA[1DITIONTOTHECOSTOFCpAPENS�TION,DAMAGE511SPROVI�EDFOflIN � SECTION97080FTHELABORCODE,WTEREST,ANDATTORNEYSFEES. flETENTIONFEE: CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � 1 HERW V AFFlRM UNDER PENALT/OF PERJUqY THAT THERE IS A CONSTRUCTION LENDIN�M3ENCV FOR h1E PERFORMMICE OF�HE WORK FOR VMHIdi TMIS GENMIT IS ISSUEO(SEC.MG7,CIV.C.). � � �ENDER'6 NAIAE F– LENDER'SADORE55 � ICERTIFYTHATINMIEREADTiISMPL1CATqNNJDSTATETHATTHEA80VE1NFORMATIONISCORRECT. TOTALFEES ' ��'�0 d IAOREETOCOMPLVMIfHAl1CfTYANDCOUNTYORUINANCESIWDBTATEUNSRELATMIOTOBUILDING I.. C0115TRUGTION,N4D FIEREBY AUTlIORQE REPRESENTATNES OF ii115 CWNTY TO ENTER UPON 7HE ]L/ ABOVE�MEMIONEOPHOPERTYFONINSPEG�IONPURPOSES. COMMENTS � � PE E � y y &GNATURE ERMITfEE DI1T — � RECPT.NO. PND BY VALIDATION WHITE—Department Copy,YELLOW--Fnence Copy,PINK—Aaaeasa Copy,GOLDENRO�Ie Copy,pREEN—ApplicanYs Copy ` � CITY OF DI�►MOND BAF� ,.�.j-._.._. ,, . IhlSPECTION! RECtJRD • s � + • � - • a � � . - s - SET BACK � � � FLOOR JQlST� ; � ; 1 ' • �';••,`� • FTGS;FORMS/STEEL FHA REQMi'S , , � �.�, i� ELECTRIC GROUND � UNDER'F OO�i'QUCT`� - "� � _- '. [ � •�: '_;._�� t,T,T.____ GRC}UND PLUMBING UNDER FLQOR CUhIDUIT t i`.�_____�_„_ SLAB GRADE FIREPLACE FUCJNDATION = -- • + ' _• ` �' � '• - TEMP POWER FIREPLAC�'BOND�EAM WATER SERVICE –•� MID HT. BOND B£Alv� , � _ '_ _ � : ���, �� ROOF SNEATHING �-�� `y ' ' ` � � ~ • 8�T. BOND BEA�V1�' � � • � � � � •� ',E FRAMINGNENTI�IATION FINAL BO�ND�EAM'• � RO�F COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ��( �'�, ROUGH GRADING _ ROUGN PLUMIBII�lG FINISH GRADING SNOWERR'UB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FiNAL CEILING INSULATION � OFF SITE IMPS. DRYWA�L NAILING DEDICATIONS SEWER � ; FINAL ENG. SEPTlC TANK � ; t.�#NDSCAPElIRRIG. _ �_ SfEP PIT/l.L. � ; ON SITE IMPS. -GAS A{R TEST � • j•. FINAL ZONING �; �ffhtAL',E�3NS7: ' ., ' `` ` , " " `� c y .FIRE DEPT. FINAL i -----� - � �INAL.k1E�71NG '� '� �` ' 1 ,� ' •� HEALTH DEPT. FINAL FINAL�LECTRIC . �. " ` ' j DEV. FEES PAID ' FINAL PLUM8ING ; �� ; ENERGY � _ ! � ,� --- � --------------- o e - .. • _ . . ... � 1, , �� con�r,��r�Ts ,, . — , . ,; ��, -----I :�,�,., '�� - - '+� . _ . �, ,� i � , i –;----=--� . _—_---------------� � , .i � � 3 i � � . - 4 ''\ . .W . , . ..._ ,--'�—�- ----� SEPTIC TRt�lK SIZE SEEP PIT/U SIZE � ; -- - , , . , � . . , , . .:, , .�. ----