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HomeMy WebLinkAbout16858 �\ �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY dt DEVELOPMENT SERVICES 21�°E.��'°Y���5��'� G LasS i C S 3.P PRESS (909)860-3195 Fax(909)861-3117 '��� BUII.DING PERMIT APPLICATION . FIRMLY o DDRESS �'I� �S I'1���rIC. iJ� DATE CATION� a' D NUMB R �U`� " M� I ~ `�" $ ISSUE .. - ._TYPE , OCC APN LOT TRACT � DATE CONST. GROUP � OWNER ADDRES � ZONING SETBACKS � CITY ZIP TEL qk�l�7���.j flEAR . �W �❑ APPLICA TEL SIDE/SIDE STREET RW ❑ � CONTRACTOR ��YYLC� SIDE ' ❑ g ADORESS PROPOSED USE ' CITY ZIP TEL � ARCWENG/ � , , ` DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY Z P • TEL. � ` ` c�i� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AR lWALU TION Q OWNER-BUILDER DECLARATION SFF/ADDlHEM , ' O � 1 HEREBY AFFlRM UNDER PENALIY OF PEIWIiY TNAT 1 AA1 EXEMPT FROM THE CONTMCTORS L4 Garege/CarpoR . r CENSEUWFOIiT1EFOl10WWOqEASON(SEG7IXi1.S8U51NE55ANDPROFE55lON5CODE:ANYqiYOR (n OOUMiYNR11U1PEWIRESAPERMlTTOCONSTHUCi,ALTERMPROVE,DEMOLISM,ORREVAIRANVSTRUG W PatiolDeck Ti1RE PAIOR TO fT3155UINCE.ALSO REWIRES TNE AiPLICANT FOR SUCH iERMIT TO FlLE A SIGNED � W �'�� � STATFMEM iHAT HE OH&iE IS LJC;ENSED PURSUANT TO THE VROVISqNS OF TME COMMCTORS L4 . , . � CENSE UW(dUPT£R 0(Cd1YENCMO WITH SECTION 7000�OF DMS'�ON�OF THE Bl151NESSAND ORb � PooVSpa FESSqNSCOOE�ORTHATHEOR5HE15flfEA1PTTHEREFROUMIOTMEBA51SFdiTNEALLECEDE%EMP- (� TqN.MlYVIOLATIONOFSECT�ONT071.68YAN'/�PPLIGWTFOqAiERMITSUBJECTSTHEMPIIGNTTO Z Re-Roct _ � ACMI►ENALTYOFNOTAtORET/W�ifYENUNOREODOlUR3Ii5oo).} � _. . , O ❑1A50MNEROFTMEPROVERTY,ORMYEMPLOVEESWIIHW�GESASTIEIR50LECOAIPENSATqN, 0 �mmerciel _ � � Z WILL DO iHE N'ORIC AND iHE STRUCTUHE IS IqT IIlTENDED OR OFFERED FOF SALE ISEG 701t,BUSI� J _ NE55 ANO iROFE5510N3 COOE:THE CONTMCTORS IICENSE UW DOES NOT APPLY i0 AN 0`NNEH OF N PR07ERTYMI/qBURD50RIMPROVESTHEREON.ANDWFqDOE55UG1WDNKHIMSEIFORNERSELFOR � " � (� TMROUONHISOfIHEROwNEYROVEES.VF10V10EDTHAT6UO/1AAPROVEYEMSAAENOTMEN�EDOF m � OFFERWi00.S�LEIF,MOWEYERIM�BUILDMOORMDRD'JEMENT650L�VAiHMONEVEWOFC0AIPLE• � ilp1,TIE OWNER-BUIIDER WILL MAVE THE BURDEN OF PROVWU T/UT NE OR SHE DID NO?BV�LD Ofl MPROVE FOR THE PUiiPO"..E OF SALEL ' W OI���EROF7MEGROPEHiV,AMOtCLUSNELYCOMMCTINOWfTMLICENSEDLOflTMCT0IU � N CONSTRLCT THE►NWECT(SEG 7oN.BUSINE45 MID PROFESSION�CODE 7HE COtdTRACTORS LY Valuation Q1.AREA � CENSEIAWDOE3NOTMPLTTOANOMMEROFAYROPERTYwMOBURD50RMPFqVESTMEREON.l1N0 YAqCONTMCTSFOASUCHiR0.1ECTSWITHACOtdTRACTOR(5)LICENSEDPURSUJ1NT70iHECOHTMG pUANTITY DESCRIPTION ;.',, FEE � roas ucasE uw.). . 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Q C � � 1 � U � � �`` OATE OWNER V � UCENSEDCONTRACTORSDECLARATION w � r � IHEREBYIFFIibAVNDERPElULTYOFPE0.JUMTiIATIIUALICENSEDUNDEHPRONSIONSOFCNAPTER V. � � �(COMMENCNOWTISECfpNlOoa)OFDM510N�OFTHEBUSINESSANDPROFESSIONSCODE,AND z W LICENSE IS IN FUII FORCE EFFECL m .�.� ,w o ��'�3 � � � ��c�sE cuss uc.No. �"j o�7E Q corrrancroa a o C 0 = WOFKERS'COMPENSATION DECUIHATION a � �� � IHER YAFFIPMUNOERiENALTYOFGEMIRYONEOFTHEGOLLONIN�DECUMTqNS: Z i '�X N Q � 'IHAVE/wDWILLIAAWTNNACEiRIFICATEOFCONSENTTOSELF.IN5l1REFORNORICERS' 2 T _ CpAPENSATI0H.A5iROV�OFDBY5ECT10N77ooOFTHEUBORCOOE,FORTHEPERFOqMANCE w � OF THE WOW(FOR NMiQI TMi3 PERMIT IS 155UE�. .� � IHAVEM�OWILLIUWTAWV/ORKERSCOMVENSATIONINSUiLWCE,ASHEWIRE0BV5ECTqN /��(�� yT Q � �70oOFTHE4BORCOOE,FORTHF.PER�ORM4YCEOFTHEWORKFORWNIp/TH15VEiWITIS ' 1 ti \ 0 LSSUED.MYN'O�37�cERS'�,{ ENSATIONINSURAI�ICECA E NDPOUCYNUAIB[RME: CONSTRUCTION ���L l � J � �qyEq f'Ql.l�"I L'�MP �� G G� PLAN REVIEW t o� vaicr�+nea /��A 1"_OL "i1—{ � ELECTRIC 0 �nassccnou�wreEoor.s�stIDocnFv�a.�rsrrnor�EK�nu�ooatu�sR+aqoq�ssl PLUM�ING .h/� , bD � �CERTIFY TNAT INTHE PERFORMANCE OF TNE WOPK FOR WHICH iHiS PERMR IS ISSUEO,1 MECHANICAL ��_v V ��� _ .3 O � S/IALL NOi Eu�LOYANY VERSON N M!Y M.WNER SOAS TO BECOME SUBJECT TO TME N YVORKERS COMCENSATION UVlS OF CAUFORNUT AND��REE TMAT 6 I SNOULO BECWAE INSPECTION FEE SUBJECTTOTF�EIMORKE0.5'C�MPENSATIONPROVISIONSOfSECTI0N77000FTNEUBOH ISSUANCE � �� COOE,1 SHACL FORIMVITM COUPL��TM�T�E V S I O N � �ATE:,�,/�I��� APPLICANT: �("'�� �Q�'Y�C�� SMIP . 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COMMENTS � �Qrr_y� ' �ey' _ Q PERMITTEEN AE(PRIHT) �_/��/ (n � LiCJt�� � S1CNAlU�.OF PEfuA1TTEE -� DATE � RECPT.NO. PAIO BY VAUDATION YYHITE—Deparlment Copy,YELLOW—Finence Copy.PINK—Assessor Copy,GOLOENRO�Ie Copy,GREEN—ApplicanCa Gopy .. . . .� . . . i. . .. . . . . .. .. , . , . . . Y, . .. � + ' � .. . , . ... . . . . , , , � CITY OF DIAI'►�OND BAR . _ , -� . _ . ,> IfvSP�CT101� F�ECORCP . � ; � ` ,_.. `, ; i , ; , � c - . . : '�5�..�'��:��T�.N�.���� ,�r��� a1►�������'�1►��-���-����1�����+�_,�i���o�r� ^�����.y i�rtiFo�R� —, �SET BACK � ; ' � - �.'i � ' ''. . - FLOOR JOIST ;' � �~I� '� �.� FTGS,'FORMS/STEEL_ .'�.}-(G-o( . _ FHA REQMTS. - l.. . . .��. `= - _ ' _ .. .__. . 1 ' : ` , ; ,-� - , � !ELECTRlC'GRCUND __ � UNDER FLOOR[5`JCT=• 'GROUND PLU��ISING I �� L UNDER FLOOR CUf�iDUIT I," �;� " � � ' SLAB GRnrJE-- - :''lo-(L . ' ! FIREM1'L'ACE FOt1NDAT ON .'. -: '� .!:i,7 ' � ��_ ,.r � ITEMP POWER_ _ ,.- � , , . ! FIREPI./�CE BOND BEAM _ � , � , 'WATER SERVICE _ __ . - - ' _MID HT. BOND BEAPA -_.��11;._;f _ _ -- — �ROOF SHEATHIN S 6 - ~' ,, - ,- 8 FT. BOND BEAM _ _ -- _ �FRAMINGNENTILIATIONJ�(2t d FINALBONDBEAM �ROOF COVER c - PRE-GRADING _ �+'-'.1 �-'r'. , , -' • ' i RUtJGH N EA i ING " BENC 1R1G •���, �:. : .:��.�C ';' ' .��'� . ,�0 L� �TRIC �Ze� :_ . . , . . . :, ROUGH GRADING _ . _. . �- ' GE-�EC� tg rJ�_ ' __ _ __ • _ ! FINISH GRADING � �����.z SF;Oy-��ri''�UBT�ST -�? - - ' POdL'ELECTRIC ' E1:T:LATH/SIDING - ' - - 7f aL POOL'FEPdCING V'JALL INSULATf�N - �/: �-- ,r�►' ��.......: POOL FINAL ' � ... -- . �CEiLiNG ii•iSULATlON "' �1�`�s.v �y-r••� ••�- � ' OFF SITE IMPS. _ DRYVJF,ttNAfLING � o " DEDICATIONS 5E4"•!ER - - ; FINAL'EPJG. �,StPTIC TANi� IANDSCAPE/�R91G.' ScEP P:TlLL. i ','. �;~�.% ;'',� f� ' ON SITE IMPS. �;C�ASAIRTEST � � � FINALZONI�dG .___�.� - _� �, , , �f;Fltit,�_r,_,��� -- -� ' _ .U� 9' ` ,, , ' FIRE DEAT. F1NAL rr.�rli'i-i�C.�"+1't`dCi_ �'�• .. .._,. �,., ._ _ � • ;� �_ -,� HEALTH DEPi. 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