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HomeMy WebLinkAbout16859 �r— — - - - - - - -� - - � CITY OF DIAMOND BAR � \ �� - DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICES \ ' _ Zi�o E.c�i�ynr;��s�u i90 � ��S � ��S Z C PRESS (909)860-3195 Fax(909)861-3117 �^�^�� BUII.DING PERMTT APPLICATION FIRMLY � JOBSITE r? 1 p APPLICATION � PERMR �( ` P/C � o ADDRESS +v`0 S�� I,MI+I 1/�' I�JC� DATE � y � NUMBER u�J i� � � APN � L T S TRACT LZF'7 ISSUE ( J TYPE , OCC DATE . `I��CONST. GROUP g �WNER I�t u" AD�RESS ZONING SETBACKS � ' ' � CITY ZIP 2 TEL. REAR ,.� _ RW O❑ APPLICANT TEL. SIDE/SIDE STREET, RW ❑ c� CONTRACTOA SIDE ❑ q� ADDRESS PROPOSED USE �� ' � CITY ZIP TEL ARCH/ENG/ ' .� DESIGNER — NO.DWEL ,� NO. NO. ADDRESS UNITS STOFIIES BEDROOMS N CfTY ZIP�Z� TEL N DESCRIPTION SQ.FT: - FACTOR PSF ADJ.AREANALUATION � • OWNER-BUILDER DECLARATION SFR/ADDlREM � O � IHEREBYAiFliMWDERPENAL7YOFVEfWRYTHATIAMIXEMVTFROMTME00FlfMCtt7R514 GarogelCarport _ y � �` Q) CENSEUWf-0RiHEi'OLLdWINC1REA.AN(SEG7W1.681151NE55ANDPROFE5510N5000E:ANVCRYOR (n COIMiYWMtliREOtARESAVERMRTOCDNSTF81CT.lilTERMPFiOYEDEMOUSH,ORREiAIRANYSTRUG W PetiO/DOCk TURE,VRIOii TO R9 ISSUFNCE.ALSO RL-0UiRES THE AGPUCANT FOR SUdI PERMIT TO iLLE A SiGNED w � STA7EMEM 7/UT HE OR SHE IS UCENSED OURSUANT TO THE OROVISIONS OF THE CONTRACTORS L4 �. . _ •-� , � CENSE LAW(CIUPTER i�C0IAMENqNO VIIT115ECTqN 7000)OF DMS�ON�OF TNE BUSINESSMlD FRO � PooVSpa FESSqNS WD�OR iF1AT ME OR SHE IS IXEMPT THEREFROM AND iHE BASIS fOR THE ALlEOED EXEMP• TION.ANYYi0LAT10NOF5ECf10N7w1.68YANY�PiLICANiFOR�PERMRSU&IECTSTIEMPUGNTTO Z Re-Roo1 A CML VEWILTY OF NOT AIORE TIAN FIVE Mlr.'DHEO OOLURS(SSDD).): � OIASOWNEROFTNEPROVENT'I,OR►1YEM�LOYEESNITHWACESASiHEIRSOLECOMPENSATqN, � CpmmerC(al � �•� � 'I .. " " '- ' MMl DO iHE WOiYC,IJO THE STNt1CTURE IS NOT IMENOED OR OFFERED FOR Sf1E(SEG TOr�.BU51- J N NE53 A/A Vf10FESS10N3 CODE TNE CONTRACTOR9 IICENSE UW DOES NOT APPLY TO AN OWNER OF ? � � „ � , 1` PiqPEpTY 1Mq BUILDS OR MOiiOVE4 T1IEFEON.MA WNO DOES SUCH NONK HI1ASElF OR HfRSELF Oq V (� TVRIp1diNISOFIH£ROWNEYPLOVEES,OROVIDEDTHATSUCl10.1PqOVEIAENTSARENOTlrtENOEDOR m 0 OFTEREDFORSALEFHOWEVERh1E8UtDIN00fiWVR�VEMENTG50lDN1THiNONEYEMOFCOYPIE� � T10N,7HE 0'M'IER�BU0.DER WILL MAVE TME BURDEH OF iROYIN6 iHAT HE OR SHE DiD NOT BULD ON �lVRDVEFON TFIE PUPPOSE OF BALE? �y ❑I,ASpWNEqOFTHEPROPFHTY.AMEXQUSNELYCONfMCTNOYAINLICENSEDCDNTMCT�RS � TO LONSTRUCT T1E PR0.IECT(SEC.7DN,BUSINE55 IND PROFESSlONS CO�E TNE CONTMCTORS LI• VelUatlO(1 � AD.I.AREA CENSE UW OOES NOTAPDLY TOAN ONMER OF A VROPERTY VM1IO BULDS OR IAIPROVES THER[ON.AN� � wHocorrta�crsror�suwvaa�crs�nn��cartrucroals�uc�sEoauasuaxrron+Emrrrruc pUANTITY 'DESCRIPTION • . " FEE � TOftSUCENSELAW.). � O 1 M1 D(EMPT UHDER SEG 8.t P.0 FOR THIS REASON Q � �e f I L— 3 " _ ¢ Z. a /� u" DATE OVMER U + ^ V'� �a-- � UC£NSED CONTRACTORS OECLARATION W � � 1 MEREBY 11FFIRN UNDER PENIiTYOF iER1UM TNAT I MI LICENSED VNDER PROVISIONS OF GIAPTER Ur s �(COWIENCR�(iWITM5ECT/�N70o0)OF�MSION]OFTHEBUS�NESSANDPROFESSKKa5CO0E,AND Z X MY UCENSE 6 W FULL FORC ANO EFFECf. m LLJ � UCENSE C1A55 ' UC.N0. � � �� � (,� �h � a�� 61—3U��__carra�croR_ ' °' Ily -Slf . D � WORKERS'COMPENSATION DECUIRATION . � � ; Q � , ���' . . � . U . � IHE�YAFFlR►1UNDERCEIULNOFOERri1RYONEOFTHEfOLLOWINGDECUMT10N5: � D l� /�// Q p�(� O� l�f�11NVEANDWILLMAR7TAINACERTIFICATEOFCONSENTTOSElFaNSUREFORWORKERS' S � �J � j`' COMPENSATqN,lS PROYiOE�BV 9ECTION 7Jo00F THE LAeOH fAOE.FORTME PERFORMANCE W pF TiE WORK FOR NTllpl T'.�S FENAIT IS�SSUED. � � �HAVE FND WILL 4AINTAIN WORKERS COMPENSATION INSURANCE.AS REGIIREO BY SECTION O Q 77ooOFTNEtABORCOOE.FORTNEPERfORMANCEOFT}1EWORKf-0RYMICHTHISPERMIIIS ISSUED.AIY ERSlWPENSATqNIN UMNCECARRiERM1OPOUCYe+u�y1A�a�aE: CONSTFlUCTION ' — C%b PLAN REVIEW � CARNER f/I / �. (^. O pOLICYNUAIBER � ELECTRIC • p ��sEcncna�ru�rareEaa.s�naFnep�.rrswr�a+Eiu�dKoocuA9s�S,ao�oatFssl PLUMBING �J� O O O _ ) ` SJ Z I CERTIFYTHAT Ml iHE pERFORAIANCE OF h1E MNP1C FOR WHICH TNIS PERMIT IS ISSUED,1 MECHANICAL Q�l�� �� '^ (� S�ULL NOT EMttOV ANY VEPSOH W ANY AI.WNER SOAS TO BECOI�E SU&1ECTT0 THE V� N NOHNER5COMPENSATIONU�MSOFCAUFORNItiAND�GREETHATIF15/10ULD8ECOME INSPECTIONFEE � ,� SU6IECTTOTHEWONKERS'COMPENSATIONPRONSIONSOFSECT�ON]7000FTHElA80R ISSUANCE LOOE,�SMALL FORTHYIITH Wh�PLY WIiH TNOSE PROVISIONS. � � "1'`G APPLICANT: �1('�'� /)OI�'I t��_ SMIP � p DATE: � W ENERGY P/C � WARNINO;FAriUiiE TO SEWRE WORKERS'C0IAPENSATKKJ COVEM6E IS UNUWFUI.AND S/ULl6E ,/ SUBJECTANEMPLOYERTOCNAIPlALPENALTIESANDCMLFMESUPTOONEMINDRCDiHOUSAND ENERGYPEFiM1T L DOIL.ARS(i100,000),IN ADDITION TO 7HE CAST OF COMFENSATqN,DIUAAOES AS PROYIOED FOR W � O ¢ SECTION�7DEOFTHEUBOHCOOE.INTEREST./iNDATTORNEYSFEES. RETENTIONFEE: —�' " � � CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O � INEREBVAFFlRMUNDERPENALTYOFPERR1RY111ATTMEFEISACONSTRUCTIONLENDWGAQENCV Z FOR TNE VERFORAUNCE OF T11E W�71(FOR M�'i1��7�IS PER IT 15 1 UED(SEC,�OV7,CIV.C.). W (�j�V)/ r � LENDER'SNAME �� `���v ,� � LfHOER'SADDRE55 / /'1�//� � ICERTIFYiHATIHAVEREADiHISAVVlIGT10NurD5TATETUTiHEABOVENFONAAT10N15CORRECT. TOTAL FEES �)—1��, "l 1 � IAGREEiOCOGPLYWITMAILCfiYANDCOUNTYOROWANCE5AND5TATEUwSHEUTWCTOWROtNO �•� � � CONST(tUCT10N.Mltl MEREBY AUTHOfUZE REPRESENU71VE5 OF THIS CWNTY TO EMER UPON THE � ABOVE#1EHTIONFA PHD�ERTV fOR INS7ECf10N VURPOSES. COMMENTS � rr o.� _ QvEiuunee wwe ivwrn� �, ir-� N 6�G E OF VElun E OA7E RECPT.NO. PAID BY W W DATION � � WHITE—DepaM1ment Copy,YELLOW—Finance Copy,PINK—Asaessa Copy,GOLDENROD—file Copy.GFiEEN—ApplicanYs Copy ��� ..�...� � , , r .�.,. , .. ., . . , . . . , .. � � � • , Cli"Y OF DIAMOND,BAR . . . , � ,�_���; ., . . �:,� If�lSP�CTIO��F�ECOF�C� � . .. ; . . •, -, �; � • � . ., .- . . ��y,.""..,.....�,_ 'r 7 i� ,,��- •. •.. �+Rw� . . ""'fi.�!�iC`lra:1G�{`�^��`!A" , I�,..,.��...�._.�P'.� ����Js'�Q�i��r��-!'�� ��r�±�'�r�wC:!�1��..E'�jtti:tµ+�l�s*;��tl���'. .....'�lti�`.`j�-1_�GJ`1.����� _.. ;SETBACK,..........� .`..,'... ...,....,..._>_.., �FLOORJOIST ....� `_I,,. ..... 's�. .�J-,. � ,...rti,. _, i FTGS/FORMS/STEEL � 'Gj.2�-a -� �, FHA R�QMTS -� ' �� '_� ` _ :_ ; _ (_ � w i ELECTRlC GROUND _ . " ` n . � _ . _ UNDER FLOOR DUCT � •' .� � , . - - � : iGR�UND PLUMBING ��2?-0� UNDER E OR G�7A•;DUIT•_ •;�''„'_'�; ;.��,' ", ' -t---+--�-�-:'��' .t.Tz--;. . --ztii ISLAB GRADE f�Z�GI ' " FIREP,C��CE�Ut D'A710N It � t - "1 �,:.��;`�, a _ �TEMP POWEFi • - FIR[PLACE BOPd�BEAM - - ` 'WATEfl SERVICE - - ,, / P�1lD HT.BOND BEAPA •-"= �'�= �" ! _ - + I ROOF SHEATHINGIs���L/O.L}�� •�f._ '; --_._ 8 Fi. BOND BEAM - ; - �FRAh.�INGNENTti�AT10N - �,.� ,y,a�,,�Q. /�, FINAL�BOtJD BEAM ., . �Y� �-- - �ROO�COVF_R .� � � PR�-GRADING �''��j:,c. '` �' � � IROUGH H�A71NG - - �_-V3.�.D_C:A�t�}= 1'' BENCHIfVG c r',.- 1:1-r-° .�l .. , - . . . . � � �ROUGH ELLCTRIC. �ptil �qL � ROUGH GRADING � - ' - - � �F�O(,t�'r7i�1"�UMS1�J�� ' - - -D2 D- Qc. , FINISH GRADING ' !SP�GL`�F;f?U:i�T�ST ' - ^�-o .1��� POOL ELECTRIC ' �EXT:U,THISIDING - --- -$.� .pZ p.(„t� � POOL FENCING . � ;V�lAtl INSULATiON -,- { -�•�Z ;.�� � POOL FINAL �CEICIida iti5ULATION �-F'y-pZ �i�tL OFF SITE IhAPS. . ' . ;�. ;�Jl',tl"JAL'i.�;1r>ILf�G �;- �-f .pZ �� , DEDICATIONS , . ` ;SEti"JcR - � \' FINAL ENG. ' ;SEPTICTANK , , LANDSCAPE/IRAIG. � ' iSEE? F:T1L.L �• . � � �:'r'l ON SITE IMPS. i G�;�f�l;TEST '_ � '7-�o.pZ , �-�rQ,_ FINAL ZOMP.G" ' _ . Fl�i�',rC.��,�.'eT. �- - `�'=�7';., . � ( ���-x. FIRE DEPT, FINF,L ' 0 � 'Fl�.1.;:�!dt:,r.:!!`dG--- - �� •.. � .�,. l.;. _ f�EALTH DEPT. FINAL - =i;,lr',1c.�cCTRlC -= r � . �� �`:'_:°'� DEV. FEES FAID - ' . . -. . �:- -- ! �r= •:/,.PLU�.�91;�� -�, , "i��.�� � EPdERGY `� � -. -- --- - - .., �:,,� � _.�,1 ( . f - -- � �.a.,.-,�,�.�..��-�.,�-.:--....-..;...-.! �,-��--! r� , ,'`•� -, +=E ��'� c �a.{e:. � • �= . . ---� -t _ _ ._.• --- _,..'j��_;�`�.:-�-�T j -• _---- , ~.� �. =.` ,. `: :- '�_ , . - ._�...-s:s��.�.'.; �,..- . , : _ . ��GO�`�7S�P',�i�l►S�?Ua1�L��£��tixCt21+���otL._fi�_�_� I+� �v�� ' . - ._ ... , ' .'.!> S � �, ,., � 1 - -•a r - - -.. ' - �l�,�. v�� , � — i ��f� `1J�. �, j��;-,r- - �ty'� ���IJ� ' , �. ' . 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