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HomeMy WebLinkAbout17599 (19) CITY OF DIAMOND BAR � � �� -- DEPARTMENT OF COMMiJHITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suiu 190 (909)860-3195 Fax(909)861-3117 PRESS �`'�'� BLTII,DING PERMIT APPLICATION FIRMLY } JOBSITE �f ` APPLICATION �,�zS/O� PERMR P/C o ADDRESS '� � {' -`� DATE NUMBER 17599 �r � APN LOT JAAG 2 ISSUE TYPE OCC � OWNER Y1VM OATE CONST. GROUP "' ADDRESS 20NING SETBACKS � cmr ,7RVTNE ziP2.1 61 2 rE�949-797-44 R�RT RW o � APPUCANT TEL. SIDE/SIDE STREET RW O CONTRACTOR SAME SIDE ❑ � ADDRESS CfTY ZIP TEL PROPOSED USE � ARCH/ENG/ DESIGNER �'IdU�- �CS I C�� NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS N CIIY L. _ _ v> � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BU�LDER DECLARATION SFR/ADD/REM O p 1 HEHEBY AFFlRM UNOER VENALTY OF iE1WRY 7HAT 1 AM EXEMPT FAOM TME CONTMCTORS LL GaregelCarpoR lLl CENSEUWFORh1EFOlLOWWOREA50NISEG7071.6BU51N[SSANDVROFESSIONSCOOEANYqTYOH (n COUNTYYMICMREOUIRESAiERA1RlO�ONSTRUCf.AITERMPROYE,DEMOL151{ORREFAIRANYSTRUG W patio/DOCk TI1RE.PPIOq 70 RS ISSUANCE.ALSO REWIRES THE APPLICANf FOR SUCH PERMIT TO FILE A SIGNEO w ETAifYENT TNAT HE OR SHE t5 LICENSEO VU0.5UANT TO THE PKOVISIOHS OF THE CONTMC70R4 LL � CENSE UW(CHAPTER 0(COAIMENCNO WIiM SECTION 7D00)OF DMSqN]OF TME BUSMESS M1C1 VRO� � PooVSpa fESS10N5 CODE)OR 7HAT ME OR SHE IS IXEMPTTHFREFROM MD THE BASIS FOH TNE ALLECED E%EMP- TqN.AMfVKKAT10HDFSECT10N7W1.68Y/NVAPCLICANTiORAVERM115U&I[CiSTHEMPLICANTiO Z Re-Roo1 � ACMLPENALTYOFNOiMORE7HANFIVEHUNDREDDOlLMS(f50o).J: � OI,ASOWNENOFiHEVROPERT;ORLlYEM7LO�EESWiT11WACE5A57HEIqSOIECOM7EN5ATIDN, 0 COrtIrtlBftl81 � N711 DO iF1E WOf1K AND THE S7RUCTURE IS NOT INTEN�ED OR OFFEREO FOR SAIE(SEC.70M.BU51• J N HESS AND iROFE3510N3 OOOE:THE COMMCTOR9 LICENSE UW OOES NOT ADPLY TO AN OWNEF OF = VROFEHTY YhiO BULDS OR MPRDVES iHEREON,AND WMO DOES SUQ/WORK HIMSELF OR HERSEIF OR � 7HROUGHHiSORHENOWNEMPIOYEES,VROVDE�THATSUCHMPROVEMENTSARENOTMENDEDOR m , ,. OFF6IED FOR SALE IF,110WEVER 7ME BULt7PW OR IIAPROVE4ENT LS SOLD WITNIN ONEYFAR OF COYPLE• 7qN,THE OWNER�UILDER WILL NAVE T11E BURDEN OF VROViNO TNAT HE OR 5HE OID NOT BIALD OR IMPROVEFORiHEPURPO5EOF6ALE} W 04��FNOFTNEVRDPERlY,M/EXCLUSNELYCONTMCTMOYATHLICENSEDCONTMCTOR� � TD CONSTRUCT TME PiqJECT(SEG 70M,BUSiNESS AND PROFESSIONS CODE:THE CONTMCTORS U• V81UdSlOf1 ADJ.AREA GENSE UW DOE!IVOTAVPLY TOAN OWNER OF A iROiERTY YM0 BURDS OR W PFOOVES TNEREON,AND w�ocorrriucrsconsua�vrw�ersw�rN�oarrn�cra+�s�uceNsenvunsu,wrron�Eea+rr�a OUANTITY DESCRIPTION FEE � �oasuc�sEuw.�. OIMIIXEYVTUNOER8EC B.li.GFORTHISREASON Q 3 � � a DATE OVMER U W � LICENSED CONTRACTORS DECLAHATION W \ � I HEREBYAFflHI.I UNOER VENALTYOF PE0.M1IRY THAT IAM IICEHSED UNDER PROVISIONS OF CHAGTER � � � � � s �(OOAWENCIHO`MTMSECTION70001OFDMSiON701'iMEBUSINESSAND7ROFE55qNSCODE.AND Z X WUCENSEISNMLFOTCEµoEF�E�. 517593 � u� r� � 11CQ1��5x5_�UC.NO. J , V DATE CONTRACTOR a lL � WORKERS'COMPENSATION DECLARATION � � 1 NEA /�FiIRM UNDER OEWLT/OF iERJURV CNE OF TME FOLlON1N0 DECLARA710N5: V N �� IMAVEM1DVnLlMAWiAMACERTIFICATEOFCONSEMTOSELFiNSUflEFOHYNNCERS' � PfHS�TpN.ASVROVIDEDBY5ECT10N71000FTHEU60RCO0E,FORi71EPERFOpYANCE W OFTNE WO�iK FOR WHId1TH15 VERYIf IS ISSUW. � 0 1 NAVE MID VnLL MAIMAVJ WORI(EPS'COMPENSATION INSUMNCE,AS REOUIRED BY SECTION /� Q ]70o OF T1E UBOH COOE,FOR THE VERFORMANCE OF T17E WORK iOR WHICM THIS VERMR 19 � w./ ISSUEO.MYWOfYCERS'COA�PENSATIONINSURJWCECAAWERMIDGOLICYMIMBERME CONSTRUCTION v � upq�Eq PACIFIC EMPLOYEE INS.CO. PLlW REVIEW � vaicrruuseA��T�RT.d'�fl'1 � R7d �'YD �_ ELECTRIC � msss[y�7arrr�ropTeEcp.��ppFn[vcrsnrtsraaarrt�uanmoauFSR+oqor��� PLUMBING I��D Z ICENtIFY7yURW7HEPERFORAIMCEOFiHE�WJRKFOHWHICMTHISPEfW�T156SUED,1 MECHANICAL (7 S/ULLHOTEMPLOYINYVERSONNANYMMINERSOASTOBECOMESUBJECTTOTHE N wORKERs'fDUVEN5A710NUWSOFCALIFORNIAANOAGREfTHATIFI5H0ULO8E�DME INSPECTIONFEE 6UalECT TO THE WORKERS'COYPENSATqN VROVISIONS OF SECTION]7000F ME LABOR o `�iB��`�P`�`MPULTE 5 HOMES �SSUANCE _ �(� p OATE: APPIIGANT. SMIP � WARNINfi:FAILl1RETO5ECUREV/ORKERSCOMPENSATpNCOVERACEISUNUWNL.ANDSMAIIBE ENERGYP/C �y SUBJECTMIEMVLOVERTOCNMIPIALPENb1TIE5ANOCMLFINESUPTOONEHUNDFEDTH0U5AND ENERGYPERMI7 DOLlA1i5(i10o.000J,N IDOtT10N TO THE COST OF CDA1vENSATION.DAMAGES AS FROVIOEO FOR M J SECTqN 71000F T1E LABOR COOE,RlTEPEST,AND�TTOHNEY'S FEES. RETENTION FEE: 2 nW.. CONSTRUCTION LEND�NG AGENCY PRE-ALT FEE: O � IHENEBVAFFIRAIUNDEROENALTYOFDE0.IURVTHATTHEREISACONSTRUCiIONIEN�W6AGENCY fORTHE VERWRAIANCE OFTHE WORK FOR MMICHTNIS PERiAIT IS�SSUED(SEC.30Y7,dV.C.�. � NONE (PULTE) lENOER'S NAME � IENDERSADORE55 � ICER71FYT1ATIHAVEREAOTIISAPPLIGITIONANDSTATETF4�iTHE�BOVENFORAIAiqNISCORRECT. TOTAL FEES ��'� W IAGREET000IAPLVM7TNILLCRYANOCOIMTYORDINANCESANDSTATEIAWSREUTWOTOBUIlDINO � OONSTRUMION.MIOHEREBYAUTFqRREREPRESENTATIVE50FTXISCOUNTVTOEMEFUPONTHE S� AOOVE�MEHf10NEDPROPERTYFOfiINSPECTIONWRPOSES. COMMENTS � J � ¢ FEi1MITTEE NAME(P ) _.t7� _�� � � � $IGNAT OF ITTEE OATE � fiECPT.NO. PAID BY VALIDATON YJHITE-0epanmentCapy,YELLOW—FinenceCopy,PINK—AssessorCopy,GOLDENflO ileCopy,GREEN—Applicent'sCopy - � CITY OF DIAMOND BAR , . ' �.,. : Ii�SPECT(OP,! REC�RC� �� -� '. . ' � . , : . '�►;�k r►�i�':f�c'`l�'��.t�._E -�. !�'��1�' `1►�������'�°���' . �'�'��I�.�-���i�:,'lpt�`w���,`.,�..�� �`�=��'.� .»�I��F-�.;�=c'�iro�. ._.._ f. `�_....,�,..�...n_ .,......__._. '�w� �,.... ,.�-��°.',._ , ..» ..,� .�.,�.,. .-.�. •., �� ;SET BACY . �, �~ , ` , FLOOR JOIST �I'; `, �, .� ;FTGSlFORP,�SlSTEEL- � -. ,FHA REQMTS � ' ' I � r -'J r 'ELECTRIC GROUND_ -._ � - -- - UNDER FLOOR DUCT- �'= ` � • ' _ — GROUND PLLIMEING � - - UNDER FLOOR Cdt�IDUiT � ' • � iSLAB GRADE - - -- � --- I - "�'' FIREPLACE FOUNDATION �TEMP POWER - -- -- - - - - - : FIREPLACE BOND BEAM - • � �-- `1��ATER SERVICE --- - - - - ��11D HT. BOND BEAPlI • ROOF SHEATHING S Ff.BOND BEAM - - FRAMING/1,JENTI�tATf(�N FINAL BOND BEAM _ , •-��^{ � tl :ROOF COVFR .c , � PRE-GRADING - - ,ROUGH HEF�TING' ��- - - - � BENCHING �- - � ;ROUGH ELECTRIC _.; _. _ ' � � ROUGH��RADING .- _ �ROUGH PLUMBWG -- -- - - ' - FINISH GRADING SHOWER/TUB 7EST - - - POpL ELECTRIC � ;EXT:Lf+TN/51DING - � - � ' POOL FENCING „ ,VIfALL iNSULAi'ION- , � - -- ` POOL FINAL . , . 'CE1LiNG t�iSU[.ATIO�J - ' OFF SITE IMPS. ;DRYI"JALL NAiLITJG ' - �EDICATIONS 'SEVJER - - - ' ��6 - � FINAL ENG. ' - ,SCPTIC TA�1K LANDSCAPEIIRRIG. SEEP FiTIL.L. ON SITE Iti1PS. �Gt,SA�RTEST ! � FINALZOhJiNG � , . - - - - -- !FtU�,L+:.,0��ST. ..__ _. FIRE QEPT. FfNAL � i�liu�1L.HEATING _ . -- .- HEALT!-i DEPT. FINAL - - +=i'd:.:_ELEGTR�G-- � DEV. FEcS PAID - '�-'_'�_.'_PLUh1AING- - 1'2�.�I� ENERGY — -- ` 1 I � �; __ _ �: -. .�. ..T-�-�-�-.._._.�......_ '� - - - - --- - _ _ . -��":;t"cy'��';f,:r' .__._�....._..._. _. . � •.`ca..,...ica�e,ass:tr4�,:.ti �, �i���i�arr��v i s---- - - - - .--- --- - i . - - � „ -- - - -� - - - - ; , -- - _ � � „ � = �. ,, . � , � ; � - . . . . . - , — � .. . . . -- , , - � . . � � SEPTIC'FANK SIZc - � � ' � � � � : . jSEEP PIT/U SIZE - - ��.....' _ ..:_.{#��...�..._..�.,.,� . , ; � , __ . .. _ � -- , � ; . :I . __ . � _ -. .. . _ .. . ... _ . . ' ;���� � � � � � ������ � , ; ; � � _ — — -_ . ._ ,, . ._ . - i � � , . ..._ . : � ; ; � _ �� ; ; ... _ . - � _ � . , �:;� , . , � - .��(:.r.�.u....�....... . ' : . � . .. . ..��. _ . ..