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HomeMy WebLinkAbout16847 (26) CITY OF DIAMOND BAR � -�� DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES 1 � 21660E.Cop]eyDriveSuite190 � L CcSS I �S 3� � pRESS � (909)860-3195 Fax(909)861-3117 ~���^�� BUII.DING PERMTI'APPLICATION FIRMLY � JOBSITE � APPLICATION S �'� � PERMIT + „�Q�� P/CD � o A�DRESS �ATE NUMBER �� 0 k � APN LOT TRACT D TEE 1 � ���vI ONST. GROUP OWNER "' ADDflESS ZONING SEIBACKS ''" - ' • ! � FRONT RW ❑ Z CITY ZIP TEL. - g APPLICANT TEL. SID SIOE STREET HW O � CONTAACTOR SIDE O � AODRESS PROPOSED USE N S r(L CfTY P E � ARCH/ENG/ DESIGNER � NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL - Z. N DESCRIPTION SO.FT.�. FACTOR PSF ADJ.AREANALU TION � Q OWNER-BUILDERDECLARATION SFR/ADDlREM'--• - � �•. O ^ 1 HEIiEBY AGF6M1 LNDEH PENALTY OF VERIURY THAT I AA1 E%EMPT FROM THE CDN7MCTORS U• Ga�pg/Ce�OR �.� '� �O I K B CENSEUWFORTMEfOLLOWINfiREASdi(SEG.70.71.68USINESSANOGiiOFE5510N4C00E:INYpTVOR (n C� COtMTYWNC1/pFOURESADEf1YRTOCOr,STRUCLALTER��PROVE.OEUOLISH.OfiREVAIRANYSTRUC• W Pgtb/DBGk � � � _ u� 7UqE FRIDR TO RB t63UANCE,AL50 PEWIRES TME MPUGN7 FOR SUpi PEHIAIT TO FlLE A SIGNE� W _ � STATEMINT TIAT HE DR SHE IS LK:tISED PURSUNlT TO THE VROV4ION5 OF THE CONTMCTORS LL ,_.._ , -. , _ _ � CENSE UW(dN7TER i(COMMENpNO WIT11 SECiION 7000)OF DMSION]Of THE BUSiNESS AND PRO- � PooUSpa � FE5510NS�DEIDN7M�THEO1tSME13IXEMPTTMEREFROMANDTHEBA515FONTHEILLLEOEDE%EMP- � � H C7 TION.ANYVIOLAT%N�OFSECTIONTWI.6BYANYAPPLICANTFORAiERMITSUBJECTSTNEAPPLICANTTO Z Re-Roof � A CML iENALTV OF NOT 40FE iHAN FNE/rUNDnED DO�URS Rsoo).): . `. , � OL/30WNEROFIHEPROPERTY,ORMYEMPLOYEESWITHWAGESASTHEIRSOLECOMPENSATqN, � CpmTBfCiBI � �, 1 WiIL p0 THE YIOi1K,MD THE STRUCTURE IS NOT INTFNOED OR OFFERED FOR S1�LE(SEC.7DN,BU51• J � NESSANDVRO�ESS�ONSCOOE:iNECONTRACiORSL�CENSEUWWESNOTAP7LYTOMIOWNEROF � � n .. . .�'( �'�•_.` � P110PEHTY WNO BV�lDS OR HAPROVES 7HERfON,AND NMO DOES SUd/1YORK HIAISELF OR MERSELF OR � THROUGHMISORNEROVMEMPLOYEES,P0.0VOEDTNATSUGIMPROVEi.IENTS�RENpTlR[NOEpOR LI� L�1 OFFERED FOR SALE IF.IIOWEVER7I�E BUIDNG ORMPROVEYEM I5 50LD WRHiN ONE YEAR Of COMPLf- S-� TION.TME OWNER-BUILDEH WRL MAYE THE BURDEN OF GROVIt.d TMAT NE OR SHE DID NOT BURD OR Z MPROVE FOH TME PURPOSE OF SALE} W pLA50WNEROFTHEPRDPEHTY,MIO(CLUSM1�ELYCDNTMCTPlOYnTHtICENSEOCOHTMCTOR3 � TO CONSTRUCT THE FiIOJECT ISE4 70a/.BUSINE55 AND GROFESSIONS CODE:THE CONTMC70R5 U• V2W8S10f1 ADJ.AREA CENSE UM�DOE9 NO7 APPLY TO AN OVMER OF A iROFERTY WMO BUIlDS OR IAIPROVES THEREON.AND � NwOCOMRACT3FORSUCNPROUECTSWITHACONTRACTOH(5)LICENSEOiVPSU/MTOTNECONTMG QUANTITY �ESCRIPTION FEE � TO�iSUCENSEUW} J /� OIMIIXEMi'TIAIDERSE0. B.IP.C.FORTMISREASCN Q �vCn ^ r• c � � '1 v �=' OATE ONTIEH � � s p � . w�� � � UCENSED CONTRACTOHS DECLARATION y�j . 'lN 1 G � � - + � 1 HEREBYAFFIHM UNDER PENAITY OF VERRIRY tHAT IAIA UCENSED UtJ�ER�ROVISIONS OF CHAPTER Ur � , � �• (� i(COMMENCWU Wfi11 SECTION 7000)OF DMSION]OF THE BUSINESS AND GROFfS510N5 CODE.ANO _ i� ►IY�ICENSE IS N FULL FONCE AND EFFECL z � �` U h 1/✓c•-. o uc�e+se uc.r+o. J C V h + V p�h CONTRACTOR 0. • � p t 5 c�s = WORKERS'COMPEhSATION DECLARATION a �,^ ' � I HERE AFFIRIA UN�ER PEIULTY OF PERIUPY ONE Of THE FOLLOYJiNO DECUMT�ONS: � ^r` ' Q �v y N O �HAVEANDYNLLWUNTANIACERTIFlCATEOFCONSEMTOSELNNSUREiORIWRKENS' �' i J � �I � CpMPENSATION,ASPiqVIDECBY5ECT10NnoaOFTMELABORCODEGORTNEOERFOR/AANCE W THE VlORK FOfl YIF11qi TMIS PEiW�T IS ISSU[D. � C IHAVEMIDIMLL4AIHTAiNWOfiNERS'COMPENSAT�ONINSUMNCE,ASREOU�REUBYSEGnON • /� Q 77ooOFT1/ELAAORWOEFORTHEPERFOIWANCEOFTHEWORNFOHW111CHTHISPERMIi1S V � 65UED.W�R� Ej75.lT NSUHANC�CJ�RRIER AN�PO�,�Y NUyQ[R CONSTRUCTION � �qq�Eq i�vl l%, J PUW REV�EW z �s ELECTRIC • ���1 Q EOor.1PLE7mOFiVEP[ff.RSwrtor+EH?�UfDDaU�itSR�ro)oaLEssl PLUMBING �_�] C� � 1[= W (/ '�� Z IC[iCTIFYTMATPITHEPERFORMANCEOFTMEWORKFONwHiCHTH�5PER1ARlSI55UED,1 MECHANICAL ■ ��� �� (= SkW1NOTEMPLOY/WYPEA50NNMlYMANNERSOASTOBECdAESU&1ECTTOTHE (n Y10RKER5'COMPENSATqNUW50F(`,hLIFOPNIqANDAGREE7MAiIFISMOULDBECOME INSPECTIONFEE �` S SUBJECTTOTMEY+ORKEflS'CO�.�PENSATqNPPAVISiONSOF5ECT1ON17ooOF7HElABOR �SSUANCE _v O � E,�omHmtHcoMvtrw�ryt�r�/'s,1evaov�saHs � �/1�'���L�`/�S SMIP O V` p ox�: �o�icnrn: W ENEHGY P!C 1 � WAPNINO:FA0.URE TO SECURE WOflI(ERS'COM7ENSATION COVERAGE IS UNUWM,AND SNALL BE �j bU0lECTANEMPLOVERTOCRIMWALVENALTIESMlDCMLFWESUPTOONEHUN�RCDTFIOUSANO ENERGYPERMIT a�� � pOLLARS(f 100,000),MI ADDIiION TO THE GOST OF COMPENSATION,DAMAGES AS PROV�DED FOR IN � SECTqN170lOFiHEUBORCOOE,INTEREST,ANOATTORNEY5FEE5. FlETENTIONFEE: �-� a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBVAFFWYUNOERPENALTYOFPEiWRYTHATTNEREtSAGONSTRUCTIONLENDINCA6ENCY FORTMEVERFORMANCE/O�F7HEWORKFORWMid1TM6PE(iMITISI55UED�5EG oa7,CN.G). � IENDERS NIVAE��11fY 1�! C��� 1 1\���L7� _ � LENDER'SADORESS � ICERTIF7THATIIUVERE�DTHISAPVLICATIONANDSTATETHATT/EABOVEINFOiWATIONISCORRECT. TOTAL FEES W I�OREE TO COMPLI N7TM N.L CfTY N�O WU/i'�ONDINANCES MiD STATE UN5 RELATNO TO BUlDIN6 � �� � CONSTRUCTqN.AND MEREB7 AUTNORIZE REPFESENTATNES OF THI$COUNT'!TO ENTER UPON iHE Z ABOVE�IAEMIONEUVROVERTYFOHINSPECTIONYURPO5E5. COMMENTS � � _ "' m PERufTTE WWE(PW � c¢n tr✓z� .r�.�� y SIO aEOFPEPIA� E DAiE � RECPT.NO. PAID BY �� VALIDATION WHITE—Department Copy.VELLOW—Finance Co{ry.P�NK—Assessa Copy.GOL�ENROD—File Copy,GREEN—�I1pplicanCs Copy .... . , -v...•. � . � _. �x�.. . . . � • ' ^ , . , � � �' � � .. ' . ... .�. � .. . � � . . . ' , .� . � �, . � � . . . . � ; � CITY OF DIAMO�lD BAR .. .... . �.�i�..1��9SPEC7'IOfV REC�RD .... . � . , ;� s: � � ,,%L , . ._- � :� � : �3• f ..� . .: '����►��-��3���i�l�N�����;,"��1=' :.1.1'�-���..�.�°.���.���y►���.��.�@�`�Y.�o���+ ��i�+r1�T���= ,I�f���,�•,�a���, ;SET BACK� , _ I : . �i � ,. . F.LOOR JOIST ._...,.. . . .. ..� � ;FTGS/FORP�ISJSTEEL_. .. ._ _, . • � : , •: FHA REQMTS -. .• ; . .� .. .. . .. ;ELECTRIC'GPOUND_ _ _ -.� - _. 1 UNDER FLOOR bUCT - `� ' -� - . .., , ----- IGR�UND PLUMBING 22-�C � UNDER FLOOR COt,IDUIT� ` ' ' ' ' ' � 'SLAB GRADE-- " , - - _ '. FIREPL'ACE��OUNDA710N ! � �' . ` ' �- -r-- ,�,,. �. _�_ ';TEMP POWER --_ � . ._ - . - . FIREPLACE BOND 6EAM _� ' _ ' ' , : `WATER SERVICE - - - , MID HT.BOND BEAM ; �' 1' . , .. ; �: , „ ,_ .,. ROOF SHEATHING • f 1 �?, l/) =•, . , 8 FT. BOND BEAM � . ; ' ':-' ( _ � , -- - . � -- ; ' �FRAD.IIMG,NCNTILtATION - G-G - FINAL�BOND BEAM � , ; 'ROO�COVrR ,.. � PRE-GRADING c F � _ � .; •- , : , • _., ; 'ROUGH HEATING ...._. .. - - - � 'I ''- - BENCHING r,',. , . . - .' . ,_ �1�— ' ,. j - �ROU�H ELENTRIC __ ' ..� � • . I• � � � � HOUGN GRADING - . , _ b.��=r . -- - _ ___ _ ��} ;�a!-d,E�r;�,� y(�� _ ;ti �� _ _ FINISH GRADING ! �SHOaV�'�J�.F�T - `" -l�'' ; '- - POOL ELECTRIC � �EX"f'. lATH/SIDING- �2?�� - - POOL�FENCING ;U'JALI-tNSt�tF�TION ,—�- POOL FINAL •. ��Z� �� , !CEiL1iJG i��ISULR710fV, OFF SITE IMPS. ` � ;DRYI'�ALt�1A1L11yG _. �� . . . ,, DEDICATIONS ; 'SEVJEFi - -• - - _.I____.— _ . FINAL�ENG. �SEPTICTANK I , LANDSCAPE/IRRIG. � ' ;SEEP PiT/LL _ -� f . „I, `� ! 'I J�J ON SITE IMPS. . , . i GAS rZIR TEST '' FfNAL ZONlPJG ; .-, iFli�`� �.��i5 -- -' � . � ':_: i,•,- FIRE DEr'T. FINAL ; --.. �FIn1��'ti f��"i;�G _ � � �� , ; .-� � HE!',LTHDEPl-. 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