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HomeMy WebLinkAbout16863 (17) . /� J,� _ CITY OF DIAMOND BAR �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 2i�oE.c�i�yna�es�c�i90 ���$i C�' �� PRESS (909)860-3195 Fax(909)861-3117 ' w'�" BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE /^�G S�� ��n�� �P. APPLICATION� � � PERMI7 �I,� p/C/�1 I- AD�RESS_ i^ DATE ,NUMSER y N �J g issue � . . .. �rrPE�: occ APN O TRACT 2-� � DATE CONST. ' GROUP p OWNER o ADDRESS 20NINCi S�T9ACKS � CITY ZIP 2- TEL. 7' REART RW p❑ APPUCANT TEL SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS ' � . CfTY ZIP TEL PROPOSED USE � ApCH/ENG/ � � DESIGNER � ADDRESS ,r� NO.DWEL. NO. NO. CITY ZIP (I TEL UNITS "� ��•STORIES BEDROQMS y - u� DESCRIPTION 5�.FT� FACTOR PSF .ADJ.AREANALUATION � OWNER-BUILDERDECLARATION SFR/ADDiREM �L� O �Q 1 NEREBY AFFlRM UNOER PENM.TY OF iERR1M 1HAT I MI EXEMVT FiiOM THE CdRMCTORS LF GarapelCarport � CENSEUWFORT/EFOI�OW�NOREASON(SEC.7WI.68USINESSMO►ROFESSqNSCODE:ANYCfTYOR (n ' COUNSYIN4CHREOURESAVEAMRIOCONST0.UCLALTEF�IMPpOVE.DEM0U5H.ORREPAIRMlYSTRUC• W Pg(jp/Qedc 7V11E.PHqR TO RS ISSUANCE.K50 REWIHES tNE AFVUCM7T FOi1 SUCH PERMIT TO FLLE I151GNED � BTATEMENT THAT HE qi SHE IS LICENSED VURSUANT TO iHE PROVIStON3 OF THE CONTRACfOR3 lF � CRISEUW(C1111PTFR0(CaMMENCPlCiWITHSECTI0N70oa70fDM5qNiOF7HE8U51NES3FNDPRO� V" PODUSpa - , . fE55qNS COOE)Oti iHAT HE OR SME IS IXEMPT 7HEREFROM AND TNE BASIS fORTHE/LLLEGED EXEMP• TION.�MfV10lATONOFSECT10N7W1.60YM7YAPVUCANTFORAVEMIITSUBJECT4TNEAPPLICNITTO Z F�g-qppl • - _ � � � ACMLVENAI.iYOFNOiMORET1UNhVEHIX:OREOCOlURS(SSco).Y. p 04��EROfTHEPROPERT:ORYYEMPL0YEE5YATNWAGESASTHEIR50LECOMPENSATqN, O COfnrtl0fCl3� � ;� WILL DO THE WOPoC AND THE STRUCTURE IS NOT IMENOED OR OGFFHED FOR SALE(SEC.70N,BU51- J ` � NESS Mm PfqiE5510N3 COOE:TME CONTAACTORS UCENSE UW DOES NOT MPLY TO AN OWNER OF _ a . P1qPEN1Y�M10BUWSORMAPiqvE57HEREON.ANDWHODOE55UCHWORNHIMSELFOqHERSELFOR = �� � 1NiY0U0HFNSOi1HEROVMEMPLOYEES,GfqV1DEDTNATSUQ/1YPROVEMEMSMENOTNTENDEbOR m - �1 _OFfEHEDiORSKEF,FIOWEVERIHEBU0.DiN00N0.1PROVEMEMI350lDWIiHNONEYEAAOFGpAPLE• Z TIOH,THE fTA'HER-BURDER YnLL INVE tHE BUROEN OF PROVINQ 111AT NE Oq 6HE OID NOT BUILD qt = RAPROVE FON 7}IE PURPOSE OF SALEI. O l�30MMEN OF iHE iROPERtY,hM EkCLUSNELY CONTRACTNO YrtTN IICENSED CONTMCTORS � i0 CONSTRUCT THE ORQIECT(SEC.7oN,BUSINE55 AND VROFESSIONS CODE:h1E CONTNAMORS ll- Ve1U0110f1 ADJ.AREA W CBISEUWOOE8NOTMPLYTOANOVMEROG110N07EHTYMMOBURDSORIMPR�VES7NEREON.AND �_ VAqCONTRACTSFORSUCHPRQIECTSNAT111CONfRACTOR(5)LICENSEDVURSUIWTIOTMECONTRlIG pUANTITY DESCRIPTION FEE � TORS 110EN5E IAW). OIAMEXEMPLU/DERSEC. B.iP.GFORTHISREA50N U C a LL � , a A . � DATE OWNER V W v Gora 6 � � LICENSED CONTFlACTORS DECV�FiATION W s � � IHEREBYAFFVWUNDFRPENALiYOFPE0.R1RYtiUitAMUCEN5EUUI�IDEHPROV15WT1SOFCHMiEH V. /' _ � �(COMMENf�1MVrt1Y15ECTI0N70oo1C�OM5iOt170FTHEBU5:NE5S�NDPROiF55qN5C00E,N1D Z L7 ` ltl ���"E IS N FUlFORCEAND EFFECT. m . • � LICENSE CUSS�LIC.N0. ■ � � � J� ~ UATE �•+�•-Q CONTRACTOR a III� U W � . WOFKERS'COMPENSATION DECLAFlATION � U � /IN�ER�E/yy�,AFFlWAUNDERPENAl7YOFVEiWRIONEOFh1EfOLLOWINGOECLAHATIOHS, Z � � �IWVEANOMnIIMMNTIJNACERTIFlGTEOFCONSEMTOSElFANSUREFORWOfiKERS = +fl'I COM7ENSATION,ASVROVDEDBYSECTIONJIODOFiHEUBORCDOE,FORIHEPERFpRE,IANCE U ��� ��� OF iHE W OR1f FOR N111p1 THtS iERMIT S ISSVED. � I HAYE AND W�LL WVMAW WORKER5 C01.1PENS�TION INSURANCE,AS RCOUIRED BY SECTION � �7o00FTHElABORCOOE.FOqTHHVERFORMANCEOFiNEWORKFOAYMiCH7HI5VERMITIS l5SVE0.AAY NERS PEHSATIONWSUFWICECM�E POLICYNUMBENME: CANSTRUCTION � � GIRNER e�°��� � �� cr� PLANREVIEW , — � pa�cvrruueEa, p _ ��1� =V ELECTRIC 1 � �,�1� � (i1GSFC110NNE�NOTBE001R1£I'FDOFh[PEAMi6FOR01f�t1�0i'IDDalARS(it0o)ORLESSI PLUMBING � � � 'O � z ICFFTIFYTHATWTNEPERFOHMANCEOFTIEWORKPoRN'Hiq1TNISPERA1RiSI5SUED,1 MECHANICAL 1O (} SwLLL NOT EMPLOY ANY VER50N N MfY MANNER 50 A3 TO eECOME SUeJECT iO THE � VqRNERS'GOMGENSA710NUw30FGUFORNi^ANOMREETIUTIF�SNOULGBECOME INSPEC7iONFEE SU6IEGT TD THE WOFttERS'COMPENSATION PRONSIONS OF SECTWN 77o00F THE UBO�i ^1 QOOOE,ISH�iliORTMMTHGOMPLYMATN SEFOVi5WN4. �SSUAf'!CE tiv(�` Q `/ p DATE: ^�/��,�. APPLICANT. �I�C— hV!�/t�^ SMIP w v � � ENERGY P/C (y WMNIN�:fAILUpE TO SECURE MAOi110ER5 COAIVEN5AT10N fAVERAOE IS UNUwFUI,/NA SM�IL BE �y SUBJECTAHE�PIOVEt1TOCRIMWALVENALT1E5M1�CMLFMESUVTOONEMMDRE�TNW5M10 ENERGYPERMIT r DOIURS(f 100,000),N ADDITION TO TNE C0.5T OF�OMVEN5ATI0N,DAMAGES AS PPOVmED FOR IN � SECTIDN7l010FiMfLJ�00RCODE,M7ERE5T,ANOA7TORNElSFEES qEfENTIONFEE: Q � a CONSTRUCTION IENDING AGENCY PRE•ALT FEE: O CC INEREBY�FFlRAIUNDERVENN.TYOFpEiLNMTHATh1EREI5ACON5TPUCT10NlFNDqJQACENCV n- FORTNEPERFORMANCEOFTHEWORKFORWHIp/1'�T1115PfR 1T151$�\UED�SEC.7oci.ClV-C.1. � LENDERS NAME��CIYl''�-� ��■- v���- / � C lEN0ER5ADDNESS ^ � ICERTIFYTHATIHAVEREAD7HISAPPLICATqNMJDSTATETUTTHEABOVENFOPMATIONISCORRECL TOTAL FEES /� �I ]�,\ `Q � W IAQNEETOCdAOIVWITIIALLCT/MlDCOUHTVOROINANCESINDSTATFUWSRELIITMUTOBVIl01NC t � CONSTf1UCT10N,ANDMEREOYAUTqRREREPRESENTATNE50FTMISCOVN7YTOENTERUPONTHE Ji "" S� ABOVE�IAENTqNED PROPERTV FOR INSPECTION VUNVOSES. COMMENTS � �^ 1 ,n('.'� m PEHMtTTE NMI£(piUNT) � �ti 5-� --�0 � SK3 REOFpERMITI DATE � pECPT.N0. PAID BY VALIDATION � WHITE—DepaRment Copy.YELLOW—Finence Copy.PINK—Assessot Copy.GOLDENROD—File Copy,GREEN—Applieant'e Copy CITV OF DIAMOf�D BAR , . , -� � ;�_..,��. ' 1tvSP�CiiO��'�RECORI) . ,� -�, . � ��• �� - .. r�, J - , . : ' ; �_ r. � i�: �.a�(r�.�;.��r�,��?�i,l.►�� � Lo.� �e�= ���������'�°lr�� �. s�,.���l-y�-�����1�`►��r w,-1i�:,�,�� W (►��-��-,d�'�a,�� _ I ISETrBACI:. ' , � ��� '. ' FLOOR JOIST �� �. V� � , �, � r� a !FTGS/FORMS/STEEL - �,�a-^c�-x� ' - : - , , - FHA REQMTS . � _ '.,• . �,' ", !_ _ _-� : !ELECTRIC GROUND.. " �. UNDER FLOOR'D�JCT � �' �+ . � t -. �GROUND PLUtJ(BING UNDER FLOOR-CUfdfJUIT . ' ' '- '�"� , 1,��•. •' ^ ; � .. ._ ._ . .. . ... ,-, ,• _ .. . -- ---- !SLABGRADE __ - '• ' • 1 ,' ' ' FIRERt C,EFOUND�TION `.r � t�. �. ' t. . _, r� . , iTEMP POWER -- . ., : --� � FIREPLACE BOND BEAM , �WATEfl SERVICE - - - MID NT. BOND BEA'� ;y�� c', � � i !ROOF SHEATHIPJG y CZ � � ��1 II Ff.BOND BEAM - � - � i FRAMRJGNENTlLIATION � 2 1�Z FINAL BOND BEAM _ r , ;ROOFCOVF_R . I PRE-GRADING -�' ��'� ��:'"`•� �ROUGH HcA71NG - ( �a BENCHII�lGt.�l. -t .`�• • • :" :, � . _ . _ :ROUGH ELEGTRiCi a�!� -) ' ROUGH GRAD�NG - - - T�`��3�{��LIJC� f,D(G --� ` - - � - FINISH GRADING � �C3'Yti�i"-+��U�i�cST Z2 6�-� � PDOL'ELEGTRiC ' EXi'.-Lf+TH,�S!DING ---- - PODUFENCING ;t^JALt1PdSULAi'ION -- - � POOL'FINAL L.clLfi�G ii3SUL:ATlON , i�'� ��i' " ' OFF SITE IMPS. 'DF1'4YACL�tvALLItJG ' T�(% DEDICATIONS ;SE�ti'ER � _ -I` � FINAL EtJG. � ,. 'S�PTICTANK � LANDSCAPE/IFRlG. � 'SEEP PIT/L.L �? 1 _ t.;"�-' ON SI i E IMPS. C%,S AI.R TEST � F1NAL ZONIPdG :f�':iiL�.��L'�i. - .�i;�:! { ���`. FI�E DEFT.FINAL � F�TM:'�.��.a�'—`T.InjG �}� � -.'� : ,,� .; - � HEAL7H DEPT.Fl�d/kL :c;;:�7��'l�CTFiI-C - - 117�. � ,- _ :�1, i' DFV. 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