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HomeMy WebLinkAbout17798 (666) .�� CITY OF DIAMOND BAR DEPARTMENT OF CONIIv1UMI'Y&DEVELOPMENT SERVICES �` 21825 E.CopleyDrive \\. (909)860-3195 Fax(909)861-3117 PRESS `'-«�� BUILDING PERMITAPPLICATION FIRMLY oN JOBSITE �I/iL�I r �i�Y� �� DATE CATION=���l s�„��1 PU BER u #/C ADDRESS !i•'�-) ✓ ��f- du .-N $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER o ADDRESS 5 ZONING SETBACKS ' Z CITY ZIP T L I FRONT RW ❑ $ APPLICANT - � � REAR ❑ � SIDE/SIDE STREET RW p � CONTRACTOR SIDE p � ADDR S � CITY • ZIP TEL PROPOSED USE o ARCHJENG/ � DESIGNER NO.OWEL. NO. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUIL�ER DECIARATION SFR/ADD/REM O p 1 NEREBY AFFlpM UNDER VENALTY OF�ERIURY THA71 AM EXEMPT FRD�THE COMMCTORS LF G3f8gfl�CAfpOR W CENSEUWFOR7HEFOlLOWWOPEA50NI5EC.70.77.E8U5�NESSiU1DPROFE55lON5CODE:M/YGITYOR (n U COUNTyWViICHREWIRES�PERAIRTOCON57RUGT,ALTE0.DADROVE,DElAOl15M.ORREPA�RANYSTRUG w W TURE,VHqR TO R9 ISSUANCE.AL50 REOUIRES 7HE AVPLIGNT FOR SUq1 PERMIT TO iILE A SIfiNED w Patio/Deck � STREMENT THA7 NE OR SHE IS UCENSE�VURSUANT TO TME PROVISIDNS OF h1E CONTMCTDRS LF � � CENSE lAW(pIMTER i(COMMENCINO WITH SECTION 70D0)OF DINSIJN�OF THE BUSINESS ANO Pp0- POOUSpO FESSpN5GO0E)ORiF1AiHEORSMEI5EXEI.�PTTMEFEiHOMANDTHEBA515FORTMEALLEOEDEXEMP• (� 710N.ANYVIOLATIONOFSECTIONT071.6BVANYAPPLICiWTFORADERMITSt10JECTSTHEACGLICANTTO Z Re-Roo1 A CML PENALTV OF Npi MORE THAN FIVE NUNDRED�OLURS(f507).): ZOI,ASOYMEROFTMEVROPERTY,ORMYEMPLOYEESWITHWAGE5115T/1EIfl50LECOMiEN5AT10N, � COR1RIBfCIdI - WILL DO THE N�ORK AND THE STRUC7URE IS NOi IN7ENOED OR OFFERED fOR SALE fSEC.70�1,BU56 J � NE55�f1D GROFESSIONS COOE:iHE CONTMCTORS LICENSE LAW DOES NOT A7PlV TO AN OWNER OF = , pPOPERTY N'NO BUILDS OR IMVROYES 7HEREON,AND WMO DOES SVCH WORK HIMSELF OR HERSELF OR C[ THROUGHHISORNERO�YNE4PLOYEES,7ROVIDEDTHATSUCHIMPROVEMENTSARENOTMEN�EDOR m W OFFEfiEDiOHSALE�F,FIOWEVERTMEBULDIN(iORMPROVENENT1550lDVATNINONEVEAROFCOMPIE � TION.iHE OK'NEW6UIl0ER WILL MAVE THE 9UROEN OF VROVIN6 iHAT ME OR SNE UID NOi BUIID OR Z MPROVE FOH iHE WRPOSE OF SALE�. = 04ASONMEROFTMEPROPERTY.N.�E%ClUSrvEIVCOMMCTINOWRHUCENSEDCONTRACTORS W � TO CONSTRUCT iHE PPQIECT(SEC.TM4.B1151NESS AND VROFESSiONS CODE:7HE CONfMCTORS LI• VelUetl0fl ADJ.AREA L11 CENSEUWOOESNOTA77lVTOANOWNEROFAPROPERTYVAqBURDSORIM7ROVE5iNEREON,AND i W/qCONTMCTSFORSULNPROJECTSWITHACONiMGTOR(SjLICENSE0VUR5UANTTOTHECONTMf. QUANTITY DESCRIPTION FEE � TOHS LICENSE UW j. /�,, 0 O I M1 EXEMPT UNOER SEC. B.�P.C.FOR TMIS FlEASON U W� � � � ( � DATE OWNfR U Z W � L�CENSED CON7RACTORS DECLARATION W � IMEREBYAFFIRMUNOENPENAITYOFPEFWRYiFL1TIAMLICENSEDUNDEHPFlOY15bNSOFCHAOTEH � /�a_ 0.., 0(COAIMENCWUNI7MSECTION7o00)OFDMSION]OFTHEBUSINESSANDPROfE5510N5CO0E.AND Z GM � X MY IICENSE i5 M FULL FORCE MJO EFFECT. � _ L1J n �f � LICENSE CUSS �� �/ UC.NO. v � V DATE CONTRACTOR a W � WORKERS'COMPENSATION DECUIRATION a = U � 1 NETIEBY AFFIPM UNOER FENFLiY OF VERJUflV ONE OF iME fOLLOYANG DECUN�T�ONS: z 4 � _IHAVEMIDYALL�INTAINACEqTIFICATEOFCONSEMTOSELF•INSUREfORWORKERS' _ � CWI7ENSATqN.ASPqOVIDED8V5ECnONa7ooOFTMEL�BORCODE.FORiHEPERFOquANCE �U OF TME WORK FOR WNIpI TMIS PERMIT IS ISSUEO. � � w L�INAVEMlDWIU,MAMTNNWORNERS'COMPENSATqNINSUMNCE,A5RE0UIRE�8V5ECTqN � 0 77ooOFTHEUBORCOOE,FOFTHEVERFOquANCEOFTHEWORNFOqWHip1THI5VENAiT15 ISSUED.MYWOP�K COMPENSATpNINSURPNCECARRIERANOPOIICYNUMBEflME: CONSTRUCTION j c�Aa�ta , t��`L'-'Q � '�h�.��t3P�-� PLANREVIEW � ra1GYNUMBER (�� ELECTRIC O�Jb pR}iSSECTqNNEmNOT9ERY.4�ETEDOFTEPERMT6PoRONEIM�DREDDQI/65IftOnOqlESS� PLUMBING '� —' -�- �.ti Z �CEfl71FY TMAT IN 7NE PERFORMANCE OF TME WORK FOfl WN�CH7N15 PERA/1T�S ISSUED,1 MECHANICAL I`�'�" - C7 SHAILNOTEUPLOVANVGER50NINM1YlAANNERSOAST09EGOMESUBJECTi07HE �- � WORKERSCOMPENS�TIONUWSOfC�L�FOftNIA.MlDAGREE7IWTIFISMWIDBECOME INSPECTIONFEE O SUBJELTTOTHEWORKEfYS'C0IAVENSATIONVROV�Sy!{N$OfSE�J' ]7�=R �� ' i C006, SH FOR n�ca�v�vwm�n+oseaa0�lisbHs. ( / ISSUANCE � �' �'�n p DATE:�AFVLICANT:_�i�.,--�J/ SMIP � � ENERGY P/C ���!•^r' WARNING:iAILURE TO SECURE WORKERS'CO��Pp�SATION COVERAGE IS UNUW M.11ND SNALL BE � SU6)ECTANENP�OYERTOCRIMWALCEN/LLTIESAlACMlFWE5U0TOONENUN�REDTFIOUSAND ENERGYPENMIT - DOLURS p f U0,000),N PDOITION i0 7NE LOST OF CDMPENSATION,D�dES AS PROVIDED FOR IN � SECTION 7701 OF iNE LABOR CODE.NTERESi AND Ai70RNEY5 FEES. RETENTION FEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � INEREBVIIFfIR11UNDENDENALTVOCPEiWRVTMATTHENELSACONSTRUCTIONLEHDINOAGENCY ' �z FON TNE PEFFORMANCE OF iHE WORK FOR WHIqITHIS VERMITIS ISSUED(SEC.7097,CIY.C.). � W � LENDERSNAME � LENDER'SADDRESS ` /� w ICERTIFYiHpTIHAVEREADTXISAPOLICATqNAFIDSTATETII�TTNEABOVE!lFORM�TIONISfARRECT. TOTAL FEES V- 1 � p_, IAaREETOCAMPLYYAhI/�LLCrtYANDCOVNTVOR�INMlCESMIOSTATEUwSREUTINOTOBU0.DIN0 « < � CONSTRUCTION.ANDNEREBY�UT}IORREREPRESENT�TIVESOFTHISCOUNTYTOENTERU�ONiHE Z IIBOVE�MENTIONEO VROPERTV FOR INSPECTION OUFPO5E5. COMMENTS � J � m PERMI �NAME(PRINTj �� � � � >-� ��--�%/ �:.lC�.'�7� (/� '�u16NATVREOFPERMI EE DATE � RECPT.N0. PAID BY VAUDATION V✓HITE—Department Capy,YELLOW—Finance Copy,PINK—AssessorCopy,GOLDENROD—File Copy,GREEN—ApplicanPs Copy . .... ,..� .� yr,�..;*� �{,,.,^�\,�..::r,,.�.��.:.,n�-,�.,�-..r� •.�-•.. , v4rt�BLtir::.?^ i^• .. ,��i,. �.. ���.,� ,�.r��r�,.•.y��,... ... . . � � ,. . .. � .1�vL�; � , . . R'�.,.. ._ . . .. .. . ,a . .. � �ET1' C�' t�f�,fJ;C)1vD 86�f? iP�S��G�iU�� i���CC�6�C3 ` � � 1p��.__.� --c` e� 5 ;l c .r' c � c} ��' _____�_.....�. .� _ _ _ - - - - _ . ;f►�E-�:��.E�«�I.��►! �� � �1►�-7 '-1 f '.1�i �R�`1. -� (.IiE � =� 1I���-�:��e�t'Q7.�� -----�----------_ - --__ __ _ _ ___ _ _._ ..-- _.�_ ._ .._.._.. ---.____---_.---_ __._.. .__._._____����._...._.__._.... _.� SET BAC� ; I I FLOOR JDIS7 FTGS!FORMS/STEEL � I � FHA REaP�ITS � ELECTRIC GROUND ' i � U�dDER FL�OR DUCT GROUND PLUP�iBING z� D2� __ I U��1DER FLOOR CU�IDUIT _ SLAB GRADE �/ FII�EPIlICE FOUNDATION � TEPAP POWER I � FIREPLACE BOND BEAM WATER SEAUICE i ��11D HT. ��ND BEAP�1 ROOF SHEATHING ~ i s�. BOPJO BFAP�' FRAMINGNEiVTILIATION I ! FINAI.E�OND BEAh1 � FOOF COVER RRE-GRADING ROUGH HEATING BE�JCHING I ROUGH ELECTRIC � _(�t ROUGH GRADING ROUGH PLUMBING � � I FINISH GRADING SHOWER,rfUB TEST ' POOL ELECTRIC EXT. LATHl51DING i POOL FFh�CING b'VALL IPJSULATION POOL FINAL � CEILING INSULATION OFF SITE IA�PS. pRYVJALL NAILING DEDICATIOf�S SEWER FINAL ENG. � SEPTIC TANK LANDSCAPEIIRRIG. SEEP PITlL.L. � ON SITE 1�.1PS. GAS AIR TEST �/�1-� -9-------- FINA�ZONING FINAL CONST. � � � � F!RE DEPT. FIN.A! � FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTFIIC DEV. FEES PAID FINAL PLUMDING ENERGY I .--�k,�-�--�---�----- - - --- . _�___1�__. . . .� e r�: , fSl� _____-___ COMMENTS SEPTIC TANK SIZE SEEP PIT/U 51ZE ��� _�r_��� t�9� ��. : , .�;