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HomeMy WebLinkAbout16760 (447) , _- - ----- - -- . _ _ _ � � ___ �` CITY OF DIAMOND BAR DEPAR'I7v�NT OF COMMUNTIY&DEVELOPMENT SERVICES �y 21825 E.Copley Ihive (909)860-3195 Fax(909)861-3117 PRESS �'%�� BUILDINGPERMITAPPLICATION . FIRMLY y�, JOBSITE ?,�G C 1 I`` ��j„�f,1 APPLICATION � �.,�1 PERMIT �`r/C . o ADDRESS ✓ U�/iti(YO ��7+ nl DATE � NUMBER I l��Ii � issue nPe occ APN LOT TRACT OATE CONST. GR�UP p OWNER �+-�Suk1-1 ADDRESS ZONING SETBACKS z CITY ZIP TEL FRONT RW ❑ � APPLICANT TEL. REAR O a SIDE/SIDE STREET RW � ¢ CONTRACTOR S H SI�E ❑ o ADDRESS �- 'z PROPOSED USE Q CITY 1d�aLl,� ZIP TEL. S wo ARCWENG/ � DESIGNER NO.DWEL. NO. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FAGTOR PSF ADJ.AREANALUATION Q OWNER-BU�LDEq DECLARATION SFRlADDlREM O Q I NEREBY AFFlRM UNDER PENALIY OF VERNRY THAT 1 AM E%EMPT FROM THE CONTMGTORS L4 Garage7Carport W CENSEUWFOq1HEFOLLOWINOREA50N�5EC.7m1.6BUSWESSANOPROFESSWNSCODE:MlYCRYOR (n C,� COUNTYWHICHREWIRESAPERMITTOCON57RUCi./LTEfl.YAPflOYE.DEMOLISH,OHREPAIRANYSiRUG W patidDeck TURE,PfUOR TO RS ISSUANCE.AL50 REOUIRES THE APPLICMrT fOR SUCH PERMIT TO FIIE A SIGNED w STATEYEM TXAT HE OR SHE IS UCENSED FU0.SUANT TO iHE PFDVISIDNS OF TME CONTMCfORS L4 � CENSEUW(LNAPTERi�COMMENCWOWITHSECTION70o0)OFDMSION70FTHEBUSINESSANDPR6 �— Pool/Spa FESSIONS COOE)OR i/1AT HE OR SNE IS ExEUPT7MENEFROM AND iHE BA515 FOR TNE ALLECEO EXEUP. 7qN.AryYVIOI/iTqNOf5ECT10N7D�1.68YANYMPL�CANTFORAiEAMITSU&IECTSTNEMPLIGNTTO Z Re-Rool � ACIV0.PENALTVOFNOTMOFETIUNFIVEHUNOREDO�LtARS(lsool.): � OL�OWNEHOFiHEPROPERTY,ORMYEMPLOYEESVATMWAGE5A5THEIRSOIECOMPENSATION, O COIfImBfCl21 - YALL DO THE WORK,ANU 7HE STHUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7W1,BU51- J � NE55 ANO FROFESSIIXJS COOE:711E GON7fUCTORS LICENSE UW DOES N07APPLY TO M!OWNER OF � iP.OPERiY WMO BUILDS OR IMFROVES 7HEREON,AND WHO DOES SUCM WOAK HIAISELF OR NERSELF OR � 7HROUGHHISORHEROWNFIIPLOYEES.VROVIOEOTMATSULNIMPROVEMENTSAPENOTMlTENOEDOR m QOFFEREDFORS/�LEIF,l10WEYERINEBUILDINCORIMPROVEFICNTISSOLDWiTHiNONEYEAROFCOMPLE- � 7qN,THE OWNER�BUIIDER WILL HAVE THE BURDEN OF VROVINQ THAT HE Ofl SHE 010 N�T BUILO OR = pAPqOVEFOflTNEGURPO5EOF3ALEy W O L�l".OWNEROFTME PROPERTY.AM f%CLUSNELV CONTMCTINO W1TH LICENSEO CON7RACTORS � TD CONSiAUCT i11E PRO.IECT(SEC.7W�,BUSiNE55 M1D PROFESSiONS CODE:TME CONiMCTOR3 U- V2luallOn ADJ.AREA W CENSEUWDOESNOTMPLVTOAN04N�EROFADROPEPiVW/qBUILO50i11AA7qpVESTHEflEON.AND � NTqCANTfUCTSiONSUpIPPQ1ECf5WIT//ACONTRACTOfl15)LICENSEDPURSUI�NTTOTNECONTMG Q{JANTITY DESCR�PTION FEE � TORS LICENSE Uw.} � O IAM E%EMPi UNDER SEC. B.i V.G FOq iH15 REASON Q �=" OATE OVMER � � � ' Z W � LICENSED CONTRACTOFiS DECUIRATION w � IMEREBY�FFIRMUNDEHPEWWTYOFPERNNYTMATI�ULENSEOUNDERPqOV15�ON50fCNAPTER Vi p„ O I�MENCW(i WrtM SECTqN 7000)OF DMSION�OF THE BUSINESS ANO PROFES510N5 CODE,AND z X MY LILENSE IS N FULL FORCE AND EFFECT. m � LICENSE CUl 5 LIC.NO. V' O.'y1 j V DATE COMiMCTOR N � � ��-- � . W � WORKERS'COMPENSATION DECLARATION � N U � IHEREBVAFFIRAIUNDERCENALTYOFOERIURYDNEOFTHEfoLLONnNQOECLAPAT�ONS: Z Q C1 ��IMAVEAN0IMLLMNNTAWACERfIFIGTEOFfANSEMTOSELF-INSUHEFORVIOiL(FRS' $ � COAIP[NSATqN,ASVPOVIOEDBYSECTION770oOFTHELABORCO�E,PoRtMEVERFOPYANCE �U OFiHE WORK FOR WHIp1 iNIS VERMIT IS ISSUEO. � O �_I HAVE AND Yv1LL MAINTAW WOPKERS'CdAPENSATION INSUMNCE.AS PE WIRE�BY SEC710N Q ]7000F THE UBOR COOE FOR iME PERFORMANCE OFTME WORK FOR WHIp1 iN15 iERM1T IS ISSUED.MYWORKERS'COYPENSATIONINSURANCEGRRIEAAN�POIICYNUMBENME: CONSTRUCTION Q .` �. CARRIER fi►��- ��!'�S �A/�• PLAN REVIEW � oa�cvNu�aeEa�GIV �fxrf�'�i�90T'L ELECTRIC � Q �n+ssEernr+r�IDnoreeoormermoFne�awrsxaonErua+�ooawuR,ao�aa�Ess} PLUMBING , � ICERTIFYTHATINTHEDERFORMANCEOFTHEWORKF�HVMICMTHISPERMITISISSUE�,I MECHANICAL (,'} SMALLNOTEMPLOYNIYPENSONINANYMANNERSOASTOBECOMESU&IECTTOTHE � WOfU(ERSCOMOENSATIDNUWSOFCAI�FORNIA,AND�GREETHATIFISHdJLUBECOME INSPECTIONFEE S SUBJECTTOTMEWORKERS'COMPENSATIONPROVISIONSOFSECTqN�7ooOFTHEUeOR COOE,I SHALL iORTMM7H COIAPIV NATN T1105E PROVISIONS. ISSUANCE � SMIP � �•.~.v7� p pA7E: L �L APPLICAMT: .. . . � � ENERGY P!C WIWNINO:FAILURE TO SECURE W01iKERS'COMPENSATKKJ COVERAGE IS UNUWM.MA SMALL BE . �J"j„ SUBIEGTANEMPLOYERTOCWMINALPENALTIESMIOLMLFWESUPTOONEMUNDRED7HOlI5AND ENERGYPERMIT ppLUqS(5100,000),IN ADDITIONTOTHE COST OF COMPENSA770N.DAMA�ESIlS PROVIOEO FOR IN � SECTIDN7�oeOFTMEWeOqCOOE,INTEREST,ANDATfORNEY'SfEES. RETENTIONFEE: � � d CONSTRUCT�ON LENDING AGENCY PqE-ALT FEE: C� IHEREBVAiFIRA1UNDERPENALTVOFpEM1RV7HAiTHERE15ACONSiRUCTIONLENDINGAGENCv �!.�---�� a FOR7HEPERFORMANGEOF7MEWORKFORWHIpITH�SiEfWITI5125UE0�5EC.]oi7,GV.Q). � � LENDEflSNAME � LENDER'S�DDNESS C � (�In /{"�J w �1 CERTIFY iHAT I MAVE HEAO TMIS MPLICATqN M!D STATE MATTME AbOVE INFORMATION IS COHRECL TOTAL f EE t.(,,u � /�/ � � IACREE7000MPLYN7THALLCI7YANDCOUNTYORDIN/UJCES�NDSTATEUNSREUTWGTOBUl�INO CONSTRUCTION,AN�HEREBY Al1iTK1RIZE REVRESEMATIYES OF THIS CWNTY i0 EMER UVON TNE Z ABO��M HTqNEDPROP(RNFOFINSPECj10 WF�f POSES. COMMENTS ' � 1\ \ 1 J 1� ���L� I m iEN.a7 E1� ���r .Q ' ¢ J U i � Vj SIGNAT � F RMITTEE OATE � S RECPT.N0. PAID BY VALIDATION �, �— WHITE—Deparlment Copy,YELLOW—Finence Copy,PINK—Assessor Copy.GOIDENFO�File Copy,GREEN—Applicant'a Copy � CIT;' (3�' '�`,�'���!!Q`�•y� i�,��:� I�•:Si��Ci'i�id E9E�G��E� 1��-�: =1�.G'Im)��I �?^`t.`.......____'�►! l.d,.�t���a�.t___._..__—. ���E�:7 �;'B�CT,f��l ^____.--- - � -� �I,w�7�.J�el,R'e��i � � !� c� t h �:G''", ----•-- — ---------__..�__ . . _._... __ .____. _. _. .._ . ___._.,.._._._______._ __--..._.._. _._�___._____.__.____.._ SET BACK � � � � FLOOR JOIST ~ FTGS/FOR1�S5/STEEL � � FHA REQUTS T� �-'� ---— � EL.EC7RIC GROUfJD { UN�ER FLOOR DUCT � � GROUND PLUMBItJG , UNOER FLOOR CUPdDLJIT , j � SLl'�B GRADE !�'?-6C � � FIREFLACE FOUNDATION TEMP PO4VER �7/f�+y�7�I �.,� FIREPLACE BOND BEAPJ{ WATER SERVICE J h�11D HT. 80ND BEAPA � ROOF SHEATHING /_/��I -���'L—^� �if3 Ff. BOhD E3EAM FRAMINGNENTILIATION I FINAL BOND BEAPvt ROOF COVER I � PRE-GRF.DING _ ROU�H HEATING I BENCHING • ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING L1 FI�dISH GRADING SHOWER�TUB TEST 1 POOL ELECTRIC EXT. LF,TH/SIDING °OOL FENCING WALL IPdSULATION POOL FINAL i CEILING INBULATION I OFF 51TE IP.1PS. C�RYNIALL NAILIPdG � DEDICATIO�lS ' SE'J�1ER FINA�FNG. SEPTIC TANK LAND�CAPE/IRRIG. SEEP PIT/L.L. QN SITE� IMPS. GAS AIR TEST FRJAL ZON{NG " FINAL CONST. � � FlRE DEF'T. FINAL FINRL HEATING HEALTH DEPT. Fif�lAL FINAL ELECTRIC 'r. � �,,i % DEV. FEES PAID ^ -�-t.s�'y �- ' - - FINAL PLUN�BING � � ENERGY _�'�ri�,�--. �--'���o� � �. - � —�-�11 �:�, � ;<. . ;� ar � � --. ------- — ---• --- ---__ . — . .. _—,--_ _.._--�---�------- --....�-- -- COMMENTS SEPTIC TAP�h SIZE SEEP PIT/� SIZE .�._.�..�... , �y� ';���/ :I � ' ; i ; ' .