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HomeMy WebLinkAbout17892 (447) CITY OF DIAMOND BAR `�= �� � DEPARTMENT OF COIvII�1UNITY&DEVELOPMENT SERVICES � 21825 E.Copley Drive (909)860.3195 Fax(909)861-3117 PRESS k "->� y BUILDINGPERMITAPPLICATION FIRMLY �; o DD ESS �l�- DATE CATION ���$-�a PUMB R I�, "—;�C �� �! �/�1V � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER � "' ADDRESS �t'✓� ZONING SETBACKS z CITY IP TEL. FRONT RW O g APPLICA T TEL. REAR � � SIDEJSIDESTREET RW ❑ � CONTRACTOR� SIDE ❑ � ADDRESS �' PROPOSED USE � '�J� ?Y G o CITY ZIP TEL.��� " 2 w� ARCFVE G �3�U W DESIGNER NO.DWEL. NO. NO. N ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEI. � cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDEFi DECLAHATION SFR/ADDIREM O I HEREBY AFFlfiM UNDER VENALTY OF PE0.M1IRY THAT 1 AM E%EMPT iRdA THE CONTRAC70R5 U• Ga2ge/C2IpOft W CENSEUWFOR7HEFOLLOWIN(3RFASON(SEC.70.7t.68U5P1E55ANDVROFE55lONSLODE:ANYCITYOR (n U COUNiYWHICHREOUIRESAPERMITTOCON57RUCi,ALTER�PR0YE,0EMOU5FI.ORFE7NNANY57RUC• LLf w NRE.VRIOR TO ff5 ISSUANCE.ILSO RE�UIRES THE AGPIICANT FOR SUCH pE0.MiT TO FllE A SIGNED w P0tI0/D6Ck STATEMEM THAT HE OR SHE IS IICENSED PURSUANT TO THE PHOVISIONS OF THE CONTMCTORS LI• � CENSE UW(qUDTER 0(C0IAIAENCINa WITM SECTION 7000)OF�IVISION 70F THE BUSINESS A�D PR0. � PooUSpa FESSIONSCODE)ORTHIITHEORSHEISEXEIAPTTHEREFROMANOTHEBASISFORTHEJLLIEDEDE%EUP- (� V TION.ANVVIOIATqNOFSECTION7oat.68YANYAPPUCAN7FORAPERMiTSUBJEC75TMEMPLICAN7T0 Z Re-Roof � AGVILGENALTYOFNOTMORETHNIFNEHUNOREDOOLURS�t500�J: 0 ❑4���EROFTMEPROPERTY,ORMVEMPLOVEESWITHWAGESASTl1EIR50LfCOMPEN5AT10N, O Commercial � Z VYILL DO THE WORK.ANO THE STRUCfURE IS NOT INTENOE�OR OFFEREO FOR SALE 15EG 7W�,BU51• J N NE55 ANU PROFESSIONS COOE:THE CONTMCTOFS LICENSE UW DOES NOT AOPLV TO AN OWNER OF = PROPERTY WMO BURDS OR 14PROVES THEREON,AND WHO OOES SUCH WORK HIMSEIF OR HERSEIF OR � 7NROUGHHISORHERONMEA1�lDYEES,PROVIOE�THATSUCHIMVROVEAIENTSARENOiP1TEN�EDOR m QOLFEAEDFORSALEIF,110WEVERINEBUILDINOORIIAVROVEIAENTISSOLDIMTMINIXJEYFi�ROFCOMPLE- Z TION,TME OWNER�BUILDER WILL HAYE THE BUROEN OF PROVINCS TwIT ME OR SHE DiD NOi BWLD OR � MFROVEFORTHEPURPOSEOFSALE� O l�0'NNENOF THE iROPERTY.AM EXCLUSIVEIY CONTMCTMG WRH UCENSED CONTMCTORS Q TO CON5TRUC7 THE PROJECT(SEG toN,BUSINESS AND PROFESSIONS CODE THE CONTiUCTORS 11• V01U8UOf1 •� ADJ.AREA W CENSEUWDOESNOTAFPLYTOANONTlEHOFAVROPERTYWM06URD50RIA1PqOVESTHEHEON,AND � WHOCONTMCTSFORSUCHPRQIECTSIMTMACONTRACTOR(S)LICENSEDPURSUMITTOTHECONTMG QUANTITY DESCRIPTION FEE pTdiS LICENSE UW�. ' 1� OIAMEXEMPTUNDERSEC. B.LV.C.FORTXISREASON Q �IYi � `—' O o i �.'�S• � � Z DATE OWNER U � � , F¢ LICENSED CONTRACTORS DECIARATION W fr I HEREBV�FFlHM UNOER PENALTY Of PE0.NRV TNAT I AA1 UCENSED UNOER GROVISIONS OFCHACTEH V. ( E I � Y(COMMENdN6WITH6ECT10N70o0)OFDMSIONJOFTHEBUSwE55ANDVROFE551pNSCODE,ANO Z t �• AM UCENSE IS IN FULL FORCEAND EFFECT. LLI _� � �i .cR ; k � UCENSE CUSS � LIC.N0. J � V- DATE -� � �- - -CONTRACTOR d . W . �__.. _ . _. _ . � WORKERS'COMPENSATION DECLAAATION S� a NI HEqEQ✓nFFIRM UNDER GENAITY OF VEMIRY 0NE OF THE FOLIAYfNO GECLAMTIONS: Z � �tHAVEANDNnLLYAINTAINACERTIFICATEOFCONSENTTOSELFdNSUREFORWOqNERS' _ • • � COMPENSATION,AS PROVIDED BY SEC710N 770o OF THE 1A80R CODE,FOR 1HE DERFORAIANCE U Q OF THE WORN FOR WHIq1 TH19 PERMIT IS ISSUED. � 0 Q _I HAVE AND MAL1 MAINTAM WORKERS'COAIOENSATION INSURANCE,AS REOUIRED BV SECTION �70o OF THE LABOR CO�E.FOP THE iERFORAIANGE Oi THE WORK FOH WHipl THIS GERMIT IS � ISSUED.MY WORKERS' PEN ATION IN CE CAF�IIER AND POIICV NUMBER ARE: CONSTRUCTION � CARRIER ��N, PLANREVIEW � POIICYNUM9Efl �� �- ELECTRIC t- u � (h¢SSECIqNNEFDNOTBECd.�IFImOFiIEPEiMT6PoRONEIi�[%7EDDOLLA0.5(SfOC)ORLESS) PLUMBING � z ICERTIFYTHATINTMEPERFORMANCEOFTHEWORNFORwHICHTHISPERMRI515SUE0.l MECHANICAL () SHALLNOTEMPLOYANYPERSONWANYIMNNERSOASTOBECAMESUBJELTTOTNE � WORNERS'LOMPENSA7qNUW50FGLLIFORNIti1WDAGREETXA7IFISFIOUL�eECOME INSPECTIONFEE — S � SUBJECTTO THE WORNERS'COMPENSATqN PRONSiONS OF SECTION�700 OF THE U�BOR CODE.ISHALLFOfiT�NATHCOMPLYMA arrs. ISSUANCE � SMIP � � DATE: APPLICAN � ENERGY P/C J WARNIN(3:fAILURETOSECUREWORKERS'COMPENSA ONCOVERAGEISUNUWM.ANDSHALLBE � SU6IECTAN EMPLOYEH TO CFIMINAI.PENAITIES ANO CNIL FPJES UP TOONE 11UNDRED THOUSAND ENERGY PERMIT DOlUi1S(St m.0oo1.W ADOI710N TO THE COST OF COAIPENSATION.DAMAGES AS PRONDED FOR IN J SECT10N770�OFTNELABOi7000E,N7EREST,ANDATTORNEYSFEES. RETENTIONFEE: ^+ � d �. CONSTRUCTION LENDING AGENGY PRE-ALT FEE: 0 Q IHEREBVAFFIqA1UNDERCENAL7VOFDERIURVTMATTHEREISALONSTRUCTIONLENDIN�AGENCY n- FOR TME CEFFOfiA1ANCE OF TME WORK fOR WH�f]I TMIS FEHAIIT IS ISSt1EO�SEG]OG),CIY.G). Z w � LENDER'SNAIAE � LENDERS/�DHE55 � ICERTIFYTUTIHAVEREADTHISAP7LICATIONANOSTATETlUTTHEABOVEtJFORMAT10NI5LORRFCt TOTAL FEES � �� • � IACREETOCOMPLYN7THALLCT'MIDCOUNIVORDWANCESANDSTATfUWSREUTWCTOBUIL�INC � CONSiRUCTqN.ANDHEREBVAUTHORIZEREPRESENTATNE50FTMISCWNTYTOENTERUPONTHE Z ABOYE•MEHTIONED VROPERTY FOR INSVECTION PURPOSES. COMMENTS � � m �L c � VERMIiTEE NAME�PWHn � � -z-31_�v � SIGNAT OFPERIAITiEE DATE � � RECPT.NO. PAID BY VALIDATION -� WHITE—DepartmentCopy,YELLOW—Finance Copy.PINK—Assessor Copy.GOLDENRO ile Gopy.GREEN—ApD��canYs Copy .., ,. .. � .. _ - _ . ._ ._. , �. . . . . . .. . ,.�ro ,.,.... . . ..� . .. . , . . � . . � . ,... .. .. . . .. . a.�'..i�"�' (?[= :r����QstiF� �2ify� If+"C:��.ti..'i iQi�� RCCvF� � I►r�-'�C,i�;t7r(cl�'I ^�'�'!�-_ _T_.Ii'�-`4 !:�f�; t`�.1w: � 'fi?E-'7:I 's.`-,f!^'I►�t T ez�al'= I��'���=�;!t�� .� . __- . _..--. �_�_.: - . ____ .--_ .:_.._--- ,-_-�...__. ��. �.�__�.__----. ._ _.._ _..____._._. .. ;�`. .__,___ _. ..__---__-___�__�..._�_._..:_:._..__._._�.__ SE7 E3ACK � � I ( FLOOR JOIST I I FTGS/FORMS/STEEL ,�/�, E,.i ,, l �, ; FHA REQMTS � � l-� �y��� ELECTRIC GROUND , ; ' _�_� UND�R FLOOR DUCT � GROUND PLUhABRJG ���(f��r I Ut�1D�R FLOOR CU"�IDUIT � � SLAB GRAQE �' FIREPLACE FOlJNDATIOi`J ! I TEMP POWER I FIREPLACE BOND BEAM WATER SERVICE I I P�ID HT. BOND BEAP�I ROOF SHEL�THING r:�l �D� 8 FT. BOND BEAM FRAMINGNENTILIATION �3�y FINAL BOND BEAh4 ROOF COVER PRE-GRAOIPdG � ROUGH HEATING BENCHING I ROUGH ELECTRIC Z3�z ROUGH GRADING ROUGH PLUPJIBING ��_��–,����� -- I FINISH GRADING SHOWER/TUB TEST / � POOL ELECTRIC ` EXT. LATH/SIDING �Z ��— ' I PO�L FEPdCING _ WALL IPdSULATION � POOL FINAL ` CEILING IN�ULATION � OFF SITE Ih4PS. DRYIP.ALL NAIUNG � DEDICATIONS SEWER FINAL ENG. SEPTIC TANK . LANDSCAPE/IRRIG. SEEP PITlLL. j I ON SITE It�.�PS. GAS AIR TEST ' FINAL ZONIPJG FINAL CONST. Z,d ���, 4 � FlRE DEPT. FINAL FINAL HEATING �� � � � HEALTH DEPT. FINAL FINAL ELECTRiC �/� � � DEV. FEES PAID FINAL PLUMBING � �Z ENERGY `���..-cf.`,�"_a;ia.t+f. ------ _ _ ' - —-- -� - ------ - , � CUPJlMENTS • // - i -�1�%�r ���•�0�—''�:%t���;Yi���5��'��'17_��C���✓'�����s::=���_ —�—�.f-f=7 �� �.� � �-�. � .5��'/�� �''w SEPTIC TANK SIZE SEEP PITIU SIZE ' _.._�_._--�v�---..T.�_._.i i�ti� a;I� � �� �� . �,