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HomeMy WebLinkAbout17763 (447) I �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21825 E.Copley Drive "� (909)860-3195 Fax(909)861-3117 �RESS �`���� BUIGDING PER�11T APPLICATION FIRMLY Q ADD ESS 2-�' 1 n�Q�� , � {�'�� APPLICATION� � z OZ PERMIT ( -�7 P/C p �.� DATE NUMBER � p � APN LOT^T� TRAC �7 SQ D TEE � 2 �� ONST. GROUP p OWNE�Q►MM�! l�Mlr � C ADDRE � D �fINL�s 4�- ZONING SETBACKS � CITY � ZIPqC�3 TEL3lD' �/t�5'�'/�JD FRONT RW ❑ S APPLICANT TEL. REAR p SIDFISIDE STREET RW ❑ � CONTRACTOR �- G _ SIDE p o ADDR�S �2-� <<�C PROPOSED USE o CfTY nt.� a+1nT ZIP�l773 TEL.2l0^Yo39 wo ARCH/ENG/ ���I� � A5� C . � DESIGNER � NO.DWEL. NO. NO. ADDRESS d +; « �- UNITS STORIES BEDROOMS � CITY,�iZ A{C� ZIP�L�SD`3 TEL.��3l`tC7 N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFRIADDIREM rj O [] I HEREBV AFFlRAI UNDER PENALTY OF VE0.NRY THAT 1 AA1 E%EAIPT FROM TNE CONTRACTORS L4 � Garage7CarpoR O� W �CENSEUWFORiHEFOLL0IMNOREA50N(SEC.70.11.SBUSINESSAN07ROFESSIONSCODE:AN'/CRYOR U COUNryWFIICHREOUIRESACERMiTTOCONSTHUCT,�LTE0.1M7ROVE,DEAlOt15N.ORREDAIRANYSTRUG W p21i0/DBCk � 7URE,PRIOR TO RS ISSUANCE,ALSO PEOUIRES TNE MPLICMIT FOfl SUp1 PERMIY TO FILE A SIGNED w � STATE4ENT THAT NE OR SHE IS LICENSED WRSUANT TO iNE PROViS10NS OF TME CON7MMONS LI- � CENSEUW(LHMTERY(CAMMENCINOWITMSECTION7W0)OFDIYIS�ON70FTHEBUSINESSANDPFiO u- PooUSpa FESSIONSCOOE)OR7T/ATHEORSHEISEXEMPTTNEREFROMµOT11EBASISFORTHEAUE0E0EXEMP- (� V 7qN.M1YVIOLATIONOFSECTION7071.68YANYAGPLIGANTFORAPERMIT5U8JELTSTMEAGPLICANTN z Re-Rool r A CML VENALN OF NOT MORE THAN FNE HUNDRED DOLURS(isoo).y. 0 ❑I,ASOVMEROFTHEPHOPERiY,OFMYEMPLOYEESWITMWAGE5A57HEIq50LECOMVENSATION, 0 COf11fI1BfCI8I ' z 1MU 00 ME WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7N�,BUSb J NESSAND DROFESSIdJS COOE:THE CONTMCTORS LICENSE lAW DOES NOT APPIV TO AN OY/NEP OF � PpOiERTYVAIOBVRD50RIMVflOVE3THEREDN,ANDNMODOESSUCMWORKHIAISELFORHERSELFOR = � 7HROUCHMISORHEROWNEMVLOYEES,OROVIDEOTNATSUCNtlAPROVEIAENTSARENOTWTENDE00R CI� QOfFEflEDFOHSALE�F,HO�YEVEi�iT1EBUlDINGORIMPROVEMENTI350LDW17MNONEYEAROFCpMOIE� Z TION,THE OWNERbNLDER WiLL/UVE TME BURDEN OF PqOVwO iHAT HE OH SME Oi0 Api BUILO OR � pAPROVEFORiHEWRPO5EOF5ALE1 W OI.ASOWNEROFTMEPROPERTY,M�EXCLUSNELYCONTMCTWQN7THUCENSEDCONTMCTORS (L TO CONSTRUCT 7TfE VflQ7ECT(SEC.70N.BUSINESS AND PROFESSIONS CODE:TME CONTRACTORS ll• V2II181I011 ADJ.AREA LLJ CENSEUWDOESNOTMPIVTOANOWNEROFAVROVERTVWNOBULDSORIAIPROVE57NERECN,AND � YlIACON�MCTSfORSUCHPRQIECTSWITTIACONTMCTOR(S�LICENSEDPURSVl1NTTOTNECONTMG QUANTITY DESCRIPTION FEE Y TORSLICENSEUW). � O�AM EXEMPTUNDER SEC. B.i P.C.FOR THIS REASON � �� 1 GR� � 2 1 � �„ i ZDATE OWNER w •J„[�O S �j, � UCENSED CONTRACTORS OECUIRATION w �CLG �G �V E.v� � IHEREBYAFFIfiMUNOEHGENALTYOFVERJUHYTMA7UMLICENSEDUNDERVROV151JN50FCMAPTER J p. 9(COAAMENCW6WITHSECTION7000�OFDIVISION]OFTHEBUSINESS�NOVROFESSIONSCODE,AND Z L X MYIICEN5EI51NFULLFORCEIINDEFFECL m � UCENSE CLAS ���O UC.NO. • •��Z� j V DATE�OZ CONTRACTOR ��� RC' � a W . � WORKERS'COMPENSATION DECIARATION � a . • . N IHEREBVIIFFIRAllINOENPEN�LTYDFPERIURYONEOFTHEfOLLON^NGDECLARATIONS: U - - . � Z O �IHAVEANDWILLHAINTAINACERTIFICATEOFCONSENTTOSELF.INSUREGORWDRKE0.S' � � Q01.1PENSATIDN.ASPROVIDEUBYSECTION17o00FTMELABOflCOOE.FORiMEPERFORMANCE W OFTME WORN FOR WHICH iHIS PEHMIT IS�SSUED. � � Q W � I HAVE AND WILL MAINTAIN WORKERS'COMPENSATION INSURANCE,�5 REWIREO BY SELipN Q J7ooOFTHEUBORCOOE,FORTHEPEFFORMANCEOFiHEwORKFORWHiCHT1115PERMITIS 0 ISSUED,MVY✓OR{KE 5C0 PENSATION SURANCE AHRiERANODOtICYM1MBEHAHE: CONSTRUCTION y G,qqiEp J�� �✓� PLAN REVIEW b POLICYNt1MBER '1-'Z-`�-02 Of 3 ID� � ELECTRIC ,_, � _ 4 (hEssECIaNNEmNoiB[OOI+IPLE7EDOFhEiEaMtISWRaJE�DDaW�sKtm)OrilEss} PWM8ING G ' Z 1 GERTIFY TMAT IN iHE FENFORAMNCE OF 7HE WONK FOR WHlpl TMIS PERMIT 6 i55UE0,I MECHANICAL (,�} SNALL NOT EMPLOV ANY PERSON IN ANY MANNER SOI15 T08EC01AE SU&IECY TO THE y WORKEFSCOMPENSATpNIAwSOFCALIFORNI0.�N��GREETHATIFI5MIXILDBECOME INSPECTIONFEE S SUBJECTTOTHEWORKERS'C01.�PENSATqNPRON5qN50FSECTION77000FTMEUBOH . CODE,I SHALL FORTMWIiH COIAP�Y WITH THOSE PROVISIONS. �SSUANCE G„ � � SMIP ' p DATE: APPLICANT: w ENERGY P1C WARNRM:FALURE TO 3ECURE WORKERS'COMPENSATqN COVEMGE IS UNUWFUL.AND SHALL BE �y SUBJECTANEMPLOVERTOCRIMINALVENALTIES�NDpVILi1NESl1PTOdJEiNNDRE071qU5AND ENERGYPERMIT OOLURS(f t00,000�.Ri II�DITIOq TO THE COST OF COIAPENSATION,DAMACES�5 VRONiOED FOR IN � 6ECTION�70lOFTNEUBORCOOE,INTEREST,ANDA7TORNEY'SFEES. RETENTIONFEE: � ' a CONSTRUCTIONLENDINGAGENCY PRE•ALTFEE: CG IHEREBVAFFlqMUNDERVENAITYOFVE0.IURYTHATTMEREISACONSTRUCTIONIENDINGAGENCY dZ FORTHEPERFORMMJCEOFTME�NORNFORWMICNTNISPERM1715155UED(SEC.7ov],CIV.C.�. Ll7 � LENDER'S W1ME � LENOEHS�DDRESS � ICERTIFYTMATINAVEREADTMISAPPULATIONANDSTATETHAYTHEABOYEWFO(iMATIONISCORRECT. TOTAL FEES � � IAGREETOCOMPLYWITHALLCITPANDGOUNTYORDINANCESANDSTATEUWSREUTiNOTOBVI�pINO � �� CANSTRVCTION,ANDNEREBVAUTHORREREPRESENTATNESOFTHISCOUNNTOENTERUPONTNE ��0. '� Z ABOVE#IENTIONEDiROVERTYFORINSPECTqNVVRPO5E5. COMMENTS '��, � CI bV1.�-S L 1 � U � m a PERAIRTEF N �(PRIM) � /y �y I � � � L �ry SIGN E VEFIAUTTEE DAT � RECPT.KO.� _PAID BY VALI�ATION WHITE—Department CopY•YELLOW—Finance Copy,PINK—Assessa Copy,GOLDENRO ile Copy,GREEN--Applicanfs Copy . .. . . .. �,., . .... . ..,��... 1'� '�.f: .��.., .. . ..., :�.;.'.:^�. ...�..,..�.._•.p' .�x��..�- � ��,. .. . �.:y.. . .. 1: . '�� . 'rl� . - ... . , ,,. �.... ... . . ... . ... ..... ... ... . ci-i-�• �� c���ar���r�� ���� �r�s�=�c 5�ar���������� ___.._ �.�...---___. __ �.___.�_ _� . 9�' • �c�I�I�J►b �)�k�� I��F'1 I��.�1R�a-� �►��t�� ��.�.(^'l�i e���r:, 'I►��.ia:c�t'o �� I ,I�k-��_. ._�� �: ..----___._--__._�_ .._. . _.._� ._ . ._.._.... .... . - . ... .. __ �:___-___...� �_______ . � ___ .__ _ �..____..._ SET BACK � � � FLOOR JOIST_. � . ._.__...__ l --- FTGS/FORMS,'STEEL `^� I FNA REQ"�1T5 , ., • � ELECTRIC GflOUND_ � ^�� UNDER FLQOR DUCT - �i_ I GRDUNQ PLUMBING I i UNDER FLOOR CO�IDUIT ' ' SLAB GRADE I FIREPLACE FOUNDATION ( I 7EPAP POWER ; FIREPLACE BOPdD BEAM I WATER SERVICE _l � PAID HT. BOND BEAM ROOF SHEATHING � I d�. BONO BCA",A �� FRAMINGNENTILIATION I FIN, LA B NO D BEAP,� flOOF COVEF I PRE-GRADING - � • ROUGH HEATING ^ BENCHING�'' �'� - ROUGH ELECTRIC ROUGH GRADING ROUGH PLU�JBING � FIPJISH GRADING SHOV'JER�fU3 TEST POOL�LECTRIC EXT. LATH/SIDING � i POOL FENCING WALL INSULATION � POOL FINAL � CEILING INSULATION OFF SITE IMPS. DpYWALL NAILING �EDICATIOfJS S�WER FINAL EtJG. SEPTIC TANK L.ANDSCAPElIRRIG. j SEEP PIT/L.L. ' ON SITE IN�PS. GAS AIR TEST FINAL ZOPJING FINAL CONSL � !•. rlRE DEPT. FIPJAL FIPJAL HEATING HEALTh{DEPT. FINAL FINAL ELECTRIC � .������ �� ' DEV. FEES PAID FINAL PLUMBING ^ ENERGY 7� �.�- F_ �,.tE C�;:'..l:l�t:•: ! . �.-:.---.�.,.1_�:�_ ,'_i-S-----�__. _." S- �D L �J COTJ'►MENTS fG�aZLO_c�" �G��'�1`'` �G'�'i� _ .ifJ'� SEPTIC TANK SIZE SEEP PIT/U SIZE I��____�___.____� i II`�i� _`,' Tj � I � ; � � , � ., . . . , ` i ' �, �