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HomeMy WebLinkAbout12049 ��.e �— {�.�.� �.� �� CITY OF DIAMOND BAR ' DEPARTMENT C1F COMMUNTfY&DEVELOPMENT SERVICES 21660 E.Capley Ihive Suite 190 (909)860-3195 Fax(909)661-3117 PRESS �^M'��� BUII.DING PERMTC APPLICATION FIRMLY � AD�DRESS I S�I /��,J� C�'u r + DATE CA170N �3D �UMBER� #� � APN LOT TRACT ISSUE TYPE OCC � � `` �` DATE CONST. GROUP �WNER ADDRESS ZONING SETBACKS CITY � ac ZIP TEL j 'I�i FRONT RW ❑ APPLICANT M TEL _ REAR ❑ SIDUSIQE STREEf RW ❑ CONTRACTOR i SiDE ❑ g ADDRESS ^ PROPOSED USE CITY /7Z�45i� ��u ZIP�� TEL. -Z° d Aa ARCFUENG/ � DESIGNER NO.DWEL. NO. NO. ADDRESS UNtTS STOAIES BEDROOMS CITY ZIP TEL. � DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION � OWNER-BVILDER DECIARATION 6FR/ADD/REM O I/IEIIEBY AFFiYA UNDER VENALTY OF PERIURY TXAT I Nd IXEMPT FROM TME CONiMCTORS LI- GBfBQBIC81pOR CQi5E1AWFORiHEFCLLOYVINOREA90N(SEC.7W7.6BUSINESSNJDPROFESSIONSCOOE:ANYpTYOH (n COIMTYMMK7IREOUIRESAYERMRIOGON5Ti1UGT.ALTERIMPROVE.UEMOUSM,OfIR6PAIPANY87RUG• w PellO/D9Ck 7URE,PRIOR TO tTb 168UANCE.11L50 REW FE8 iHE APPLICAH�i FOR 6UCFf PERMIT TO FILE A 61GNED BTATEYENf THAT HE OR SIiE IS LICENSEO PUfiSUMff TO T11E PPDYISIONS OF TNE OONiMCrOR9 lF CENSE UW ICHAP'IER�(COMMENqNa WITH SECTION 700�)OF�MSION 7 OF TNE BU6MESSlJ7�PFq- � POOVSp9 FESSIONS OODFa 01t 7HIR ME OR SHE IS EXEIAPT TFIEREFROM AND TNE BJISIS iOR�HEALLEUED EXENP• TION.�MlVIOL�TIONOFSECTION7091bBYANYAGPLICANTFORAVERMIT511B1ECTSIHEMVLIGNTTO Z RaRool � ACML/ENAL7YOFNDTMOFlETiUNFNEMUNDREDDOLWiS�tSOD).1. . . . OINSOMMEROFTHEP�PERN,ORMVEAAPLOVEESKIMWAGESA87HEIH80lECOMPEN6ATpN, 0 COffIlIl6fCI81 NRLL 00 THE WOIIK,AND h1E BTRUCTURE l5 NOT INTENDED OH OFFERED WR tJLLE(SEC.MN,BU81• J y NESS NiD iiqFESSIONS CODE:TNE COH�MCTORB UCENSE lAW OOES AqT APPLY TU AN OWHER OF = V110PEHTY NRiD BUlDS OH NAFf10VE'TNEREON,MID WHO OOES SUQ1 WOHK MIMSELF OR HERSELF pp � iNR0U0HiRSa1NEROYMB�APLOYEES,VROVIDEVTHATiUCMNAPROVEMEM3ARENOTM7ENDE�OR m OFFENm FUH B�LE IF.IpWEYEFl7HE BiIILD�NOORNAPFiOVEMINi IS SOLD WITFIIN ONEYFAR Oi QOM%,E• TION.TNE dWNERiU1L�EN N7LL MAYE iHE BUR�EN OF PROVIMO TNAT HE OR SHE DID NOT BUIL�OR MPROVE FOit TiE PURPOSE OF SALE� • . �. W O�ASOMMEROF7HEPROPER7Y,MIE%CLUSNELVODIRMCTINOWfTHLICEN9EDODMRACfORS � TD CON6TpUCT hfE PqQ1ECT(BEC.70{{,BUSINESS AND PFIOFE6310N6 COCE:THE Q�tfrMC70R6 U- �/8111p1{Of1 AQI.AREA CENSE UW OOES NOTAPPLY TOIW OWNER OF A PROPERTY YYFp BUILOS OR IMPqOVES THEREON,NID WipCONfAACT6FOq8UCF7PFOJECTBWITMA00NTRACTOR�3)LICENSEDPURSUANfTQTHECONiRAG• pUANTITY DESCRIPTION FEE � iORSlICE1i5E IAVM.). . , . ..J ❑1 AM EfmdPT UI�DER SEC. B.i P.G FORTHIS HEA50N q U � � WRE ONNER U �` LICENSED CONTRACTORS DECLARATION W ¢ If1EREBYAFFlRMtNDERPENALTYOFVEtiK1RYTWUTAMLICENSEDUNUERPRONSqNbOFC1ipPTER . s Y(CpAYENCW6N11TMSECT10N7aoD)OFDNISIONSaTHEBUSINESSANDPROFES510NSCO0E,AND Z � X MY LICENSE 18 W FIILL FORCE AND EFFECL ���� � m ` 0 LICENSE CUSS �_LIC.NO. jJ . � DATE CONTRACTOR a WORKERS'COMPENSATION DECLARATION �,(,( � � IXEREBYAFFIRNUNDERPENALTYOFPEfLtt1RYONEOFTHEFOLLOWINGCECUM710N6: Z � _IMAVEAl�N'ILLIMMTAINIICEATIFICATEOFOONSENTTOSELF•INSUHEFORNIORKERS' � CdIDEN50.T10N,ASPRDVIDEDBVBECT10Ns7aoOFTHELABORCOOE,FORiHEPERFORMANCE `U OF fl1E WORK FOF WHIC/1 TMIS PERMR B IS6Um. � � �INAVEANOVYiLLMAMTAPIWOFUCEflSCOMPEN5�TI0NINSURANCE,A9qEWIREDBYSEGTION Q s7a00F TNE LA60N COUE.FOR TFIE PERFORMANCE OF THE WORK FOR WHlql iHIS PERMIT IS � ISSUEO.MY �1KE0.S'COMP9JSATIONINSURANCECAARIERMlDPOIICYNUMBERME: CONSTRUCTION � CARRIER � PLAN REVIEW � POLICYNUMBER (' �T��OU ELECTRIC � (MssEOTqNNEmraiBEOG,PIE�EDOFT#FEaMfi'sPoRwEHIMMiE000ti�wsR�ao)of�LEssl PLUMB�NG � Z 1 CERTIFY7NAT N TIE PERFORMANCE OF THE WOi1N GORMMICH THIS PERMIT IS ISSUED,1 MECHANICAL (y'} SF4LLL NOT EMPLOY ANY PEflSON W ANY 4ANNER SO A$TO BECOME 6U&IECT THE � WGRKERS'CdAPENSATION WM9 OF CALIFORNIA,AND AOREE THAT IF 1 S BECOME INSPECTION FEE SUHJECTT07HEYK7RKEfiS'COMPENSATqNiROVI510N50FSECTqN7t THEU80R Oc�ooE ew�u-�L.w{�RrHxnni cauv�r wi rRowso=�� /��,� ISSUANCE � � DR���APPIICANT; T�: �✓�'"r SMIP WAflNING FARUR[TOSECURE WOPKERS'COMPENSATION COVERM7E IS UNIAWFIJL,AND 9HIILLBE ENERGY P/C � BUBJEC7ANEMPLOYER70Ci11NINALPENALTIESANDCMLFINESUPTOONENUNOREOTl10USMID ENERGYPERMIT DOLWiS IS100,OOD).N ADDIiION TOiHE WST OF COMPEN511TIDN.DAMIU3ES l45 PROVUEO FOR IN J SEC710N]7oeOF7NEUIBOACODE.INTEREST.ANDATTOFWEY5FEE5. RETENTIONFEE: �:�'? � _ �gL, CONSTRUCTION LENDINO AGENCY _ o PRE-ALT FEE: � 1 MEREBYAFFlIIM UNDER PENALTYOF PEFUUPY THAT THERE IS A CONSTRUC710N I,ENDW�IU3ENCY '� Z FOR TNE iERFOiWANCE OF 7HE WORK FOF W Wpi THIS VERMIT IS ISSUm(SEC.lOW,CIV.C.). W � IENDER'S W4AE � � � LENOER'SADDRES6 � ICERTIFYTWITIIUVEREADTHISAPPLICATqNM[]STATETUTTHEABOVEINFOHAIAiqNISCbNRECT. TOTAL FEES � � � � � � - 1 A(�REE TO COMVIY WITFi!LLL CRY AND OOUNTY OROINANCES ANO STATE UWS REIJRWG TO BUILDINO CONSTRUCTqAI,AND HEREBYAUTHORRE RF➢RESENTATNES OF THIS OOLINf'/TO ENTER I1PON 7HE , ' �. A80VE-M[IYTIONED PpOPER'fY FOR INSPECTION VURPOSES. COMMENTS � � �'c.11 a rd � � ��11�.�. � PERMI NAME(PRIM'� . � � _i1 �1 �?�'�!�—9� � i1G OF PERMI77EE DATE � r� RECPT.NO. PND BY _ _VILLIDATION� F WHITE-0epartment Copy.YELLOW�Inance Copy,PINK�1laqssa Copy,QOLDENROD--File Copy,GREEN--Applicam's Copy ,. . . :. � �.. .. .. . . .. ..„ ,�..�.,,� .. � . . .. .... ,,,,�� . . �. . ... .. ... .. . , . , e � CITY OF DIAM�3ND BAR INSPECTi01� R�CQt�� � � ' � � � • o - � e � � � ` - SET BAGK • � FLOOR JOIST � � i . ' ' .' ` FTGS/FORMS/STEEL FHA REQMTS - ELECTRIC GROUND UNDER FLUOR DUCT GROUND PLUMBING IJNDER FL�OR CGNDUIT. ' • 5LA6 GRADE FtREPLA�E FOIJNDATION � ' TEMP POWER FIREPLACE�BOND��BEAM � ' -. WATER SERVIGE MID HT. BOND��AM ' ' ROOF SHEATHING S Ff.SOND!BEAM � � � � ��� FRAMINGNEN7ILIATlON FIl�AL BOND BEAM '. ROOF C�VER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUh/1BING i " FINISH GRADING SHOWEFUTUB TEST � POOL E�ECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION � POOL F1NAL CEILING INSULATI�EV OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER. ' �' -� FINAL ENG. SEPTIC TANK ' LANDSCAPElIRRIG. SEEP.PI7/I�.L. ON SITE IMPS. GAS AIR TEST FINAL ZONENG FINAL CONST. FIRE DEPT. FINAL FINAL HEATING � HE/�,LTH DEPT. FINAL FIIVAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY � i .. COMfti'fENTS � ' ' . � � . SEPTIC TANK SIZE �: . SEEP PITJU SIZE � - - —- - ,4 y �. ..... _...._.... ,, . ; . a , - � .,