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HomeMy WebLinkAbout11796 (5) �i,�� y �� ' CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY 8r DEVELOPMENT SERVIC 21650 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 • � .., '. PRE$$ �''��'''' BUQ.DING PERMTr APPLICATION . •�. FIRMLY Q DDR'SS__ �SZ'S /�N� CQ(J�� APPLICATION _ PERMIT P/C o � pATE _NUMBER �I�y� , �' �o � APN LOT TRACT � ISSUE�r� .,TypE � � OWNER 4JQ � � pA� ' CONST. GROUP p ADDRESS ZONING SETBACKS � CITY ZI TEL. �ONT RW ❑ APPiiCANT TEL. REAR � z SIOE/SIQE STREET , RW ❑ � CONTRACTOR @ SIDE � ADDRESS � C�TY 21P TEL. ' PROPOSED USE � � ARCWENG/ DESIGNER NO.DWEL. N�. NO. ADDRESS UNITS STORIES �_BEDROOMS y CITY ZIP TEL. � DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION O OWNER-BUIIDER DF_CLARATtON gFR/AOD/REM Z�j � I NERFBY AFFlqM UNOER PENALTY OF PERRIRY TMAT 1 A►1 pfEMPT FqOM T}IE OONfRACTOqS L4 Gfl�g���h �S CFNSELAYYfOR7NEFOLLqNMapEAgON�gEC.703f.68U51NESSANOPROFESSIONbCODEANYCRYOR (n CCUM►YWMILliRE0U0iESAPERAIRTOODNSTHUCil1LFERIMPROVE,�EMOUSH,ORREPAIRIWYSTRUG W (�8fI0/D9CI( ' 7URE.PiIiOR iC R'8 ISSUMICE.ALSO 1iE0UIREg 7HE MPLICAM FOR SUCH PERMIT TO FILE A$IONED W ' � - � tTATERIENT THAT ME OR SHE IB LICENSED PUIiSUMli 70 T11E PFlOVISION9 OF 7FIE CaNifMCYORS L4 GFNSE U1W(CXAPiER�(CqAMENCING WI1H SECTION 7op0)OF DIVISqN�pF 7MEµJ$INES6 MA iq0� � P001�$(18 � FESSqN500OqORT/UITNEOH871E15D�MPfTFIEREFRQM ANUTHEBASISFORTNEALLEOEDEIfENP• � 110r1.11NYVIOthTqNOFBECTION70Dt.68YANYAPPLICAM'fORAVEAAA1TSl16IECTSTNEAPP�ICANTTp z Re-Raol � � �C1VIL PENALTY OF NDT►IOHE TMMI FNE NLINDNED�OLLAR6(i5o0))� . OL�OMMEROFTHEPROPER7V,ORMYEMVLOVEE8N7l71WA6ES1157HE1RSOLECOMPENSATION, GOTfl16�C181 MIILL DD 7HE YYORIC AND TNE 8'TRUCTUqE IS HOT INfENDED OR OFFERED FOq eALE(6EG�7ou,BU86 � " � NESS AND PAOF6310N5 CODE:THE ODNfMCTORS�ICENSE LAW DOES HOT APPLY TO AN OWNEH pF ? .� , PpOPEiRY NRq BUILDS OR IYPqOYE3 TIEREON,AND NMO ppE6 SUp1 WORK NNASE�F OR NERSELF Ofl � iN(10UOIi N80R/1EH OMM B�IMOYE�,VROYIDW iXAT BUCH NIPROVEM9YT9 ME NO7 NTpVDEO 0R m , OFFEIim PCR&LLE IF,iqWEVER7ME BUlDM00R NiPROVEIABdf IS 601D WIiNIN ONE YEAR OF COMPLE- iION,iNE OWNEW9URDER WILL F4�YE 7HE BURDEN OF PROVWO 7NAT ME OR SHE OID NOT BUI�OR MVNDVE FOR 1HE rURPOSE OF 6ALE1� O 1A90NMEHOFTFIE VROPERII;NI IXQUSIVELYCONTp11CTIN0 NATFI LICEN9EDOONTRACTORS � 1C1 OONSTRIN.`T 7NE PFO.IECT�SEC.70H,9U91NES5 MID PROFESSIONS OODE:THE CONTRACTOq$ll- VHIYiIIOfI qp,�,qqEq CENSE lAW DOES NO7ApPLV M MI OWNER OF APROPER7Y NT70 BURD6 OR MPi10VE9 THEREON,MW NIIiD00NTMCTSFORSUCHVRO.lECTBWITiA00NTMCTOR(B�LICBI9EDGUR9UANT70TNBCON7q�G � QUANTITY DESCRIPTION � ia�s ucase uw.�. FEE O I AM EI�AWT UNDER 8EC. fi i F.C.FOR TNIS NEASON � U(� � DATE OWNER F � U LICENSED CONTRACTORS DECLARATION w � I MEREBYAFFIPoA 1lN�ER PENIILTY OF VENUHY 711l1T I MI IICENS W UNOER PROVISIONS OF CHAPTER � �� S 9(OOMMENCIIq WITI 6ECTqN 7000)OF DMSION 9 OF THE BUSINE53 AND PROFESSqNS CO�E.AND Z X pY t10ENSE IS N FUIL FORCE IND EfFECT. � m lL ���.... LICENSE SS LIC.NO. �J � DA7E CONTRACTOR a WOfiKER3'COMPENSATION DECUIRATON � � I NEREBY AGFpAI UNpER PENALTV Of iE0.N11iY ONE OF THE FOLLOWING DECIAMTqNS: V C/) � _I MAVE AND YVILL MNMAW A CERf\FIGTE OF OON9ENT Tp SELFai�AUHE FOR WORKERS' C0IAPENS�TION,AS PRONDED BY BEC710N 9aD OF TME LABOR COOE.FOq THE PERfORM�NCE U Q OF 71E WORN PoR WHIGI TNIS VERMR IS 189UE0. � �Fy7 �I HAVE MA YNLL MAIMAW WOFiKEH9'COMPENBA7qN INSURANCE,AS REOUIRED BY SEC710N 1 y 3 g�so Q �70o OF 7NE LABOR CODE.FOH TME PERPoRMANCE OF TNE WOHK W R WHICH THIS pEHMR IS ISSUED.MY WURKEHS'OOAIPENSATpN INSURANCE CARRIEF AND POLICY NUMBER AqE CONSTRUCTION �y � CARRIER C�a�4 _ PIAN REVIEW � 4- � I � POLICYNUMBEX — � �7�''� ELECTRIC p f�����T�E�.ETED0�71EPERMfBiOf+a+eN�RE000tllirtSRt�71�LE�1. PLUM8ING LLl � I CERTIFYTHAT NTFIE VERFORYANCE OF 7NE WONK F011MMICH TVIS PERMIT IS ISSUED,1 MECHANICAL SHALL NOT EMPLOY ANV VERSON IN ANY MANNER 50 AS M 6ECOME 9U&IECT TO TNE (n W011KER5'COMPFN9ATIdJLAWSOFCAI.IFOIWIA,ANDAliREETFUITIFISHOULOBECOME INSPECTIONFEE ` SUBJEC7 TO THE WOHKERS'OOMPENSATION PROVISIONS OF SECTqN 870o OP 7HE IABOR � � Sp cooE,�sH�u.r+omr+rnn+caaa�r wrtr�rnose vnovisiows. ISSUANCE a �p— p DA7E: APPLICANT: SMIP 3 � 4.V � WARNINO:FMLURETOBECUREWORKERSOOfAPENSATIONCOVERIWEISUNLAWFUL,AND$IMl,LOE ENERGYP/C - (—y SUBJECTANBAFIOYERTOCHIMINALGENALTIE9NIOCNILFINESUP700NEHUNDREDTFpUeAND ENERGYPEFiM1T � OOLLMS�i10D,000�,NJ Applilpfi TO THE COST OF COMGENSATION,DAMA(lE5 J13 PROVIOEO PoR IN J. SECTpN aloe OF T}7E LABOH OODE,MITEREST,ANO ATTOHNEYB FEES. �'w � �y ! Q w RETENTION FEE: � �t� r� � CONSTRUCTIDN LENDINO AGENCY PRE•ALT FEE: � I HEREBV AFFlRM UNDEN PENqLTY OF PERIURY TNATTHERE I6 ACOMSTRUCTION LENDIq�MlENCY FORTHE PERFORMANCE OF iNE WORK R WHlpi 1FIS PERMI715ISSUEO(SEC.70i7,CIY.CJ. � LETIDER'9 NM1E � ry-,T._•... � LENDER'SADORESS � i cennFr nwr i wwe�o rns�r�riow�wo sr�re rwv n�e�eove wFOFwer�is oorwec�. TOTAL FE ES �Z� � 1� � ��,►�j` � IAOREETOCOMVLYWfTMALLCfTYANDCOUNIYOR0IWWCFSANOBTATELAW3RELATMqTO8U1L01N6 � CONSTRIICfION,AND HER�Y AUTIpR12E REPRESENTATIYES OF THIS COUNN TO EMEH UPON TME ABOVE•MENfIONED VROPEfRY WR SPECTqN iURPOSEB. COMMENTS 9 a�r4-�..o e��i► � o� �w� �S/ y � � lqNA EOF►ERMRTEE , � RECPT.NO. PAID BV Vp,UppTION WHITE—Deperlment Copy,YE1104V—Finence Capy,PINK—Aaeosa Copy,GOLDENROD�—File Copy,GREEN—Applk�nt's Capy , •. . ' ``. �: � CITY O� DIAI�ftOND B1�R . �. . _ lNSPECTION RECUaD . ?-/ , - o r � • s - ■ � � � . � . SET BACK• � 1.,': .1`• �..� '� FLOOR JOIST "_ �... 1:� �:.�` : ._ . . FTGSlFORMS/STEEL � ' �� `,� . .: FHA REQMTS ' � ' _ _ ELECTRIC GROUND �' UNDER FLOOR DU(yT '-- � ,. , .,.. •+. . GROUND PLUMBlNG � �p . ' UNDER FLOOR CC(hl'4UlT; `. , ..V.. ..��.- " SLAB GRADE Z� � FIREPLA�E��UPJD TIQN � .t ` •!: �'. , .s:, ,-.��,: ;-;:."'; . TEMP POWER FIREPLRCE 6�ND BEAM � WATER SERVICE d MID HT. BOND BEAM ' , •• -, '' ROOF SHEATHING f - � 8 Ff. BOND BEAM FRAMINGNENTILIATION z � FINAL BOND BEAM ROOF COVER C, � i PRE-GRADING RDUGH HEATING L 2 P � BENCHING ROUGN ELECTRIC , , ROUGH GRA�ING ROUGH Pl_UMBING � ' : ':� •:;.r FINISH GRADING SHi7WERlTUB TEST t a. PdOL ELECTRIC EXT.iATHlSIOING z � - POOL FENCING � WALL INSULATION POOL FINAL CEILIiVG INSULATION j OFF SITE IMPS. • ' ; DAYWALL NAILING � DEDICATIONS SEWER .. FINAL ENG. SEPTICTANK .:, �,, ,- .� �._ �ANDSCAPE/IRRIG. SEEP PIT/L..L. - i � ' "" � " �� ON 517E IMPS. GAS AtR TEST � FINAL Z�NfNG FINAL CONS7. s �1RE QEPT.FINAL � ` FINAL HEATING HEALTH dEPT. FINAL FINAL ELEC7RIC DEV. FEES PRID FINAL PLUi�1BING 3 � i ENERGY � r.`�0.12- i!n/z ➢ - ` - i � � � ��' � NF�"' . ,� � F � •i�� ;� �'.w .l�—. ., _ "..i ..+o .�,.',�, � _ . .j -`- ie CON{MENTS _ . ..� �� � t� , `�" _ _" — — . � , , � �::, .. ,�,�- �. •�; - - SEPT'1��°A$'JK SlZE SEEP PtTN SIZE.____n, a , . .... . + .►' �, � � �z ,_... - .. � ; � , „ � .'1� ;t • '4 „ . �:.,,�, . ,� :� .� �� ' �� ; .:l� ° 1' �/ i�'+ '� 1 ' ,�i,� � _,: ��(;/,.. .. ....... �� 'T_;� � �i1� - _�.