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HomeMy WebLinkAboutNo Permit Number (11) �� CITY OF DIAMOND BAR �'�a� �—� DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICE .�. 216b0 E.Copley Drive 5uitc i90 � (909)86a3193 Fax(909)861-3117 PRESS �'�"�� BUQ.DING PERMIT APPLICATION FIRMLY y J08SITE APPLICATI�N f (� r a ERMff ��1 P/C o ADDRESS DATE ��� • NUMBER� L� p � APN LOT 7� ISSUE 'rypE � QATE CONST. GROUP g OWNE� p ADDR S ZONING SETBACKS 7 FRONT S CITY ZIP TEL. REAR RW � a APPLICANT � SIDEISIDE STREET RW O � CONTRA R SIDE � ADD S ' — � CITY Z TEL. PROPOSED USE � ARCH/ENGI DESIGNER NO.�WEL. Nd. NO. ADDRESS STORIES BEDROOMS � CITY ZIP TEL. UNITS � DESCRIPTION 5Q.FT. FACTOR PSF AW.AREANALUATION � 04VNER-BUILDER DECLApATION 6FR/ADD/REM O i�nmr�cFlroa ur+oEA v�tr oF verwar nur i un oc�vr caou n�e oouirancroas u. GarageACaryort CENSE IJIW FOR 7ME FOLLOW WO REAAON(SEC.7077.6 BUSINESS/ND OpOFE551pNg COpE:ANY GTY OR COUMYWHICNREGUIRESAPERMIT7000NSTIIUCT.lLLTERNdPROVE.DEMplISH,ORNEPAti1ANYSTHUC• .� P8tf0/D9dC fURE,PRIOR TO R8 IS8U0.4CE,ALSO REOUIRES 7HE APPLM.AM PoR 9UCH PERMIT TO FILE A BiGNE� BTATEMENT TiAT HE OR 8HE IS IJC@ISE�PURSUANi TO THE PROV1810M5 OF TNE WI�RRpCTORS LI- CENSE lAW(GMAPiER i(COMMENCINO MA7M SECTION 7000�Oi DIVISION 8 OF 7FIE BUSINE55 AMJ PRO• � PaoVSpa FES9pNS00DE)ORTIATNEORSNEISEXEMVT7}IEREFROMANDTHEBASISfOHTHEALLEQEDE%EMP• (� TION.ANYVIOLATIDNOFSECTION7W1.6BYMIYAPVLICANTFORAPERMITSUBIECTSiHEMPLICAN7T0 � Re_q� � RCML PENALTY OF NOT MORE TiMI FNE XUNDpEO OOLLARS pSmJ.)� ❑1A50NMEROFTMEPROPEH7Y,ORMYEMOLOYEESWITFIWA0ESA4THEIRSOLECOMPEN9ATION, COf11111BfC181 MIILL DO TME NfOXK,AND iHE SIAUCTURE IS NOT INTENOED OF OFFERED FOq SALE(SEC.7oM,Bt151• Q � NESfi 11ND�iqFESSqN6 COpE:7HE CONTFUC70R9 UCENSE lAW DOES 1�IOT AiPLY 70 AN OriNEN OF .,^� PIqPEiCiY NIFfO8U0.D3 di�11PROVE8 T1IEREON,AND WHO DOES BUCH WOqKMIMSELF OR MERSELF Oq � iH110UGH/WS Op MEP OVM 6JPLOYEES,PROVIDE�THAT BUCH IMPROYEMENTS ME NO7 MTENDEO OR m � .OFFEf1EDf9t15ALEIFlqYYEVER,7NEBULDINOORIMPROVEMEHfISSOIDWITNINONEYFAFOFCqiAPIE- TION,TlIE OWNEXSUIIDER 1MILL HAVE TNE 811RUEN�OF PROVINO THAT HE OR 6HE UID NOT BUIL�OR wIPAOVE�O(17HE PURPOSE OF SALEI. � �4ASOWNEROFTNEPROVEiRY.ANEXCLUSNELYOONTMCTNGNTM1ILICENSEDCONfRACTD1i5 TO OON57RUCT 1ME iAQ1ECT(SEC.fOM,BUSINESS AND PROFESSIqJg OOpE:TIIE CON7MCTOR6 LI- VdIUe110r1 ADJ.AREA CENSE LAW ODE9 NOTAPGLY TO 1W qMJER OF A PROPERTV WFA BUMD6 DR IMPAOVES THEREON,AND WVqODHIT1ACTSFORBUCHPAQIECT9WfTHACONfRACTOR(S)IICEN9EDPURSUAMTO�FIE00NTMG QUANTITY DESCRIPTION � masuc�+sEuw.�. FEE O I AM IXEMPT UNDEH SEC. B.t P.C.FOR TMIS REASON � U " LL, C � � o�� owr+eR A � LICENSED CONTRACTORS DECUIHATION � �L � I NEREBYAFFlRM UNOER PENALTY OF PEfiWRY 7MAT 1J1M LICENSED UNDER PHOVISIONS OF CHAPTEq � � t(00MtAENCING W1TH 9ECTqN 700D)OF�MSION 30F THE BUSINESS ANO PROFESSIONS OOOE,M1D Z �� YY LICENSE IS Ml FULL E�ANO EFFECT. m 0 UCENSE LIC.NO. � ..� � DATE � - CONTMCTOR � � = WOFiKER3'COMPENSATION DECLARATION � � 1 MEREBYAFFliUA UNDER PENAITV OF PE0.IURY ONEOFhIE WLLAWINO DECIARATqN& Z � ��WNEMIDWILLMAINTNNACEHi1FICATEOFCONSEI'RTOSEIFdNSUREFOflWORKERS' Q2 OOFIPENSATpN,A3VROVIDE�8Y3�'f10NI7000FTNElABORCODE,FORTHEPERPoRAWICE C7 OF 1HE WORK FOR WHICH THIS GEHAIR IS 16511EO. � � �I HAVE/ND WILLMAMTNN WORKERS OOAAPENSATIOH INSURANGE,AS REQUIRED BY SECTION e'7on OF T1E U1BOR GO�E,fOR 711E PERFORMANCE OF iME WONK FOH NRIICH h113 VERMIT IS ISSUm.MYNqRKER�OEN3A7pN IN9URAN ' J�p AND iOLICY NUMBER ME: CONSTRUCTION � CAHRIER �� � /►1�1 PLAN R VIEW � POLICY MIMBER C� � ' 1 LECTRIC 0 (MBSEc110NNFIDNo'ieEaaAPLEiIDaFiIfPERNfswaaHeH.R�REOWt�ws�T�m�aRtESSI BING W Z I CERTIFV TNAT W TFIE VERFORMANCE OF hIE WOHK FOR WHlpi TNIS PERMR IS ISSUE�,1 MECHANICAL � (� SHALL NOT EMPLOY ANY PERSON N ANY MANNER SO AS TO BECOME SUBJECT 70 iHE ��� (q MlORKERS'COMPENS�TION LAWS OF GLLIFORNIA,ANDAOREE THAi IF I SFbULD BECOME INSP N FEE ' � BUBIECTTOIHEWORKEflS'CdAPENSATqNPROVISIOHSOFSECTWN97a00FTHElABOR ��„ E,18NAL1 Ti f:OMPIV WIT1 THOSE PROVISIONS. SUAN •S� ' 'tiL7-- � �ATE: `� �' APPLICAN[�j�r ��I� SMIP _�9 T 1�� WARNIN6:FMLURE TO SECIIRE YNDRKERS'COMPENSATION COVEMOE IS UNUVhUL,ANU SHALL BE ENERGY P!C �y 6UBJECTANEMPLOYERTOCRtYINALPENALTIESANDCIYIIFINESUPTOONEMUNDREDTYKKISPND �ERGYPERMIT �Y�T.'T�A1�I(n7rr}7n � OOlLAR9 f�10D�00D).M�ADUITION TO 7HE COST OF COMPEN9ATpN,�AMAOES A8 PRDYIOEO FOR IN y�rj.t��.�r��T � SECTION9�o90FTHElABqICODE,RI7ERE5T,ANDATfORNEYSFEES. qE7'ENTIONFEE: B��AY[�Tt,��j'1TT C�j�,A�I�r 4 CONSTRUCTION LENDING AGENCY pRE•ALT FEE: 1 � I HEREBY AFFIRM UNOER PENALT/OF PERNRY TMAT THERE IS ACON5TpUCTION LENOINO AOENCY FOR 7}IE PERFORMANCE OF 7HE WOAK WR WHIq17H15 PERMIT IS ISSUED�SEC.]OW,CIV.C.). � � LENGEF5NMIE � LENDER'311DDRE53 � I CERTIFY THAT 1 HAVE HEAD T113 MPLIGATION AN�STATE iHAT 7XE�60VE INFOfiMATION IS WRRECL TOTAL FE ES � IA[iflEETOCOMPLYWIh1AL�CRYANDCOUNTYOR�WANCE3�IMOSTATEUWSREUTINGTpBURDINO � CONR7RUCilON,ANDHENEBYAUT1qRQEREPRESENTATIVE50FTHISWUNfYTDENiEHUPONiME '���� ABOVHAENT_qN�PNOPEHTV FOR INSPECTION PUFPOSES. COMMENTS Q � 7 � � m a Q � _{+�l/� l7/I ti . f__ _/__- . � BWNATURE TTEE pA7E q'� � RECPI:NO._, PAID BY ` '� �3 Yq��ppTON � WMI7E-0epanment Copy,YELLOW—Finance Copy,PINN—#ssessor Copy,GOLOENRO�Ie Copy,GREEN—ApplicanYs Capy ' CITY aF Dlkl"�AOND B�R INSPECTION RECt�RD ' . S t ` � � ^ . r � • � r SET BACK FLOOR J015T---� _ ., , ., ' • FTGS/FORMS/STEEL FHA REQMTS; _ ELECTRIC GROUND UNDER FLOOFi�DUCT ' ,— . ; _ • ' GROUN�PI.UMBING � UNDER �_��pi�con�ot��T:-:-.;'_ ' _ SLAB GRADE J FIREpLAEE'FOIdNDATlON -; -�..�' ,�_ � '- • - -- TEMP POWER FIREPLACE BOND BEAM - WATER SERVICE _. MID HT.BO�dD BEAM'� ' �_--.: - �1 .— •''°, -,- ` — � . � . ' � - - - ,....- --.'. , . . ..'. . . ROOF SHEATHING-�''. � -_ - . _ . 8 FT.BOND_B_EANI_'__� � FRAMlNGNE1VTILIATION FINAI BOND BEAM i ___ ROOF COVER PRE-GRADING ! ROUGH HEATfNG BENCHING ROUGH ELECTRIC � Z ROUGH GRADlNG ROUGH PLUMBIt�fG �. FIfVISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT. LATH/SIDING j POOL FENCING WAI.L INSULATION � PC10L FINAL CEII.ING INSULATION I OFF SITE IMPS. DRYWALL IVAILING � � DEDICATIONS SEWER. � , F(NAL ENC. I SEPTIC TANK I LANDSCAPEl1RRIG. _ SEEP PIT/1..L: � ON SITE IMPS. GAS AER T�ST - j� FINAL ZONING i _ �FfNAL CONS�. � - - � ��-� • ' • • • - FIRE DEPT. FINAL I �_ • j HEALTH DEPT. FINAL ; FINAL�HE�'�T1NG _ __ .:'. _.._ . . .. �, I ; , F1NAL'ELECTRIC ' �L , ��I�� ';�DEV. FEES PAID � � _ F�NAL PLUMBING I � � ENERGY j ` �) �+�" � +i --_r� '-- COMMENTS . — , , --- ------ ------ - - - � • - - -; - -- . M • . ► ^ - -+. , . � _ �_. � . .�_� . � . . � . � SEPTiC TANK S .�' ! , ; .r� s: - — -- .w� •-�•�7r- rj1 Jq: SEEP PIT/U SIZE ', "��'��"" �� — -- . . _. _ . . _ _ ..� � . ... .. V ��