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HomeMy WebLinkAbout15244 ' �� � J� CITY OF DIAMOND BAR i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES > 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS '������ BUQ.DING PERMiT APPLICATION FIRMLY � JOBSfTE 1 r-�1 APPLICATI�W�, PERMff �] P/C o ADDRESS 1 2-I I �Lay �C{Z.1'Y� DATE r����V`� NUMBER P" x � ISSUE � 1 r/17 TYPE OCC APN LOT TRACZ DATE ' � l/�� CONST. GROUP � OWNER �'Yl �'V1 [�{1A L.1�� ADDRESS Z ZONING SETBACKS w Cfn, Z�P .fEL FRONT RW ❑ � APPUCAtJT c 1�►'1-1 ��p�f7� TEL L�a-4'��� SID SIDE STREEi RW O � CONTRACTOR SIDE ❑ ADDRESS�_Q_SAIP T�'� �� ' PROPOSEDUSE =1.�5•T/T-II Z� C/�L� ^R'PP�J1�e � CITY n- 1�^n. ZIP�� TE�. � -43u�� �,r��,�-,�.��,�� li��.ZTi Pu ARCH/ENG/ �_! ' DESIGNER NO.DWEL. NO. NO. = CDDRESS Z�P TEL UNITS � STORIES ��L BEDROOMS� � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNEF-BUILDER DECLARATION SFWADD/AEM O 8 1HEREBYAFFl(MUNDERPENALNOFPERIURYTHATIAMD(EMPTFROMTHECONfMCTORSII• Gaf8fl01CafpOn CENSEUWFORiMEFOl10WiNOHEASON(SEC.70.71.68USINESSIWOPf10FE55qN5CODE:ANYCITYOR (n �y COUHT'fWF11pIRE0UIRE5AGERMRTOCONS7RUCi,ILLTEfLtYiROVE,DEMOL15TlORREPNRANYSTRUG W pa��a/pedc � 6 NRE.PRqfi TO RS ISSUANCE.A150 REWIHES THE MPLICANT iOR SUpf PERMR TO i0.E A SIGNED W � ETA7EMENT THAT HE OR SHE IS LICENSED VURSUANT TO iHE PROVISIONS OF THE CONTMCTORS lM � � CENSE UW(C/UPTER Y(�MMENdNd MnTH SECT70N 7000l OFDMSION 7 OF THE BUSMESS AN�PRO- LL PooVSpa FESSqNS COD�OR THAT HE OR SHE IS IXEMVTTNEREiRdA AND THE 6ASIS GOR THE ALLEOED El(EMP• 7pN,/WyyqLATqNpFSECTI0NTW1.68YANYMPIM./�NTFORAPERMRSU&lECTSiHEAPPLICANTTO Z Re-Rool � ACML 7ENALTY OF NOT MOf1E TT1AN FNE HUNDRED DOl1AR5({500�.): p ❑L���EROFTHEVROPEHTY,ORMVEAIPLOYEESWIMWAGESASiHEIR50lECOMPENSATqN, � CORIfI1BfCWl � ' � WILL DO THE WOitlC,�ND TME STRUCTURE IS NO7INTEIAED OH OFiERED FOR S�LE(SEG 7oN,BUSI- J NE53 AW PROFESSIONS CODE iHE WHTiL1CTORS IICENSE LAW DOES NOT MPLY 70 AN OWNER OF N GRDPERTYWF1OBUlDSORMVROVFSTHEREON.ANDVhI000E55UCHWOFiK/pYSELFORHEqSELFOR = � THq0U0NNI50RHERONMEu7LOVEES.CROVIDEDTHATSUUIMVROVEIAENTSAREHOTIIJTENDEDOR m OFFEAED FOR SALE.G,FIOWEYER TME BULDINO OR IMPROVEMEHT IS SOLD WRMN ONE VEAR O�COA1cLE• TIDN,THE OWNER$URDER YALL HAVE THE BURDEN OF PRONN6 1HAT HE OR SHE D�D NO7 BUILD OR � MifqYEFORTFIEGVRPOSEOFSKE} � ❑4ti70WNEHOfTMEYROPERf1:�UAE%CLUSNELYLONTMCi1NO1MTHUCEN9EDCONTMCTOR� 70 CONSTRUGT THE PF10.IECT(SEG.7DN,BUS�NE55 ANO PROFESSIONS COO[:7ME GONTMCTORS U• V8IU0U0l1 ADJ.AREA CENSE UW DOES NQTMPLY TOAN OYMER OF A YROPERTY M'Fi0 BU4DS OR MPROY[S h1CR[ON,�NO � NRqCONfMCTSiOqSUQ1iRQ1ECT5W11HACONTRACTOR(5)LICENSEDVURSUAt1TTO1HECONTMG QUANTfTY DESCRIPTION FEE � 70(iSUCENSEUW.). jy.� OIAAIIXEAIPTUNDERSEG B.LP.GFORTHISREASON Q C. (It��� f 1 ( 3 � 1 �- �,TE OWNER � a � J UCENSED CONTRACTORS DECLARATION W � 1 HEREBV AFFIMI U4DER PENALTV OF VERJURV iNAT IMA LICENSEO UNDER GRONSIONS OF CHAFTER �r (� •(COAN.IENCIN0IMTNSECTION7o0�)Of�MSqN]OFTNEBUSINESSANDPPAFESS�ONSCOOE,AND Z X YYLICENSEISWFVLLFO EANDEFFECT. ��. UCENSE CUSS B LIC.NO. g I ��r� � � t� DATE �'�I LI^� CONTMCTOR - lZJ � WORKERS'COMPENSATION DE ATION /� � IHEREBYAFFlRMUNOERPENALTYOFiERNRYONEOFTHE ILON^NGDE � 'J � , N O �IHAVEANDWILLMAMUNACENTIFICATEOFCONSE SELf-INSUREFORWORKERS'I � � � CGA/PENS+ITION,ASPfiOVIDEDBYSECTION77ooOFT1E E,FORiHEPERFORM Cf U OF TME MlORK FOR 1'MIRI TNiS VEf W IT IS ISSt/E0. O _I II�VE AND W iLL 411MAIN WORKER:COMPENSATION INSU{LW CE.AS REWIRED BY SEC Q 57ooOFTHELA80RCO0E,FaiTHEPERFORMANCEOc7HEWORKiORWHIp1TH15VER 'S {SSUED.IAYN'OR7CER5'CO►/PENSl1TIONINSUMNCECARfUER/WDVOLICYNUNBERARE: CONSTRUCTION � uRwEn �Lc�]C.y�� V iJ y __ PLAN REVIEW J � P0.1CYM1MBER' �" y'?ZT�T> ELECTRIC • � (IVi55ECIX7N�E�NJTBEOD1.�iFTmOFT1£PEh.�fSid10N[Fl1K7RFDDalA7LSRtODJORLE55� PLUMBING ��� w MECHANICAL Z I CEA7IFY TW1T INTHE PERFORAIANCE Of TME WONC FOH WHIGH THiS iERMIT IS ISSUEO,I (�} SNAL�NOiEMPLOYANYVER50NINM71'MANNER5011470BECOMESUBJECTTOTHE 1MDHKERS'COMPENSATIONUWSOFCALIFORNItiAND�GREETIATIFI5HIXILOBECAME INSPECTIONFEE �(�(� S SU6JECTTOTHEWORI(ERS'CdAPENSATIONVROV�SIONSOFSECTI0NJ70o0 TN R ISSUANCE 111L 1��/1111a COOE.1 SHNl FOR71Mn7H COMPLV YATH E L,�+.. o � u SM�P �� '7-J 1-t� p DATE: APPLICANT: � � � WARNING FALURE TO SECURE WORKERS'COMPENSATION COVEMGE IS UNLAWFUL./ND SNA11 BE ENERC 4�`q'g'Y OF SUB.IEGTANEMPIOYEFTOCRIMINALVENAITIESANDdVILFM1ESl1PTOONEHUNDREDTHOUSANO ENERG�I49R1�IID� '��ND pOUMS(f 100,000�,W ADDiTION TO 1HE COST OF COMVENSATION.DAUAGES AS PROVIOED FOR IN u 1 � SECTIONYIDeOFTMElA80RCO�E,INTEREST,AN�ATTORNEYSFEES. RETENTIONFEE: d CONSTRUCTION LENDING AGENCY PFE•ALT FEE: O � 1 NEREBYAFFIR4 UFDER PENALTY OF FERNRV THAT THEPE IS ACONSTPUCTION IENDWG AGENCY FOR THE PERFORMANCE OF 7HE WORN FOR WH1CH 1HI5 PEfUAR IS ISSUED(SEC.7oaf,CN.G). � LENDER'S W.ME J1 ��.���Q� . . � lENOER'SADDRE55 wICERi1FYTHATIFUVEREADTII�SMPLMATIONANOSTATETH1lTTXEABOVENFORIAATIONISWRRECT. TOTAL FEES f O � IAGHEETOCOMPLYN7THALLCIiYANDCWNTYORDININCfSANDSTATEUWSRfU11NOTOBUILDING . CONSTRUCTION./�ND MEHEBYAUTHORIZE REORESEMATNES OF 1NIS COUNTV TO ENTER UDONTME � � ABOVE#IEMIONEOiRDVERTYFORMSPECTIONPURPO5E3. COMMENTS � ��..=1'n�- �Iv��_�'1 � QPERIAfTTEEWWSIPRlHT� � / i Vj SiGw1TURE0 - OATE �— � RECPT.NO. PAID BY VAl1DAT10N � WHITE—Depertment Copy,YELLOW�inence Copy.P�NK—Assessar Copy.GOLDENROD—File Copy,GREEN—Applicant's Copy _ _ .. .., . .; —,.,.._,_ , ._ __ ,,.,.,,,,.., _ . . .. . CITY OF DIAM�ND BAR , . _ � -. , .�;.'.Ih,SPECTIOtV RECORD ` ,: ` �. � �'�`" � � �..:.y_�..t....;.�..�..�.,�... .'�li!��:a��`►�C9�1a`� ��k:;�� �..,'�.�������;,� �'IyE-'�.�'���1������.;:.�.,�..r� .�`—y;,���� a.,�'[��l��r'�=�r�'��'i� �i , ; -f .,.._..�._....,a ��. ".,.Y ., . � , _ ,..,.__ IFTGS/FORMS/STEEL — F OOR JOIST , , ,� , ,- il; ,. , � i :. � � , ,_. . - i� ; . , _ REQMTS :.: . . , —r----!i�--r;-- .-- ; � _ __. _ _ _ , , )ELECTRIC GROUND _ UNDER FLOOR DUCT-- � s _ �- � I + � ' - —- � ' „� , . . •� _- ;GROUND PLU��IBING � UNDER FLOOR CU�IDUIT ` r � ,�, � ' � �_. .. . . :. , _,. �SLAF3GRADE - -- `' - - - - ' ' FIREPLACE FOUNDATION ,: � I, ,•, ! .,;; i '' 'TEMP POWER.. . - -,:,_. - --- - _ , : FIREPLACE 801VD SEAM "'-_ , ,-.:,, . ;� ; :.,: • i :_ , ,..,,, , , '. ,i � , �•� d� >j _ ,,. . . i . iWAi'EH SERV{CE - - - - - ' - MID HT. BdND BEAM ,. !ROOF SHEATHING - _.�J : r;.;�; � .�. �.•,-;: 8 FT.BOND.BEAM . r • ,. • , :; • , -. {FRAMItdG,+VENTILtATION -; '. �' _� , - ;.,:..;_, FINAL'BOND BEAM . . . . , . ' . .� _ , iROOF,COVF_R � .°. �- , PRE-GRADING - - ' _ . . , ROtJGH HEATING - -- ` ' ' -. BENCHING ' ,: iROUGH ELECTRIC _. __ ' : ' ' � " .' ' : ROUGH GRADING _ _ ' I.ROUGH PLUMBING--'--- - - -- - - - FINISH GRADING I ;SHO'vVERfTUBTEST - - -- - POOLELECTRIC 'Ea'T:LF,TH/SIDING- _._ _ . _ . t __ ; _ POOL FENCING � : �WALL-iNSULATION -- __ _ - - . POOL�FINAL _ �CEILING 1i�:SULATION OFF SITE IMPS. DRYVVALL NAILING '" - - i " "" , - DEDICATIONS 'SEWER --- _ _ ._ FINAL'ENG. SEPTIC TANK � LANDSCAPE/IRR�G. (SEEP PlT/LL. ON SITE IMPS. ;GAS E;IR TEST _ _ -_ _ FINAL ZONING - iFl��l,l_GOiVST.--.-- �'-r.'"� � � ' ' .-.=. � •,;; -'!: -i . :.�FIRE DEPT. F1NAL . ; ;f`li�:%;�H�T1NG - -_-_ ---- ' ; i � ,�, HEALTH DEPT. FINAL ; �___: . ' � , DEV. FEES PAID =ir•::h,�ELECTAI� . � • , - . � �____ � -�i=-�!!..L PLUMBlNG --- _ _ ENERGY . _ __ � -�- - - - _ _ _ __ . . ; , � . . __ - �� _ _ -- -- _ .._ __. � � - - - �x���:r',} �t c� : ', ;A { ,: � � �. _ _ _ _ ' , . . - _ - . , , , , , - . j. `.:; .,.. ;COiJIMENTS- - - - . � . :i , , ::. � i � _ •,, . ; . __ - : __ _ . _ _ , , , , � �� , , ---_ . _— . __ _ - ._ _ _ _ _ _,, , , - -'.- .� , � , , , ; . , - ; � _ , _-� _ , , _ . .. . , , � . . . . , _. _ _ -- . . , , . _ . . . . , ' ; ' __ . _ .�;�� . � � _ QtiD� ; f r :- - -�-,-�: = . � _ __ _ ,t�,;.r(1li:;,.�,r , - , . tr :'�� `if�' ' ;'i _ .., . , �SEPTICTANK SIZE - _ ..,�.�.:�. , ;:i:,rl,,., ?ii ). =— ; , �SEEP PIT/U SIZE ' , � i : .�,-�,...�1 _ ; � _ _._ _ . � � ; � ' _ . � . ,_ . , , ,, „ , - - , , . , � , , ; ,,,��� _ �;- : _ _ _ � '°` . : � _ _ _ __ _ _ . _ ; � _ , � -�.�_,;�� � � ; !� , ; ' � �{ I � - . `\ � '� . . � \ • � � S - . . ._ .�� E � , � __ 1 f �_ ..._....... ...._... � . • _ :. , � `s .. I