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HomeMy WebLinkAbout15744 J� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� , 21660 E.Copley Drive Suite 190 (909)860.3195 Fax(909)861-3117 PRE$$ `*°� BUII.DING PERMTl'APPLICATION . FIRMLY � JOBSITE �(� � �a�'� APPLICATION PERMfT P/C a ADDRESS -� p OATE� NUMBER x g ISSUE IYPE OCC APN LOT TRACT DATE CONST. GROUP - p OWNER � "" ADDRESS u N ZONING SETBACKS w CffY � N � ZIp�S TEL( 3 '- � FRONT RW D � APPLICANT C�L7�EL�� � REAR p � SIDE/SIOE STREET RW ❑ CONTAACTOR L STRI�(Ci ! SIDE ❑ ADDRESS �,��� g PROPOSED USE i � � � CfiY f�l/BN� NT.3 ZIP 4i�ZfTEL s; �'-�� -i°i-r -� ARCFUENG/ � OESIGNER ^ F � , NO.DWEL. NO. NO. ADDRESS �o ' r.� UNITS STORIES BEDROOMS N cmr_ u� iP,qr7 re�. �a,�,Y� '3 tn DESCRIPTION S0.FT. FACTOR PSF ADJ.AREMlALUATION p� OWNER•BUIIDER DECLARATION SFR/ADD/REM O p I HEREBY AFFiRY UNDER PEN�ITV OF CE0.URY TUT 1 MI EI(EMPT fR01A 1NE CONTMCTORS L4 Garage/Carport lL CENSEUWFOiiTHEFOl10WlNiREA50N(SEG70.71.6BUS�NESSANOPROFESSIONSCOOEANYCrtYOR (� S2 OOIAlTYYNIIdIREOVIRESAVEFMRiOCONSTRLICT,�LTE0.�PROVE.DCA10U5N,ONAEPNRANV57RUG __ W u� TURE PRqR TO R91S9UANCE,�LSO REOUIRES THE MPLICM7T FOR SUCH PERMIT TO FILE A SIGN[D W Patlo/Deck � bTATEYEHT 7HAT HE OR SHE IS UCENSED iUiISUANT N THE VROVISIONS OF TNE COHTMCTORS L4 � � GENSE UW(CHAPTER Y(COMMENCaq VlfTN SECTION 7000)OF DMSqN�OF iHE BUSiNESS AhD PRP PooVSpa � FESSIONSOOO�OR7/U7HEORSHEI9E)(EMPTTHEREFf10MAND711EBA515FORiHEALLEGEDEXEMF. 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LL ¢ DATE OWNER V � W ' ". ' . , . . . . UCENSED CONTRACTORS DECLAFiAT�ON W •� � IFIEPEBYAFFIRMUNDERVENALTYOFPENUAVTNATIAAILICENSEDUNDERPROVISIONSOFCHAP7ER � s •�COAIMENCINOV/R115ECilOH70oo)OFDINSqN]OFTMEBUSINESSANDPROFESSiGlSCOOE,AN� Z LL�� W LICENSE R IN FNl fORCE AND EFFECT. � ��..� UCENSE CLASS "r LIC.NO. � � j r� DATE 0� OL^ CONTRACTOR ' W�u d TJ � WORKERS'COMP[NSATION DECLARATION Q � IHEREBYAFFIRYUNOERPEWLLTYOFPE0.AJIiYONEOFiHEFOLl01MNODECLAMTqNS: Z � �111AYE/�lA1MLLEWNTANACERTIFlCATEOFCONSEMTOSELFNSUHEFORWORKERS' _ . Q CpWENSATI0N,A9iROVIDEDBYSECTqNJ7aoOFiMELIBORCODE,FORTNEPERFORMANCE W Q OF THE WORK FOR Vhilpl iM14 PERMIT IS ISSUED. � p �IWWEMIDN^LLWUMANWOiUCER3'COAIPENSATqNWSUMNCE,ASREOUIRED8Y5EC710N � _�� J7000FT1EUBORCOOE,FORTHEiERFORMANCEOF7HEWORKFORwHICNTMISPERM1i15 � ISSUm.AfYKdiKERS'COAIPENSATIONWSUFiANCECARRICRANDPOIJCYNUMOEHARE: CONSTRUCTION � tu�uEa PIAN REVIEW � POIICYMIMBER ELECTRIC 0 (trass[cnu+r¢IDuorseaxst�IDOFnEawewtsra�a.rt�uaunoaUlsR�w7anuss� PLUMBING Z ICEtiTIFVTHATWTHEVERFORAIANCEOFTHEY�ORKFORMMICIITH15PE1WRI5155UE0.1 MECHANICAL C7 511N.LNOT EAIPLOV ANY PERSON N ANM IAIWN[R SOAS TO BfCpAE SUB.IECTTO THE i (/� WOPofERS'COAIPENSATIONUWSOFGLLIFOHNII�AN011CREETFIATGISMOULDBECONE INSPECTIONFEE S SU&IECTTOTIEW�FiKERS'Cd.�PENSATqNPRON5qN50F5ECTqN�70oOFiHEUBOR _ coo�,�sruu�oRr�nniH ca�a�r wirn nase vrro�sio�+s. ISSUANCE � A/�_� - / SMIP DATE: /�C�[�� APPLICANT: T�'�C � WMrlINO:FAIURETOSECUREWORKERS'LOMPENS�TIONCOYEMGEISUNUN'F DSXILLBE ENERGYP/C �' � SUBIECTANEMPLOYERTOCRIMPULPEN/LLTIESANDCIYILFINESUP700NEHU 7MIX15ANU ENERGYPERMIT _C'-TTV�F T�i/�T�.�'�C�ND�AR DOLLARSIf1C0.000).WADDRIONTOiHECOSTOFCOMPENS�TqN,OAMACE5A5 VI�EDFORIN J SECT%)N]7oeOFTHEUBOHCODE,NTERE57,ANDATTORNEYSFEES 7 ' p� RETENTION FEE: R T 1TT ��jy� f��n,S AF�F.TY OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHER[HYAiFlRAIUNDERGENALTYOFVEiWRY7HATTHEREISACONSTRUCTIONIENDWOAGENCY � � FORTHEVERFOPYANCEOFTHEWORKWRNM1i1GIlNISVEHIAITI5155UED�SEG70W,CIVC.� . . � � LENDERSN.WE � C LENDER'SADOFE55 � ICERTIFVTHATIHIIVEREADTHISAPVUCATqNANOSTATETXATTIEABOVEINFOR/AATqN�SCORRECT. TOTAL FEES � ' W IAGREETOCOMPLVH7THALLCT'/V�OCOIMiYORDINANCESANOSTATEUWSREUTINCTOW0.AIN0 � ' � CONSTRUCf10N,PIWHEREBYAlT10RREREPRESEM�TNESOFTHISCOUNTYTOEMEHUPONTNE � - _ ,J /^/ � � ABOVE-MENTIONED VROVERTY FOR WSPECiION PURPOSES. '}-� �.I�C�!F �'���Q /� � COMMENTS ' �— �'—' = w�-c�Y c�s Tzu.�T«,. c� m � � PERMiTTEENAIAE(PPoNT) � � � N y 8%iNANREOFPE EE DATE - � RECPT.N0. PPJD BY VALIDATION WHITE—De ment Copy,YELLOW—Fnenw Copy,PINK—Assessor Copy,GO NRO de Copy,GRE N icant's Copy � nr'�'s� . �!"Ia .�\. � . . � �. , .. ' � . e� .. �. • . i ..�.n .�y�. ..I...v IL"�.�.. 4..:'i.�.� . .. y. ....,. .� , �r:' ti�:.'� . . �� . � . . , . . . ', CITY OF DIAMOND BAR ; . . ` � `'•; ' .. RJSPECTION �ECORD .� i , � . . i �'�`''����.�.1. � ` � e .��.�-��:.�.�r � � �, ���c�;`�[r]-*� ' •:...�,�, � .. . . . _ . .. iSET BACK � . FLOOR JOIST , . . . ' . , 'FTGS/FORP,AS/STEEL � � ' . � . � 1 FHA REC�MTS.-� ' __ � . ' _ __ __ ' ;E�ECTRIC GROUND .. -. ' UNDER FLOOR DUCT - � • - ' � ;GROUND PLUMBING - UNDER FLaOR COP�!DUIT � -� " �" ' .:. :SLAB GRADE FIREPLACE FOUNDATION : •� . ' �TEMP POWER - FIREPL•ACE BOND BEAM ' • ' � - � WATER SERVICE - - MID HT.BOND BEAP,A - � ' 'ROOF SHEATHING ��=CQ�� 8 FT. 60ND.BEAM • • - " . � �, FRAMINGNENTILIATION - FINAL BOND BEAM � � � • I � , ROOF COVER : � ' PRE-GRADING . -• • ' • . ;ROUGH HEATING - ' BENCHING:: .- �•',' • • �ROUGH ELECTRIC.._. :.. `` " . ROUGH GRADING -� ;ROUGH PLU1lIBING �- - FINISH GRADING ' SHOVVEWTUB TEST ' - - � - POOL ELECTRIC � EKf.�LATH/SIDfNG-- - -- --- POOL FENCING � , ' ,�'VALL INSULATION - � • . POOL FINAL �CEILfNG INSULATION. " � " OFF SITE IMPS. � ! = �DRYWALCNAIUNG , DEDICATIONS � iSEWER - FINAL ENG. • !SEPTIC TANK LANDSCAPE/IRRIG. • !SEEP PiT/L.L. ' . . ON SITE I�APS. ;GAS AIR TEST FINAL ZONING . FI�VAL CONST... . — ..��... FIRE DEPT. FINAL F1NAL HFATING .._ .. HrALTH DEPT. FINAL � �FiNAL ELECiRlC - �- ��1� � DEV. FEES PAID i=!"!1`,t PLUMBI�dG � ENERGY. � -. . . _ . . � : �� ._...._. . .. �e��:��'f:��.c�c�e=. � - ,�.:s: .� �:;��..�_.. ..._. --.. _ .. .- - • �� . . ., . _ , � ----- - - --- -------- :. .. _------- .-._... � ,___ �cor;nt�ENTs_ _.._ . . , ; - -. - - . .. . ; . , : ; - - . . _ _ - -- - � � ; . . , � , . � ; ._ . ; � � , ; , . _ __ . �SEPTIC TANK SIZE - ' ' ' ; .. !SE�P PIT/U SIZE . . ; -- � - , . , i •• _ • . I . "��.R':-i . •� � • _. .€ . � -- ' �:.+rr I '. �'�M�I� � � ,•a.,'�. . ' . , . .. �i�l � .I� • .I. �j � r. • ` - I ,� .� • .v.i . • : - ' . . . � . .i ' .'�� . � �' � ; , '- • '/:� i ��F!r # �' . ... � � . . �. ;� ' . . � `� . , • � � _ _ • .... i . _ - -� ._....._a...._:�