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HomeMy WebLinkAbout13618 (17) J� _ CITY OF DIAMOND BAR l,�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 2t66o E.coPt�y n�i�o suite 190 (909)860-3195 Faz(909)861-3117 PRESS �`'^^'� BUII.DING PERMIT APPLICATION FIRMLY o� JOBSffE APPLICATION PERMfT p/C AODRESS DATE 1 NUMBER � k g ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNEfl c• �r 1 e � ADDRE S 1 ZONING F O�CKS RW ❑ z CRY ZIP TEL. A�R g APPLICA r TEL � SIDE/SIDESTREET " RW ❑ � CONTRACTOR SIDE ❑ � ADDRE S CfTY ZIP TE . PRDPOSED USE � AflC NG/ �p DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CffY ZIP TEL � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECURATION SFWADD/REM O BI HEREBV AFFIRM WDER PE/ULTY OF PERIURV TNAT I A!A EXEMPT fROM TNE CONTRACTORS ll- Ga�0gBlC�fpOn � CENSEUWFORiHE�q10WINOREASON(SEC.7071.60USMESSMlDPROFESSIONSCODE:ANYCI7YOR (n COUNTYWlIICMREOUIRESAiEMIRTO�NSTRUCf,/1TEiLMPROVE.DEMOLISH,ORREFNRANVSTRUC• W palb/Deck NRE,PRIOR TO fT3 ISSVANCE.ALSO REW�RLS iHE�PPULlJ1T FOR SVCM PERMIT TD illE A SIGNEO W 67A7EMENi 1HAT ME OR Sl1E 13 LICENSED PU�iSUANT TO THE VROVISIONS OF THE CONTMCTOf34 U� � CENSE UW(QIAPTER i(OJIAMENqNO YJITH SECTION 70ao)OF DIVISION�OF iHE BUS:NESSAND PH0. V' POOVSpe FESSIONSCOD�ORiHATHEORSNEISEXEYPTiHEREfROA/ANDTMEBA515fORTNEALLEGEOEXEMP• C7 TpH.AHVYIOLATIONOFSECT10N70]1.6BYANYAPPLM.ANTfOR11PERMIT5U61ECTSTHEMPLIGW7T0 Z RB•ROO� � ACMLPENALTYOFNOTMOf1ET1uNFNEHUNOREODOl1AAs�fSoo�.)� � 04���1fROFTNEVPAVERT/,ORMVEMPLOVfESMATHWR0ESA5iMEIRSOLECOA/GEN5AT10N, � �mercial - N711 DO THE WOPoC AND THE 5T0.UCTURE IS NOT MlTEl1�ED OR OFFERED fOFl SALE�SEC.7oN,BU56 J N HES$AND PROFESSION9 CODE:THE COMTMCTORS LICEHSE LAW DOES NOTA77LY TO AN CMTIER OF ? VROPERTY NTq BUILDS OR MPiqVES TNERe'ON.AND YAfO OOES SUCH NC1NK HIMSELF OR MERSEIF OH (= TT6qUONMISOflMERONR/ElAVLOYEESVROYIDEDTMATSUCM4AVItOVEMEMSMENOTINTEN�EDOR C� �] OGTEREDWqSALEF,110WEYE0.iMEBUID�NGOHMPROVEMEMI550lDWITHINONEYEANOFCOMPLE• Z TION.THE 04INER�BUILDER WILL HAVE 7HE BURDEN Oi VROVWO THAT NE OR SHE DD NOT BVIID OH � WPROVEFOR7HEGUFPOSEOFSAIEl � � ❑4�40wNEROFTNEOROPERf�;NAIXttUSNELVCON7MCTNOWI7HLICENSEDCON•MCTORS TO[ONSTRUCT iHE PRQIECT(SEC.7WA.BUSINE55 AND FROFESSIONS LOOE:THE CONiMCTORS U• V81t10110fl ADJ.AREA CENSE UW DOES NOTA➢PLY TOMI OWNER OF A VROCERTV w1q BULDS OR IMOROVE4 THENEON.ANO WFIOCONTRACTSFOH6Up/PPOJECTSYATHACOHTMCT011(S)IICENSEDPURSUMlTTOIHECONTMG QUANTITY DESCRIPTION FEE � TOHSUCENSEUW.). OIMID(EMPTUNDERSEG B.iP.C.FOfiTMISREASON Q � U ll. F = DATE OwNEB U F UCENSED CONTRACTORS DECUIRATION W � IHEREBYAFiIPo.1lX1DERVENALMOFiEil1URYT1ATIAMLICEN^uEDUNOERPRON510N50FG/AOTER � (� �(COMMENClqWIiHSECT10NT000�OFDIVISqNiOFTMEBU51NE55ANDiROFE55lON5CADE.AN� Z X YYLICENSE6NFULLFORCEIWOEFFECL m � u��E�u55�.�a a s 6 � LIC.NO. C yyy�p�qq��,��' ��+ � V DATE��i�.,� CONTFiACTOR�1 � �(J �- IL � ,u � WORKERS'COMPENSATIONDECLARATION �'J � NINEREBYAfiUi4UNDERPEIULTYOFPEFWRY0NE0FTHEFOLLOMAN(iOECLARATIONS: Z � �IINVEMI�WILLI.WNTA)JACERTIFlCATEOFCONSENfTOSELF�NSUREFORWoitKERS 2 COAIPEN9ATION,ASPROVIDEDBYSECTION11DaOFTNEU�BORCOD[,FORT1EPEf1FORAlANCE `U OFTHE WORK iOfi WMIQ/TNIS VERMIT IS ISSUED. � 0 1 HAVE AN�N'ILL IAAfNUPI N+ORI(ERS'COMPENSATION INSUMNCE.A9 RE�UIHED BY SECTION Od l7oo0FTHEl/BOHCOOE,FORTl1E7EFFORUANCEOFTHGWOH1CiOqWNICNTH15CERMRiS � �sSUm.urnoracE S'muv�wsn ' UwwcEc�ywERu+Droucrr+uMeCRute: CONSTRUCTION � uAroen d P w Z vaicvrruuBER ELEC �4 o �nss[crvar�NoreEm.s3t�IDOFnFVEq.rrScoqa+��ronmootiu�sR�omoA�Ess� PLUMBING Z ICEqTIFYTUTINTHEGERFORMANCEOFTHEWORKFORVlF11CHTHISPEWAITISISSUED,1 MECHANICAL (�' Sw4.LNOTEMPLAYANYiERSONNAtlYMIM�ERSO�STOBECOMESU&IECTTOTHE �JF.,v y�' � WOPo(EPS'COMVENSATIONUWSOFCALIFORNI�ANDAGREETUTIFISMOULOBECOME INSPECTIONFEE SUBJECT TOTNE YARKERS'COMPENSATIDN YROVISqN50F SECTION 77ooOF TME IABOR �j CaOE,ISFiAl1.FOHri1WITHCOMPIVWIMT1105EPROV�S�ONS. ISSUANCE � SMIP • DATE: APRICANT: " W ♦ ��'� �� I �J.� � WARNIfq:FALUAETOSECUREWORKERSCOIAPENSATIONCOVEMGE�SUNUWFUL.AND5/WLBE ENER�YP/C � �y, SUAIECTANENP�OYERTOCRIM'17ALPENALTIESANDCMLFINESUPTOONEINNDREDTMOVSANO ENERGYPERMIT-jT�r n��T�Y�.1 � ��C�' DOLLAitSlf100.000I.NAD01T10NTOTHECOSTOFCOMFENSATIDN,DAMAGESASPROVIDEOFORN � ' J SECTION]70!OF 1HE LABOR COOE.IN7ERESL AND�iTORNEY'S fEES. �� 3 T �ti?i�.:�'+ � RETEMION FEE'U. � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEHEBVAFFlRMIMDERVENAITYOFPERNFVTHATTHEREIS�CDNSTRUCTIONLENDWG�GENCY Z iORTHE VERFORMMICE OF THE WORN FOq NMICN THIS PERM�T IS ISSUFA(SEC.70G7,CIY.G�. W � IEN�ERSN.WE � LENOERS�DDRESS � ICERTIFYTMATIHAVEREADTH15J1PPLICATIONANOSTATETHIITTHEA80VEINFORMATIONISCORRELL TOTAL FEES � � IAGREETOCOMPLVWfh1AlLCRYANDCOUNTYOPAIWWCE51NO57AtEUWSREUTNCTOBUILDINO �. LONSTRUCiION,ANOHEREBYAUT}IORIZEREPRESEHTATNESOF7HISCOUNNTOENTERUDONiHE Z ABOVE•MEMqNEOiHOPERTYFORINSPECTIONWRPOS 5. COMMENTS 9 �51�� - �''�.'I��e ¢ PERM E A1��(P ��� � /� `� I / I I� I C/) • .7 / � �GNATUR OP VERMfTTE 1E � RECPT.NO. PAID BY. AUDATION WHITE-0eparVnent Copy,YELLOW--Finnnte Copy.PINK—Assassor Copy,GOLDENROQ—File Copy,GFEEN—ApplicenCs Copy �.. . . .. ,. . - � ; , � . . . ._ , _ . . . . , .. .. . . •, . . ., . . CITY OF DIAMOND BAR . `. ItJSPECTION RECORD :J��-�r?���!'�,����J R��`��"-� �X�'��'i�?�1'.�� 1���-y���PI�I�N�.�ai�r���'-" ; -l���l�-��.���o�f�y , ' _...�.�.�..��.w:,.__.._.....��.._...�_....�.....4...�.,:.�_.__ . .._ . .,, _ �A�,,, �._.._: z...,, ,...,.,.0 �--.. ,.._k . . ... .....�.. . ._.� _ _...._. ., 5ET BACK ' � i � r FLOOR JOIST-- � � � . � FTGSJFORtJISISTE�L' � i FHAREQM S'- � .� � ' � `� ` � � � ELECTRIC GROEJND UNDER FLOOR DUCT. � '' ' ' iGROUND PLUMBWG UNDER FLOOR CUf�IbUIT� '• ' :�' ''`' '�' „ � , SLABGRADE - �� FIREPLA��,FOUCIDATION :,,;± '�':•i� � ;�, ��� ±1 ;�+ t'1 TEMP POWER (p 3 5 f �� � � � FIREPL.F�CE 80ND,BEAM = ��;�'•'' `1 %'• = ' �WATER SERVICE MID HT. BOND BEAM . �' �, . �.:'_;.�. �.'� ��•,i`.�`= ROOF SHEATHING 8 FZ'. BOND BE M�; :: �'' `={ •` •' '` �' �= ' :, FRAh11NGNENTILIAT'ION FINAL 60Nb 6EA�JI � � ,� I � �� � � � ROOF COVF_R ' PRE-GRADING ROUGN HEATING BENCNING ROUGH ELECTRIC � ROUGH GRAD(NG ROUGH PLUMBING FINISH GRADING SHOWERlTUB TEST POOL ELECTRIC EXT. LATN!SIDING POOL FENCING I INALL 1NSULATION POOL FINAL � CE(L1NG INSULA710N OFF SITE IMPS. � �DRYVVALL NRILIPJG DEDICATiONS SEWER FINAL�ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEcP PIU�.L. ON SITE IMPS. GAS Al�i TEST . �• . (�� �, �, ;, , FINAL ZONfNG FiNAC COPdST. �':";,\�',,�`. ��`. ';'��'1, �,\�'��'��Jr� �.� )FIRE DEPT. FINAL FIPJAL HEATlNG ' HEALTH DEPT. FINAL FiNAL ELECTRIC ' � -' DEV. FEES PAID t=1^,A�PLl1PlBI�JG . ENERGY ( - - . � . -,..,...�..�..-, �... � � � � — — e6)i �€ 4?�c r:T¢`l� ' � �� ,'� _:a.,�. �1Z.r.� .��.. - J � .. ._ , , ' I���,J���l. �'.1 .J <_. �.�: 1`�� . , � , . -% COi�1MEtJ i S -- --- - - - `;��.,�.-� - _ . . . . . , .. ��;� + _,,� ._ • - - � � � - � SEPTIC TANK�SIZE � SEEP PIilU SIZE _ �.,_i►y� ,� . ; f . ' . - �� ..-. - ?,�bl� . �i , ; r .; .. .�`:���.1'_ � �, — � • - ; ; — � `. �� ,`, ' � � � � �� .. . . .,.._.._....r.__'�.....,..,....,..__�.i , ` . .` - . � . . . . � _ ` . . .