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HomeMy WebLinkAbout15848 (15) CITY OF DIAMOND BAR � / �� -� DEPARTMENT OF COMMUIVITY&DEVELOPMENT SERVICES r� �, / 21660 E.Copley Drive Suitc 190 �/�s$<<-5 / � (909)860-3195 Fax(909)861-3117 µ. �� PRESS �`'�M�� BUILDING PERMIT APPLICATTON P IA'�I G R �D U�L FIRMLY o ADDRESS Z�S S/ (Y�N�J/JV �I a�'�T• DA,fE CATIO a � NUMBER �� M/C�/' � APN LOT TRACT Z�-� �SSUE TYPE OCC DATE CONST. GROUP p OWNER U I "' ADDRESS S 'l S C ZONING SEiBACKS ' -' -- •?- 'i � CI7Y,� Z / �s TEL9aI�9BI 82� REART i :RW 0 APPUCANT �" TEL SIOFJSIDESTREET RW � � CONTRACTOR �(T'� - SIDE p � ADDRESS � pROPOSED USE C(TY;Fo��.s _/oa, ZIP���[ZTEL,9 ; � ARCWENG/ �f/E ��S/9/ZI. DESIGNER NO.DWEL NO. NO. ADDRESS 2 d/�-rS1 V UNITS STORIES BEDROOMS N CITY�/f�..iPd�i�E.Ir/� ZIP ^f�ZL60 TEL.`j}9 7�00 OB/ � DESCRIPTION SQ.FT. F CTOR PSF DJ.A EANALUA ON � OWNER-BUILDER DECLAFiATION SFNADD�AEM a- pp I HEAEBY AFFlRM UNDER iENALiY OF FEiWRY THAT I AM E%EMPT FROM THE CONTMCTORS U- Gef0p0/CelpOh `i U � • W CENSEUWFORTHEiOLIOM��N�N&1SON(SEC7031.6BUSMESSIWOYROFESSqNSCODE:ANYCtTYOfl (J) C� COIMiYN'IiIp1RE0UWESA7ERMRTOCONSTPUCT,ALTERIMPFtOVE.DEMOUSH.0IIPEPAIRANY57RUG W P8t10/DOCk U � TURF,VR�OH TO R9 65t1ANCE.ALSO REd1IqE5 i11E�PFIICJJlT FOR SUdI PENYIT TO FlLE A SIGNEU W 6TIITEMENT TUT HE OR SME IS LICENSED PURSUANT t0 T1E PROYISIONS OF THE CONTMCTOR9 LI• � CENSE UW(�PT�p o(�MENCCJG M'�TH SELT�ON 7000)OF DMSION]OF THE BUSiNESS M1D PR0. � PooUSpa FESSIONS COD�OR TFLITME OR SHE IS EXEMPTTMEREFRdA AND THE 8�15 FOR THEALIEGE�E%EMP• TIOH.ANYVIOLATIONOFSECTIONM�I.6BVAHVAPPLIG7fTFOFlAPERMIT6UBJFCTSTHEAPVUGNTTO Z F16-R001 F,,, A CML VENALTY OF NOT MORE TMMI FNE MUNOREU DOLUfLS(t5ao).): � � 04�01M�EROFTHEPR07ERTY,ORMYEMPLDVEESWITHWAGESASTHFIRSOIECOAIVFN5ATI0H, 0 COrtIRIefCiel " M�LL DO 1HE WORI(AND THE STRUCTUHE IS NOT WTENOED OR OFFERED FOR SILE(SEC.7DM.BU54 J NE59/J1D PiqFE35�0115 OOOE:THE OOKTAACTORS UCENSE Uw DOES NOT MPLY TO FN OWN[R OF �. N pROVEPTYIM�OBUlD30RMPROVESiHEREON.ANDNN�DOESSUCHWOqKHIuSELFORHERSELFOR � � T�iROUGHHISOqMEflOWNEMVIAYEES.iROV10EOTHAT$UGIMFROYEMENTSMENOTIHfFNDE00i1 m �' ��,._ . . OfF6iED FOfiSALE.IF,IqWEVER7NE BUlDI1Ja OR IMPROVE/ALlff IS SOLD WRHN ONE YEAR OF COMPLE- � T10N.THE ONT1ERbtAtDEq YnLL NAVE TME BUPOEN Of PROV W O TUf HE OR SHE Oi0 MOT BVILO Op `f W PROVE FOii 7f1E PURPOSE OF&LLE). W OLASOWNEROFiMEVROPERh;NAE%CLUSiVELYCONTMCTH6WRMUCEN3E000NTMCTOR3 � TO CONSiRUCT THE PRO.IECI(SEC.7oa1.BUSINFSS ANO VROFESSIONS CODE THE CONTRAC70R5 LI• V31Uati0fl ADJ.AREA CEHSE UW DOES NOT MPLT TO AN OVMER OF A PROPERTY WHO EU0.D3OR IMPROYES THEREON.AND WHOCONTMCfSFORSUCHVRWECTSWITHACONTRACTOR(S�LICENSEDPURSU.WTTOTHECONTM6 q�q�7y DE CRIPTION FEE � TC%19 LICENSE IAWJ. J � O I W EJ(EYPT UNOEH SEC. B�1 P.C.FOR THIS REASON U � u" WTF OwNER V � W LICENSED CONTRACTORS OECLARATION � � W IHEREBVAFFYI4UNDERPENALTVOFDEMIRYTNAT�AMLICENSEOUNDERVPONSIONSOFCHAViER � Y(COFIMENCHO WITH SECiq.`!7�)OF DMSION 7 OF TME BUS�NE55 AND PROFESSiONS COOE.AND W LICENSE IS IH FL1LL FORCE M1D EFFECL m f'+� /, �,;M'Y., . . � : y -' < , - p � t' 6 0 LICENSE C/LA+SS�LIC.NO. � �/� � � '---- . � . � . . - . � DATE 7 ��D� O CONTFUC70H U �€ .d ^ W r n n . nn� � � WORKERS'COMPENSATION DECLARATION Q ;� . . . i..V 1 , 'U . U NINERE111 YAFFlRMUNDCRYENAITYOF►ERNR'YONEOF7HEPollOWINODECUMTIONS Z 1TT.V n ��r.��!���J �SL� � /y�IHl1VENDWI�LMAINTAMACERTIFIGTEOFCONSENTTOSElF�MSUREFOi1YWHKERS' S -t�1 ��1� ����5�`'L'ilY 4 y� COMPENSATION,ASVRONDEDBVSECTION97ooOFTNEIABORCODE.iORTHEOERFOiWM10E W Of 7HF WORIC FOR WHIW THI9 VERIAIT IS ISSUED. � Q IHAVEIWDWILLIM�NiANWOAKERS'CWdPENSATIONRlSUMNCEASREOVIREDBVSECTId1 �(�� ,� �4 ]7ooOFiHGUBORCODE.FORTNEPERfORALWCEOFTHEWORKFORVMICHTHISPEIilAl715 I • � � ISSUFD.W � CERS'CCXIPENSATIONWSURANC�CARRIERANDPOLIGYNUMBERAnE CONSTRUCTION � � CARPoER � C � L'O• PLAN REVIEW � ./ O ppl1CYMMBER L�✓� C`.,��0 (� A7 ELECTRIC rp O �p �sccTm+rks�uoreEoa�.a��oanfvEw�r�srona��oawscs+mla+�st PLUMBtNG 5 OO- _ — y 1 CERTIFYTNT Ri THE PERFORMANCE Of THE WOftK FOR WHlpl THIS PEWAIT IS ISSUED.1 MECHANICAL �S D D• _ (� SWLLLNOTfA1ttOVANVPE0.50NM►NVYANNEHSOASiOBELOMESU&IECTTOME � WORKER5COMPENS�TIONUWSOFCALIFORNIA,ANDAOREETNATIFISNOULDBECWAE INSPECTIONFEE SUBJECT TO TNE WOpNERS COI�vENSAT�ON PROVISIONS OF SECiION]700 OF THE LABOR 0 000�.isnuLFonrnwiTncoraP�rnnn�n+osevrro�nsar+s. _/ Q,,�e ISSUANCE ll L"� SMIP � Q DATE:��'�IrDO APPLICAM: ����■ �+ 2 �W WAANIN(i;iAI�URETOSECUREWONKERS'COMPENSAT�IONCOVEvR�CE15UNUM'FULANOSHALLBE ENERCaYP/C � ��r�/ EU6IECTANENPLOYERTOCRIMWAI.PENALTIESANDCMIFINESUPTOONEFNNDREDiMW5IN0 ENERGYPEFMIT �- • • DOl1M,a(f too.00�).N MDI710N TO THE COST OF COMPENSATION.OMIAGES AS 7NOViDED fOa IN aSECTIONl10DOFT/ELABORCOOE,INTEHEST,ANDATTOfWEY5fEE5. RETENT�ONFEE: � O [W� CONSTRUCTION LENDING AGENCY pRE-ALT FEE: � IMEREBYAFFIRMUNDEFGEN/�LTYOFPER7URVTHATTHEREISACONSTRUCTIONLENDWO�GENCY iOR TNE VERFOql1ANCE OF T1E WORK FOH/�ry IGH TMIS VERMIT IS I55 ED�SEG.�1.}v.G.). � y / /, � � IENOER'S Wu1E ^/nu� ► / ��/I� IU-� �A�f• �' _ t � tENOER'S�DDRE55 . / ��-y'� � ICEFTIFY7MATINAVEREADiHISAPPLICIITIONANDSTATETNAT7MEA80VENFORMATqN�SCORRECT. TOTAL FE� � • d IA6FEETOCOMGLYWRHALLCRYANOCOIMTYOR0INANCESANOSTATEUWSpEUiIIMTOBUIDINa �- ` CONSiRUCTIpJ.ANONEHEBV�IIfHOFiREREPRESENTATIVE50FTW5COUN7YTOEMERUPONiNE I� w . /� � ABOVE-MENTqNEDPi10VERTYfORWSPECTIONPURPOSES. COMMENTS a � L � � /V � VENA�77EE NAME ry Nn �n �2v�-�� � SIG UREOFPEA �TTEE DATE � RECPT.NO. PAID BY _VWDATION WHITE—Department Copy,YELLOW—FlnanceCopy,PINK—Assesso�Copy,GOLOENR06—File Copy,GREEN—Applican 5 Copy . �. , . , . . . .. .. ,-, , . .,a,.. . ... .. • . . . . , . . , . . . . CITY �F DIAMOND,BAR , , ;. . .. ,�, _. �, � '' - -•. . .. , :.INSPECTIOId RECORD �� ._ ' � . ` �,r �;�:�•.,;} � � • 7�II�����x^�`t!C.'��!�W � ' • a�'�:���". .7�, � ���c� ��;�. I i� 1�;c� o�� .�.aiim ��r'„= ►`�.��4a�c���m�8 � '� ' I��- i k��!. � _.�[I,.. � �- _ �.� � ._.... _ .a.,, _ - .,��__._.,,.� �.. ti..�. _ _ _ ....� �� � lSET BACK • . , � � � ( FLOOR JOIS�,. _,.�,�,; '�•� 1- :� !FTGS/FORMS/STE�L'-- - ." �� � FHA REQMTS � � � : . � 'ELECTRIC GROUND . � UNDER FLO'OR•bUCT.' ,`-� ,;" _ �- iGROUND PLUMBING �1- � UNDER�F,Lq�R�CUtiIDUI .;�, .'r ����� - �� ; (SLAB GRADE- - - - � I �O� FIREPt_�kCE�C-0UNDATION T:�: �."`�"�, _`�; --- � --_ ' 1.:,.'. ;TEMP POWER - --- -- - -- ' FIREPLACE BOND BEAM � `'.�,�';:• ,'- `'.�' ..t 'WATER SERVICE ----,I - - MID H7. BOND BEAN� ';� � -��`s�:c-.; -=.` "s��`�i . IROOF SHEATHING 1'a,_�- � �S Ff. 8��1b,8�AM� ' ' �;,;,�V•�-'� ,,, • ; : , , . ,.�. • , .,. IFRAMiNGNcNZ"ILtATION -- - FWAUBONb BEAM� � � � � ,� ���i�� � `ROOF COVF_R PRE-GRA�,ING.;," �` � " �= � ' �ROUGH HEATING' - BENC I�1�:•, :C t �i. . .. .�, ,- , � '+ � �,RQUGH ELEC RIC. . � ' ' ROUGH GRADING - ' `R�flUGNPGl3M�ING. ` '`- `�=- � ' ``- FINISH GRADING SNG��L'ER:'TUB EST ', ' '.`, '� - � � •• ' POOL ELECTRIC ! itXT.'L`�,TH�SIDING - ' �i �, - POOL FENCING � WALL INSULATION - -- POOLFINAL iCEIL1yG I��:SUI:kTiON � OFF SITE IMPS. ;DRYVVALL NAlL1NG - DED�CATIONS - FINAL ENG. ;SEVJER � -- t1.-1�.pp SEP i IC TANK ' � - _ � . �: ,. LANDSCAPE/IRRIG. , iSEEp PIT/L.L. . �- - � � ON SITE IMPS. �GAS�,IR TEST � ' FINAL ZONING �Fli�;,�,1.CONST._: .�j 1� FIRE DEPT, FINAL 'F1P:i�L.HEATING _ . _ .. . HEALTH DEPT. FINAL ' ' . ��f�J„L ELECTRIC - - DEV. FcES PAID ; i�'��!�.L PLUrABING - ENERGY iSN���—soQ- l�-� �J �� • i � ,� z,���{'.,r,,'1�!m��c'c:�'�__� -,-� :�, _.:s..�: .i I� - ---... ._ _. . . . _ . ,;�1��➢;1�:.t.�,...-."�.., i`, \" - . . 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