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HomeMy WebLinkAbout14144 (14) J� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNTfY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � (909)860-3195 Faz(909)861-3117 PRESS ��M� BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE APPLICATIO PERMIT L L L p /� o ADDRESS ZI66� �..�CnL-Q^�� Sv� DATE ��7`-� NUMBER��1 -��o $ ISSUE TYPE OCC -- APN LOT TRACT DATE CONST. GROUP � OWNER o ADDRESS G ZONING SETBACKS d "' CITY � 7�.-$ ZIP� TE . RW � APPLICANT � AfgOf.. )NG. TE " d• A�R ❑ SIDEISI�E STAEET RW O CONTAACTOR SIDE p g ADDRESS CITY ZIP TEL PROPOSED USE � ARCH/ENGJ DESIGNER �f� ASSQ: r- C NO.DWEL. NO. NO. ADDRESS " --�� �A`_� S ��- ' UNITS STORIES BEDROOMS � C(TY � ZIP�' 7�TEL.`�`!`I 2Y 2� � �� DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � ONMER•BU�LOER DECLARATION SFR/ADD/REM p 1 HEF1E8�AFFlfol WDER PEwLLtt OF PEFWHY 11uT 1 A1A EXEMPT FRpA 7HE CONTRACTOHS l� Garaga/CarpoA LL CBISEUWFORTHEFOILOWM/0REA50N(5[C.70.17.68USWESSANOPPOFESSIONSCODLANYCI7YOR (n �..� COUHTYMR11Q1REOUYiESAVERIARTOWNSTRUCL�1TEiilYPROVE.DEAl0U5H.DflREPAIRANYSTRUG W Z TURE,DR10q TO IT9 ISSUMlCE.ALSO i1EWIRES THE AP7LICMIT FOR SUpi VEIU.�IT TO fILE A bIGN[D Patio/Deck �l� STA7FMEM TMAT HE Oit SME IS LICENSED PU0.5UMIT TO TNE PROV4510N5 OF 11iE CON7MCTORS l4 w � CCNSE UM'(QNPTER O(C.OMMENCINa WI1H SECTION 7000)OF DMSION]OF THE BUS.NESS MA PR6 � PooUSpa FESSIONS W0�Ofi Tu7 ME OR SME IS E%EMPT 7TIENEFROM IW D TfE BASiS FOR 7HE ALIEGED EXEMP- TqN.ANYV10(A7qNOFSECilON7W1.68YAN`/MPLICANTFORAVEHMITSU&lECTSTN[APYL�Cl�NTTO Z Re-Roo1 F A CML FENALTY OF NOT MOHE T1AN iNE NUNDRED DOLLARS(f S00).): � OtIISONMEROFiHEPROPER'TY.ORMYEYPLpYEESWITNWAGESASTHEIR50LECOMPCNSATpN, ❑ CommerCi�l � � WILL DO THE MK7fV(AND iHE STRUCTURE LS NOT IMENDEO OR OFfEREO FOR SALE(SEC.7ou.BU51- J � NESS AHD VROFESSIONS COOE�,fME COHTMCfOiYS LICENSG UW DOES NOT APPLV TO AN OWNER OF ? �� � �1 � PROPENiY MRiO BUILD90R MPROVES iHEREON.AND V!!10 DOES SUCH WOi1K HIMSEIF OR HE HSELF OR (= Tl4i0UOM HISOR NER ONN EMVLOYEES,PR01nDED TMAT SUp1 IAIPROVEMENTS ME NOT WTENDED ON m � OFFERmiORSALEF,lpWEVEi�THEBIAqNOORIYPpOVEMENTI55qDWITHNONEYEAROFLOMPLE• Z �TION,7HE OYMiER�BUILDER YYILL HAVE THE BURDEN OF PROVPIO TMA7 ME Ofl SHE CO NOT BUILD OR = MPROVE iOqTHE PUNP0.5E OF SALE� �y OL1l4OVMEROFTHEVROPEHTY./WEXCLUSNELYCONTMCTWCMrtR�l10ENSEDCOHTRACTOfiS � TO CONSTAUCT TME FRQIECT�SEG f�.BUSiNE55 ANO iROFES5WN5 CODE:THE CONTAACTOi15 L4 VBIUet10f1 U� ADJ.AREA � CENSEUWDOf3NOTMPIYTOANCMNEROFAPROPENTYWVIOBURD50R41PRJVESiMENEON,NJD YNqCOMTiUCTSiOASUGIFROJECi5W1T1l1CONfRACTOR�S�UCENSEDPURiU4NTTOTN[CONTRAG pUANTITY DESCRIPTION FEE � TORS LIGENSE Uw.} O IAA1 EXEAIPT INDER SEC. B.i P.C.FOR TNIS PEASON U W DATE ONTlER U . W \ LICENSED CONTRACTORS DECLARATION w IHEREBYAiF6iYUNDERPENA:TYOFPE0.JURYTHAT1AMlICENS[OUNOERPRONSIONSOFCHMTER Vr �(COMMENCt1O W:T11 SECTION 7000)OF DMSION]OFTHE BUSINESS AND PROFESSiONS LODE.AND Z !C W UCENSE IS N FLU iOR E INO EF�ECT. ' �± � LICENSE SS �LIC.NO. v�J " �Z j � o�rE 3 ZGoU CONTMCTOH C ��Ij'Jf%'�- CoN9r� — � � , ``�/ �. � WORKERS'COMPENSATI04 DECLAAATION ,�� y I � � J � N i lf./ � � 1 HERCBY�iFlRM UN'�ER PE`ULTY OF iERNH'/ONE OFT7E FOLLONviG DEQAMTIONS/ Z / � �IMAVE/NDVnLLMAPITAMACEiiTIFIGTEOFCONSENTTDSElFdNSUREFOFVIORKE0.5' � � _ � COYPENSATIOH,ASPROV1DfD8YSECTION]7ooOFMEt/BW1 [,FORTHFCERG NA �� W OF 71�E WORN FOR NmIGt h113 VERMIT IS ISSUED. V ---� � '� � _I NAVE AND N^LL WMAIN WORKERS'COMPENSATION WSUMNC[,AS RC WiRCD BY SECT�ON / �4 ]IOOOFT+ELABONCODE,FORi/1EiERFpqMANCECF7FIEWOPoCFORWHICHTMISPERA.IIT � � /^���� ISSUEO.6fYYAR1(EFt3'COhIPENSATpNWSURANCEGRRIERMlDPOLICYNUMF3ERM � i�ONSTRUCTION v� j uwrvcR L'.4-G - /dIO 1(' l �T� � � PLANREVIEW ,�� '�J � � POLICYNUMBER, �lOO2 �� �• �� ELECTFlIC � � �n+ssccnarc�r�or¢eoa.st�anfvenarsra�a�t6w�unoawvg�a�qn`�S / PLUMBING �ATn Z I CERTIfYTHAT N TME PERFORMANCE OF iME WORK FOR wMCH TN15 PERMIT 15�SSUm,� MECHANICAL SIIALL NOT EMoLOY MIY FERSON IN ANY MANNER SOAS TO BECCME SUBJECi TO TI�L� N 1M7RKERS'COMVENSATqryUW50FCALIFpRNIA,ANUAGREET IFISVqULDBECAME INSPECTIONFEE `_ SUAIECTTOTHEMIORMERS'C0IAPENSATION r .. NS S C ]7MOFTHElA60R g� j COOE,IS fORTHwIh1COMPLYWITHT Ev I�S ISSUANCE �� `r o. �q -�— ��B�A� p�. TEt I`� ' AFPLK.11ME SMIP � `WAANINa:fAILURETOSECUREWOPKEHS'COMPENSATqNpDVERAGEISUM.AWFUI.ANU5HALL6E ENERGY� � � TnT�c`AL'C'�lr � SUBJECTMlEAIPLOYERTOCRIMINILLPEWlLT1ESANDCNIIFNESUPTOONENUNDFEDTMOUS�ND -��X�il��V���� `7Zu OOlURS(i100,000),NPDDITIONTOTHLCOSTOFC061PENSATION,DAMAGESASPRONDEDFOqIN ENERGYPERMIT J SEC11ON770eOFTHEUBORCOOE,NTEREST,ANDATTOfiNEY5fEE5. � Q RE-TENTION FEE:� d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � � IHEREBYAGFIRMUNDERVENKTYDFPE0.IURYT/I�T7HEREISACONSTRUCT�ONLENDiN6ACCNCY FORTMEPERFOPIaANGEOFTMEWORKFORWMIp7TMSCERMITIS�SSUED�SEC.7oY7,qV.G.j. �� . � LENDER'S NAME � �/ y N �S LENDER'S/�DOR[55 `� ICEfiTIFYTHATIHAVEREIDTHISAPPLIG�TIONANOST�TETW�TTMEABOVEHFOfYAl1T10NI5CDRRECT. TOTAL FEES �'S��U w IAGREETOCOMPLYWITNALLLRVANUCOUNTYORDPLWCESANDSTATEUWSRCUTN6TOBUqDING � � CONSTRUCTION.MlON[REBVAUTFIORIZEREPRFSENTATIVESOFiHISCOUNTYTOENTERUPONTHE Z ABOVE�MEHTqNED OROOERTV FOR INSPECTION PURPO6E5. COMMENTS � ��� ��. � �� 1 _ Qv¢wai E fl ) � `� �`7 y G y SIGNA7 HEOFPE I �E W1E ✓ � � RECPT.NO. PAID BY �r � VALI�ATION YYFIITE-0epartment Copy,YELLOW--Fnanca Copy.PINK—Assessor Copy.GOLDENROD—Filo Copy,GREEN—Appicent's Copy . CITY OF DIAMORiD,BAR . � • �. INSPECTIOt�9 RECORD � � i: '�I���-'�:���'C���1�1 ��t..�il'= '�1.E-���.��'��a�lyl+�.d�e.��lQ�1rG+ +� �:���C�=T �!►`E-y��r'•'r����� .._...._........._..�..__.. - ..� __...,_.r�.-_... � _._._. ...._._-=-...__..._..___..�.._ ___...�.._. ... ....._.Y.._....._�. .-._.,_ -- ... _ .___-. _.__ _.. . - -- -- ;SET BACK , �� - •� FLOOR JOIST , l. . . .. , �_ � � ,_ . .. � ' :_--::�•-•--.: . . FTGS/FORP�".S!STEEL - -�� ' FHA REQP�7T5 .� . . .` ' ' � �� _� : -;---- ,ELECTRIC GROUND .. . � UNDER FLOOR DUCT_��� � ,j�� ' _ �GROUND PLUt�1BING • UNDER FLOOR CUi;,D�JLT- .'`�(';'. ._.r"';':�' ! .``.`n� . i `SLAB GRADE - '''�. _ . - ' FIREPL',F,C��CyIJf Dll�i ION ���.---' �- —�,. ' -' ' :�� �-' - - �TEF.QP PO�'JER FIREPLACEB�ND BEAM ' •- ' - • • ' • � iWATER SERVICE -- MID HT. BOND BEAh" ;ROOF SHEATHING -- f3 F7. BOND BEAP11 . ; ; ' � 'FR/1".11"JG.NENTILIATiOhJ � FINAL'BOND BEAPJI � ROOF COVER '. PRE-GRADING � ' " " ' 'ROUGH N�ATING - � BEhCHING'. • .•. . . • � � °ROUGfi ELECTRIC . � • � R�UGH GRADING �- � � � 'RO;JGH PLU�y",BING '- � � FINISH GRADING 'SH0'�VER•�UB TEST - - - POOL ELECTRIC � I � �riT:L�ii NrSIDING -- POOL FENCING � � �;1�°lALL 1N5ULATION -� - - POOL FINAL � • ��:,�ILi�•JG li•:�ULATION + OFF 51TE IMPS. �D:;YI�:'}1L.L_P�A1LI�JG }%��j .� _ : � DEDICATIOt�S SEI,":CR � � - � FINAL ENG. I,StPTiv TANK �. ;- LAP�DSCAPE/1RRIG. ��S��F_P!T/L.L. ` ` • :� • � � :� ON SITE IP�1P5. � �:t•S f:I:=i EST /� FINAL ZONING ° #�;r:�:__.,GNST. �s'�� ������ ' FIRE DEPT. FINAL 1:°`._t-1Gl;TI�dG . ._ ._ . HEALTH DEPT. FINAL � � DEV. FEES PAID � �_ t.�:;: ELECTAI;; - _ . t: ..--._ "t.:PLUf.1BING - ENERGY + I � ..— ; . .r,,.._-.._,..,,,,,.._....._.._.__. . . . �:_':.,L r,1� .i'�r� . �,. I � ,.a..,,..., .. , • ' .: -- ..:<.-:._'-_----=----�......_.__._... .........._ �, __ .. . . . . .. -..� �i - -- - --- � -• ---_ . :. .. � ' •. . ., : ����;,.-1fJIEfJTS . � ' , � . - � � . ' ';�'- : r' � ' ' i .. , __�_ ..,... , f. i �l' ' . ,• • - �� _ _. , . . . , 'SEPTIC TANK SIZE � : ;SEEP PIT/U SiZE , — _..-..___.... _.._..__�--.� . , p��~ � , ' � -� -- ' , i ,�j��,� ,� - i i ..... -- � � ; i ! • • . . . _. . .�r . . • ' , � . - ' . — . . . 1