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HomeMy WebLinkAbout11868 (5) ----�--� CITY OF DIAMOND BAR COMMUNTI'Y DEVELOPMENT DEPARTMENT .�,..� 2(660 E.Coplty Drive Suitc 190 (909)860�3195 Fax(909)861-3117 PRESS '""' BUILDINGPERMITAPPLiCATION FIR LY o� JOBSITE � �v Y APPLICATION !n �L PERMITI P/ � � ADDRESS � DATE `� NUMBEFL # $ � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP , o OWNER r� �i^()�� p ADDRESS ZONING SETBACKS z CITY��_ ZIP �[ TEL. 'IL4 •�7(►�� FRONT qN/ p � APPLICANT �,���' Ht!1 TEL. REAR ❑ SIDEJSIDE STFiEET RW ❑ ¢ CONTRACTOR SIDE � ❑ O CDDRESS Z�P TEL. PROPOSED USE�1fC_ �il�/�Lf 1 iWri.� �.� w ARCWENG/ f • z DESIGNER w � � NO.DWEL. N0. • NO. a ADDRESS . � CITY 1�+-, • ZIP � TEL. � � UNI7S STORIES �' BEDROOMS —�a��' �Z� N DESCRIPTION SO.Ff. FACTOFI PSF ADJ.AREANALUATION Q OWNER-BI;ILDER DECLARATION 0 . SFR/ADD,'REM . p I HEREBY AFFIRM UNDER PENlyTY OF PERJURY TNAT I AA1 E%EMPT FFOM THE CONTMCTOHS LI- Ga�agB/(,•af�On W CENSEUWFORTHEFOLLOWINGRLASON(SEC.70.71.69VSINESSAN�VROFESSIONSCOOEANYCITVOq (n U CWNTYWHICHREOURESAPERMITTOCONSTRUCT,ALTERIMPROVE,DEMOlJSH,ORREGAIFlMlYSTF1UC- W w NflE.PfUOR TO R3 ISSUANCE.AL50 REWIFES THE AFPLICMlT FOR SUdI VERIAIi TO FILE A SICNED W PatidDack � STATEMEHT THAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF TME CONTMCTORS l4 � CENSEUW{dUPTERG�COMMENGNGVATNSECTqN7o00)OFDINSION]OF7NEBUS�NESSbNDPR0. � PooUSpa - - O FESSiONSCODE)ORTMATHEORSHEISEXEMPTTHEREFROMAN07HEBASISFOR1NE11LLEGEDEXEMP- C3 V TION.NI`lVIOLATIOryOF5EM10N7071.58YANVAPP�ICANTFORAPERMITSUBJECT57HEAPPLIGVlTTp Z RB•ROOI '� A CML PENI�yTY OF plpT MORE THAN FIVE HUNDRED DOLURS�SSDO),�: Z~ ❑�ASOWNEROFTHEPROPERiY,OflMYEMPLOYEE5WI7HWAGL5�5THEIR50LECOMVENSATION, O YV�LL 00 TME WORK,11N0 THE STPUC7URE IS NOT IMEMJEO OR OFiEFED FOH SALE(SEC.7W�,BUSI� J CORIRIB/CiHI ' � NE55 AND PROFESSIONS GOOC:THE CONTMCTORS LICENSE UW DOES NOT PPPIY TO AN OWNER OF � FROVERTY VAq BUILDS OR IIADRWES THEREON,AYD WHO DOES SUCH WOqK HIMSELFOR HERSELF Oq LL THIipUCHH150i1HCROWNEMPLOYEES,PROYIDEDTFUT5UG11MPROVEMENTSARENOTINTEN0E00R m Q OFFER[DFORSILEIF,HOwEVERTMEBUILDINCOHIMPROVEMCNTISSOIDVAM'NqJEYEAROF�pMPLE• � � • ' z TION,TME bMJ[R�BUILDER WILL MhVE TNE BURDEN OF PRONNC THAT HE OR SHE DID NOT BULO OR � IMPqpyE FOR TME PUpPOSE OF SALEJ. � w OL�SOWNEFOFiMEPROPERTY,AME%CLIISNEIYCONTRACTINGWITH�ICENSEDCONTRACTORS Q TO CONSTRUGi THE PRO.IECT(SEC.7D��.BUSINESS AND PROFESSIONS CODE:THE CONTMCTORS LI• Va!U2�i0n �� ADJ.AREA W CENSEUWDOESNOTA➢PLYTOANONMENOFAPROPERTVN7pBUM1DSORNIPROVESTIIEREON.MID � MMOCONTMCTSiORSUCNVRQlECTS'MiNA00HTFUCTOR�S�LICENSE�iUR5UM1rTOTMECANTRAG QUANTITY DESCRIPTION FEE x TORSUCENSEUW). � OIAAIE%E�APTUNDERSEC. B.iP.C.FOHTIISREASON Q '- � U u' DATE OWNER F- _..�Q LICENSED CONTRACTORS DECLARATION W CC IHER[BY/�FFIRMUA9ERPENALTYOFPERAIRYTHPTIAMIICENSE�UNOERPRON510NSOFCMAPTER U. (i 9�WGMENCWOWRHSECTqN70o0�OFDN�5iON70FTHEBU51NE55ANDPHOFE55iON5CO0E,MlD Z �L MYLICENSEISRIFUL�FORCEANDEFFECL � ' � LICENSE CUSS �.J LIC.NO. �O l� _ V DATE_(,e^ �%�-^ COMRACTOR �j�%n��.u�1., a � �fX� �'3t WORK RS'COMPENSATION OECLARATION �M 1� -r 3 ' � IHEREBYAFFIRMUNDERCENALTYOFPEiWRYONEOFTHEFOLLOWINGDECLAMT10N5:1,, Z � _IHIIVEIINDWILLNAINTAINACERTIFIGTEOFWNSEMTOS�FJNSUREFORWORNERS' d COUPENSATION,ASGROVIOEDBYSECT10NJ7DOOFTHELABORCODE FORTNEPERFORMANCE U Q OF iME WORK FOH WHIG7 THIS PERAIIT IS ISSUED. � �w �_IHAVEANDW�LLMAINTNNWORKEFS'COMPENSIITIONINSURANCE,ASREWIRE09Y3ECTION 9700pFTHElA90RCODE,CORTHEiERFOHIAANCEOFiHEWORNFOf1NMiCMiF115PERM1T15 ISSUED.IA'IWORNER PENSATqNINSURANCECARFIEAANDPOIICYNUMB[RME: CONSTRUCTION 1 J T , j CANiUER�L!?�'-�"�� �- PLANflEVIEW • o vaicr rauueEa ��L--��'',v�=C 3 3 7 — v � , ELECTRIC 0 fn+ssEcf�p�r+EmrareEca.rttErEnoPnEVEro�rsrona�EruLfiEopalus(Siao7oRlEss) PLUMBING W Z ICEFTIFYTHATWTHEFERFORMANCEOFTNEWORKFORwHiCHTHISPERUITISI55UED,1 MECHANICAL � �3' SNAILNOTEMPLOVANYPER50NWANYMANHER50ASTOBECOMESU&IECTTOTME (n WORKERS'COM7ENSATIONUWSOFCALIFORN10.�NDACREEIHATIiISHOU�DBECOME INSPECTIONFEE � � SWJECTTOTHEWORKERS'CAAIPENSIITIONGROVISqN50F5ECTqN77000F7M[LABOR CODE,I SHALL FOAT1MnTH COMPLY Nn7H SE PROVISIO ISSUANCE O (�„���c�, p DATE: APPLICANT: SMIP W ENERGY P/C ��ll � � WARNINC:FARUR[TOSECUREWORKERS' ENSATIONCOVE AGEI UNUWFUL,ANDSNALLBE J � SU0.IEGTANEMPLOYERiOCRIMINALPE �SIWDQVILFINES ONEMUNORE�TXOl15AND ENERGYPERMIT OOlLM51f t00.000),IN ADDITION TO7ME COST OF CqAPENSA7qN,DAMAGES AS FROVWE�FOR IN � �, SECTION]70eOFiHELA00RCODE,INTERE5T,MIDATTORNEY5FEE5. � RETENTION FEE: � CONSTRUCTIONLENDINGAGENCY PRE-ALTFEE: ���(� h 10C1Q ' ' v�� 4 I MEREBV AFFIRM UNDER PENALTY OF PERNNY THAT THEHE 1511 CONSTRUCiIdJ LEN�ING 110ENCY - ' FOR THE VERFORMANCE OF TME WOPX FOR WHlpl T115 PERMIT IS ISSUEO(SEC.90Y�,GV.C.�. �� W � ��E�•S�E D TY F'- LENOER'SADDRESS � W ICERTIF'IT7ATI/UVEREADTH�SAPGLICATIONANDS7�TETHATTiEPBOVEWFORMATqNISWRR[Ci TOTA�FEES Q IAGREEiOCOAA7lyWITMALLd7YANOCOVNTYORDiNMICES/NDSTATEUWSREUTINGTOBVILDINC � � � CONSTRUCTION.ANOHEREBYAUfFIORIZER[ ESENTATNESOFTMISR.�{1NiYT0.'TERL'PONTHE Z IBOVE�PEMIONEODPOVERTYFOHINSPEC WRPOSE3. \ COMMENTS 0 r J �•�R/1 /L�_ / � N�'/ m PERMi77EEN f�'Nn ¢ � '(.! � V (/) SIGNATUR FP i TE � � ✓��.� C .. RECPT.N0. � PAID BY VALIDATIO WHI7E—�epanmenl Copy,YELL w--Finance Copy,PINK—Assessor Copy,GOLDENROD—Filo Copy,GREEN—Applicant's Copy -- _ CITY OF DIAMOND BAR�•��: . , � �,., � : ,'. ,; . INSPECTION RECORD ` . . , - . ._. . ; . .. � . . . . ... -. . ., ' � � ;, p ► '���:y �� I►.�-.�?�c�, c� � o � � ' � ��_� SET BACK � ; � FLOOR JOIST , " � - _ . . . FTGS/FORMS/STEEL ' FHA REQMTS - ELECTRIC GROUND UNDER FLOOR DUCT •' � "" GROUND PLUMBING � UNDER FLOOR CO�IDUIT � � '.:.., ' SLAB GRADE • FIREPL:AGE FOU DATION '' ` ' � ' " - � ' � � TEF�IP POWER = -- FIREPLACE BOND BEAM • � WATER SERVI�E� �� ''' � • ' � '��;� � MID HT.BOND BEAM ROOF SHEATHING E3 FT. BOND BEAM FRAMINGNENTILIATION • L� FINAL BOND BEAM � ` ' ' �'' ' l ROOF COVER - PRE-GRADING� ; 'r l t '. ROUGH HEATING - - BENCHING "" ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBfNG FINISH GRADING • SHOWER/TUB TEST -- - POOL'ELECTRIC EXT.LATH/SIDING - POOL FENCING WALL INSULATION POOL FINAL � - ' � CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING � I��i�' - DEDICA710NS - SEWER FINAL ENG. SEP.TIC TANK.. _ � • ' � . '-�' LANDSCAPE/IRRIG. � - • ' SEEP-PIT/L.L. __ _ _ . ON SITE IMPS. GAS AIR TEST � , ,,..r.---� " . FINAL ZONING , FINAL CONST. - - ���� � I FIRE DEPT.FINAL FINAL HEATING- . - HEALTH DEPT. FINAL FINAL ELECTRIC " DEV. FEES PAID - FINAL PLUMBING � ENERGY - • �iT:r�_� � -, .. - ..... . ,';� + :ti • -�- - - - • - • . COMMENTS _ . ._ , ; i 1:�;, � . . „ • ; . ` i � _ _ . , _ ;����, • �, i,:`� , !'i, .S�`= � 1V � . . ,. , . . " ; - �'`' _. , '�V. `� '. _ • . . - _ ., . ; _ - i .� .,:y..` � _ . _. ._ . . , . , . � ��t - � • -- - • . w�.�'. . ; _ � � - - .. , SEP71 TANK SIZE ' , _._ . . - - - _ SEEP PIT/U�SIzE ?;£�' t; � ,� �' � � - - ll1�Ei '�C ;�A!,!;:�i�:? ! 1'1� . l,t��1��l�ll\Lr�l�r.�i��ir . . . . . . . . ._. � � . �' � ' f• � ', � ., . ! _� l�" �� ', - ...,., ;�• ��, �- ,l,. ' • .� + '; , , ��: i - ,',, ��. '� i ,.; ..t ��'l't- . . . � . . . . ..,� � • �. J • ; . �,- • , . . . -