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HomeMy WebLinkAbout15223 (20) �� CITY OF DIAMOND BAR � - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � ' 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 PR ESS ' ��'TM'� BUILDING PERMIT APPLICATION �_ FIRMLY � JOBSITE APPLICATIO(�J �j o ADDRESS DATE � � � � NUMB R�✓��� N,C $ ISSUE /� /'�/ TYPE OCC APN LOT�'�_ TRACT DA7E � (/� CONST. GROUP � OWNER Q � a ADDRESS � ZONING SETBACKS �"' CITY 'f -�i� ZIP TEL�l-(o'LZ-�ZI'}(o REART RW ❑� APPLICANT Q��r�;r� i��t.x- TELq�-(�2.2-I�i� � - SIDEISIDE STAEET RW O CONTRACTOR d '� SIDE p g CfTY ES A-�:ItE i ZIP TEL61tWl 62Z-- PROPOSEDUSE.��+�CNC-t.-1-tE��To� '�=vEt_Tp�lt ARCH/ENG/ DESIGNER �' Z� NO.DWEL. ��0. NO. ADDR SS '7 ��-t�r� 'T� UNITS STOAIES BEDROOMS � CITY ZIP Q?�P. TEL�I 7A2-1�'tD u� DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q . � OWNER-BUILDER DECV+RATION SFq/ADD/REM O p �1 NEREBY AFFIRM I,NDER iENFLTY OF PERAIRY THAT I,W E%EA1CT FRd.I iHE CONTRAGTORS L6 G3f3gB/CBfpOfl � lL CENSEUwFORi11EFOLLONaNciREA50N(SEC.7oa�.6BU5INE55AKJPROFE551CN;00DE:ANVqTYOR (n � COUHTYYhUQ1RE0UYiE5APERMRiOCONSTRUCT,ALTEiLIMPpOVE,pE/Apl15H2ORREPNRANYSTRUC W Patio/Dack 7URE,FRpR 70 R9155UANCE.AL50 REWIHES iHE APPLICANT FD(t SUCM PEfU11T TO F4E A SIGNED W EiATEMENf IIUT ME OR SME IS UCENSED R1f�SUAN7 i0 TNE PROVISIONS OF 7HE CONTMCiORS LF � � CENSE UW(CHAPTER Y(COMMENCWO WRH SECTpN 700a)OF DMSION 9 OF 7HE BUSINE55 AND PRO POOVSp3 � fESS10NSCO0E10RhUTHEOfISMEISE%EMPTiMEREFppAAND7HEBASISFORTHEALLEGEOE%EIAP• C7 TION.ANYVIOIATqNOFSECT10N7o7�.lBY11NVAPPLICANTFORAVERURSU&IECTSiNEAPVLIGWTTO Z Re-Root '„� ACIVILPENALTY OF NOT MORE 7fIM1 iIVE HUHORED DOLURS(lSaO�.): O OlA50VMEROfTHEVROPERTY,ORMVEMPLOYEESWITMWAGE5A5THEIR50lECOMPEN5AT10N, O COf11rt1BfCIaI - Z WMl DO TME MlORK AND TME SiRUGTURE IS NOT INiENDCD OA OFFERFD FOH SALE(SEC.70N,BU56 J N HESS MA YHOFESSIONS COOE:T11E COHfHACTORS LICENSE UW DOES NOT A77LY TO lW ONMER OF = iROPENfY YYFiO BU0..04 OR MPROVES iMEREON,JW D MTfD OOES SUCHKORK HIIASELF OR MERSELF Oq Q TWi0U0HWSORMERONMEYPLOVEES,PROVIDEDTHATSULHMPROVEAlEHTSARENOTINTENOE�OH m � OFFEPEDfORSFLEIF.NON�EVER7HEBULDINGORIIJPROVEMENTISSOIOWITMNqJEYEAROFOqdPLE Z T10N,i1/E 0'NNER�BUILDER WILL HAVE THE BURDEN OF PROVPlU THAT HE OR SME DID NOT BUIID O!1 � IMPIiOVE FOR i11E MIRPOSE OF SALER ❑�A4 OWNER OF iHE FROPERTY,Mt E%CLUSIYELY COMMCTMO WRIIIJCENSED WNfMCTOR3 � 70 C�NSTRUCT T11E VRO.IECi(SEG 70��,BUS�NESS IlM)VROFESSiONS WDE:7ME CONTMCTORS L4 V21U8110f1 b ADJ.AREA � CENSEUWDOESNOTAPVLVTOANO'M�EROFAVHOPERiYWMOBU4D50RIMPROVES7HEHC011.AND NRIOWNiMCTSFORSUp1VROJECTSWITHACOHfMC7C1R15)LICENSEJFURSWWTTOiMECOHTRAG QVANTITY CSCRIPTION FEE � TORSLICENSEUw} OIAMD(EMPTUNDERSEC. B.�V.C.FORiMISRGSON Q 3 � .. � . � � DATE� OWNER U , F UCENSED CONTRACTORS DECLARATION W � INEREBYAFFYwUNDERiENALTYOFPEiUVMiHATIMALIGEHSEDUNOERFROY15WN50FCriAPTER Ur � ��Cp14ENCWOWITMSECfION7000)OfOM510NDOFTMEBU51NE55NiDiPOFE55lONSCO�E.AND Z �� MY UCENSE IS W FUL.L FCRCE AND EFFEGi. m � LICENSE C S LIC.N0.�����"��� j �j DATE �I CONTMCTOR�}y� +-�uty a W � � YlORKERS'COMPENSATION DECLARATION -i a � � U � IHEREBYAFFIRMUNDERPENALTYOFPERNRVONEOFiHEFOUAW�NCD[CURATqNS: Z Ll _IHAVEANDWILLAUIIMAWACERTIFlCATEOFCONSEHTTOSELF-IN;UREFORNOFKERS' _ � � COMPEN4�T!dJ,AS GROVIDED 9Y SECTION 7700 OF THE UtbR CODE.FORTHE DERFORMANCE U Q .OFMEWORKFOqW111CH1M5VERMIT15155UED. � � ,�IHAVEAMJYYRLMNNiNNMqFlKERSCpAP'eNSATqNWSURANCE.A5RE0UIRE�BYSECT10N �/ Q �70aOFT7ELABOfiCODEfORiNEPERiORAIANCEOFTHEWOPoCFOflWF71CHTHISPERMITIS ��Y L�D ._..._� ISSUFD.IIYWOpKEHS'C�OI.�PENSATIONWSUMNCECAANCRMIDVOLICYNUMBERMG: CONSTRUCTION u � � cuwien�1�{�1.�5,[� PLAN REVIEW � � POLIC'/M1IIBER�'4'�A 1 3 A4 I Lb' 1 ELECTRIC � : �sEcmir�rnre[m.s��IDOFn£ar7uRsroaor�µrnnmocuins�sim)oni� PLUMBING Z 1 CERTIFY TMAT N TME PERFORMANCE OF TME WONC FOfi WM�CH h1iS iERMIT IS ISSUED,1 MECHANICAL U' ' � SMAILNOTEMPLOYANYPER50NNliM'AWINERSOIIS BECOMESUBJECTTOTHE j� /�S�+ (/� ' MqRKERS'COMPENSATICNLAN50FCA�IFORNII�AND �EETMAT615FIOND6EODME INSPECTIONFEE ��,j� �Z7���' SUBJECTTOTMEWORKERS'C0IAPENSATIONPR VIS "OFSECTION]7000FTMEUBOR ��� rj coo�,isN�uco�vnn�couv�vvnnysyo s. �� - ISSUANCE �DO_OQ� p DATE:��D,Q_ APPLICANT. , . SMIP � WARNINO:FACURETOSECUPENORI(ERS'COMPE ATIONCDVERAGEISUNLAWFUI.ANDSMALLBE EN[RGYP/C Iu �y 6UBJECTANEIAPIOVERTOCRIMWALPEN/�L7IESANOCM�FWCSUPTOONEHUNOREDTNOUSAN� ENERGYPERMIT aptllR/l�,�RA� DOLLAFlS(110o,0ao),IN ADDI710N TOlHE COST OF COMPENSATION,OAMACES AS PROVIDED FOR IN J 6ECTqN71000FiT1ELABORCOOE.INTEREST,hNOAiTORNEY5FEE5. �r Ull'll�Yd � `� p� RETENTION FEE: r�r�� O CONSTRUCTION LENDINGAGENCY BU-L�1J•��•��- . PRE•ALT FEE: �� � IHEREBYAiFlRMUN0ER0ENALTYOFPEM1RYiHATTHEREISACONSTRUCTONIENOWGACENCY FOR THE iERFORMANCE OF i11E WORK FOR Yrt11G17H15 FERMIT IS ISSUEO(SEC.70i7,CN.C.). Z ' �"' Fi���'�'I�t1t1d#�0��'t�al� lEHOER'SWWE C - � lFN0ER5A0DRE55 -IS J/A�E�. ES'7a,1��l=yl�_ � IGEfi?iFYTHATINAYEREAUTHISAPPLJCATIONANDSTATETMATTIIEABOVE1NfORMATIONISGORPECL TOTAL FEES � W IAOREETOCdA7LYWIT1ILlC1iYANDCOIMTYOH�INANCE5I�NOSTF7EUw5REUTNCT09UIL01NG � CONSTRUCTION.ANDHEREBYAIlf110RREREPRESENTATIVESOFTHISCOUNTYTOENTERUPONTHE �] C �n[f•�j[V�j� ZAOOVE�MENTIONEOPROFEHiYFORMSPECTION%1RPOSES. COMMENT� ��v � ��� ~`� +�I�G '-1" - � � �F � m PERMI N E(Fi Q � � a y SIGNAT OF i EE O TE � RECPT.N0. PAID BY VAUDATION WHITE—Depanment Copy,YELLOW�inance Copy.PINK—Assessor Copy,G LDENROD--Fib Copy.GREEN—Appticant's Copy � � . CITY OF DI�►�JIOND BAR , . _ . � � INSPECTIO�d RECORD . ' � �., �� . � ' . ., . . , 1�����=��IPI�fl��� -_ _���7�=��j���;����' �',��.i►��-�i�d=t�`'1'�c���'i'���°Y��[-_ _��f��.��=�ac''�c�;��, SET BACY. . . `- ;�. '� . FLOOR JOIST �� , : ;FfGS/t�ORP.1S/STEEL � � - - • . �1,': _ FHA PEQtATS . .. . - .- -_- . . __. .-• - -- ELECTRIC GROUNQ. _._ ' .._. . �.- UPJDER FLOOR DUCT ;GROUND PLUhA61NG � • UNDER FLOO�CUf•IDUIT� ` "_ • ' .- ___ • :SLAB GRADE- - - - - � ' ' FIREPLACE,FOUiJDATIOPJ � �TEh4P POWER - � � FIREPLACE�BOUD BEAti1 • • - - ' WATER SERVICE P�SID HT. BOND BEAM � ROOF SHE�.THING :-' .• . : . I I II FT. BOND BEA��7 .. • . ; � . -. : : FRAh11NGNEP1TILiATION - � I FINAL BOND BEAM � ( 'ROOF COVF_R � � PRE-GRAD�NG • � - • .ROUGH HEATING � - BENCHING -�.•���.• . • • ' ROUGH ELECTRIC .. '" ' . _ ROUGH GRADING � - - �- �� ROUGFI PLUMBIPJG -- � � � � FINISH GRADING SHOYJER,TUB TEST - I POOL ELECTRIC E�T. L�,TH/SIDING -- : -- POOL FEPdCING °V�JALL INSULATION - - - POOL FINAL • CE1Li�Iu I�•:SULATION OFF SITE IMPS.. .DAY1�'JnL.L NA.1L(NG DEDICATIONS � SEI�ti'ER -._ � - � FINAL EtdG. SEPTIC TANK � LAPJDSCAPE/IRRIG. I ;SEEP PIT/LL. ' ' ' <� I ON S17E 1�•APS. • � �GAS f�IR'fEST � �INAL ZOPdING - 'f�IP:��L:CC}NST. � , FIRE DEPT. FINAL � Fl;•:�,L f•lEATIfdG __ _. T. HEALTN DEPT. FINAL `T!`�=.L ELECTRIC - DEV_ FEcS PAID -- � ;':=":!^.L PLUM9ING -- EP�cRGY � ..._ -- - - � .r,�.,...�•�.-w.---,r----- i . _.. _ . . . . , k.;�."�_3�. r��'�' ----_-___-- �. _�._ ^ ,. :-._ , - _ , . . ` CGt'JItJIENTS - • � - ' . !��CJ �,; f, . . . . _ �-^� �` . • . •..h.v.A r� . . . 1 . . , . . _ • . � . �1�j�1 r i J i •-�t": �,.�). . . . . . . . _ I �� _�,/�, • ' ' , .-_'- , . . .. . �SEPTIC TANK SIZ�i�,:i c?i�:::,�;f:ft_�::�. ,,;T.. . ' . . - ; . ;SEEP PIT/U SIZE ' -'�r�� C�: . . �;',i�� :;��: , � _ . -.._ � : � . ..�._.. _.. .. � , , �; .. `.�S� , -. � .. � , , 1 ��. �,'. . ., �; '. -- .. . ; .,��t� � ' . _ .. .-. - � ' s _ i ` j;-_'� • i � __ . l, _,��. �.. . _. ' . _. � . �� . . . . .i . . -- � � � • i -- ` � � , i��f .. . .. . I --y-- -�--d . . . . - "--- ' . �