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HomeMy WebLinkAbout15421 � � : EXPIRED J� CITY OF DIAMOND BAR � DEPARTMENT OF COMMLJNITY dt DEVELOPMENT SERVICES JUN 171002 �V 21660 E.Coplcy Drive Suitc 190 ' (909)860-3195 Fax(909)861-3117 PRE$$ �'�'� BUQ.DING PERMIT APPLICATION FIRMLY N JOBSITE .�j�I O C � �C�1 I��l�C� DATE � � " � NUMeER '� N � ADDRESS fe J � APPLICATION PERMIT P/C C g issue nPe occ APN LQT TRACT DATE CONST. GROUP 2j OWNER 1 J 1 1� ✓% p ADDR66S_56Jn1F S 1�t'' �l�'�i ZONING SEfBACKS z CITY�IXim(f�;� .f�I' ZIP TEL REAR Rw p $ APPUCANT TEL SIDE/SIDESTHEET ' � � RW O � CONTRACTOR '�S V�Y1�I f'r"S SIDE ❑ � ADDRES3~'1 i L _ , , CRY �l\YE'(S i( F ZIP � " i'S TEL " - � � PROPOSED USE � ARCH/ENG! � DESIGNER NO.DWEL. NO. NO. ADDRESS UNRS STORIES BEDROOMS N CIN ZIP TEL � �n DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADDiAEM . O 1 HER�YAFFlRM UNDER PENN.TY OF PEiWRY TFUT I AM IXEMPT fHOM T11E CONTMCTORS LF G8f8QB�C81pOR CENSEUWfORiMEFOLLOWIKlIiEA.AN(SEG70.71.68USINESSANDGROFESSIONSCODEANYCRYOR (n WIMT`lWIRQIREOUWE411PERMRTOCONSTFiUCT,ALTEiIMPFqYE.OEMOLISH.OHPEPNRANY4THUG W Patio/Deck � TURE,VPIOH TO RS ISSUANCE,ALSO REWIRES THE APPLICANT FOR SUQ1 PEFMR TO F0.E A SIONED W STATEMENT 7HA7 HE OR SME IS LICENSEO OURSUANT TO THE VNOVISIONS OF THE CONiMCTOR9 LL � CENSEUW(CJUNTERO(CDAINENCINOWITHSECTION7ao0�OFDMSION]OFTHEBUSMESSANDVRO. � POOVSpB � � - FFSSqN4 COOE70RTHATHE OR SHE IS IXEMPT THEREFFlOMAND THE BASIS FORTHE/LLlEOED E%EMP• TqN.ANYVIOLAT�ONOF6ECT10N7o71.6BYANYMPLICMITFORAVEfWiTSUBJECiSTHE�PPLICANTTO Z Re-Roo1 �� '� F ACIVILFENALTYOFNOTLIOIiET1ANFIVEHUHDRE�DOLURS(i600).j: O OL���EflOfTMEiROVERTY,OfiWEMPLOYEESWITNWAGE5A5THEIRSOIECOMPEN5A7CN, � CORIIIIBfCIflI � Z YYRL DO TNE WOfK AND TME STRUCiURE IS NOT IMENDED OR OFFERED FOfI SALE(SEC.TOM,BU56 J . � NESS/MID VROFESSION9 COOE 7HE CONTFUCTORS lKENSE UW DOES NOT AVPLY TO AN OWNER OF = PRODEIiTY1N10 BUlD3 OR MPROVESTNEREON.ANDMAIO DOES SUCH WO(iK HIYSELFOR HERSELF OR TINIOUGHWSORNEROYMEMiLOYEES.VROWOmTHATSUCH�dVROVEMENTSARENOTINTENDE00R ' CO OFFQiED iON SALE.6,II�VEYER 7ME BULDINOOR M/DROVEA/EMIS SOIDMIIMN ONEYEAROF COYP�E ' �TION.7ME dN1�ERbUILDER 1wLL NAVE iME BU110EN OF VROVNd THAT HE OR SME DID AIOT BUttD Ofi MGROVE f-0R T/E W FPOSE OF SALEL ' O l 118 OWNER OF iME PROPEiRY,MI EXQUSNELY COMMCTING VrtTlI LICENSED CONTMCTORS TO CONSTRUCT THE PiqJECf(SER 7W.BUSINE55 AND FROFESSIONS WOE:THE CONTMCTORS L4 V8IU81IOf1 ADJ.AREA CElISE UW DOES NOTAPPLY TO AN OYYNER OF A PROPERTY N?q BUIlD3OR UAPROVES h1EREON.AND YI1qCOHTRACi5FOR5UCMVR01ECT3WfiHACONiMCTOi�S)LICENSEDPURSUANTTOTIECONTMG OUANTITY DESCRIPTION FEE � � TOfiSLICENSEUW.} ' O I M1 EXEIIPT UHDER SEC. B.l P.C.FOR THIS REASON U I� .-S Ct � ✓ J� �l" OATE OWNER � V �� �� � � UCENSED CONTRACTORS OECLARATION W h � IHEREBY/FFpWUNDEHPENALTYOFiEiWMTNATIMILICENSEDUNDERVRON510N50FpIMTER Vr � /IC04HENCNOVrtTHSECTpN1000)OfDMS10NJOFTMEBUS�NESSANDPROFESSiONSCO�E,MD Z �� W 110ENSE lS W FUII fORCEAlA EFFECT. � � � m � UCENSE C1A55 LIC.NO. � 1-- -. � DATE S�Z `—U� CONTAACTOfi �- . = WORKERS'COMPENSATION DEC ON �/ � IHEREBVAFFIfWUNpERPENALTYOFVE0.NRYONEOFTHE NnNCDECURAT � � �INAYEANOWILLWUN7ANACERTIFlCATEOFCONSEtdTTO F�NSUREFOH RKEfl3' � . COYFENSA710N,ASVROVI�EDBYSECTIONJ10oOFTHEll180 R Q �OFTNEWORKiORWHiCHTHISVERMITI3155VED. � '- , . _ , � . . . .. .. . �.,�, � �IIUVEIUIDWILLMARlTAINWOR�(ERS'COMPENSATqNR15URANCE,ASREOVIREDBYSECTION - A� 77ooOFiMELABOqCOOE,WRiHEPERFORMANCEOFTIEM/ORICFORWHiCHTHISPERMIT ' . � � . �= RSUED.MY EfiS COMVENSAT J WSU C�CMRIERAN�NOLICY M1MBE C STRU ON � 5 j Cu�aEn � �5� '� P N REVI � POLIC'(NUMBER V-E- �C,.. � � Q �rti+ss[cnorrr�IDrureeoonRErIDOFnfp�cr�rtsronora �Rm �s�eo PLUMBING ��� Z ICERTIFYTHATNiHEiERFORM/�NCEOFTHEWORKFORWHIp1THI5PEiiMIT6155UED.1 MECHANICAL C�'�7 SF1AlLNOT EMPLOYANY VERSON N ANY MANNER SOAS TO BEWME SUBJECT TO7HE N WORKERS'COMPENSATION UM50F CAIJfORNIA M10 AGREE iHAT IF I SHOULD BECOME INSPECTION FEE SUBJECT i0 THE WOHKERS'COMVENSATION VROVISIDNS OF SECTION J700 OF TME UBOR rj coo�,�sNut romHvnn�canvtr wm� E�PROVIS�Ns. ISSUANCE A 1 I�: r) �� •`��� �l:\��.��� SMIP ��— _ �rl1 jPRAR � DATE: APPLICANT: �.�+�J WARNIN6:iALl1RETO5ECUREWOliKERS�ENSATIONCOVERAGEISUNUWFUL,ANDSNALLBE ENERGYP/C Cti 1 3 O� c`a��Y SUBJECT/J.IEMPLOVERTtlCPW41ALPEWLLTIESMI[1CMLFNESUPTOONEMUNDRE�TMOl15AN� ENERGYPEHMI'QL�LL71��1•y OOIWi�(if 00,000),N 1DDITION TO THE COST OF COAIPENSATqN,DAAUGES AS GROVIDED FOR IN ¢ 8ECT10N170lOF1NEUBORCOOE,NTEREST,ANDATTORNEY5FEE5. ' R�ENTIONFEE: a CONSTflUCTION LENDINOAGENCY PpE-ALT FEE: O C� IHEPEBVAFFlRIAUNDERVENAtTVOF0E0.NMTHATTNERELSACONSTPAICTIONI£NDWOAOEHCY Z FOR TME OERfORUANCE OF TNE WORK FOR WHICH T115 7ERAllT IS LSSUE�(SEG bY7,qV.G�. . W � LENDER'S NAME � � �ENOER'SADORE35 /� W ICERTIFYTUiIHAVEPEADiH13A➢PLICATqNAN�STATETIUTTHEABOVENFORAIATqNISCORRECT. TOTAL FEES . �c�3� '✓ O � IAOREETOCOGOLVVA7HALLCfT`/MIDCOUN7YOROINANCESANDSTA7ELAYVSHELATINOTOBUILDINO , � � CONSTRUCTIOµM1D HEREBV AUTIK7RIZE REORESEMATNES OFTHIS COUNTYTO ENTEN UPON TIIE S� /�BOVE-MEMIONEDVROPERTYFORWSCfCilONM1RPOSES. COMMENTS �� � 0 � J � � ' 4 PERA1 (PRI ) ++ N z� , (n SIGIUTU OF EE OATE � - RECPT.NO. PAID BY VALIDATION WHITE—Department COpy,YELLOW—Fhence Copy,PINK—Aaaessor Cop�,GOLDENROD—File Copy,GREEN—Applicant'a Copy . . .i.�. � .w...�e .. � ........r.... . ,w.._... ;�;t..,,.�' � ..�n.. _ •:[/°�... . � .. .,.. "f:-"S'' . ...'I ',i.•:'. . � ,�. .,ti'. ^i -f r..7�-��� cp , T CITY OF D1AIVlOND BAR � . ` i ' , ItJSPECTlON�RECORD �````� � � � �. � . __.._ _ .�,_ _ _. �.... _.... _ , ► ' =��_A�1�����'r� '�r�, � � � �c �+ - .�� • ° � ° '��'.��:��...sl►��'�,T��e�`'I�'�f� .:..:; .� �` ._.__ ... �SET BACK � , , , . - � � ' ' i, ` l�,' ' , , FLOOR JDIST ,, FTGS/FORMS/STEEL " FHA REQMTS`'� � � ` ' � - - ELECTRIC GROUND � �- �1 �� UNDER FLOOR DUCT ; 'GROUND PLUMBIPJG - UNDER FLOOR COP�IDUIT �" �� � ' �- � -SLAB GRADE - - - - FIREPLACE FOUNDATION - ' :' • .. . 1 ''___ ,7EMP POWER �,�,��� _f3la�- FIREPLACE BOND BEAM - � .WATER SEAVICE �"'- - `' G MID HL BOND BEAM � !ROOF SHEATHING 8 FT. BONp.REAM � ' � 1 � ;FRAMINGNENTILIATION - - FINAL BOND BEAM � ;ROOF COVER .. PRE-GRADING � 'ROtJGH HEATING' - - BENCHING ;ROUGH ELECTRIC _ :__ _ -. ` ROUGH GRADING ROUGH PLUMBING -- -- • - - -- - - FINISH GRADING � : SHOWERITUB TEST -- - POOL ELECTRIC , �EXT. LATHlSIDING -,— - - - -- POOLFENCING � ,WALL-INSULII�ION- � - - - � . POOL FINAL ' . 'CE(L:iNG INSULATION' "- - `-� " � OFF SITE IMPS. DRYWALL NAfLING � - , DEDICATIONS • _. ---__ .. ' `.. . FINAL ENG. , SEWER SEPTIC TANK - LANDSCAPE/IRRIG. ' 'SEEP PITlLL. ' -• _ ON SITE Ih4P5. GRS AIR TEST , F1NAL ZONfP1G � �FINAL CONST._' ,t` �� ��' ' � ` `� � _ � .\ ` FIRE DEPT. FINAL � ; FINAL HEATING r � �. '.��� "- ! - - ' :"- HEALTH DEPt. FINAL ' . FiNAL ELECTRIC • � -� s > � � � "� '' � DEV. FEES PAID - i=1^JAtPLUMBING . , .� '. • � � ENERGY . _ , � - - - - , � �-���--.-�-----�--T-� -- . _ ;,�'�-.3��.�{ ���?� ...._: .. � ,.,:� . -.. , _ �COtJIMENTS - _ {; � ;.� - �. � _ ,��- ;, , - . -,. ' � a l�b , � ��o IY� � . _._-____ ���1��_ �� ��-� _ , ; t� � � � - . � ., � - . . . _ . � � .. ; , ' _ - ._ ,, " , - , - . � . � , ; � rv :-_ . �- - . (; ,'�O� ' . - ; .,, � :d.:.; _. .:.;r„ �, ,, —--... , _ . .. . , _ • �SEPTIC TANK SIZE . , ., --- �SEEP PIT/U SiZE - .._ �j� "�-� — , � - i — x f. . _ , _ ,,�y i�•� �� __,.� \ . •' - , , , ' , . ` : �� '� � . � _ .1 , } �.. , , �'� , ` , , , . ,� ,.....y`� .�..._ ..W_�. �� : ' _ . , _ �