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HomeMy WebLinkAbout15510 (34) 1 CITY OF DIAMOND BAR ' . '� . - - �- DEPARTMENT OF COMMUNITY d�DEVELOPMENT SERVICES 21660&Coplcy Ihive Suiu 190 � (909)860-3195 Fax(909)861-3117 PRE$$ �^M'� BUO.DING PERMIT APPLICATION FIRMLY. o ADDRESS O S� ! DA�CATION •S'( Ol NUMB R J55f 0 x'� U � ISSUE �Q /�—TYPE OCC APN L� T T DATE � ��« CONST. GROUP g OWNER - " ADDR S ZONING SETBACKS �W CITY ' ZIP�—,.} TEL. ' REAA Rw ❑ APPLICANT�e�ca Il P /KY�(�c3TE�;3p� 7� SIDElSIDE STREET RW ❑ CONTRACTOR �r'�E'N s � � SIDE ❑ � ADDRESS PROPOSED USE CITY L' � ZIP L � ARCWENG! • DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STOflIES BEDROOMS � CITY ZIP TEL y DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER-BUILDER DECLARATION SFR/ADD/REM ' ' O p 1 NEREBV AFFl1W UNDER PENALTY OF iERA/N'�7HAT I AA1 E%FMPf iROu iNE CONfMCfoRs L4 GBrege(CBfpart • . � .. t1J �ELAWiOATHEFdlOWINOPFAfiON(SEC70]I.6BVSMESSANOpROFE551CN5CO0E:MIYdTYOR (n y COUNTYINiLY1RE0URESAPEIWRTOCONSTAUCi,KTEfi,MPROVE.DEMOUSH.OFREPA�qANYSTPUC. �jJ P8110/DBC�( � 7URF,PRqq TO IT9 pBUAHCE,AL50 REWIRES iME AVPLICANf FOR SUCM VERMIT 10 i1lE A SiCNEO w 9TATEMENT THAi HE OR SHE IS LICENSED PUfISUANT t0 THE VRONSIONS OF 7HE CONiMCTORS l4 � CE1qE 6AW(pUPTEq Y(CqI4ENCN0 N77H SECTIDN 7aoa)OF O�VISiON]OFTHE BUSINESSANO 7R0• LL POOVSDB FESS�ONSWOE�ORi7WTNEOfi5MEI5E%EIAPTTNEREFROMAN07HEB�lS�SFORTXE�LLEGEOEXEAIP- (� TION.AMYVIOLIITIONOFSECf10N7D31.6BYAN✓APCLICANTiORAVENYITSUBJECT5711EAPPLIGNTTO Z qe�Roof F ACIV47ENN.T'OFNO7MDRE7/UNFIVEMINOFEDOIX1ARSp5oo)J: • I . � 04A40WMEROFTMEiROPEHiY,ORMYENPWYEESWITNWAGE5A57HEIRSOtEG01AVEN5AT10N. � (`,pmm0l�I81 YA100111E WORK AM�TNE STRt1CfURE 6 NOT IHTENDED OR OFGERED FOR SALE(SE4 7W1.BU56 J NESS ANO VNOFESSqNS COOE:7NE CONiMCTORS LICENSE UW DOES N07 AGPIY TO AN ONMER OF � ViqPERTYWI1�BUll➢90RYPipVESiMEREON.ANDMT10O0E5SUdINORKNiMSELFOqNERSEIFOq = (� TIIppUONNI50RMEROwNEYPLOYEES,PROVIDm71NT6ULNMPflOVEMEHT311RENOTMENOEDOR m IL OFFEFED�ORSAIEtF,/aWEYE0.TMEeUIDINGORIMPAOVEMENY15501DWR1�NONEYEAROFCOMPLE• Z �iION,7ME OM?1ER�BUILDER WILL MAVE TME BVRDEN OF►ROVNO TFIAT HE OR SHE GIO NOT BUttD Ofl � W PRDVE FOR i/1E iUPPOSE OF SAIEI • O t AS OYINER Of THE PIiOPERiV,AM OCd.USNELY CONTMCTHO NrtTT1 L�CENSED CO7fRACTOR3 � TO CONSTRUCTTHE iRO.IECi�9ER 70N.6USINE55 AND PNOFESSIONS CODE iHE COMMLTORS U- V8IU011011 ADJ.AREA CENSE UW DOES NOTMRY TOAN OVMER OF A PHOPER7Y M�70 BVIIDS OR MPIpVES iMER[ON.AND � WHOCOMAACT9NRSUqfVRWECT5WI7HA00NTMCTOR(5)UCENSEDPURSUAN�MiMECdJTMC ounrmTr DESCRIPTION FEE � � tauuco+seuw.�. 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LICENSED CONTRACTORS DECLARA710N W ¢ IHfREBYAFFIRIIUNDEAVENALNOFVE0.RIRYTMATIAYIICENSEDUNOERCROVI510N50FCNAVTER � . � � � � s �(COIIAENCINOWfT1/5ECT10N7000)OGDMSqN70FTNEBl151NES5�NDVROFES510N5CO0E,AN0 Z X �IYUCENSE IS N FU1 FORC M1D EFfECT. /J� � • tL J� � � IICENS S LIC.NO `� � J . �"' pA� COMM TOR d ' � WORKERS'COMPENSATION DECLARA710N q l JV D � � • •. , � IH[REBYAiFlfWUNDERPErULTYOFVER/JNYO`�EOF7MEFOUOWV10DECLAMTIDNS: U .. � O _IINVEMAWiLLMAM7ANACERTIFlCATEOFC�NSEMTOSEI�-INSUREFORYMDRKEps' _ � r COYPENSATION.ASPiIOVIDECBY5EC710N7T0oOFT11ELABORCOOE,FORTMEPERFORMANCE U � d OFTMEWOi4(fORYMICHTMI9VERMlT1$ISSUED. � , ��IHAVEANDNIILLWNTA1NwOw(ER5COMPEN511110NIN5URANCE.A9REdLREDBYSECTIDN �� ryn W � 77000F THE U�BOfl COOE fOFi iNE VERiOR4ANCE OF iNE YIOHK FOR YVl11CM THIS PERMIT IS 1�A]9711 1 I � ISSUFD.WNOi1KERS'COA�PENSATIONWSURANCEGRRIERANDPoLICYNUMBERARG, CONSTRUCTION TVN�1RJ , � GRPoEH PLAN REVIEW � POLICYMIIABEA ELECTRIC Q l O (i555ECiqNNEEDNOTBEQ1.aF7EppFMpFSi.ft6q�RpSHu.piEppaUw0.5(S�ao)aqtEssl PLUh1BING - ■�/ � ICEIITIFYTHATWTHEPEIiFORA1M'CEOFTHEWOAKFORWMifJ1THISPERMITlSI55tlED,l MEGHANICAL ���� - SHALL HOT EMPLOV/M'VERSON N�M'MANNER 50�5 TD BECOME SUBJELT TO TME �" �A � WORI(EASCOMCENSATIONL�w50FGLLIfOfWI�ANDAGREET1uTIFIS110UlDBELOME INSPECTIONFEE S SUBJFCTTOT1EWOpKERS'COMVENS�TqNVROViSiaNSOFSECTION]7oo0FTNEtPDOR F ,/sHu1 n�couairvv�n�rnosEvr+ovisia+s. ISSUANCE e7 � �_ O ( � (�(� � p OATE: (// MPLICANF. SMIP AU`�--,-�-+L11JD , . � WMNINfi:fAlLU OSECUREWCKiKERS'CM.�PENSATIONWVEHAGEISUNUWFU4MIDSMALLBE ENERGYP/Cf'}�/ ; } SVBJECTM7EMPLOYERTOCRIMiNkPENAlnESµ�CV1�FaES�PTOONEHUNDREDTHW5AN0 ENERGYP.E�IM �D 1 lt iV L. i GOL1M5 pi0D.0o71.H ADDITbN TO TME COST OF COMPENSATION,DAAIAGES AS PROV:OED FOR IN 25�)� J� SECi70N�70lOFTNELABOHCODENTEREST,ANDATfOHNEY'SFEE4. RETENTIONFE � • �'� I 4 . " , CONSTRUCTIONLENDINGAGENCV pRE•ALTFEE: i � IMEREBYAFFIqMU ENPFNALTYOFVE TUTTMEREISAGONSTRLCTIONLEND'NCAGENCY ' dZ FORT11EiERFO CE• iMEWORI(F MICH1HI5iER4RI5t55UEDf5EG]oi�,GY.C4 � � � W , I � �LEIIDFRSN/IA ' - . � LENDEH'SADORE55 � OO T (//�/�� � ICENTIFYTUTIFUVEREADTIISAVPL�CATIONANDSTATE1W1TiMEABOVENFORMATIONISCOMECL I OTAL FEES ' .`J 1��. W IAOqEETOCouv�rN7nlulCmANDODUNTYORDPNNGESANDSTAlEUwSPEUTINOTOBUttDINO � . � CON57RUCiqN.iwDMEREeYAUT1aRREFE7HE5ENTATIVESOFTH�5COU1T'iOEMEAUPONTNF � . S� AgOVELEMf1DNE0iilOPERtYFOHWSPECfIONVURPO5E5. COMMENTS " • O J _ � � V NITfE AYE v � ' cn � O� N $IGNATUREOFVE TT E DATE ' . � RECPT.N0. PAID BY VALIOAiION I WHITE—Depertm6nl COpy.YELLOW—fineroa CuPY.P�NK—Aeeessa Copy,GOLDENROD—File Cop/,GREEN—AppicanYs Copy , • ., . .:"o::�.;.S,t ., ., ;' . .', •r' ''�'ro . "u'?{ ,.. .`r�� • ...'''.' .r.,�...<•�.r. ;�cr.>:-••.. . .. . . .a,.,,,• !^, .. .Y�.�..:...... �r;,., , r ., ........ �. ' CITY OF DIAMOND BAR . � .. .... ." RJSPECSION�RECORD . . , . : .� , -� -- _ ; . . • . .� � f'�.�1�����.1�+..�;o ��-'� :C�.. �_.0� � lr - -.�' � � � ' X�� .;:,y'1.►����3�.�.��� _. �SET BACK ..� � _ , � - ; ^ FLOORJOIST ;�., , � .��j ��, . , , , . . , , .. i.FTGSIFORh151STEEL - ' ' :��, , . : .., - . - FHA RG(1 TS''.'. ' ' " ' - ' - IEI.ECTRIC GROUND_ .__ . .. ''�•� _': • �`' _. __ . UNDER FLOOR OUCT .-. _ ' � - i IGROUND PLUMBING • - UNOER FLOOR CUPdDUIT � '- ' '• ' ` - � . _.,— _ . , SL1aB GRADE- -- - - ' FIREPLACE FOUNDATION ' � i . ' ;TEMP POWER 1.=. --- _ - - . FIREP.LACE BOND BEAM .:., �.� ' ' .� -,.� 'I 1 � : i : . �WATER SERVICE - -- - � �- MID HT.BOND BEAM . ' � = '- ' - !ROOF SHEA7HING 8 FL BOND.BEAM :•:- - �.•� ; ` ;FRAMINGNENTILIATION � - FINAL�BOND BEAM � �� IROOF COVF_R ' : � PRE-GRADING ' �ROUGH HEATING � BENCHING -- iR�UGH ELECTRIC.. ROUGH GRADING � - - ROUGH PLUMBIPJG �Z{ ._�� �`� FINISH GRADING _ :..'C.�.J .' _ ._ : . . ,SH�V'JERRUBTEST - - -- - POOL'ELECTRIC • EXT.LATH/SIDING - - POOL�FENCING ` : ;WALL ItvSULATION - • POOL FINAL ; ; iCE1LING INSULATION - �- OFF 517E IPAPS. ' ; �DRYWALL NAIUPJG � � DEDICATIONS . !SE4"JER FINAL E�JG. . �SEPTIC TANK � LANDSCAPE/IRRIG. ISEEP.PIT/LL: • ON SITE IMPS. �GA�AIRTEST , FlNAL20NING ;FlNAL CONSL.. -, .. . � ' � � ' ' ' `� FIRE DEPT.FINAL J F1NF.L HEATING. HEALTH DEPT.FINAL -- ' `FiNAL ELECTRIC � � . DEV. FEES PAID _ ',FL'•1/1L PLUMBING 2/ � —= ENERGY. —. _.. �. � . . . _ _ . --_. . . __. . _. _ . - •.:.yt,�,.:iE,:� .'-t,'��� . �_�...�. . 1 I � � - _ _... .�. _ ....._ - --� --_�_ ._.... .... _ _.-- -..._.. . _ � ... . - . . . . '�COMMENTS. _ 8'"3c—a� � �K _ �. � ..c,`I,V;��i, . , i _ . _ �G� i :� :. r ; � r� , . i I . , — � �J ,11 . . . . i . . . ... . . . . . . . �� � . ' . . _ . . . ,�_� . � . � . . . . . 'SEP�IC�ANK SiZE - j �— ;SEEP PIT/U SIZE - � � , . . � _ ,......_�._,,-�- � . � ��� 1.,R1�;: , � � _. � ��;�, : : ,} . ! -- , . � , , • .- . . - `� ,x � � `� �' - -- g ; ti , _., ; _ ; t , _ ; 't�'� .j� . -1.:1''� . :, � . ; , F �:,..,.i . '. � , � _ _ : ` � - � ' _ W-�'.,:_.._,:..�.. -.� .i _.,�. '-��- !-1.� + . �._' ` � - . ' . - , . . �.. : . . . -