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HomeMy WebLinkAbout15808 (35) �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� . 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 . . PRES$ • 1'^�' BUILDING PERMTI'APPLICATION FIRM y�, JOBSITE � y� APPLICATION PERMR ' P/C Q t� o ADDRESS�(.Z12 �• �)C�lvsCnl� �i Y /��1" DATE l� Z 6 O NUMBER�_���M • � APN LOT TRACT ISSUE TYPE OCC � OWNER /_���� !f'] DATE �� �� CONST. GROUP o ADORESS__�ir�+-t c+S CI bpy-L. • ZONING SEfBACKS � CITY ZIP TEL _ FRONT RVy ❑ APPLICANT /YI��l' fYt nvr� TEL� SIDE/SI�E STREET RW ❑ � CONTRACTO [ O �i SIDE ❑ ADDRESS 2 g CITY /►a- ZIP� TEL Z3-(eGD-!l f �ROPOSED USE G d � ARCFUENG/ • ' ^ . ' DESIGNER AY' c ,v�is )�k �"'�'' �� NO.DWEL. �'�NO. NO. ADDRESS UNfTS STORIES BEDFIOOMS � CffY ' IP�� TE rn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILOER DECLAHATION SFRlADD�AEM O p I NEREBY/FFOW LNDER VENALT7 OF VERAIRY T1U1T 1 AlA E7(EMPT FROM THE CONTMCTORS ll• G318gB/C81pOh 111 CENSEUWFORTNEFOLLOMIINOREASdI(SEG70.71.68USWESSANDPROFESSIONSCODE:ANYdiYDN (n 52 OOUNTYMMCNREOURESAPERIARTOCON57AUCT./L7ERIMFROVEDEMOl151lORNEPAIRPNYSTRUC• W POtIOIpBCk Z 7URE.VNWI TO RS 159UANCE.ALSO PEWUiE3 711E ACPLIGM FOR SUC1/VERuIT TO F0.E A SIGNED �V E7A7EMENT THA7 NE OR SHE IS LICENSED PURSUIWT TO THE iRONSIONS OF 7HE CONTMMOHS U- W � CEN6E UW(dUPTER 0(COEIMENqNO N7TH SECTION 7000)OF DINSqN 7OF iHE BUS�NE55 M!D PRG �- PooVSpa FESSqNSCOOE�ORTHATMEORSHEISEXEYPTiHEREFR0AI/WDTNEBA515FOF17MEALIEGEDE%EMP- (� ipN.MlTV10lAiqNOF5ECT10N7W7.6BYN1YM7LICJ�NiFOHAVERMITSU&IECiSTMEAVPLIGW7T0 Z Re-Roof F A G7VIL YENALiY OF NO7 MOf1E THAN FNE HUNOREU DOILARS�SSoO�.k o OIASOWNEROFTHEPROPERTYONWEM%pYEESWITHWAGE5A5iHEIRSOIECOMPENSAiIDN, O �pmmarGnl - Z Wtl.L D07HE WORK Al81 THE STRUCTURE IS NO7 WTENDED OR OFGERED FOR SALE(SEG)0��BUSb J N NESS MD DROFESS10N5 COOE:1HE COHTRACTORS LICENSE UW DOES NO7 APPLY TO AN OwNER OF j PROPERTY WMO BUILDS OR YPFqVES 7HEREON.I�1O W/p DOES SUp1 WOAK HiMSELF OR HERSELF OR (t TWOIIf➢HHSOitHERON'NEYPLOYEES,iROVIDEDTUTSUp11MPROVEUENTSMENO7MENDEDOR m � OFFEHEDfORSALEtF,110WEVERME9U4DNOOf1MPiqVEMENT�SSOIDWITIINONEYEAROFGOMPLE- Z TIDN,TNE OWNER�6UILDER N'ILL MAVE TME BURDEN OF VROVWO T/UT NE OR SHE DID NOT BUIID OR � MPiqVEFORTIIEPUR705EOF3Al�. W ❑�IISOMMEROFTHEVROPEfSTY.AIAO(CLUSNELYCOHTMCTNOMA7HLICENSEDCONiMCTOR3 I� LL TO CONSTRUCT THE iRO.IECT(SEG 7otl.BUSINE55 AND iROFES5ION5 CODE 7ME CONTRACTORS LI- VelU8t10n�v ADJ.AREA lL CENSEUWOOESlqTMPLYTOFNOWNEROFAPROPEHTVYnpBUIDSOHWPRDVESTHEREOH,AND � NRqCONiMCTSFOii5Up/PR0.1ECiSWI7Hl1CONTMCTOR(S�LICENSEDPURSUAMTOiHECONTMC.� pUANTITY DESCRIPTION FEE � TORS UCENSE UW.} . . . OIMIEXEMPTUWERSEC. 8.6V.C.FORTNISHFASON Q �.` U � 5 WTE OWNER V . � , LICENSED CONTRACTORS DECIARATION � � w INE11E8YAFFIfWUFOERiENALTYOFVERIUR'[7HATIA1AlICENSEDUNDEHiROVI510NSOFCHMTER � � f(Ca/�YAENCNO VATM SECTION 7000�OF DMSION 70F iHE BUSINE55 AND PROFESSIONS CODE,M1O Z x W UCENSE IS N NLL FOHCE ANO EFFECL m , ,. . '' , . � UCENSE ClASS �� �1 v UC.N0. � S��' j ' � �j DATE 11�22 f 00 ' cornrucroa{�„/�,rn OI�S . a Si WORKERS'COMPENSATION DECLARATION ¢ NI NEREBYAFF1iW UNDER PENILLT'OF VERlUR7 ONE OF T11E POLLOVJiNG DEGtAAATIDNS: Z � �INAVEANDWILL►UW7AINACERTiFICA7EOFCONSENTTOSELF.INSUREFOqNORKE0.5' _ CO/IPENSATqN,ASPROVIDEDBYSEClION77000FfHEUBOFCODE,FORTHEPERFORIAANCE U � OFT1EW011KFORWHICHT1114CERMIiI5i5SUED. � G � �IHAVEANDWILLYAPRAINWOIiKERSCOMPENSATI0NN5UfUNCE.A5RE0UR[DBVSECTION � �� Q l700 OFTNE IIBOR COOE,iORTHE GERFORMANCE OF THE WOFK FOR VMId/7Hi5 VEPMR 15 , _ _� _LSSUED.WYVORKER5COMPENS�TIONINSURANCECA�RWE(R1ANDPOLICYIyy�►e ERME- CONSTRUCTION � � CAARIER �y��qyy�_�`��..1Q• I� ' I PLAN REVIEW. ��+� � POLICVMIMBER_�,��-� n�-Z.•Qn ELECTRIC (1}65ECTL7NNCmNOTBEOJ.itE7mOFTEPERMT6FORpEM.lUi1ED00lUiLSR�a`I�tE551 PLUMBING Ze ICERTIFYTNATNiNEPERFORMANCEOFiMEWORKFOHWMp1i111SVERAIITISI55UE0,1 MECHANICAL SMALL NOT EMPLOY ANY iERSON IN ANY IIANNER SO AS TO B[COYE SU&1ECT TO THE � WOAIfER5COMPENSATqNUW50FCALIFORNIA.AND�GREETMATIF15110ULD8ECOAlE INSPECT�ONFEE S SUBJECTTOTNEWORKE0.5'CCUGENSAiqNVRON510N40FSECT10N77ooOFTME R caoE,i s+uut sor+nMmH ca+a�r n�n+osE rarnns s , ISSUANCE / O p DAtE: � L Ov APvI : t�"� SMIP , „�C�• � WMNMaFNLURETOSEWREWOiiKERS'COAIPENSATWNCOVERAGEISUNUWFULMIDSNALLBE ENERGYPlC �y 6UBJECTFNEMPLOYERMCRIYMALPEWILTIESANDCMLFNESUPTOONEMUNOREDiMOUSAND ENERGYPERMIT DOl1AR3(itaD,OOD),W ADDITION TO THE COS7 OF CqAGENSA7lON,OAYACES AS FpOV10ED FOR IN ' � SECTIONi7oeOFTMEUBORO00E,INTEREST,/�NDATTORNEY'SFEES. FyETENTIONFEE: d CON5TRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBYAFFIMIUNOER7ENALTYOFPERNRY7HATh1ER[tSACONSTRUCTpNLENDINOAGENGY ' Z fOR ME PERFORMANCE OF 1HE WORK FOR WNIp1 TNIS iERMIT IS ISSUE�(SEG 9DY1,qV.C.�. W � LENDERSWWE ' � � LENDERSADORE35 � TOTAL FEES � 2��.C�O- � ICERTIFYTHATIW1VEflEADiWSAPRIGTqNAND3TATETHl1TTHE1IBOVENFORM�T%1NISCORRECT. � IAGREETOCOAIPLYN1THALLCT'ANDCOlMTYORDIWWCE5ANO5TA7EUN5REU7INOTOBUILDING /� (� ` � CONSTRUCTION.ANDHEREBYAUf110R12ERE7RE5ENTA7NE50FiHISCOUNiYTOENIEHUPONTHE /� �_�i�\ � '1 w_ � w�w� 1�� ABOVE�MEMqNEDVROOERTYFW11N5aEC7qNPURPO5E5. JY]r,1 �v�N 1/ /,f/�n. (1 9 COMM NTSTyiv �\lM E��v \) h� �v� _ �' ��!1'S1`� . / QN�r.�E�Pwrrt� /� u� .,,,•�� /! y SIGNAT flEOFPE�7MlTT ' DATE � � RECPT.NO. PP1D BY VALIDATION WHITE-0epartment Copy,YELLOW--Financa Capy.PINK—Assessa Capy,G LOENROD—File Copy,GREEN—Applirant'a Copy . . ... ��L .. . f. ��. 'SY . _.1,.. . / ..�. �/�.. �• . �4�• . ..� 'S�. ��' � ��,J�. .. •.. .'f._ . . .:�'.:.� . � .. .._ ��:r � � CITY OF DIAMOND BAR, . . . . . , . . ,,�. � ' I�r1SPECTiON RECORQ ��� �: � ..'��. � . , .. � e� � �� �� � ���`,� �`�- '� [.� � � ' �����'�..t� ' �+.�,�+_�''�.��:.,;�� r.q -� _...y ._..R.___. ��� ;SET.BACK. , : .. '-:� �_':, . � . . . ,., ,� • . FLOOR JOISTr; • � • � � -�• 4 IFfGS/FORP�IS/STEEL -' ' " , _ � , FHA REQMTS .-�... ' - " - � � ' ' �� • ;ELECTRICGROUND � - " - ' � UNDER FLOOR DUCT - GRDUND PLUMBING • UNDER FLOOR Cd�IDUIT, -' � . i +SLAB GRADE - -�� � FIREPLACE FOUNDATION �; � TEMP POWER � FIREPLAGE BOND BEAM ' � ' ' 'WATER SERVICE-- - - - - MID HT.BOND BEAF�I" '•� ` � •' � � �ROOF SHEATHING� t�• • � � � • � 8 F�'.BOND BEAb1 ' - ' � - FRAMINGNENTILIATION �.�• ``• '.` �� FINAL BONO BEAM � � � � ' � �ROOF COVER PRE-GRADING - ' ROUGH HEATING ' � BENCHING '��,�•. '� ' � -� � � ROUGH ELECTRIC. � " � ROUGH GRADING -��-� - - - - ---- �ROUGH PLU;�1iBING - - - FINISH GRADING ' �.' !SHOWEFiIfUBTEST - -- - -- - POOL ELECTRIC ' ' '•EXT. LF,TH/SIDING - �-- - -- - - � POOL'FENCING �WALL INSULATION - - POOL FINAL CEILING ItdSULATION -- OFF SITE IMPS. . ;'. � - ;DRYWALL PJAtLING � " DEDICATIONS • -. SEWER FINAL ENG. �SEPTIC TANK ; LANDSCAPE/IRRIG. ' � � SEEP.PIT/LL.. • . • ' �`� ti ON SITE IMPS. � ;,' GAS AIR TEST FINAL ZONING i � . ;FINAL CONST...: ....- Z- -C� . � FIRE DEPT.FINAL • •�� � ; • FINAL.HEI',T1NG _._.. . ._ .. . ... : _ . .. HEALTH DEPT. FINAL � - � " •F(�JkL ELECTRIC --- � - : � DEV. FE�S FAID _ - . ; � ,Flh!AL-PLUMBIF:G- - � ENERGY I , �-G-j�.._ _ . � _r - . . . , . — c:C '`�' � : _.. .. ..._ _._.. ..._ _ . _ _ . — — •E I-�j'�Q'i��,C C•���^' 1 I �i i . I .. ..:'i. 'i: �JC2� +.�. . . . . 'COMMENTS - - _ • ' �. _,. �- :J i . . . ' • - - -� -- � " -. .._. � .� .. ,,�1'ii�'� '���� � ' . 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