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HomeMy WebLinkAbout15055 J� CITY OF DIAMOND BAR � R '` �` "' DEPARTMENT OF COMMUrTITY&DEVELOPMENT SERVICES � . 21660 E.Copley Drive 5tsite 190 . . (909)86a-3195Faz(909)661-3117 . PRES$ . �^^',., ` ; ;BUII.DING PERMIT APPLICATION :_ : � : � � '. . � - . ,FIRMLY JOBSITE 1 APPLICATION �/�� PERMR P!C ; o ADDRESS 2 C� �'`I S � �Q r �S ��+ r � . DAT6 `� — NUMBER ���M j � ISSUE �1 1 TYPE 'OCC APN LOT TRACT DATE lN CONST. GROUP °C OWNER n a- O p ADDRESS i t r, ZONING SETBACKS � CITY ZIP 9/74�7 TEL{ 6 Z REART RW p APPUCANT TEL. SIOE/SIOESTREET RW ❑ � CONTRACTOR SIDE ❑ � .ADDRESS ' � PROPOSEDUSE �PMouc 3 �xrs7�i� lai��.�owS� S�Jcca C(TY �-��(- ��I ZIP� TEL` �S f � � ARCH/ENG/ ' � DESIGNER N0.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N �n DESCRIPTION S�.FT. 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I - WRL OO THE NIORI(AND iHE STRUCNRE IS NOT MEN�ED DR OFFERED FOR SAIE(SEC.701t.BUSI• J N NESS/fA PROFESSION9 WOf:THE CONTMCTOPS UCENSE UW DOES NOT APPLY TO AN OWNER OF = VHOVFAfY WI10 BULOSOR MIVROYES 1MEREON.MA Wlq DOES SUCN WORK MIMSELF Ofl HERSELF OH CL TWIIXJOMHISORHEROWNEYPLOYEES,PPOVIOEDTNATEUCHIMDROVEMENTSMENOTMrtENDE00R m 0 OFiEftEUPDRS�LEIF,/1DWEVEiZ7NEeU�DINOOqMifqVEMENTIS50LDWfTMNpVEYEMOFCOMPIE- Z ��TIDN.THE ON7IEM1BU4DER WRL NAVE THE BUNUEN O�VROVNO iNAT HE OR SHE OID WT BUIID OR = W i'R�YE POf1 TME GUIiPOSE OF SALEL � . . : . . W ' O�A40NHEROFTHEPRDPERiV.AMIXCLl1SNElYCONfRACTIN�1Mi11LICEN3EDCONTRACfORS ,o, � (= TO CONSTRUCT T}IE PROIECT(SE4 7oH.BUSINESS IVID PROFESS�ONS CODE:THE CONTMCTORS U• VelUetfOn ADJ.AREA � LLl CENSELAWDOESNOiAPPL1TOANOWNEHOFAPPOFERTYN?qBURDSORIMPfqVESiMEHEON.ANO � YhqCOHTMCTSFORBUCHiROlECfSWITHACONTqACTOR(S)IICENSEDPURSUMITTOTIECONTMG QUANTI DESCAIPTION FEE - . � T01tS 110ENSE UW.). OIAMDCEMPTUNDER3EC. 8.10.C,FORTHISREASON � LL" DATE OWNER . . . . � . . . . � � . . � J . . .. . . . _.. UCENSED CONTRACTORS�ECLARATION W � IHEREBYAFFWYUNDEROENALTYOFPEiLR1RVi11AT1,Wl�CEN5F0UNDERPROV1S10NSOFCMAVTER Vr � s �(COMMENClq YY1TI SECTION 7aoo)OF DMSIOH]OFTHE BUSINESS M1D VROFESSqNS CODE,AND Z �X W LICENSE 6 W FULL FORCE ANO EFFECL ^7 � � LICENSE C1A55 \�J LIC.NO.�S f�/ ! � � � � - � DATE � CONTRACTOR ���,I�f� .6G,� d . . �F � WORKERS'COMPENSATION DECLARATION � � IXEREBVAiiIRMUlDER7EW�LTYOFGERIUMONEOFTXEFOLLDWIN6DEClARAiqNS: Z � _ . 0 ..,rc_IHIWEMI�WILLMAMNNACENTIFlCATEOFCONSEMTOSELFJNSUREFOqNqRIfFRS' 2 � � , " -- _ , ,• . � • � � / COMDENSATqN.ASVROVDEDBYSECT10NJ7aoOFTNEUBOR000E.FORiHEVERFORMMICE U OFTIEV/OfYCFORN7UCHTHISPER1A1T19155UED. � .� G' �I HAVE AMD YALL MAIHUN YlORKERS'COMPENSAiION�NSURANCE,AS PEOUIRED BY SECTION � J700piiHEU1BOqWpE.GORTHEPERFORlA410EOFTNEM/ORKiORVMICHiMSCERMRIS ISSUW.YYYft7FiKER3'pGAPENSAiqNWSURANCEJ�FIEHANDPOIIC(NUM6ERARE: CONSTRUCTION jCARPoER r7��.�n �' � PLAN REVIEW � POIICYNUYBER��71 n�l G ELECTRIC - � (nass[cna+r+Emwteec�t�noc7�aEw�tswaa+EMrn�oo4.v�R+ama+�j PLUMBING � ICERTIFYT/UTNTHEFERFOHMNICEOFTHEM�DRKFORVIHICHhnSPENaRISI55UED,1 MECHANICAL SlULLLNOT EMPLOYANY PERSON M 11N7 MANNER 50�3 TO BECOME SUBJEGTTO TNE � N WORKERS'COAIPENSATIDNUWSOFGWFONNItiANDAGFEETHATIFISiqULGBECOME INSPECTIONFEE S SU&lEC7TOTMEWOHNERS'COMPENSATIONVROVISIONSOFSECTIONf7000FTMEUBOR • COOE,I SHALL FORTM1N�iH COMPLY NnTHT�OSE PRO1n5qN5. ISSUANCE � SMIP . .. .. . ., � p OATE APPLICANT, .•. !� . -7 W WMMN(3:FAILUNETOSEWREWOf1KER3'WMPENSATIDNCOVEMGEISUNUWFVL,AND51uLl8E ENERGYP/C �r`TIT��A�\7NU � Si1BIECfIWEMPLDYEPTOCRIMINFLVENALTIESANOCMLFINESUPTOONEMUlOREDTHOUS�ND � Li1�Y�Qr�z � >�„ DOlUR5�f1W.000).NM01�10NTOTHECOSTOFCqAPENSA710N,DAMA6E5A4VAOVIDEDFORIN ENERGYPERMIT �1C_��n� Q SECTIDN77WOFiY1EUBOfiCOOE.INTEREST,ANOATTORNEY'SFEES. -0-I RETENTION FEE: OCONSTRUCTIONLENDIN(iAGENCY PRE-AI.TFEE: -'- � IHEHEeYAFFIiVJUN�ER0ENAI.TYOFPE0.NRVMATTHEREtSACONSTRUCT10NlENDIN611GENCY � ' - � • ' ' Z FOR TME PEqFOM1ANGE OF iNE WOiiK FOR YMICH TIIS DEHMiT IS ISSUED(SFG 709T,CN.C.). W . 3 � LENDER'SNAGE � � � ' � �ENDER'SADORE55 W� TOTAL FEES ICERTIiYTMATIMhVEREADTHIS�PPLIG7qNANOST�TETINTT/1EABOVENFONA�TqNISWRHECT. , .. O � D j�. � IAGHEETOCOMPLYWTIALICT'ANDWUNTYORDINANCESANOSTATEUWSR4UTNOTOBUIDINd ; . , � CONSTRUCtqN,MWHEHEBYAVI/iORIZEREPRESENTATIVE50FTHISCOUNTYNEHTEPUPONTHE ., � � � ABOYE�AIEMIDNED PROVERiY FOR INSVECTqN iUHPO5E5. COMMENT � � i G�� j ;" m P E E HT) . � �, ... . cr� O � 1 ��, y 6 N FF I FE U ' � RECPL NO. PAID BY ' VFWDATION ' WHITE-0epaRment Copy,YELLOW--Finenee Copy,PINK—Asaessor Copy,GOIPENROD—File Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND BAR , , ;_ . � . �. . ,-_ �. , . . . ... �_. �:� ;�'�:. -?::�::1NSPECTiOf�! RECORD 'i '. , .. . ,; "� ". . .. _ . , . _ _. , , . r . _ . . _ ' � ���,� ��E ' `����+ '� . '��►�=��.�lo�� �`' �.':���� s�r�-��,��-����� �SET BACK .� �;,_:� - , . � � (�i\1, , , FLOOR JOIST%�" „ -, � . , �. . . . . ,. .. :FTGS/FORMS/STEEL'_ __. . . _, _ _( ._.,-�� ' , . .FHAREQMTS _ � --- -. - ------I �.: jELECTRIC GROUND___ __ ' _ �'_�_;.�.._ � �l; . UNDER FLOOR DUCT ' � i • �GROUND PLUMBING - , : UNDER FLOOR CO�IDUIT .� " ` � � � ' - ' _ � .. � ,,.. 'SLAB GRADE ---- - -- _ - - ' FIREPIACE FOUNDATION �, - ;- .; I : . �TEMP POWER- _ _ FIREPLACE BONDBEAM' _ - ___ : ,�:, ' ' I 'WATER SERVtCE . __ . _---- __ _ . MID HT. BOND BEAM ' , : � r: ,; •:. .�. , � iROOF SHEATHING - � ' 6 FL BOND EAM - � � - _ - • - -- iFRAMINGNENTILIATION - � � ��'' - ' FINAL BOND BEAM � • � �� -- _ . .. ., ;ROOF COVER 'r' PRE-GRADING - - ' ROUGH HEATING ._. _ ----- _ _ __ __ BENCHING _ . , ROUGH ELECTRIC_ _'._ �;� " � � '� _ _ AOUGH GRADING _ _._ __ _-- -- --•----�_. ROUGH PLUMBING - - - FINISH GRADING > SHOWERIT'UB TEST - POOL ELECTRIC � EXT. tATH/SIDING-- POOL FENCING; , ; ",� � SG C�( ,} _ POOL FINAL , •,, ; , , ; , CEILING INSULATION � ' OFF SITE IMPS. ° '� ' ' DRYWALL�NAILfNG _ ._ _ `� _ ❑EDICATI�NS ' ; .. , . � . SEWER ` ,'t',\'� , FINAL ENG. . ' SEPTIC TANK ' y ' �`� LANDSCAPE/IRR1G. ' SEEP PIT/LL. ._ _ ��� � ON SITE IMPS. GAS AIR TEST '�� FINAL ZONING FINAL CONST. ___ ___ ?i3 dJ _ _ . FIRE DEPT.FINAL j _ FINAL HEATING___ _ . _ . _ _.�. _ HEALTH DEPT. FINAL ; - - � - FfNAL ELECTRIC-�-- --_ . � - . _ _ _ _ . . _. DEV. FEES FAID - �_- _ _ � _. __ . ----- - FINAL-PLUMBING _ . _. __ _ . _ _--_ _ _- ENERGY , _,. . ., - - --- - - _ -- _ _ _. ._.__ � � . � „ _ --- ----- -- — _ .._. ___ � - --- - �'*."'T"r,':'^V , � �11SG 'y.';C3 L+'Tr$ �� r ��s��ll�.�.���., �e�...fl � - � COMMENTS . 6 �� ,� - �s � , �1 .�-.� � - , - . _ . , , ; . _ . ,i�� 1 � ' , . . .. . .. . j\i "� ,`:• ' '_ " '\� �., _ _. _. ._ . . .. ..... . . . . .. '. � . , , .. ._�� �` .. . . . . _ . ... . _ .. - SEPTIC TANK SIZE , . _ , , . _, .. .. , , , ' .. ; ., SEER PIT/U SIZE _ , , , : � _. _ � ,. , - `x-,,r . `T�'^-� _ _ _ _��_ - , , ._ � _ _ �, �, . .. . . ,.,,F _.._ _ _ . _ _ _ , .:: .,___ _ , _ . _ . _ ___ _ . __ _ _. __ . �. , �z � ' ,, , ' � ' � � � � r ,;� � � _.... ,_ � _ . _�'_�� t /'� ,. °�� +� � �\�.. . .` �. ' . ` �� , _ . �r _ i' _/� - .. . ��,a:..r.. 1.u.. .��'\.�. . . `.-�•� :'� �.� J . . .. �-\\^, - ' . \ , \ - �