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HomeMy WebLinkAbout15545 (37) — � � � CITY OF DIAMOND BAR � - f� -- DEPARTMENT OF COMMLJNITY&DEVELOPMENT SERVICES ;,,� 2��oE.copleyvrivesuim�90 PRESS � (909)860-3195 Fax(909)861-3117 '��'� BLTII.DING PERMTi'APPLICATION FIRMLY � JOBSITE � APPLICATIO , PERMR /�� P/C o ADDRESS � b � DATE� 'L'�'�� NUMBER! N $ ,_ ISSUE IYPE OCC APN LO TRACT DATE CONST. GROUP � �� � "'' ADDRESS ZONING SEfBACKS u' CffY ZIP TEL ' • FRONT RW O � APPLI ANT TEL 3 REAR O � SIOE/SIDE STREET RW O CONTRACTOR � e SIOE ' ` � p g CnDRESS� ���(' ZIP � � �/?E PROPOSED USE ��Moj/���W�%`�n �S���� � � � DESIGNER � � c-�tH'�'��-E1d�TIGr� NO.DWEL NO. ^ - NO. /�, N ADDRESS UNITS STORIES � 'y BEDROOMS ��7 • � CIN ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFWADDlREM O p I HEREBY AFFlWA UNDER PENALTY OF iERR1HY TUT 1 MI EXEMP7 FROM THE CONTRACTORS U• G0tep6/C81pOR liJ CENSEUWFORTHEFOLLO'MNOREASON(SEG7D71.68USNESSM1�iROiE5510N5000E:ANVCIiYOR (n Z n�in�w�oa�roprts a�su��wso REOUS�E ADPL�ICANT FOR su�aui vE�ii io�A sicu o W PatialDeck �L SiATEMEM 7HAT HE OR&IE IS LlCENSED PURSUANT TO THE PFqVI510NS OF TFtE CONTMCTORS LI- W � CENSE UW(W�IPTEP�(CAMMENCNO N77N SECTION 7000)OF DIVISqN 70F THE BUSINESS N�'J PRO• �l" PoaVSpa � FESSqNSWOE)ORiMAT/1EOR5ME19IXEMPTTiEREfROMIW0TME8A515FOH7ME11LLEGEDE%EYP• (' 710N,M1'IVIOLAiIOHOF5ECT10N70.71.68�ANYAPPI)GUfTF011AFERMITSUB.lECTSiHEMPLICulTTO Z qe•Roo1 � A CML iENALTT OF NOT MOPE THAN FNE MINORED DOLUAS(f50D�.Y ' O �4�4�WNEROFTHEPROPEHTY,OR►fVd17LOVEESWITHWAGESASiHEIRSOLECOMVEN5AT10N, ❑ (`,Ort1TBftldl - � WILL 00 THE WORK AND THE STRUCTURE IS NOT RITENDED OR OFFERED FOR SAIE(SEG 7ou,BU56 J N NESS AND PROFESSqNS COOE:TME COMiUCTOFS LICENSE UW DOES NOi MVLY TO AN O^MNER OF = VROPERTY�N�O BUlD50R IMPROVES TIEREON,A!A NM110 DOES SUp1 WORK HIMSELF OR HERSELF OR � THf10VOHWSORHERON7�EWLOYEES,PROVDED7W�TSUG1MiROVEYEM3�11ENOTNTENDE00R m � OfFEAEDFORSALEIF,/10WEYER��DNOORMFROVEUENT650LDMA1TiNONE'/EAROFCOMRE• Z •TION,THE OWNER�UttDER WILL HAVE 7HE BURDEN OF VpOVWO THAT H[OR SNE DiD NOT BUIID OR = MPROVE FOR7HE RIRPOSE OF SALE1 W O�IL40'MlEROFiHEPROCEHT�:AYIXClUSNELYCONTMCTWONTRIIICENSEDCONTRACfORS � TO CONSTRUCT THE VRO.IECT(SEC lau,BUSINE54 AND PROFESSIONS GODE:iNE CONiRACTORS LL V01U9ti0n ADJ.AREA CEN6E UW DOES NOTMPLYTO AN ONNEH OF APROPEfl7Y Wlq BULDS OR IMPROVES TNEREON.IW 0 � wHocartracrsrorisua+rnaecrswin��ca+rrucro�s�uc�e+sEowmsuu+rmniEeart�ua OU ESCRIPTIOV FEE � TORS LIGENSE UW�. J O I AM IXEYPT UNDER SEC. B.�V.G FOR iH15 RGSON Q U u" DATE OWNER r � W UCENSED CONTRACTORS DECLARATION -� � w I MEREBYAFFlRN UIOEH PENAITY Of PE0.AIRV THAT IA/I IICENSED UN�ER PROVISIONS OFCHAVTER Vr S �(COM�ENtlNO WITN SECTION 7000)OF DNISION]OF TXE BUSINESS M1�GROFESSIONS COOE.AND Z X MVUCENSEtSNMLfORCEANDEFFfCT. � 0 110EN5EC S r LIC.NO. � �1� J t� DATE CONiRACT fl � . a LL � WORKERS'COMPENSATION DECLARATION a • � � INEREBYIIFFIRMUNDERVENAITYOFiEiWRYONEOFTMEF011O1MNa0ELUMTpNS: , � Z . ., i . � �IMAVEANDWILLWMTAINACEiRIFlGiEOFCON5EN7TOSELfJNSUREFOl1WORI(ERS' _ ' • . , . , COYPENSATION,A9PHOVDEDBYSECTION9ao0FiMfU0011C00E,FORTIEPERFORMANCE . w OFT7EYVORKFOfiVA11p1TN15PERMI71SIS3UE�. � . � . Q . � . .. . _ - � _I NAVE MO M7LL►WNTAN WOPoCE119'CdIPENSATION WSURANCE.AS REOUIRED BY SECTION '���SO Q l7ooOFTHEUIBO(i000E,FOPTHEPERFORMANCEOFTHEWORKFOHWHICHMt3PEiwITIS � ISSUm.WWORK�R3'COM/VjENSATIONWSURANCECARRiERANDGOUCYNUMOERME: CONSTAUCTION ) CAHPoER ��,7(����I� PLAN REVIEW � va�crriuueea /�� ELECTRIC 0 (ncsEcnor+�IDwreeoo�.aFrcnoc �w�rstaAa+E�urnmoa�K+�loa�ssl PLUMBING Z ICERT�FYTWRNiHEVFRFOPMIWCEOFTHEWORKFORWMICH1HiSPERMITI5155UED,l MECHANICAL C�' SHALLNOTEMPLOYANYVERSONNANYAUNNERSOASTOBECOMESUBJEGTTOTHE � p^ A� N WORNERSCOAIPENSATIONUWSOFCALIFORNIA,1lNCJAGREEiW1TIFI5MOUlDBEODME INSPECTIONFEE A1+ `^' S SUBJERTOTHEWOiMERS'COUVENSAT�ONVRON5qN50FSECTION]7ooOF7MELABOR � cooe,i sNui Fomfrmn�cou�r vnni n+ose raansa�+s. , ISSUANCE '� wDA7E: ��'w 1��APPLICAM: � SMIP ��j�jn I � � /`�' " ENEFIGYP/C � 1 1 L,UU WARMHO: LURA� ETOSECUREWORKERS'COM�ENSATION RAGEISUNU�WcllL,/udDSHALLBE �y SU&IECTANEMPIOYEqTOCiLMPlALPE1ULTtESANDCMLFNESUPTOONEMUNDRE0T110uSwD ENERGYPEFiMIT Y Ot'DI/�rT�iVT)�.� DOlAAR51i1oo,000).N PDDrt10N TO7HE CASTOF COMPENSATION,OMUCE5115 PROVIDED FOR W - JSECf10N770eOFiNEU180HOODE,NTEREST,ANDA7TORNkYSFEfS. T Q RETENTIONFEE: ��TI\�i L�?�TTI S�',�� a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IMEREBYAFFlPlAUiOERPENALTYOFPERIURYTHATTHEREISACONSTRUCTIONLENDWGAGENCY Z FOR THE VERFORMANGE OF iHE M'ORK fOH WNICH TMIS PERMIT IS ISSUED(SEC.i0Y'/,pV.C.). . W � LENDEqSNAME � LENDER'4ADDRE55 � ICERTIFYTU7IHAVEREADTIISMPIIGTpNM1D5UTETNATTIEABOVEWFOMAA7K7NI5WHRECf. TOTALFEES W IAOREETOCOM7LYWRMALLCIfVANDCOUNTYORDiNANCESANDSTATEUWSREUTW4TOBURWNO � CONSTRUC710N,ANDHERE6YAlfi110RREREPRESENTATNE50F1H15COUNTYTOEHfERU70NTHE � � ZABOVE�MENTIONEDOR07ERTYFOqINSVECT iURPOSES. COMMENTS � �• � � � J �° verwmee e w ¢ cn � SM,NATUREOF7ERMITiEE OATE � RECPT.NO. PAID BY VALIDATION YVFIITE—Oepenment Copy,YELLOW—Flnanea Copy,PINK�Asaeesa Copy,GOLDENFiOD--File Copy,GREEN—ApplicanYs Copy . .. .:s7�, ..s;-...,o;(•,.r.. , ;�+, ...�.. ..v•, , . ., ';.. . . ,., •. _�.,�� ..p� r•. . ,. .... .... , .a�-.. . .� . .... _ t�.. . �_. . .r ., � � �- � CITY OF DIAMOND BAR , .. . . � � � � . . ., . . � , . ., � ... � ' .. • . -_� INSPECTION.RECORD-'��'- � , �- �;��=��:�:i�;�� �:*���.�.�-� 3!1►'E-���� Q _� _t,`-�-��.._., rca._ o �r��__ a��a:��'�����.F� .._ : .. -- - _ - �..__ . �. ,.�.....:.._ iSET BACK �. -� � . � � •FLOOR JOIST. ,� • • �. ' �;•-- 'FTGS/FORM5ISTEEL� � ' � ' � 'FHA REaMTS ' '_ - ' : _ : ' _ _ _: ! � 'ELECTRIC GROUN� . _. _ ' � !1 _', ', UNDER FLOOR DUCT ' � � ' GROUND PLUPJ�BING UNDER FLOOR CUt�IDUIT . � ' ' ' :SLAB GRADE - ' - ---- � - � FIREPLACE FOUNDATION • ' �`� - �� �TEMP PG,NER n�1 � FIREPL'ACE�BOND BEAM � - `• � '' ' �WATER SERVICE _ �_/I'���tJ�� � ti11D HT. BOND BEAM� � ,~ !�'•.: � �. � ' �' - - � �ROOF SHEATHING - ; 8 FT.BOND BEAM • `'. - _ - , ' ' ; ;FRAMINGNENTILIATION ` • ' )=J • FINAL BOND BEAM ' � � � ROOF COVF_R '�1IZ(/�0� � PRE-GRADING - - • - 'ROUGH HEATING - 1 `' t BENCHING • ;: � �ROUGH ELECTRIC. .�_ � � • ROUGH GRADING � � • ROUGH PLUMBING - �- FINISH GRADING . SHOWER(TU6 TEST � � -- • � POOL ELECTRIC ,EXT.LATHISIDING -- - POOL FENCING ;WALL WSUL.ATION � ' -- � - � - - POOL FINAL • ` 'CEILING INSULATION � � OFF SITE IPAPS. . • . ' . ;DRYWALL NAILING ' • ' DEDICATIONS . . 'SEWER FINAL ENG. ; : , 'SEP7I�TANK -� LANDSCAPE/IRRIG. ' ' SEEP PIT/LL. � _ .. '• �- ON SITE I�APS. GAS AIR TEST ' � FINAL ZON(NG ' ' . iFINAI.CONST.__._ __ �/�j'(� FIRE DEPT. FINAL ' � � • � i . F1NAL HEATING . _._ � HEALTH DEPT. FINAL - FfN�L ELECTRIC � DEV.FEES PAID - - - - - - �f^1�1L-PLUh9SiNG - � � � ENERGY - I ------ , �-- . . . - •�;.s.. .IF{V m�:,C t�e.:, • .:1�i1. :�..:._->,�:,�k:s<:,...+.::.:..,... _. � -� - - - � '- -. ._. . __ . . • .. 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