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HomeMy WebLinkAbout13475 (22) � CITY OF DIAMOND BAR � --J� - DEPARTMENT OF COMMLTNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS '���^�� BUQ.DING PERMTT APPLICATION � ��� FIRMLY � JOBSITE APPLICATIOf�' ,�(� PERMfT P/C o ADDRESSt�� G�Tb t�� � �dS DATE .r13 �-1 NUMBER��It ISSUE TYPE OCC � APN LOT TRACT DATE_�'I��.� CONST. GROUP p OWNER ''` " ADDRESS v� ZONING SETBACKS w Z CfTY � IP 9�STEL.� ��' ` REAR Rw O g APPLI ANT TEL SIDFJSIDE STREET RW O � CONTRACTOR � o"G ! SIDE ❑ ADDRESS l PROPOSED USE �� ���,,�,�,��r�pi (�F'-KL'9 t►t� � CITY ZIP TEL C 1 — '�"`i`t-"�Si„�:.��S f��H Pu ARCH/ENG! � � DESIGNER NO.DWEL ' �JO. •. ,�,�,; • NO. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER-BUILDER DECLARATION SFRlADOIREM O p t HER�Y AFFlRM UNDER PFNALiY OF VERRIRY T/UT I AY EXEAIPT FHOM 7HE COHTMCTOHS LI• G3�8g9lC0�p0A W Cf1LSEUWFORTHEiOLLOWRNiREASON(SEG70.71.6BUSWESSIINDPROFESSIONSCODE:ANYCITYOR (n � COUMTYWFICHREOIJIRESADERAIR7OCDN5TRUCT,ALTERIMPROVE,DE1qLI5H.ORREPA:RMIYSTRUG W -PatiolDeck � 7URE,PR1OR TO R9 ISSUANCE.ALSO REOUMES TNE MFl1CdM FOR SUdI VERNR TO FILE A SIONED W � ETATFMQiT 7fUT HE OR SHE IS LICENSED PURSUAHT TO THE PRONSIONS OF 1HE CONTMCTORS Li � GENSE UW(GIAPTER Y(CdA�1ENCINa WfTVi SECTION faoo)OF DMSqN]OF THE BUSINE55 AND Pi16 � PooVSpa FESS10N3 COO�OR THATME OR SME IS E%EMPT TNEHEF1i0M AND 7HE BA515 FOR 71+E ALLEGED ExEMP- TION.ANYV�OIAiqNOFSECT10N70�1.6BYAN'IAPVLIGW7FORADERMITSUBJEC75711EAP7LICNITTO Z R -R00 �,,, ACMI PENALTYOF NOT MOHE THAN FNE HUNDRED DOl1AR5(5500).): ' � OlASO�MiEROF1HEGHOPEHTV.ORYYEMPLOYEESMATHWACESASiHEiRSOIECOMDENSATqN, � COmmBfCl�� WILL 00 THE WOfYC/ND iME STRUCTURE IS NOT IMENDEO OR OFGEREO FOR SALE(SEC.70a1.Bt154 J NESS AND pROFES+lON3 COOE TME CONTML70R5lICENSE UW DOES NOT AFPLY TO AN OwNER OF N PNOPEif[YWYIOBULDSORMPROVESTHEREON,ANDVMODOESSUCHWOfiKM14SELFORMERSELFOR � � THRDIKiHXISORMEHOW�1EMiLOYEES,VROVIDEDhuTSUdiMVROVEMENT^�REHOTptTENDmOft OFFEAW FOR SALEIF,/IOiNEVER7HE BUIDwOOR IMPROVEMENT IS SpD WfTHNONE YEMOFCOMPLE• •T10N,iHE OYMER-0URDER YALL NAVE iNE BUROEN OF PROVINO THA7 HE OR SME U�N�T 9lAlD Ofi = M�HWEFOH7HEPURPOSEOFSALE� ' � OL�dNNEROFiHEPROVERTY.AAlIXQUSNEIYCOMMCTIN0YYITHLICENSEDCONTMCTORS TO CONSTRUCf TME PRO.IER(SEG 7wa.BUSINESS AND VPOFE5510N5 CODE:TNE CONTMCTOqS ll• V21u8S10f1 < <�ADJ.AREA CENSE UW DOES NOT MPLYTO AN ONNER OF A PROPERTY MMO BULLDS OR/dvi10`!E9 T1IEREON,Ml� � WIqWMRACTSiORSUp1YRQIECTSWT1A00NTMMOi1(S�l10ENSE0PUR5VANT70MEODNTiUP OUANTITY DESCRIPTtOV FEE � 70RS LICENSE UW.F ._ ' , . .. ' O I AIA IXEAIPT UI�DER SEG B.8 V.C.FOR iHIS R[ASON U 6 �= OATE ONMEH f' � W . UCENSED CONTRACTORS DECLAHATION � � w I NEREBYAFFIRM UNDER VENALTY OF CERIURY THAT IAA1 UCENSED UNDEi1 VHOVIS'ONS OF CHA7TER Vr � �(COMYfNCNU W1iH SECTiON 70ao)OF DiVI510N�OF THE B1151N�55 AND PROFESSIONS COOE.AND Z X W UGENSE 6 N NLL LORCE MID EFFECT./ (Z��I�C/C m � LICENSE CLASS 7��v 1 v `• LIC.NO._� . � J � DATE�t CONTRACTOit a [b WORKERS'COMPENSATION DECLAAATION -� = a N IXEREBYAFi1RMUNDERVENALT/OFiERNRYONEOFTHEFOLLOWwGOECUMTiONS: U y Z Q � IWNEANDWILL1uNTNNACE�ifiFICATEOFCONSEMiOSELF•INSIlREFORWORI(ERS' 2 � �DY vENSATqN,ASOROV10ED8Y5ECT10N77ooOFiNEIABORCOOE,FqiT11EVERFORIAANCE �U /oF7T1EYlORK FORMhllpl TMIS iERAUT IS ISSUED. � � ��IHAVEAIAWiLLWtMANMfORKERS'COMPENSATIONINSUMNCE.ASREWIREDBYSECiICN ��, ��� O l7ooOfTHCUBORO00EFORiHEPERWRAUINCEOFTHEWORKiORwM1�H7HISPE�R15 ISSUE0.WWOPoCER$��I�'ENSI�TIONINSU GARRIFAANDPOIICYNUMOERARE: CONSTRUCTION � � 1—.� � / � CARfUEH �Ttl T'C �1 CI PUW REVIEW 0 POLICY NUMBER��[//�r1.S ' 9 ELECTRIC � �Z�..�� ' � �nsscercHni[IDrareeca.s�FnoFnErErwrrswqa+cuua ^ R+roa� PLUMF3ING �"� w MECHANiCAL �-l�y� Z IC(RTIFYTHIITNTHEPERFORMANCEOFiNEN9RKFORMMIG17H15PEfWITi5155UED,l (,�} SHALLNOTEMPIAYANYFER50NNANYMANNERSOASTDBEWME5U8JECT70iHE N riORKERSCdAVENSI�T10NlAYV50iCALIFOiWItiANDACR[ETHATIFISHOUIDBECd.�L INSPECTIONFEE � SUBJECTTO TME V/dMERS'CO�.�vENSA710N ViD�VI510NS OF SECTION 770o OF THE LABON 1 � v000e,i s'uu conTm+m+cour�r vnnr nwse raoHsior+s. ISSUANCE ; ' _ DATE: APPLICANT. SMIP ,I�, �^��11) �5� `� � ENEFiGYPlC ��f-�)�ts'"' CC��'G1• WARNINO:FAtLURE TO SECURE MlORKERS COIAPENSATION COVERAGE IS UNUWRA.MID SHAl18E t-t� �'� � SU9JECfµEMPLOYERTOCwMwKPEWLLTtESIwDCMLFNESUPTOONENUNDREDT1KK15AND ENERGYPERMIT �`1 - Vt�f�� ��1 p0�{MS(t1D0,000),N ADDITION TD iYIE COST OF COMFENSATION,DMUCES AS PROVIDED FOii IN J SECTION]70lOFTHEl/190fIWOE,MTEREST,/N011TfOiWEYSFEES. ��7ENTIONFEE: Q � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � INEREBYAFFIFMUN�ERFENALTYOFPEfLA1RYTHATTNEREI3ACONSTPUCT10NlENDPWACENCV Z iOH THE VEN W WAlW CE OF TXE WORK iOR YMIp17M15 PERMR�5 ISSUED(SEC.7�Y7.CIV.G�. W � IENDERSNNaE � LENDERSADDRE55 WICEIfiIFYTHATIHAVEHEADTHISAPPl1CJITIDNANDSTATETW�TTIEABOVEINFqi11ATpNI500RRECT. TOTAL FEES d IAOREETOCOMPLVW(fHALLCRYANUWl1�7TYORDIWWCESANDSTATEUN'SREU7NC70BULOINO CON57RUCTION,AND MEREBY Alfi1qR12E REPRESENiATNES OF THIS COUHTY TO ENTEfi UPON THE � ABOVE�4EMIONEDVROvfRTYFORWSPECTIONVURPO5E5. COMMENTS � �uy�� PauK � PERM E NAME(P , . . ,� /: . 5�- 13��_ . , . � �- - � IG URE DF PER41TlE DA7E • � RECP7 NO. PAID BY VALIDATIO VJHITE—Ospertmenl Copy.YELLOW—Finence Copy.PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—ApplicsnCa Copy . . � t�� , , . �� ...�. . �', � . , . .l .. • . . �^ _, 9�•. �f; •. .' .. "i'...4l:��� .i... ;t�•i:..1: :lrt����t; _ ...1�.'.f�t, �.<�, .1...�0-. .� . �. •�1•- , CITY OF DIAMOND BAR , , . . �.• ' . It�lSPECTIO��I RECORD . � • : . . . . ��I��:�;����.�.�� ►!� ;���r= : '.I��.�;�.��.�,����'�1►_����C,%.el�►�le� �ti��.�=��!; �.[��;a���;r...� ...L- ,,... «,. . ..,... - - - - ..._. .�......-. -..... .. .. ..o..��I'�A�• SET BACK .. . -, r(y „ - ; • -,,. � FLOOR JOIST,�,�j ! �_ _ ,<' ,•:.� I , ,` � . FT'GSJFORtv"S;STEEL' - � � " ' . — FHA REQh4TS _ _ _._ ..' _''. ._ ___ �ELECTRIC GROUND . � . �.� ! - _' � UNDER FLOOR DUCT � - --- • ,GROUND PLUP."BING UNDER FLOOR CO�IDUIT.:. � • � ' ' " " � .. :SLAB GRADE - . _ - FIREPtA'GEf'OUiJDATION .' h" `" -. ; 't •,-..,.; � i .. � ; :TEti4P POWER � • FIREPLACE BOND BEAM • I4'JATER SERVIGE- - - • MID HT.B�ND BEAP�t .5 = ,� �• � - ' � • ' IROOFSHEATHING J`� �� "" '�•' � �rc '�1 ' � 8 FL BOND•B�Af�1,�, • � " '�� •' �'' �•� `� . " IFRAP.�i�lGNENTf�IATION -'` ''' '- ', ' � �FINAL�CSND$EAM � � � � � " ' 'ROOFCOI�ER " �i/i�/�r9 I �-�lr�-^��_ PRc-GRADING - ' �— -�-•'- ROJGH HEP,7ING BENCNING • . ROUGH ELECTRIC _: ._. � � ROUGH GRADING - --- - • ROUGFI PLUhiBlNG -� -- FINISH GRADING SHOVVER/TU6 TEST ' - -- � POOL ELECTRIC EKT:I.ATH!SIDING - � - POOL FENCING � . ::'ALL INSUL.ATION - - - � - POOL FINAL , CE1LIf1G IfJSULATION, -- - ' " -- 'OFF 5lTE Ih1PS. � DRYVJALL NAIL1idG - - - - DEDICATIONS. ' SE4"JER FINAL ENG. SEPI�IC TANK LANDSCAPE/IRRlG. ( .SEEP PIT/L.L. � �• i�':� �-•_ � ON SITE IMPS. � , •GAS AIR TEST R� � FINAL ZOF:ING � ' -� :FI�J�,L CONST, ',(�a(yvL. �c-�1� __ ' FIRE DEPT.FINAL ' �iN/'�!HEATIN.r'a . __.._ . ,. . � . HEALTH DEPT. FINAL I - , ', F=i�JAL E�LECTRIC � DEV. FEES Pr11D L � - - - �-f^:l1�_PLU��1B'NG -- -- � � ENERGY �, ' � - - � � , - . . ,,,....-.N-.s-.��..�.,.... ,..._.. ' _ ` :���=��l��-.��:��::,_..__. ..�. E... . . _ . . , .. COP��MENTS - -. . .----. ...__.. . � , r ':� . '� . -�. _ ' � ' - �� .� '� • ; � � - � ;SEPTIC TANK SiZE : � � " ' - SEEP PIT/J SIZE � � � - �— - , � , E,..��-__..�� .,l�i�, .�__..�.......i - i . f t � � . � . _ . . . .. ..� _ �S ,t1}t _'i , . - — � -- �t F �� , . � . .. . ..I _. ' ' . . . . . , I ( , . �_,_.�._ . �`�..:....:._.._. .. . � �'°6�.-���,��"r',w'!�'-�. ��:,,_�,� ,.�„ �.,��`-41� �b-���