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HomeMy WebLinkAbout12592 (11) . _ _ _ . --- -- ----�---... ._. . . /�� �� CITY OF DIAMOND BAR � � � �` � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . e _ 21660 E.Coplcy Drivc Suiu 190 (909)860-3195 F�(909)861-3117 PRESS . �`'��^ � BUII.DING PERMIT APPLICATION FIRMLY o ADDRESS_7��0 G�C.l�CN ��'Fj[�' . APPLICATION �.� PERMR 1��4/J P! -�� DATE �b-o�3- 1�S • NUMBER � �� � � APN LOT TRACT ISSUE TYPE OCC �-�- DATE � 9� CONST. GROUP p OWNE�UL Or7 ►,G p ADD SS ��'l�o CwtAE.� � n0 ZONING SETBACKS � W CITY�� ��D 21P •TEL.� � ( FRONT RW ❑ � APPLICANT TEL. REAR ❑ � SIDEISIDE STREET RW ❑ � CONTRACTOR O S AJ SIDE ❑ ADDflESS � � CITY �A�A�lE 1 M ZIP TEL. Se?SS� ROPOSED USE F D � . � Pu ARCWENG/ � • b .C� O � DESIGNER � � �j NO.DWEL !;' NO. . ; NO. = CrDnDrRESS Z�P TEL UNITS ' ' ' '" "STORIES ' BEDROOMS � cn , DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION ' SFF/ADD/REM O p I NEREBY AFFWM UNDER VENALTY OF GEPJURY THAT I AM E%EUPT Fi10M iME CONTMCTORS l4 Garape/Carpart [1J CENSEUwFORT11EiOLLOYANORE�50N�5CC.70.71.6BU5P1C55ANOPROFE55qH.^>COOE:ANYpTYOR � (n U COUHTYWHIpIREOURES1lVERMRTO00NSTRUCT,ILLTER�PNOVE.DEMOL19lORREPNRANYSTRUG W pyti0/DOCk . � 7URE PR10R TO 1T3159UIWCE.ILL50 REOUIRES 7ME APPLILANT FOH SUCH PEHMIT TO FlLE A SIGNEO W STA7F4FNT T/AT NE OR SNE IS UCENSEO PURSUANi TO 1MF CROVISIONS OF T11E CONiRACTORS LF . � CENSE U�N(OUPTER�(COMMENdNO WI7H SECf10N 7000)OF pIVISION 7 0F THE BUSINE55AND VRO aoVSpa iE5510NS OOOE)ORTHAT ME OR SME IS EXEMPT iMEREFHOM�NO THE BASIS FOqTHE ILLIEGED E%EMP• TIDN.MIYV10lAT10f/OFSECTIONT071.68YANYMPLICudiFORAiERMiTSUBJECTSTMEI1VPUfJNT7O Z Re-Roof � � ACMLFEN�LTTOFNOTR1JfiETMANFlVEMUNOREO00LlM5(SSOO�J: � ❑I,ASOWNEHOFTHEPRDPERTY,OHMYEMPLOYEESVIITHWAGESAS1HEIq50lECOMPEN5+R10N, COmmBfCl01 � YALL DO THE WOFiK AND THE STRUCTURE i5 NOT pITENDED Wi OFFERED FOR SALE ISEG 7011.BUSI• J N 1�55 A!D OROFESSIONS CO�E:TXE CONTRACTOHS LICENSE LAW DOES NOT APVLY TO AN OWNER OF � ? VIiOVERTY NM1q BUM1DS OR MPROVFS iNFREON,Ml0 YAq DOES SUCN WORK NIIASELF OR HERSFIF OF " Q T7iqU6HMSORHERONR�EMPLOYEES.PROVIDEDiHATSUd11MPROVEIAEMSMENOTMENDEDOR m � ,OFFEREDFORSALEi,NOY1EYER7HE9ULDW00RMPR0'YEMEMIS" 1MrtT1MONEYEMOFCqAPIE� Z TION,i11E OwNER�BULDER WILL MAVE T1E BURDQI OF VHOYuq T1uT ME OR SNE DiD NOT BIALD ON = MPHOVEFOfl1HEPURPOSEOFBAIEl � �y,� ❑I�SOYMEROFIMEPROPEATY,AA1EXClUSNELYCOHiMCTN6WrtHLICENSEDCDNTMCTORS � TO CONSTiR1Ci 7HE VRn1ECT(SEC 7041,BUSINESS AND VROFESSIONS CODE:TME LONTRAGTORS LI• VBIUflllOfl QQ,��- ADJ.AREA � CENSEUWDOESNOTAPPLYTOINOMIEROFAiROVERT'WNOBUlD50R11AVROVESTHEREOfLINO VYVqC�Of(TRACTSFORSUCHPR0.IECTSWITNACONTMCfOIi(5)LICENSEOPURSUlWTTOT/ECOHTMG pUANT(TY DESCRIPTION FEE � TOqSIICEHSEUWJ. � OIAMEI(EMPTUFIDERSFG B.IP.GFORTNI5REA50N Q 3 c� . �, . _. ., _ � � � OATE OVfNER U � W F LICENSED CONTRACTORS DECLAAATION W � IHEREBYAFFlfWUNDERPEHALTYOFPEMniYiHATIA1.1lICENSCDUND[RPRONSqNSOFCHA7TER � d �(CqAMCNCNOWRMSECT10N7000)OFDMSqN70FTHEBUSINESSANDPROFE5510NSCODE,ANU z X W IICEHSE LS W R1LL FORCEAND EFFECL m �7 � � LICENSE CLASS �� LIC.N0. �p��K/.�.����� 7 V DATE �o� �C CONTRACTOR�-�..WL� � d W � WORKERS COMPENSATION DECLARATION //3� ¢ � `:� U yIMEREBYIFFIRMUNDERPENN.TYOFiEiWiiVONEOFTMEFOLLOWINGDECLAiUTq��S� Z ' � _IHAYEANDNnLLYA1NTAWACEHTIFlGTEOFCONSEMTOSELFaNSUREFORWO1UfER5' S COMPENSATqN,ASPNOVDEDBV5ECT10N77o00FTHEU�BOpCOOE.FORTHEPERCORAIANCE W OFTME WOfiK FOR WHICHTNIS FERMrt IS ISSUED. � G _I HAYE AND WILL MAINTAP!WOPo(ERS'CaAPENSATION INSUMHCE.115 REO'JIpED 8V SECTqN Q� f7ooOF THE UBOR COOE,FOR iHE PERFORAIANCE OFTNE WORK PoR WMICFI THIS VER4rt IS ISSUED.MY WORKERS CdAPENSATqN INSUfiANCE URq1ER AND POLICY NUMB[RARE: CONSTRUCTI � � � CARRIER �'7�� STAT �� PUW REVIEW + � iOLICYNUueER 0 ( • � ELECTRIC,: _ 1`� � � (IHss[cnoNNEmwi8EO�1.s;EiIDOFnEnEPMrsiaaoNE�a+�niiCDUaiJli�sR+m10qLE5s} PLUMBING Z ICERTIFYTNATNTHEPERFORMANCEOFTMEN'ORKFORWMKa1TM5YERYRt5155UE0,1 MECHAkICAL � C3 SNALLNOTEAIPLOYPNlPEHSONNANYMMINERSOASTOBECOMESUOJCCTTOTNE N MfOPo(ERS'COAIPENSATION UN50F CALFORNIAAND AGREE T T IF 15110ULD BECD4E I ION FEE S 6UOJECTT0THEIMDPo(ERSCdADENSATIDNVR0IIISION5pF5 .TDN]70aOFTX[LABOR � CODE.^ISHALLFOGRTHw1TMCOMPLYWI7H :PROVIS 'S ISS C t0D p DATE: �O'�f3�� D APRICANiCCii�%� • � SMIP _ �SD � ENERGY P/C �� WAANIIM:iA0.UHETOSECUREWORKERS' PENSATqNCOVERA ISUNLAWFUIHQ+D5MILLIBE � SUBIECTANEMPLOYERTOCRnAwALPENPL71E5ANDCMLFlNESUPTOON[MINCREDTFpUSAND ENERGYPERMIT OOILAFt4(i f oo,000),IN/DDITION i0 THE COST OF COMPENSA7qN,OMUGES AS PROVIDED FOR IN J SEC�ION770eOFiHEUBOflCOOE.NTEREST,ANDATTOqNEY5fEE5. pETEPfTIONFEE: � CONSTRUCTION LENDINGAGENCY P iE- lT F CJ.-�/ �1� 1 O � INEREBYAFFIRYUNDERPENKTYOFPEMlMTMTTNEREISACONSTRUCTIONLENDINOIIGCNCY �� ��Z✓������ � FORTHEPERfORMMlLEOFiMEWOHKFORN'MIGITMISVERMiTI5155UED(SEG]'197,CfV.C.). -�" �����N��� � � LE1mER5NMIE " �� ���Y`fVYYY`fly� e . :i Z�F�TV � LENOERS/DORE55 � TOTAL FEES M W 1 CER'TIFY TNAT 1 HAVE READ THIS APPUCATION 1{ND SiATE TMl1T THE hBOYE NFORAIATqN IS CORR[CT. N IAGREETOCOMPIYWRMALLCRYMIOCOUNTYORDINANCESANDSTATEUWSREUTINOTO8U0.DIN0 � I// ) � � 1 I/ / CONS7RUC110ALMIDHEREOYAUTIIORIZERCPRESENTATNESOFTWSCOUNTYTOEMERUPONTHE 1 L� ���.. V v � ABOVEdAfMIONEODNOPEHTYFORINS�ECTIONPURPOSES. . COMMENTS •�� �( ����E� � � �rn � z � m PERMITTE E(PR�N� . 4 C� � � — N S EOF � 1 E WTE � . . RECPT.NO. PAID BY VALIDATION WHITE—Depertment Capy,YELLOW—Fnance Copy,PINK—AssessorCopy.GOLDENROD—File Copy,GREEN—Appicant's Copy � � ._�.. ._ . . CITY OF DIAMOND BAR ,- �,. .. ' -� � ��� ' INSPECTION RECORD� � � � . .. . .;, ,. � �� e � � • - • � � � - -SET�BACK �.. �.: ��, ,� .� �: _ -- . �,} ' FLOOR JOIST .-;:',', t �.,�.=: -� ••.� •i• . . FTGS/FORMS/STEEL - ., ', , , FHA REQMTS- - - -- - .ELECTRIC GFiOUND - ' �� •� �'�` ' UNDER FLOOR DUCT � ,,;; •, • GROUND PLUMBING � UNDER.FLOOR COf�IDUIT�=i�•. `i �,� �c� ;� --� ::.��: - SLAB GRADE- - - - � FIREPL�4CE FOUI�DATION • ' � " ' TEMP POWER � - - - � • FIREPLACE BOND BEAFJI = � � WATER SERVICE - _: - - - - - hJIID HT.BOND SEAM ' , .` � ,_ � ..` ::�� • • , - ' f�DOF�SHEATHING'" '', il-'�-Q�. '�.`,;��.=• 8 FT.BOND BEAM�. � �' � ;r�� ,, •;:j:, � FRAMINGNENTILIATfON �-1 � • �-�• �+ FINAL BOND BEAM • � '' Fi00F COVER �. � �w.t„ PRE-GRADING - ' ROUGH HEATING- � — - � . -- BENCHING - - � - ' � � ROUGH ELECTRIC - - • ROUGH GRADING ROUGH PLUMBING - -�- - - - - ��'� FINISH GRADING ' SHOWERlrUBTEST POOLELECTRIC ' EXT.LATHISIDING � � POOL FENCING • • i '. WALL INSULATION �;�_�; i ,POOL FINAL • - � CEILING INSULATION OFF SITE IMPS. ; -� DRYWALL NAILING : ' DEDICATIO�dS ' SEWER FINAL ENG. • SEPTIC TANK _ _ _ _ _. .LANDSCAPE/IRRIG. � SEEP PIT/L.L. �� '- '���` - =. :ON SITE IMPS. GAS AIR TEST - � - p � FINAL ZONING � , FINAL CONST.-. -� -- f�_ _y'�i � `1 FIRE DEPT. FINAL' ' , FINAL HEATING - ` � .' HEALTH DEPT. FINAL . , -� FINAL ELECTRIC ' - - DEV. FEES PAID FINAL PLUMBING ENERGY � ; , , , � � � �- N sr, •�' � •i - � . ., �,. � , _ , ,. �. �� , • . � , . - _ _ , . ., ._ ._ ,� COMMENTS . .. � :.'t ; ' � -- - -.. _ . .... - - . . � � _ . - -- _ _ . , ; . ;.�.- ,t, � .. ��',�_ .i � , .., �� . _ . t : i; � i .; • .. .1� . , , j �.:�I � i �.l ��-, c i ti c. , `��� . � i r� � ' j �, � - .� �,•.-- ; � �,_y ,� _ � ', . , r�. ' L ; . ��t�� -- � � --..ty,_ , . . _ _ . �� . . �\'.- SEPTIC TANK SIZE � � � . SEEP PIT/U SIZE � , � �11(vy' (� �� l, 3 r ' ' 1 , .,....._..___.::r..r.� ��! S� �: � � ;, , , � :�" - ' ' i . . , r;t�r�:l��;��cv•�'��F:j ;:��I�;-,-,�,;� � � - ,t CI :r � � R� � , . , . , � �.---: � �:.��f� � , `��� �J �,� � � , - - ; . � ' � .. ,. ' . � . . ; ; � --- �---= ��-----','- -� '-�- , .. ; . . . . . 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