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HomeMy WebLinkAbout15777 (20) . �__. __ � r _.. .------. ..... ._. . _ R: , - ' . , , c.. — �; `� �� CITY OF DIAMOND BAR .� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � '21660 E.Copley Drive Suite 190 (909)8643195 Fax(909)861-3117 PRE$$ �'��'� � BUII.DINGPERMTTAPPLICATION - FIRMLY o� JOBSITE . APPUCATIO���� . PERMfT. � �L i'1r1'� P/C / ADDRESS .��- C� � tJ� .�' �iL' • DATE ,�,� +-rit� NUMBER I.� I (1 N L� ' � APN LOT TRACT ISSUE - TYPE ', OCC DATE CONST. GFOUP � OWNER ���b�.� �n��A FCzv�, "' ADDRESS ( � ZONING SEfBACKS � CITY `1]�.+a...e�./� f{-r.ZIP TEL. ��/F�t� FRONT RW ❑ APPLICANT���/�. �',ar�n�tn,-c n TEL. REAR ❑ � _ �'� SIDE/SIDE STREET RW O CONTRACTOR SIDE O g ADDRESS PROPOSED USE�.t.c• CITY 21P TEL � ARCH/ENG/ - DESIGNER �t�S'�t�= N0.DWEL. NO. NO. ADDRESS UNITS STORIES BEDflOOMS � CITY ZIP TEL y DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q �� OWNER-BUILDER DECIARATION SFRIADDiREM O p I HEREBY AFFYM/UNDER PENAL7Y OF PERAIRY THAT 1 AM E%EMP7 iROM 1HE CONTIUCi'Oq5 L6 Gfif890/C01p01S � W CENSEUWPoRTNEFOILOWIfqRFASON(SEC.10.71.6BUSINESSANDPROFESSqNSCODE:ANYpNOR (n ..� -CdUITYWNL1/RE0UIRESAVEiWRTOCONSTRUCLAITER�PROVE.DEMOUSH,ORREPNRANY57frilC.. W Patia/Deck ' .. . � . 7URE,VRIOH TO RS R9UANCE,A150 iIEW WE9 TME�PFUCAM FOR SUCH PERMIT i0 i1LE A SIGNEO w STATEMENT TUT HE OR SHE IS LICENSW VURSUNIT TO iME VROVISIONS OF THE CaNTMCTORS U• � CEHSE UW(CHAMER 0(COMMENpNO WITN SECi1d17oo0)OF DMSION]OF THE BUS�NESS M1D VR0. � POOYS�13 FESSIONS LODE)OH TIUTHE OP SME IS E%EMPT THEREFRdA M!D THE 8�.7�5 FOFl THE�LLEO[D ENEMP• TtlH.ANYV10LA770NOFSECTI0N�W1.6BYANYA7PlIGNTF011AGERMITSUB.IECTSiMEMPLK'J�MTO Z R0•R001 F,., ACMLVENhL7YOFNOTFqRET11N1iNEHUNOREDDOlURS(f5o0�.k , � OlA50MMEROFTMEPROPERTY,ORA/'/EMPLOYEESWITHWAOESASiHEIR50lFCOMFENSATION, O Commarcial - WILL DO THE WORK AND THE STRUCfURE IS NOT RITENDED OR OCFERED FOR S/LE(SEC.1M1,BU56 J HE53 AND PiqFE5S10N3 COOE:iHE CONiMCTOR4 UCENSE lAW DOES NOTAGPLY TO AN OWNER Of y PfiDPERTYWFqBUlD40RNIPRWESTHEREON.IUANRIODDES5Up1WOFKHMSELFORMEftSELiOR = � � TMROUGHHIBORHERONMEMPIOVEE3,PROVIDEDTUTSUCIIMPROVEMFMSARENOTIMENDEDOR m � OfFEPEDFOfi SALE�F.IIOVJEVEi(7HE BU0.DNOOR IMPRpVFM@IT IS SdD WITMN ONE YEAHOF GOMPIE 'TION,THE OVMERbUttDER YALL HAVE TH[B�INOEN OF VpOVINfi iHAT HE OR SHE 010 NOT Bt11lD OR E17fqVE FOR h1E PUF1➢OSE OF SALE� '1. •J W OI��NMEROFTMEVROPEfiT`I,AME%CLUSIVEL�CDMRACTIq�WffHLIGENSEDCONTMCTOR9 ; ' ! (l. TO CONS7HUCf iME VR0.IECT(SEC.7d1,BUS�NE59 ANO iROFES510H5 CODE:TIIE�ACTORS L4 Ve1U0110f1 A0.1.AAEA µ1 CENSEUWDOE9NOTAPPLYTO�NOMNEROFAPROPERiYMR108t1RDSONM7ROVE31MEliFON,AND Z W1qLONTRACTSiORSUCHVRW[CTSWIiNACONTMCTOR(5)IICENSEDPURSUMRTOiHECOHiMG -OUANTITY DESCRIPTION FEE � TORS L1CRISE UW.} �J . p IA1J f%EMPT UMOER SEC. B.l V KOR TMiS REhSON 4 U � � DA OYVNER , � . � U UCENSED CONTRACTORS DECLARA7ION w J� �j�,� � IHEREBYAFFIW,IUNDERCENALTYOFVE0.tt1R'YTM�TIAYLICENSEDUNDCRpROVI510NSOFCHAP7ER � � �(COAM/ENCWGMATMSEC110N70Dc)OFDMSiOH]OfTHEBUSINESS/�NOPROFES510NSO0DE,M1� Z MY LICENSE R N FULL FORCE ANO EFFECT. LIJ . � . n! �i �; n � UCENSE CUSS LIC.NO. ' � J � � -�, �..+_ � w r.. .+ ' . DATE CONTRACTOR O• I .... . T �.l v�` / ' WORKERS'COMPENSATION DECIAAATION Q � - � :: . . V � IMERCBYAFFlRMUNDERPENALTYOFiER1URYONEOFiHEFOLIOWWODECUMTIONS: Rn a � _�IINVEANOWILIMAMTAA/ACEHf1FIGTEOFCONSENiTOSEIF•INSUREFOqWORKER:' y � . OOMPENSATION,ASVROVIOEDB`ISECTION]7DOOFTHEL�BOFlCOOE.FORiHEPEHFORMANCE w Of THE WORIC FOR N}RG1 T1:9 FERMIT 1915SUE0. � � �I FNVE ANO WILL NAiNTAIN WORNERS'COMPENSATION MSViLW CE,AS PE WIRED BY SEC710N � � 770a OF iME LABOlt COOE.iOR T11E VERFORMANCE OF THE N'ORK iORNMICH THIS PERMITIS � ISSUED.MYM�OFIKERS'COMPENSAT10NM15UWWCECARRiERANDPOIICYNUMBERARE: CONSTRUCTION � �,Ea P�AE�� — a o. .�- -- % � PCIICYNUMBER ELECTRIC � � (fH".,5[cIri�NEIDr+aiBEOJIdR£tmoFTIEVEti.R6in(iONEHILR[�DOLLJiSR�m)oqtFss} PLUMBING Z 1 CEHTIFY TMAT M THE PENWHMANCE OF iME W�7fiK FORNT11pi TMIS PERIAIT IS ISSUE0.1 MECHANICAL (7 � SMALLIqT EMPLOV ANV VERSON IN ANY►1ANNER SOAS TO BECdAE Sl18JELT TO iHE . � WORI(ERS'COM7ENSATIOHUWSOFCALIFORNIA,AN�AGREETHA7iF15110tA17BECOA/E �NSPECTIONFEE SUBJECT TO THE Nt7RKERS COMPENSATION PROVISIONS OF SECTION 770o OF T11E UDOR s COOE,IS/U�11FORiHWIiHCOMPLVWITHTMOSEPFON510NS. �SSUANCE � � SMIP •9 p DATE: APMIGINT. , � ENERGY P/C WNVIINO:FiVLURE�SECURE WORKERS CO�vENSATqN COVEMGE IS UM.hWM,l�NO 51uLL BE � SU&lECTANEMPlOYERTOCRIMIN�LPENALTIESANOCMLFNESUPTOONEHUNOREDTKKISAND ENERGYPEqM1T pOl1ARS(f I0o.0o0),IN MOITION TO THE COST OF COAIPENSATION.DAIMGES AS PROVIDEU FOR IN ¢ 9ECTION�7oeOFTHEUBORCOOE.NTERESL�NDA7TORNEv5FEE5. � RETENTIONfEE: �' �' � � oCONSTRUCTION LENDING AGENCY PR -/ALT F,€E: � IHEREBVAFFlPlAUNOERPENALTVOFPEiLNRYTHATTHEFEISACONSTRUCTIONlE1:DW6ACENCV H��V �K Z FOflTMEVERFORMANCEOFTMEM�ORKFORWNIG1iNI5PEWAITI5135UED�5EG]ov7,CIV.C.} � W � LEtAERS NAME � IENOER'SADORESS �J y� � ICEfYTIFYTHAT111AYEREADTH15MPLICATION/WOSTATETMAT1HEl180YENFORMATIONISWRRECT. TO AL FEES � I��/ 7 � _ I I � �v � d IAOREETOCOMPL�WITHALLpiYANOCOUNTYORDINANCE5ANO5TATEtAWSREUTINUTOBU0.DIN0 r CANSTRUCTION,AND NEREBV AUfHORIIE REORESENTATNES OF THIS COUNTY TO ENiER UDON TNE +�� S�, /1BOYE�A/EHTIONECPfqFERTYFORIfISPECTIONVURPOSES. CO MENT �� • � W ' + � ��c+I F_ �nal� MlL� �! ¢ PERMITTEEN PWHn � N �f�/j .��,�'.o��.� !�•z y-�� � . -� G ...+ �• N &GIfRN{iE0 PERMITTEE OATE E .NO. � P D Y VALIDATION � WFIITE--0epertment Copy,YELLOW—Finance Capy.PINK—Assessor Copy.GO 0 ile Copy,GREEN—Ayplicant's Copy . �y..i.' , •a�n:a-. �.Y'„�n..,....eti,��•t .�,•,�.y.:n -.ae;,'','�,4"',.�".i?.- ,.".1•.�y....�p:•�o•r.tJ s,"✓:•taap:���.y,��.,,f+,.e+.':[w{.�YaY'.;�•,.. �� r..�..M,�M � .r...,.-. .�:� . . ..` � . , .. ' . ' " � � CITY OF DIAM(3ND BAR , , ���ti � ��� �,- .., � : ��: It�SPECTION'REC�RD ' � , �. , . . . � .�.�,1� m ' ' � .�'�`,� .._ •_�r � � . 1� �.��a.�,s�_ i 1SET BACK • c. . 1 3rr� FLOOR JOIST ,. �.` -, '� IFTGS/FORMS/STEEL 1 FHA REpMTS. . . . :. ,.... ''' � ' ' ��.. - - IELECTRIC GROUND. _ � �" . UNDER FLOOR DUCT � - - ; ' • 'GROUND PLUMBING � UNDER FLOOR COI�IDUIT• � � � � ' -- �SLAB GRADE - --- ' __ ._ ._ i'� ' FIREPLACE FOUNDATION': , � . �. � I '`— , , i7EMP POWER -�. i ' FIREPLACE BOND BEAM ' ' � -• � � - �' �:� ' , iWATER SERVICE -- - - - -- MID HT. BOND BEAM ' " ` ' ' iR00F SHEATHING. •-, - '�_,.:..: ::� = 8 FT. BOND BEAM ' � � 'FRAMING!VENTILIATION ' 1 - �'��' �- FINAL BOND BEAM � • ; ' ;ROOF COVER PRE-GRADING - • = =`'�' - •• � "'•``�-• ' fROUGH HEATING � BENCHING i , - ?ROUGN ELEC7RIC . . . ROUGH GRADING � - - � � ,� 'ROUGH PLUMBING • - - FINISH GRADING 'SHOWER�UBTEST ' - -- - POOLELECTRIC ' 'EXT.IATH/SIDING- � - - POOL FENCING ".WALL-iNSULATION - - POOL'FINAL � � CEILING INSULATiON � UFF SITE IMPS. ' ' DRYWALLNAILING� I � DEDICATIONS �SEWER ' � • FINAL'ENG. ' ';SEPTIC TANK �-- `� _ LANDSCAPElIRRIG. �SEEP PIT/L.L. . • ' _ ' }` �t ON SITE IMPS. ;GAS AiR TEST ' FINAL ZONING ; -. ;FINALCONST. � _ Q Q FIRE DEPT. FINAL , � , ; Flt�lAL HEATlNG - . ._.... H�ALTH DEPT.'F(NAI�•. ..,� _ti, ;.� i ',FINAL ELECTRIC -- - � DEV. FEES PAID • - `- - ' . ;f=!FlAL PLUMBlNG ENERGY , . : � .._...._ _. . _ ; . - . `,�rr�4��'' r'��'�-�� __.._. ._._ , � - . . _, . . . . . . _. . -. . -- ! tl-1?�j j : 'CO M Il�E N TS •-�c�.c F'�lx.cr..r•:+ro A��s c�� + FT�s P_.�'ta.^�o��7i+�ru��-�Y�� -� - . . , � . _ , � � . � `�` L�' �����_.. ; ; • � j .� _ . ��.�--: . j � � � � i . ' I !SEPTIC TANK SIZE ' ' � �SEER PIT/U SIZE � � � _ . � . . --^--�-�-�---� — - — R, � ;,:'; . . ;� , ', .�',..� �=, . ', : , . ' _. ,;,.,lb��. ' �.s..��I I �'�' � , , ; ' , •�.t ` ' �' . ' - � ..,,�rt x. ,�� . . . , �. .. . _ .��� .� ��,�__ ' . ' �:�`��:�is. I� ` �.�, . . . � �; . .'�\-- '`� . � ��.._ , , : _.+sl' L:. .��. .a....� r.�l �