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HomeMy WebLinkAbout15282 (30) �_�,� , ' CITY OF DIAMOND BAR� i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��„ 21660 E.Copley Drive Suiu l90 . (909)860-3195 Fax(909)861-3117 . PR E$$ � ��*�� BUQ.DINGPERMITAPPLICATION FIRMLY � o D RIESS b � �-I � �f ��� DATE CATION ��2�JOU NUMBER�_ ! c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER r � "' ADD SS �f� ZONING SETBACKS �W CITY ZIP • TEL. � REAR Rw ❑ APPUCANT �($G6 n'1- L�'t 1^SOl1 TEL. �' � SIDE/SIDE STREET RW ❑ CONTAACTOR SIDE ❑ � ADDRESS CITY ZIP 7E�. PROPOSED USE � ARCH/ENG/ • DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEOROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION rn . � OWNER•BUILDER DECLAFiATION SFWADD/F7EM O p I MEREBYAFFlIW UNDER VEN�ITY OF GERAIRY THAT I A/d E7cEMPT FROA1 THE CONIMCTORS L4 Garoge/CarpoA L1J CENSEUWFORiHEiOLLOWPI0RFA50N�5EC70.71.68U5ME55ANOPRCFES510N5CODEANYCINOR (n � [DUHTYVF#QIi1E0UIHE5AVEiWRTOLONSTRUCT,ALTEFti0.1PHOVE,OCMOUSH.OpREVAIqIWYSTRUG W Patio/Deck � IURE VRqR TO R9ISSUANCE,ALSO PEOUIRES THE MPLICAflT FOR SUp1 PERMIT TO F0.E A SIONED w � ETATEYENT iHAT ME Oft SHE IS LICENSE�RIRSUAIlf 701ME PROVISIONS OF h1E CONTRACTORS L4 � CENSE UW(GIAPTEi10(ODMAIENCNO WITH SECTIOM 7000)OF DMSION f OF TNE BUSMESSAND Dq6 � PoOVSpe FESSIONS COOE7 OH TINT NE OR SNE IS E%EMPi iHENEFROG 11ND 711E BASIS FOR iNE ILLLEGE�EXEMv- 1qN.ANYV10LI1110NOFSECT10N7071.68YANVA7GLICANTFORAVERYITSUBJECTSTHEAOVLIGNTTO Z Re-Root �,,,. 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B.i P,C LOR TNIS REASON Q 3 � �—'- o�h� owr� � 1�C(� � � J � LICENSED CONTRACTORS DECLARATION W � IFIEREBYAFFIfBAUNDERVENAITYOFVENURY7HA71AMLICENSEDUNDEAPROV15lON50FCHAPTER � �, � •ICOY4ENCMON7fNSECTqN7oa0)OFDMS�ON70FTHEBUSINESSAN�OPOFESSiONSCODE.AND Z X MYUCENSEISNFULLFOFlCEANDEFFEGT. n L1J L � LICENSE CUSS L1C.NO. J � pATE CONTRACTOR a W � WORKERS'COMPENSA710N DECLARATION a � U � IHEREBVAiFUIYUNDERFENAITYDFVEfU1ftYONEOFTHEfOILOW:NGDECUMTqNS: Z Q L1 _IHAVEMAW�lL1.WNTAMACERTIFlG7EOFCONSENTTOSELF-INSUREFORWdL(ERS 2 Z OOMPENSATION,ASPROVIOEDBYSECTION77o00FTMEUBOHCODE,F011TMEiEHFORMMKE U Q OF iME M�ORK FOR WHICH iH15 PERIAIT IS ISSUEO. � 0 �I HAVE AND M/iLLMARRAN YKKIICEFS'COMPENSATION MSUR�NCC,AS RE WIRED BV SECTION Q 770oOFTNELABORCDOE.FORTHEVEHFORMANCEOF7HEWOFKFORwHICHTM15PERU1T15 � ISSUED.MVNq1iKERS'COMPENSATIONINSURANCECARRIER�WOPOLICYNUTA6ERME: CONSTRUCTION � �Ep PLAN REVIEW � POI.ICYMIMBER ELECTRIC - 0 �Ss�cnorr�mHorgEoa,s�ErFnocn�c�wRtsrar�or+Ewwr�moau�rasRimfaa�ss} PLUMBING � Z �CEfTitFY TNT W THf PERFORIAANCE OF iME WORK FOR wHICH TMiS VEHUIT�S I55UE�,l MECH��CA� — U' SM/�LL NOT EA�PLOY INY PEPSON N ANY MANNER 50 AS TD BECOME SV6JECT TO THE N WORKEaS'COMVENS�TIONUWSOFGL60RN11ANDAGREETHATIFIS/IOULD6CCOME INSPECTIONFEE ✓ 1 S SUtUECTTOTHEYIOWCERS'CGA/EN5AT10NPROVISiON50F5ECTI0N]�ooOF7MElPBOR r��� COOE,1 SHALL FORTM7T/C04PLV N7TH THOSE PRONSIONS. �SSUANCE � SMIP p DATE: APPLICANT: . w ENERGY P/C WMNIPW:FALURE TO SECURE WOnKERS'COMPENSATION COVEMGE IS UNUWFU�AND SMAIl qE �1 � SUBJELTANEMPLO7ERTOCRO�IINALVENALilESANDCMLFINESUPTO0NEIUNDREOTFqVSH�D ENERGYPERN.IT + DOlLAAS(i10o,0oq,W ADDITIpJ TOTNE COSTOFCOAAvENSA710N,DIAUGES AS VAOVIDED FOR IN jT}� T* � SECT10N770tOf1HEUWRCODE.INTER[ST,ANDATfORNEY3FEE4. RETENTIONFEE: 11L'-.IJINCi �I��,��T�• pw_, CONSTRUCTION LENDING AGENCY pRE•ALT FEE: Q IHEPEBVAiFI{7YUNDERVENALTYOFPERNRYTHATTNER[ISACONSTNUCiIONLEN01N0l1GCNCY dZ FORh1EPERFONAINCEOF7HEWOPXFORWMICNTM�SGERMITISISSUED(SEC.]097,CIV.C.} LJ7 � IENDER'SNA/AE � LENDERS/�DORE53 � ICEfli1FYTNAT11/�VEREAO?MISAPPLICATIONANDSTATETMATTHEABOVENFOMIATIONISWRRECT. TOTAL FEES y w IAGREETOCOMttYN7TM.LLLCfiY/�NOCOUMriOROP1ANCE5ANOSTATEUW5REU71NOTOBNLDwO - � Cp�STRUCTION.ANOHERE6YAUT�OHIZEREPRESENTATNESOFTN15CWNTYTOENTFRUPONTNE � � ABOYEJAENTIONED PNOGEHTY FOf11N5PECTION YURPO5E5. COMMENTS � �• ' � . m v�U11 E NAME(7PoNn �/� A _ � /��/,�1 lJ7. �Gt�co�Yn �N N �rIEpFV:iuITtEE O�TE � RECPL N0. PAID 6Y VALIDATION WHITE—Department Copy.YELLOW—Finance Copy.PINK—Aeseeea Copy.GOLDENROD—File Capy,GREEN—Applicant's Copy � � -. .... . m .. .. .�. . � r . . • . � ._ �e •�. .'t.' -� .'YS•� . �.�.i�•�fy... .,.�...^' ."�, . �R� �.:Y�ti.Y.i?V�a���:�':'1<!<<. . :.'�'. ��..� •Y. �kr 4.i ... r_� !1' � CITY OF DIAMOND,BAR . . � ' � - � , . . ' .�I��!SPECTtON RECORD � . . � . � � � , . � , ,. � r�J!1°�.�.l�.�'.0..'�� ..`. �_.�� — .I� : �� , '1`; , ' �=' i�'��,���] �. ' ; - "� i:�"_f: ,SET BACK .. �- - ' . ' ,�-_ FLOOR JOIST " . ' ,t. , i < •FTGS/FORMS/STEEL • ' -1-'' FHA REQMTS � � .� ` ' . � ' : _ ' ELECTRIC GROUND UNDER FLOOR DUCT - ' ' GROUND PLU��iBING • UNDER FLOOR COMDUIT . � '" ' ' ;—' . � SLAB GRADE - � ' FIREPLACE.FOUNDATION � �`� �7 � TEMP POWER FIREPLACE BOND BEAM .' - �� -� • • � - �•'. ! WATER SERVICE - - MID HT. BOND BEAP�A � ROOF SHEATHING 8 F7.BONO BEAPJI - , - �FRAPJIINGNENTILIATION - FINAL BOND BEAM i �ROOF COVER PRE-GRADING 'ROUGH HEATING � BENCHING . � ' ROUGH ELECTRIC _ . �• ' " 'AOUGH GRADING - - -- - • - ROUGH PLUMBING � - - � • FINISH GRADING ,SHOb'1�RITUBTEST - - - � - POOL ELECTRIC � EXT.LF,TH/51DING POOL FENCING �VVALL-INSULATION , - - � — - � POOLFINAL :CEICtNG IfdSULATiON - OFF S17E IMPS. DRYWALL PdAfL(NG - , DEDICATIONS 'SEWER � FINAL EPdG. SEPTIC TANK LANDSCAPE/IRRIG. � SEEP PIT/L.L. ON SITE IMPS. � G<,�AIR TEST FINAL ZONI�JG ' �FINAL C�NST. . . FIRE DEPT. FINAL ; . :F1P•:AL HEATING . . ___ . . . HEALTH DFPT:FINAL , �;� � . . . �__ 'FlN;,L ELECTRIC - - � - DEV. FEES PAID � � ''=!�•i/1L P UP�",BING $_.q_Crj � � ENERGY. f _.. .._ ._ ... . 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