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HomeMy WebLinkAbout16563 (15) I' � ' .. . �� / 1� _ CITY OF DIAMOND BAR � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � , � 21660 E.Copley Drive Suite 190 ' (909)860-3195 Faa(909)861-3117 RESS ������ BUILDING PERMIT APPLICATION IRMLY o� JOBSRE �1�.t6 I I Y1CYeS �JQ� APPUCATION a,., b'v PERMR � 3 PlC�/� -3 ADDRESS DATE � NUMBEfl liS �► v v $ _ ISSUE �� �o ITYPE OCC APN ' LO TR T � DATE � CONST. GROUP �j OWNER s'� "-' ADD S ZONING SEfBACKS "' CITY�d ��t ZIP 7EL. L - 2 -2 FRONT RW ❑ � APPLICANT TEL. REAR O � SIDElSIDESTREEf RW O CONTAACT�R SIDE � � ADDRESS � C(TY ZIP TEL PROPOSED USE � ARCHIENG/ . DESIGNER N0.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL ' y DESCRIPTION Q. . 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J o OI�SOWNEAOFTHE�RDPERTYORYVEMPLOYEESVAtHWAGES/�STHEIRSOLECOMPENSA710N, O Commerclal � � WILL DO THE WOi1K.AND TME STRUCTURE IS NOT ItfiENDED OR OFFEFED FOR SALE(SEC.7Du,BUSb J NE68 AND PpOFE55lON8 CODE:THE COMMCTORS LICENSE UW DOfS NOT APVLV TO IW OwNER OF ? . �, _ , � PROPEqT'fNRIDBURDSORIMPi10VE5TMEREON,AWYAIODOESSUq/YWRKHIA1SElFORHER6ELFOR `� � TMROU011MISORMERO'NNEMPLOYEES,iROVIDE9THATSUCFIWFROVEMENTSARENOTME�EDOi1 m . �}1 .OFFERm FOR SKE IF,HOWEVER 1HE BUM1D W(iOR MAPROYEMEHT 5501DM'fMPI ONEYEAAOF WMPLE• Z 'TION,7HE DWlIEHAUILDER MALL HAVE 7HE BUNOEN OF PROVIN6 iMAT ME OR&IE DID HOT BUIID OR = MVROVE FOfI THE PUF�OSE OF SALE). � W 04��`MMEROFIHEVROPERTY,AIAIXCLUSNELYLOHfMCTlMYATHLICENSEOCONiMCTORS — � TO CONSTRUCT T!�iR0.1ECT(SEC.�Ou,BUSINESS ANO iR0iF5510N4 CODE THE CONTRACTORS ll- V21t18tIM ADJ.AREA LFNBE LAW DOE6 NOTAPPIY TO AN OVMER OF A DpOVERTY Wlq BU6D5 OR W VROVE9 TNEREdJ,AND � wHoc�rtrucrswnsucNvr�aEcrsw�rH�cartrucroR�s�ucv+sEovuasuunron�Econrruc OUANTITY DESCRIPTION FEE � tORSUCENSELAW.j.� . .. pIAMEXEMPTUNDERSEC. 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LICENSEO CONTR�ICTORS DECLARATION W � IMEREBYAFFYMUMOERPEN�LLTYOFPEfLA/HYTHATIMIUCENSEDUNDEHiROVIS10N50FCi1AViER � • . , , � �(COAIMENCNOVffTMSECT10N7000)OFDMSqNJOFTHE8U51NE55ANDPROFE55iONSCODE./WD Z W LICENSE i5 N FULL FOFiCE MlD EFFECT. m � � f,., LICENSE CUlSS UC.NO. j . .V DA7E �-. . � cor7iMcroR � � - a W � � WORKERS'COMPENSATION DECLARATION,. � 4 ' - . � iHEREBYAFfIRMUNOERPENALTVOFPE0.NNY0NEOFTHEFOLIOYNN6DEC1AMT10N5: U � � � CA a . � _IHAVEANDW�ILW�NNACEHiIFIGTEOFCONSENTTOSELfaNSUREiOHNVRKERS' _ � � � COYPENSATIDN,ASGROVIOEDBYSEC710N�7000FTHELABORCODE,FORTHEVERFORAUNCE W OF7NE WORK GOR WH1C11 THtS VERIAIT IS ISSUEO. � O I ' 4 _I HAYE AND YtILL MAPlTUN NIOP1(ERS'COMPENSATqN IHSURANCE,A9 REOUIRED BY SECTION n 77000FTHElIBORWOE,FORTHEVERPDRMANCEOFTHEWOPXFORWMIG71TMi5iERA1RIS � / � ISSUED.IAYriKMI(ERS'COYPENS�ilONWSUR/NCECAfWER/NOPOUCYNUMBENME: CONSTRUCTION ` � cu+aen PLAN REVIEW Z vaicrrur�eER ELECTRIC a � (MSSECICfj1�IDNOTgEC�,fiF7FppFREpFp1Af�5fORpdEH1�DRF�ppOLLNs(Stoo)oqlFss), PLUMBING z ICEHTiFVTHATNTHEOERFORA/ANCEOFT/EWON(FORWH�CHiMISPEPMITI5ISSUE0.1 MECHANICAL �� � (,'} SFIALLNOTEMPLOVIWYPEMONMANVMANNEHSOASTOBECOAIESUBJECTTOTHE � WORKER5COMPENSATIONUw30FCK1iOiWU.ANDAGREET1UiIFISHWIDBEC0IAE INSPECT�ONFEE S SIRJECTTOTMEWORKERS'COMPENS�TqNPROV1510N50F5ECT10NJ7oo0fTHEUeOR �SSUANCE OODE I SMAl1 FOHfMY17H COMPLV WITM 7MOSE VROV1510N5. .� . ' . . SMIP � �. p DATE: � APPLICANT: . . . " W ENERGY P/C D ' ' � � WAiWIH¢fM.URETO SEGURE WOfiKERS'COMPENSATqN COVEMOE IS UNLAWFUL AND SHALLBE SUBJELTANEMPLOYERNCRNAIWLLPENALTIESANUCiVIIFINESUPTOONEMINDAEDTFIOVSAND ENERGYPERMIT � �OlWtS p100.000),W MOIiION 70 THE COST OF COMPENSA7qN,DMUOES AS VROViDED FOR IN � SECTiO1Ja7oeOFTHELABORCODE.WTEREST.ANOATTORNEYSFEES. ' RETENTIONFEE: � r O �, CONSTRUCTIONLENDINGAGENCY PRE- L ' �� / r/' � IHER�YAFFlPAIUNOERVENALTVOFPE0.R1RY7NATINEREISACONSTRUCTIONIENDWGAGENCY �_-^'_ - I . Z FOR Ti/E iERFORI.UNCE OF TNE WORK FOR WHILH TH�S VERMiT IS�SSUED(SEC.�OV�,CIV.C.} V W , � LENOER'S WUAE .. � LENOEFYSADDRE55 'n � 1 CERTIFY THAT 1 HAVE READ IS M7LICAT ANO STATETHATTHE ABOVE NFORA1ATpN IS CORRECL TOTAL FE S f F ` . ' w 1 A0t7EE TO[OMPLY ffY ANO NTY ORDWANCES AND STA7E Uw5 FElA71N0 TO BURD�N4 � �' CONSTRUCTION. EHEB AUTNONR EGRESENTATNESOFTHISCOUNTVTOEMERUPONTHE I�> f � I , f D S� ABOVE�MENTqNE E FOR INS CT10N FURDOSES. COMMENTS V 1/•�v���, � � �� � � Q PEig�iT7EE�Y�'N �.JH � � � � y�� ~ � � 61(iNATl1REOFPERMITTEE DATE ' � RECPL NO. PAI BY VALIDATION �, WHITE-0epartment Gopy,YELLOW—Finance Copy,PINK—Assessor Copy.GOLDENROO—File Copy,GFEEN—ApplicanPs Copy .. . �..- -..n. .,..... .... ..,.._ .. ...,. ,.:-. - ' .,�......��.,-� - . . . � .. . . . � ... . „ � ^ . . • . • . . , . .v , . � r . . . ,., .� � . . . , . . .. , . , _ ' �, ` CITY OF DIAMOt�D BAR , ' . , _ RvSPECTI�f'�I RECORD : � .� �.� • ='��I�t��j�. m ;�_ fi�. _�_� - J.�.E- • � • � � �;��aE�pe�r� ..,�.�... . . . .. - - -- -`. r _ _ .... ....._ �SET BACY. . ^ ` i i � i ` FLOOR JOIST ;FTGS/FORMS/STEEL" � ' ' , i� FHA REQP�ATS . ' ' �ELECTRIC GROUND _ _ ` � '� '� i UNDER FLOOR DUCT . - ;GROUND PLUMSING - UNDER FLOOR Cdf�IDUIT` ;" . 'SLAB GAADE FIREPIACE FOUNDATION : � � ' ^ TEMP POWER ' FIREPLACE$OND BEAM - - - � 'WATER SERVICE MID HT.BOND BEAP�A ' 'ROOF SHEATHING 'L7 0 � ` 8 FT. BOND BEAM - - - ' .FRAMING/VENTiLiATION � ,a FINAL BOND BEAM • � �ROOFCOVER � PRE-GRADING � , � �ROUGH HEATING' BENCHING � � 'ROUGH ELECTRIC. ':.' . . ROUGH GRADING - ROUGH PLUMBING I ' • - FINISH GRADING ;SHOWER/TU8 TEST POOL ELECTRIC EXT. LATH/SIDING 0- -0� POOLFENC�NG WALL INSULATION D- _o POOL FINAL �CEtLWG1WSULATION -5�o OFF 51TE IMPS. � �DRYWALLNAIUNG ��.dj DEDICATIONS �SEWER f'Zl P FINAL ENG. SEPTIC TANK • LANDSCAPc/IRRIG. SEEP PIT/LL. - _ • . ON SITE IMPS. GAS AIR TEST FINAL ZONING • FIN,4L CONST. ' �t/ FiRE DEPT. FINAL ;FINAL H�'AT1NG. _ HEALTH DEPT. FINAL - 'FfNA�ELECTRIC DEV. FEES PAID • f=!^JP�t PLUMBING ENERGY �tQ� 5��R� °• -tll. --- -- �.. . - .�..- 6^�6.. 12'���v��r+w- t _ �_ '_. _. _ . _ _ . . _ .. . . . . . �dl� {`� {.�',I' ��C'Q.f ' , .; .,� ,' I . .:_c4:r-..._.C'.......r.c.-A.... .,...-. _. , ' ',COMMENTS�_.I��b 2tx1� �t�.5 ��r�l3c�. �o�����' rz. _,�a_St���'t_o_J� c.�t� �•_-i��o�s�e.s ��{-� -- -'. �SEPTIC TANK SlZE ' -� 'SEEP PIT/U SiZE - . ^•'1.w'+'�+� wM' , . � ' .. . . . . J1 #i��\� i . . - � ' <.i _ �,', *, .. . . : ..�_... . . �.i . . . . , �J'��.". � i . I�°.I � , � � . '� . . , . _ . . ' � � � � . _ . . ., , . �-� � ��. � . . . . r. � . . :. . • , _ , __._ �f �� _..._._, I ' . . --