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HomeMy WebLinkAbout13160 (16) � _� --- �.._�' .. . _...._ _. �,� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� , 21660 E.Copley ihivc Suitc 190 � (909)864-3195 Fax(909)861-3117 PRESS ^��^'� BUILDING PERMIT APPLICATION FIRMLY QJOB5ITE � t�L�Z� ��� ��►- DATE CATION�► 2� NUMB R 1�I T O M O"Ib Q ADDRESS l�v � APN LOT � TRACT ZZA ISSUE TYPE OCC ,,,�n� DATE �Z � � CONST. GROUP p OWNER S +uT1a.1_ p ADDRESS_� d TbIC.I'L- . V ZONING SEfBACKS � CfTY �CX`i�-MGS�- ZI TEL REART RW p APPLICANT TEL. SIDFJSIDE STREET RW ❑ � CONTAACTaR S-`j20 E��1.I SIDE ❑ ADDRESS I-� n � CITY ZIP TEL PROPOSED USE- /v�-LC7 SF1c� L Z � ARCH/ENG/ OESIGNER�S'eNI�"� ADD S N0.DWEL NO. NO. � CfTY d.tJ ZIP TEL UNITS STORIES BEDROOMS � v> DESCRIPTION SQ.Fr FACTOR PSF ADJ.AREANALUATION � ONRJER•BUILDER OECLARATION SFRIADDIREM 3 O p I NEREBY AFFpW UNDER PEWILTY OF V[fl41RY TWU l AAl E%EMPT iROM iHE CDHTRAGTORS l4 GefagO/WfpOR b , � C£NSEUWFORiHEFOl10ri'NOREASON(SEG70.71.6BUS�NESSANOPROFESSIONSCOOE:ANYCRVOR (n COUNTYN49dIRE0UIpESA761MRTOCONSTRUCf.ALTER�PROVE.0E1101JSYORREVAINANYS7RUG' — �yf patlo/Deck TURE iR10q TO RS 65UMICE.IL50 REWIRES THE APPl1CAN7 FOR SUCH PERUIT TO flLE A SiCNED W STATEMENT 7HAT HE OR SME IS LICENSED PURSUANT TO 7NE PROVISIONS OF THE CONTMCTOfl9 LF � CENSE UW(pWTER i(CdAMENdNO VrtTH SECTION 7000)OF DMSIDN 7 OF THE BUSINESS AND PRO� V" POOUSPB ' FE5510N3 COOE)OH 7W�T NE OR SHE IS E%EUPT T1�EREFfiOM/�ND T1E BASIS FOR TME ILLlEOED E7(EMP- TqN.ANYVIOLATqNOFSECT10N7o71.6B'/At1YMPLICANiFORAVERM1iSUBJECTSTNEA7PLICM7TT0 Z Re•Roof � A CM�VENALTY OF NOT MOf1E TNAN FNE HUNDRED DOlLAR51f 50D)J: � OlASOWNfROFTHEPROPERTY.ORMYEMPIDYEESWITHWAGESA57HEIRSOIECOLIDENSATqN, � COrtImB�Ci31 - WGL DO THE WORK AND THE STRUCTURE IS NOT IMENDED OR OFFfRED fOR SALE(S[C 7W�,&151- J � NFSSMAVROiE5510NSC00E:7HECONTMCT00.5l10EH5EUWDOESNOT�PP�VMANONTIEROF ? �i'�t�" PROPERTYHTIDBURDSORMPROVES7HEREON,ANDW}iODOE95UCHWORKH!NSELFORNENSELFOq ��� (L TNRDUGHNSORNEROYVNEMVLOYEES,iROYIDEDTMT5Upf14PROVENENfSMENOiNTENDEDOR m �0 OiFEAEDFORSAIEIF,HOWEVERTNE&1LDMOORMPFqVEMENTI55QDWfiMNONETEANOFCOM%.E- � �TqN,iHE OWNER�BUIDER WILL IUVE TH[BURDEN OF PROVNO THAT HE ON SHE DID NOT BUttD OR MGIIOVE FOH ME PURVOSE OF SILLEL (y �4�OwNEROFiMEPROPERTY,AA/E%ClUSNEIYCOrRMCTHQWITIUC'NSEOCdf'MCTOR: �ef - � TO CONSTRUCT THE iRO.IECT(SEC 7aa1.BUSINCSS AND PaOFE5510N5 COCE iNE CONTMCTORS U- VelUeliOn . V L ADJ.AHEA CFllSE UW DOES NOTMPIY TO AN OWNER OF APROPENTY 1»W BUILDS OR W PMVES T1Ef1EON,AND � WFIOCOMMCTSFGiSllpfiRQIECTSWRNACOHTRACfOF1(5)L�CENSEDPURSUANTTO7MECONTMG pUANTITY DESCRIPT�OV �E � TORS LICENSE Uw.�. � OIAMEXEYPTUHDERSEG B.IP.C.FORTHISREASON 4 i 3 � � �= DATE OWNER � � W LICENSED CONTRACTORS DECLARATION -� � w INEREBYAFFIRIlUNOERPENAITYOFPERAIRYTHATIAAILICENSEDUN:1[RPiiOVISIDNSOFdUPTER V, � O�COAWENCYI�WITMSECTION7000)OFOMSION�OFTHEBUSINGSSANDCROFESSIONSCOOE,AND Z �� W UCENSE IS N FULL F CE AND EFFEGT. m � UCENSE Cl/l S � LIC.ND.v ��� � �'j OATE 1� � CONTRACTOR d -- W - � WORKERS'COMPENSATION DECLARATI04 -� N1 MEFt:BYAFFlRM UNDER VENAITY OF iE0.NRY ONE OFT1E iOLLOWINC DECUMTpNS: Z � �IHAVE/WDNnLL1AAMTAINACEHT7FICATEOFQON5EN7TO5ELF-INSUREFOiIWORK[RS' _ COMPENSATqN,A9 Pf'.OYID[D BY SECTION�7aa OF TME LABOiI COOE,FOR THE PERFORMANCE W OF 7ME YVORK FOR WMN7f T115 PERMIT 6ISSUED. � �IUVEANDWILL►UMNNWOIiKERSCOIAPENSATIONINSURANC[,ASREOUIRfDBYSEMqN z �^� �w n� 4 77ooOFTHEU00RCO0E,FORTNEVERiORMANCEOFTHEWWiHFORNTIICHTHISVERA1R15 Y '�J _ � __ISSUEO.MYv/�y�R�1(/ERSCQ�PENSA710NWSURANCEGAWERANDPOIICYNUMOERML: CONSTRUCTION �p v ..-. —.�. . - C�ARfitER_S�-`�-��� �� PLAN REVIEYJ �J 1�� �1� � POLICYHUMBER ELECTRIC �SC��l`�� � � (ncsEcna+r+Emr+oteE�tErIDOFn[v[�►.trsror+or+Etu�noau�as(s+roloA�css? PLUMBI4G _��'Oy��M ^ Z ICERTIFYTHATNTHEPERFWU.W�CEOFIHEWORKFORWM�CHTH6PERA1R6ISSUE0.1 �.1ECHANICAL 'V4'��v�- v (.�} SMKLNOTEIAPLOYINv7ER5dJWANYYANNERSOASTOBECOYE5U0.1ECTTOTHE �T N N �� WONNERSCOMVENSATpNUWSOFC/�LIFO{iNIh�NDACREETMATIFISNOUIDBEC0IAE INSPECTIONFEE SU6IECT TO TME WORNEflS'COMPENSATION iROV15�ON5 OF SEC710N 7/00 OF THE W10R s CODE SMALL qTNYAMCpAPIYWIiNTNOSEPROY151 � ISSUANCE ��D � ^-//�� SMIP . � 1� �� � �ATE: N�ACPLICANL _ _'_ ' w�— � S WMNING fAILURE TO SE�E WORKERS'GOMPENSATION CAVEPAGE IS UNLAVlFU��ND SHALL BE ENERGY P/C � .ZV 1�,.. �y SU&IECT/WEMPLOYERTOCR1uW�LPEN/LTIESMIDCMLFNESUPTOONEhUNOREDT1qU5AND ENERGYPERMIT •� - J• DOLLAFtS(f t 00,D00�NI►DDfT10N T07HE LOST OF COMPENS�TqN,pAMAGES AS VROVIOED FOA IN (� /� J SECTION]7ae OFiHE LABOR[DDE,NTEREST.MID ATTORNEVS FEES. RETENTION FEE: v t `r I SI v� S ���� O CONSTRUCTION LENDING AGENCY PRE•ALT FEE: v" � I HEREBV AfFIRA1 UNDER PENALTV OF PE0.NiiV THAT 7HERE IS A CONSTRUCTION 1EN01NG AGENCY FOR 7NE PERFORAIANCE OF Tl1E N'O�AN F)O WHIG1 THIS GERMIT IS ISSUED(SEC.loY7.pV.C.). � LENDEA'S WVAE�7�R!1 ✓ C LENDER'SAUDRE55 � TOTAL FEES �-Z-v�(i�� 21�{�173 � ICERTIFYTIUTIXAVEREAD7HISAPVIICAiIONANDSTAlETNATiXE�BOVEINFOR11ATqNISCORRECT. � IAaHEETOCOMPLVN1THALLC1iYANDCON�TIORDIWWCESANDSTATEUwSREUTW6TOBU0.DIN0 � CONSTRl1CTpN,ANDNEREBYAUTHORREREPRE5EN7ATrvESOF1H15COUNT'ITOEMERUPONiHE Z AUOVE�MEMIONEOCHOPERTYFORwSPE iON7URPO5E5. COMMENTS � �t�p _ m PERMRTEE WVAE(P iNT) � . � Q �� — Uj gICNANREOFPEfUtl EE D�T � RECPT.N0. PAID BY VALIDATION WHITE-Depanment Copy,YELLOW--Finance Copy,PINK-�saessw Copy,GOIDENROD--File Copy,GREEN-ApplicanPs Copy . . . , . . � , .: . , , r- . . .... . . � . . _ __ : - , . . . .. . . , � CITY OF DIAMOND.BAR , . �. . � ' ItJSPECTION RECORD :_����:��.:...�'�?t]►'.��. 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BOND BEAM - '•��•'-��' '� ' -•- � ROOF SHEATHING-� �� �\ t', � � •.}: 8 FT.BOND BEAM FRAMING;NENTiLIATION FINAL BOND BEAM � � ROOF COVER . � PRE-GRADING ��.� •'�'•, :";•r�' ROUGH HEATING BENCHING'••.•%� i. ;�.• t, • '• ; '; `� :,'; t�. f?OUGH ELECTRiC ROUGH GRADING � � ROUGH PLU��1BING � ��' � FINISH GRADING SFtO�VER(fUB TEST - � '�� �' �'� • POOL ELECTRIC • •• EXT.UITH/SIDING � - POOL FENCING �^?ALL tNSUL/aTION POOL FINAL � � CEILIPd^u IiJSULATION OFF SITE IMPS. �RYINALLNAILING i-;; `. -;,,, DEDICATIONS SEt"JER ' � FINAL E�dG. SEPTIC TA�dK � L';NDSCAPE/IRRIG. SE[P PIT/L.L. � � !`�; `- ;��: ON SITE IMPS. C; ���13T�S7 FINAL ZO��ING � - ' FI"JF,L CONST. � ;���S•cs� � =,��_ FIRE DEPT.FItJAL • �-----__ --�.� r=iP•!AL H�AI-1NG �. . —~ � HEALTH DEPT. FINAL • ri�JAL ELFCTRIC - • DEV. FE.G.S PAID � � E=t;dAL PLUPABING ENERGY � ' .. ---- . � � : � . 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