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HomeMy WebLinkAbout15481 (22) . � . . �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY br DEVELOPMENT SERVICES �� 2�56oE.copleyDrivesuicel90 PRESS � (909)860-3195 Fax(909)861-3117 '�^�� BUII.DING PERMTT APPLICATION " FIRMLY y JOBSITE � - �- ✓ APPLICATION . I PERMIT � P!C G O - o ADDRESS DATE NUMBER It � ISSUE a t TYPE - OCC APN LOT TRACT DATE CONST. GROUP� p OWNER " ADDRESS Z D Q�S J DE C7' ' ZONING SETBACKS � CITY nr�l"MO/YD RMlLIP 9 r?6S TEL.,� , � REAR Rw o � APPLICANT____�C�4�1�,� TEL. SIDElSIDE STREET RW O � CONTRACTOR SIDE ❑ � ADDRESS pROPOSED USE�O l -,���� CfTY ZIP TEL ' +�+ ARCFUENG! • ---• - � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. uyi DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER DECLARATION SFRJADDIREM O p I MEREBY AFFM1W UNDER PEWLLTY OF PEIWRY THAT I AM FJCEMPT fROM TME CONiMCTORS LI• Gef�90/Cfl�OR lL CENSELwWiORTMEiOl101MNOREASON�5EC.7W1.68USINE55MIDOROFE5510NSCO0E:ANYCITYOH (n ZCOUHIYWHIpfREOUIRESAVEAA1fTTOCONSTAUCf,ALTER��ROVE.DEAIOUSH.ORREPAIRANYSTi1UG W patio/Deck � IURE,iH10f1 TO RS 65UMiCE.11L50 REOUWES THE�PVLICANT FOR SUCM VERMITTO FlLE A SiGNEO �l� STAiE4QfT TNAT ME OR SME 6 LICENSE�VU0.5UANT TO iME GHOV1510N5 OF TNE COHiMCTORS LI• W � CENSE UM��CYL�PTER 0(COMMENGN6 NRTII SECTION 7000)OF DMSqN 9 OF THE BUSMESSl1M)PRO- �' PooVSpa � FESSIDNS COOE�OFI iT1AT ME OR SME IS fXEMPT iT1EREFFiOM ANO T1E BA515 iOR iHE ALLEOED E%EMP• TION.ANYVqIATqNOFSECT10NTm1.68YANVAPVLIGWTFORAPEH11iTSUB1ECTSTHEAP7lMewTTO z Re-Roof �,,,, A CIVIL PENALTY OF NO7 MORE h1AN FNE M/NDRED DOlUAS(fSoo).�: O 011450WNERpFTNEPR07ERtt,OqMYEMPLOYEESNiTMWAGESASTHEiR50LECOAIDEN5A7pN, O COrt1111BfCi81 - � Z WILL 00 THE YK)RIC AND 7NE STRUCTURE 6 NOT MENDE�OA OFiERED FOfi SALE(SEG 70u.BU54 J N NE55 AND PROFES� S COOE:iNE CONTMCTOfYS LICENSE UW DOES NOTAPPLY TO AN OWNEq OF ? ifqPERTY WNO BUtDS Of1 NPiqVES iMEREp1.MIO WHO DOES SVCM WORN F11YSElF OR MERSELF OR Q TNROUGHWSOi1NER0'MlEYVLOYEES.OROVI0E07MA751XS/�.IPROVEMENTSARENOTMElIDEOOi1 C� "� OiFFpEDFONSALEK,110YVEVER1YlE8ULDlWOflIMPROVEYFNTI550LDMRfMNONEYEMOfCOIAPLE� Z TqN,TME OwNER-BNIDER NnLL HAYE TNE BUF�DEN OF PROVIHO T/U7 ME OR SME DID HD7 BU4D OR YP�](`I�iOR iHE PURPOSE OF SALE} QTO OOFS RUCT THE VR0.IECT 1 EG OM,BU«��M1D Y�IONS CODE�TIE CONiMTLTORS U• _ L� CENSEIAWDOESN0T11VPLYTOANOYMEROFAPROFERT`/YR100U1D50RIlAPROVESTFIEREON.AND V�IU8ti0f1 AQI.AREA WFqCOMMCTSFOqSUCHDHOUECTSV/1THACONiMCTOR�S)LICENSEDPURSUANTTOTHECONTMG QUAFITITY DESCRIPTION FEE � TORS U/CENSE UW.�. � h'Ir MIO(EL�PTUNOERSEG D lP.0.FORTHISREA.�ON Q � 3 � � � DAiE OYMER U � LICENSED CONTRACTORS DECLARATION � � w IMEREBYAFFWYl1NDERVENALTYOFiE0.1URYTTIATIAMLICENSEDUNOERPRON510NSOFCHADTER Vr s Y(COAMAENClWWITHSECTqN7000)OFOM510N70FTHCBUS:NfSSANDPROFE55lON5CODE,AND Z L11J W UGEHSE IS N NLL FORCEAYO EFFECL m �F UCENSE(XASS LIC.NO. � . ; ,- tj DATE CONTMCTOR d . lTJ � WORKERS'COMPENSATION DECLARATION a �. = U � INEREBYAFFIR4UHDERiENAL7YOfPFRR1fiYONEOFi11EFOLLOri'INaOECUMTqNS: Z � Q � _I/UVEANOYYILLMMITANACERTIFlCJITEOFCONSENTTOSELF�NSUREiORWORKERS' _ CpAPENSATqN,ASPRONDEDBVSECT10N97ooOFTNEVt30RCODE,iOATHEVERFORUIiNCE 1U Of 1T1E MIORN FOR WMCM TH�9 PERMIT IS ISSUED. � � _I YUVE AND WILL WMAIN WORI(ERS'COb�PEN5A710N INSUMNCE.AS PEOUIRED BY SECTION '^D 4 �70o OFTME LABOR CODE iOH THE PER�ORYANCE OF THE WOfiK FOR WNICHTHIS PERMIT IS � � � 65UED.GYWO(iKERSCOL�PEN5A710NW5UFLWCECMRiERIVDPOl1CYNUMBERAA[: CONSTRUCTIQN � � GRiUEii PLAN REVIEW � POLICYMIMBER ELECTRIC � � 0 (M1�SStCf10N1#mNOt0E0d.f;E7IDOFhfPERMT6FDIi0NE1l1�CF1�DIX1AitS6�a'IORlESS4 PLUh101NG Z IC[RTIFY iwl7 W THE PERFOi1MANCE Of iME WORK FOH WHid1 iM15 VERMR IS ISSUED.1 MECHANICAL (} SwLLLNOTEMPLOYANYPEH50NINANYM�WNERSO�STOBECOMESUBJECTTO7NE � M/ORNERSCOMPENSATIONUWSOFCALffORNI�,ANDAGFEETNATIFISH0ULD8EGOME INSPECTIONFEE +�`- SUBJECTTOiHEWORKERSCOMVENSATIONPROV15qN50FSEMqN77000FTHEUBOR S coo�,isrwiconnrv�nn+couv�rmninasevarnnsior+s. ISSUANCE L � SMIP �� Ol- lr � sr D p OATE: APPLIGANT: '�' � ENERGY P/C ���g.nIN WARNINO:FAILURE TO SECURE WOR1cER5 COMPENSATqN COVEMGE IS UNUwFU.ANO SWILIBE �y SUBJEGfANEMROYER70CRIM?1ALPENAL71ESM1DCMLiWE5UP700NEMUNOREDh10U5AND ENERGYPERMIT DOLLMS(t��.�l,IN►DDrt10N TO THE CQST Of COUPENSATqN.DAMAGES AS PitOVOED FOR IN � SECTION]70EOFT/EL/DORCOOE,MEHEST,ANOATTOiWEY5FEE5. - RETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE•ALT FEE:� / O {A � � IHEREBYAFFIPAIUNDERVENAL7YOFVE0.JURYT1UTiHERE15ACONSTRUCTIONLENDMQAGENCY aZ- FORTNEiERFOMUNCEOFTMEWORKFORWNIdiTHISPERYITI5155UED(SEF�oa7,qV.G�. W � LENDER'S NAYE � � C LENDER'SADDRE55 ^ � ICERTIFYTMATIHAYEREADTHISAPVLICATIONANDSTATEhUTTHEABOVENFOqAlA710NI5COqRECT, TOTAL FEES 3 � �Jp /� r'�//' ///''' W IAGREETOOOMPIYWfTHALLCITYIN�COUNiYORDWANCESAND5TA1EUw5RCUT4lOTOBUpD1Np �� l � � CONSTPUC'fKK{/WOMEREBYAUT/qRREREPRESENTATNESOFiH15COUNttTOENTERUPONTNE ' � Z ADOVE�MENTIONEOiROPEH7YFORW3PECTIONWNPO5E5. COMMENTS � TDIy U � 4 VERAnTTEE NAUE(O{UNn q �a//O O flJ !L� � E�GNATUREOFGfiWt DA7E , � RECPT.NO. F'AID BY VALIDATION WHITE—Dapanment Copy,YELLOW--Finance Gapy.PINK—Assessw Copy.GOLDENR ile Copy,GREEN—Applicant'a Gapy �7t. r }�.i.� .. .a�`I�. , ... .. '0�`�, .'�i�, y'.. '.1" .+/. .�n wt�i �.��A`�.�. �..Y�.� .... ... w/��y. .µ.•,.r.�^' , ..�a{.... . .. .. v.. ,:Hf•. •..Y^,-.�:-1t.- .."[�`���'.'.� �i`�i .. � . - - CITY OF DIAMOND.BAR � � -----�:, j ,. ��: =iidSPECTIOiV�RCCORD �,�E��.l;���:X� �� ,��- 'l�. _ � 1�`�a��� o �� .� � _ . ' r :u,_.:y::.� ��:��� ,SET BACK.... _ � • • '�j Z=��� �� � � FLOOR JOIST -�--� � � ! ��;.� ( !;"�.. --. �_ GS/FORPY"S/STEEL 2,_�_c�� •Tl� ; -,_'� `' FHAREQ!uITS �- ._ --- ELECTRIC GROUND .. . . `- ' _• .. UNDER FLOOR DUCT - � GROUND PLUP�IBING UNDER FLOOR CU�IDUIT :. ` �" � SLAB GRADE � - FIREPL/kG�;FQUNDATION '?_;��- ':i�n :�,v,`-,11•T���� • . �TEMP POWER� -� . , -. . FIREPLACE BOND BEAM '_ �'��� . � : • � VJATER SERVICE � - - - � MID HT. BOND BEAM ' 'ROOFSHEATHIf�G .) ••: %�"';..,'• %��}+.L 8 FT.BOND BEAM - FRAMING .= w �r, � G��-� --��"� FINAL'BOND BEAM , ' ROOF COVER .�� ' PRE-GRADING - ROUGH HEATING -:: BENCHING AOUGH ELECTRIC ROUGH GRADING �ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST • ' POOL.ELECTRIC � EXT: IATH!SIDING - • '"" - POOL FENCING WALL INSULATION - - POOL FINAL CEILING tidSULATION " ' OFF SITE IMPS. - ' " �DRY4NALL�7AILING DEDICATIONS 'SEWER - FINAL ENG. � 'SEPTIC TANK LANDSCAPc/1RRIG. ;SEEP P1TiL.L. -='�'��:- C�`. ; ON S17E IDAPS. �GAS AIR TcST_ . ' FINAL ZONiPJG , :FINAL.COidST. . G-(�-i�� . FIRE DEPT. FINAL r, - � " `;. . '�' . 'j FlivllL HEF,TING . .. HEALTH DEPT. It �� . _] `.,, � �•\ :,, •,� - � .� ��if�Al[LECTRIC. � . ..-- DEV. FEES PAID � � 1 ' ' ;'=1:�:!',L-PLUMBING - ENERGY :i�(�tt__G�cu-�-o� i -3 -v1 . 3 - - ... _ _ . . ;e��-c<:�����.,��.�'=....�._.___...._.._ '' . . ca:..c,u.a-,rt$. .�.��::,. :,�? _�i , _ .._..._... _. . . _.. - ---- - ----- -•-------.._ . _ _ __ _ . . iCOMMENTS .�2�-�4•� �r-��3._�. _. ... , , :� -:� ,_' � : � : , _ �,' �; �L � . . � � ._. ... . .. . � .. .. . �` ;, � . - � . , — , . i , SEPTIC T�INK SIZE ' ' � " � - 'SEEP Pll`/U SIZE � � -- . .. _ . .,----- - �'.l .. ` � .� � ' 'iy� �1�' ' �r�.._ `i � � I� .��` -�_ _ i '•M -. ; . '� �- �`y , '�(:.�-�.. : . � � �,` . '� . . ' ' ' ' ' • i ...�:�...:4:. .. _ .. i •.\ \. ;��`j ., ,�;�� . �'�.4 ` � � '� . .. , i I . ..: ... _ ...�3 :.� _7��' �.i . �.. . . . . � . . . � ; � � , .',-��M'�.' .�_ '.r.�._. . : . , .. _ . ��•��� .•'��= . , . - ��... .. i � . � � ��� ,� �...........�a........�.......__.__I . � v � l �,� �� . • .. -. - -.��••, , , (J � i• ' `•; �., , .. . , ,