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HomeMy WebLinkAbout13149 (16) �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Coplcy Drive Suitc 190 ' (909)86Q3195Fax(909)861-3117 , PRE$S �`��'�� BUII,DING PERMIT APPLICATION FIRMLY o� JOBSITE �Op�� 5�,�� cr APPLICATIQAI�^n PERMIT � P/C _ , S� ADDRESS � DATE fi� ��� NUMBER ��I� # � APN LOT 2- TRACT Z ISSUE �-TYPE OCC DATE CONST. GROUP p OWNER ti F � o ADDRESS � ZONING SETBACKS� , . `' �`` � CI ��- ZI TEL' REAR RW ❑ APPLICANT_ TEL. � SIDFJSIDE STREET RW O CONTRACTOR �LV SIDE ❑ ADDRESS g CITY ZIP TEL. PROPOSED USE A'�� .SF L oARCH/ENG/ a�,, � DESIGNER_C�SeN��� ADDR SS NO.DWEL NO. NO. � CITY � ' ZIP 'TE UNITS STORIES BEDROOMS � v� DESCRIPTION S�.FT. FACTOR PSF ADJ.AFIEANALUATION p� ONMER-BUILDER DECLARATION SFR/ADD/REM Z., p 1 NEREBY AFFlAA U!W ER PENAIiY OF VE0.MiY T}UT I AM E%EYPT iROAI THE CONTMCTORS LI• G818ge/9Qfflt)rt _ liJ CENSEUWFORTHEfOLLOWNORFaSON(SEG70J1.68USNESSANDPftOFE5510NSO00EANYCRYOR (n G� C011lfYNM101RE0UIf1E4AGERAUilDOONSTAUCf,ALTE1t,MPROYE.DEMOL15M,ONREPuqANYSTRUG 6 il1RE.VPIOR TO ITS ISSUANCE,FL50 REOIIIRES THE APDLICANT FOR SUCN GEHMIT TO FllE A SIGNED w W�� � 6TATFMEM THAT HE OR 6HE IS UCENSED PURSUANT TO THE FROVISWNS OF iHE CONTMCfOR9 ll- CENSE UW(QNPTEP Y(COMMEHCWO WIM SECf10N 7000)OF DMSION]OF THE BUSINESS AND PRO• V" POOVSPB FE68qN5 COOE)OA THAT ME OR SME IS E%EA1PT iMEREFROM AND i)1E Bti5i5 FOR TME ILLLEGED E%EMP- T10N.l1NYVIOLATIONOFSECTION70J1.6BYAMIAPPLICAHiFORAPERMITSUBJECT5h1EMPlIGNTTO Z qa.qop� � A CML iENALTY OF NOT IAORE THAN FNE INNDRED DOl1AR5(f500I.1: o �L��'MNEHOF7HEGNOVER7Y,OiiYYEMROYEE5Nn7MWAGESLSTHEIRSOLECOYPENSATqN, 0 (',pmmBfC101 . � Z W1LL DO THE N10RK AND TME STRUCTURE IS NOT IMEHDED OR OFFFRED iOR 511E(SEC.7oN,BU51- J � NESS 11ND PROFE6510N8 NOE:TME COIRMCTOR9 LICENSE UW DOES NOT APPLY TO/V70WNER OF j . VNDPERfY MA10 BULDS OR IMPRDVES iHERFON.AND YA10 DOES SUp11WRN HIYSEIF OFi HERSELF OR (C iHHOUGHNISOfiMEROwNEMPIOYEES,iROVIDE0TYIATSUCl/MPROVEMEMSARENOTMENOE�OR m - � .OFFERmFORS11LE1F,lqVVEVEf�THEBUIDNQOFIIMPROVEMBli1350lDYvffInNONE1'EMOFCUMRE• 'TION,TNE ONMER9UILDER 1NLLHAVE TNE BURDEN OF PROVINO THAT NE Oq 6HE DiD HOT BUIID OR = MPIiOVE FOR 7HE PURPOSE OF SALE> � OI�OMMEROFTHEFROFERTY,IWIX�.USNELYCOMMCTwOWITY1lICENSEDCOHTRACTOtiS TO CONSTRUCf TME PFIOJECT�SEG 70u,BUSINE59 AND PROFESSIONS CODE:THE CONTMCTORS U- V0luetiOfl ADJ.AREA CENSE UN�DOE9 NOTMPLY TO AN ONT�EH OFA PROPERiYKHO BUIlDS Ofl MPFlOVES TNEREON,Il� � MMOCOMHACiSFOR3UC71VROJEGT3W17HACONTMCTOR(S)UCENSm7UR5UNlTTOTHEOONTMG pUANTITY OESCRIPTION;�. -. FEE � � TORSL1CO15EUW.} ` O I AM EXEYPI UNDER SEC. B.i P.G FOR THIS REASON q U �= DATE OWNER r � U UCENSED CONTRACTORS�ECLARATION � � w IMEREBYIIFFYWl1lDERPENAITYOFiERA1RYTHATIAMLICENSEDUNDERiROVI5ION50FCHAPTEN �r � ��COYMENCNO Wlili SECTIDN)0oo)OF DMSION 7 OFTNE BUSINESS iUiO GROFESSqNS CODE,AND Z X W IICEHSE IS N F'UI.L FO�RfCfE AND EFFECT. / /� � LIC£NSE C Y L1C.NO.��I�w j V o,�tE corrr�ucToa a W � WORKERS'COMPENSATION DECLARATION a N �MEREBYAFiIRAIUNDERPENALTNOFVCiWRYONEOFTHEFOLLOWWO�ECLAMT10N5: Z � �INAVEMDIMLLA1ARfi�NACEHfIFlG7EOFCONSENTTOSELF-WSUREFOi1NK%1NER5' _ q COMPENSATION,ASVIqVIDEDBY8ECT10N77oaOF711EUBORCODE,FORhIE7ERFOPAUNCE �U OF T11E WOpK FOH WMICM TM19 VEFlMIT IS ISSUED. � O � 1 WNE ANDM7LL IMRlTAIN W01iKfRS'C06�VENSATION MSURANCE,/S REOUIRED 8Y SECTION �� 4 �77000FTHElABOACODE.FORTHEPERFORMANGEOFiHEWORKiORWHICHTH15iERA1IT15 Q �" _._.__.__� __ _ RSUED.Mv YlOHKERS'/C_pAjp S TION P15URMICE GMIER AND POLICY NUMOLR ME: CONSTRUCTION •LOS �J i.Ip D v � CAARIER � �lT^�'� PLAN REVIEW �.� ( ...�, � vaicv►nn.�ecR �J� ELECTRIC ��� �S 0 (TNssEaqNNE�HoiBEmAtFtEDOfnEPEFMi6roRoniH.rDRmDouNasBtm)ORLE551 PLUMBING � N W Z IC[RTIfYTHATNiHEPERFOM1At7CEOFTMEWORNFORWHILH7HISVERIAITI515SUE�.I MECHANICAL O r.1 C7 SNALLNOTEIAFLOYANYVERSONNANYMANNERSOASTOBEC0IAESUBJECTTOTNE ��� �p WOqNERS'COIAPENSATIDNUN'SOFCALIFORNI.�IINDACREETMATIF15/qUlD8FC01AE INSPECTIONFEE S SUBJCCTTOTIEWOi1KER5'CAMPENSATIONPROYI510NSOFSECTIDN 00p{iMEu�eq� O ,c�n�cour�rvrm�n+osev is s. �/ ` /1 ISSUANCE w � �,���/ SMIP � p DATE: APPLICANT:� � WMMNaFAILVRETO3ECUREW'ORKERS'COMOENSATqNCOVERAGEtSUNtAWFUL, DSHALLBE ENERGYP/C � �y SU&IECTANEMPLOYERTOCWMwLLiENA1TIE5ANDGMLiNESUPTpONEMUTARE�iHOUSAND ENERGYPERMIT DOILAFtS(lf 00,000),N 11DOfTION TO THE COSTOF COMPENSATqN,DAAUGESl15 PROVIDEO FOfi W �(' � J SECTION770eOFTHEIABOR[D�E,MEREST,ANOATTORNEY5FEE5. � RETENTIONFEE: ��11Y � oCONSTFUCTION LENDING AGENCY PRE-ALT FEE: � 1 HEREBYAFflFW UNDER VENAL7V OF PERRIRY THAT7HEH[IS A CDNSTRUCTION LENOWO AGENCY FON TM[PERFORMANCE OF iHE W'ORK FOR Yrt11GH 7M15 VERMIi IS ISSUED(SEC.7097.CIY.C.). . � IENDER'S NM�E Q. � LENDEH'SADDRESS f W ICEqTIFVTUTINAVEREADTHISAPVLICATIONAND57ATETHATiHEABOVEWFOfWAT10NI500RR[CT. TOTAL FEES �,Zy���. ����I� p� IAGREETOCOMCLVWITHALLGTYMIDCOUNT`/ORDIN.WCESANDS7ATEUwSPEUTNOTOBULD�NO � CONSTRUCTION,Ml�HEREBYAIRHOFlREREPRESEMATNE50FTHISCOUNTYTOENfERUPONTHE Z ABOYE�MEHJT�EDiflOPER7YFORWSP CfqNYURPOSES. COMMENTS � Y��'Yu� �Lt/?1� _ m PERMITiFE yMl�PRI � � Q � � y S�oN�TUREOF ERMi7TEE DATE � RECPT.N0. PAID BY VALJDATION WHITE-0epeRm9nt COpy.YELLOW—fnenw Copy,PINK—A7eesaorCopy,GOLDENROD—Fila Copy,GREEN—Applicant's Copy .r� . � . � . .. � . . . .. � ' • ' � � ,� . . � . . .. . � .. . � .. ... . .. , . .. � . � • . ' ' � .. . . � . . . CITY OF DIAMOND BAR . . . . , .. �'��';' ;�":'� �'. INSPECTIOI� RECORD .. .. . ; .., . ... . � .�^ -;�.- � � � . � �. � � c� �� �swa�i r � �.� � a�i n '.� _�i�►.�:�������t�a��_. .��'���� _ !I►��:��.:���a� *,:__:i►.l�����_�.�:�;,�_ �,�r"r.; I����c��.��.��� �.._. ;SET E3ACf: ....�.,. ` '____� 1 - I - - , �, . FLOOR JQIST i' _�._.�._. ..,.. t- . , ;._.... �_ . ._ . ,. . � FTGS!FORP�"S`STEEL - • � -. - :� : :� ', - FHA REQMTS - . . ELECTRIC GROUN❑ _-__ _ _ � ' �:. !'•..: UNDER FLOOR DUCT �`;;:�' I- . r: 'y-- - � ' ' I .� .GROUND PLUM6ING ��' j • UNDER FLOOR'-�('.Uf�IDUIT-�, �::,�..� � � �- �' ' � . ,,.. .� ,. ,. SLABGRADE ... . - . _.._..-- � FIREPL.k1G"�Qt1"1DAT.ION,i �.;� ,�;. i .i �,�. : .,• -� i : � ; �� , � , � �TE�JIP POWER � - FIREPLACE BOND BEAM (� �•'� :'�-=: •' � � � WATER SERVICE -- � • h11D HT. BOND BEAP�1 � •t'�',�� •,��� .•: �. ROOF SHEATHIh'G' 1��, _.��- {: �, ',�:� :. � 8 FT.BOND BEAM - - - I FRA�."Ih�G;'VENTIUATION I- - - - FINAL'BOND BEAM ,. ROOF COVFR . PRE-GRADING ��� �� �" �"z'-' �R�JGH fIEAT1PJG - 6ENCHI,Nu�y�:.'.,•�'' • ".�, �, : �,� , ' �RGUGFI ELECTRIC � � � � ' � �. ROUGH GRADING :R�UGH PLUf�181NG- - --- - - '�'i-� i" FINISH GRADING • S?;OWER!TUB TEST � - - -- -� � � POOL-ELECTRIC 'E�'T.L.f:TH.lSIDING - � � ' � �-r 'POOL FENCIP�G i • ;:^JALL INSULATION --: - - POOL FINAL � ' ; : !CE1LiNG IfdSULf�TION - -�� - - , OFF SITE IMPS. ` ' � _ . DRY1�'JF,LL NF�fLING - ; ; �'.� ,�^ ;,..� DEDICATIOt+IS � SEIVER � � -° + FINAL'ENG, ; :. 'SEPTIC TANF: LANDSCAPE/IRRIG. � . SE�P PIT/LL. �. y••�: <` ��� ON SITE IP�iPS. + , � � �G�S AIR TEST � ( _ _ _ FINAL ZONING ' � , � -. FIiJF,L COtdST. _ _ �� FIRE DEPT. FINAL • - ; � 'FiNAL HF�1TINu _... . .. HEALTH DEPL FIPJAL ' -- - - - � ":. 'FI�JAI.ELECTAIC - --- - - _ - DEV. FEES PAID _ -� -- - --� ;_ :f=!^J/1L PLUMBIhdG - ENERGY ; � • -- - . _ � : , ; -- .. ._. .. _._... :B � C,���:'L•l i;.4: �' '�,-� �t i .i4i."_•:..i-. �'�r...�`e�,-r.�-:.•i.�:_::::.�-.,, . — - - . . ... .. ... .. .... . . _ .. .. . . -- . . ; -�-' --._. : ._ .. . . . ----�---- ...__._�._._ ....' --... ... .._ .._..__ ..._.. ._•_�......--- — . _-_----— '-_ ' _ ��1�'�' t 1, cor,rnnENTs - - . — - - - - � - - � :. , j�,l , .�+��5,) t' , , j•. i'!-% y__ -._�_.�.. ,i + . , , . 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