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HomeMy WebLinkAbout13153 (16) CITY OF DIAMOND BAR -- " -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ai�o E.c���Y n�;��s�c�i90 PRESS � • (909)860-3195 Fax(909)86]-3117 ���^� BUILDING PERMTf APPLICATION FIRMLY � JOBSITE Z�G�� I �-�� Cr APPLICATION PERMR `G� P/C Q ADDRESS � DATE �NUMBER 1./ If � �' 0 � APN LOT TRACT (J ISSUE TYPE OCC DATE CONST. GROUP p OWNER b �` ADDRESS ZONING SETBACKS'.. . • � CITY . ZI TEL REAR RW p APPLICANT • TEL SIDEISIDESTREET RW O � CONTRACTOR�Q �L� _ SIDE ❑ � ADDRESS PROPOSED USE S L CITY ZIP TEL � ARCH/ENG/ DESIGNER�,��� �� NO.DWEL NO. NO. ADD UNITS STORIES BEDROOMS � CIIY IP TEL � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OVYNER•BUILDER DECLAFiATION SFWADD,'REM '� O p I NEREBY AFF6M WDEq iE1ULTY OF VERAIRY THAT 1 M1 E%EMPT FROM 7NE COHTMCTORS LI• G8�9��R W CENSEUWF011THEFOILOWMORFASON(SEC.70.71.68USINESSMID7ROFESSIONSCODE:ANYCI7YOR (n 5�2 �Y1MlGIMEOUIREBAPFiWRTOCONOTRUCT.KTER�MPROVE.DENOIASH.ORREPNRANY�TRUC• � �w�� ..� Z IUPE P111di TO R9 69U410E AL50 PEOUIRES THE APDIICMR FON SUCH PERYIT TO FRE A SIGNED W ETATEMENT THAT HE OR SNE IS LICENSEO PV0.5UAM TO TME P110VISION4 OF THE CONTMCTORS U� � � GENSE UW(RIMTER/(CpdMENQNf]YATN SECTION 7000�OF DIVISION 7 OF iHE BUSINE55 M1D Pfl0• u' PoeVSpe FESSbH"+CODE7 OR THAT HE ON SHE IS EXEMPT T1IEREFROM AND THE BASIS FOR THEILLIEaED E%EMP• TqN./W'lVqLA710NOF5EGT10N1671.68YANYAiPIICANTiOR�PERMITSUBJECT9iHEMPLICNiTTO Z Ro-Roof F ACN�LiENALTYOFNOTMORETHMIFNEHUNORE�DOLLAiLSp5oa1.} � 04�OM11EROFiHEPiYDPERTI:OR6fYE4PLOVEESVnTHWAGE5AS7HEINSOIFODMPFNSRTqN. O �mmerclal - WILL DO TME WORK AND TME STRUCTUHE IS NOT INTENDEO ON OFiERED fOR SALE ISEC.7M�,B1156 J NE55 AMD GROFESSqNS COOE:T11E CON7MCTOFS 110EN5L UW DOES NOT AOPLV TO AN OWNER OF � PfiDGEHiYWlIOBULDSq11AAPROYE5717EREON.IUD'M�OOOE95UpiYARNMIMSEIFORHERSELFOR � � Q TNp0U0HNISdIHEHONR7EYPlOVEES,VROVbEDTUTSUCNYPROYE4EM5�qENOTMENDEDOR m �1 ,OFFERED�ORS�LEK,/IOWEVERT1EBlADN00RIMPfqVEYEM19SOlD'MilIiNONEYEAROFCDMPLE� Z 'TION,TME OwNER�BUILDER WNL MAVE TME BUfiDEN OF PRO1nN0 TTUT ME OR SHE D�0 NDT BUM OR � M7ROVE FORTHE MIHPOSE OF SALE�. � Ot�OWMEROFTMEPiqFEHTY,AMEXxU51YELVCOMMC7INOWI7i1LICENSEDCOMMCTOH3 TO COHSTFlUCT 7HE VRO.IECf(SEG 7M�.BUSINESS ANO PROFESSIONS CODE:TME CONTMC70ftS LI• VelU2tI0I1 AQI.AREA CENSE UW OOES HOTAAPLY TO AN OxNER OFA VROVFR7Y W/1D BUMDS OR 4DqOVEg TNEREON,/VO � N1A7CONfqACf5iOR5UCMiROJEGfSN77/1ACOHiMCTOR(5)LICENSEDPURSUMlTTOTHECONTRAG pUANTITY DESCRIPTION ' ' FEE � TORSUCENSEUW�. _ ^ O IIWI ElIE4PT UNOEH SEG B.l P.C.FOR TIiIS REASON U » S �u' DAiE OwNER Z W � UCENSED CONTRACTORS DECLARATION W . � 111ER�V1IFFlRAIUHDERVENALTYOFPERNfiYTNATIMILICENSEDUNDCRPROVI510NSOFC/UVTER � � �(Cp.�IENCNW WITH SECT�OH 70DO1�DMSION 70F TXE BU51NE551UA PHOFESSIONS C00E,AND Z �� tAY LICENSE R N FULL FORGE ANO EFFECL m � � F� UCENSE LIC.NO. � J i' pATE CONTRACTOR_ _ _ a SJ � WORKERS'COMPENSATION DECLARATION � N IHEHEBYAFi71i�lUNDERPENALTYOFiEiUURYONEOFTHE�OLLOWINGDECLAFUTqNS U N Z 6 � �IMAVEANDYALLIMN7AINACERiiFICATEOFCONSENTTOSELFdNSUAEFORN+OPKERS' 1; COYPENSAiION,ASGROVIDEO9YSECT10Nf7000FiHELABOHCODEFORTHEPERFORAUWCE W Q THEWONKFORYYHK)1THISPERMIT19155VED. � �HAVEANDWILLMANTNNWONKERS'COMPENSATIONtt1^ RAHCE,ASREWIREDBVSECTION .(^� /y --� AooOFTHELABORCOOE.FORiHEPERFOfU1ANCEOFTHEWORI(FONNTIICHTHISPEHMITIS f��}S�SV � —_'__.ISSUED.MYWO�(ER CO�IP TIONMSUMNCECMHIERhN�VOIICYNUMBENME_"_' CON$TRUCTION —�� __ _ __[.� -- --... -- - � CAF1f4iER �il• PLAN REVIEW 1��O D �� � +� � POLICYNUTABER � ELECTRIC ��0 �V� �1� � (M1ISSECICN��NOTBEO�AIETIDOF7}fPEfMfQi�ONEHRDN�O�L�RIO�ORLE� PLUMBING SD C�O ` Z ICERTIfV11uTINTHEVERFOR/AANCEOFiHEW011KFORw1/1CHiH15PE1W1i15�55UED,l MECHANICAL �SQ��O — N (} SFIALLNOT EMPLOYANY VE(150N N�M'W11N[R SOAS TO BECOME SUBJECTTO THE �,� � WOWCEAS'COAIPENSATpNUNI50FGu�FOFNItiANDAGFEETHATIfI5NOl1LDBECGAE INSPECTIONFEE S�, S 6UOJECTTOTHEWORKERSCdIGENSATIONGHOVISIONSOFSECTION OOOFc�� V �0 Cis FOArNvnrncour�rvnn�nase o rSio ISSUANCE r� SMIP � w '� •v W DATE:�1�� MPLICANT. . � WARNINa:FMUFtETOSECVREWORKERS'COMVENSATIONCOVE�UGEISUNLAWFUL.ANOSNALLBE ENERGYP/C ` SUB.IECTANE4PLOYER70CRNIINALpENALTIESANDCMLi1NESUP100NENUNDRE0T�U5�WD ENERGYPERMIT j�v DOl1AR5(i10D,aoa�.W AD0�710N TO iHE COST OF CdAPENSATION,DAMACES�5 7ROVIDED FOR IN C ./-� � SECTION770lOFiHEIABOHCaOE.NTEREST,ANDA7iORNEYSFEES RETENTION FEE: `� r '`� v v OCONSTRl1CT10N LENDING AGENCY PRE•ALT FEE: �},� � IHEREBVAFFIRMUNDERVENALiYOFGE0.IURYTMAiTNEREIS�CONSTRUC'fIONLENDINGAGENC! fORTMEPERiOR/AANCEOFTNEWOF F WHICIITHISiERMIT5I55UE�(SEC.7ov7.q�.G1. . � IENDE1t5 NAME Y1 C LENDEH'SADDRE55 � , �] r � ICERTIFYTNATIIUVEREADTHISAPPlIGT10NANDSTATETUTTIEABOVENFORMATqHISCORqECT. TOTAL FEES C���� ��3 Z2�O�\,S � IAOREETOCOM7LYYATII.LLLCRYANDCOUITYOiWiNANCESANDSTATEUK'SRELATMIaTO8U0.dN0 CDNSTRUCiION.AND NERE6YAUf1qHIZE REPP[SENTATIVES Of 7H15 COIMTY TO ENTER UPON TME �. ABOVE�4EMIDNED PROOERTY FOR WSPECTqN VUHPOSES. COMMENTS � = 1r1�' L L�� m vear�meeww / � C7 y 81GNATUHEOF ERMITTEE �T � RECPT.NO. PAID BY VAUDATI WHITE—Department Capy,YELLOW—Fnance Copy.PINK—Assessor Copy,GOLDENROP�Ie Copy,GR[EN—ApplicanPs Copy ': ' . . ... . ..... . . . ,, . .y � ,. .. �: ...: . . � . . . . • :!� � . .. . , � . �. �' : :_.,: � , � .; ..-.,� , . . . . . . . • ' +"•". . • . . r CITY OF DIAMOND:BAR , . .., • �.�. � .�:�.:��. �.� INSPECTION RECORD �� -. . . . , . .- : - : ---•�-�--�--.:.-;.-.-r.-�........,.. .,--�,.....�,., �ili���:.'�.��'�I��1�`.t ;���'= !l��-.�.a�'l���r.4 �'4'.1����-�J���1���^ �'�' �"•.� ' �� N_�1�.��!a.c`('��1.��.�; �....... _ - ........�, ���-. _ . .,..� �.. _. . ..-... - ---- ...�_....r.. . ,.�..., �., . .. :�. . - ... �SETB�CI: ; :�� �. . - - . �. . ' �� � FLOORJOIST _. r, -_;.- :��..,• i1 ";'�'1�: �FTGS!FORP�"S,'STEEL .-: , . 1 �` FHA REQMTS _ .. � ' �- - .:_. ._. . � ;ELECTRIC GROUND _. ' " '" _.. . _. UNDER FLOOR,DUCT;;�' `: .. , ., ;- �� -= �� ' � �,[,� ( � ,_ �D�ULT: '•I+":,��, '1:� ��=,'..;:','- - �GR�UND PLU��fBING 1 � • UNDER FL OR CUP�! �' � . ' ; � • ' �:;—..��� °,. . . . . SLAB GRADE - • _._..----� . _ . FIREPL�A��.FQUI��A 70N-.; < •�r;,.; : ... .•.�'�:1 .•;;,�� ;� ,, : . _ • • . , ., , . . �TEMP POVVER _ � _ � � � FIREPLACE�OP�r6�'1,IM `j.- -.:;; c`• ; �^JATEfl SERVICE MID HT. BOND BEAM � - .�� � � ' ,ROOF SHEATHIPdG�:.. � 1 '-�-1`t c • '_.. • ,' . 8 FT. BOND BEAM - �' • ,. . , ' �� ..._. -� _ Fr�AF,11�lG,NENTILIATION -- - - FINAL BOND BEAM I _ � �. ROOF COVFR . • PRE-GRADING - y` t�' " �'•'�- '\� � - ROJGH HEATING _ - - - 6ENCRING`� t-;-•�;�.,; - s�-1 ' ; �i.:1.�.,.: ;�, � , .. , � �.RO'JG��ELECTRIC � ROUGH GRADiNG � - -- -; � . ROUGH PLU"�iBING-- --- - ` � �"��' - FINISH GRAOING . - . S�-I��VER/TUBTEST � --- `�"- ' ' � POOL'ELECTRIC 1 EXT.LATH!51QING - - ' �'� �a 'POOL FENCING � 1"lALL INSULATfON - - ---� POOL FINAL CCILII�V iPJSULATIOfV ���� - -�� � � � ' � - � OFF SITE IMPS. � -� � -�-� �DRYVJALLPdAlLtNG ,-� • ..�,. :1DEDICATIO�JS ; :, SEl'JER _ .. _ _ � ' , , FINAL ENG. ' ' ; ' SEPTI�TANK , , LANDSCAPE/IRRIG. . � � . SEEP FIT/LL. -��/��'-� r� � ON SITE IPJIPS. :GAS AIR l�EST � � ' FINAL ZONING . • . FIN��L CONST. �� � � _ FIRE DEPT.FINAL Fi;:/1!HEAi lI`!G .. . _ _ . . _ . . HEALTH DEPT. FINAL - � ;r=1iJt;L.ELECTRIC .... -.. . ..- . DEV. FEES PAID --. ... ., ---- �=i"!AL PLU"�!BING __ . Ef•JERGY � � ; -- _.._ _ _ .. . . � � . � - - - 1 f; - . ,�_ ; :�..�..;,�..-....r.- � . .. . . _. .. _ . . - . - - .. ,:.._ -. . . . . _--�- - _-- �~�Pf�.r;�".��l��1i" ;r.�' : _ �-1 ` '�� � ��11'�'� -�-'••.i .�'����� t\ •�� .. ... .. . ._ . .. ... �'�!\ i • �~ - C01�1UIENTS � ' � � i<• � `�l,f,� :. �� _� � �' � , �,��-;;�_� ' . ;3 ` :J( 1� S .. ���j ----'s�� � i'.l � i ��- 1 . . . . .. , . . . . . � `. �_`.�^ .y t � �� �� ( �`. . . 1 i ` �' l �')�'.� 1 . t_I -� _� .__._�1�.i `�., '� � . � 'SEpT,(C�T%'-�N'r�` S(ZE . . � _ — SE���P'IT/U SIZE -_.- -.- �s....:,__ ___ =kt�,.... _ . _... -_ . �... - � � , _ ` ,,. � . � . . . , ... - - 'i. ... . . .. . .... . .'- . . . .. . . . . I . . . .... � �,�, / I . � ` ...I �� . . ;' �r .J� '�� .J`�,-� i,_ .. . _ . , . ' I � . .. . . . '_ _. . �4� � _ •i.�c — _.... .. .....: . � � � _ . ,_ .. • . � _ . . _ _ , ` ` �1 J.) �� l :11' . J•i-'� �v•• i - �. _ - . ���' �� � 4 %..�1_ � ll_:,_. �.. . • •�-•---....._... ,_....�.,_..._... .. r �{ r