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HomeMy WebLinkAboutNo Permit Number (29) �,� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �,c 21660 E.Copley Drive Suiu 190 ' (909)860-3195 Fax(909)861-3117 PRESS �'��"�� BUILDING PERMTI'APPLICATION FIRMLY Q DDRIESS �a ` �/ �I�(u�- L,d 61�'I APPLICATION PERMIT I� P/C p DATE NUMBER 11 � APN LO TRACT Z p� 155UE /''� TYPE OCC � � � DATE ��,��"�_CONST. GROUP p OWNER p ADDRESS � ZONING SEBACKS � CITY ZIP y�y TEL. �� REART RW p APPLICANT TEL. SIDE/SIDE STREEf RW D � CONTAACTOR � 2� - SIDE ❑ ¢ ADDRESS ���97/ fl) ro ��. o CITY��/ • ZIP�1, TEL g��,1�_ �0 D PROPOSED USE � ARCH/ENG/ . DESIGNER NO.DWEL NO. NO. j CIDnDrRESS ZIP TEL. UNITS STORIES BEDROOMS � tn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER•BUILDER DECLAAATION SFRlADD/REM O 8 I NEREBY AFF661 UHDER iEN�LTY OF VE0.RIRY THAT 1 AM E)lEMPT iROY iHE CONTMCTORS L4 G�fe9e/CefpOfl � � CEHSEUWFOfITHEfOLLOWINOREASON(SEC.70J1b8USINE55M1D�ROFE5510NSCODEANYCRYOR (n OOUNTYNM1�CMREOUINESA7EAIARTOCONSTRUCT,AITERI►lPROVE,OEI/OLISH.ORREOAIAANYSiRUG. W PatiolDeck TURE iRqft TO RS lS9UMICE.ILSO REW IRES THE AVFUGWT fOR SUCH VERMIT TO FILE A SiGNED W � STATFMENT 7HAT HE DR 6ME IS LICFNSED PU0.5UN1T TO TXE PHOVRIONS OF 7HE CONiMCTOqS lF � COlSE UW(dWTER 0(COMMENqNa VRTH SECT1W17o0o)OF DMSqN]OF THE BUSINESS ANO Pi10- � PooUSpa � FE69qN5 COOE)ON 7W�7 HE OR SHE IS E%EMPT TMEREFRpA AND iHE&1515 FON THE ILLLEOED E%EMP- TION.MIYVIOLATqNOFSECT10N70J1.6BYANYAD7LICl1NTFORAVEHMITSUB.IECTSTHEAPVIICINiTO Z pa.q�� � ACMl7ENALiY OFNOT MOHE iHAN FNE HUNDRED DOLURS�SSoO).): � OIASONMEROFiHEVROPERTY,ONMYEMPLOYEESWI7HW.10E5A5THEIR50LECOYVEN5A7tlN, O �merciat ' - WILL DO THE WORK/J!D THE STRUC7URE IS NOT IMEWED OR OFFERED iOR S�lE(SEC 7ou,BU54 J N NE53 AND PROiESSqNS COOE TME CONTRACTORS LIC[NSE Uw DOES NOTAPPLv TO AN OWNER OF ? � , - PAOPERTY�NfO BUILDS OR wlvqpVES T1fREOH,AND YAW OOES SUCH WOfiK H1IASELi OR HERSELFOR � CL TMRdIOHNSORMEROVMEMPLOYEE5,YFIDVIDEDTUT5Up11MPROVEMENTSMENOTMENDEDOR m , ` 0 OiFEAEDWRSALEtF,/qWEYER7NE8UlD1NOORMP11dVEM[NfI550lDWRwNONEYEMOFCOMRE = TIDN,THE OWHER�BUIDER MALL NAVE THE BUR7EN OF iROVNO THAT HE OR SHE OD NOT BURD OR � MVFqVE FOftTHE FUFlPOSE OF Sl1lEI. . (L OlA40WNEROFTHEVROPERT�;AIIEXCIUSNE�YCOHTMCTNaYrtfMLCENSEDCONTMCTIXLS [L M COHSTRUCT TME VROJECT(SEC 7aa�.BUSINESS ANO PROfE55iON5 CoCE TME CONTMC70R5 L4 ValUeliOfl ApJ.AqEq �,, CEHSEUN'DDESNOTMPLYTOANONNEROFAGROPERTYMM1IOBULDSORWP(qV[ST1[REON.ANO Z YM�OCOMMCT9FOq5UCHVRO.IECT9WITHACOhTRACTOR(5)UCENSEDPURSUIMiOTH[CONiRAG pUANTITY DESCRIPTION �E � 70fi5 LIGENSE LAW.�. OIAMIXEIAPTUPOERSEC. B,�P.GFORTHISReASON Q 3 c� � � o�re cwnen V � LICENSED COfJTRACTORS OECLARATION � � w �HEREBYAfFlRAlUNOERPENAITYOFCEM1RIRYTHAT1AAtlICENSEDUNOERPFiOVISIDN50FCHAiTER � � s 0�COMUENCYq VATN SECi10N TOOD)OF DMSqN]OFTNE BUSINESS/�ND PROFESS�ONS CODE.AIVD Z W LKENSE IS N FULL FORCE IwD EiFECT. � �J^ . 0 6 ��- $ �� � UCENSE CIASS UC.NO. � �j DATE � � CONTRACTOR 1�L�• d l � WORKERS'COMPENSATION DECLARATI04 Q NI NEREBYIIFFlPoA UN�ER PENALTY OF YE�iIUfiY ONE OF iHE fOLLOVVING OECW'UTpNS: Z � _INAVEANDNnLlW1NTAINACEFTIFICATEOFCONSEMTOSELF-INSUREFORNqAKERS' _ CqIPENSATqN,ASPROVIDED8Y5ECTON]7ooOF7NEU80HCOOE,FOHTHEVERFORM�NCE W /OF TME WORK FOH Mrt11GI7MS FERMIT 6 i55VED. ` 1-- � I I/AVE AND WILL MAMAIN WORKERS CdAPENSATION INSUNANCE AS PEOUIH[D BV SECTION � 77000FTHELADORCODEFORTH[PERFORMANCEOFTHEWORKFOf1NT11CHTHISPEP.MR15 —.__ __155t1[D.MYNORKERS'/p�MP�/VSrTIDNINSURA�y'CELAR ERANOPOIICYNUMBERAAE: CONSTRUCTION � GRIUER ITC I Cl�1 9'�Q PLAN REVIEV! � � " � - ---� � PoUCYNUMB[R niu j _� V EL RIC o �nasscctuarEmt+oisEaaw�ooan��n�tswr�ar+E�Aaar�noa.uvLsa�ala��} PL , BING a Z 1 CERTIFYTHAT N THE PERfORMANCE Of 7HE WOAK FOiI WHipi iHIS VERMIT IS ISSUE0.1 � ANICAL ��-+�� C�' SFIALLNOTEIAPLOYMIYVERSON0IANYMANNERSOASTOBECOM[SUBJEGTTOTME (n WORKERSCOMPENSATqNUw50FCi1L1�ORNIA,�NDAGREETNATIFISNDUIDB[COIIE 1 IONFEE S SUBJECTTOTHEWONKER5C01APENSATqNPRONSIONSOFSEC710N�700OFiHEUBOR CODE,ISFulLfOqTtM'ITHCOMPLVVnTHiMOSEPROy1510N5. � PJJCG p � 0 0��:��APPLICANT: /L-��h6rd �. 1r1�1/�� IlHi � � I� � WAfW�NQiAIIURETOSEW11EW01L(ERS'COMPENSATqNCOVEMGEISUNUWFV4ANO5HALLBE ENERGYP/C CTZT1Y n�'�T7T(��.?!),���i Y {(^�j �y SUBIECTIINEMPLOYERTOCRIMINALPENALTESANDCMLFNESU7TOONENUNDREDiHW5AN0 ENERGYPERMtTv�i•T7�T�?(� A T.TTI C'A T'.T OOIURS(i1W,00o),HhODITIONTOTIECOSTOFCOMPEN5l1TqN,0AMA�E5A5PROViOEDFOqIN 'r Y ¢ SECTION 170e OFTHE LABOR COOE.INTEREST,AND ATfORNEYS FEES. RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHEREBYAFFlRMUNOERVENALTlOFFEiUURYt11A7T/7ERE15ACON57RUCT10NLENDINOAGENCY ' FOR iME VERFORMANCE OF THE WORN FOR WHICH 71p5 VENMIi IS ISSUED(SEG 7007,pV.G�. � IENDEA'S NAME �i �� � LENDERSADDRESS ¢ ICERTIFYTUTINAVENEADTMISAGPLIGTpNANDSTATETHATTHEABOVENFOPAIATIONISCORRECT. TOTAL FEES � W IAGRCETOCOIIPLVN77HALlCT'ANDCOUNTlORDINANCFSANDSTATEI/iWSRELATNOTOBI11lDING � CONSTRUCTION,ANDNEREBYAUT1qR1ZERCPRC5EN7ATNE50FT1115COUN7YTOENTERUPONTNE � IBOVE#�EMIONCDPROPERTYFORINSPECTIONPURPOSES. COMMENTS � ' ell� m PEHIAITT[ENAYE p � Q -� r- �- � y SIGNATl1RE OF PE TiEE D�TE � . � RECPT.NO. PPJD BY VALIDATION WHITE-0epeRment Ccpy,YELLOW—Finan�e Copy,PINK�1lssesaaCopy,GOLDENROD—Fib Copy,GREEN—Applicant's Copy . , .,. � , � . �. .. . . . ,. ' , . � . , . �., , .��: ,_... . . � .,-. _ . .� .. . • . , ,• :.r�,�,. ... . ... ,. . , : CITY OF DIAMOND BAR ,, , , � :':;�:..` � ':.. INSPECTION RECORD �:= � :. � � . - , . , . .. . . . . ... .. � . ��: . _ _ t7 } �, . .� _ . "•' S��.CLw��.�r�s`I�1 '_.(.��..�. :�l` ,� �'����+A�I` :� a,,Q �, , . YP.'/!f� � •� �t�`°�_ '--t _ .. _. , -.-� ,..._ .�,.� � �.��_ ���. ��._ ( � ��E'. �r�.���'_ �.1'-- ,.�: i �SET BACK�. � �� . . FLOOR JOIST ;��...,..._a.. ... . . -- --u_,�,,..._,...,.,�__.....; 'FTGS/FORMS/STEEL ---- -, : � _ ; .; FNA REdMTS • , y - - - , :., _ ...._... _ . ... . , 'ELECTRIC GROUND----. .� I :.: ..1--'��-_�. . ---- � UNDER FLOOR�DUCT � • -.. .._-. • ; '� _ . . . ..__.. �GROUND PLU��A�ING • - UNDER FL�aR CO�tDUIT ' '� � -�- - ' i :' . . . _.. - -- t ---- !SLAB GRADE - --- - ��• -- - -- - - - --- � � FIREPLAC�FOUI�DATION . ' - — _ ... ,.; , !TEP�1P POWER � -�.. � .- � � ' FIREPLACE BOND BEAM WATER SERVIC� --- - -- -- � MID HT.BOND BEAM • .. •�� _. - • � : . . .,_ �ROOF SHEATHING _ = ,:;: 8 Ff. B�ND BEAM . ' ... �. -- ' . ., -' I ;-;— , .. . .. . . . _. . . . IFRAh�1RdGNENTILIATiON - -- - - -- � FINAL'BOND BEAM • , • -,�: ; ; __ _ . � . ; ; I : ;ROOF COVF_R .� • PRE-GRADING - - ._ _ . , ROUGH H�ATING _... - _ . BcNCHING . , . � �ROUGH ELECTRIC . '_.. :-_`. %'�' � • ' " :.. ROUGH GRADING `ROUGH PLUMBING - --� -- ----- - -� - -- - = FINISH GRADING � : : �SHO�V�RlFUB TEST-•'.- - - - --- �• - POOL ELECTRIC � � � - -- . . . ;EXT:Lr,i H!SIDING- _....._ _.... . _ . . _: . POOL FENCING . . � . . . : � ;."lALL-fNSULATfON _ - --- . . -: _... .._ . . POOL FIPJAL .'., ; ;C�ILiNG iF:SULATiON. --�-�.l� --- -- -; - - OFF 51TE IMPS. • I -_ ��nt'+r•�':LNAILING" - _ � / . -- ; DEDICATIONS ' .. �E4"dEF - ---- - - ; ��� �� . - FINAL'ENG. i .., - � � -��� ._ , -. �;5�:'�iC TANK � LANDSCAPE/IRRIG. , ,;S�cP.PIT/LL_ __ . ON SITE IMPS: � _ �__— , .,� ..,� r�.::,. fi�ls;i CST_! � • • FINAL'ZOPJING � �--__ - -'� __._ . .... . . . � ' r'P:;�t..�..ONST.... .. . . . . .. . ...... __. _ . _.._ FIRE DEPT. FINAL ,. . • ---...-- ; ,'; :!�:':�_t-IEATWG HEALTH DEPT. FINAL - -- � � � -. -- -- � ._ `: i: �.� .ELECTRIC . . -__ __ __ . DEV. FEES PAID . �.:_..:_:= .. ; .:. :_PLUh181NG� -�- - . - _... _ . ENERGY . ._.... � . .. _. . . ._...._._. _ . ._.._. .__._ _. , � . � � . - ----- - --- --- - -- z�_�_�� ��,1.���-.. ( � i .,.:a::_....::: z.� , � �..-- ' , ... . - --- - _ . __...._.._._.._ , , . .. . .. � --- , , -. , .., - , .. , . . . . . . . . .. , � : ... . .. , � �:,G�i�'�MENTS - • . _.. .. .. ... .. . , -- . . . --- i , , : - - - . . , ; . , . , • ' - i �__ 1. ` I ._ . '�_ , .. _ � . . . . . . � '�� . � i " ' ' ' ' '__' .. . . . . ' � . . , . , � . � l ). . - �� . . ' ' . . � - " ' . - ._ . . . . . . . � � ".'. , ,. 1 . .. �_" � �.. __. . . . ._ . . . . ... . .i � . !1\� � . , . , . . . . . . . . . . . ,. �� I i SEP31C TANK S1ZE - � : • . ' . � �� �SF_EP PIT/U SiZE - . ,. . . .� . I � i ; , .. .-..-. __.._._ _.. . ..._._ �.. . ;���_.. .,.�.._....'' _ _ , : �. � . . � . � .. ' � � . _ .- . , i ; •,���� w . _ . . _ , ,._.. -- . i -- . . � . � . - . , ; . � _ � , ; � r, � .,� � .. .. . - - .. ..- - - - : , . � . . . . .. . t � '.__� :_�..'-�:.._........ _�i '� ��� � , �� i-�/ - - J '' � 1 ,�\ ,