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HomeMy WebLinkAboutNo Permit Number (43) � ...;--;; :- . - ..__�._ ___.__. �� CITY OF DIAMOND BAR � �j� / DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES 21660E.CopleyDriveSuite190 - ' ' (909)860-3195 Fax(909)861-3117 PRESS ����^'� � BUII.DING PERMIT APPLICATION � � ' FIRMLY o� J08SITE APPLICATION� /Q � �" NUMBERIL aad ��C ADDRES DATE � $ � ISSUE TYPE OCC APN� LOT AC DATE � ! '• ' �CONST. GROUP p OWNER 1� � . ADD S � ZONING SETHACKS Z CfTY r, ZI TEL. • . REART RW p � APPLICANT �T � ' SIDFJSIDE STREET RW ❑ � CONTRACT R _ ? SIDE ❑ p� AD�R �_ � CITY ZIP TEL PROPOSED USE o ARCFUE G/ G�rv-l- ��-0 . � z� DESIGNER ,, NO.DWEL. NO. NO. n. ADDRESS UNRS STORIES BEDROOMS ; N CITY ZIP TEL N DESCRIPTION SO.FT..� FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILOER DECLARATION SFFVADD/REM � ' - - O Q I HEREBY AFFlRM UIIDER CENALTY OF FE0.IURV iNAi I Il.l EXEY7T FROA1 THE CONTRACiORS Lb GetegB/C3ry011 �il CEHSEUWFORh1EFOLLDYYNOREA50NI5EG7031.68USWES3ANDVNOFE55bN5C00E:MNCRYOR (n C� COUHiYYM1d1RE0UtRESAVERu1TTOCONSTPUCT,ALiER��FiOVE.DEWOLISM.ORREPAIRANYSTAUG W Patlo/Dedc � � �Z TUFiE,PRqH TO RS ISSUANCE.ALSO REOUIRES THE MOLIGWT FOH SUCH VfPoAIT TO F0.E A SiGNED W � STATE4EM THAT HE Ofi SNE 6 LIC£NSEO M1fi..VANf TO T7E PilOVI510N5 OF TME CON7MCTOR4 L4 , . � CENSE UW(QIAPTER i(C1�MMENCPIO WITH SECTqN 7Da0)OF DMS�ON�OF THE BUSME55 ANO FRO � Pool/Spa FESSUNS CODE)Ofl iMAT HE OH SHE IS EXEMPT TMEREFROM AND THE BASIS FOR iME ILLLEGED EXEMP• 710N.ANNVIClAT10NOFSECT10N7071.6BYANYAVVUCANTFORAVEW.�IT6U91ECT5iHEMPl1CMlTiO Z RaRaof F ACNRPENAITYOFNOTMOiiET/1ANFNEHUNDREDDOlUR5f3500).} � � 04�+^�WNEROFTNEVROCERiV.ORAIVEMPLOYEESWIMWAGE5ilS1HEl{ISOLECOMPENSATIDN. ❑ (`,pmmBfGi81 � WILL DO TME WORK IWD THE STRUCTUIIE LS NOT MENOED OR OFFEPLD FOR SILLE(SEG 70u.BU54 . J NE55 AND VROFESSqN3 CODE:THE tDNiMCTORS UCENSE UW DOES NOTAPP�Y TO AN OWNGR OF " � PROPERfY1M108U0.D50RMPRpVE57NER[Oty/NDWHODOESSUCHVlORKHIMSEIFqiHERSELFOR = - Q T14iR1(3HIYSORNEROWNEMROYEES,PRONDEDiHATSUCMIMPROVEMEMSMENOTMENDE00R � m � OFTEREDPDHSALEF,HOWEYERIMEBU4DINOORMPROYEMEM650LDWIiMPIONEYFAROFCOMPLE• Z TION.TH[OWNER�BUILDER MALL MAVE THE BURDEN OF PROVPKi THAT HE OR SHE DID NOT BUILD OR l = W PROVE FOR 7ilE VURPOSE OF SALE� . W O1,l�SOWNEROFTHECROPFRfV.AYEfIdA15NELYCONTRACTNONrtTNLICENSEDCONTMCTORS' ' � TO CONSiRUCT iNE pRQ1ECT(SEG 7ou.BUSiNESS M1D PROFESSIONS CODE:TN[COMMCTORS U- VelU9tiM ADJ.AREA GENSE UW DOES NOTMRY TOAN ONINER O£A FROPERTY YA108U0.DS OR MPROVES h1LRE0N,NiD � � WNDCONTRACTSFORSULMPRQIECTSWIiHACONiRACTOR(5)LILENSEDVURSUAMTOTHECONTMG QUANT�TY DESCFIPTION � - � FEE � rau uc�r+sE uw.). I, J � O IAII E%EMRTUN�ERSEG B.{P.C.FORTMIS REASON U / � � ��' /� . �=Z" DATE OYMEH .' W . _ � ^ O � � FQ LICENSED CONTRACTORS DECLARATION W }�, •,1! [L IHfRfOYAFiIH1IUWERPEWLLTlOFVER1UpYi�utlAlAL10ENSEOUNDERPROVISIONSOFGIAPTER� � V. ' . . ' d Y(CpAAENCW6W17H5ECT 7oDo)OFDMS�ON70F1NEBUSINESSMDVROFESSIONSCODE,AND � Z GfYt10EN5E IS N M�FO /Ji0 EFFEGL m � � LICENSbf�S 4 L1C.NO. � � J � �-j o�h corrrancroa _ a w � WOFiKERS'COMPENSATION DECLARATION Q , . � N IN[HEHYAFFIR4UWERiENALTYOFVE0.R1RY0NEOFTHEFOLIOWINODECUliUT10N5: -- U - - � � Z Q � �IHAYEANDWILLGWNTARIACERfIFlClITEOFCONSEMTOSEIF-INSUR[FORMNi1KER5' 2 � COMPENSATION,ASPIiOVOEDBY5EC770N]7ooOFTHEVBORCODE,FORTHEPERiORMANCE W OF TME MIORK FOR WHICH THIS iERMIT IS ISSUED. � O 'I IUVE/N'J MALL M11NfA1N WOitKERS'COMPENSATION MSVfUNCf,AS RE WIRED BV SECTION Q J7000FiMELA00RC00[,FORTNEPERFORMANLEOFTHEM'ORKFORWHICHlHISPEflMR15 0 ISSUED.IAYWOR�CfY.��F115AT10NW5UR �CCARRI NpVpLICYNUMB�RAflE: CONSTRUCTION 4 � CARRIER `V . PLAN REVIEW Z vo�errn�r.�sEA ' LECT j-��-•�� � ¢ 0 (i}FSEcioNN[mno7eENhPtE7Eo0fTiPEaMraf�flaNEfu,OnmOottAitsR�aA0n�65? PLUMBINCa ,..,,,� Z I CERTIFV TMAT NTHE PENFOpAIA.YCE OF THE WORK FOR WHICHTHIS PEW.IIT I5155UED.l MECHANICAL ^ ^ � (7 $NALLlqTEMPLOVANYiER50NINANY4ANNER50ASTOBECOM[SU6IECTTO7NE J'M, � � � � WOflKEflS COMCENSATION UWS OF CALIFORNIti AND AGREE i1UT IF 15/101AD BECOIAE INSJ�ON FEE , ' . � SUBIECT TO TME WORKERS'CpAPEN5A710N VRON510N5 0F SECTION 77000F TME UBOR ' ^• -'�`� . �i � �/.+`��j y►/� W(�OE.)I SHALI iOfiTMw�TH CpAPLY W�I �E[P�RO�VIS�IOqNS. $$ •-�1 r''''� " , '.�'—"' � � / / ZJrI APPLICANT:�� _ . . —�—J.�_ � ' , - . � DATE: SMIP �..� j-:;�.I.'f , •�"------ � ENERGY P/C WARNINO:FARURE TO SECURE WOIiNERS'COMPENSATION GOVEMGE IS UNUWFU4 N�0 SHALL BE � ["'y SU[iIECfANEMPIOYERTOCR7AINALPENALTE5MIOCMLfwE5UP700NEM1N0iiED7MW5AN0 ENERGYPERMIT � DOUARS(f I00.000).N ADDRION TO THE COST OF COMPENSATION.DAMAGES AS PFlOViDED FOR IN � ¢ SECT10N77oeOFiHELAAORCOOE,NrtEREST,AN0AT70iWEY4FEE5. RETENTIONFEE: � pw„ CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � � IHEREBVALFlR1AUNOER7ENALTVOFPERRIRYTIATTHEREISACONSTRUC'TIONIEN�INGAGENCY FOR ME VERiORUANCE OF iHE WORK FON WHIGI 7MI5 GERMIT IS ISSUEO(SEG 7071.CIV.G). , � � LEIJ�ER5NMIE . . , � LEN�ERSADDRE55 ` � � ICERTIFYTFUTIWWERE�DTHISMVLICATIONANDSTATETW.TT/EI.BOVEINFOfW�TIONISCORNECL TOTAL FEES . . � 1 AGREE TO C0IAPLY WRH 41L CRV I�N�COIMiY OADIW WCES ANO STATE UNS FELATHO TO BULDINO . COqSTRUGTION,AND MEREBY AUiY10RIZE REPRESENTATIVES OF THIS COl1NTY TO ENfEH UPON iH[ . . . , � ABOVE•MENTIONEUPROPERiYFORINSPEGiIONYURPO5E5. COMMEMS . � �' � �- - m v EE a a 9 . � (� S�ONA GENA1 EE TE � RECPT.NO. � FAID BY � -, VAUDATION WHITE-0apertment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENRO�File Coq,GREEN—ApplicanCs Copy � , . ,.. ... .. . , . . , , .. .. , • . ...._�. . , ,,. ..,. ,� � . . � . • � . , r�• .- .. ,. ,. . .. . '�:,. .. . . . „ t.�. , , .. , . . �. �-. �.r•. . . . � � , . l�'. ��.),}-���� CITY OF DIAMOND:BAR ;-�, . :,� , ._ , . .. ...,. .. ... . .. _. ,. . ' . . :` INSI'ECTION RECORD" ': .. '. .. � �.-.. '. -, -: " ., ._ . . - • � � • - • � � a - SET BACK , .. , . .. ��� ' FLOOR JOIST�_���v'.�. ) .� � . L-� ����. .�1�< � -.. FTGS/FORMS/STEEL = • FHA REQMTS,.�� �.;��. ,t r-. - - " -"- " • . � ELECTRIC GROUND--�- �-2'1-�. G __ � "��- UNDER FLQOR.�UCT ` ' '' ' ' ,-..,-1� .r � . �ti ,., ���.� ' GROUND PLUMBING • � UNDER FLOOR CON�l11T,--'� .,_���t� `' � ,-,�-.\r.1� ' ' SLABGRADE _. .-- --- --- - � ' , j FIREPLACE�OUNDATION'`���a�`' . V�`- =+'..\ 1�+1�-�J '; � TEMP POWER _ ''' - - - -- ` : � ` , FIREPLAC��OND�BEAM - . _ ` ^.- - _ . - . , � ;_, ��: .1�. � � �,1 �.�- .. - WATER SERVICE- -- � ---- -- i�t - - MID HT.BOND BEAM. ' ,�-' ,. ,.� . ROOF SHEATHING . � ��-��'�, � ���"�� - ' 8 FT. BOND BEAM ' � �i f' �'�r � � ";�`�i . � FRAMINGNENTILIATION FINALBONQB�AM-',�. ' ROOFCOVER. _; - PRE-GRADING -�� ROUGH HEATING - : - � -- BENCHING • ` I . ROUGH ELECTRIC - •3•G.� � ,%� ROUGH GRADING -FiOUGH PLUMBING " " -- - - - -FINISH GRADING , . • � : SHOWERITUB TEST � � POOL ELECTRlC • � • ! EXT.LATH/SIDING POOL FENCING � , � WALL INSULATION , POOL FINAL • CEILING INSULATION OFF SITE IMPS. � • � DRYWALL NAILING DEDICATIONS � SEWER-- - -._.. . � _._._... FINAL ENG. , • SEPTIC.TANK . .-__-_. . . LANDSCAPE/IRRIG. . . , , SEEP PIT/L.L. � -- = - - - - ON SITE IMPS. • �GAS AIR�TEST. ;,[� � \ ��;,�, ,FINAL ZONING ; . FINAL'CONST: ; . `".���',�. - � ` ' '�''-' `� �c � �IRE DEPT. FINAL -- ' F,INAL•HEATING - - ,�' �' ' '-�, ,� - ,.-_„�; ' HEAL•TH DEPT.FINAL - . - - - F1NAL EL�ECTRIC " - �,r ,�+j ,f-- �'� " DEV. FEES PAID - FINAL PLUMBING ' T ENERGY ' � � • ' � - .t-.'�,C� 1.� �� � s �� _� �. . _ COMMENTS - � --. _ � . ---. � _.. . , - _. ; � , _ ._. . _.. _...:_. . __ • -�. � . _ �. . .. -.... - �_ . � ��:-��,-�� .-� ���;i:'- �.�� ,�\•� , �- - �'�`-� -- -, ,.�__ _ . ---- _' i �.1-� — , nr.,r. � . , . . . . . . . . i . _ . . _. .... • i . , ._ � SEPTIC TANK SIZE - ' ., ' SEEP.PIT/U SIZE , ; , . , . � - --- , , _ - � j _.""_.. . -- . . _. • i � -. .5 , ... _ , . . . ' i I - � ,� .--; „r� � . ._.., . . \. '�J� . v�.� ; ._i .+-1r�. '11��1\��_.-� . ..-- - . . _ .. .'. - - � 1 �,( •'-.,`, . . _ . .. . _ • . . . _ �• _ � � .� _ . . � . .. • • . \ '.\ .. „ _`� �