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HomeMy WebLinkAboutNo Permit Number (48) � �{ �-� _�� CITY OF DIAMOND BAR � {—r��� DEPARTMENT OF COMMUNTTY 8c DEVELOPMENT SERVICES 21660 E.Copley Drive Suitc 190 - (909)860.3195 Faz(909)861-3117 . PRESS ��� BUILDINGPERMITAPPLICATION . FIRMLY oN JOBSITE APPLICATION� /O � NU BER I v O�x/C ADDRESS DATE � g ISSUE TYPE OCC . APN LOT � ACT DATE CONST. ' GROUP � OWNER =l "- ��' ZONING SETBACKS � CITI'�t/ ZI �. — FRONT RW ❑ APPLICANT TE f REAR ❑ � SIDE/SIDESTREET RW ❑ CONTAACT R � SIDE ❑ � ADDRE � _o , CfTY ZI ' '^ TEL PROPOSED USE � ARCWE � � ,rL/�yd�_ DESIGNER CJV r' ADDRESS NO.DWEL. NO. NO. � CISY ZIP TEL UNITS STORIES BEDROOMS y DESCRIPTION S4.FT. � FACTOR PSF ADJ.AREANALUATION � OWUER-BUILDER DECLARATION . SFRlADD/REM � O p I MEREBY AFFliMI UNDEH iENALtt OF PEM/NY 7HAT I M1 EXEUP7 FROM THE CONfMCTORS U• G2f890/C9ryOR W CEHSEUWFOfiiNEidldvRl�RFASON{SEC.7oJ1.68U5P1E55u.DPROFE55iON5C00EANVCITVOR (n (.7 WU1!{rNRAGqEGUIf1ES�PENYITiOCONSTRUCi.ALTEii.MPROYE,DEMOLISH.OflflEPNRANYSTRUC- IjJ PetlO/DeCk Z IURE.OPqil TO ITS ISSVNJCE ALSO REWIRES TNE AVVL�f'.ANT FOit SUCH GEfU1I7 TO iILE A S�GNED LL� SiA7EMFM THAT NE OR SME IS LICENSED PUNSUAN7 TO T1E V1iOVi5lON5 OF iHE CONTMCTORS U• w � CEHSE U�'1 ICrUPTER�(COMIAENCwO WITH SECT�ON 7000)OF DMSION 7 OF iHE BUS�NE55 AMJ DRO- � POOVSp3 ' � FESSIDNS COOE)OR TMA1 NE OR SNE G4 EXEMPT iHENEFROM AND T1E BA515 fOR THE KLEGED EXEMP• TION.ANYVqIATIONOF6EGilON7N1.68Y11NVMP�IGINTFORAPENYITSU01ECT5TNEAV�ICANTTO Z Re-Raol � ACML PENALTY OF NOT 4qRE TMAN fIVE MUNDNED OOlIJwS fi5IX:1.1: � 04���EPOFiHEPROPEHTY.ORMYEMPIOYEfSMATHW.IGES�ISTHEIRSOLECOMPENSATpN, 0 CDRIrtIB�C1�I ' WLL DO TME WORK.AND iHE SiRI1C1URE IS NOT INTENDED OR OFFEREO FOR SALE(SEG 70N.WSF J NESS Aln VROFESSqNS COOE:THE CONTMCTORS LICENSE Uw DOES NOTAPP�Y TD AN OWNER OF y PROPEN7YIMNOB�RD90RMPROVE57MEREON.MAMM1pDOE55VCMWORKHIMSELFORHEflSELFOR � � T/1RdpNHSORHEROWNEMPLOYEES,GRDVIU[OTHAiSUO11YPR�VEMENTSMENOTINTENDEDOR m L�1 OFFEREO WRS/LE IF,IION�EVEi�iNENl1RL1P/�OR Y7FiOVfYENT65ClD WfTMW ONEYEAROFCOMRE• Z 'TIOM,iHE OwHER�BURDER W�LL f1AVE 7ME BUPDEN OF VROWq iWt7 HE OR SME DiD NO7 BUIID OR � MDiqVEFOqiHEPURPO5EOF6AlE} O l�3 OMHER OF TiE iROPEiT;AM EXqAlSNELY COMMCTNO NTTH LI:ENSED COMRAC70R3 TO CONSTRUCT TIIE VRO.IECT(SEG 7W.BUSINESS AND PROFESS�ONS COCE TME CONTMCTORS U• V3IU�IiOR ADJ.AREA 111 CENSEU�MDOESNOTAPiIYTOANOwNEROFAPf10PERTYNRtDBURDSORMPPOVE9THEACON.AVD � VM1qCOHTRACTSFORSUp/Dp0,7[CfSMA7NACOHfRACiOR(5)LICENSEDPURSUANTTOTMECONfRAP QUANTITY DESCRIfrTION FEE � TORSUGENSELAW.�. _ OIAMEXEMVTUNOERSEC. B.�P.C.FORTMISPiASON Q � 3 � 7 ��. �� . Iti� �= OA7E OWNER V ��7 � J UCENSED CONTRACTORS DECLARATION W � Ii1ERE8YAFFlPJIUAERVENIILT'OGPE0.1URYiMATIAMLICENSEDUNOERPROVI510NSOF�NAPTER �. � �(COMAENCINONITM9EGT 7000)OFDIVISqN�OF7HEBU5ME5SANDiROFE5510N5000E.AYO Z V� W UCENSE IS N iU1 FO AND EFFECT. o � 'l, m �..., LICENSE ,ss uc.No. J �j DATE � corrrrucron _ � a a6 WORKERS'COMPENSATION D[CUIHATION -� � V N IMEREBVAFFlR/IUNDERVFNALTYOFPERIL'RYON[OFTHEFOLLAIYINCDEQAfU710N5: [� Q � _IHAVEAHDYNLLWUHTANACERTIFlGiEOFCONSENTTOSELF-INSUPEFORWORKERS' 2 r Cd�FEN51R10N,ASORONOEUBYSECTION9000FTHElABORCOOE.FORMEiERiOR/AANCE U � pFTMEWORKFO1tWWCJ/lN15PERA11TI5155UE�. .2w- � �INAVEIUDN'ILL�IMANWORKERS'COUPENSATIONMSURANCE,ASREOl11RED8Y5EC710N � ]70o pF TNE U1BOR COOE FOR 7ME VERfORMANCE OF THE WOfV(FOR NmICH iM15 PERMR IS t55UED.W WGRK 9'C[7YPENS.ITqN INSURAN ER AND POLKV NUMDERARE: CONSTRUCTION � GarvER �\ ��� PLAN IEW � -- ZVaicrwumen � . CT � r ,� � 6 o RrusccnonNemnoreem.s�oFn��rsr�ar�wa�oa�s�s�aolor��^sl P� iNG Z ICERTIFYTHATNTMEPERFORMINCEOF7HEWOF�KFORWMIp1T1115PERMiTI5155UE0.1 MECHANICAL �� �7c�� (,'} 5�1ALLNOTEAIPLOYANv0ER50NNAflVAUNNERSOASTOBEfAMESU&7EC7iOTHE �Z���.el (n NIDRNERS'COMPENSATIONlAN50FG1LIFORNV�ANDAGREETM�TIFISNOUIOBECOME �NSPE IONFEE . S SV0.JECTTOTMEIWRKERS'CO�.�PENSATqNPROVIS�oN50FSECTqN97DOOFTMGIABOR , /' COOE,ISNALLiOfiliM'ITNCOVPLYWIMTMOSEPRONSIONS. .I A p �[/ � /��o �P�..r,�— � S �P 1 r� ��c�a p DATE: MPL�CAN7:� . � ENERGY P1C WARNINO:FAM1URE TO SE W RE M/OFiKERS'COMPENSATION COYEMGE IS UNUNTU4 AND SFIALL BE � �y SUBJECTANFYPLOYERTOCRM:IUIPENpLTIES�NDLMLFIY.ESUP700NEM1NDREDTM0U5AN0 ENERGYPERMlT �� U-�1'r1UiV bf�x DOlLMS(iloo.aoo).N ADDITION TO iNE COST OF COMPENSATpN,DM�ACES AS 7ROViDED FON W � ---�� �����-.ti �.;t'L"TY J SEC1qN17oeOFTHELABORCODE,RJiEREST,ANDAlTORNEY5FFf5. RETENTIONFEE: Q nw_. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IMERE6YAFFIRAIUNDEHPEHFL7YOFFERNf1Y711�TTMEREIS�CONSiiIUCTIONIFNDiNGACENCY � - Fqt TNE PERFORMANCE OF 7NE WORK FOR WHIp1 iH15 PERMIT IS ISSVED(SEC.70o1.dV.C.�. � � LENDERS NAME � IENOERS�DORE55 . � l �� / W ICERTIFYTNATINAVEREADTHiSAPPUCATqNM'DSTATET11AT7NEABOVEINFORM�TqNISCORPECL TOTAL FEES / � � IAGREETOCOI.IGL'/N7TMALLC�fY/NDCOUN7YONDINANGE5ANO5TATEUWSNEUTINOTOBUCDINO CANSTRUCiION.ANDMEREBYAUi}IOHIIEREPRESENTATNESOFiHI5C0UNTVTOEMERUDONTNE ' . � /1BOVE�MENTIDHEDPROVERiYFORPISPELTI7NVURPO5E5. COMMENTS � �/-�131,LZ"F""' �Lr-r-,�° �' �� m PE E Q /� fn /'� l� "1 I• _ � /I! y GNATVR P IT ATE {%G � R[CPT.NO. ,__,� - PAID BY _, VALIDATION __ WMITE-0epaRmenl Copy,YELLOW—Finance CoPy.PINK—Assessa Copy,GOLAENRO�File Copy,GREEN—Applicant's Copy _ . .. , .. , , , . . . . < < . . .� • , . . .. ,� .,. , - . ., i, , � . . , ,. . .. , . . , . . . f ', ' �;�� ` , `-- v\;`-`.� ' :.'�. CITY OF DIAMOND,BAR . , • .;_,�::, . � `` _ � . ._.���.� . , :� IhlSPECTION RECORD �- .. � _... � � . '►.� � •r�_ f�'KI4�.l�M i6 '�1��. . '_li!���.�'!�� '��I�����c-o�1��'��.;�.�..f�.�Y��id'� �I�fr ;��c-_�+.c�l.:#-----, �'',.,,�.�. �- .--- ---�`� - �.�...�.... �_.r..... n_. .,.^..�..�-....�.J,;. �.�_ ;SET BACY. :�� , ' �I��. ' •�'. FLOOR JOIST � �� r ���� �� '• .c•. ' . , , . ., _ , ,, . ' .r „.., �,.. . �.. � '" ;--t," - _ I FTGS/FORt�15/STEEL_-._.... ...._- •�. _ . --. _ . _ ,• .. FHA REQMTS . � . .: -- �• . - - � . , . , ,..: . - -.. -� --- . ....... . ... ........._ -i - UNDERFLQOn:DUCT��•=� '.-. � -� 1"" !ELECTRICGROUN2---- �(-ZZ:�, : ..- 5 _— _ _;�, _ _ - .• I : _ 'GROUND PLUMEiING � - UNDER FLO R COi•�aUtT„,. ;'�� , �r�;'` �,.=-";:.�-7.`1�.-- : I ': �SLAB GRADE_ .---... .._.. '�'� � -,-------- --._ . _ ....._. ' , FIREPLACE FaUtdDATION•_�� `,,i`•' .:�. h�.� ,\\ f�-;; `.'1 ;.�. 1 :.- __... � � FIREPLAC�.BOND BEAh1 � � ; ,.•, � ,. !TEMP POWER �-- --... _ _ .. -- , •WATER SERVICE ----- - � _ _ :.. ' MID HT.BOND:6�11PJI - `.:`.f`�; i�..11'_1`I C � . t; ; : , EROOFSHEATHING \ '�•: ';��.�-i �._..`,. • :��, _�1 .�_:. -•_`1�__ _..�,��.�� � ... 1 � 8 FT.BOND BEAM�; - ��• `FRAh"INGNcNTILIATION -----. _ . FINAL BOND,BEF�M.-.� 4 �. ��. - _ � �' • . . ,.. . , ;R�OF COVER � � ..� PRE-GRADING � � - - - •• - ' _ . � : _ . _. ROUG1i HcAT1NG -- . : ._ ' ,' _ BENCHING -: ;.i ; : ROUGH ELECTRIC '-- �1D�,'� _ .: _ �:. . '''� ROUGH GRADING --_ - -- ---- ._ .-- --.----- .--.. ROUGH PLUMBING -� - ---- -- - - - FINISH GRADING � % �SHO�V�.R,ri UB TEST- ;— - - - -- - POOL ELECTRIC ' , .. � � ;�7CT.1:.4iH.%SIDING__ ... __., ......._- : ---.... POOL FENCING � ' . , ` � ��`rALL�INSULATION---• ..- - �- - - - . . _ POOL FINAL i .' ICEILING I�•:SU[:ATIOPJ ' � - - -- OFF SITE IMPS. " ' ' ' � �DTiYVb'r1L.LNAILtNG -;�- -- � - ; - DEDICATIONS ` -S�V':'ER..._... _ ... .. --- -- . . .. _. _ . FINAL EfJG. �, � ; �:StPTi�.TANK LANDSCAPE/IRRIG. ' `. � SEEP_piT/L.L.. . . ON SITE IP�APS. ���:�,.5 f•�I�i EST t, FINAL'ZOPJING � : ; =� �iFi�;�::�'3�idST,,' �'."�! ��.'i' - ��� '� � -FIRE DEPT.FINAL . � ; :E-1:.�•.��EATING .._..-_ ...'__::-'�►`-�!�. � ., .. ��•_y � � _ . _ ___--- , - � J _ HEALTH DEPT. FINAL , '.: „ --..:,.•.:w,'ELECTRIC --. __ �(�•�� �� ;.,;:�,: .� DE�'. FEES PAID - ... �.; _ __. _ - -- - _..._ . , . � `"•..PLt1tJIBING - - _.. . ...._. ___ . . . , . 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