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HomeMy WebLinkAbout15550 (22) ._ . i _. --- - -. . __ .. - - . � _�� _ CITY OF DIAMOND BAR DEPARTMENT OF COMM[1NITY dc DEVELOPMENT SERVICES . � 21660 E.Copley Drive Suitt 190 ' • (909)860-3195 Faz(909)861-3117 PRE$$ ���'� BUQ..DING PERMIT APPLICATION FIRMLY o DORESS LZ�I S J V/LJ4 I�-�/ APPUCATIONA' f NUMB R ����v N� DATE � � ISSUE �y� TYPE OCC APN LOT RACT DATE l/l/ CONST. GROUP p OWNER� n -S "" ADDRESS" 1I ZONING SETBACKS � CITY � ZIP TEL REAR RW ❑ APPLICANT � EL SIDFJSIDE STREEf RW ❑ � CONTRACTOR L SIDE O � ADDRESS PROPOSED USE CfTY ZIP TEL. � ARCHlENG/ • DESIGNER NO.DWEL N�. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNEfl-BUILDER DECLARATION SFRJADD/REM O Q 1 HER�Y AFFlR11 UNDER CENALTI OF VEiWHV TMA7111M EXE4FT FRdA 1HE CONiMCi'00.5 U• Ga�p���h W tEHSEUWFORiHEFOLLOWINOREA50N(SEG7071.68USINESSMICIPROFESSIONSLODE:ANYdTVOR (f� � COU1lTYVMIIQ111EOURESAPEiWRTOCONSTRUCi,ALTER�MPROVE.DEYOLISH.ORREPlJRANV57AUG W PatiolDedc 1URE.PRqR TO R6 tS9VANCE,ALSO REWIRCS TXE MiIICAtli FDR SUCH PEiW1T TO FILE A SIGNED W � ETATEMENf 711Ai ME OR SME 6 UCENSED PViWJANf TO TNE iROVI5lON5 OF THE GONTMCTON9 LF � � CENSEUW(QUPTERO(COMMENCVNiWfTHSECilON7070)OFDMSION70FTMEBUS�NESSANDPR6 LL' P��Spe fE5910N3 COOEI OR THAT NE OR SHE IS E%EA1PT THENEFAOM AND THE Bti515 FOR THE ALLEOED EXEMP• TqN.ANYV10lAT10NOF5ECT10Nlm1.68VANYAPVLIGWTFORAVENAIiSUBJECTSiHEAPGLICANTfO Z Re-Root F ACIV0.VENALT/OF NOT MORE TIAN iNE IUNORED DOLURS(fS00)-): � OlA50NMEqOFTHEPROPERiY.ORYYEMPLOYEESN'IiHWACfShSTHfIR50LECOAIPENSATqN, 0 COfflfnBfC471 . � WILL 00 THE WORI(,AND iHE STRUCTURE IS NOT IMENDED OR OFFERCD FOR SALE ISEG 70u,BU54 J NESS AND PROFE5910N4 COOE TNE COMfiAGTOR3 LICENSE UW DOES NOT APPlYTO AN OWNER CF y iNOPENfYYlF10BUI,.OSOHIMPROVESTMEREDN.IWOYMODOES5Up1Y�ORKNIMSEIFWlMERSEIFpR = � THROUOMHISOFIHEROWNENVlOYEES,PROVIDEOTHATSUCHM7ROVEMENTSARENOTMENOEDOR m OfFEREO WRSALE.IF.IIONIEVE0.iMEBU1ldHGORMIPROVE4ENTLSSOLDWRHNONEYEAAOFCOMPIE � �TqN,TNE OWMER�BUADER WILL NAVE THE BURDEN OF GpOVWU T11AT HE OR SNE DD NOT BUILD qi MPROVE FOR THE PURPOSE OF SALE4 �y,� �4���EROFiHEPROPEffTY,NAEMClU51VElVCONTMCTINOMA1Hl�C[NSEOCONTMCTORS (r TO CONSTRUCi T/1E VR0.IECT(SEG 70ar,BUSiNE55 AND iRDfES510N5 GOOE:7ME COHTRAC70R3 Ll- V81UatI0I1 ADJ.AREA W CEHSEUWOOESNOTAVPLYTOANONNEROFAPROPER7YWNOBUMSORMPROVESTMERE01�M10 � wnoeanw�ers�or�sua�vaa�crsvnnuoorrtrucrays���cer+s�ruRsuurrron+Eeartrua pUANTITY OESCRIPTION FEE � �LICENSE U1W.1. . . . I AM EXEYPT UNDER SEC. B.i P.C.FON 7H15 R[/SON Q " � U 1�.. r` DATE DWNER � V � J �� LICENSED CONTRACTORS DECLAFiATION W � I HEPEBYAFFlRM UNDER VENALTY OF PE0.IURY 11UTIAM UCENSED UNDER iROVISIONS OF CHAPTER Vr � �(COMIENCWOYVrtT/3EGT10N70oo)OFOMSWN]OFTHEBUSINESS/-NDPHOFESSIONSCODE./wD Z `L MY LICENSE 6 N FULL FORCE AHD EFFECL m � � � LICENSE CLASS LIC.NO. J �j pATE CONTMCTOft d W � WORKERS'COMPENSATION DECLARAT�ON Q � IHEREBVAFF7WUNOERFEH4LTYOFPE0.AIMONEOFiHEFOlLDN1NODECUMT10N5: U � Z Q G _IMAYEMIDYVILLMAIHTAHACEIifIFlCATEOFCON5EN7TO5ELFaHSUREFOFiYARKEHS = Z OO/APENSATION.ASVROVOEDBYSECT10N77000FTHEV80NCOOE.FOR7HEPERFORMM'CE U Q OF T11E WORK FOR WV/Itl1 i1n5 VENIAIT IS ISSUE�. � 0 �IMAVE/WDMnLLMARR/uNWOHKERS'COMPENSATIONMSUMNCE,ASREOUIREDBYSECTION � ir� 4Q �700 OFTHE UBOH CODE,FOqTHE VERFORMAt1GE OF THE WOfiK FOH WHiCHTMIS PERMiT 13 � U ISSUED.WWbR%ERS'LOMPEHSATIONWSUfUNCECMqIERMIOPOIICYM1Al0ENARE CONSTRUCTION � �Eq PU1N REVIEW � POLICYMIIABEA ELECTAIC (1}iSSEciICNlk�wiBE0p.�1EIEDOFnEaEwArswaor€MJIiMEDootuiLS�Sfao)attEssl PLUMBING � ICERTIfYTHATNTHEPERFOiVAANCEOFiHE1K7NfFORNMiCHTHISVERMiTISISSUED,1 MECHAMCAL "1ALL NOT EMVLOY INY PEft50N W ANY MANNER SO AS TO BECOME SUBJECT TO iHE � NORKER5COM7ENSATqNUW50FGAl.IFOiW1A,ANDAGHEETNAiIFI5HDIADBECOME INSPECT�ONFEE r �' SU&IECTTOTHENUNKERS'COMVENSI1710NiFqY1510NSOFSEGTION77oDOi7NElAeOR �SSUANCE a� -�j COOE.1 SMALL iORTHVA7HCOMPLY WITM T/105E VRONSIONS. 7 ' � SMIP p pATE: � APPLICAM: OOD W ENERGY P/C � WARNIN@ iA1LUHETO SECURE YIOfiNERS'COMPENSATqN COVEMGE IS UNLAN'FUL AND SMALL 8E * �y S1161ECTANEMPLOYERTOCR9dWLLPENALTIESANDqNLFINESUPT00NEHUNDREDTMOUSANO ENERGYPERMIT C!�''[�}�j�� ��,�L,-. � ._ DOLURSptoo,0ao),W/iD01710NTOTHECASTOFCOMPEN5A710N.DMIACESASVROVIOEDFORW `�'2 -�27I�i•1�J1`1�—jj ¢ SECTIONl7oeOFTHELABORWOE,MEREST,ANDA7TORNEYSFEFS. FIETENTIONFEE: `. d CONSTRUCTIONLENDINGAGENCY PRE-ALTFEE: � J� � � IiIEREBVAFFIRMUNDERVENALTYOFPE0.1URYiMATiHEREISACONSTRUCTIONLENDWOAGENCY � FOR iME PERFOfUWICE OF TMEM^ORK fOH WH�dI TNIS PERMI715155UE0(SEG]OYI,CN.G). � � LENDEHYlIM�E � � � LENDER'SADDRESS . W IGERTIFY7/7l1TIMAVEREMTHISAPiLICATIDNANDSTATETHATTXEABOVEINFOR1AATqNISCORRECT. TOTAL FEES - SG� d IAOREETOCOA17lYWRNALLCRYANGCOUHTYORDIwWCE5N1D5Tl1TEUw5REU7MlfITOBU0.DIFM � - CONSTRUCTION,IWO MEREBv Alf�FqRIZE REVRESENTATIVES OF 1M5 COUNTY TO EMER UPON THE , � ABOVE�4ENTIONEDpROPERTYFORINSPECf10NR1aPO5E5. COMMENTS � � i� L .�312c'�rS�G m ENAIAE � I� i�) a Uv � y TUREOF UATE � RECPT.NO. PAID BY VALIDATION WHITE—Departmant Gopy.YELLOW—Flnanca Copy,PINK�Asseanu Copy, OLDENROD--FibCopy,GREEN—Apqicant's Copy , -w.K,,x:^�4+••fi,��w...,ti5:'• . . C,�i�r�.. ..n.. . .. «��. .,rc�r. �r..r^•f.aS.�+;:. ry.� .'�.ya�. , . .. -• ...... . ......y .. . ..� - .y,.a."..... �-�.....�., ..i . . ... CITY OF DIAMOND_BAR , , . .' � ':. � �It�lSPECTION:RECORD, i' .�' : � . s -� � � •�.�„�G��1��;� :L__�����'���►?.rs�.�� �; s �l� - � � '���= _��� '�C1aa�y""Js�...�.� SET BACK . . ,� ..\`.�•' . • FLOOR JOIST • - ' ;: , 1...'i ,. ._.,-•, - - -- FTGS/FORh15/STEEL -- ' _ . • • ; - FHA REQAATS::....__.:: __.... ... _. _. . _. - _ _ �.... � .ELECTRIC GROUND _. • : �� ! I .. -' UNDER FLOOR DUCT �GROUND PLUDABING UNDER FLOOR Cdf�IDUIT - � ' , i .=: iSLAB GRADE - -- FIREPLA�E FOUNDATION - '� - . _ ' �. ;. . j i TEh9P POWER- ---- - - - - � FIREPLACE BOND BEAh4 - � . :- -- � • , 1 ; VVATER SERVICE � • � � MID HT.BOND BEAM ' � � . ROOF SHEATHING � � � 8 FT. BOND BEAM - � ---- -� -- ' ;FRAMINGNENTILIATION �T��( � ' FINAL BOND BEAM � ,ROOF COVER .•:. �� • PRE-GRADING � `ROUGH HEATING - BENCHING � • . i 'ROUGH ELEGTRIC ' ROUGH GRADING - - -� ROUGH PLUMBING � - - -- ' � �� FINISH GRADING , SHOWER,'TUB TEST - -� � -- -- ' ' POOL ELECTRIC ' • • EXT:LATHlSIDING- - --- - � - - POOL FENCING . ,WALI INSULATIOh - POOL FINAL • ' CEILING iNSULATION' � � �FF SITE IMPS.. � DRYWALL:NAILING " ; � � DEDICATIONS . ; ; ,SEVVER �.... ... _.I ... _ .. . .. . - FINAL'ENG. � " ' SEPTIC TANI< � � � LANDSCAPE/IRRIG. SEEP.PIT/L.L � - ' ON 51TE IPAPS. : - ��_ ' 'GAS AIR TEST � � FINALZOMNG i� FINAL CONST.._ .. _. ����ij FIRE DEPT.FINAL • i FIhALHEATiNG _ HEALTH,DEPT:.FINAL` - � � , . . - ; `: ,. , _ , _ _._ FIPJAL ELECTRIC - - DEV. FEES FA!D - ' ' :rl"lAI=PLUPJIBING - - - - : . Ei'JERGY. . . � . : ._. .__.. _ __ _... .... —� — .....�,,,.. — -- — ; -- -- --- .. � :%�.Cc�.�'.f'��J:...__.�...-�Y . . .... ... --- �..__._.. .. . .. . ._... _ . . _ , ._.,,, � .. ..._.. . . _. . ., COMMENTS � ; , . , , ... - --- _. _. _ _ : , � , . . � .. . �.. , _ . ; . , _ _ , . . ; . . � � _ _ . . . . � � , _.. � � � .. � --. ; . � � 'SEPTiC TANK SIZE . • ' ' I , ' I.— .. � ; .. . ;SEEP PIT/U SiZE � - '" .r,� . � i j . ,. . - -- -- -I , �:�-�: �:::�:. - ; � _ �. ., �::;�� __. . ..-; � . _ . ; . , .. � ' _ >t�fJ.a �� � .. � . . - . - - . . . .... . i ' .. • ..j�.I , • . , I `.# .. . . 'I . .. . .. . ._.. . � . � � . . � . .:1 �.. � I . � � �I�k ,� `.\ , ; _ ' ' .I . ,. ! 1 � ...,. y S.. __.�._.�