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HomeMy WebLinkAbout15215 _.__ ___. -t.-..._ _ i _ . - - -. �� CITY OF DIAMOND BAR . � ,�. DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 PR ESS ����^'� BUQ.DING PERMTT APPLICATION FIRMLY o� JOBSITE �`` (��"" ,C � APPLICATION (��) PERMIT P!C AODRESS `"�� �f��L�✓ DATE v " NUMBER��� A � ISSUE TYPE OCC -- APN LOT TRACT DATE CONST. GROUP g OWNER �l/J�r�(/�'Z� ADDRESS Z'd 7 E <</J OT• ZONING SETBACKS Z CITY � N✓!' ZI P, Sn� TEL. 7 � OU FRONT RW O g APPUCANT i'c�o T�`r�✓l TEL. � J`�t� R�p O � ^ SIDE/SIDE STREET AW O CONTRACTOR �G � SIDE ❑ ADDRESS 'v� PROPOSED USE / �` +S%9�P.1 -L C Yl � g CITY ZIP�1 TEL Z � ARCH/ENG/. • /ye•�/ n1 /C � � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS '� 7S � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFRlAD�lREM O p I HFREBY AFFlRY lq1DER PENALTY Of PERAIRY THAT I MI E7fEMPT FROY THE COHTMGTORS L4 Garege/Cerpart 11J CEN6EUwFORiNEFOILOwM1011EASOH(SEG7a71.6BU5INE5SANJPROFESSION5CO0E:ANYCI7VOH (/) ZCOU1(fYNMIGIREWWESAPERMRTOCONSTRUCT,ALTE1lMPf10VE�E1A0t15N,ORHEVNRANYSTRUG W PatiolDeck TX�E GRqR TO R9155WWCE ALSO REWIRES THE MPLICMfT FOR SUCM PERMIT TO F0.E A SiGNED LL� STATEMEM iHAT HE OR SHE IS UC£NSED PURSUAHT TO T1E PROVISIONS OF THE OOt7TMCTOiiS l4 W � CENSE UW(CNAP'fER Y(COMMENCNO W17H SECTIDN 7000)OF Drv15lON 70F TME BUSiNE55 AND VRO• � POOVSQe 17 iESSqNS COO[)��TNE Oq SHE IS O(EMPT iMEREFHOM AND T1E 9ASI5 FOR 7HE ALLEGED EXEMP• iqN.AHYV10lATqNOFSECT10H7N1.lBYMlYApPIICAMFOiIAPERMITSUiIECTSiHEAVPLICANTTO Z Re-Roof � ACIVQVENALT'OFNOTNORE7/1ANiNEHUNDREDDOLUR51S500).Y. � OL�+�WNEROFiHEPR07ERTY,ORUVfA1ttOYEE3YnTHWAGESASTHEIq50LECOUPENSATqN, � COmrt19�C1a1 � MIILLDO THE WOFM,IN�THE STAUC'fURE IS!qT INTENOfD OR OFFERfO FOR SALE(SEC.7u�,BU51- J � NE53 AHD iROFE5510N9 COOE THE CONTMCTOHS UCENSE Uw DOES NOT APPLV TO AN OwNER OF ? ►ROPEHiY YMO BU4DS OH MIVROVES 1MEREON,IIN�WNOOO[5 SUpI WORK HIMSELF OR HERSELF OR � TMNOUC.HHI$ORHERONRIEYVLOYECS,iROV�ED7MAT5ULMW7ROVEYENTSARENOTMENOE�OR m OFFEAEDiOfl3ALEIF,IqYVEVERTHEBUIDPNiORMPROVEMEHTIS� �WITHNONEYFAROFCOMPLE� z ��T10N,THE OWNER-BURDER VALL MAYE iHE 6UMEN OF PPOV WU THAT NE ON SHE DiD NOT BUIID OR = AIGROVEfO6iTMEVURPO5EOF4l1tFl W O�h4MN1EROFTMEPROPEHT'I.NAE7(CLUSNEIYCONT11ACiNUWT1UGEN5EDCOHfRAGTOitS � N CaN.sTRUCT TM Vi1WECT(SEG 7w1.BUSINCSS ANO VROFESSIONS CODE THE CONTMCTORS U- V0II1BS1(M_L A0.1.AREA � CFNSEUWDOESNOTAPPLYTOMIONmEROPAPHOPEHttWnOBU6D50HWPiLDVE9TNEREON.IWD , W1qCONTMCTSiORSUG1VHUlECTSWITH�COMfMCTOR�S)LICENSEDPURSUANiTOiMECON7MG pUANTITY DESCRIPTION FEE � TORSUCENSEUW.1. ..J ' , O I A7.1 EXEIAPT UND[tl S'cG B.t V.G FOq TMIS REASON 4 U W � WTE OWNER V � UCENSED CONTRACTORS DECLARATION � � w INEREBYAFFlRMUNDERVENALTYOFVE0.UMTHATIAAIUCENSEDUN'JER7ROVISIONSOFCHAPTFR � s I(COAYIENCINOWITHSECTION700o)OFOIVISiW7lOFTMEBUSINESSANPPROFESSIONSCOOE,AND Z N1'UCENSE 6 N FULL FORCE AND EFFECL m 0 UCENSE CUSS C��y' LIC.NO. �� � � � - �j DATE ��� ��d CONTMCTOA � L- d W � , ��- WOFlKEFS'COMPENSATION DECLARATION •., ;, Q ,, .� _,_ tq , � ' � U N IHEREBVAFFIfWUtAERPEIUITYOfVERA1RYpJEOF7HEFOLLOWIN4DEQAMTIONS: ` Z � � " • Q G �IHAVEINDMnLLGwMANACERT:FlCATEOFCONSEN7TOSELF-INSUREFORWORNERS��� � _ �.. - " � •� .- -� - �. . ' � COMPENSATION,AS PROYIDED BY SECTION]7ao OF 7HE LJBdt CODE,FOR 1HE PERFORMANCE U ' Q OF TME WORK FOR WHICH iF115 PEM�IT IS ISSUED. � � 0 �I HAVE IV�D M"•LL Lu�MAW wORKERS'COUPENSATqN MSUWINCE,AS REOUIRED BV SECTION �� Q ]7o00FTF1FU80RLO0E.FOliT1EPERFORMAhCEOFiHEWOPoCFOHWHi01THISPEtiMIT15 ISSUFA.IJYWORNF.RS'C0IAPEHSA7�pN1IN5URANCECARRIERIWOPOIKYNUAIBERME: CONSTRUCTION j �E� �y/� �7 PLAN REVIEN! . � �POLICYNUAIBER J� C��l�¢��J DI ELECTRIC �'�� � p �sEcnonrv�cnrqrgem.R�ppvf�p¢tawr�sronor��u�ooaUris�sioofontFss} PLUMBINC, � ,�(� Z 1 CERTIi`/THA7 NTHE PERFORMMICE OF T1E WORK FOR WMCH THIS PERMIT IS ISSUE0.1 MECHANICAL __J.1] (,�} SWLLLNOTEI.IPLOY/VJ'lVERSONINANv1�ANNER50A5TOBECdA[SU8JEC7TOTHE �" Uj WORKERSCOAIPENSATIONUWSOFCALI�OiWIh�NOAGREETNAi1FI5110VlDBFCOME INSPECTIONFEE S SUBJECT i0 THE riORNERS'COMPENSATqN PROV1510N5 F SECTION]7oD OF THE LABOR ` cooe.isw�u►oarrwm+cor.�a�rwm+r es PArnn s. � ISSU/WCE J O 7� p pA7[:?YD"�(fV AppLK:qNT SMIP W ENERGY P/C C� WMNMQ FMURCTO SECURE WORKEHS'W11PEN4ATION COVEM6E 15 LAWFU�AND MALLBE .t S(, � SUBJECTIWEMPLOYEH70CWMINILLPENALTIESANDGVRFWESUPTOONEHUNDREDTMOVSAND ENERCaYPERMI��J�" DOLURS(f 100.0001.W�DOITION TO THE COST OF OOMPEN5�710N.ONd�GES AS PROV�DED FOR IN ¢ SECTIONl7oeOFTHEIABORCOOE.MEREST,ANDATfOFiNEYSFEES. RETENTIONFEE: pW.. CONSTRUCTION LEND�NG AGENCY PRE-ALT FEE: � IHEREBVAFFIRMUNDERPENAL7YOFPEfLR1RYTHATTHEREISACONSTFUCTIONLENDW6AGENCY � Z FON 7NE PERFOPAWICE OF T1E WORK fOR WHICH THIS GENd1T IS ISSUED(SEC.7007,CN.G). _ W � LENOER'SNAME C IENDERSIDDRE55 ��� ' � ICERTIFYTHATINAVEREADT115APOUCATIONANDSTATETNATiMEABOVEINFOf1M�T10NISOORHECL TOTAL FEES w IAGiiEETOCOMPLYWITMALLGTYMlDCOUNTNORDINMICESANOSTATEUWSPEUTNOTOBUlDINO � CONSTRUCTION,iV:D HEREBY AUT/qN2E REPRESEMATNES OF TluS COUNTY TO ENTER UPoN iHE � � � Z /�BOVE•ME DiROPERTYFORwSPECTiONPURCO5E5. �-� COHIMENTS _ /�� .T! .i�z/� SK � PEHFII E N�I �/ -7 a f.1Li y���( �j /"/d �Oy N —� N 91CN�TUREOFPE AITIEE�� OATE � RECPT.N0. PAID BY VALiDAT10N WHITE-0epartment Copy,YELLOW--Finenee Copy,PINK--Assessw Copy,G NR D—Fite Copy,GREEN—ApplicanPs Copy .... . ,.,..... . �...... -� .-.. .r . ,. � ,. .. r•. � .n•. . .. „ ...� .. . ,. ., .., , ,� . . .. . ... .a..... , ..�.- . .. . . . . .. . . ..... � .-. ... _ . , • � CITY OF DIAMOND_BAR ...,;,..,, ,: :.,.; . � �.;� - �- . ,,INSPECTION RECORD '::_. � :. .. . :: � -" .. __ _. . � . . . �,�. . _ , . - : �.L�.�i�...���►I�J.�1 '.�:;��,= '�[.� �_���� ��i�.�l`��- ..��o�.�t��,.t� a��iE � 7: � ��:[���� � f ...._t �: .�..� _��_..,� _..�__� _ =�:�.:r... :r�.� .�,� � ;SET BACK . ' '�= ; , � � r , ';' • . . � FLOOR JOIST - . ., ; � -�� , . ,- iFTGS/FORP�IS/STEEL''- - ' � . ; . , .. �.; ;.: �..: : . :, �---•, . FHA REQMTS . :�__,_.. __.. _ ----.-. _ .. - : _ ..... __-' --� �_. -;..;•,.. ,. , -=- ;ELECTRIC GHOUND_ _-_ __. _ ... .... ., .`:..•:._.� .i .: .. . UNDER FLOOR DUCT- � • --�� - - -- - j__: �GROUND PLUPJIBING � UNDER FLOOR COP•IDUIT ;: • �.- -. � . :' ;' - ' ' � ;; _._.._....._.._ SLAB GRADE- ---- _ � _ - -- - -- _ "�'' ` . FIREPLACE FOUNDATION �, .. � �:� . �.� , � �,•�- _ , iTEPJIP POWER- -- -;;._ -- - - :.-.. ;� ..-.-••. . FIREPLACE BOND BEAM' ._... '•' � :�_•, , :.:. ;._ �WATER SERVICE- ----- . . .--- - - � r. � MID NT. BOND BEAM _ .,•' � � _ • , ? ;� , ���� '•'��, �� '•� `�' ROOF SHEATHING. ' }�'- .�0� � ��G�� I �8 Ff.BON�BEAM . , . .. . � i; � ;FRAPAING,NENTILIATION ,- ` ' - ' - FINAL�BOND BEAM � � -:, ; . �- ROOFrGOVER ;• . .. �.. PRE-GRADING _.. . .. _ ._. _.._.. _., :� , � . , `,, ... . . , _ . - - - -.... �ROtJGH HEATING - - - - --. BENCHING , :,,. � : : ROUGH E�ECTRIC ....�... `: � �:'_:._: . ..� � "' '.ROUGH GRADING - • 'ROUGH PLUMBING - ------ � - ---- - - FINISH GRADING � . 'SHOWER;TUB TEST ------ - - -� - • POOL'ELECTRIC ' ' '" EXT:-L��TH!SIDING - .,..- ---. ..- --- . .._ .-..- - POOL'FENCING . ' . . . • V1�'ALL INSULATION- , - - '- ;- - POOL'FINAL ` ;'CEII:iNG IP•:SULATION; -- ;'; : : _ OFF SITE IMPS. . _ . . ; � =� ;DRYUVAL.CNAILING ', _ - - . �EDICATIONS - - ISEVJER--- - ..._.... . . ,_ � .; ._ _:,, FINAL�ENG. • . : , iSEP i IC TANK i ' ' LFiNDSCAPE/iRRIG. ' ' jSEEP.PiTlL.L _ .'. .; '� ON SITE IMPS. . . ; • IGAS AIR TEST - ' FINAL`ZONING ' � - - - - --. ' '•'. - - - - - - ;FIivF�I..CONST. . ...._._ -- � FIRE DEPT. FINAL • - • - - -- -- ' IFih.���_HEATING.------------ . . . . HEALTH DEPT. FINAL . - - -- - ' . ^ DEV.FEES PAID _ _ _ _ _..----- : . ;.''t:v�.�ELECTRIC -.. ...... .... .. .... - . .. ------- ! i=•;•'F.L PLUPABING- _ -..... _ ... .... ... -- - -;. ..• _ ENERGY ; , .__._..- , .. . , , _.. .. _....- --- _. ... _._ _ _....._. . - ---.... .... . .... . � 1------�--•- — - � --.. .. _. . . .- .. ___ .Cj�.:R�...�'_���f'r. _.r..._.i . � .. I , -.-. ' --'—. _.. ..._. .. .. .. .. ......... .. .. _ . .. .. ... ._ .. ' i. . 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