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HomeMy WebLinkAbout15242 (17) w, +� ". CITY OF DIAMOND BAR , ' •`~r' J� --- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICE�h PIF�ED � 21660 E.Copley Drive Suiu 190 (909)860-3195 Faa(909)861-3117 0 C T 2 5 2pp2 PRESS ���� BUII.DING PERMIT APPLICATION FIRMLY o DDRESS � G�6 } /`�i����`�l � DATE CATION ����� O NUMBEF� �xf C $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER 'r�" `� ADDRESS 'YJ7O /C;eSG�/�`t"�f-� '��/C ZONING RO�CKS RW ❑ � CfTY - i✓�^'l� ZIP ��"' TEL �7��/d e REAR p APPUCANT TEL. f i��i SIDFJSIDE STREET RW p � CONTRACTOR �'� "r i✓G- SIDE p � CnDRESS � � ZIP�i�TEL /.1 PROP05ED USE vr � �� - � ARCFVENG/ • �z,, DESIGNER Na.DWEL NO. NO. � C'DTD�RESS ZIP TEL UNITS STORIES BEDROOMS � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER DECLAAATION SFRlADD/REM O p 1 MEREBV AFFIRY WOER VEN.LLTY OF VE0.AINY TMAT I Al.l DfEA1CT iROAI T1E�1ITMCTORSII• Gefe9B/CefpOR W CENSEUWFORT}IfFdlOV/IN�RFASON�SEC.7W/.68U51NESSANDPROFE55qNSCODE:MIYGTYOq (n �.� COUNf'/Nrt9CNREOURESAVERMRTOGONSTRUCT,ILTERIMPROVE,DEMOUSM.ORREPNRANYSTRUG W PgilO/DBdc Z TI1RE.VRIOH TO RS 6SVANCE,AL50 REOUIRES TME APPIICANT FOR Sl1CN PERMIT TO FlLE A SIGNE� �L� 8TATFMENT THAT HE OR SHE IS t10EN5ED PURSUANT TO THE PPOY4510N5 OF 7HE WNTMCTORS lF W � CENSE UW(CHAPTFR Y(COMMENGtM WfiH SECTION 7000)OF OMSION�OF T1E BUSINESS AND PRO. u- PooVSpa iES5qN5 COO�OH iHAT HE OR SHE IS fXEMPT THEREFRdA AND 1HE BA^�IS FOR THE ALLEGED EYEMP• 1qN.11NYV10LAT�ONOFSECT10N70]1.6BYANVAPDIICANTiORAOERAlIT5U8JECTSTHEAP7lICANTTO Z RaRoof �,,,, ACMLPENKTYOFNpTMof1E111ANFrvEM/NOREDDOLUN3(35o0).�: � ❑�/SOYrt�EROFTHEPROPEHTY.ORMYEMPLOYEE5NITHWACESASTHEIRSOIECOYVENSATqN, � CORImOfC131 - W�L 00 THE WOPoC ANO THE STRUC7URE IS NOT INTENDED Oli OFiEREO FOR SW.E(SEC.7ou,BU54 J N NESSANDPROFESSIONSCODE:MECOffTMCTOpSLICENSfiUwDOESNOTMPLYTO/WOWNEROF j Pf10PEflttYhq BUtDS Ofi MPiqVES THEREON./WD YMO DOES SULH WORN W MSELF OR HERSELF Oq � iT1fq4N3H HIS OR MEN OMM ENPLOYEE3.VROVIDED TNA7 SUCH MPROYEMENTS AqE NOT MENDED OR C� ,OFFERED FO/i SALEIF,IqM(EVEit,iNE BUILDNW OR MPROVEMENT IS SqD WRMN ONE YEAROF CCMPLE T70N,THE OWNERBUMEH WILL HAYE 1HE BURDEN OF PROVINO TNAT HE OR SF1E DID NOT BUILD q1 = IAIPiqVEFOFtTMEPURPOSEOFSALE� W OI,IISOVMEROFTNEVROPENTV,II.Ip(CLUSNELVCONTRACTINOWITHLICENSEDCONTRACTORS � TO CONSTRUC'f TME Pf10J[CT(SEG 7oN,BUSMESS AND PROFESSIONS COOE:THE CONTMCTOR4 U• ValUflllIXl ADJ.AREA � CFltSEUWDOE3NOTMPL7TOANOVYfJEROFIIPISOPEHTYW/%J6UtlD50flMPqpyESTMEREON,M7� WFIOCOMMCTSFORSUOfGROlECTSVATHACONTMCTOR(5)LICENSE�PURSl1ANTTOTHECONTMG qUANT1TY DESCRIPTION FEE _I 70RS UCENSE LAW�. � OIMIEXEMPTUNOERSEG B.BP.C.FORTHISREASON Q � U LL � DATE OVMER U ��q LICENSED CONTAACTORS D[CLARATION w [� IHEREBVAFFIRMUNOERPENAL7YOFFERIURVT7IATINALICENSEDUNOERPROVISIONSOFCHAPTEN U, � •�COMMENdN(i WfTM SECTIDN JooO)OF OMSION]OF TIiE BUSINESSAN�PROFESSiONS CODE,AND Z x UYUCEHSEISRlMLFORCE^MIDEfFECT. � UCENSE CUSS �_✓� LIC.ND.�/� � � o�rE ;���1`r'J corrrrucToa a WOFKERS'COMPENSAT�ON DECLARATION a � I MEREBV AFFlMI UNpER PENAITY OF VERNiiY ONE OFTHE FDLLOWIN6 DECUit\7qN3 ; Z , � � �IHIIVEAIAWILLIMPRNNACfRTIFIGTEOFCONSENTTOSEIF•INSUREFORWORKEftS' �' � _ "' � . - CdAGENSATION,ASFiIOVIDEDBYSECT10N77000FTMEUIBORC00E.fOpTHEPERFORMANCE �U -' OFT/EWORKFOi1VhlidiTH�SPERMiTI51S5UE0. � , = G Q _IIUVEANDWILLMARIIIUNWORKERSOOA1iEN5ATI0NIN5UilANCE.A5RE0UIREDBVSECTqN � , �� 4 770oOFiHElI90RCO0E.FOATMEPERiORMMIC£OFiMEWOHKiORWHICNTMISPERMrt15 � lSSl1ED.YYWO" 5COYPENSATIONINS RANCEGRRIERANDPOLICYNu►19ERAAE: CONSTRUCTION � CMPoER��—`�'�� PLANREVIEW z �r�eEa ���"¢' —� � ELECTRIC d � (1}ISSECIICNId�NDTBEWMT'LETIDOFhfPEfMT15fORONEMJIDPEDOQLULIf10D1�1E551 PLUMBING Z ICENTIFYTHATWTMEVERF0114ANCEOFTMEM�ORKFORWHICMTHISiEHA1ITI5155UED,1 MECHANICAL C7 611ALLNOTENP�OYINYPERSONNANVMANNERSOASTOBECOMESUBJECTTOiHE � + —� N W00.KER5'CdAPENSATIONU�'/YOFLAIIFORNIA,IWOA6REET/UTIF15lqUlDBECOME INSPECTIONFEE iLi.S S SIR.IECTTOTHEWOPoCERS'COMPENSATqNPROV1510N50F5ECT10NJ70oOFTNELALOR ,��j 000�.�srwtvoAn+vnrHcour�rNnn+n� �/aoh ION ISSUANCE � 7/'�''cJil ••F� -�i I� p OATE: APpLICANT. � SMIP � WARNINO:FA0.UAETOSECUfiEN'ORKER5COMPENSATIONCOVERACEISUN WFUI,ANDSHALLBE ENERGYP/C ���� �nnn � SUBJECT/NEMPLOYERTOCRlAIPIALPENALTIESANDGMLiWE5UP700NEMUNOREDTMOUSAND LYYY DDLLARS(iioD.000),NAD�I770NTOTHECOSTOFCOMPENSATION.DAMAGESASGROVIOEDFORIN ENEAGYPERMIT � 6[CTqN9T0EOFTHELABORWOE,RITEHEST,ANOATTORNEVSFEES. RETENTIONFEE: � ]AMONDBAR OCONSTRUCTIONLENDINCiAGENCY PRE-ALTFEE: DING AND SAFF� � IHEHEHVAFFIRMUHDERGENILLTVOFVE0.1URY1MAT7HEREIS�CONS7RUCTIONLENDWaAGENCY Z FO(i TNE PERFOiUTANCE OF TNE WORK FOR WHICH TMIS VERYIT IS ISSt1ED(SEG�oY7,CIV.G). W � LENOER'SFIUAE � lENOER'SADOHE55 �y�� � ICEFTIFYT/URIHAVERFJ�MSAPPIICATqNMlOSTATETHATTHEABOVENFIXWATIONISCORREC7, TOTAL FEES � � / `� " 1 A6REE TO COIAPIY WIi11 ALL CiiY AN�COUNTY OHDINANCES AND STATE UWS REU11N0 TO BU[OINO � � CONSTRUC'TION.lWDNEREeYAUTFIORI2EREPRESEMATIYE50FTHI5GOUNiYTOENTERUPONTHE ��� � ABOVEJAENTIONFA VROPERTV FOR INSVECTION WRPOSES. � COMMENTS � ./.��=T� ��/��rp,� ��/�' ' T- 4 PERMiT7E RINn "" ��++ 1 � i��n�o��..-�- � 7 ��—�31/ . f h I �2 � C.,-, n ►, N 516NATUPEOFPERlA1TTEE r� DATE �a' ��' � RECPT.NO. PAI�BY VALIDATION WMITE—Department Copy,YELLOW—Fnance Copy,PINK—Assessor Copy,GOLDENRO�FIIe Copy,GREEN—ApDlicant's Copy � � , - . . . �� ... � . ... . . - .r • ....� . ��. ... . .�"T �(�v, , . .�. ., .y . ,� fn.�f' i -` .� ..�.... .�.• . . . ' . . . • . CITY OF DIANl�ND,BAR , . .:r; _: -'; .-It�lSPECTIOtV�RECORD . :�.: :. . - �. - : �- , ,. .:�._ . . � . :�(����a���;t�e'�� !�'����. �.[►.���;���'��I t����;.a��,,�t����!�'���'y��= y �f►�I��:a��;,����a � ;SEf BACK n_4..�.�. .._......_,.I� - - `,, FLOOR JOIST ,\ .s....�,.�. .._ ; �..... , , ; �FTGSIFORMS/STEEL� -'� • � _- . ' � FHA REQMTS _ . - - -- ,ELECTRIC GROUND. _ '" . _ _ __ _ UNDER FLOOR DUCT ' - ��• ' --=— _.. -- �GROUND PLUM8ING - UNDER FLOOR CU�IDUIT, - �. ; ... � � . --- < i---- !SLAB GRADE - - • - - - - FIREPLACE FOUNDATION . . -= '--- ITEMP POWER FIREPLACE BOND BEAM - - - �� � � �WATER SERVICE --- - - --- - - M{D HT. BOND BEAM • ' - � � � :: 'ROOF SHEATHINC '• ' � - • � 8 FT. BOND,BEAM -- ' • ' i = . . , .... . - - , , ,_ •FRAh.11NGNENTILIATfON - - - FINAUBOND BEAM ; : iROOF COVFR PRE-GRADING- - - - -- , !ROUGH.HEATING -- - ' � BENCHING - „ ; fROUGH ELECTRIC. _1 ' '__- � _: � ' ROUGH GRADING - - --- --� � ;ROUGN PLUMBING -' - --- - -- '- FINISH GRADING ; ;SHCWER,'TUB TEST � - - --- - POOL ELECTRIC ;EXT.IATFi!SIDIN6 - POOL''FENCING 'WALL-iNSULATION -= - -- - - -- - - POOL FINAL CEILtNG 1�?SULATION - � - OFF SITE IMPS. �ORIMJALL NAIL(NG - DEDICATIONS 'SEWER -- - - FINAL ENG. . iSEPTICTANK LANDSCAPE/IRR1G. � !SEEP_PIT/LL__ ' ,�,..� ON SITE IMPS. !GAS AIR TEST ' FINAL ZONING �F1PI�.l.�'(?NST. _ FIRE DEPT. FINAL _ � , FI�LF,�.HEATING _ _ __ _ HEALTH DEPT. FINAL - - � . --- �l�1.^.� ELECTRIC - -- - - - DEV. FEES PAID� - � �!�.t PLUti1BING ENERGY ; --�-- - - - -- �2 �'�fF���� ��r.____---.. � ' �;-- _- -- ..:.���.ti,. _:z._:.�-,?•�,�--- .._..__. i ; \•, . . . t li3Oi�JiMENTS - - � -� � . �.�_,,� �- 7 -/� -��-Nv a�.e... �.��C.�I�—�=�'� �� �- 7,;� ,- - - - - - � � , i � . ' � , I ' � i - - .. , . � i � � i � I � � i ,`� • .., ' __ __' t,1.;'.� '' , l ! � ._.__• . . __.. _ . . _ . . � ' . . � - � ���� ���, i ?���. • • � 'SEPTIC TANK SIZE,. .. t, � ai� �,!-"�:_� , i 'SEEP PIT/U SIZFv'�" '_ "��{u1�'-.�.t`� I ' � �_�'.`?...�"'"'''f� i'i/�;� ���I' � � , i - i}'V�._..._..�_...! , , ` _ � j . -- - ; . � ! .. � - - , - . , , - i, ,���� ' I�i i ._ , _ , I _ ; _ _ _ - _ - - .... � � !)` - " ' r i . � � � ; � ' � " „ • -� { .J . : , � t _ .. � , ' . . . —. - , _' � � ��` a� . � I t � '_t(�•- � `�' - ' • - I _ .....__.� ' � �