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HomeMy WebLinkAbout13209 (21) �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICE5 Cv _„� 21660E.CopleyDrivoSuiu190 CnP'��D (909)860-3195 Fax(909)861-3117 PRESS �'�^'� BUII.DING PERMIT APPLICATTON OC T 2� 10i�� FIRMLY a ADD ESS 22 • O�� �G�C�2j� APPLICATION PERMIT � P � p DATE '2-� NUMBER N � APN OT TRACT �SSUE - •�= TYPE ' OCC � �r�4 , -�� G��_ DATE CONST. GROUP � OWNER `��� `p ADDRESS • ZONING RONT KS qyy �❑ � CITY ' .ZIP TEL��� REAR ❑ � APPLIC NT � �f SI�E/SIDE STREE? RW O CONTRACTOR SIDE ❑ ADDRESS � CITY ZIP TEL �PROP05EDUSE_ �s�T�lI17 O )�Il�(-7 pDfl� ARCH/ENG/ /� DESIGNER`�r�Q�ITG� �• Y•, ulU , � � � y ADORESS�,��2j._V�_j��i �(,��—�,-z�— UNITS EL STORIES BEDROOMS � CIN ZIP TEl cn v� DESCRIPTION SO.Fi. FACTOR PSF ADJ.AREANALUATION O OWNER-BUILOER DECLARATION SFR/ADDJREM p I HEHEBY AFFlRN UNOER PENAITY Of OEMIRY 7HAT 1 FA1 E%EMPT iROM TME COMiiACTORS LF Garage/CarpoA � 11J COISEUWFOfiTHEfOILOM1VNOREA50N(SEG70.71.6BUSMESSANOPROFESSIONSCOOEANYCITYOH (/) S� COIRlTTNR110/REOUWESAPERMRTOCONSTRUCT,ILTEiLtlAPROVE,DEM0U5H.OflREPAIRANYSTRUG w LL� TURE,iRqR TO 1T9 RSUANCE.ALSO REW IRES THE MPLICANT FOR SUCH PERAl1T TO FILE A SI6NE0 w PatiolDeck � ETATEMENT iNAT HE Oft SME IS LICENSEO WilSUMT TO iHE PiiOVI510N5 OF 7HE CONTMCTORS L4 CEMSE UW(OUPTER 0(CdAMENCINA WI1H SECTION)000)Oi DMSIDN f OF TNE BUSiNE55 AND PRO- � PooVSpa iESSqNSCO0�ORIHATHEOitSHEISEXEMPTTHEHEF1i0MAND7HEBA51SFORTHEALlE0EDE7(EMP- (� TK7H.ANYVIOLAiIONOFSECTI0NTW1.68VANYAPPLICANTFORAPERAlITSU&lECTSTHEMPLICANTTO Z Re-Roof � ACMIPEHALTVOFNOTLqAETWIFIVEHUNORED00LURS�fSoo)J: Q OI,ASONMEROFTMEPROPERTV,Oi1MYEMPIOYEESWI7HW.SGESASTl1EIR50lECOMPENSATqN, O �ommerclal `. ' ' - � W1LL DO THE WOFI(AND THE STRUCiURE IS NOi IMENDED OR OFFEREO WR SALE(SEG 7M�,BU51- J � NESS MO VROFES910N5 COOE:TNE CONTMCTORS LICENSE tAW DOES NOT AVMV TO AN OWNER OF ? __, . PROPERfYNRiOBU0.D40RMPROVE9711EREON,ANOVAiODOESSUC11WClHKMIMSEIFORHERSELFOR - �- " (T TWiOUGHHSORHEHOWNEIAPLOYEES.PROYIDEDiHAT5U0i14PROVEYENTSARElI�TWTEN�ED011 m � ' OOFFEREDfOR3ALEi,FqWEYE0.TME&1lWNOORMPqOVEUEHTIS50LpWITMINONEVEAFOFCOUCLE- � TqN.TNE q4NEFAUILDER WILL MAVE TME BVi1DEN OF iROVWO THAT HE OR SHE DID NOT BULD OR /APqOVE FOiiTHE PURPOSE OF SlLL�. 0 6 AS OYRIEHOF TIE PROPERiY.AA1 EXCLUSNELY CONTMCTQIO WITH LICENSED COMMCTOfiS � TO COI�STRUCT THE iRO.IECT(SEG 70N,BUSINE55 AND iROFE5510N5 CODE THE GONTMCTORS U• V8IU8S1011 ADJ.AREA CFNSE UW DOE$NOTAPPLY TO AN OWNER OFA VROPEflTY NT70 BUILDS OR W PRpVE9 T1IEREOt�ANO � WIOCONiMCTSFORSUC11PR0.1ECT5WITHl1CONTMCTOR�S)LICENSEDVUtSUANfTOTHECONTMP pUANTITY DESCRIPTION Y7p roas uc�+se uw.�. �E � OIMIEI(EMPTUI�DER9EC. B.[PC.FORTHISREASON Q Z PI✓ G✓� U �= WTE_G�V G��4� OWNER �f'_f��')Y'r � �4 UCENSED CONTRACTOFiS DECLARATION W ¢ IHEREBYAFFliWUPDERPENALTYOfPEfWRYTHATIAMLICENSEDUNDERVRO41510NSOFCHMTER V, � f(COAWENC9VON17HSECTION7aoa)OfDM510NJOFiHE8l151NE5SANDGROFESSiONSCODE,11N0 Z �� W UCENSE iS N iLU FORCE AND EFFECi. m � UCENSE CUSS UC.NO. j � DATE CONTRACTOR d � WORKERS'COMPENSATION DECLAHATION a � IHEREBYAFFIRMIJNOERPQJALTYOFPERIUMONEOF7HEFOLLOWINCDECLAMT70N5: Z 0 _�MAVEANOWiLLWUMAINACERTIFlCATEOFCONSENTTOSElF�NSUREFORWOHKEHS' _ - � � OOMPENSAiION,ASVROVIDEDBYSECT10N970001'THELIBORCODEFORTHEPERFORI.IANCE • W ._ . '.Q OFiHEV/ORKFORW1Utl/TWSGERMI71SI55UE0. ' .. . . . � ' ' . .t . . . • C . . .. . �I MAVE AND MALL MAIMAN WORKERS'COAIPENSATION W SU WWCE.AS REOUIRED BY SECfldi ^ � � Q �7oaCFTHEUBOfiCO�E,FORMEPERfOFM�NCEOFTHEWORKFORW1eUliMISPERM1715 �^ �U � ISSUm.MYWORKERS'COMPENS�TIONWSUMNCECARRiERMlOVOUCYNUMBERME: CONSTRUCTION � . YJ 4 � GANi1ER PLAN REVIEW �✓ � • � POIICYMIMBER ELECTRIC 4 0 (MSSECI%k+t[E��NoiBECd.RE7IDOFhEPEFiMisiDRaNEF�DFl�DaU0.sRtrolOa�EsS? PLUMBING Z ICEATIFYTIWTWTHEPEFFOR4ANCEOFTHEWORKFORWHICHTHISPERAlRLSISSIIED.1 MECHANICAL (�} SMALLNOTEYFLOYANYGERSONNANYIIANNERSOASTOBECpAESU&1ECTTOTHE y NCPo(ERS'COA1PfNSATqNUW50FGLLIFORMA,AND�CREET/UTIfISHWLDBECOME INSPECT�ONFEE �� ��f \ ' . S SUBJECTTO7HEW'ORKEfl5COE1PENSATIONPf70N510N50FSECTION77000FTHElABOR ' � � cooe,isrwlrortmm�n�coMr�rvnn�naserao�nsior+s. ISSUANCE � T(` � .TT�. ^ � t�-^^��r � Q . _ . ... .. ._. _. �._ .. p DATE: � APPLICAN7: SMIP � ENERGY P!C � WARNIHQ:fNIURE TO SE W RE MAqKERS'COMPENSATION COVEMGE IS UNUwFUL,MID SNALL BE (—y SUBJECfANR/PLOVERTOCRIAIINALPENALTESutUpVILFWESUPTOONEHUNDREDT/qUSMlD ENERGYPERMIT DOLLARS(5100.000).W ADDITION TO THE COST OF COMPENSATION,DAMAGES AS PROVIDED FOR IN � SECf10N J7oe OF THELABOR COOE,INTEREST,ANDATTORNEYS FEES. RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBVALFIHAIUNDERPENILNOFPERNRYTILlTT11EREISACONSTRUCTIONLENDINaMENCV 2 Fdi TME Of RFO WA.WCE OF TNE WORK fOR WH1p1 THIS PERMIT IS ISSUED(SEF 700),CIV.G). W � LENDER'S WJJE � LENOER'SADDRESS ^� W ICERTIFY7HAi1NAVEREADTHISMVLICATqN1WD5TATET/UTTIEABOVENFORA/ATpNISCOqRECT. TOTAL FEES��,�S � � l�` � � � IAGREETOCOMVLYN77HALLCRYANDCq1NTYOR0INANCESANOSTATEUWSREUTNaTOBVILDINO � CONS7RUCTION,AND NEREBV AUh10R4E REPRESEMATNES OF THIS COUNTYTO ENTER UPON iHE � I180VE-MEMqNEDPROPER7YFORYI:PECTqNPUHPO5E5. 12„� j D J� � , I COMMENTS �j ��� ¢ PERAArTTEENAME INT) � N (/� BIC I E DA7E � RECPT.NO._ PAID BY VALIDATION � WHITE-0epartment Copy,YELLOW—Fnence Copy.PINK—Assessa Copy,G LDENROD—Flla Copy,GREEN—Applicant'a Copy —._""". . . . . . - . , • . . . . .. . , .. , � � - , -• ' .r .. . . . .,, . . CITY f�F DIA111�OfVD Bp►R . �.;� .'� ', INSPECTION RECt�RD _ , �wll�i�.�����'Cj���'! I�'�'bi�� I�+ti�a=�'�.°1F_ .�'i�'��J�����;,�.`1��.��"'���at'= �I�►������e�..���'=� --, 'SET BACK.....�.__........�_ •�- ---� 1 �, - FLOOR JOIST _,__�..�._,...._._..:. m.... _` 1. ...w. ._ �,�... , ,.��-- ;FTGS/FORP�ISlSTEEL- .�J-���'� � , � FHA REQMTS _ _ ' . �ELECTRIC GROUND _ _ UNDER FLOOR DUCT , - �GROUND PLUMBING UNDER FLOOR CU��DU1T ' � — � -- - . _ . . i SLAB GRADE -- - - - - - FIREPLACE FOUNDATION TEMP POWER FIREPLAGE BOND BEAM � • , �• �' �WATER SERVICE - -- MID HT. BOND BEAM 'ROOF SHEATHING � � �`�� � � '. 8 Ft. BOND BEA��1 - - �FRAMINGNENTfLIATiON �_S��r-' ' FINAL BOND BEAM ROOF COVF_R .�. ' PRE-GRADING , - � - - ROUGH H�ATING --- ' BENCHING - , :,', � � ' � R�UG!-i.E�ECTRIC __' ' -� ROUGHGRADiNG ` ' - '' � �-- , 'ROJGN Pl_U��iBING--' -- - - • � -- FINISH GRADING � � 'SHO'JVERiTUB TEST -' - - POOL ELECTRIC ! • EXT.LATH/SIDIN� - - --- i - -' POOL FENCING , '1^lALL I*JSULATION-- -- - -�c�- POOL FINAL � � � CEILING Ih:SULATIOt� - `2�, OFF SITE IMPS. � " ` : �-� DRYLVAtL NA1LiNG - �{-Z�, - DEDICATIONS StWER ; ' FINAL ENG. ! ; SGPTiC TANK � � _. . � LANDSCAPE/IRRIG. � ,SEEP PfT/LL. � ' �_ ON SITE IMPS. • � �,;S fJ�?i EST FINAL ZONING • F;i��J�,i.�;;ONST. �-=�,�� 1 FIRE DEPT. FINAL � ���E-1e�'__:�Er4T1NG _ .. _.. M � HEALTH DEPT.FINAL , - _ ._.. --- -- , � '• :--':_kLECTRl:; - DEV, FEES PAID ' " - �. . _. - .".�PLUMBING - - ENERGY - , _• __- - -- - . .._ .. . f. . __ �.�;�.�fir � rr�te �.._.....__�.__.� i - ��.'.'.��_�:.= � : L�+s��r,nENTs �l1 —�—,fs'���..—d—Gs-t,L..-���._ "�."'�'��A/ � �-�o'� iS-95 � ��� � •, � � ; ,, i . i . , , , -, . � . , � ; � . � , . , , ., SEPTfC TANK SIZE . ; ' SEEP PIT/U SIZE ,�,�� ___-_.�, 5 , =: � �; - ' � . , � �_ � ����.� ;�t + � • 1 � � } i i � �' , . - i . . ' i ' ' .:ti 1=—�„'�`�-=- . ,�I _ f - i � . � � _ �. . ��, ., � ...._..-_..,__....'��_,...._�__.____� !j` � ' J � ( i � -�--.._ ..,` .. � � - • - ---- �