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HomeMy WebLinkAbout15341 (20) CITY OF DIAMOND BAR - � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 �(909)86a3195 Fa�c(909)861-3117 PRES$ �'*"� BIJILDING PERMTT APPLICATION ; FIRMI.Y o ODRESS 2D�U'( � �5[,- 2 F-���I--� DATE CATION �(� - NUMB R.�y p� � APN LOT TRACT �SSUE � ' /��1 TYPE OCC p OWNER �AA'L_L- I'�IL1D1� ,d.A , DATE �" CONST. GROUP "' ADDRESS ZONING SETBACKS � CITY ZIP TEL. REAR RW ❑ APPLICANT TEL. � SIOE/51DESTREET RW ❑ CONTRAC /U / SIDE ❑ � ADDRESS � � � - , pROPOSED USE RCFUENG/ , � � ZIP�( TEL '`lw -r�-ne OF O tl DESIGNER NO.DWEL r7 N . NO. N ADDRESS UNITS ��- STORIES BEDROOMS � CfTY ZIP TEL N u� DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q ONMER-BUILDER DECLAFlATION SFR/ADD/REM O p 1 MEREBY AFFIfW UlOER iQU1N OF PEIUVRY iHAT I AA1 E%EA1PT FMe1 THE CON7ML70R5 t4 G9feg9�C81pOA W CENSEUWFORTI1EFOlLOWNOREASG�(SEG7W1.68USMESSANOPROFESSIONSCODEANYCRYOH (n � COUHIYWMtlIRfOUIiIESAPERMRTOCONS7itUCT,KiE0.MPROVE.DEF10lISH.ORREPAIRANYSTRUG W patlo/�eck 7URE.PRiON i0IT9 ISSUMICE,11L50 PEOUWES T11E APVUGNT FOR SUCM VERMR TO FILE A SICNEO � � 97ATEMEM TUT ME OR SME L4 LICENSm WRSUANf TO iNE PROVISKNS OF TME CONTRALTORS ll• � � tETSE UW(G1�ViEN�(COMMENCWO YATH SECTqN 7000)OF DMSqN]OF THE BUSINESSANO FRO• � PooUSpa FESSqNS C00�OR iIUT NE OR SHE IS E%EMPT TMEREFFqM ANp iHE BASIS FOq THE AILEaED EXEMP• TION.ANYVIOI.AiqNOfSEC710H70f1.68YANYAPOLICANTGORA7ERMITSUBJECTSTIEAP7LICANTM Z Re-Raof � ACMLVENALTtOFNOT40nE711ANFIVEMUNDNEDDOLURSf{5W).)• � ❑1h40WNENOFTHEii10PEHTY.ORMYEMPLOYEE5Wi7MWAGE5A57HEIR50LECOMaEN5A7qN, ❑ COrt1M9fC181 . ^ M71 DO TME WORK AND THE STRUG7URE IS NOT INTENDED OR OFFERED FOR SALE(SEG 70u,BUSt� J � HE56 ANO PROFESSIONS COOE:TME CONTAACTONS UCEHSF UW DOES NOT AVPLV TO AN OVMEH OF ? VROVFHTY 1NIO BUIlD30R MD{1pVE5 iMER£ON,AND MM1�OOOES SUCII W01iK HIA15ElF OR HERSEL�OR fL 1HROUOMHSORMENOMMEMPLOYEES,VHOVDE07lUT6UCHMPROVEMEMSARENOTMElIDEOOR LO � OFFEREDfOHS�LEIF,iqWEVERTMEBUlDW001tIMPROVEMEMISSOLD1YRwNONEYEWOFCOMRE• Z �T10N.1HE OWHER�UM1DER YALL W1VE iHE BUPDEN OF VFlOVWO 7MAT ME pl SNE DD NOT BURD OR = MVROVEFOqTNEPUHPOSEOFSN.E} � � �y,� OL1l40VMEROFTHEViqPEF7Y,AYEIICLU5IVELYCOHTRACTWONrtiMl10EN5EO00NiRACTORS � TO CONSiRULT THE VROJEGf(SEG 7oN.BUSINE55 AND PROiE55lON5 CODE:TNE CONfRACTOHS Li V�IU9�1011 ADJ,AREA � CFNSEtAWDOE3ND7APPLYTOAHOVMERDFAPROPERTYWHOBUM1D50RWGROVESiHEREON,ANO YI/qCOMMCTSFq15i1pICiqJECTSWRfiACONTMCTOR(SJLICENSEDPURSUiWfi07HECONiMG QUANTI D[SCRIPTION FEE � TOiiSl10EN5EUW.). . . . . ` . O IA1A EXEMVT UNDER SEG B.i P.C.FWi THiS R[�SCN U L1. ¢ pA7E OWNER V . � LICENSED CONTRAC70RS OECIAFiAT10N W W ! � IMEfICBYAfFIRY�INDENPEIULTYOF7ERR/i(YTIATIAMIICENSEDUN�ER7ROV151ON50FG1APTER � � f(COYMENdN0YV1TNSECTqN70o0)OFDMSION70FTHEBUSINESSFHDFROFESSqNSC00E,M'0 � �j� W LICENSE IS N FLtI OACE 0 FFCi. /�'�� m � UCENSE CUISS � LIC.NO. �`1—Y�C�V� � j I �jMTE � CONTRACTOR 1� ��•Ji1 pJ, • W � I � WORKERS'COMPENSATION DECLARATION Q � IMEqEBVAFfIPAIIINDERPENALTYOFiE0.1UffYONEOFiHEFOLLDWWOOEpAWITIONS: Z j 0 _INAYEANDNILLAWNTAN�CERTIflGTEOiCONSEMTOSELHNSUFEiORWORNENS' 2 I �i OpAPENSATqN,A9PPOVIDEDBYSEGTION770oOFTNEIMORGOOE.FOR7HEPERFORMANCE W I Q OFiNEWONCFORYAIIpITH15iERM1T6133VED. � � _I HAVE AND N1LL MAMNN WORKERS COMPENSA7qN INSURANCE,AS REOUIpED BY SECTION I� � 770o OFiHE UOOH GODE FOR TM[FERFOM+ANCE OF THE WOfUf fOH WHip17H15 PE�IT IS /�/O`�/�) . � �SSUEO.AfYWOfiKEHS'COE/PENSATqNWSuiLWCECAMIEHANDPOLICYHUMBERME CONSTRUGT�ON (/� V � uaq:[A � PLAN REVIEW � POLICrM1ueER ELECTRIC �;y�.p� I � (fH55EC1riJNCmNOTDEG7.REImOFMiEiMf6FOR0AEM)LY1EDOp1MSlStaO)OqLF55} PLUMDING . _ .F. �:� �, � ICEHTIFY7{UTM7MEPERFORYANCEOFTHEVpRNFORWXIC117N15PEFUAITI5I55UE0,1 MECHANICAL i C7 SMu1NOTE�PIOYANI'PERSONmANYMAM�EH50ASTOBECOMESu0.1EGTTO7HE � /�(t(l ' � 1WRKERSCOMPENSATIONLAWSOFC�LIFORNIA,ANDAGREETHATIFISNdADBECOME INSPEGTIONFEE L—llllj ' S 6UBJECTTOTMEN'ORNERSCpAPENSATIONPqOVI510NSOF5ECT10N]7000F7HGLABOR �—�� 1 l�s" COOE.I SNALL FOI1T1wiT1 COMPLY W^iTH T1105E iNOVISqNS. ISSUANCE ; 'Q �_ r � SMIP C�� 1� � � . i DATE: APRJCANi��./ 7�� � WApNIN(i:FMURETO5EQIRENOf+NENS'OOIAPENSATIONCOVERAGELSUN;AWFl1L,ANO5MALL8E EN£RGYPlC Dil� ���� A:\D , SU&IECiANEMPLOYERTOCRiMIWLLiENALTESAN�CIVILFWE5UP700NEM1NDREDT110U5AN0 j�v+ ,�� ' � OOUM9(i1 W.Ooo�,W ADDITION TOTHE LOSiOF COAIPENSATiON.O�AGES AS PHOVIDED FOR M ENERGY PERMIT ' ¢ SECT�ON310EOfT/1ELABORCOOE,NTER[Si,/NDATTOfWEY'SFEES. � RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IHEM1EBVAGFIfWUlAERiENALTVOFVE0.RIPVTUTTHEREISACON5TRI1CT10NLENDINGAGENCY FOfl TNE/ERtOflMANCE OF TME WORK FOR Nrvnpf MIS PERMIT IS ISSUED(SEG.]OD'/,pY.G�. � � LFKIERSNUAE I � LFNDEH9AOOFE55 I Q ICERTIFYTHATIHAVEflEADTHI9MPLICATIONANDSTATETNTTH[ABOVENFORA1ATpNISCORAECT. TOTAL FEES ��.3 I W I AGREE TO COMPLY NiTH ILL CRY AND COUN7Y ORDIW W CES AND STATE lAwS RELATWO TO BNLDINO � � Cp1STRUCf10N.M'OMERE9VAU7MORREREPPESEHTATNESOFTHISCWNTYIOFMFRUPON7ME � I � ABOVE�MEHTqNEO iHOVERTY FOR WSPECTION iURPO5E5. COMMENTS -' � � � �',�.r �� I�C�1J� ,�C�Fi�c� ��G ! � QVEiW1TTE E�PRIM) -�� � � N �7-�9-Do 1 � , ; N 9iorNTUREOFPERMITTEE DATE �-�� j � RECPT.NO. PAID BY , VAUDATION WHITE—DepeRmant Copy.YELLOW—Finance Copy,PINK—Assessa Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy _ ... . . . . , � ' , '.d: .... , ; v... . . . .. - ....r. .i..,..,�:. . . .. •. ..•. ..y .. i . . � . . .. . " . . .... . .. . � . .J � .. � CITY OF DIAPJiOND BAR , , ,; _ , -- , . �� `(fdSPECTION RECORD � - , „ , ,. . . � I .�.M.j�'�1���'' � '�l� � g _w., .'. ��. �, _e '� _ ����`�i � r�__._. ���..�,�. SET BACK �\r\_:`;�� - ( .. :';'��� 1-- ' FLOOR JOIST,,.., . ' � ' �FTGS/FORMS/STEEL ;:.. }�. ��, ' �1 FHAREQMTS : _ ___ ' ,ELECTRIC GROUND _ � ` `' I `- ti UNDER FLOOR DUCT - --- - GROUND PLUMBING UNDER FLOOR COhIDUIT ' - " `5LA6 GRADE - • -- - - FIREPLACE FOUNDATION TEMP POWER � FIREPLACE BOND BEAM • �WATER SERVICE --- MID HL.BOND BEAh4 � • - • � 1 !ROOF SHEATHING �;! -� � �� 8 FT.BOND BEAM - � ' - - ' � 'FRAMINGNENTIL.IATION , ;. .. , , FINAL BOND BEAM �� � ; ROOF COVER �-��' " �'` ' �'`� ���` PRE-GRAQING - ' !ROUGH HEATING �� BENCHING 'ROUGH ELECTRIC. .. "- � :• ROUGH GRADING "ROUGH PLUN161NG --- - FINISH GRADING � - 'SHOWEFi/TUB TEST - - - •-. . ... - POOl.ELECTRlC � � �EXT.LATH/SIDING - � � POOL FENCING VVALL�INSULATION POOI.FiNAL • ;CEILING iNSULATION -� � OFF SITE IMPS. � DRYWAL.L NAILING ' ' DEDICATIONS : 5E1�JER � FINAL ENG. � SEPTIC TANK `� \ ; LANDSCAPEJIRRIG. SEEP.PIT/L.L. ' . _ -�' ! ON SITE IPAPS. GAS AIR TEST FINAL 20N1NG ; • FINA�.CONST.. _ . , �6 FIRE DEPT.FINAL , FINAL HEATING _._ HE�LTH DEPT. FINAL � .� FiNAL ELECTRIG DEV.FE=S PAID - � - ��� t=1^;AL PLUh161NG - - ENERGY _____ � . _ .... . ... . . _. , .._ - -. . ..__ ... .:ir''.=�lf�.s .�::i-�`G'e�' ._.�.__...� '.1 , i G.:1 cor�nr�nErv-rs �. , ; _ _.._. ._ _ � �: ; � - . - . , ; --. _ . , � ; , -- .,,_�; �.._ . . . ; _ _ � � :.:. .. . . . , ; 'SEPTIC TANK SfZE - - - � . SEEP P1T/U SIZE :6 '.�,.��..�...........�.., � � .. .�: _.7 . ::{ . • �..i ",�' :��:. �... ;.-.yrs-; ;�i� ,,w.� : :;:: . . , . - � : ���; . •i .. , �.. . -.„_ ... ;.J„ 1 . ,•, , . • • � �r.'.�-.. ' _ ; - ,;�;�. .•�'•�'"1�: t .. ��� �-;�.`�,� _) __.�..._..;��.�_____,.___:_!. �_, t +