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HomeMy WebLinkAbout13251 (16) � _ EXPIRED —... �. �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 0�1 Q 5 Zaoo 21660 E.Copley Drive Suite 190 � (909)860-3195Fax(909)861-3117 - �MO���'�.-, �uL � S�Oa• . . FIRM Y ��'��'� BUQ.DING PERMITAPPLICATION y JOBSITE Z Q , APPLICATION PERMR ����I P/C o ADDRESS Z S 2 ra� � DATE NUMBER N � APN LOT TRACT D TEE I^���-1"1 CONST. GROUP g OWNER " ADDRESS �` 20NING SETBACKS w CI71f c�.p��v�yl `�' IP TEL FRONT RW O � � APPLICANT TE . Y – REAR - p � SIDE/SIDE STREET RW ❑ CONTRACTOR SIDE ❑ 1 � ADDRESS _ PpOPOSED US � `sti. CITY—�-�v�+t�C ZIP� � TEL{ Pu ARCHIEMG/ � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.Ff. FACTOR PSF A�J.AREANALUATION Q ONMER-BUILDER DECUTAATION SFR/ADDIREM O p 1 NEREBY AFFlIW UHOEH VEIULTY OF VE0.IURY TUT 1 AA1 E%EMPT FROu THE GOhlTRACTORS L4 Garage/Carport LU C£NSEUWFONTHEFOLLOWiNOREA50N(SEC70.tf.6BU51NE55ANDPROFESSION:ODDEMIYCITYOR (n C� COUMT`/VM1p1REIXMESAPER1AfTTOCONSTAUCT,ALTEH,IMPppyE,pEApUSN,ORREPA1flANY5TRUC� . W u� NRE PRqR TO ITS I55UAHCE,/L50 REOUIRES TME APMiGVi7 FOFI SUp1 VERMIT TO F0.E A SIGNED W PatiolDeck � SUTEMIXT 7HAT NE DR 6ME IS UCENSED PURSUIINT TO TNE iROVI510N5 OF iNE CONTMCTOflS L4 CENSE UW(CHA➢TER 0(COMMENCINO YrtTN SECTION 7000)OF DfY1510N]OFTHE BUSIN[SS M1D VRO• V' POOUSp3 - FESSIONS COOE)Oft 7HAT HE OR SHE IS EXEMPT THEREFNOM M!D iHE&ISIS FOR THE ALLEGEO EJIEMO- T10N.ANYVIOLATIONOFSECTION70]t.68YANVAP7LICANTFORAVERUITbUB.IECTSTNEAPPL�CANTTO z Re�Rool �,�, !1 CML GENALTY OF NDT MORE il4N FIVE/M1MDRED DOLURS(f5ao).1: � OI��WNEROFTHEGROPEIiiY,ORGYEMPLOYEESWITHWACESASTHEiR50LECOGPENSATION, � �mercial . - WILL 00 ME WORI(AND TNE 6TRUCTURE IS NOT IMENDED OR OFFEHED iOR SKE(SEG.7ou,BU56 J � NESS NO PRDFESSIONS COOE TME CONTRACTORS LICENSE UW OOES NOT APPL7 T�MI OWNER OF � VipPEHTY YNp BUlD9 OR MPROVES THEREON,AND WHO OOES SUCH WOHN HIMSELF OR HERSELF OR � i}Yid10HHI50ftHEH OWN EMPIOYEES.7ROVIDEO THAT SUGI MPqOVEMEMSAFE NOT MENDED OR m OiFERED PDR SALE 6 FqWEVE0.7ME BULDRla ORIUDROVEMFM IS SdD WrtMN dJE YEAAOFCOMPLE• �T10N,THE CMNER�BUtDER W1LL MAVE THE BUFtl[N OF PROVIN�THAT HE OR SHE DID NOT BUItD Oq WPiqVE FOH TME VURP0.5E OF SALE� W 04��M�MEHOFTHEPIiOPERil;M1EXGtU3NCLYCOMMCTW6YATIlt�ENSEDCOHTMCTORS � TO CDNSTFAICT iME 7f1WEGT�SE4 7w�,BUSINE55 MID Vf10FE5510N5 W�E:7ME CANTRACTORS U• 01U81i0f1 ADJ.AREA � CENSEUWDOESNOfMPlYTO1l4WVNEROFAGHOPERiYMAiOBURDSORWPROVESTHEREON.MA � YMIDCONTMCTSFONSUCHVROJEC?SN'ITIACONTMCTOR(5)IICENSmPURSUIMTOTHECONTMG Q ITY OESCRIPTION FEE � � 70RSUCLTISEUW} — O I AM EXEMPT UNDEH SEC. B.i O.G fOR THIS PGSON J Q U u' DATE OYMER � � w . LICENSED CONTRACTORS DECLARATION � � w IHEREBYIIFFIPoJUNDERPENALTYOFiEiLA1RYMAiIAMUCENSEDUNDERPROY1SiONSOFCHAPTER Ur � ��OOe�MENGMO WiTH SECTDN 7oao)OF DMSION 70FTHE BUSINESS I1ND PROfE55qN5 00DE,M1D � �� 4Y LICEHSE IS N FlA1 FOf10E AND EFFEC7. m ' 0 LICENSE C1A55_V i 1..� � LIC.NO. Ob��D � I ' ,, t'— � �j DATE �'d' GONTRIGTOR�L (�v�t/SGoy� a ✓ � WORKERS'COMPENSATION DECLARATIO�� �� s � U N I HEREBYAFFlILA UNDER PCNALTY OF PERJURV ONEOFTHE FOLLON9NG DECLARAT !S: Z � _IIUVEANDWILL►UMTNHACEHf�FICATEOFCONSENTTOSElFdNSUNEFORYIOHKE�' _ COMVENSATION.1lSPROVIDEDBYSEC710N]1000�iHELABORC00E,FORTHEVERFORYANCE W OF iHE WORK FOiINMICVI7HIS VEFW iT IS ISSUED. � O �i FIAVE AND VALL WNTI�:N WORKERS'COMPENSA710N INSURANCE,AS REW IRED BY SECi1CN 1_ 4� ]7000F THE LABOR OOCE FOR iME PERFORMANCE OF 1HE WORK FOR NRIICH iH15 PERIARIS �� � � � ISSVED.MYWORKER5NM7ENSATqNINSU CECARRIERANDPOLICYNJIA�ERARE: CONSTRUCTION � � CARRIER � K PLlW REVIEW 0 oaicrrti^.'eEa�vi--�–��y�� ELECTRIC 0 (�sEcnorrrE�rrneEmwt�ocnErE�a.rtsraria.� oouaasls� i �ssl PLUMBING � ` Z IGER7IFYTMATNINEPERFOFMANCECFiNEriORKfORWHICHTMSPERMIT6155UED,1 MECHANICAL r 1 LJ SILLLINOTEMPLOYANYPERSOqINM7YMANNERSOASTOBECOMESWJECTTOTME (n NORKERSCOMPEHSATqNUW50FCALIFORNIA,MIOAGREETHATIF15MOUlDBECOME INSPECTIONFEE SU&7ECTT0 THE VYORKERS COAIDENSATION PROV151045 OF SECTION]70o OF iHE LABOfl ..•,�i � s eooe.iswuaoRrrrvnn�caaeirwin�nn v visaNs- I SUANCE � � �� ��� �,p SMIP ` ,'��, � p DATE:�h^�'Q_�1=1_ APPLICANT._ _ � � � � ENERGYP/C -.r. , !'J WANIIN�:FARURETOSECUREMIORKEPS'COUPENSAT COVERAGE6U UL,AN 1iALLBE 1 �y SUBJECfANEMP�OYERTOCRIM�WLLGEN�LTIESANDCMLiINESUPTOONE UNORED SAND ENERGYPERMIT DOLLAi1S(f 700.0001.��DITIONTO TNE COS70F CqAPENSATqN,DM�AGES AS PHOVDED FOR W � SELTION]'lOOOfTMEUBORtOGE.IHTEREST,ANDATTOHNfY'SFEES. ' RETENTIONFEE: pW., CONSTRUCTION LENDING AGENCY pqE•ALT FEE: O � 1 NEREBYAFiIRY UHOER FENALT/OF PERIURY iHAiTHERE IS A LONSTiR1CTON IFNDIN6 AGENCV ' Z FOH THE PERFORIAANCE OF iHE WORK FOR WHlpl TNIS pERM�T IS ISSUED(SEG]oY7,CN.C.�. W � LENOER'SNM1E � �P'�— � LEN�EftSAD�R[55 W 1 GERT7FY iMAT 1 HAVE READTMIS APPLICATION ANO STATE TUTTHE ABOYE INFOfiMATqN IS CORRECL TOTAL FEES � 111CREETOCOMPLVWITHALIGTYMACOUNTYOaD�NANCE5A1A5TATEUVBREUtNa708UL0iNG � CONSTRUCTION.ANOHEREBYAUIFqRIZERE7RESEN7A7NESOFTH15COUNttTOEMERUPONh1E Z ABOVE�MEMIDNEOFROPERttfORWSPECTIONVURVQSES. COMMENTS . 9 �o� y� � � PER1AITfEE Ww � �,V�PP Q � � SIGNA7URF E EE OAiE � � RECPT.N0. PAID BY VALIDATION � WHITE—Depenment Copy.YELLOW—Finence Copy.PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—AppliranCs Copy . . .. ...,. .,. .. . _ , , . , , . ,. � . . � . . .. . . . �.��;f-►�r'Ii�� . CITY OF DIAPJfOND BAR. ; l::.'.�; c U iJn ; .: �;. , .�;:�.:� It�lSPECTION RECORD ' ' ',� :.'.: . � , ., . .��� .. 1. . , �., � _� . ' " ' . . ���.�-�'-����'FG��1`I' "' �'!o �. _-� �1. ' e � li'�.'1��,�R.� ► ���.�-..'.�� ' 'f l.i��=�'.t'°.��f ! i :..._.. .,_,..�, .a �._ .�.�.s .y. �r,. _,__._....,...�,�... :... ,SET BACK , . (;� (-; �� , � . � FLOOR J015T � . .��..�.� r-t � � Y,r _., ' _ _; _ � ' '� . ' �FTGS/FORMS/STE L-_ ' ' ' . . - .� ; � FHA REaMTS =_ ' �.� '�. . '' • '� _. __.. .... ... � ---- � ;ELECTRIC GROUND ._.. __ _ ' '•:"` "� y ��-=� UNDER FLOOR DUCT- - „� � --- ' '-' ' " � � _ . .. . _.. -_--- • ;GROUND PLUMHING UNDER FLOOR CUt�i1UlT'i�; J ` ';' ��,-:.�5 '� - • ,; f' _ �-.=c . •: . .. , , ,`- .. .. • � .. . ,- . � • :-��•- `.SLABGRADE --- -- - " FIREPLACE FOUNDATION � G `-� '•� �,,,�,,�•:i, •, " "' ""'._. ..._ ...' ' " . , i C �_ � . . _ YS: i J.J�iI '' - . ., ITEP�IP POVJER ._ . , : . FIREPL'AC�6CJ�1D B�Ah1 �.' , ._ _, � ... :.�:.:: „ - . , � �WATER SERVICE --- -- - -- ---.... . - - �__-- MID HT.BOND BFsAI,�..i ,-_%�•,�, <�:,:,.,� ? �i �f� f :�;: ,. . _.,., ROOF SH�1LrNING}•:.;.5:: �)o--�t _.� '• ) �..ri ( fi El'.BO�10�EAM�. � . ..0 �; �l��;`r:�� -.:,_. u z. .. ...�.. � - i;, o':. ,. :,� _ � I FRADJII�.GNENTILIATfON -- - - ' INAL�B Nb$EAM � � � ` • - - � ' !ROOFCOVFR .�: .'. ' + PRE-GRADING - `' � - - . �. �ROUGH H�ATING �. - - . ' : .. ` BENCHING � ' 'sROUGE-! ELECTAIC.._.�. _. - �` ' '' � �:, � ' --- .. ROUGH GRADING __ _- ---- -- . - , � . - - !ROU�,-i PLUMBING -- -- ---.._.__. -- - ----' FINISH GRADING ; ,. :SNOYVcR!TUB TEST - - - - POOL ELECTRIC � � � � ' ;�XT.L4iH;SIDING --- -- - -- - -- -' - POOL FENCING ` . . i ; r!l"JAL!1N5'JL-ATION� -' � ---- __ ..__._. POOL'FINAL.. . � ':CEILiNG Ih:SUCATiOw - + -- - -- : -. _ OFF SITE IMPS. , . , ._ - , � ;DRYVJ��LL P1AfL1��G- - _ .. ...._ _ .. ... . i -.- DEDICATIONS : � � ,;� - --- -- .. F�NAL E�dG. i J`.,�y,�F . . .. . _ i;SEP'lC TANK �_, L.AP�DSCAPE/IRRIG. ' , i ,- �i S�EP P!T/LL.. . , • �r J�J c � �'�ON SITE lMPS. � � i t'�?.;� '^T'�ST : �' _ � FINALZONING t: ��,�.. - _ �..:. . � .. ... ... ........ . . ; . -----•-�-- , , !i��i•';`�:.�:ONSF.--:---.--... .. FIREDEPT. FINAL � �_._..-- . .. ... . . . . ... ... .. .:.: . ,,, . +;E��:I•"_�_tiEAT1NG______ _ __ __ _ HEALTH DEPT. FINAL ' ; . - -- --- - ;;•':•���•_cLECTR{fr---�- �- -- - - - DEV. FEES PAID ' i. "`,._ PLUh18iNG— -- - ------- . . � _ . . . . .._ E�lERGY � � . ..-- _ � _.. .. ...... ....... .. . ... ... ... . . � _ ; . � 1 ...._ _. . ...._. .--- , .,. � � r7�^„�+^".f�.'�� .. `� .. .... . . -• -- --- ---- -� - --- -- - - - -- - as �� -' . :�. :..i C�� f _ iCl . . . � .. �f .._-_. --- .----. ...__. ...... _ . _.._ .._.. � . _ :`� `��.__:J�:: `\,�' _'_. - jv- _ :,� CC`• r' • ' � �\`, n�~�..i �.�x_J• ^'- � • �t '1 �I �� �.�i ;; , �`f` - � � :�uc��iMENTS - -.._ _. . . . �v,;�,�,1��-1 • ; , �;; , . �' ` . , . , , : � ; . .._. ... . . -- ... ..__ . � ; �..1 , �._._.-_ _. . _.. _ ; ,. , __ , , ; ( „ � �..;;,, ) , , f�i . -, - I . _ _ . }ir: '� :-;�':i� ,. ; � � _ ._ _.... . . . _ . . . _.._ � j . . i ��C� �I`!�)—L�( � � _ � . � . : : . . � . . . � ' � I��-� ��� -- -.. . "... - �_.% ' �-.� , . .. .. ' ; . i - - - � -- - - - ' � - � - 1.,�..��1�:.'. - ..��� � 1 C;=—a' . _ I . � �'•1 \) �� � 1 _ __ - - � jSEPTfCTANKSI�+�-.. _ . . , • , '.. .. ' ; ,.. 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