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HomeMy WebLinkAbout14027 �� CITY OF DIAMOND BAR ' � i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 - . � (909)860-3195 Fea(909)861-3117 � PRESS 'ti�� . BUQ.DING PERMIT APPLICATION • FIRMLY N JOBSITE ) �i� '/�. APPLICATION /I PERMIT' �� P/C o ADDRES � �' DATE 9� ��1�� NUMBER # c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER O G . " ADDRESS o � � ZONING SETBACKS 0 � CITY MJeI w u4• ZIP TEL� R�R AW � APPLICANT TEL. SIDE/SIDE STREET RW � � CONTAACTOR � � SIDE ❑ g ADDRESS � � PROPOSED USE ' � -� '��� � CITY � ZIP T � - o ARC G/ • � DESIGNER NO.DWEL NO. NO. AD�AESS UNITS STORIES BEDfl00MS � CITY ZIP TEL N DESCRIPTION SQ.FT. FACTOR PSF 'ADJ.AREANALUATION � � OWNER•BUILDER DECLARATION SFRlADD1REM O p 1 MEREBY AFFiRM U1DER PEWLLTY OF PERIURY THnT 1 AM EXEMPT iROM TH[WNiMCTOqS LI- Gaf8Q0/C81p0II lL GENSEIAWFORiHEiOLLOriINOREll5d1(SEC.70]7.5BVSINESSANOPROFES410NSC00[:ANYGTYOR (J� � COIXlTYNf�QIREOUIHESAVEFlA1RiOGUNSTRUCi,1LLTER�N7RO�E.00IAOLJSM,ORREPAIflM1YS7RUL•� W Patio/Dack NRE FRqR TO RS 65UANCE,/LSO REWiRES TME AVPUGNT fOR SUCH PERAIIT TO FIIE A SIGNCD w � STATEYENT THAT HE OR SHE lS LICENSED VURSUANT N THE PRONSIONS OF TN[CDNTMCTORS LI� � CENSE UW(CHMiER 0(COMMEHdNa WITH SECTqN 7000)OF�M510N 7 OF THE BUS:NESS�ND PRO- u- PooUSpa FESSi0N5 COOE)OR 1}1AT ME OH SHE IS EXEA�PT THfRFFRdA AND TME B.1S15 FOR THE ILLLfGEJ ExE1AP- TqN.ANYV�OIATIDNOf5ECT10NTW1.6BYANYAPPLICM�TFORAVEiWITSUBJECTSTHEAPPLIGNTTO Z Re�Roof � !1 CML YENAL7Y OF NOT MOHE i/uN FIYE HUNORED DOLLARS(fso0).1: � OL��M�IEROFTHE�f1DPENTY.OHYYEMVLOYEESWITMWAGE5A5iHEIRSOLECOMiEN5AT10f7, 0 �mmerc'ai - YALL DO iHE MIOfiK.MPJ THE STRUCTURE IS NOT IHTENOED Ofi OFFERED fOR S1�LE(SEC.70N,BU54 J NE59111A PROiE5510N3 O�OE TME CONfMCTOftS LICENSE UW OOES NOT MPLY TO/W OWNER OF � Vi10PER7Y1NqBULD50R11JPiqVE5711EREOH.ANDN91000E55UC11YpRNHIuSCLFORNERSELFOR � Q 7YYqUGHNISORHEHOVlNEMPLOYEES,PRPlIDEDTUTSUCNMopOVEMfNTSARENOTMENOEDOR m � ,OFFEqEDFOFSKEIF,iqN1EVER7MEBULDV1aORWPFIOVEMEMI550LDN7THINONEYFMOFCOMRE- Z T10N,TTIE OwNEM1BUILDER YALL FNVE TME BUFDEN OF VHOVINO iHA7 HE OR SHE DID NOT BUIID Oii = MPROVE FOH TNE RIHPOSE OF SIU.E} W OI/SO�MNLROFTHEPROPC17fY,AlAE7(4USNELYCONTMCiWUM'RHLICEN=EDCOHTMCTORS � TO fDNSTRUCT i1/E VR�IECi(SEG JOat.BUSiNESS AND i110FE5510NS GODE:THE CANTMCTORS ll- VBIIJ�IiOR ADJ.AREA CENSE LAW DOES NOT APPIY TO hN OVMER OF A DROPERTY NR10 EUlDS OR 0.1PROVES THCREON.M!D � YAqGONTMCTSFORSUpIPHOJECTSWRHACONTMCTOR�S�UCENSEDVURSUAMTOTHECONTM6 QUMlTIN DESCRIPTION FEE � Tqi.L1GEH5ElAY/j. — J � O I AM EXEAIPT UNDEN SEG B.l i.G iOR THIS REASON Q 7/ 3 � Q � u' DATE 01M�EH �" ' �` w .: i fia .e ,c'` L) , : UCENSED CONTRACTORS DECLARATION W :' � ; ' ;' ¢ IHEREBYAFflNM1UNDERVENALTYDFPERIUfi7TNATIMILICENSEDUN�ERVNOYiSiONSOFCMAPTER Vr �,' , � f(COMMENCNO YAiH SECTqN io007 OF OMSION 7 OF THE BUSINE55 A40 PROFESSIONS CO'J[,AND Z X W LICENSE IS W FULL fORCE AND EFFECL m \` lL / 0 LICENSE CUS$ �/� I� IIC.NO.��� • J �jDATE Q/_ '2 CONTMCTOH�� W ' �y 79 �a � K'ORKERS'COMPENSATION DECLARATION a � �i�1/ U � IHEIIEBYIIFFlWAWDERGEW4.TYOFGERtt1R`/ONEOFTHEFOLL05YiN6DECWiA710N5 y Z � _IMAVEANDVnll4ANiAINACEiiTIFICATEOFCaNSENTTOSELF•INSUREFORWO KERS' S � � � MYVENSATtON,ASPRONOEOBV5ECT10H7)ooOFTNEUBOAC00E,FORiMEVERFORUANCE W OF THE YlORIf FOR WNICH TMIS PERMIT IS ISSVED. � � _I HAVE M�O WILL►WMAN MIORKERS'C�IPENSATION INSUMNCE.AS HEOUIRED BY SECTqN QQ iToo pF iHE LABOR COOE,Po117HE OERFOHIA�WCE OF THE WOP.K FOR WMICH iHIS VERURIS � ISSUm.WVAHKEAS'COMVENSATIONINSUiW10ECARRIERMlDPOLICYNUTAOER�RE: CONSTRUCTION ] WRfG[R PLAN REVIEW = roucrriuuecn ELECTRIC � Q d 0 �ss�cnorrn�r�oteE�t[opFntt�[ai.rts�nor+[�•nrottuisR'oo>rnl[u1 PLUMBING Z ICERTIFYTHATHTHEPEfiFOR1AANCEOFTNEWORKFORWNICMTM15PEWAiTI5155UED,1 MECHANICAL (' SWLLLNOTEAIPLOYANYPFRSONNANYMANtiER50115TOBECOM[SUB1ECfT07NE Vj WORKERS'CO�APENSATIONUWSOFGLIFOPNIl�ANOAGREEiHATIFISN0ULD8ECOME INSPECTIONFEE ry _ Jn S SUBJEGiTOTMEMIqi10EF5'C01AVEN5ATIDNVROVIi�ON50FSECT10N�7000F�MElABOR ISSUANCE -�+ ��• /� I SHALL fOic:lNn7H OOMPLY N7iHJTF10,5E P`ilOV15q/NS , �- p �ATE:�� _ APRICANT: _J!I�J�JIj,�1_ SMIP .. � � � ' "� ENERGY P/C WARNiNO.F/JLURE os�REN'OPo(ENSCOr.�PENSATqNGOVEMGEISUNUwFUL,JlN0511ALLBE � SUOJECT/NEMPLOYCH�OCPoYwA1.VENALTIESAN�CMLFNESUPTOONEMVNDR[DTHOUSAND ENERGYPEFlMIT JJ 00.1Af15�f 100,000),N/�DD1710N TO iHE COST Of COMVEN5A7qN,DAlAAGES AS PROVIDED FOR IN � SECTION770lDfT11ELA00RCODE.INTEREST,INDATTOfW[YSFEES. RETENTIONFEE: _c�'�e=�����'���;•��..n�LF? oCONSTRUCTIONLENOINGAGENCY PRE-AITFEE: ��j��������tiTj�o�"=�'�'; � IHERCBVAiFU111UHDERVENALTYOFPCRM1IRYTHATTNERE611CON5TFUCTIONLENDiNOI�GENCY ZZ FOR THE PERFORMANCE OF iME WORK FOR NR1'Q1 TMIS VERMIT IS ISSUED(SEG 7oD�,CIV.C). $ lEN0ER5NMIE � f � IENDEfY5l1DORE55 WICEqTIFViNAiIHAVEREADIHISAVPLICATIONIWDSTATE7M�TT/EABOVEINiORMATIDNISWFRECL TOTAL FEES � IACREETOCW�PLYMn7HALLCrtYAN�C0IMTYORDINANCESANDSTATEUMFREUTNOTOBUILDIN6 CONSTRUCTION,AND MCHEBv Mff�qRIZE REVRESENTATIVES OF iH15 COUNTV TO EMEH UPoN THE . Z ABOVE�MEMIONEDP110PEflTYFORINSPECiIONPURPO5E5. COMMENTS O J � � m VERMRTEEN (VRINn � Q pQ /� t (n � �„f �. L _ 1 / _ � SIC uP OF ERA/l E DATE / �j���� � RECPT.NO. PAID BY VALIDATION WHITE—Depertment Copy.YELLOW—Finance Copy.PINK—Aeseseor Copy.GOLDENROD—File Copy.GREEN—AppicanTs Copy , . , . , . . .. . , . . � . ..� . . ' ..� .. .� . ,- •.i• .... , , ir1..,..•., , � .o. . � .� � .. -.. .., , . �. , . . ., � . � j' , / ; �- CITY OF DIAMOND�BAR . ,. ' : �\ • ---��. i . . , -.. 1NSPECTlON�REC4RD .�� .:�. . .�� T � '. , ' . ... .. ... , , , � '�.IR�.�-�����;�j�.�'� ����1�.=� �l � � �� �lir.�-�.:a�a�l�l��.a�~ :��e �� � i ►� ��i?�'�' �F �. � .� .�. . .,� � �..��t� � �- I' r� 'SETBACK ., j:l•. �� j � � FLOORJOIST .�. `� �,,���. _. �-ww• . !FTGS/�'OR��1S/STEEL.. . � ,.. . „ ', ; � - �FNA REQti1TS ::. .. . . _.. '. . _ _.. .�` '� :._. �_. ELECTRIC GROUND ._ . _ . UNDER FLOOR DUCT-– � V i ;, �� � -.- _ iGR�UND PLUNIBING UNDER FLOOR CUi�IDUIT - `� ` `�` � `. `SLAB GRADE..._ .. _ '• . . . FIREF` , �� � �-�� N +��..��"`���: _ � – – • � • �S_ �5:�{1P ,�!.k�•{�� �.;.. _...,— �TEDAP POWER �. � �- FIREPLACE BOND BEAP�1 � � ` `WATER SERVICE _ . .. _ . _ ,... .. '= MID HL BOND BEAM r � ; ; '• �� 1: I i•'. �; {-; ,r ;: - .. .�.-, ; : ROOFSHEATHING �• . ; � 8 FT � BEA4R , : l �� �.,..;. . . , .� . < ; -. •. . . . .. � . . . IFRAP,9INGNENTIL'IATION -� � FINAL'�Ot D BEAM� � ' ' �� � ' � - "' ="! `� ' . . ;ROOF COVER .' ' PRE-GRADING � �- - - ' _ _ _... . , ;ROUGH HEATING -� - - BENCHING � ;., ; �- 'ROUGH ELECTRIC_. _- : ; �: : :. ROUGH GRADING - -- - _ _ . . - - i ROUGH PI.UMBING � �. - •• FINISH GRADING ! 'SHOWERfTUB TEST '�- - � - - - •. = POOL'ELECTRIC � 'EXT.LATHlSIDING -_ POOL FENCING ' . ' ;WALL INSULATION -. - - -- - POOL'FINAL . '.CEILiNG li•JSU[:ATIOiJ - " - " OFF S17E IMPS. • . 'DFiYI,'ti�AIL NAILING -- DEDICATIONS - SE1"JER - FINAL ENG. �SEPTICTANK LANDSCAPE/IRRIG. � �SEEP PIT/LL.. ON SITE IMPS. �GnS F:IR TEST . FINALZONING -. " � - ..__ `.`•` ,� �.FIP•;t,�.C;OhdST,-�1'i:���ti� l'1 ti�'.: �.��;� ,�''�, FIRE DEPT.FINAL , ; . 'FI;�:�.�HEATING•��r•1�i�� ;:� ii iZ'%`� ° t.�t \ HEALTH DEPT. 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