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HomeMy WebLinkAbout15413 (29) ..•a� �� �G . � . /�\ - J,� CITY OF DIAMOND BAR L(�'� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��� �; 216b0 E.Copley Drive Sirite 190 � ' (409)860-3195 Fax(909)861-3117 PRE$S '„"� BUILDING PERMTP APPLICATION FIRMLY � JOBSffE APPLICATION � � � �JD PERMIT C I�P� o AODRESS � .S� �C� - t7C, DATE NUMBER It $ ISSUE TYPE OCC APN LOT TRACT DA7E CONST. GROUP � OWNER t � E 55 �/L p ADDRESS c .. ZONING SEfBACKS � CITY, ' � ZIP�,L TEL!7��'1 -31 L•/•�.�5�9 FRONT RW ❑ APPUCANT TE�, REAR ❑ � SIDFJSIOE STAEEf RW ❑ CONTRACI'OR SIDE ❑ ADDRESS � CITY ZIP TEL PROPOSED USE � ARCWENG/ • : DESIGNER NO.DWEL NO. ADDRESS UNITS STORIES BEOROOMS a CITY ZIP TEL � rn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AqEANAIUATION p� OWNER-BUILDER DECLAFlATION SFR/ADD/AEM O p I NEREBY AFFlPY UNOEq VENALTV OF►EiWRV 1NAT I MA E%EMPT iROAI THE CONTiU.C70RS l4 Garepe/Cerport LLJ C@lSEUWFOR7HEFOl1qMt!(iREA,AN(SEG70.11.68USINESS/JlDPi10FE55qNSCOOE:IWYCtTYOR (/) Sa COUMTYYMIGIREOUWE9AiEPMRMDON5T1iUCi,/�LTERMPR01lEDEMOIJSH,ORREPAIRANYS7RUG w LL� TURE,PRqR Tp R9 IS5UANGE,ILSq REqlIRES TNE AP�ICANT Fpq SUCH PERMR TO FlLE A SIGNED . W Patlo/peck .�, BTATEMEM TNA7 HE OH SHE IS LICENSED PURSUANT TO iHE PROVISIONS OF THE CONTMC70RS LF � � CEIlSE UW(CFUIPTER Y(CUMMENCPIO MiH SECiION 7000)OF�IVISION]OF TNE BVSINESS/WD PRO- POOVSPd FEBSIONSCOOE)ORTlUTHEORSHEISEXEMPTiMEREFRdA/NOTMEBASISFOfiTHEN1E0WEXEMP• (� 710N.ANVVIOlA710NOFSECTI0NT0�1.6BVANYADVLK'.ANTFORAVERMITSUBJECTSTHEMPLICANTM Z Re-Roof � ACMI.PENKTYOFNOTAqRETlNNi'NEHLNOREDDOIWiSpsoo)J: � ❑�ASOMMEROFTHEOqOPFRTY,ORMYEMD�OVEE3YAiHWAOESAST11Elq$OLECOMPENSAipN, CpmmBfClal . � � MALL DD THE WONIC ANO THE STRUCTURE IS NOT INTENOED OR OFFEREU FOR SALE(SEG 701�,&154 OJ � I�SS AIO PHOFESSIONS CODE:T1F CONiMCTOR3 LICENSE UW DOES NOT APPLV TO AN OWNER OF j VROPEATY IMq BU�DS OR MPROVES THEREON.IWO YMO OOES SUp1 NCMK MIYSELF ON MERSEIF Oq � 1/YIOUdIHISORHEflOMMEYVLOVEES,PibV10EDTHATSUC/1MPROVEMFNTSARENOTpliEN0E00i1 m OFFEA�fON SALEIF,110WEVERT/E BULl1 W6 OR I4VRDVE4Bli15 SOID WRHNI ONEYEMOF CdAPLE 'TION.THE OV/�iER6UqDER WItL HAVE 7HE BUHDEN OF PROVINO iHA7 HE OR SNE Dlp�qT BUIID Ofl YOROVE FORT/E Pl1PPO5E OF SALEL � O1�0"�NEROFTHEVROFEfrtY,AMIXQUSiVELYC�ONTMCTp10YrtMLICENSE�CtX1TIUCTOq3 70 WNSTRUCT THE PqO,IECT(SEG 1au,BUSMES9 AND VpOFE5S10N5 CODE iNE CONTMCTONS U- V21U81�On ADJ.ApEA C0/8E Uh'DOEE NOTAPPLY TO AN OVmER OF A VROPERTV WMO W LDS OR W PfqVES iMEREON.AND 1MNOCONTIUCTSiORSUGIDp61ECTSW(THACONTMCTORISjIICEN5E0PURSUAMTOlHECONiMG QUANTITY DESCRIPTION �E � TUYS LICENSE IAW.} .. ❑I�IA EXEMVT UTAER SEC B.l G.GFOR iH15 REASdJ Q � U LL" DA7E � � C V �OWNER .� /�''3�t G � � , � UCENSED CONTFACTORS DECLAAATION W .. . , , .� � � IHEREBVI�FLVY.IUNOEFPEN/LTYOFPENUMTNATIMILICENSEDUNDERPROVISIONSOFCHAPTER � � . � fICOMMENCYqWiTT15ECT10N7DW)OFOMSIONJOfTMEBUSME55AN�PROFE55lON5CA0E.M1U Z ' ' � � YJ ��NSE6WRA.LFORCEANDEFFECT. m 0 tICENSECUSS LIC.NO. � � � . ��uj DATE CONTiUCTOR 6J. = WORKERS'COMPENSATION DECLARATION Q � IHEREBYIIFFWAUNDERPENALTYOFiERIURYWEOFTHEFOLLOWiNGDECLAMTIONS:� Z , .. , . � �IHAVEANDYVILLI�IAINTAN�CERTIFlCATEOFCONSENTTOSELFJNSUREFORY�ORNEqS' _ ' � � � �� � COMPENSA710N.ASPROVI�EDBYSECTICN77ooOF7NEUBORW�EFORTHEGERWRM�NCE W Q OFTHEWORKFOi1NT11CHrii15iEPlAIT19155UE0. � � _IINYEANDWRLWMNNWORI(ERS'COMPENSATIOHINSUfUNCE,ASPEWIREDBYSECTIIXJ Q �7oo0fTMEU�BORCODE,FOiIiHEiERFONAdNCEOFTHEWORKFORWHICNTFUSPENMITIS � ISSUEO,A/YWORKEAS'COMPENSATIONINSUqAN�CARRIERA4DPOLICYNUMBERAAE: CONSTRUCTION � CMPoER PLAN qEVIEW � 701.1C'IMJMBER ELECTRIC � p (iF6bEcf1G+NE�rdi0E0oFPlE�IDafTEFERMisPoRonE14�L7nED0auit5�fioaontEsst PLUMBINp Z ICERTIFY7NATNTHEOERFORI.UNCEOF�YiEWORKFORWHICHTHISPEWd�T1$i55UE0,1 MECHANICAL (,�' SFL4LNOTEMPLOYANI'PERSGIINANYAI1WNEq50A3TO8ECOMESUBJECTTOiHE N VlOPoCER5COAIVENSATIONUw50FCAUFORNIA,MIDAGREETW.iIFISNOIIDBEC04E iNSPECTIONFEE S SUBJECTTOTHEWORKERS'WMPENSAT10N7ROYISIONSOFSECTqN77a00F1HEUBOR � CODF,I SFIILL FORT11N�iN COMPIY WITH TMOSE PROVISIONS. ISSUANCE � SMIP ' � � DATE: APpLICANT. WARNINO:FAIURE TOSECURE WDRKERS COMPENSATION COVERAGE IS UNUIWFUL,AND SNALLBE ENERGY P!C � SUBJECTANEMPLOYERTOCNMN�I.PEIULTIESANDCMLFNESUPTOONEMUNDREDTHOUSANO ENERGYPERMIT DOttARS(S1pD,000�N►�01710NTOTHE C0.5TOF�WIPENSATION,DAAUOESAS PROVIDED Fq11N � SECTION77oeOFTtELABORCO0E.PITEREST,ANDATTORNEY'SFEES. � RETENTIONFEE: OCON5TRUCTION IENDIN�AGENCY PRE-ALT FEE: C�ITV(1�T';A������i���A��_ � IHEREBVAFFIiIAIUNDERPENALTYOFPERAIitVTWITTHEREISACONSTRUCT10NlENDINOACENCY RiTtT t�rrrr_ A TT(�� Tll Zd FORTMEPENFORMANGEOFTHEWOPo(WRYV111p1THISVENA�TI51S5UE01SEG7097,CIKC� �I'S��fU��,TII�Z"�. W � LENOER'S NAME , C LENOER'SADORE55 W TOTAL FEES � y L'J b � ICERTIF'/THATIHINEREIIDTNISA7RIC/RIONAId75TATETH11TiHEABrJVENFOHIAATIONISCOPRECT. � IA6REETOCOMMYMAiNALLCRVANDCOUNTYORDVIANCE5AND6T�TEUWSREUTNUTOBUILDINO � CONSTRUCiION,NmNEHEBYAUTFIOWZENEVRESENTATNE50FTHI5CIXMlYTOEMERUPONTME �, e_ .�i� .��J ��/� ABOVE�FIEHTIONEDFROPFRttFORWSVECiiONPURPOSES. COMMENTS �v " � J ,�, 9 . �t'.G Lt����C.i iS �1 G/C- —` . � m aenumee �+n � � � 00 / � BIONA7URE0 VER1I`TTEE OA7 � � FECPT.NO. PAID BY VALIDATION WHITE—Depertment Copy.YELLOW—Fiufnce Copy,PINK—Aseeenor Copy.GOLDENROD—File Copy,GREEN—Applicant'a Copy r` . �.�:.�:..�,��,;`„ . �• t.��,. �.:r:�a ."...•���T.. . .. ',^ti�!' J^ , :'�/' `+� r � � �'4 .rP 'r ..� , • i ... .. .,. . . ,. .r,, . y s. �. �u�: . ,. . ...,. .r. . . . . + . ,� . �. •.,.:�. � _ .. : . .. . . .-' r' .. . . . . . . . . . , „ . . .i . :1: . . . . . - CITY OF DIAMOND BAR •Z . `.� ' ', IP�lSPECTiON FiECORQ - �'.���-����.1_�� t��- �. _� 1� '�_' �'��� Y� e '�= �i.i������G,;�����_�.,. � jSET BACK ^ � - . � + FLOOR JQIST ` � � y�f , . ;FTGS/FORM5ISTEEL - ' FHA REQMTS � � ' ' � � � � � ` ELECTRIC GROUND `��' � UNDER FLOOR DUCT - - - _� GROUND PLUP�IBING UNDEp FLOOR CUf�IDUIT , � � - � � �SLAB GRADE - — - - , FIREP �ACE'�FOUNDATION � . � � � • � � �TEMP POWER - • � � FIREPLACE BOND BEAM - iWATER SERVICE - MID HT. B�ND BEAM ' iROOF SNEATHING � 8 FT.BOND BEAM - tFRAMING/VENTILIATION - - FINAL BOND BEAM ' 'ROOFCOVER � � PRE-GRADING ' ROUGH HEATING � BENCHING � � iROUGH ELECTRIC . =�' ' ROUGH GRADING - ROUGH PLUMBING - FINISH GRADING `.SHOWER/TUB TEST - POOL'ELECTRIC � ;EXT.lATH/S�DING POOL`FENCING ,WALLfNSULATtON - POOL�FINAL ;CEIUNG INSULATION • - OFF SITE IMPS. - ;DRYWALL NAILING DEDICATIONS �SEINER FINAL'EPdG. ' ;SEPTIC TANK LANDSCAPE/IRRIG. � SEEP PIT/L.L. ON SITE IMPS. ;GAS AIR TEST 2� FINAL ZONING ;FI�JAL CONSL ' � . FIRE DEPT. FINAL : !FIhAL HE�TING _ _ d HEALTH pEPT. FWAL , • FI�JAL.ELEGTRIC 'y DEV. FEES PAID " � f=1^1lOL PLUh" IhdG - ENERGY _f�� t�� - � � ^ ; _.. _ _ � _ p '�"„" f �4r`e,�a �:: � ; ox�:�. f:�.. �a.�-�=r.w _...____._._ . _ ___ _ _ ._ __-- .. ._ .. COt��iMENTS -- _ `b�25� oo '�<� � - A-�J't.c S c �(ko�J B'�—��( , � , � _ r..., i, ��. i ... . . . .�;.k�'• • - . . ;SEPTiCTANKSI��F���v�,� � � � � SEEP PIT�:S�,L.�� .�.�::.;.� �:�;`f'!�1'-� , _ ��!`���itli�!� ''✓`ic�...: - �� a �o� . - _ `� _ — _.� � }�� � � . ��R , � 1 � i � . i � - . ' .........__._..'�......._.... ....._.� ' _��\ � -- —