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HomeMy WebLinkAbout15194 (8) � CITY OF DIAMOND BAR � � --- --- DEPART�IGIENT OF COMMUNITY&.DEVELOPMENT SERVICES _ � 21660 E.Copley Drive Suite 190 (909)86Q3195 Fax(909)861-3117 PRE$$ - �'*" BUQ.DING PERMTl'APPLICATION ' � FIRMLY � JOBSITE ,.r� APPLICATION�9 �i PERMIT L P/C a ADDRESS � ��o�. �J �L7)� !/'Yl7 P h / . DATE '/'J'�ff0 NUMBER�k � ISSUE a TYPE OCC APN LOT TRACT DATE �^�"d CONST. GROUP � OWNER • S � ADDRESS �- �"� v vr ZONING SETBACKS � CITY QZIP TEL R�R RW � APPUCANT c- TEL /d'"7U3�Y � SIDFJSIDE STREET FiW ❑ CONTAACTOR `�L� CO/ SIDE ❑ � ADDRESS ' � PROPOSED USE - S U� G o- If-h l�" crF ,Ita� r CITY �O i'1 /Y�(/i#� ZIP�/1(:_ TEL� � -- -_�Y__ A ss,�s� I�s�► � ARChVENG/ • ��(.^�jaly�tj --. ` . DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES �„_BEDROOMS � CfTY ZIP TEL. N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECIARATION SFWADD/REM O p 1 HEREBY AFFlRY U/DER PENALTY OF VERAIRY THAT I AA�El(EMPT FROM THE CONTMCTOHS LI• Gef9Q6/Cefp011 W CENSEUIWFORTHEFOLLOM'INOREASON(SEC.7071.68USWESSONDPROFESSIONSCOOE:ANYUTYOR (n � COIARYWHd/REOUIRESAGEPFIRTOCMISTRUCT.ALIER,IMPROVE,DEMOLISH,ORHEPAIRANYSTFIK• W PefiWDBLk - � TURE,M1qR TO RS 69UANCE,ALSO REWIRES 7HE APDLIGIM FOR SUCH PEN.�IT TO FILE A SIONED w 5TA7FMENT TNAT HE OR&1E IS LICENSED PURSUANT TO 771E PROYISIONS OF THE CONTMCTORS U- � � CENSE UW(qUPTER Y(COMMENdNO WIiH SECi1QV 7000)OF DINSpN�OF THE BUSINESS AND FRb � PooVSpa -` FESSqNS CODE7 OR TMATME OR SME IS E%EMPT T1IEREF110M AND TME BA315 FOfI THE AILE(3ED EXEMP- TqN.ANYVIOURIONOFSECTION7W1.6BYANYMPLIGWTFORAPERMRSU&IECTSTNEM7LIGW7T0 Z Re-Roof � ACMLPENAL7YOFNOT►IOHE7/UNFIVEHUNDRED�OLLARS�f500).1: � OL��EROFTHEPROPERTV.d1L1YEMPlDYEESMATNWAGESASMEIRSOLECOIAFENSAiION.' 0 �mmerc(ul - WILL DO THE WORIC,Mq iHE STRUCTURE IS NOT IMENDED OR OFiEREO iOR SALE(SEC.7oa/,BUSI- J , NESS N1D PROFESSIOHS COOE iME CONiMCTORS LICENSf LAW ODES NOT APP�V TO AN OWNER Oi � , � , _ � PROPERTYYhiOBUIDSORMPROVESiHER[ON,ANDWFiODOESSUCHVAi1KHIMSELiORHERSE�FOR '' � T1IROUONMISOfiHEFOWNEMPIOYEE5,VN0'V�DmiHAT5Up11MDROVEMENTSMENOTIHTENOEDOR m OFFERmiORSALEIF,IIONEVERTMEBUIlMNOORIMPROVEMINLISSIXD WfTHNONEYFAiiOFCOMPLE- 'TION.TME ONMEF4BURDER YALL MAVE THE BURDEN OF VROVWO THAT HE OFI 6HE D�D NOT BURD DR � MVROVE FORTHE PURP0.5E OF SALE� �y,� 04�4�M'NEROFTHEVROPER7Y,Al1EXC�USNELY[DNTMCTINOWRHLKENSEDCOHTRACTORS (� TO CONSTiiUCi7ME VROJECT(SEC.7oN,BUSINE53 MIO iROFE55lONS GODE:TNE CON7RACTORS L4 V01U01I0f1 �'� AD.I.AFlEA 4+,� CEfiSEUwOOESNOTMPIVTOMlOriNEROFAPROPERTVMMOBURD50HMPROVESiMEitEON,NJD Z NRpWNTMCTSFORSUCHiRQIECTSYAiM1100NTMCfOR(S�LICENSEDPURSUANTTOTHECONTRA4 pUANTITY DESCRIPTION FEE � 70fi5 LJCENSE UW.�. . . ,. . . D I IUI EXEYP7 UNDEN SEC. B.i V.C.FON THIS REA50N U ���• � F I WTE OWNER V . � UCENSED CONTRACTORS DECLARATION —� � w I NEF�BY RA1 UNOER PEWLLTY OF PERAIRY TNAT IAM tICENSED UNOEH PPAVISIONS OF CHMTER � _ s a�CO►wE WqWITNSECT10NtD0o)OFDMSION�OFTHEBUSINESSANDGROFESSIONSCODE,AND Z X M'UCEN E IS N FUl LOHCE AND EiFECL � LLl o cuss uc.No. S ,� � � �� �f"1"?�—4Ci eoarrancro ^ � = WOiiKERS'COMPENSATION DECLARATION � U N IMEREBYIIFFIRMUNDERPEW�LTYOFiEfWRYONEOFTMEiOILOWINGDECLARA1qN5: Z $ O , �_� � _IHAVEANDMALL►4UNTAINACERTIFlCATEOFCONSENTTO6ELFaNSUREFORWORKERS' � ' , � I ' � . � t CdAPENSATKKJ,ASPFiOVD[OBYSECTION�7ooOFTHEUBORCODE,F00.THEDERFOMIANCE W Of THE WORK iOFi WM1G1 THIS GERMIT IS ISSUEO. .� ,. 11 .. l .I LJ � �IMAVEANDINLL►WN7APIYJON(ERS'COYPENSATIONINSURANCE,ASREOUIREDBYSECTION , ` 'JR� , + � //`1,�� Q0 oDOFTHELAUGHCODE.FORTIEPERFORMANCEOF111EWORKiORWHICHTHISPERIARIS • � `` ' . . _ �j � (� / � VED.IdYWORKERS'GOMPENSATIONWSURM�ICECARRiERANDPOUGYNUMeGRARE • f . .CONSTRUCTION ^ � �[ � w��Pl C.C hf1 �./�)� � PLAfJ REVIEW - Z cYNUMeER �//G rI" ������ ELECTRIC , � + . ' . d 0 ! (RCSEci10NNE�'qiOEad.nlE'tEDOFnEPE�sATsronOe�Itl�DiiED0a1N+SR+m10RtES5). PLUMBING Z ICERi1FYTHATNTHEiERFIXiM/JICEOFTMENON(FORWMICM7Mi5PERMITI5155U£D,I MECHANICAL C7 � SFULLNOTEMPLOYAMYPERSONNANYAUWNER50ASTOBECOMESUBJECTTDTHE ' � WORICERS'COMPENSATIONUWSOfCALIFORNItiANUAGREETHATIFISHOIADBECOME - INSPECTIONFEE 6UB.lECTTO THE WORKEi15'COM7ENSATION VRONSIONS OF SECTqN�700�F 7ME IABOR D -C7OOE1,ISHALLFORTHVATHGOMPLYWIT11h1056Pi1DN910N3.,J �SSUANCE /—��— p DATE:/^✓_�G APRICAN7:�L'I��� /'7 �11�I G�� $MIP ' 1/(/�/ � WAqNINO:FMLilEMSECUREWOiLCERS'COAIPENSATIONCOVEMOEISUNLAWFlA./iNDSH.LLLBE ENERGYP/C � SU&IECTAN EMPLOYER TO CRIGINAL PENAlTIES AND CNIL FINES UP TOONE MLNDRED TIKKISAND ENERGY PERMIT D011AAS(f too,000l.��DITION TO iME COST OF COMPENSATqN,OMIACES AS PPOVIDED FOR IN ¢ SECTI�Ni70lOFTMEUBOFiCODE,INTEREST,ANDATfORNEY'SiEES. RETENTIONFEE: nW,. . CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � IHEREBYAFFIHMUNOERPENALTYOFPERRIRYTMATTMEREISACONSTRUCTIONLENDINOAGENCY Z fOR TME PERW RMANCE OF THE WORK FOF NM111p1 iHiS 7ERMR IS ISSUED�SEG JOi7,qV.G). W � LENOERT NNAE ' �S LENOERSADDHESS '— IAOREE OCOMPLVWITIAl1TMpTYM1D�WUN�YORDNANCE5M105TA�T UWSRELATWG OBUIlDNO TOTAL FEES • � � CONS7WCTION.ANDHERfeVAUiMOR¢EHEPRESENTATNESOFTFUSCOUNTYTOEMERUPONTHE � � � S� ABOVEUENTIONED VR07ERTY iOf11N5PECT10N WRVOSES. COMMENTS � A-(�L ll l�l �C.s�.r �+.C.! / m iERMRTEENMAE RI N ��"r'�72� G���.�e y SIGNATURE OF PE iTTEE OATE � RECPI:N0. PAID BY VA[JDATION WHITE--0epartmant Copy,YELLOW—Fhen�a Copy.PINK—Asaessor Copy,GOLDENRO�File Copy,GREEN�Apdicant's Copy . • . . . ..M..s ,s .. �• � ' . ... " ..r .. ... . . . ..�.. .. t ' �- . r . � . . �� . ... . .Y' • • 'u . � ' a � _ CITY OF DIAll70ND,BAR ; . ,. . . ;; . _ . `� i �' ."� �:.:1=�'I^:INSPECTION'RECORD : . 1 ' � .. � •�:,- .-- � _.., , _ •;. • , • • . .��..',' ����A�.�, ;�°.r.�`j�3 ,..`� ►��.��'�� '.���-��,��1����1i��� ��il�:'-�1"�� �.rl�� r1�������R� � .r - - - -- - --..- ...� . ....___.. .. . ..___ iSET BACK , _'�,�� -� �;. ,,, ; ., ;FLOOR JOIST.. t �, �• �- � , �_... . ,,. . . . ;FTGS/FORP�75/STE�L' - .. ..`. --..,_•; -:_; ' FHA REQMTS '.• ,�_ . , `� - ----'• - • • EELECTRIC GROUNQ._ __ _-- .�:,'.'�::- - -- ""-_ ':_ � �... UNDER FLOOR DUCT -- � . ' ' �. GROUND PLUMBING -� � UNDER FLOOR Gd�IDUIT. � �:.'�'.t^' _ '� �:.'�; � = " ISLAB GRADE—--- ';` - ------ -- - - - " ' FIREPLACE FOUNDATION -,_►�„�i i, i�•� .,r�.; (�1 �, -� � iTEMP POWER-- -�.,, -- - - - , .,-r-:. :: ' FIREPL`ACE`80ND BEAM ' ,' �� ,::•.� ��: .:�� � �'- ,. . ' � 4WATEA SERVICE ----- - - - - - -- - -- -- • �-� MIDiHT.BOND BEAM -� s• •.•:` � � __i, , • . ;F300FSHEATFiING•,�l - -a"'� � _ . }i 8 F7. BOND B�AM- �, �, � .�,. � ' � �,__ ._. ��_.�� . ;FRAMINGNENTILIATION 'j � ad ' ` � FINAL�BOND�EAM .:� :.� �,3 � � ��' ' rROOFCOVER ;�.' , . ��. !' PRE-GRADING ---- -- -------- - - -; '.�~ -- - - --- - - . . , ,'ROUGH HEATING� - -- - -� - '•_ -- - --- - 'BENCHING - - - - - .. , ; iROUGH'ELECTRIC ' �,. :, ... , , a : ,' '''�' ' '.ROUGN GRADING---- - - ---- -- - --- -- -- ----� : '.ROUGH PLUMBING -' - - ------- '------- - - -- '- - FINISH GAADING ' �SHOWER/TUB TEST-', - -- - - - � POOL ELECTRIC ' � � FEXl'.I.ATH/SIDING---=- � ' - - POOL FENCING , I : WALL tNSULE1TiON - -- - --- --- -- - - - �-- - POOL FINAL � ' ;CEILING ItdSULATiON; - --- -- " - ; - --- - OFF SITE IMPS, ,.', , .: ,, ;,, � � �_{ �DRYUVA�L NAILWG ; � �, -;�'�'�C�. DEDICATIONS ; �, ���._ '.SEWER - ------ - - � FINAL ENG. ! ; ISEPTIC TANK I IANOSCAPE/IRRIG:'' - � .' SEEP_PiT/LL.__. . ... •. -:''�.•�; .ON SITE IMPS. � - ��. �GAS AIR TEST ; � � • FINAL'ZONING ' ' i . !F1CJ6l.CONST._: _______ .� =�� _FIRE DEPT. FINAL � _ _ _ . __ - -, � • . � - - - - - . � IF��;A.L.HEATlNG __ .-- -.- -_- _-.._. -- � _ � _ HEALTH DEPT. FINAL � .: I�lfi!.",L ELECTRIG- --- - -- - - - � DEV. FEES PAID - --- - - - -- --! " ------- _ . � ��=`�,n.L-PLl1MBtNG - - -- - --- -- - - -- , - EtJERGY . '�' ..- - , � �- - f--- _ - - _ -- . `��-=-- ----- . . - ' ���� ' — �. - - �i.:�:L'�"'�E'. { C-1• � � � -' - - -_ _ - .----—-----�---. -- -_ -_ � , . . � . — �- - - �COMMENTS __ _ ` � _i� ��'� ,;..� , � �1`1 � . ` � � - - �� � . .� • ; , . ,. , ; --'�I����7} - - �- ��cr'�'��;'' Stt�4 - . - - � ! - �-----! --- �' ' '�' `` - � � . , . 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