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HomeMy WebLinkAbout11872 (5) . . J� CITY OF DIAMOND BAR � i DEPARTMENT OF COMMUNITY�DEVELOPMENT SERVICES Tc 216b0 E.Copley Ihive Suiu 190 ' (909)860-3195 Fax(909)861-3117 • • PRE$$ � ��'��'�� BUII.DINGPERMTI'APPLICATION � FIRMLY o ADD ESS,� . `1'�� C��4�Tf�� DATECATION_-- ' 'L � NUMBER '. Ib 7/M������ c� ISSUE TYPE � OCC � APN� LOT TRACT ' DATE ' CONST. GROUP � OWNER � p ADDRESS r � ZONING � SETBACKS� � CITY � ZIP TEL.' REAR `' . . .-' RW O APPLICANT � TEL.�' SI�E/SIOE STREET RW - ❑ � CONTRACTOR p �(l� . SIDE p � ADDRESS " CITY ZIP -TEL. PROPOSED USE o ARCFVENG/ • ' � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N cn , �'FACTOR PSF ADJ.AREANALUATION p� ONMER•BUILDER U�CLARATION SFWADDIREM � O � p I HEREBY AFFlWA IRAER PEWLLTY OF PERAIRY THAT I AA1 E%EMPT iROM THE COHTMCfORS U• ` ��• !Yi , ll� CENSEUWFOR7VIEFOLLOMIINOREASON(SEC.70.71.68USINESSANOVROFESSIONSCODE:ANYqNOR (n �..� COUNTYMMCNN�n�cSADEAMRTOCONSTAUCT,ALTERNPROVE.DEYOl191.ORREPNRANVSTRUC- W �L 7UFE,PRqR 70 RS ISSUMICE,AL50 i1EWIRES TME AVVLICANT FOR Sl'CH PFRMR 70 i1LE A SIGNED W PBIIOJD6Ck STA7FMOfT THAT HE OR SHE IS LIC[NSED PURSUN7T TD TMf PROVISIONS OF THE CONTMCiORG U- � CENSEUW(OUiTERY(f:dAMENdNOVA7H9ECf10N7000)OFDIVISqN70FT/1E8U5INE54A�Wifl0. u- PooVSpa � - - � . fE55qN5 COOE)OA 7TNT NE OR Si1E IS EXEMPT iMEREFROM M1D T1E BA515 FOR TT1E IiLLEOED E%EMP- TION.ANYVIOUITK]HOFSEGTIOH707f.66YANYAPPIICJWTFORAVERMITSUBJECTSi}1EMPUCJ1NT70 Z Re•Roo1 �'�.� � �.� A C7VIl PENALTY OF NOT MORE TW W FNE HUNDRED DOlURS(55001.} ' , A 04A+�NIEROFiHEP110PEH7Y.ONIAYEMGLOYEESWITHWAGESAiTNEIRSOLEC�MPENSATqN, O �mmercia� �� . t �' ,'•�',�; - , � � W1100 ME WOii1C AND THE STRUCRIRE IS NO7INTENDEO OR OFiEREO FOR SALE(SEG 7a�,BU56 J N NE66 AN[7 PROFES61ON5 CODE:iHE COffTMCTORS LICENSE UW DOES NOT 11PPLY TO AN OWNER OF' ? _ , ., , - ViIOPERTY WMO BUIlDS OR MPROVES T1EflEON,AND YAIO DOES SUpi WORN MIMSELF OR NERSEIF OR . � 7HiqUONHSORMEROwNEMPtOYEES.iROYDEDTHA75Ud11MVROVEMEMSMENO7NTENDEDOii m � OFFEAEOFOHSALEF�NOWEYERTHE&ADP100HMPpOVEMEMISSIXDWITMMONEYEl1ROFWMRE• . � 'TIOM.iHE OWMER2UIlDER VALL►UVE THE BURDEN OF VROVPq THAT HE OH SHE DID NOT BNID OR MG110VE FOi1THE PURFOSE OF SALE). � (y� ❑1�40WNEROFiHEVROPEi=T`/,AYEXCLUSIYElY00NTRACTNOWrtHIICENSEDCONTRACfORS � TO OONSTRIlCT iHE ORO.IEtt�SEC 7oa,,BUSINESS AND PROFESSIONS CODE iME CONiMCTOR9 LI- V31UeliOn - ADJ.AREA CENSEUWDOE YTOANONN[flOFAPROPERiVNR/OBUlD50HINPROVESTMEREON./WD � wno scons naecrs WNiMCTOfyS)UCENSEDPURSUANT70THECOHTMP QUANTITY UESCRIPTION -. FEE � ipns euw.F . . . _` ` . ` _ . �\ 1 AI.1 EXE ER EG B,t P.G FOR 5 REASON Q '�\�� U LL ¢ t7 P � c.�� . Z OAiE owNER V F LICENSED CONTRACTORS DECLARATION W � IMERE9Y/�FFV1MlH�E/iPFNAITYOfPE0.R1HYiNAT1AA1lICENSEDUN'J[RPROVISqN50FCHAPiER � Z � � I�1 . � f(QO�EHCYqWITMSECT10N7000)OFDMSIONJOFTl1EBUSINESSMlDVROFE5510NSCODE.AND �j� W UCENSE 6 N FUl iORCE AND EFFECT. � � l �.. G 0 LICENSECLASS LIC.NO. � � , � pL�� � a ��u DATE CONTMCTOR a �ti� -= WORKERS'COMPENSATION OECUIRATION � Q N ' � INEREBYIIFFIRUUNpERGEWLLTYOFiERA1RYONEOfTMEF011A1MNa0ECUMTpNS: Z , �. � _ _� O �IXAVEANDNALLMA1NiANACERTIFlCATEOFCON5EN7TOSELFJNSUFEFONWORNERS' _ � `. ' �_� + ' ' ' , ' '�d- CpAPENSATION,ASPROVIDEDBYSEC710N7MOOFTNELADORCODE,FORhtEPENFORUANCE U ' � _ OFTHEWOHKFORMh11G1TH19PEflMITISI55UED. � .._J'�-' •1 � ,�\ . ` ...'���. ,��,) ' 0 �I NAVE AND YNLL►�AINTAN WOPo(ER9'Cdd7ENSATION MSURANCE,AS REOUIRED BY SECiION � �/`� � � Q J70o OF T1E LABOR COOE,FOH THE PERFORMANGE OF 7HE WORK FORNn1ICH TMiS PERMrt IS ISSUED.M'/MORKERS'GqAPEN5AT10NW5UFWKECARRiERANDPOLICYNUMBERARE: CONSTRUCTION �� � � CARRIER � I W � � POIICYNUMBER ELECTRIC � � 0 (TwsSECroNN�w78EaoAl�EtEDOFTLFEPMi6tY7Ra�E1t![%1mDat/ASK+�%ORLESS). PLUMDING Z •,n' , Z 1 CFRTIFY TMAT N iHE PERFORMNJCE OF THE WORK FOR WHlpl iH15 PERMITIS ISSUE�,I MECHANICAL •���v y (ry SMALL NOT EMPLOY ANY VERSON N M!Y MANNER SO�l5 TO BECOME SUBJECT TO THE y WORKERS'CdJ�ENSATIONUN50FG1lIFORNII�AN�JAGREE7HATIFISHOUlD9ECOME INSPECTIONFEE � I�IIQ^IIIlg� S � SUBJECTTOhIEWOi7KER5'COAIPENSATqNCROVI510NSOF5ECTqN�70o0i7MELPDOF coo¢,i sN�u Foannnn�cour�r vnn�n�osE oraowsar+s. ISSUANCE TC�•7/� T T i� • - � p DATE: APPLICANT: SMIP ��,�.� � .!:/.t. w ENERGY P/C ' '—''" �' " - �= � WAiVANafARURETOSECURENORKERS'COMPENSA710NCOVEqAGE15UNUwFUI.dNDSWLLLBE I ' � • . . � O � �"y SU&IECiANEMPLOYENTOCRIAIINALPENALTES/WDCMLiNESUP700r+ENUNDREDTIOUSAND ENERGYPERMIT ' OOUARS(S f 0U.0001.H ADDITON TO TME COST OF WYPENSATqN,DN.uCES AS PFOVIDED FOR W J�C SECTIDN 770!OFTHE LABOR OOOE,NTERES7,AND A7i0RNEY5 FEES. RETENTION FEE: ' �� nW., � CONSTRUCTION LENDING AGENCY PHE-ALT FEE: O � . � INEREBYAFFlRMUNDEflVENALi70FVERIURITNATTIEREISACONSTHUCTIONIENDWGAOENCY ��dZ' FOR T1E VERFOHMANCE OF iHE WOHK FOR WNIp1 iMIS PERMIT I5155UCD�5EC.1oV1,CIY.C.} W � . �� LETIDERS NM�E , . . . � LENDfR'SADDHESS � � ¢ �ICERTIFYTMATIIUVEREADTIISAPPIICATqNMAS � VEYJFOPAIATIONISCORREGT. TOTAL FEES � " � d I1lGREE70[DA1p1YW17N CfIYAND wMlCESANDS7ATfU�75REUTINOTOBURWNa . - COIJST MIDNf YhUTHORRE � SENTATNESOFTNIS TOEMERIIPON7NE . ,•.S� rBWE TqNEDVROP rrwaiNs� r ouavoscs. COMMENTS :� i. • % m ITTEE E HTj ' . . a 2 � � - y aa�� me o�TE � � � RECPT.NO. PND BY VAL�DA710N WHITE—Oepartrnent Copy,YELLOW--Finanee Copy,PINK—Asseesa Copy,GOLDENROD—File Copy,GREEN—AppliranCs Copy /� \� "�• CITY OF DIAMOND BAR , ...,, , -�:� . . . .. . \ � :..., .,;. .. INSPECTION RECOF�D. �: . - . . . - .. , . • e • • - • � � • ' •_•.: • - -- � E .BAG.K;�"',' -•---._.`.. ,... _ ... , ; 1 ; �..�, , ; . .. FLOOR JOIST _.. . _... , _ . , F fGS)FaRh1S1STEEL �.� �..�- � , �' - - FHA REQMTS_ .' .' . .•.. . � . _. . - ELECTRIC GR�UND ' � ' UNDER FLOOR DUCT - - - " - �- �• GROUND PLUMBING � - - - - -- -�-� UNDER FLOOR COMDUIT '- -" '— � '� � � � , SLAB GRADE � 7 J�� � FIREPLACE FOUNDATION � '�''. ' '� ' ; � . _ _. TEMP POWER . . - - - - __. - - . . ' FIREPLACE BOND BEAM ' . :�; ,�: • �;., '. : _:.� WATEfl SERVICE' MtD HT. BOND BEAM �.;�i . c, . � ROOF9'dEATHING � ; � :.. ^� - � 8 FL BOND BEAM - � - - � � FA fNGNENTILiA�'ION� ' ��_ _-'' "'. �' FINAL BOND BEAM �• ROOF COVER _ -- - , - - PRE•GRA�ING - - - ' ROUGH HEATINC = " % , - BENCHING ;ROUGH ELECTRIC Zj , ..�. ......._.. ROUGH GRADING - ---- - � � " -- " "� I '. �ROUGH PLUMBING , i" .`��;' ;-' i. FINISN GRADING ' ' SHOWEWTUB TEST � '"-' POOL ELECTRlC ' ' ' • EXT.LATH/SIDING ' G�.R, � �, POOL FENCING • � WALL INSULATION � �-�"+ POOL FINAL �CEILING INSULATION _-f��f� ' � - ,/`� �� OFF SITE IMPS. - DRYWALLNAILING ..' .. D fr' — DEDICATIONS :SEWER -. ----.' . - . - -. ,,.- - - FINAL ENG. � � . ' ' ; . SEPTIGTANK- - - -- - -- �- - LANDSCAPE/IRRIG. - . � . ,SEEP PiT/L..L. ......_..- - -- �. _. .. ..__ . .. `'� ON SITE IMPS. • vt + • GAS AIR TEST -- . � FINAL ZONING - . • :� . FINAL CONST. � , � �_ FIRE DEPT.FINAL : , � � � ; �� , FINAt�.FJEA'�ING, -_ ,.,� � , ,�'�� ;I"i _i •� '� ' ' HEALTH DEPT.��(NAL� ` _-. - _ " �" . FINAL ELECTRIC ` _.. DEV. FEES PAID - - -- - -- � �- � F1NAL PLUMBING ,. _ . . . --� -- - . ENERGY . , . . � � • � �- - - - --1!' . _ . „ . '�,.�. _r• ��._.. / ._. _ . ��-�t - ', e e . ._ . � . .,. ., , . _.. . .. . . _ _ . . _ ... . .. . . . . - ._. - -- COMMENTS ` _-. ._,� __ ...�-=----.. �------....._ ._.. - -; --. _ ------ .--- � �--- . � .. .�,._ -� �� �`` y- .�'_ �., i -;'' .- -�,� 1. f •� � . ' ' � -� � .!` , I� y . �'> � _ �•/^S �-- / '^�� I , . ' . � �i. I�-.�_�'j-�.�'tp�'`'�-� . _ _ .._._..__ _\ , , + ' ., ' . , . : . . ,.. _ _ , • . . . .__------�- - • � ; - ' �.;�v `• �� � . , . i �l���C � -- - - ' I � " , . � . fi=t"�'!t?-�r�9-�$ � _ � � t(', .��,,� l;I S t r..t. !��`/Y��1/S���Ll�i � . . � , . ' . �; .. � • • __. .. . �_ r.• -- -- 'jr1,t�� C.• _ .�t':;�:i :�r '' .� . . . . - +��-�—y � �� .\ n i �_.... . . . . SEPTICC?ANK SIZE _ � - . . . , I ' � , . ' = SEEP R.�7U SIZE , •;��:.." . . ... _. ._ , ; ' .. . ._. . ' � �� ' _ ����r7' ' � , . - ; . � - - ,� . _ . � , d� fa� j_. �� �. . � ...� - _ / � . .d �Z � ,�• .. , . .. , • � i � - -.. . _.._ _ . I ..._ •:/��J -\�j !✓ 8 _. . � `� \ �9 � '� _� i \' i'�.\� � -. .. .._ ,) �