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HomeMy WebLinkAbout11489 ---��� --. CITY OF DIAMOND BAR - COMMUNITY DEVELOP;�1ENT DEPARTMENT �:..� . 2l660E.Copley Drive Suite!90 • , PRESS (909)860-3195 Fax(909)861-3117 ""' BUILDING PERMITAPPLICATION FIRMLY o DDRESS d�a�� �L7�\ f�tn��rl / 1�r� APPLICATION� PERMIT 1��J QG�P!C - DATE NUMBEA / l El p ISSUE .� ,�—TYPE OCC � APN� LOT TRACT_� 7 RS DATE CONST. GROUP ¢ OWNER ' 0 ADDRES O O r C V OO ZONING SETFiACKS z CITY��/7�—'K:�_ ZIP TEt 0- c � FRONT FW �❑ o APPLICANT TEL. S DE/SIDE STREET HW ❑ � CONTRACTOR J�� SIDE ❑ � ADDRESS O -� ' J _ � CITY �� jrN ZIP� TEL PROPOSED USE� o ARCWENG/ T� • �z DESIGNER N0.DWEL. NO. . , NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.FT. ''FACTOR PSF ADJ.AREANALUATION p� _ OWNER-BL'ILDER�ECLARATION. .. . SFRfAOD/REM - - - O • p I HEHEDY AFFWM UN�Eq PENALTY OF PERAIRY THA7 I AM E%EMPT FROM THE CONTfUCTORS LI• G8f2gB/C31pOR - W CENSEUWFORTHEFOLLOWiNGREASON�SEC.T071.6BU51NE55ANDpROFE5510NSC00E:A4YCITYOR (n � U COUNTYWHICHREOl11RE5AGEitMITTOCANSTRUCT,ALTERIMPROVE.OEAlOLISH.ORREVAIRANVSTRUC• W PatiolDeck � � ���`� ' 7URE.GRIOq TO RS ISSUANCE.ALSO REOUIRES h1E APPLIG�M FOR SUCH 7ERMIT TO FILE A SICNED W STATEMEM THA7 HE OR SHE IS UCENSED PUHSUANT TO THE PROVISIONS OF THE LONTMCTORS LI- W , , '� � CENSE lAW(C17APTER Y(COMMENCWG WITH SECTION 7000)OF DIVISION 9 OF THE BUSINESS AND PRO• LL' PooVSpa � . '� FESSIONSCVJE)ORTH�7F7EORSMEISE%EMP7THEREFROMMl�TMEBASISFORTn[ALIEGEDE%EMP• (� VTION.IINY VIOLATqN OF SECTION 7071.5 BYANY APPLICANi FOR 11 PERM1i 5U&IEGTS TME APPLIGINT T0� • Z ���•R00� ' ' A CIVIL PENALTY OF NOT MORE TMAN FNE HUNDREO DOlURS(f;a01.): � OIASOWNEROFTHEPROPEHTY.ORAIVEMPl0YEE5WITHWAGESASTHEIHSOLECOMPENSATION, � O COmm9fpal ' � Z 1MLL DO T11E wORKµ0 THE STRUCTURE IS NOT INTENOED OR OFFERED FOH SALE(SEG 7a�,BUSi� J � NE55 ANO PROFESSiONS CODE:THE CONTRACTORS LICENSE UW OOES NOTAVVLY 70 AN OwNER OF j , GqOPERTY WHO BUILDS Ofi IMPROVES THER[ON,AND Nrt10 DOES SUCH K'ORK HIMSELF OR H[RSELF OR Q TNRWGHMISORHEROWNEMPLOYEES,FROVIOEDIHATSlKMM7qOVE�ENTSARENOTNTENDEDOR m 0 OFFEREDFORSKEIF,l70WEVERTMEBUiLDINGORIMPROVEM[NTISSOLDN7Ti11NONEYEAHOFCOAIPLE• ' Z TION,THE OWNCR�BUILDER W:LL F1AVE TME BURDEN OF PROVINO THAT ME OR SHE OID NOT BUILp OR = IMPROVE FOR THE PURPOSE OF SALE). � w ❑1A50WNENOFTHEPROPERTY,AIAE%CLUSIVELYCOMMCTMGYlITNLICENSEDCOHTRACTORS � TO CONSTRUC7 iHE PRO.lEC7ISEC.7a�,BUSiNE55IwD PPOFESSqNS CADE:TME COMTRACTORS LI-� VelU0ti0f1 ADJ.AREA � W CENSEUWDOESNOTAPFLYTOANOWNEflOFAGROPERTYNTtOOUILD50RIMPROVESTHEREON.AND � NTIOCONiMCT5FOH5Up1VROJECTSWITMACONiRACTOR(5)UCENSEDFURSUAMTOTIIECONTqAG- QUAN7ITY �� DESCRIPTICN � FEE - � TORS LICENSE Uw.). � � J p O I AM EXEAIPT UNDEH SEC. 8.1 P.G FOR THIS REASON- Q � S U _ ,� � e_ e - Z DATE ONR:EF U . . 1 0 . . . O • W � � LICENSED COMTRACTORS DECLARATION w � ^ I HEHEBY►FFlful UNDER PENAITY OF PERJURY iHA71 AA1 IICENSED UNDER PNOVISIDNS OF CHAPTER 'p„ 9�CONAICNC1NCMnTHSECTqN7000JOFDIVI510N70FTHEBU51Nf5SANOPROfES5qN5CODG,AND Z - J I'� ' ' `L MYIICENSEI5WR1LLF0 EAHDEFFECT. m � ' 0 LICENSE CLASS � LIC.NO. � � � . � c+ 5 �' . !e�c �-v on� coNrancTon a , — .- � �3 � � �OR S'COMPENSATION�ECLARATION a � � � I H�BV hFFIRM UN�ER 7ENALTY OF VE0.IURY ONE OF THE FOLLON'ING DECURATIDNS: z t e �,,� � 0 _IHAVEANDWI��MAINTAINACERTILICATEOFCONSENTTOSELF-INSUR[FORVlOFiKERS' S �,�,� Sqc�li�. � � WMPENSATqN,ASVROViDEDBYSECTION�7ooOFTMEUBORGODE,FORiMEPERFORM�NCE U � Q OF THE WORK FOR WHICH THIS GERMIT IS ISSUEO. � 0 1 w _I NAVE AND WI��MAINTNN WORKERS'COMPENSATKKi INSUHANCE,AS RLOUIRED BY SECT�ON Q ]7oa OF TME U80R CODE,FOR TNE PERFORMANC[OF 7ME WORK fOR WMICH THIS PERMIT IS J ISSUED.MYWO ER'COM[NaSAT10N1�URANCE HRIERAI:DPOUCYNUMBERARE: 'CONSTRUCTION j CARqIER � l PLAN REVIEW Z POIICYNUM6ER . .��w �J ^ / 7 lb^ZO^Y� ELECTRIC -- .. . . �. . . Q G � �ssEcna�nEmrareEcur�rEnoFn[�nurswnwnva�[om1��s�Simlon�ss} . PLUMBING Z • /5 Z ICERTILYTHATWTHfPERFORAAANCEOFiHEWORNFORWHICHTNISGERAAI715155UE�.1 MECHANICAL C�} SH/�LLNOTEMPLOVANYPERSONPIANVMANNENSOASTOBECOMESUOJEGTTOTNE (n WOflKERS'COMPENSATIDNUWSOFLALIFORNIAANDACREETHATIF�SFi01hDBECOME INSPECTIONFEE S SU&IECT TO 7HE WORKERS'COMFENSATION PROVISIONS OF SECiqN 1000F iNE UBOR Cp0E,ISWV.LFORTIWITHCOMPLYWITH EVROVISION ISSUANCE �S• G� � � L//�� � L SMIP � " � . . .. . . p DATE:.Lf/4+1�� APPLICANT: L� � J WAfWIN�:FAILURE TO SECURE WOHKEHS'COMPENSA7qN COVER E IS UNUWFUL SMALL 8� ENERGY P!C _ �y„ SUBJECTANEMPLOYERTOCRIM7JALPENQTIESANDCMLFWES�ON[NUNDRE NOUSAND ENERGYPERMIT DOLURS(St0o.0o0�,IN AODITQV TO iHE CASTOF COMPENSATION.OAMA�ES AS PROVIOED FOR IN � SFCTiON17DBOFTHEIABORCODE,INTEREST,ANDATTORNEv'SFEES. ' " " RETENTIONFEE: � - - � a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IH[RCBV�FFIRMUNOERPENALTVOFOERNRYlNATTNEREISACONSTRUCTIONLENDWGACENCV FOR TME PERFpRM11NGE OF iMG WORK FOR NM111CH T+IS PERMR IS ISSVEO(SEC.]00�,CIV.CJ. Q 'W . - � LEN�EFYSNAME S F I.ENDERSADDRE55 � �� � ` w IGERTIFYTHATINAVEREADTMISMPIICATIONANDSTATETHATiHEABOVEINFORMATIONISCARflECT. TOTAL FEES • ��V '�� � IAGREETOCOMC�YWITHALLCfTYA�OCOUNTYOliDINANCE5ANO5TATEUWSREUTINGTO8UILDING - - � LONSTRUGTION,ANU HEREBY AUiHORIZE flE�RESENTRTNES OF TMIS LWNTY 70 ENTER UPON THE . � Z ABOVE•A1ENTqNEDPROPER7YFORINSPECT10NPURPO5E5. COMMENTS ' � r� - ��� J � m . � . . . . � . . ¢ PER1A EENAME(�ql � � � �, � � y� � sc �ru�-o v�E nE � � RECPT.NO..� �_PAID BY �- VALIDATION - - � WHITE—Departmenl Copy,YELLOW—Finanee Copy,PINK—Assessor Copy,GOLDENROD--File Copy.GREEN—Applicant's Copy � � � CITY OF DIAMOND�BAR ; , , ,; � � ' INSPECTIDN RECORD � � • � � � • - • � � • - 'SET BACK , - �� \ �- \� FLOOR JOIST,-�:,,, ,_',; - � ,- , - - . FTGS/FORMS/STEEL . FHA REQMTS � ' ' � � - � ' ELECTRIC GROUND � UNDER FLOOR DUCT�, ;�; ; ,•,;' . ��� ' GROUND PLUMBING UNDER�LOOR�CO�IDUIT� - ' `�� ��• '�� '� > > l `' SLAB GRADE - ' FIREPLACE FOUNDATION. -: . - TEMP POWER - - -- - FIREPLACE BOND BEAM'-'.�• ' • - t ��' • WATER SERVICE MID HT,'BOND BEAM �� ����` - ' �"' - � ROOF SHEATHING. .. 8 Ff.BOND BEAM � � FRAMINGNENTILIATION .FINAL'B�ND BEAM ROOF COVER - - -- -- � - - PRE-GRADING ' ROUGH HEATING -- � BENCHING � ROUGH ELECTRIC � - ROUGH GRADING ROUGH PLUMBING /3 !`� FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. � • DRYWALL NAILING . DEDICATIONS '. SEWER . .. . ... . .... ... . _. FINAL ENG.. � SEPTIC TANK -- - - - LANDSCAPE/IRRIG. � SEEP PIT/L:L. - - - ON SITE IMPS. GAS AIR TEST -,- :. � -r •. ' ' , � � FINAL ZONING FINAL CONST. - - •� ' ' � � ' ' - FIRE DEPT.FINAL , .. . , . FlNAL HEATING - -- ' ` ' ` - ` • HEALTH DEPT�INAL c-, , FINAL'ELECTRIC �,� " ' - DEV.FEES PAID.. FINAL PWMBING // `( • � ENERGY� _ . . '�� �„� \ , , � •,� . • . � ,...` , - • • - ' � , � COMMENTS � ��. ,. , . .I , . . ' . - .. . � �-•�_�-<�.� ��-� . � ; � _. . �.,,,;\ ,. . , �_ ., , . '; , �: . � ��. . < <� • , . .`` � _ � � _ . ,, ,, ,• ,. �.�. ,, � . ,�. . . , � ;•� . . . . . . . . �'•` . �� � SEPTIC TANK SIZE 6 ; � - - SEEP PIT/U SIZE . .. - �� : o , ' �• � '�. � �. � � \ \•, .,;1 � . t _ ` _� \� � , l. _ � ,,'\� , ` � _ � -�- = � ;�. ),� - �