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HomeMy WebLinkAbout16493 (39) _ _-- ___ _ - -_ _.__._, .__ .____.._. _ _ __..._ -- . .-- - -- - .�- CITY OF DIAMOND BAR � � -�� � DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 PRESS �'�'� BUQ.DING PERMIT APPLICATION �' �j(�/_ 3 FIRMLY o� JOBSITE Z 3 /' �� � �'C� DATE CATION [,���-� I NUMBER I���� �t� v►- I�5 ADDRESS �� �J $ ISSUE - - ` TYPE ' . OCC APN LOT � TRACT__s� ZZ�v� DATE CONST. GROUP g OWNER � ADDRESS ZONING SETBACKS _ °. � ��� CITY�/A!` ZIP TEL FRONT -- `. '-'_` RW ❑ � APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTAACTOR 51DE ❑ ADORESS -� � � CfTY ZIP TEL PROPOSED USE - - � ARCFVENG/. � L�s, 1 ��� .-- -_�. _.. • .. ', DESIGNER Q �j �� � NO.DWEL NO. NO. ADDRESS r �� NffS STORIES BEDROOMS N CfTY ZI TEL7 N �ESCRIPTION Sa.FT. FACTOR PSF ADJ. REAN UATION OWNER-BUILDER DECLARATION p SFRIADD/REM --. � ', p I HEREBY AGFliM1 UlAER PENALTY OF Vf0.R1HY TIAT I AM EXEA/PT FROM THE CONTMCTOfiS U- -!"' lil CBAEUWFOqTHEfOLLOWWOREA.ON(SEG70J1.6BUSWESSANDiROFE55lONSO00EINYCRYOR � Garage/CarpoA �� OIXXlIYYMIQ/REWIRESAPERMRTOCONSTiIUCT,ALTER,MPROVE,pEAqUSM,ORREGAIRANYSTRUG W �L iL1RE iN10H TO tT3153UANCE,�L50 REWIRES ME MPIKMlT FOH SUCM PEFUIi7 TO FILE A SiGNED W .Patia/Deck � ETATEMENT THAT HE OR SME IS LICENSE�PURSUNIT TO iNE PPOVISIONS OF TNE CONTMCTORS�4 � _ , � LENSE UW(pND7Eq i(COMNENCINO YA7H SECTION 70a0)OF ONISION]OF THE BUSINESS M1D PRO� POOUSpB � Y+- � � � FESSIONSCOOE�OflTHATNEOR5HEI3E%EMPTTMEREFRqA�NDiHE&ISISFORlHEAllEOEDD(EMP• � (' TION.ANYVIOLATIONOFSECTION70�1.6BYANYAPPLILANTFONAVERYITSU9IECTSTHEAPPLICANTTO Z Re-Roof � �,,,, !1 C7VIL CEN.LLTY OF NOT►10RE 1HAN FNE IItXJDRED DOlURSlfsao).): � � OI�+�MEqOFTHEPROPERTY,ORMYEMPIOVEESWITHWAGESASTHEiH50LECOMDENSATqN, (`,pmm0tCl01 � , � .: � - � � WKl DO iME WORI(AND T/E STRUCTURE tS NOT IMENDEO OR OFFERED FOR SALE(SEG 70N,BU51- � � NESSNOVROiE3310NSCO0ETFIECONTMCTORSLICENSEUW00E5NOT�DPLYTOANOWNEROF �/� � . 0 VROPENTYYV1108UILD90RYPROVESiMEREON,ANDYAlO00ESSUGNWORKMIMSELFORHERSEIFOR � N�� , 0� � � T/1ROUGHHSORMERONMEMPLOTEES,VRDVIDED7W�75Up11MPitOVEMENT3MENOTINTENDE00R m � .� ,OFTEi�DiORS�LLEtF,110WEYE0.THE9Ul01N�ORNIPHOVEMENf1950LDWITFENONEYEAROFCOMPLE• � � TpN,THE OWNER�BUILDEP VALL HAVE ME BURDEN OF VROVN6 TTIAT HE Oti SME DIO N�i ellilD OR W PROVE FORTNE PURPOSE OF EALE). � OI��WNEROFTIE7ROPEiTTl:AA/EXCLUSIVELYCOHTRACTPIQVJITII(10ENSEDCONfRACfOR6 TO COMSTRt1CT THE PROJECT(SEC.7a��,BUSINESS AND PROFESSIONS CODE TME COMRACTORS LI- V2luetbfl ADJ.AREA CFNSE UW DOES NOTMPLYTO.W ONNER OF APROPERTV N?10 BULLDS OR IYPRDVES THEREON,AND � MR�OCOMMCTSFORSUCFIVROIECTSWIMACONTMCTOFi�S)I�CENSEDPURSU.WTTOTHECONTMG pUANifTY �" -DESCRIPTION..�� -r:•_`.','�•� FEE � `_ rau ucer+se uw.F QOIAMEXEAAPTUNDERSEC. B,iP.GFORTHISREASON Q v 3 � � ZLL' WTE OWNER U . ��./ � � W /�'L' UCENSED CONTRACTORS DECLARATION -� � w I HEREBY AiFIRY UNOER GE W4.TY OF PEFtA1PY THAT I AM LiCEN5E0 UNDER PPOVISIONS OF CMAPTER � ��CqM1ENCPbWITMSECTqN7ow)OfOMSqN70FTHE8U5INE55ANOPROFE5510NSCODE,/WD Z v� ' � � �� M1'UCENSE IS N FUL FORC 0 EFFECT. m '� � UCENiE CIASS UC.NO. � ��/� V DATE CONTRACTOfI ��_ a � !/H W � WORKERS'COMP[NSATION OECLARATION a — �� � � � IHEREBYAFFGiYUNOERPENILLTYOFVERIURYONEOFTHEFOLLAWINGDECIARATqNS: Z �O � (,,,�'IHAVENAWILLMA�NTAMACERTIFlCATEOFCONSEMTOSELF•INSUqEFORWORKERS' ¢ . ['� „ S �/- COAIPEMSATION,AS GROV�ED BV SECTION]�OOOF iNE UBOR CODE,FOR THG PERFOtYNANCE CJ v Q f THE WORK FOR WHlpl THIS VEFMIT IS ISSUED. � �)-��� � J7/NL.i 1 H�VE IND N1LL EWMAnI WORKERS'COMVENSA?IDN MSUWwCE,AS REOUIRED BV SECT�ON Q J790 OFTfE LA80H COOE.FORTFIE DERFORMANCE F 7HE WORK FOR WHiCHTNiS PERMIT 15 O ISSUED.MY ERS1COYPENSAT�URMK MRiERAN�GOIIC.Y.KrUMeERA CONSTRUCTION ,, �/ � CARRIER � C O NS PUW REVIEW y.J � POLICI'MIMBER,�D �� ELECTRIC � � 3 J o , (n�ssEc�rcmNoreEm.s�E�ocnECEcxrsFoaa+EMranEooaulsp,00�oattssl PLUMBING l7 � Z I CERTIFYTM.Ii H TME VERFOfiMANCE OF TNE WORK FOR WMiC117H15 FEt1A1R IS ISSUED,1 MECHANICAL �') SHALL NOT EMROY ANY VEit50N W MlY MANNEq 50AS i0 BECOM[SU&IECTTO THE v\ (/� N9RIfERSCOMPENSAT�ONUWSOFCALIFORNIA,ANDAGREETHATIF15110ULDBECOAIE INSPECTIONFEE � S SVOJECTTOTHEWORKERS'CdAPENSATIONVROVISIONSOFSECTION 7000FTHElABOR eooE,iswitFoanHnrHeorea�rvrm� eoarnnsar�s. ISSUANCE ~ O • W DATE:��FPLICANT: . � � �' SMIP - Q � WARNIN6:F�ULUFiE TO SECURE WOR7(ER5 CAIAPENSATION COVERAGE IS UMAWF1141�ND SHALL BE ENERGY P!C � � 6U61[CfANEMPLOVEFTOCR111WALPENALTIE4ANOCNIlFNESUPTOONEMUNOHE0T110U5AND ENEfiGYPEHMiT DOlLARS(S1oo.o001.a1 hDDITmN TO THE COST OF CqAPENSATION,DAAUCES AS GNOVIDED FOq IN ^ 1� � 6EMON77oeOFiHEU�BOi1CO0E,N7ERE5T,l1N0ATTORNE'/'SFEES. RETENTIONFEE: d'J Ofl OCONSTRUCTION IENDING AGENCY PRE-ALT FEE: � � � � IHEREBVAFFlRMUNOERVENALIYOFPE0.A/RYTNATTHERELSACONSTRl1CTIONIENOW6AGENCV � FOR TNE iERFORNANCE OF_�N VJNKJ�TIIS VERMI IS I��SEC.]Oal,CN.CJ. ' � IENDERSNM�E / P � � _ � LEI�DERSADORE55 � ICERTtiYTHATIHAVEREMTH15APVLICATIONANDSTATEiHATTfEABOVEWFORMATqNISCOMECL TOTALFEES •31y3 'g�. d I AOREE TO COMPLY WRH ALL CT'AND COUNTY OROINANCES AND STATE UWS RELATWO TO BUdDINO � CDNSTRUCTION,ANDMEHEBYAlIf110RREPEVRESENTATIVE50FTwSCOUNTVTOEMERUPONTHE � - . ABOVE�l/ENTIDNEDGpOPERiYFORINS ECTIONWPPOSES. COMMENTS 0 `I'� � N m VERM�TTEENAME(PiL � � � � . u�i ,lt/t_ -"'�Z ^� (n 8�G REOFPERMfTT DATE � RECPT.N0. PAID BY VALIDATION WHITE-0eparlment Copy,YELLOW-Finenee Copy,PINK-Assesaor Capy,GOLDENROD--Fila Copy,GREEN-ApplicanPa Copy � �... .. , . . . . . . }.'l'.� . „ _ . _ . , . . . , . . . _, ClTY OF DIAMOI�lD BAR , ` , . , .::IP�SPECTIOI� RECO�RD � . ��_\ • . ' � 6�'� � ° ` ` • �� I�.k-'1` e ► � � ���►��-'i;l�eh�!o��;,} i �SET•BACK ._ .� i . . ,. :i FLOO�JQlST--, :, �� - '\ \ j ._.-.�`....,_._.. �..� _ , , � _ . , r .. • .. _ . ;'FfGS/FOR�,AS/STEEL � � �-�rx;: � FHA RE�MTS� ' ' � -- .. . ._. ELECTRIC�ROUND_ __ ._ __.__ UNDER FLOOFr DOCi� <=- �� ` _. � - !GROUND PLUMBING IS-Z4-e( � • :, UNOER FLOOR'CU�iDUIT. ' �� " " ' ' ` ' - , --- 'SLAB GRADE - -. _ ` � (-a[ � � ' ' FIREPLACE;F�UNDATION ' "- _ ' '. ` :TEMP POWER___ - - - FIREP.LACE BON�BEAM' _ _ _ . - 'WATER SERVICE - - - - MID HT.BOND BEAM � - - •� � _ .'.,� ', ; �ROOF SHEATHING %l-�( _,,L.��.-� . ., 8 F7.BOND BEAM -- - _ , �FRAMINGNENTiLIATION �'j-0( FINAL BOND,BEAM •, • i � , ROOF COVER .�: . � .'. PRE-GRADING,`.,: ` � - �" ,. _ _ , , . ;ROUGHHEATING ----- -- - - BENCHWG �:,>� \' ,�•� , � . : , ,. . � „ iROUGH ELE�TRIC ' _ :' ' �. � � ' ROUGH GRADING ---- - - � _ _---, :pOElGH,PLUUlBING -' 'ti ! � �� FINISH GRADING !SFIOWEFi/TUB EST_ ---� . ► .'. , �-- . POOL ELECTRIC ;EXT:LATH/SIDING � - - L-OJ ��-- POOL FENCING ' � ;WALL INSULATtON- : — - _ _. ;_ ___.._ POOL FINAL : � . : ;CEILING INSULATION, ^ (-.�( OFF SITE IMPS. ' , !DRYyVALI.NI�tl.WG ; . --( -�(� : .,• , .;DEDICATIONS ' ; 's SE11!E_�—i_-_� �ti - � -- �=�( �'!'�".�,---�, ,`1� :FiNAL ENG. ; ;SEPTICTANK' j � LANDSCAPE/IRRIG. � � , :SEEP PIT(�.L. � ��, :'� ��'` I C: ON SITE IMPS. iGAS AIR TEST --aC FINAL ZONIPJG � � : 'FINALICONST. ' •.. �: :�-' ' , � \' IRE DEr'T.FINAL _ . ' ' ;FINAL HEATII�G :_ f-�_ __ : -• .�: � � HEALTH DEPT. FINAL - � - .. - _ ;rIN:�.�•EkECi RIC ___. � -'' � - . . , \ DEV. FEES PAIq __ -. . . ___ : ��r=!��IAL PtUMBING ' • „`, EPdERGY f T- - ... . �� . � , � , ' . , , , . -- _. ,. _ . .'. — -- - - G r:;__ _ _ ;��t �� ��.�`,��,-�.�.-'.._..--"' - •� -.,� t _:�,. ti . .__ . -.. ...__ . . � , •--- -- - -- • - - , . �, ,' . . � �COMMENTS _ ---- _,`, ,; 1 �` , ; � ` , . . , . , _ _ , ; . . , _ � - � ' l- -- � ,_ : ;� . , . �� _ _ _ _ - ,_ � , . � , , . , . , � � __., ._ � . . _ �--- _ __ . -- -----__ _ _ . .._ . --- _ . . _ , (��` ,-��_; . -, ., ; _ _ G(�.,c. .' 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