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HomeMy WebLinkAbout13436 (24) _. ._.. _ ....._.........._....__...._ ._. ....._._. ....._.._....._. _... ---..... ...._ ._._.. _. .. _. .._....._.__._._ ._... � 3 �� CITY OF DIAMOND BAR � � ' �\ � DEPARTMENT OF COMMUNITY&DEYELOPMENT SERVICES �" ' 2166o E.copley Drivc suite 190 � PRESS ������y BU)ILDING PERMTI'APPLICATION FIRMLY � JOBSITE Q �� / �1 APPLICATION PERMIT P!C Q AODRESS��y�rJ �I��__f-�.��lJ(�/ DATE NUMBER�3�-3(� # APN LOT ��A��C�' DA EE CONST. GROUP � S`I I-�q p OWNER ' ` � � ���� ZONING SETBACKS p ADD S FRONT RW ❑ g CI d ZI _ TEL. APPLICANT TEL REAR ❑ SIDEISIDE STREET RW O � CONTAACT R ° ' • SIDE � ❑ � ADDR J� �' PROPOSED USE_�^�'L.�l�=[--}l L- � Cf1Y ZI TEL �%�T o ARCH/E �Lf.-��'��9 � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � Cfiy ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER-BUILDER OECLARATION SFR/ADD/REAA • ' � � � � � O Q I HEREBYAFFVW UNDEF FENALTY OF OE0.AIRV TNAT I M�EXfMPT FROM iN[CONTMCTOi1S LI� GdfBAB/C8ry0R W CENSEUWfORiNEFOILOWiNGRU50N(SEC.70.71.6BUSMESSANDFROFESSIONSCODE:ANYqTVOR (� CJ COUHTYWHIdIREOUIRESAVEMIRTOCDN57AUCT,KTERIMVROVE,DEupJStLOHREFiVnMlYSTRVC• W patiolDeck � TURE.PRION TO fTS ISSUANCE.AL50 REOUiRES TME AFPLICnNT FON SUCM VERMR TO FRE A SIGNED W � 9TATFYENf T1UT NE Ofi SHE IS LICENS[D PUNSUANi TO 1ME GROVISIONS OF 1HE CONTMCfOfiS LL � CENSE Uw Ipu7TER a(C01.�uENdr�6 WI7H SECTION lao0)OF DMSqN]OF TH[BUSiN[55 AMJ PR6 �' Poo�D� FESSqNS COO�OR i/UT HE OR SME 45 E%FMPT iMEREFROu ANO ME B�1515 FON iHE ALLEGED EXEMP� T10N.ANYVIOLATqNOFSEGTION7W1.58YN1VMPLICANTFORAGERAIITSVBJECTSTNEAPP�ICANTTO Z Re-Roof � AGYILYENKTYOFNOTIAOl1ETWIFIYEIM�DREDDOUM5�i5oo).): _ � ❑�ASOYMEROFTMEVHOPERTY,ORNYEMPIOYEESYATMWAGE5A5THEiRSOLECOMPENSATqN, � COTI110fC1�i VAIL DO iHE N'ONC AND TME STRUCTURE IS NOT IMEND'_D IXi OFFERED FOR SALE(SEC.7oN,BUSi• .J NE55 M1D iROFESSiONS COOE:THE CONTMCTOi15 LICENSE UN�D�ES NOT AVPLY TO AN OwNER DF • N iHOPENTYWNOBULO50AIMPROVESIHEREON./�NOYINODOE55Up7NC%1KNIMSEIFORMERSELFOR m Q THFiOUGHH15ORMERONMEYPIAYEE5,7ROVDE�THATSUtl/MPROVEMIXTSARENOTMENDEDOR � ,OFFEREDWRSILEIF,FIOWEVERTMEBNID�NCORMvpOVEAI[MISSOL�WfTFnNON[VEAROFCONPLE� Z TION,iHE Wf�IEiiBUM1DER K'ILL FUVE THE BURDEN OF PROVINfI Ti1AT HE OH SME DID NOT BUll,p pf1 � NpFqVE fOR iHE PURGOSE OF 9ALE} ❑�AS OWqER OF T1E VROPERT'I.NA E%ClUSNELY CONTMCTP161M'11 LICENSED CDNTMCTOR4 �W 7p CpN$TRUCT iT1E iR0.1ECT(SEG 70u,BUSME55 AND 7ROFE5510N5 COOE:T1E LONTHACTOflS U• � � � �� Vaivation ADJ.AFlEA LENSE UW DOES NOT APPLY TO M!OM4�ER OF A VROPERTY Yh�O BULDS OR�M PHOVES MEREON.AYD VAqOONTiuCTSFORSIKHPR0.1ECT5WITMACONTMLTORI51��N5EDVURSUIWTTOTHECONTMG QUANTITY DESCRIPTION FEE TORS LICENSE UW). Qp1A1AEXEMPTUNDERSEG B.�7C.FONTMISPcA50N Q � � �,p�� 3 � �� �� l Ci u" OA7E OwNER ~ • � W �6 UCENSED CONTRACTORS DECLARATION W . ; , CL �HEREBYAFFGWUNDEAPEWLLTVOFPEM1AIRYTNATIAMLICENSEDUNDEf17ROV1510NSOFLHIiPTER Vr d Y(CpA4ENCHOYAiH5ECT10N70e0)OPDMSION]OFTHEBUSINESSANDPROFESSIOhSCOCLANO Z X WLICENSEISNFUIF .EINOEiFECT. m lll � �r � � � LICENSE 55 ���N�� r `��'� - J V p� � �' � CONTMCTOfi ��.y.a a W � WOflKERS'COMAENSATION D[CL4RATION Q N U � IH[REBYIIFFIRMt1MJERVENILLTYOFCERlURYONFOFTHEFOLLOW:NGO[CUMTIONS. Z 4 G �IMAVEANDYMLLMNIRANACERf�FlCJ1TEOFWN5ENT705ELFJNSUREiOHWORKERS' _ Q p71APEN5AT10N,AS PROViDFD BY SECTION 7f0o OF hIE LADOR CODE.F011 THE CEAFONAANCE w �OF THE WORK FOR WMlpl TMS PERMIT�S ISSUED. 2 � �HAVE AND W'LLMANTNN WORKERS'CO�dPEN5AT10N INSVMNCE.AS RCOl11RED 8V SECTION Q4 �IOOOF iME UBOR CODE FOR THE PERFON.I�NCE OF TNE WORK FOR WHiCH TNIS PERA�IT IS lSSUED.MYWOHK r'OOMPENSATqNINS NnCECMRiCR/�NOPOLICYNUMDENARE: CONSTRUCTION � GARIE0. � � PLAN VIEY� � POLICYNUAI�ER` �J '� ELECTRIG , �/.'�/f� Q (il-C',SCCIIONPCONO7BE�FIEDOFTEPEtMT6Po(1WEHUt%1CDOOl1/JLSR+�IO�iLES.,% ` PLUME3ING \ " /� W ILERTIFYTHI1TINiH[VERFORMANCEOFTHEWORNiORWMICHTH�SVEiWi76I5SUED,1 MECHANICAL "'` Z � �J SNALLNOTE4PLOYANYVERSONN/iNYAUNNER50ASTOBECOMESWJECTTOTME 1"y�.r�"'� � WOR1fER5'CV�PENSATIONU'�'SOFULIiOiW��IANDAGFEETHATIFISHIXhDBECOME INSPECTIONFEE ��) SV&IECTTO TNE YWRKENS'COMPENSATIDN PRONS�dJSOF SECTIDN]7000�THE lAOOR �SSUANC �.�BL CODE.I SH�LLFOfiT}M9TH COMPLY WITM SE PRONSiONS. L� ��U� pOATE:�� APPLICAM��.1��Lei.G �� � �:. ^ � EN[RGY P/C `'i L.� - , c i:1,t'. WARN�NG:iNLURE TO SECURE WO/V(£FS'C0IAPENSATpN COVERAGE IS UNUWM.Utt7 SNAII 9E � SV&IEGTANEMPLOYERTOCRIMINALPEMALTCSANDCMLFWESUPTOONENUNDRCDTNOUSAND ENERGYPERMIT ��f���� ��,•' r'f��•l DOLUlftS(f700.Om1.Nl1DDITIONTDTHECOSiOFCpAPENSATION,D�AGE5A5PROVIDFDFORIN % , �� J SECTqN71000F7HEUDOFiCaOE,INTEREST,AN�ATfORNE�"SFEES. RETENTIONFEE:� W L ►..:%:" p_, CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBYAFFIIiAlUNOERiENALTYOFVEiWfiYT1ATTMEREISACONSTRUCTIONLE�'DINCAGCNCY Z FOR TME PERFORMANCE OF TME WORK FOit Y!'UCM TN6 VEiW IT IR ISSUEO(SEC.ia91.CIY.C.�. W � IEtiDERS NAME S F_ LENDEASADDRCSS /y � WICERTIFYi11a711uVEREA�TM1511➢PUG710NAN�StATE7n�T7MEAeOVENiOiw�TpN�SCoaRECT. TOTAL FEES •/ � IAGRC[TOCOMPLYWITN/LLICITYANDCOUNTYORDIWWCESANOSTATEUWSNEUTWOTOBVILDING � CONSTFUCTI0N.AI�IDMERE9YAllT1qRIZEREPPESENTA7NESOFTHI'aGOIM�YTOENTERUPONTHL . /�gOVE-ME EDGROVEifTYFORINSPECTIOHPURPOSCS. COMMENTS � �_����r�.�--,,�� �,c� _ --7--- [a pF�/� � N ...(/.� \� �/l/j� � SN,NANRE rERA11T1E� �`D�TE � RECPT.N0. PA1D BY VALIDATION WHITE-0eOaRment COPy.YELLOW—Fnence Copy.PINK—Assessor Copy.GOLDENROD--Fiie Copy,GREEN—,Appl�cant's Copyr . ;` . ..r: , , . . . , .. . , ..; . .. , , , . ._._ ___ , t _. , � .� _.. ... _... .._. _. . ' '•��- •, �, CITY OF DIAMOND BAR ; � ' ' '� � INSPECTION RECORD . • —rf i f + • ' . � � , . � . SET BACK - ' ' FLOOR J015T_yr s.�.� \ ;./.a� �; �, -`..\�1 FTGS/FORMS/STEEL � '( . i , _ '-� FHA REQMT�. .. -, � ELECTRIC GROUND ' ' �� UNDER FL'�OR DUCT';'_ '_, . , r,-:' , - - ��., : : - , GROUND PLUMBING UNDER FLOOR CO�IDUIT •� � � SLAB GRADE FIREPLACE FOUNDATION �' - �`••= ,•�� 1��'�� `- '. -' TEMP P01FlER � � FIREPLA�E�BOND BEAPJI - WATER SEFIVICE MID HT. BOND BE�h1���� ;�:���- - . �!"-' i" �` ,-" ' ' ROOF SHEATHING `� ' - - �' � - "�` _� 8 FT.BOND BEAM � ` � � �'� �' � ' �' `' � FRAMINGNENTILIATION FINAL BO�'�D�SEAF,A��^r . � R�OF COVER . PRE-GRADING • ROUGH HEATING BENCHING ROUGH ELECTRIC �G• �� �f ROUGH GRADING ROUGH PLUMBING - FINISH GRADING SHOWEH/TUB TEST � � POOL ELECTRIC EXT.LATH/SIDING P�OL FENCING WALL INSULATION • POOL F1NAL ' CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPEIIRRIG. SEEP PIT/L.L. � ' ON SITE IMPS. GAS AIR TEST FINAL ZONING � ,FINAL CONST. '.-' �J:'-;'�.', � L '� � ' ' ,�..',�� • �FIRE DEPT. FINAL FINAL;HEATING ' ` 'i�; 'T `� � ` NEALTH DEPT. FINAL � FINAL ELECTRIC �,��,�c�i' � " � - � DEV. FEES PAID FINAL PLUMBING � ENERGY •-- .. �. f�°�"���.._���. . . � �-- COMMENTS ••,, � 4 . . . � _ 1 �_� . � � .,,.��. .. .��.�� . � ..lY�_ .--' . . __ -- . � � \� -- t f i'• t - ,. . � ._ � . .. _. . , SEPTIC TANK SIZE SEEP PIT/U SIZE _ 1 ;��1, .-;. � ,� --- , - . �.. -_�.. ._-� , �� � - . . � � � . • - , . � ,. �� --. ,