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HomeMy WebLinkAbout15632 (20) CITY OF DIAMOND BAR � - J��-- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � . 21660 E.Copley Drive Suite 190 • (909)860-3195 Faz(909)861-311? PRES$ ������ BUII,DING PERMIT APPLICATION FIRMLY � J08SITE f'� C (�� APPLICATION �_�/ ' PERMtT � �J„2 P!C �„��_ ,,�?� � ADDRESS ��v l)�\C �1 b DATE -�'[�`� NUMBER� �� $ ISSUE • � TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER Nk- SAM �tt�10 p ADDRESS �Z k ZONINCa SEiBACKS � CITY D�A.�_ ZIP TEL CD�Z^b�� FRONT RW ❑ APPLICANT TE1, REAR ❑ � SIDEJSIDE STREET RW ❑ CONTRACTOH E SIDE D g ADDRESS _ PROPOSED USE 2 S E W Q-� — CITY ZIP 1 TEL , � ARCH/ENG/ • DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDR�OMS � CITY ZIP TEL N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION H � OWNER-BUILDER DECLARATION SFR/AOD/REM O p 1 MEREBV AFFlRM UNDER VENAL7Y OF PERAIRV 7MAT�11M F7(EMPT F0.0M THE CONTMCTORS L4 GefO�B/CB�pOR llJ CENSEUWFORTMEFOILOWNQRFASONlSEG70]1.6BUSME54ANDVROFESSIONSCOOE:IWYCRYOR (n C] COI.NttNM1U1NEOUNESA7ERAARTO00NS7RUCi.ALTE0.MPflOVEDEMOLISH.OHRE7AIRAN'/STRUG W P0110/D9Ck � T{JRE,VRqR M fT3 K6UAHC�ALSO HEOU�NES THE APVLICANT WR SUCH PERMIT TO FlLE A SIGNED W ETATENEM i11AT HE OR SHE IS 11C£NSED VURSUANT TO THE VROVISiONS OF TNE COHTMCT0R4 L4 � CENSEUWI�hRY(COMMENCH�WI7HSECTION70D01���bN70F7HE8USWES5M1DPR0- LL' POOVSpB � fE8510N3 COOE)OR TMATHE OR SHE IS E%EMPT iHEREFHOM AND 1HE BASiS FOR iHE ALLEOED EXEMP. TqN.M1YVqUTqNOFSECT10N7071.6BYlV1YAPVLICANTFOi1APERAIITSUBJECTSTHEMFUCANTiO Z Re-Roof � A qV0.vEN�LTY oF NO7 AqaE nuw irvE MUNORED DatAns Itaool.k J . . � OLASMMIEROFIHEPROPfRTY.ORWEMGL0YEE9MlITHWA0E5ASTHEIH50lECOMPENSATION, � (;pmrllBfCld1 1NLLDD THE WORK,/WD THE 8TRUCNRE�5 NOT MENDED Oq OFFERED fOR SKE(SEC.70u,BU54 J � ►qppEqiyWHOBULpO�PNOHES�REON,�I�qW110DOE54UC/iVYORKHI SELFOqMERSEiFon = � THROUGHNSORMEROMNENPLOYEES.VROVIDEOTHATSlK1/WVROVEYENTSARENOTNTENDEDOR m , OFFERED PoR SILEIF,MOWEVE0.��14DNOOR MPpOVE►IENi 6 SOLD WRHW ONE tEU70FCOAIPLE• �TqH,Ti1E ONMER�BUILDER WILL HAVE THE BUf1DEN OF i110VWO Tl1AT HE OR SHE D�D NOT BUILD DA MPROVE iOfiiflE PURPOSE OF EALE� w OLA+`��ROFTHEPROVEHi'f.AMEXCLUSNELYC01fTMCTN0IMMUCENSEDCOMMCTOR! STO OONSTRUCTTHE iROIECT(SEG MM.BUSINESS AND PROFESSIONS CODE:TNE COMRACTOFt5l1� VeNeUDfI ADJ.AREA CENSE lAW DOES NOT APPLY TO AN ONRIER OFA PflO�ERTY WIA BULDS OR IMPR�VES iMEREON,AND � MRqCONTMCTSFORSUCHGRO.lECTSWITHI1COHfRACTOR(S�LICENSEDPURSUAHTTOT/ECONTMG pUANTITY �DESCRIPTION FEE � TOiL4 UCENSE LAW.} O I/UA IXEMPT UNDfR SEC. B.{D.Q FOR THIS REASON � Z T � I V" DATE OWNER V W � � UCENSED CONTRACTORS DECIARATION W S S � IHEf�BVAFripYUNOERVENALTYOFVERIUHYTIIATIAMIICENSEDUNDERPROVISIONSOFCIMPTFR � s i(COMUENC4�G WiTH SECT�ON 7000)OF OMSiON]OFTHE BUSiNESS AND GROfE5510N5 LODE,AND Z !C IAY UCENSE IS N FUI.L FORCE AND EFFECT. m LLl O � � LICENSE S UC.ND. J � DATE � COfiTMCTOR _ a W �/ � WORKERS'COMPENSATION DECLARATION (1� ��I �I a � IHEREBYAFFIRMUNDERPENALTYOFOERAIRYONEOFTHEFOILOYAN(IOECUMTqF15 U � NI Z d � _IIUVEANDYNLLI.WNTANACERTIFlCATEOFCONSENiT050.NN5UfiEFORWORKERS' 2 COMOENSATION.ASPRDVDEOBYSECTION570UOFiHEL�BORCODE,FORIHEFERFORMANCE w �THE WORI(FORMMICf1 TH�S VERMIT IS ISSUED. � 0 � �I HAVE ANDYYILL MAINTAIN WOF�KERS'CGAPENSATIDN INSURANCE,/S REOUIRED BY SECTION - �j� �700 OF THE(ABOR CODE,FOR THE PERFORMANCE OF THE WOfiK fOR VMIp1 TMIS PERMIT IS V LSSUEO.LfY�W^O'RKERS PENSAtIONWSUfLWf �CARi11ERANDPOIICYNUMBENARE: CONSTRUCTION � c�naEq `p�l 1 LA PLAN REVIEW - � � VOUCYMRIBER 2 ELECTR�C ���c�r��r�o�gEpp�npFnEpwr,�rsFoqptMe�p Rioo�oq PLUMBING - f � ICERTIFYlNA7M7HEVERFdUUNCEOFIHEY�VRKFORWHIpITM15VERAIRI5�S5UED,l MECHANICAL �'y��'w�� r. M� (� 6HALLNOTEAIPLOYANVVEfi50NINMlYYANNERSOASTOBECOMfSUBJECTTOTHE � NORKERYCOMPEHSATIOHUM�SOFCALIFORNI�AN�AGREETIUTIFISMOULDBECOY INSPECTIONFEE S SU ECTTO7HEWORKERSCOMPENSATIONPHOVISqN OFS CT �7ooOFT1E � ISSUANCE � E,I S iORfT�VAiMCOh�pLY T S PIiON S. pOATE: APPLICANT: SMIP T ^ 4 f W ENERGY P/C C�1'1'V I��_i�':n �R!��.*T�,A I� WARNINO:FALURE TO SECURE WOWtERS'W�.�OfNSATIDN COVEM6E IS UNUWFUL.AND SHAIL B � 6U&IECTANEMPLOYERTOCAIMINALPEN�LTIES/JJDCMIFWESU7TOONEHUNDREDT11IX151W ENERGYPEHMIT � T �/'� ���n f��t�+"•�• - DOLLAFtS�itao,000),NADOrt10HTOTHECOSTOFCqAPENSATION,DAMADESASPROVIDEDFOR -� � SECTION770lOFTNEUBORCODE.INTEREST,MlOATTORNEY'9FEE5. RETENTIONFEE: ` ` L � a d CONSTRUCTION LENDING AGENCY PqE-ALT FEE: � IHEREBYAFi�NMUNDERPENALTYOFPfR1URViHATTHEREISALONSTRUCTIONLENDWa�GE CY � J I/ /�1� a- FOR il/E PEHFORYANCE OFTNE WORK FOR WMICH TNIS OEiWR IS ISSVED(SEC.foY7,dV.CJ. � , . � LENOERS NM�E � � lENOEfBADDRE55 wICERTIFYTHATIFUVEREADTHtSAF7LICATqNANDSTATETUTTHEABOVENFORIAATIDNISLORRECT. TOTAL FEES . Z�a('� � I A6REE TO COAIPLY N7TN ILLL GTY MA COUNTY ORD�NANCES AND STATE UN5 PELAT7IJ�TO BULDtNO � CONSiHUCTION.ANDMEREBVAUTTqRREPEPPESEMATNESOFTH15COUNT'TOENTER��ONiHE ��,1� r �� AgpYE.MEtfT10NED GROPERTY FOR INSPECTiON VURPO5E5. /n� �� COMMENTS�� d����• U �� 0 / � ` � VE � E NAME(P ' � � Si NREOFP RMITTE DATE � RECPT.NO. PND BY VAUDATION WH�TE—Depe ment Copy,YELLOW—Flnence Gopy.PINK—Assessor Capy,GOLDENROD--File Copy,GREEN—ApplicenPs Copy � , .. .�i�� :1::.� •� �.�' , ... ... , i, � '���..t�, f1'� '., �;�y� ,� �y-, ,t ' , ' ,. . �. .. . . . �. .. . , � �(�'- . . .,. ., . , , ... -� �� .. ' ' CITY OF DIAMOND BAR _. � - : ItdSPECTION RECORD . `� � ���.���'� "w`�..d,e��.. ���.��_ ...o� �1�' � � �� . . ° ��h� !I`,l+�E��c���Jr� _ .� SET BACK . 1 ,;r�- i ^ FLOOR JOIST � � -- .� � � � A �.~_ ,FTGS/FORP�15/STEEL `� � �� FHA REQMTS - ' - _ (ELECTRIC GROUND _ _ UNDER FLOOR DUCT - � 'GR�UND PLUMBING UNDER FLOOR CO�IDUIT� '- _ � - ` ^ �SLABGRADE - FIREPLAGE'FOUNDATION ��= �, ;' " ' ITEMP POWER - FIREPLACE BOND BEAM " ;WATER SERVICE- - MID HT. BQND'BEAM' r ' ' � .. _ ; : ,,, . _.; 'ROOF SHEATHING-�`+ '. � , . ' , -f�`: 8FT.BQNDB�AM ; .._ . . . � '�FRAMIN ENTILIATI�N 2-'� -C� �j FINAL BOND BEAM � � CQVER '" PRE-GRADING - - � iROUGH HEATING BENCHING : ;ROUGH'ELECTRIC . ' ` ROUGH GRADING - - !ROUGH PLUMBING- ' FINISH GRADING jSHOWERrfUB TEST POOL ELECTRIC EXT.LATH/SIDING - - POOL FENCING ,WALI tNSULATiON - POOL FINAL ,CEILiNG RJSULATION - OFF SITE IMPS. - :DRYWALCNAiLING ' DEDICATIONS . � SEWER FINAL ENG. ; SEPTIC TANK LANDSCAPE/IRRIG. ;SEEP PIT/LL -`� ON SITE IMPS. � � GAS AIR TEST FIPJAL ZOMNG ' FINP,L CONST. ' 2-1 •�� r�_j � �� FIRE DEPT. FIN�IL , . 'F1NAL HEF�TlNG _ ..� 1•-� V � '_ ' HEALTH DEPT. FINAL FiNAL ELECTRIC '• -- , ;_ • ' ' DEV. FEES PAlD - If�l^JA,L PLUh1BING , _ . -- :-C ; - : �_• -- .� ENERGY _ . . . j -_. _ __ _ - . ------ , if'.�rf'1 �I:' L�""`. ,�___ _. _.. _ – _. . :�tz�_. :.:_...�s:aiL .�_.. . � . .._� _ – ,- - - -- ' � •�.�.:�� .��.�, , _ , .._ 'i , �. _ -- -- - - - ,. .. _ , I . . . , COMMEN�S . , _ _ _ ._ _ `i ; _ . . .- - , i ' . ' - . , � . , , - , . _ . . . ; � : ' 1 � � � � . . �- .,,-_ � . . � , _ �. .,� , _ ; - !SEPTiC TANK SIZE � SEEP PIT/i1 SIZE ,1 . . _ _ ._...'__ ._ ._. - . - y� I }i�. .f� .; . .. . . .• . • . . . . � '. � . . . .. . __ ,�.e �� _ _ i ' ��"• ' � � _ _ . . i `�j�f �� .I,�;i ' � . � • - � �, � ' , � � - �1 _ "I , . � � . � `; . i� , . - _ i . � � ' i'� ,� � � . (1 �' ,,., � �ti _ .. ` �� � .��_.—_ ......_.,___�_ � - � c