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HomeMy WebLinkAbout15757 L ��Q��. — ' � � CITY OF DIAMOND BAR 1_ _ --�� -- DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES � ai�oE.c�►��yvri��s�c�i90 PRESS (909)860-3195 Fax(909)861-3117 ����� BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE � . � ���, APPLICATION PERMIT � � P/C/Yl,..^�/1 o ADDFESS � OATE �U NUMBER M w �/t� � � � ISSUE� —`^'�—� TYPE OCC � P OT ��.�RACT � ���/ �/ DATE CONST GROUP � OWNER �7,e.t� !� ���. / ADDRESS ZONING SEfBACKS Z CI S! _Z�p T — FRONT RW O � PUCANT TEL. REAR ❑ SIDE/SIDESTREET RW O CONTRACTOR [r— - •n �L i � SIDE O ADDRESS PROPOSED USE � CffY ZIP TEL v ARCH/ENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS CITY ZIP TEL DESCRIPTION SQ.Ff: FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECUIRATION SFFVAD�/REM O p I EREBY hFFlR1A UHDER PENALTY OF PERIUM iHAT I AM EXEMPT FiWAI THE CONTMCTORS LL G8f898/l'i81y0R iai CENSEUWFORTNEFOl1.ONfM��RFa`.�ONISEG7W7.6BUSPIESSANDPROFESSIONSCOOEANYUTYOR (n C.� COINITYINIK71RE0UINESAPERMR70Wf/STNUCf.ALTERMVROVE,DEMOLISKOflREWJRANYSiRUG W patio/Deck �� 7URE PfWR TO fT3ISSUANCF.ALSO REOUIRES THE APPIICANT FOR SUCN VERMIT TO FlLE A SIGNEO STATEYEM TIUT HE OR EHE 6 LICENSED%JRSUAM TO THE PROVISIONS OF THE COHiMCTORS lF � CENSE LAW(dUP7ER o I�MENCNa WITH SECTION 7000)OF DMSION�OF THE BUSMESS AN�PRO� � P�V$Ga FESSqNS COOE)OR iHAT ME OR SNE IS E%EA/7T TNEREFqDM AND THE BA515 iOq THEAl1EaE0 EXEMP• T70N.N7YV1C1A710NOFSECT10NioJ7.6BVANYAPPLMJNTFORAPEiWiTSUBJFCTSTHEAP�UCIURTO z Re-Rool � ACML VENKtt OF NOT AqHE T11AN FNE NUNDRED DOLLANS(f5oo�.): ' . � OlASOMMEflOFiHEPROPERTV,ORLtYEMPLOYEESN1THWl10ESASTNEII150LECOMPENSATION, 0 �mmercial YALL DO 1HE YVORK IND TME STRUCNNE IS NOT IHTENOEO OR OFFEREU FOR SALE(SEG 70N,BU51• J NE98AlID VPOFESSIONS CODE:TNE CONiMCTORS UCEHSE LAW U0E5 NOTAPPLY T0 AN OWNEH OF = � pNppEpTYWIqBULD$OqMPipVE4TMEREON.IWDM410D0E85UCHWORI(HIMSELFORHEftSELfOft Q THROUONNI5011HEROYMEIIVLOYEES,VfiOVIDEDTHATbUGIMPROVEMENfSARENOTINTENDEDOR ' m l}1 pFFEpEpiOqSALE,IF,F101VEVEi�1HEBULdIJaORp/FfiDVEMQJTIS50l�VlRFONONEYFMOFCOMPLE• Z �TqN,TNE O`MIERSUILDER WILL HAVE THE BURDEN OF CRONHa TH�T NE OR SHE OID NOT BUILD OR = WiRDVEFOHiTiEPURPoSEOFSALE} � 04�4�M'NENOFTIIEFROPERfI;AMEXCLUSNEIYCONTMCTWGNrtTHL�CEtdSEDCOHTMC70R3 7D CONSTRUGf 7ME PR0.JECT(SEC.)OM,BUSINE53 AND PROFESSqNS COOE:THE CONTMCTORS LF VB�Ueli0fl �' AQI.AREA � CEN9EUWDOESNOTAPPIYTOANOYYNEROFAPROPEf1TYWF108URD50RMPROYESiMEREON.Atm rMocarrnticrsconsucHv�crsxan�ticoo-rtrucroRts�ucEr+scownsuurrron+ec«+riuc pUANTITY DESCRIPTION FEE � TdiSUCENSEUW.). . � O IM1 IXEYPT UNDER SE4 B.i P.G FORTHiS R[ � Q U LL' DATE OWNER � � � J � UCENSEDCONTFiACTORSDECLAFiNTION W � I HEREBV AFFIRM UNDEti VEtU1TV OF VER1UqY TMAT I AII LICENSED UNOER GROVISIONS OF GiAVTEq V. ` � ��COI.MENCNOWfT115ECTqN7000)OFOMSION70FTHEBUSINESSANDPPAFESSIONSCOOE,AHD Z � W UGENSE IS M FULL FORCEANO EFFECT. m O � ���..��.... 110ENSE CLASS UC.NO. J � DATE CONTMCTOR d . WORKERS'COMPENSATION DECLARATION a, � U � IHEREBYAFFIRMUNDEHPENALTYOFVENUHYONEOFTNE�OLlO`N�N�DECUMTION3: N � G _IHR/EANDN'iLL►UMTIINACENT�FICATEOFCDNSEHTTOSELF�NSUREFORWORKERS' 4 COMPENSATION,ASPROVDEOBYSECTION77000FTMEUBONCOOE,FORTHEPEpFORYANCE W OF iHE WOFIK FON W111CH THIS PERMR q ISSVEO. � 0 O _INAVEAIOWILLI.WMAWWOFiKEPS'WAIDENSATIONWSUAAtdCE,ASREWIRE08Y5ECT10N ^ -_ �7oaOFiHELA80RCO0E.FORTHEVERFORAUNCEOFTHEWOPoCFORVAit01THI5PERMITiS �� = ISSUED.MYWORKERS'OOIAPRJ5AT10NWSUMNCECARRIERANOPOI�CYNUMeERME: CONSTRUCTION ��}yL > ��pq�Ep PLAN REVIEW T — � poucrnuMeEn ELECTRIC �nSs�cm�r�ID�qTgEm�mpon�p6ursroqan��a��pd.ws(sionOAtEssl PLUMBING � �CER71fYTNATN7T7EPERFOfiMANCEOFiMEWORKFONNMIp1THISPERMITIStSSUED,I MECHANICAL SH�LL NOT EMPLOV AN'/FERSON M ANY YANNER SO AS i0 BECOME SU&IEC7 TO THE y VARKERSCd.�PENSATIONlAW50FC.LLIFORNIA,AND�GREETHATIF SHOULDBEGOME INSPECTIONFEE ,.7t-4, S SUB.lECTTO7HEWORI(ER5COM7ENSA DRC)�AS�H.�'OFSE �7 F U�OR ISSUANCE ',�' ' F t� � 1 SVULL FOqTMM7H Cd�RV WI � 5. rzc_�. h C�\ [} �� i 7l 1 p �TE: � �O APPIICANf: ' SMIP � ENERGY P/C WARNtIla FALURE TO SELURE NORKERS CO�dPENSATION COVERAGE�5 UNLAWFU4 AND SNILLlBE ry SV&IER/WEMPLOYER70CNMWALPENALTIESMIDCMLFINESUPTOONEHUNDREDTHOUSAND ENERGYPERMR �� OOLLARS(i10o,o00),N ADOI710N T01HE COST OF COUPEN51T10N.UAMAGES AS PROVIOED FOR W /� � SEGTION�70lOfTNEI/180RCOOE,MEREST,ANDATTORNEV'SFEES. RETENTIONFEE: i T���T,'��'jd.iaT�..�PJ..�..T� W CONSTRUCTIONLENDINGAGENCY PRE-ALTFEE RI t rw*r n�• r ..^�^�r-+r a. � �..—�'z�rJ"T".-."�'S'S L � INEREBYAFFIRMUNDERPFNALTVOFPEiWRYTHATTMEREISACONSTRUCT10NlENDINOACENCY � FOR TME PERWMWICE OF iHE WORK WR WNiCM TM�S OEiW IT IS ISSUED(SEG]OY7,qY.G� � � �ENDEICS NAME � LENOER'SADDHESS 't/� 'C1 � ��EqTIFy7W�7�MAyEqE/�p7N�5/,pP�IGTqNANDSTATETMATTIEABOVENFORIAAT10NI5CORNECT. TOTAL FEES �I'}'� IZ. ' " ` W IAOREEMCdA7LYVlfT1iALLCfTYANDOOUNTYORDINANCESANDSTATEUMSREUiW�TOBU0.DIN0 _ � �" CONg7qUCTpN,/U:OMEREBYAUhqRREREFRESENTATNESOFT115COUNTYTOENTERUPONTNE � � /�BOYE�MEMIONEOVROPEHTYfORINSCECTIONPURDO'ES. COMMENTS � � ' / /� n '� m oEw�m w�.�ct�wKn,��/I/"' � 7O — l ¢ ti tn ' — N s�a TU PERI�IffEE DATE RECPi.N0. y� Pap BY � VALIDATION � WHITE—DepartmentCopy,YELLOW—Fhence Copy.PINK—AsaeasorCAOy.GOLDENROD—File Copy,GREEN—ApplicanCs Copy . � .... ... . . . ... - , , , - . , . .. � . . . . �. � . ..� • . , �. • i ..' . .� � . . ,. _., . � � _ .,�.. � � •.I �/ fi�. .:. ' ,.: �. . ..• - . _-__ ' ,'CITYiOF DIAMOND BAR . `. ', - . _ _ ; : INSPECTIOPJ RECORD , .�: ; _ , _����q��.71} �'��� i_�.1.r.�.-�.'r���' Q ��'E'���s'�'' .��� ...,, ° '��:�."� �,_.�.�!`.�`�1����i..�� ;SET BACK � ���+ - "�.�� y� FLOOR JOIST � � .� . . jF7GS/FORMS/STEEL ' 2,-�Jt-�l' -.�-'i 1 ` ' FH.A REQMTS . - � - ^ - � � _ .,., ... _ _ , _ . ' �ELECTRIC G�OUND � � � UNDER FLOOR QUCT � �GROUND PLUMBWG I UNDER FLOOR CUMDUIT � - � SLAB GRAQE - ' - - ; FIREPI.ACE.F'OUNDATION � . < � � TEMP POWER - � _ FIREPLACE BOND BEAM ; s ' .. ' . ". . WATER SERVICE - - - MID�HT.BOND BEAM "� 'ROOF SHEATHING ' '"•• ' 8 FL BOND BEAh1 � ' ` 'FRAMiNGNENTtLIATION FINAL BOND BEAM • � ' ROOF COVER PRE-GRADING - `ROUGH H�'ATING BENCHIf�JG ____ IROUGH ELECTRiC _ ROUG}-i GRADIN� - �ROUGH PLUMBING -- - - FINISH GRADING ;SHOWER�UB TEST - POOL ELECTRlC ?EXT LATH/SIDING - - � POOL FENCING ;WALL-tNSUtATION POOL FINAL �GEILING INSULATION - �FF SITE IMPS. DRYVVALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PITlL..L. ON 51TE IMPS. - GAS AIR TEST FINAL ZONING FR�AL.CONST. ' � FIRE dEPT. FINAL _ fINP.L HEATIN� �. , !HEA�TH DEPT. FINAL _ � Fi�JAI ELECTRIC- �. DEV. FEES PAID - - - - ' Fl�JAL PLUMBING, - ENERGY � _ � � - .,,d.�,,,._ � — c'`.T r�:`?�?���-�:" ___� _ .....:� COMMENTS �J :SEPTIC TANK SIZE � SEEP PIT/U SIZE � -- �.s ���.��T��� ;� ; .,. � `: _::- . ' � _ �. - , ,'��:�' � �i�=� . . . ��; - _ -�., �: _ ._.{ - . .�r. . ...1 ^ ' . 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