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HomeMy WebLinkAbout14724 _�� CITY OF DIAMOND BAR EXP� � DEPARTMENT OF COMMUTTITY&DEVELOPMENT SERVICES RED � _ 21660 E.Copley Drive Suite 190 ' (909)860-3195 Fax(909)861-3117 MAY 3 O z��� PRESS '`'�'�+ BUII.DING PERMIT APPLICATION �1RMLY � JOBSITE p APPLICATION PERMlT� (I /C o ADDRESS 1 1 8 W�Y�D�1�1 t�CLI Dr' 111 WYt10wd �14� DATE � NUMBE �� M � APN �O7 TRACT ISSUE TypE pCC OATE CONST. GROUP g OWNER __�/ ADDRESS ZONING SEfBACKS z CITY ZIP TEL FRONT RW ❑ � APPLICAN7 TEL REAR ❑ � _ SIDFJSIDE STREET RW ❑ CONTRACTOR Sl�d'�'1A �j_Q�('m��C�o�1 ►,j=ol 1'NL ' SIDE ❑ q� ADDRESS 15,Z,1 W 1�OM►�1N v�4�— � CITY�v4�f l]� ZIP�O� TEL 1� 7 D0.1 3 PROPOSEDUSE f l— �C / � ARCH/ENG/ DESIGNER��l� NO.DWEL NO. NO. ADDRESS 7 UNfTS STORIES BEDROOMS � CffY ZIP TEL. � rn DESCRIPTION SO.FL FACTOR PSF ADJ.AREANALUATION a OWNER-BUIIDER DECLARATION . � SFRIADDIREM � O 8 1 MEREBY I�FFlRM UNOER VENALTY OF iE0.A1FiY THAT I IU�IXEMPT FflW THE WNTRACiONS ll• GefBgB/CBryOR ' � CENSEUWFONTHEFOLLOWMOREASONISEC.7a71.6BU5P1ESSANOPROFE5510N5CODE�M'CIttON (n COIN(TTWHIUIREOUWESAPERMRTOOCNSiRl1Cf,ALTER�.IPROVE,OElAOl1SH.ORREPAIRANY51AU0 W Paliql�eCK hIRE.PRIOR TO ITS 195UANCE ALSO REWIRES iHE APGLICANf FOR SUpI PERMIi TO FILE A StONED w � STATE�EM TUT HE OR SME IS LJCENSED VUiYSUANT TO TNE PpOVIS10NS OF T11E CONTRACTORB L4 CENSE UW(CHAP'TER i(COMMENQNO YATM SECTION 7Do01�DIVISION�OF THE BUSINE55 AND PR0. � PooVSpa Ff53qNSCODEJORTI/ATMEORSHEI3E%EMPTTHFREFROM►NOTNEBASISFOR1HEhLLE0E0FJfEMP• (� TION.ANYVIOlAT10NOF5ECTI0N7W1.6BYANYAGPLIGNTFOf1AFERMITSU&IECTSiHEMPUGNiTD Z Re�Roof � AC.MLPENALTYOFNOTMOREi}LWFIVEHUNDREDDOUARS(f5oo�.y - � 0�0.50W11EROFiNEPROPEHT'/,ORWEYP�OYEESWITHWAOESA57HEIq50LECOMPEN5AT10N, 0 COf11f11BfCI8I � , WMLD0INE YA1iK NO THE SiRUCTi1RE i5 NOT IMENDED OR OFiERE�FOR SALE(3EG 7Du,BU31• J � NESS MiD VROFE5510N4 COOE:TNE CONTMCTORS LICENSE UW OOES NOT ADPLY TO AN OWNER OF ? . PROPERTY WHO BVlD3OH MIPRDYES THEREON.AND 1N10 DOES SUp/Y/ORK XIMSELF OR MERSEIF OR � 7NROUGHMSOqMERpM1EYPLOYEES,DNOVIDEDTHATSUCHMPqOVEMENTSARENOTMENDE00q Cfl OFFERfD iOR 9ALE IF;/1�'EVER TME BUt�P10 OR ItAPROYEY ENT IS SOID MnMN ONE YFAR OF COMPIE. 'TqM.THE OMMER�UILDER MALL NAVE 7NE BURDEN OF PRONNO iNAT HE OH 6ME DID NOT BUIID O{i MVROVE iOH lT1E PUHPOSE OF SKE} � O l AS OMNER OF 1HE PROPER'fY,AA1 D(ClUSNELV CONTMCTrW WITt LICENSED COMMCTORS Q TO CONSTRUCf iTIL VRWECf(SEG 70M.BUSINE5511ND PROFESSIONS CODE:TME CONiMCiORS lJ• VHIU8tI0f1 ADJ.AREA 4+� CENSEUWDOESNOTMRYTOMlOMrt1EROFAPROPERTYMT�OBU4DSORIMPitOVE$111EREON.NA Z YAIDCONTRACfSFOR5UCH7RDJECTSYAINACONfRACTOR�S)�K:ENSEOWHSUANTTOTHECOt1TMG avarmTv DESCRIPTION FEE � ram uco+se uw.>. , O 1 AM IXEMPT UNDER SEG B.i V.G FOR TMIS REASON Q 3 � LL � OATE OWNER U � LICENSED CONTRACTOFS DECLARATION W � �NEREBVAFFGNIUHDERVENALTYOFGERAlHY7/UTIAYLICENSEDUNDERPROVIS10N50FCHA0TER V. , . � I(00►MIENUJOVYITHSECTION70oo)OFDMSION�OFTHEBUSINESSMlOPROFESSIONSCOOE,MlD z MY IICENSE IS N FULL fORCE AND EFFECT. m • o ���� U�.No. R �`I S = v ontf 3-1Sr�v cokr�uoroa � �a � WORKERS'COMPENSATION DECUIRATION a N111EilEeYAFF'IfWUlDERVENALTYOFPEflR1RYONEOFTMEFOIIAVnNaOEpJlMT10f15: Z � � � _�l/�VEANDWiLLIMINTAINACEHi1FICATEOFCONSENTTOSELNNSUREFORMIORKERS ': \ _ ' � -��/ .. _ , � . • � � ' COYPENSATpN,ASVROVIDEDBVSECT10Nf7ooOFTHEU80RCODE,FORTHEVEHFOqM/WCE �, W OF THE WOiLC FOR VMICN THI4 VERMIT IS ISSUED. � � p ��HAVE AHO WILL MAIMAW WORKER5 WMPENSATqN INSUHMlCE,AS REWIRED BY SECT70N i7o00FTHEtABORCODE,FOR7HEPERiORl.UNCEOFTHEWORNFORNMidITHISPEN.aT15 � ISSUED.WM/ORKER5LOM7E115.�TqNWSURANCECARRIERM1DiOLICYMINBERARE: CONSTRUCTION �► � uu�aiEa STI�� F1./Y�D PLAN REVIEW y.�. � POLICYNUMBER I 2�0 S�. � � EIECTRIC � ■■ p �ttiss[cnoerrF�wreEa�rmaai�rEp.�rsR�a+flFurd�IDo�uus�siaqaA�sry PLUMBING Z ICERT1FY7/NTMhIEPERFORMANCEOFTNEWOHKFORNMipIlMISPERMiTI5155UED,1 MECHANICAL U' SW�IINOTEIAPLOVANYOEHSONNANVMMMERSOASTOBECOAIESUBlECTTOTNE N WORKER5COMPENSATIONUWSOFCALffORN�A.M'��GREETHATIFISYKK1lD8ECOME INSPECTIONFEE SUB.IECT TO THE WOFINERS'CdAPEN5AT10N PROVISIONS OF 6ECTqN 7700 OF THE LABOR s COOE,ISMALLFORiHWITNC04PLVWIlN1/105EPROVIS10N�5. � �y.� ISSUANCE C � pDATF:�^��'�'� APPIICANT:�AlU1wL JC�T../r'L .SMIP � � ENERGY PIC WMNIN�:FALURETO SECURE YIOfYCENS'COL�PENS�710N COVERAOE IS UKAWiUI.AND SNALL BE � SUBAfCTANEMPIOYERTOLfiM4UL0ENALilESANDCNILFpJESUPTOONEHUNDREDT10U4AND ENERGYPEFMIT � � � � 00.UFt31i1 oa.oao),W/�DOI710N TO TNE COST OF COMPENS�TqN,DAMAGES AS PHWIDED FOR W � 6ECf10N�70eOFiHELABOflCODE,HTEREST,JWD�TTOiWEY'SiEES RETEN710NFEE: � d . CONSTRUCTIONLEND�NGAGENCY PRE-ALTFEE: O � INEREBYACFIRIAUNDERDEN/�LTYOFOERNRVTHATTNEREISACDNSTFUCTIONLENOWOAGENCY - Z FOR THE FERFORMANCE OF TNE WORN FOR YMIG/MIS PERMIT IS ISSUED(SEC.90Y7,CIV.G� . W a� LENOENS NAME . � Cs lENOER'SIIDDRE55 "- ICERTIFYh1ATIHAVEPEAOTHISAFPUCATqNAND9T11TETNTT/EhBOYEMFOiiMAT10Nl$�ORFtECT. TOTAL FEES � � IWREETOCd17LYMTi1/I1lCRYlWDGOUNTYOfi��NANCESANOSTATEUWSRELATW(1TOBUttI71N6 � � CONSTRUCTION,ANDHEREBYAUTqR2EREPRESENiATNESOFTF115COUHTYTOEMTERUPONTHE . IBdYElIENTIONED PROOERTY LOR NSPECTIO��PURPOSES. COMMENTS 9 l� `'�2.� m � E �� .S�c�-OO � � � � y NATUP/ VERMI E DATE � . RECPT.NO. PA1D BY VAUDATION WHITE--Depanment Copy,YELLOW—Fhence Cop�r,PINK—Assessar Copy,GOLDENROD—File Copy,GfiEEN—ApplicanYa Copy . , ,... . .. . . . : �. .�. , .... ., ,. ... � , :v, . ' . - ���. . .. . � , ..�r.. , -r . . . . . .. . . :�+�„�.,� ..�r . . ,•r° ... ,:r�. . . , _ ,.-��;-.,��:� CITY OF DIAMOND BAR� •,r . ;..�r,_,..,;,_, . .. . INSPECTiON RECOF�D_. .' ; ' � -,� r, � , ,,. ,. .. '(iE-'���1.�:�C��►!I ,� ��.��� '1���-���.�'t'�.bl� !_l`'k-__����C m ► � ���i?���► .��I�e�t'o]�t � SETBACK " " --, . � FLOOR �IST��,,,,�{r r ,;� r,�,:L��,7l�is�1� �1T� . , -- FTGS/FORMS/STEEL - '` � `, FHA REQMTS - � --- - _ ... .. ,. ELECTRIC GROUND _- ' � -- UNDER FLOOR DUCT ' �;� � : GROUND PLUMBING UNDER FLOOR CO�IDUIT ' � � SLAB GRADE � - � • FIREPLACE FOUNDATION TEMP POWER--- '.' _- -- ' i FIREPLACE BOND BEAM . .- . � , -- __ . WATER SERVICE - : --:� __ - MID HT.'��7f�D'�EANir`���.%� :t� r�•► . •, ,J I r .- . � ROOF SHEATHING_ _' ' _. -. _ '. .`: -: . �:. . 8 F?. SQNR'f3E"�h1.::�;�• ; ;;r • ..� . ` i: ., r � . . . ., . FRAMINGNENTILIATION � FINAL BOND BEAM �` , ' ROOF COVER "' " �PRE-GRADING - � �ROUGH HEATING _._ _ --- --- --- ;-_. . ___ . __. . -- BENCHING -- : . ___ ' ; ROUGH ELECTRIC_ _ __ _�_ �:. �._ _ . ROUGH GRADING _ ' ROUGH PLUNi81NG ";� - "- " - � - � FINISN GRADING . SHOWER/TUB TEST ; -- � � -- POOL' ELECTRIC - EXT.LATH/SIDING _� _ POOL FENCING ' WALL INSUUITION POOL FINAL' ' CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS ` I SEWER ' FINAL ENG. _ _._. _. _ SEPTIC_TANK_ __ . __. ___ _ -__ . .. ___. _.. .._ LANDSCAPFJIRRIG. - � SEEP-PITlL:L.-. _:- ._ -� - - - - - ' _ _-- ' _ ON SITE IMPS... .. ,, . , , GAS AIR TEST- --- _ __ __..... _ .. ._. _ . _ ! _ FINAL ZONING r - FiNAL CONST. : - - _--- � - -- - _ _ . . . _._ FIRE DEPT. FINAL _ _ _ � �FfNAL HEATtNG - HEALTH DEPT. FINAL ; . FINAL ECECTRIC _ _" ` - _ , " DEV. FEES PAID . " - , FINAL PLUMBING ENERGY � � . • • ��� �s•��i�� E��ja' a' ° ,' w 1 •.s. .�r�t,''i 1 i �.f�1�,-a-�. .. _ , . - -- - _ _. . . � COMMENTS .. . . _ . _ - • ; , _ _ . l at1,- � � f __ � -�� . M�c , _ - __. _ _ _ . _ ; : . . �._ _ _ ' __ - - - - i �. � {r;,� -� ,:,,r , .. ,; _ _ _ . ••, . ' � f'��•i s. c� .: i;,� � � ,,� i . - _ � • � , - -.. 1 �� � �� )I�! t . , __. , . '. . Rl����QV;.�idlOtlri'i�.� � . ', . _,.�.. , .., . .., ,._.,�.: - '�.�i��-.=-�-� �—=---•-•�� ' —s. SEPTIC 7ANK SIZE - ' ; ' ' SEEP_PIT/U SIZ� � � � ; ���. """"'1 _ . .. . � . ,. � f�V� ,�` _ . 4 , /;� i _ _ . _. . __ . _ . . . .__ .----�---�--. ., . . '