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HomeMy WebLinkAbout12406 CTTY OF DIAMOND BAR �. Z --- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Sirite 190 (909)86Q3193 Fax(909)861-3117 PRESS `^���� B�.nnv�rE�r�r1cATTON FIRMLY � JOB5ITE APPLlCATION PERMIT p/C 4 AODRESS -��� ��� Z o DATE NUMBER 1� �3 ISSUE 7YPE pCC APN LQT TRACT CJ��.Z� pp7E CpNST. GROUP �j OWNER �Q /�1[� � ADDR S J.S�i S— 1�✓ ��'7p.�'1 �r ZONING SETBACKS CITY ZIP - TEL� FRONT RW ❑ APPUCANT ,�� TEL. REAR ❑ SIDE/SIDE STREET HVy p CONTRACTOR �' SIDE C � � CITY ����( ZIP�?EL. � PROPOSED USE 8 ARCWENG/ DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � v� DESCRIPTION SQ.FT. ' FACTOR PSF ADJ.AREANALUA710N p� OWNER•BUILDER DECLARATION SFR/ADD/REM O , � I NEREBY AFFlRAI UNDER PENAL7Y OF PERAIRY THAT I AM E%EMPT FROM TNE COMMCTORS LF Gara 6/C8 rt CENSEIAWPoR7FIEFOLLOWpKiREASON�SEC.7031.68U51NESSANOPROFE5510NSCaDE:ANYCT'OR (n g � OOUMYMf!#CNREGIARESAPER�IRTOCIINSTRUCf,AL7ERIMPROVE,OEMOUSH,OpREPAIRANVBTRUG W Patlo/Deck iURE.PRIOR TO ITS 183UANCE,AL60 qFOUIqEB 7FIE APPLICANT FOR 6UCH PERMIT i0 FILE A NONED w tTATFMEM 7FNT ME OR eXE IS LICENSkV PURSUAM TO 7HE PROVISIONS OF THE CONfMCTORS U• � CFN6E lAW(pIAp�ER�(COMMENCINO WITI SECTqN 7000)OF OMBION a OF TFIE BUSINE35 AND PRO- u- PooVSpa FESSqNS COOq ORTHAT HE OR SHE IS E�MPTTFIEREFHOM AND 7HE BASIS FOH TNE ALLEOED EXEMP- ilON.iWNVI0U1TqNOFbECTIONT0i1.6BYANVAPPLICANTFORAPERMITBU&IECT8IMEAPPLM.AMTO Z p�p� � Il GVIL rENNhLTY OF NOT MOfiE TIiIW FNE NUNDHED DOLURS lib�).J: . OIASOMMEROFTHEPROPEp7V,ORMYEMPLOYEESMAiHWWE811STHEIRbOLECdAPENSATqN. 0 ComT6�Glel NALL 001XE YYOflK M!D THE STRUCTUHE IS NOT MlTENOED OR OFFERED iDR SALE ISEG 7a1a,BUSI- J N NE55 6N[7 OROFESSIONS COUE:TlIE CONfRACTOR9 LICENSE L�W OOES ApT ADPLV TO AN OWNEN OF ? PIIOPERTY NI}p BUILDS OR MPROY63 TMEREON,AND YYMO DOES BUW NR7RK NIMSELF OR HERSELF OR � iN110UGHWSORHEROMlNBdPLOYEE9,PROV10EO7W1T8UCHMPROVEME7T9MENOTMEHDE00R 'm OFF6IED R7R B1LLE IF HOWEVER�BULDINO OR NJPRDVEMENT IS eOLD WIT14N piEYEAROf GOMPIE� �iION.THE OWNERlUILOER WILL NAYE TiE lURDEN OF VROVIHO MAT ME OR SHE OID NO7 BUqD Oq MPROVF PoH 1ME PURPOSE OF SALEI� . O I,AS OWNER OFTNE PROPENfY,AM El(CLUSNELY CONTMCTINQ WITH LICENSED CONTRACTORS � TO CONSTRUCT TlIE PHOJECT(BEC.70M.BUSINE5S ANO PIqFE5310NS CODE:THE CONiRACTORS LI- V81u9tI0n ADJ.AREA CENSE UW ODE9 NOT APPLY TO AN dNNER OF A PROPERTY NR1O Bl/MD8 OR IMVHOVE9 THEREON.AN� � WIIOOOMf1ACTSWPSUCFIPNWECT9WITMACONfNACTOR(8)LICBASEDWRSUANTTO?HECONTMG QUANTITY DESCRIPTION � innsuca�esuw.y FEE 0 I AN IXEMPT UNDER SEG 8.t P.C.FOR TNIS REASON �Q U � DA7E ONRJER U � LICENSED CONTAACTORS DECIARATION W � 1lIEREBY11FFpWUNDERPENALTYOFPERJURYh1AT1AMLICENSEDUNDERPROVISIONSOFCMMTEq � � �(COMMENGYiO WRli 8EGTqN 70WJ OF DMSqH 70F TNE BU5wE55AND PROFES510N5 CUDE,AND Z MY LICENSE IS W FU.L FORCE M1D EFFECT, o uo sEouss �L`ZU uo.►w. ZZLS/2.� � � `a►�� ���L 2�`3 corrrRnctoA�l/SC� f.�72-- � WORKERS'COMPENSATION DECLARATION � I . yIHEREBYAFFIRMUNDERPENALTYOFPERJURYONEOFTMEPoLLONfING�ECUMTIONS: Z �'� �.� � �IWIVEANDNALLtAAIN7AINACEHfIFICATEOFCONSIXfTOBELF-INSUHEFORNqRKERS' Q2 /� /7 / p COMPENSA710N,A9PROVIDEDBYlEGTION37000FTHELABORWOE.FORTHEPERPoPMANCE V iP+/ ��V Grr OF TIIE YYOFIK FOR WHICl1 THI9 PERMIT IS 6SUED. � r-'� ,��^A- r.- ^��� C- I NAVE AND WILL MAINTAN YVORICENS'COAIPENSATION INSURANCE AS REGUIRED BY BECTION � 9700 OF 7HE LABOF OOOE.FOH THE PERFORMANCE OF THE WORK W H YYHICH 7NIS iERM1715 � ISSUED.MYWORKERS'COMPENSATIONINSURANCECAHRIERAN�POLICYNUMBENME: CONSTRUCTION � CARRIER_. _ L/�:Y.�TZ,I H4�TI�1�}L PUW AEVIEW � va�arNureEn l.� (�_2=—)i�1—/"�"�Gi_'�_�R—N_1� � � ��- « � ELECTRIC � (MSs[LRqNNE�No7eEo�MREimOFnEPEiwari6ri7aoNEM1�DRED�atM6R�ao�atLE5si PLUMBING ' Z I CERTIFYTHAT N 7HE PERFOf�AANCE DF T}IE WORN FOR WHICH THIS PERMIT IS ISSUE�.I MECHANICAL � 6HALL NOT EMGLOY M1Y PER60N IN ANY MMINER SO AS CAME SU&IEC7 TO iHE [q WORI(ERS'COMPENSATqNU1W5 IFORNIA. E TIFISHIXIL�BECOME INSPECTIONFEE � SUBIECTTOTHEWORKE ENS� � 51 C7 FTHE R coo�is�+}u w oa� � SEP 1 �� ISSUANCE O �-C 7— p pA7E: I SMIP � WMNINO:FAILURG TO SECUHE WORKE TI cAVERAGE IS UNIAWFIIL,ANO 6FULL BE ENERGY P/C �y SUB1ECfANEYPLOVERTOCRIMWALP S� O IIFINESUPTOONEXUNDREDTNWSAND ENERGYPERMIT DOLLARS(itao,00D),k1 ADDITON TO TFIE OSTOF PENSATION,GAMAOES AS PROVIDED FOR IN � SECTIONJ70BOFiHEUBOHWOE,NI7ERE57,AN0ATTORNEY9FEE3. RETENTIONFEE: OCONSTRUCTION LENOING AGENCY PFE-ALT FEE: '� �' � IHFREBYKFIHMUNDERPENALTYOFPE0.IURVTMAT7HEHEISACONSTRUCTION4ENDINaAOENCY � FOR THE PERFORMNlCE OF TIE N/OAK FOR Yhllpl TMIS VEHMIT IS 195UED(SEG 90Y�,CIY.G�. I � IENDER'SNAME ` � � LENOERSADDRE55 �7+� � ICEqTIFVTHA71WWEpEADTMBAPPLICA710NNJD8TATEiMAT7HEABOVENJiORMATIONISODRqECL TOTAL FEES . � �• `� � � IAOREEMCOGRYWITIILLCRYMACOUMYORDINANCE9AHOST�TEUINSRELhTINOTOBUILDINO � CONSTRUCTION,ANDNEREBYAl7fIpRREREPRESENT�TfVE50FTHI5COUNf`(iOENTERUPONTME � 118WEiAENf10NEO VfiOPERTY POR INSPECf10N PUflPO5E5. COMMENTS � � � m VEWAITTEENMI ) � ' Q /J Z N ��G./ �/j 810NATUiiEOFPEWITT pATE � RECPT.NO. PFUD BY VALIDATION E-0epsrtrneM Copy,YELLOW�Inance Capy,PtNK—Asaessor COpy,GOLDENR�Ie Cqm GREEN—Applitant's Copy :. , ., ., . . .. . . , . _ ,.. �. .._ . . . . . .. . .... .:..... . ,..... .,.,�.� .. , , �:. , ,. . , , . � CITY OF D{ANtOND BAR ` � INSPEGTIOI�t�REC�RD � � � , � . . o e � ■ • - SET BACK FLDOR JOtST : � FTGSlFQRMS/STEEL � FHA REQMTS: ELECTRIC GROUND UNDER FLaOR DUCT' '. GROUND PLUMBING UNDER FLOOR CQRIbUIT... , ' -- . ' . . , .. . SLAB GRADE FIREPLACE'FUHIVDATION ' - - . . ., . . . TEMP POWER FIREPLACE$�ND BEAM - WATER SERVICE - MID HT..SOND BEAM - - - ��-• • --- � • ' R(�OF SNERTHING 8'FT. OND BEAM - � �� �y � �-�� FRAMINGNENTILIATION FINAL BOND BEAM R�OF COVER PRE-GRADING ROUGH HEATING t -• BENCHING � ROUGN ELEGTRIC ROUGN GpADING ' RCIUGH PLUMBING i - FINISH GRADING SH�WERlTU6 TEST �-� POOL ELECTRIC � EXT. LATH/SlDING I POOL FENCWG WALL INSULATION l POOL FINAL CEILING INSULATION I OFF SITE IMPS. ORYWA�L NAILING DEDICATIOtVS .. SEWER � ; � FINAL ENG. SEPTIC TANK . .. ; � � ` LANDSCAPE/1RRIG. T SEEP PIT/L.�. ; � j I ON SITE iMPS. ---- GAS AIR TEST i ; , FlNAL ZONIlVG ; • � FINAL CONST. � i ; i FIRE DEPT. FINAL FiNAL HEATIi3G ' ��HEALTH DEPT. FINAL ' FINAL ELECTRIC : DEV. FEES PAID ; FINAL PLUMBING ; I ; ENERGY f ; � ` r �r - - - . - � - , , .. COMMEIVTS � � _ . � • • --- :_ - • -- + . . � , , � �_., . .� i �.f - . � , , .S . ,} _...._ _ .. . SEPTIC TfiNK SIZE SEEP PIT1U SIZE _ —� i ;_... ... : �. � I . , — �' �, . .. ,,\ . , .-___ _ _` ._. .__. _ � ..