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HomeMy WebLinkAbout13373 J� CITY OF DIAMOND BAR ' ' ` � DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS ..;��'� BUD.DING PERMIT APPLICATION , FIRMLY o ADDR SS "v r�✓ �UC.�7r'�a'N � � DATE CATION ¢,r/L}�� � NUMB R 13�7 3 ���U� !> � APN LOT TRACT pA� J " 3 ^s��( ONST. GROUP p OWNE� � }.�-.l�.I�►. ADDRESS D N . ZONING SEfBACKS � CITY ZIP�� .TEL. REAR RW p APPUCAM M�1 TEL SIDE/SIDE STREEf RW ❑ � CONTAACTOR SIDE ❑ � ADDRESS PROPOSED USE N LJ! � CITY ZIP TEL. � A_R�(E NG/ � � E�SIGNER��I1A� CA'N A G• NO.DWEL N0. NO. � ADDRESS � UNITS � STORIES � BEDROOMS N CRY ZIP�Q�. TE v� DESCRIPTION S�.FL FACTOR PSF ADJ.AREANALUATION p� OWNEA-BUILDER DECLAFIATION SFFVADNREM O 8 �MEREB'/AFFlRM UNDER PENALTY OF pEiWRY 7HAT I/JA E%EMP7 iROM TME CONTMCTORS L4 Garaga�Carport CENSEUWFOi1iHEFOl10WINOqFASON(SEG7m1.6BUSWES3MI�DROFESSIONSCODE:ANVCRVOR , (� � COUNT\IMi1d1RE0UIRESA7ERMRTOODNST(iUCi,ALTERM�PROVE,DEMOUSH,ORREP+VPANYSiRUG W PatiolDeck � � � � NPE.PRqR TO ITS 155VANCE./LL50 PEWIRES THE APPLICANT FON SUCM VERMIT TO FILE A SIGNED W S7A7FUENT THAT HE OR SHE IS LICENSEO PURSUMIT TO THE CROViSiONS OF THE tONtw�MOHS U- w � CENSE UW(pUPTER i(COMMENCINQ YATM SEGTION 100a)OF DMSION]OF TME BUSINE55 M1D PRO� �- u' PooVSpa - � iE55lONSCDD�ORTHATHEOq5HE15EXE1APTiHEREFiL�AIAHDTHE9ASISFdITMEILLE6EDEXEYP• - (� TqN.ANVVI0LAT70NOFSECTIONTWt3BY/�NYAPPLICMIiFORAPERUITSUBJECTSTMEMPIICANTTO Z Re-Roo1 � ACMLVEWLLTYOFtqTMORETMIV/f1VEMUNDHEU00lUH5�i5oo).): � � OlA40YMEROF7HEDROVER7Y.OR41YEUFLOYEESVAMWAGE5A5THEIqSOLECOMPENSATION, � O �mmerqal - � � VALL 00 T11E WOFlK AIA 7HE STRUCTUNE 6 NOT IMENOED OR OFFEREO FOR SALE(SE0.7oN,BU51- J N NE55MDVROFESSIONSWDETNECONiMCTORSIICENSEUWOOESNOTAPPLITOANOWNEROF � � , ►iIOPEHfY 1Nq BU'LDS OR IGPqOVES TNEREON,ANO WHO DOES SUCH V70{IK HI4SELF Oq MERSELFOR � TWiOUdIHISOiiHEROWNEMPLOYEES,Pi10VIDWTFUITSUCHMPROYEMENTSARENOTINTENOE�Oit m � .OFF61WPof15l�LE.IF,FIOWEVERINEBUIDIN�ORIMPROVEYENTI350lDNATMNONEYEAROFCOM0.E• � TqN,THE OWNEhBUttDER YnLL HAYE TME BURDEN OF PqOViNO THAT HE OR 6NE DID NOT BUIID OR = MGROVEFORTHEiUNPOSEOFS�LE1. � . �y,� ❑4A40WNEROFT/EPRO7EHT`/./)dD(CLUSNELYCONTMCTWOWfiHLICENSED[tMTMLTORS� � TO CONSTRUCT iTfE FNOJECT(SEG 70N.BUSINESS AND PFOFESSIONS CODE:TME CONTRACTORS U- V01U8IIOf1 ' ADJ.ARE11 � � - � GFl/SEUWDOESNOTMPL�'TOANOWNEROFACROPERTYWNOWLDSORIMPROVESTHEFEON,AND MMOCOMMCTSFORSUCHVRO.lECTSWITHACONTMCfOR(S�IICEN5E0M1RSUANTTOiHECOHTMG QUANT�TY DESCRIPTION FEE � TOiIS IJCENSE UW.} . . . . . O IAIA IXENPT UNDER SEC B.t P.C.FOR TNIS NEASCN � 3 � . . . _ u. � . DATE ONMER V �q UCENSED CONTFIACTORS DECLARATION W i�,� ^,� 2 IHEREBYAiTIRHUNDERVEN�ITYOFVEiWRVTMATIA1.Il�CEHSEDUNOERVROVI5iON50FCwlPTER- V. p. •�COMMENCu10ri1THSECTqN7a0ulOFOM510N]OFTMEBUSINESSINDPPOFE5510NSCODE,AND Z ' X 1,('!LIGENSE IS R7 F11LL FORCE ANO EiFEC�. m � LICENSE ClASS LIC.NO. J ( i .� ^ J `J^ �j on� cornrucroa °' �ITY()F I�TAI�:�JND:5 1ft � WORKERSCOMPENSATION DECLARATION � i a `U1LllING Altill SAt• • I'Y . = U yIHEFE�YAFi1RMUN0ERCENA�TYOF0ER1UfTYONEOFTNEPoUA'MNOOECLA1iATiONS: � Z " " - -� � �IMAVEANDNAL4YAMTAINACEHIIFIGITEOFODNSENTTOSELF-INSUR[FORWOfiKERS' x COIIPENSATiJN./S7RWI�E�BYSECTION�7000FTMEUBORCODE.FORTHEPERFOqMANCE W OFTNE WORK FOR IM�Kx1 THIS VERAIR IS ISSUED. � C �I HAVEAND N'ILL AWMAP!WORKE175'COMPENSATION WSUF4NCE,AS RE WIflED BY SECTqN Q97WOFiMEUBORCOOE.fOR7HEVERFORAIANCEOFTHEWOFU(FORWHICNiHISPERMRIS [� O � ISSUED.MVWOFU(EFiS'COMPENSAT%7NWSUMNCECAAR:ERMJ�POIICYNU.IB:RME CONSTRUCTION CS � , , � C�qqiEp PLlW REVIEW 1 2 POIICVNUMBER ELECTRIC 6 � (nas5ccnonnE�rqieecoi.s�ErtvoFnerErr.irsror�or+eru�ootw�s(simlontEss} PLUMBING Z ICERTIFYhuTINTMEVERFORMMlCEOFTNEWORKfORWHIdiTMSPERM1T4i15SUED,I MECHANICAL - ('} 6HALLNDTEUFLOYMrv0ER50NNANYMANNERSOASTOBECOMESU&IEGTTOTNE vj WORKERS'COMPENSATIONU'NSOFGLIFORMA,ANDAGREETNATIFISNOULDBECOME INSPECTIONFEE , `� 6U8.lECTTOTHEYXKiKERS'COMPENSATIDNPROYISIONSOFSECTqN77000FTMELA80R � - - - � -�j� COOE,ISHALLFOqT11WIMCdrPLVWITHiYqSEPROVI5lON5. ISSUANCE � � snniP /. �/o p DATE: APPLICANT:� � ENERQY P/C WARNINO�FAAURE TO SE WRE YJORKERS'COMPENSATION COVERA6E IS tlMAWFl1L,Ml�SHALL 8E ' � SU6JECTMIEMPLOYE1iTOCRIMINALPENALTIESANOCNILFNESUPTOONEMUNDqEO7HOU5AND 'ENERGYPERMIT �� OOl1AFlS(5100.OW),IN/�D1710N i0 7HE COST OF COMPENSATION,DAMAGES A5 7ROVIDED FOR IN � JoC SECTION7?OeOFT1EU80RCO0E.INTEREST,ANDATfORNEYSFEES. RETENTIONFEE: � � � �n � a CONSTRUCT�ON LENDING AGENCY pFlE FEE: � o �_n� _ � IHEPEBV/SFlHAIIMDERDENLLTYOfPEiWRVTMATTHEREISACONSTRUC'TION�ENDINGAGENCY � � ' FORTME PERFOFMANCE OF THE WORK FOR WMIGI TNIS VEfUAIT IS ISSUEO(SEC.]OVI,CIV.G�. � lEN0ER5NAME - . , d I � C LENDERSADDRE55 � W� TOTAL FEES 1 CERiIFY 1HAT I NAVE REl1�THIS ADPLICATION ANO STATE THAT TNE ABOYE NiOPlAAT10N IS CORRECT. � p� IAORE•':TOWMPLYM1THALLCRYANDCOUN7YORORIANCESANDSTATEUwSREIATINUTOBNLDINO � � '^ CONSTRULTION.MAIMEXEHYAUT110fU2EREVRESENiATIVE50FTWSCOUNTYTOENiERUPONTHE . . L ABOYE-MEHTIONEO.YaC7VE INSPE PURPOSES. COMMENTS /' �/V � _ � I m PERIARTEE MIE - � . . . . � � (n blc11UTUR F G E � � . . RECPt NO.��� PAID BY VALI�ATION � -- WHITE—Department Copy,YELLOW—Finance Copy.PINK—Asaeeeor Coq,GOLDENROD—File Copy,GREEN—Applicanfe Cop� -�� -- 1 CITY OF DIAMOND BAR . , .. .. .; .._ _ .,. . .. . . .. . ' �- � � "` 'INSPECTION RECORD .� -, _, - • � � • ' � � , . � . SET BACK.. . r. t ,; _ . � �.`.�\ _'i�, FLOOR JOIST •� :�t�,� _.�. . �� :�i., .� � FTGS/FORMS/STEEL " . t. — FHA REQMTS • - - -- - � EtECTRIC GROUND - . ' _ -_ " , - -` `, UNDER FLOOR DUCT• .•� � ,,. ��;,;,_�,, ti .,t � , GROUND PLUMBING � UNDER FLOOR CaMDUfT c-`ti;�;�'��;`•' '•',��-y- SLAB GRADE - � _ __ FIREPLACE FOUNDATION �=� :• , _:a, �� ,,., •:.�;; `.; ' . .. . TEMP POWER- • - - - '= ` FIREPLACE BONb BEAM � ' ' '` � ` -WATER SERVICE - ,-- :--- — - MID HT.BOND BEAM - , ' ROO�SH�A H PI�� �'��-, �' �+ � �, _'� �'• - 8 FT.BOND BEAM- FRAMINGNENTILIATION � � FINAL BOND BEAM • -�.�.,,..-.,.: �.� • •<< ,, ;s ,, y. :. ROOF COVER . � — � PRE-GRAD P1G' , � .,.3�-� :.�'• i� •a`, •.,.�.. : ROUGH HEATING- - - - _ - BENC i�f1�1C�a•' ��=".i;i .�_ '�f .,:;'•,i't,�,i;'.'; , . ROUGH ELECTRIC ; -- ` ' ` - ROUGH GRADING , ROUGH PLUMBING ' - - FINISH GRADING . SHOWERlTUB TEST - POOL ELECTRIC EXT.LATH/SIDING i POOL FENCING � • WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAIUNG DEDICATIONS , SEWER _ _. __ FINAL ENG. ' -SEPTICTANK _ . . _ _ __;_ ._ �, LAN�SCAPE/IRRIG. SEEP PIT/LL - --=-- _ - _ '•. . :.�•• ' ON SITE IMPS. ,. GAS AIR TEST - - FINAL ZONING fINAL CONST. , p - FIRE DEPT.FINAL FINRL HEATING - HEALTH DEPT. FINAL FiNAI:ELECTRIC " " - - DEV. FEES PAID � FINAL PLUMBING ENERGY , e s� " _ _ _ COMMENTS _ _ _ _ _ . '�'.� •�, � , . `,� _ . . -;,- , - - : ,� •_� - _ _ _ _ i .: . � 1, _ , ; SEP,TIC TANK SIZE ' , , SEEP PIT/U SIZE r . _ _ _ ' � - � _ _ _ , � ' _ . _ _ ; _ ��. _ _ ' , � ; _ . � . . .� �� � _ _ •��. �--\- _ `. . . . . - 1 � �- � � . . . _ _. �_ . ,, . 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