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HomeMy WebLinkAbout13374 CITY OF DIAMOND BAR ' � -- ' —� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Coplcy Drive Suitc 190 , (909)860-3195 Fax(909)861-3117 PRE$$ ';�',. $UILDING PERMIT APPLICATTON ' FIRMLY o ADO ESS V"l�� Y�f'���N �� • DATE CATION p�/�_G)'Q NUMBER I 3� �!C ��S( O !(J u $ ISSUE �. TYPE OCC APN LOT TRACT OATE_5" � ' ��{ CONST. GROUP � OWNER • ` A�DRESS �1�D7 VU • L. ZONING SEfBACKS �� CITY� N-D ZIP�(� TEL R�R RW pU APPUCANTJ.M.NDIA�N TE SIDE/SIDE STAEET fiW ❑ CONTRACTOR SIDE ❑- ADDRESS � CfTY ZIP TEL ' PROPOSED USE � � � (1� WI NJ�W�rC, a�i �A l�NG/ ,l,,1 w�� �.�-�_. ,��, ED SIGNER � �• i�'V�7� � c' NO.DWEL. !� NO. 2 NO. N C�D�D�R SS Z�P TE UNITS J STORIES BEDROOMS ' � � u� OESCRIPTION SQ.FT. " FACTOR PSF ADJ.AREANALUATION � OWNER-BUtLDER DECLAFiAT10N SFWADD/REM O � 8 I NEREBY AFFliM1 UNDE0.PENALTY OF CfRA11tV THAT I/W IXE/APT FFdA T1E CONTRACTOqS LL GafHqe/C81p01[ � � LBfSEUWFORTHEiOLLOWHOREA50N(SEG70]1.6BUSWESSNIDPROFESSIONSCOOE:ANYGTYOR (n � CD�MT'/YAIICMREOUIi1E4�FERMRIDCONSTRUCT,ALTERiMDROVE.DEMOUSN.ORREVAIRANVSIAUG W PailO/DBCk . . TURE,VPoOR i0 fTS Cs6UANCE,�L50 REWIRES TNE M�LICMii FOH SUp1 PEHMIT TO FLLE�SIONED STATEMEM iHAT HE OR SME i3 UCENSED WliiSUANT TO 7HE Pii0VI510NS OF THE CONTRACTORS L4 s CENSE tMY�qI�VTER i(CqAMENCNO 1YTH SECTICN 70a0)OF OIVISION]OF iME BUSHlE55�ND PRO� u" P�VSpB � . . XiESSqNSCODE)OfiTVNTHEORSHEI4E%EIAPTTHEREFROMANOIHEBASISFORTHE/LLEOEDE%EMP- v TION.AHYVIOl�710NOF5ECTI0N7W1.68Y11NYAPPLIGNTFOFAYEWAITSU&IEGTSiHEMPLIGWTTO z Re�Roof F AGNILPENALTY OF NO'T MOiiE TFWI FNE MJNDRED DOl1AR5(lSoo�.} � ❑t�^�WNEROFTHEiROPERTY.OqMYEMPLOYEESNA7HWA0E5ASTNEIRSOLECOM7ENSATION, 0 (`,pmTBfClel - � WILL DO iHE WORK ANU THE STRUCTURE IS NOT RlTENDEO OR OFFERED FOR SALE(SEG 7011,BUS6 J N NESS/J�O►ROFESSKNS CODE THE CONTI1ACfORSIICENSE UW WES NOT A7VLY TO AN OWNER OF� . j PHOPEflTY YNq BUlD9 Oil MPpp1/ES TNCf1EON,AND N510 DOES SUCH WONK HIMSE�FOR HERSELF OR � � T14iQlONNfSOFi/¢ROVMEMPLOYEES,PRONDmT1UTSlA/YAPf10YEMENfSARENOTNTENOEDON m OFFFAEO�N 3ALE IC,/qV/EVERTME BULDiNO�R MPROVEy(ryT Lq SOLD WR}lNONEYFwR OF�p�. 'TION,7HE OMMER�BU0.DEN WRL XAVE 1NE BUROEN OF PRONNO iNAT NE Oii SME 09 N�T&1RO OR MPROMEFOqTHEPURPOSEOFSALE} ' W ❑1I190MMEROF�7RpVERiY.AME%QUSIVELYCONTRIICTINfiN'ITNLICENSE�CONTfUGTOH3 � TO COHSiRUCT TME PRWECT(SEG 7W.BUSME9S AND FilOFE5310N5 CODE:THE COHTMCTOR^u LF Valualfon � ADJ.AREA � CENSE UW DOES NOT AVPL1 T�AN OMMER OF A PflOVEFlT'YYHO 8U4D3 OR RIFROVES TMEREON,AND MMOCONTRACT8FOA6UpIPROJECTSWITHACONTMMO{i(S�UCENSmPURSUNf�TOTHECONiMG QUANTITY DESCR�PTION FEE � 70RS 11LEN5E UW.� . . . .. . . . . . . ❑I AY EXEMPT UlIDER SEG� B.t P.G GOfl TMIS REASON q 3 ��C V" DATE OWNER r Z W F UCENSED CONTRACTORS DECLARATION W � INEqEBYAFflRMUNDERYENAL7YOFPERAINY7HATIMILICENSEDUNDEHVROVISIONSOFCMAPTER-� Z �,, , . �(CpdA1ENC1NOWrtHSECTION7000)OFOMSqN�OFTHEWS�HE55ANDPpOFESSIONSGODE.ANO � LfIUCENSE t5 N FULL FONCE ANO EFFECL � � LICENSE CUSS UC.NO. j � onre corrtrucror� °� sH1 ^ J � y � WORKERS'COMPENSATION DECLARATION -r � a OF nT r,,ar ; n � y IMEREBY/FFlPoNUNOERPENhLTYOfVER1URYONEOFTHEFOLLOWPl6DE(.l.AfiA770NS � a � ll�TC A) C� . f]! � _IHAVEANDWILLWINTNNACERTIFIGITEOFCONSENTTOSELF-WSUREFOq1wRKERS' _ G011PEHSATqN.ASPROYIDE9BY8EGT10N]7ooOFTMEU80RCO0E.FORT11E7ERFORMMlCE W OF TNE WORN FOR YMICH MI9►ERA1R IS iS5UF0. � C Q �I HAVE ANO WILL MNNTAPI WOfCCEHS COMPENSATqN INSUAANCE,A7 HEOUIRED BY SECTION 71ooOFTHEUBORC00E,fOR7HE7ERFORAUNCEOFTHEWORKFORWMICNTHI4DERMRIS / r�� 1D � ISSUED.MYWORKEItS'CQAPENSATIONPlSUWWCECARRIEHIINDPOLICYNUMB£RME: CANSTRUCT�ON V � 7. CARRIER PLAN REVIEW z �oucrr�mER ELECTPoC - '� Q �nss[ctn�n�rvoreEm.�ErIDOFn��re.as�atar��ua�noaws(sioo�aR� PLUMBING 8 ICENTIFYTUTINiNEGERF�t1AMICEOFTHEWORNFORWHId/TW50ER41TI515SUfD,1 MECHANICAL � �' Sh1ALLNOTEMPLOYANYiER50NNANYMANNEFSOASTOeECOMESU&IECTTOTHE (/� WORNERS'COAI7ENSATIONUWSOFCALIFORNIA�AGREETHATIF15110ULDBECOME INSPECTIONFEE S 6UB.IECTNIHEM'OfiKERS'CpAVENSATIONiROVI510N50FSECTqN]70DOFiHELABOR � . L(Q 'O K OODE,I SNALL FOIih1VATH C04PLY WI7H TFIDSE PRONSi015. ISSUANCE �,t ... �q WTE: � APPLICANT: SMIP I. ^I� � WIVWINQFM.URETOSECUHEYAfKERS'COMPENSATIONGOVERAOEISUNUWM..AND514LLLBE ENERGYP/C ("y 6U0.1ECTAHEMPLOVERTOCRIMINALPENALTIESANDCMLFWESUPTOONENUNDRED1110USM10 �.JERGYPERMIT UOLUIFiS(t100.0001.IN�DDITICN 70 TME COST OF COMPENSATION,DAMAGES AS PRWIOED iOR IN < � � SECTtONa70eOF1HELABORCODE,INTEREST,�u10ATTO1wEY'SFEEi � RETENTIONFEE:� V 1 �� OCONSTFUCTIONLENDIN6AGENCY PR�TFE� � � � .IHEREBYAFFlRMUNOERPEN�LIYOFPEPJUHVTI�ATTNERE1511CONSiFUCTIONLENDIN�AGENCY ~ FOR iME PFRFORMANCE OF TNE WORK FOR MMICII THiS iEfWIT IS ISSUED(SEC.]007.CN.C�. L' . � , � -� LENDEICSNAME . . . / � LENDER'SADORE53 � i ceanrr nuT i�uve a�n nus�vvuc�nai um sT��nur nie�ove NFawa�nor��s connecr. TOTAL FE ES � IAOPEETOCdAPLYWIT}I/1LlC7TYANDCOVNh'ORDWANCESAN057ATEUwSREUTINOiOBURDINO ' . � ' � CONSTRUCTION.ANDHEREBYAUf/qfi1ZEPEPRESENTATIYESOFTWSCOUNTYTOEMERUPONTME . . � �mvE-uErrt�ea7yFORWSPECT10NvuaRosEs. COMMENTS , � � M N __ . .. . � � m PERURTEF (P . �'^ .. 4 S � y y s+orultme V �A7 � RECPi.NO. �O PlUDBY VAl1DATI0N WHITE-Departrnent Copy.YELLOW-Finence Copy.PINK-Asssnsor Copy,GOLDENROD-File Copy,GREEN-AppicanYs Copy - . � . , ., .. . . . . �, , . ; ., ,. , . ' CITY OF DIAMOND�BAR _, . -:; . , ,; : �._ .. _ . . .. , _; � ' °' `INSPECTION'RECORD:� � ' �E 8 . 0 � • . . � � , � . SET BACK .', �:�'t•, � _ " �, ��� FLOOR JOIST �.•.,, ••t:1' . �1,' i'•'f; •;`, FTGS/FORMS/STEEL ,. „ �. --, FHA REQMTS - -� - - -- ELECTRIC GROUND � -:_ ' _. __ . _, _- _ .�... _ • UNDER FLOOR DU�T; � ', �-:> 1;1;:. ;, ,,�7��i-� GROUND PLUMBING UNDER FLOOR CONnl11� '':�ti i•al;i�-1 ` j �`!-'.� ' . ;. . . = � ' •-t! '1 �.:�t•.:��i�ii:' �: SLAB GRADE" _ _ . . _ . - - , . ; FIRE LA E UNDA ION �-:. •�� TEMP POWER - -- . _ _ _ . � . ' �' FIRE��.y G�� �N�`'BFAM - . ' _ ' . . '_. ; , WATER SERVICE - - - -,-- -- _ MID HT.BOND BEAM - - — ' , ' ROOF�H�CAT}'{It�tG�' %' " r • ' 8 FT.BOND BEAM -- FRAMINGNENTIUATION . � _ � � � FINALB� D,BEAM•.. �,.�,�., � �,• �, t,+1t ;y ; '- .' -_ ' ROOFCOVER .., c� �.� PRE-GRA4W ;�''j `>t- :t:��,�.ir'a.T� •1.r�.;_,� - , . � . „ ROUGH HEATING- - ----- _ ___ BEN hl}� ' ��=�•-�.:�. ,�.. _�'� .L',_,?'.:,''i.k�i�:' � ' �ROUGH ELECTRiC—' - ` � ROUGH GRADING � ROUGH PCUMBING"i `- -" �----- - - - - FINISH GRADING.,, SHOWEF�/TUBTEST'�� POOL ELECTflIC " � EXT.LATH/SIDING POOL FENCING ' � ` .' WALL INSULATION I POOL FINAL - . ; i ` CEILING INSULATION �FF SITE IMPS. • i :-: DRYWALL NAILING � DEDICATIONS' ' - ' SEWER__._ _-----: -- - - _.' . _ _ FINAL ENG:� . , i : SEPTICTANK- -.- _- ' .- - - --- , - �-.-- ..� _LANDSCAPE/IRRIG. SEEP PIT/L.L.- -_ - -- =- _ ' "• ' '.` � ON SITE IMPS. : , _ , GAS AIR TEST� ----- - -- - -- - FINAL ZONING � : FiNAL CONST:'; ---- - o -- - - - FtRE DEPT. FINAL - � <, FINAL NEATING --�-- - - � HEALTH DEPT. FINAL , ; F1NAL ELECTRIC - - --" - -- DEV. FEES PAID -- FINAL PLUMBING ENERGY ° , • - ! ` p�A���1. A�" - . . _ � , -- _ -----__-----_ _ _ --� ' . COMMENTS . , � - --- _ __ __ - _ . , � , . _ , , _ , . , ^��,� ,; ,� , __. . _ , , , . , _ __._... _ ._ .._ ... . .. . , , - -- -- - _. _ . _ . , - - -. . .._ .. ' _. . , � . _ ti' _ _ _. i i � , - _ . _ , i _ _ SEP_TIC TANK SIZE . ` ' - - - , , SEEP PIT/U SIZE � � _ _ . _ .. . . . r . . � i . . . . .. . .. I I ���� , - - , , _:_ . ; � ._ _ . � . ',��, �5: . . � ' � - -_ . i •, � i �r'i (.t. _ ---, ; _._. . . .. .... ..� � . \.. __ _ _ ... ` . �`.� �' �' ,.I� 1 ., . , � c� ._ , , � .. � ._ . _.. ' ' \ .�. _— . . _ ,.. _ \ . . •�—'-- -_.� .\ _�•�" '1 � � �. . �� ''\ �� `���'� �