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HomeMy WebLinkAbout11478 --�� CI'i'Y OF DIAMOND BAR ; • •' ��� , EXP�RE� COMMUNITY DEVELOPMENT DEPARTMEMI' 2166D E.Copley Drive Suite 19D�; ^ , ; �:-: qnn (909)864�3I95 Faz(909)861-3117• , . . . - . Jul, O� LU'�12 PRESS "^'' BUILDING PERMIT APPLICATION FI RM LY � � J08SITE , � � ' ' APPLICATION.^ r 1'��� ' ERMIT � p/C o ADDRESS�'7ZS Ii✓Ol_GDU1-�N�/!� �l°1.' ,,. DATE' � � ' UMBER�;k' c� , - ISSUE TYPE OCC -- APN LOT . TRACT .. . � DATE' CONST. GROUP p OWNER 'Ckl� ...� � " ADDRESS .Z7�-S WACf)I� /V'oM ZONING SET6ACKS z CITY ��ZIP TEI. FRONT_ . qyy ❑ g APPUCANT TEL. REAR.` � � •_,- ❑ SIDElSI�E STREET RW ❑ � CONTRACTOR -S � f1/) °c� - SIDE ❑ � ADDRE S v ✓'. ..� b° .� � CITY ZIP. q/� TEL. PROPOSED USE ���,(��jOU1 . . ._ w ARCFUENG/ . _ ' �..,... , z DESIGNER V�I��q w N0.DWEL. NO. NO. n. ADDRESS UNITS I �•STORIES� �, BEDROaMS � CITY ZIP TEL. � cn . DESCRIPTION �;SO.FT. ' FACTOR PSF ADJ.AREANALUATION O. ._ OWNER-BULDER DECLARATION SFR/ADD/REM � .. 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'-Z YALL DO THE WORN.AND'RIE SiRUCTURE IS NOi INTENDED OR OFFEREO FOq S�LE(SEG 7a�,BU51- J � NESS AND 7ROFESSiONS CADE TNE CDMRACTORS UCENSE UW ODES NOT AVPLV TO AN OWNER OF � , . . PROPERiY YhlO BURDS OR IM7ROVE5 THEHEON.AW VIHO OOES SUCH NURK MIMSELF OR HERSEIF OR wTHROUGMHISOqNEROVYNEMPLOYEES.PROV�DEDTHATSUCHWPqOVEMENT5l1HENOTINTENOE00R � LO . 0 OFFEREDFORSALEIF,IIDWEYER.7HEBULDIN60RIMVROVEAIENTISSOLDNATNINONEYEAROFCOM�I.E . Z TION,THE OWNEH�BUILDER WILL HAYE TFIE BURDEN OF PfiONN�THAT HE OR SME piD NOT BULLD OR = IA/PROVEFORTHECURPOSEOFSALEj. � . � - . . W ❑I,ASOwNEHOFTHEPROPERTV,AMEXCLUSNELYCOMMGTINGN97HLICENSEDCONTMCTORS . , LC TO CONSTRUC'f 7HE PRDJECT(SEG 7ot�.BUSINE55 M1D PROFESSiONS COOE:iNE CONTRAC70P5 U• VelUefiOR ADJ.AREA �1, CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPERTVWHOBUILDSORIMVPOVESTXEREON,AND � VMOCONTMCTSLORSUCHORpJECTSYlITHACOt7TMCTOR(5)LICENSEDPURSUANTTOTHECONTMG TORS LICENSE LAW.). , . 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' - n LLJ / � UCENSE CLASS � LIC.NO. �/� � - �,~j DATE CONTRACTOR� � � WORKERS'COMPENSATION DECLARAT�ON .[�Z.�)� U � .,� :/ t � IHEREBYAGFIRMUNDERPENALTYOfPE0.NRYONEOFTHEFOLLOWINODECLARATIDNS: �J � _ t � _IHAVEIWDWILLMANTAMACERTIFICATEOFCONSENTTOSELFdNSUREFORWORKERS' �� _ • - � ' � � �-' � COMPENSAiION,ASVROV10EDBYSECTION77D00F1HEtABOqC00E,FORTHEPERFORMANCE w ,_ _ .OFTHEWORKFORNAlId1THISPERAIITISISSUEO. .__ .... _ .. . _ ' .. - - ._ .... � w IHAVEAND4NLLMAIMAINWORKERS'COMPENSATIONINSUq.WCE,ASREOIARE�BVSECTION � Q _ 97aoOFTHELABORCODE.fORTHEPERFORAIANCEOFTHEWORKFORNMICHTH15PERMlT15 . ISSUED.LIYMIONNE 'C PENS TIONINS RANCECARRIERANDPOLICYNUAIBERARE " CONSTRUCTION jc�aqtEa S O h O PIAN REVtEW ZPOLICY NUMBER "' E EC. , ..� _.� . .. . � . . . . . �.. 4 �� - R�sEct�cwNEFDrqiBECOf.�RF1EDOFTVEaEAMrtSPoqoHEHM%�D K� )Oa P MBI ___ W � 0 z I CERTIFYTHAT MTHE PERFORAW�GE OF THE WORK FOR WMICN THIS PERMIT IS iSSUED,I A�E�CA� C7 ..SHALLNOiEMPLOYANIPERSONWM1YMrWNER50ASTOBECQMESU&IECTTOTHE ...` y WORKERS'COM7ENSATIONLAWSOFCALIFORN10.ANDAGREETHATIFIS/KK1L08[COME - INSPECTIONFEE ' " � . _ ..�� .. � ... ... � SVBJECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSECTqN17000FTHElA80f1 � .;I ' .CODE.ISHALLFOFTHVATHCOMPLYMA7H1HD5 qOY1510N5� _ /� ISSUANCE '�{ 1 ' p /�.• . NP U _ . _ W DATE:yi�3L9� APPLICANT. r�/�/ �S�__ SMIP LLWMNINO:FA4URE105ECUREMlORKERS'COMPENSA710NCOVERAGEISUNUWFULANDSHALLBE ENERGYP/C .. }1}��\-�.:���� �� SUBJECTANEMPLOYERTOCRIMIN�V.GENALTIESMIDCM�FINESUPTOONEHUNDREDh10USAND ENERGYPERMIT " ��J� OOLUAS(f 100,000�N ADDITION TO THE GOST OF COMPENSATIDN.DAMAGES AS PROVIDED FOH W � �SECT�ON77oeDF7HEU8ORCODE,NTEREST,ANDATTORNEY3FEE3. � - � RETENTIONFEE: � � � - � �` � -` � - a CONSTRUCTION LENDWG AGENCY ' ' '' PREAIT FEE: " '� � ' ' � � .� .._ _ . . . . . . ---.. � IHEREBVAFflR1AUNDEROENALNOFPERNRYTHATTHEREISACONSiRUCTIONIENDW4AGENCV _ - FOR TNE PERFORAIANCE OF THE WORIC FOR WHICH THIS PENA�T IS ISSVED(SEG 7097,CIV.C.). ...Z . ._. . . .. . . .. . .. . -. . " '. _ , :. .. .. W � LENDER'S NAME . . .� � - , F- LENDER'SAODRE55.. . _ . _ . . - .. . -._.. - - ... ... . . . W ICENTIFVTHATIHAVEAEADTHISAPPUUTIONANDSiATETHAiiNEABOVEINFORMATNNJISCORRECT. TOTAL FEES i ' �'�` 3 L '' '�.-� � .IAGREETOCOMPLYWIi'r//iLLtRYANDCWNTYORDINANCE5AND5TATEUWSREUTINGTOBUILO�NG' - ' � ,( � � ...� CONSTFUCTpN,ANDHEREBVAUTHORIZEREPRESENTATIVESOFTHISCOUNTYTOEN7ERUPONTHf ��.i� ,;� ' � � � �BOVE-IAENTIONEOPROPENTYFORIN PECTiONPUHPOSES. . .COMMENTS .. . _� �Y/r�s I .. , „ . �� PERM� NwF�,(PRINT)• . . . . . .. .._. _._. .. . . . .._. � . .. N . c f y.�- , , N �SIG NREOFVERMITTEE` ' , �E - -- - � RECPT.NO. PAID BY ' ' VAUDATIO � � - � ��WHITE—Depanment Copy,YELLOW—Finance Copy,PINK—Assessor Capy,GOLOENROD—Fila Copy,GREEN—Appticant's Copy�� �.. • . . � � . � . - - . , -. _ ,_. ., , . ._ : , .�� . . . . '. • . . , . - ._. �� .. � . �� , . . r :.F ��`.,'' �T.. CITY.OF.DIAMOND BAR��"! ' � ' '��": � �.. . .. , , . �. �' � . ';�,� :. . . , (+' INSPECTION RECORD �,, � '" '; �' - . ;�� . . ., ��.-. :i... . ' • � � � � - � � � • • - SET BACK ' ::'� � . FLOOR JOIST � �- ,� FTGS/FORMS/STEEL=___ ___. - .: FHA REGIMTS � ,. � •-� _ ELECTRIC GROUND ' ' � '` UNDER FLOOR DUCT�� �i�. i� r<<-u r,V i ���\S' , � , - GR�UND PLUMBING -�I-22-q UNDER FLOOR CO�IDUIT ` �- I : SLAB GRADE - :,'' _ �:' '' �, ' " FIREPLACE FOUNQATION TEMP POWER =- - : _.._�__ __. __, . ,_-.. _. FIREPLACE BONd�B�AM n,c_. ; .r-!;o1� `:);!{'r , � � _. ... ,. ��.:,.�� _ . . ,...._ _ �_.__ WATER SERVICE. _. -- - ': ��... � _ MID HT.BONd$EANI' � . = ,..�� - ..: � ., ,� ., �� ROOF SHEATHING �// 8 FT.BOND BEAM , � � --, FRAMINGNENTILIATION .L ��" FINAL BOND BEAM " �� '��'`` � ` ROOFCOVER - , _ __ - �PRE-GRADING- , " ' ' ' ROUGH HEATING_. :_ ._ .- . _ � � , � ��,: '= BENCHING _ _ ___ _ _ ._. _ _ ROUGH ELECTRIC - PP. ' ' ' `" ROUGH GRADING , „ . . ROUGH PLUMBING- ` ' "- y i --� - FINISH GRADING� ` ' ' "` " SHOWER�TUB TEST - - : -- POOL ELECTRIC , EXT.LATH/SIDING �' _ ._ - POOL'FENCING ,. : ._ • '. ' ' .' WAIL INSULATION POOUFINAL � � CEII.ING INSULATION OFF SITE IMPS:'' '.. � � DRYWALL NAILING �' /� DEDICATIONS� . ' SEWER - - -- - _ _ __ _ __ . FINAL ENG: . _' , . SEPTIC.TANK - .--- :_ ._ _ '; ` - - --_ : LANDSCAPE/1RRIG. � ` SEEP PIT/L.L- : -- - - ' ` ��.='� :. 1 ONSITE IMPS. 1 , GAS AIR TEST-• - ---- - - -' `�j�._�.:� ,_. __ .�..., FINAL ZONING . , ,. FINAL CONST.• - - --- ___..__ _, .� _ •:_ _; - � FIRE DEPT.FINAL . fINAL'HEATING - -- --_. ._ _. .__ :_} � �. ..._ �- ; HEALTH DEPT.FINAL : _ _ .. _ __ •FINAL ELECTRIC . - - -- -__ _ __._ � .._ .... _ . . DEV. FEES PAID- .. FINAL PLUMBING ( ;.,,,�,.'\ �.,�,. ,..t• �:.; - - _ \ ENERGY .. � ' �\ n � �. 'r \ I (.,, --��:�.'c _ �. �� �.� l � � � . _ � � - f , . - � _ . ,, ... ,. _ . _. .. - -_ _- � - , -- . ..-. - - I _, �- �,�� f "`� � .. �t. �.a _. . \� �' 1 . , . COMMENTS- � '���v • � - _ __ -- --- --- -- � . . . _- --------- _ .�: �� . . , _ _ . _ _ _ . _ _ _ � " .. , ,,.. � . .ti� .��` �-`, �, '� __. .. .. . . .. _ �... -..� • � :.y '' I �. _�i_�_1'.. . .�l' _ L.� .—w . �. . ., _ _. . . _ _ .. . _ '. 1.�r' �� . 1 �', - - , � � � _ :r1 l` , •, . _ ` a_�;:c•_. .. l ����� .. . , . ,. � ' "� � � - `. ._ ._ ._ .. --_.. _. ._. ._ ._. . . . _ . . . . _. .�� .. -. :, \— . �y. � - - ... . . .. . . � .. . . ,.,.... • . . � . ,��. ' . �,.. . , . � . � � . �. .. . , �., � SEPTIC TANK SIZE - - ' " , ,.. . ,.. . SEEP PIT1U SIZE _ __ � �., , � ,_ __ . ,_� - -- . _ ___ _- - _ . - - - � , - -- , , ��.& z ,. , , .o i z � .,,.,, , ,i� J _ . - '-� � - �v , 1 . �: ���s ! � � . /`��.�l.��� \�� .�4{fl� .V.11.� , � : � � , , S � � •• : _ : __ --.... _. .. _ `_--� ---- � t � _..... --. ._. . ..---- _-- -- ---- �' � j� ,. _. �