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HomeMy WebLinkAbout19060 J� CTfY OF DIAMOND BAR - � DEPARTMENT OF COI�Il�[UNTIY dt DEVELOPMENf SERVICES ;..c . 21825 E.Copiry Drive (909)860-3195 Fax(909)661-3117 PRESS .�`'�''..' Buii.uttvGPE�nr�►rPi.tc.�►'riON FIRMLY QJOBSITE �{�n�J �L�LL� J �, DATE_ I1-�I�D� NUMBER l V�� �t_i�"=-�`_ >- APPLICATION PEFiM1T P/C < ADDRESS�J �a7�- l�-� � APN LOT T T DATE � �`��d ^Sf�NST. GROUP p OWNER o ADDRESS ZONING SETBACKS �W CITY ZIP L , TE FRONT RW ❑ APPLICANT TEL REAR p � SIDE/SIDE STREET RW ❑ � CONTRACT -' SIDE ---� � ADDRESS .O• � ' 7 � CIN�/Y� ZIP TEL 7� 4 -bc21�j ROPOSED U_$E o ARCH/ENG/ �,, A / � � DESIGNER r/C.�-� NO.DWEL. / NO. NO. �,/, �� � ADDRESS UNITS �-! �� N CITY ZIP 7 TEL - STOR�ES BE OOMS/� � � DESCRIPTION SQ.FT. FA R PSF DJ.AREANALUATION O OYYNER•BUILAER DECLARATION SFR/ADDlREM 1 NEREBV AFFIRd UNOER PENILTY OF iERA1NV TIU71 MI EXEMPT FRCA1 THE CONTMCTORS U• GdfBQBICB(p011 W CENSEUWFOiiTHEFOLLOM/INOREASON(SEC.70.11.6BUSWESSANDPROFESSIONSOODE:ANYCITYOR (n �.� COUHTYWFIIGIREOURESAVERMRTOCONSTRUCT.�ITE0.MPROVEDEMOLISIIORREPIURANY5Tf1UG LL NRE.PRIOR TO RS 155UANCE,ALSO i1EIX11RE5 THE APPLIGW7 FOR SUC117ERA1R TO FllE A SIGNEO W Patio/peek � STA7EIAENT T/UT HE Oii SHE IS LICENSED VURSUANT TO 7HE PiqNS10N5 OF THE CONTMCTORS LF LL � CENSf UW�CHAPTER 0(COYIAENCNU WITM SECTqN 70D0�OF DIVISION 7 OF iH[BUSINESSAN�VRO� POOUSP3 FESSIONSCODE)ORiW1THEOR5HEI5EJ(EMPTTMEREFROMM�DTIEBASISFORiHEALLEOEDE%EMP• C7 TION.ANYYIOLATIDNOFSECTIONTO]1.68YAN'/APPLICM1TFOfiAiEP1.11TSUBJECTSTMEMPIIC/WfTO Z Re.ppp� � A CIVIL VENALTY OF tqT MORE THAN FIYE NUNDRED OOLURS(f5oo).): � 04ASUNMEROFTMEPfqVERT`/,ORMYEMPLOYEESN7THWACESASiMEIq50LECOMPENSAiION, 0 COrtITOfCle1 . � M7LL DO TME M�OFiK,IWO THE STRUCNRE IS NOT INTENOED OR OiFERED FOR SALE(SEC.7W1.BUSE J - y NE55IWO PROFESSION9 CODE THE COHTMCTOfi3 UCENSE UW DOES NOT APVLY TO AN OWNER OF ? VROPEHiY YAIO BULDS Ofl IAIPROVES THEREON,AND N410 DOES SUp/WORK 1a45ELF OR XERSEIF Oq � THROUCJINISORHEqOwNEYPLOYEES,VRONDEOTHATSUC11w�PROVEMEMSARENOTlRENDEDOR m OFFEAED�OR SALE 6:FqV/EVE0.7HE BULDINO OA IMDROVEMBJTIS SqD WfTHN ONEYEAR OF COMPIE- Z TIOH.711E OWNERSURDER VALL HAVE TME BURDEN OF PROVINO iF1AT HE OR SHE DID NOT BUILD OR = IAIPROVEFORTHEPURPOSEOF6ALE} W O4��WNEHOFTHEiROPERTl;M1EXCLUSNELYCONTMG'TIN�WRM4CENSEDCONTMCTORS � TO CONSTRUCT T1E PRO.IECT(SEG 7oN,BUSINE55 AND PROFESSIONS OODE:iME CONTRAC7ORS L4 V8111B11Cf1 � A0.1.AREA CENSE UW DOES NOTAGRI TOMI OWNER OF A GRDPERTY VRq BUILOS OR MPf10VE5 THEREON.�1A � YVMDCONiMCTSFOR5UGIVRO.IECTSWITHACONTRACTOiyS)LICENSEDGURSUMlTTOTMECONfRAG QUANTITY DESCRIPTION TORSUCENSEUWJ. FEE � � O I/JA El(EMPT UNOER SEC. B.1 V.C.FORTHIS REASON a � U ZDATE OVMEfl U J � LICENSED CONTRACTORS DECLARATION W �MEREBYAFflWAUNOERPENALTYOfPERNRYTHATIAAILICENSEDUNDERVROVISIONSOFCHAPTER V. � •(COMA1ENdNU WITM SECTION 7000)OF DNISION]OF TME BUSINESSAND PROFESSIONS COOE,AND Z �V W UCENSE IS N FULL FOi10E AND FFECT. m k 8 '� `�da EEhZ � �F.-. UCENSE C1115S q LIC.Np. J ' � Zj DATE I��G�'DO�-� CONTRACTOR a LL � WORKERS'COMPENSATION DECLAR�TION � � IHEREBVAFFlPAIUNDERPENALTVOFPERJUMONEOFiHEfOLLOWWODECIARATIONS: Z � - � �IHAVEANDWILLMMNTAINIICEHTIFIGTEOFCONSEMTOSEIF•WSUREFOflNORKFRS' _ COMGENSATION,IISGROVIOEDBVSECTIDNJ7000fTHElA80RCO0EFORTHEPERFORMMlCE W Q OFTHE WORK FOR WHICH THIS VERMIT IS ISSUED. � � . O �1 HAVE AND N7LL MARRAIN WORKERS'COMPENSATION INSVRANCE,AS REOUIRED BY SECTqN J7000FTMEVBORCOOE,FORTMEVERFORYANCEOFTMEWONKFOHYMIp1THISPEPo�11T19 � ISSUEO.MY ER5C01A0 SATIONNSUMNCE AEiRiERINDDOIICY HIAE: CONSTRUCTION � D � GRRIER /� PLAN qEVIEW • � Z paicvNuueER �5 � �jQQ�_ ELECTRIC U .� p (II�sEc�fa+r+�NDTBEod.PtFlmOFnEPEw�75ti7Ra+EMII�RmoottAitSa+oo�OFLE55�. PLUMBING Z ICERiIFY7/UTWTHEPERFORMANCEOFTHEWORKiOHW111GITHISPERIAITI5155UED.l MECHANICAL C7 SHALLNOTEMPLOYANVVEPSONIN�M'MMMERSOA5T09ECOMESLgIECTiOt11E y WOPo(ERS'CdIPENSATIONUW50FGLL60RN1A,�N0AfSREETHATIF15110UlDBECOIAE INSPECTIONFEE S SUBJECTTOTHEMORICERSCOMVENSATIONPROVISbN50F5FMqNl7o00FTHEU80R /� tODE,161W1FOFiTlNNTHCOMFLVN7THT7qSEPROVI510NS. �SSUANCE � •.U{�v � SMIP v p W7E: APRICAHT: � ENERGY P/C � WAqNINQ FAILLIRETO SECURE WOpKERS'CdI0EN5ATION COVERA6E IS UNUWFUL,N!D SHALLBE �y SUBJECTANEMPIOVERMCHIAIINALCENALTIE9ANOCMLFWESUPTOpJENUNDREDT/10US1N0 ENERGYPERMIT DOLURS(f 700.000�.W ADDI710N TO TNE COST OF CdIPEN5AT10N,DAAUGES AS PROVIDED FOR W y� � SECTIONa7oeOFTMEUBORCOOE,INTEHEST,ANDATTORNEYSFEE4. RETENTIONFEE: .D V OCONSTRUCTIONLENDINGAGENCY � PRE-ALTFEE: � IMEREBVAFiIPAIUNOERVENAL7YOFPERlURY7HATTHEREISACOHSTRUCTIONLENDIN6A(iENCY FON THE PERFONAIANCE OF 7NE WORK fOR WHld/TNIS PERMIT IS ISSUED(SEG�oa7,pV.G). . � � LENDERS NAA1E C LENDER'SADORE55 � ICERTIGYTHATIHAVERE/�DTMISADiIICATIONANOSTATETNATTHEABOVENFORMATqNI3CORRECT. TOTAL FEES p� IMREETOCpAPLYN'fTHILLCRYANDCOUNTYORDWANCESANDSTATEUWSREUTINOTOBU1LqN0 � '^ CONSTRUCTION,ANDHEREBVAUTVqPIZEREPRESENTATNESOFTHISCOIMTYTOENTERUf`ONTME � � ABOVE�MEMTKNEDiROPERTYFORINSPECTIONPURPO5E5. COMMENTS ' J _ ¢ PERM AME(Pa�'n) '� (�J'D� N � SqtUTUREOfPERMITTEE OATE � RECPT.NO. PAID BY VAtJDATION WHITE—Department Copy,YELLOW—Ffner�ce Capy,PINK--As�essar Copy,GOLDENROD--FIIe Copy,GREEN—App�icanCs Copy . . -p': . . . !�� .. .�!.'. . , . :r. . �-.•r . � ' . .:�,:�ly't.�:- ' . ..:�✓,- . .. •7. �, ... +..� .,.....x.r.�•, . . . - . . an. .t �.Mv .� CITY OF DIAMOND BAR • INSPECTION RECORD ��[�f-����.��C�►`� �r��� [���������� �N`���������k ' : � ������a�-��+�!.I�������s --_ __._. _ _ — SET BACK FLOOR JOIST FfGS/FORMSJSTEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CO�IDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE - MID HT, BOND BEAM � ROOF SHEATHING � � 8 FT.BOND BEAM FRAMINGNENTILIATION _/,�_�� .r'T� FINAL BOND B�AM ROOF CaVER ' PRE-GRADING ROUGH HEATING BENCHING , ROUGH ELECTRIC ���-�}� , , ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING - � 1�� DEDICATIONS SEWER •"• FINAL ENG. SEPTIC TANK LANDSCAPElIRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY !�� '�;ni� �t�.���.£- . . - _ __ _ _-----__-- _ _ _ COMMENTS/—/7 d3�� '��//�— 17 k.�`�jG'�� OFf' /— �—d'�? /�,•�¢; SEPTIC TANK SIZE SEEP PIT/U SIZE �� *� , y� • � t - � r�1 - ��, � • . �,� � .; .