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HomeMy WebLinkAbout12753 (6) ��� CITY OF DIAMOND BAR ��, DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES > 21660E.CopleyDriveSuite190 //� pRESS (909)860-3195 Faa(909)861-3117 J'�^` BUII.DIN PERMIT APPLICATION FIRMLY � JOBSITE / � APPUCATION � PERMIT Z��PlC o ADORESS DATE NUMBER Jt � ISSUE TYPE OCC APN OT TRA DATE CONST. GROUP p OWNER � � �V� p ADDRESS �. � 2 ZONING SEBACKS �W CIT`! ZIP �TEL ' O � RE�RT RW � APPUCANT TEL. V SIDEJSIDE STREET RW O � CONTRACTOR � X • SIDE p r ADD�$ S � � C(TY I� ZIP LTEL - � PROPOSED USE o ARCHfENG/ � ADDRESS N0.DWEL �_NO. . .`'�•. NO. CITY ZIP TEL UNITS STORIES � BEDROOMS � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ONRJER-BU�LDER DECLARATION SFR/ADD/REM O p 1 NEREBY AFF+.RfA UNDER PE4ALTY OF PEFWRY 1NAT 1 AM E%E1APT iApJ TME CONTRACTORS U- GHfHfJ9lC81pOR llJ CEHSEUWfORTHEFOLLOw1NOREASd1(SEC.7031.SBUSMESS/�NOPROFE5510NSODDEANYCITYOR (n <.J WUR'/YYNIp1RE0URE5APEAMfTTOCON4TRUCLALTERMPROYE,DELKMJSN.ORREVAIRI�M'STFiUG W P8ti0IDBtk Z NAE,PRqR TO R8 KSUANCE,AL50 qEOUIRE4 TNE MPIIGwT FOR SUCFI PE�UNT TO FRE�61ONED �llJ STATEYENT TW�T HE Oq SHE t9 UCENSED PURSUMfi TO THE PROVISlON9 OF THE COMMCTORS ll� W CENSE Uw�p1MTFq f(COAf1AENCiKK!WITH SECTION 7000)OF DMSION 7 0F THE BUSiNE55 AND PRO� V' POOVSPe fES510N5000E�OqTHATHEOR5HEI5EXEMPTIHEREFROMANDTMEBA519FORTHEALLEQEDE%EMP• � 710ri./JI'lV10LATIDNOFSECTIONTWI.6BYANYAPPLICMlTf-0flAiEPoAITSUB7ECT3THEMPLICANTTO Z Re-Roo � 11C7VRPENALTI'OFlATA�oRE17uNFNEMINDREDDqUFS(fi0%,Y. � � ❑L��'�NEqOFTHEOROPERT:OqMVEA1PLDYEESWI7HWAGESA4TNEiRSOt.ECOAIPENSATqN, � COmmBfCidl - WLL DO THE YYOFU(AND 7HE STiR1CiURE iS NOT MTENDfO OR OFFERED FOR SALE(5EG 7oat.BU51- J N NE59 MA VROFESSIONS WOE:iNE CDNTRACTORS IiCENSE Uw DOES NOT 11V PLY TO IV!ONMER OF 7N07ERTYWNDBUtD5ORY7i1DVE5TNE0.EON,lUAYYFiODOE55UCHMAJRKHIMSELFORHERSEIFOq � CL 7MROUf3HM40RHEROwNE7/PIOYEES,PiqVIDEOiHAT£Ud11MPROVEIAEMSARENOTRffENDmOR m QOFFEREDFORSKEff.NOM'EVEf�TMEBULDIN00R�A7ROVEtAENT15501Dw1T1nNONEtEMOfCOMRE Z TION,INE ON7IERAUttDER WttL NAVE THE BURDEN OF FROV WO TlUT HE Oq SNE�NOT BUttD oA � MPFlO�/EfOq7HEPURPOSEOFBALE} O L��ER OF 7HE PiqPERfY,M1 E%CLUSNELY CONTRACTM(3 WfTM IICENSED CONTRACTOR9 70 CONSTRUCf TIIE PR0.IECT(SEG 7W1.BUSINE53 AND VROFESSlONS CODE THE CONTMCTORS ll- VelUelidl ADJ.AREA CEMSE UW DOE9 NOT MPLY TO�W OVM�ER OF A VROVERTV MAq BUILDS OR nAvlqVEg iMEREON.M!D � wwoorrtrucroconsua�ara�crswin!�ca+rrucTon;sl��nsEnrur+su�rrtron�ewarw�o OUANTITY ESCRIPTION FEE � tOR9UCEN5EUW). . . 0 01 AM IXEMOT UNDER SEC. B.6 P.G FOR TNIS REASON Q 3 � • . � � DATE ONMER V . �t[ LICENSED CONTRACTORS DECLARATiON W ¢ I HERFBY AfFlIW UNDER PENKTY OF VEMIMTNAT I AM LICENSED UNDER PROV15lDNS Of CHA�TER Vr p, �(OOuuE�7Cea0 Nini SFR�ON 7000�OF On�SqN 90C TUE BUSiNE55 A7+0 C�70cESSqnlS COOE,AND Z �X W LICENSE IS N ORCE EFFECT. �/� � � ��E�, �3 ��.�. 6 V DATE _ CONTiIACTOR LLJ � WORKERS'COMPENSATION DECLARATION .�I.�.'31' � � � IHEREBYAFFIRMIfHDERVEN/�ITYOFVERIUR`/ONEOFTiE�O11DYV�NODECUiUTIDNS Z - O �IiUVEANDW1LlMAHTAMACEATIflGITEOfCONSENTMSEtf-INSUREfORWORKER4 = � Cd.iPENSATqN,AS iROVIDED BY SECTION 7700 OF 1NE UBOR CAOE FOR iME PERFOP.MANCE U Q OFT1E WOAK FOR vAiip/TH�3 PE�19155UED. � � I/uVEAND WILL/AA1MMi WOfiKfR3'�AOENSATION MSUR/U10E,AS REWIRE�BV SECTON Q J7o00F THE UBOR COOE,FOR TNE VERFORMulCE O TME N'OR N N'111CH 7Hi5 PERMR 15 � asuEn.urworocER. r+sA tt�iu RrtR icruuueeRu�E� CONSTRUCTION �� � CARR!ER ��S PLAN REVIEW � POLICYNUMBER ELECTRIC a � (MS�CTt�NNFIDNOTBEOLf.FLE7EDOF71fPEFMiBR7RdJE/#)DRFDOOt1ARS(StaoJORL65} PLUMBING Z 1 CEHT��F'/TMAT N THE PERFORMANCE OF iHE wORK FOH WH IS PERMR IS ISSUED,I MECHANICAL - - (} 51uL�N0TEMPlOVANYCER50NINIwYMANNER501lST cq SUBJECTTOTHE � WURKERS'COMVENSATqHUWSOFGLLiFORMI�AND Keen+ iFISrrJULDeECOME INSPECTIONFEE S SUBJF TOT EWORKERSCOM9ENSATIONPRON. SOFS ]7000F7HEUBOR cooE. anrmn�muatrvnn�nasEv rnns ISSUANCE � � SM�P L p DATE: � APRICAM: — � WARNINO:F UHETOSECUREWORNERSCOM7ENS�TqNCOYERACEISUNUN'FU4ANOSHALLBE ENEFiGYPlC _(��(�(I MI 'In�Q �y SUBJECTMlFMPLOYERMCRMMALPENALTESMIDCMLFINESUPTOONEHUNDREDTIOJSAND �Jl�� aZ—I:J DOlURS(ftao.00o).RI IDDITKKI TO THE CASTOf COMPENSATION,DNAAOES AS VROYiOED FOR W ENERGY PEFiMR � - - ---- -- - J SECfqN]70lDFTNEUBORCOOE.MTEREST.FNDATTORNEYSFEE3. R�r,moN�y-0F LIIAMDAID BAR OCONSTRUCTION LENDING AGENCY PRE-ALT FE��DI�V(a AIJD SAFE'I'Y � IHEHEBYAFFlRMUNDENPENKTYOFpERNNYTHATTHEREISAO�NSTRUCTIONLENDtt70AGENCY ' FORiHE PERFOREIANCE OF ME N�OHK iOR WHICH THIS VERMIT IS ISSUFD ISEC.70B7,pV.C.�. � � LE'AEttS NAME - , � LENDERSMORE55 w ICERTI%THATIHAVEREA0IHISMPIICAT10NMlO5TATETHATTHEABOVEMFORMAT10NI5CORRECT. TOTAL FEES � � IA6HEETOCOMPL'/wITN/1LLCRYMACl�l1NTYOROMANCESIVASTATEUw3REU7NOTOBtJIlDINO � CONSTR�HEHE6YAUTNO�D�ATIVESOFiHISCOUNiYTOENTENl1PONTHE Z ABOVE�IE DPROVERT'Foni P or+Pu rosEs. COMMENTS 9 � s m PEiW ¢ � � ✓ N r �� � (n S�ONANREOFPERMITfEE , OAT � � RECPT.NO._ PAID BY_ � vnuonnoN WH�TE-0apartmont Copy,YELLOW--F'viar�Copy,PINK—Assesstt Copy,GOLDENROD—File Copy,GREEN—ApplicanYe Copy ------.._.. ._�..-� ----- -- -- CITY OF DIAMOND.BAR _ ,_ : ' � ' " INSPECTION RECORD ' . ! �--...��__ D ., � ' • , � � - SET BACK ' - , . -:��-',�='� ;-� FLOOR JOIST .'�„'��.-i'�' I ;.-''•.��1 . �, :�;: �' , � FTGS/FORMS/STEEL � � • ' FHA REQMTS ' - - � - ELECTRIC GR�UND - ' - -- UNDER FLOOR DUCT.,,. .. .\ . _;,.., . :•.;'' , ,��-.;1 - GROUND PLUMBING � UNDER FLQOR C��IDUIT���+ _ •i;,; t I ' r•: n%' ' SCAB GRADE .. - FIRE�?L'ACE�OUNDATION, ',%' Jt,' - ).'_�._.'�i�.;.;,:.r` TEMP POWER - - ' FIREPLA��.80ND�EAM �. " �' �� I � �i1J . '• �� WATE SERVIC --1- •\, `�. t t . �.� - MID HT.80ND B�AM ' ' � - '; ..• - .'' , -1 ' ROOF�SHEATHING' ���. ' �r � "-: 8 FF:BbND BEAM'�'� : ;. �ii"� �� "���;�•�. �:;•t FRAMINGNE��LIAT`I� - = "� � 1'--� �" •"t� FINAL BOND BEAM � ROOF COVER "- PRE-GRADING -flOUGH HEATWG - BENCHING - - - - � � ROUGH ELECTRIC - � ROUGH GRADING , -ROUGH PLUMBING - - - FINISH GRADING � SHOWERITUB TEST POOL ELECTRIC • EXT.LATH/SIDING POOI FENCING � WALL INSULATION `•.•, �; c�• �.POOI FINAL CEILING INSULATION OFF SITE IMPS. ' DRYWALL NAILING DEDICATIONS " SEWER FINAL ENG. . SEPTIC-TANK . f .�- , •�, -� LANDSCAPE/IRRIG. SEEP Pl7/L.L. - ' � � � ON SITE IMPS. GAS AIR TEST - FINAL ZONING • FINAL CQNST., G —�- FIRE DEPT.FINAL ' - FINAL HEATING HEALTH DEPT.FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUM8ING ' ENERGY ' .- \.�, � ,---, ,��, �, &:�F ' � ''tL•iTy - . ( , r , - - . . . •._____=-k.- - y > ; _ COMMENTS ' � ' �� f�, �. , �, , " � ;� � •'� ; , _ _,. - '---��-• • ,-. � r �'� t i � a-„}'..�'. !��+� ' �-- �, �� , � - . i'\ � - r f•�" _ .� , , �� _ 't � y • � - - ' , �� � � -i .{.I_rl i � 1, . - �5��'� � 4_1 ���., . SEPTIC TANK SIZE .,�.�;.,;��:<<;.',ICI�:�;�'�'I'1:'s. � � BEEP PIT/U SIZE�—''�T;:::t'r:;.Jj�i;:i._'.illr: � - !(' ' , ��' � . . . _ .' . . '� .\`-\ 1 . ', �� i � � , ,- - � -- _ , I � .� �- � � ��. ° ' � . - . :`,-`• =� ; �._�, ? � ' '. � •`