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HomeMy WebLinkAbout14341 � I � —. 1,,� _ CITY OF DIAMOND BAR ` � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suitc 190 (909)860-3195 Faa(909)861-3117 PRESS ���, BUII.DING PERMIT APPLICATION FIRMLY � JOB51TE �j ► APPLICATION J PERMR P/C o ADDRESS `° 'i Q rr�� C-y'ti �'A�� DATE�3� 1�I�l NUMBER���r 7t � ISSUE T-TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER SI�.E... l��Z,nt.r�:GS �" ADDRESS L4`1 �''�Jl `�`r'� �il� ZONING SETBACKS c � CITY ZIP TEL REART RW ❑ APPLICANT TEL. SIDElSIDE STREET RW ❑ � CONTRACTOR 1'3L1�,Fl r��-1F�C. SIDE p � ADDRESS �'•� +:�e�c 3 rlSr3 %�F� �=�► `]�+l-'��: PROPOSED USE y -e..�-E a...t- �P.e'-rtoe� w� CITY ZIP TEl. ��. . o ARCWENG/ • , ��_��� �� �,� � � `a C T DESIGNER NO.DWEL NO. NO. ADORESS UNITS STORIES BEDROOMS � CITY ZIP TEL y , DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUIIDER DECLARATION SFR/ADD/fiEM � � � . � 1 HEREBY AFFVIM UNDEA PEIULTY OF PfRA1RY THAT I IJI E%EMPT FROA1 TNE CONTMCTORS L4 Garage/Carport � � � B CEHSEUWfOHiMEFOLLGMN�REA50N(SEC.7D77.68USWESSNAVIqFE5310N5CODE:ANYG7YOR (n . -� COVHT1fVAtlplflf-0UIRfSAFEMIRTOCONSMUCT.ALTERRIPROVE.DEM0U5H.ORREVIURANVSTRUC- . w P8ti0JDedc � - - � TUI�.fMNOR TO RS 158UANCE./L50 REWIPES iHE MVLICAHT FOR SUCM PERMR TO FlLE A SIGNED � BTATEMETlT THAT HE OR SME IS LICENSED VU0.5UANT TO TME PROVISIONS OF 711E COffTRACTOR4 lA• � CB15E UW(CMM7ER Y(CWMENC4V6 WI7H SECiqN 7oao10F DM510N]OF TME BUSINESS MiD PRO � PooVSOa FESSIONB COOE)ORTHAT HE OR SME IS E7fEM�1'TNEREFROM AND iNE BASIS LOR iMEALLEOED EXEMP- ` TION.AHYYIOIATICNOF5ECT10N70J1.6BYANYAiPLIGWTFORA►EPMITSUBJECTSTFIEAP%ICAHTTO Z RB-ROO} S JG�J �Y.' �L61��Cy �„�, ACML PENALTY OF NOT GORE iIUN CIVE IKIHORED OOLLARS(i5oo)): � 04A501M1ENOF7I�EVROVERTI',ORMVEMPLOYEESWIMriAGESASTHEIR50LFCOMPEN5AT10N, O COf11TBfCIAI ' YIlLL00 THE MIONK,AND THE STPUCTURE IS NOT INTENDED OH OFFERED FOR SALE(SEC.?Ou,BU56 J NESS ND VROFES510N5 COOE:TNE CON7MCTORS UCENSE lAw DOES NOT A7PLY TO AN OV/NER OF N PROPERTYNM1IOBUM1DSORMPROVESTMEREON,M1DMM1qDOES5UC11WOFKHIMSELFORHERSEIFOR � � TFIR(%)OIiM60itHEROYMEAIOLOYEES.VRDNDEDTHATSUGIWPROYEAIENTSAAENOTMENOEDOR m - pFFFqm WR$ALE,�F,IIOWEVER7ME BULpN00R W DROVEGENi I3 SdD WRILN ONE YEAR OFCdd%.E. 'TION.THE G�MHER6UCDER IMLL NAVE TNE BUpDEN OF PROVIN6 TIAT NE Oq 6NE OD NDT BUII,D Ofi MVROVE FOR THE 7URPUSE OF SALEI. � w OI���EROFTMEPlq7EH1Y,AMEXCLUS�VELYCONTRACTiNC3N1T1UCEH5E�CONTMCTORS � 70 CON$TpUCT THE VR0.IECT(SE4 7da.BU.4iNE5S IWD GiqFES510N3 CO�E:TNE COt1TMCTOA5l1• V81U8tlOf1 ADJ.AFlEA GENSE UW DOES NOTAVPLY TOIW OWNER OFA PROOER7Y W110 BVIIDS OR IUPROVES THEREON,Ah0 � WNOCOMMCT9fdi9UO/Fi161ECT3VnTHACOHiRACTOIi(9�LICENSEDPURSUANiTOTHECONTMG qUANT1�Y DESCRIPTION � � FEE � TORS LICENSE UW.F . . OIMIIXE1dPTUNDERSEG B.1P.GFORTHISREASWI U 3 ¢ . , . � u" DATE W�NER U .. . � W IJCENSED CONTAACTORS DECLAAATION W � � � IHEREBYIFFIFiMUNOERPENKTYOFVERJUHYTHATIAMLICENSEDUNOERGFL�VI5i0NSOFCHACTER �' � � ��COMNENCNOWfT115ECT10N70a�IOFDMSqNiOFTNEBUSINE55AN0VROFESSiONSCODE,AND Z X WLICENSEISNMIFORCEANDEFFECT. � . � LICENSECLASS. C��C LIC.NO. �T�IZ/� � � � ' - � DATE k i J �L CONTMCiOR 4- / WORKERS'COMPENSATION DECLARATION Q = U N IHEiiEBYAiFIM1UNDERPEWLLiYOFVERIUfiYONEOFTHEFOUAWIN(7DECLAMTIONS: ' � G �,�INAVEANDVALLMAMNNACER7IFlGTEOF�NSENTTOSELF-WSUREFORWORKENS' _ / . � � COMPENSA7qN,A5PROYiDEDBYS[CTIONi7WOF7MEUBOitG00EF011T11EPERFORMMKE OF TIE WORK FOR VMld/T115 PENA�T 6�SSUED. .� � �IHAVEANOYVILLMAINTM7MCRKEH3'COAIPENSATIONINSURANCE,�SREOUIREOBYS[CTION /-� '�i7 (V> Q 970oOFTHEUBORCODE.FONTIIECERFONIAAIICEOFTXEWORKFOHWHICHh1ISVER4rt I '� X/ 1 � � LSSUm,MYMAFKEH5LWiENSAT10NW5URANCECMPoERM1DPOlILYNUMBE ARE: VO UC N ✓ C1 v � CARRIER � �+ �` � P EW � P0.ICVNUIdeER ��- C� � ' � CTRIC �"'i ��^' � p (nass[Cf[NFE�rqiBEOJ.FIEfIDaFTEFEN.frswRa+EFt7t%iEODat/3ts im�ORLESs} PLUMBING S.1"'.��Y1' Z ICERTIFYTIUTPlTHEGERFORIAMICEOFTHEWORNFORYMK?1THISPEIWRiS , MECHANICAL �} SIMLLNOTEMPLOYANYOERSONNM7'lMANNEHSOASTOBECOIAESUaIECTTOTHE � � WORKERSCdAPEN5AT10NtAW50FGWFORNIA,ANOAGREETMATIFI5NIXILDBECOIAE INSPECTIONFEE �(�„n � � `�-� . `_ SU&IECTTOiHEYNRKERS'COMPENSATIDNPROVISIONSOFSECTqNf7000fTNEUBOR L�" _ YJ � coo 1 coanrvrtn+caAcirNnrnnasePRo+nsar�s. ISSUANCE �'+ � o � An_ �.� +r`�TY OF L�iE�;�.v„ __ DATE: Jl �I �� APPIICANT: SMIP � '� �T � WAAN7NO:iALUiiETOSECUREYNRKERSCOMPENSATqNOOVEMGEISUNUWFUL�NOSNALLBE ENERGYP/C F;jI�,,TlIh1C',`l+��L"�'L�� � �y SUBJECTANEMPIOYERTOCRIAIPlALPENKTIESMlOCMlFWESUPTO0NE11UNDRE0T11W5Nm ENERGYPERMIT � OOUAFiS(5100.00D),f7 AbDI710N TO iNE C0.5T OF COMPENS�TION,�AAU6E5 AS PROVDEO FOR Pl J 6ECTqN]TOE OF THE LABOR COOE,NTEREST.ANO IITTORNEYS FEES. ' RETENTION FEE: � gCONSTFUCTION LENDING AGENCY pRE-ALT FEE: O � IHEREBYAFFlRAIUNDERPEwLLTVOFPEFWRYTUTTNEREISACONSTRUC110NLENDiN(1�GENCY FOR iHE VER WRMAHCE OF ii1E WORK FOH WMIGM TH�S VEIW�T IS ISSUED(SEC.�oY1,GV.G} � ' , � LENDERS NAME . � LENDEP'S/�DORE55 . w �CEq7i{y�T�HA11E AE/1p 7MS MPLICATION AND STATE TUT T1E A00'!E NFOR11AT10N L5[ORHECL TOTA L FE ES ' I�r 'I . Q IA6REETOCOMRtN7THALLQn'M7�COlMTIORDINMICESANOST�TEUWSREUTWOTOBUtlDINO 1♦ . WI�TRUCTION.AND HEPEBY IUhqi31ZE REPRESEMATIVES OF TW S COUNTY TO EMER IIPON TIE , ' S� IIBOVE•MEHTIONEDVROVERTTFORINSPECTIONWRPoSES. COMMENTS � lAi•l.l.l,�M_(�c.jUl-E` _ � m PERMfTTEENMI (PWt� `fI�' rC ' ` � Q ' . ` , �, � _ i N SbruNREOFiERWTtEE � DA7E . � _ RECPT.NO. _PA1D BY �-- VALIDA710N YhiITE—Depettmant Copy,YELLOW—Finenee Copy,PINK—Aaaessor Copy,GOLDENROD—File Copy.GREEN—�RpplicanCa Copy / ^'.. ` , � . . i . ,. . , _ .. . . , , . ., / � _ CITY OF DIAMOND BAR � . ,� . `�'' ' � � ' 'INSPECTION'RECORD� - *^-�'� �,_. ,_. �\�' _ .._. . _ � .. . . .. . �� • � � s - • � � � - , SETBACK � aJ \'•.,:,`` � _•' -i� � :��i 'FLOORJOIST 4..j.;,'; t��' ) �,'� .51 II '�'� ' , � .� FTGS/FORMS/STEEL• _ � �., 1 '. FHA REQMTS ELEC'[RIC GROUND -- - -'. - - - - ;° UNDER FLOOR DUCT � ... , ; _.,„ .:.<� • . ! _,, , GROUND PLUMBING • • !UNDER FLOOR COMDUIT��� � •,�'• �, �:�;� t .- ! �_ ' SLAB GRADE ` -- � FIREPLACE FOUNDATION � � � � • ' TEMP POWER �- -� - ' ��� - FIREPLACE BOND BEAM � --� WATER SERVICE� •' = ..: '.-- .:__ . :. � - . .._.... r .. . ..MID HT. 60ND BEAM '' �' '� � �,.i; ,1 . , ROOF SHE•ATHING'-.'' �' 'Z=��=S ' � �`�8 FT.BOND BEAM - . � ; . � . ' FRAMINGNENTILIATION� _'Vi 1��`•J 'e-) '�c ii ;,�a • �INAL BOND BEAM - ' ROOF CQVER ' � � 'PRE-GRADING - - - — .. . — - ROUGH HEATIN�-- f - -- - -- - - B�NCHING • . - - -- -- • _ � . ROUGH ELECTRI�'� � ' ' � ROUGH GRADING �. . � AOUGHPLUMHIFJG' � -""- - "- ". " � - : . "� " FINISHGRADING . . ': ` , SHOWEFUfUB TEST. �- =� - . �� �' POOL ELECTRIC ' ' EX7.LATH/SIDING POOL FENCING " WALL�INSULATION c-� �; '�• ', POOL FINAL � � � CEILING INSULATION OFF SITE IMPS. � , , DRYWALL NAILING � DEDICATIONS SEWER � ' FINAL ENG. • I SEPTICTANK '- ' ; .1- ' ' LA�IDSCAPE/IRRIG. SEEP PIT(LL-. - - - -. � �N SITE IMPS. � , , � GAS AIR TEST - FINAL ZONING � FINAL CONST.� - - - ..� - FIRE DEPT. FINAL ' ' . FINAL NEATING ^ - . HEALTH DEPT. FINAL FINAL ELECTRIC - - � DEV. FEES PAID ' � � ' �� � . � � FINAL PLUMBING i - ; ENERGY - � � , �y ��� � �b� , 1 . ' ' , �.�:....�..e�t�at- � .. .� .� . i�.i --� . . . . � - � . COMMENTS .---- - ._ , - . - . : _ �_ � � '�, --- - -� : . ..__ - -- - ; , - - - - -- , ; ;, : `� : ;��`� _ - -- - - , . , 1 , • � . " _' '" _" _' . . . .. ._ . � � � " . J.� �.I._J J�V ' � � � � � � �. r',�J�'(��- ���1 - � , , . � -- -- - . . , ` . t _ 1 C� ' ' ' - - _ . � � �, �. i 1 ( r 1 .1 .l . I ! • - - - - ._ .. • � � • SEPTIC TANK SI�E SEEP P17/U�SIZE . � ' � �._.�...".'_'..I- ---- � -- - - � � ; ,�� � � _ : . � ' ' --- — - � ; . I , _ l�/af_J _l�,�.,�.�_.�': ; _ I � 1 r � `+ �.',�'�� �� � . �° � 1 � `� 1� � � — -JQ, -�,/