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HomeMy WebLinkAbout14378 (8) �� CITY OF DIAMOND BAR � � � �, DEPARTMENT OF COMMLJNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 PRESS "«'� BUQ.DING PERMIT APPLICATTON FIRMLY � JOBSITE ��r �,��� �Awyo�r �a�-� > APPLICATION; G� PERMIT p/C o ADDRESS_ DATE I���� ! ! NUMBER �r �� p � ISSUE NpE p�C APN LOT TRACT DATE CONST. GROUP p OWNER "�' ADDRESS � E a RN O ',ZONING SE7BACKS "' CITY ��L�LR/f 1,T ' ZIP / i�' ' TEL Cr r FRONT RW' ❑ � APPLICANT TEL � REAR p � . SIDE/SIDE STREET F{yy ❑ CONTAAC70R � GO SIDE p � ADDRESS O/vi = ' � CITY U��}L/�/1/'T ZI TEL� 1 � — � p PROPOSED USE 9L �- o ARCH/ENG/ �z,, DESIGNER NO.DWEL. Np. NO..- N C nRESS Z'P �L UNITS S70RIES 6EDROOMS � �n DESCRIPTIDN SO.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O p I HEREBV AFGIiGI INDER VEIULTV OF VERIURY THAT 1 AA1 IXEA1vT FROM 7HE CONTMCTORS�I- Gef900/C81pOf1 _ ' LLl CENSEUWFOpTMEFOlLO�WiNOHEA50NI5EGTW1.6BU5WESSNWVROFE5510N5CODE:ANYqTYOH (n �� OOUNfYVMAC11RE0URESAPEAMRTOCONSIRUCT,ALTER�MPROVE,DEMOUSH,ORREPAIRI�NY51qUP W PBSIO/DBCK Z TURE.PN�ON TO R9 455U/�NCE.MSU REOUME9 TNE AVPLMAtfT FOR SUp1 PERMIT TO FILE A SIGNEU �� STATFMFNT THAT ME OR SHE IS LICENSE9 PURSUANT N TNE pROVI5lON5 OF THE CONTMCTORS lJ- � � CFNSE Uri(GUPTEp Y�COI,IMENCINO VAi175ECT10N 7000)OF OMSION�OF i11E BUSME5511N0 PRO PaoVSpa FEfiSIOH3 COOE)ORTHAi HE OR SHE Ig EXEIAM THEREfROM AND T11E BASIS FOR 7HE ALLEOED E%FMP• 710N.ANYYIOLATIOHOFSECTION70J7,69YANYAPPLICAMFOqAPERMITSUBJECTSTHE�PPLIGNiTO Z qe.q�� I �„�, ACIVILpENA1T'/OFNOTAIOqET11ANFIVEMINDREDDOlUi15(f5o0I.): ' O 041LSONNEROFiHFOROVER7Y,OqYVE4PLOVEE3Vn1NWAGEShST1EIR50lECOYOENSATqN, � COmm0fCf01 - � ' � 1MiLLD0 TME WOHK IWD THE STiLL1CTURE IS�OT tl7TENDEO Oq OFFERED FOR SALE(SEC.70a�.BU51• J N NE53 NJO VROFESSIONS COOE:TNE CANTHACTORS LICENSE UW DOES!qT A➢GLY Tp AN ON7JEq pF = FfqPEHfY WHO BU0.D5 OR IMVROVES 7NEREON,�ND Nn1000E5 SUCH YfORK MIMSELF OR MERSELF OR (L THAOUONMSORHERONMEMPLOYEES,PROV�DWIHATSUCHMDROVE/AEMSARENOTNTEN�EpOfl m �� OFFENEDFDFSKE�FHOWEVER711EBUILD�NOORINPROyEMENiI550lDWITMNONEVEAROFCOMpLE• Z TqN.T1E OWNERBUILDER WILL IN`/E TME BURDEN OF PROV7N6 THAT HE Oq 6NE DG HOT BUILp OR = IMPf10VE FOq TME PURP0.5E OF 5ALE7. W �l/30WNEROFMEPROPEHIY,ANE%CLUSNELYCOHT{UCTINONTTIIUCENSEbCONTiUCTORS � m eorurr�ucr n�E rao.�cr tsEc.�ou,eusirvEss�wo vRocEssior�s moe:n�E cor�rrucrons u. Valuatim A0.1.AREA - CENSE UW DOES NOTMPLY t0 AN O'M�ER OF A PROPERTY VAq BUILDS OR RIPIiOVES THEREON,AND � MMOCONfNACT9fORSUpICR61ECfSWIT1A00flTRACTO{i(S�LICENSEOP�RSUANTTOTHECONi{UG pUANTITY DESCRIPTION �E � TORS UCENSE UW) , . � OIAMEXOdPTUNOERSEG B.fiGFORTNI5REq5pN Q � V LL � OMTE OWNEH V -. . J � UCENSED CONTRACTORS DECLAFiATION W IHEREHYIIFFIFNIRd1ERPENAITYOFGE0.1UfiY7NATIAMLILENSE�UNOERPROVI510NSOFCWIPTER � p� 0(COMYdENCINOY/IT115ECTION7o0010FDM5lON70FTHE8U51NE55M10PROFES510NSCO0E,AND Z X W UCENSE 6 N FUIl FORCE/�ND EFFECT. � LICENSECUSS v_r'`� LIC.NO. ��/��� j . V DATE �'�I'�OO CONTRACTOR_ d � WORKERS'COMPENSATIONpECIAFlATION C�� '� ¢ � C.— CY GFQ NIHEREBVAFFIHMUNDEFGENIITYOFPEiWRVONEOFTt�EFOLLOwiNODEQAMT10N5: Z E�' c/MPS � C _IHAYEANDWILLMAINTAINACEttTIFlUTEOFCONSENTNSELFNSUqEFORWORKERS' _ � � ,� � COAIPQISATION,ASPROVIDFDBY6ECT10NifoaOFTHEU80RCWE,FORTHEPER�ORMIWCE w Q OF TNE WORK FOH VYHICH TMIS VE WAIT IS ISSUEO. � � � � Q �I HAVE MtD N7LL4UR7TAIN WpRKERS COMPENSATION INSURANCE,AS REOUIpED BY SECTiON l7000F7HE LABOR COOE,FOq iHE GERFORAIANCE Of THE MIORN FOq WHIG/THIS PERMIT IS � � ISSUED.MYNOPKERSCOMPENSATIONMSURANCECARRIERu10POLIGYNUTABEHME CONSTRUCTION ] GiiRIER AUiE I NS� G�• PLAN REVIEYJ ' � POIICYM11.19ER �- � �. 7 I� ELECTRIC ¢ � (na5[CfICN1EIDNOiBEOJ.slE7IDOFnE7F3AiT6faRONEMJK7F7ED00.1MSRim1�l6S7. PLUMBING W I'wl• Z 1 CERTIFYTHAT NTi1E PERFOFiMN10E OFTNE W'OPl(FOitNMiCH TH�S CEN.11T IS i55UED.1 MECHAN�CAL ��� k � � C} 6F�KLNOTEMROYANVPEf{,SONIN/JlYMANNERSO/�STOBEGOMESUBIECTT07HE � M'ORI(Eq5CO6�PENSATIONU�M50FCAlIFORNItiµDACREETHATIC151qUlD6ECOME INSPECTIONFEE SU&IECT707HE WOfixERSCOMPEN511TION VROVISIONS OF SECTION 77oa OF TME lA9�R � S coo�.isrw.�roHrrn�nn�corav�rvnn�ri,osevRo�s�ons. ISSUANCE � .�;1R � SMIP � V '.l ,1.:v3 p DATE: APPLICANT: � WARNINO:FA0.VRE TO SECUNE NOPI(ER5 COI./PENSATqN CpVERAGE IS UNUWFUI.,AND SHAlLBE ENERGY P!C �T��i�L'���R n~•�FS k1� �'y SUBJECTANEMPLOYEflTOCWMWA�,VENALTIESANOCMLFINESUVTOONEMUNOREDT�0U5AN0 ENERGYPERMI? t��rrT '� �'����I `I Y pOLUAS(f100,000),NADDI710NTOTHECOSTOFCOMDENSATION,DAMACESASPROV7DEDFORIN �L=D�=�'` ;_ e �J SECTIDN]70eOFTHEIABORCODE.WiEREST,ANDATiOfVlEY'SFEES. RETENTIONFEE: a CONSTRUCTION LENDINGAGENCY PREAIT FEE: O � INEREBYAFFlRAIUNOERPENAITYOFPERNRY71�AThIEFE1311CON'TRUCTIONLENDINOACENCy � FOR TIE VERFORMANCE OF TME WORK FOR WHICM 7NI5 PEN.11T IS ISSUED(SEC.]OY7,CIV.CJ. � � LENDERS Nu.IF C LENDER'SADDf1E55 � ICERTIiYT1AT�NAVEREAOTMSAPp�ICATpNIWOSTATEiNATTMEABOVENFORMATIDNISWRRECT. TOTAL FEES � IAGRE:TOLOM�YWITHIIIGRY�NOCOU1f1YOND�NANCESANDSTATEUWSREUTINOTOBU4DIN6 � CONSTRUCTION,MIDNEREB`/�IRHOR12E EPqESEMATNE50FTWSCOUNTYTOENTERI1PONiHE . � �BWE�MENT DiiiOPERTYFOR P TIONGVRP0.5ES. COMMENTS �I � m PEW.� EN (F tn ����� _ ' _ , . � BIONAN OF P WATTEE DAiE T . RECPT.N0. PAID BY VAIJDATION �` WH�TE-0ePaNnent Co YELLOW—Fhance C py, opy,PINK—Assassor Copy.GOLDENflO�File Copy,GRE —Apqicant's COpy � �`i CITY OF DIAMOND.BAR,... ; ,:, ' " "� INSPECTION RECORD' . ' � � . , ;�;, • e � • ' • � � � - SET BACK _ ��� �. �,, 1 ' • - c �` FLOOR JOIST:' ' � � , :�� �,�_�� ., FTGS/FORMS/S7EEL � == FHA REQMTS - - - - —- - - ELECTRIC GROUND - - UNDER FLOOR DUCT - ' GROUND PLUMBING UNDER FLOOR COMDUIT' , • ,' �''� � ' SLAB GRADE � FIREPLACE FOUNDATION -'• � ' - �- - •- TEMP POWER - " - - � FIREPLACE BOND BEAM ' WATER SERVICE- , � - � MID HT.BOND BEAM '� - - ' � ROOF SHE�ITHINC; �` �• =� � 8 FT:BOND BEAM ' � ' � �� ` FRAMINGNENTILIATION FINAL BOND BEAM RO(�F COVER'' PRE-GRADING -ROUGH HEATING-- - - - - - BENCHING - - - .- - ROUGH ELECTRIC i - - - - �- - ROUGH GRADING � ROUGH PLUMBING , - - - FINISH GRADING SNOWER/TUB TEST, POOL ELECTRlC " ' EXi: LATH/SIDING � POOL FENCING : WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. . DRYWALL NAILING ' DEDICATIONS , ' ' SEWER � FINAL ENG. - - � - - � • SEPTIC TANK_ . _ . . _ _ LANDSCAPE/IRRIG. SEEP PIT/L.L. - ON SITE IMPS. - GAS AIR TEST�- - FINAL ZONING - FINAL CONST - FIRE DEPT.FINAL ' , FINAL HEATING - t��o.o � HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID ' FINAL PLUMBING ENERGY � �� t�,t�" �'a� '� - - . • '., -.._ , .. . . COMMENTS' � ' =� � � � � _ _ � - � � �;_ " . • . . •,_�,_, - - - �._;� SEPTIC TANK SIZE � ' ' , . SEEP PIT/U SIZE , , _ `r� i,�1" . . . _ . , _ , — -, — . ;. - . � . _ ; ��.`� � `, � 'y ', _ , V _ _ _ - , y -- ;-,. `-:�, . . j ' �1