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HomeMy WebLinkAbout14340 . . = �_�� _ CITY OF DIAMOND BAR • � • � DEPARTMENT OF COMMiJIVITY&DEVELOPMENT SERVICES T� 21660 E.Copley Drive Sirite 190 (909)8603195 Faz(909)861-3117 PRESS . �'. BUQ.DING PERMIT APPLICATION ' . FIRMLY JOBSRE APPLICATION PERMIT P/C o ADDRESS �G�l (i�'!-('A ��11�1 �A21 DATE (< 3) �� NUMBER� * c� ISSUE TYPE OCC APN lOT - TRACT DATE CONST. GROUP g OWNER S11�- Q=^4`l�fj p ADDRESS_�t(,1 �'nl.� ui� �ZU�p ZONING SETBACKS � CITY ZIP TEL _ REAR � ❑ APPLICANT TEL. SIDE/SIDE STREEf RW ❑' � CONTRACTOR G�IG•Fi [?� �'F lC � - �SIDE p , � ADDRESS r���� z�oY '-SGa3 SZ=S CA `iCl�l., � PAOPOSED USE� �P�.�- U-� � - i.�vt 'RL-�'+�u,{ � CITY ZIP TEL`�tiZ '�44 �'�'153 : �C3�.:l `V., -rc-�(t..� C.�t� '�/-Ai,�/ o ARCH/ENGI • �. ��t t QAf ' r •2-P� is [' n DESIGNER NO.DWEL � NO. � NO. ADDRESS UNITS � STORIES BEDROOMS = CITY ZIP TEL. y DESCRIPTION SQ.Ff. FACTOFi PSF ADJ.AREANALUATION , Q _ OWNER•BUILDER DECLARATION SFR/ADD/REM O � 1 HEREBY AFFttW UNDER PENALtt OF PERAIRV 7/UT 1 AA1 D(EYPT FROM iHE CONTMCTORS L4 Garape/CarpoA - B CENSEUWFOi1THEFOl1WVNaHEA50N(SEC.707f.6BU5ME5SMJDCROFE55lONSC00E:ANYUiYOH (n � '� COtA(IYNHIGIREOIrREBAFEPMRTOWMSTRl1C7.ALTER�PROVE,DEA10U511,ORHEOAIRANYSTRUG . W PBtIdDBCk . lUf�.Vf40R TO R9 IS8UMICE.AL50 PEWiRES TME APVLICAl17 FOR 6UG/VERIAR TO fllE A SIGHED W � 67A7EMENT TMAT ME OR SME IS LICENSED RIRSUMfT TO TNE VROVISIONS OF TME CONTMCTOFS U• � C&bE UW(CMAPTEN Y(COMAIENQN<7 W�TH SECTION 7000)OF DIVISION 70F TME BVSINESSlW�VR0. � POOVSP2 FESSIOHS COOEI OR THAT HE OR SHE IS EXEMPT TMEREFROM AND THE OASIS FOR 7HE ALLEOED E%EAIP• ` TpN.ANYVI0LAT10NOF5ECT10N7o]1.6BVANYAPttICANTFORAPERMITSUBJECTSTNEAFPLICANTTD Z Re-Root �� ,�'tj i , �„� A CML OEN/LTV OF NOT�rORE TNIW FNE MUNDRED�OLURS(fSoO)Y � Otti401NiEROFTHEPiIOPER7Y.ORMVEMPLOYFESWITIIWAGESASTNEIRSOLECOlAPENSATbN, � 0 (`,pmmBfClal � � WILL 00 THE WOIiI(MA iHE ST10.1CfURE IS NOT INfENDEO OR OFiEREO FOR SALE(SEC 7W�,BU56 J NESS AND iFqFE5510N3 COOE THE CONTMCTORS LICEtISE UW DOES NOT AOPLY TO AN OMMER OF N PROPERfY1M108U0.D$OFtMPROVES7HEREON.MI�VIFI0DOE38UCHWORKHIMSELFORHERSELFOR � � � T1410U(3MM80RMEHOwNEUVLOYEES.VROVIDED711ATSUCMMPROYEA1EtlTSMENOTMTENDEDOR m OFTEi�DFIXiSALEF,FION�EYERTMEBULdNQORIMGiIOVEMENTI550L0 WIT/UNONEYEAROFCqMPLE• TION.THE OWNER�BUIIDER WILL NAVE THE BUPDEN OF PROVNO THAT HE OR SHE DID NOT BUILD OR MPfICNE fORTHE R1RP0.5E OF SALF). - , W OlA40WMENOFiHEVROPERTY,/WEXf1USNElVCONTMCTINOWRHUCEN5E000NTRACTOR3 • � TO CONSiRUCTTME VRQIECT(5EG 70a1.BU51NE5S/�ND VROFESSIONS tODE:THE COIliRACT00.5 Lb YBIYflt10l1 ADJ.AREA � CEN6E UW DOE9 NOTM7LYTOAN OWNER OFA VROVERIY WHO BU0.D5 OR MCR7VE3 iHEPEON.AND � 1MIOCONiMCTSFOfiSUpIVR0.1ECT5N7T1�WNfN�CfORIS�UCENSfDPURSUMfTTOTHEO�/fiiLl6 pUANTITY SCRIPTION FEE - � TM13 UCENSE UW.} ..J OIMIIXE4FTlMDER9EC. B.�G,GFORTMISREASON Q 3 � .� , _,:. ,�, �.. � u" DATE om1Eq V � UCENSED CONTRACTORS OECUIRATION � • � W , I NEREBYAfFlRM UNOER PENALTY OF PERRIRY TUTIAM LICENSED UNDER PROVISIONS Of C1IMTER z � s i�COMAFNt.1110WITHSECT10N70001�DM510N70FTME8V5tNES5ANDPROFE5310N4CO0E.AN0 �L W UCENSE IS N FULL FORCE/NO EiFECT. C �. o uc�+.secuss �-'3� uar,o. 3 rZ� ' J � wte <<�3i S j eorirrucroA i t P - F � a WORKERS'COMPENSATION�ECLARATION Q � U N IHEREBYAFFGiMVNOERPEtU1TY0FiEiLVMONEOFTHEFOLLOWINGDECUfUT1oNS- N Z 4 G _IHAVEMOWILLMAM7AtNACERTKICATFOFCDNSENTTOSELF.INSUf7EFORWORICERS' 2 �Td- QOMPENSATION,A9PNOVIOEDBYSECTIONJ7ooOFTHELADORCODE,FORTHEPERFOR pF 7}IE WOiiK iqi Vrtllpt TH19 VERMIT IS ISSUED. .� � �IHAVEANpWILLMARlTAVJWU1MERffCOYPEN5AT10NM5UfUNCE.ASRE0U1RED8YSE j' �S� h� Qd J7o00f 1HE IABOR CODE,FOR TME PERFORIAANCE OF iHE WORK FOR WMICHTHIS C R IS "/ ISSUED.M1'NVRKENS'CO��PEN3AT1bNIN5URANCECARRiERANDPOUCYNUlAB E: T ION ' '_ " . _.. ..� . _ _ ._. . . . . .�_. . �� GIRRIER �«-��J'J A � R VIEW � --� . _. . . _ _ � POLICYNUABER 3 a� ' � LE T � (nsscCnoNt�tEIDNotBELd.f�EiEDOFnEvw.�rsFOaoNE DaU1�K� i0RLE55b " MBING ��� � �CERi1FY7HATNiMEPERFOAMMICEOF7HEWORKFORWMI HnasvEw.irt�sasueo,� MECHANICAL SFIALLNOTEM�LOYANYPERSONMrN'fMANNER50A5T08 COMESU&7ECTTOiNE/ N wowcEascor,�v�s�nor+uwsoFuuwrwu.hno�cae M�TIFISHOV�6B[t4ME INSPECTIONFEE S SU&IECT TO THE WORKERS Cd.�7ENSATION VRDVISpNS OF S i iME UBOR . coo.is FORiHWfTHCOMPLVWRHT/qSEPHDV1510NS. ISSUANCE O J�/� p o a�h: � ~ C L APPLIGINT, t�"��/�•Y_ SMIP -LTT� t' i ��DtiJ'8���'-� . . W ENERGY P/C WARNINO:FALURE TO SECURE WOfiKERS'COrAPENSATqN COVEMOE IS UNLI1WFUL./iND SM�LL BE (-y SUB.IECTANEMPLOYERTOCRWINALPENALTIESANDCN0.iWESUVTOONENLNOFtEDTHOuSAND ENERGYPERMIT � � pOLLApS(t1oo,0aa�.IN AUDITION TO THE COST OF QOM7ENSATqN,D�/AAGES AS PROVIDED FOH W - J[C SECTION]7oeOFTHEUBORCOOE.k1TERE5T,AN0ATfORNEY5FEE5. f1ETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: Q IMER�YAFFIiWUNOERVENALTYOFVEfWRYt/UTTHEREISALONS7RUCT10NLENDiNOACENCV nZ- FORTNE GEHFORMANCE OFiHE WORK FOR M'NiCN THIS iENMIT IS ISSUED(SEG 7oi7,GY.G). . W � lEN0EiC5 HM1E - � LFN�ER'SAODRESS �/J� � ICERTIFYTYUTIHAVEREADTHISAPVI.MJITIONMIDSTATETMATTHEABOYEINFORMA7qrvI5CORFiECT. TOTAL FEES �� /a � IA6REETOCOAIPLYVATI/ALLCffYAND00UNTY0RD�NANCESJWUSTATEUWSREUTINOTOBU4DING L CONSTRUCTION.IWDHENEBY/LLfiMDfl12EREPRESENTATIYESOFIT4SCOUNTYTOENTERUPONTHE _ . . .. , . S� ABOVE�4EHTIOf1E0VROGENTYiORINSPECfqNOt1RPOSES. COMMENTS 9 �l� IL1.il-� �'LLGl-4- � m PEiWrtiEENMAE(PNHn 11 �� /� / / N �7�! . . . /, (A BIONATUNE OF VERMfTTEE DA E � � RECPT.NO. PAID BY VAUDATION ' , VYMITE-0epertment COpy,YELLOW—Finance Copy,PINK—Asaeuor Copy,GOLDENROD—Fite Copy.GREEN—Appl�canYs Copy . \ ;-�\. , —�,� CITY OF DIAMOND:BAR , .:.. . . , . �_..__. _ . -_/ � . _ � � � � � ' ' �INSPECTION RECOf�D�',� �. ,: :, .- - � � ,,��� - . • � � � .► _ ' �c s � � � • - - � � � . � . SET BACK '.:� .: e - , �, � �.; I �; � �i FLOOR JOIST �� r.:.:. � � , :.•. '� r �S' � � FTGSlFORMS/STEEL ' " ' -FHA REQMTS ' � - � - �- - ELECTFi1C GROUND_ � � -_. _ _ _ ._ . . - UNDER FLOOR DUCT - ;- ' �� � GFiOUND PLUMBING � �UNDER FLOOR CO�IDUIT'-'• � t t.� �.�1 � ? '� � � SLAB�RADE� FIREPLACE FOUNDATION � - — - ' � TEh9P POWER - -- - '' ' - -�-- - ' � FIREPLACE BOND BEAM - � - - � � WATER SERVICE - -- -- l -- - MID HT. BONQ BEAM , J' �� -',r`� f�.' ''`' . . , ROOF,SF��AT fNG, '�� �.'�') =' 8 FL BOND BEAM ',• � ' • - � - FRAMINGNENTILIATION�>>`i `�' � ':i`��� .r 1.� t FINAL BOND BEAM ' i ' - - ROOF COVER.. " ' PRE-GRADING • ROUGH HEATING -- - —- - - - - - - - BENCHING ' - ' - ' ' ROUGH ELECTRIC- - � - ' - ROUGH GRADING • - ROUGH PLUMBING-; �-- -- -� --- : - . - - FINISH GRADING . '� SHOWEEVTUB 7EST � � . POOL ELECTRlC EX7:LATH/SIDING � POOL FENCING WALL INSULATION ,r,r.:,� 1 � POOL FINAL • ' CEILING INSULATION OFF SITE IMPS. � .�' DRYWALL NAILING DEDICATIONS . � SEWER_ _ FINAL ENG. SEPTlCTANK ------ " .'•.' . .i ._ _LANDSCAPE/IRRIG. ' SEEP-P1T/L.L.� - - ' -- -_ . ON SITE IMPS. , . GAS AIR TEST� - - - FINAL ZONING � � FfNAL�CONST. - FIRE DEPT. FINAL ' ' FINAL HEATING - HEALTH DEPT. FINAL , FINAL ELECTRIC - � ' DEV. FEES PAID � - `� � FINAL PLUMBING � • I , ENERGY � � � , ; .. �� - �� �. � ; � �W.��s �s�{ ' , - . . . . . . , _. COPJIMENTS ' , . , .:.... _ ; -- - . . _ _ __ , . , ;' • -i -- - - .- , _ ; . � _ ��� i ,� , . � - - ,.. , ; ___. �� .1 _ .. �, ,).�.. J . � • ' � 1 1 S Cr�( `T i - � , - - - - ,` � .t , ' � , i ` V_ i - , - . . . �� �:'� l. 1 � • . , i . • � SEPTIC T'ANK SIZE __ ' � ' SEEP'PITlU SIZE . , - - � � - * ;��'�`� -- - � -. - � ; ,�� ._ . . .. , . � - - , . , _ , ._ _ � �. - •i.�.�<-� - - -- � � ,� I �. _ � 1 ,�� . ;, ,�-. , - � . �., - , � � - , -