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HomeMy WebLinkAbout13775 (17) � ' - - -- - - - .. . . � �,r,� CITY OF DIAMOND BAR �i � DEPARTMENT OF COMMUN[TY&DEVELOPMENT SERVICES � �,� . 21660 E.Coplcy Drivc Suitc 190 " (909)860-3195 Fa�c(909)861-3]17 PR ESS '^�' BUQ.DING PERMTT APPLICATION FIRMLY o� JOBSffE /�� S �/����r��� APPLICATION�.����GNUMBE 1���� �� ADDRESS DATE � � APN LOT�.__ TRAC ISSUE TYPE OCC p OWNER �,{s �,(/�'��' �� DATE CONST. GROUP o ADDRESS ZONING SETHACKS � CfTY ZIP TEL. REAR RW ❑ APPUCAr1T TEL. � SIDE/SIDE STREET RW ❑ CONTRACTOR S � SIDE ❑ � CrD�DRESS �� ZIP 2_ TEL'� � O� PROPOSED USE_/YL�� cn'7�ll'L lCOl�1l ;SI�� P+r ARCFUENG/ DESIGNEFi NO.DWEL NO. NO. ADDRESS UNITS STORIES �_BEDROOMS � CITY ZIP TEL. � �n DESCRIPTION SQ.Fi. FACTOR PSF ADJ.AREANALUATION � OVYNER-BUILDER DECLARATION SFR/ADDIREM 8 �NEREBV IIFFlRAI UNDER OENALTY Of OEiWRY TNAi I MI EXEUPT iROAt THE CoNTMCTORS LI- GFlIaAO/C3�pOR � CENSEUWFORINEFOLLOWIN6REASON�SEC.)o71.60U5WE55ANDVPOFE55WNSCODE:ANYdTVOR (f� COIINTYW11�p/RE0U1RE5APERMrtiOCONSTRUCLAITERNIPROYE,DEMOl15H2ORREPMRANYSTRUG W PdtiO/DeCk � TURE,PR10R TO R$ISSUANCE.AL50 RFOUIRES iME MGLICANf FOR SUC11 PERMIT TO FILE A SIGNED W • � $TATEMENT TW1T ME OR SME 6 110EN5EU PUfiSUANi TD THE PRDVISIONS OF TNE CONTRACtOR3 lF � � GENSE UW(Q1AiTER/(COMMENCNO WITH SECTqN 7J00)OF DIVL`�ON 7 OF THE BUSMESS ANO PRO� PDOYSpd FE" SCODE)Ofii11ATHE0R5HE1SFXElAPiTHEREFRpAAhDTHEBA51Si0iiTM[ALIEGEDE7IEMa• (r} TION.AHYVICtATIONOFSECT10N7071.68YIWYAPPLICANTiOFiAVERAIIT5U8JECT5iHEMV�ICANTTO z q�q�� -� '„� ACIVIL7EN/LLTYOfNOTYOFETNANFNEHUNDREDDOILAkS�1500).r � OI.ASO�MIEROFTHEVROVERiY,OqA1VEMPLOVFESMAMWAGESASTNEIR50LEC01APENSATION, CORIrtIBfC18I � YALL DO TNE WO{iK,NID THE STRUCTURG IS NOT INTENDED OR OFFERED FOR S.LLE(SEC.70N,BU54 �J � NESSAN�OROFESSIONS OOOE:THE CONTFUCTORS IICENSE UW DOES NOT APPLY TO AN OWNER OF j PROPEHTY NAIO BVIlDS OR NAFRDYE9 THEREON,AND WHO DOES SUp1 WOitKHIM3ElF OR H[fiSELF OR � � Tf/AOUOMWSORHEROVMEMPIOYCES,VROYDEDil1Ai5UC11►APROVEMENTS�RENOTNTENDEOOR m OFFBiEDfOfi SPLE IF,110�'EYEF�TNE BULDINO OR IMPROVEAIENT 6 SOID WITHIN ONE 1EMOF CAA�RE• Z �iION,THE OWNER�BUILDER WILL NAYE THE BURDEN OF PqONNO THAT HE OR SNE DIO NOT OUILD OR = IAPROVEFORTHEPURPOSEOFSALEI W 04ASOWNEROFTHEGROPEHIY.M/EXd.US1VfLYCWfTfUCTINGN'RHLICENSEDCONTFACTORS [� TO CONS7RUCt TFE PR�tECT(SE4 7Wa.BUSiNESS AND GROFESSqNS COCE TME CONTRACTORS U• V91UB�i0R ADJ.AREA iL CENSEUWOOESl:OT1D7LYTOANOWNE0.0FA7RODERTYNM1IOBUILDSDRMPROVE4TNEi1EON,ANO � 1MqCONTMCTSFORSUCHPR0.7ECT5NnT1ACOHTMCTOR(S)UCENSEDPURSUANT70tHEWNTMC- OUANTiTY �DESCRIPTION E . � tasuc�+sEuw.�. �(� ❑I IM EXEMPT UNOER SEG. 6.i 7.C.FOR TMIS HEA50N � ���� .Tjj�' 7/ �� 3 a �Zs �ca�- v � DATE OWNER U / / O � UCENSED CONTRACTORS DECLAFlATION W �.v ��� � IHEREBYAFFliWUNDERpENALTYOFPERIURYTHATIMIUCENSEDUNOERPROVISIONSOFCHAPTER �/� � i(COAYdENCwOWITH3[CTDN70001�OM�lON]OF7HEBl:5ME5SANDVFOFESS�ONSCOCE,M.O � /V� W 110EN5E IS N iUI.L FOHCE AVO EFFECL - / � , liJ 9$ �F LICENSECLASS '��0 LIC.NO.___�����[������ � t' DATE � COMRACTOR j .� I � � Si f � r � WORKERS'COMPENSATION DECLAFiATION a 0 � � U�d- � � IHEH[HYAFFlPldUNOEHGENALTY�FPEWURYONEOFiHEfOLLOYnNGDECUMTIONS: �twT�fr � � � . i// �iR/ � _IHAVEANDWiLl1.UMTAINACEFTIFMATEOFOCNS[NfTOSEIF-INSJREFORWORKERS' Q CdAFEHSATION,/S VROVIOEO 8Y 5EC'TION]70aOF TME LA80R COOE,FOfi TME PERFON.IMICE OFTME WOfi1(FOq WMICM TMIS PERMIt 13155VED. 0 � � �1 HAVE ANO W't11AAINT/UN WOf1KER5'COMPFNSATIOH INSURAHCE,AS REWCRED BY SEC710N Q ]7GO OF T/E LABOR COOE,FON ME VERFORMANCE OF TNE WORIf FOR WHId/7NIS VERMIT 15 L^SUEO.MYWO 'C07APENSATqNINLU�RIERA7��POlIC�/hLMBERARE: CONSTRUCTION jCMAIER « �/'��� PLAN � POLICYNUMBER��(f' � � Q ELECTRI � 0 (IHsSFcrcNNEmNoreEop.K£ffloFnEvpMisFOiioNEH.�ALDOouARSR+�IaatFssl PLUMBING Z 1 CEATIFY THAl N THE PERFON.IMICE OF THE WOiiK FOq WHlpl THIS PERMIT 45 ISSUED.I MECHANICAL (J SFiALLNOTEMPLOYAHYVE/i50NNANYWWNERSOA5TO8ECOME5U0.1ECT70THE (n WORKERS'COMCENSATICNlA1N50FCALIFOftN OAGREETHAT�FISFIOIAOBECOME INSPECTIONFEE � SUB.IECTTOTMEWOHKERS'WMPENS�TION i0 �� SOFSE '�ON77ooOFTMEUBOR CODE,ISHALLFORTMVJf7HCOMPLYWITH [ iONS ISSUANCE T�'f�T�� i � � Y i�.�i...� p DATE:��j� APPLICAHT: SMIP W ENERGY P!C j � WARNINO:FNLURETOSECUREWOPHEF5 P SATIONCO .nGEISU M.ANDSHAILBE �y,,, SUBJECiNJ EMPLOYER 70 CWtAwAL PE " AND CMl i UP TOONE HVNDRED THOUSAND ���� ,� f� !1 r� DOL1M$(f100,000),plAODITIONTOTHEGO OFCOMPENSATqN,DAMAGE5A5PROVIDEDFOf11N ENERGYPERMIT ¢ SECTIONOtolOF7HEUBORCOOE,W7EPEST,/ND�TTORNEY5fEE5. RETENTIONFEE:v y` d CONSTRUCTION LENDING AGENCY � �r' � ' ' '' O PRE-ALT FEE:_-.•,„.. � � IHEftE9YAFFIRMUNDERPENALiYOFPERIURYTMATTMERE6ACON5TRUCTIONLENDW�AGENCY " -"-'- - � FOR THE PERFORAIANCE OF THE WORK WR WHQi TMIS VERMtT IS�SSUED fSEC.]OV1,pV.C.). LL1 � IENDER'S NAME . � LENDERSADORE55 w ICERTIGYTMATIIUVEREADTNiSAPPIICATIONANDSTATETUTMEABOVENFOfWATqNISCORRECT. TOTAL FEES � p IAGREE TO CAMPlYN7TH ILLLCRY AN�COVNTY OHOWANCES AND S7A7E Uws REUnNO TO&11LDING . � CON57RUCTION,ANDHEREBVAUTMOH12Ep[PHESENTATNESOFTHISCOUNTYiOENTEHUPONiME �� Z ABOVE-MENTWNEDPROPEHTYFORINSP'cCT1ONVURPO5E5. COMMENTS � �Q 6�N ¢ GERAIITTEE M1 �P � � '�� � � SNiNAT PERAUTT OATE � RECPT.NO. PAID BY VALDATION WHITE—Department Copy.YELLOW—Finance Copy,PINK—AssessorCopy,GOLDENROD—FileCopy,GREEN—Applicant's Copy � . . . . _ . . „ . . . � ' .J • . , ... ' .. , • � . , . •� . . 1/ . . ^ t• . .. ,. . CITY OF DI�efJiOND BAR , � = ' INSPECTION RECORD �� �l►'�-�;�_��'��i^.�►�.� !����� �.I►k-.�'�,=��'�.�' +�Ii►��-���,o�.�Rl�a►'�'.�:��" 'i�'�r:,u j��-,��c:`;����.� SET BACK �- ' j • FLOOR JDIST � ' '� � �''�.�� FTGS/FORPAS/STEEL � � FHA REaP�ITS , .�+ _ iELECTRIC GROUND . UNDER FLOOR DUCT � • �GROUND PLUMBING UNDER FLOOR COfdDUff ' � ' \' � SLAB GRADE - - FIREPLACE FOUNDATIOi�J ! , _: .— TEMP POWER I FIREPLACE BOND BEAM ' WATER SERV{CE MID HT.BOND BEAM . '= ' - � '•�:`. ' .ROOF SF�EATii1NG;''� .`- .- � '. '� 8 FT. BOND BEAM . ' . . _ _ FRAMl��GNENTILIATION FINAL BOND BEAM � � - 'ROOF�CQVER ' c-• PRE-GRADING 'ROUGH HEA7ING ' BENCHING � �ROUGH ELECTRIC . ` ROUGH GRADING - - ROUGH PLUMBING FINISH GRADING SHOWERlTUB TEST POOL ELECTRIC EXT.L.ATH/SIDING POOL FENCING :WALL INSUL.ATION POOL FINAL ;CEiLlPlG��:SULATION OFF SITE IMPS. ' ,DRYI+VA�L NA1L(NG DEDICA710N5 SEV'JER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. • ; ,SEEP PIT/LL. ON SITE IMPS. GAS EJR TEST FINAI ZONING . ,'y���: , J • �t + . � ��;�.���[.t:C�NST. ,(o•Do �� FIRE DEPT. FINAL • F1PJ:�.:_NEATING � ' '�\ '-�: HEALTH DEPT. FINAL ; �;����,::ELEGTRi� � ' ` :, - , . ~. DEV. FEES PAID ; ";-_ 'rt_P,LU��IBING � , ,.•'= � ,� ENERGY . _ . . �� � ; • . _' ', _.� • . � ---- .� �/ . .. �t. ` '6?.I�.w"fI�E�:.i�.� �'T lt � .M : \ = �" I 1_I_._ � ' ` - �i'. ... ...a��a_.�_.c..� _�-ru_._.___:�__ _._..._i . . . . r.�..- ( --,----' '.__._� _-:\1.,_._..__.,�_.- .�-_-�-_.. _—'�-�"—`-....' -'�.-. _-�-�..' . ` COiJIMENTS ' t'�' � � ' \ � . . _. ._ , .. . ;��.. '� � ' •� • .- . , .SEPTIC TANK SIZE . SEEP PIT/U SIZE ��� �� . , . , . f _ F ,.���� �4 � �' , ; --- , . ♦ . �Ef � - . . �i � .+ l . � . _.._.�,� _.��..�.�.�.�_.�.J� . ` � . .