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HomeMy WebLinkAbout14716 CITY OF DIAMOND BAR � -�� — DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)851-3117 PR ESS ��'�'�� BUII.DING PERMIT APPLICATION FIRMLY oN JOBSITE '� � � APPLICATION �� PERMIT �u�' P/C ADDRESS DATE NUMBER � p $ ISSUE TYPE OCC APN LOT /.'� T CT DATE CONST. GROUP � OWNER _C�J�U3 I iI t.��� o ADDRESS �A 2-O �/1..a1--.. � 20NING SETBACKS � CITY �I? ZIP y[�L�./TEL.�1z��,( _� REAR RW ❑ APPLICANT TEL. - �y���v � SIDE/SIDE STAEET RW ❑ � CONTRACTOR ,� q SIDE ' � ADDRES � CITY "T� ' ZI �JfEL 7- O �lJa PROPOSEDUSE � ARC NG! � DESI �'�1C_ NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y y DESCRIPTION 50.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDER DECLAMTION SFR/ADDlREM O Q I HERE9V AFi1RU UlOER FQIALTY Of OE0.AIRV T//AT 1 AM E%EAIPT FRW THE CnNT1iACTORS L4 Garage�ICarport ill CO/SEUwFORiHEFdlOWNOREASdJ(SEG70]t.6BU51NE54AND7NOFESSIONSOODEANYC(TYOR (n COUHTYWHIGIREOUIIiESAPERI.IRTOCONSTfiUCi,ALTE0.MPpGVE,DEMOLJSN,ORf7E0AIRANYSTRUG W PatiolDeck 7URE VA1011 TO RS ISSUANCE,A4A i1E0UIRE5 THE APPLICANT FOR SVCH VERIAIT TO FILE A SIONE� W 6TATENENT T1AT XE OR�HE IS UCEN3ED PURSUMIi TO iHE VROVISIONS OF hIE COMMCTORS L4 � CEN6E UW IQIAPTER a(COMMENCMO WRH SEGTqN 7000)OF DMSION]OF iME BUSmE55IND PRP u- PooVSpa FESSIONSCDOE70RiNA7NEOF5MEISEJIEMPTTMEREFROMMIDME8A515FORi11E/�LlE�E0E7(E1AP• C7 TqN.ANVVI0lAT10HOFbECT10N1071.6BYAHYAPPLICANTFORAPERMITSUBJECT57MEAPPLICANfTO Z Re-Roof � A pVR VENALTY OF NO'T MORE THAN iIYE HUNORED DOUARS 1t5o0I.1: o �lILSONYNEROFTHEFpOPERTY,ORAIVEMPLOYEESWITHWAGESASTHEIRSOLECDM7EN5AT10N. � (`,pmmBfClel - � YALLOO THE WORICAND TNE STAUCTURE IS NOT MEtAED OR OFFERED FOH SALE(SEG TOat.BU54 J N NESS AND C110FESSIONB COOE TNE COMRACTORS IICENSE UW DOES NOT AiPLV TO 1W OWNER OF ? PHOPEHTV NRID BURDS W1IMPHOVES THEREON,AND NMO DOES SUCHMORIf HIYSELFOR HERSELF OR � THROUOFIHi4OiiNEROWNEMPLOYEE5,iR01�DEDT//ATSUCHMPROVEIAENTSARENOTR7TENDmOR m OFFERm fOR 3ALE�F,iIOM�EVER711E bUM1DU1a OR MVROVEMINTI9 SOLDMRheN ONE YEAROF COMPLE• � '710N,7ME OWNE(iBUILDEfl YALL W1VE iME BUFOEN OF PROYINO THA7 NE OR SHE DID NOT BULLD Ofi MVfqVE FOR iHE RIRPOSE OF SALEy W O4I�ROWMEROFIHEPROVEHTY,MIE7(CLUSNEIYCONTRAC'TINONTTHLICENSEOCONTMCTORS Q TO CONSTRUCT TH[PROJECT(SEG�OH.BUSINESS AND PROiE5510N5 COOE:THE COHTRACTOR51.4 VelUetipl ADJ.AREA llJ C815ELAWDOESNOTAGPLYTOANOVMEROFAPROPERTYNRqBUIIDSORIIAPROVESTIEREOH.AND � wHoco�mucrscaasua�vHa�cTsvnn��ca+r�ucTon�s���r+sEnvuruuunmrNEwwrruc pUANTITY OESCRIPTION FEE � TORS UCENSE UW.). ' ..J . OIMIIXEMPTUNDER9EC. B.�P.C.FORTHISREASOH Q 3 � V" MTE OWNER � � - � W LICENSED CONTRACTORS DECLAHATION W 1 i � IHEI�BYAFFlialUWERPENALTYOFPE0.IUMTUTIM.ILICENSEDUNDERPRON5�ON40FCHAPTER � '1 .'C � / '4',, ) � � /(OOAWENCIN�N7MSECTION7000)OFOMSION70FTHEBUSINESSANOPf10FESSpN5CO0E,AN� Z �" 1✓��� MY LICENSE IS W itA1 FOHCEAND EFFECT. �0 UCENSE CUlSS v r ✓ p UC.NO.�� ��� � � v o�rE��=�n - �f n coriraacroa����-w = WORKERS'COMPENSATtON DECLARATION V�b � N IMEREBYAFFIHMUNOERPENKTYOFVEiWHVONEOFTMEfOLLOWINODECLARAT10N5: � V N Q � _INAVEMI�WILLWUNTAINACERTIFIGTEOFCONSENTTOSELFaNSUR[FORNORI(ERS' S CdIPfNSAT10N,A3PROVIDEDBY8ECTONi7000FTNELAeONCOOE,FORTHEGER�ORMANCE U Q OFTHEWORKFORWHICHTHI9VERMITISISSUEO. � � � _I HAYE AND N1LL MAIHfAM WOFiKERS COMPENSATqN INSURMCE,AS REIXIIRED BY SECTqN Q �7DOOFTHEUBORO00EiORTNEPERfORAUWCEOFTHEWORKFORWHICIITHISPERMRIS ISSUm.MY WORKER'ODIAPENSATqN INSURMICE GRiUER AND VOLICY NUMBnERAAE: CONSTRUCTION � c,wruea L�Lr n� �� �[h ["E PLAN REVIEW � Z roucrriuusEa�/1�'_�ff�f�</ OTi . ELECTRIC 'Q / � � (11�SSECf10NtE�N0TBE001.i1£IIDOF'hEFERIRiBiCaONEHI�iEluoalAft^,Rtm�oRtEssl PLUMBING Z 1 CERTIFY THl1T W THf PERFORIAANCE OF THE WORK FOR WHiO/THIS PERUR IS ISSUED,I MECHANICAL �A�YR (} S�WINOTEMPLOYANYPERSONNANVMANNERSOASTOBECOMESUBJECTTOME � MNHKE115'GOMVENSATIONUN90FCAlffORNI/�AND�OREETINTIF15110UlDBECOME INSPECT�ONFEE `� S SU8lECTTOh1ENGRKERSCDMFErGAT�ONPROVISqNSOFSECTIONf70oOFTHEU80R f� (f V co7o�,i srUu coRr�m coua�r vmm��a�JsE rwov�s�a+s. � ISSUANCE � ,J"1�_ �APPLICANT: - //�1 %il•�' SMIP �A� DATE: WAiWIN6:GALURETOSECURENORKER3'COMPENSATIONCOVERACEISUNUWFUL,AN0511ALLBE ENERGYP/C � SV&IECfAHEMPIOYERTOCRIMPIALVENALTIESANDCMLFWESUPTOONENUNDREDTqU5�N0 ENERGYPERMIT pOL1Aft5�S100,000),NOD�ITIONTOTHEC0.5TOFCAMPENSATION,D�MAQESIlSYROVIDEDFORW --�f� � J� SECTIDN770eOfTHEL/�BORCODE.NTEREST,l�N0AT10RNEY5FEES RETENT�ONFEE: y�" pW.. CON5TRUCTION LENDING AGENCY PREALT FEE: � � IMEREBYAiFIHMUNOERCENALTYOFVER1UflYTHATTNEREISACONSTRUCTIONLEN01NfiAGENCY _ � FOR THE PERWIiMMICE OF TME WONN PoR WNlpl TNIS GERMIT IS ISSUEO(SEC,i0Y1,C1V.G). \ . � IENDER'SHM�E - f ` � IENDER'SADORESS � � ICERTIfYTMATINAVEREADTp3A7PLIGTIONANDSTATETHAThIEABOVEINFaH11ATqNISCONRECL TOTAL FEES � p_ IA4REETOCOMPLYWITMPLLCITYI�NDOOIMTYOROiNANCE51WOStATEUWSRELATIN(iTO8U4DIN6 - - CONSTpUCT10N,ANO HEREBY AUTIIORIZE REPRESENTAi1VE5 OF THIS LOlN7TY TO ENTEH UPON iNE . � ABOVEJAENTqNEDGROPERTYFOi1�N5PECT�ONPURPO5E5. COMMENTS ' 9 �( �� ,/'1'1 � 1�eY ---- m Q � v�ti����,,� �-'��--C? � �r�u OF PEFwI E o"TE qECPT.NO. PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finance Copy,PINK—Asseesor Copy,GOLDENROD—File Copy,GREE —ApplicanPe Copy . . .. . � .. .. � . t .� . . , .. . , .. . , .. •� .t: ... `�.• . ♦ � ..�1'.� . �i � �i w ... . . _..� .� . .. .. � .. . . .e ' . CITY OF DIAMOND BAR ; -- , ° .�.�..•`:` � •INSPECTIOI�l�RECORD � ' ' I►k-���:�^�X�I�I,�.,i�':.�►���i�E-���.� � " � � � �' � ' '� ►_ -' �-� ° � SET BACK ; ' _ �� ; i . FLOOR JO�ST'� . . ; . _ .- � '. �, - ; - FTGS/FaRMS/STEEL =' � � FHA REQMTS � �- � ELECTRIC GROUND - UNDER FLOOR DUCT- " � GROUND PLUMBING - UNDER FLOOR COAIDUIT •,' • � • - - - FIREPLACE`FOUNDA710N �� '-`• 5LA6 GAADE -- - - - - `- . . _ . . TEMP POWER - ' - _ _ - ' � : ' ' : FIREPLRCE'BOND'BEAM. - - � .' , , _ ' . -WATER SERVTCE- . .: - -. . � _ : _ _ . MID HT.BOND'6�AM :� '= -- .;�_ �_.-� - ' : ROOF S EATHING- � - 8 FT.BOND'BEAM � � � • FRAMINGNENTIUATION ' FINAL BOND BEAM � ROOF COVER; PRE-GRADING - t ' ROUGH HEATING - - � - - BENCHING - ' - ROUGH ELECTRIC-�-- - � ROUGH GRADING i _ R�UGH PLUMBING -" - -- - --- FINISH GRADING , . . , ; SHOWER/TUB TEST , � - - POOL ELECTRIC � � ' EXT. LATH/SIDING-- :-� ROOL FENCING , : ' WALL INSULATION - POOL FINAL ' CEILING INSULATION OFF SITE IMPS. - . i =; DRYWALL NAILING DEDICATIONS � � SEWER- - - - - �. FINALENG. . SEPTICTANK ..- -_' . - -_ ._ _----._ _ _ LANDSCAPE/IRRIG. ' SEEP PITlL.L:-- - - - ON 51TE IMPS. GAS AIR TEST - - --- -- FINAL ZONING � ; � FINAL-CONST. - - - - - - - FIRE DEPT. FINAL , . FINAL HEATING - HEALTH DEPT. FINAL � • F�NAL ELECTRIC - - � DEV. FEES PAID - FIC�AL PLuMBING ��� _L: ENERGY �1_ t ¢���,a c�z' + ; ... ,_ i �. � i - , ..-, � - .. . �_ , , . �._ _ , . .. , _ _ . -- -- -- --- _. . _. . ---- - -,...._ __ ._____. �--- • - , COMMENTS- --- , ; - __ . � ' - - - - - � - - - - - - - ' � , , _ � . , � . . ._�. . : � �J . , . � _ • • __ _. � - - -- -- - - r,. - ' . � . . , � � . ; ',�',�'.:?:� 1'. . . iIli'CI\� �' E',�,; ` , - �'�.i� i�'s�ii 1'•`l:.{(�1.`�!`'�Sr��..t�.. . , , , ' "' . � SEPTICTANKStZ�il�.�:ri;�ifi�..)',^t.i.�tt;;� . ; ', _ SEEP.PITlU SIZE ,��� , i . . . .� - - , . � - r� - _ i � , . , }. . * ,���r��� � . �yI:,E _ . � ' . �� .. . . - - - - ... ; . _ _ � _ • , • � 3 _ � ; � . �, i �� ;� . . . � ,