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HomeMy WebLinkAbout14720 (20) .�� CITY OF DIAMOND BAR � i DEPARTNSENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Dcivo Suito 190 (909)860-3195 Faz(909)861-3117 PRESS �����. BLJO.DING PERMIT APPLICATION FIRM4Y � JOBSITE � APPLICATIQN PERMtT f����) P/C � ADORESS I Szd ��r�LY�E �E Z`�� ' 'ti DATE ��y NUMBER '� � � $ ISSUE ���� TYPE OCC APN LOT TRACT DATE CONST. GROUP �j OWNER � ADDRESS ZONING SEfBACKS � CITY ZIP TEL REAR RW O❑ APPLICANT TEL SIDE/SIDESTREET RW ❑ � CONTRACTOR o� o ... SIDE p � CITY D�'-A+`�CTE ~ ZIP.� TEL Z c PROPOSED USE � � � ' Pii ARCFUENG/ - �Z��7S � DESIGNER r�-I��iIO� � ADDRESS "�"T' NO.DWEL NO. NO. � CfiY ZIP TEL UNITS STORIES BEDROOMS N DESCRIPTION S�.FT: FACTOR PSF ADJ.AREANALUATION cn QOVYtJER•BUILDER DECLARATION SFWADDIREM p I HEREBY AFFIRM UNDER PENALN OF PFiWRY TMAT 1 A1.1 EXEMPT ip0A1 THE COflTRACTOi15 L4 Garaqe/Caryort � i11 CENSELAwfORTMEFOLLO4VINOqEASON(SEC.70.71.6BUSWESSAND7ROFESSqNSCODE:MlYGTVOR (fJ [.� Cp�JN}yYN/1CFIREpUIpESAGERMRiOCONSTRUC1.ALiEiLOAPROVE.DE6101!SN,ORFEVAIRANYSTRIIG LLI PatlolDeck �� TURE,pPoOR TO ITS ISSUANCE.AL50 NEGU�HES TNE A7PLICAHT FOH SUR1 VENATTO flLE A SiGNED W STATEMEM TUT HE OR SME LS LICENSED VU0.5uANT TO TIE iROYISIONS OF THE Cp(TMCfON3 LL � CF16EN�M(CHAPTER�fCOYA1ENCN�N7TNSECTI0N7000lOFDM5iON70FTH[BUSiNESSMl�PRO- � P��SPa fESSqMSCOOE�ORiNA7MEORSHEISFXEMPTiHEREFRpAANOTNEBA5I5FqtTHEALLEQEDE%EMP• TION.ANYVIOLATIONOFSECTlp176]1.68YANYAPPLM1NiFORAPEiWI15Ua1ECTSTNEAPPUCANTTO z Re-Roo1 � AC7VILVEWLLTtOFNOTMORETHANFIYEMUNOHEDDOLLAR51i5oo).L � 04ti401N/EROFiMEPROPERT�:ORA1YElAPLOVEE5VnT71WACE5ASTHEIRSOLECOYPENS►770N. ❑ C,pmmefClal ' YALL DO THE N'OIIK,AND THE STRUC7URE�5 NOT IMENOED OR OfFERED FOR 9ALE(SEC.70u,BUSF J MESS AMO VROFESSIONS COOE:T11E OOMR�CTOR3 LICFNSE UW D�FS NOT APVLY TO AN OWNER OF � PROPERTYM�HOBUILDSOHMPiqYE97HEREON,/�WNMODOE55UCNwOfiKM�MSEIFOPHERSELFM � (= THROUONHISOqMEROVMEYPLOYEES,VROVDED'fHAi6UpiMPflOVEMENTSARENOTMENDEDON � pOFFEAWWRSALEi.HON�EVEiLT1E�L.DIN60RIMPRDVEMEHT650LDWRHNONEYEAROFCOMPLf- � 'TION.7HE UVMER�BUttDER WILL HAVE 7ME BVRDEN OF iROVIN6 T1AT NE OH SME DID NOT BUIID OR MMWVE FOH TME PURPOSE OF SALE). - W ❑1,1130N71EROfTHEPRDVEHf1;AMEXCLUSNELYtONTMCTiNOWTILICENSEDCONTMCTORS S7p CpNSTRUCT 7HE VR0lECT(SEG T�.BUSINESS AN�PRDFESSIONS COOE_THE CONTRAC70RS LF V81UetIIX1 ADJ.AREA CENSE Uw pOE3 HOT AP7LY TOAH dwNER OFA 7ROVERTY NTq BUMS OH MPIWYES THEREON.AND � wHoeartw�erscoasua+r%�crswm��ooarrucrows�ucEnseoruasu�wrrorneca+rruc pUAMITY DESCRIPTION FEE � TORSUCENSEUW.). O IMI O(EYPTUNDER SEC. B.t V.C.FOR TMIS REASON 4 _3 a Il' DATE OWNER V .... _....- - ' � _- ' �, � LICENSED CONTRACTORS DECLARATION � � W INERE9YAFF6WUNDERVE1U11YOFiEiWRVTWRIAMIICEN5E0UNDERPiqV1510N90FCHAVTER Vr � •�COMMENCHONrtTH5ECT10N7000)OFDIVISqNIOFTMEBU5INE55ANDVPOFE5510NSCO0E,AN0 z � W LICENSE�5 N l fORCE MID EiFECT. � � IICENSE CLASS L7 IIC.NO. � � pA7E � �'� 'b('� CON7MCTOR 0- � WORKERS'COMPENSATION OECLARATION V 4 J C� �j.�C� t�S N INEREHYAFFlRAIlMOERVEw4.TYOFVERIURYONEOFMEFOUAw�Ni10ECUMT10N5: U � N1 Z � � _IHAVEANOWILL►1AINTANACEf1�IFlCATEOFCONSENTTOSElFaNSUREfORWORI(ER5 = ' � • ` COMPENSATION,A4PROVIDEOBY6ECiqN7'70oOFiHEU�HORCOOE,FORIHEPERFORAIANCE �U � 1M �� OFTIIEWORN�ORM7UCHTM�SCERIAIT19155UED. � f .� � � ' � �IH/NEIIHOWILLAWHTANWONCfRS'COAIPENSATIONWSUR.WCE,ASREWIRE09YSECTION Q� J7000F iHE l/��R OODE iOR TME iERFORMANCE OF hIE WORK FORYVNICN iM15 PERMfT15 � ISSVEO.MYY�OFiKER5tOlAPENSATqN�NSUPANCEGRWERANDVOLICYMIUBERARE CONSTRUCTION � CARWER 'rr�O r�" PLAN REVIEW � voucvnuueEn ` 4 ELECTRIC �� �nss[cnwr�IDt+oreEm.aFrmoFnfvEra.�rswaor+erart�o oot PLUMBING �� /� � ICERTIFVTMAiIN7HEDERFO�V�NCE�FiHEWOfIKFORYMiQ1TM ER ED,1 MECHANICAL �✓111 Vl�L �tr[�r1TLT= T ('} SHALLNOTEMPLOYINYPERSONNAN'IYIANNER50ASTOBE �S _CT TNE N WOPo(ERSCDMPENSATIDNUWSOFCALIFONdA.ANOACREE r BECOME INSPECT�ONFEE S SU0.JECTTOTMEWOPoCERSCO�.�PENSA710NPNOVI510N5 N71 OFTMElA80P _,._,__ COOE,1 SHALL iORi1/�MiH CW P�Y MAM THOSE YROVI �J�OIS� � � p DA7E �'�Cl'C�Z? AVPL�cuNT �SMIP � WARNIHO:FALURETOSEWREWORKERS'CdAPENSATIONCOVEMGEISUNUYYFUI.IW�SNALIBE ENERGYPlC SUB.IECTA77EMPLOYENTOCRMINALPENALTIESANUCMLFINESUPTOONEHUNDREDTHWSANO �ERGYPERMIT ppLLAAS(5100,000�,W ADDITION TO T/IE COST OF Gp.�PQiSATIDN,ONAA6E5 AS PROViDED FOR IN � SECT�oN�7oeOFif�EWBORCODE.MEREST,/wDATiOiwEY5iEE5. RETENTIONFEE: d CONSTRUCTION LENDINO AGENCY PRE•ALT fEE: O � ��q�YAFFIRIAU1OERiENALTYOFPEiWRYTHA7TMEREISACONSTRVC710NLENDINf7MIENCY Z iOqTNE FERfORMMlGE OF THE WdRK FOR WNI(71 TMIS VEFMIT IS ISSUED(SEG 7w�.C1Y.G). W � LENDEN'3 NAME � � IENDEN'SAD�RESS � ICERTIFYTMATI/UVEREADTFIISAPVLICAT10NMiD5TATETHATiHEABOVENFOiWAT10N15[ORRECL TOTAL FEES d IA(3FlEETOWMFIYWIT11ALlCT'AN�COUNTYORO�N�I7CESANDSTIITEUWSRElAi1NOTOB NO CONSTRUCTiON.ANDHERFBVAUTl10RIZEREPRESEMATNESOFTFUSCOUNT�TO EflUPONT . � ABGVEAAEMIONEDiROPERiYFORINSPECTIONPVPPOSES. .�L; COMMENTS -� � i v - /�i' � , _ � PERM�TTEE NAA1E(PiUN� �„ 3�7.0•0 (A 6101N7UREOFYERW'R ° RECPT.NO. � PAIDBY VALIDATION ~ . WHITE-0epertrnent Copy,YELLOW—Flnenca Copy.PINK--0.ssessa Copy.GOIDENR ile Copy.GREEN—ApplbanCa Copy CITY OF D1AN90ND BAR �.. . . ' `. ,`' �'.' �INSPECTION RECORD . . ,.. _ . ,, - ►"����:�1�1 C��M.��I�'���,�1r►r,������_ 'r �� . � � e .�A�ia � '_� _-�1.1� SET BACK ' '� ' . FLO�R.90,1ST•• ;: •. ` ' �GS/FORMS/STEEL � � �. FHA REQMTS , ` - ' ELECTRIC GROUND- �� -- - - UNDER FLOOR DUCT , GFiOUND PLUMBING � UNDER FLOOR COf�1�UIT SLAB GRADE- - -- • - - - FIREPLACE FOUNDATION - TEMP POWER - l�' -� -- - ' " ` ' FIREPLACE BOND BEAM_. WATER SERVICE_ - -_ :--_ - - -: - MID HT. BOND BEAM _ . . ,,-;�. � . ROOFSHEATHING='�-�• ' � ' ' 8 FL BOND'BEAh1 .; - J �� � - FRAMINGNENTILIATI�N ��• � � FINAL BOND,BEAM�, ; � - • ROOF COVER:' ' FRE-GRADING - ` - � R011GH HEATING . . _ -- -- - BENCHING . ' ROUGH ELECTRIC '- - - - -- � ROUGH GRADING ROUGH PLUMBING , " " - -� - - � - FINISH GRADING . � . ; SHOWERRUBTEST - ' POOL ELECTRIC _ EXT.LATH/SIDING - - -- - - ; POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION • . OFF SITE IMPS. = DRYWALL NAIUNG ' DEDICATIONS ` SEWER FINAL ENG. . , ' ' _ _ -- - - _ SEPTICTANK__ __;___ _ _ _ _ LAN�SCAPE/IRRIG. , '. _ -SEEP PIT/L.L:- - ON SITE IMPS. GAS AIR TEST,- - - - - NAL ZONING FINAL-COVST. - / - F E DEPT. FINAL � FINAL HEATiNG � -� - - /�� i ERLTH DEPT.FINAL � F1NAL ELECTRIC � � DEV. FEES PAID FINAL PLUMBING ENERGY �:��t'r�e=aFF,c;1a(�•, '- `, - - .. =a�,....:Tr.. aa.:.� .�.. ".'. '. ..._' . ' _. _. _. . .. . .. _' . '_.._'_.__..'_ '__"._.. __1n-_�_ .._.- .�.. .. . ... ..'..'_ .__...�.. ._. . -_.' ....___._..,_.__. __ .. �. 1 '�� 1�� . � .. __. " _... ,._� J,1 ` �'_ - `'\... 1,;..,..._ . . . _' `COMMENTS " - - . . , � . _ ... .—. .. _ _ _� _ , , .-- - —- . a,. ,,_ . _ . _ . ` .. e:+:_ ... � , . — -- L�t;� f; �• i;r `., � i�, I'� •� ' ` �� _ ' - S;t�t.i L1 L,ii.)i�,F;��,�{�:r�j v�•�- ' ' _ ' ' . . . . ��,-:��-< :�:!: ��;�i?:CI.J+(�t. . : .. , . • _ ___..__.._..__.__ ----_._ .-.: — SEPTIC TANK SIZE , ; SEEP PIT%U SIZE . iw� _ _ , . ���� ��! .. . � 'I�i__ — , . , ; . — - i . � 'c � ;� , , . _ .-.`. . , ,,' , � 1 — '. — — — - ' -- -v ' —- , . ,_ _ _ � :�._..r:�� ' "' ��" — � !� ;.' : __ . �-- _ � _