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HomeMy WebLinkAbout14568 (20) , _ _�� CTTY OF DIAMOND BAR ` � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive 5uite 190 (909)860-3195 Fsa(909)861-3117 � P $$ �'^a'. BUQ.DING PERMIT APPLICAT`ION FIRMLY o AODRESS I33 I �AL R D�P_JIJC '�I � oA�ICATlO�_'�p NUMB R(y�� tFIC � APN LOT TRACT DATE Z� � ^ C,� ONST.�'�`T'� GROUPR� f.t`� � OWNER � � p ADDflESS S.A '}_l� � /q130 � ZONING SETHACKS � • �W CfTY ZIP TEL904I.�9 -/I REAR _ _ RW � RPPUCANT rA�.I lCI1`7 TE�.9'c�i It9f�7t"7 SIDFJSIDESTREEf RW ❑ � CONTRACTOR A F'70 D poo�� 'CK"� SIDE ❑ ADDRESS � 3!n �'�X - C�C�� 7J � g CRY �i ZIP l`7 TEL. q � 6 3 PROPOSED USE � Bfl IL� .. ! (.!/ w ARCH/ENG/ � I+v Lc N � DESIGNER / � C• �• � 7�93 �t' ADDRESS NO.DWEL. NO. NO. �S CITY ZIP 7EL UNITS STORIES BEDROOMS . � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION . � ._ OWNER-BUILDER DECUFiATION � - . 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W PatidDeck . . � . 7URE,M110R TD fTS t53l1lwCE,ILSO REODUIES THE M0.1GNT FOH SUp1 PERIAIT TO RE A SIONED � � ST�TEMENT TMAT HE OR SHE IS IJCENSEU PURSUANT TO iHE VHOVISIONS OF 7ME CONTMCiOii3 Li. � . � CENSEUWIWMTERO(ODMMENCMONTTI{SECTqN7oo0)OFDMSAN70FTHE6USINESSANOPRO- PooVSpa � fE55lON4 COOE�OqTHAT HE OR SHE�S EYEuOT 7HEAEFAON AND THE BA515 FOR iMEIU.LEOED EXEi.�P• �y-�p TION.ANYY�OlAT10NOF3EC?10117W1.lBY/V�IYMPLILMITidiAiERA1R5VBlECi5TME11VPL1CANTiO Z Ro-Raoi �� "'7 V(/`� - F,., AGvq.PENtLtY Oc NOT F�oaf TwW FNE M1rmaED UOLLMs(fsool.k . _ � ❑1A30MMEROFiHEPROPERTY,OpMYEIAPLOYEE5W1711WAGE5ASTHE�R50LECOMOENSATION, 0 `(Amm8ft181 ' - � � � M41 DO THE WORK,MA Tl1E STFri/CTURE i5 NOT INTENOED OR OFFEFlFO FOR SALE(SEG 7ou,BU54 J � � NESS N[l PNOFESSIONS WOE:IHE CLMR11CT0R9 LICENSE UW ODES NOT�VPIY TO 11N OWNEq OF � , PROPERTYN110 BVIlD90R MPAOVESTNEREON,NA NM1q DOES SUCN MqRKMMSELF OR HERSELF OR _ .. (� THROU�)H{BSORHEROMT1E/dDLOYEES.VROVIDEDTHATSU(711MOROVEAIQtTSARENOTMTENDEOOR m . -. llJ pfFEqEpPoqSAI.EF,IqN'EVER���MPROVEMINfI550l0YATMNONEYEAiiOFWMRE � 'T10N,Tf1E OMMERBURDER NRL HAYE TNE BUROEN OF PPOVOM TUT ME OR SME O�D NOT BUtL.O Oq , . MVRDVEFORTHE RJRPOSEOF SKFL O l�3 ONTIEN OF T11E PROPEiffY,UI EXCLVSN0.Y COHTMCTNO VrtTFi LICENSED CONTMCTORS - ` � 10 CONSTRUCT 1NE OF6IECT(SEG 7CµBUSMESS AND PROFESSIONS COOE 1HE CONTiUCTOR3 LL Vatuation A0.1.AREA L �O � ' 111 CEN"EUWDOESNOTAiPLYTOANOWN£flOF11PROPERTVYM1qBUILD90RMFNOVF9TiEREq1,AND F WNOOOHTMM9FOq5UpiDFOIECTSW1T/IICOHTMCTOR(5)LICENSEDPURSUINTTOTHECOHTMG 'OUANTITY DESCRIPTION FEE � TOR9l/CENSEUW.} .. . _ . . . O 1 AM E%EMCTUNOER SEG 61 P.G FOR iMi4 REASON � � 1 3 c� � � _ . . � � o�� owNEn V � w LICENSED CONTRACTORS DECLARATION � � � w IfiEItCBYAFFtro.IIMJERPENALTYOFPERR7MTNATI�MUCENSEDUNDE/IPROVISIONSOFCHAVTER� � {� •(CpWENCINOWrtfI5ECT10N7000)OiDM510N]OfTNE&15iNE5SAN07ROLE5510N5fD0EM'D- Z X 1(Y ULEHSE IS M FULL FOACEMI�EFFECi. � uc�xse«�ss - C 39 uc.wo._ 9 D Z � �'j o�re � / /0 D cormucTon 1 f"7 a w � VYORKEFiS'COMPENSATION DECLAHATION � � NIHElIEBVAFF�NAIUAEAVENAINOFGERAIRYWEOFiMEFOUAVmqDECtARAT10N4: Z 0 �I HAVE AND WILL MAMTAN A CERTIFICATE OF CONSENf TO SFIF-INSURE FOFl N'ORKER5 S � COMPENSATION.ASPMWDE98YSECT70N3fDOOF1}iEIPBW�CODE.FONTHEPERPpRM�NCE W OFTME WORK FOR MMldi Tln3 CERUR 19 iSSUE�. � . G Q ��I HAYE ANO vALI WMTAd7 WORKER4 COMVENSATION�NSUMNCE.�3 REOUmE9 BY SECTpN a7000FTHE UB�R COOE fON THE PERibRA1ANCE OF THE WORK FOR WHip17N�3 VF�T IS /� ' � LSSUE�.MYWO{RERSOdAPEN5RT10NINSUfW10ECARfl1ERANOPOLICYMIM9£RME CONSTRUCTION C �"'i � O � � c�Ra�En ( PLAN REVIEW ! � PouCYNuraeEw fw) �O o O D 1 O . ,—� ELECTRIC _ ' �� Q pfssEcr�rkIDrareEad.n�rIDane�a�rs�a��ro�oa�smaqoqt� PLUMBtNG Z ICENTIF11H11TiN7F1EPERFORMANCEOFTNEWORKFORWM�QiTHiSPERM?ISISSUEp,I MECHANICAL I (.�J SHAtl N0T Er.�OLOY 11M'PERSON N M7V MANNER SO AS TO BECOME SUBJECT 707ME / (n WOPo(ERSCda7EN5AT10NUM50fC/11FORNIAAMD�6REEilUTIFISHIXAOOEWiAE INSPECTIONFEE — � � S SUBJECT7O7HENpMERSCOMPENSATqNVRON5pN90F5ECTION77000FTHEUBOR ��� caoE,i s�+upi ramn�n�ca.ia�v vnn�n�ose vrqwsar+s. ✓ ISSUANCE � UATE: � I D� APPLIC�N1`. -��4.��� SMIP t •r T�11�`.�R�'"�► � r_ . � ENERGY P!C —�����y Y WARNINO:FAILURE TO SE WRE MOFKERS Cd.IDENSATION CfJVERAOE IS UPdAWRA,MA SHAl1 BE � � SUBJECTIWEMPLOYERTOCRIM�NALPENKTIESMIDCMLFNESUPTOdiEM/M7REDiH0U3AND �ryERGYPERU!tT I OOLURS(f ta0.ovo),IN AODI710N TO THE COST OF COMPENSATIDN,OIwAQE1 AS CROVqED FOR IN � JoC SECTqNl70tOFTHEUBOilU1DF,NTEREST,AN�ATTORNEY'SfEEA RETENTIONFEE: aW., CONSTRUCTION LENDINO AGENCY PRE-ALT FEE � IHERfBVAFFlAAlUNOERFENGl7YOFPE0.lUHYT141TTMERERACONSiRUCT10NLENDMOAOENCY � FON T1E PERFORM/�NCE OF THE WORK fOR WHICH tH15 PERMIT IS ISSVE�(SEC 9oB7,CN.C.). � � LENDEH'SNIWE - � - � IENUER'S AD�RE53 , � ICEqTIFYTUTIH��ENF�D1M31�PRICATqNMASTATETMATTMEABOVEMFORAtAT10Nl$pORRECT. TOTAL FEES � �� ,Z� � IAOREETOWMPIYWIMALLGTYINDCWNTYORDMN�CES/�NOST�TEUWSRELATMOTOBUAA�NO CONSTRUCTION,AND HEHEBV IIIT110RIZE REVRESFNTATNES OF iH�S COUMY TO QfTER UPON iHE _ , � �gpyE.�dEI((qN�pviiOPERiYFORINSVECTIONPVRPOSES. COMMENT$ - 9 ��✓ 1 �� ( i T� � � VEP7A11TEEN.W I�� 4 �'�li.�� _}I� 1 D� � (A SIONANR OF . I E� -0_ O�iE � RECPT.N0.3 Z� PAID BYC�L• 3�q�VALIDATION YYF11TE—Oepertment Copy,YELLOW—Fk+ence Copy,PINK—Asses�aCoqy,GOLDENROD—FibCopy,GREEN—Applbant'eCopy _ . . _ , _ . ,. . . . . � • , `. ;' � CITY OF DIAMOND,BAR , � . ; . , =": ;, �:INSPECTION RECORD � . ... . -. , �. �. .._.. . . _ • � e o � � � - e � � � - SET BACK "' �� ,; " _' �^;c,i _ 'FLOOR JOISTj ,i 1 ' ` i "j FTGS/FQRMS/STEEL _, ,. � ' _, . , ._-. FHAREQMTS � 'ELECTAIC GROUND ��' — - - ' UNDER FLOOR DUCT.� • � ' � _, �, ' ' � GROUND PLUMBING UNDER FLOOR CU�IQUIT-. - - • SCAB GRADE - � - FIREPL'ACE FO�lJNDATION - � � TEMPPOWER � � FIREPLACEBONDBEAM - �� � � ` '� � ' � �. -WATER SERVICE. - - --- MID HT. BOND BEAM •' ' ' ' �' '`'ry' � _ : � ROQF�S�IEATHIN��.:.�: Z�Z�Cl� ' - 8 F�BOND�EAM •.. ;' .. �,•, 1 ;C-� � FRAMINGNEN�'ILIAfiON ;, • � , � FINAL BOND BEAM - ROOF COVER- " � PRE-GRADING ROUGH HEATWG - - - — BENCHING � ' -- - ROUGH ELECTRIC , — — - - ROUGH GRADING ROUGH PLUMBING ' - - FINISH GRADING ' SHOWEWTUB TEST: POOL ELECTRIC " EXT.LATHJSIDING � ' � P�OL FENCING WALL INSULAT,ION '�� - POOL FINAL • • • ' ' CEILING INSULATION OFF SITE IMPS. - - DRYWALL NAILING ' DEDICATIONS � SEWER FINAL ENG. � � ' SEPTICTANK , .,,,__ __. _ __ . - LANDSCAPE/IRRIG. SEEP PIT(LIL. `'`�' - ON SITE IMPS. GAS AIR TEST - - -- - - � FINAL ZONING . FINAL CON5T.:-- 2--'�—O� � FIRE DEPT.FINAL �FINAL HEATING - HEALTH DEPT. �INAL �FINAL ELECTRIC� - DEV.:FEES PAID -- ' ' " ` " FINAL PLUMBING ENERGY . � :r;a �`�1r�.�. � . � _ , C-- ----- -__________�_.__,__._- , _. _ . , _.- - -- �-.- } � - ---- --- --- � _ . � - , , •- COMMENTS - � - - � -_ _ __ _. ._ . ..._ .,. . � - - _ _ : . . _. ,I,. _ J Y ����1_ _ ____...�._-�_- :._ " �,. � . : .- , ,. ' . . ,.. . : , � - -- � • ' - , - . �� -� � � •� . �c,��� �": \�,- ,� .,-7.� i , - � . _. . � , - . . . l - -, �. _ _ . _-" c' f,� . ' ,� ,� .. . �� , � t �� � . � , _ _SEFTI�TANK SIZE . • SEEP PIT/U 81ZE`--" , �. , I�— ' - - -- � ' - . . _ . . . — -- - • -� � +"'. - - - � � i , . .�_� - �. �,_ - j � ' ; - i �__1 - ' ,,... `. •`�, � �,:� 1. ,� • � -- �� . _. .