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HomeMy WebLinkAbout12576 i'"„' � ��_ CITY OF DIAMOND BAR DEPARTMENT OF COMMUN[TY 8c DEVELOPMENT SERVICES ��`"�� 2166oe.CopleyDcivesuicel90 ' � pRESS .— , (909)860-3195 Fax(909)861-3117 �?^�. BUII.DING PERMTT APPLICATION FIRMLY o DD ESS /�7� ��-tL �O�J/��tJ'C. �/t- APPLICATION PERMR >Z$-���P/C DATE Zi NUMBER / tt $ ISSUE �/ TYPE OCC APN LOT TRACT DATE b z a CONST. GROUP p OWNER �-l�O T�2(�A Ze�S _ "" ADDRE�SS����� L O(!lZN.E ZONING SETBACKS �W CfTY U ZIP�7 TEL � REAR Rw p APPLICANT• „ N �! TEL`�'��^.L�LL SIDE/SIDE STREET RW � � CONTRACTOR�T�1Q- i�.1(� SIDE ❑ � ADDR S �tS L.a)1�.t1] �.N p PROPOSED USE�'l Q S�•ai�5} i•.�srA��. 30�l f�l'� CITY � O ZtP TEL ' � e �' o � ' -a,��Y �t�t�+G.. ow ARCH/ENG/ � L 1 T' �I 6 O � DESIGNER NO.DWEL NO. .,.„� NO. ADDRESS UNITS '� • ' � � '�STORIES ' "� BEDROOMS�_ � CITY ZIP TEL cn DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BUtLDER DECLARATION SFR/ADD/REM - O - 0 1 NER��'/AFF1M1 UNDEH PE4ALiY OF PE0.AIRY THAT I AM IXEM�T FFIOW THE CDNTAIIC7OR5 LL Garage/CarpoA W CEN4EUWFONTHEFdlOWMUREA:AN(SEC1W7.68VSMESSMAPROFESSIONSCODEANYdttOR (n COLMYN511CHREOURESAiER1ARTOGDNSTRUCLALTER�vRpV�pE1A0Ug1.OqPEVAiRANVSTAUf} W PatidDeck IURE,PRqR N ITS ISSUNICE,AL50 REWIRES THE APPLICAHT FOR SVCH PERMiT TO FllE 11 SIONEp W STATEUENY THAT NE OFt 3NE IS IICENSED PVRSUANT 70 TNE 7NOVISION9 Oi TME COHTMttORS LL � CENSE UW IRUPTFR f(Cp.�iuENC1N�WI7M SECTK7N 70001 OF DMSpN l OF TNE BUSiNE55 MiD PPP u- PooVSpa ' FESSqNSCOOEjORTU1TNEORSHEI9EXEMPTiMEREFROMIWDT1EBtiSISFORTNE�lLEGEOE%EMP• (� TION.IU(YVIOLATIONOfSECilON7077.S9YANVMRICAH�FOR11iERMITSUBJECT4TMEAVPLICANTiO Z Ro-Roof � A fM PENALTY Of NOt uONE THAN F1YE VMIDHED DOlLAR3(fsoa)k � OL�aM1EROfTHEPROPERTY.ORYYEV�LDVEESMATNwAGESASiHEIRSOLECOMPEN4�710N, � Cp�1T8fG191 ' Wl1 DO THE M�ORK,M1D ME STRUCRIRE IS NOT R(TEND�OR OFFERED FOR SALE(SEG)M�,BV51• J NE54 N�A OROFE551dJ9 CODE:7NE CONTMCTORS IICENSE LAw OOES NOT AOR�TO IN OWNER OF � FROFERT11N10BUL090RMPROVE97NEREON.MIDMMODOESSUpIWORNMiMSEIFOHMERSELFOR � ' ' � Tl4iIX10HM30RHEROVMEMP�DYEFS.PAOVIDEDTMTSUCMMPROVEfAEM51lRENO7AYfENDEDOR m � OfFERfDfORSALEIF.lQWEVER7NEBUA.�INOORMPiqVEMENfI55Q�WITYIINONEYEMOFCOMPLE- Z TqN,TME OWNER�UM1DEP W1LL HAVE ME BUR�EN OF PRpV WO THAT HE OR SHE OW NO7 BUt{D Oq = YPROYE POq 7/1E PURPOSE�SILE7. �yJ OIASONNEROFTNEPROPEF�Y.WE%CLUSNELVCOHTMCTMOWITN�lCENSEDCOMTR�CTOM14 � TO CONSTRUCf TNE VqQ1ECT(SEG 10u,BUSINE55 AND DFOFFS510N5 CODE THE CON7PACTORS ll. 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J 0 O 1 M/QEMFf UNDER SEG 8.8 P.C.fOR THIS REASON � - � �_ e DATE OWNER � U W �4 UCENSED CONiRACTOfiS DECUIRATION W 2 IFiEREBYAFFIPl1UN0ERPENALTVOFPEFUURVTHATIANLICEN5E0UN0EFVROViSqNSO�dUPTER � . �(00101ENCPqNTT1/SECfION7000�OfDMSION70FTHEBUSiNE55ANOPf40FE5510NSCDDE+WD Z W LICENSE�S N FLAL FORCE uA EFFECT. m � � ��E�,�,ss C3� �.�.� 6� —�t— � U DATE �G--� -�cor�rta.�croa t.� a u� [� WORKERS'COMpENSATION DECLARATION � � INEREBYAFFIWIUTAENPENAL7YOFGEFLVR'IONEOFTNEFOLLOYnN(3DE(X11MTpNS v y Z p _�{uVE1WpWRLUAiNTAMACEATIFlGITEOFO0N5EMTOSELF�INSUREFORWORKERS 2 � �qioENgRqN,AS VROVIpE�6I SEC710N]70o OF THE U90R CODE FOR THE PERFORMI�NCE W OF TNE M/ORK FOR WNK71 TM�S iERMIi�5�SSVEO. � 0 _�H/NE Mlp N1�j,MARlTAM WORKERS�ENSATIJN INSUUNCE.1l4 REQ11PE0 9Y SECTION Q 97000FTMEUIBORCO�EF�iTME7ERibitMANCEOFTHEWORKFOqMMICHTHISFERMiT�9 ���7 � ISSUED.MYWONKER5C�DIAVENSA*�+MS�UMNCECARRiERFN01'OLICYMIMBEHME: ONSTRUC �Of/`� � cu,.=,�n STA4'h f-✓�+� P �ctEv�Ew o aa.icrrn»�eER I.L(i�l�-S� ELECTRIC � �sE�rnNrtmrareE�pF7�Ep�tSfoqor�Mru�omuualsioqoqttss} PLUMBING ZICE�FVTNATNTMEPERFONAMICEOF7HENCRK�ORWf/1CNTHI4DER111TI5155UED,1 MECHANICAL � (J SHAILNOTEMPIOYMlYPERSONR7ANYM�NHERSOASTOBECOMESUBJECTTOTHE � NqPoCER5COMPENS�TqNU1N50FGLL�FOAM^NlOAGREETHATIFISNOULDBECOME 6LSPECT104FEE S - SL9JECtTOTHEWDNKERSC�PENSATqNVROV1510N90FSECT10N77ooOF7MEtABOR � IQQ COOE I SNI11 FORfMwrt11 GO�AYLY Yv��` `q ROV�S S. � o,��: tU-1�7-cis '`' SMi ' /�}D � APPLICANP.�./ - WAANINCTFAILURETOSEWREWOAKERS'COMPENSATIONCOVERAGEISUNUWFU,M�DSHAILBE ENER�YPlC � ws�crui[uviortnroca+�n+avENuriESMrocm�FwEsuProa+Eraa�ror+Eon+ousuro ENERGYPERMIT pp�q5(�1pp,ppp),�ry/�D'JIT10H TO7HE COST OF COMPENSATION,O�MAOES AS PROV�EU FOR IN J SECTqN970lOFiHEU80FiWDE.MITEREST,ANDATTORNEYSiEES. RETENTIONFEE: � CONSTRUCTION LENDINO AGENCY PRE•ALT FEE: � IHEREBVAFFlR4lXaDENVENALTVOFPE1WMiMATTHEPEISACONSTRUCTIONLENO�AGENCV Z FORiNE GERFOFUAANCE�TME WOAK fOR YlHldl TMiS PERMIT IS ISSUED(SEG fo9l,CN.C.�. W � �ENDEiR N�E � ' � IENDER'SADORESS � W ICEnTIFYTUTIXAVEREAOTHISMPLiCATqNANOSTATETU77MEABOVENFORA1ATqNISCOqRECT. TOTA �ING AND SAFETY ��( 3� IAaftEE TO COMPLV N7iN H1 CRY N�D COIMTV OimINANCES�ND STATE UN5 REIATVJO TO BURD�N4 � CONgTRUCTqN,MJDHEAEBYPIJiIiORREREPRESEMATNF50FM14WlMf7TOENTERUPONiHE �� ZABOVEMEI'RqNED i nn ron n+svecraH wAPosEs. COMMENTS 9 I �+ A xo � CO vcau e ryw�m � "'�— r o�S& � SIONANREOF7EHAl1T1EE o��E RECPT.NO. �SZ PAIDBY O VALIDATION � WHITE--DapaRmant Copy,YELLOW--Fhanee Copy,PINK—Assessd Copy,GOLDENROD—File Copy.GfiEEN—Applicant's Copy .J$.� .. � _ . � . .. � .. .. ,. .-. � , .. . -� ... -... . � i i. ' ' _ . ... �.. . ... _ ' , . - . � CITY OF DIAMOND.BAR � ----�-` -------�� -- ---_._...---. ` � ' ' �� INSPECTION RECORD ' � � -� - , � e; o e � � - • � � � - SET BACK _ . � � • ,�.� ' 'FLOOR JOIST_ , � � :,' , ' FTGS/FORMS/STEEL : . 1 -- ; .. ', FHA REQMTS - - - - - ELECTRIC GROUND � ' � � '�� � - "UNDER FLOOR DUCT � - GROUND PLUMBING � • UNDER FLOOR CO�IDUIT•• ." �� �: ' • ' SLAB GRADE � FIREPLACE•FOUNDATION � - - � ' ' ... , TEMP POWER - FIREPLACE BOND BEAM • W WATER SERVICE - -_ - MID HT.BOND BEAM�� ' � , ' '' ' ROOF SHEATHING '" r • 8 FL B�ND BEAM: : :'� . ' ,:� � . , � � FRAMINGNENTILIATION .�' � � • � �� FINAL BOND BEAM � � ROOF COVER ` ./'Z-!-'i ' ACtz ` �I PRE-GRADING � ROUGH HEATING - -- BENCHING - - - - -- ROUGH ELECTRIC - ROUGH GRADING ROUGH PLUMBING � - FINISH GRADING ' SHOWEF�lTU6 TEST - POOL ELECTRIC EX7:LATH/SIDING POOL FENCING • WALL INSULATION POOL FINAL ` CEILING INSULATION aFF SITE IMPS. DRYWALL NAILING DEDICATIONS " SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. " =' ' ' �' ON SITE IMPS. GAS AIR TEST FINAL ZONING -FINAL CONST. /y_�1,� $�auz� , FIRE�EPT.FINAL FINAL HEATING HEALTH DEPT.FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY ,:�i • `�•- - _ . - -. _._ .. .. ..._..__--- - -- � -- - ------_---._.__ _._ -- . - _-- . COMMENTS �- =•` � ` .. � , - ., ,�� ,.. � . ,. , . , � � -_ _ � . �, , . - . - ; . SEPTIC TANK SIZE � SEEP PIT/U SIZE ���-�~ , ,_ --- -� �1}��)� �, �� t�i�i , . ,. „ SI:�n�1'✓'" �iri��r'� ' �-j �� � �'�".T':i�s'A�r�YL1 J'V;:i..;ILIc- , � , �. � � � � � - , . - ' . ' ' - _ � � , ����1 ; . ,;- . , ; ,. �.--. - ,