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HomeMy WebLinkAbout18045 (17) ^`"" CITY OF DIAMOND BAR �-. �-- J� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �w 21660E.CopleyDriveSuite190 GI�SS-��- Z �� PRESS �'���� BUII.DINGSPERMIT APPLICATION . FIRMLY o ADD ESS�✓U�O l.-� v� S� �'i pA�CATION a'�- � NUMB R� UQ �S M/� $ ISSUE c � TYPE OCC APN LOT TRACT 2 DATE � CONST. GROUP � OWNER BADDRESS _ ZONING SETBACKS � CITY �✓� ZIP Z TEL. i FHONT FW ❑ APPLICANT TEL. REAR O � SIDElSIDE STREET RW O ' CONTRACTOR SIDE O � ADDRESS �' '� CfTY ZIP TEL PROPOSED USE � ARCH/ENG/ DESIGNER HOVE DESIGN ADDRESS NEWPORT CEN�'RR nRTVF. NO.OWEL NO. NO. UNITS STORIES BEDROOMS N CITY U�T�,:DO�?�`�'�nC'�-��6OTEL.�-4-9--�--0 � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANA UATION � ONMER-BUILDER DECLAFATION SFRlADD/REM O 1 HEREBY AFFiM UN�EH FENKTY OF PERAIRY THAT 1 AM E%EMPT FROM THE COMMCTORS ll• G8f8Q9/COfpOR � ��� O•. 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MALL DO THE MOPoC.MD THE STRUCTURE IS NOT INTENOED Ofl OFFENEU FOq S�LE(SEG TON,BU51• J NESSAND VROFESSIONS COOE TME GONiMCTORS LICENSE UW DOES NOTAPPLY TO AN OWNER OF N OROPERTYMFIOBUILDSORYORDYESTHEREON.ANDNRIODOESSUCNWORKHIMSELFOflMERSEIFOR m � � � � 7//MUGHMISORHEROWNEMPLOYEES,DROVIDEDTMAiSIKJ/MPROVEMENTSARENOTINTENDE00R OFFEREDiOR SALE IF,/IOWEVER TME&JRDlM OR IMPROVEA/BR IS SOID NATMN ONE YEAROF COMPLE- '710N,THE OWNER�BUILDEII VALL HAVE TME BURDEN OF PROVINO if1AT HE OR SNE DID NOT BUILD Oq MPf10YE FOR 7HE PURPOSE OF SALE} W ❑LN�M�EROFiHEiiqPEirtY.AMEX0.U51VE1.Y00NTMCTINdY.7THUCEN4EDCONTMCTORS (� 7p CONSiAUCT THE YRO.IECT(SEG 70M,BUSINESS MID iROiE5510N3 LODE:THE COMRACTORS U• V81U3IiOf1 ADJ.AREA 4�J CENSEUWDOESNOTMPITTOANOwNERDFAYROVERiYMY�OeUM1D40RIUPROVESTHEREON,M7� Z WFqCONTMCiSiORSUCHFA0.JECT5WITHACONTfuCiON(S�IICENSEDVURSUMRTO7MECONTMG pUANTITY DESCRIPTION FEE F- TONSLICENSELAW.} O � � � � � OIMIIXEIAPTUuOERSEG B.1V.GGORTHISREASON Q L '� ' L1.. � �� DAlE OVMER V . . . � 1 UCENSED CONTRACTORS DECLARATION W Z � � IMEREBYAFiIRMUNOERVENALTYOFPERRINVTHAT1AMl10EN5EDUNDERVROVI510N50FG1AFTEF � � . � . _ _ � Y(COWENCU1aWI7M5ECT10N7000I�OM510N�OFTHEBU51NES5ANDPROFESStON5W0E,AND Z U` - X W�ICENSE IS N iUll FOHCE IJ70 EFFECT. - , �_ . - . - ., , � 11J m o u���u A u�.No. 517 5 9 3 � � . � a� EXP — — corrrrucroa PULTE a e � w � WORKERS'COMPENSAT�ON DECLAMTION U *� N INEREB /FFIRMUNDERPENALTYOFVfPJURNONEOFTMEid.LONMODECUMTIDNS: '( • � , . ' (� ¢ "� � � II�VEANDIMLLI.WNTAPIACERTIFlGTEOFWNSENTTOSELFaNSUREFORWdi1cER5• 2 �U` aO �I'�'v ' .' �q �CCMGENSATION,ASVNOVtDEDBYSECTION�70oOFTHELABORCOOE,FORTNEPERFORMANCE W v - OF THE WORK FOR WMCHTMIS PERMIT IS ISSUm. � �. . . � . . . . . � INAVEANOWILLIM�MAINWON(ERS'COMP[NSATIONINSURANCE.�SREWIREDBYSECTpN ^�^ O.�[) ^^��rM O J7000FTNELAeORCOOE,FOR7HEVERFORYANGEOFTMEWOPoCFOqNMICHT115CERM111S 1 \ X `� � +. lli 1 � l$$UE0.6fYWORKERSCCYAPENSAT10NINSURIWCECMRIEAMI�POUC'lNU�ABERME CONSTRUCTION O� H— U oLJ � 11= � CARRIEH PACIFIC EMP. INS. CO PLlW REYIEW � POLICYMJ�/BER �(������� ��j�� �',�{g�� ELECTAIC 1� � • � �ssccror+r��r+or�oor,ftFrIDaFner[a.�rsrona+[�a�moaiusR+m�oa�ssl PLUMBING —� v �-• � � ICERTIiYTHAiNTHEFERFORM/,NCEOFTHEMIORKFORVMIRITMI5PER1AiT155155UED,1 MECHANICAL SHALL NDT EIAPLOYANV GERSON W A�W MMWER SOAS TO BECOME SU&IECT TO iME � N WDHKERS'tOY7ENSAT10NlAW50FCALIFOi1NItiANDA6REETWITIFI5N0UlD8ECOAlE INSPECTIONFEE S6VBIECTTOTNEWVRICEFSCOMVENSATIONPROI'ISqNSOFSECTION77000FiHELABOR ISSUANCE � o coc+�is�tv�T�Nnn+cour�rvnn���'��°"�IOMES SM�P L� � � DATE APPLICANT: � � WAqNR1@ iA0.l1NE TO SECURE WORNERS'COMPENSATION COYERAGE IS UNUINFU4 M1D SHALLBE ENERGY P/C r� SUBJECTANEMPLOYERTOCRIMWALOENAL7IESANOCMLFPlESUPTOONENUN�REDT110USAN0 ENERGYPERMIT '� �j► pplWiS(3100,000�IN AODITION TO iHE COST OF COIA7ENSA7qN,DAMAGES AS PROVIOED CO{i M! � ¢ 6ECTIDN 7I0lOF iHE UDOR CODE.N1ERE5T,N!0 ATTORNEYS FEES. A��ION FEE: � d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � O �. � � �� � � � � IHEREBv/�FFiRMUNOERPENALTYOFDERJUFYTHATTMERELSACONSTRUCTIONLENDWOAGENCY FOF iME PERFORAIAlKf OF tHE WOPN FOR WNICH iM15�ERI.IIT IS ISSl1E0(SEC.]OY7.pV.C.). . . � NONE (PULTE) LENDER'S NAUE � LENDfR'SIDORE55 W ICERTiFYTMATIHAVEREA�THiSA70LIGT10NANDSTATETHATTIEABOVENFORMAT10NISCORRECT. TOTALFEES � ��� •��f � . � IA�FEETOCOMttYwITH/�1LCITYANDCOUMVORDwANCESANDSTATEUWSREUTIN6TOBU0.DW0 . . . . . CONSiRUCT10N,1WDHEREBYAUTNWLZEREVRESEHTA7IVESOFTWSCWNTYTOENTERUPONTHE . , . . , S� IBOVE�MEMqNEO PROPERTV F00.WSPECiION VURVOSES. COMMENTS � � JERRY HAI ES m /r `' VERMRTEENAIAE//(7►►HIHT) S/J 'v I q7 � '�� � . . .. y SIONATUREOF RA1ITfEE D�7E � RECPT.NO. PAID BY VALIDATION WHITE—Departrnenl Gopy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD—File Copy.GREEN—Appticant's Copy .. . } 1'.. .'... .i, ir;et,�.y . ,y;�p,. r . .;�r�.ti : . ,.:r- . . .. — . �... ... . . • . .. . � . .. .. . ._ ,. . . .,_ , , . . ;�,`� .. ... � . . ., . . . � . �'�, CITY OF DIAMOND BAR --- � - � INSPECTION RECORD - , . � � ; � � . . • , ' . . , . - ! D � �� � ;� � 'I�C`* E:� 9 ..--•.t _,�'��'.� �(►h'�fi._ , �' j� - - .. _�.:.. . ..__.� SET BACK � -� - , FLOORJOIST ,;_ ... � :FTGS/FORMS/STEEL = � FHA REQMTS ! �ELECTRIC GROUND ' UNDER FLOOR DUCT , .f ' GR�UND PLUMBING UNDER FLOOR CU�IDUIT.. � � SLAB GRADE -- - C FIREPLACE FaUNDATION '. . : � �^ �� ITEMP POWER � FIREPLACE BOND BEAM � WATER SERVICE MID HT.BOND BEAP�I ' ROOF SHEATHING 8 FC BOND BEAM FRAMINGNENTIUATION � �/y FINAL�BOND BEAM • �ROOF COVER PRE-GRADING � •ROUGH NEATING BENCHING � .ROUGH ELECTRIC _ � ROUGH GRADING ROUGH PLUMBING ' ' - FINISH GRADING �'I SHOWER�TUB TEST- - - POOL ELECTRIC � EXT:LATH/SIDING . POOL FENCING -__-_�� WALI INSULATION POOL FINAL i CEILING WSULATION OFF SITE IMPS. ' � ,DRYWALL NAILING ' , DE�ICATIONS _��_� : SEWER ' FINAL ENG. ;SEPTIC TANK • LANDSCAPE/IRRIG. � � � �SEEP PIT/LL. i • , ! .: ;- ;_. 1' ON SITE Iti9PS. ' GAS AIR TEST FINAL ZONWG FINAL CONST. � ': '� . FIRE DEPT. FINAL i FINAL NEATING .- � ._ i • . HEALTH DEPT. FINI�L - FINAL ELECTRIC T � ' s - � : `-' DEV.FEES PAID - - FINAL LUMBING ' • ; �, ENERGY � � � ` , — --------� _ •.• - . _ ___ . � �, � �. _ __ _ . _ . � �:�,R`'.��-'�� � c��.., _..._�....�. --------�-. ..—� MMENTS . - -,-- - - ----.�,--- _1 l � ��� �u- C�. � ` _-- _�_._� b�Z��oZ r�f a�� Sc�d't. . -�� : - . ; r .. . . . ; - . -- --- � �..... .. . , � � �- -------- ; ` . . ' � , ------_ __� v-� SEPTIC TANK SIZE ' --�--- - SEEP PIT/U SIZE - ---- ; , 1 , _ l l ---- � --- . _. : ;, ,., � � - . - . ---------- - --- - � ----..--—,