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HomeMy WebLinkAbout14605 _._.�... _ _. i �� , CITY OF DIAMOND BAR • •�� • ' DEPARTMENT OF COMMUNITY&.DEVELOPMENT SERVICES 21660 G.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 PRESS ����'� BUII.DINGPERMITAPPLICATION � FIRMLY o DD ESS���"( o l0 rn bar-d � pA�CATlO ��I NUMBER• _/ N/C ' � ISSUE TYPE - OCC APN�„� LOT TR CT DATE CONST. GROUP � OWNER ADD ESS ZONING SEfBACKS � CITY ZI TEL. � O� FRONT RW ❑ APPLICANT TEL. REAR O � SIDElSIDE STREET RW ❑ CONTRAC OR � � SIDE ❑ � ADD PROPOSEO USE C ZIP TEL. o ARCWENG/ • � DESIGNER NO.DWEL NO. NO. ADDRE55 UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLAFATION SFR�ADWAEM O p t HEREBY AFFlRM UNDER PENALTV OF VE0.AIRY iHAT 1 AA1 E%EA1vT FROY T1E COMRACTOqS LL G8r2gfi�CefpOR lll CENSEIAWFORTHEFOIlOwNOREA50N�5EG7o71.68u5WE55ANDifiOFE55iONSCODEAM'CT'OR (n � OOl1RYMMCJIR[OUWESAVERMRTOOONSTRUCi.ALTERIMPFiONE.DEM10U51lORRL7�IRANYSTHUG W Patio/Deck � TUHE PR�OR TO RS ISBl1ANCE�L`A REa11RE5 THE APPLK'iWT FOR 6lKM PERAui TO FILE A Si�NED � � STATEMENT TMAT NE OR SHE IS L7CENSEO PVRSUNR 70 TME iROVl510N5 OF TH[CaNfMCTORS l4 � . , � CENbE UW(dUCTER 0(COYYENCINO WIi11 SECTION 7000)OF DM510N 7 OF iHE BUSM7ESS/U0 PR6 u' P��SPa fE5810H5 COOE)Ofl iHATNE OR SNE IS EXEMPT THEREFROM AND TH[BASIS FOR iHE ILLLEDED E%EMP- TqN,AHYVI0LATIONOFSECTI0NTW1.6BYAN1'MRICANTFOR117EflNITSUBJECTSTMEAPPLICANTTO Z Re•Raot �,,,� ACIVQVEN�LTYOFNOT►�ORE7FW�FNEMINOREDOOLIJ1PSff5oo).): � OI�OWNEHOFMEPROPEHTY,ORMYE4PLOYEE51YI7NWAGE5A4THEIRSOLECOMPENSATIDN, Q �mmercial - YALL p0 THE WONC AIO THE STRl1CTl1RE LS NOT IMENDED OR OFFERED FOR SALE(SEG 701�.BUSb J � NESS MD GROFE5510N4 CODE THE CONTMCTORS LICENSE UW DOES NOTAPPLV TO AN ON'NER O� ? � � PROPERTI'YN10 BURDS IXi w1PqOVES TNEREON.MID YAq DOES SULH WORK HIMSELF OR MERSELF OR Q THROUGHHISORMERONNEANLOVEES,GA�ADEDTUTSlNS1lYPROVE4EMSARENOTNTEN0E00R m LS� pFFEpEDPoRSALEF,FIOWEYERTMEBULDINOORMPiqVEMEMIS50lDwR}nNONEYFAqOFCOMPLE� � `710N,THE OWNEN�BUIDER WILL NAVE ME BUNDEN OF PROVPlO T}MT HE OR SME OID N�T BUILD ON W PiqVE FOR TNE PUNPOSE OF SALE�. � ❑1�40MMEROFTHEYRDPEHi1;AMEXCLU5IVELYCONTMCTNOWRMI�CENSEDODNTMCTOti3 TO CONSTP4ICT THE OR6IECT(SEG 7ou.&15ME55 ANO iPAFE5510N5 WOE THE CONTRACTOiiS LI• Valu9liOn ADJ.AREA CENSE UW DOE$NOTMPLY TOAN OWHER OF A FROPERTV 1N10 BUiDS OR I►IPRpyES iHEREOf1 AND � YRqCONTMCT9FORSUQIPR6IECTSV/fTM�CD1dTMCTORIS)LICENSEDPURSUANiTOTMECON7MG QUANTITY� QESCRIPTION FEE � iORSLICENSEUW.� . . . J O��7A El(EYPTUNDEH SEG 8.6 P.C.fOR iHIS REASON U 131.. . � F.. � � , . DATE OWNEH U ' W � LICENSED CONTRACTOFS O[CLARATION w IHEREBVAFFIRYUNOERPENAITYOFDERA1RYilUTIAMLICENSEOUh9ERPpOVI510NSOFCHAPTER � � � Y(COMYENCCMIYTMSECTqN7000)OFDMSWN]OFtNEBUSINE55ANOPPOFE55qN5CODE,AND Z ��� MYUGENSERNFUII DEFFECT. � ^ ^ �� � c�r�—� � UCENSE S LIC.NO. < < �j �ATE �� �`C7,�,�CONTM W � WORKERS'COMPENSATIONDECLAFiATION I � IMEREBYAFFlRMI.NDERVEWLL7YOFiEM1i1YONEOFTHEFOLlAW71GD[ � � � 4 G _IHAVEANOYALLMAIMANACfHT7FlGTE0iCON5ENTTOSELF�R7 REFORWORKERS' � Cd/PQISATION.ASPROVbEDBVSECT1q117000FTHElAUOR `E.FORTH[PERFO W OF 111[WOP1C FOR YAiICN 7W 5 PERAIIY IS ISSUED. 0 4 �IMAYEANDWRLIMRfTAtNM'ORKE0.4'Cd�PEN5AT10NP15UFW�CGA5RE0Utt1ED8V5� � 770oOFiHEIABOHCOOE.FORTHEPERFORMANCEOFiH[WORKfOHWMICMTM cfWIT15 � ISSUEO.GY WO KE 5'DQ�•��SATION INSUMNCE CMRIER ANO POLICY N ER AR[: Crypy/��TRU ON CARPoER � l/ PI/Fb�HE W 7 �� � � PoLICYNU�BER ELECT �� � (n�ssEeru+r�rureeaa.��oFnEacw.�rswr+a+e R+ro P EiING j• Z I CEHTIFY TNA7 N 7NE PERFOR4ANCE OF TME YA(iN FOR wM iNiS VERUIT 15155 ED,1 MECHANICAL � (} SM/LLL NOT E4DLOV IINV VEPSON N AN'/Y�f1N[R SO AS TO BE ME SU&IECT TO THE � � � YVOPo(ERS'COAIPENSATIONUWSOFC�LffORMA,ANDAGREET IF151qULDBE INSPECTIONFEE S SU&IECiTOTHENtlfL(ERSCOIAPENS�710N7ROVISiON50F5ECT R - CO�E,I SHAIl FORTH'MT�CAiAPIY NAT1 TNOSE PRONSIONS. ISSUANCE �''`' 7 •S� � SMIP . vL�I��,I DATE: APPLIGNT. W EN[RGY P/C S LI 1� tai'l:� WARNINO:fNLU(iE TO SECURE WONCERS'ODMPENSAfqN COVEfUCE 6 UM.AwFULM�O SHALL BE �y SIRJECTANEMPLpYERTOCRHARUI.PENAL71E5ANDtrvIlFN1E5UPTOONEMUNDR[DiHOUSAND �ENERGYPERMIT � � DOLURS(l700,000),W IIDDITION i0 THE CAST OF Cq.1PENSATqN,OAAIAGES AS PROVI�ED FOR IN � J SELTI�N770lOFTHELA60ACOOE,PITEREST,IWDATTORNEY'SFEES. RETENTIONFEE: ' Q a CONSTFiUCTtON LENDING AGENCY PRE-ALT FEE: O � IHENEBVAFFIpMUNDERPENIINOFVEM1RYiHATTMERESACONSTR'JCTIONIFNDWOAC[NCY Z FOq TNE PERfORA1NIGE OF THE M�ONK FOR WH�CM THIS PERu?IS ISSUED(SEG 70]1,CiV.C.). W . � LENDER'SIUIdE � LENDER'SADDRE55 W ICERTiFYTW�TIMA�EREADTH15MPUU710NAND5TA7ETM�7TIEABOVEINFOR1�ATqNISCOfil1ECL TOTAL FEES �� � IAOREET000IAPLYWI741ALLCITYANDCDIIMYOROIN.WCESANOSTATEUYVSREIATNOTO8U0.AIN6 � Cp+STRUCTqN,ANDHEREBVAUi110q�ZEliEPRESENTATNF50F1H15COUNTYTOEMERUPONTIE . �� S� �gWE•MEMqNEOFROPFRTYFORP15PECf10NPUFPQSES. COMMENTS � �� � n�c� nEF �Po� a- _da � � � b [O T7EE DATE � RECPT.NO. PAID BY VALIDATiON WHITE-0epartment Copy.YELLOw-Finer�ce Copy.PINK-J�s�seeor Copy.GOLDENROD-File Copy,GREEN-ApplicanCs Copy _ , . - - _ ,. . , . � � .. � . , � , - . ,,�.• :r, . . .. • . , .. . . . _ . , .. - • CITY OF DIAN90ND BAR � � ��� ' ,. _.. ,.. ,..INSPECTiON RECO�iD .�� . ,:� �.� - - , . ,- , � . ►���e� (Q � o � • E. • o - � � � e - SET BACK � ' `,��_+� "' � '. ' �%:,', � ' �; FLOOR`JOIST j 1 ;.. , : _ ' - FTGS/FORMS/STEEL 1 � 'FHA REQMTS � - � �- - ELECTRIC GROUND UNDER FLOOR DUCT . � GROUND PLUMBING UNDER FLOOR CO�IDUIT�.• ' '• ' • 51A6 GRADE-- �-- - - FIREPLi4CE FOUNDATION �" ' � � • � � ' TEMP P0411ER - - � ' FIREPLACE BONb-BEAM � WATER SERVICE - --- _ - MID HT.�BOND BEAM � ' � -' ` ' . : ' ROOF SHEATHING -� � 8 FT.BOND BEAM :` � � ,. - • FRAMINGNENTILIATION � FINAL BOND BEAM • ROOF COVER:'_` ' ' PRE-GRADING - - ROUGH HEATING - � - - - BENCHING � ROUGH ELECTRiC � - ' - ROUGH GRADING i " ROUGH PLU;41BING -"-" " - " FINISH GRADING SHOWERlTUB TEST � - � POOL ELECTRlC • EXT.LATH/SIDING POOL FENCING WALL INSULATION � POOL FINAL ' CEILING INSULATION aFF SITE IMPS. ' DRYI.'JALL NAILING ' DEDICATIONS � . ; : SEWER FINAL ENG. � . . .._ . -- - - SEPTIC TANK _ _ . LANDSCAPE/IRRIG. =SEEP PIT/L.L. � ' : . . ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL C�NST.-; - - �(-�3 .(:b FIRE�EPT.FINAL FINAL HEATING �- HEALTH DEPT.FINAL . FINAL ELECTRIC •�' � '�' -- DEV. FEES PAID � - FICIAL�PL,�h481NG J'�`'� �.,(,�\'� + ,� 1 ENERGY . � . r.� � � , ,.. . �—' � - 4+i:�f G�' .= �e3 C lF �c� - _ . . .� .. . . . � � .. ._ ( � I .' • \������... . ._ .. .. ...�...____ .� ' _ . COMMENTS '� �.1; i,.�,��'�;�, :;.,\ . . , . -- - - - - � _ _.. �,, - - - - _ . _ �..,.'� 1 ' . . - - . .. .. , � - - ... .. . _ ''' - �• _i~.____.- � � - � . ,.`. _.. . .� ,` •� , . .� - �� �����i ���������:_ �, �., ,� _ ; , �. . , - �,:, � , ` , - � , . . \� . , . _ � ; . . . �� - ��_. ; �,.� �..�-��_ '� _ . . . _._ , . SEPTIC TANK SIZE - - , ; � . SEEP PITIU SIZE , �` �.� .:�� I � _ � . 1��� � �.. � i � �, � -- . . . , . , , � r, . -• � ' . . . ' , � ���` • �, �,. , , . , '•, �� �