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HomeMy WebLinkAbout12137 . ... . v L . . _ . . . _ . . . . • �� CITY OF DIAMOND BAR - ' DEPARTTv�ENT OF COMMiJNITY 8r.DEVELOPM S �� 21660 E.Copley Drive Suite 190 . . � (909)860-3195 Fax(909)861-3117 PRESS : • '"'*"�.� BU�.DING PERMIT APPLICATION � �. . FIRMLY ' o ADDR'SS SZSy S D�AMOrJD BA� Bt.J� ' pA�CATION p 2o NUMBER ��7 / M/C/ o^2'�J O � � AP� LOT � TRACT - � TYPE OCC " oATE 8 2 y 9� CONST. GROUP � OWNER n��?n CT -6AY MA�JAE�F�6 j " ADDRESS � ZONING SE7BACKS - � � FRONT ' RW ❑ CITY 1��a.��n C� ZIP g7GG� TE S APPLICANT_�J1SAr �iJ TEL. REAR ❑ � SIDE/SIDE STREET R ❑ CONTRACTOR I N tJo J AT�V� Sl(on�S SIDE p � ADDRESS � Q � , pROPOSED USE I Z �►�Di IJI[k f,�L Ti'!cR GO e A- CITY O.SrA�' c� ZIP.,,S/76/ TE �' -� �����11„1a'rfn SIC►J e ARCHIENG/ • � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � vyi , -DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BU�LDER DECLAFiAT10N . 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' � BTATfMEM TUT HE OR SME IS LICENSED PU0.SUANT TO THE PROV15iONS OF THE CONiMCTORS LI- W . � CEN9ELAW(piM7ERY�COAIYEHC8I�WITTISECT10N70oo70FDM510N70FTHEBVSINE55MPJFRO- � PooVSPa � � � � FESSIONS WOE)OR iHAT HE OR SME IS OCEMPT iHER[FHOM AND 7}IE BM1SIS FOR THE ALLEOEO E%EMP• iION.ANYVI0LAT10NOFSECTI0NTD71.6BYANYMRICANfFONAiERNI75UBJECT57HE�PPLIGAN7T0 Z Re-Rool � A WR VENKTY OF NOT MORE THAN FNE MINDREO DOLLARS ISSool.l: " . . � O11150'MIEROFTHEDRODER71!ORYYEYPLOVEESWI7HWAGE5/57HEIRSOLECOYPENSATK7N, O �mmerclal . - WNl DO THE YMORK,AIA THE SlAUCTURE IS NOT INfElbE�OR OFFEH'eD FOR S�I.E(SEG 70u,BUSI• J NESS AHD PROFE5510N5 CODE TNE COHiRACTORS 110EN5E Uw DOES NOT APPLV TO AN OWNEH OF� � N iAOVEHTYYAqBU4D30RMVROVESTHEREON.MOW/WDOfSSUp/WORK1aMSElFORHERSEIFOR- � � TMROUONNISORMENOWpEYP�OYEES,VROVDWTMAT6UGMMPROVEMENfSARENOTINTEI�E90Ft m � UFFEAmFORSALE.IF�iq�YEVFR7MEBULUMaORWPROVEMENTISSQDWITMNOKEYEAROFCOMPLE• . �TION.THE dWNER-BURDER WILL HAVE THE BURDEN OF iRONN(i 7HAT HE OR 6HE DID NOT BUIID Oq YPRD'VE FOfI TH_PURPOSE OF BALF� , � ❑I,A4WMENOF71/EOROPEHfY.AIAEXCLUSNEIVCONTRACTIN�N1iHLICENSEDCONTRACTdIS TO WfSTNUCf T11E PRQIECT(SEC.7oN.BUSiNESS AND PROFESSIONS COOE:TME CONTHACTOFiS L4 V81U0GCf1 AD,I.AREA CENSE UW DOES lqTMVLY TOAN OWNER OF A PAOPERTY N?10 BUMDS OR MPROVES h1EREON,IWD � 1MqCONTRACTSFORSUCMip0.1EGT5WIiNACONTMCfOR(S)LICENSEDYURSUANT70iHECONTRAG pUANTITY ' DESCRIPTION FEE � lOFtSUCEHSEUW.). . . . . - . . . - O IAA1 IXEYPT UNDER SE4 B.i P.C.FORTNIS REASON U � � • DATE OWNER V . . � W LICENSEDCONTRACTORSDECLARATION W . � IHEREBYAFiIiWUOEqPENALTYOFPEiWMiIUTIAAILICEN5E0UNCERVRON510NSOFCHMTER � , s Y(Cp.�JENGUIU VrtT115ECTqN 7000)OF OMSiON]OF iNE BUS:NESS AND VROFE5510NS CODE,AND Z ` ►1Yl10EN5EtSNMLF011GElW�EFFECT. m � UCENSE CUSS L•�I`S LIC.NO. � j F" a�h 4 -2D- ��l$ corrrancroa � a U W � WORKERS'COMPENSATION DECLARATION a , , � � y IHEAEBY/FFNIAUNDERPENALTVOFVENURYONEOFTHEFOLLOWWGDECLAfL17qN5: � � Z � � � 6 � _11UYEMAINLLWINTNNACERf1FIGTEOFCONSEMTOSELF-INSUREFORWOW(Ei15' 2 OCMFENSATION,ASPROVIDEDBYSECTIONJ7ooOFTXELABOiiC00E,FORTHEiERFORMANCE � �U OF THE NK7RK FOR WX1CH THIS VERMR IS ISSUEO. � 0 �I HAVEAND WILL IMINTAN WORI(ER5 COMVEN5AT10N MSURANCE,AS REOUIRED BY SECTqN ♦.-.�� /� Q �7o00FTHElAeOfiCOOE,FORiHEVERFORMANCEOFTHEWONCFORWHICH7NISPERA1R15 s.� ,� y ISSUm.MYWOR10Efl5COVPENSATqNINSUMNCECARWERANDPOLICYNUMBERME: CONSTRUCTION J �+/ /D _. . . _.. _.. . .�... .. .. .._. _ .�.-. .'__... ..__..." _ C � c�aniER _ PLlW REVIEW _d„/�i OOq�/ - �---- - . � � VCIICYN:IMBER ELECTR�C . . O��� I L`� 0 5[C110NN[IDNoiBEod.REIEDOFnEiEw.iisWRa+ENu,OHCDDOt1AiLSR+�IOALEss1 PLUMBING Z ICENTIFYT/iATNTHEPERFORGIANCEOFTHEN^ORKFORWHICVITHISPERURl51SSUED.1 � MECHANICAL � � -- - - " (} SWLLLNOTEUP�AYANYGER50NNANYYMINER50A5T09ECdAE5UBIECTTOTHE N WORKERS'CdAPENSATqNU1W50FG160iW1/,AN GREETIUiIFISHOULDBEC011E INSPECTIONFEE � SUBJECTTOTHENqFlKERSc�uPENSATqNP SOF6ECTpN�7DaOFTMELADOR - � � coo�.iswui.Famrmrncourirmrn �sgJ�,. ISSUANCE iU pDATE:� 'ZO'C�� -AVRICr1Nt III SMIP ��— � ENERGY P/C WANnNO:FARUi1E TO SECURE YANfERS COMPENSATION COVERAGE IS UNUWFIR.AND S/ULLBE � SU6IECTANEMPLOYERTOCRPANALVENALTIESANDGMLFWESUPTOON[MUNDREDT110USAN0 ENERGYPERMIT � DOILARS p100,000),N ADDITION TOTME COST OF COMPENSA710N,DN.uGES AS PROVDED FOR W � SECTIDN]7oeOF7HEUBORCOOENTEREST,ANDATTORNEY'SFEES. RETENT�ONFEE: pW„ CON5TRUCTION LENDINGAGENCY PRE•ALT FEE: � � O � IHEREBYAFFlF3MUNDERPENALTYOFFE(LIURYTMATTHEREISACONSTRUCTIONLENDPlOACENCY � � Z FORTHE VERiORUANCE OF 111E WORK FOR WHIGI TNIS PERMIT IS ISSUEO(SEC.�OV7,CIV.C.} W � � LEtOER'SNAIAE . . . .._ C IENOER5ADORE55 ¢ ICERTKYTIATIHAVEREADT115I1vPLIGTIONANOSTA7E7HATiHEABOVEWFORIIATI0NI5CORNECL TOTAL FEES /� JJJ /// � IAOREETOCOGPLYM7T11ILLLCT'ANDCOl1�JTYORORUNCE3AN081ATEUW5REI.ATHOiOBUlDIN6 �(�/ � •�/r� � CONSTRUCTION,ANDHEREBVAUfIqRQEREPR[SEMATIVESOCTHtSCOUNTYTOEMERUVONh1E . j �I / ADOVE-MEMqNED PflOPERiY FOR WSPECTION iVRPO5E5. COMMENTS `/ � �S� �..� . � - . � m iERYfTTEENAYE(pRl - � (n - _Z� � y fKiruTUHEOFiER4 EE DATE , � � _ . . . _ . . RE-CPT.N0. � PAID BY VALIDATION � � WHITE—Depertment Copy,YELLOW—Flnence Copy,PINK—Asseesor Copy,GOIDENROD—Fib Copy,GREEN�ApplicanPa Copy � � - � - .. . . . . ... .... .... ...: .:�- , , . _ , ., ,,, . , ,...,:. . . , , . . . .� . . . ,..... ;, . . � . . . ..., s . . . . , . . ,. . .. . ITY OF DIAMOND BAR , ;;,�.; ; ;• ;;-; . ..._ ,__.__ ,.. . _., -; ... . � •INSPECTION RECORD ..��� ' ;�� - ' � .. . . . . .. -�� . .... , ,,,,. , : E e m � • ' • � � � • - SET BACK �' c I 'I " , `,�� `. , FLOOR JOIST <t :, , r ..'.i�- I� - , . i - FTGS/FORMS/STEEL = ''� •:; �.� �i r��� �:' ' FHA REQMTS " " '""" i � ELECTR�C GROUND --_ , _,'',� ..�. � � �- � �- - UNDER FLOOR DUCT - . _.._ ---- � GROUND PLUMBING--'�� '�"�'-' ' ' � UNDER FLOOR CO�IDUIT • � _�� ;,... � � * "• � . i �_ . _ .. . .. SLAB�GRADE_- —, . . .. _,,.^ .._.. .. .._ .. ..__ -:. � FIREPLACE FOUNDATIaN `-=� '_ _ �_ � _�s :� � � � ... . _ � - - - ,. .. _ .. , :.. TEMP POWER ---u�;,,; . !; !u_�'. ..._. ,: r:•-. , . . FIREPLACE BOND�BEAM -�--- - �- � - - - - -- -- - - � .. . -- - - - • • ,, ; ,. . ,_ ,,,. ._� . � -; :� _ .. , WATER SERVICE:: -:_-__=. .... .. .:_ :_: _. _..---- -= - - MID HT.B�ND BEAM '.-. .. _ . . _ .. . .. , _ - -- . - ROOFSHEATHING.� �,�..__ .. .. : ::� � �.:-.� ..� ... ..,. BFT, BONDBEAM-.-:,;---. ; ,.• :, ,. �:.:.•,.-, �:- : � • , FRAMINGNENTIUATION � � FINAL BOND BEAM • ' ' ' - �--.. _..... --- -- - -- ROOF COVER ..`. �PRE-GRADING - - � ROUGH HEATING- -..._. - -�-- -- - ------ - - - . .. .. . .BENCHING --..... .. ... ' •� . . .. .. •.�: : ; : ROUGHfLECTRIC - ' - - � - - � ROUGH GRADING ROUGH PLUMBING � - -- "� - "-" - -- .- FINISH GRADING . , . .. . -..; SHOWERlTUBTEST�-� ---� - ��� � � �POOLELECTRIC � " ' EXT.LATH/SIDING � POOC FENCING � ' • WALL INSULATION ' POOL F1NAL " • � �- CEILING INSULATION OFF 51TE IMPS. ' � � DRYWALL NAILING i DEDICATIONS ;' : � - . . ! : SEWER.__ _.._. -- ----._.. . .. ... .. . FINAL ENG. •• . •: : . • _ � {' SEPTIC TANK .- .-..-: --- .- - -..--- -- - --. .. . , . LANDSCAPE/IRRIG..,. ' ; ; SEEP PIT/L.L.-•-.:-_--:- .- . ._ -- : - . ....��:i.+� . .. ON SITE IMPS. . , GAS AIR TEST - - -- -- -- - - - FINAL ZONING • ' fINAL CONST.. . . . ... - -.. .._.__...._ � .- - FIRE OEPT. FINAL - - . . . . , : FINAL HEATING � � � -�- �� � � � HEALTH DEPT. FINAL ' � _ . ..- -- �FINAL ELECTRIC " - - � - DEV. FEES PAID - - -- FINAL PLUMBING � ENERGY • • � �,fi �w..EO � , r. t - . � _. . .c - - -- - - _.. _ .... .. . .... , , . COMMENTS- --- . - -- - : - -. _ . _.._ _..�-- .._ ._ . . ._ . . � • _ . _ , . , . . _ _. - - -. ... _.. .. . __ .. . .. _ _ . . . .. �`� . - • --- . _. � ,. .. � � � . �. . : � �. ... . � , . , � � , . .._ .- --_.. . . - - - -- i . � � __'..._.... . .... . ... ... _ "'_' ' ' """"".... ... . ; . . . . . . . ... . . . ' . . .... . 1 j � " ' '"'_'"'_" _ '_' " _ .. . . . j . � . � . ... ' . � .. `� . . .' ...._.... ._.._ _.. _.. . • ' ' ,F . � � . � .. i -- � J�c' � ,.\ � ,\, . i. � I � . . _ ._ . . . _ ._ - , � '----...... .. .. . � � . ' . . . ._ . . _... _ .. . . . . _ . . . . � . . . � . ., . � i SEPTIC TANK SIZE � � � ' , , . . � � , , . � . . . � :. ., , , � � SEEP PIT/U SIZE ��,, _ .. . .. . , �'. �.. - ; . - - . � ; ... .. .._. . ... ..._. ; , , _... ._ _. _.. _..... ; � , . .,- .. , .. .,,,, i . . . . .. �..��...� . � . , . , ., - . i . . . , , , „ , . . ��-k, . _. , � . _. .... _. .. , , _ _ _ ; i _... .. .._. , �- � - . . _ . . ,^ � , � , . . � . � . _ ... . . . .. _ . - CI ��. 1 -_lc�l • . • _ • ,.