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HomeMy WebLinkAbout14760 (34) ,;, , � � __ �� __ CITY OF DIAMOND BAR • � - � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Coplcy Drive Suiu 190 � (909)86Q3195Fax(909)861-3117 • PRESS . ���,� BUII.DING PERMIT APPLICATION � • ' FIRMLY Q ADDRESS—I 3G� S• �j(�vvl��lCl �� �IV �APPLICATIO������� �PERMIT �,�n/� P/C o �ATE NUMBER � I(O� M c� ISSUE TYPE OCC APN LOT TRACT DATE ' CONST. GROUP � OWNER � �71'1' W1 �L(P�'�T " ADDRESS I�G� 5. a�aw�o ���" I��� ZONING SETBACKS - � CfTY 17%ut,VkE � ZIP TEL. , REAR RW ap APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR - � �Q-�`�� �l SIDE ❑ ADDRESS � ► �++ RCFVENG/ , ZIP Yl �'7 TEL7��/SV3 SSSi PRO��USE i��; ' • � � DESIGNER NO.DWEL NO. " NO. = CDDRESS Z�P TEL UNITS STORIES � BEDROOMS y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� _ OWNER•BWLDERDECURATION _ SFR/ADDlREM - O p I HEREBY AFFYW UNDER GEWLLTY OF PERIURY TIA7 I AM E7(EMPT iNOM THE COMML70R5 LI• � GHCflQe/CBfpOR � iL CENSEUwFORT/1EfOLLONiNOREASON(SEC.70.71.68USINESSMIOFROFESSqNSCODE:ANYGTYOR . (n � COUNTYN1AqIRE0URE3APEAMRTOCONSTRUCi,ALTERIA�PROVE,DEMOl15H2ORREPA:RMIYSTRUC• � W POtiO/DOCk - NRE.iRqR TO If3 ISSUANCE ILLSO RCWiRES TME AVVIICANT FOR SUCH PERYIT TO FILE A 61GNE� W - SiAlE11EM THAT HE OR SHE IS UCEN6ED V110.5UANT TO TME iROV1510N5 OF THE COHiMCT00.S L4 � CEHSE UW(pUVTER 0(CpAMENdlq MTTH SECiION 7000)OF pIVIS�ON 70F THE BUSiNESS AND VRO- ' � PooVSpa . FESSiONS COOk�OR TW�T HE OH SME 13 EXEYPT 7HEREFROY AND TNE BASIS FOiI TNE ILLlEOED E%E4P• TION.ANYVIOLATIDNOF9ECTION70J1.6BYANYMPLICNfiFdiAPEPMRSUBJECTSTHEMPIIGMTO � Z Re-Roof � ACMLVENALTYOFfqTAlOfiETHANFlYEMINDRE�00LlAF5If5oo),}. � � O1�70WNEROF7HEPROPEHTI:ORMYEYiLDYEE5W1T11WAGE5A5TMEIRWIECOMPENSATqN, � �mmarelal - MfILL DO TME WORIC IND TME STRUCTURE IS NOT IMENDED OR OFFERED fOR SALE(SEG 7W�,BU54 J N 1ESS MO VROFES510NS CO�E THE CON7RACT00.5lICENSE UW DOES NOT�PPLY TO AN OWNER OF = i PROVEHTY WHO BUIL.DS ON MVROVES TNEREpJ,AND MAq DOES SUCN M/ORK HIIuSELF OR HCRSELF OR � TNROU�HMSORHEFOYNIE7APLOYEES.GRDV�DEDTMTSUCHWPitOVEMENTSAR[NOTMENDEDOR m OiTEHED fORSKE IF.F10WEVER71fE BULIMNOOR MC110VEMElfT I$SOID WITHN ONE YEAR OFCqAPIF- � •TION.THE GWNEN�tAIDER YALL/UVE TNE BURDEN OF iROVNO iTUT HE OR 6ME DD NOT BURD OR MPROVE FORTTIE PURPOSE OF SALE} ' .W OLA40NMEROFMEVROPERTY,AAIEXCLUSNEIYCONTMCTNOWrtHUCEN5EDC0lRMCiORS [G il7 CONSTf1UGT THG PAOIECT(SEG 76N.BUSiNE55 ANO PROFESSIDNS CODE:TXE CONiMCTORS ll• V01UetlOn� 7 ADJ.AREA � I1J CENSEUWDOESNOTAPPIYTOMI0WNE110FAVROPER1VNM1p8l1YD50RYVRDVESTHEREON,AN� Z NHOCOHfMCfSFOi15Ud/OROJECTSWf171ACGNTRACiOi1(5)LICENSEDOU0.5UANTTOTHE[OHiMG pUANTITY DESCRIPTION FEE � T00.511GEN5E UW.� .. .- . J . ' _' . OIAMOlEMPTUNDERSEG B.iP.C.FORTMISREI150N Q 3 ' � . .. . � .� . � ���{ . . . � u" DATE ONMER � � � � UCENSED CONTRACTORS DECLARATION W W � IIIEREBYAFFIfiIUNDERVENAITYOFiEiWHYTW�i1M1UCEN5EDUND[RPROVISqN50FGHAPTER Vr . � �(COY�/ENCHU WIiM SECiION 700D)OF DMSqN 7 OF THE BUSiNESS AND PROFESSIONS COOE,AND Z - X W tICENSE 6 Ml FULL fORCE NA EFFECf. m �LL �r.�.�3�7 LICENSE CUSS-f C 3 4 LIC.NO. _. � V DATE �`O��'�0 CONTRACTO b1��r _ d w . � WORKERS'COMPENSATION DECLARATION 5 3� U � INEREBYIIFFIRMUNDERPEWIL7YOFiEiWRYONEOF7HEFOLLAWw60EClAMTIONS: Z � � Q O _INAVEMOWILLAWNTIWACERfIFIGTEOFLONSENTTOSELFdNSUREFORWORNERS' 2 MMPENSATION,ASPRDVIDEDBYSECT10NS7ooOFTHEl/.BdiCO�E.FOR7HEPERFOPo.IANCE U Q OF TNEVYORK FOR WHid11HIS PERMIT IS ISSUED. � � � �. V IHJNEANDWRLYAMNNWOiiKER500MPENSATI0NIN5UiW�C£,IlSREWIREDBVSELTION � � `�O Q a7oo OF THE IABOR CODE,FOq iHE VERFOAAIUJCE Oi THE WORK FON NMItl17HIS DERMIT IS ISSUED.MYWt7RKERSCOMPEN5A710NWSUM��NCE�/CFRR1ERAt�OPOIICYMIMDENME: CONST�7UCTION � CARRIER ��II G-�er �Ci��•F'v�� PLAN REVIEW � - � � POIICYMIMBER„/�J L✓J�-U Lu7 Ie �OT�� ELECTRIC � � (hlsSCCna+lE�raTBEop.s�EIEDOcnEaEil.RSiaacN[F(!Dq[D 6�m1 LEsS 'PLUMEiING Z ICER71FYTUTNi}7EPERFOP1.w�CEOFiHE1NORKFORNMIp1TFn5PEi1MIT15I55UE0,1 -MECHANICAL ���n � U �ngn ('J 51ULLNOTEMROYANYVEPSONN/1NYYANNEHSOASTOBECOAI[SU&1EC7TOTNE • � WORKERS'COMPENSATIONUWSOFCALIFORN1IANOAGREETMAT�FISMOIADBECOME INSPECTIONFEE � Sl1AlECTTOTHEIMORKERS'COMPENSATqNGRON510N50FSECT10N77000FTHEWBOH �� �M � CODE,1 SNALL fORTNVRTH C0�.�7LY WITH iMOSE DRONSIONS. �+ � ISSUANCE 0 3.� � .�`���S.L /�ftt/��.n(j ,SMIP BUII.,DI[VG AND SAFET'1' .� D p OATE: �� APPLICAM: i� � WMNIN�:FAILUf1ETO5ECUREMd7KER5'COUDENSAfIONlbVEMGE15UraAWFULANO5HML8E ENERGYP/C - �y SU&IECTAN EMPLOYER TO CNAIINAL PENALT�ES AND CML iwES UD 700NE NUNDRED TH0U5MA ENERGY PERh11T - DOl1Aq5(tt0o.o00�.W ADDITION TO iHE COST OF WMPENSATqN,DAUAQES�S PROVIOED FOR IN Jp� SECf10N770lOFTMEUBdiCODE,IMTEREST,ANDATTORNEYSFEE3. RETENTIONFEE: pw., CONSTFiUCT10N LENDING AGENCY PRE-ALT FEE: � IHEREBYAFiINAUNDERPENILiYOFFERIURYTHATTHEHEISACONSTRUCiIONIENDINOACCNCY � � FOR TNE PERFORMIW GE OF TNE WOfiK FOR WIiICH THIS iER1AIT IS ISSVED ISEG 70Q7.CIV.G�. , � �� � IENDEftS N�/AE �� � � � LENOER'SAODRE55 � TOTAL FEES � W 1 CEHTIFY i1UT I NME REPD T95 AVPULATION/N�STATE THAT iT1E ABOVE NFORMATqN IS CORFiECT. , a IA6REETOCOMPLVWfTHALLpT`lANOCOUNfYORDWANCESANDS7A7EUw5REUTWOTOBU INO CONSTRUCTION.ANO MEREBY AUTi70W ZE RE7f1E5EtlTATNES OF THIS COUNTY TO EMERUPON . . S� IBOVEJAEHTqNEO VRO0ER7V FOR wSVECTION DURPOSES OMMENTS � � �-� �� m FE NAME(PR1NTj � .t.t�Ccu��?�L�:E'VC_ �a-�l"�'O � y E�ONATUREOLPERWT7EE OATE � RECPT.N0. PAID BY VALJDATION WHITE—Department Copy.YELLOW—Finance Copy.PINK—Aseeesor Copy.GO ENR ile Gopy,GREEN—Applicanl'S Copy � . ,.... , ... . .. . . .h. .,.,,,,-. :. ... , .,..� �. , . ,;:,, . ..... ,. .. , ... _,.. ., ., .,. '-; �- CITY OF DIAMOND,BAR: : : -;;-.. r � r�- �\ ���. ::� . . .- . ( �'��.-1NSPECTION RECORD,�. � ;, ,. ... : �;, t_ . . . , ---� ..� : � . . . : , 1 ; . . , . _-�.�3.c�"' �' �� e • � • � � - SET BACK . � ,t" � . ' . . �• FLOOR UOIST,,• j ., �-1' . ;� ..�' _ � FTGS/FORMSISTEEL ' : � � FHA REQMTS ---- - - � �- --- - � - - -- ELECTRtC GROUND. � �- .�'_" '". - -- �-- - �-: � � � UNDER FLOOR DUCT - � � ,: „ -. GROUND PLUMBING - = UNDER FLOOR•CO�IDUIT '. •: �,��•>�,<', .� `� �t:.1 � --' , . , ,. „ �;_`..� :.•,.�. : ,. >.. SLAB GRADE � - �- - � � � • FIREPLACE FOUNDATION - - • - ' - TEMP POWER . �. '` -_ ;--' �., `� . .. FIREPLACE BOND BEAM...- =-: = -- ----- - , __.. . _. . _I . � _ _ .. . ,,.. , .; , . . __' ...; � - _ ;.. WATER SERVICE-,�-.�•. -- -- MID HT. BOND`BEAM ._'�" � � ' ` � ROOF SHEATHING -� ' �9-� — • 8 FT BOND BEAM.\��l - \ . .c., �� -..i: ,.�, . FRAMINGNENTILIATION � �� � ��' ` FINAL BOND BEAM ROOFCOVER..- ' ` -' � � ' PRE-GRADING - � � - --- � �� �� ROUGH HEATING , - - - . _ _- . . . - BENCHING ; � � � ; ROUGH ELECTFiIC - , � �� ��- � � � - -�� , ` � � ` ROUGH GRADING � . -. ' R�UGH PLUMBING � � — -- � � -��� ' . FINISH GRADING . . . . : � ' SHOWEFi�TUB TEST� � � � � � POOL ELECTRIC � • • EXT.LATH/SIDING � , POOL FENCING � ' ' ' WALL INSULATION , POOL FINAL • :. • • • CEILING INSULATION �:� 2'�=S': OFF SITE IMPS. •. � ` " ' DRYWALL NAILING � DEDICATIONS . ' • . ; • SEWER _ .. _.. . FINAL ENG. � . " . •. I : - --... ._ _. .. SEPTIC TANK _ ! _ _,. . _, __. . LANDSCAPE/IRRIG. ! � -SEEP PITlLL:. . --- - - `-` ' ' �` ' ON SITE IMPS. ' . ; ; . -GAS AIR TEST - - - -- -- - -� FINAL ZONING � � ; ;: -FINAL CONST. -- -- -- ;y; :� - � FIRE DEPT. FINAL � � ' � FINAL HEATING- � � � - - � : � HEALTH DEPT.FINAL , ; ,; i .-� F1NAL ELECTRIC -� -- - - - - DEV. FEES PAID -- �- - - - --�- ' � - FINAL PLUMBING ENERGY : � • � , I , �Q ����C�" 8 6 6 �'_ ..� . . . - :,;. •:e._ . _ •� , . .ti..�. f �� . . .. . . . . .` � , . . . . ... _. . .. l_ . . . . ' -- -'--. .... ... . .. _ ..--- .. _... ..-- - - . .. . .' . - .-. - � . . � . _ .. � .. . . , � � •c� :. ,� � COMMENTS. . .._ . -- -- ._ _ _ .. . . . , ---- - - . ----.. ._ _ . _ . ._. . �. � , , � �:� �.� �.�.- . _ _ _. . ' ' ' . - __ {-�r-����� _ _. � � \ �, `:,, , l, . . . . . . .__ . . .. . , A x- , r �, ;� �.;� . . . - � �. - -. _ . . . . . , ��nr,n . _ .;���.. �; � >i��r; � . .. . •• 11! �.:\.�/1'.'�.lil'._��� i\I`J'. .. . i . . . , � - ( . ..f1. -j'1`�•_��''(�,,�i't'. ��'!1�.•1��1 ' �w � . \ ' .. 1 . � _ ! � . . T � , .. �. . � � I SEPTIC TANK SIZE ' ; - SEEP_.PIT/U SIZE , � .... . -. .- .. ��� _ • , . . , , � . -- . ..._ ._ . . _ � � _ . . . . � _. ' ; • � _ , .. ,,r�� � �I _.. . ,. , , . 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