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HomeMy WebLinkAbout12768 (20) CITY OF DIAMOND BAR' � " � � : , 1 - �� �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 ' .. (909)860-3195 Fau(909)861-3117 PRESS �`'�'� BUII.DING PERMTl'APPLICATION • FIRMLY o� JOBSRE � APPLICATION 7 / ERMR � P/C AODRESS 'c J�� ��[' � ��' DATE �v NUMBE p $ -, ISSUE TYPE OCC APN LOT TRACT DATE CONST. - GROUP p OWNER ' "" ADDRES,S� r ZONING SEfBACKS � � CITY P TEL. ' r REAR RW p . APPUCANT � TEL. ! L�(- � SIDE/SIDE STREET FiW ❑ � CONTRACT � � SIDE ❑ Q ADD S ' - - � CfTY�S1-�l ZI TEL. "- PROPOSED USE o ARCH/ENGI � �,yZ( � DESIGNER NO.DWEL NO. NO. CDDRESS Z�P TEL UNITS ' STORIES. BEDROOMS � . . ,. . . . rn DESCRIPTION � SQ.FT�.. �FACTOR PSF ADJ.AREANALUATION Q OWNER•BUILDER DECLARATION SFRlADDIREM O p 1 HEREBY AFF6W UNDER PEwLLTY OF VEFLAIRY TwR 1 AY EXEMPT iRpA TH[CONTMCTOi15 Lb GBfOQB/C81pOR _ [L CFNSEUWFOHTHEiOLLO'MNOREASON(SEC.70.71.68USWESSN�OGROFE5510NSCOOE:ANYCIiYOR . (n - CJ COUHTYY//11C}1REOUIRESAPEN.IRiOCONSTAUC[ALTER7.�PROVE,�EMOLISM.ORflEVNflANYS7AUC• (L LL� TURE.VR�OR TO ITS ISSU�NCE,K50 REWIRES THE APPLIGWT FOR SUCH PERMIT TO FILE A SIGNED W Petio/Deck STA7FMENT THAT HE OR SME IS LICENSED VUNSU�WT TO iME PHOVISIONS OF THE CONTRACTOFlS LI• � CENSE LAW(OU7TER 0(COMMENCINO VATH SECTION f000)OF DINSION]OF THE BUSINE55 AN�PRO- � PooVSpa � � FESSqNS[DOE10qT/UTHEOR5HEISEXEUPTTHEREFROAII�N�THEBASISFORTNE�lLEOEDE%EIAP- (' TqN.ANVVIOIATqNOFSECT10N70]1.68YANYAPPLKJUfiFORAPEWAITSU&IECTSTHEMPLIClVlTTp Z Re-Root � ACML VENALTY OFNOT MORE TYIAN FNE HUNDRED DOLLMS(tSoo�.k � � Olti7D�MrEROF1MEVROPERTY.ORMYE�PLOYEE5WI7NWAGE5A5TMEIR50lEGOMPEN5A7qN, � O Commercial ' - . YY0.1 DO ME WOHK Ui0 TM[STRUCiUR[IS WT IHfEN�EO OR OFFERGO FOR SALE fSEG 7Gl1.BU51• J N 1&SSIWDVROFESSIONSWOE:THECONTMCTOFSUCENSEUWDOESNOiAGPLYTOANOWNEROF = . PiqVfHTY WMO BURDS OR MPROVES 7HEIiFON.IWD WIiO DOES SUCH WORK HIMSELF OR HERSEIFOR a TMHOl10HHSORNEH0INJEYPIOYEES.GROV10[DT/ATSUCHIIIVPOVEUENTSlUIENOTN7ENOEDOR � � OiFEi1EDFOHSALE6,/10WEVERTMEBULDWOOR61vRWEUENTiS50lDVATHWONEYFAROFCOAI0.E- z �TION.TNE CM�ER�BUIDER MIILL NAVE iNE BURDEN OF PROV WO TIIAT HE Oii SME DID NOT BUIID OR = MPRDVE FOfIME iUAPOSE OF SALE). ' • . � � w O1�40M�NEROFiHEPROPERTY,MIEXCLUSIVEIYCOHTMCTP10YnTHL10EN5EDCONTMCTORS � i0 CONSTRUCT tME PfiOJECf(SEC.70�/.BUSINE55 ANO PflOFE5510N5[ODE iHL CONiHAGTORS U• VBIU�[i0f1 � ADJ.AREA � � � CENSEUWDOESNOTMPLYMANONNEHOFAGROPERTVWNOBUlD50RWPH0VESTMEREON.NJD WFqC17MMCT5FOR5UCHCR61ECT5N7T/ACOHTRACfOR�S�IICENSE�PUHSUANfTOTNECONiMG pUANT1TY DESCRIPTION � FEE � TOiLS LICENSE U1W.�. . . ... � . . . . . . . O IAM IXE)APT UNDER SEC. B.i VC,fOR 7HIS REASON Q � V . . Q '�. � V" DATE OWI:ER . . . U "' , � ��, . F4 UCENSED CONTRACTOHS DECLARATION W r ; 2 IHEREBYIIFFlRMUN�EHVENALTYOfPE0.R1RVTHATIAI�LICENSEDUNtlERPROVISIONSOFCFMPTER � . � s f�C01MAENpNOYATM5ECT10N7oo0)OFDfV15qN70FTHE8USINE55ANDPROFE5510N5CO0E,AND . Z X MY UCENSE IS N Ml FORCE AND EFFECT. m LLI �/'� � UCENSE CU ' � LIC.NO. Sr✓ j - �"j w� � corrrancron a w � WOFiKERS'COMPENSATION DECIARATION a .i •--. � � IMERFBYIIFFIRIAUNDERPEWLLTYOFiE0.A1RYONEOFTNEiOILOYnNCDECUMTqNS " '��� Z .� — ' � _IMAVEMAVYILLMAmTNNACERTrtICATEOfCONSENTTOSELFaNSUFEFORWORRERS' _ �� • CqAPENSATION.ASPROViDEDBYSECTI0N7700DF7HEUBOHWOE.FOHTHEPERFOFlMANCE� ' U S OF THE WOqN fOR WHIC11 TMS PERUR IS ISSUED. � 1 / � _ � C / �HAVE ANO WILL M�NTAP7 YNORKENS'COMPENSATION INSURANCE,AS R[WIiiED BY SECTION � 7TOOOFTHEUIBOHOODE,FORTH[VERFORMANCEOFTHEWORKFORWHIdITH15VERA1R15 ISSUED.W NOPoCER'COYPENSAT INSURANCE GIRR ER AND ICY NUY�E E: CON57RUCTION jawwea • PU1N REVIEW , Z POLICYNUMBER �' ELECTRIC 4 � (TFeSSECIqN1EIDN0TBENl.�I£IEDOFTIfPEP1.RBFC1iWEHl�EDDOW�LS(S�m10nLLS51 PLUMBING Z I CERTIFYT/IAT W iHE PERFOiWANCE OF THE MC7HK F00.WF11CH iH15 PERMITiSlSSUE0,1 MECH L ' -_ _./�_ _ _ C7 SMALLNOTEAIGLOYANYPER.�ONINANYMANNERSOAST00[COMC9UBJECTTOTHC (n WORKERSCOMPENSATIONUWSOFC/�UFORN10.�NDAGREE7MATIF151Kri1LDBECOME INSPECTIONFEE S SU&IEGfTOTMEWORI(EfiSCp.1PEN3 V SEC1R1 71 EIABO � � � �� COOE.ISHALLFORTHN71HCdA �n+ s. ISSUANCE ���� � � � ���) SMIP � p DATE:S_L_�.21L A ICA : - ,_ � 1 � � WAfiNINa:FA�IUiIETOSECUREWdiKfRS' FE iqNCOVEMGEISUNUWFULAMJSHALLBE ENERGYP/C�IT�.Dj�@��� � � � � SUBIECTAHEYPLOYERTOCRWINALPENFLTIES DqNLFINESUPTOONEIUNDREDTHOUSM�D ENERGYPER OOl1AR5(lloo.000).IN/�D�ITION TO TH[COST OF COUPENS�TtlN,OwAGES AS�ROVI�ED FOR IN *T � . � SECTION77oeOFTHEUBORCOOE,NTEREST,ANDA7TOiwEYSFEES. RET�ENTIONF�V � aW.. CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � O � IXEREBVAFFIRMUNDEHPENALiYOFPERIURYTWRTHERE15ACONSTRUCTIDNLENDINQAGENCY � FOR TME PERFORMlWCE OF 7ME WORK FOR WHICJI TMIS PERMI71515SUED(SEG]OOI,qV.G�. � � LENDEH'SNAAIF .. . � � � LENDEH'S/�DOitE55_ � ICERi1FYMATIHAVEREADiHISMPLIGTIONANDSTATETHATTHEA00VENFORAl11T10NI5CORRECT. TOTAL FEES - - � : f�3_��O W IAGFE•':TOCOMVLYYATNALLGRYANDCOUNTYOFiDPUNGESANOSTATEUwSREUTNOTOBUILDING � CONSTRUCTpN,M1�M[REBVAIfTNOfUZEREVRESENTATIVE50F1H15GOVNTYTOEN7ERUPONTME � S� ABOVE#�ENTqNED VROPER7Y FOIi PJSPECTION FURPOSES. COMMENTS � - v� _ - 00 � E �a� Q • � � E 7E � � .. .. ,. . . RECPL NO. PAID BY ' VALIDATION WHITE-0epartrnent Copy,YELLOW—Finance Gopy,PINK—Assessor Copy,GOLDENRO�File Copy,GREEN—ApplicanCs Copy �� � � �, , . CITY OF DIAMOND.BAR �.-�;� , �_ �;-; ;-�-_. ,. , �. �; - . •... . ... ... .. .. . . . . . .. ... . .. . .. . . .. . + : _�� . _. . . .�INSPECTfON'RECORD:. '� . .� , . _ .., � ` - . - - ' � �;�.`� '�: i: F • � � • ' • 1 � • ' SET BACK . , ( '�' i ; .' � -' ' - '.� ' FLOOR JOIST; - ; . J �'. : •� _ . FTGS/FORMS/STEEL � - FHA REQMTS,:_, . --- - - � - - EL:ECTRIC GROUND---- � .___. ��- _ -: � -' ' _� UNDER FL�OR DUCT� ;; � <�. '-; `'' ,: .,:_� ' - GROUND PLUMBING � � � � %UNDER FLOf�R CO�IDUIT--� : . � � � . . , . . . _ .._ �_ , SLAB GRADE -- - - ---- .:• FIREPLACE FOUNDATION'�_ �_..� . ,_� . �== _ —_ ".:. j . TEMP POWER -�--- " ' � i FIREPLAC�BOND BEAM- -'" r �� �- ' . _ ,. .; WATER SERVICE-�- - - - - � MID HT.BOND BEAM-�• - — �• ' - --- • - � -- -- � - -.,. . _ _:.•• � - ROOF SHEATHING- - - -- � � '� S Ff.�BOND BEAM �• • - FRAMINGNENTILIATION FINAL BOND BEAM • '-' '' I , ROOF COVER , -.. :; PRE-GRAbING _ . _ _ _ _ . �. ; , , ,� ; . . ROUGHHEATING --, � � - - BENCHING �- •- , ROUGH ELECTRIC-- - � - - - -' � ROUGH GRADING , �ROUGH PLUMBING - - �- --� - . " � � FINISH GRADING . SHOWER/TUB TEST� -- - � � -� '- � POOL ELECTRIC ' ' � EXT.�LATH/SIDING , � � � POOL FENCING WALL INSULATION • � POOL FINAL - ; ' CEILING INSULATION • OFF SITE IMPS. ' � � �RYWALL NAILING � DEDICATIONS . - SEWER.------ ...__. ._� _. _. .. FINAL ENG. � . SERTICTANK . _.. _!_.. _ LANDSCAPE/IRRIG. .. � � SEEP-PIT/l..L.- - _- - - ' - ON SITE IMPS. -GAS AIR TEST ----- � - - - � �FINAL ZONING -• • � FINAL-CONST. � --- - - --- FIRE DEPT. FINAL FINAL HEATING-- ' f���i HEALTH DEPT. FINAL -- -FINAL ELECTRIC- � �- � - - - . DEV.FEES PAID � � � FINAL PLUMBING ENERGY � ! • i . � . , �I� e+ s . .� ; . a ..._ ... ._ .._..,_' .'—._�" '___. . . � . ... . _ . . . ,_. .-. . ._ _._ . . �-.... , � � - COMMENTS-.... ' --- r - , ; , , ; _,, � ---- .. .._ . . _ . . ; � � _ _ ' �:_ . - � . � . _ , _ _ . _. _.. . .` _ � � - - -- -- _ . ; ; . - - - - . , ..1; .r �.. . _ � �. ._. , - . -- -� . . _ . , ,�_ _ _ - � . . --. ........ _.. .. ��CCI f� {; �.=�r; ..;;� f-,:�; . , _. .. - � - • . . ' ; � . _ . -- � . - � _ ...._ _. .... __. .. ,:�;i��(�Iri�i�„�,,j'"1:rr' �`•;•�. , ,. SEPTIC TANK SIZE .:��':,': ";�•i•. ;' T�;+'l'�, - � � . . , SEEP.PIT/U 81ZE _ , ; � , . ;��. -- _ . _. . . . ; _ _ . .- :.._ _ - -. - -. - ', �I' � � .. ;, ' : ; , . � :� . ,. . � - ----.... .. • � ; �- , � • i - . , .. � ' �''i��1 --� , . _. -. . .___ _ - . , I ' ' ! _ � � f � - .�. . 1' i • � . � � , ' 1 i � '. . . _ -. . -