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HomeMy WebLinkAbout12825 (17) . '' � -��-- - CITY OF DIAMOND BAR �• I�� - J� �" DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SEriVICE �� 21660 E.Coplcy Drivc Suite 190 � ..__�.- -- (909)860-3195Faz(909)861-3117 PRESS ���'� BiJII.DING PERMTT APPLICATION ' FIRMLY � JOBSITE J�., � n �f APPLICATION Z%� 1=- PERMIT Z 'Z P/C o ADDRESS /�/7 �L����a � �/�/--T DATE `� NUMBE # ISSUE TYPE OCC � APN LOT T T n DATE CaNST. GROUP p OWNER _ ADD S ZONING SETBACKS � C ZI T L. FRONT RW ❑ APPLICANTr T REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACT R SIDE p � ADDRES N `^ "- CfTY �' Z TEL - PROPOSED USE L oARC N • ljt�i,�.• ` DESIGNER lvrT� NO.DWEL. NO. NO.. � C'DTMDRESS Z�P TEL UNITS STORIES BEDROOMS N DESCRIPTION '•SQ.FZ. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLAAATION SFR/AD�/REM ' • ' �� `• �• '•,- ''ti"• O - p I HEREBY AFFYtlA UNDER iEWLLTY OF PERAIRY THAT 1 AM EXEMvi FROM THE CONTRACTORS LI• G8f8gB/Cfl1y0R ' LLl C£NSEUWF011iHEiOl10N7NfiREA50Nf5EC.7a7t68U51NE55uAVROFE55qNSCOD[:ANYpTYOfl . (A Z 7URE,CRqfi TO RS KSVANCE,�AL50 REqll ES 711E�V��ILAM FOR SUCH PERMIT TO i1L�51GT N D w .Patio/Deck �L BTATE4Qfi 71UT ME OR SHE IS 110EN5E0 A1KSt1ANT TO THE DROVI510NS OF THE CON7MCTOfi4 U• W � CENSE UW(QUVTER Y(Q7IAMENpNO WITI SECTION 7000)OF DINSION f OF TME BUSINESS AN7 VRb � POOVS� � � FESSpNSCOOE�ORiHATHEORSFIEISEXE4PTi11EREFROMANDTHEBA515FORTNEALLECEDEXEAIP- (, TIDN.ANVVIOLATqHOF5ECT10N7aJ1.6BYhNYAOPLIGWTFqiAVERMITSU&IEGTSMEAPPLIGwTTO Z Re-Roo1 '„�, ACMLVEW�LTYOFN0T1.10i1ET11ANFNEMUNDREDDOl1M5(i5001.i - - ' . , � O1R50�M�EROFiNEGROPERTV,ORMYEMVLOYEE5W17MwnGES/�SME11150LECOMFENSATqN, 0 COmmBfClal '. - ' ' WLL DO THE MIORIC 1WO iHE STHUCNRE IS NOT WTENOED ON OFFERED FOR SAIE ISEG 70u,BUSI- J N NE53 AW PROfE5510N3 CODE:TME CONiH11CT00.4 LICENSE LAW DOES NOTAVPLY TO AN OWNER OF � ? VROPERIVNM1IOBU0.DSORYPROVESi71ERE0ly/fANM1qDOES5UC11WOHKHIA15ElFORNERSELFOq ' ' � TF610UCHMSORHERONTIEMPLOVEES,PROVIDEDTNA75UGIIIAPROVEMEMSARENOTMfMJE�OH m � .OFFEREDR�RSALEG,HOwEYER7ME9ULDiNOORMPHOYEA1EM650lDYAiHeIONEYFAROFCqAPLE• TqN.THE OWNER-0UILDEP YALL NAVE 1NE BURDEN OF YROV7K3 THAT HE OR SNE Di0 NOT BNID OR � MPROVE FOR 7ME PURP06E OF SALE} . . � w ❑lti.`�WMEROFTMEVROPERfY,MIDlC1USNELYCON7MCTNOWfTMLICENSEDCOHiMCTORS � TO CONSTRUCT iHE PROJECT(SEG 70M.BUSINESS AND PROFESSIONS CODE:TME CONTHAGTOHS LI• VelUetiOn ADJ.AREJ1 �� CENSE UW�OES NOT 11PPLY 70AN OINiER OF A CROPERiY 1M10 BU105 OR IYPPOVE9 THEREON.AN� YMOWNTRACTSFORSUCIIDRQIECTSWITNACOHTMCTOR(S�LICENSEDPURSUAMTOTMECONTRAG QUANTITY DESCRIPTION ,FEE � TOf18 UGENSE UW.� �' ' OIAMO�MPTIROERSEG, B.ti.C.FOR7Hi5HEASON Q .3 c, LL ¢ . �c D�TE OVrtlER V i � � LICENSED CONTRACTORS DECLARATION W ' , � . . . . . . . . ' W ,"�•: . a��\+� ���•, • IMEREBYAFi1WJWDERPENAL7YOFPERNRYTMATIAMLICENSEDUNDERPROVI5qN50FGHAPTER � � � p. •�COMIAENCWOWfTHSECfI0N7000�OFDMSION70FiHEBUSINE55/W�VROFE5510N5CO0E,M1D Z LL� L(Y LICENSE 6 N FULL FOR 10 EFiECL m � UCENSE SS LIC.N0.,� �� j V DATE CONTRACTO ' _ W � WORKERS'COMPENSATIONDECLARATION 1. � _ ���, J� � � IHEREBYAFFIiWUNDERPENnLTIOFCEMMYONEOFTHEFOLIOWINOOECUiUT 5: Z � � � � _IMAVEANDYALL4AMTAMACERTiFIGTEOFCONSENTTOSELF•INSUNEFORYVORKERS' 2 COUPENSAT10N,ASPROVIDE0BY5ECitON77ooOFTMEUBONC00E,FORTHEVEHFORIIANCE W ' �`� � ' � � - Oi THE wOiM FOR W1nCH h11S PERIAR IS ISSV W. � � �1 HAVE AIID WILL MAIMASJ WORKERS'COM7EN5�710N MSURANCE,AS FEOUIRED BV SECf10N� Q ]700 OF THE VBOR COOE.FOFI iHE PERfORAIANCE OF iHE WOPK iOR NMICFI TH�S PERAIR IS ... . . . .. . .- _. � ISSUEO.WNOR1( ' q41PENSATIONINSURANCE RTAN,DpO�OIICYMIMOERARE: CONSTRUCTION ] CARq1ER NJ�I.J PLANR[VIEVY / a voucrrauueEn` � �, LECTFiIC � (M1eSSEct10NrEIDw7BGOd6'LEiIDOcnEVEaMisPoita+EH.rL�iE�OouAiLSR�m)ailEss} PLUMBING �j,AsiT Z 1 CERTIFY iTNT W 7NE PERFORMANCE OF iXE WONC FOR WHidf THIS PERAII715 ISSUED,1 �MECHANICAL ��� � ' i (} SMILLL/q7EMP�OYANYPER50NNM1YMANNER50A5TOBEWMESUBJECTTO7HE . �/J WOPoCERS'LOAIPENSATIDN UN�S OF GLIFORNI�AND AGREE TMAT IF I SHOULO BECOME INS N FEE ' SU[iJECf TOTHE VlORKERS'WM7ENS�710N iROVI5qN50F SECTION]7ooOf THE IIBOA /� � � � ^^ � s CODE.1 SHAIl� T11 CdAttV YVi E VROVISiONS. SSUA ,�_E'1. % % '1 Q y�( �TTv IJVN . �� p DATE: �` APPLICANi� jt TT �--�= s""'P . . CITY OF�DIAMOND i3AR W ENERGY P/C WARNINO:FAIUHE TO SECURE MIORKENS'CdJPENSATION COVEHAGE IS UNUWFUL AND SHALL BE . � SUiIECiANEMCLOYER70CAlYINALOENALTtE5M1DCNILFINESUVTOONEMUNDREDi)KIUSMA - ENERGYPERMI�UILDII�1G A2�TI�S��TY DOLURS(f 100.ODO�.IN ADDITION TO TME CAST OF WIAGENSATIDN,DAAIAGES AS VFOViDED FOR IN ¢ SECTIONa7oeOFiNEUBORCODE,NTEFES�AND117TORN[YSFEES. RETENTIONFEE: � � � a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: ' i O , � IHEHEBYAFFIRIAUNDERPENKTYOFPEPJURYTVUTTHEREISACONSTRUCTIONLENDINfiACENCY ' FOR THE PERFORMIWCE OF THE N'OHK fOH Y/NiCM TNIS OERMIT IS ISSUED�SEC.7071,dV.C�. . � � LENDER'S NAME � � . _. .. � � � � LENDER'SAD�RE55 � TOTAL FEES - � � 1 CEflT1FY TMAT I/UWE READ Tq5 APPLICATpN AND STATE 711AT THE ABOVE NFON.IATqN IS CORRER d IAGflEE i0 CCM7LY WITH/�LLC7TY/�N�COIMfY OROPUNCES AND STATE Uw5 REUTINO TO BUILDIN6 � _ � CONSiRUCTION,ANONFREBVAUT1qiiREREPHESEMATNE50FTHISCOUNTYTOEMERUPONiHE . _ . . ABOVE#1ENTqNEDPROPERTYFORINSPE 7URPOSES. COMMENTS O �� . .. ' � - m FRM1 LNn . Q . . . .. .. .. . . . _ N . (A S10NATUR F VERMITTE DATE _ � RECPT.NO. PAID BY YALIDATION WHITE—Depertment Gopy.YELLOW—Finenee Copy,PINK�sseasaCopy,GOLDENROD—fileCopy.GREEN—ApplicanYs Copy �� � � . ., r. , . _ . . . . . . . , . .. . �-� . � � � � � CITY OF DIAMOND BAR .• ;:. .-��; ; : 1 � '`�� �-- � - . � \`. 1 � �.\, • . ,- . . .. _.-. , . . ' �:\ . , . ' . .INSPECTION RECORD',': : . _ _ � � , . , . . , �_ e o . s - � � � . � . SET BACK " �_ FLOOR JOIST ,.. � ,�, �i. '�' - ' � FTGS/FORMS/STEEL = :� FHA REQMTS - -- ' � - � - � ELECTRIC GROUND - _� -- - - � - _ UNDER�FLOQR DUCT "';:., ' � � ' ' GROUND PLUMBING � � UNDER FI:pO�.CO�IDUIT. ;��., '�, ,;;_�,`� .:�,- - - _ . ._... _ . , . SLAB GRADE . ... ..... .. . ... -- - - . .. .. , FIREPLAGE�FOUI�DATION '-' '�-==. . :`_::�'� :'•.::.�_.� � TEMP POWER � -- ' - � `=� ` FIREPLACE,BOND BEAM - � ° , . . ._ _ - _ ... ^. WATER SERVICE: _ :. . :.: - -- . .--:.- --- - ' MID HT. OND BEAM • '�--=_.� : �.-'•�.-;, �_�, _ , . .. , . , i ROOF SHEATHING�'' f�, � -- . 8 FL BOND•BF.AM "�� ._. .__, ,_.. . _. , �_ � �_ ,_ �, .., ' ,. , _. FRAfV11NGNENTILIATION � FINAL BOND.BEAM ' � ! ; ' ROOF COVER=' �' " PRE-GRADING � � . � , ROUGH HEATING - � . _. . _ - - BENCHING . . � , . . ROUGH ELECTRIC -`- L,�' � - ROUGH GRADING . • , . ' ` ROUGH PLUPABING - -- - -� - � � FINISH GRADING , . ' SHOWER/TUBTEST. -' - -- - -- � � POOL ELECTRIC • � • -. • EXT.LATH/SIDING � , . POOL FENCING WALL INSULATION • POOL FINAL " - : - ' CEILING INSULATION OFF SITE IMPS. � DRYWALL NAILING � DEDICATIONS ' SEVVER. . ----- .. ... .. .- - _ FINAL ENG. • . � . SEPTIC TANK . . __ '--.- . ---- ..-----: - . - LANDSCAPE/IRRIG. ' ' _. . , , . . SEEP PIT/L.L. -- . _ . - ON SITE Ih4PS. � ,. , . GASAlR�TEST`- . ._. ._ . - . . _ - . , � , .. FINAL ZONING � i :. FINAL'•CONST.-, �-- �"- ; _' -•;�'• ., , `•- � • � �FIRE DEPT.FINAL _ . ., . FINAL-NEATING -- �-" � ` ";` ' , , : .: `•���'•,-=` HEALTH_DEPT.FINAL ; : _ FINAL ELECTRIC - ' DEV. FEES PAID � � � -�� � ' ��-� , , , FINAL PLUMBING � ENERGY i ' 1. , • ' 9e �n �';b � � � - - - C. . -� � � ._� • � .. ,i...._ _ . . _.� - — �— .. -'-- -� �------.._..t .. _- � ----. .. .._ .. _ .. ... . : .... --- -�� -': .. .. ._ . _ . COMMENTS _ _ _. ..' �'� : ` .; � , . . ...... ----- . .... _. _ _ ._ _. . _ . , . � .. � :� _ _ ... --- � ,� ._ __. . _ _ . , .. . , � . ,, ,, � _ � `_' t .-+ �:�`, c . ._ _ •,..•�• .. - - _ _. — _. - • . --..._.- ! _ i _ . . . .._ . . ... ... . .7t�/:a� . � _i i i .. . . � . � . • . . . i . . . . .. ._. ._.. . _ . _ .. _ . .. . � . I , . . . . � � � ..� . . .... . ... . .. . .. . . . . __ � � �. . _-. .. "`� I i .A r• � '�i ��_.� _\ � . . -� . .. ` . . � . ' V'�. —" f. a rl� . _\ _ 1 . 1 . . _... _. . .. - �---... .)�l�il ��i.��' c r 7r"�..�(� •� �. _ • . . � . . _ . . , r..ir��:i-� 'i .+..'r, ,1 r , , . . . SEPTIC TANK SIZE ..._. _...,.... ., . . .. . .. , , - :, ,: � . . . � SEEP PITN SIZE -- - � ., � � � , � � � . . . . � ' '� '_""""] ._ _-_�-_. ---._ ._.. .. _ � � i , . - - - , i i = -� ; � , -. . , . , , , . . . . . , . . ; � � � , . ... ., � , .. . . __.._ ............ . . . . . . . 1 , i .. . . , _ . -- . , -- _ _. _ ,»� . ,:� � . _ _ . _.t__ ����. � _.... . __._.. ... _ ... . 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