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HomeMy WebLinkAbout10829 __ _ _ ..._ _ ._. ._.. .. ...... .._.._. .. . . . __.. .. _-. -- --- � ---�� CITY OF DIAMOND BAR . • � . ' � � COMMUNITY DEVELOPMENT DEPARTMENT , �..,^ . 21660E.CoplcyDriveSuite190 � :-; _ - PRESS (909)8643195 Fax(909)861-3117 ' � '��' BUILDING PERh4ITAPPLICATION FIRMLY � JOBSITE /� APPLICATIO J� Z� PERMIT' P/C o ADDRESS L�'I Z �f���.�-' DATE v NUMBER p c� ISSUE ' TYPE OCC; _. APN LOT - �TRACT DATE CONSL GROUP ' ' p OWNER �/L. RZ�T `� j � , . o ADDRESS `��-1'Z,- �ASTC�'jS P(n/^ !2�?,�{ �ZONING SETBACKS . ocirv i��a,,,vti�Ya�n ziP ��r;i/�G�f. � ' ' ._ .REAR Rw .' p . o APPUCANT TEL. , SIDE/SIDE STREET FiW O � CONTRACTOR �d � "� ' SIDE - ❑ ADDRESS '' •«�� . � o u . S'D d PROPOSED USE �r4-/S'1 r� ��i �� o CIN IA � �j GJC�• ZIP� TEL.� � . .... .. ..... . ... . . w ARCWENG/ , ' " ' ' ' � �� OESIGNER "" "�A1a.0 � � A'S--/�13�yL _ NO.DWEL . .. .NO. , . ..NO. . � ADDRESS UNITS � STORIES � " BEDROOMS = CITY ZIP TEL. ' N � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION <n � . OWNER�BCILDER DECUIRATION .... . . ' :.. � SFR/ADDlREM � , p 1 HEREBY AFFIRAI UNOER PEN.LLTY OF DERRIRY iHAT I AA1 EXEAIPT FROA1 iHE CONiRACiORS LI-, GafE JB/C9fpOR � � � � � � W CENSEUWFORTHEFOLLAWNGREASON(SEC.7031.6BUSWESSANODRCFESSIONSCOOE:�NYCITY00. U WUNTYNHICNREOUIRESAVEFMITTOCOf:STRUCT,ALlER,IMPROVE,DEMOUSH,ORHEPNHANYSTRUC- PB:IOID9CK .. ' � . . W iUBE,PRiOR 70 rt5 ISSUANCE,R50 PEW�RES TH[MPLICANT FOR SUCH PERMIT TO FILE A S�GNED - - � STATEMENT THA7 HE OR SHE IS UCENSED PUHSUANT TO iNE GPOVISIONS OF TME CONTMCTOftS Lb- ..,_.. , _ . � CENSE UW(CMAPTER O(COMMENCWG WITH SECTION 7000)OF OIVISION 70F TNE BUSINESS Mt]VRO• � � +POOVSPO _ � FESSiONSCODE)ORTHATIIEORSHEISE%EMPTTHEREFROMAYDTHEBASISFORTHEALLECEDE%EA1P• . 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' � •" ' r ' � LIGENSE CUSS �D S�S / b�LIC.NO. � �V��" " �• m � � /j_ 7 V DATE � D �^S�I I CONTMCT � � a . . . ._ .. "' \N � WORKERS'GOMPENSATION DECLARATION 4 � U N IHEREBYAFFIRIAUNOERPENALTYOFFEFLAIFh'ON[OF7NEFOLLOWWGOECUM7qN5: • - N a ^': " . :. . 0 _IHAYEMIDWILLMAINTAINACERTIFICA7EOF�UNSENTTOSELFdHSUREFORY10RKER5' _ � � ; � OdAPENS�TWN,ASCiiONDEDBV5ECT10N]7000FTHEUBOflC00E.FOHTHEVEHFORMANCE W ' � OF THE WOHK FOR Nh1ICH 7HI5 PERMIT IS ISSUED. . � Q .. ._ ._ .. . . . . .. . . ........... .. . W _IHAVEIWDW�LL�IMAINWORKERS'COMPENSATIONINSURANCE,ASREOUiREDBYSECTION Q 37aoOFTHELABORCO�E.FORTHECERFORMANCEOFIHEWORKFONWMICHTH15PERM1T15 �/ ISSUEA.MV WORKERS'COMPENSATION INSURANCE CARR�ER AND POUCY NUA�DER ARE: � 'CONSTRUCTI '' ' ''" ' ' ""'' """ J• J � GRfUER PLA.N REVIEW � � � . .. . ..... _ . . . . . . . . _ . . .. . ..._ . Z voucvr+uMoea ELECTRIC ¢ �0 �n+asEcnor+NEmwTSEm�a�¢r¢oocnEacw.�rsraaa���oauASR+mlrn�ssG .PLUMBING . .... 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SHPLLNOT EMPLOYANY VERSON W ANY MMlNER SOAS TO BECOME SUBJECTTO THE . . ... ... . . . _ � YVORNERS'COMPENS�TIONUwSOFCRLIFORNI0.ANDAGREE7HATIFISHDULD9ECOUE INSPECTIONFEE - S SU&IECTTOTHEWORNERS'CdA�ENS�TIONPROVIS10N50FSECiqN770DOFiHELABOR � �� CODE,1 SHKL FORTHWIT/COMKY WITH TNOSE PROVISIONS. �SSUANC o SM�P s� p DATE: 4 3 APPLICANT: • _ , � W �ENERGY P/C '� WARNiNC:FARURE TO SECUHE WGRKERS'COMPENSA N COVERAGE IS UNLAwFIJI.AND SHALLBE� � � SUBJEGT�N EMPLOYER TO CRIMINAL PEwLLTIES AND CNIL FwES UP TOONE HUNDRED T110US�wD ENERCaY PERMIT -� DOlLARS(S�OO.D00).�N MDITON TO THE COST OF COMPENS�TqN,DAMACES AS PNOVIDED FOR IN rj (� ¢ SECT�ON770EOFTNEU[lORCO�E,M7EREST,ANDATfORNE1^SFEES. -- -- - -- � RETENTIONFEE: �..�',�.�j�� i�-Q� � � � � a CONSTRUCTION LENDING AGENCY PRE-AlT FEE: �' �" ' � � � ' � IXERE6YAFFIRMUNOERGENALTYOFPEiUURVTMATTHEPEISACONSTFUCTIONLENDWGAGENCY - '� � - �Z- FOR TME PERFORMANCE OF TME WORK FOR wHICH TF115 7ENA11715155UED(SEC.709'!,CIY.CJ. . _ ' W . . . _ . .. .. ... .. . _ '. . ' �, . � � LENDER'S NAME - � F- LEt�DER'SADDRE55 . .. . . .. _ .. .... . ..-. . .. . ." ' ' . . . /' ¢ .ICERTIFYTHATIHAYEREADTIISAPVLIGITIONANDSTAlETW1TTIEABOVEINFORMA7qN15CORRECT. TOTAL FEES � � / � /� S� ✓� �. W IACREETOClJIAPLVWITNALLCfTYANDCOUNTYORDINANCESANDSTATEUWSREUTWGTOBUILDINC �� �� �� � � � . L� � � CONSTRUCTION,ANDNEREBYAUfHORIZEREPRESENTATIVE50FiNISCWNTYTOENTERUI'ONTME . ' ' z ABOVE�MENTqNEDVROPERTYFORINSPECTKKJPURPOSES. COMMENTS � � C��L-�/L/1��!/ . . .. " '.._.. . . ""_ " ' . ... �..�N :PERMI� �(PR7NT) �.��'. ` � •'�. _ •:'.�O/�/l�. ' . ... .. _ . ....... . , � SIGNAT PE FE , ' ` OAT��� � � RECPT.N0. PAID BY VALIDATI � �- - �- � ��� �- - - � WHITE-0epertment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy - - - . . . . ..;;.� . . , , ,.t�.:.'�... . � ...� .. ..t�; . „ r.ar.�rC'�.. l. .n\ ...�'y.Tl , .��i, �F. . . .. � r . ' .i...n.-.,. . ... � ' .. . 1 �•R� . .�... .. � •'�. .. .e. .. . • ..� . ' . . . .� � `� _ � .\ . �-`�, CITY OF DIAMOND,BAR .�� :: ;;�:;��; , = � �, �`�. INSPECTION RECORD ' ; , � . ' - � ��� �� .�,�, � �;�,,: , • r � • • - � � � � • - . _ . , , _ SET BACK: � ' ' FLOOR JOIST •- ,FfGS/FORMS/STEEL_ -� O t 97 ' - ,�i},� FHA REflMTS � ' ' , . - - �ELECTRIC GROUND - " UNDER FLOOR DUCT - - ' - � -- � GROUND PLUMBING UNDER FLOOR CONDUIT ' • _.. . �, . _ • • . SLAB GRADE - � � � ' FIREPLACE FOUNDATION _.:_ � -- - � - " �TEMP PaWER - . -- - FIREPLACE BOND BEAM '-=-' :: - :_-,'• • +�. : WATER SERVICE ' - -• ' - • MI0 HT:BOND BEAM-,` �- " ' - ' `- - ROOF SHEATHING 8 FT.BOND BEAM ' FRAMINGNENTILIATION . L � FINAL BOND BEAM - ` --" ` ` " • . ROOF COVER-----. ... _. ..-- - '. ...._.. PRE-GRADING- - - � ., , ROUGH HEATING --= -- - - --` ' BENCHING - - - -� , ROUGN ELECTRIC - � � . -- ROUGH GRADING ROUGH PLUMBING -: �� - '�. _� , - F,INISH GRADING � • SHOWERlfUB TEST - � ' - � : POOL ELECTRIC • • ••. EXT.LATH/SIDING POOL FENCING ' . WALL INSULATION ' POOL FINAL • � - .• CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING � DEDICA710NS • • ' j SEWER __.___ ... . ..:. FINALENG. SEPTIC TANK . . : .... _..': -' �:� �'•. LANDSCAPE/1RRIG... ` . SEEP PITlL.L. .:... . . -.. . - -� - - -- ON SITE IMPS. GAS AIR TEST ' � -- -- - - FINAL ZONING ` - _ , ; FINAL CONST.-, � - u lj - - �FIRE DEPT.FINAL � - � FINAL HEATING � ��- - . - - - -. - -� HEALTH DEPT.FINAL- � --- FINAL-ELECTRIC - - - �-- � " -- �DEV.FEES PAID �` ' 'FINAL PLUMBING ENERGY. , , _ \ , . � .. _- ,, � . __ _. • • - . . �. _ . . �, . .. ,_ , _ _ - - --- COMMENTS . :.; t . . _ . . , - �'' , _ _ .. _ . . . _ : . _ - - - � •� : ; . -- - � , . � . - - �� , . � , : . . , • -- . . . ; . . , . . . _ �n..� ~t��'i __ � - . - . �� . . ._ .. ', . SEPTIC TANK SIZE ` SEEP PIT/U SIZE � . -.. - �, . _ . ._ . - - --. _. _ . __ _ t • . . _ . ` Sfr�;� � 2 . � . , . � ; � � . . . . , . . f