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HomeMy WebLinkAbout15462 (20) - -- _._ ._._.---._� . ...-----� -- ---- l��� ' J� CITY OF DIAMOND BAR t' _ _. i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES r �� 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 PRE$$ �'��'� BUQ.DING PERMIT APPLICATION FIRMLY o� JOBSITE r� APPUCATION� l S w PERMR �� , P/C ADDRESS DATE NUMBER li � APN� LOT �Q � TRACT C1 D n DATEE �� `'"' �CONST. GROUP p OWNER GN T GL � � • /S� p ADORESS�_/_7' ,SO• �.Q yan+ �( ZONING SETBACKS Z CITY GV4L�✓v"T ZIP�/7QS TEL.rj REAR RW ❑ g APPLICANT TEL SIDE/SIDE STREET RW ❑ � CONTRACTOR •L- e ,rsT SIDE ❑ � ADDRE S •' . CRy .-.� O /a . Z�p S/O/6 TELG�26�f i 37�G PROPOSEDUSE ' � ARCH/ENG/ DESIGNER r / G 2- � NO.DWEL NO. N . ADDRESS � " UNITS STORIES BEDROOMS � CfTY . ZIP 2 EL s 'y N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� ONMER-BUIIDER DECLARATION SFRlADD1REM O p 1 MEREBV AFFlRM UIDER iEWLLTY OF VERIURY THAT 1 AA1 E%EMPT FROM iH[CONTMCTOflS L4 G8r8QB/CB�pOR ll� CENSEUWiOqTHEfOL10YVINOREA50N(SEC70.71.6BUSiNES3AN0iROFE5510N5CODLAH'/CRYOR (n Sy7 -MUNTYWMCMRiOUWESAVERYRTOCONSTRUCT,�LTE0.�PRDVE.0EAA0USH,ORRECAIRANY6IWJG W Patia/Deck t� NR�PitlOH TO RS S9UANCE,ALSO RLWIRES T1E MPLIGAHT FOR SUp1 iERMIT TO FILE A SiGNED W ETATEMQfT THAT HE OR SHE IS UCENSEO PUFi5Ui1NT TO THE iROV1510N5 OF iHE COHTMCTOR9 L4 � GENSE Uw(p1MTER i(COMMENCINO YrtTH SELTION 7000)OF DIYISION]OF THE BUSiNE55 FND iRP � PooUSpe FESSqNS COOE)�71WT HE OR SHE IS El(EMPT TMEREFHOM AND iHE 8A515 FOR THE ILLLEOED E%EMV- TqN.ANYVIOLATqNOFSECf10NT0�1.6BYANVAPOLICANTFORAiERMITSUBIECTSTHEMPIICANiTO Z pa.q�1 �,,,, �ervu.c�n oF nor uo�n�w cnre�en+onEo oauns�ssao�.r. O ❑4A+�EROFIHEDROPERT/,OR4YE�DLOVEESWITV1wAGESASTHEIR50LECOlADEN5ATI0N, � (`,pmrtlOfClF11 � Z SVN.I DO TNE WOiK AHD THE STRUCTURE IS NOT IMFNDED OR OFFERED FOR S1LLE(SEC.7oat.BU51- J � NE55 NO VRDFESS�ONS CaDE:THE COHTMCTORS LICENSE Uw OOES NOT APPLY TO IW OWNER OF � P110PEATY riFq BULD9 OR MPROVES THEREON,AND WMO OOES SUCN YIOFiK NIMSEIF OR NERSELFOq � iTo1Q10HNISORNEHONR1EMiLOYEES,VROVIDEU7MATSUGIMPROVEMEMSARENOTMErWEUOFi m OfFERED PDR SALE.IF.IION�EVERTME BULDVK7 ORpIPfiOVEM@!f IS SOID WIMN ONE YFMOFCOMPIE• �iION,THE OM7iER�BURDER WILL WWE THE BUROEN OF PHOVINO THAT HE OR SME DID NOT BUIID OR MVi10VE FOii T1/E R1RP0.5E OF 9AL�- W OI�OMMFNOFTMEPROPEHiV,AME%GlUSN[LVCONTMCTIlKiN7THLICENSEDCONTMCTORS � TO CONSiiWCT T1E VRQIECT(SEC.7a�,BUSME55 AND PROFESSIONS CODE:THE CONTMCTORS U- V21UeGOf1 ADJ.AREA CEN3E UM�OOES NOTAYPlYTO AN ONNEfl OFAPROPERTlYY}q BUILDS OR MPFlOVESTH[REON.MO � YMqCOHfRACiSFOF{SUG1iRO1EC?SWIIHAOONfRACfOfi(5)I�GENSEDPURSUANfTOTMECONiMG p�q�Ty �ESCRIPTION FEE . � TOR4 UCETISE UW.). ' O I/JA EXEAIVT U7DER BEC. B.i V G iOH iHiS REA50N Q � U t� � DATE OWNER V � LICENSED CONTRACTORS DECLARATION -� � w IMERfBY11iFIR11UNDERVENALTYOFDE0.A1RYiN�TIAMLICENSEDUNDERPROVI5lON50FCHAPTER � � �(COAIAIENCNO WIT115ECTION 7000)OF DM510N 7 OF TME BUSINESS N!0 PROFF5510N5 COOE,ANU Z W UCENSE IS N R1lL FORCE AND EFFECT. m � LICENSE CLASS LIC.NO, � Q Z � pArE rA Cwrtw��cTOR L a W � WORKERS'COMPENSATION IAHATIO�I /`�G� N1 HEREBYAFFlRMUNDER PENALTY OF FERNfiY ONEOF THE F . Z Q � �IINVEAND�MILMANTNNACE1tTIF1U7EOFCONSENTTOSEIF-INSUi1EFON E _ . Q�YPENSATqN,A4VROVIDED8Y5EGTION]7000FMEUBORCAOE,FORTNE RM U � �WOi1KFORWNICHiMISVERMITI5155UED. � � �IHAVEAFIDYYILL4AMTAOJWORIlERS'COMPENSAT70NINSURANCE,A9REOUIREDBYSECTION � � 1 /�� d 77oDOF1/1ELABORCODE,FORTHEGERFOPMMlCEOFTHEWORKiORNM111CHiHI5PEIWITIS �� _. . .� _...ISSUEA W WO RS WMPEHSATq[11NSURIWC�RRIER,AND VOl1CT Nj1MBER ARE:._ _ _ __ CO TRUCTIO Y � GRPoER �S NE i�. P N FEVIEW � PaiatruueER ' EI�TRIC � IJ p (n4SSECIIONNE�wiBEOCtiYtEiEDOFnEGEwdtsFDitaNE R� pt� PLUMBI Z I CER7IFY TUT W iHE OERFORMANCE OF THE WORK fOHri711LN n5 VERM I ,I ME ANICAL � SIULL NOT EMVLOY ANV CEfi50N N/�M'M►NNER 50 AS TO BE E SL6IECT 70 HE �/j WOPo(EHSCOMPENSATIONUWSOFGLL�FORNU�ANOACRE NATIF15110UlDBECOAI[ SPECTIONFEE�- SUBJECTTOTHEWOR1cER5'COMPENSATqNPROV15iONS0 ECTqN770oOFTMELFBO s coo�,isnu�ronn+mn+corar�rwirntHos¢rnovis s. ISSUANCE _ ++� �. ���• o 0 0.47E: APGL�C�tHT: SMIP ��QF D[AI�T� ...�r ENEFGY P/C r+t r T7�, � WARNINO:FALURETOSECUREWORKERS'tOMPENSATqN MGEISUNU . �SWLLLBE �� TZtk'��, ��L � � SUBJECTANEMPLOYERTOCANABIALPENALTIESM'DCMLFWE REDiHwWID ENERGYPERMIT OOlURS(f 100.000).N ADDI110N TD THE CO57 OF COMPENSATION,DMMGES Il5 PROYIOED FOR M ¢ SEC710N77oeOFTHELABORCODE,NTEREST,ANDATTORNEYSFEES � F1E7ENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE•AlT FEE: O - � IHEREBVAFTIN.IUTAERPENALTVOFGERNR'�iHAiTHERGISACONSTRUCT10NlFNDP10ACENCY Z fORiHE iERFOM/ANGE OF THE WOFiK FOR WNiCM T11iS PERMIT IS ISSUED(SEC.7oY7,CIV.C.). W � LElI�ER'S NM�E � LENDER'SAOOHE55 /''� � w ICfRTIFYT/UTIIUVEREADTN15APVUUtqNANDSTATETUTT1EbBOVENFOfWAT10NISWRRECT. TOTAL FEES �� /.5S � IAOREETOCq.�7LYWfT11h11.CT'IWDCOUNTYOFDINANCESINOS7ATEUWSPEI.ATINOiOBULDINO ✓�. � CONSTi1UC'iION,ANO HEREBV AU7F10R¢E REPRESENTATNES OF THIS WUNiY TO EHfER UPON iNE ' S� ABOVE•MEMIONEDPPOPERT'lfORINSPECfiONPURVOSES. COMMENTS � _ /� vT i�fl�— m PERMRiEEN/W � N , ... ! G � SKiNATUftEOF EHM� EE OATE � RECPT.NO. PAID BY VALIDATION WHITE—Departrnent COpy.YELLOW—Finance Copy,PINK�AssessaCopy,GOLDENROD—File Copy,GREEN—ApplicanTs Copy ' �:�'.'Nr.4lt�i7••.•�;;' .. . .. .� . . .. . .. . • ' . . . . .. . - . ...... . -., : . . . , •n � CITY OF DIAMOND BAR � • ... ,, .•�� I��lSPECiION RECORQ . . �.. ,,� _ � y�.�:.4��.lrl� '.6 �� , t- � IA� � E ��'�-� � \�.r!��'�.::+r.� . SET BACK . � .�� - i i r � , i `\: ., FLOOR J015T .....__.�.�,�,._. .,.v`.� FTGS/FORMS/STEEL: ' ' � ; .� � '� � ' FHA RE�MTS � �. ` -. ."_ _ - _ - ELECTRIC GROUP��J(j,(,�'.��=�-r_ � ' UNDER,F�OOR DUCT�•• ' • � � � :GROUND PLUPJIBING v� " UNDER. ' .CO�!DUIT . �- _ �.f��, _ - � _; . ' ,�. ��L : . . .. SLAB GRADE- -- ---• - ' --- - - ' FIREPLACE'FOUNDATION ;�' ; �" � � , �TEMP POWER - . _. � FIREPLACE BOND BEAM = � WATER SERVICE � - MID HT. BOND BEAM . • • �• ' • • • i AOOESHEATHING.:t.'r�_+ `,s�:-.`.. ;�`. �... `s - '. . r'_ 8 F7.BOND�BEAM , . . - . • � _ . _ ., , � .. !FRAMIN�^,NENTttiA�'ION'-', FINAL'BONO BEAM , ; ' ' ';ROOF COVER �'� PRE-GRADING . . � • � • �� ' ` ; 'ROUGH HEATING - - BENCHING' '.�.:�_ �� .- ` �. � '� ;ROUGH ELECTRIC . " •ROUGH GRADiNG - - � �`' - - ;ROUGH PLUMBING � FINISH GRADING 'SHOWER.rfUB TEST ' � POOL ELECTRIC EXT.lATH/SIDING - - - - - - POOL FENCING . ; i�`JALL INSULATION � POOL FINAL �CEIUNG INSUTATION .. OFF 51TE IMPS. ' ; �:: ��RYIPJALL NA(LING- DEDICATIONS . ; ;� !SEWER - .... . FINAL ENG. � I ; ;SEPTIC TANK LANDSCAPc/IRRIG. - ;SEE?.PIT,'LL. • ON SITE I�APS. � , �G.AS AIR TEST � ' FINAL ZONING - -- �FINALCONST._. . _ ... ��22-� _ ____ FIREDEPT. FINAL � ' •FiNALHEATI�G _ � HEALTH DEPT FIhAL - - - ' �riiJAl.ELECTRIC - � •- DEV. FEES PAID - ' '� --- i�l"IAtPLU�ABINu - - - � -- ENERGY. ' ` � ._._ . ... .- - --- ... _ ; I . i . --.--- ,.. . ... ; - --- � � .. , . _._ ;�w�-r�.i� „,�ere�. � ' • - - •:s _`��_ ...:a._ .�-t=! _._ .. . . ._. _. _ _. _. _ .-'-_--- - - - ---._____ . ..._. ... -- _ ; . ` \ ... , • ;- . .;. �COMMENTS. .. . . . - -�•::. .� ; , ., . . . .- -- _ , ; � . ._ , ;� ,� , ., _' -.:. ,�� \_. i i • . ` � � : �. � � �: . , ., -. • ,. � , , . : _.._ ` . . . � ' ; ; � \ \ . . -- .. '. .' ' _:.�,.:, — � t..�... , , .. _ . �,�_��; , ..��;. , . ... . , , . �: - 'SEPTIC TANK SIZE - ' ' � � � � " " !SEEP PIT/U SIZE , - - - � ,. . . �, ! ; ::,:�`.;���. _ � . ; ; — ���.�� �F. . . ..I � . � . �_ � _. .. ....� . ._ . �. . . . . . . . • ;:•,;-_. . ._. �� - . _ - � . i f . . . . . _. . _ - ,y��_ �:�. .:,�� ... . . . -, � �* i�' . I . -.- . ,-_ � , _ • .\ � . i .+ .4 __. . .. �.. � , . . , _. . � � :�.� , � ,M,-� � i. .' ' . , 'i.i�• '�� � - , . ' ' . . ���..._�r...�._. _'a ,�,, 1 I , �`� '\� - . .