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HomeMy WebLinkAbout14693 (20) � . _ _._.. . . � _a'1��w.01 SNO�'''� � "' � � CITY OF DIAMOND BAR ��� --� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� � 21660 E.Copley Drive Suite 190 � � '� (909)860-3195 Fax(909)861-3117 PR ESS . ''����� BUQ.DING PERMIT APPLICATION • FIRMLY y JOBSITE � APPUC�ON � PERMIT P/C o ADDRESc�.�j'U �C� cAIG,J J`�D __�� DATE ('� � I�f� � NUMBER� N $ _ ISSUE �/����� TYPE OCC APN LOT ' TRACT DATE CONST. GROUP p OWNER � ADD SS � M� Ci ZONING SETBACKS � C�7�( IP9.7,QL TEL. t FRONT RW ❑ APPLICAPIT TEL. REAR ❑ � SIDE/SIDE STREET RW O CONTRACTOR � SIDE D � ADDRESS CITY ZIP. TEL. PROPOSED USE o ARCFUENG/ , � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CRY ZIP TEL. N DESCRIPTION S4.Ff.' FACTOR PSF ADJ.AREANALUATION � � _ . OWNER-BUILDER DECUIFlATION SFR/ADDIREM O p I HEREBY AFFlRY UNOER PENALTV OF PE0.AIRY TUT IAM E%EMPT FRdA THE COHTMCT'ORS L4 Garaga�CarpoA iil CENSEUWFORTNEFOLLW/MORFASON(SEG70.71.6BUSWESSAN�VRCFESSIONSCOOEANYCfiYOR (n � COtIlTYMA7ICHREOUfiESAPERMRTOCONuTqUtt,IliE0.MPROVE.DEMOUSN.ORREWURANV57RUG W P211Q�DBCk _ TURE,►RIOR TO R7 ISSVANCE AL50 REWIRES THE APPLICA!!T iOR SUp1 PERMIT TO FI�E A SIGNED W � SiATENENT iHA7 ME OR SME IS 110EN5ED iURSUMT N THE iROV1510N3 OF THE CONTMCTORS L4 . � CENSE UW(GIAPTER i�COMMENCNU W1717 SECTION 7aoo)OF DMSION]OF TME BUSINE55 M1D FN6 � PooVSpa FESSqN40JOk10R iIUT NE qi SM[IS IXEMi'TTMEHEFROM AND THE BASIS FON hIE 1LLLEGE�EXEMP• T10N.ANYVIDlAi10NOFSECf10N7rcl1.69YINYAVPUCAIITFONAVERMITSUBJECTSiHEMPLIGWTTO Z Re•Roof � AGVILPENALT'OFNOTMORE7HANFNEIIUNDREDDOLUAS(f500I1' ' ' � OI��WNEROFiHEPROPERTY,ONMYEMPLOVEESNnTHWACfSA:iHEIRSOIEO�MVEN5AT10N,� � O COmmO�Glal MnLL 00 h1E WOi1K,/ND THE 9TRUGi11RE IS HOi MENDfO OR OFFERED FOR SALE(SEC 7oa�,BUSI- J NE54 ANO iROFE5SpN5 COOE THE OOMMCTOR3 UCCNSE UW DOES NOi 117C1Y TO A4 CNNER OF N VROPE11TY1M10BUlD5d{MPRDVESTMEREON,MDIM�OOOESSUCHWORKHIMSELFORHERSELFOR m � THROUGHWSORHERO'NNEI�PLOYEES.VIIOVDEDTIATSUCHWPROVEMENTSMENOTNTFNOEUOf1 , OFFEAED iORSALE F.NOWEVER711E BUlDP100R MPf10VEMENT C SOLD WITMIN ONE YEAN OFOOMPLE- •�TION,iHE OWMFR�ULLDER VALL HAVE TME BURDEN OF VROVN6 THA7 HE OR SHE DI�NOT BUILD OR MPfqVE FOiiT11E AIRPOSE OF S�LE� �y OlA40WNEROFTIEVROPERiV.AME%CLUSNEIYCONTRACTNdWITHl10ENSEDCONTMGTORS � TO OONSTRUCT TME PRO.IECt(SEG Ias1.BUSIN[SS ANO PROFESSIDNS CODE TME COI1fRACTORS l4 Vdl{10SIOf1 ADJ.AREA� CENSE UW DOES NOT MPLYTO AN OWNER OF A PROPERiY WHO BUIDS OR IMPROVES TMEHEON.AND � NRqCAH�MCTSFOfISUG1VROAECT9YA7NACONTRACTOfyS)LICENSEDRIRSUANTTOTIIECOHTMG pUANTITY DESCRIPTIOY FEE � iD0.5 LICFNSE UW.} . O I M1 IXE1.�PT UNDER SEG B.f P.G FOR THiS RE�SON � �f 3 � . � ' �= DA7E OWNER � f' � W ' � . LJCENSED CONTRACTORS DECLARATION W � .- � IHEREBYIIFF6WUNDERVENAITVOfPEiWRYT/uT111MLIC£NSEDUNDCRVROVISION90fCHA0TER Vr , � � �(ODM4ENCN0WRHSEGTION70001�DMSION�OFTHEBUSME55ANDPROFESSIONSWDE,AND Z W UCENSE IS N Ml ORCE AND EFiEGT. ./'� m � LICENSECLASS LIC.NO.� ' l,Q�� � v � � H .�'�'j DATE �CONTMCTOR d � WORKERS'COMPENSATION DECLAtiATION a � U N IHEREBYAFFIRAAUNDERDEN1ITVOFOERIURYONEOFTHEFOLLOWIN�DECLAMTIONS: � � � Z a � _IMAVEMUNILL►WNTAPIIICEHTIFIUTEOFCONSEMTOSElF�NSUREFORWOR1cER5' 2 COMPENSATql1,I�SPROVDEDBYSECTqNJT000FTHELABORCOOE,FORiHEPEFFORMANCE W OF TNE WOf�K FOR WMCl1 T1NS VEIWIT 6ISSUED. � � X LIHAVEANDN9LLAWMAPIWOAKER4'COIA7ENSATIONIN MNCE,/�SR[ONREDBYSECTION O �1000F1HEUBORCODE,FOH EPER EOF � WORKFORWMIp17HI5iERMITIS t55UE�.lAYWORK P TqN 5 CEGA 'E Il�POLICYNUMBENME: CONSTRUCTION � �iEp � PLAN HEVIEW -- � POIICY NUMBER �jSa�y-A • - ELECTRIC ./{��� - Q (iHSSECfqNNEmrqT8E00AitEipoPnEPEa.�iswaor€li�o[QuusR+w7a+1F55} PLUMBING �r'-■ Z IGERtIFYTUTNTHEPERFWWANCEOFTIIEWOFICFORWNiCHTN�57ERUITi5155UED,l MECHANICAL (J 6FULLNOTEIA7LOYANYPERSONPIANYMANN[RSOASTOBECOMESUB1EttiOTMC � N9PKER5'COMPENSATIONUM/SOFCAL�FORNI�,ANDAGREETMATIF15110ULDBECOYE INSPECTIONFEE S SU&IECiTOTHEYYONKERSCO�A�EN5AT70NiROV1510N50FSECT10N77ooOFTH[tMOR -�a � COOE.I SW�ILFOR1FM1VfiHCdlttYMrtT}1 T1iOSE VROVISqNS. ISSUANCE . o SM�P riz�r oF rnAMONU p DATE: APPLK:ANT: � � T� A .�/ . � � WMNINO:FALURE i0 SECURE NARNE115'COrdPENSATION CDVEMGE 45 UNUWFUL AND SMALLBE ENERGY P/C 8����r AN 1 J�!'�1 i SIAIECiANEMVLOYERTOCHMRULPEN�LTIESANDCMLFINESUPTOONEHUNDNEDT/f0U5AND ENERGYPERMIT ' � � OOLLMS(f 100.0001.Nl ADORION TOTHE COST OF COMGENSATION.DM�AOES AS PROVIDED FOR W � SEC710N�7alOF7HELABORCOOE,INiERE5T,AI.D�TfONNEYSiEES ' RETENTIONFEE: � pW.. CON5TFiUCTION LENDING AGENCY PRE-ALT FEE: � O � IHEREBVAFFlNAl1NDER .NALiYOFVE0.IURYTMATTHERELSACONSTRUCiIONLFNDW011G[NCY fORTMEFERWRM�VlCE FTHEWORKFORWMICMTNISCEiW�TI5155UED(SEGloV7,CIV.C.F � IEHDERSrW.�E 1(� � ' � LENDER'SAODi1E55 � IGERTIFVTMATIFIAVEREAOT99MVLICATqNANOSTATE7TNTTHEABOVENFORMATIONISCOMER TOTAL FEES � � w IAGREETOCOYPL'lM7TIALlGT'ANDWIMTVORD?1MlLESANDSTA7EUNBREUN+�TOBULDING � � � CONSTRUCf10N,ANONEREBYAUiMOfUZEREGflESEHiATIYE50FTMI50ClRlTYTOEMERUPONiHE. . � S� ABOYE�MEM%X1ED VROVERTY FptINSPECTqH P RPOSEA COMMENTS O J ' � m PEiWI7TEENAAI � �1. _C' ' A � (A EiONANREOFPENwT1EE a'TE T, , _ RECPT.N . PAID BY VALIDATION • � ... ., , _...,,,. ,r _ . . . ., , . ,,. . . . _ . , , , . .� .. . , . . . , . . . ,,.. ,.... .., . . , . . ... _ . �r.- . . . , CITY OF DIAMOND BAR �.; . , , •, ;.-� ° - • , .. ..,_. . .. .. . .._ .- -� . - .. . . :- . ' " � �' INSPECTION�REC�RD; '� ' -� - - , . ... . . ;: . . �, ,. - ,; . � - �, ��ex,_. cr o � � • - � • � � E o � � SET BACK .� . r,1i.�,.��� ... C_; ,` ;,� ' � FLOOR JOIST � ,'� :�; ,`.' �, - ;'; =�: ".. . _ FfGS/FORMS/STEEL ;. _ 1 •,.--. ' --�� 1�'• ' :FHA REQP�ITS -- - --- -- . _. � . . .. .._.._ . - ELECTRIC GROUND ' ' �J -� � � '' UNDER FLOOR DUCT �'. ��' . ) '' _ GROUND PLUMBING • � � � UNDER FLOOfi�ECf�tDUIT��,— .�:.i;+ '� ." ;/-�.i•L., ^ , 1 .��. j �' ,. . . ., , _.. . ,_ , . ' . Sl.�1B GRADE - � - :- .- FIREPLS4C�'FO�-JND/aTION �':% `=-' r �- .-•—•-s-'=�,Yit:'� •: . _.. TEMP POWER--- - `•.�. . .�,�:.: ...: . FIREP A�L��BOI�D B�AM.. ' ' � - ��. ��...... . . . , . , .. ---- ---- - .. -WATER SERVICE.:. ..:.- - --:...-_ - . ..: - .. . . _ . MID HT.BOND B�A ....��r�..�.;:,,� ; :,__ .. . , . ROOF SHEATHING � - - - ' 8 FT.BOND BEAM'� � - � �� ' �" -• i ::• FRAMINGNENTILIATION � FINAL BOND BEAM p '. • °'. 1 . ROOF COVER .' . . . � PRE-GRADING � � � - ��\ (�1 ROUGH HEATING-..-� - -- - -_ ._ -- ..- -- ---- BENCHING , ; . . , . . , �ROtJGH ELECTRIC -- � - - � ' � ROUGH GRADING ROUGH PLUMBING"� - -- " FINISH GRADING . SHOWER/TUB TEST �� - --- �� - --- - - - . POOL ELECTRIC • • EXT.l�1TN/SIDING ; POOL FENCING ' WALL INSULATION � POOL FINAL CEILING INSULATI�N � OFF SITE IMPS. • - • � , ' DRYWALL NAILING ' DEDICATIONS , SEWER FINAL ENG. . • : � SEPTIC TANK . . . . LANDSCAPFJIRRIG. SEEP PIT/LL: - = � �-- .-. . ON SITE IMPS. . ' ,GASAIRTEST �• ! - , - - e - � FINALZONING FINAl:CONST,-� =�=--; � ''f-' ' � �"� =--� FIRE DEPT.FINAL �FINAL HEATING- - - � -� ' - HEALTH DEPT. FINAL FINAL ELECTRIC - ��.� , - DEV. FEES PAID . � - - FINAL PLUMBING ENERGY � • . ,�� ,�,-� �;, .. . . . ,, � . � '.� �#'.F�.!� . �� : �, '.� . _ �— ------ - -... .._,.. .... . _. ._ - - -.. _ . _ .. . _ . . .__..__... _ � . . .. _.. . 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