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HomeMy WebLinkAbout12605 (14) �� CITY OF DIAMOND BAR • � � � �' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � �e 21660 E.Copley Drive Suite 190 . . .. (909)86Q-3195 Fax(909)861-3117 PRESS � ��'��� � BUII.DING PERMIT APPLICATION � � � FIRMLY � JOBSITE /J'� ,�/ ?._.t/��� �� � , APPLICATION 0 Z3 9$ NUMB R ��� x/C���J�� � o ADORESST�! V � U/�/ OATE $ ISSUE IYPE. • OCC APN LOT TRACT DATE � CONST. GROUP � OWNER O ~ � ADDRE ZONING SETBACKS � CITY ZIP CA' TEL. FRONT RW ❑ APPLICANT TEL. REAR ❑ SIDFJSIDE STREET RW O � CONTRACTOR ' � - SIDE O � CnDRESS ZIP TEL. PROPOSED USE ' o ARCFUENG/ � ' � DESIGNER - N0.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION ' �SQ.FT.•- • FACTOR PSF ADJ.AREANALUATION � , Q __ OWNER-BUILDERDECLARATION._ SFWADD/REM�. � ' ' ' ' ' � O p I NEREBY AFFliqA UlIIIER PENALTY OF PEMIRV THAT I AM EXEUPT ii1011 iHE CtklTMMORS l4 .G3 f809IC8ry0A W CENSEUWFOi17HEFOlLOWNONEASONI5EG7071.68u5P1E55ANDVROFE55qN5CO0E:ANYG7YOH (n _ U OOUffYYWHICHREOV�RESAPEFVARTOCONSTRl1CT.ALTERMPROVEDEWUSN.ORNEVAIRANYSTRUG W Palio/Dack _ � LL� TURE,P1110R TO RS�SSU�NCE/�L50 REWIRES TME 11PPLICMIT FOR SUCH PEIUAT TO fllE A SIGNED W � S7ATEMENT THAT HE di SHE IS 11LENSED PURSUMlT TO 7HE PPOY�SiONS OF TME CONTMCf0f15 LF , _ , . . � CEHSE UW(ClUPTFN 9(COMMENCNO YATH SECTION 70DOI�DMSqN 70F iNE 8U5MESS MKJ PR0. �' PooVSpa FESSIONS COOE�OfiTMAT XE OR SME IS EXEMPT TME1i[FHOA1 AND T}�E BASIS iORTHE ALLEOE�EXEMP• TqN.ANYVIOlAT10NOFSECT10N7471.68YANVAPVLICAl1fFORAPERMITSUlilECTSTHEAPVUCAHTTO Z HB-R00} � ' � ; � ACIV4PENAlTYOFHO'TMORETW7FIVEHUNOREDDOLURSIf500I): . . _. . , . , r . � OIIISOM'NEROFiHEPfqPERTY.ORMYEMGtOYEESMnTHW�GE5A5TMEiR50LECOMPENSATqN, O COTrtfOrCL'll� � � YV�LL D�1ME WOi11C,AND THE SiRUC7UNE IS NOT NTEN�ED ON OFFEREO FOR SILE(SEC.7W�,BU56 J NE53 AHD PROFESSIONS CODG iNE CONiRACTON9 LICENSE LAW DOES NOT APPLY TO AN OWNER OF ( � � � V110DEWTYNINOBUCDSOp11APROVESTMEFEON,ANOWMODDE55UOlYlOFiKN�MSELFORMERSELFOR � `� � ¢ iT1A0UC�IHISWiMEAOWNEMPLOYEES,V1iOVIDEDiNATSUp/11A7ROVE4IENTSAPENOTNifNDEDOR m .- , Q OFFERmfOR3ALEIF.IIOW[VERiHEBU0.DwOORMIPROVEY[NTIS^ IYATMNONEYEAHOFCOMPLE• . Z •TION,THE ER�&liIDER WILL/UNE 7ME 6UROEN OF GROVIIq T11AT NE OR SNE OID NOT BUILD OR R& = Y OR 1NE PURPOSE OF SALE1 - �y,� I�SONNERDFTHEVROPE�`/,M1E%0.USNELYCONTMCTNlOWI7HL�GENSEDCONTMCTOR.^, . _ .. � itp TRUCf TNE VROJECT(SEG 7ou.eUSiNESS ANO PROFESSIONS CODE:7ME CONTMC70f15 U• VelU8ti0n AQI.AREA � CENSEUWDOESNOTAPPLYTOANW�NEROFAVfiOPERTYN?708UM1DSORWPROVESiMEREON.ANO YVFqC+DNTHl1Ci5fOR5UCHVfiW[CTSIMTMACOHTMCTOR(5)LICENSEDPURSUAHTTOTMECONTMG QUANTITY DESCRIPTION FEE � ip115{1 SE UW.�. � IAY E%EYPT UNDEN SEC. B.l P.C.fORTHIS RE�tSON U � V��. .. X I 3 � � � . . , . . . . . LL' OA7E � OWNER � " . � � J . F LICENSED CONTRACTORS DECLARATION W , . � iHEREBYAFFlR41UlOEHVENALTYOFPERNNY7TUTIAMLICENSEDUNDERPROY1510N50FCHAPTER � � . � ' , . . p, Of��ENCRqYYfTNSECTpN7oao1�DM5qN70FiMEBUSINESSANDDROFESSIONSLODE.IIMJ . Z X 1,fY�1GEN5E IS N M.L FORCEAND EFiECL m LLt O 2 r LICENSE CLASS L�C.NO. J . V DATE � � CONTMCTOR a .. ._ W . .. . . � WORKERS'COMPENSATIONDECLARATION • —r . . . , � : . � . I' a � : N U � 1 HERE�'��iN,A UNDER VENALTY OF OE0.ri1RY ONE OF THE FOLLOWLYG DECLAAATIDNS z . � Q . � _IHAVE/INDVAILWMTUNACERT7FIGTEDFCONSEMTOSElFdNSUREFOi1WOPKE0.5' .' 2 �� • �. �, ' � _, . _ , , • • . . � ' ' ' � Q COMPENSA7qN.IlSPROVIDEOBYSECiIONl7ooOFT1EUBORCOOE.FORTHEPER�ON.1MlCE W OFTf15 WORK FOR NMip1 iN15 PERMIT 6155UED. � (. . � _�I HAVE AND V�LL WRtTA1N WORKERS'COMPENSATION INSURANCE.Il5 NEWIRED BY SEGTION � Q i7000F THE 1I80R COOE,FOf1 TNE PERFORMANCE OFTHE WOIiK FOR WHiCH THIS PERMIT IS � •3 I 6 O ISSUED.WNONKERSCOYPENS�TIONWSUNANCEGIRRIERMDP0.iC'INUMBERARE: CONSTRUCTION j uwAien PLAN REVIEYJ . . � VOLICY M1M0ER ELECTAIC s/2"� o (nas[crior+N[mr+orseootistFrmoFnEnErK�tsronar�Krn�rnoatu�s�s:oclantr�sl PLUMOING Z ICFRTIFVTHATNTHEVERFORUANCEOFTHEWONCFORWHICIITNISPENA�TI5155UE0.1 MECHANICAL � - (J SWILLNOTEMPIOYANYPER50NINMlYMANNER50A5TO8ECAMESUBJECTTOTHE y Y/ORKERSCp.�PEN5AT10NUY750FCALIFORNItiANDAGREETMATIF15MOULDBEC06�E INSPECTIONFEE ; � SUBJECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSECiiON]7o00FTHElIBOR ��� OOOE I SMALL FOR7T1WrtT1 COMPLY WIT1 T1WSE FROVISIONS. ISSUANCE 0 SMIP . � p OATE: APRICANE - � �' � ENERGY P/C ` W/�WINO:FMURETO SELUflC 1NDNKER3'COMPENSATION CAVERACE ISUNLAWFUI.AND SIULLBE �y SUBJECfANEMPLOYERTOCiilUP1�LPENALT1E51WDCMlFNESUPTOONEHUNDREDTHOUSAND ENERGYPERMIT pO�WtS(f/oD.o0o1.w�DITION TO ME COST OF CaPENSATION.DAAUCES AS PROVIDED FOR IN u ' — ¢ SECTIDN770eOFTHElA00fiCODE.NTEREST.ANDATTOftNEY5FEE5. RETENTIONFEE: i� . - OCONSTRUCTIONLENDINGAGENCY PR[-ALTFEE: � _�Q�� ' � IHEREBYAFFIPoAUHDERPEN�L?YOFPERNRYTN�TTHEREISACONSTRUCTIONLENOINOAOENCY Gdi THE PERFORMANCE OF THE WapK FOR WNICM TMIS FERMIT IS ISSUED(SEG7oY1.qV.G�. � . � LENDER'SNNAE � �ENOEHSADORE55 . W ICERTIFYT/uTIMAVEREADTHISM�L�CAi1DNM1D5TATETNTTHEABOVEINFOR4ATqNISfANNECT. TOTAL FEES � � � �'//J/�/J/'�}� , p� IAOREET00011VlYYATNALLCRYANDCOIMTYORDIWNLESANDSTATEUWSREUTINO708UILDINO NOU 0 3 19 � /II���A�� ~^ OpN.aTiX1CT10N,ANO HEIIEBYAUTMORRE REPRESENTATNES OF TNIS COIMT'/TO ENTER UPON THE . � �gpyE�MEMIONEDPROVERTYfOfi�N57EGTqN7URPO5E3. COMMENTS o ? ��,`� ,, ���� � � , 4 vEaurtieE wwE�o � - -_f�� _ � ���� . tJ) � SICNA �OFPERwilEFi� � � OATE � , RECPT.NO. PAID BY s VALIDATION ITE—Depertment Copy,YEIlOW—Flnence Copy.PINK—Assassor Copy,GOLDENROD--F7b Copy,GREEN—Applicant'a Copy . . .. . .. . .. , . ....,. . . . _ . .. . : . . _ , . .. .: . : ._ - .. . , , . �.. ,. . . , . � . � , , . _ ....._...._.. .... ._..---- - CITY OF DIAMOND BAR.. � :_ : . : � . : �•��` : =` ''' �INSPECTION'RECORD;,: -, . � _ . . • o � • - � � � � • � . SE�BACK � :>r:,_� l � =�i' � �:���� ' FLOOR JOIST _ :: _"� .7`�� . . , .. . . , _ . , FfGS/FORMS/STEEL /% r � �yr�:!�, �,-''1. , , FHA REQMTS - ELECTR�C GROUND � -: � �� --� � ' `, �� �1 � UNDER FLOOR DUCT F . •,; � � - GROUND PLUMBING ' ' UNDER FLOOR CONDUIT� _ �• ! SLAB GRADE / � FIREPL'ACE�FOUNDATION . ' `' - = •- • � • ' ' . _.. TEMP POWER . '� ' _ . � '; � FIREPLACE BOND BEAM 1_" '�' -,.._.. ., .... ...., ,,; WATER SERVICE : . � . - . . - - - MID HT.BOND BEAM -- - - - - ` _ .. . . ROOF SHEATHING �' � - -- e FL BOND BEAM � - FRAMINGNENTILIATION ' .Z `� FINAL BOND BEAM ' � ' ROOF COVER . - PRE-GRADING � � • ROUGH HEATING _ . _ _... . __.... ,. -- - BENCHING - _ � � ROUGH ELECTRIC -• ��- �t8 "� ._ _ ROUGH GRADING • ROUGH PLUMBING - � -- � �- � :� FINISH GRADING � SHOWER/TUB TEST� �- - -� -- - � -- � POOL ELECTRIC � � EXT.LATH/SIDING ' � � POOL FENCING WALL INSULATION �j � � POOL FINAL � CEILING INSULATION �r� OFF SITE IMPS. � � DRYWALL NAILING � � � DEDICATIONS ' � SEWER _ . _. FINAL ENG. - - __.._.. - .SEPTIC TANK _.. - , .,,.,' ; -.. LANDSCAPEIIRRIG. . ��, � • SEEP PIT/L.L. .- - ---` . . ' ' �' - QN SITE IMPS. , �GASAIRTEST �� . ,� - � �. , = ,, ;.. - FINALZONING ,� � �, FINAL CONST., �- � `' ' • ` `��' FIRE DEPL FINAL i\ FINAL HEATING -�- � ---- � HEALTH DEPT.FINAL . ' � • �' ` �' �' ;��.. ; - FINAL ELECTRIC - DEV. FEES PAID � � ' � , � , FINAL PLUMBING "Z � ENcRGY � � � i �=Ike '' •� , . � ------- . ,.: - ---.---...----' -- ---�- --- � -....... _----------�- - -----. ..- ---•-- � COMMENTS Jl-���4�3 `�1,���e�Py --r�+. = �- `�--��� .��+ ' - ll=�(.=�LB'.1..+, � - _ ... , iQ� ' ��c� ' . �. _. , ... ' . , c•, � `� ' ' ' � � - , -. � , , _ .. _.. .. - �c. � � ;�� . .� _,-- ; � - � , - _. , .� . . ---==,1'-- . . , _ . -. � , BEPTIC TANK��SIZE f;��, 1 �.,�E � ; ' � . . SEEP PIT/U 81ZE c;;_.�j } ,� � � � � . �.._.__..�.�...� ; .. .. (�lh`� :_ . � . . ' � _ .:t..-� .J: , _. . i i , ,. . . .. . . , � .r� � tC.�� l, ' `�r` , . .. � ! , , � , . ; . . � . ; _ -� ....., -. , � . _._ _ _. _ -- � 1 � `• ., �, I . _ ._ .[1^�tI����)'.!i � l�.� 'i 1. y .... .._ ... ... � . _ � . . ..... . : . ._ . ..._ _ - " . `.1'1f1f. !t?J1 ..' . �'�fn.:tjl��. .._.......-'---�� ! I •.�a- �., , . .. ., .. .. , .. .. ... _...... .... ... ..:�. :, _ ......... ..._.. . . � _..._.. _�J. , '�I. ,�.. a �=. • , . ` ,.�� ' ' /