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HomeMy WebLinkAbout11663 (5) CITY OF DIAMOND BAR � ' • �• . �' ---�� -� DEPARTMENT OF COMMUNITY&,DEVELOPMENT SERVICES 21660 E.Copley Drive S uite 190 . . , (909)860-3195 Faa(909)861-3117 PRE$$ � .�'M'� � BUILDIIVGpERMITAPPLICATION : • . FIRMLY } JOBSITE � n APPLICATION , , c. ,� "_PERMR �. //'`j P/C Gj�•D�3 . o ADDRESS �Z-3 G�ueN��-� ��}1lJE �' ' DATE NUMBER� � � �► � � , D TEE . J�II � I��•_. CONST.. •'�.�, ' � GHOUP APN LOT � TRACT SZL p -OWNER`. . ��. --T—T� "' ADDRESS Gv 1 ' ZONING _ .SETHACKS":• �_;' :. ' i�� ^,' ' t� : � CITY Ct7ST141b�OS� ZI 2- 2 TEL����OI08�3� FRONT_� . � Y • RW ❑ •REAR � �. . ❑ . APPLICANT TEL. SIDFJSIDE STREET � RW ❑ � CONTRACTOR �,P C�w)�� SIDE p ADDRESS g CITY 21P TEL • PROPOSED USE 2 3 w ARCH/ENG/ � �� DESIGNER A�S�-��]L/ Gi'F'G-OYIiI NO.DWEL. � NO. . ' NO. ADDRESS UNITS � STORIES BEDROOMS N CITY ZIP TEL:?f���-�-it�' : • �n DESCFiIPTION SO.FT. �FACTOR PSF ADJ.AREANALUATION O OWNER-BUILDERDECLARATION . ... SFR/ADD/HEM i 8 I HEREBY AFFIRY UNDER iENALTY OF VEiWRY T/UT 1 MI E%EMVT FROM 1ME CONTRACfORS U• Gflf09B/C8ffl0A � �j ' � CEMSEUWFORTNEFOILOwINciNEA50N(SEC.70.71.6BUSINESSFNUPROFESSqNSCODE:ANVCITYOR . (n COUNiYWM1O1RE0URESAPERAIRTOCONSTRUCT,KTER�MPFqVE.DEY0LI5H.dIREPAiRANYSiRUG W PatiaDedc `_3� 7URE PRqR TO RS 65UAHCE,AL50 REOUIHES TME APVLN'dNT FOR SUCH iERM1T TO FILE A SIGNED W STATENEM i/1Ai ME Oq SHE IS UCENSED R10.5UANT TO THE VROVISION9 OF 1HE CONTRACTORS U• � � CENSE UW(QIAPTFR 0(CO►1MENqNO WIiH SECTION 70oa)OF DMSION 70F iHE BUSMESS AND PiIO � PooVSpa � ,' ' • � � FESSqN5CO0EJOR7}iA7HEOHSNEISEXEMPTiHEHEFAOMAND7HEBl�41SFORT11EI1LE0E0E%EMP• (� TIDN.ANYVIOLATIONOFSEGTION7W1.lBYAM'/MPLKJJ�I7FORAVERMRSUBJECTSTNEAPFLILANTTO Z Re-Roof , �\ , � ACMLVENALitlOFHOTMOREiWWi1VEMUNORE0DOl1ARSp500�.r - . o OIASOMMEROFTH[PROPERTY,ORAIYEMPIAYEESWITHWAGE5A57HEIRSOIECOMVENSATpN. ❑ �mmerclal ' � � - � � � Z WILLDO THE WORIC MO 7HE STPUCTURE 5 NOT tMENDE�OR OfFERm idl SALE(SEG 7ou,BUSb . J � NE53 AI-D VROFE5810N3 COOE:THE CONTMCTORS LIGENSE Uw DOES NOT Av7LY TO IW OWNER OF ? � , . . . PRDPEHiY NT�O BVRDS OR MP110vE5 TMEREON.AND WHD DOES SUGi NORK HIMSELFOR MERSELF OA � . �' Q 7WqUGHHSORNEROMMEMPLOYEES,PROVIDEDiNATSVpiYPROVEM[NTSMENOTPlTENO[DOR m � , � ,OFFEREDPWtSILEF,/qWEYE0.7MEBUM1DIN00HMPHOYEMEMI550lOWfTMINONEYEAROFOOMPLE� - - TION,TME OWNER�UILDER N7LL MAVE TME 6UIiDEN OF PROVNa THAT HE OR SHE DiD NOT BUIID OR � MiPROVFFORiNEVUpPOSEOFSALEI. . ' . . . y� OlA40WNEROF1HEpi10iERIY.AMEXCLUSNELYCOMMCTN6WTILIGENSEDCOMMCTORS . � TO CONSTRUCr iHE VRO.IECT(SE4 7ou,BUSINE551lNO GRO�ESSIONS CODE 7ME CONiRACTOPS LI� VelUet W� ADJ.AREA " � CENSE UW DOES NOT AVVLV TO Ml qN�ER OF A PROPERTY Yhq 6ULD5 OR IYPROVES THEREON.AND -� vnacartrucrs�sua+vnwecrswinucorrtn,�ctoats���c�sEowAsuurtron+Ecarrruc pUANTITY O[SCRIPTION - FEE � Tai4utENSEuw.�. ' _ . - . ._ . . . . . OIMIEJ�MPTUNDERSEG B.tV.GFORiHISREASON a 3 � u.. ¢ DATE OWNER � " ' ' V . . .� . . . W ( . � .. UCENSED CONTRACTORS DECLAHATION � � W . � , INEREBYAFFIIWUNDERPENALTYOFPEiLR1RYT11ATIAMIICENSEDUNDERVROVISqNSOFCHAPiEfl - V. . � 0(COAl1AENUlKiWfTM5ECT10N7am)OFOM510N70FT11EBUSINESSANOOROFESSIDNS[OOE,AND Z ' ' �� MYLICENSEI5NiU1FOliC£ANDEFFECL m � UCENSE CLAS � � LIC.NO. � � V WTE� CONTRACTOR - 1 " d W � WORKERS'COMPENSATION DECLARATION � � IHEREBYIFFlRMUHDERiENALTYOFiEfWMONEOiTHEfOLLO'MNODECLAFU710N5: - Z - � � �IWWEAHOYALL�/ANT�INA[ERi1FICATEOFCONSENTTOSElNNSURCFORWORNEf15' 2 � COMPENSATION,ASF{10VIDEDBVSECTIONJ1000FTHfUDORCOOE.FORTHECERFORM/NCE 1U Q OFTMEWOAI(FORN711GITM1SiEPoA1TISISSUED. � � �IHAVEANDWILLYAARAINWORKERS'COI.IPENSATIONINSUiANCE,ASHEOU1RFn8V3ECTIDN ' - � � � Q �7000FTHEL►HORGODE,fORT1EPERFORMNICEOFTHEMlORKFORWHIp1THISPENMiT15 `�� � f� � 155UED-MYWORKE�RSC�O�A�i/E�N5AT10NIN5UilANCEtARRIERANDiOLILYNUMBERME: CONSTRUCT�ON f � uwAiEA—CI lt'�i/� PLAN REYIEW 1 Z2 5"�73 � va�crwu.eEa_ C Z�,Z .C� ELECTRIC � �sccrr_Hru[mr+or�m.s3FrmcFnfr�tswnor+E�ua��oouus�s�w�aa�ss} PLUMBING t Z ICERTIFYiHAiNTHEVERFOfUW�CEOFTHEWORKFORWHICHTH�SPEW.�ITL5155UED,l MECHANICAL - " U_' SHALLNOT EMPLOYANY GEft50N N INY IAMINER SOAS TO BECOYE SU&IECT TO7HE � M10RKE0.5 COMVEN5AT10N UN50F CALIFORNIA MMJ AGREE 711RT li I SNIXAO BECOME INSPECTION FEE �. � � SUBIECTTOTHEW�Oi7KER5'CdAPEN5AT10N0iqVI5qN50F5ECTqN]7ooOfTMEUBOR � �/ p . 000�.i-�n�oouv�v�n erno�nspas `�� ISSU.4NCE ,�f�—Fj � /� ���T '� p DATE: APPLICANL F•CT��C SMIP . �f0 f IOV w ENEHGY P/C � � WARNiNf];FAILURETOSECUREMVRI(ER5COMPENSA710NCOVERAGEtSUNUWFULANOSMALLBE �y SUBJECT/�NEMPLOVER70CNUNALYENAITIESANOCMLFWESUPTOCNEHUNORE0h10USAND ENERGYPERMIT - - � I� 1 I DOLUfiS(iloo,o00),N/DDI710N i0 TME C0.5T OF CO�IPENS�TqN,DAM�GES AS PROVIDED FOR W ¢ SECTDN770lOFTHELABOfiCWE,NTEREST,►NUATTOqNEY5FEE5. ' RETEMIONFEE: ' I� / OO oCONSTFlUCTION LENDING AGENCY pHE-ALT FEE: ''7� � .../ Q � /� . � IHEREBYAFFlRMUN�ERVENALTYOFPERNRYTHATTMEREIS�CONSTFl1CTIONLENDNO�GENCY �� 1 I � � S /�I/.) FORTNE FERFORIIANCE OF iME WO`RK FOH wNICH T1115 FERMIT IS ISSUE�(SEG]OV7,GiV.C.). . ' � LE1�OEitSNAA�E�6�L . . . . � LFNDERSADORE55 � ICEflTIFYTHATIMAVEREADTHISAPPUCATIONANDSTATETUTT/EABOYEINFOiiMATIDNI500RRECT. TOTAL�FEES � � � � W IAOREETOCOMPLYYrtTHALLCfTYANUCOIMTYORDiNANCE5Ah9STATEUNSREUTINOTO&1LDIN4 � CONSTRUCiq1{MIDMEREBVAUTI/DRIZEHEVRESENTATNESOF711ISCOUNTYTOEMERUPONTHE � S� hBOVE-MEMqNED PROPERTV iOR INSPEtt WRPOSES. � � .� � � � 9 COMMENTS � � q`i'tih ��L��� m vew�meewwe�vw � ��� � 6qNATUREOFPERA11TiEE W7E � ` . � _ _ RECPT.NO. PAID BY V/WOATION - WMITE-0epe�trnent Copy.YELLOW—Fnence Copy,PINK—Aaeeesa Copy,GOLDENROD—Flle Capy,GREEN—ApplicanYs Copy - - � - _ _ . _ :..... ..,.. �...... : . .. , ,:... . . � .. , . -• . f CITY OF DIAMOND BAR ,�,;;;�.;:: �. .-; .; ;._'... '. .''.•""S:' . .. . ..... . . ... ...... . . .. .i...� . .- .. . . . .� . .. ' ..' . -INSPECTION RECORD _,' ;' .:' ';'' :. . � . . : . .. . ... .. . .� . � .. . . ��;: ;., � � ' , • � � Q � i � - • � � • . . SEI��sAeK�,J c:�-> ;` -f�_ � a�l��.. FLOOR JOIST =_��,'i: 1 [t_ ia_li_,..ri�-! S �=� ' -- ---......-- � -- ' FTGS/FORMS/STEEL G-ZL a -FHA REQMTS-:. . ; , �- - �- - � -r.i : :`. � ' � FLOOR .ELECTRiC GROUND -- .- ��z�" � _� 1� `- _ �� '�:`3v y� , . � � GROUND PLUMBING %d•'`I b� �^�'/5 UNDER FLOOR GO�IDUIT++'�-� � -1 :;•� �+ : % `�:;r`.� '• � ' SLAB GRADE _ - . =ZG•-�� �'�` FIREPLA�E�FOIJNDATION���� `' 1'- . •'.' '« ' ' : . , '; , . . , _.. - - - . . TEMP POWER -- - ' FIREPLACE BOND BEAM - . -- - `..,.•� �, ; � ,_ �WATER SERVICE-- - - . �-! ` � - -�� MID HT.BOND BEAM ' ." ' ' `� . . . . _ _ . - ROOF SHEATHING •- Z � ` - �'' " " 8 FT.BOND BEAM - � �� FRAMINGNENTILIATION �_���� FINAL BOND BEAM ; t. ' '' PRE-GRADING � � � ' ROOF COVER�" " ROUGH HEATING - - /O�/ - - BENCHIt�G�'��-'4'�','` - - - -- ' ' = - ROUGH�ECECTRIC - � - - � . . � � � �� -ROUGH GRADING �R�UGH PLUMBING �- � --- --- _ : �c.�-='�� - --- - FINISH GRADING , -. . . ' `: SHOWER/TUB TEST !7j �� POOL ELECTRIC � ' � • EXT.LATHlSIDING o,� � � - , � POOL FENCING ' ' ' ' � � WALL INSULATION � ��/� • POOL FINAL • � � � �: CEILING INSULATION �� . � OFF SITE IMPS. ' -� DRYWALL NAILING � /O -9 f� DEDICATIONS: - . �� SEWER---- --- ......_ _ � - -• - - � - FINAL ENG.. , SEPTICTANK- --..-.... - ' LANDSCAPE/IRRIG. - ' - _...._ .. . ,�-..�� -- SEEP PITlL.L.._ . ..- . _. : _.: : _ ". z ': � . ON SITE IMPS. . - . . :, ! =;; GAS AIR TEST; �- -- -- � - - FINAL ZONING � FINAL-CONST.� - - - � - - - FIRE.DEPT, FINAL . F�NAL-HEATING--- - -- �� HEALTH DEPT. FINAL � " FINAL ECECTRIC �-- - _._ _... _. .. . ----- �DEV..FEES PAID . _ _.... ------• , , ,. FINAL PLUMBING � ENERGY . ^ � , � . r+ r `!, ;, . , . _ . ,. . . , . .- �:_ .... ..., _ - -- - -- --.... ... . - .. . __.._..__. _ ... ..�_. . . .. .. - - ----- -._ - - - , .-r� � L���' . ._... .""'" . . � , ... . . . . .. . .. _ . COMMENTS __.. . . ..... .. . .... � . , ' _. _ . .. _ � �1 G� t i' •`'1, . , . , . . _ : , . .� � i . _ , J _. ,,, , ; - _ - . �� � � . , : _.. : ��i.:_ , � � �� � � ,�r�i - _ ; _ _. .. . ... _ . , i r : _ _ . � _ , . . i _-`_,wy�11''` _ . %! C ��%`�•,1 � � i � �� 1• - . �.�•.� '� c-: P...\- ' � i i ' -. . �- - � `i - • i - � � � : • ' . , � . -� ---. - � - . .. ... .. ...... . . . � i . . � ... .. . . . ., . l ,,t= SEP.T,iG TANK SIZE ;� ; � .` � SEEP PIT/U SIZE , .,. � � � -. � � ; -i - - � � r � r�� � � � ' .. , . � . . . . ,. - � = _ .. . _. _._._. . _..... ,�•.�� 1, � � . ... _._._.. . .- � � , , �, : - - _ -- - _ . , .. � ., .{��� , �, , -- - . .. ._ � � . . . , .. 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