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HomeMy WebLinkAbout11662 (5) ---- �------. .... .._. ._ ..._ _ . . .. . „ CITY OF DIAMOND BAR ' �' ' �, .. , . i�. ; -�� - � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES '� � 21660E.�CopleyDriveSuiu190 ' ' � _ PRESS ,_'�V (909)860-3195 Fax(909)861-3117 %�•. :_. •. •: :�, - .`, __ , � : , . •:�... BUII.DIIVG I'ERMTI'APPLICAI'ION. � ' " � . •FIRMLY JOBSITE [�Q � � � APPLICATION �. ;PERMIT, 7 P/C ' o ADDRESS �v�V ��LO �-��� DATE ���_NUMBER� !/ A '�3 � APN OT TRACT ZZ ISSUE /� TYPE . OCC • DATE D ` CONST. -GROUP � OWNER�' ' , � � ADDRESS !.�-�� • ZONING SETBACKS , _ `;t�= �„� ; ' � � W FRONT .,_ ' RW ❑ � CITY ZIP TEL I ._.... , . APPLICANT TEL. REAR ❑ ' � SIDFJSIDE STFiEET RW ❑ CONTRACTOR�Q ��� SIDE � ❑ p� ADDRESS " , PROPOSED USE � � CITY ZIP TEL - _ . o ARCFUEN�S�I 191�� /�'�...��t� . ' � DESIGNER T-�f""� NO.DWEL. NO. NO. ADDRESS UNITS • STORIES BEDROOMS � CITY ZIP TEC��.S��.� N DESCRIPTION ' SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER D�CUIRATION SFRIA��IREM O I HEREBV 11FF61Y UNDER PEWLLTY OF VERIURY TNAT 1 AlA E%EYPT FPOA!THE CONfMCTORS LI• Gargg�+B�� �(„� � B CENSEUwFOftiHEFOLLC✓�'iNaRFASON(SEC.70.71.68USWESSANOVW�FESSIONSCOOE:ANYdTYOH � (/) �� G2 CqM!}`/NROCHREOURESAVERMRiOGONSTRUCi,1LLTERMPROVEDEM0U5H2ORREPNRANVSTRUC W patio/Deck �. •- � � ' � NHE,VRiIXi TO fiS ISSU�NGE,AL50 REQUIRES TME APPLILANf FOR SJCH PERM?i0 i1lE A SIGNED W STATEMQlT 71UT HE OR SNE IS 110ENSED RIRSUANT 70 TME PHOVISK7N5 OF TME CONTMCTORS lJ� `! CENSE lAW(GIUPTER Y(COMMENdNU WITH SECTION 70o010F DIVISION]OF THE BUSiNE55Iw0 PR0. � POOUS� T iES510NSOCO�ORiHnTMEORSMEI3EXEYPTiHEREiROMANDTHE8A515fORTNEALLEGEDE%EMP• V TION,AHYVqIaT�WOFSECT10N7M7.6BVANYIIOVLK'.ANTFORAVEPUITSU61ECT5THEAP7LK'XITTO Z Rg-R001 , � A CML 7ENALTY OF NOT MONE TF1AN FR/E HUNDRED DOLURS(f5o01�1: . . . . . . . _ . . � Ol��'NEROF717EPFqVERTY,OqMVEMGLOYEESWITHWACESASTHEIR50LECOAIPENSA7qN, 0 C,pmmBfCl¢I YY1LL DO iHE MORK M1D iME S7AJCTURE IS NOT IMENOED OR OFFERED FOA SALE ISEG 70��,BU56 J NE33 AND PROFESSIONS CODE THE CDHTMCTORS LIGENSE UW DOES NO7 AVPIY TO AN OwNEH OF - � N OROPEHiYMApBULDSOfiMGROVESTHEREON.ANDNAW00E55UCH1WNNHIMSELFORMCRSELFOR ' _ '- � � � THROUGHNISORHEROwNEYttOYEES,DfiOVIDEDTHATSUCHM7ROVCMEMSMFNOTIMENDE00R m ,. . ♦ . � OFFEREOFORSALEIF.HOWEVER7MEBULDiNUOR11Av0.0VEUEMI550LDIMMNONEYEAROFCOMPLE• � . Z '710H.TtE OWNER�UtLDER WILL HAVE iHE BURDEN OF VRONH(i TUT HE OR SHE DID NOT BUILD OR = MPfqVEFO1lhIEPVRPOSEOF9Al� ' � � W ❑4�3��M7EROFiT1EVRDiERIv,AME%LLUS�'/ELYCONTMC'TINON7TliL10EN5EDCONTMCTdiS ¢ TO CONSTRUCT TM[VR0.IECT(SEG 70u,BUS�NE55 AND VROFESSION�COOE:7ME CONTMCTORS LL VdIU01i0n ADJ.AREA �1J CENSEUWDOESNOTAPPLYTOANOMMEROFAPROPFRTYNTiOBU0.DSORw1PXOVESiHEREON.i1NO F WNOCOHTRACTSiORSUd1VR61ECT3WITHACONTMCT01i(S�UCFNSEDVUIiSUANTTOTNECONTMG pUANTITY DESCRIPTION .FEE� � TqiBUCEHSEUW.). . , . . . . . OIMID�MPTUNDERSEG B.iP.GFORTH15REASON a 3 ¢ . . . • . , u-- o�� ovn+Ea �- � � W . � . / � � ' . F UCENSED CONTRACTORS OECLAfi�,T10N W � IMEHEBYAFFYWUNDERiENALTYOFVEiWMTHATIAMLICENSEDUNbERGROY1510NSOFpUPTE11 �r - _. . � .� � 0(COAWENCNON7THSEGTION1Wu)OFOMSION70F7MEBUSINESSANDPROFESSiONSCODE,AND Z X HYl10ENSEISHFlAIfORCEIUAEFFECT. � �f ` m «, r.. � � � UCENSE CLASS UC.N0. �J� � � J �j DATE_ CONTRACTOR� � - — a W � WORKERS'COMPENSATION DECLARATION -r � . ¢ v� U � IHEREBYAFFGWUNDERPENALTYOFPERRIRVONEOFTMEiOILOWiNC,DECURAT10N5: � Z Q O _IHAVEANOMALLAWNTAINACERfIFlG7EOFCONSENTTOSELFdNSUR[FORIMDW(ERS' S Q COYPENSATION,ASDROVDEDBYSECTONROOOFTHEUOOFCOOE,FORTHEPERWRMANCE W OF 7HE WOAK FOR WMICH iM14 PERUR I9155UED. � O ��NJ1YE AND WILL AUMTAPI WOFiNEfiS'COL�PENSATION WSUFiAN:E.AS RE WIRED BY SEGTqN ,y, Q �70oOFTHEUBORCODEfORiHEPERFORMMICEOFTMEWORKFORWHICHTHISPERMRIS f7.� , �O _ 65UED.MYKVAKERS'CdJ7 NSAl10NW5URANCECMRiERlUd7POlICVNl1A19�RARE: CONSTRUCT�ON �� � GARRIER�fL��}'� PLAN REVIEW �f�_ . � POLICYMIMBER C�-4L� ��. -- ELECTRIC . p (IH55ECIICNPi�NoiB[m.FIFIEDOFTEPET#.fi6fOROH[I�DDd1M56ta�ONLE55F PLUMBING Z I CERI1FYTUT NTHE iERiORMANCE OF iME WOFtlC FOA WMCH TMIS PEiWiT IE 155UE0,1 MECHANtCAL (i SHALLNOT EMPLOY/�N'/PERSON W�NY MANNER SOAS TO BECOME SUOJELT TO THE � N9RNER5'COMPENSATIONLAWSOFCAUFORrvU�M�DAGREETMATIFI5M0ULDBECOME INSPECTIONFEE SSUBIECTTOlHEYYORKEHSCOMPEN5ATI0NPROVIS10N50FSCC710N77 OFTHEIABOR ISSUANCE u � ,��/�� ' �� O COOE.1/5 HALLi 7NCOUPLYNnTHiMOSEPR SION —17��-Y—iYV� ��( � . �// .SMIP 11�71 aJ �vv�� � DATE: ��I�APPLICANT: , ; . . . W f� ENERGY P!C � W�iWINO:FALURET05 CUREWORKERSLOMPENSATIONCOVEMGEISUNUWFULANDSIU116E 6lR1ECT�NEMPLOYERMCRIUNALPENILTtESANOCMLFwESUPTOONEHUNDREDiH0U5AND �ENERGYPERMIT " '���15 . pOl1AFiS(f1ao,D0o�N MORION TO TME C0.5T OF C01AVEN5ATICN,�MUGES IS GRW�OED FOR IN �` [�(� J SECT�ON]7oe OFTNE LABOR WDE,NTEREST,AHD ATfORYEVS FEES. � RE7ENTION FEE: �t`� -v a CON5TRUCTION LENDING AGENCY PRE•ALT FEE: � � IHEREBYAFflPMUNDERFENALTYOFPEfUU{iVT1UTIMER[ISACONSiRUCT�ONLENDwOAGENCY � FOfi iME YERFOFW�NCEOF 7NE WORN FOR WMICH THIS PENMIT IS ISS:IED(SEC.�OV7,qV.C.). �� �^'�� S I • ` � LENDE�1'S NA1AE -- - � LENDEH'S+DOHESS � ICEHTIF'liMATIHMEREADTMSAFPLICAi%YIANOSTATET1ATiNEAfbVEHFOiUMT10NISCORRECL TOTAL FEES ' W IAGREETOCOMVLYYATHALLCrtYAN�COUNT'/ORDW�NCESM�OSTATEUwSREIATNOTOBIntDiNO � � � COHSTRUCTION.MIOHEREBY�UT110RREPEPRESENu'IVESDFiW5C0UN7YTOENTEHUPONTME. . .. �. . . . S� ABOVE.uEHT10NE0DROPERTYFORWSP IONPURP0.5E5. COMMENTS � � / � _ m PERufTTEEN N � /�/"/ Q . . . _ . . _ _ _ N ���� � SqNATUREOFPERAIITTEE OATE r _ 2 � . RECP�� PAID BY 7 � VALIDATION '�" f- ' � '� VYFIITE-0epertrnenl Copy,YELLOW-Finance Copy,PINK-Asnessor Copy,GOLDENROD--Filo Copy,GREEN-ApplicanPa Copy - - - �-- � � , _ . CITY OF DIAMOND.BAR ; .,_ .; ... , , . • .. � . . . . �, �.,, �l . : ,;,.��.�� �: ':'INSPECTION - .. . .. .. .� . ..... . . . ....... . . ... . . . � � RECORD .. . ' . ' -/a•-�3����3. , �'.,� , � . . � . t � � � - • � � � - SET•BACK�t=�' _C � :;� �G•��Q"`� ,4 _�:� FLOORJOIST ': �ir; : lr �r�!r-;�., 1 c',f't�'� , ' :. � . FTGS/FaRMS/STEEL - ,. _.� ,� ' FHA REQMTS . ; �-_.-, -; - , ---- - - - - - ELECTRIC GROUND --- � � - . ..._ � � �� � � - rLOOR .S �+�j ,7;. (�. . : ' . ' - GROUND PLUMBING �,- L '� /j UNDER FLOOR COf�iDUIT I�j; ':'f +1•.�i'•' �.� �c•`C:� SLAB GRADE�- - � 6 - � FIREPLACE FOt'1NDATION'='� `!� - - 'J�� ��-�-� ' ` • � TEMP POWER- - � - - ' ' FIREPLACE BOND BEAM -- - - �� WATER SERVICE .--. -._._._ . � • �. MID HT. BOND BEAM . . .,_ . .�_..•:_..�� �.���.. .• , _ . .- ROOF SHEATHING l';�. y � - B FT.BOND BEAM � • • FRAMINGNENTILIATION �� _ FINAL BOND BEAM , , •. . •,,, �;- ROOF COVER . � PRE-GRADING � - � � � � - ROUGH HEATING .;- . /�O -- .-- BENCHING'C�'�� i.'(. . ' : � ROUGH ELECTRIC � ,,,' ,., , ' ROUGH GRADING . • • �ROUGH PLUMBING '- - - - � t�,".%• " FINISH GRADING SHOWEWTUB TEST - - �o f$ ' - - POOL ELECTRIC • • EXT.LATH/SIDING l L� � . � � � POOL FENCING ' � " WALL INSULATION � ��._/� ' � POOL FINAL . , , + �; CEILING INSULATION 77 OFF SITE IMPS. � � ; ; : DRYWALL NAILING �2 DEDICATIONS ' ' � ' , • SEWER . ' . , . � ___.. FINAL ENG. • • � ' � / , , ... -SEPTICTANK -... ._ _. .��_ .. !..: , _... LANDSCAPE/IRRIG. • SEEP PITlL.L,- - - "-''{ �''-- ON SITE IMPS. - - . � -GAS AIR TEST� - - - - // z -� FINAL ZONING • �FINAL CONST. --� - - L - - FIRE DEPT..FINAL -- - � ' FINAL HEATING - HEALTH QEPT.FINAL __ � � , FINAL ELECTRIC -" ' � � " � � DEV. FEES PAID - -- ' . � , FINAL PLUMBING Z ENERGY � � - � � � � ; �� � • . ._ , :, , � ��., ;.�.� _•�� _ , _ • � :i ..._. ... __.__._.._ _---.._..--- ---- ---- . ' - -�— _ ..._�.._------- �V , -._,...—..-----------------•-�----.._----------- - --- -��.--- . con�nnEr�-rs --- .. � . .. _ . .. ------ . .... ......... _ __.. � , . _ " - �'- � I'��t _ _ � . ... - - �; , � .. _;', , � . _. •, . .•, � ,I.s _c�; �j� '" ' . . - - -- _._ .. 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