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HomeMy WebLinkAbout11659 (5) i __� _. . .. . .. �\ CITY OF DIAMOND BAR • ` � � � i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��; 21660E.CopltyD[iveSui[e190 �, � � PRESS (909)860-3195 Fax(909)861-3117 , ,� . `�' ••.�`. - .' . ...��. � BUII.DING l'ERMIT APPLICATION • ' , � .` .. . ;•. FIRMLY } JOBSITE f APPLICATION a t� �PERMIT,�/��s PlC �,�bZ o ADDRESS iS�g ���-� ��� � DATE `� NUMBER.� r� � .APN LOT RACT SZZ'L DA EE � �1 V ' CONST. GROUP � OWNER' 1 �..�Q' . �-. - . . "' ADDRESS � AQ . ZONING SETBACKS.; . - �',� _ , : Z CITYCD$T'r'� I�PS�� ZIP��O TEL�J� FRONT • � . . . ; RW O g APPLICANT TEL S DE/SIDE STREET RW O , � CONTRACTOR O w ' SIDE '� � O � ADDRESS - PROPOSED US 2 L Z-C� CITY ZIP TEL . . - - � . - . o ARCH/ENG/ �^ . , . � . � DESIGNER t�7�*�-N��� ���� NO.DWEL . NO. NO. � . ADDRESS UNITS STORIES. BEDROOMS � N CfTY ZIP TEL�/�S�9�O U - N DESCRIPTION SO.FC FACTOA PSF ADJ.AREANALUATI�N � OWNEF-BUILDER DECLARATION _ ' ' SFR/A�0/REM - � O �I NEREBY AiFY61 UNDER VENAITY OF VERIURY THAT I AM E%FMPi FROM THE CONTMCfOFiS U- G8(8g9/CBtpOR �� B CENSEUWFOR7MEFOl10YY1NORFASON(SEC.7a71.68U51NE55M10PR�FESSIONSCODE:ANYqiYOR (n � COUNTYMRACNREOUIRESAGERMRiOWNSTRUCf,1LLTEF�MPPAVE.DEM0U5H.OHREPA1R/�MlSiRUG• W patiolDeck - � � � 7URE.VRIOR TO R9 65UMICE.AL50 REdUIRES THE MPLICANT FOR S�JCH PERMIT TO FlLE A SIGNED w � STATEl1EHT 7f1AT HE ON SME LS LICENSEO R10.511ANT TO iHE PROVISIONS OF THE CONTMCTORS U• , � CENSE UW(CINPTEF Y ICOMA1ENpN0 WITH SECTqN 7000l OFDMSIOFI7 OF iHE BUSINESSAND Pib. � POOVSp3 FES910N5 CODE)OR T11AT ME OR SHE IS EXEAIPT iHER[FqqA AND iHE 6.1Si5 FOR T11E ALLEGED E%EUP• TION.ANYV�OLATIONOFSEGTION7W7.SBYAN'/MPLICANiFORAPERMIiSU&1ECTSTHEAPFLICANTiO Z R0-ROOI . � A CML PENALTT OF NOT MOfiE T}fAN F1YE MINDRED DOLURS(iso0�.1: . - , � OL��NEROFTMEPRODEifTY,Of14YEMPLOYEESWIiM1NAGE51l57MEIR50LECOMPENSATpN, ❑ �mmercla� � M7LLD0 THE WORK AND iHE S1R1C7URE IS NOT IMENOED OR OFFERED FOR SALE(SEG 7�1�.BU51• J NESS JwD VROFESSiON4 COOE TNE COMMCT00.5 110EN5E UW DOES NOT A7PLY TO AN OWNER OF � � � iROPEHTVYM�OBUlDSOHMPROVESTHfREON.MDNMODOE55UCH1VO{iKWYSELFORNERSELFOR = ' � � � � � 7HROUO/iHI50RHEROMME4PLOYEES,PROVIDEDTW1T6UpIMPROVCMENfSARENOTINTEAUEDOR m . , �1 OFFEAEOFORS/�LEIF.110Y/EVER7HEBUlDWGORIMPi1OVEMCNT1550L7WRHNONEYEAROFCOMPLE- . . S L z 'TION,7HE OWNERSUIIDEN YYILL N�vE TME BURDEN OF VROMN6 THAT ME OR SME DIO!qT BUIID Oq = MPFqVEFOIiiMEPURPOSEOFSALEI W pLIl50VMEROFIHEVRO7EHIY.A1AElILIUSNELYCOHfMCTW4WfTHlIGEN5E000N7MCTOq3 � M CONSTRUCf THE VNWECT(SEG 7ou.BUSINESS AND GROFESSiONS CDDE:THE COHiMCTORS L4 V31Ueti0n ADJ.ARF11 CENSE�AW DOES HOTAPPIY TO Ml OwNER OF A VROPfRTV VniO BUILDS OR IMVROVES iNEREDN.�IA � WYqCONTRACfSFOi15UG1GHQ7ECTBW�TMACONiMCTOR(5)UCENSFOPURSUANTTOTHECONTMC QUANTITY DESCRIPTION . ��� ��� FEE � � , � TOFISLICEHSEUW.). . . _ . . . �J . . , -. - ' , . . . - . . O IMI IXOA7TUNDER SEG' B.t V.G FOR iHis REASON Q 3 ¢ . ,. , .. . . . . LL' DATE OWNER V , � W . FQ LICENSED COPfTFiACTORS DECLARATION W , CL INEitEBVAFF6WUI�ERFENALTYOfVEiWRY71UTIAMLICENSEDUNf)ERVRONSIONSOFGIAPTEq : �r � •� S �(COAYIENCN0IMRMSECTION�om)OFOMSION]OFTIEBl15INESSAIiDPROFESS10N5CO0E.A.W Z � X W UC£NSE IS N FUIL FORCEAND EFFfCL _ � ' . ' '�' L � -,�. �. •. ;/• i 0 UCENSE CU LIC.NO. I�vS� � � � A/� J , � V DATE � CONTRACTOR ,r` • a W � WORKERS'COMPENSATION OECLARATION ¢ � N (HEREBYAFFIRIAUNDERPENALTYOFVEfWHYONEOFTMEPoLIOwiN9DECLAMTIOMS U � � � � N Q G �IHAVEANDMALLM/VNTNHACERTFIGTEOFCONSEt1TTOSELF.IN5IIREFOHWORKE0.S' 2 Z COMPENS�TION,ASFROVIDEDBYSECTON7/OOOFTHEUBORCODE,FORTHEPERFORMANCE U - Q OF iME WORK FOR YYHIp1 iHiS VERMR I9155UED. � ' � �IHAVE/�NDYALLMAIMANWORI(ERS'COIAVENSATIONMSURAN=E,ASREOt11RE0BYSECi1DN ' "' '" ' ' ' ' ' " ' QQ a7ooOFTMELABORO00E�aA7NECERfORMANCEOFTHEWORKFORVn11piTHiSPERMRIS � , ISSVED.MYWOflNERS'CWPENS+�TIONINSL/HANGECARRIERAI1DVOlICYNUMDERARE: CONSTRUCTION 1�1 •� � CAARIER -CI R' PLAN PEVIEW. .. .J ���t� � POLICYM11A8EH �� J�� ELECTRIC _ . o �ns��r¢mrpre[c�tE�poF7FEpE�,�rsPpqpE�+�paurts(s�oqon�Fss� PLUMBING Z I CERTIFYTHA7 N THE VERFORMANCE OF iHE N'ORK FOR WFIICH TMIS PENAiT IS ISSUED,1 MECHANICAL � - '� • (,�J SNALLNOTEMPLOVANYiERSON�NANYYANNENSOASTO6ECONESU&IECTTOTME • � UJ N9RKER5COAIOENS�TiOHUwSOFCALAFORNi�IµDAGREETMA71F151qULDBECOME INSPECTIONFEE ' � SUOJEGTTOTHEWORI(EH5COMPENSATIONPflOVI510NSOFSG ]7000FTHEUDOR ISSUANCE 1 � CODE IS OfiiMW�h1COMPLYYlITMTMOSEGR � DA7E: � AaPL�GNt � SMIP ��/��.�QQ _ 3 D � � ENERGY PIC t1i � ��� . WIIRNItq:FA4URE TO SEGVRE MORKERS'COMPENSATION COVEMOE 15 UNUWFUL AND SHALL 8[ l � 6UB.lECTANEMVLOYERTOCRIMPULFENILTiESANOCMLFwESUPTOONEHUNDRE0TF10V5AND 'ENERGYPERMIT � - � •�'� DOLURS(f100.OWI.N ADOITION i0 THE CO57 OF COMPENS�7i0N,DMIAGES AS PROYiOED FOR IN t�' /� ¢ SECTtON]7oeOFTHEU00RCDDE,NTEREST.ANDA7TORNEY5FEE5. � RE-TENTIONFEE: I J i VU a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � � � 1 HEREBV AFFlRM UNDER PCNALTY OF PERRIM iMAT THEi1E IS A CONSTRUCTION LENOPN7�CENCY FOf1 iME VERFOau�NCE OF TME WORN FOR WHICH THIS GERMR IS 155JE0(SEG.7097,GV.C.). ���y 1 1 z � � V W � LENDEitS H�A1E � � � � ' " � IENDEfl'S:IDOHE55 . . . g IACREETo�:��w�'m,��«�wµ=�':�54�'�u"`pEIATOTO�BNLDIN6 TOTALFEES . CONSTRUCTION.HL7HEREBVAUT110PIZEREPR[SENTATNESOF1Hl5C0UNTV10fHTERUPONTME . . . . � ABOVE#IENTIONED FNDVERTY FOq INSPER�ON PU1iPOSES. COMMENTS � O � v, �/� . . .. . � � VERMiTTE E(V Q (n ��D �,/ if — �1��i y Oqn�TV TiEE . ATE it . � RECPT.NO. PND BY --- - V _ __,n�io�noN _ WHITE—De�artmant CoFy,YELLOW—Fi�anee Copy,PINK—Aesessor Copy,GOLDENROD—Filo Copy,GFiEEN—Apd��e�Cs GoPY ' CITY OF DIAMOND BAR;,,. . ,,�-. :. .. .:;� ... .'::� 'INSPECTION RECORD�'� � � �: : �-/o-� ��5. �,' .. . . . e � � • - • � . . • . SE'f BAC� ..,. `. �•Y G�Id�. � FLOOR JOIST �i:_ti•' .I �r.1::5,.::r/"t 1 ••r�-� . .: � : . , . . . :;. . '� � FHA REQMTS _ _ . .- - -- -- ... , , FTGS/FORM5/STEEL � ., , ti i,ti\",- , � ;=. ELECTRIC GROUND.--- �__- ' � -- ` � �� � �F4 FLOOR��f4[ � . � c/=� �. ; GROUND PLUMBING C/0-�6' �UNDER FLOOR CO�IDUIT -� %��"!`•��� ��� _ -'••�•+' � • � _. , . _... . . , .. � „ „ .•.� - -- .., SLAB GRADE - - � 7 FIREPLACE�F�UNdATION�'"�'• � - - "'•� '-' ` I - TEMP POWER� - '` � - - " ' FIREPLACE BOND BEAM -�- � � � - - —. _. _,.•.�.., .� �. . - � .. : , . : VIlATER SERVICE � -- - -� -l�. _-�-� -- - �MID HT.BOND BEAM - - ' _ _. . ... . _ . . ROOF SHEATHING-- - � � ::�'Ja' ��` -�� �'` '` �� 8 FT. BOND BEAM FRAMINGNENTILIATION ' " /�� �' FINAL BOND BEAM � , . , , •. ;, ;• ' • � R�OF COVER ` ' ' `PRE-GRADING � ' � � •R�UGH HEATING � -- �� �� �- _._ .. BENCHING��': i�1'�\ . •." ROUGH ELECTRIC : -- - •..•• � - -' � ROUGH GRADING .- ROUGH PCUMBING - ' --- -" - ' ,-:-�.'i �" �- " : FINISH GRADING • ' ' SHOWEF�lTUB TEST. �--- �/O � - . -- - . - POOL ELECTRIC : • ; �` EXT.LATH/SIDING � 9 L s �� c,ry/�/ - � POOL FENCING •- � ! '., WALL INSULATION � POOL FINAL ' ' CEILING INSULATION OFF SITE IMPS. • • DRYWALL NAILING � 9Z DEDICATIONS - � � . ' SE4VER._ _. _.. .._.. y�_ _ . ' .. FINAL ENG. . .. , � �. SEPTIC TANK .--...- ---.. .. _._ . .-- -. . . ,.� : : . -. - LANDSCAPE/IRRIG. . -SEEP PIT/LL. : --_ ... .'.'_ � ., i , � �. . . ON SITE IMPS. . , , � : GAS AIR TEST; -- -� c1� � - -� FINAL ZONING .. •.. -FINAL CONST.- - -- - ,2 --,�� - FIRE DEPT. FINAL - ' � < , F�NALHEATING � �- - � ' -- -- HEALTH DEPT. FINAL � .�� . . "FINAL ELECTRIC - -- - - - � - DEV.FEES PAID ' FINAL PLUMBING f' ENERGY • � - t f8 � � __ _ , . ,. � � � s � �;� _ - . - �- : . .: ..- -. -._- ----- . ._. . . . . -- - --- --- • � . � .. , . , •_....._ -- -.. _:. � _'.. _ , . :. _. . �. . . . . � _ ._ ___ �' » .__ __� __.. - _ . , . • -COIv1MENTS - -- _._ . -- - . ;. ; . . . _. _._.. ... . . . _ ; , . . _ _ �- - - - ._. _ . _ .. ._ � �; , �? �� 1� , .. � " � � � � ,.. : .. . . . , . .. . , _ ... . . �,•.. : � i . . ,,,. .. . ,. ��,� ,}�,� ��, �� , _- {, � . : � , . . _.. . . . :...� �.•� , � , U I �i�. nh� � - ,. •�'� �� ',�' . _ , ;� l:� ,.,. z ir'. � • • �, - � -• - � . , •`' . ,_, . - � - - -. .... _ . . . • , . ; . '�.i � c- . SEP,T�C:�ANK SIZE� -- . . � - . SEEP PIT/U SIZE �� . . _ . ; i . • - : �i. � f v ' r� ( 17 � i . , I '_ _. . , � ...� � _.-- -. � , . _ � ' . � - - � , t � . � , . . ` � . . .. ; . -- , � � i ' i, � _ . .. ._ �.. _ . . ...__ 1 � . \ .. ,\ �` _.. _ .. _t • . ' . � i �4 � _"�1�� I 1^f• .-.'- - •�-� ,. ' . �!� .. . . . . ; � \` • _'-- . __. _ " i•y�'