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HomeMy WebLinkAbout14442 (19) _�� _l CITY OF DIAMOND BAR . , � '`.. �� �" DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 PRE$S • �'�^',. , BUILDING PERMIT APPLICATION FIRMLY ' � JOBSRE �� ( r+e�„ �I 6 APPLICATION I� '�'Z PERMIT r /C � , o ADDRESS r� DATE � NUMBEFi le c� ISSUE TYPE OCC' . APN - LOT TRACT DATE CONST. GROUP _� _ � OWNER �7���� "" ADDRESS ZONING SEiBACKS � � Z CITY ZIP '�L. � FRONT RW ❑ g APPLICANT' TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR 4 S 3 ' ., � SIDE ❑ g ADDRESS v � e � CITY.�.�'t_�a • ^ ' Q_C�G.TEL. - - � �^'� 3 PROPOSED USE •' � ARCH/ENG/ � ' ' � - ' � DESIGNEF NO.DWEL NO. NO. ADDRESS UNITS STORIES F3EDROOMS ' � � CfTY ZIP TEL. ' � DESCRIPTION SQ.Fi: FACTOR PSF AOJ.AREANALUATION ti � _ . , OWNER-BUILDERDECLARATION . . �� . � SFR/ADD/REM � � � � � � O p I MEREBY AFFlRM UNDER iEWLLTY OF iERJUM TNAT I AN EXEMPT FROA7 THE CONTRACTORS L4� GefegB/C21pOR � ' W CENSEUWFORiMEFOLLOWIN�RGSON(SEG7Q71.68USW[SSANOPROFESSIONSLODEANYGITYOR (� C� COUHT'(YAIICFIqEOUIRESAiER1AITTOCONSTRUCT.JLLTE0.MPROVE,DEIAO�ISH,ORREPAIPANYSTRUG , w PgIlO/D8C1C ' �Z NRE.PPoOfI TO ITS 159UAHCE.AL50 FlEONRES TME MPLKaWT FOR SUCM PEFVAIT TO FILE A SiGNEO � � STATEYENi i}NT HE OR SHE IS LICENSED PUiiSUANT TO THE CROVISIdJS OF TME CONTMCT00.5 L4 � CENSEUWIWM1ERv(COMMENCWON7iHSECT10NToo0)OFDMS�ON]OFTIIEBUSINL541WDPRd V' POOVSpB FESSIONS COOE)OR TMAT NE OR SHE IS E%EMPT TMEREFRW AND TNE BASiS FOR THE ALLEGED EXEMP• T10N.ANYVqUtIONOF5ECT10N7W1.68YN7YAPPLM�wTFOR�GEiWI75U61ECf5THEMVUCANTTO 9-R001 . � ACMLVEN.U.TYOFNOTMORETNANFMEMINDREDOOLURS�S5001.)� ' ... � � 04�30WMEROFiHEPROPERN,ORMYEMPLOVEESMnTHWAGESASTHEIRSOlEC01A0ENSATION,� COmff7BfCle� ' " 1NLL DO TNE WORK.M1D THE STRUCiURE IS NOT WTENDEO OR OFFERED FOR SFLE(SEC.7W1.BUSI• . J NESSAND 7ROFESSIqJ3 COOE:TNE CONTMCTORS UCENSE Uw DOES NOT MPLY TO AN OWNER OF � , N VIiOPENTYYAlO&10.DSORIGPFi�VESTM[RFON.MIDW/�ODOLSSUpIWORKHINS[IFORMERSELFOR � _ ' � [= THROU01/HISOHHERO4.MEIJPLOYEES,PROVIDEDTW�TSUCHMVROVEMEHTSAqENOTMENDE00R ' m . W OFFEAEDiOR5ALE1FHOwEVER7MEBUlDP1�ORIMVROVEYENTI550lDWRHINONEYEAROFWMRE• - �Z T10N,THE OwNER-BUILDER VlILL NAVE TME BURDEN OF DRONNO THA7 NE OR 6HE DID NOT BUILO Oq . . = M�ROVE FOfiTHE PUHPOSE OF SALE7. . � ' W OI,ASO'M�EROF7HEGPOPEfilY./JAE%ClUSNEIYCONTMCTINOWfTHIICENSEDCONTRACTORS � TO CONSTRUGT THE VRWECT(9EG 7aa,BUSiNESS AN�PROFESSIONS CO�E:THE CONTMCTORS l4 �,VelUel10f1� ��� ADJ.AAEA � CEIiSEUW00E�NOTAPPLYTO�IJO'MIEROFAPHOPERTYNRABUMSORMPROVESiHERLON,MD NTIOCOMMCfSFORSUCHF1iOJECTSWITHACONTMCTOR(5)UCENSEOPUHSUANTTOTNECONTMG �pUANTITY DESCRIPTiON '� ', FEE � lOR9l10EN5E UW.I. .. ,,J 1- .� . . 0 ❑I MI E%EMPT UNDEH SEC. B.i V.G.FOR TFI15 REA30N q .+•.._ti."-. 'Q�`�OU C. w n C� �1 S,k 3 � ,� Qi,—(.; .:�t,.��%h . o � � � � D�TE OWNER . U a.(T . .-�s j�e.r ( UCENSED COPfTRACTORS DECLARATION ' W � . w � fi ^-�a ' � f . � IXEPLBYAFFVtlAUNDfRVENAL7YOF0E0.1URYTNATIAUUCENSEOUNDENDqOVI510N50FCHAP7EN Z �!' O.{� f � ru � � 0(LCMMENCt/0WR115ECTqN)OW)OFDMSIONJOFTHE8U57NESSANDGROFESSqN5W0[,M1D . W IICENSE iS MI Ml FORCE ANO EFFECT. � m ///'''������777 � , � LICENSE 55 LIC.NO.����y��,.,� J � �j OATE 2' �Z � CONTMCTOR���C��. PY�"� �l��'' a . , [� WORKEFS'COMPENSATION DECLARATION U ¢ , . � U ' N IHERFBVAFFlWdUNDERPENALTYOFPE0.M11Fi'�ONEOFIHEFOLLOWW6DECLAMTqNS: � � � � ' � N ¢ 0 �IMMEANDWiLLMARRARlACER11i1CATEOF00N5EMTO5ELF•INSUREFORYARKEAS' _ COMPENSATION,ASipOVIDEUBVSECiIONl7000FiHEU80ACO�E,iOATHEPERFONAINCE ' U � OFTHEWONKFORVv/11G1TMISPERMiTI5I55UED. � � _IHAVEANDWILLYAPliNNWOFIKERSCd/.�PENSATIONINSUiLWCE.A5RE0UIRLDBY5ECTION � /}�1 Q �7oDOFiHELA80RCO0E,iOfIMEPERFORM.�NCEOFTHEWORKFORWNid/THISPERAllT15 L1 ISSUED.MYWDRK�EBrS�Cd. A7FN5AT10N�ECAR ER/NDPOIICYNUMOERME: CONSTRUCTION 1 ' � CARRIER l 1`�a?'�. �".-1....� .._. .._ . .. . .PLANREVIEW . - . . � POLICYNUABER_���� � ELECTRIC . p f�sccror+rumr�oreE�Eocst�vea.�isr�arrefurnmarulsRiaalaa�Essl PLUM6ING Z ICERTIFYiHATNTNEPERFORMMIC[OFiHEWOHKFOFlWMICMiHI3iERMITI5155UED,1 MECHANICAL� �� (� SMALLNOTEAIPLOYANYPENSONNANVMANNERSOASTOBECA�ESUBIECTTOT}IE N WORKERSGO�APENSATpNUWSOFGLLIFORNI�MlDAOREETHATIFISHOVLOBECOM[ INSPECTIONFEE , `- ' SUB.IECTTOIHEWORKERS'COIIPENSAT RONSIONSOFSECTION]7000FiMEU�OR � � � ' � 5 CaOE. SNiW.F rn caav�r vnn+ rK+se vAohsans. ISSUANCE � o��: - 1-2 T.e�e ���� .�, ,.... SMIP_ ' 0 ' APPL�CANE � . I WAiWIN@F�ULUfiFTOSEGLREYJOWCERSCOMPEN5AT10NCAVEH�GEISUNUwFUI,ANOSW�IIBE ENERGYPlC � SUBJECTANEMPLOVEflTOCWMNAIPENALTIESANDLMLFWESUVTOONEHUNOR[DT11IX15AN0 'ENERGYPERMIT ' � 00.URS IS l00.000).N/�DDfTtON TO iME COST OF COMPENSATION,ONMQES AS PROVIDED FOR W � ¢ BECTIDN�70eOfT1ELA00RCO0E.NTEREST,ANOATTOi1NEV'SFEES. F{E7ENTIONFEE: UI1.p. D ' ' OCONSTRUCTION LENDI NG AGENCY PRE•ALT FEE: SA�� . � INEREBYAFFlRMUNDERPENALTYOFPEiWFiYTNAT7HERE15ACON5TFMICTIONLENDwOAGENCV FWi iNE iERfORYANCE Oi THE WORK fOR WHICN iNiS FERM�T IS ISSUED(SEC.3ov7,CIV.G.1. , � -- � LENDER'SNAME . . � LEPOER'SAOORE55 r// , W ICEHTIFYTNATIHMERE/DT/ISAPPLIGTIONIWDSUTEiHAT1HEABOV[WFOR4ATIDNISCORRECT. TOTAL FEES � � � � L � IAOREETOCpAPLYWITM/M1LLfTYANDCOUNTYORDINANCE5/�NDSTATEUWSREUTMlOTOBULDINO CONSTRUCTION.ANO HEREBY/lll�ItlR�ZE REDpES[NTATIVES OF 7W5 COUNTYTO ENTERUVON THE ���� � � ENTIDN OFROVER OHNSVECTIONPURPOSES. COMMENTS��� ' � '� � �. .� Y`�1 � ✓� . . ... . .. . . � � a PEN.UTTEE [(PRi . . . _ . . .. .. - . � y BKi1UNRE N.V E DATE � _.. _ . RECPT.N0. AID E1Y VALiDATION WHITE—DeDanment Copy,YELLOW—Fhanoe Copy,PINK—Asaessor Copy,GOLDENROD--Filo Copy,GREEN�4pplicanTa Copy i , �. . . . � . �� . � . i M'. �.r . , . . ... .... �..�. . .. H ,r , �.n. . . i .� , ' .. ,� r . i. � . � �� CITY OF DIAMOND BAR � . , .,., ��'=�,'� ' ' INSPECTION RECORD�' . . ' ' . . _ r . , .- • e � � • ' � � � � - SE7 BACK '• ` . ' ' ' • _. �... �, . FLOOR JOIST ;, , .l .� � i �; '�`�� -', .. � . FfGS/FORMS/STEEL � FHA REQMTS - - - --- - - . ELECTRIC GROUND �-��. .._ - - � �� UNDER FLOOR DUCT ' _.... ' � •-, GROUND PLUMBING � - UNDER FLOOR CO�IDUIT ' - + �, SLAB GRADE - � ' FIREPLACE FOUNDATION • �� ; ; TEMP POWER '��` ' � FIREPLACE B�ND BEAM - � ' ' � _ • �WATEFI SERVICE - -.- -: � . _ - . MID HT:BONCI BEAM: .. `'', , -- ' � ROOF SHEATHING - - � . 8 FT:BOND BEAM .`, 'J� .,. ' t '` ' ' `j� ' FRAMINGNENTILIATION FINAL BOND BEAM � � • � ROOF COVER ' 'PRE-GRADING - R�UGH HEATING - - BENCHING -- - � � - ROUGH ELECTRIC- -- � ROUGH GRADING � ROUGH PLUMBING " -- - � FINISH GRADING SHOWEH/TUB TEST� - POOL ELECTRlC - EXT.LATH/SIDING ' POOL FENCING � WALL INSULATION ' POOL FINAL ' CEILING INSULATION OFF SITE IMPS. • • DRYWALL NAILING DEDICATIONS - ' SEWER FINAL ENG. � � ' ; , SEPTIC TANK_... .. LANDSCAPE/IRRIG. ; � SEEP PIT7L.L. .-. •'�'.� ON SITE IMPS. , . • , „ ; : GAS AIR TEST, , -;-, - FINAL ZONING • � ;- FINAL CONSl'., ' - ' FIRE DEPT. FINAL ; � FINAL HEATING � �,�,', , ,, , ' HEAITH DEPT.FINAL . ! FINAL ELECTRIC:� ;. } ., " . .� •, •: "' 'DEV.'FEES P.AID - - - FINAL PLUMBING � � , �, ENERGY � ; - . - , , , , a- e • .. , � . , �. . ----- , , � . ,, .... .. .. . .. ..-. . . . __ . __.. . , _''._�__.._ J . . .. . � . ._ _�...""___ . COMMENTS - ' . . .._. , � I '___. . -,._. , ., , ..... ".' . . . 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