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HomeMy WebLinkAbout15216 (15) CITY OF DIAMOND BAR � ��J� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� i zi�o E.coPiey nri��s�u i90 RESS '� (909)860-3195 Fax(909)861-3117. '���^� • . BUQ.DING PERMIT APPLICATION � ' FIRMLY y JOBSITE � �1 APPLICATION r� PERMIT P/C o ADDRESS ZI[�tY� �QU.� f-� DATE �O " NUMBER ��I 1t � ISSUE TYPE OCC APN LOT TRACT �ATE CONST. GROUP p OWNER 77L0.-rs^'.�-�-C't d�-✓ p ADDRESS , � �- p ���a V ' ZONING SETBACKS W CITY ��-fl i_�r ZIP�TEL. - FRONT RW ❑ � APPLICANT TEL REAR ❑ � SIDE/SIDE STREEf RW � CONTRACTOR - G � C SIDE � ADDR SS � PROPOSED USE � � � CIN�s.� �+n U� ZIP �J7�CITELSr�-��3-(576� o ARCHlENG/ � • � DESIGNER NO.DWEL PJO. NO. ADDRESS UNITS + STORIES� •' BEDROOMS � CfTY ZIP TEL � OESCRIPTION S�.FT. FACTOR PSF ADJ.AflENVALUATION � � OWNER-BUILDER DECLAFiATION SFR/ADD/REM O p 1 HERE9Y AfFl(W UH�ER GENALTY OF PE0.AIRV TVUT I 1lM EXEUPT FRdA THE CONTMCTORS U• G�f99BIC2fpOR W CENSEUWfOHTNEFOILOWNaREASON(SEC.70.71.68UStNESSAN[)PROFESSIONSCODEANYGTYOR (n � COIMTYYMIIGHREWWESAFERMRTOCONSiRUCT.ALTER.MPROYE.DEMOlJSH,Oi1REPNRANYSTRUG W patiol0eck � �� 7UHE,VRIDR TO RS ISSUANCE,NSO REOUIRES TXE MPUCIINT FOR SUCM PERMIT TO FLLE A SIGNED � � STATEMEHf iHAT HE OR SH[6 110EN5ED iU0.SUANT TO THE PROVISiONS OF 1ME CONTRACTORS LL � CENSE UW 1��p o(�MENCNO W17H SECTIDN)ODO)OF OMSION 70F THE BUSINESS PND PR6 u- PooVSpa fESS�ONS CODE)��7 ME di SHE IS E%E1APT TNEREFRdA AND 7NE B�1515 FOR 1HE ALLE�EO EXEMP• TION,ANYV�OtA7qNOFbECTiON7o]1.68Y�NVAODLICANTFORAPE1WiT5UBJECTST11EAiVLIGN7T0 Z Fj@•R001 � � A CIYIL VEN�LTY OF NOT MORE T4W i1VE HUlARED DOUARS(fSoo),I: - � OL��NEROF7HEPROPERTY.ORMYEM�LOYEESYnTHWA�ESASTHEIR50lECOMPENSATbN, 0 COf11fflBfCldl IMLL 00 TME WORK/WU TNE STRUCTURE IS HDT RRENDED OR OFFERED FOR SALE(SEC.7M�,BU54 J NE55 AHD VROFESS�ONS COOE:TME CONTNAC�OfiS LICENSE UW OOES NOT MPLY TO AN OWNER OF � N OROPERiYYR1DBULA40RIMPf10VE5THEHEON./JAVM1�OD0ES5UCMWORKHIMSEIFORHERSELFOR m (t 7HROU('J/WSORHEROwNE4PlOYEES.VROVDED7/1AiSUd111AVROVEMENTSA0.ENOTINTENOEDOR �1 OFFERED fOR SALE IF,FIOWEVE0.1NE8U0.0a100R MPROVE4FM 6 SOLD YNTHw ONE VEANOF COUVLF Z 'TqH,THE OWNER-6URDER N'ILL NAVE iHE WRDEN OF PROVWO iNAT HE OR SHE DiD NOT BUILO OR = MPfqVE fORTNE PURPOSE OF 9�LE1. W p1,ASOYMEHOFTIEPROPERi'I.IWE%CLUSNCIYCONiMCTF6WRHLICENSEDCONTMCTOK3 � TO tONSTRUCT THE iROJECT�SEG Mw,9USINE55 AND VROFESSiONS CO�E:TME CONTAAC70R5 LF V81UBSi011 ADJ.AREA CFHSE UW DOES NOT MVLY TO AN OW!1ER OFA iROPEHTY WMO BULDS OR pAPR0VE5 iMEREON.AND � W11000NTRACTSFORSUCHPRO.)ECTSNATHIICONTMCTONIS�UCENSE�iURSUMITTO7NECONTMP OUAMITY DESCRIPTION FEE 1�p! Ni35 LJCENSE UW.). ♦ ' `� O IAM E%EMPT UNDER SEG B.i P.C.FOR TMIS REASON U `���A�V J � � � ¢ A: C.• - u' DATE OWNER f" � W Z .l1 ^�Q. F LICENSED CONTRACTORS DECLARATION W C- • � IMEREBV�F'FW.IUNOERPEWLLTYOfPER1URYTHATIAML�CENSEDUNO[RPPAVISiONSOFCHAPTER s /�COMMEHCYJ�WITMSECTqNTWO)OFDm5iON70FTHEBU5ME55ANDPROFE55qN5CO0E,AND X IAY UCENSE IS N FULL FORCE AND EFFECT. 1 � � IICENSE CUSS C��O UC.NO. ��E�>�E7 _1 � w� 7//o /o o corrrAncron — , �- - u, ' j . �. � WORKERS'COMPENSATIO^7 DECLA , ION �J� - - -''' ' , _ � ; ; 'i ;' � IHEREBYAiFIiWU1AERVENALTYOFOERAJRYONEOFiHEF W:NCOECIAR �� � � O _INAVEMDWILLEWNTAWACEFifIFlGTEOFUN�SENT OSELFaNSUFE WOf1KER5' � � COuvENSATqN,l�SVRDVIDEDBYSCCilON770aOFiM CODE,FOR7MEPERFOP/.6V10E OF T/1E YYORK FOH WHip1 TMiS PERAI:T 4S ISSUED. 0 ��HAVEANDWILLNAMNNWORKERS'OOIdFENSATqNINSUM �.ASREWiREOBYSEG710N 4Q 770o OF T11E LAO�R OUDE.FOR 1HE PERFORMMILE OF THE WORK ' � ISSUEO.W 1NO-�HK,ERjS}C>OM`C�-���TqN INSUMNCE CMRICH ANO DOLICY NUM3ERARc: C NSTRUCTION � CMPIER�`U''— ��� P N E EVJ � vaicvr+uween G� '� ` — E I � (MSSfC1YfJNCm1�OT8[CdKRETEDOFTfPEfU(T6FOt10hEHll�DqED00lURS t , I ' G .. Z 1 CER7IFY 7MAT W T7E PERFORMANC[OF THE WORK fORwHICN TMS PEIwIT IS IS � HANICAL (J S/NLLNOTEUP�OYANYiER50NNMrYMM1NER50ASTOBECOMESUBJECTTOiME . y WORKERS'COM7ENSATqNUW50F�J1LIFORN�AANDAGREE7HATIF15110UlDBECOME INSPECTIONFEE . � SUBIECTTOTNEWORKERS'COYPENSATqNPROVIS�ONSOFSECfION770oOFTHEIABOR �oo�,i sNui Foan�vnn�coua�r win�ng�.,�vao�ar+��. ISSUANCE � � ;/ C SMIP p DATE:�� APPLICANT: � � ENEFGY P!C WARNiPId FAILURE TO 5[CURE WON(ERS'CAAIPENSATION COVEMGE IS UNUWFIA,AND SHNJ.BE � SUBJECT/wEMPLWERTOCWurtJALPENLLT�ESINDLMLiNE5UG700NEHUNDREDT/10U5AND ENERGYPERMIT _����`�lA_]_Sd pOL1ARS(i f0o,0o0),N ADDITION TO i11E COST OF COMPENSATION,OAMAGES AS GF01lI�ED FOH IN IISZViV � SECTpN�7oeOF1NEU�1BC�1000E.MTEFEST,/NOATTOPNEY'SFEES. RETENTIONFEE: �� • a CONSTRl1CTION LENDING AGENCY PRE-ALT FEE: O � INEREHYAFFIRYUNOEROENALTYOFPE0.NRYTHATTHERE�SACONSTRUCTIONLENDMOAGENCY FOR THE FER�ORMANGE OF THE WORK FOR VMiCN T11I5 iER1A�T IS ISSUED�SEC.]uV7.CN.G�. � LENDER'S NM1E f � C LEN�ERSADDRE55� � (� � � ILEfTTIFYTMNTIMINEREADT115MYLIGITIONANDSiA7ETHATiNEABOVEMFONAATpNISCORAECL TOTAL FEES �'/� v W IAOHEETOCOMPLYWfTMALLCfTYANDCOlMTIIOftDiNANCE5MAS7ATEUwSPEUTNaTOBU0.DINO V � CONSTRULTICN.MIDHENEBYAUTHDRIZEREVFESENTA7IYESOF7Mi5COUNttTOEMERUPONiHE � . Z ABOYE�YENfpNEDVROVERTYFOR�NSPECTIDNPURPO5E5. COMMC-NTS � � / � � �l � �1 ��71a r� � m PE �NAM P '� ¢ 1 G � ! ' � y 5 NATUR EE OA7E RECPT.NO. • PAID BY WLLIDATION � VJHITE—OeDanment Copy.YELLO'N—Fnance CopY�F�NK—Aeseasa Copy.GOLDENHO ile Copy,GREEN—ApplicanYs Copy - � ,. . .. .. �. ., .. . �. m .._..�� -... ... . _ .r. -. . . .�. �.y. ._.... i. ' . . : .�. .. .. ..._...�.e. • . ` , 'r. • . .. -... � _.. �. . . . • ' - CITY OF DIAMOND,BAR . . . . � . � . . , -:�:�'•�-�:•.= r� 'IRISPECTION.RECORD : � .. .. : � _ _�:. .. � . ��.(�.�-���.�';i�tJ�'1 :c�,�;�-1= �(►!.��1'�.._�����.+w�r:C�+.�k��.���Pl���1�-,��v������" ��� ���o"�o T�,�-�' �.,�,.,.. ;SET BACK ,. . , � � , •� ` `, �� '•, � . .•� FLOOR J015T .. � Wf� - . .. .. iFTGS/FORP�^SISTEEL � ; _ . .-I� � , " � '" f'. FHA REQUITS� . , ---. --�--.-.---' •_ _. _ . , , . , • �.� �, �, .. . , .. , . . �— 'ELECTRIC GROUN�. ._.. . ._.. .�•: • . 1 ' _ UNDER FLOOR DUCT - � _ �� � • � ; -• IGROUND PLUMBING UNDER FLOOR COf,!DUIT. - ' ' " ' - . . . . .. . -- __--- .SLAB GRADE _ .. _ `', ----- -- -- � �. ; FIREPI..�i�E FOUiJDATION • . .� � � " ,_ '. , , , . � • ' ..--- _ . . , ., iTEMP POWER -- --, i� : = �: � ; . FIREPLACE BOND BEAM' _ _ _ � -.-� . . . ' , ... !WATER SERVICE _: ... . _.__. . '- , �.. _ p,�ID HT. BOND BEAP�1 . - , •;, . . -, '. . IROOF SHEATHiNG '' � ' , i: . 8 Ff. BOND BEAM � " �- - � • ;FRA6AIhJGNENTILIATION � - - - FINAL BOND BEAM � � --� � - '' ; OF COVFR . ,. �: PRE-GRADING - - =.. I , . , �:;;� `Ft�U�ti�i�ATING ._..�. � �.�. /,� . �. __. .. BENCHING _ . - I _(_.. ,. �" ,ROUGH.ELECTAIC _' .. ' :��. . _� � • ' �._%" • � ROUGH GRADING ' ;ROUGH FLUMBING � --- - � - -- --'= � FINISH GRADING i ._ �SHOb'VER,TUB TEST- - • POOL'ELECTRIC � • i � ;EXT:LATH,�SIDING--- _ -- - - - POOL�FENCING , � � ;1�"JALL WSUt�ITiON - ;- - - --- - -- _ - . POOL FINAL . ;CEILiNG If•:SULF',T10N - - �- - - ��� -, OFF SITE IMPS. ' � ' : ( : lDRYVVALI:iJA1LING - � � - - DEDICATIONS ' �SEVti'cR --- -.. . -- -- - . .. _._. __ _ FINAL ENG. , . ; -: ;SEPTIC TANK LANDSCAPEIIRRIG. : ' SEEP P1T1LL.. _. __ ON SITE IMPS. j GAS AIP.TEST ' FINAL ZONING . . . .. _. __ ------ •.Flh'Al.CQNST._ __. .. . ` � : • • . � FIRE DEPT, FIfJAL . . _ _ . :FI���'�.�t-tEf1TING ...__ .. � H�e' . � . ... � ' ,HEALTH DEPT. FINAL - - � - . � , ;__� _ ���i�Jt,i_E:LECTRIC _.._ ....: . --' _ _. . ,DEV. FEES PAID . --�--- . _..__.... '�i=:::,i�PLUh.1BING- - -- --• -- --' . . ..• :...__. .ENERGY ; : •----r-= ,• _...... .. . . . . . ._ � _ . ... ._, . { ' __ . . . . _, __ - , , . - , . , ��- . -•-- ..... . _ _ . _ ._ ._ .. ,-- - - - ---C1. , ..=._..f��;-G s C: �.__ _ . � , '� �_ .w� �^.�n-.� 'COi�1MENTS�`��Da ��-(L �j�� +.�C.G.,� i ;� .� •...� . i � � : , L ` _'.. : ...----- ----. _.. . . . ---.. . . ... � , � •� � - - • \ � ,� - , � .. . . - � • . : -• , .� • �� , �}-� ;-� , ' . . :, �, �� _ . .. . . - . i r � -� . . . _ � _.. _ ., ; : ' � , . _ _. . �; �� � __ . __ . - ,�: ;,�.. � ' . ';`;'l: • . , •._. .._ � •. ... � • �` ; . . ,. . , } . � - - - ........ . ... . _ _ . . . .. ; � �� , _.._ _ , . ,. �'i, . � , , ,. • ; I .,� . ' ...._ iVi�`. �.' .: _1Uv .. . , , ' ' .-�: . �. . �..: . .. � � "' , .. �SEPTIC TANI�G61,��i"I` . AICI'�G YTIJ � � ; . : , , +SEEP PIT/U S'tZ�.i:z,c..2 t1'�/� ��`,',::�. ..� � ' _ ,, . . ..__. . _...__ � . . , , . , � .... ..�._,_._. �. . _ . _ � _ i ;�'VR - , 1 � , . . . .... . . .. . . ��............ ; ` . . .. . . _.. _ . , - � . , . . _ . .. _ .__. - --- . _... .. : . . .. , � :. . . _ : , . ---.. ._ .._ .. ' ; `•'I�1,�. • � ' ��,: . . .. , _. . . , , . _ . - -� _ : , . , � . � _ . _ . . �. . . ; . � . � � , . _.. . , . _ _ _ .. _ i . . ,. • ' : ... ; _ . ; . •'�._....... �.l � .!i 1.� • �- . ' . • � .