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HomeMy WebLinkAbout14024 (11) �� CITY OF DIAMOND BAR .QJ -� DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES U � 21660 E.Copley Drive Suiu 190 _ (909)860-3195 Fax(909)861-3117 , Pf;ESS � '`��',� BUII.DING PERMIT APPLICATION� • . , • FIRMLY o DDRESS�(O�i� ��%V W nLD �Q-- DATECATIOt�'/� -i3_�i� NUMB R/�v �� • % / � ISSUE TYPE OCC APN LOT - TRACT DATE CONST. GROUP °C OWNER �I O p ADDRESS 1� '�O �[ � DLD b CL ' ZONING SEfBACKS Z CITY D L,j,�_ ZIP TEL. _ � REAR RW ❑ g APPUCANT 7/1-u L/1 M TEL. 0 � SIDFJSIDE STREET RW O CONTRACTOR /�(JCt SIDE � ❑ � ADDRESS � � CRY '�� [i._ ZIP -TEL� S= PflOPOSED USE � ' � � p o ARCWENG/ • . . �('�2 h 2 e9,z�_ � DESIGNER NO.OWEL. NO. � NO. = C�RESS Z�P TEL UNITS � STORIES � BEDROOMS � cn . , ., DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OVYfVER•BUILDER DECLARATION SFR/ADD/REM O ' I NEREBYAFFlPl1 UNDER PElULTY OF FERIURY THAT 1 AA1 E%EuvT FpOM T1E CONTMCTORS Lb GafBQB/CafpOR W CEHSEUwFORT1EfOl10YnNdREA50N(SEC.7W1.6Bu5c/E55ANDPROFE55qN5CODE:ANYGTYOF (n U WUNTTYYlqp1REOUIRF511FEAMRI0CDN5THUCT,ALTER�Pp�E,DEAlOUSKOHREPAIqANYSTAUC• W PatiolDeck � NRE,PWOii TO RS 65UMICE.ILSO REWIRES 7HE APPl1CANT FOR SUCH PERMIT TO FILE A SIGNCO w � STATF►IINT 7HAT ME OR SHE IS LICENSED PVilSUMfi TO 1ME PROViSI0N5 OF THE COHiMCTIXIS ll• � � � CENSEUW(�UIPTERY(COIIYENCWOWIiHSECT10N7000�OFDIYISqNlOFTNEBUSINESSANDORD. � POOVSp3 , . FESSIONS CODE)ORTIIATME OR SME IS E%EMPT 7NEREFROAA 1WO TME B�SIS FORTNE ALLEGED EKEAIP- TION.ANYVIOL�TIONOFSECTION7071.6BYANYAPPLICANiFORAPEiWiT5V0.1ECTSTHEMPLIGWfTO Z Re-Roof �� b00� � ACMLiENALTYOFHOTMOfiETi4NFIVEHUNORE000.1AA5(SSoO�.): - � OI,ASOWNEROFiHEPiqPERTY,ORMYEMP�0YEE5VATIWAGE5A5iMEIRSOIECOAIPENS�TqN, 0 �mmertlal . . - - � WRL DO THE YfORK AND iHE bTRUCTURE IS NOT MITENDED OR OFFERED FOR SALE(SEG 7Wt,BU51• J N Iff55 MA PROFESSIONS CO�E:iME COHTFUCTORS UCENSE UM�DOES NOT APPLY TO AN WMER OF � j � � 7RODER'fYMHO BUIIDS ON MPROVES iHEREON.ANO WT10 DOES SUUI WOHK HIIASEIF OR XERSELF OR ' � L= 7HROUGHHSORMERONR.IEYPLOYEESP�DEDTNATSUOIIYPROVEYEMS/AENOTNTENDEDOR m , QOFFEREOWRSALEF,MOWEVERiMEBUlDLti00qMPpDVEIAEMIS50lDWITXWON[YEAROFCOMPLE� . Z T10N.THE 01VNER$VILDER WILL NAVE THE BURDEN OF PROVINO 7TUT HE OR SHE DID NOT BUiID ON , � = IMPiqVEFONTMEiURPDSEOFSALEI . � �/ (y� Ol�OM7NEROF7MEYROVERTY.AMIX0.U51YEL1/CONTRACTNGW17ML10EN5EDCDNTMCTDNS � TO CONSTRUCT iHE VRQIECT ISEG 70N.BUSiNE55 AND VROFESSIONS CODE THE CONTRACTOHS ll• VelUdti0�1 ADJ.AREA � CENSEUWDOESNOTMPLYTOANOWNEROFAiROPERTYM'HOBU0.DSOR1►IPROVESTHEREON.IWO Vn1000HTMCT5i0i15UCHDROIECTSWITI!AMNiMCiOR�S�LICENSE�PUR5411MTO7H[CON7RAG pUANTITY DESCRIPTION FEE . � TOR+IJCENSEUWJ. . . , . . . OIMIIXE/APTUNDER3EG B.�P.C.FORTMISREASON . Q � U ` - LL � • OATE OWNER V . . . ._ . . . . � UCENSED CONTRACTORS DECLAAATION ' W � I HEREBY AFFIRM UNDER PENALTV OF PERri/H'I TMAT IAA1 ULENSED UNDER iROY1510N5 OF LMAiTEN � . d •(C01d1AEqCwOWtTMSECT�Oq7000�OFOmSiON�OFTMEBU51NE55ANOPPOFE55qNSCOOEAN� Z WYLICENSE IS N FUl FORCEAND EFFECT. /� C� f � m � UCENSE CtA55 � �LIC.NO. 6��S( ` v j . V DATE CONlMCTOR d W � WOFiKERS'COMPENSATION DECLARATION ¢ = U � IHEREBY/FFIRMUNDERPENALTYOFPERIURVONEOFTHEFOlLO'MFHIDECURATIONS: Z � _11uVEANDMIILLAwNTAINACERfIFICA7EOFGONSENTTOSElFiNSUREFORMIOFiNERS' _ � � � - CON7ENSATqN,ASVqOVIDEDBYSECT10N770o0FTHEUBORCDDE.FORTHEVERFORMANCE W OFTHE WOi7K FOR NMICIITHI4 VERUR IS ISSUED. � C �t HAVEAND WILL MAINTAP7 N'OFiI(ERS'COA�PENSATION INSUf WlCE.�S REOUIRED BY SECTION /�/'� ) \ � 77000F THEUBOR OOOE,FOR THE PERFORMANCE OFTHE WORK FORMh11CH THIS PERMR IS � y�� Lf�J � ISSUm.MY WOiU(ER5 COMPENSATION INSUMNCE CAf1R1[R AND GOLICV NU4BERARE: . CONSTRUCTION �_��_(_ 7 CARNER ST�Td �—�1-/v� PLAN REVIEW � vaucrruraaca tC�_C� ELECTRIC � (MssEcfqNt�Np78ECq.f'LEiFpOcnEf�EqMiSfoqa�EMl�OfEDnouAftsRtocloqLEss} PLUMBING �' _ Z ICEfiTiFYTHATPlh1[PERFORMANCEOFiHEWORKFORWHip1THI5PERA1RISi55UED.l MECHANICAL . ('J SMALLNOTEMP�OVINYPERSONNANYM/fMER50�STO8EfAA�ESUBJECTTOTHE y WOPoCERS'CU'uPEN5A7UNUwSOFGLIFOHNIA,nNDAGHEEiHATIiISHOlhDBEGOME INSPECTIONFEE n �- • S SL77JECTTOTHEWORI(ERS'COM7ENSA7qNPROVI5qN50FSECT10N77aaOFTXEUBOR CODE.ISIWIFORTMMTNCOMPLYWITI7/105EVROVIS�ONS. ISSUANCE J �' "J �S� O . SMIP CiTY n�--,- :,.�,� T� ., ,„ '?t,7 p DATE:�� APPLICANT:� �L M c.7:7r7+T�.. � � �� ENERGY P/C R[ij� T1rr•r. �..r-� �,.,.... WAfiNiN4:FAilURETOSECUREWONKERS'COIAPENSATqNCOVERAGEISUMAWFULANOSHALLBE �„7-T�"'�' ('-y SUBIECiANEMPLOYERTOCti1M:tULPENALTIESANDCMLFWESUPTO0NEMINDRE0TH0U5AND ENERGYPERMIT OOLLARS(floo.00C),IN ADDITION TOTNE CAST OF COM7ENSITION,DA�IAGES AS PHOVIDED FOR IN J SECTION9]0lOF7H[UBORCODE,MREREST,ANDATTORNEYSFEES. RETENTIONFEE: � � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IHEREBVA�FIRMUNDERPENALTYOFPEiWRYTMATTHERE6�CON5TPUCTIONLENDM�IIGENCY ' - � FOH TME PER W RIAANCE OF THE WORK FOR MMiCN TMIS PERIAIT IS ISSUEO(SEC.7oD7,CIV.C.�. � LENDER'SNAME -� � � � IENDER'SIiDORE55 � TOTAL FEES � � �,l v � I CERTIFY iMAT I HAVE REA�iMIS�OPIICATION AN[f STATE TIMT TME ABOVE NFORAIATION IS C017RECT. ' w IAGREETOCDM�L'/WRHKLUiYANOCOUNTYORDPUNCE5AND5TATEUwSREUTWIiTOBUILDINO � CDNSTPUCfION,MAMEREBVAUT1qRIZERCPnESEMATIVE50FTNI5COUNTYTOENTEHUPONTHE ' ' ' � ABOVEJAEMIONEDVFqVEHTYFORINSPECTIONPURPO5E5. COMMENTS � � �/-�✓10 � {�t� m a VERA117TEENAAI[(P� ��/,� � � % (n S�OHATURE OF YE ITI UATE - / . � - �- HECPT.NO. - PAID BY VAL1DATlON WMITE—Oepertrnent Copy,YELLOW—Finence Copy,PINK—AssessorCopy,GOLDENRO�FiIa Gopy,GFEEN—ApplicanTs Copy .. � _ ... - , �. . F. , . '1' . ,, . , r ... . .. . .'yn. � .. . :9 �. t . � '� _. •, "" _" . '- . . ., . .. . . . . . � , .. . � . / ;� "�'� CITY OF DIAMOND BAR; ; .:. , _ � \ �` -.. r: �.�•: �.,INSPECTION RECORD �".' '' . ,� � _.._. �. ; .. . • , . , . � e � � • . � � , . � . SET BACK ' . � . FLOOR JOIST �,�; ,, ; . i ' r�,1:'; . i,;C.�^ � � . FTGS/FORMS/STEEL - - � " _,: -- -' - FHA REQMTS� -- � � - � � ELECTRIC GROUND _ _ 7�.. _:. - . UNDER FLOOR DUCT ' � GROUND PLUMBING - - � - UNDER FLOOR CU�IDUIT.' �, •,- � , ; � , ,; � ; SLAB GRADE . .. '� • - - --- - ' FIREPLACE.'FOUNDATION �:'• : + - � " TEPJIP POWER- -� - � - � - -� • FIREPLACE BOND BEAM ' _'' -� � � - � • ` • . _, WATER SERVICE . - ---- - � MID HT.BOND BEAh7'• . � •' • � ' � '� ' •• ' ' t- •' ROOF SHEATHiNG•_. .; �� • . ✓+ ..�� S FT:BOND BEAM' � ' " '- `'" ' -� ' . � r', , i ' FRAMINGNENTILIATION ` ' � �• • ' FINAL BOND BEAM ' ' ROOF COVER • - --� -` ��` � " PRE-GRADING - - •- � � ROUGH HEATING - " - �- � BENCHING � • ' � ' ROUGH ELECTRIC •• , � � ROUGH GRADING - - - � R�UGH PLUMBING ' - -�� FINISH GRADING SHOWERIfUB TEST. - _.._ __ ._._ . - POOL ELECTRIC . ' 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 PITlL.L. � �' I ON SITE IMPS. . • • :GAS AIR TEST � FINAL ZONING • FINAL CONST. p FIRE DEPT.FINAL ' FINAL HEATING _ .._ HEALTH DEPT. FINAL !FINAL ELECTRIC ._ . . - DEV.FEES PAID � -- � � FINAL PLUMBING - � -= - -- � -�- ENERGY � • � __ . . . - - - - -- . . - • • . � __ , - - _.. . .. . ._.. . .- . . . � : - - ' . _ . .. . . - ; - ; -..,:_._. . . . _ - - . ; . . _.. + �COMMENTS- - - -- - � � - .. - . --- ._ ... .. .. , . . � - - - - _ - - -- - --. . . I ' ' ' . , . ' . , .. -- ' , � - , � _ i . ` . . . . -- - , � ' -- - � ` � 1' SEPTIC TANK SIZE � , ; . ' I SEEP PITN SIZE . , � , , _ . � � -- - . . � - - - . , � , _ . . i -a` - - --... _ . . � ' . . . . ' � ' . � . __ . : ..' ! ; , :1�.� � . ' � ', _ ' \ �, ' l ' .,'._ �' - • - - . . . � . . _.. . . . . . � , i +' - �