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HomeMy WebLinkAbout15163 (30) � , - ,^ �� CITY OF DIAMOND BAR • � ' P- DEPARTidENT OF COMMUNTTY&DEVELOPMENT SERVICES � � 21660&Copley Dsive Suite 190 ' . (909)860-3195 Fsa(909)851-3117 PRESS � •�'�.� BUII.DIIVG PERMIT APPLICATION ' FIRMLY � JOBSITE r � 1 APPUCATION PERMIT �-j p/C o ADDRESS�3�31 �O�,D NuL7�7�� DATE �� NUMBER '`� � p � APN LOT TRACT D TEE VJ Q � ONST. GR UCP LL OWNER f'�f1Z: �1��'1-1 1 ADDRESS i n ZONING SEfBACKS w STT�"�c�'����S;6+-��'� � � CITY ZIP TEL. � FR��`�T RW ❑ APPLICANT _ M# �1�� TEL. � REAR p � SIDE/SIDE STREET RW ❑ CONTRACTOR N1 SIDE p ���-� � / I �1�a n � X PROPOSED USET�D(�S1fftK� � /NST�L.(. � � � CITY �J �'�_ ZIP TEL.�1�= � • �us j�etti 1,l� S• r'�,A-x—T— � ARCFUENG/ • � f� C /� � . i r =Z rr72, DESIGNER NO.�WEL. ND. NO. �+� = CDDRESS ZIP �L UNITS STOflIES BEDROOMS � � DESCRIPTION 'SO.Fi. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER OECLARATION SFR/ADDlREM O C ��awr�cc�au uroEA vEr+anoc oEaum nur i ua c�aar cAor.i fNE cor�rrucroAs u• Garape/Cerport lil CENSEUWfORTHEFOLLOWWOpEASpN(SEC.7o]I.68USMESSMDPROFESSIONSCODE:MIYUTYOR (n �� COUMiYN'F4CHREOU4iE5APERAIRTOCONSTRUCT,ALTERYPROVE.DEu0U5H2ORREPNRANYSTFUIG W LL� 7UFiE.PR�OR TO RS ISSUANCE,ALSO REWIRES iHE MPLICMli FOfl SUCH PERMR TO FlLE A SIONCO w Patio/Deck � STATEMINT 7W�T HE OR SHE IS LICENSEO PVilSUANT TO THE PRCWISIONS OF THE CONTMCTORS L4 � CENSE UW(QIAVTER i(COAIMENCPIOIMTH SECTION 7000)OF DIVISpN 7 OF TH[BUSINESSAND iRD• � Paol/Spa FESSIOHSCOOE)ORiHATMEOR5ME15E%EYPT711EREFROYIWOTMEBASISFORiNEALLEGEDE%FMP• (� TON-ANYYtllA710NOFSECTI0N7W1.6BYANYAPPLICANTFORAVEiWiTSUB.IECTSTNEINPLICMRTO Z Re-Roof �..� � ACIVILFENALT/OFlqT4q{iETWJFIVEHUNDRE900LUli5(f50q.r ' � O OI.�Sd1N1EROFTHEPROiERiY,ORMYEMPLOYEESYnhIWAGESA5IHEIRSOLECOMPENSATqN, COmTB�CL71 , Z Wll DO iHE WORIC AND iNE STRUCTURE IS NOT IHiENOED OR OfFEHED FOR SnLE�SEG 70/�,BUSI• � � MESS N�D VHOFESSIONS WOE:TME CQ(TRACTORS UCENSE UW DOES NOT APGLY TO AN OWNER OF iHOPERf'lYNq8U0.DSORYVROVE$THEREON,ANDMAqDOESSUCMNqRNH145ELFORNE0.5ELFOf1 � ' � f� 7HROlXLIH140qHEROMMEMPLOYEESiROVDEDTHATSUtl1MPROVENEMSARENOTRfTENDEpOR m 0 OFFEREOfORSALEIF.HOwEVERiHEBuIDINUORWPRDVEYEM5501DWRICNONEYfAROFCOMPLE- Z `TOAI.7NE OWNER�UILDER WILL HAVE THE BURDEN OF ifiONNO 7NAT HE OR 6HE OD NOT BUILD OR � MPpO'VE FOR iME WPPOSE OF 8ALE} � �y,� OLA40NR�EflOFTMEPfqPERfI;AME%QUSNELYLOMMCTiNOWfi}ILICEf:SEOCONTMCTORS � TO CONSTRUCT TM[PiqJECT(SEC.7DM,BUSINESS MID PROFESSIOHS GOOE:THE CONiMCTORS U• VaIUBII0I1 b a ADJ.AREA CENSEUW DOESIATAPRITOANOWNEROFAVROPERTYMRqBUILD50RMPRDVES7HEREON.AND YVHD COHTRACT3 iDR SUCM PROUECTS WITH A COHTMCTOR(4)LICENSED PURSUANTTO7HE[DNfRAG ou�wriTv DESCRIPTION � ra�s ucfl+se uw.� FEE O IAA1 O(EMPT UNDER SEC. B.i P.C.FORTHIS REASON Q 3 c� • ;.` • . , � � ._ .. •� • -. DATE OMMER �d LJCENSED CONTRACTORS DECLARATION w 2 IHEREB'/AFFY111WOERPENKIYOFPERIUMTHATIA4LICENSEDUNDERPROVi5qN3OFCHAFTER V. s •�COMMENCINOWITHSECTION7000�OFOM5qN7OFTFIE&15iNE55ANOFRDFESSqN5CO0EAND Z `X W�NSE LS N FULL FORCEAND EFiECL m � UCENSE CUSS_y - �� UC.NO._� � [�0�T/ � � w� �'(�� D o cartrucron���`—f�,t�_ a � WORKERS'COMPENSATION DECLARATION a : _ , � IHEREBYAFFlRYWOERPENALTVOFPERRIMONEOFTHEFOLLOWWCDECLAMTiONS: � 1 Z • - . - � _�MAVE A�A N9LL MM(TAP!A CEHfIFlGTE OF CONSEM TO SELFdNSUNE iOH YAiMLRS' --� a . . • � � - - _ � Q COMPENSATION,/uPROVIDEDBYSECT10NJ7000FTHEUBORCO�EiORTHEVERFORIAANCE U Q 'OFTHE WORK FOii WHI0/Tf115 iE{7dIT IS ISSUED. � O ��HAVE AND W�LL LWMAPI WqiNERS'CqAPENSAT�OH INSUAANCE,AS REOt1IRED BY SECTqN ///��� �7000FTHELABORCOOE.FOf{iMEPERWRMANCEOFTHEWORKFORWHI�HiHISPERMRIS �/ �G � ISSUE�.MYWORKERS'CdMPEN3AT10NWSl1MNCEGAPAIERANDPOLICYNUMUEFARE: CONSTRUC7ION O � � GRR:ER �R�N�I�� C��a PUINREVIEW . . � DOLICY WYBER�I�Q T1C� � b � ELECTRIC � ,.��, , � (IFiSS[CfqNNE'�NOTBLK�.PIE'1FDOFTEPEPMi6PofiWENU�DRED�CtUASRtm10RLFS51 PLUMBING �'u��i' � Z I CERTIFYTHAT IN 7HE PERFqiAUNCE OF TME WORK FOR WHiql THIS PERIAIT IS ISSUEO,I MECHANICAL i�' U' S�u1LNO7EAIPLOYAN'lPERSONINM�Y4MmER50ASTO0ECOMESUBJECTTOTnE (j� WOPo(ERS'CAMPENSATpNUW50FCAlJFORN1IANOAGREETMATIFISMIXADBECOME INSPECTIONFEE S SU&IECTTOTHEN'ORKERSCOMPENSATqNGROYi510N50f5ECT70N77000FTNEUBOR COOE,�SHALLiORT1WRHCOAIVLYYY1THhqSEPROV15qN5. ISSUANCE � O `p DA7E:�Z O� APRICANt:�'� IG�r'1 .SMIP ._ � S � WARNiN6 FARUFiE TO SEqJNE YARKERS'COMPENSATION COVERAGE IS UNUWM.IiND S/ULLBE ENERGY P/C � SUBJECT/JIE1APlOYENTOCWMINALPENALTIESIWDCMLFNESUPTOONEHUPDR[Di/iOUSW�. �ERGYPERMIT �tlTf Y� } DOLWiS(5100.0OO�,NADD1710NTOTMECASTOFCOYPENSATION,OAAUGESASPROVDE�FOHG1 II=y J SECTION]TOeOfT11EU�BORCO0E,N7ERE5T,MIDATTORfJEY'SFEES. A�ENTIONFEE: Q OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � INEHEBVIFFlPl1UN0ERVENALTYOFPERIURY7HATiHEREISACONSTRUCT10NlFNDWOACENCY � � FO(i 711E VERiORUANCE OF il1E M�OR1C iOR NMIGI TNIS PEMAIT IS ISSUED(SEC 7ov7,CIV.G�. � � LENDER'S WWE . � �ENDEH'S/DDRESS � ICERTIFVTMATIHAVERE/�TMSAPPLICAT70N/JAST�TETIATTHEABOVENFORM�TIONISWRRECT. TOTAL FEES �, G , p� IAQREETOCqAKYN7THKLCITYANUCOUIRYOROVLWLE5ANO3TATEUWSRELA7INOTOBUM1DINO . � CONSTRUCTION,M�DHEREBYAUi110R12EREPRESEMATIYESOFiHISCOUNiI'TOENTERUPONTNE . • ABOVE�IAENTqNED PROPERTY FOR NSPECTqN PURPOSES. COMM[NTS 9 7A�I 1 � G t+o . . m PERMRTEE P HT� r � D� N � (r� N SqNATUBE�/(-P ��EE � �� ORE � ��- � - RECPT.N0. PPJD BY VALIDATION YVHITE-0epenment Copy,YELLOW--Finunee COpy,PINK—Aeeessa COpy,GOLOENFOD—File C:opy,G EEN—Applirant's Copy . - . CITY OF DIAMOND,BAR � ;., :� _ , , . " � - ; : � . . '�•'��INSPECTION'RECORD'` . �. , . . ' - � •��` • � o" �{ 1�.E� �G����`_A r' � ' v �' 0 � • ! ` � ' � .SET BACK ' .1 . � '. ! , ' FLOOR JOIST �--. }>.' � - - �-` , _ I FTGS/FORMSJSTEEL � • � '. '� � ''• i ,, I FHA REQMTS- � ELECTRIC GROUND � - ' � �' - - UNDER FLOOR DUCT , ;�, _ �- ,�. . ,��-- " GROUND PLUMBING • � UNDER FLODR CG�IdUIT - � ' ' 5LA6GRADE- � � � F1RE�LACE�FOUNDATION ' -- �"'• ' � -TEMP POWER - - - � " � - � �' FIREPLACE BOND BEAM .. � '-' �' -� � , WATER SERVICE- --- - - -- =�� � ' �MID HT.BOIVD���AM •:=' '"• ..• .� . ,. � � �� � ROOF SHEATHING ', rJv ' 8 FL BONq BEAM� � � � � � �i <: I i_. FRAMINGIVENTILIATIQN .�� � �'• FINALBOND BEAM • � ROOF COVER:� - . . �. - PRE-GRADING --- � ,� -ROUGH HEATING - - - - - - BENCHING . .._. ' �. . ._ _.. . ._ .. �: ; - . ROUGH ELECTAIC �� � � � - - - � ' - ROUGH GRADING . . ,,:• • i " ' R�UGH PL.UMBING " � �- - -- -" - - . - FINISH GRADING , . , : • - • SHOWER/TUB TEST; � - � - POOL ELECTRIC ! � EXT.LATH/SIDING , � � • POOL FENCING �. : . • . . - .� � � WALL INSULATION POOL FINAI .�� • CEIUNG INSULATION ' OF,F SITE IMPS. ' - ' DRYWALL NAILING � DEDICATIONS' SEWER _ __ __ FINAL ENG. - ' ' . _ � SEPTIC TANK -. _ .� LANDSCAPE/IRRIG. . • �SEEP PlT/L.L. - --- - -- -"- ' = '' - ON SITE IMPS. • GASAIRTEST� - -- -- - � FINALZONING � , . -FINAL-CONST.: • -- - ' .-- -� -.� FIRE DEPT. FINAL' - -FINAL HEATING -- � - - �- HEALTH DEPL FINAL . �.�� `• -FINAL ELECTRIC -- ---- - � _ DEV. FEES PAID .- :;_- ------ l FINAL PLUMBING ENERGY • • � - • • • ( ���T�g�f.;Ei`�P`i-(� ' . . � . � - , � -- --- --• ----...._ . . . .. . _ - - --• .—' — --- - -' =• -- �� , , . . - • : ,., - -- -- . . � , COMMENTS C��c.- 7=6�� �.Q���� �,,� o. .��,. ��--���'�1, _ .ii.J ..�—I v �v. _/, 5.�� . .. �r�p, �Q, �- cui �� �/ � - - - � �� ' � � - � , . , � _ -...- � - �. - - -- - � , . , , . , , � � . . . . .. =� - � , � __,-- . , . . . . . . . , ., � � _ - - - - • ;..tt'r r.r' . . ; � . . . .. . . ' . ; ^ . „ .. , _ � • - , � . • .- • _ 1�;��,,� ,' � yUr . ; . . . �� �• . ✓7(ir . � . .__ ��aY•l�j,r'� ��,,lral✓ .. . . ' • ' ' •- � � � • t i� SEPTIC TANK SIZE - •'�I='. - ' I ' ' . , ; SEEP PIT/U SIZE , .,, .._. , . . . . . ; , I y , , : . - � ,�J - -- ,a� - - . . ..._ . .. .. i I , . . . i � _ .- - - . � • _ .. . - :,��� _ ..,- � .. � � , � � ' . .: , � ��. � • � - • ; , _.... . . " ' ....""' "' _'_' .. / •l 1 I / �\ ( '"" ' . ... . �.. _ . ._ � t • i �r� . . . � . 1 �. 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