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HomeMy WebLinkAbout13339 (16) . , � �� CITY OF DIAMOND BAR ' � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��; . 21660 E.Copley Drive Suiu 190 � ' (909)860-3195 Fax(909)861-3117 PRESS ' �`'TM'� BUII.DING PERMTi'APPLICATION � ' FIRMLY � JOBSRE �� � � APPLICATI9N �� PERMR P/C � o ADDRESS �fJ�I ��+C�f�.tl JF/;GtJl�J �. OATE f "I S / ( NUMBER 333 #�,�_ � ISSUE •TYPE • OCC APN LOT TRACT ' "' DATE CONST. ' GROUP � p OWNER �.l�- IT'l��xS S ' p ADDRE i� .c1 � ' C- . 7l�i ZONING SETBACKS z CIN ZIP TEL. ' REART .: RW O❑ g APPUCANT TEL: SIDEJSIDE STAEET RW O � CONTRACTOR �� C ' SIOE ❑ p� ADORES�S � CITY G�S�ik7 �ST�►l 21P,jzGZL_TEL.� _ � / � ROPOSEDUSE �L � J�•l��L+`1 o ARCH/ENG/ . . . -- DESIGNER - �7 NO.DWEL NO. NO. • n. ADDRESS � CfTY ZIP TEL UNITS STORIES BEDROOMS , N �n � ' DESCRIPTION S0.F7: FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION � SFR/ADDiAEM - O � p 1 HEREBY AFFIRM UNDEH VEN�ILTY OF PERAIRY THAi I AA1 EXEYPT FROM THE CONTHACiORS L4 ' G0feg9JC8(pOtt � CL CENSEUWFORTHEFOLLO'MN(iRFASON(SEC.7Wt.6BU5R1E5SANDGR0iES5lON5CO0E:ANVCI7VOR (n �� COVNTYNTIICHREOUIRESAiERMRTOCON57AUCi,ALTER�PROVE.DEMOLISH,ORREPAIRANYSTRUC• , �y,f L TURE.PRqR TO RS ISSUM7CE,�L50 PLWIRES THE ACFLICANT FOfi SUCH PERMR TO FILE A SIONED W PaliO/DOCk � STATFM[Ni THAT HE OR SME IS LIGENSED VURSUANT M TNE PiqY15lON5 OF TME CONTMCfOftS LI• � � CENSE UW(�➢TER Y(COMMENCINO YAM SECTION 70001��IVISqN 70F TME BUSINESS AND VHO- PooVSpa FESSpN5C00E)OfliTUTHEORSHEISEXEMPTTHERCFROYANOTME8A515FOR1HEALLEOEDEXEAIP- C7 TqN.AN'lVIOLATIONOFSECTION70]1.6BYANYAiPl1GNTFORAFERMIT5U61ECT5iNEMPLIGNTTO Z Flg-R001 � ACMLVENFL7YOFNOTMORETHMIFNEHUNOREDDOLURSItsoD).). . ^ � OLA40VMEROFTHEPROPERN,ORMVEMP�OYEESWITHWAOESII:iHEIFSOIECOMPEN5AT10N, � COrt1rt10fC131 � g Y/�LL DO THE WOill(AND iHE STRUCfURE IS NOT MENDED Oq OFFERED FOR SALE(SEC.7a1,BU51� J � � NE55 AND YROFESSIONS COOE:TME GONTMGTORS 110EN5L UW DOES NOT A7PLY TO AN OWNER Of �' � . � PHOPENTYMIN06U0.DSORIhIPRDVESTMEREON.MAWHODOE55UQ/WORKMIMSELFORHERSELFOR � Q THROWH1950RHEROYlNEMVLOYEES,PROVIDED7HATSUpIMFROVEM[NTSARENOTMENDEDOR m �1 OFFERED FORSILE IF.NOWEVER7ME 9L11LDN6IXi IIAPROVEYENT LS SOLD WfTHIN qJE YEAR OFCOA/PLE• . . L TION,THE GWNER�UIIDER VALL IUYE THE BURDEN OF DROVINO TNA7 HE OR SHE DID NOT BUILD pR MPROVE FORTHE RIRGOSE OF SALE� ' W Ol�d�'�NEROFTMEPRDPERTY,AMEX0.USIVEIYCONTMCTINOW1iTiLICENSEDCONTMCTORS ��� � TO CONSTRVGT TME iiqJECT(SEG 70u,BUSINE54 AND PROFE5510N5 CODE:THE CONTMCTORS U•� V2N211Df1 ADJ.AREA � � � CENSEUWDOESNOTAPPLYTOANONN[ROFAPROPERTI'MRpBUILDSORMPROVESTHEREON,IND WFqCONTMCTSFORSUCNVRO.IECfSN1TMACONTMCTOR(SIIICENSEDPIJRSUANTTOTHECONTMG pUANTITY DESCRIPTION FEE � TORS UCENSE UW.I. � . . . . . , , . . � OIAMIXEIIMUNDERSEG B.tP.C.FORiF1IS�REASON Q 3 ' • c� __ , . . � � DATE OWNER V . _ Fs[ LICENSED CONTRACTORS D[CLARATION W J Ct IHEREBYAFflR11lRlOERPEIULTYOFPERAIMTHATIAMIICENSEDUND[RPPAVISiONSOFCMMTER�� � . � i�COMAIENGtlbWRHSEGT10NT0o0)OFOMSWN70FTHE8USINESSANDPROFESSIONSCODE,M10 Z � �� MYIJGfNSEISNMLfOfiCE/NDEFFECT. m � ucer+se cu��� Z uc.No. �A_ � �"'j wre���� corrra�cron '�_ w ,,I�✓ � � � � - WORKERS'COMPENSATIONDCC TION �'1Gi � � . N C,e �I V � I HEREBYAFFIPoA UNOER VENALTY OF VEMIFY dJE 0FT1E FOLLOWWG DECLAMTIaSs: il Z � � � �IMAYEANDWILLWNTNNACEHTIFICATEOFCONSENTT09ELFdNSUREFORWORKERS' _ � � , � � .. � COAIPENSATqN.A9PFiOVIDEDBYSECTI0N77000F7HELABORC00E,FOR7HEPERFORMANCE W OF T11E WORN FOR WHIC111HI5 FERuIT IS ISSUED. -' , . .� � � IMAVEANDMALLMAINfAPlWORKERSCOMPENSATqNINSUMNCE,ASRCOUIREDBYSEGTiON � - ' 'J � J700OFTHEUBORCOOE,FORTHEVERFORMANCEOFiHEWORKFORMTIIQiTHISPERMITIS �� ISSIIED.WIMD�RK ^S'C0�11PENSAT�tq�IN�SURA�NCEGRRIERANDGOLICYNUMBERME: CONSTAUCTION jc�vtwEn .-��"�'�Z f(M`_d --- -- � -�—=-i� PLAN REVIEW . . • , � � POUCVNUM�ER C � '�� 7 ELECTRIC . 0 (IFa55CC1�ONNEmN0T8ECd.stEfmOFi1[VEPo.ff6PCRWEHI.WPEDDOIUAS(ftoolOfilFS51 PLUMBING Z I CERTIFY THAT W THE PERFOqYANCE OF TME A WH�Qi iHIS GERMI o5UE0,1 MECHANICAL ' -� � • C7 SMALLNOTEAIPLOYANYFERSONINANYMANp. ASTOBECOMESU0.1 OTHE (n YYORKERS'COMFENSATqNUN50FGLL�F �.0.�NDAGREF 4TIF1 BECOM[ INSPECTIONFEE SU0.)ECTTOTHEWORNERSCOAIPENS GROVIS SE OF7HElABOR -rj ODDE,iSHAL�i arrrvam�cor.�a�rNn v �or�s. . ISSUANCE �At �, � SMIP p DATE: APPLIGIM: . . � � ENERGY P/C WAHNINO:FAILUfiETOSECUREVJOitKERS' PE A COVERAOEISUNUWFVL.ANDSHALLBE (� � SUfl1ECTANEMPLOVERTOCRnJINALVENALTIES NIFWESIIPTDONEMUNDREDTHOUSAND ENERGYPERMIT '. `'� DOIL\RS(f tao,000),W/�DOI710N TO TN[COST OF COMPENS�TION,OAAIAGES AS VRONDED FOq M ' t � r� � SECT10N�7oeOFh1EUB0(iCOOE,INTEREST,ANDATfORNEYSFEES. �' RETENTIONFEE: , -;,r,F�vl` •�1 ' oCONSTRUCT�ON LENDING AGENCY pq ./��T/��: � �� ll`i' ����.ti?��J� � IHEREBYAFFIRMUNDERPENALTYDFPEPJURYTWITTHEREISACONSTRUCTIONLENDIN0A0ENCY , � KJ �L S. L11�V � � � � FON TME PERFONMNCE OF THE WORK FOR WHlp/THIS PERAIIT IS ISSVF D(SFG 70v�,qV.C.�. ���� /� ��..- . � LENDEq'SNAAIE I�K/ �. . . ., ... . ' � IENDEHSIDOHE55 � TOTAL FEES � ¢ ICERTIFYTYUTIHAVEREADifu3MPLIGTIONANDSTATETUTTNEABOYENFORM�TONISCORRECT. . , . . W IACREETOCOMPLI'N7T1AlLCrtVANDCOUNTYOROW�WCE5AND5TATEUW5REU7INOTOEVILDIN6 ' � CONSTNl1CTION,NI�NEREBYAUTHOWZEREPRESENTATNE50FiNI5C0UNTYTOEIlTEHUPONTME � ' � �NiIONFD GHOVERTY F SPECiION VURPOSES. �� COMMC-NTS � .J s , m Q ve H �v � � _ _ . . Uj 9 OFVERMI TEE D�E � � RECPT.NO. ' _PAID BY VAl1DAT10N YYHITE—Department Copy,YELLOW—Finence Copy,PtNK—Assessor Copy,GOLDENROD--File Copy,GFlEEN—Applicanl's Capy �� �• � � � � � '` CITY OF DIAMOND BAR � . - , _ � "�� . ' ` INSPECTION RECORD .�' � � . . _. .. . �� � � � � - • � � . � . SET BACK ; ;�',,_.c : �� , � '... � FLOOR JOIST,'..` , • _ . , , - ; FTGS/FORMS/STEEL . FHA REGIMTS � - �- -- - ' ELECTRIC GROUND � -- : - UNDER FLOOR DUCT ,� . ._ • ," t•. - GROUND PLUMBING � � ' UNDER FLOOR CO�IOUIT, ' � . . . . . .. . , . , SLABGRADE. _ . • _ . �� ! FIREPLACEFOUNDATION .,.. .��.� �.,:�'.t':�� TEMP POWER - �� - - - � ' ' '' ' I FIREPLACE BOND BEAM:. .. � " ' ' , i�, ; � .. ,..�. , � WATER S�RVICE -,-: .. - _ -- .. ._ � . MID HT.BOND BEAM' ''- � _ _ ,• .. ,� , . ' � ' . , _ _ , , _ _ , _ _ , , : ROOFSHEATHI G - •, ..•.���... , . .:. .:,i i ; $ FT..BONDBEAM,. . ,. ,. � . �.... •. ,�. �. •: � � , `� FRAMINGNENTILIATION FINAL BOND BEAM ' ROOF COVER . : "' 'PRE-GRADING ROUGH HEATING - - .__. - - - BENCHING ' ROUGH ELECTRIC -� � ` `- ' � `- ' ` " ROUGH GRADING ROUGH PLUMBING - � " - - � - .--' � FINISH GRADING, i ' SHOWEFi1TUB TEST .' - FOOL ELECTRlC � � ' � EXT.LATH/SIDING - � POOL FENCING ' ' WALL INSULATION � � POOL FINAL � CEILING INSULATION i OFF SITE IMPS. � DRYWALL NAIUNG DEDICATIONS � � SEWER _ . _.. FINAL ENG. SEP7ICTANK. _... .... ........_ : ,_ ... LANDSCAPE/IRRIG. � SEEP-PIT/L.L. -...... . - _" .' '`'.�`'`.` ON SITE IMPS. GAS AIR TEST!--- - - - FINAL ZONING ' ' FINAL CONST: 5",�:- - Zp SS - FIRE QEPT.FINAL ' - FINAL HEATING - HEALTH DEPT. FINAL FINAL'ELECTRIC - � �- • -DEV.FEES PAID , , FINAL PLUMBING ENERGY: . • ' �. � �. �1 _.'. . ' . . . . . 1 S _ . „ . .. ...... .... ..." ' .. . _..... ._... . _.. . . _._ �. � .. . ' CONii�lIENTS _. _ . .. . . ,-- --�--- _._:,__.�_; __ . .- . -•----- - -�--__.. , . \ ., _ . .E. -- . . . . � . � _ _.., _ � . _ ..�� ---�' . . . , - .. ... � � �� � �. G' -- . ' ;.� :1 r', _. • ' . , • , , :�-7 �j .t ,�;. . . _; . . r _.� � . " . . � ,-,.�..-�c . `. _. . , -- _ •�---� '� • • , � l ;� , _ . . . . , . _ .. , . . , SEPTIC TANK SIZE� � ' SEEP PIT/U SIZE ., t,. ., + , i . , , , • . .- . � . � . ' ' , �� , , �- _. . . . . . .; .... - --�� � . . . . � .. . _1 -L- . � • , r. ,,�_�,`` . .. -. ., .`\_��f . . � i \ \ .�, • . ... --- �. �-. _ � .• i , � �