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HomeMy WebLinkAbout13719 �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� . 21660 E.Coplcy Drive Suite 190 • (909)660-3195 Faa(909)861-31 l7 � PRE$S �`'^^'�� BUII.DING PERMTP A�PLIC TION FIRMLY oy JOBSITE ^ It'�11 � �J�. � DATECATION/ �_2?� /y�. NUMBER I �� -I�" I�O AODRESS d`1l/Y �•1 •-.�F � APN LO ��TR CT • �SSUE TYPE OCC g OWNER CID _' DATE CONST. GROUP "' ADDR S � - ZONING SETBACKS �f��, 1 Z CEN r ZIP�TEL. REQp \� RW ❑ g APPLICANT � TELj,� � SIDEISIDE STREET RW O � CONTRACTOR SIDE O rt A�DRESS o CITY ZIP�_ TEL � PROPOSED USE I . T � ARCH/ENG/ .� • , DESIGNER C NO.DWEL. NO. ADDFi SS UNRS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREM/ALUATION OOWNER-BUILDER DECLARATiON SFWADD/REM � , `�t � p 1 HEREBY AfFlfM UNDER PENALTY O�PE1WM THAi I MI EXEMPT fTiOM TNE COHTR�CTORS U• GefBgtl/CEfpOR � � � UJ CEMSEUWFOR711EfOLLOWN�REA50N(SEC.70.7f.68U5MESSANDPROFES510N5CO0E:ANYCrtYOR (n ZGOIAlttYR11G1REOVWESAPERMrtTOCONSTRUCT,/U.TER�PNOVE.0E610U5H.ORREPAIRANYSiRUG W P81i0/D6Ck T1/RE,VRIOR TO R9 t45UANCE AL40 REW IHES THE IPPLICANT iOR SUpI GERAIIi TO F0.E A SIGNED � ETAYEMEHT THAT HE OR 8HE IS UCFNSED iURSUANi TO TNE GROVISIONS OF THE CONTRI1CfOR3 L4 w � CENSE LAW(CfUFTER 0 f�MENCtlJO WfTll SECTION 1000)OF DMSION]OFTHE BUSMESS AND PR? V' PODUSpO FES9�ONSOOOE)ORIMATHEOfi5MEI5E%EMPTTXEREFROMANDMEBASISFORiNE/J.lEGEOEXEMP• (� TqN.ANYYIOIATqNOFSECTI0N70�7.60YANYAVPLIGWTFOii11PEHMITSUBIECTSTNEMPLM.�WiTO Z Ra•Raol � � ACML7fNALT'OFN�TIAOiiEllUNi1VENUJDRED�OLUAS(f50a).�: ' � O4��MEROFTMEGROPERTY,ONMYEIAPLOYEESWITHWAOESA9iHEIRSOLECOMVENSATION, O COflIrtIBfCI11 �' MALL DO THE WORK AND 7HE STRUCTURE IS NDT INTENDED OR OFF[RfD fOR SALE(SEC.7D1�.0U56 J NESS MD 7ROFESSIONS COOE:THE GONTMGTONS UCENSE UW DOES NOT APPLV TO AN OWNER OF � PROPEHTYN1fOBUIl,D90RMPROVESTHEREON,ANDMM1qDOE55UCHWJqKHIMSEIFpqHERSEIFOR � (� THROUONIYSORNEHOWIJEMPLO'/EES.VROVUEDT/UTSULTIWPROVEMCNiS�RENOTMENDE00f1 m 0 OfTFPED�ORSILEIf.NOWEVER111E8URDRWORMPROVEMENTI550lDWfilIINONEYEAHOiCOMPIE� � •T10M.TNE OWHERSULLDEH WRl II�VE iHE BUROEN OF PROVINQ 7NAT XE OH SME DIO NOi BUIID OFI MPAOVE FOR THE PURPOSE OF 9ALE} �y O1�401M�EROFTHEVROCEi�Y,M1E%CLUSNELYCONTR4CTINOVRiIILICENSEOCONTMCTORS (L M GONSTAUCT T/1E PFOJECi(SEC.7DN,BUS�NE55 NA iROFE55qN3 CO;:E:1HE CONiMCfOii3 LF ValUetfon AQI.AREA 111 CENSEUWDOESNOTMPIVTOANOMMEROFAPROPER7YYY1qBUl(DSORMPiqVE57HER[ON.AND � NROCONTMCiSFORSUCHPRO.lECTSNITHACONTFiACTORIS)LICLNSEDMIRSUANT70T11ECONTRAF QUM7iITY DESCRIPTIOt� FEE . � TOILS UCENSE UW.} '� ' (`��� �y OIAMIXEMiTUNDERSEC B.iG.GFGITMISREASON U � l.�lY 1 (�V�. 3 o�rE OWNER � . � W a- .. _ ` ' , LICENSED CONTRACTORS DECLARATION w 1 ' � INEqEBVAFFWA1lMDERVENALTYOFPERRIRYTHA71M1LICENSE�UNU[flVPOVI510N50FCHAPTER � , , s �(CO�MENWWdCiW1TNSECTIONT000�OFOM5WN70FT1E8U5MESSANDPROFES5pN5f.OD[,AND Z W UCENSE IS N FLAL FORCE ANO EFFGCt. �/ � LICENSE CLASS � LIC.ND.. ��+s'� 1�? / D , V OATE CONTRACTOq�GVS '�Q tL ��� WORKERS'COMPENSATION DECLAFiATION � � ¢ � � I MEREBY AFF6W UHDER PENALN OF PERIURY ONE OF iHE�OILOWiNO DECIAMTI0tJ5: V N ¢ � _IMAVEANONILLMARI7AIH110ER71FICAiEOFCONSENTTOSELFdNSUREFORYKJRKERS' 2 � CONPENSI171DN,ASVi10VNEDBYSECT10N770oOF1HEUBORCOOE,FORTNEPERFOfiMANCE U �� OFINEWOHKFORN711CIITHiSPENAITI315SUCD, � . � _I MAYE AND N7LL WMMH WORKERS'GOMPENSATqN INSUFUNCE,AS REOUiRED BY SECTION / 97ooOFTH[UBORCOOE,FORTH[VERFORMANCEOFTHEWORKFORYrtGCHTH�SPERMITIS � � ISSVED.MYWOIINEr�i5.Wl/MPENSA +WSUay�+`cE CAR���E�RMKKIDOLICYNUA/�ERAAE: CON RUCTION - � � C/�MiEq,�G(��'���T'�Lti!— �• PLAN REVIEW � � � � F0.ICYNUMBER� � � C-�--5 '��,�_ ELECTRIC ' ��1 �^� � lJ � ( .V� pp (rrassccrcNr,�rprseod.s�rEnoFn[v[rr.+rerzx+a+E�r.�nn�c�oouwisK+�l��ssl PLUMBING � ICERTiFYTUTINh1EPERFOFtN�NC[OF711EWOf1KfORWHIp1TMI5VENMrtI515SVE0,1 MECHANICAL � � L'} SHALLNOTEMPIOYAVYPER50NINMIYNANNERSOASTOBECAA�GSU0.IECTTOTM[ � WORKERSCOMPENSATqNUNISOFGILIFOHNI�,IWOAGREETHATIFI5/qUIDB'cCAME INSPECTIONFEE � � V�.I S 6UBJECT TO THE WOPNERS'COMPENSAi1DN PflON510N5 OF SECT 77000F iME LABOR �U I� � �1 I�J J __ caoE,i wuiF nrwm�cd�a�.rwin+r�as snus� ISSUANCE � o {� :� - l�rn..� .,r--:_- , �-� nrr � OATE:`__rC��i�APPLICM7T. 1 ` A �� SMIP ....__._.,_ � ' _ . � WARNIN6:iARUR TOSECUREYIDiU(ERS'COMPENSATqNCOYEMGEISU OSMALLBE ENERGYP/C 2���T'� " ':'T�.� � SU&IECiANEMPLOYFRTOCRIMWALPENILLTIESANOCMLFMESUPTOON 1M�DREDTHWSAND ENERGYPERMIT DOILA(iS(f100,000�,N ADOfTIONTDh/ECOSTOF COY7ENSATqN,DMIACES AS PRWIOEO FOFi W ¢ SECTIONi7000F7NELA80RCO0E,MEREST,M'OATTORNEYSFEES. RETENTIONFEE: d CONSTRUCTION LENDING AGENCY _p�!iL:— '� � IMEREBYIIFFIRMUNDERVENRNOFPERJURVTUTTNEREISACONSTRUCTIONLENDINIiACENCY `' 1 �` { FORTHEVFRiO�7HEWOFNFOflWMIp1TM157ERMIiISISSUED�SEG�W7.qV.G). C , � LENDERSWWE Itt � �� �Z �, � � LFNOER'SAOOR[53 �1�� � w ICEHTIFyiW1TIHAVEREADTHISAFDLM+ITIONFNDST�TEiHAT7NEABOVEINFORAIATIDNISCORRECT. TOTAL FEES � . � IAGREETOCOMPLYYlRM11LLCRYANOWUNTYORDINANCESANOSTATEUNSflEUTIN0TOWI.DINO , CONSTPAICTION,AND HGREBY AUIl10PRE PEPRESEMATNES OF THIS CWNTV i0 FHiER I1PON iHE . I ' � ABOVE�MEHTIONEDPfqiERTYFORWSiECTqNWNVO5C3. ' COMMENTS � �P' U'1 F' Q� VE E E(PRI ' - . - I „ �� _6_ �S � ' , � ; ... � BI�NAiUqEOFPE ITTEE DATE . � , .. � RECPT.NO. � PAID BY ( VALIDAT70N� WHI7E-0eparlmenl Copy,YELLOW—Fnence Copy,PINK—Assessor Copy,GOLDENROD—Fite Ctpy.GREEN—Appicant's Copy , . � .. . , . , . . � ,. . . . ,, .-.. . . . . rr . . . ., , . �. � , ... ; .. , , CITY OF DIAMOND,BAR ' ? • {; ';'; "• , : .�°',' :::,�;;'1NSPECTION RECORD . . . � . � � .. ,� , �i;��]�����a��'�:���.I� !a�'���'� ,.(i'���.�=�'�,�.. ..:a�.�.���;�C�ar�j�- �.�- ��m�����^���i�M�-��!� ��,�� ... ��_BACK � .�� j � , +I � �, . : FLOOf�`J�IS1' �' � . : ' ' ; � � IFTGS/FORP�tSlST�EL'-; _ ,. '. _ . _ -_ . FHA REQMT� .-t-----( i—. -, ' ,. _ � : .. ' _ � _ � _ _---. ' - - _ ' � �ELECTRIC GROUPdD. ..... . ' _ UNDER FLOOR DUCT -• ' - ' ' � �'•-� ��� GROUND PLUMBING � UtJDER FLOOR COi�iC�UIT ' ' ` - " . , :'. ' � ; ' 15LA6 GRADE -- � - � � �' --- ' ' FIREPLACE FDUNDATION � • � � : � � ,� �, � , .: ', , , , I iTEMP POWER �� .. _ - , . ; FIREPL'ACE�BOND BEAM , . �. : . ', ; -� , ; ' I ` iWATER SERVICE -,- _ . ! M�D HL BOND E3Ea�9 � ': ,. � � i ?.�,: ' .� .. ,,�, � ; ; ,ROOF SHEAT}iING ;�� :, _) i,;f•'_ � , �_ , ' e FT.BOND BEAM _. _ .. � . . , ,, , ;�R Ml�� NENTILI�TfON I-�-2:�. , �� ' FINAL'BOND BEAM ,. , ! ., ,_... , �..T. -�. '�' ' � �' . ' '. 1 : , � ' • � , IROUF COVF_R'�: " v PFiE-GRADING'� ,• i , j � ' , �ROUGH HEATING' ` ` BENCHING •; '�. ' y� � � � . ,, _ . _.... _ . iROUCzH'EL�CTFi1C ' :- ` �' __'. ' ROUGH GRADING , � �R�UC�,Fi PLUMBING --- 7��yS -- ` � FINISH GRADING : SHOtiynRrfUB TEST ' � � POOL ELECTRIC ' " ';��XT.L�,7hiSIDING- _. __ _. _ . _ - - POOL FENCING • ' ;1,^lAL.�.INSULATION . . _ POOL FINAL � i ; , CEiUNG itdSULATiON' . , OFF SITE IMPS. � , ; _ _ ; . _ _ DEDICA710NS � , ,. � � . �D WER��NAtLING _ _ -. FINAL ENG. , � �tP:lCTANK ' - � � • • LANDSCAPE/IRRIG. t � SL�P.P:i;L.L. � . • � ON 51TE IMPS. r;:.:.�AI>�i�ST I • FINAL ZONING ' . t_--_.�._� - - �;i P• .ONST. ,�( , �, � � FIRE DEPT.FINAL I , : � ' '^� �iEAT1NG--..1 i._�� .t ..�. . _ „ � HEALTH DEPT.FINAL � �_::`."�:'_cLECTRIC . .:. � :— -_; � QEV. FEES PAID . ... . . _. ., � : - ,. ..-',.. ----... - - .-- RGY ; PLUMBtNG ENE , ;_ _ ;.�. _ , . ; . , , . _ - - � _ �. �, .��:.�����,� -���.._�.�:�::: ._::� � . . _. . , _ _ ; , ,_� _ . . , . ,_ - .r. � ---•� - -- --_._. ..___-_._ — - . - _ _, _.� —_— . , _ _ ._. ._ , . ;�C��;�MENTS'��� �f ��-, ' ` • .' .- � ,,`. - - - -�, ,�� , .. r � _ ��� -- ��t � . . . iI __ . ' � . � , ,• � ; � � � _ . . . ,,. ; , � , , .`-i,��: . , ;. , . _ •�. _, - . ._ _ . . . , . _ _. �. . � ._ _.. . _ � ,; -- . - • - . f _. . . .i � . , , , � �.' . _ ._ i � ,1 :�,i� •`� . • � . , , ; � . 4 �SEP�IC'l"AtVK SfZE ' .' ! SEE�'PlTlU SIZE! �_`_ ,..: t r � . . 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