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HomeMy WebLinkAbout14357 (17) CITY OF DIAMOND BAR � �-� - � ��— --�� - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ��t . 21660 E.Copley Drivc Suite 190 . ' ' . . (909)860-3195 Fax(909)861-3117 PRESS � �,' BUII.DING PERMIT APPLICATION ' . FIRMLY � JOBSITE 2� �I�eh �n r.h..$ �p� _ APPUCATION C`{ PERMIT 3� P/C o ADDRESS_ '-'�" .� � DATE � _NUMBER N g . ISSUE TYPE OCC APN LOT TRACT - - DATE CONST. GROUP g OWNER �o-ul� . p ADDRESS ' 20NING SETBACKS �• ; � CITY ZIP �TEL • . REAR . pW �❑ . APPLICANT TEL 51DE/SIDE STREET RW O � CONTRACTOR � �hG 5 ►'►►5 ' � 51DE p . ADDRESS o i-•� � C(TY 1�o.�+-C�cx�V` ZIP b, TEL`1�2-a4�-�sti� '� 'PROPOSEDUSE� � ARCFUENG/ • I , DESIGNER NO.DWEL NO. NO. = C�DRESS ZIP �L � UNRS STORIES BEDROOMS � cn , DESCRIPTION SQ.FT. FACTOR PSF AOJ.AREANALUATION ; __Q . OWNER•BUILDER DECLARATION „ . ' � 0 SFRlADDIREM . 1 HEREBY AFFlRM UNDER VEWLLT!OF VERAIRY THAT I M/E%EMPT FROM THE CONTMCTOHS LI• Gef8Q9/C9fpOR ' �e CENSEUWFOfiTF1EFOlLOWINORFASON(SEGT0.71,6BUSINESSAN�VfiOFESSIONSCODEANYqTYOq (n C.7 CpUNTYWHIG1qEOU1pESAVERAIRTOCONSTRUCf.AITFiLpAFROVEDEMOl19iORREPNRANYSTRUC. W Z 7IIfiE,PRIOq TO RS 139UANCE,ALSO REOl1GYE5 THE APPLM.ANT FOR SUd1 iERM1T TO FlLE�61GNED W PeIIdDBCk � .� ETA7EMENT THAT NE OR SHE IS LICENSED VUiiSUANT TO THE PHOV1510N4 OF THE CONTMCTORS U• CEHSE UW(GIAPTER 0(COMMENqNO WITi SECTION 7000)OF DINSqN 7 OF THE BUSINESS AND FRO� ' V" POOUSP3 �� � � � . FESSqN900DE)ORh1A7HEORSHEISE%EMPTiNEREFFWMIfOTYlEBA515FOR7MEALLEOEDEXEMP• � , (' � TIDN.N/YYIOI�TqNOFbECT10N7071.6B�ANYAPPLICANiFOR11PERMITbUB1ECTSTHEMPLICAMTTO Z Re�Roof � � AC7VILPFN�LiYOFNOTMOfiET/UNFIVENUNDREDDOLIARS(i5[01.}. . . ., . O OlIL40NMEROFTHEPROPfRTY.ORMYEMPL0YEE5WIiHWAOESASiHEli150LECOMPENSATbN, � O �mmercial .- � � � WLL DO THE WORK,A!m THE STRUCiURE IS NOT MENDED OF OFFERED FOR SALE ISEG 7W�,BU56 J � NESSAMD iRDFE5510NS COOE:TNE CONTMCTORS LICENSE LAW�OES NOTAVPLY TO/W ONMER OF j � � PROPEirtYYh10BULLDSORtAPRONESiNEREON,AlAYR10DOE55UpIWORKHIGSELFORHERSELFOR � ' , �11fi1IX10HH90ltHEROVMBAGLOYEES,FROYlOEDTWITSUGIMPAOVEMENTSARENOTHiENOEDOR ' m OfFEREDFORSKE.F,MOWEVERTNEBUID�NQOHNMVROVEMEMI550lDWITHINONEYEAROFCpAPIE• '� ` . '�TION,THE OWNER�URDER WILL iIAVE 7HE BURDEN OF 7ROVPq THAT IIE OR SHE OtD NOT BUIID pq '. wIFROVE FOR TH�PURPOSE OF SN.E� ' � ' ' . , . � , , OI,IIROMMEROfT1EPROPEHTY,AYD(CLUSNELYCOHiRACTNOWfTNIICENSEDGDNTMCTORS TO CONSTRUCT TFI[i110JECT(SEG 70N,BUSINESS M1D GROFESSIONS COOE:THE CONTMCTORS U• V01118tiOf1 ADJ.AHEA � � � � � , CENSEUWOOfSNOTMP�YTONIOWNEROFAPROPERT`/YNfO8U4D90RWPFiOVESTHEREON,AW N1qODMMCT9FOi13UCFIPROUECf9WITiACONiMCTOR(S�IICENSEDFUFSUANTTOTHECONTAAG pU ITY DESCRIPTION � � �E � � � � 70RS UGEHSE UW}� _ ,' . . . . , . O I MI IXEYPT UNDER 8EG B.i P.C.FOR THIS pEASON � Q 3 � � - ... - . . • u.. , � WTE ONMER � U , ' � UCENSED CONTRACTORS DECLARATION w � INEREBYI1fFIRMUNOERiENALTYDFGEiWRYMATIAMLICENSEDUNDERPROVISIONSOFCHAPTER � � � , �(CO�MIFNCWaWRi1SECTqN7oo0�OFDM510N]OFTNEBUSINESShNDVROFE55qN5C00[.AND � W UCENSE IS N FUIL F017CE AND EiFECT. � ucv�sE«ass - ua rro. 7..t5o$ . 7 I 1 J �'j DATE �2� coHtrucroa ' a W � WORKERS'COMPENSATION DECLAFIATION Q i �N .IHEREBYAFFlRAIUNDERPENALTYOFVERIURYONEOFiHEFOLLOWNO�ECIAMTqNS: . - Z � � � , r• - • � _IHAVEANDIMLLIMnJTANACERi1FIGtTEOFCON5E1lTTOSEIF-INSUREFORYNi1NERS' '� ., ' . . ' � , �.. . . COMPEHSA770N,ASFROVIOEDBYSECTIONJTa00FTHELABORCODE,FOIITHEP6RfORiAANC W ' OF THE WORK FON WHIP1 TN19 PEPMIT IS ISSUED. '. � . � Q �� � _IL�MAVEANDN'iLLMARIfAMWOfiKER3'COMDENSATONINSURANCE,AS �OUTAEDBYSECiION � Q �7ooOFT1ELABOHCODE.FORTIEPERFORUANCEOFTHEWOFiK YAGCMTHISPERMITI . , . . . . • ISSUEU.MY WORK CONFENSATION MSURANCE CA1iFilER ANO ICY NUMB: ME: �1 � L � CMRiER � - '�►r1N'�� � PLANREVIEW �� '� . . . . � POIICYMIMBER � I E . � (I1455ECfpNtiEmrq78E0ob�t£fEDOFTEPEFMTSPoRONENUN)Rfn ioo)a11E55} PLUMBING - . --� Z ICENTIFYTHATNTHEGERFOfUTANCEOFTIEWORKFORWH1f]I7HISPEPAIITISISSIlf�,1 MECHANICAL � '� �+��Y+����� ' . � (,7 SwLLL1qTEMOLAVANYPER50NINANMIJIWNER ASTOBECOMESUBJECTTOTHE y 14DRKERS'CqJPENSATqNUW50FCALKORNIA, A REE7IUTIFIS/IOVIDBECOAIE INSPECTIONFEE S SUOJECTTO T1E YlOFiKERS CIMIPENSAiION P Sq OF TqN]700 OF TIE UBOR � � � � � . cooe,ijwuiFartrnnrncour�rwm� s ISSUANCE �fln '� O �G-4 � •_L 1 � ��" p �A7E: �2 � AVPIICANi: �SMIP t � � WARNINO:iAIUFiETO SECURE V/ORKERS' vcNs�rar�wveruce is unuv�u�,u+n s`wtee ENERGY P/C �- ����:�T n T�n;��L� L�-•� �y SUBIECiANEMPLOYER70CRIMRULPENALT SANDCIYILFINESUPTOONEFNNDPEUT/qU"MA ENERGYPERMIT T��/! A1'•1Il��'�„'L.t � DOLLM.a(l100.000),N I�W RION TO THE COST OF COMPENSATION,DAMAa[5 AS PHOVIDED FOq IN J SECTION]7oeOFTHEtABOR[DDE,NTEREST,ANDATTORNEYBFEES. ' RETENTIONFEE: I �` � CONSiRUCTION LENDING AGENCY PRE-ALT FEE: � . . � .IHEREBVAFflfUIUNDEROENALiVOFPER1URYiHATiHEREISACONSTRUCTIONLENDiN6AGENCY ' '� � � z FOR TME VERFOMMNCE OF iHE WOiLC iORNM1CH THIS PEPMIT IS ISSUED(SEG�OQT.CIV.G). . W I - � LENDER'S NAA1E ' .., . . � LENDER'9IDORE55 Wicermcrnuriruven�nas�vauc,maiurosT��nurn�E�novENcorw�raN�sma�cr. TOTALFEES . � 3v' ,�� � IAQREETOCOAIOLYMATNALICRVANOCOUNTYORDRUIICESANDSTATELAWSRELA71N�708UttDING - � CONSTRUCTION,MlOHEREBVAUT110WZEREPRLSENTATIVE50F7HISCOWITVTOENTERUPONTNE . . . . . � . � ' ABOVE�/AENTqNEDPROVER7Y wSPECTqNPUfiPOGES. COMMENTS ' � _ �W � °O verwirhe wwe rywr+Tl � � � � . � E10NATUREOiGEWAITTEE D�TE ,, � _ . .� . . . , RECPL N0. PND BY YALIDATION WHITE—Depertment Copy,YELLOW—Finance Copy,PINK—As�saea Copy,OOLDENROD--File(:opy,GREEN—Applicant'a Copy � � •� ��� . ... ,. . ,. . . , ..� . . .. ... .. , , .. � � .. . . . . ' . • . . ..i.: , .�� � .. .,.. -� . . , . . „ . .. .,, .. ., . ! - -'; CITY OF DIAMIOND BAR .�,1;. ..� ��,. :: . � 7 �.<<. �e�::.�1NSPECTiON'RECORD• — ; , �,:.., . � �, . . : `+ r � . , . 1, ;`, r �i/f ' : .::. . � � � . � . . � � , . � . SET BACK . . . ,� ,,: �' ,,',,�_� �(..'� ,. FLOOR J015T '. ', .. � ., � .� �----__ . _':,;, � ... FTGS/FORMSlSTEEL -' :� � � FHA REQMTS. --.. _ . . .. .. _. _----- -.__ . ._..._ .. . . .-- .-- -+ ;.= ELECTRIC GROUND ___ - _.�._ _ _.__. _. UNDER FLOOR DUCT__ - . .. _. .. . . . . � ..._.. GROUND PLUMBING � ' • � UNDER FLOOR COt�DUIT 5LA6 GRADE - . _.._. .. .. ._._ , . , FIREPLACE FOUNDATION _ `� __ _ _ _ ---- � :�: : , ___. . . .. TEMP POWER...... _..._ ;,, ...._. -._._ �::- �., ,....; � FIREPLACEBOND BEAM -_._' .: _ :.-_. _ - -_ __.. .__. ._..--- : , ,., • ; _ . WATER SERVICE _. __._ ----_-...:_: . -. ._:.__. -- '_. MID HT.BOND BEAM - ; . _ �. . .. , , .. .�. � ; : - - , .. RODF;SHEATHING :r-=-- ---...:_.. . � .. :.,;:, . ��.: 8 F.L BOND,BEAM : , ' � .� �.,_.. ... -•- - - , } f ; FRAMINGNENTILIATION FINAL 60ND BEAM ` �I ; ; � _ _.._. . __. -- - ROOF COVER ": PRE-GRADING � - -,; ;; , ! .: -ROU6H HEATING ---, - -- - - - - _- -- __ BENCHING ._ .. .. - _.- '' - `", 1 �ROUGH ELECTRIC�-; ' "� '- � � � - -ROUGH GRADING ` ' ROUGHPLUMBING � . ". --- ." -- . FINISH GRADING , . r � '.:� � �SHOWEWTUBTEST�--- - .__.. . __. _ .._ ,_._.... . POOLELECTRIC �. � . , .. PO�L FENCING., ' ' � � " � - . � ..' EXT.LATH/SIDIIVG- � _ _._ . . _ ; i_ . WALL INSULATION ! � POOL FiNAL . • ,, ,,•. : ;; ; CEIUNG INSULATION � � OFF SITE IMPS.. . ^ � I ' ' DRYWALL NAILING � ��' ( '� DEDICATIONS • ' " " SEWER .- - - -. . - - - -- - �- - � ' FINAL ENG. , ; ,. .•. i ��.� SEP71C TANK .. ._ ; ... - -----. .. ..---- ;"•.�.-..� ... LANDSCAPE/IRRIG. , � � SEEP PIT/L.L.. -_ .: . ' �_. : _::.: `;"�; ON SITE IMPS. , ;', . � . �; ;..�., � , , GAS AIR TEST' _ - ---- ---- - - -- FINAL ZONING ;. . . ; . -FINAL CONST.� - ,3 9Q - FIRE DEPT. FINAL -- � .. FINAL�HEATING � � -- � � - � � HEALTH DEPT. FINAL � � _ FINAL ECECTRIC - - - - - � - , pEV. FEES PAID � - - - - ---- i . FINAL PLUMBING � `� ENERGY � . � ; `,� � ,� � . . . �- � s�y . ._ . ._ --- -._. -- _.__.. ' -- _. . � .—__.._._ .. . . , . •--- --- - - - - �- : . . . - -----..__.... _ . _. _ .. ._.. . .. _ � ; � . : _ . . . COMMENTS._ _ . ._ . --- --—.. _ . . . . ! �; I ._. , � �.. . {.- � ,. . .. n. ---. _ . . . _ .. �..' _ .. _ .. s/�.. N ' ` ' '``/, � ''.__:�J��7.7� ' ��� . `�;`\� _�. . t,_ - -- - - - �' � ' . , ; , . . , . - - - _ ..__ . �- __, � �\�,.----- � '� � � �: �I- � -, . , _;: , ' '�. .. " ' ,. . .. _. _ _ ._. .. ._. _. . I . � . , , , ; , ----... . _ . ., , . .... . . ,. . . , .. __ . ...._.. _ . . � . J �_. ' . _ . . . ._ . ; ; � . �.. �. , 1 . - . �',� . . � i .. . . . . , .,. • SE�?TIC 7ANK SIZE � . ' ; , ' ' „',' ' , i SEEP..PIT%U SIZE. , , , � . . , . _. ... .. _ , . � , �' - � . , , � � ; , _ . .. _ . . � , , . ...- - - . .. ._ ; ; _. „- . . ... . ; � _ , . . . _ . ; ; , , , „ , ' ' i , � : _ _..... . .. _. ._.._.. _ ... . _. � , , . , , , , , . . . - . . • . . . � . ._. � . . -- , .. . . . .. . . . _ _ __ _. �' `,� 1 _1 r �� , i �: , � , .. , . . , , . . , _, ..._ _. .. , _ , � . : _ . _. � i �. .. 1 . , � . . . . .. _ , .. . � 1�