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HomeMy WebLinkAbout11284 ---�� ---� CITY OF DIAMOND BAR' - . � � COMMUNITY DEVELOPNfENT DEPARTMENT '�<,.,^ . 2166DE.CopleyDriveSuite190 • PRESS (909)860-9195 Fax(909)861-3117 , , '"" BUILDING PERMITAPPLICATION FIRMLY N JOBSITE 9.� � / APPLICATION PERMIT /C o ADDRESS�?"�.JKn� �'G� (,�l���� DATE ✓ _NUMBER � k $ : ISSUE TYPE OCC APN LOT TRACT/ DATE CONST. GROUP, p OWNER ✓ �L ' "' ADDRESS , f _��_ ZONING SETBACKS Z CI7Y �• ZIP �jEL. 3•y9�� REART RW p o APPLICANT��.G'q TEL. ����j�/J SIDE/SIDESTREET RW ❑ � CONTRACTOR SIDE ❑ O ADDRESS y�_Ju_ � �s�,.�,�__,L CITY C35s�EZ- ZIP��TEL.B' PROPOSED USE , o ARCH/ENG/ �z DESIGNER NO.DWEL. � NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION 'S�.FT. FACTOR PSF ADJ.AREANALUATION O _ OWNER-BC�LDER DECLARATION ; SFRlADDlREM - , � I HEREBV AFFIRM UNOER PENALN OF P@RJURY THAT�AM E%EMPT FROA1 TNE CONTMCTORS LI• � Gefe90/COfpOR ' ' W CENSEIAWFORTHEFOLLOWINGREASON(SEC.7o]t.6BU5INESSANDPROFE5510N5CODEANYCITYOR (n � ZCAUMYKTIICHREOUIRESAPERMI7TOCONSTRUCT,ALTER���'ROVE,OEMOLISH,ORq[DAIqANYSTRUG W Patio/Deck ' w TURE.GRIOR TO RS ISSUANCE,AL50 REOUIRES THE A7PlICANT FOA SUCH PERMI7 TO FILE A S�CNED W , � STRTEMENT THA7 HE OR SME IS UCENSED PURSUANT M TXE PROVISIONS OF TH[CONiMCTORS LI� � CENSE UW(QU7TER Y(C01.IMENCINO YATH 5[CTION 7000)OF DIVISqN 7 OF TME BUSIN[SS AND PRO- � V"' POOUSP3 fESSIONS CADEIOR THAT HE OR SHE IS EXE4PT TMEREFROM AND THE BA515 FOH THE 11LLEGEO E%EMP• . V TqN.ANYVIOLATIONOFSECTION7071.SBVANVAPPIICAN7FOAAVERAlIT5UBIECTSTHEAPPLICANiTO ' Z Rf•RO01 � • . . � A CML VENALTV OF NOT MOR[iNAN FIVE HUNDRED DOLLARS(SS00J.): Q 0 OLASOVRIEROFTHEPROPERTV,ORMYEMPLOYEfSWITHWAGESASTHEIRSOLECOAI7ENSATION, CpmmBfCi31 . � � Z WILL DO THE WORK,AND THE STRUCTURE IS NOT INTENDED OR OFFERED iOR SALE(SEC.7W�.BU51- J N NESS AND PROFESSIONS CODE:7ME GONTRAG70R5�ICENSE UW DOES NOT A7PLY TO AN OwNER OF � _ � � PROPER7Y Wlq BUILDSORIMPROVESTMEREON,ANDYIIIOOOES SUCN WORK MIMSELFORH[HSELFOR � THROUCHHISORHEHOWNEMPLOYEES.PROVIDEDTHATSUCMIMPFOVEMENTSANENOTMENDEDOR m ' QOiFEREDFORSIIEIF,HOWEVERTHEBUILDIN00RIMPROVEMGNTI550lDWITMNONEYEAROFCAMPLE• Z TION,THE OWNER�BUILD[R VnLL HAVE TME BURDEN OF PFOVING THAi HE Oil SHE OID NOT Bl11lD OR � MPROVEFORTFIEWRPOSEOFSALE). O t AS OYINER OF THE�ROPERTY.AM EXCLUSNELY GONTAACTW G WI7H IICENSED CONTMCTORS Q TO fANSTRUCT THE PRQIECi(SEL.70H,BUSINESS ANO PROFESSi0N5 CODE:THE CONTMCTOR9 LI• V3W8IiOf1 �� ADJ.AREA ' W CENSEUWOOESNOTAPPLYTOMIOWNEROFAPROPEfl7YWMOBUILD50RIMPROVESTMEREON,AND � Yh10CANTMCTSFOR5UCM7RQIECT5WI7HACONTNACTOH(5)IICENSEDPUfiSUANiIOTM[CONTMC• QUANTITY OESCRIPTION � FEE . � TORS LICENSE UW.�. 0 O IAA1 EXEIAPT UND[R SEC. 8,6 VQ FOR THIS REASON � u' OATE OWNER ' � • Z . W . . . .. . . . � LICENSED CONTRACTORS D[CLARATION W � IMEREBYAFFWMUNDERPENALTVOFPERJURVTHATIAMLICENSEDUNOERPROVISbNSOFCHAPTER U, , ��/r � � Y�COMMENCPlOWRHSEG710N7000)OFDIYISION70FT1E8USIH[SSANDPROLESSIpNSCODE.AND Z X MY LICENSE IS M FULL FORCE ANO EFFEGT. m � � LICENSE CUISS��_SQ LIC.NO. ��J j �� ` � V DATE CONTRACTOR_��� �' d , W � WORKERS'COMPENSATION DECLAqATION f��J O � ¢ 1 � � IMEREBVA�FIRMUNOERiENALTYOFFERNRYONEDF7HEiOLLOWINGOECLAMTIOAS: � Z . ¢ � � IHAYE/J��WILLMAINTAINACERTIFICATEOFCp15[NTTOSELFdNSUREFORWORKERS' _ � NSATION,ASVRONDEDBVSECTION77000FTHELABOI1C00[,FORTMEPERFORMANCE U � Q — THE WORK FOR WHICH 1HIS VERMIT IS ISSUED. � G . w I MAYE M1D V�LIMA�PRAIN WORKERS'COIAPENSATION INSUMNCE,AS R[OUIRED BV SECTpN �� O , 37000FTHEUBORCODE.FORTHEPERFORMANCEOFiHEWOFlKFOflWMiCHTH15PERMRIS ISSVED.MVWORKERS'COMPENSA7IONINSURANCECARRIEHANOPOLICYNUAI9ERAR[: �� CONSTRUCTION � CARRIER�'O C�_ _ � . PLAFI REVIEW � aoucrNUMOEa�` (w,�—G—y -��_53��.�— -I ELE . 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' � IHEREBYAFFIfiMUNDERVENALTYOFPEFUURYiHATTHEF[ISACONSTRUCTIONLENDINOACENCY � FOR TME PEFFORMANCE OF 7ME WORN FOR WHIdI7H15 PEHMIT IS ISSUED(SEG.7097,dV.C.j. . Z . . .. . . . . . . � � . W � LENDER'SNIVAE � S F— LENDER'SAODRESS � � � � � � ICERTIFYTHATINAVEREADTHISAPPLIGITIONANDSTATETHATTHEABOVEINFORMATqNISCORRECL TOTAL FEES � W IAGREETOCAM%.YWIT'HILLCITYAN�COUNTYORDINANCESAN�STATEUIM'REU71NGT08UILDING � � � LONSTRUCTION,ANDHEREBYAUTNOH12EHE7RESEN7�71VESOFTHISCWNTYIOENTERUPONiNE P,.�— M /+ ZABOVE�MENTIONEDGPOPEpTYFORINSPFCTIONPURPOSES. , COMMENTS ��/�' _ w� �+1.1�i�� � � f ����s G����'-�-�� �^:� m P�TTEEN -(GRitin � � ¢ � / ./ � UFl F PERMITTEE ORTE � RECPT.N0. _PAID BY � VALIDATIO � � � WHITE—DepaAment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—�4pplicant' Copy � �'. _. ..-_ _ . . . .�'. ... ..�: '.'�+ , .z�,. . •.v.� , . �,r, .,.;�P,'rq.:u1:�.2,^•7.- . �' .. , .. v' .""r`"'r', „�-?' _ . . � i: j...�✓',y,.,y�vw ;t- ::,C4..; ,Y"'� j t.^,J.T'.'a �L'.i 1f 7:CrJ ..I�C.!^.,� CITY OF DIAMOND BAR' , ' INSPECTION RECORD. ' � � , � , , t � � ' a ' � � + � - SET BACK' • ' ' � FLOOR JbIST '' � ' FTGS/FORMS/STEEL FHA REQMTS ,� , :-- ,�\ , �- ,ELECTRIC GROUND UNDER F40OA RU.GT y•�� �,.,.-;�•�`; ,� � t,•;.-�,�' GROUND PLUMBING UNDEF�'�FLbI�R GOf�IDUIT=-'=�c`,•�; � '����:'•�.�-s�'+ '� 'SLAB GRADE - � FIREPLy4 EfOLf1��ATION ��: '"'"`"''.' ' "'�-,.'`, " , ' TEMP POWER . FIREPLACE BOND BEAM- '=��:•��;`'.�'�•`ti== ', -` , . WATER SERVICE MID HT-,SONQ;BfAM= �� :`:�"+"�' ' ` J' �' - ROOF SHEATHING 8 Ff.BOND BEAM � FRAMINGNENTILIATION FINAL BOND BEAM � ,. ROOF COVER - - PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC � ROUGH GRADING � • - ROUGH PLUMBING ' FINISH GRADING . -� --- POOL.ELECTRIC SHOWERlTUB TEST � 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. . ON SITE IMPS: , : GAS AIR TEST - FINAL ZONING FINAL CONST. � - FIRE DEPT.FINAL FINAL HEATING HEALTH DEP.T.FINAL - - FINAL�t.E TRIC • , a , ;,�, . �.,-'�.^-,~ � �. DEV. FEES PAID FINAL PLUMBING 'L'3 ; _� , ENERGY ..,_, , .i • . , � .� '�—•c:�,�_c: �� :• •J . , s • . ..: ,_ , . .._ . .. ,; ,.. � .�� �� COMMENTS - ' �''r ` . , \ - - --- �. , , � l> .�;�,:.^�} f3•.`.)a;`.��\ ' i � i ' .�. ... - ._."�: 3 •�,::.• .� .�� -•1 � . � ..� �, ',, . ; , ' � „ . , .� . . • . . . ', � . . ��Y�`:�,'�.�..a\�•\'-C,1`:��� ' �k c,"�'.,��,_`l., - . , 4... �1��� ' ' SEPTIC TANK SIZE ; . . ; SEEP PIT/U SIZE , ; \ ��--� � ; \,Cl�.•,�'—) -�r..t'��\1 ,. � �-J,r;�� ��ja.v�,� �.'l•��..\ZL1'1�� �,`�'.�'�J;�.��.� 4 I` ....��,�, C" `"'`�\\ ^ ._ . _7`---�'.-�_,� �l�_-�-+.�..�.,\�' .,,`� ' i, , , `-