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HomeMy WebLinkAbout14750 (41) _ . , - - -- �y�„i- - % -� • ' - J� CITY OF DIAMOND BAR �1►���� � � DEPARTMENT OF COMMUNITY&,DEVELOPIOIENT SERVICES �c , 216b0 E.Copley Drive Suite 190 ' � ... (909)860-3195 Paa(909)861-3117 PR ESS ��'M'.� BUII.DING PERMTl'APPLICATION � � � FIRMLY JOBSITE - . APPUCATION ► PERMIT � P!C o ADDRESS �3 L(O ' o S � ' OATE 3T�-�F �D G NUMBER p � APN LOT TRACT � ISSUE TYPE OCC , p OWNER _ S IIYI P_P I`�"'� DATE' ' CONST. GROUP o ADDRESS �-3a�1'�O ' rl � ZONING SETBACKS � � CITY D1lt.�nntMd E'�M, ZIP�l�lc� TEL. ��-��-8� .� REAR _ � � . APPUCANT � TEL. SIDElSIOE STREET ���—❑ • � CONTRACTOR SIDE ❑ _` � ADDRESS p • .PROPOSEDUSE � 0(�(� o CfTY ZIP TEL . w ARCH/ENG/ ., , - � DESIGNEA NO.DWEL NO. � NO. a ADDRESS ' � CfTY ZIP TEL UNITS STORIES BEDROOMS � �n DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION Q _ OVYfVER•BUILDER DECLARATION . .. � . SFP/ADDlREM O � e1 HEREBY AGFVW UN�ER PENALTY OF PERIURY THAT I AM IXEMPT FHOM 7HE CONTMC70RS 11• G2r8gB/CBtpOR _ ' � CE115EUWFOqTHEFOl10NnNOpU50N(SEC.70.t1.68U5INE5SANODROFESSIONSCODE:ANYdiVOR (n COUMYNRAtliRE0URE5A0FAMrtTOCW+STRUCT,ALTERIMPFtOVE,OEUOLIAtORPEGAIR/iM'SttiUG W PatiO/DBCk NRE VHqli TO RS 65UMICE.AL50 RE�UWES THE AVPLIGN7 FOR SUCH VERMIT TO i1lE A SIGNEO w STATEMENi TIAT NE OH SNE IS LICENSEO PURSUANT M THE PROVISIONS OF 1HE CiDNTMCfORS ll- , � GENSE UW(CNAVTER Y(COi.�MFNQNO WRH SECTpN 7oou)OF OMSION 7 OF iHE BUSINCSSANO P110- ' u' PooVSDa FESS�ONS COOE)ORTHAT HE OR SHE IS EXEMPT MEREFRdA AND 1ME B.lSiS FOR iME 1LLLE�EO E%EMP- T10N.ANYV�OLATIONOFSEGf10NTW1.6BYANYMRICMlTiORAVEpMITSWJEGTSTMEAPVLICAN7T0 Z R6-F�OOf �I�� ' � ACMlOENILL.T'OFNO'iMORE7N,WF1VEMINDREDDOlURS(S5oo7.1: . . . � OL�dNNEROiTHEPROPERTI;OR4YEMFLOYEESWtTNWAGE5A5iHEiR50lEC04PE�SATION, O COrtImBrCi21 � .. N1LLD0 THE Y�ORK./ND THE STPUCTURE IS NOT IMENDED OR OFiEPE�FOH SALE(SEC.7ou,BU54 J y NE55 AND iR]FESSIONS 070E:TNE COMMCiORS LIGENSE UW OOES NOT MPLV TO AN OWNER OF = iROVER7Y WI/O BU4DS OR IYPqpYE51MERCON.AI�D VA10 DOES St1dI WOqN MYSELF OR HERSELF OR (L THROUGHHISORHEROwNE4P�0YEE3,PROWE�TH�TSUCHRIPROVEMENiSARENOTNTEN�EDOR m � OFFERCDWR9ALEIF,M�VJEVEF�7f1EBlA�P100RLICROVE4CNTI5EOL�WRHINONEYEAROFCOM0.E• TqH,1NE GWNERBUILDER WRL HAVE TME BUROEN OF PROVIlW THAT ME OR SNE DIO NOT BUIID OR � GPHDVEFOHTHEPURPOSEOFS1�LEl �" • - W OI,ASONNEROFTIEPROPERiV.AIAIXCLUSNEIYCON7MCTNOWfTHtICENSEDCOMMCfOR9 ¢ TO COfISiRUCT TNE VROIELT(SEG 7W4.BUSINESS AND PROFESSIpNS GODE:T1C CONTRACTOflS U• V81U8110f1 ADJ.ARFJ1 - L� CENSEUWDOESNOiMPLYIOINOWNEROFAPpOPERiVW1108U1D5OR11APROVE5IHEREON,AND N1qNf/TMCTSfORSUp1iRQ1ECf5WiT1ACONfMCfOR(5)I.IGENSEDPUNSU/WTtOiMECONTMG pUANTITY DESCRIPTION - FEE � TO(LS UCElISE Uw} ' .. . . . . ❑I AIJ D(Eu M�DER SE B.t V.G FOq TN15 RF.ASON 4 3 � .���� .. . � �=' �A7E h�_�'YCZ'7'J OWNER U Z W � UCENSED CONTRACTORS DECLARATION W � INEREBYAFFlRAIUNDERPEtUL7YOFPERRIRYTNATIAMLICENSEDUND[RVRONSIONSOFCHAPTER Vr . �� a 0(COuuENCv�qN7TH5ECT10N70oo)OFOMSION�OFTMEBUS�NESSIWODHOFESSIONSCODE.MiD Z X W UCENSE IS N NLL FOfiCE AND EFFECT. m LL .. � UCENSE CLASS LIC.NO. � � � V �ATE -" CONTRACTOR � � a W � WORKERS'COM?ENSATION DECLARATION Q � � IHEREBVAFFIiWUNDE0.PENALNOFiER1UffVONEDFTXEFOLLOWINGDECLAMTIONS ' Z ' . . Q � � ��HAVEJ�HDW'.LLMAIMANAtERfIFlCATEOFCONSEMTOSRNNSUREFORMpFKERS' _ COMPENSATION,ASVROVIDEDBYSECi1CN]7aaOFTNEIABORLODEFORTNEPERFORMANCE W " OF iHE WORK FOR WHIq1 TMS PEi1Mli 19155UED. � . 0 �IHAVEANOWM1LWINTAINWqiKEFtS'OdAPENSATqNMSUMNCE,/�SREWIREDBY5ECi10N f � /� Q 17000FTHEUBORCOOEfOiiiMEVERiORYANCEOFTMEWDi11(fORWHip1THISPER1A1T15 � �� � U � f55UED_MYN'ONKER5W�APENSA7qNW5URANCECARR�ERAND70LICYNUMBERM[: CONSTFIUCTION v > CMRIER PIAN REVIEW � vaicYwu.mER ELECTRIC � (Ms5[CTqNriIDFqTBE�EfFpOFriEpEaMisroHOUEHf�Df�D0alUlL�ifac�aitFsS} PLUMBING Z I CERTIFY THAT W 1HE PERFOfiII�NCE OF h1L WORN FOR vrtitdl iH15 PEFW IT IS ISSUE0.1 MECHANICAL � (.7 SHALLNO7EUPLOYANYVEpSONNANYYANN[R50115T08ECOMESUBJCCTTOTME � M/ORNERS'COUGENSATqNtANf50FCALIFORNIAANDAGREETHATIFISHOULDBECOME INSPECTIONFEE S SUBJECi TO l}IE WORKEflS CpAPENSATION PROVISIONS OF SECTIDN 770a OF THE UBOR - � CODE,1 511AL1 i0i7TFIwIM GOMPLY MA7H T1106E PROVISiONS. ISSUANCE � 0 q OATE: - -APPLICANT. . SMIP �� . • � ENEFGY P/C � WARNINa;FAILURE TO SEGURE N9RKER5'COMPENSATION GOVER�GE IS UNUwFUI.�HD SnALLBE � SU61FCfIWEMPLOYERiOCRIMwA1VENALTIE5u1DCMLFwE5UP700NEMUNDRED7110U5W0 ENERGYPERMIT C� FD1Ah4 � pOLURS(f t 00,000),IN MDITIqV 7p 7HE COST OF�pMPENSATqN.D�6�3 AS PROVIDEO FOFt iN T77�� /��'�'�/ SECT�DN 770e OF TNE LIBOR OOOE,NTEREST,M!0 ATTORNEYS FEES. RETENTION FEE: �U�L/l l V G AND S!]i�Li 1 7 � q CONS7RUCTION LEN�ING AGENCY �PRE-ALT FEE: O � IHERCBYAFFIMIUNDERPENALTYOFPERNflYT1UT7FIEREISACONSTRVCT10NlENDINOAOENCV FOR TME FERFORM.WGE OFTME WORN FOR YMlpi TMIS 7ERMIT IS ISSUED(SEG 7oYl,pV.G). � � LENDER'S NNAE � C LENDEflS�DDRESS � ICEHTIFYTNATIHAVERFIDTHISAPOLICATIONMIDSTATETUTTHEABOVENFORIJATIONISODRRECT. TOTAL FEES � � � 4 1 AGREE TO COMVLY WRN 11LL CfTY AND COUNiY ORD WANCES N1D ST�TE UwS R[UTWG TO BURDiNO CONSTRUC'TION,AND HEREBV�UI1qRIZE PEPii�SENTATNES OF 7W S LOl1NiY 70 ENfFH I1PDN iME _ S� ADOVE�MENTIONEDPROPERTYFOAWSPECTIDNFUNPOSES. COMMENTS � m S�t��Q- . . 4 PER4fTTEENAu H!RT) �j � cn "7 �Z'(— �-0t'D (n &ONATURE OF PERNI OATE � RECPT.NO. F'AID BY VALIOATION MMITE—Departrnen[Copy.YELLOW—Flnance Coqr,PINK—Asseaaa Copy,GOLDENROD—File Copy,GRE-EN—ApplicanCs Copy • � � . . . . • . , .. . ...., . �'. ., .. .. ,. ,., . .._ . ..,... .. ` .�.. , , .. ,. . , •N•� � . -a���,,r�•, .� ��••,.y,. ,•�. .+.. �•r, . . �y,� .. � . . . � � � ��,O�DIAMOND BAR � ,.: :. ,� - ... ._ .. , ' - ., � _ . _ .. . ' ' . `�; �' INSPECTlON RECO,RD,:. : .; ;-;.'"';,: -. r:. . -�� �,�: '.. . � • �t � � � ' • - .... . , I : . . SET BACK . .', .' � " i.' � ;:�{;. ' FLOOR JOIST -� �: - ' � , , , . . � _ . , FTGS/FORMS/STEEL -�' FHA REQMTS-,_: _ :- �. � - - -— - - -- � : ELECTRIC GROUND - -- -- - UNDER FLOOR'DUCT ' - � - , _ - GROUND PLUMBING - • � UNDER FLOOR CO�IDUIT �- , �. �� • _ SLAB GRADE ��,i-��i�'�'�•�' - - .�•.: • FIREPLACE FOUNDATION =` �' � - '--' • ' =� ' � • ' TEMP POWER - � .. ,.. � - � � � � FIREPLACE BOND BEAM � - � � - -- .. �WATER SERVICE;+�,'�;i ��= � �"`'� - - MID NT.BOND BEAM � --- -- � - " � I :; . ROOFSHEATHING • -" Z(o-�O '' � 8 FT.�BOND BEAM FRAMING/1/ENTILIATION � � � � . � "_� FINAL BOND BEAM ' ' ; � ROOF COVER - � PRE-GRADING - - - - � � ROUGH HEATING � - . BENCHING •- � -- -- • ROUGH ELECTRIC � � - ROUGH GRADING .. - ROUGH PLUMBING � -"- �- - ��" • 'FINISH GRADING � . . .. .. SHOWER/TUB TEST --- � � ' POOL ELECTRIC 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 PIT/L.L. . = -- _ � '=' - ON SITE IMPS. . '. „ GAS AIR TEST - - � - - - - - - � FINAL ZONING • : FINAL-CONST. � - - �- - FIRE DEPT.FINAL' - ' FINAL HEATING - • � HEALTH DEPT.FINAL • � � FINAL ELECTRIC� - DEV. FEES PAID -- � FINAL PLUMBING ENERGY � • �;� -.�[e ��`�� � - � . � - - � � COMMENTS � � � ` � " � ' � - , �- , , . , . _. : - . , � � � • _ . � . - i; !� r `-' � .- -- � ,,.���. ... '.�. T:i�:�;' � n � . , ' , . . . ... _ ..i ^r51 I . - _ _ . •n •ii� ;tF I !f� •'\\r•��' .� , . . . . . , SEPTIC TANK SIZE'� ^- i�•• ' � - ,. � a-;. :+r;r�•: .;;�r: i �.� . � SEEP PIT/U SIZE � . - - - • , . . � �.._, � � , .. . - � -- � � - - - -- � - � �ti�l � � ._ � , . . ., . , � . . , , ,� � I . _ -- ,. � + ,� � ' .. •;' .�. , ' . . - . . . . - • . �. . • -