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HomeMy WebLinkAbout12677 (14) --- - -- .._... - - �, . . � J� CITY OF DIAMOND BAR �' � �/' i DEPARTMENT OF.COMMUNITY&DEVELOPMENT SERVICES , �,� ai�oE.coPioyn�;��s�c�i90 � PRESS (909)860-3195fax(909)861-3117 ��'� . GpERMIT APPLICATION � � FIRMLY � JOBSIT ' ^� APPLICATION PERMR;� � P/C � ADDRESS DATE NUMBERI A f ISSUE TYPE , OCC APN LOT ACT DATE • CONST. GROUP p OWNER ING SETBACKS ' p ADDRES FRONT RW � ❑ "' CfiY t ZIP TEL. � APPLICANT 7E�, (L REAR ❑ SIDE/SIDE STREET RW O � CONTAACTOR ! SIOE O � ADDRESS � PROPOSED USE � CIIY �i�r' • 21P TEL. o ARCH/ENG/ • ' �� � � DESIGNER NO.DWEL NO. , NO. ADDRESS UNITS STORIES F3EDROOMS � CfiY ZIP TEL � DESCRIPTION SQ.FT. ' FACTOR PSF ADJ.AREANALUATION N • � OWNER-BUILDER DECLARATION ' ' SFR/ADD/REM O • p 1 HEREBY AFFlFW UNOER VENALTY OF VEiWFtY TUT 1 NA EXEM7T FROA/i11E WNTRACTDHS L4 Garape/Caiport W CENSEUWFORTHEiOLLOWCI0REA50N(SEG70J1.68USVJ[SSANDCROFE5510NSCOOCPNlGfTYOR (n � COIMYWH101REOUIRE5A7ERMITTOCONS7RUCT.ALTERMPROYE,�EM0U5H.ORRE7AIqANYS7RUP W Patia/Deck TURE,PRqR TO R4 ISSUANCE,AL50 REOUiaES T1E MvIM.ANT FOR 6Up/PERMIT TO FILE A SIGNED W � STATEYENT T/AT ME Ofi 6ME IS LICENSED PUFSV�M TO 7HE DROVISiONS OF iHE COHTMCTORS lF � CENSE UN�(d1A7TEH i(C04YENLNO WITI 5ECT10N 7000)OF DIVISqN 10F THE BUS�NESS AN'J Oq0- � Pool/Spa FESSqNS CDOE)OR T11AT NE OR SME IS EXEMPT if1EREFROM MA THE Bi1515 FOR 7HE ALLEGED EXEMP• TION.l1H'/VIOLATIONOFSECilON70.71.6BYANYAPPIM.ANiFOFl�PERMITSUBJECTSMEMPIJGNTTO Z Re-Roof � ACML►ENALTYOFNOTEIOPETTUNFNEMUNONEDDOlUFS(isa0�r ' � Ol�SOWNEROFTHEPROPERT/.ORAIYEM7lOYEESWITHWAGESASTHEIH50LECOMPEN5A71DN, O �mmerclal . YALL DO iHE WOIIK MD THE STRUCTURE IS NOT�ITF1rOE0 OF OFFERED FOR SALE ISEG 7M/.BU51� J NESS ANO iROFE55qNS COOE:IHE CON7MCTORS UCENSE UW OOES NOTAV7LY 70 AN OwNER OF � ►ROPERTY'M108V0.DSORlAPilOVESiNEREON.ANDMR�O�OESSULIINVRI(HIMSELFORHERSELFOR = Q TMRqU6NH50RHEROMNEM7lOYEES.VROV��EDTM.\TSUd1UAPHOVEYENTSAAENOTNTENOEDOFi m . . Q OFFEflIDFDRSALEIF.NOWEVERTMEBULDINOORMPROVEMEMI55qD1MT1YY0NEYEAROFCpAPLE• � Z TION.7HE O�MNENAUIDER YALL NAVE TME BUfiDEN OF GROYPIO 711AT NE OR 6NE D�0 NOT BUIID OR _ �AVROVEFORTHEPURPOSEOFSALE). ' W OlA50WNENOFif�EPROPEHfY.IUIE%CLUSIVELYCOHTMCTNOYlRHLICENSEDCONTMCTORS � N CONSTPAKT T1E PRO.lECT(SEC.7ou.BUSINESS AMJ iROFE55iON5 CODE.7HE CONiMC70RS LI- V01U3tiOf1 ADJ.AREA ' CENSE U�M DOES NOT APPLY TOIW ONNER OF A PROVERTY W W BURDS OR MPi10VE5 THEREON.AND � M41000NTRACf9FOR5UCFIPROJECT5WIT1AQOflTMCTOR(5)LICENSEDPURSl1ANT70TME00P(iRAC QUANTITY OESCRIPTION FEE - � 70R,.UCENSEUWJ. : 0 O 1 MI fXEYPT UNOER SEC. B.t P.C.fOR TNIS REASON U 3 � � LL' pATE OM'NER ' F W Fd LICENSEDCONTRACTORSDECLARATION • W K IHEREBYAifliWUNDERPENAL7YOfPERR1RYTHAT1AlALICENSEDUNOEHPRDVI510N50FCN�P7ER � Vr ' -�..�] / 1 � d �(ca.wCNCu+a vnTH SECTnN 7000)OF�mSioM 1 OF iHE BUSINESSAhD PROFESSqNS COOE,1wD Z � � X W LICENSE IS N FVLL FORCEMRf E/�f�ECL m ' 0 LICENSE CUSS �G��;% ��,Np, �D�� � S � f �j � ' - V OATE I�'� [ �S T.7 CONTiiACTOR ��� a W � WORKERS'COMPENSATION DECLARATION —' _ ¢ UJ _ V , � IHEREBVAFiIPMUNDERGENILTYOFFERNRYONEOFiHEFOLtAWWGDECUMTtON3: Z Q G �luVEIWDYf.LL��NNACEHiIFICATEOFCONSEMTOSELF•INSUREfORWO�KEHS' 2 Z -COMp�NSATION,ASPROV�OEDBYSECTON770GOFTHELABGiCOOE,iORiHEOERFOR�IMICE U Q ��nE WOti(FOi1 vMICM TH�S PEN.nT IS ISSUED. � O _I IUYEANO VALL MUNTARI WORKERS WMPENSATION INSURANCE.AS HEOU�RED BY 9ECTqN , O 77000FTHElADORLODE,FOfiTMEPERPDRAI/WCEOFNEWORKFORWHIaTMIS�EA��T15 = ISSUED.MYN9RKER5'COM�PENnSAT�IONWS�URANCE�G-R�RIc�.ArND�VOLICY �unea�nE: CANSTFUCTION j �w�vEa "1��0ui�c.iv G.rio� PLlW REVIEW � PqJC'I MIMBER�J w CJ�'F � h ELECTRIC 0 (nt55[cnx+N�NoiB[Cp.REiIDOcnEVErartlSinqa.'Ew�OPE��a.t.ulsls+OqOqLESS? PLUM�ING ��IZ w MECHANICAL �� Z ICERTIFYTHATRJiHEPERFOfWANCEOFTMEWOPoCFORYM�CMTIISPEiW�T15155UED.1 (} SHALLNOT EMPLOYANY VERSON N ANY IMNNER SOAS TO BECOME SUOJEGf T07ME y MqqKERS'COu7EN5ATIONUW50FGLIFORNIAANOAGREETUiIFISFI0ULD8ELOME INSPECTIONFEE �] /}��� [�� S � SUBJECTTOTHE�WR%E0.5'WUPENSATIONVROV15�DN50F5EC71ONf7DaOFTMELA00R �SSUANCE ��I 1 Q 1�� K+y'�/ CODE,1 SHALL FOHfNYlITH CM.�PLY WI7N iT105E PROVISIOHS. � . O - SMIP U\ J. �� p OATE:11 7 S� APPLICANti � _. . � ENERGY P/C '[`�^1��vrnrtn BA WARNINQ:FMURE TO SECVRE WV�KERS CdAVEN5AT10N fAVERAGE IS UMJ1wFUL.ANO SMALLBE (�j��I�SY1Y u•""' � 6UBJEGfANEMPLOYERTOCW111NALGENALTESANDCMLFrJESUPTOONENUNDR[OTHOUSUJD ENERGYPERMIT�*��'��A?�,.,m CAF'ETY pOLURS(f 100.000).W ADD�710N TO TME COST OF COMPENSATION,DAMACES AS PROVIDED FIXi IN v�a. ¢ SECTIDN770lOFTHELABIXICOOE,NTEREST.JwDATTORNEI"SFEES. RETENTIONFEE: � a CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O � IHEREBVAFFIRYUPAERPENhLTTOFPERIURYTMATTMEREISACONSTRUCTIONLEN0INOAGENCY z FOR T7E VERiORMAYLE OF TM[WORK fON WMICH iN15 FERMIT IS ISSUED�SEG ioY�,CIY.C.). Ll7 � �� LENDER'SNA/AE � � LENDER'SADDRE55 ^'�J W ICERTIfYTUTIIUYERE�DTHI5A7VLICATIONANDSTATETMAT1HEhBWEINfORA1A7qN15CONR[C7. TOTAL FEES � / � ` � IAOPEETOCOA1PlYN7TMALLCRYAN�COUHi'/DRDINANCESIWOSTA'EUNSREUTNOTOBU[D�N6 /� t'�..�,� ODNSiRUCTI011ANOMEREBYAlff110R2Ef1EPRE NTATIVESOFTHl5C0UNTYTOENTERUPONTiE ' � r E-Ov' �^�+ • `-• • ZIBOVE-MEMIONEDPROPERTYFO INSPECTION r+rvosEs. COMMENTS � T J►�1 I�n m � � PEfiM�„E �Pw� 1 / 1 � _ {/ / y 61ONA(UIEOFVEHYITiEE uA�� � � RECPT.NO. PA1D BY VALIDATION � WHITE—Oepartment Copy.YELLOW—Fnence Copy.PINK—Af�essor Copy,GOLDENROD—File Gopy,GREEN—Applican�'s Gopy �� �a Q� n_ n _ ...a- �,,., �� r�► . _ .�_ �. , , .. . . , ....� .K r.. , �'}'��: . ° 7'�".. . . ,. . ,..�.. � ,.r,;_.. � . • .. '�1:..n;Y� �i Y -, • , .__ . ... - , •. , , �• , ' . ..__ .. .. _ . _. ... .. - , CITY OF DIAMOND.BAR . , � , ' � ���'' '�� � � ''INSPECTION�RECORD� � ' " � � � �. .. .. i ' ,I .. ". . . ' , . - , . s � � � • • - � � � • - SET BACK '' ; l ' ' • ; . � . � J � ' FLOOR.IOIST j;� : -- :_u�;:::.�,;_":.r=„=_:`:'= - FTGS/FORMS/STEEL . FHA R�pMTS''ti�:� .,,�� �a�;w}��.,.,: �. �. . '-.� ;. �,;�� .. ::.� ELECTRIC GROUND - - -- . . . .. .. .. .. ..: . UND�fl;FLO R.Ol1C�1_::.-::.:v:,...�i.,-,�.,� �-.,�:._ .� � . .. �. � GROUND PLUMBING - � � •UNDER�FCOOR CO�IQfJ17'"'-:� ,`.;��.-�-;�t'-""''�-'=�°'=� ' • . , .., , . . _.. , SLAB GRADE - � - - - FIREP ' F�C)NDATION -� � �� ' �-� ``� ! _, .: ;' _ . . , TEMP POWER - ��'" ` ' ` FIRE ,L`ACE BOIVD SEAM . _ ; . __ __...._.. .__ _. WATER SERVICE -- - — -- -- - - - - � 'MID HT.80ND BEAM-�'"=�•�: '� - ' ' �'', ._ , ��• �� • ROOFSHEATHING - . _ _- . - - - - -. , . 8 FT.BONDB.EAM.��; � )s�t�i' v . � -- •.ti-�'.� . FRAMINGNE(VTILIATION _ FINAL BOND BEAM � • � . ROOF COVER . - �' �� PRE-GRADING � � � - . , - ROUGH HEATING -- - - BENCHING- � ` -- ROUGH ELECTRIC - - ' -� -- • ROUGH GRADING ' "' -ROUGH PLUMBING-- --� - � - FINISH GRADING ; `� SHOWERlTUB TEST � -� - � � - -� " �� � POOL ELECTRlC ' : EXT.LATH/SIDING - POOL FENCING ," ' � ' WALL INSULATION � POOL FINAL � - CEILING INSULATION , OFF SITE IMPS. � � DRYWALL NAIUNG DEDICATIONS � ; -• _SEWER .- . --. .- - - ..' --.. .__ FINAL ENG. _ �. SEPTICTANK-_ _ __ __ _. . . _ . . 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 - . �lN �L PLCiMBING —� � � �' ' '�, ENERGY. � ����_'�.i_ - � �- , . i .-�:�� �.\ �-� �1 '� i i i- r .. ; �* � i - -- _� �� � __ , _. — �--- � • - . . , COMMENTS - � � . .. . _. _ . . .. . , .. . . ' �\. _ . , _.:�_,. .' ._-., .,._, .�-• -- r c� I.i 1� c ;'� �• s�-,;•.,' ; _ ��, � ��� �;�.��t�t . �:. , t• �„ ' l��;L': •• J -'!i'�r' ' ' • _i' � ' � t _.` .it—f" 1'i - (�_ ( _ .. ri,�lyl �i✓t��t i ':J""� __ .� ,,.,��� - ll i, -,�, 4•�•t•-� . . SEPTIC TANK SIZE • ' .• _�� r_:r::;:..'.���,,• . ; - SEEP PIT/U SIZE _ , .,.�" . . � - . .... , . . ,Y " • , . � — . _ •� ;:_ :�-_-, , �;.i�S1J . ; 1� •�� t.� , __ . . — - —_ , � _ . . . �. '�-� „-, : , , . , ` � 1 � `� • 1 . _. �