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HomeMy WebLinkAbout14792 (30) r .. - . .___ . . . . . . _ -. , . . - - ' ' _�� C1TY OF DIAMOND BAR -•• � � ��• DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ,�c , 21660 E.Copley Drivc Suite 190 ' ' - ' (909)860-3195 Faz(909)861-3117 PR ESS �����'f BUQ.DING PERMIT APPLICATION FIRMLY Qy JOBSRE ./ /_ APPLICATION l. /�,(� PERMfT P/C ADDRESS �/ I UaLD�I S prL)I�JCsS DATE v� NUMBER�p c� ISSUE TYPE OCC APN L T TRACT DATE CONST. GROUP p OWNER O` "' ADDR S M� /Y�O►. ZaNING S ACK • "' CITY ZI TE FflONT flW ❑ � APPLICANT TEL a� REAR ❑ � SIDFJSIOE STREET RW ❑ - CONTRACTOR �—o�� ����Ls SIDE O Q ADDR SS�. '1 L E r(��/o-lo Ma— � ' � CITY� . �..� ZIP��Q TEL��to�D�ol�' . PROPOSEDUSE � p ARCH/ENG/ � DESIGNER � - NO.DWEL. NO. NO. p. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION S�.FT. " FACTOR PSF ADJ.AREANALUATION � . . . . OWNER•BUILDER DECLARATION � � SFRIADD/REM � � O p 1 HEREBYAFFlRY UNDfR PEIUL7Y OF PFiWRY THAT 1 AA7 E%EUPf FROM THE COHTRACTORS tJ•' Gefe9B/CefpOR LLl CENSEUwFORiHEFOILOWiNfJREASONf5EC.7a71.6BV5WE55ANOFROFE5510N5CO0E:ANYGTYOR (/� � COl1RYYlHK]iPEOUIRE5A7ERA1tTTOCONSiM1CT.JLLTERMPROVE.DEMOLISH.ORREVAIRANYSTRUC• W petio/Deck ' � � ' 7URE,GRqFi TO fT9 ISSUANCE,AL50 NEOU�RES TF�E APPLICANT FOR SUCF1 PENAIT TO FlLE A SICNED W � 67ATEMEHT THAT HE OR SHE IS LICENSED PURSUMff TO THE VROY�SIONS OF TNE CONTMCiGii Ll• . �� CENSE UW(duPTER Y ICOu�1ENUNU W1T11 SECT�ON 70001�aNSqN!OF THE Bu51NE55 AN�CNO�' ' u" PooVSva FESSiONS CODE)OR 1W�T HE OR SHE IS E%EUPT TIEREFROM MX1 THE BASiS FOR THE ALLECED ExEMP. TION.AM'V�OLA710NOFSEGTION7071.6BYANYAPPIIC�NTiOR11PERMiTSU&IECiSiHEMPUGNiTO Z RaRoot F,�, ACMLVENALTYOFNOTMOREiIUNFNEHUNDRFDDOt1AR5({50o)J. � OL�30WNEROFTHEVROPERTY,ONNYEMPLOVEESWITHWAGESA37HEIHSOLECOMPENSATqN, 0 CpmTBfC4'll , ' YALL 00 THE WOHK AND THE STRUCTURE IS NOT MENDED OR OFFEHED FOR SALE fSEC.TON.BU54 . J � 1�55 ANO P(IOFESSIONS OOOE:TNE OONifUCTOHS UCENSE Uw00ES NO7 APPLY TO IW OWHER OF ? , PROPE(nY 1NND BU0.D5 0111YPROVESTMEREON,ANO WMO DOES SUp1 WORK MIMSCLF OR ME0.5ELF OR ('L if1FdlOH MS Oq NER ONM EUPIOYEES,VROVIDE011UT SUCH MDROVEMENTSARE NOT NTENDED OR m ' GOFFERFAFORSFLEtF.HOM1VEVER7/1E8UlDPWORIIAPFlOVEMENTISSOLDW7T/4NONEYEAAOFWMPLE- • z TDH.iHE OWNER-0UIIDER WILL MAVE TME BVRDEN OF PR�nNO TMA7 ME OR SNE DID HOT BUILD Oq = MPROVE FOR iHE VURPOSf OF SALE1 � W O��^OWNEflOFMEPROCEHTY.MAE%CIUSNELYCOMMCTNOWITMLILENSEOCONTMCTORS [L TO CCAdSTRUCi TNE 7R0.1ECT ISEC.7W�.9US�NE55 AND PHOFESSIONS COOE:TME CONTFUGTORS L4 �/dIUB110f1 AQIAREA Ll1 �NSEUWDOE9MOTAPVlVTO1WOWNEHOFAVRODERTYNTpBURD50RM0{qyESTHER[ON,MA � N4qCONTRACTSFOpSUpiPRD.7ECTSN7iHACOHfMCTW1(S)LiCENSEDPURSUANTTOTHE00flfMG QUANTITY DESCRIPTI Y � FEE � � TO0.SUCENSEUW). p O���EYPT UNDER SEG B.f P.C.FOH TNIS REASON Q O � 3 U � • �'1Z' DATE OWTIER V FQ UCENSEDCOPlTRACTORSDECLAHATION W ' , • ' , .. . . C� IMEREBYAFFW.IUNOERiFNALTYOFPEM1MivTNAT1AAILICENSEDUNDERiilOV15qNSOFG1AVTEq � . � � ��COUMCNCIHOW1iNSECf10N70oa)OFDMSION�OFTMEBUSINESSANOVROFESSiON5W0E,AN� Z �V MY UGENSE IS N FULLFORCEAND EFFECT. m � LICENSE CLASS — IIC.NO.�.�8��._ J � v pe,� 1-4-�- O r7 corrraacror� a w � WORKERS'COMPENSATION DECLARATION � - � IHEREBYAFFWA/UNDERVENAL7YOFVERIURYONEOFTHEfOL101MNODEQMATqNS. U � � " ' � Z Q � _IH�VE/NDWILLYARITIIP1ACEiRIFICATEOFCONSENTTOSELFdNSUREFORNORKERS' 2 COYPENSATqN.ASPHOVIDEDBYSECTION71000FTMEIJ�[iORMOE.FORTHECERFORAUNCE W OF THE WORK FOR WMICl/THIS FERMii IS ISSUED. � � �,IHAVE/NOVALLNAINTAPIWOMERS'DOMPEN5IRIONINSUiUNCE,ASREWIREDBYSECTqN - � - QQ 770a OFTHE IABOf1 WOE,FOR THE PERFORL�MICE OFiHE �Uf FOR N'HKSi TH�S VENAI�T IS ISSUED.IAYWOakE COdPE SAT10Np/ CEGRPi �tiovawrr+uMoenu+e: CONSTRUCTION j - - 'c+wnien - —- " PLAN REVIEW . � ����4�R � '0 ELECTAIC � d p (IYISSCC11pN1�mP1DT8Epp1.sRE7EppFiFEpEp,fi6FORpJE�a.wRmD:XlatSgtao)OqLEssy PLUMBING Z ICER71FYT1ATNTHEPERFORMMlCEOF7MEWOPI(FONNMiCH71115GERMITI51S5UE0,1 MECHANICAL ��T (} SwLLLNOTEMPLOYANVPER50NNANYWWNERSOA5TO8EC01AE5UeJECTTOTNE , � WORKERS'COMPEN9ATqNlAW50FLALIFONIVIANDAGREETHATFI51qU1.DBECOME INSPECTIONFEE SUBJECTTO THE WORKERS'OdAPENSATION PRONSIDNS DF SECTION]700 OF TME U90R ,��•` � 0 0oo�.�sr+utcamrvnn�eaev�vwinrn+oserarnnsioraa ISSUANCE '. p DATE: �APPL�CArli: � SMIP �nQ�iJ,��� —+1 �� W ENERGYPIC ��� R.� ' WARNING:FALUfiE TO SEGURE MNI7KER5'COMPENSATpN COVERAGE IS UNLAWFLI,AND SWLLLBE �y SUdIEGTANEMPLOYEFiOCRv.1P1ALPENALTIESM�DCMLFWE5UV700NENUNDREDTYqUSAN� ENERCaYPER�CC�� /` ��'t ✓ DO(1Af15(f i ao,0o0).W A�OR10N TO TME C067 OF COMPENSA710N.DMIAGES Il5 GHOVIOED FOR IN L F ��)��'[��— ¢ SEGTqN77olOF7HEUBOHCODE,NTEREST,NIDATTORNEYSFEES pE7EtJTtONFE �y .Y� r a ONSTRUCTION LENDING AGENCY PRE•ALT FEE. ' O .� IHEREBYALFIFlYUADEfiP AITYOFPEiLR/iIYTHATTHEREISACONSTRUCTqNLEN0IN�AGENCV, _ FON7M[FERWRu EO iNEM/ORKF�RWMICNTHiSPERMITI5155UE0�5EG7o97.pV.G). . , � LEN�EiMS WVAE h v � - C IENDER'SADORE55 � , W ICERTIFYTUTIIUVEAEADTHISAFPLM•ATION�NDSTATETHATTMEABOVENFORAIATIONISCORRECT. TOTAL FEES � p� IAGREETOCO�.�PlYN7TFIALLCfTYANDWUNTYORDWANCESANDSTATEUwSRELATINQ706URDINO , CONSTRUCf10N.ANDNEHEBVAUTIK7R�2EREPRESENTATNE50FTHISCOUNTYTOENTERUVd1THE _ _ . � /YfpyE.MEHiIOHEDPROPERTYFORINSVECTIONVURPO5E5. COMMENTS , _ . ; S . m VERAIRTEEN VRIHf� � �/� n � �.-� / � 6qNw7uREOF GE�inEE D�rE � RECPL NO. � PAID DY VALIDATION � � YYHITE-0epartment Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD--File Copy.GREEN—Appl�cant'a Copy � - . � - . ,. .. .. . . � � . � . • � • • . .. . , :� . •'.i , . ,• ,t : ..�� , . �•'�1;t'�.? , . �.,r. .. . � . . . , � � CITY OF DIAMOND BAR ,�-� .: . , � ; � , -- :�,'' ���l�� • '''''''' �INSPECTION RECORD ':� �-�: � • ; � �- . � � • 1. f � � ' • ' � � • • - SET BACK '' -- '• � .� ,. ... • ; -, � _. �., FLOOR JOIS7(.� �;.�:� i',_�• !'•t,; � �':� . . . , . .. FTGS/FORMS/STEEL � ' ' . ; i ; FHA REQMTS -- - -- - ---- - ELECTRIC GROUND ` ' ' ` ' ' ' � UNDER FLOOR DUCT �- `'; ,_.'�'�:,) , -/_:-.:. . GROUND PLUMBING � ' UNDER FLOOFi CO�ID.UI��i•• )l.r:,1:�'►� ' 1 ';,.' ' . � �-- ''' _;' �1`.r ._•�`i' , ,��, • ,-%,":-'_���': '_"! ; ' SLAB GRADE � � FIRERLI�EE FOUNi�A`•fION•, TEMP POWER - � -' � � • FIREPL`A��BbtJD dEAM--�`.'' :` '�`� '" 'J WATER SERVICE� - - � - - MID HT.BOND BF�AM -� ��t,n.= s , '�-� . • • • , . �• � � ROOF SHEATHING " 8 Ff.BQND BEAh1�„�� :- �-'.;' . : - .' '' ;-, / . _ FRAMINGNENTILIATION FINAL BOND BEAM � � ' ' : ROOF COVER � PRE-GRADING - ! 1 1 ' �;;_ , ,.. , , - R�UGH HEATING - - - --- BENCHING - � - � ROUGH ELECTRiC ' - - � ROUGH GRADING ` ROUGH PLUMBING � - FINISH GRADING - � SHOWEWTUB 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 IPdPS. � ' GAS AIR TEST;� � - j • � FINAL ZONING FINAL CONST. '-�� ��' '' ' �� '-'r� - �� ` � - FIRE DEPT.FINAL FINAL HEATING -- - - � HEALTH DEPT.FINAL , . FINAL:ELECTRIC ,_3'.0 DEV. FEES PAID � - • - " �� � FINAL PLUMBING ENERGY � � • ' �; e� �s�' j _ . . - . _ _. . _ .. . . ... .. . _ - � . COMMENTS - � � . . . • ; ^ _ . • � � i � �J.'�'/!,i�i .l,-'- '• � ' -- -, , • . . �:��<i �J ':.J- �. - ,J(i i-{ ' -= . __ .,�, • t . . . � - , � - ' . .� � ' ., ' ��' , � . - -. . . ._ _��. . , - SEPTIC TANK SIZE �'=`t�� �-'��• ' . ;, � SEEP�PIT/U SIZE - - . ��� , ; - �,l. � ; , I, - ; . 1 _. - , . � • - . �, �; . , - - - - .,� .. . � - � _- -_�-. r' , :� a_,, � �... ,� - I . _ � _ ' �- . � i ' • _ . ! 1'' l ' �-- • _ - . . s ,�• , • -