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HomeMy WebLinkAbout12749 (11) � • � �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES �` 21660 E.Copley Drive Suite 190 � (909)860-3195 Faa(909)861-3117 � � �� PR ESS ��'�^' � � •BUILDING PERMIT APPLICATION FIRMLY } JOBSITE /_ � '„ �q APPLICATION �„��_ PERMIT P/C o ADORESS « �� DATE NUMBE # ' $ ISSUE TYPE OCC APN L T TRACT � DATE CONST. GROUP p OWNER � . p ADDRE ZONING SETBACKS , � � CITY ZIP TEL + FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDE/SIDESTREET FiW p � CONTRACTO SIDE p ADDRE � CfTY r ZIP TEL. PROPOSED USE o ARCFUENG/ • � . - DESIGNER �7 NO.DWEL NO. NO. n_ ADDRESS � Cm, Z�p TEL UNITS STORIES BEDROOMS cn rn DESCRIPTION SQ.FT. FACTOR PSF " ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFWADD/REM O � p 1 HEREBV AFFUW UNDER CENALTY OF PERRIRY THAT I M1 EXEMaT FROA1 THE CONTMCTORS L4 GdtBgB/CalpOfl ' CiJ CFNSEUriFORiHEFOLLCNYINGREA50H(SEGTa71.6BU5ME55ANDVFOFE55qN5CODE:ANYCITYOR . (n C� COIMiYYAAp7RE0URE5�VENAfTTOCONSTRUCT,A�TER��RDYE,DEA10115H2OfiRE7�1RANY57RUG W P81I0/DBCI( Z 7URE VR10R TO R9 159UM10E,AL50 REW IRE9 TME AFPL�GNT FOR SULH VERMIT TO FILE�SIGNED �l� ETATFMQ7T THAT NE OR SHE IS LICENSEO VURSUANT TO THE VROVISICNS OF TM[CONTMCfORS L4 W _� CENSE UW(ClUP7ER Y(COMIAENCINO WITH SECTION 7000)OF DM510N]OF THE BUSINE55 nND VR0. �- PooVSpa FESSDNSCODE)OR7YUTHEORSMEISE%EMPTTNEREFqOMANDiHEBl�SISFORTXEALIE�fDE%EMP• (ry TqN.IINYVIOLATIONOF5ECT10N70.71.68YINYAPPLKANTFOR�PER�JIT5U6JECTSTIEA7PLICANTTO Z F{p•Rap� � ACfV4PEW1L7YOFHOiMOfiETVVIFiVEHUNDREDDOLLAR3�75aoj): � OItiSOwNEROFTNEVROPERTY.ORMYE�PLOYEESWIiNWAGE5�5THEIqSOLECOMPENSATiON, O COTmefClal � � WLL DO iHE YYORK AN�THE STRUCTURE IS NO7IMENDEU GH OFFEREO FOR SALE(SEG 70W,BUSI- J N NESSANO ifbFESSqNS CODE iNE COHTM..'TORS LICENSE UW DOES NOTAPPLY TO AN OWNER OF ? . , . VROPERTY YVF10 Bl1RD5 OR MPROVES iMEREON,ANO W110 DOES SUC/I WORK HI115E1F OR HEHSELF OR � CC TMi0U6HHI50RHEROM�NEAICLOYEES,GHOv10EDTHllTSUCHMPROVEIAENTSMENOTMFNDFDOR m QOFFFREDPoRSALE6,iqVhYERh�EBULDINOORNPROVE4IENTI560lDWffi9NONEYEAROFCOMPLE- Z TqN,TNE WMEH-BULDER N'ILL 1NVE THE BURDEN OF iROVwO THAT ME OR 6NE OW NOT BUILD OR � 11APROVEFORTMEPURPOSEOFSKE). � � ❑4��M�EROFTMEPROPEHTY,MIEX0.USNELYCONTRACTNOWRNLICENSEOCONiqAC70R5 TOCONSTRUCTTIEVNOJECf(SEC.70a1,BUSINESSINOPROFESSIONSCODE:THECONiRACTORStI- VelUeiiOn ADJ.AREA CENSE UW OOES NOT MPLY TO AN OVMER OF A PROOERTY WHD BULLDS Ofl MPiqYES THEREdV.AND � W/tlCONTNACT9FON5UCF/7R61ECf5WIiHACONTRACTOR�S)L�CENSEDPU0.5UANT70TMECDNTRAG QUANTITY DESCRIPTION - FEE � � TORSUCENSEUw). , OIM1E%EAIMUI�DENSEG B.IP.C.fORTHI5REA5ON a 3 c' . � . � DATE OVn1ER U Z F LICENSED CONTRACTOHS D[CLAHATION W � IHERCBYAFPIRNUNDERPENALTYOFiERNR/iHATIWLICENSEDUN�ERPROVI5iON50FCMAPTER ' Vi '1 , p„ •�COUMENGN6YnTH5ECTqNT00o�OfOm510N70FTMEBU5WE55IW7PROfE5510N5CO0E,AND � Z I IAY UCENSE IS N FW.FORCE AND EFFECT. m � UCEN;ECU55 LIC.NO.;� v j V DATE " cONTRACTOR a W � WOHKERS'COMPENSATION DECLAFlf�TION -� NIHEFEBYAFfIPoAUNDEHPENAL7YDFPEiLR1MONEOFTXEFOIIOWINODECURATIONS: Z � � �IHAVEANDIMLLMARITNNACFRfIFlCJITEOFCONSENTTOSEIF•INSUREFOHMIOHKERS' _ CdAPENSATIJN.AS DROVIDED BV SECTION]7000F THE UDOR COOE.FDR THE VERFOHAIANCE W �OF iNE N'OqK iORVM�GI THIS CfR1AR IS ISSUED. � � // l� IMAVEANDYYILLNUHTAPIYYO1tKER5'COMPENSATi0NIN5URANCE,ASREOUiRED815ECfION O �7000FiHELA00RCODEFONTIEPERFORMIWCEOFTIEWOHNFORWNICHT115PERMITIS „ . .� ISSUED.MVYN]RKE�RSi�C7OUF /A; O/N�INSURANCEG EHANDPO CYNUYBERARE: CONSTRUCTION � CARRIER v��L_�Y PUINREVIEW � POIICVNUMOER Z ELECTRIC d � (iFiSSECi10NK�NOTBECd.PLEIfDOF71EPEiMT6FOqONEHIR�AEDDQURSftiOoIORLF551 PLUMBING _ Z I CERTIFY iHAT IN 7HE PERFORMAHCE OF T/E WOFL<FOR WHIp1 TNIS PERMIT IS I55UED,1 MECHANICAL () ShULLNOTEMPIOYAN'fPER50NMM7YMANNERSOASTOBECOMESU&IECTTO7NE y WOF�cERS'COMPENSATpNUw50FCAUfORNIA,/urO�GREETHAiIFISHIXRDBECOME INSPECTIONFEE S Sl'&IECTTO THE WORKERS COUPEN5A7qN 7RONSIONS OF SECTiON 770o OF THL UBOII - � _ COOE.ISH coAryyyn�caan�rwin�na qn�sior+s. � ISSUANCE � -GL-�Y APPLN:AM:�� W o��: SM�P . ����.d n�uR-una � WARNIN�:FM.UHETOSECURENtlfUCERS'COMPENSATIONCOVEMGEISUNUWFi1L,ANDSMALLBE ENERGYP/C �Q��I/�,���r Q��I� �y SU6)ECTAN EY7LOYER TO CRIYINAL VENALTIES AN�CNIL FW ES UP TOONE NUNDRED TIi0U5AND ENERGY PERMIT - DOLURS(St00,000�,W ADDITIdJ TO THE COST OF COAIPENSATqN,DAM/GES AS VROV!OED FOq IN /� ¢ SECilON770EOFTtEU180RCODE,INTEREST,ANDATTORNEY'SFEES. ��� } � ��� ' RETENTION FEE: v a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: " O � IHFREBYAFFIRIAUNDERPEN�L7VOFPFM1f1VTHATTHCREtSACON5Ti1UCT10NLFNDINOACENCY Z FON THE PERF01{MlWCE OF TME WORK FOR WHiCH THIS PERUIT IS ISSUCD�SEG i0v'!,CIV.G�. ^ W �l � LENDER'S NAA1E . � IENDEH'SADDRE55 w� TOTAL FEES �j�G�Q 1 CEHTIFY TFIAT 1 HAVE RE/�D THIS MGIICATqN ANO STATE TIATTHE ABOVE INFOfU1ATqN IS CORAECT. � 1 ACREE TO CDYPLY M1TH/LL CRY AND COU1�T'ORDMANLES AND ST�TE Uw5 REUTiNO TO BUILDINC v � CpJSTRUGTION,ANOHEFEBY/4JT110HREREGRESENTATIVESOFTM15GOUNTYTOEMERUPONTME . ABOVE�MEIRIONED VROPERTY FOR INSPECTION iUHPOSES. COMMENTS TTEE NAYE�1��/!/vL/- ///� - /� . � //I/' ATUREOF R1I17 E �OATE �- ; RECPT.NO. PAID BY V/WDATION � WHITE—Oepertment Copy.YELLOW--Flnence Copy,PINK—Assessar Copy,GOLDENROP-Fite Copy.GREEN—ApW�cant's Copy �� — -- r�•,�;� 1:.�...i..'� n .y.... -t .��.t � �. . - .. i . . . _ ;s. .+r.q�.. i� - . . . 'i� . . , ..� � ' • - - , . , . . . . . . • . . i . � ""'_....�"'"'.�,..._._�...._. .__ '_' "_' CITY OF DIAMOND,BAR ? • � , . - � • �� � ' ''� INSPECTION RECOf�D ��� � ' � ' � � � � � —a � e � • - � � � � • s - SET BACK ., . � ; - ' -, i � ' � �` I ` � FLOORJOIST�., , ;• , `' . � ,.,,.: . _ FTGS/FORMS/STEEL - FHA REQMTS - �� - - �- - � ELECTRIC GAOUND - �' � - UNDER FLOOR DUCT � � •.�•. , � � GROUND PLUMBING � •� UNDER'FLOOR CONDUIT. � • • . � �'`• ' ' SLAB GRADE � -- FIREPLACE-FOUNDATION ' ' •� - '•-� -' `• -1 ��'•' TEMP POWER � - � • ' � ' FIREPLACE BOND BEAM - :�.. - - - -� - ' WATEA SERVICE - - - - -_ : _ - ' . MID HT.BOND BEAM:-�: . . .:, ', '. .. ... . . • '.. .' : ROOF SHEATHING - 8 FT.BOND�BEAM � � • � �' �. �� � �,-�� FRAMINGNENTILIATION � FINAL BOND BEAP�1 � � ROOF COVER. PRE-GRADING ' ROUGH HEATING . ----- . . - BENCHING ` � _ ROt1GH ELECTRIC- . �� � ROUGH GRADING • ' OUGH PLUMBING �: - - FINISH GRADING . 3HOWERIfUB TEST� - - - POOL ELECTRIC � ' • • EXT.LATH/SIDING � � " - �� • -� � - POOL FENCING � ' ' " " '� � ' ' '- ` �� WALL INSULATION POOL FINAL •. CEILING INSULATION OFF SITE IMPS. �RYWALL NAILING ' DEDICATIONS ' SEWER ' FINAL ENG. � -- . .- --- - - -. SEPTICTANK_ _ . _.: .-- - - LANDSCAPE/IRRIG. . . - SEEP PIT/L.L.•. - - - - - ON SITE IMPS. - - GASAIR'TEST' �- ---- - - - � � FINALZONING FINAL-CONST.- - ---- -- - - - - FIRE DEPT.FINAL - - ' FINAL HEATING--' � �� - -�' HEALTH DEPT.FINAL . . ' . . _... .._... ._ . ..__.... FINAI:ELECTRIC---�-�� - � �- -- DEV. FEES PAID •; ; '. FINAL PLUMBING - • � ENERGY � ' -i� � e - � — _ .. : . . . . , _ ., . , , - �----- _ .. . _ .. . COMMENTS - --- -- � • ' . . . . ... .. . . ; . , _ , . . ,. , . ; . � � _ . . . , .. . 1:•j� :.I17 I A�~�l '�/� T'� r t i . ' . . _ _ :l.l.;, i�;:f.;,`,�;,,;�;:F)►Z'�!.�4 1 - _ ,. . . , . SEPTIC�TANK SIZE � � ' � ' � , , �1 ,.,.,. i , —�t��)�� 1:;�;; SEEP PITN.SIZE _ _.. _ . ; � _r___....._..�._...... � ' ' : , ' ��� �. ,r , }�J�,S � i 1. .a! I 1 i ' - i - , � � .... ,, .. . � ` . 1�r �; . _ , „ . . : � . . ; . i . . . . � . . , ;, .. , - , . _. � � .. � . ; -- I . / I • i • •- � . , , .. . , � -' .._ . • / .. . • . -�� . � . - - /