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HomeMy WebLinkAbout15624 (15) J� --- D PARTMEN'T OF COMMUNITY&DEVELOPMENT SERVICES EXPIRED �� 21660 E.Copley Drive Suite]90 . (909)86Q3195Fax(909)861-3117 , MAR �� 1��� PRESS ;��'. ' , BiJII.DING PERMIT APPLICATION . ` . . ; ,; ' . .FIRMLY ', y�, JOBSITE Z 1�(�q N l p APPUCATION �j PERMR P/C • o AODRESS DEi, �I�ES DATE � ✓ NUMBER I x � APN LOT TRACT ISSUE �/�\ TYPE OCC DATE ��� CONST GROUP p OWNER M. �F02.SYTi-�2 . . � ADDRESS Sti�vt,� �• 'ZONING SEBACKS � CITY ZIP TELS`ti 5�933 ' . FRONT RW ❑ APPUCANT ��, REAR ❑ � SIDE/SIDE STAEET RW ❑ CONTRACTOR SE7kRS i-{-OME �MQ• � � SIDE ❑ � ADORESS ���1S S�.USF-E�=2 D2. CIT1f ZIP TEL PR4POSEDUSE Q�P�cc 2 w��+p�w s � S�..M L. 'F 1'LG� � ARCH/ENG/ . DESIGNER NO.DWEL. NO. NO. N ADDRESS UNITS STORIES BEDROOMS � CIN ZIP TEL. vNj DESCRIPTION SO.FT. FACTOFi PSF ADJ.AREANALUATION Q - �OWNER•BUILDER DECLAFiATION . SFR/ADO/REM � O e -I HEREBY/�FFlRM UNDER PENKTY OF PEMIRY TUT 1 AM E%EMP7 iROAI THE CONTPACTORS LF GaregalCaryoA - . � CENSELAWFORTHEFOLLONYWOREti4di(SEG7071.68USNESSAN�CNOiES510N5CO0E:ANYCITYOR (n .00UNiYW111pIRE0URESAFENARTOCONSTRUCT,ILTERMPROVE,DEMOUSH.ORREPNRANV57RU0. W PeIlO/DBGk 7URE PWIXi TO RS RSUANCE AL50 f1EW IRES iHE APPLICAtlT FOq SUCH PERMR TD FlLE A SIGNED , W ETA7FMEM THAi HE OR SME IS LICENSED PURSUAHT TO THE Pi1DVI510NS OF THE COHTWICTORS LL � CENSEUW(pUPTER�(COMMENCWOVrtTHSECTqN7oo0)OFDIhS1ON�OFTNEBU51NE5SANDFqO� V"' POOI/$p2 � . .. . . . FESSqNS COOE)OR TIAT HE Oii SHE IS D(EMPT 1HEREFROM AND THE BASIS iOR THE ALLEOEO E%EMP• iION.ANYV10lATqNOF6ECT10NT071.68YM1YAPP�ICANfiOflA>ERMITSU&IEGTST/IEAPPLMINTTO Z R9•ROOI � ACMLiENAI.TIOFNOTMORETHANiNEMUNONEDDOLUR51i5W1.Y .., . � 01ASOWNEROFTHEPROPER7Y,ORMVEMPLOYEE9WI7/iWA6E9ASTHEIR50lECOMPEKSATION, � Cpmrtl0tCi2! � YALL 00 THE V.�DRK ANO TME STRUCTURE IS NOT MENOEO OR OiFERED FOR SALE(SEC.7na�,BUSb . 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B.tO.CFORTWSREA50N Q U u--" OA1E OWNER V , .. . . � UCENSED CONTRACTORS DECLARATION w IHEREBYAFFpWUNOENPEIULTYOF7EMIRYTMATI/�MLICENSEDUNDEHPROV1510N50FLFNPiER V. � �(COY4ENCNUVAT114ECTION7o0a1pFDNISIONJOFTMEBUSINESSANOPROFES510NSCOOC,ANO Z � - �� W LKENSE S N fUlLFqiCEAND EFFECT. m 0 LICENSECIASS Q UC.NO. �Z� �7�J-I . �� � J H V DATE ��'3 •v 0 CONTMCTOR S�R-S r�� • d W � WORKER$'COMPENSATION DECIARATION a � IHEREOYAFFIRMUNDERVEWLLTYOFVERNfiYONEDFTXEfOLLOVAN(iDEQAMTIOHS: z � _INAVE/UD1MiLL1.WMANACEHTIFIGTEOFOONSEMT�SELFaNSl1REiORWO{U(EP5� _ - - COMPENSAiqN,ASViqNDEDBYSECTIONJTooOFT11ElIBORCCDE,FOfiTHEPERiORMANCE U �� OFTIEMIORKFORWHIpITlIISPER4IT19155Um. W y 1"'� . � � xIIMYEANDWILLGANiA�NWOR1(ERSCOMPENSATIONNSUAANCE,ASREOUiRCDBYSECTION /// `tt` Q l7000FT11EU80R[ODE,FO{iTHE7ERWqYANCEOFiFIE1MORKFOHWHIpITHISVEPYRIS �//� 1/ ` i55UED.t1YWORKEAS'COM7ENSATqNW3UIUNCECARHIERANDPOLICYMIMBERARE: CONSTRUCTION �rr � �i�� 1\ ) � CMNER �"I 3��� N��TJ A-t. PLAN HEVIEW v"� `� '� -- � VQICYNUABER wnT-��{oo�o�t-L�az� ELECTRIC �� UF' � � . � z.� Li���, �r A '�,�R�.�r �- (I14s5ECt�oNNEIDHoiBEo01.i1EiFDOFnEPEadrisFd+oNEltroRmootlNa4{t+ov�oalEss} PLUMBING �u.DIN� :*.� ��:�;�-- � � 1 CER7IFYTNAT NTHE PERFORMNICE OF THE WOiUC FO(i WHlpf THIS PERIAIT IS ISSUED,I MECHANICAL `i (i SYWLNOTEAIPLOYANVVERSONWFNYMANNERSOASTOBECqAE5U61ECTT0711E � WOPoCERS'COMPENSATIONUYlSOfCAUFORNI�,AND�OREETINTFI5N0ULD8ECOME INSPECTIONFEE S SU&IECTiOM[WORKERS'COMPENSATqNPROV1510NSOFSECTKNJ]7oaOFTMEU00R CODE,18/uLL FORiFNATN Cp.1RY WIiHTqSE PRWISWNS. ISSUANCE �� �SMIP . . . � • pw WTE: APPLICANT; . J WARMNO:FA0.UHETOSECUFEWOANER3'COMPENSATIONCOHERAOEISUNUWNL,MlDSHALLBE ENERGYP/C LL SU&IECT/WEMPLOYERTOCRIAIINALDENALTIESANDCMLFWESUPTOONEHUNDREOTH0U5AND ENERGYPERMIT � OOLLM.41t10�,o001.N ADDITION TO THE COST OF COMPENSATION,ON.IAGES AS PHOVIDED LOR IN ¢ SECTION]7osOF7MELliBOqCODE,tt7TEREST.ANOAlTOi1NEY'SFEE4. RETENTIONFEE: aw.. CONSTRUCTION LENDINO AGENCY PRE•ALT FEE: � IHEREBYAFFKIMUNOERPFNKTYOFOEiL1UMTHATTHEREISACON57PUCTWNLE1:OwGA6ENCY ' ' � Z FOR ii1E YERPoRMANCE OF THE WORK FOR WHICM TMIS PERMIT IS ISSUED(SEC.]OY7,CIV.G.F � W � LENDEq'S NN/E � � . � i' I � LENDER'S►DDRE55 , y� � i Aoa�E ro�%ir""ir��crsrr"°i o���i+n�'o°r�os'vu�r+ces�sr��uw`s°R�rT1ONwo to°euioi� TOTRL FE ES , � �(J,. a' CONSTRUCiION.�NDMEREBVAUTXORIZERECRESENTATNESOFTH15COUHTYTOEN7ERUPONTIIE ' I� ' S� ABOVEJAENTqNEDPROPERTYfORINSPECTqNPVRPOSES. COMMENTS � = 6 W�1v � � PEHMITTEE NNAE(OWlIT� . e � ' �, I '�3 '�0 ; y SIGN�TUREOFVEMIITTE . DATE ';� . i � � � RECPT.NO. PAID BY • VALIDATION HITE--0epartment Capy.YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENRO i�e Copy.6REEN—Applicant's Copy ,, . '. �....��i ."q ....i ..Wi..,fe�.• ..��..�. ..v���t.�r. . Y ..H ... .. . .... . .. . . � . . ,. ._.._ . � � ... .._... .. ... . . � .. . . 2 . . �. .. . .��C" . � . .. .. � . , . . . . .. ,� CITY OF DIAMOND�BAR. � �����'�� z :���v<,�z�-�•��INSPECTION�RECORD i�,: , _�i{�-s:i ` �. --,� S'DOS � c� tn,� �„ ��:�. .:� . ��.. ,.. ' �'�. ��.� ..', Q�:.�.� >u� '' .... p:f�- ': o`� ,�: '��':�.�:���.�.�� - . - "(�`.��.� �t� ���i°�� �SEr BACK �,; ,f. �' ,• �? r•� ; (,',, ' ' -`�'I i; ti�: : : �FtdOR JOiST .._�+, �- 1 - � � ,.t�'! �- ;r,,. ( �„ �FTGS/FORMS/STEEL=-- �,._,, ;, , _�,- � ��---- - i �- , _._ . '�FNA REQMTS � __ -- � � - :� . -- - -. - - -- _- - ---- �- -. ELECTRIC GROIJNQ_____ _.. :�� >': __' _' C`- �_�' ;__ !UN ER FLOOR DUCT— ' �� � T �� -- -•-' r -' __. _ -- _ _: GROUND PLUMBING :, ,,... -. , ,UNDEp FLOOR CO�iDUIT " ` ����' - ���'"�-"�� "" " ` _.�_��r . � .,._,.,-.. ,, __ _ _ _ _ - -- ;-� _ SLAB GRADE---_ ---- �'"'' ------ -_ .___- -- . _ -.,-.'- I FIR�PLACEFOUNDATJON , � ,-,., •� iTEMP POWER__ _ ;�,� - - -- ---: � _�� ,�; , FII�EPLACE BOND BEAM` � --- . -. --- ----- , . i, . � IWATER SERVICE- --_.- -------- - - --- - _.:. . '__ _MIU�HT. BOND_BEAM ,�.rnt_ -�r�o-;i .:'a� iI. },�_i�'t7,�'�: � ,:; > it.�r!,.�l.•l =;J�/�..1�{.iti - ..�1�.. --1 _Jr-f�(.i..t__<:/7'_j_a :•Jn.i.�. I ROOF SHEATHING -- �` � •.�c_.- _8 FT. BOND BEAM- � 1; ' ,_. FRAMINGlVENTILIATI�N --- --`�-'- . .V•.� FINAL BOND BEAM - - - . � __ -- � - i �t�: �ROOF COVFR '::• t. .: .PRE-GRADING � '' ! '� � - �,. ..,,, _ __ -- _ _ ---- - - ----- � ,_. . . , __ .-- - - ---- ------ . iROt.JGH HEATING' -_. __ _ ___ -�� •.<. __ ------____ - 'BENCHING ; - •, �� ; , ,.. ROUGWELECTRIC _'_ . �_f'?�=: .'- ' _._� `:"'_ . _ �._iT<,r_'" ROUGHGRADING__ __ - -- ----- -------------- �.: _ . � 'RO�1GH PLUMBlNG--:___ _ ..___._ _ _ _-;._.__': .� ;: . FINISH GRADING , , SHOWERlfUB TEST---.. - - __ ;---- ----% - POOL EL:ECTRIC :'.. ,., ,. .. , ,. ,. ,, ,..� � :,..�.:� 'EXT:LATH/SIDING---�- --- - ' ' __ - POOL FENCING � . . , , ; � . ���'i �, : ; ;y: : , , . - - ---- -- ---r-- � , ,,. . . WAL�-iNSULATION- ;---. -- - >,. ; - -- - -; ------- POOL�FINAL ;;: � :,.: . ,; , , .:., _,;,; , :. CEtLING IM1:SULATI�N•--- --- - ., .,_�. ^-------:_ • O�F SITE.IMPS._ ; , , , �,Y � .•, , ,, , � . . . 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FEES PAID -�=ENC.LEIECTRIC-- _-- - -_ .__ _ _ _ - - ----. .__-------- -- --- _ -----------__.. � .._�.. ._ . ; ;�.�n.L PLUMBING- _---- ---__ - --,--- - ----__ _..._ --- ENERGY._ . ----_ __ ___ -- ---- --. _- - --_ _ _ _--____ .. _ . „ . , ;�-•- _ ._. , .;; ,.j-; —--------- -- ---. .....---- - -- _----- - ----- - -t:; � �`�(i� '",'4� ��� �, �7 , , . ,. �._ .; �. :, j 4����. ;4 '.�J l . t,y �� � ..__'_"__.""___" —'__'__'__- __- - --- - ---- - -__ . ��..�s :.�:��t� �-�yti , ,� � �� '. � •- _ - _ _ _ _ � : � ��MMENTS------------- ----- -- ,.:, •.,- , ,.: , .....,� .,, �. .. . .. �. . . ... .1 . . . ,.,.. iM... ..� . . � `/ ' �`�� � . � � . . � .. , ... .. ' . �., . ,i '�.�1__"'. , _�.__....._... "._. '."_..__..__... ..,-;.: �. .,.J'-NI .. ,.1ry ��"7S. ,Jl1 1 j � J' _ _ — _ "' - _. _ n: :,.� _ i � - . . . � . � � •� �\ - _ . � - 1 ---- - --- _ „.�. ,_, _ . 'SEPTICTANKSIZE--- __ ,., ; . . ,, .- ; _ ,. . , ._� . , � -- __ _ , _. , ., , , _ _ ; _. ., ;: � . . , . ,.., SEEP PIT/U SIZE -- — ,", _ . . , ' __ - -. __ - � .... __._ . _ _.. _. -- - , ;-,. - ., � , -- - -- - , �, . , � - . ��, --- __ , , , , .,. : � - -�� - - - - _ � _ _ _ _ _ _ _ __ . - - __ _ ___ _ .. - - `;��,�- �':' �� ':i .1 ,� ,i� _ . _; - - --- ,- -__. _ -- ; : • , . , - , . .. • �; " _� , , ' � � . . ., _ _ . __--- -- -- _.._ . ,.., , =.� . .�_ �__.I-- --. _ . ._ - - - - I �+i i� ��", - ,.. ._ _ _ _. _ _� 1 . � ��.� �...-�....:�:._ __ � c r. -,_ _ _ _ ���-��= � --------, , ,�:.� � �..�.� a� ,,.r.�. \ � ,,. -- . , . . , , , . , . . . , � , � ,, �,