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HomeMy WebLinkAbout15612 (20) _._____... . _•_._. ..... � -- -- ..._._ _ l,� CITY OF DIAMOND BAR -- • • DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � ' �,� 21660 E.Copley Drive Suiu 190 ' (909)860-3195 Fax(909)861-3117 � PRESS �'M'� BUQ,DING PERMTI'APPLICATION FIRMLY � JOBSITE�3 d// 3u �; -�� � �, � S� >- APPLICATION PERMR P/C o ADDRES, � DATE NUMBER M ISSUE � APN LOT TRACT DATE CONST. GROUP p OWNER L{I�S��v/c � p ADDRES ��t�^. � ZONING SETBACKS �w CITY ZIP TEL FRONT RW ❑ APPLICANT TEL. SID�IDE STREEf RW ❑ � CONTRACTOR U Pc� , L�C SIDE ❑ ADDRESS N ' � CITY ZIP�� TEL PROPOSED USE ' -"+".- `-•• :C�� ' Pu ARCHlE • DE51CaNER NO.DWEL. NO. NO. ? C�DRESS Z�P TEL UNITS STORIES BEDROOMS � �n DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFR/ADD/REM O p 1 HEREBY AFFIfM11N�ER GEtUITY OF PE0.AIRY THAT 1 AA1 EXEYPT iRdA THE CONTMCT00.5 LI• G8(8ge/C8ry0R � � � - � CENSEUWFORTHEFOl101MINOREASON(SEC.7m1.68u5NE55AlIDVROFESSiONSC00E:ANVCI7YOR (n COUI(IYYM11d/REOUIRESAPERMRTOCON57AUCT.ALTf0.�vROVE,DEMOUSH,ORREVAIRANYSTRUC• W patidDeck TVRE.PRqR TO R4 ISSUANCE./LSO REWIRES THE AP7LICANT FOR SUp1 PEflMR TO FILE A SIpNED W � STATEYEM iHAT HE Ofl SHE t5 LICENSED FURSUANT TO THE PFiOVI510N5 OF TNE CONTMCTORS U• � � CENSE UW(CHARFH i(COMMENCWO YniM 5ECT10N 7000)OF DIVISiON 10F TXE BU51NE55 M!O VHO• POOUSpe iE55qN5 COOE)OR 7}N7 HE DH SME IS F7IEMPT 7HERFFROM ANO TME BASIS FOq 7HE ALLECED E%EMP• TION.AMlVqLAiqNOFSECf10H70.7t.6BYANYAPPLIGWTFORAVEW.�iTSU61ECTSiHEMPLIGWTTO . Z Ra'p�� �S � A ClVIL CEN.LLTY OF NOT YORE T/UN FNE HUNORED DOLU0.5(lSOD).�: � �4ASOMMEROFiHEOROVER7Y,ORMVFMPLWEESWITMWACES�ISTHEIRSOIECOUPENSATION, CWIIrtIBfCL91 � W�LL DO THE WORK�ND iHE STRUCTURE IS NOT MTENDEG OR OFFEREO fOR SALE(SEC.7oa1,BU56 � N NESS ANO DROFESSIONS C�ODE:ME CONTMCTORS LICENSE UW DOES NOT AGPLY TO AN DWNER OF = PROPERTY W/q BU0.DS OR NIPROVES THEREON,ANO MMO DOES SUp1 Y/OqK HIMSELF OFi HERSELF pR 2 1NROUGHMI90FINEROVNlEMPLOYEES,iF10VDE07W�TSUCNMPROVEMENTS�RENOTMENDFAOR LYI � OFFEAmFORSAIE.IF,110N1EVE0.7MEBURDWOORIMPROVE►IENTSSOIDWITHNONEYEAFiOFCOI�IRE• Z �TION.THE OWNER�ULLDER WILL MAVE THE BUROEN OF PROVINO THAL HE Oil SME DID NDT BUItD OR = M7fqVE FOqTHE PURPOSE OF SALE} _ . W Olti4�WNEROFTHEPROGENfY,AMEXCLUSNE:YCONTRACTmWN7TML�CENSEDCON7MCTORS � TO CONSTRUCTTIE PROJECT(SEC.70N.BUSIHESS/ND iROFE5S10N4 COOE:TF1E CONTMCTORS L4 Ve1U8110I1 A0.1.AREA CEWE Uw OOES NOTMVIY TO AN ONNER OFA PROPERTY Vrtq BUttDS OFi�.1VRDVE3 iMEHEON,/WD � WHOGONTPACTSFORSUCHPFi0.1ECf5MniM�GONTMCTOR�S�UCEN5E0VUR5UANT70TMECONTRAC• pUANTITY DESCRIPTION raa uca�s¢uw.G �E � O 1 AA1 E%E�IPT UNDf ii SEC B.t P.0 FOH THIS REASON Q 1 ' (/ 3 � • - - � DATE ONMER U � UCENSED CONTRACTORS DECLAFiATION W � I NEREBVAFFIRM UNDER PENILLTV Of PfR.IUM iHAT IA1.1 UCENSED UNDEH PpOVI510N5 OF CHAPTER � s •(COMMENCINOVATHSECTION)00o)OfDINSqN]OFTNEBUSINCSSANOPROFESSiON5CO0E,AND W IICENSE IS W FULL FORCE M1D EFFECT. 0 110ENSE CLASS ��� 1 LIC.N0. D • ��� j �j DATE ���J�m 4 CONTRACTOR 6J. � WORKERS'COMPENSATION DECLARA N � N I HERFDV AiF03Y UlAER PENAITV OF VERAINY ONE OF THE FOLLOW7 DE N ' � �IHAYEANDWILLMARlTAINACERTIFICATEOFCONSENTTOS FaNSUREFOR ERS' COYVENSA710N,ASGROVIOEDBYSECTON�TWOFTHEUB CODE,FORiHEiERFO OF?HE YJONN FOR WHICH iH15 VERY;T IS ISSUED. 0 _IHAYEMIDN^LLMAINTAWWORKERS'COMPENSATpNWSUMNCE,A5RE0UIRE08YSECT ��/) ^ Q 77000FTHElAdORLOOE,FOHTMEF'cHFOWAANCEOFTHEWORKFORYMICFITHISF \� / L01 � ISSUED.YY WDfy(E 5' ENSATION IN$UR�NCE GRRI[H ANO POLICY NUM9 iE.� CON TRUC ON �_� v�� � GwPoER S G C_!J""� I �At�RE -W I v Z ���BEp — EL IC Q . 0 (i1i5FECiqNtt�NOTBEQr.RFfIDOfhEPERAf.•6FOROHEH✓ (ftaclON t LUMESING Z ICERTIKT1uTHTHEPERFOfiMANC[OFTMEYNi1KFORWHlp1 snEqMrtatssi� ' MECHAN�CAL __� R' ('} &fAL1HOTEMPLOYAN'/PERSONINANYMANNLH50ASTOBECOME .. � L y � WONNER5COMPENS�TqNUw50FCAUFORNItiAND�GREETM�TIF151qULDeECOME INSPECTIONFEE S SUBJECf TCl THE WORKERS'CCMPENSATION PROVISIONS OF SECTpN 77000F THE U80R � cooe,i s�uu foarHvnn�caaa�r vnn+rw arnnsioris. ISSUaNCE � O (� �'`/J� WDATE: ����' APPLICANF.���r�+.�— �SMIP ����k3D fL=.1��- � ENC-RGY P1C �;'� � WMNING FM.URE TO SE WIiE Y:OFiKEAS'COAIPENSATKKJ COVERACE IS UNUWFUI,IND SMALL BE r- � 6UBJELTANEMPIOYERTOCNIAIWALPENALTIESANDCNILFNESUPTOONEHUNOREOiHOUSAN� ENERGYPERMIT CIT1� VY�LJII l: �Y ' DOl1ARS�f 100.000�.M11�DITION i0 THE COST OF COUPENSATION,DAUAGES AS iROVIDED FOR IN ¢ SECTpN170oOFTNEIABOA000E,WTEREST,ANDA7TORNEY'SFEES. - � .7t1 � .RETENTIONFEE: L31ITI,T�,T�C7 A. OCONSTRUCTION LENDING AGENCY pRE-ALT FEE: � IHEREBYAFFIRIAUNDERPENALTYOFPERJUtiYT1UTTHERE15ACON5TRUMIONIENDWQAGENCY ' FOq TNE PERFORMANCE OF THE WORK FOR WNICH iMIS PERAIIT IS ISSUED(SEC.i7W,CIV.C.). , � � LFNDER'SWVAE � LENDERSADDRE55 w� TOTAL FEES ICER7IFYTHATIXIWEREADTMISAPGLICJITIDNAHDSTATETHAT7HE/�80VEWFORMATqN13CORRECL � � IAGREENCOMVLYYATHKICfTY11NDCOUN7YORDINANCE5N105TATEUWSRELATNGTOBULDING � CONSTRUCiqN,ANDMEREBYAU�F10R2EREPFESENTAT1VE50FTMI5COUH�YTOEHTERUPONTME Z A80VE•MENTIONEDVROVERiYFOHWSPECf10NFURPOSES. COMMC-NTS � �G��� (3.�a,�P�, m � (PFIM) /? N VREOFFER1.u11E �DAT� � RECPT.NO. PAID BY VAUDATION YVF117E—Depanment Capy,YELLOW—Fnence Copy,PINK—Assessor Copy.GOLDENRO ile Copy.GREEN—Apdicanl's Copy : �F.. .�r.. -� .. , .. �i ''4! .. � srl' .� . .i � ^1'. . , ,^'q" 's. .. w. . . . i - . . . ... , .. . . . . , � . . .. .. ...... ......�. � ' 't CITY OF DIAMOND BAR . . , �� '-,.�1 :. �.:��.�,•_ . � : INSPECTION RECORD ':, :: �::�.,.; .� ; . .{ ,—_ � ' � � . .. _.. ,�. . . ... . . � , : ; �= � '� • �� •�- v �'I�..e����._ ...��e • i e:`� o ��f�f-����-�t��l �� ���� �1�..�.��-��1���� _1►-�-�:���� ( ►o _ — - —y��^ .. .��[,�E-�;��_.r����� '� ;SET BACI: :_.; � � ��`'•1 • • � i , r" ` .. , �FLOOR JOIST • _ ,.. ;, _�, _ � <. iFTGS/FORP�ISlSTEEL`� `-k . � - ,� i�� ',:�� FHA REQMTS� . _ _ . . .- ... �.:_' .- . — _ � . �. ., (ELECTRICGROUND...._. - T '•�� . .`� �` }. .._��". .� . � UPdDER FLOOR DUCT ,• . -• • ��� � �-- --� ` � : �GROUND PLUMBIIVG • UtJDER FLOOR CO�IDUIT �' ' " ' �"'' ' � � � �� � � � - ^� _ ... .. . . .. ' -• --- �SLAB GRADE- --- -- '':- . _ - - - -- `' ' ' FIREPLACE FOUNDATION '.� �.. ', I t� �TEMP POWER�----- ,: � � � - � FIREPLACE BOND BEAM - ---- � � IWATER SERVICE-- - - - - _ . _. ... _ - , , MIDHT. BONDBEAM • •, ... . , � . ,•: �: ,; . : .-;. ..,.• :; ; : IROOF SHEATHING f(�• �'I•Gn—J�_ _ . : S Ff.BOND SEAD.1.,.... , , .• :_:.c.' .• •-•,'' •; ' : '. I i _ .:: •. . ., _. .... .. . _. IFRAMINGNENTILIATION - -- --- - - - - FINAL BOND�BEAM� � • .� ••• � ' � �ROOF COVER I '" PRE-GRADING � - ` ' �. .�" � ' _ - - . �ROUGH HEATING -- - -- � :- � � BENCHING ��;� � : : tROUGH ELECTRIC_.. . .. ::. . � � ' `' ' ROUGH GRADING _ ... . IR011GN PLUP�IBING --- -- --- - - � ---- - - � -- � { FINISH GRADING � ;_: !SHOLYER�'TUB TEST . - ---- -- -_. .; . ---- -- '---.-- 'POOL'ELECTRIC " ' ` � , ;. fEXT:LF�TH!SIDING- — - - -- - - ' - - • - - POOL.FENCING : ; i4ti'ALL-INSULATION �-- - - - '--- , .-,. POOL.FINAL : . _ , 'CE1LiNG If•:SULATt�N ----- _ ,i " - OFF SITE IMPS. - , . ' , ; -- �DFiYIPJAL.L NAILiNG- : -- ----_. .`.: --- � .. - DEDICATIONS , � � ;SEti"JER ----- - - - . - - .__ � .t;:,t ,� .:� FINAL'ENG. .. . , , 1SEPTICTANK „_-•_,. 5 ;`�' LANDSCAPE/IRRIG. ISEEF_PiT/L.L. �-' "��' t�_.. ON SITE IMPS. ' IGAS F�i�TEST ; . _ � . FINAL ZONING ' � I - -- -- - .. •. •.. � ;F]�vql.rG1�ST: :: ;_.�.•, - �d r.I�—��;�� FIRE DEPT.FINAL - - �F1ir'f:LHEATING _____ __.._ � �>;_ " ,...; HEr1LTH DEPT. FINAL • � . . .-., . . ';� _ _ _...�, , . ;.... ..`. �.. _ . DEV. FEES PAID _ .. . .. --! ' , �vt,l_.ELECTRIC- ----- ! ;,=='.!r.t_PLUtABIhJG--- . ENERGY . ' . � •---._... , �.. - -. ..--- ...- --..... .... _.... . ' .. ;.. .. . ,- , ! •..- . �..,.. �� .. - . �---... - -- ----------.._ .. _ . . .. _ .� � � ,�-�::.� _._ y��':.�r.._:_�.._i l_ I — _..... ._._ .... . -- _- __. .. . — ; . . 'E�.� f� � c 1 r ' ` �COMMENTS - - � - . .. . .. . . � ,�:•t`._. �:,,,;`;`, _ _.\__ . . . , i ..`� , . . , . , , . . , ,. , . � . � .f ; , ,.. ,__.. . -- ---. . ---. .._ _. . ._. __ . . , , . , _. __ . . - - _..__. _. _ .- — - — �� � . , . --------- � , � , - � .— �,-�,� i � : � ; �1:_-� � ; �� � 1 _.. . .. _ — !. `. ' I 'i ' ` � . � , , 1 . .. . .. � ._.. . .. . . . . . . � � �� 1 1 �1 .��•J� � _ . . 1 � . ' . .. , . I . . . . . . _ .. .. . � ' ; �,�1i ` ''----' . , • . ' � . � t,,.�'1 •� -- `� - , , ` ----. .- . _, . , .. , . ..J<_. . . . . . . .. � ... �'__' ' . .. � . i .. ... ._... . . .. . , .' � i —..__... ... ..._ . ._ _ . . ;SEPTIC TANK SIZE - .. ' � . � , . - . . . ! , . � , ... ;SEEP PIT/U SIZE , .. , , �...,... ... . . `�V� _.. .... - - � -- . . _ .. .. i � . ;. .... . _ . - _ .. , . � _ i � ���' . � ,� .... -. . - ..�... . . 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