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HomeMy WebLinkAbout12142 (14) � �� CITY OF DIAMOND BAR � � X ' � DEPART?4ENT OF COMMUNITY&DEVELOP�NT SERVIC ES „� . 21660 E.Copley Drivc Suitc 190 ' , _ ' (909)860-3195 Fax(909)861-3 L 17 PR ESS �'�'. � �. BUII.DIIVG PERMIT APPLICATION � ' FIRMLY } JOBSITE ���Z / / APPUCATION 2 C� PERMIT ` � ' Q ADDRESS ��+-�U'�C�"� �`-'/� - o DATE � NUMBER � 11 ' APN LOT TRACT ISSUE TypE OCC g OWNER lo , , DATE ' CONST. GROUP p ADDR SS - ' '20NING S�A�KS EXPIRED " � "' CITY ! IP TEL. ' -d O� . FRONT pyy ' p � APPLICANT . .. TEL. REAR p � SIDE/SIDE STRB��nn� RW ❑ CONTRACTOFi � • ' SIDE p � ADDR�SS i � �� _ CITY ZIP .� � vTEL. �� PROPOSED USE o ARCWENG/ • �,., DESIGNER� NO.DWEL NO. NO. N CDDRESS Z'P �L UNITS STORIES BEDROOMS ' � � . DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION O _ OWNER-BUILDER DECLAflATION SFR/ADDlREM � p 1 MEREBY AFi1RM UPDER iENALTV OF iEfWRI'TMAT I AM EXEMPT FNON THE CONTHACfDRS L4 .Ga18gB/C81�Oh � 4J CENSEUWFORiMEFOl10WHOHEA50N(SEG70.71.6BUSMESSANDVROFESSIONSCOOEANYCfTYOR , (n _ _ �� COUNTY1Y411GIREdUWESAPERMRTOCONSTRUCT,ALTERMPRpVE,pEMpLISH,ORREVAIRANYSTNUG .. W �Z 7UIE,iRqR N R9199UANCE.AL50 i1E0UWES THE APDLIGNi FOR SIkH PERMIT TO FLLE A SIGNE� � W PeS�D/DBCk � ETA7EMENT THAT ME OR SHE LS LICENSED VURSW WT TO THE PROVISIONS OF ME CONTMCTORS U• LL .. � CENSE UW(QIMTER O(COMAIENCRlO WIhI SECfqH TOoo)OF DMSION 7 0F 1HE BU5ME55AND PRD PooVSpa. � . . FESSqN3 COOE)ORi1fAT HE OR 511E 19IXEMPT TMEREFROA/AN�TNE BASIS FOR TME ALIEGED E%EMP• TIDN.ANYVIOlAT10NOF5ECTION7o]1.6BYANYMPLMNfFONAPER111T5UBJECTSTNE11PpLICu1TT0 Z Re-Roo( D � ACIVILVEWILTIOFNO7MDAETYWiFNEM1NDRED0011M5�f500I�k� � �� � ' � OlA40VYNEROFTHEPROPEHTY.ORAIYEMPIAYEESVATHWAGESASTHEIRSOIECdAVENSATION.' � �mmercial - . 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Z ' � 1�(YLICENSEISNMLFORCE/WOEFFECL m �� � � t` � 110ENSE UC.NO. ' Q � � r' ,� V DATE �� CONTiiACTOR d W � WORKERS'COMPENSATIONOECUIRATION a G � � � , � N I MEREBYAFFlRY UNDER 7ENALTY OF VEHMiT ONE OFTHE FOLLOVlWG DECUfUTqNS: � -" Z ' � _INAVEMlDWILLIAAMAINACERi1FICATEOFCONSEMTOSEIF-INSURfFOHWORKEN5 = tOYPEH5AT10N,A5PflOV1�EDBVSECTIONT70oOFTF1EU180RODDE�ORTHEFERFOiU1ANCE � W . Q DFTHEWOqKFORYlMIpITM15PERMITISI55VED. � VI/UVE ANO WRL MANTAIN WORKERS'COMPENSnT1ON INSURANGE,AS REOUREO BY SEC710N Q 97ooOFT/EUBOACOOEFORTHEiERPoR1AANCEOFTHEWOi1KiORMMICM7HtSPERMITIS 65UED.MY ERSOO��P�NSATIONWSU�MRiERM70P011 B£R11RE: CONSTRUCTION � � ._.._.� ._.�-.CARRIER ."' ._C'`.� � � G� -PLAN REVIEW - . . 0 V0.1CYNi11ABEH� 1��� /_��i� ELECTRIC.. .. . � 0 (nss[cnor+rxIDrate[ta.stt�[noFn[r�wtiswnaaeiunr�noalu�ls+aqontEss� PLUMBING Z ICERTIFY TMAT N T1E PERfOPMANCE OF THE Wl7RK FOR WHICH iHiS PERMIT IS 55I1ED.1 MECHANICAL C7 SHALLNOTEIAPLOYANVFERSONHANY1AIwNER50/�STOBEC01AE5UBJECTTOTH Vj YpRKERS'C0IAGENSATIONUWSOFCALIFORNI�ANDAOREETHATIF15�1II8F INSPECTIONFEE S SUBJECT70THEYX%V(ERS'COYPENSATIONORO SIONSOFSE FM R ' � �� 000�,�sr+/�ram+wi courirmn� vnohs ISSUANCE r O ( ��t/,��/s}���.� p DAT£`�„�f�,— "'PLICANT. .SMIP. . . � ENERGY P/C WARMHa:FALURE TO SECURE WORKERS'COMPENSATqN COVEMGE IS UHUWFUL,AN�SHALL BE . � SUBJECTANENP�DYERTOCRI/.IINALPEN�LT�SANDCMIFWESUPTOONEHUlIDREDiTK%15AND �� 'ENERGYPERMIT - OOUARS({100,000),N AODRION TO7HE CO57 OF COMVENSATIDN,�M1ACE5 h5 PROVI�ED FOR W ¢ SECTION�70lOF7HEUBORCODE.NTEREST.ANDIITTOHNEYSFEES � RETENTIONFEE: ' OCONSTRUCTION LENDWG ACaENCY PRE-ALT FEE• ����� �� '��1 � � � IHEREBYAFF1RAIlRDERiENALTYOFVEfWMTUTiHEREISACONSTRUCTIONLFNDNf1AGENCY _ � ' fOR THE VERFORMANCE OFTHE WORK FOR NTItUlTH�S VERu1T IS ISSUED ISEC.7ov7.Crv.GI. � � IENDER'S NAME . � IENDERSA00RE55 W TOTAL FEES � � � ICERTIFY7MATI/UVERFADTIUSAO7L.ICATIONMIDSTATETUTTHEABOVENFO{WATtlHISCAMECT. IACREE TO CdA7LV WITN ILLL C!N AND COUNTY OROPIANCES AND STATE UWS REUTIN�TO BUILDM� �I O CONSiRUCiION,IWDNEREBVAUTHOfU2ERGPRESEMATNE50FT1115COulT`/TOEMERUPONiHE � �`, � ABOVE�MEN710NEDIjiOPEHiY INSPECTqN F E5. �� v I�`� , � o COMMENTS _ (� �� ! / . V . m PERYI E rywr�r_ � �� � OF iE DATE � RECPT.NO. PAID BY VALIDATION WHITE-0epartrnent Copy,YELLOW—Flnanee Copy,PINK—Aseessa Copy,GOLDENROD—File Copy,GREEN—ApplicanCs Copy � - � _..,-,... .. . ,.. .,_, . . .._.. .,, .�....,..... . . :. ,.,., ,_�.. . , . . . .. � . . . ..:.. ........ _ .. . ., . . .. .,. ...,.::.,,,.,.. . . .. . ..:.... . . . . , , ��:. ,. . ��� n �� "' DIAMOND BAR . b � �� ������ . .. . ._� - .,.. :� i�.: ...1. ..°.,. _ .. . . -. .�.��:-t .-. . ' INSPECTION RECORD�°.'• :� . _ � . - ._ , , . � , .. _ :_ . . . �,� . . - •� • o • � - • � � . � . SET BACK �" ; , '. FLOOR J015Ts�._;� - ;•, . -5; �.`- �... . . .. . ' � FTGS/FORMS/STEEL : I FHA REQMTS --------- -. . --- - - - -- ----- --, :; ELECTRIC'GROUND . -. _ -_ �'.' - -� - � - � UNDER FLOOR DUCT � , , ,: � --� ....._ .�- l;� . , - GROUND PLUMBING ';��r 1� -.�r:=? � • UNDER FLQOF�CO�IDUIT.�,=�.._,,�. . � �,_�� �' `; : '' SLAB GRADE ------. . .... . .. . . ..... ..__... _ ': �. , FIREPLI�CE FOUNDATIaN --. ... :'.�`:_� _.t.c.c'.`�,�;�, _:', ,:� . TEMP POWER- ---- '�.. .. !?�;';t �. ( ��I f! . '- `, FIREPLACE BOND BEAM-_- .. - - - -� -- , . ,._�. _ . .. _..-- - - . _.. .---.� �WATER�SERVICE=_. _--- .._--.:: .: _ .__ __._._...:._-:.. -•--- ::-. �MID HT.�BOND BEAM '� ���-- : : r--� - -;..+ , - - -: ... RO�F SHEATHING- -- - - - - - � . 8 FT.'cBOidD BEAM.�': ._ r' �`; ���,�.,.-\`= ' �� FRAMINGNENTILIATION � � FINAL BOND BEAM - • •-'• I t R�OF COVER '..'. .. . : " � ' PRE-GRADING - � . , � � R�UGH HEATING -- - -•- --- - - -- - --� --- - BENCHING . . . � .. _ ,.. -- - ---- .- `„', ROUGH ELECTRIC `-- �- ` "' " - -- � -`- - `� ` ROUGH GRADING �. :.• • I _ ' ROUGH PLUPJIBING - - — - - --- - _ ---� -- -: - FINISH GRADING . ,. ...,.. , ,. - .., � '. . ._ , .. SHOWERri'UB TEST�---�- -- �-- - -. __ _.._ .._ . - POOL ELECTRIC " - � .,� . . ,:- �. , �EX7 IATH/SIDING ; � , , POOL FENCING . � WALL INSULATION ; ;�, = POOL FINAL : ' � • CEILING INSULATION � OFF SITE IMPS. • ' • ; � ' DRYWALL NAILING : DEDICATIONS ' ' � • SEWER_..- -- � �----- .:. -- ---- - -�- FINAL ENG. . , . , ' i _, SEPTICTANK --- .-..!.-- ---- .-. - r---- .-- .._ . __._. . .. . LANDSCAPEIIRRIG. . . SEEP.PIT/L:L. ._:. _. .. . ..:..- -- �.� '.��•_ � �N 51TE IMPS. -. ' :. • . . . . , -GASAIRTEST.--�.--� - - --- - ,- - - FINALZONING �• ' - -FINALEONST�� �,�. ._... ._.:... _�,.- ,. �. ._:' .-~ _ . FIREDEPT.FINAL � -- � �FINAL HEATING � � ; � - -''' � � -- ,.' HEALTH DEPT.FINAL •. ' - . . _ .._._ , FINAL ELECTRIC.. > :. .. .. _... - -- - - - -- - - •. -.; -- ._. .'���- -,,::",. .. DEV.FEESPAID ,,. .. . ...: FINAL PLUMBING , - �- 'l ENERGY � � • � � � .. :� � - ',-` l� - � � \, , , . -. ., � , ', � � -_ b- �e • ...`.f . , f . i, , �r 1 . .. , , ... . . . _ . . , . . „ - , . --- ---..._. ._. .. . , .. � . - - - ------. . .. , � . COMMENTS ' .� �::�.� ,;: .�; : , - � -- - - - - - . . . . ... . .. _.. ___._. _ . _ , : ;. � - ---. _ _ . _ _ ... . „ , -- -- . _ _ , , . - - - - =— -- - --- -- - . , , - - : � _ _. .. - - -� -- . ; . ` . , ; . ,. . .� . ., � _ ..� �, -- . ..-- - - - - -. .... _... _. . . , . � -.-�- ::-�. . � ,�•- '`'-,� ' -. . - �` � -- - --- -- . ... . . . . . � ., ' I �. , , . . .. . i -. .. _ __ ... _ . . .. _._. , . . . . .. .. . . � � . , - . . , .�. _... ._ . _ ..._ ... . _. .. . � �\, n`:�� - • . . ' •. � _. `i_ � �� �,�-'� i �,. . - --.. _. _,,• •.- . - — SEPTIC TANK SIZE - - „ ; j ' . ' I ; SEEP PIT/U SIZE � : � , , , � ..-.--.rr,_.�..^:w� `... i � I . . . � ;wl :. _ , — --_' , ' . ,,.._.,....�.�.------ ,_ � ; , _ . _ ... , , �._ ._ , , . , . - ,. . . ' I ,� - ; . . , .. . , --�- - -- .. ._�. . . . � :�. `.• '-) � t:, ' — �� : - ... . � , . -. .\�s.� , ;� -, - '-_ •.. ' ._ ;.._•--• � . ... _ . . . � �.�� . � . . .. -- - _ , ., . , i, � . � . ,i• . . . � � � . ��` � ..