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HomeMy WebLinkAbout15591 (20) �� CITY OF,DIAMOND BAR � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Coplcy Drivc Suite 190 . (909)860-3195 Fax(909)861-3117 PAESS �'^"� . BUD.DING I'ERNIIT APPLICATION � , FIRMLY } JOBSITE �] �''� APPLICATION PERMIT � p o ADDRESS ���O�"1 K��T'��.I��"� DATE � �� i•��•NUMBER� � 11������ g ISSUE _ 7YPE OCC APN �OT T CT ' DATE CONST. �� GROUP p OWNER— �O � p ADDRESS � ZONING SETBACKS • • � CITY ZIP •TEL. � REAR - RW . �p APPLICANT TEL. SIDE/SIDE STREET RW O � CONTRACT SIDE - ❑- ADDRESS � RCFVENG/ Z�P��TEL PROPOSED USE � L t e � � ���,, DESIGNER ' l� 13(� �NO.DWEL NO. NO. ' _ N ADDRESS UNITS STORIES BEDROOMS � � CITY ZIP TEL � v� . DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFRIADD/REM O p 1 NEREBY AFFVW UNDER PEw1LTY OF PERIURY THAT 1 AM E%EYPT FHOA1 THE COMTMCNRS lJ• Gef899/C9fpOR ' lll CENSEIAWFOR7MEFOLLOWINOREASp1(SEC.70.71.6BUSINESSANOiROFE55qN5CODE:/NYqT70R - U COUHfYWF9CHqE0URESAiEM1RTOCDNSTRUCf,ALiERMFROVEOEA101ISH,OFiREPNRAN'/STRUC• W pali BCk �'~ ' . � TURE.PRqR TO RS 65UANCE.ALSO IIEOUIRES iME APFLICANf FOR SULM iERM1T TO FlLE A 51GNE� W � 6TATEVEM THAT NE Op SNE i5 UCENSED VU0.5UUR TO T11E FROVISIONS OF TNE CONTRACTORS U• . � CENSE Uw(p/AP7ER 0(COMAIENCNQ WIT/SECTqN 7000)OF DIVISION!OF THE BUSMESS AND PRO- u' P��SPa - � '� � FESSIONSCOO�OfIT1NTHEORSHEISEXEMPTIHEREFFiOMFNDTHEBIS15FORTHEMIECEDEXEYP• � T70N.ANYVIOLATIONOFSECTqN�071.OBYANYAPFLKAMTFORAPERMITSUB.lECTSTMEAPPLICANTTO Z Re•Roo1 F I�GVILVE/uLTTOFNOTMOaETHIVlFNEM1NDHEDDOLURS(isool.k . - O O�ASONHEROFTHEPROVEHTY,ORMYEMPIOYEESWIiNWA�ESASTHEIq50LEODMPENSATqN, ❑ �mmerclal - . '� Z WILL DO 7HE NfONK.AND iHE STRUCiURE IS NOT MENDED OR OFFERED LOR SALE ISEG 7G�.BU56 J � NE55 A1R�OROFESSIONS COOE_T1[CONTRACTOi13 LICENSE UW DOES NOTACPIY TO AN OWNER OF ? , Pi10PERTl'NM1108UIL.DSORYFROVESTHEREOµ/VJDW11000ESSUCIIN'ORKMMSELFORMERSELFOH� ' � TNHOUGHMSOqNEROYMEMPLOVEES,PROVOEDTHATSUG1YPpOVEUENTSMENOTMENDEDOR - m OFFERm FOR 9ALE E,/W WEVER7NE BULDwdOR MPROVE4CM IS SOLD WfTMM ON[YEAR OF COAIVLE• Z TqN,711E OwIVEH�BUIIDEN WILL YNVE TME&1RDEN Of PROYu�Ki TIu7 ME OR 511E Oi�NOT BUILD OR . MPROVE FOq TME R1R705E OF SALE4 ' W OL�OM'MEROFTHECRODEHT`/,AAAIXCLUSNELYCOHTRACTWOYrtTHIICENSEDCOHTMCTOi1S � TO CONSTRUCi 7/1E VH6IECT(SEG 70U.BUSINESS AND GNOFESSIONS CODE:THE CONTRAGTORS U• V0IU811IX1 ADJ.AREA � � CENSEUwDOE9NOTAPVLYT011NOWNEROFADRODERTVW170BULD50R14PNOVE4TI�EREON,AND MAqCOMMCT9FOHSUCHPHOJECT3YnTHACONTMCTOR�S�UCENSEDPURSUMRTOTHECONTMG QUANTITY OESCRIPTION FEE � 7IXiS UCENSE UW� . . /� O I M/E]�IAPT UNDER SEG 8.!P.C.fOR TFIIS RE/150N U �� - 1 � � . ��t � '� � WTE OWNER V , W 4 LICENSED CONTAACTORS OECLARATION W [L IHEREHYIIFFIRIlUNOERVENALTYOFFERAlRY7H�TIM1lICENSEDUAERPNOVI5lON50FCi1APTER � � p., i(COAWENCWOWITNSECTION70001OFDNISION]OFTHEBUSINE5511N�PROFESSIONSCOOEANO Z ' ' ' � X WUCENSEISNFl1llFORCEANDEiFECL m lL '''') 0 UCEN CLASS UC.NO. / j � wr��..�5-a� coMa,�cror� a . u' Gt � WOHKERS'COMPENSATION DECLARATION a NIHEREBVAFFlRMUNDERiENALTYOF7EiUURYONEOFTHEFOLLOWIN60ECUMTIONS � Z ' � � _INAVEANOWILLYAM�INALEiRIFlCATEOFCONSEN1iO5ELFdNSUFlEFOflWORI(ERS' _ �4PENSA7qN,A4PROVIDEDBYSECTIONf7o00FTHELA80RC00E,FORTHEPERFORMANCE �U OFiNE WOFiK FOR WHId/7N19 VERYR S ISSUED. � 0 Q �IHAVEANDNALL4ARRAp1WORKERSCOMPENSAT10NIN5URANCEASREOUIREDBYSECTION � � YIaoOFTHEU1B00.COD�FMiTHEPER�ORIAANCEOF7HEWORNFORWNICNiHISVEiwRIS � 65UEAWWORICER5COMC NSAT NINSURANCECARWERANDPOIICYNUYBERME: CONSTRUCTION , � - CAAFIER����L IJQ PLANREVIEW � � POUCYNUUBER�����-OA•� Cl.�1 ELECTRIC . 7t � (IHSSEcftoNitmwiBGOad�EIIDOFnEVEiMiSwRaNEtlR�iYDDatutsR+0o1oRLESs1 PLUMBING —�� Y^�' ��� . Z 1 CER7IFY huT M THE PERFpl1MNLE OF TME WOfuC FOii wHlp1 MIS GERUIT 5 i55UE0,I MECHANICAL' U' SFIALLNOTEAIPLAYAN'lPERSd11N11M'4AN FqSOASTOBECOMESU0.IECTTOTXE ' y WOPo(ERS'COMPENSATqNUM/SOFGLLI �A,M70AGREETHATIFIS/IOUIDBECOM[ INSPECTIONFEE � `_ S1167ECTTOTHEVYORKERS'COUPENSA ON IONSOFSE 77ooDFiHEUHOH 7 LUU S cooc,i awu aoanNnnrcorao�r wm� v saNs. ISSUANCE ' ' � � �=o�� . ✓ .. _ SMIP . Ci'iRr!�r A.,n,m�AR e` � p OATF:_� APPLICAM: T-�--.�—f� . c ENERGY P/C ��* (���^'�'[l � � WARNINO:FM..UitETOSECUREM�ORKERS'COMPENSAT�DNCOVERAGEISUNUwFl1L D A LBE �����r�-�,�d! '•�+ + � � SU&IECTANEMPLOYENTOCHiuiNALPENALTiESANDCNilFWESUPTOONfMUNDREDTMO - ENERGYPERMIT� � � � OOl1M5 ptoo,o00�.W ADDITION TO iHE COST OF WMPENSATIDN,OAYACE3 AS PRONDED FOR IN ¢ SECTION970lOFTMEtABOqCODE,INTEREST,ANDATfOMlEYSFEES. R�ENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: ' O � IHEREBYAFFIRMUNDERPENALTYOFFERM1IRYT/IATiMEflE15ACON5TFlUCTIONLENDINOAGENCY , ' ' FOfl TNE PERFORMANCE OF TNE WORK FOR YYMICH TMIS iERMIT IS ISSUED�SEG i0Y7,dY.GJ. � LENOER'SNAME � . . ' - / ,� � lENOER'4ADDNE55 � ICEqTIFYTUTIHAVEREIDTHISAVVLIGTIONANOSTATETMATTMEABOVENFOW.IATqNISCORRER. TOTAL FEES �' W IAGREETOWAIPLYMAiHALLCT'INDCOIM�YORDPUNCESANDSTATEU�/7SREU7INOTOBUILDINO � CONSTRt1CTION,AIIDNEREBY/Uli/bR12EREPqESENTATNESOFTIISCOUNTYTOEMERUPON7HE �p SL7 �sovE.u[rrnaa[ovr+or¢anwanuvEcrar+vuavosts. COMMENTS � ��Z- 1 � .!' . � �� ^ , _ �-� ���.r . Q PERMITfEE W " � / N ���� uJ lqNAiUREOFVEN41 fEE iE � . . . RECPT.NO. PAID BY VALIDATION VYHITE—Oapartment Copy.YELLOW--Finenee Copy.PINK—Asseesor Copy, OLDENROD—FileCopy,GREEN—Appliunt Copy � � - • � . , .. . . . . .. . ... .. ... . , . .... ....... , .... 1 ,. � �..r s: , Y , . .4..�1. . . • ... i . . ^ . �'-. � . '4 t �. � , .�. .�... � . � .. . . . % _ CITY OF DIAMOND BAR ; �.; ��; ;,� .. _.:��. .. ... . . . .... ... . .. ..... . . . . ,. .,, . ,� : .... , . . � INSPECTION•RECORD : ' � , . ' , . . � , _. , _ .. .- . , ,, ., - . - � o . � - • � � . � . SET�BACK !:•, . . • -- .20� ' ,.�. . . FLOOR,JO( T � ' J � j�S` .�.- �` . ' .. , , ' .. . ' $.� ili �i�.-,_. .� ; ,.. � . FTGS/FORMS/STEEL, -_., -, - . •. .. .� .. FHA REQMTS - - •-- -- :_ . ._ . .. -- --; ," ELECTRIC GROUND ' � ' " � ` ` - ` '• � UNDER FLOOR DUCT � : t��, ' � ; _. : _ GROUND PLUMBING - • UNDER FLOOR,CONpl�1T-' ` � � - . � . .. . , SLAB GRADE � FIRERLACE��O�INDATION -- -- - ' ' ! � TEMP POWER "' - - ' ' � FIREPLACE BOND,BEAM -=- n- _._..._ . - � - -� �WATER SERVICE = . . _ -.:. ..... . .... . .. - 'MID HT.BOND:B�AM-'��"r�.: �-'� '�,, - ! � - -- , , �. ;� R HEATHING� � ' r -- ,,r• .,..: _ �:1: �,;_��1. �8FL8oND:BEAM1.i: .,,. •;: • --, r-��.:. ..� • , , FRAhl11N VENTILIATION �p•..�� •.�'`1 FINAL,BQND BEAM '"''' ' ' �• ' � R r COVER ' � �PRE-GRADING �- ROUGH HEATING.. . .._. . _ ...- -- BENCHING . _. _..__ _.__. - - ',�.: ; ROUGH ELECTRIC - � - ` ROUGH GRADING - �ROUGH PLUMBING • -- - - - . - FINISH GRADING .. � SHOWER/TUBTEST ':.. :_ . �- � _ , , POOL ELECTFiIC - �. ` • EXT.LATH/SIDING � ' � � � `POOL FENCING ' • ' ' � WALL INSULATION � � POOL FINAL.. ' • CEILING INSULATION . ' � OFF SITE IMPS. � -. DRYWALL NAILING • � • . DEDICATIONS ' � SEWER ' ...._ •. ' . FINAL ENG. � , _ . .._ SEPTICTANK _.___ ' _ -:. : ':'. _+ ! . --- . LANDSCAPE/IRRIG. ' ' ' SEEP PITlL.L. -- ` ' ' � ON SITE IMPS. -GAS AIR TEST �- --- -- -; .,r. - FINAL ZONING �' " ' FINAL CONST. )p..Z�'" ' � FIRE DEPT.FINAL ' - - FINAL HEATING - - -- � - �- HEALTH DEPT.FINAL � FINAL ELECTRIG - -- � DEV. FEES PAID . - - � - -� �� � FINAL PLUMBING ENERGY � ' � ` �� � � � . _... r - ; ___..- ------- --•--- _ .. � ._. ._ • , ' ._ .. . . ._ ._... _. .. _ . . , - _ 1 ��� � • ` • ` _ , �'_�f,.• . � , ; COMMENTS - ' - . _ .... - -- _ � . � ;. .. _ . _ . , ' �, � • - �. � , � .. . _. __._ ._ __ _ . , ,_,. , r�,, ��_ � , ._. . .__ _ � . _. ; - . • _. I ' c:r ••� . c _ • r._.;' -i � • . . � �. - , ... . i i , i , , -�-� '�_'•\ _ ' {� 1 / , ' , . .. �_.� � ' �f �r• .t).1. { '. : 1•! � • - ' t'�1 i _ ... ._i' � . . . �-., . SEPTIC TANK SIZE . i ' , � . � . - - - - ' - SEEP PITlU SIZE , � � - _ . ...._ . . - -. . � ! ; � i -- � - -__ . - . . , , __ . �.. -- . . , ... � . . � . . . . , i ':.- . - � = �r ..� _1_' � j � ,. : � _ • • . ' f� r:.�� :� � I .. . . .._ ••J�_�, .�'� '+ - --��i. _.. . � _ � � . � � � . . . _ . . . .J •. • � ' ' (�. ��';.,7 �� � �'. •� .,�-.�-'~-1 �' � ... 'ii _ '-. � .,, . r.� �7, - , ' ��'r . , .