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HomeMy WebLinkAbout12935 (14) i. -- -... . CYTY OF DIAMOND BAR ' � ' ' -J� ---i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Coplcy Drivc Swtc 190 ' � ' � J '� (909)860-3195 Faa(909)861-3117 PRESS ' ''���'� .BUQ.DING YERMTI'APPLICATION � � FIRMLY � JOBSITE � � C A LICATION � PERMfT C r P/C o ADDRESS � � ` .,� �E � NUMBER �� ��J M $ IS UE TYPE OCC " APN LC�T TRACT DATE "� � CONST. GROUP p OWNER d � " o ADDRESS . ZONING SETBACKS , � CITY � r IP TEL REAR RW O APPLI ANT ` � _ TEL SIDE/SIDE STREET RW O � CONTRACTOR • " _ SIDE ❑ � ADDRESS PROPOSED USE G�/V � CITY 21P TEL. o ARCH/ENG/ . . � � � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES E3EDROOMS � CIN ZIP TEL � DESCRIPTION SQ,FL " FACTOR PSF AOJ.AREANALUATION � . p� OWNER-BUILOER DECLAHA710N _ ` � SFRlADD/REM � ' O _ , Q I HEREBY AGFlRfA UNDER PENALTY OF CE0.AIRY TUT I Au EXEUCT FROA1 THE CONTRACTORS Lb G8�8Q6�C9fpOfl ' � UJ CENSEUWFOqiMFFq10WINOREA50N(SEC.70.7t.lBUSINESSMI[IPROfES410NSCODE:ANYCITYOR (n � COUNIYWMC}/pEOURESAVFA�ARTOCONSTItUCT.ALTER��pOVE.0E40L15/�ORNEPAIiIANVSTRUC• W Pa110�BCk NRE PR�OH TO R9 ISSUMIGE.AL50 REWIRES ME APPUCMT FOR SI;CM PE��T TO flLE A SIGNED W . - � STATEMEM iHAT NE OR SHE IS LICENSED VUq5UM17 TO TNE pROVI510V5 OF TNE CONiRAC70R5 U• S CENSE UW(GWPTER v(COMMENpNO YATH SECTqti 700070F DIVISIDN]OFTHE BUSINESS AN�PNO- �' PooVSpa 7E FESSqNSCOD�di7lu7HEOR5HEISEXEAIPTTMERGFROMANOTXEBA5ISF0(11HEALLEGEDEXEIA�- � T1ON.ANYVIOLATK7NOFSECTION70.71.6BYANYAPiLICANTfORAPERN175UB.lECT5THE11PGLICANTTC/ Z qg(jpp� � AdNLPENALttOFNOTIAORETWlPNEHUNORED�ttUFtS(tsoo).Y � . . � Ol��N1EROFTHEPfiOPERTYORMVEM7LOYEESYAiF1WAGE5AiTHEIR50lECOMPENSN7KXi,� 0 (,'pR7TBfCI3� � WILL DO iNE WOFiK IND iHE STRUCfURE IS NOt L47ENDED OFi OFFENEO fOR SAIE(SEG 7oa�,BU51� J NC55 AND DpOFESS10N5000[:TIE LONTMCTOHS LICENSE UW OOES NOTAPPLY TO JW OWNER OF � N ifqPEHiYVM1rOBVlD90R14PROVE57f1EREON,ANDWNODOE55UCHW�RKHIAISELFORFIERSELFOR m � ' �� �' ( � � Q THROUCIIHISOqMEROWNEVDLOYEES.PiiDVI0EOi/fATSIX?1MVqOVEIAENiSMENOTwTENDEDOR QOFFEfiEOFORSALEIF,/qYlEYER1MEBUlD�NOOR�NPROVEMEHTISSOLDWRMNON[YEAFOFCOM%.E- , Z 'TION,TXE dNNER$UIIDER 1M�LL HAYE TME Bl1iL7EN OF CFOVINO TNA7/IE Ofi SNE OID NOT BUILD Oq . � tAVROVEFORTFIEPURPO4E�p9ALE} .. . W ��150'MNEHOFiNEPPODEHiY,AMEXCLUSNELYCONTRACTINONifHUCENSEDCDNTMCfOfLS � � TO CCNSTAUC'f 7T1E FAWECT(3EC.7oN.BUSiNE55 AND iROFE55KK15 OODE:TNE COf1TRACTOR5l1- Vaivation' ADJ.AREA � CENSEU�MDOE3NOiMVLYT0I�NONMEROFAPRO0EHMIMNOBULD50RIuvROVESTHERCON,AN� WFqOONTRAGfSiOq5UG1PRO.lEGi5N9TMACOMMCfORIS�LICENSEDVURSV�TOTHECONTMb QUANTITY D[SCRIPTION FEE . � TORSl10EH5EUW.} . . . J - . . 0 OIAME%EMPTUNDERSEC B.IV.GFONTHISREA50N q 3 � , .. . � LL DATE OW�+EH � ' V - � UC SE�CONTRACTOHS DE F 1'SN � W . . , - " � �C '. � IHEREBYAFFIPAIlMOERPENALTYOfPERR1M7HAilAA1LiCENSEDUNDFRPRO`nS10N50FCHAPTEH � � . ' . , d 0(COEWENCUqYVIINSECfI0N70001aDM5lON]OFiHEBUSINESSAND�ROFE5510N5GODGAND � Z X \W SE6NfULLPoACEMIDEFFECL m 11J � � � CENSE CLASS UC.NO. 73 9�P� j . � , �h �� corirrucmn a � � WORKERS'COMPENSATIONDECLARATION a - - . . . N IMEREBVAFfIRMUNDERFENAITYOFFERR1FtYON[OFTHEFOLLOW:NGOECLAMTIONS: U ' � y Z Q � _INAYEMAYVILLMAINTAHACEFiT�FlCAiEOFCONSE�fiTOSELFNSUREfORWORKERS S Cp,1►pENSATI0N,A5FROViOEDBYSECT10N7TaoOFTMELABOAUlOE,FOHTNEPERCORUANCE W Of T11E WORN FOq WMdITNl3 iERuIT IS ISSUED. � G _I HAVE AND N7LL MAIMAPI V/ON(ERS'COMPENSATION MSUMNCE,AS HEW�RE�BV SECTqN 4Q ]100 OF TME LI80R CODE.FOR if1E PERFORMANCE OF 7HE WORN FOR YMK]/THIS iERMIT IS a, gb � ISSUED.MYM9RICERS'COM7ENSATqNINSUMNCECARWERANDPOLICYNUMflERARE: CONSTRUCT�ON � /G,RwER PLAN REVIEW ��• � � �, roucw miuoEa_L ELECTRIC � •(fF65EGT1�NPEmNOTBEWA�ETEDOFhCPER.fT6FORONEHUdiED00lL1iL5(f��ORLE551 PLUMBING -�-�(�y n�,� Z ICERTIFViHATNTHEGERFOPIAANCEOF7HEKDRKFOliWMiLMT1ISVEWAIT6155UED,1 MECNANICAL. � "\;,� r C7 SMALLNOTEMPLOYANYiERSONNANYMANNERSOASTOBECOMLSUBJECfTOTNE � �Tr � NqRKERSCOMPfNSAT10NUW50FCALIFORNU�INDAGREETMITIFISMIXIlDBECOME INSPECTIONFEE S SUBJECTTOTHEWORNERSCOMPENSATIONPROVISiONSOFSEC'10N]7ooOFiHELABOq - coo�,i sti,ut ronnivnn�ca.�atr vnn�nase oRo�sar+s. ISSUANCE � SMIP �1 �� � � p OATE: APPLICANE - . . . . ^ W ENERGY P/C � WARMNfi:fAWR[TO SEQIRE YIORKEflS CO1dPENSATION GOVEMGE�5 UMJIWFUL AND SM/LLl BE �(��`_� 61AlECTANELIP�OYERTOCiiMINALVENALTIESANOLMLFWESUPTOONEI4JNDNEDTN0U5+WD ENERGYPERM 1 - - � DOLURS(lt00,000�,W AaD1710N TO TXE COST OF COMPENSATION.D/UdAGES AS PXO�^OED FOR IN (� /. � J SECTIOq�70eOFiHEU80ACO0E,MEREST,ANOATTORNEY'SFEES. REfENTIONFEE:Y Z:Q/ _ Q LT- pW., CONSTRUCTION LENDING AGENCY VRE-ALT FEE: � - � � I HFREBYAFFIRY UNDER CENALTV OF 7E0.NR�TNA7 iNERE LS ACONSTRUCTION LENOINO ACENCY � Z FOfI TME PERFORAINiCE OF TME WORK FON WMiCM iHIS PEAMIT IS ISSUED(SEG 70V1.pY.C.�. W � LENDERSNAME � � LEN�ER'SAODRE55 �, � � ICERTIFYTHATIHAVER[ADTISMPLIUTpNANOSTATETNATTHEIIBOVEWFORMATqNISW13RECT. TOTAL FEES � ►�� � .. . � � IAGHEETOCO�.�PLYWI7MALLCRYAN�COUNTYORDINANCESANOST�7EUN5REUTINOTOBULDINO `�1 � CONSTfiUCT10N.AND HEHEBY MIfNOiiQE HEDii[SEMATNES OF TW S COIINTY TO CMER UPON iHE . . . . . . S� /1BOVELENTIONEDPHOPERTYFONPlSPECf1ONiURPO5E5. COMMENTS , � ' c �S�. _ ; m vcrwm[F��o � ' � u�i �6 . . • � T o�TE _ qECPT.NO. PAID BY� � VALIDATION WHITE—Depertment Copy.YELLOW—F' nce CapY.PINK—Assessa Capy,GOLDENROD-File Copy,GREEN—ApplicanCs Copy CITY OF DIAMOND_BAR� .,;; ,•=, , ;;,, . . . . .. .. .,�.�� � � ' � - � INSPECTION'RECORD .� , • . �� � : . . � �, �; ; . .. . � � � • . . � , , . � . SET BACK ., , � �� :� : � �:1_:I ;� � � ' �FLOOR JOIST�c f! ;. . . , �•. �. , .. J � ' . i -, FTGS/FORMS/STEEL ` � �' ` `•. ; :� i FHA REQMTS� - — � ' ELECTRIC GROUND �- � : . '� ' . � . ` � ' - - � : UNDER FLOOR DUCT '� ' �'• ' � ' . GROUND PLUMBING � • UNDER FLOOR CO�IDUIT � ; �, __ ;. � „ .. . . , , , �, ,. SLAB GRADE - - - - - : FIREPLACE FOUNDATION �.`: •�.'• •. . .._ __..,_.._. ;� .• � • • TEMP POWER � -- � ' . . . � ' ' � FIREPL'ACE�$OND BEAM. .•= ' ' . : . "' ' '"�� ' � _-•-----. ._._....._�----.. ..__.. . , - , .� . � : -- - MID HT. BOND BEAM - . . - --- . . WATER SERVICE--_ !, - ROOF SHEATHING � �'��-"� ° ' � �1 ��� 8 FT.BOND BEAM • FRAMIIVGNENTILIATION '�2�� FINAL BOND BEAM � ROOF COVER. - PRE-GRADING - ROUGH HEATING • - - r BENCHING " ' ROUGH ELECTRIC-; -- Z� ROUGH GRADING ROUGH PLUMBING - -- - - FINISH GRADING -, SHOWERlTUB TEST - --� � -- � . POOL ELECTRIC � EXT.LATH/SIDING POOL FENCING WALL INSUTATION POOL FINAL , •� • .. i ; � CEILING INSULATI�N OFF SITE IMPS. DRYWALLNAILING � `�—b'-�I� � DEDICATIONS ' SEWER FINAL ENG. --. _.. . _. _.. . SEPTIC TANK.. .. � - ' LANDSCAPE/IRRIG. � ' , ,... _,. SEEP PIT/L.L.-. - . �' ` `• • I . ON SITE IMPS. GAS AIR TEST-' - � - FINAL ZONING • � � FINAL CONST: ; � - FIRE DEPT.FINAL � � FINAL HEATING � -� ' ` HEALTN DEPT.FINAL..;_;.,.,_ •�..; . '� � � -� � , , � � . . . . .. FINAL ELECTRIC - � �" DEV.FEES PAID � �� �;; - � "- FINAL PLUMBING ENERGY • � , � �: � s� - , ;'; , , .,� , .� ,., --.. _ .... _.. . _ ... .- - ... . -�• . . . _ .. . .. . . . ._.. .__ COMMENTS � ' � 0: •'� _' . �'�, � ., . � � ;�. " t _ � �,,i _.. _ _...." _ "' . �A• .. !^C • . ' , . . . . . ' . . �. , . . !1� � , _ . _.. . .' ,. ,�'`rI �`(, , , , ;1. •':�.. - •',j-'t-' r. ' ; - �,: � , . . . . SEPTIC TANK SIZE �'��•',�. . , ' ' SEEP PITN SIZE ,, , : ,. . ;,� __ . , . � � � - . . . , � . . ; . , , , . -,�� . --._. _ •� . � �.. . .� -• -- ,�- , . _ •� � _ .. - - -� . - - , -; - �.�`, � � . � .__ _ _ _,�� � � ,