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HomeMy WebLinkAbout14376 1 , .. CITY OF DIAMOND BAR -- - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 , (909)860-3195 Faz(909)861-3117 PR ESS . ���%��. BUII.DIIVG PERMTT APPLICATION. � _ g FIRMLY y JOBSfTE APPLICATION+ PEAM 7 P!C o ADDRESS DATE l—�—�� NUMB I� J�'� M ��'"�D � .. .. . ISSUE TYPE OCC APN LOT CT DATE - CONST. GROUP. � OWNER ZONING SETBACKS � � ADDRES Z CffY ZIP TEL FRONT RW ❑ g APPLICA �i��- _ TEL REAR O ; � �ra► SIDEISIDESTREET RW ❑ CONTAACTOR SIDE O ADDRESS • PROPOSED USE �-S1!it—. � � . CIN_ ZIP TEL. � • . o ARCWENG! • ' . .. DESIGNER - NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDR�OMS � � CITY ZIP ' TEL � DESCRIPTION SQ.Ff: FACTOR PSF ADJ.AFiEANALUATION � Q . OWNER-BUILDER DECLARATION SF WADD/REM � - O Q 1 HEREBV AFi1RM UlDER CENALTY OF GEiWNY THAT I IUA dEMFT FROM iHE CONTMCTORS LI• GelegO/CO�pOR W CENSEUWFOHTMEFOILOWN�REASON(SEG70.71.68USINESSANO�ROFESSIONSCODE:ANYtlTYON (n � COUMYWFAp1RC-0UWESAGERAIRTOCONSTi1UCT,JLLTERIAIPROVE.�fYOL15H.ORREV.4RANY5TRUC. W PB�IO/DBC�( . . 7URE,GRIOH TO R9 ISSUANGE.AL50 REGU�RE9 THE APGUCANT FOfl SUd1 PEFWIT TO FILE A SIONED W � 3TATENENT TIAT NE OR SME IS 110EN5E0 Vl1M15UANT TO 7HE YROVISIONS OF h7E COIfTMCfOR9 LL � CENSEUW(CHMTERY(COMM[NGPJOWITMSECTION7W0)OFDMS�ON70F711EBUSiNESSANDPRO� u- P��Va FESSIONS LODE)OR iHAT ME q15M[IS EXEMPT TMEREFNqAAND THE BA515 FOR iHE ALIEGED EXEMP• 7qN.ANVVqlAT10NOF6ECTION7�l1.6BYUiVAPPLICANTFORAVEfiMIiSUBJECTSiMEAP7LCANTTO . Z qa-Roo( F A ClVR PENALTY OF NO'T MORE 7fUN FNE HUNDRED DOLURS�isa0l.1' . _ . . � 04ti+�N'NEROFiHEPNOPERTY,ORMYEMPLOYEESVATHWAGESASTHEIRSOIECOMDENSAiqN, 0 (`,pmmOfClal � � • WILL DO TME WOFiK AND iHE SiAUCTURE IS N�T MFNDED OR OFFERED FOR SALE(SEG 7oN.BU54 J • NESg AIO GfqFES510N5 OOOE:T1E CONTMCTORS LILENSE Uw DOES NOT ACVLY TO AN OWNER OF � PiqPERfYYAiOBU1LDSORM.IPROVESTHEREON.AN�MmOD�E55UpIWOf1KHIM5ELFORNERSELFOf1 '_ m � � Q TIWOUGHHISOitHERONNEMOLOYEES,PROVIDEDTHATSUCHIMPROVElAQ1TSARENOTMEN0E00R . . L�1 OFFEAEDWRSALEF,HOwEVE0.iHEBUK�v�IOORMPiIOVEMEM65IXDVATHMON[YEAROFCOMPLE ' i . . . ' Z �TqN,iHE OwNFR�VILDER N7LL NAVE THE BURDQI OF VpOV�Nfi THA7 HE OR SME DID NOT 6UIID OR � MP(qVEfORTHEPURPOSEOFSlLLfl. • . . . . O 1�3�`�MrEROF7HE PROVEHfY.IW EXCLUSNELYCONTAACTNO WrtH LICENSED CONTHACTORS � 10 CONSTRUCT THE iRWEC1(SEC.)oN.BUSINE55 AND►POFE35ION3 CODE THE CONiRACTOR9 U• VelUOtiOfl ADJ.ARE/1 CFNSE UW DOES NOT APPLY 70 FN OWNER OF A PflOPERTY W/q BUILDS OR IMPROVES THERECN.AND � � 1NqCOHfMCf4FORSUCHVFiOJECfSYYIMI1CONfMCfORlS�LI(:ENSEORIRSUMfTTOiMECONTMP -QUANTITY DESCRIPiION �� � � FEE. � . � tOit4l10EK5E UW.� . . .. . _ _ _. . - . ___ . . . _ _ _ . O 1 AIA OfEMPT UNDEA SER B.l V.C.FOR TMIS pEASON U � LL DATE OWNER ' � f" . � . W UCENSED CONTRACTORS OECLARATION W � IHEREBYAFFIiri1UN0ERPENKTVOFPEM1R111Y7//ATIAMLICENSEDUMJERVROV1510NSOFCMAPTER V. , � � �� Y�COMYENpIa1MfM5ECT10N7o0o)OFOMSqn30FTHE8U5�NESSANOPROFESSiONSCODE,AND Z ?C MY UCENSE6 N FUl WHCEIWD EfFECT. - � . �L .. . . . _ . . � ' � LICENSE CLASS L1C.N0. � J ' �j w� . corrraacron a � WORKERS'COMPENSATION DECLARATION Q � U � IHEREBVALFIRAIUIDERVEWLLTYOFCE0.41R'IONEOFTHEFOILOW:NGOELLAMTIONS: � �� u' a � � _IIUVEAWIMLLIM�Ni11NACEHf1FlG7EOFCONSENTTOSELF�NSUREFOFtWORKERS' _ 7a COMPQISATION.ASPROVIDEDBYSECTION77000F7HElABORCODE,FORTMEPERFOiUAANCE U ' OF THE WORK FOR WMdI Tu9 PERwT IS LSSUED. w � � _I HAVE AND WM1L WMIUN WORKERS'COMPENSATqH INSUAANCE,AS HEOURED BY SECTION ' 4O 77000FTMELABOROODEFOi17HEPERFDNMIINCEDFTHEWORKFORWHiCHTHISPERMIT15 � ISSUED.WMVILCERSCOYVEN5A71ONINSUMNLECAHRIERANDPOlIL7NUAIBENME: CONSTFiUCT1ON� � �qqiEq PLAN REVIEY� � POUCVMMBER ELECTFIC _ � (nss[CIIONrEIDNo78Ea�.aE�IDOFMVEw.IrswnaNEMfi�CDoottartSR�oc�oaLEss1 PLUMBING � Z 1 CERTIFY TUT M THE PERFOMMNCE OF THE WO{1N FOR WHlpl TMS VEp�R 6155UED,I MECHANICAL - - _ (,�' SIMLLNOTEMPLOYANYVEPSONNIINYWWNERSOASTOBECOMESUDJECITOTNE N WOPoCERS'GqAPEN5A7i0fiUw50FCALIFOiWtAANDAGREETFUTIFI5/10ulDBECOUE INSPECTIONFEE , `- SUBJECTNTHEWORICEHS'CDMPENSATANPROVISIONSOFSECTqN77000F7HElABOR �SSU�INCE S coo�.i sruLL cartHvnrn cour�r win�nase vaowsar+s. - - p DATE: � APPL�cANT: SMIP ... � ENERGY P/C WARNINU:iiULURE TO SECUFiE WOPI(ERS COMPENSATqN COVEHAGE IS UNUwFUL.IW D 51uLL BE �y SUB.IECT/WEIAPLOYERTOCfUYINALPENALTIESMJDCMLFWESUVTOONENLNDRED7110USM10 � ENERGYPERMIT � � � DOLlMS(f1oo,0Do),NI�DITONTOINECASTOFCOYPEN5ATI0N.OMUGE5A5iROV�DEDFORW ¢ 6EGT�DN]7oeOFTNEUBOAO�DE,NTERESL/urDATi'OiwEY5FEE5. � RETENTIONFEE: � OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: ' � � � .� IHEpCBVAiFMUUNDERPENKTYOFVEiWRVTHATTHEREISACONSTRUCTIONLENDWOAGENCV z FOR TME PERFORIAMlCE OF TME VfORK FOR NMIQ1 THIS OER4IT IS ISSUED�SEC.lOY�,tlV.G�. � W - -� IENDERSNAME � IENDERSADDRE55 W �cewnvrtw�T�nnven�o�s�vvucaTior+u+osT��nuTn�eisover+Fo�w�r�iscoaa�cr. � TOTAL FEES �/� .. d IACflEER1CGAPl'/WITMM1.CffYN�DCIXMTYOXDINANCESANDSTATEUWSREUTINOTOBUlDINO ^ / ���]y CONSTRUCTIOfLANDNERE9YNJT/1DRRENEPRESENTAiNE50FiW5COUNNTOENTCRUPONh1E . ���V1`�,(�7Af�/y 1 ' 1 S� ABOVE�MEHTIONED1Di1'0PERTYFORINS7ECT10NNHPO5E5. COMME v �� �� 0 V./1�/ . . . . � � TTI v 4 oaaurtrc¢ na�+n __ �/ 7 � � BqH�TURE O w� E DA7E RECPT.NO. PAID BY VALIDATION �� � yy�{�7E—Depertmen�Copy,YELLOW—Flnance Copy,PINK—Aseeesu Copy,GOIDENROD—File Copy,GREEN—ApplicanCa Copy � � - � CITY OF DIAMOND_BAR ,� :�::.� �; , •�-., ,. . ,,.. .. ... , . . . . . . ., . „ .. '' � � � � � INSPECTION RECOFiD��•� �'��_� � ' "� _ . . _ - _ . • � � � ' • � � s - SET�BACK�\,' "` r,', Z; ti 1 • c�':,-- �;�—I FLOOR;�01�,T��,� '�-� '.(�, � �, ;'� ''�:•� FTGS/FORMS/STEEL -.: -., � -� FHA REQMTS .. - .--:.. .__. ..... .. .-. .�-..- ---. �..._., ' ELECTRIC.GROUND -�.. - __:_ " ' . _ - -- - UNDER FLOOA DUCT,. •.- : • ` -' � • r:� �• •• " ' GROUND PLUMBING - •UNDER FLOOR CO(�DUIT' ' �` " - - � i � 5LA6GRADE __ . ---- _ � FIREPLACEFOU�IDATION .. • . :�. , ' • ' - '' ' TEMP POWER _.. `. .. _ . _ � �. =:.. : . . �• FIREPLACE BOND BEAM . -.._:_ .._,., . .. ... , . , ' MID HT.BOND BEAM WATER SERVICE :-.:-..-..� -...... - -_. - C',�,- ... . ._... , : . :: ROOF SHEATHING - : ' 'C`'�• '•-'' -- " 8 FL BOND BEAM �. - - - FFIANIINGNENTILIATION � � FINAL BOND BEAM � ' � ROOF COVER ` � PRE-GRADING - i • ROUGH HEATING--- - - � � BENCHING • ' ' . .. . _. . ._. , ., � ROUGH ELECTRIC :- - -- -- - `- - . '- ROUGH GRADING ; �` -ROUGH PLUMBING �� - "- � " - - " .- � . FINISH GRADING . , : SHOWER(fU8 TEST;- -- , - -POOL ELECTRlC � ' ' EXT. LATH/SIDING � , � ROOL FENCING ' WALL INSULATION ; POOL FINAL , CEILING INSULATION OFF SITE IMPS.. , :.- DRYWALL NAILING � DEDICATIONS ' ' : _. SEWER ___... .__..._. ' FINAL ENG. . � SEPTIC'fANK.�___.. .. '. _. _ _ LANDSCAPE/IRRIG. ° ' .SEEP PIT/L.L:. ---:.:_..:_. � . . _ . . . ON SITE IMPS. . � , GAS AIR TEST- --- � - - - - - � FINAL ZONING • ' FINAL CONST.-�-- - -- -- - - - � � FIRE DEPT. FINAL - ; : FINAL HEATING � - �- � - HEALTH DEPT. FINAL _ _ , � � F1NAL ELECTRIC -- � " DEV.'FEES PAID � � � FINAL PLUMBING ENERGY' . . . ' i - . . . i e a _ _ , . _. —- .. . .. . . . . ... . . _. .. _._. -- . . COMMENTS .. _.. ; . . . . .... - � , .. _.... _ .._ --- -- � - - _ : � � _ _ . -- - _ _ _ . , ' ' . i ;' � ,_ -�' . . . , ,. . �� - (j ,� �r !� - '' � �1� ... ._ _. _ , 1 ' ' ` _I , i . \ \i� 1� . .\ _ . . .. - - .. . ....`�`_ �_ � •� � �.� ; ' , _ . Y� � : . - �, f %•: . � _ _.. �� .� i� , , - . .. , , , . . SEPTIC TANK SIZE . ; _ ' i ; , . . : SEEP PIT/U SIZE � ��_C`.t (�` , , � ,;r�,. . , �:.. . . „ �� I i�., -�a� ; _� ' � _� ', . . . _ 1` �`=l..-�•,` ._ i -- ,�j _ : . . - � ;. _.__- ... , , � � ., - ,,., �. .` . _.. .., ,,. . .. _ • • • - _ . _ � � ; � i. � _._ _ , � . . • �