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HomeMy WebLinkAbout13370 (7) CITY OF DIAMOND BAR� � � � 'I"" - �J� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Coplcy Drive Suitc 190 . (909)860-3195 Faa(909)661-3117 PR ESS .,���,:' BUII.DING PERMIT APPLICATION FIRMLY o� JOBSITE �OO/� l�'� P�'Z � . DATECATION g� /1�_L)g NUMB R/�� !� ��q8 a� ADDRESS �� ! I � APN - LOT TRACT DA EE J � � ^ ��� ONST. GRQUP � OWNER D. p ADDRESS � � l.rY � ZONING SETBACKS • �"' CITY D . ZIP 9 t�I�6^TEL _ REAR RW ❑ APPUCANT �/V4 h1DLik�11 - TEL SIDE/SIDESTREEf RW O � CONTHACTOR SIDE ❑ p� A�DRESS PROPOSED USE_1�-'�'Q.. K�D� Fl.fl�n�-IN IN�CWS . � CITY ZIP TEL. ��t�r��— - . 1 ---r— Pii AACFUENG/ G. , — � DESIGNER d � NO.DWEL NO. NO. ADDRESS • ' � UNITS � STORIES 2 BEDROOMS � CITY ZIP TE � DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION Q OWNER-BUtLDER DECLARATION SFR/ADD/REM � O . I MEREB`I AFF6i11 UNDER PENAITY OF VERlURV TMAT I AM E%EMP7 FROM TME COMTMCTORS LI• G9f89BK.81pOft � � e CENSEUWFORiHEfOLLOW�NOREASON(SEC.�0.77.68USINESSMlDPROFESSqNSGODE:ANYp7YOfl � (n C� COUHTYNRIN)1REOlARE3AVERMRiOCONSTRUCf,ALTER�PPAVE.DEA101191,ORREPA1R11NYSTRUC• W Peti0/DOCk �L 7URE VRqR TD R9 ISSWHCE.AL50 NEdUIpE3 THE MPLIGJlT FOP SUpI PERMIT TO FlLE A 61GNED w STA7EMFtlT 1FIAT ME OH SHE IS LICENSED PURSUANT TO THE PROVISIONS OF THE CONTFUCTORS U• .� CENSE UW(CHAPTER o(COMMENqN(i WITH SECT70N 7000)OF DIVISION f OF THE Bl1SINESSAND PRO. � � POOVS� � � FESSIONS CaDE)OR TiNT ME ORSHE IS EXEMPT MEREFiqM AND THE BA515 LOR TNE ALI.EOfD EXEMP• TION.ANYVIOlAT70NOfSECT10H7W1.68YANYMPUCANTFOHAPERMtTSU&IECT9TrIEMPLICNITTO �- Z RaRoot � ACIV�PEN�LTY OF N07 MOi1E hlMl FNE MINOREO DOl1M5(i5oo1.): � O11�90NNEROFTMEPROPERTY,OfiMVEUPIAYEESN'IlHWK.E5A5iNEIq50LEGOMPEN5ATI0N,' - 0 (`,pmmBtCl81 � � Wl1 DO iHE YWRC 14f�O TME STRJCfU11E IS NOT INTENOED Ofl OFFEREO FOR SALE(SEG 70u,BUSI• J NESS MD PiqFES5qH4 CODE 7HE COHTRACTORS LICENSE UW DOES NOTAFPLY TO AN OWNEH OF y pilpPEtlfYWNOBUID$Op61DROVESiNEHEON.ANDW110D0ESSUCHWOi1KHIMSEIFORHERSELFOR = ' . � iMR(X10lINISORHEROWNEMttOYEES.FROV10EDTHATSUCNMPROVEMEMSARENOTttJTENDEDOR m OFTEEREU FOfi 9ALE F,NDwEVERTME BULdNa OF W PROVEAIBJT IS SOlff WRMN ONEYEAR OFLOMPLE• �T10N,THE VMlER-BU0.DER WILL HAVE T1E BUPDEN OF GROVwa TUT HE OR SHE OD NOT BUttD OR iAPROVEFOR7TCPURPOSEOFBALE} � . � W OI.ASOWNEHOFiNEiROPERiI;AAIEXCLUSNELYCONTMCTIN�WfTHl10ENSEDCOMMCTOR3 (t TO CONSTRUGT TME VRQlECT(SEG.10st,BUSINE55 AND iROFESS10N3 COOE:THE CONTPACTORS L4 Valuation ADJ.AREA LiJ CENSEUWDOESNOTMR7TOANONNEROFAPROPERTYYrtiO8U1LD50HMPRONE37HEREON.AND � YY1qCONTRACTSiORSUGHVRQIECTSH'ITHACONTMCTOR(5)LICENSEDPURSUANT70THECON�RAG OUAMtTY DESCRIPTION - � � � FEE -� � TOR8UCBISEUW.L �{ . . . . . .- . . . .. OIMIO(EYPTUNDERSfC.� B.►V.GFORTHISREA.SON q U u- F�- DATE OYMER V � . . � � LtCENSED CONTRACTORS DECLARATION � � . W i...:L_J IHEi�BYAFiIHMUOERVENALIYOFVER1URYiHAiIAMLICENSEOUNDERVROVISIONSOFC/UPTER � � � 0(OOI.WENCWQWfi115ECTqN7000�OFDM510N�OG7HEBU51NE55ANDPROFESSI0NSC00EAND z M'I.ICENSE IS N FULL FORCE dN0 EFFECT. llJ m !AI/ f1 Ann � UCENSE CIASS . . . LIC.NO. - J . ••�•� V d�J.. W� n�rs corrt�ucroa a - r tr�lti::iNLJ t5f1 Z 'TTr+ � WOFiKERS'COMPENSATION DECLARATION a "— +1\ll!il\L util'L'1 � � IHEREBYIFFUWIMDERPENILTVOFPERXJMONEOFTHEFOILOWINODEttA�UTqNS: V � � � � y Z Q � _IHAYEANDWILLMAMT/UNACERTRICATEOfCONSENTTOSELf�INSUREFORWORKERS' _ OOIJPENSATION.A37HOVIDEDBYSECT10NJ7000FTHELABOqCODE,FORTHEPERFORMANCE U � OFTHE YqqK FOR WHIp/TH13 VERA/R IS ISSUEO. � C O _IH�VEAND WILLIM�NTAT7 WOFiKER5COMPENSA?ION INSURAt�ICE.l14 REWIREDBYSECTqN ]7000FTHELABORCOOE,FORiHEVEHFORMANCEOFTHEWORKFORWHN7iT}115PEXYRIS ) / � ISSUEO.I.IVV.O(1KER50dlPENSATqNWSUMNCECANPIERANDGOLICYNUAIBERANE: CONSTRUCTION r �� • � y �,�Ea r�ar�aewew O . � PoLICY M1►IBER ELECTR�C . � �Ssccrp�r�tprgEop�r�ppFnEpe%�t6tnqer�Mrn�opatutsgioqaAtF^,sa PLUMBING Z ICERTIFVTHATN7HEPERFORMANCEOFTMEWORKFORYMICHTHISPERMRt5155UED.1 MECHANICAL - - C} S/UILNOT EMPLOYANY VERSON N ANY MANNER SOAS TO BECOME SUBIECT TOTHE N WORKERS'COr.�PENSATIONUN50FCALIFORNU�ANOAOREElW�TIFI5HIX1LD8ECOlAE INSPECTIONFEE w S SLOdECTTOTHEWOfiKERS'COAIPENSATIDNPFiOVISqNSOFSECTIONf7DOOFTMEUBOR �SSUANCE S• COOE,1 SHML FORTIMATN Cd.�PLY WIh1 T/105E P{10VISIONS. L' pDATE:� � APPLICANT: SMIP _ � • - � WAPNIN(i:FMURETOSEWRENORKER5C061PEN5ATIONCOVERAGE�SUNLAWFU�ANDSHMLBE ENERGYP/C �y SUBJECTANEMPLOVEHTOCWMINALPENALTIESNIDCMLiINESUPTOONENUNOREDTHWSAND ENEHGYPERMIT � � � pOLURS(f�00,000),N ADD1770N TO THE COSi OF COMPENSATION,OMUGES AS PFlOViDED FOR IN p, ¢ SECfDNJToeOFTHELABOFiCOOE,INTEREST,MlDATfORNEYSFEES. - RETENTIONFEE: . � �N a CONSTRUCTION LENDIN�AGENCY PR T FEE: � � . � IHEREBY/1FFIRMUNDENPENNTYOFVEfUURYTIIATTNER[ISACONSTAUCTIONLFNDWQAOENCY ' fOR THE PERiORMANCE OF THE WORK FOR WHlpl MIS iERMIT IS ISSUED(SEF]ov7,pV.Q). . � LENDER'SNAME � lY ! ♦�l L � LENDERSADORE55 . � icemiFrnuriw�vEnc,.vncs�vruc,rnor+�u+osr�rEtw�rn�E�eovcr+vorw�Tar+�scoaaect T�TAL FEES � IIWREETOCOMPLYYATIALLUttMiDCOl1NTYOROP7ANCESANDSTATEUWSREUTINOTOBULDINO CONSTRUCTION,ANDMEREBYAUf1iORIZEREVRESEMATNE50FTHISCOlR7TYTOENTEflUPONTHE . . . � � � �BOVEdAEM%7NEDVROVEHT`/FOFI SPECTIONP ES. COMMENTS �' � � � m PEfUAITTEE W1ME(P " Q � . y gqNA7�pEpF DATE � _ RECP7.NO. PAIO BY � VALIDATION � WHITE—Department Copy,YELLOW—Finence Capy,PINK—Assaesa Capy.G LDENROD—File Copy,GREEN—Applicenfa Copy � CITY OF DIAMOND BAR �., ; -,-,; , .� . : ,, . . , , , _ .. � .. �:�:.INSPECTION�RECORD , � ,.; , ; . . . _. . • � � � - � � � e - j; ,. , , , , c ,. . •,. ,., „ - SET BACK' �t C � � ..' , •.�� -- L=` -- � . . FLOOR JOIST . ��_! -� r"t! r'.. - � ..;• FTGS/FORMS/STEEL . ,� �:'i� I' _ �. `FHA REQMTS- - _ _... _ __ --- _. _ . ELECTRIC GROUND �� - ' _ __ :_ ` - UNDER FLOOR DUCT �. .� ;,; ' ,�;;,"� � � - GROUND PLUMBING - UNDER FLOOR CU�IDUIT"�! -1�-i � Y�s �'"•.'+ ; SLAB GRADE_ _ __ ... _ _._ . . _ . _- - FIREPLAGE F UN ATIQN L'• �;� , . •,` � . �.- : TEMPPOWER _ •., � _ _ _ ' � FIREP�A EBbND�BEAM - -.:; , • ;, . V1IATER SERVICE_ _-: _ _ _ _._: . , - --_ =.- MID HT.BOND BEAh1 _ - __ __ .... . _ . � ROCI��SH�ATHING '�,�;r _j;; ,�:,= . :_� •;,•.;., _. _ . _ 8 FT. BOND BEAM -.__ -- -- - - - FRAMINGNENTILIATION �� � � FINAL BOND BEAM +- ,. � ` �` ' ROOF COVER " ` <:. PRE-GRAUifJG '�-��i :. ;,:,;, i - 'r,•..;�,'=_- • i _. _ . - ., , ,., ROUGHHEATING _, _. _ . - -- �-- - BENCf� G"� ''.s• +1,� � �'-' :�. �' ?;Si;:;�,"+r�'�_' ; ' . ROUGH ELECTFIIC-, - - - � -- " ROUGH GRADING ROUGH PLUMBING , � - - � � -- --: FINISH GRADING - ` SHOWER/TUBTEST; POOLELECTRIC •� EXT.LATH/SIDING , - -- POOL FENCING ' � WALL INSUTATION POOL FINAL . CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING � DEDICATIONS ' SEWER ' FINAL ENG. - - - -- - _ - -- - -. __ SEPTIC TANK _ : ._ _. _ ,_.. _ � ��, LANDSCAPE/IRRIG. � SEEP PIT/L.L. - �� " ' ` ' ON SITE IMPS. • ' GAS AIR TEST -- - - - - FINAL ZONING • • , FINAL-CONST.,- - - d .� -�,{ FIRE�EPT. FINAL FINAL HEATiNG - ---- � - - HEALTH DEPT.FINAL � �F1NAL ECECTRIC - - DEV. FEES PAID � - FINAL PLUMBING ' ENERGY � � � ; ` m..� � ��� _ . _ .__ _ __. . COMMENTS -_ -- _. _ _. ._ _ -..,. : _ ; , - -- . - - -- ; - . ._ _-� -�-- -�- � - --. __. ._. . . . . . _. . . . � . . , . � 4":.'• _ .''_> >. . � _ _ . i = _ . ___ _ .. . . , . _`� �_ . _ _ � __ - __ � , Ij 1,. :.`;.._ _ _ . . ._ . . . . . .. SEPTIC�TANK SIZE ` ' . . - SEEP PIT/U SIZE �• � `'`i — , , _ _ _ � _ . � � . , � _ _ - - . � ,� �. ,;'�\' t. c , � . _ , � , , . , . . , __ . . .- :. .. _ ,. � __ , �_ ; . �,.. . �- �,.� C� �! _1 �'•:�;�,,. . ; �` . _ '.., t. . � :.