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HomeMy WebLinkAbout13366 (7) �� 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 PERMIT APPLICATION FIRMLY 4 AODRESS_J�JIS �A �'L l�iv � APPLICATION S� ,L �J PERMIT _13�(p �!C ��- o DATE /7� <� NUMBER � APh LOT TRA T ISSUE _ �^�� TYPE OCC DATE_ CONST. GROUP � OWNER � AODRESS 1T/ ZONING SETBACKS � CfTY � . ZIP��_TEL . FRONT RW ❑ APPUCANT�l•N►.N 0 LAN TEL. REAR p � SIDE/SIDE STREET RW O CONTAACTOR SIDE p AODRESS � CITY ZIP ' TEL. PROPOSED USE_ R�'�+� �.BA{��,�E{( S �11IN�J0'WLi � ARCH/ENG/ , Q��'�L �F� •�j� DESIGNER p • C' ' NO.DWEL NO. Np, . = CnDHESS Z�P� TEL ' UNITS � STORIES �� BEDROOMS � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATIflN � . OWNER-BUILDER DECUIRATION SFR/A00/REM O p 1 HEREBY AFFlPM UlIDEF PENALTV OF PEiWM iHAi I AM E%EAIPT FROA/THE CONTAACTqL^l4 G8f8QB/C81pOR � � UJ COISEUWiORh1EFd10WNOREA..ON�SEC.7af1.68USWE55ANDPFOFE5510N5CO0EANYCfTYOR� (n �,2 COIMTYYMICNPEOlME9APERMRTOCONSTFRICT,ALTERM�FqVE,DEAqUSM,ORREiAtRANYSTRUC- W �Z TURE iftlOR TO R9�SBUANCQ AL50 flEWIRE9 TME 11G�LICAMT FOH SUpI YERMIT TO F0.El1510NED w P8t10/DBC�( .� STA7EMENT THAT HE OR SME 6 LICENSEO iURSUAHT TO THE PROVISIONS OF THE CONTRACTORS L4 � � CENSE UW(QNPTEN Y(COMNENCRq Wfi7i SECTqN 7000)OF DM510N 7 OFTHE BUSINESS M70 PRO-� POOVSpO � . . FESSqN5000E�DRTHATHE0R5lIEISE%EMPTTIIEREFROMANOTHEBASISiORTMEALLEOEDEXEMP• (� TIDN.ANYVIOLATIONOFSECTION70�1.60YMIYMPLICANTFOfi�PERA/ITSUfl1ECT57MEAPMICANTTO- z Re-Root � ACNi.PENAL7YOFNOTYOfiET/ANFNE11lR1DREDDOlUR51f5a01.�• . � O�ABOWI�EROFiHEPROPEN7Y,ORMYEMVLOVEESVYITHWACESASTHEIRSOLECOMPENSATqN, C,pmm0fC18I -� - , MAl DO iHE WOR1(,AHD ME STFAICTUIiE i5 NOIINTENDE�OR OFFEREO FOR SALE(SEG 7ou,BU56. O � NE93AlO PROFESSION9 COOE iNE CONTRACTOR9lICENSE UW OOES NOTAPPLY TO AN OWNER OF ? iROPEf1TYYM10BUlD90fiMPROVESTHEREON,ANDriNODOE55UC/1YVORKMIMSELFORHERSELFOR • ' - � � TMRIXIOHMI50RHEROV/NEM7tOYEES.DRONOWTMATSUCHMPfiOVEMENTSMENOTNTENDEOOR m OFFERED FOR SKE 6,IIOWEYER7ME bUL01NO OH Y7ROVEMINTI3 SOID WRqN ONE YEAR OF COMPLE• ��TqN.7HE OMHERSUILDER WILL II�VE THE BURDEN OF PROVINO iHAT NE OR 6HE OD NOT BUILD OR MiROVE FOR TM:PURPOSE OF SKE� . _ � OLASOMMEROFTHEPROPEifn',AIAEXCIUSNELYCOMRACTNOVrtTNUCENSEOCONTMCTORS TO CONSTRUCT TME PROJECT(SEC.7W.BUSINE55 I�lq PROFESSIONS CODE THE CONTRACTORS U- VeltlBib� ADJ.AREA �� CENSEUWOOE4NOTA7VLY701W OVMEROFAOROPERTYW/qBUILD50RIA1PROVESTHEHEON.AND WNOCOMMCTBiORSUCHPROJECfSVAT1ACONTiUCTOR�S)LICENSEDPURSUN1fTOTHECONTMG pUANT1TY � OESCRIPTION � ��- FEE � TOfiSUCENSEUW.�. . - ._ `.. .. . . O I AM E%EMPL UNDER SEG &1 V.C.fOR iH�S REASON Q U � . � . � � . . . . . . OATE OWNER � LICENSED CONTRACTORS DECLAHATION W � IHEHEBYAFFliWUNDERPENALttOFiERIURY111AT1AMLICENSEDIMDERPROVI5lON50FCHAPTER �� � j��,,,y�yJ . . . � •(CdAA@ICU10YVfM5ECTION7000)OFDMSION70FTHEBUSMESS/UWGROFESSIONSCOOE,AND Z YY LJCENSE IS N FULL FOfiCE ANU EiFECL m � LICENSE CLASS L1C.NO.- . . . ... j �l A o�h corrrrucroa a RV � •..T = WORKERS'COMPENSATION DECLARATION a • � -•-�-- ..ti t� N IHCREBVAFiIRMUNOEHCENAIT/OFFERNMONEOFTHEfOLLOWWODECUMTIONS: � Z - A `�•'� "' � _INAVEANDYALLNAMAINACERTFIGITFOFCONSENTTOSELFdNSUREFORWORKERS' _ COM7QISATION,ASFROVIDEDBYSECTION17ooOFTHEUeOHGOOE,FORiHEPERFORMNICE w Q OFTHE WORK FOHMR/K71 T1I9 PERMIT IS ISSUED. � � _IHAVEANDWILL►IARfTA1NWORKERS'COMPENSA710NMSUWWCE.ASREOUIREDBYSECTION � . . . . Q �7oD OF THE IABOR CODE,FOR THE PERFORA/ANCE OF THE WOPoC FOR WHICH THIS PERMIT IS )f � ISSVE0.MYWORKER5CON7ENSATtONWSURANCECNYIIERMlDPOl1LYNUMBERME: CONSTRUCTION ��f � cawRiEA PUW REVIEW � 2 � PoLIC`fM1MBER � ELECTRIC o �sEcriw�IDwre¢m.s�Eimocnfvt�.+tswaa+�Mrnamoatualsioqoq�ss} PLUMBING Z ICFRTIFYTMATNiMEPERFORMMlCEOFTHEWORKfORWMICHT/15VEPAlITI5155UE�,1 MECHANICAL � - (7 S1NLL NOT EMVLOY ANY PERSON N M7Y MMINER 50 AS TO BECOME SUBJECT TO THE (/� Y�RKEfiS'COAIPENSATqNUW50FCALIFORMti11M1��REE7//ATIFISMOULDB[COA1E INSPECTIONFEE � � 'SUBJECTTOTHEY:ORKERS'COMPENSATqNPRONS10N50F5ECT10N77000F7HEUBOR � � � � � CODE 1 SFULL FORTMMTI COIAPLY WITH TF105E PROVISIDNS. ISSUANCE ! D � :SMIP . 1 r (� p DATF: - MPIICAN7: � . � ENERGY P/C WARNIN(i:fA�UPE TO SE W RE YAiiKERS COM7ENSA710N COVERAGE IS UNUWFUL.AND SHALL BE � SUB.IECTANEMPLOYERTOCR0.1RUlVENALTIESANDCMIFINESUPTOONEiR1NDRE0THOUSANO ENERGYPERMIT � D�LLARSff10D.0001,W AD01710NTO7HECOSTOF COMPENSATION.OA/AAGESAS PROVIDED FOR W J SECTION77aOFTNEUBORO00E,NfiEREST.AN�ATTOiiNEY3FEES RETENTIONFEE: � � � � pCONSTRUCTION LENDING AGENCY PR T FEE: � - � IHEREBVAFFlR/AUNDERPENALNOFPERIURYtHATTHEREISACONSTRUCTIDHtEHDI1MACiENCY FORTME GER�OWAANCE OFTME WORK FOR NTiN�H THIS PERMIT IS ISSUED(SEG]097,qV.G), � � LENDERSNAME . n � LENDERS/�DDHE55 � ILERTIFVMATIHAVEREIDTHISAPPLIGTIONMIDSTAlETUTTHEA00VENFOfU1�T10NI5CORRECT. TOTALFEES � -�� � - �� � p_ IMREETOCOAIVLYVlITHALLCT'ANOCOUNTYORDWANCESANOSTATEUWSREU7INOTOBUttDINO - � CONSTRUCTION.AN�NEREBYAUTFqiUZEREPRESENTATNE50FiHISCOUNTYTOFNTEflUPONTNE . .. . �_ . � - ABOVE�IENTIONEDPROVE FORINSVECTION E5. COMMENTS J ��%✓ .. ¢ VERufTTEENAUE(V S1/ - . . � (n EIONATURE OF fiMl DATE � RECPL N0. PAID BY � B VAUDATION YVMITE-0epartment Copy,YELLOW—Finance Copy,PINK—Asaesew Gopy,GOLDENqOD—File Copy,GREEN—Applica�t's Copy � � � ,� CITY OF DIAMOND BAR ,..:� : �,:�; .. _. ... . .:. .... . . .,. . �INSPECTION RECORD , � � - . � �i: . �., ,- ,. i � � • ' • � � i ' SET BACK. .� � � � . ; �. :�•. , _ t:\., �•:, FLOOR JOIST . �'�_! - �I�'! r� i ""+�-. . . . ,. . .., _ . FTGS/FORMSlSTEEL � � �\i" --;< -1 FHA REQMTS -- - - - - . . _ ___ �. •,• . .. , ELECTRIC GROUND " � ` ' � UNDER FLO�R DUCT.= � ,. , .,- ,:.��,�r.� ,,,,� ,_; : GROUND PLUMBING UNDER FLOOR CU�IDUI�ti.: :'�'s l �� `� ' '' -•'` ' -: _ ____ _ _ _ . FIREP4AGE�OUNQ�TION �1 i ;� _ �, ' , ` - , ' T MP POWER-- : .; _ _ . i FIREPLACE OND� AM _-- - -'- . • � , ` . ._, ' . -WATER SERVICE - _:---. ,: ._- _ - _ _:. .. - MID HT.BOND BEAM - - - _ __� : .. , ROESF-SN�' TH{MCa-„��,•.',. �� ;�`:t�_ ;� ,a J,._.:� 8 FT'.BOND BEAM � _ __ - -- -- . FRAMINGNEf�TILIATION � � FINAL BOND BEAM. . �,;� • . . . � ` ROOF COVER� . -t' `PRE-GRADWIS: '�=�� •�, i'��r��'��_ ` �� -- , . . . . .. -ROUGH HEATING -_;_._ . __. - _ BENC �NG , ,- ,.„ . - ::• �;�t . , . .4 ', t '. ' - `' � ,r,-=t; -i'- R�UGH ELECTRIC � — --- - � - � ROUGH GRADING ROUGH PLUNiBING • -- --- -- -- -- " . � " �FINISH GRADING . -' SHOWERIrUBTEST; - ----_ _ ___ POOL ELECTRIC EXT.LATH/SIDING , POOL FENCING ' WALL INSUTATION ' POOL FINAL � CEILING INSULATION i OFF SITE IMPS. ` - DRYWALL NAILING ' DEDICATIONS ' ' SEINER __ --- .._'.. _ - - -- ._. _ _ _. FINAL ENG. ; . SERTlCTANK_ J _ _._. _ __,_: .,. , ._.. LANDSCAPE/IRRIG. .� _SEEP PITlL,I-. --- _ - ° . _ - _ . �- �v� . ON SITE IMPS. _ , . GASAIRTEST' - - - ---- - - - - FINALZONING � FIRE DEPT.FINAL - ' � FINAL CONST:; - ---- --- - ; - - � FINALHEATING - - -- -- HEALTH DEPT. FINAL - _ _ - FINAL ELECTRIC - - " DEV.'FEES PAID , •.- FINAL PLUMBING ENERGY, ! �� �, �� . . . -- ; � . -._. __ : __.. �..._ ". _ _ .. � " , COMMENTS . -- -_ ' - � ,. . . _ _ _ _ _ -- ._ _ -- -- _ _ __ _ , , ��,�`._.�": _ . . _- . , .. . � - ,•, _ � _ _ - . , ��.� �.- - _ _ , � , ; '��, ,� , _ _ � , _ _ - � : . , , : SEPTIC TANK SIZE ` . , , , . SEEP PITlU_SIZE - � - � � .. `. .. . . , . �1 - _ _ ._. . . _ - i � i' , _ __ i , rr �. . � �� _ -- . .. , � '• , , , l.\ �` j . .... . . _ _ . __ _ . , . \ . .. . '. 1 ��Y • Y',\� . . . . t ,\ `'I ,� i'�'.S � ,\1 ( _ • \ \�.' �``� �i �. `��"�` . � . , i �