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HomeMy WebLinkAbout13383 (7) �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-311? PRESS �'���,� BUII.DIIVG PERMIT APPLICATION FIRMLY o ADDR SS DATECATION Q��/L�_�g NU B R ��� k!C ' /�� 'jo�-S tiPi �ftZ L� �_ �� � issuE .r'j-�3�.�i'C� TYPE OCC APh LOT TRACT OATE I �l CONST. GROUP � OWNER �A " ADDRESS (.N . ZONW� SETBACKS � CITY D . ZIP TEL FRONT RW ❑ APPLICANT TEL REAR O � SIDE/SIDESTREET RW O CONTRACTOR SIDE O � ADDRESS PROPOSED USE CITY ZIP TEL o ARCH/ENG! - � DESIGNER NO.DWEL NO. NO. ADDRESS UNRS - � STORIES rL BEDROOMS � CITY ZI TE � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � p� OWNER•BUILDER DEGLARATION SFR/AD�(REM O � p I HER�V AFFIRM UNDER VENALTY OF VERRINY THAi I 1W E%EUPT FROA1 THE CONiMC70ti5 L4 G8f8QB/CBfpOR � W CENSEUWiORiHEFOLLOW�NOPEA50N(9EC.70.71.6BUSINESSANOPRDFESSIONSCODE:ANYCITYOfl . (n C� COUNTYMFIICHREOUIRESADERMRTOWNSTAUCT,ALTER��RaVE,DEIAOlISH.ORREVAIRANYSTRUC• W patialDeck � V� NRE,PiMOR TO RS SSUAHCE,AL50 f�a1�RE9 TNE APPLICANT FOR SUCM PERMRTO FlLE A 61CNED W � 6TATHAQfT THAT HE OR SME B LICEIJSEO VURSUAf1T TO TME GROV1510N3 OF THE CONTMCTOR4 LL ,� CENSE UW(d1APtEN 0(001AMENCINC31MiTH SECTION 7000)OF DMSqN f OF TME BU5�NE55 AND VR6 � PooUSpa fE59qNS WOE)OR TW�T HE OR SME�5 E7CEMPT 111EREFROM AND TNE Bti413 FOH TME ALLE6ED EXEMP• 7qN.M7'/VIOL�TIONOFSECfION7071.6BVANYIIVVLICM1TiORAPENA11iSUB1ECTSTHEM7tIGNTTO Z Re•Roo1 �� A CML►EWILTY OF NOT MOilE T1LW FNE MUNDREO DOLIMS(f5oo1.F � OL�UM�EROF7HEPROPERiY.ORMYEMVLDYEE5N�7NWA0E5A5711EIR50LEGl�A1PENSATION. � (,^pmTBfC18I � ' Wfl100 THE WOPK MJD THE STMICTURE IS NOT NTEYIDE�OP OFFEREO FOR SALE(SEC 7GN,BU51- J NE:S MIO FROFESS10N3 OOOE THE CO�TNACiOR3 LJCENSE lAri DOES NOTMPIV TO AN OIVNER OF � � N PROPERTY1MqBU1LDSOliMvipVE57NEREON.AN0Yl1qDOE55UpIWOFKHI/ASELFORHERSELiOH � � 7MROUOMHSORMEHOYMEAWLOVEES,VROVIDEDTHATSUCHIMPROVEYENTSARENOTNTENOEOOR m OFTEqEp iOR SALE 151qY/EVE{�7HE 9ULWNOON M7pDVENEMlS SOLD WITHM ONE YFAROF COMPLE 'TION,TNE ONNEi48UlDER WILL HAVE TME BURDEN OF PROVwO iHAT NE OR SHE DID NOT BUtID OH MVRDVE FOR TH_RIRPOSE OF SALE� W OI��WNENOFiHEPROPE1rtV,AMIXCtUSNELYCONTfUCTNOWfTNLICEuSEDCONTRACTORS ¢ TO CONSTRUCf THE PROJECT(SEG 70u.BUSINE55 AND GROFESS�ONS COOE THE CONTMCTORS tl• V31U8tiOf1 ADJ.AREl1 �1J CENSEUWDOESNDTAGPLYTO/NMMNEROFIIPROPERTYW/iOBUIDSONIAIPROVESiHEREd1AND Z 1NqCOMMCT9iqiSUp10RO.lECT9W�TlIACONTRACTd7(5)LICENSEDPURSUiWiNTHECONTMO pUANTITY OESCRIPTION FEE t' raas uc�uw.�. � O I AM IXEAIPT UNDER SEG B.6 P.C.FOR THIS REhSON Q 3 <' - . � � OATF OWNER V �4 LICENSED CONTRACTORS DECLARATION W ! 2 IHEREBYAFFIIgAUHDERPENALTYOFPERR7FiYTNATIM/UCENSEDUNOERVROV�SIONSOFClM➢TER � � � ' � f�COYYENCWOYATHSECfION70o0)OFDMSION70FTNEBUSINESShMIDROFE5510N5CODE,ANO Z . X MY LIGENSE IS N FUl FORCE AND EFFECT. (a ��f�,1/ !� 41 n. � UCENSECUSS L1C.N0. . , � R~ •, • •• .� cJ •'j•7 � a�h corrra�croR a ._.:'Ll fii�;�.)iVl�� 4+i 0=6 WORKERS'COMPENSATION DECLARATION � �'��� :1 tti jy�'�f:�;'r�jr � IN[REBYPFFWMUNDERVENALiYOfPEfUURYONEOFiHEfOLLOVANODECU�TIOHS U � - - �' a � _IHAVEANDWRLWNTNNACEHTIF�GTEOFCONSENTTOSELFdNSUREPoNWORKE115' S COYPENSATIDN,ASPHOVIDmBVSECilON�70oOFTHEUBORCODEF�RTMEVERFORAUNCE W OF THE MlOPoC FOR WHlpl THIS GERMfT 6ISSUED. � C _I FUVE AN�VALL WRlTAIN WORKERS COMVENNSnTION INSVRANCE,AS PEOUIRED BY SECTqN QO ]70o OF ME LIDOR CODE,FOR TNE PERPD W.1M10E OF THE WORN FOR YMICH iHiS GERMiT IS a � 155UED.WYK1PxEA5COVVEHSATI0NIN5URANCEGRRiERIWDPOLICTM1MeERME CONSTRUCTION j pq�Eq PLAN REVIEW — � oa�crauMeER ELECTRIC C p (I}�SgCiqNNEEDNOTpEpp.iLFTFppF7FEpEN,{rsfOqorEltl�[%+LpDatIlLsR�oo)oqlEss} PLUM0ING Z ICERTIFYTUTNTHEGERFWWANCEOFTHEYVOPoCFOi1WHICHTNISPERwTISISSUED,1 � MECHANICAL. (� SH�LINOTEMPLOYANYPERSONRIANYMANNERSOASTOBECOMESV&IECTiOTHE � 1WRKERS'C06�PENSATpNUYJ50FCAL1iORN�AµD�GREETNAT�FISH0IAOBECOME INSPECTIONFEE S � SUBJECTTOiHEWORKERSCp.�PENSATqNPHON510N40F5ECT10N77000FTHELMOR � �� caaE,�sw�u conTM+nn�ca.��r wm�nasE vHo�nsaws. ISSUANCE �p WtE: � APPIICANf. SMIP �- , � � WMHIN(i:FA1UIFETOSECUREVAFV(E0.5'COAIPENSATIONCOVERAOEISUM.AWFUI.IWDSHAlLBE ENERGYP/C (—y SU6IECT/NEMPLOYEHTOCWMiN�LPENALTE4ANDCMlFNE3UPTOONEMINOREDT110USAN0 ENERGYPERMR �� � DOlLAR3(f 100,000�,IN/�DDIT10NT0 TNE CO5T OF COYOENSATION,DAMAOES AS VROVIDE�FON IN � SECTpN 77oe Of ME LABOR COOE,WTEREST,AND ATTORNEY'S FEES. RE7ENTION FEE: �• -- OCONSTRUC770N LENDINO AGENCY pRE�Df E/E�: n _ �L IHEf1E8YAiFIiiMUNDERPENAL7YOFPERNflVTHATTHEPEI5A00NSTRUCT10NtENDIHQAOENCY . �/ +'� � �i FORTNEVENFORMMlCEOFTMEWORKFORNR11GNiN157ERMITRI55UEO�5EC.]o9"l,GV.G). � . �z IENDERS NAME . . . .. . • i � LENDEfiSADORE53 � ICERTIFYTHA7IWNEREADTpSAFVL�TqNIwDSTATE�MTiHEABOVENFOfWATqNISCOnRECT. TOTAL FEES � , � IAOREETOCOAIPLVNTMALICT'ANDCOIMTYORDIWWCESANDSTATEUWSREIATN�iOBU4D�N6 CONSTRUC�ION,ANO MEiIEeY AUT/qFIZE REVRESENTATMES OF 1HIS COUNTY TO ENiER UPON 7HE - . S� /R�VE�YEMIONE�7ROPERTViORINSPE auaroses. COMMENTS � � [ � �� iEfWRTEENAM vWHn ' �, � (l7 � EqNANREOFP I DATE � . � . RECPT.NO. � • PAIO 8Y V/1UDATION WHITE—Departrnent Copy,YELLOW—Flnance Copy,PtNK—AsseasaCopy,GOLDENRO�File Copy;GREEN—ApplicanYs Copy CITY OF DIAMOND BAR . . - `�' - �` INSPECTION RECORD�' - . � .. F.. � � . s - � � � � � SET BACK . `, �. .. . --,�-t �'�� �' FLOORJOIST ',';_� _,•�:� t� , . FTGS/FORMSlSTEEL ,", . �;.` L��-�� FHA REQMTS , - - - - - ELECTRIC.GROUND- _ _ -' � UNDER FLOOR DUCT . ,.� ; ,•,_�,. �; : t� � ., ,,. .; � ��: GROUND PLUMBING UNDER FLOOR CO�IDUIT�� �_:r�� ; ��,''�•`� •• �� SLAB GRADE - .. _ � FIREPLAC�FOUNDATION ='�:�i • ,-'' �J . ' TEMP POWER. ..__ . '., � _....._ ___ . _ •. • FIREP ':,C��dN[3��`AM - _ . u� � .. , ,_: ; , . WATER SERVICE - -- : - - - - - - MID HT. BOND BEAM � ' ' ' ____ _ _ _ , . � - - --- _ __ ROO�SHEA'FHING�- �_;; '• . � t.� � �,. _ •; .;, 8 FT.BOND BEAM _ , FRAMINGNENTILIATION � � � �� FINAL BOND BEAM. .,, ; , , ' ROOF COVER , �.- _ � PRE-GRf�biryG .. :i'•• �•••j �ihF,.���. " ROUGH HEATING- - BENC IN "s��' '-��;� ' 't�'`��a' - - ,'•,1�1'+;1.%4:;i: . .., i : ROUGH ELECTRIC - - � � ROUGH GRADING • , � ` ROUGH PLUMBING" � -"'" � ` � �INISH GRADING ' '� , SHOWEWTUB TEST - -� - - - . • POOL ELECTRfC i : EXT.LATH/SIDING � - ---- _. _ __. _ -- POOL FENCING . _ , � . WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. ' -- DRYWALL NAILING DEDICATIONS• ' SEWER. __- -- -- : _ � FINALENG. - + SEPTICTANK __ . : _. _ _ . -•--: _. .Y, , - LANDSCAPE/IRRIG. � -SEEP-P1T/L.L _ -- --- __ -' ' �`-_\�' � ON SITE IMPS. . , GAS AIR TEST'-_ - -- - - - ' FINAL ZONING . . �. FINAL CONST, - - o - L� - FIRE OEPT. FINAL ' ' " ` FINAL HEATING - - � - HEALTH DEPT. FINAL FINAL'ELECTRIC - "� � ; DEV.FEES PAID . : -, �- FINAL PLUMBING ENERGY • � �� A i . � . �u . ._ . __ COMMENTS - - � . , _ __ , _ _ _ � _ ' _ -- ' , ,- ` _ ���:' , . , �, -- .�� � - _ , . i � _, _ . ; �' � S�PTIC TANK SIZE - ; - SEEP PIT/U SIZE . .. , , , , . . ; i �i I • - , , - - - - _ : j , ,. �1F ., ,. � , . '� . - _ � � � .\ �, �` i \ � � : ' . .:, . . , ,, _. , . . _ � � _ •,�= �_� . : ; _ .. ti � �, t. �, t ' `. �- � � , . ;� .\