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HomeMy WebLinkAbout13586 (14) - _ _-..,,�-... — �,� CITY OF DIAMOND BAR F i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Coplcy Drive Suitc 190 � (909)860-3195 Fax(909)86t-3117 PRES$ ''�^'� BUII.DING TI'APPLICATION FIRMLY � JOBSIT APPLICATION PERMfT 2� I _P/C o ADDRES � � � � DATE NUMBER J��v'q g ISSUE 5_��,�rj,(�, NPE OCC APN T " DATE � � CONST. GROUP p OWNER LL ADDRE ZONING SETBACKS 0 � CITY ZIP TEL. _ — REAR RW p APPLICANT EL. SIDFJSIDE STREET RW ❑ � CONTRACT - SIDE ❑ g C D S TEL. PROPOSED USE � ARCH/ENG/ �10�..�.� " �0t� DESIGNER 1� NO.DWEL NO. NO. = CnDRESS Z�P TEL. UNRS STORIES BEDROOMS � tn DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATIDN p� OWNER-BUILDER DECLARATION SFR/ADD/REM O B1 HEREBY AFFlFiRI UNDER PENKTY OF PERRlHY THAT 1 MA EXEMPT FACMA THE CONTMCTORS U• Gafe90/C0(p01t � CENSEUWFORTHEFd10WIf10REASONISEG)071.60USWESSANDiROFESSIONSCODE:ANYqTYOR (n OOUNi7WHId1RE0UIRESAiERMRTOCONSTHUCf.ALTERMFROVE,DEMOLISH,ONREPAIRANYSTRIIG W Pd110/DBCk TURE.VPoOR TO RS 65UANCE.ALSO REWIRES THE APPIICANT FOR SUC11 VEWAIT TO FILE A SIGNED w 6TATEMEHT THAT HE OR SHE IS LICENSED WRSUANT TO TNE VRONSIONS OF TME CONTiUCTOR9 U- � GENSEUW�CNAPTEqO�COMUENLWOWITHSECipN7000)OFDIVISION70FTXEBUSINESSANDPRO- u' POOUSpa fE55qN5O00E)ORTIMTMEORSMEISfXEMPTiHEREFROMANDTHEBA515FOR7NEMLE6EDE%EMP• (� TqN.l�M/VqIATIONOFSECT10N70.t1.68YANYAPil1LANTFOq�PERMIT5U8JECT5iHEMPLICANTTO Z Re-Rool �„� A CML iENALTY OF NOT MORE THAN FNE MUNDRED DOlUAS(i5C0).): � O�ASOMIEROFTTIEVROPERTY,ORNYEMROYEESWITHWACESASiHEIR50LECOMPENSATqN, ❑ (`,pmTBfCIBI - YALL DO THE WOftK,AN�THE STRUCTURE i5 NOT IMENDED Ofi OFFERED i0R SALE�SEC.70u,BUSb J � NESSANOiROfESSIONSO00E:THECOf7TMCTORSUCEN5EUW00E5NOTAVPLYTO/NOWNEROF � PROPEHTY 1N10 BVlDS OR IMPiqVE3 TNEREON.AND VAIO�OES SUp1 WORN MMSELF OR MERSELf OR � T/ROUGHN190RHERdNNEMPLOVEES,VROVOED7HATSUGIMPROVEIAENTSARENOTMENDE00R CO L�.1 OFFERm fOR SALE 6,/10N�EVER7NE BULDMQ OR I4PROVEYEM 6 SIXD WffFIIN ONE YFAR OFCOMPLE• Z TIDN,TNE OM'NER�BUftDER WILLHAVE TNE BVRDEN OF VROVINO THAT HE OR SHE DIO NOT BU�ID OR � � MPROVE FON TFIE PURPOSE OF SALF� � W O1�.40NMEROFTHEpROPERT'l,M/IXCLUSNELYCOMMCTIN6WITIIIICENSEDCOMMCTOR3 (C TO CONSTRUCT THE iRO.1ECT(SEC.�DN.BUSINE39 AND PROFES910N4 CODE:TNE LQYTMCTOR9 L4 V0I112I !ADJ.AREA 41� CENSEUWDOE9NOTMYLYTONVOWNEROFAYROPERTfYrttOBUI1DSORMPHOVESTXEREON,AND Z YM�OLONTMCTSFORSUq1VRQIECTSWITHA00NiMCTOH(5)UCENSEDPURSU/�MTOTMECONTMG QUANTIN OESCFjIPTION �E � iqflillCENSEUW.�. O I MI EXEAIFT UNDEH SEC. 8.i P.G FOR TNiS REASON Q 3 � � ¢ DATE OwNER V � J . �.� LICENSED CONTflACTORS DECLARATION w � INEREBYI1iFIRMUNDERYENALTYOfiEfWNYiMAT1llMUCENSEDUNDERPROV15lON50FCMAVTER � i(COMMENCWUWITHS �OFDMSqN70FTHE SM�SSANDV FESSqNSWOE, '0 Z W LICEHSE IS N iULL CE D EFFECT. m � UCENSE CU55 UC.NO. j U DATE CONTMGTOR a LL � WORKEFlS'COMPENSATION OECLARATION a - yIXER�YAFFlRAIVNDERVENALTYOFVERIURYOHEOF7NEFOLLOYlMGCECIARATIONS: Z � �IHAVEANDIMLLMAINTMIACERTIFlGTEOFCONSEMiiOSELF-INSUREFORWOFiKERS' _ �Q WMPQISATqN,�SPRDVID[DBYSECTIONn000FT{1EUBORCODE,FORhIEPERPoiW�NCE w OF TME WO WC FOR WMIG71 TNIS VERMIT IS ISSUED. � 0 _I HAVE AND WtLLWRfTM!MK?RKERS'C0IAPENSATION INSl1RANCE,AS REOUIREU BY SECTION dQ �7oDOFT1ElABORCODE,FORTIIEPERFORMANCEOF7NEWOiiKWRVY11id1TMISPERMITIS � ISSUED.MYWORKERSCOMPENSATIONWSUFIANCECMRIERANDPOLICYNUMDERAAE: CONSTRUCT�ON O�� � _ � CARRIER PLAN REVIEW _ � Z va�cYr�uneER ELECTRIC � " __�- ¢ � �sEcnor�t�rareEmr.at�IDaFn��rsroaa+E�oaluis6+m)on�s51 PLUMBING � ICERTIFYTMATNTHEPERFONAAHCEOFh1EWOnKFORWHICNTH15PERMtTI5155UED,l MECHANICAL a SMALLNOTEMGLOYANYiER50NNANYMANMER50A3T08ECOMESUeJECTTOTHE �-� �;,-.�� �,, �, (n WORKERSCOMPENSATIONUWSOFCAIIFORNitiMlDAGREETIUTIFIS/IOUI�BECOA/E INSPECTIONFEE^� ^^ SUBJECTTOTMEYIORKERS'CDAIPENSATqNYROYI5iON50F5ECT10N37000FiHELABOR �' � `);'��� �/ Iy�� .-- Fj COOE,ISHALLFOHTNYA7HCOMVLYWITH71105EVRONSIONS. ISSUANCE J � pDATE: APPLICMlT: SMIP �'11�i�� , ' � � ��" ENERGY P!C "� �' _ WAANifq:iAILURE TO SECURE N'OHKERS Cd.�PEN5AT10N COVERAGE IS UNUWFUL,AND SHAIL BE �y SU&lECTANEIAPLOYERTOCRwv1ALiEN.LLTIESANOCMtFWESUPTOONENUNOREOTMOuSANU ENEFiGYPERMIT � UOlUFtS(510o.0D0).N ADDrt10N TO TME COS70F WGGENSA7qN,OMUGES AS PROVIDED FOR W ¢ SECTION]70lOFTHEIABORCOOE,NTEREST,hNDATTORNEY'SFEES. PETENTIONFEE: a CONSTRUCTION LENDING AC,ENCY PRE•ALT FEE: � INEREBYAFFIW.IUNDERCENALT'OFPEfUURYTXATTHEREISACONSTRUCTIONLEN�WOAGENCY Z FOR 7HE PERFORMANCE OF TNE 1HORK fOR WMIGH THIS PERMIT IS ISSUED(SEC.ioY'/,CIY.C.�. �r�� W � LEN�ER'S NAME � LENDER'SADDRESS �w ICERTIFYhNTIHAVE tSAPVL1WTqNAND37ATE7HATT1EAeOVEI O ATqNISCORRECT. T�TAL FEES A � IAOREETOCOMVLY TH CT'ANDCOUI�TYORDINNICESANDSTAT UTINOTOBV4AIN0 r �w��^ V� CONSTRUCTIDN ME YIIUTHORRERE7flE5ENTA71YE5� iYYOE� E '-�ti l Z �eovE uErrt ean w sv c7arr vuavos . COMMENTS � v J a / � . _ Q0 RTEE NM1E�7 T) � y SICNATUREOFPERMITiEE OATE � RECFT.NO. • PA1D BY VAUDATION WHITE—Dapertment Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—ApplicanCs Copy . , . , . ,. . . , .� , � .. .� .. -« . . ,�' ti . .. . . . � ..,. . . � . , , , r ... . ,.�... .�. .... .. � t,: � � , . r CITY OF DIAMOt�D BAR � It�SPECTION RECORD �1►'�'�:����rt.��l � ���r�:�� ����►����� ily�ycl���iJ'`.��. �����'��_: �I`f-'����'^,�'p�����''�, y SET�BACK..P...�.�,..,_....... :_` ,.�.. _FLOORJ01��'��,C)�'.j,:,<,�.t�. �,+.�.\�` ,`�;�•�:.i-- .�\. _ `.�_�. .�<,._�_. FTGS/FORMSISTEEL � FHA REQMTS', � '" ELECTRIC GROUND � � UNDER FLOOR DUCX , -. ? _; - - --� ; � GROUND PWMBING UNDER FLOQEl-GOidDUIT ' -'%_��; 1. ; _- ;�+ ` SLABGRADE - FIREPLACEFQUNDATION - .�'.� �: � TEFJIP POWER FIREPLAGE'BOND�EAM � `=J--�� �'-' ' WATER SERVICE MID HT:BQND_BEAM�__1 !i �'; .�,�, i 1 f' ,' � P,OOF SH�ATHI�JG `� � 8�i'. BOND BEAM �� ' ` ''' r ' � _ �' �� ' ' FRAP�IIN�V�Nrt L�ATI01�1'�'+— -J ` •` , _.: --.� FINAL BOND BEAM r' , � � 'ROUF COVFR � ` PRE=GEiAUfNG � � - " � ' � "`' � • � t'�`�•� , ROUGH HEATING BENCHING ROUGH ELECTAIC ROUGH GRADING ROUGH PLUP�iBiNG - - FINISH GRADING �SHOWER,rfUB TEST POOL ELECTRIC EXT.L.f�TH/SIDING - POOL FENCING lh'ALL INSULATION POOL FINAL CEILfNG IrJSULATION OFF SITE IMPS. ` DRYWALL NAILING DEDICATIONS SEWcR FINAL ENG. SEPTIC TPiNK � � _� � , , -�--` LANDSCAPE/IRR;G. SEEP PIT/L.L. �' ''��J<; � ��- ON SITE IMPS. GAS AIR TEST ' FINAL ZONING FIN�,L CONST. _ dC�sv _� FIRE DEPT. FINAL , F;NAL HEATlNG HEALTH DEPT. FINAL ' � ;,NAL ELECTRIG DEV. FEES PAID - � E �IM^,t PLUt�1BING - - ENERGY ---�� -. -- '�—.. _ r - i � '�'� � `-. _ �,�,�.�..w_..-,.A.:-....- - - :.�"n:'_"s{��?.�_-�.'��-��'-.,`_.. .._. __._.... ` '` �; � l,�OIY'{h��l� �S -. ". - - -- ' . - - '� - ---' '-__...."-'_.. 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