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HomeMy WebLinkAbout13368 (7) �� _ CITY OF DIAMOND BAR � - ` � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Coplcy Drive Suitc 190 " (909)860-3195 Fax(909)661-3117 PRESS �����_ BUILDING PER&IIT APPLICATION , FIRMLY � JOBSITE A „�D � w �Z � DA�CATION d� �r. g NUMBER ✓1 3(��X�� r o ADDRESS alJ VR D � ., . ISSUE � TYPE OCC APfV LOT T ACT DATE � CONST. GROUP � OWNER L� " � "' ADORESS � Lit - l-f� ZONING SETBACKS �� CfTY ZIP TEL. • REAR � RW �❑ APPUCANT o :w► �J(a�� TEL. • SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ ADDRESS PROPOSED USE 1� � � �'U��✓NII1rG1S .IAfI��'W S � CITY ZIP TEL. � . � S Pii ARCWENGJ � �ESIGNER NO.DWEL NO. N0. ADDR SS UNITS � STORIES r1— BEDROOMS � CITY ZIP TE • N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER-BUILDER DECLAFlATION SFFVADD/HEM O p I HERE9Y AFFGW UNDER iENALiY OF PERRIM TNAT I M1 O(EMPT FHOM T1E CGMMCTORS U• G81HQ6/C81pOR . . . C-lj CENSEUWFOR7TIEfOLLOW7HiRFA50N(SEG7W7.6BUS�NESSINOPROFESSIONSCODEANYGTYOR (n � COUHTTWMIQiREOUWESAVEHMR7000N5TRUCT.KTER�MPROVE.DEMOLISH,ORREVAIRANY5IRUC• � W PBIIO/D9CI( � 7Ui�,iMOR TO R9 ISSUINCE,A150 REOUIRES THE MGLICMli fOR 6Up1 PERMR TO fllE A SIGNED W STATEMEHT 7HAT HE Ofi SHE 6 LICENSEO VURSUANT TO THE Gf10VISiONS OF h1E CONfRACTOHS LL . .� CENSE Uw(OIMTER Y�CdAMENqNO WIM SECTION 7000)OF DMSpN 70F THE BUSINESS AND PR0- �' � PooVSPa FESSqN4 COOE7 OR iHAT NE Oq SHE IS E](EUPT iMEREFROM ANDTXE BIISIS LORTHE ALLEOEO E%EMP• TION.ANYVIOLATqNOFSECT10N7077.68VANYADPIICANTFORAVEPAIITSUBJECTSiHEAV�LICANTTO Z Re-Roof � ACMIPENKTYOFNOTMORET/ANFNEMINDREODOlLAR5It5o0�.): • � OlASGMHEROFTMEPROPERTY.ORLIYEMOLOYEESYA7HWAOESAS7NEIR50LECOMPENSATION,. � �mmerelat . - N7LL DO TME YMOFiK,M10 THE STfi1CTl1RE IS NOT IHTEN�ED OR OFFEHED FOR SALE(SEC.7oN,BU51• . J � NE54 Al�PROFESSIONS CODE TNE CONTMCTOR9 UCENSE UW OOES NOT MPLY TO IN OWNEH OF � ? . , iFqPEHTYVAfO BUtD3 Of1 NAVNOVESTHEREON.AND 1MW DOES SUQ1 WORN IYMSEIF OR MERSELF OR � THROUGHNISORHEROWNEUPLOVEES.DROVDEOTHATSUpIMPROVEMENTSARENOTIMEIJDEDOR m OFiEREO FOR SALE IF,HOYIEVER 7ME BUL�IN(i OR MIPROVEMINT6 SOID WfT1UN ONEVFAROF COMPLE- �710N,7HE OWNERSU�IDER WILL NAVE THE BUROEN OF VROVINO THAT ME OR SHE DI�IqT BUILD OR �APpOVE Fql iH=PURPOSE OF SALE). W O4A40MNEI10FTMEPROPEHIY,AME%QUSNELYCONTRACT4WY�7THl10ENSEDCONTMCTOR3 . . . . . � TO WHSTAUCf h1E PROJECT(SEC.7o1�.BUSINESS AND OROfESSIONS COOE:THE COHTMCTORS L4 Valuel(on� ADJ.AREA CENSE UW DOES NOTMPLY TOAN OVII/ER OF A PROPERTY W/i0 BUIIDS OR MPROVE4 THEREON.MA � wHoconrtrucrswnsua�vra�crsmm�carta�cron�s�uceHs�vunsuu+rromeconr�ua QUANTITY DESCFIPTION FEE � ioa.sucEr+seuw.�. O IMI E7�MPTUNDER 9EG B.i P.C.FOR THIS REIISON 3 � � _- � � � �'� OATE OVINER V � � W _� �'�� ... _ .. ',.. . � UCENSED CONTRACTORS DECLARATION � "" ' � IHEREBYIFFIRMUNDEHPEWLLTYOFVERNRVTHAilAA1LICENSEDUNDERVROY15qNSOFGl1�PTER � s •ICOYYENCNOWRMSECTION70D0)OFOMSqN]OFTHEBUSINESSANDPitOFE5510N5CODE.ANO . x W UCENSE IS IN FlJll FORCE AND EFFECT. � t'/� U J y y u� { � LICENSE CLASS LIC.NO. � � � � � �' 1^TZl ., '� }�{�� 3��Z W onrE carrnAcroa ' a •i rt i ��x ht . A T)S AE"1 � WORKERS'COMPENSATION DECLAHAl10N a = U . � IMEREBYAFFlItlAUNDERDENALTY000E0.1URVONEOFTHEGOLtDW�N6DEttAiUT10NS:� � � � Z Q � �IINVEANDWILLMAMNNAGEHTIFIGTEOFCONSINTTOSEIF•INSUREiORWORKEAS' _ COMPENSATION,ASVAOVIDEOB�SECTION97000FTMEUBOFiCODE.FORTHEPERFORMMICE w OF THE WORK i0i1 WHIQI TMIS PERMIT{S ISSUEO. .� � Q _I WwE/lND WILL WMNN WORKERS C0IAPENSATION WSUMNCE,/S REOUIRED BY SECTION / S7ooOFiNELABORCOOEFORTHEPENPoRMANCEOFTHEWORKFORN'HICHTMISVERMITIS �,��/Q %1 � 65UED.IAY NON(EAS'COMPENSATION INSUi1ANCE CARRIERAND POIICY NUMBERME: CONSTRUCTION ( � � GpqiEp PLAN REVIEW � raicrM.naeER ELECTRIC Q �ss�cnonrrIDwreEoor,�IDOFt+�vsar.�rswna+E�oauti.�s�m�on�ssl PLUMBING Z ICERTIFYiNATINTMEPERfORMM10EOFTMEWORKFORYAiipITWSPERAIRI5�5SUED,i � � �MECHANICAL (!3 511ALLNOiEMP�OYINYPERSCNNAMIMANNERSOA5T06ECOMESU&IECTTOTME � y WOPo(ERS'COMPENSATIONUM50FGLIFORMtiAND�GREET/UTIFI5H0ULDBECOME INSPECTIONFEE , � 6UBJECTTO7HEWOitl(ERSCOAIPENSATIONPHOVISIONSOFSECTION�7000FTMEUBOR - �-�� - � � �- � cooE,�s�uu►o�mrvv�n�cour�r win�naosE vaov�sior+s. ISSUANCE - p OATE: � APRIGWT. SMIP . I. �� � � WAiWIN�:FALURETOSECUREWORI(ERSCOAIPENSATIONCOVEMCEISUNLAWFUI.ANOSWLLLBE ENERGYP/C SUBJECTANEA�PLOVERTOCRIMNALVENALTIESANOCMLFWESUPTOONEHUfARE0T10U51U7� ENERGYPERMIT OOlUFiS�f t00.00D),N IDOfiION TO THE COST OF LOAICENSATION,DAAIAOES�S PNOVIDE�FOp W f� J SECT1ON770eOFiHEU80RCO0E.NlEREST,AN0AT70RNEY'SFEES. - RETENTIONFEE" �./ � CONSTRUCTION LENDING AGENCY pR LTr FEE: /�'.� - � � IHEqEBYAGFlRNUNOERPENAL7YOFPERRIRYTHATTHEREISACONSTRUCTIONIENOPXIAGENCY 1 i�V.-�� � Z FOR TME iERFORUANCE OF iHE WORK WR WHICH iM15 PEHAqT15ISSUE�(SEC.�OY7.GN.CJ. W � � lE1IDER'SNMIE . . � IENDER'SADDRESS WICERTIFYilIATIHAVENEADTHISAVVLIGTIONANDSTATETHATTiEABOVENiORYAT10NI5CORRECT. TOTAL FEES � � . � IAOREET00011PLYN7TIIALtCRYAN�COUNTYOfiOINANCE5ANO5TATEUWSRELATkWTOBU4DIN6 . . CONSTRUCTION,ANDHE0.EBVAUTHOR�ZEREPRESENTA7NESOFTHISCOUHfYTOIXTEflUPONiHE . . . . . . . , S� ABOVE-MEM%7NED PROPERTYFOR INSOECTIOH PURPJSES. COMMENTS � 0 J � m PERMITTEENAME(PW Q . . N y SI�NA7UNEOFP DA7 � . RECPT.NO. PAID BY � VALIDATION WHITE—Oepertment Copy,YELLOW�inance Copy.PINK—Aaaeesa Copy,GOLOENROD—Flle Copy,GREEN—ApplfcanYa Copy � CITY OF DIAMOND.BAR , . . . , ' � .:` ` � ..INSPECTION RECORD . . . .. ,, , - • � � � - • � � • - SETBACK ' i" ' � -:�:' �V ` FLOORJOIST .�i , ;�,� ri.' -�-"...,� _. . � , , . FTGS/FORMS/STEEL ' � , �` 1 �:�:�.�%1 FHA REQMTS . _ . _- -.- _ --____. __ .__ . : ELECTRIC GROUND � ' `•- - � �` UNDER FLOOR DUCT -" ' �,: �� ��.•� � GROUND PLUMBING ��� ' � UNDER FLOOR CO�IDUIT '�-� ;,•�=�`1 �r'• �•}� i�,�,' •• ! ` � .. ,._ . y'``, . , , SLAB GRADE � � � FIREP A�E.F UN ATION ," �!' � TEMP POWER _ � - - -_ _ , : ,': -' FIREPLd E BOND EAM •;. .._ � . ;..i�, . . , -WATER SERVICE__ . __ .. - --._:. - ._ __ - MID HT.HOND BEAM _ -- --. _ __ , .., RaOF S'HEA'E }NG'::.�:r , z r �-" , � •a. '�:+�•� � 8 FC BOND BEAM - -- - _ _ _ _._. . FRAMINGNENTILIATION � � FINAL BOND BEAM, , . .. . , . ,-, ,• , � ROOF COVER . ` -!'- � PRE-GRADIN�•.i� '� �•;`.i' =:� � • . ROUGH HEATWG _.. r _ _ . .. _ __ _ --- - BENC �'� •� ';:,��I�, •-c ,`.t:' _ L;'.f'.r:;���i��_ ROUGN ELECTRIC- - - ' ROUGH GRADING •, •, , AOUGHPLUMBING ;" - - -- " ` FINISH GRADING , ` SHOWER/TUB TEST; - - - __ __ -.- - - _ POOL ELECTRIC . , , EXT.LATH/SIDING -- - - _ _ . _ . _ , POOL FENCING . , ; ' WALL INSULATION i � POOL FINAL i ; CEILING INSULATION � OFF SITE IMPS. � DRYWALL NAILING � DEDICATIONS`, . . . SEV✓ER _--_.: -_ �_ __ _ . _. . _ FINAL ENG. SEPTIC.TANK `_ _ LANDSCAPE/1RRIG. _ SEEP PIT/L.L, ._ - - - '.'-'-.�`.1 '- ON SITE IMPS. � : ; , GAS AIR TEST --- - - - - -;-- FINAL ZONING : FINAL CONST.; ------ P, � --- -� � FIRE�EPT. FINAL - � ' ' ; FINAL HEATING - - - � - - HEALTH DEPT. FINAL _ FINACELECTRIC � DEV. FEES PAID � �" FINAL PLUMBING ENERGY � , , t ��,- � a _ � . _ _ __ �- - . _ . _ . _ ; _ : � ,.. COMMENTS-- - -- __ -- _ _ , , . , , ,. - - - - - - - _ _ _ , ; , , ,: �, , �. �• - . -_�-' "�� .i,. � � .- _ . . .. �--1• , • � - --____ _. _ __. . _. . . _ . - .. .. ; . � � �,. � � � - _ _ _ : � i .. � .�. . , , - . - - - _ � `, i..: ', . � . SEP_TIC TANK SIZE __ , i ; i , ` ' . . .. SEEP PIT/U SIZE .. __ ._ . , . ,, �-r � � � . -- - _ � . , . � � _ � ; , i_- -- -. _ � � ` .,; ' '. V\� �`,.`, , �, - -- - \^, -\, ;' • _ `\ ' '�� I r: -f; . '-, 1_.� .. . ' . \ \ \,�.. .._.. -\� . _ ��'..�r'`� \ � i - `