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HomeMy WebLinkAbout13379 (7) CITY OF DIAMOND BAR '� -- - DEPARTMENT OF COMMUNITY dt DEVELOPMENT SERVICES � 21660 E.Copley Drive 5uite l90 , (909)860-3195 Faz(909)861-3117 PRESS ...�.� BUII.DING PERMIT APPLICATTON. . FIRMLY o� JOBSITE A/j�(� �A ' A�� ^ 1,�^' � DA�CATION p� ll1,9�/ NUMBER��3 M�� �� ADORESS �t"L(J rC�—+'� v1 Fwl�1.�"i 8'" 7 � APN LOT TRACT DATE S ^ � " �'l, CONST. GRQ P g OWNER • "" ADDRESS 20NING SETBACKS � CITY Z P TEL FFONT RW ❑ APPLICANT �1V0 TE REAR p � SIDE/SIDESTREET RW O CONTRACTOR SIDE ❑ - g ADDRESS � PROPOSED USE M . IN��DL'S CiTY ZIP TEI. __ . � o ARCN/ENG/ G. � DESIGNER NO.DWEL NO. NO. CDDRESS Z'P � UNRS 3 STORIES �L" BEDROOMS � DESCRIPTION SO:FT. FACTOR PSF ADJ.AREANALLIATION � Q . . . OWNER-BUILDER DECLAHATION. . SFR/ADD/REM - � �� � � O p 1 NEFEBY AFFIRM UNDER PENAITY OF►ERlURY THAT I MI E%EMPT FROM 7HE CONTMCTOHS L4 .G8fe9B/C8tp011 W CENSEUWFORTMEiOtlOWiNf7NEA50N(SEC.7a71.68U51NE55►NDCIiOFESS10N5LO0E:ANYtl7YOH (n . C,� COUNttNT/1CMRE0UIfiESAPERAIRTOCONSTAUCT.KTER�PROVE.OEMOlISH.ORREPAIRANYSTRUC• W P8ti01DBCk .. . �' 6 TURE,PWOR TO RS SSUANCE.lLLSO REWIRES TME APPUCAM PoR SUCH VERMR TO FlLE A SIGNED W � STA7ENEM TMAT HE OR SME IS UCENSED WHSUNR TO T1�E PRDVISIONS OF TME GONTMCTORS l4 , � CENSE UW(CFNPTEfl Y ICOMMENCNQ N7TM SECTION T000)OF OIVISION]Of THE BUS�NESSAND GR0. u^ PooVSpB FESSU�15 OOOE)OR iHAi ME OR SME IS plEAIPT TMEREFROM AND THE BASIS FOfI THE ALLEGED E%EMP• TION.MlYVqU1TqNOf5ECT10N7o]f.68YAHVAOVLICANTFORAVE�ITSUBJECTSTHEAPVLIClU77T0 Z RaRoot . � ACIVIL iENALT'OF NOT MORE l�N F1VE MINDRED DOLlARS(tSaoJ.): J . � O1A50�M1EROFiHEPROPERTV,OfiIAYEMPLOYEESMATHWAGESASTNEIRSOIECOMPENSA710N, O COn'Irt1BfCl81 � WILL 00 iHE VYORIC MIO TNE 57AUCTUPE IS NOT�NiENDED OR OFFERED FOR SALE(SEG.7oN.&ISF J NESS NID 7fi0FE5510NS COOE THE COHTMCTOP3 LICENSE UW DOES NOT MPLY TO MI OWNER OF � VROPEAfYYAfOBUIDSOFIMVROVESTHEREON.M/DMA1000E55UCMWOfiKMIMSELFORMERSELFOR m � � TFWOUfi11HI50RHEH0MMEIAPLOYEES,PROVIDWTHATSl1GHMPpOVEMENTSMENOTIMENOmOR OFFE�FORSAIE ff,N�WEVFR 7ME BULlMNfi OR IMPROVEMINi R SQD W Ii19N ONEYEAR Of GOMPIE• �TION,THE OYNIER�ULLOER WILL MAYE THE BURDEN OF PROVt46 TH�T HE d16HE OD NOT BUttD OR Y7PDVE FOR T11E VURPOSE OF SALE). � O��S OV.NEROFTHE FROPERTI;AM EXCLUSNELYCOMMCTNa WITH UCENSED COMMCT00.S � iD OONSTRUCT THE PftdECT(SEC 70N,BUSINESS AND PROfE5510N5 CODE:TME CONiRAC70R3 U- V2IU0I1011 ADJ.AREA CENSE UW DOES NOTMFIY TO/W OYMER OF APROFE11iY WNO BULDS OR IIAPROVE9 THEflFaN,AND W/qCONTMCf3FOq$VpIPpO.lECf9WIh1ACONTMCTOR(S)UCENSEORIRSUMITTOTMECONTMG QUANTITY DESCFiIPTtON . 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J ��U1LllT � TZl C �i . . y S'� pA7� - CONTRACTOR � a 111 � WORKERS'COMPENSATION DECLARATION � � N IHEREBYAFF6WUNDERPEWLLTVOFOEFCMt'/ONEOFTHEiOLL01NNaDECLMATI0N5: � V �� N_ � � �_IMAVEIWDWILLWNTNNACERTIFIGATEOFOONSENTTOSELFdNSUHEFORWORKERS' COYVENSAiqN,ASiROVIDEDBVSECTON77oDOF7NELABORCOOE,FORTVIEPERiOHAUNCE W pF lylE WOPo(FOR WHKl1 THIS DERMIT L4155UED. � 0 �I HAVE AND VnLL►IARlT/UN WORICERS'COMPENSATION MSURANCE,AS REOUtRED BY SECTIDN Q97ooOF7f1EtA6oRCW�FORTHEPERFOfWM'CEOF7MEWOPo(FORWHIp1iHI5PEW�.�IT15 N/ � ISSUED.M'fWOHKER3'WMFEN9ATIONWSUMNCECARRIERAN�POI.ICYf.UMBERME: CONSTRUCTION �! ' I� 1 I IO � W,qqiEp - PLAN REVIEW . � OOIICYlMA9ER ELECTRIC � (I}f55[GTOI�NE�pqTgEpp�,RFTFDpF7fEpEq�,fT6 Wqp�EHlrOpEDppulRs(f�m)aqt&55). PLUMBING Z ICEH7IFYTMIl7INiHEFEHFORIAANCEOFTNEWORKFORNMid1TN15VER1ARI5155UED,l MECHAN�CAL � - - L} SNALLNOTEMPLOYM7YPERCONN�NVAVWNERSOASTOBECCMESUBJECTTOTHE y WORKEHS'CDMPENSAiIONUW50FC.LL�FORNIA,AND�GREETHATIF15110ULDBECOME WSPECTIONFEE S - SUBJECfTOTHEVIVPKERS'COM7ENSATqNDROVI510NSOF5ECTION�7000FTHElABOR ISSU�`10E ��!C�O _ COOE,151U11 LOR7MM7H COMPLY WITH TMDSE PROVISIONS. 0 SMIP ��'t'�0 p W7E: �� APPLICJINT: � � . � ENERGY P/C WAANINO:FMURE TO SECURE YNiiKERS'CdAPEN5�T10N COVERAOE IS UNUwFU4 AND SMIW.BE � SUBJECfRNEMGLOYEFTOCtU111NALVENFLTIESMl�CMLFNESUPTOONEMMDREDiMWSFND � �ENERGYPERMIT � DOIURS(f t00.0ao1.N�D1770N TOTHE COST OF COMPENSATION,O�UGES AS PROVIDFD FOR IN n � SECTIDN770eOFTHEL18W2CO0E,NTEPEST,ANOATTORNEI'SFEES. RETENTIONFEE: �O" � o CONSTRUCTION LENDING AGENCY PH��E: � � IMEREBYAiFliUAl1NDERiENNTYOFPEFIMkYTiUTT1ERE�SACONSTRUCTIONLENDPWACENCY � �OJCJ FOR TME OENGORAIMICE OF iHE YVOfiK fOR NMIGl/7M15 VE��T IS ISSUm(SEG iov7,CIY.C.). � � /� lE1�IDER'4 NAYE {�(_/�,SL1 � IENDfR'SADORE55 wICERnFI'T7ATIMAVEREIDTMISAiGLILAT10NINDSTATFTLITTIEA��ENFOW.lAT10N13CORRECT. TOTAL FEES � � � �. � IAGREETOCOA�7LYWItNKLCT'ANOCOUNT'OFDWANCESANDSTATEUWSRElATN4TOBVIIDINO . CONSTRl1CT10N.M1DHEREBYAU7110RREREGqESENTATNESOFTHI COUNTYTOEHTfHUPONTNE - . . . SL7 �ovE�uEuraHED3AOVERT/fORINSVE ouaaosEs. COMMENTS � � �-� � v'v - . .. . . . m vEaurrreE tvwrrt� < - � (A 51O1UNRE OF P DAT � aecrr.No. Pao ev � vnuo�n WHITE—Depertment Copy.YELLOW—Fhance Copy,P�NK—AssesaorCopy,GOLDENROD—File Copy,aREEN�AppicanCs Copy I .. . . . .. �.. . , , .. - � .. �. .�..� , _ .. , . .� r� �.. ... . . � . . ' .. .�5. .�� . . ... , f,. . � ... � . ' � , i �'Y��... . • .� 'lv. � CITY �F DIAMOND BAR .- ,-;. �;1_ � � ' -1NSPECTtON RECORD • � -�� � � � • � s s , � - � � � . � . SET BACK . , ,l� � i ' �' -� '��. -�, FLOOR JQtSt.T{.'1`_, � '� ��...,l.�;t; .. i.�._,, . FTGS/FORMS/STEEL � �. FHA REQMTS - - � - - - - ELECTRIC GROUND- ' � � UNDER FLOOR DUCT:_, � � •,_, . � ' ;,�_.� s -, GROUND PLUMBING UNDER FLOOR CONDUIT'��". t�.:'..::.�.�.�,: :•:. �� - . � SLABGRADE FIREPLACEFOUNDATI�N �'-'��-��� ; !��'! �.i;',"~r:''�� ' TEMPPOWER- � � � ' FIRE�►I'ACEB�3NQ� AM. V � � WATER SERVICE - - . _, - , =MID HT. BOND BEAM - � RO�F St�RTF1WG' ":' ':,. _ , '� ` , _.� � - +- � ' 8 FT.BOND BEAM. - , FRAMINGNENTILI O � �� FINAL BON,Q E/,1 ,. , , t_ 1 � ROOFCOVER _ ,'� PRE-GRAOING ``���",' '� r�,-._ :r` '•' ,-�. ROUGHHEATING - - --- - - BENCFI G•``� `=;. :1' ' �~� �E;- •�;'1,�:;1�i.:rt� ' ., . ROUGH ELECTRIC- ' - ROUGH GRADING � ROUGH PLUMBfNG - � � � - FINISH GRADING , . ' - SHOWER/TUBTEST � -- - - POOL ELECTRlC EXT.LATH/SIDING - � ---- POOL FENCING , WALL INSULA710N POOL FINAL - . � CEILING INSULATI�N � • OFF SITE IMPS. � - . - DRYWALL NAILING DEDICATIONS SEWER_ _ _ FINAL ENG. ' . � SEPTIC TANK . __ _._. ,.;_�_ r _ _ LANDSCAPE/IRRIG. SEEP PIT/l..L. _ . ' ��~_ ON SITE IMPS. GAS AIR TEST - - FINAL ZONING . FINAl.CONST: --- �,� FIRE,DEPT. FINAL F1NAL HEATING - - - HEALTH DEPT. FINAL , FINAL ELECTRIC - " - � DEV.FEES PAID - FINAL PLUMBING ENERGY � �� � . ___-- --- - --- - . ._-- - - - - COMMENTS - -- - - � ' � - �_�•, � ! -� . _ ' . - - - .. r: . . ,�� ��_ . . f i`". �1 • � , SEPTIC TANK SIZE . , ; � SEEP P!T/U S1ZE j�� - � , . . � �� � ; . , _ . _ . , ; . � , (• ,i , ' . - . .\^ \ \1. . . .. , .. , ,,.- . _ �-: ,; : . i T� �:1 \ � ' - `• '� � ,�; .. ���:��.