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HomeMy WebLinkAbout15682 , ; _ __.____._.. ..... -.- .. , ___ _ .._ . ... - -,_ ..__... . CITY OF DIAMOND BAR ' � --� �� --J� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Coplcy Drivc Suiu 190 � (909)860-3195 Fax(909)861-3117 . PRE$$ � '�^'�� ' BUQ.DING PERMIT APPLICATTON � FIRMLY r JOBSITE I a� �0►��h �� ��. APPLICATION p� PERMIT r� P/C o ADDRESS_ 7 � VC�+ DATE " �' NUMBEFV �1 � APN LOT TRACT . ISSUE b TYPE OCC � OWNER qx �t DATE ( CONST. GROUP p ADDRESS �s ZONING SEBACKS W CITY ZIP 9/)�i S TEL 3 �P 0�� R�RT RW O APPLICANT TEL SIDE/SIDE STREET RW ❑ CONTRACT R v v�ST SIDE p g ADDRESS 7S ✓YIFn f J CITY /�1- �7ka ZIP /7L�1 TEL�J�J�I�F��I PROPOSED USE �� • r G rR c �►/� VC � - 'inf u � 'l�. L ARCFVENG/ DESIGNER NO.DWEL NO. NO. = CnDRESS Z�P TEL UNITS STORIES_c._BEDROOMS � v� OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFRIADD/REM O — p I HEREBY AFFWM UNDER PEWLLTY Of PERAIRY TMA7 I AM EXEMPT FROM THE CONiMCTOR3 Ll- GefBQ0/Ce1pOR lJ.l CENSEUWFOHTMEFqlOWINOREASON(SECT671.6BUSINESSAND7ROFESSIONSCODE:ANYqTYOR (� �.�� COUNTYYNAGiREOUTAESAVERIARTOCON6TfiUCf.ALiERWPfiOVEDEAlOL19lOfiREVNRANY6TRUG - W �Z TUHE.ViMOR TO RS 65UAHCE ALSO REOUIRES THE AP7LICMff FOR SUCH VERMR TO FlLE A 61GNED w P81(0/DOCk � 6TATEMFM THAT NE OR SNE IS LICENSED WRSUMfT TO TIE PROVISIONS OF TME CONTMCTORS Ll- CEH6E UW(QiAPTER 0(COAIMENCNa VATH SECTqN 7000)OF DIVISqN 1 OF iHE BUSINESS/iN0 FRO- � PooVSpa FESSqN3 COD�Oq TM�T HE OR SHE IS EXEYPT iHEHEFROM AND i11E B�SIS FOR iY7EALlEOED EXEMP• TION.l1N'/VIOLATpNOFSECT10N70.11.68YANYAPVUCANTFORIIPEHMiT5U8JEG�5iHEMGLICMITTO Z Re•Rool �„_ 11CIYIL►ENALTYOFlqTGOfiETHANFNEHUNOREDp0UAR5(35001.k p O1A30'MlEROFTHECROPERT;ORAIVEMPLOYEESVATHWAOESASTHEIi150LFCOAIPENSATIDN, O �mmarclal . - Z 1MLL DO THE WORK AND THE STRUCTURE IS NOT MRIOEO OR OFFERED FOR SALE(SEC.7M�,BU51• J � NESS AND VROfESStONS O00E:THE MMRACTOi13 LICENSE UW�OES NOTMPLY TO AN OWNER OF j P110PER7Y 1Nq BUILDS OR I►IPiqVE3 iHEREON,�fA NAIO OOES SVOI N'OHK HIAISELF OR MERSELF OR � THf10VOHH190RNEPOYMEMPLOYEES,PROVIDEDTHATSUCMYiROVEMENTSARENOTMENDEUOR m OFFERED inR SKE IF,HON�EVERTIE&ADN(i ORIMPRDVEMENT 6 SOID WITMM ONE YEAH OFCOMVLE• 'T10N.iHE OWNER�BUttDER WILL MAVE THE BVRDEN OF 7ROMNfI THAT ME OH SHE OID NOT BUILD OR MVIiOVE FOq TNE RIRPOSE OF SALEI. y� OI��M�NEROFTMEPROGERfV,AYEICClUSNELY[DNTMCTINOWfiNIICENSEDCONTMCTORS ¢ TO CON57AUCf THE Vf10.lECT(SEC 7oN,BUSINE59 AND Pi10FES410N3 CODE:THE CONTMCTORS U- V81UeS10� � AOJ.AREA Z 1MiOCDNiMCTSFOR5UG1iRQ1ECT8YVIE7HA AGOHTMCTOFif4�B NSmGUR5UM1iTOTMEREWMTMC- F- aUANTITY OESCRIPTION �E � rons uco�sE uw.� OIAMEI(EYPIUNDERSEC. B.IP.GFORTHISiIEASON q � ' U � f�„ DATE OYMER � � UCENSED CONTRAC70RS DECLARATION W � I HERE8YI1FF6mA UNDER iENALTY OF iERA1RY 7TUT IAM IICENSED UNDER PROVISIONS Of CHAVTER V. �1��M�N�TH SECTqN 7000)OF DM510N 7 OF THE BUSMESS AND PROFESSqNS COOE,M!D W UCEHSE IS IN FIA1 FORCE 2AND EFFER � m -� � LICENSE CUSS C�✓ 1 LIC.NO. �� � i - �j DA� `7-�7I- O I Cowrw,cra, aes I ? WORKERS'COMPENSATION DECLARATION yIXEREBYJIFFIRIAUNDERVENALTYOFiERAlRYONEOF7HEFOUAWPXi�ECLA Z L/ � _IMAVEANDMALLI.WNTAINACERTIFlGITEOFCONSEMiOSELFJNSU FOR ERS' COMPENSATION,ASPROVpEpBYSECTION7f0oOFh1ELIBORCOD FOR7HE7 RFOP/./N10E Of THE M/ORK fOR WMILTI iM9 PERMIT IS ISSUED. � _INAVEMIDINLL►IAMiAttIWCRKER4'CCMVENSATqNINSUiLWCE, EWIP CTqH � � 07000FTiElABO(iCODE,FORTIEPERFOHMANCEOFTHEWW1KiOHw CMMISPERMITIS . ISSUED.MY ERS1 G�OMPENSATION�Wsu,/q�w CE CARRIERMA VOLIGY NUMBER ME: C S UCTION � GNUER ��T •""�' L�4 J R IEW � GOIICYMIMBER �O U V w. U O I CTRI � (n+sseeror+r�wieemr.�rmacirevew�is�or+e�rnm gi � P U Z 1 CFRTIFY THAT W 7HE VERFOHMANCE OF THE WDRN FOR WHIGI THtS VE T IS ISSUE ,I ICAL C7 Si/ALL NOT E4CLOY ANY iER50N IN ANN 11ANNER 50 AS TO BECOME 5 CT TO THE y WOim(ER4COAIPENSATIpJUW50FCALiFORNIA,IWDAGREETHATIFIS OUIDBE E IN ECTIONFEE SUBJ[CTT07HEWOfiKERS'COMVENSA710NPROVI510NSOFSECTqN� F cooe,�sw�u.FormrmnicoMr�rwmrrno_seJ�w�o�p�+� //� /'� � ISSUANCE �� _ � � pOATE: I�'(��00 APPIICANT: �"'-" •,�'�!/�ctYV�1l'1� SMIP n � ENERGY P/C WMNtNO:FAILUilETO SECURE WOHKERS'QOMPENSAiqN OOVEMGE IS UNUWfUI,AND SHALL BE � SUBJECT/WEMPLOYFRTOCRMAINALPENALTIESANOGVILiMESUPTOONE/NNDRED1110USAN� ENERGYPERMIT DOLLARS(1100,000),W 11001710N TO iHE COST OF COMPENSATqN,DAMAOES AS PROVIDED FOF IN �y ¢ 6ECTION770lOfTHELABORCWE.MEREST.ANDAiTORNEYSFEES � RETENTIONFEE: S��i������$�g OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: ��$�r,���A L7CTl/ � IHEREBYAFFIRMUNDERPENALTYOfPEiWRYTHATTHEREISACONSTRUCTIDNtENDINGAGENCY � ' � FOft THE VERFORMANCE OF THE WORK iOR NrtfICH THiS VERMIT IS I55UED(SEG 7017,pV.G1. , � LENDER'9 WVAE C LENDERSADOflE55 � ICERTIFYtHATINAVEREADT111SADPLIGT70NM1�ST�lETUTTHEABOVEINFOPoAAT10NI5CORRECT. TOTAL FEES , /a-3 � � IMREEiOCOl17LYN7THAI.LCfTVANDCOUNTYORDMANCESANDSTATELAWSRELATH�TOBU0.DIN0 , '^ CONSTRUCTION,ANOHEREBYAUiHORIZEREPHESENTATNE50F1NISCOUNTYTOEMERUPONTHE ' � ' L ABOVE�AENTIONED PFIOVERTY F SFE iON VURPO^ES. � ` ar� � COMMENTS � es m p (Pw �n l�/�I�-� � SICNANHE FPERAAITTEE DJ1iE � RECPT.NO. PAID BY VAUDATION WHITE-0epartment Copy,YELLOW-Finence Copy,PINK-Asaessa Copy,GOLDENRO�--Ffle Copy,GREEN-Applicant's Copy .w— _.,....e.�.....,.. ._......_..,,.,.�.... .,. . . . ,..� «.a^.-. . �w...w.�• n�ra`.� +�.. ;r��t�" �Y�r ., . .. ., -- . .,��:��. .,.. , .`k�., �o.r-t.i^.,:i,••_ti.�y, .. ^� � , CITY OF DIAMOND BAR . _ . � _ . � ` _ __ _ ., INSPECTlON RECORD �:: �. . :�� � ' " - -� . � . . ,. , , _ , . �'�a:��� �� .n��� :t i.4���.� � .!ly�a._: ti�pll. e '��,� -�'� I l� � ���...le� '_. �,..�..r..._..,.w� .� -��,:.� w . � �.�, _ . � {SET BACK ' � '._ •.._� :.l'�, I FLOORJOIST .; „ �. . ��', t-�L t,ti - i;'...l�,.._. ;FTGS/FORMS,`STEEL �'� _' , _ .. _ , �. ,t ;� � FHA REQMTS . .� -._ �. -- - ' - -----' � �ELECTRIC GROUND - . . .__ _ � - " _ _. . :;. ' ' ! ! ` ` UNDER FLOOR DUCT - - - - '' , ,- --- �' ` 1 =: �GROUND PLUMBING UNDER FLOOR C�M1IDUIT � J : � � - "- � � SLAB GRADE--- -- �� — -- - - '' FIREPLACE FOUNDATION � . ' �� � , ��'� :TEMP POWEA �.-- -- - , � FIREPLACE BOND BEAM - - � ' , ' I WATER SERVICE � - - � MID HT. BOND BEAM � ' - � �� ''• '-J � "� ; • �ROOF SHEATHING �� - G -2G�tA� � , ' 8 Ff. BONQ.BEAM .:. . ' � '� ' - . , ` _ �� . -- ; , !FRAMINGNENTILIATION � ' ' � '� �� ��� FINALBOND BEAM iROOF COVER � t ' PRE-GRADING ' i � : ;ROUGH HEATING ' BENCHING � � - ;.� � �' 'ROUGH ELECTRIC . : . � �'- _ _ ' 'ROUGH GRADING - � � --� - -ROUGH PLUMBING- - - - FINISH GRADING � - `SHOWER�fUB TEST i - - ' - -- -• POOL ELECTRIC ' � � ' ;EXT.LATH/SIDING � - - - - POOL FENCING ' , . iWALL-INSULATfON ; - - . . ` �:...: POOLFINAL � ;GEILiNG INSULATION � - � - ' " OFF SITE.IMPS. ` ' �DRYWACL NAILING � - - ' - DEDICATIONS 'SEWER - i FINAL ENG. - ;SEPTICTANK �, LANDSCAPE/IRRIG. ' iSEEP_P1T1LL. " �:_?' • '� �� ON SITE IMPS: � ; .`::• �GAS AIR TEST , � FINAL ZONING ' ° ==a IFINAL'CONST. _;__ ___ _ JQ -23" FIRE DEPT.FINAL ' :F1PlAL HEATING . _.. _ _ � HEALTH DEPT. FINAL ; iFINALELECTRIC -- - - - - DEV. FEES PAID - ----- - � �FlfiJAL-PLUMBING - - - - �- ENERGY , '-- --- — -- - ---- - _ � ._. . ,., , . _ .•�� ; F m .�,c����-r - ;� i , , � . � ::�<�:.:�..r�:��.- _�:�.�__.� �._� . _ � ----- - - , : ; - , , i , . �� . . n... _ - - -� . . .'? . ._.'_ _. _ _ - � -- �COMMENTS — - -- , `"i % �'`i rr � . � - - , , �.,�, . � , i � J� i � f - - - : , � �--- – --- -- — - - - - - -- " ; .. . . _ , � ic � ;� ,1',,` `, / ; ; � . �- ' � � _ .. �-- � ` ' 'l, � � ��r. �- � . , ._-� ,� , . ' _ -- - - .� , ._ f ��:::' - ; t, , � '�, � . . , � ; j - ` - � _ _ - - E' !'. �_. . ; _ , i-=. I � - - ��.�� � ; . � - - . , , , . . , �, . . , , .- --- - . . . , ,��,�_ „ . .. �. . , . . , , _ 'SEPTIC TANK SIZE + � � ,-. i . ..; :. ; �; . ... � . !SEEP PIT/U SIZE :,�• t,���;.r � . - - -- - -- � ;��Y .:.-.�.-.-.�-.1 _ .,. ,, �: � � ' .. ._ ! , ' .�;'�'p- '_�. � .. _ . . _ ..__' � . � I � 1. . : ... ,. 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