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HomeMy WebLinkAbout14810 (25) �� CITY OF DIAMOND BAR ' � E�PIRED ; � " DEPARTMENT.OF COMMUNITY&DEVELOPMENT SERVICES ' ��� > 21660 E.Copley Drive Suit-190 � `�UN 1 7 zQ�Z PRESS (909)86Q3195 Fax(909)861-3117 •..:M'` . BUILDING PERMIT APPLICATION FIRMLY } J08SITE Q- � APPLICATION I rn} PERMIT 0 P/C o ADORESS�o D� ��DR��u ��N�O N� DATE V� NUMBER # � ISSUE ��) TYPE OCC APN LOT TRACT DATE �� `�V CONST. GROUP. p OWNER _�/V Ll�� Nl S " AODRES � 0 V r�'��'' �l N.j�nI ZONING SETBACKS ' � CITY ZIP TEL. FRONT Ryy ❑ g APPLICANT , TEL: REAR ❑ SIDEJSIDE STREET RW ❑ � CONTRACTOR V � SIDE p . � ADDRE S=� _� ��_ �� ` � ' f � CITY ZIP TEL PROPOSED USE � '�r�0 ��S- �(L o ARCH/ENG/ �� �L��l���� � DESIGNER �ii NO.DWEL NO. O. ? CIDTDRESS Z�P TEL UNITS STORIES EDRO � tn DESCRIPTION SQ.FT. ' FACTOR PSF ADJ.AREANALUATION p� _, , OWNER�BUILDER DECIARATION _ '. ' � SFR/ADDlREM �� ' O p I HEREBV AFFIH/A UNDER PENAITY OF VERIURV TIUT t AA1 E%EIIPT FROM THE CONTRALTORS LI- � Gerege/CafpoR � � LL CENSEUWFORTNEiOLLO'J✓iNGRF.ASON(SEC.70.71.60USINESSANOFROFESSIONSCOOE:ANYCITVOR (n U �OUNryyMEpIqEWIRESAVERAIRTOCONSTFUCLALTER��PAOVE.DEY0U5H2ORREPAIR�NYSTRUC• W Patio/Deck � TVRE,PR1DR TO RS ISSUANCE,AL50 REWIRES TME APPIICANT FOR SUCH PERAlIT TO FlLE A SIGNFD W STATFI.IENT TF/AT HE ON SHE IS LICENSED VURSUANT TO THE PROVISIONS OF THE CONTMCTORS LI• � CENS[UW(CNAPTER i(COMMENCINQ VATH SECTION 7000�OF DIVISION�OF THE BVSMESS AND FRO- V" POOVSQa - . ' FESSqNSCDOE)OqiHATHEOR5HE15EXEMPTTHEREFFOAI/J10TMEBASISFORTMEI�LLEOEDE%[MP- - (' TION.MlVVIOLATIONOFSECTION70]7.6BYANYAVPLIC/WTiORAPERMITSU9JEC7STHEAPPLICMfiTO Z Re-Roat ACMLPENµTYOFNOTMORET/W1iIVEHUNORE�O0.UR5(S500J.): ' - 0 ❑I�OWNEROFTHEPROPEATY,ORMYEMPIOYEESWITHWAGESASTNEIRSOlEC01�PENSATION,. COmmBrClal -� � � ' Z W�LL DO TME WORK AND TH[STRUCNRE IS NOT INTENDE�OR OFFERED FOR SALE ISEC.70��.B1151• J❑ N NES:ANO CROFESSIONS COOE:h1E CONTMCTORS IICENSE lAW�OES NOT APPLY TO AN OwNER OF = � , . , . PRDPEHTYVAIOBUILDSORWPROVES7NEREON.1UAVh1000ESSUCHWORKHiA�SELiORHERSELFOR ' [[ TNROl1CH1ESORNEROWNEAIPLOYEES,OROVIOEDTNATSUCNIIAVqOVE1.lEMSAqENOTR7TENDEDOR m , G OFFEREDFORSALE6,HOWEVERTMEBU0.DINOORMPROVEAIEMIS^ )WITHiNpJEVFAROFCOMtLE- ' � � � � �� Z TION.THE WINER-BULDER V/ILL HAVE iNE BURDEN OF GPOVINO THAT HE OR SN[DID NOT BUIID OR . . = IMVROVEFOHTHEPURPOSEOFSILE). . . � w OI�OWNEROFTHEPROPERTV,AMEJ(ClUSIVELYCONTR�CTINOWiTHLICENSEDCONTRACTORS - � TO GONSTRUCT TME PFWECT(SEC.70N.BUSINE55 AND PROFFSSIONS CODE:TNE CON7MLTORS U• V2IU8f10f1 _ ADJ.AREA � � CENSEUWDOESNOTAPP�YTOANON?JEROFAPROPERTVNRqBUILD50R11APROVESTHEREON.AND NRqCONiRACT4FOR5UCHVRO.IECTSWITMACONTRACTOR(S)LICENSEDPURSUANTiOTHECONTMG QUANTITY DESCRIPTION � �E � � TONS LICENSE LAW.). .. . _ , . . . . . .. . . . DIMIOfF/APTUNDERSEC. B.BP.C.FORTMISREASON Q � U . . _ _ LL . . � . . . . . . . DATE ON?:ER V Z W � LICENSED CONTRACTORS DECLARATION W ' � IHEREHYAFFlRAIUNOERFENALTYOFDE0.AIRYTHATIAMLICENSEDUNO[RPROVISIONSOFCHAP7EA� � � - p„ 9�COYIJENpH(3WITNSECTqN?000)OFDNISION70FTHEBUSIIIESSANDFROFESSIONSCODL,ANU Z X W UCENSE IS H FULL FORCE�u7 EF FCT. m � o u��SE�Ss�� ���.Na.�2�3�� — � � J V MTE " - ����J�._ LOtdTRACTOR_`,� _ _. . . W ( � WORKERS'COMPENSAT70N DECLARATION ¢ , , � � I HEREBV�FFIPM UNDER CENAITY OF OERIURY ONE OF THE FOLLOWINC DECLARATIONS�.� - - Z � "� �� "- " -�� '� � - � � �IHAVEANDWILLMAMTAINACERTIFICATEOFCONSENTTOSELF�INSUREFORVfOPNERS' a S COAIPENSATqN.AS CiiOVIDED BY SCCTION 7700 OF THE UDOR COD[.FOR 7HE PERFOfiMANCE ' W OF TNE WORN FOR WHICH TNIS 7ER41T IS ISSUED. � � �I HAVE AND WILL MAINTAIN WORKERS'COI.IPETISA?ION INS VRIINGE,AS RE WIRED BY SECTqN ^'� � /y. Q07000FMEU�AOROOOE.GORTHEVERFORIN ^EOF7HE ORKFORWHiCHTMISPERMITIS �Jl/� S/ / � ISSVED.IAYNOPoCERS'CDA/PEHSATIONINSU ��h'ECARR �ANDPOIICVM11A9�RARE: CONSTRUCTION �V� ✓ 7 CARRIER����� PLAN REVIEW � VOtICVNUAIBER��I CJ q� EIECTRIC . Q (i}65[CiqNNEmtqiHE00�.FtFfEoOFtiEVE�afrswnoNEH.tc7NEDDa1NVTtaclonlEs51 PLUMBINCa Z ICERTIGVTNATNIMEPERFORMANCEDFiMEWORNFOFWHICHTHISPERMITI5155UED.1 MECHANICAI - �. (} SHALL/qTEIAROYANViE0.50NINANYIAANNER$OASTOBFCOM� 9JECTTOTHE (/� KORKERS'Cp.IGEN5AT10NLAWSOFC�UFORNIA,�NDACREETM. IFI HDULDBECOIAE INSPECTIONFEE � `- SV6JECTTtlTHEVANKERSCd.�PENSATIONPRON510NSOF5E ����OOOfTHCIMOF� � � Ow^ •. S eooe.isM�uro imeon+atvwitr�rNose� ��ov�sar+s. ISSUANCE UV � �� SMIP �� � ..p DATE:�� APPLICANf: . � - - - L��.�. � WANNINO:[�WF TOSEWREVK%iKERS'C0IAPENSATIONCAVERAGEISUNLAWNL,M'OSHALLOE ENERGYP/C T'I�� � 6U&IEGTANEMPLOVEHTOCRIMINAI,PEN/LTIESANOCNIIFwFSUPTOONEHVN�REDTHOUSAND ENEAGYPERMIT �� �TZSA } DOLIAAS(f1aa.0ao).NKIDITIONTOTI[COSTOFCONPLNSAT�ON,OAMAGESASPROVIO[DFORIN j��G� � SECT�ON39o80FTMEUBORCOOE,MTEREST.ANOATTORNEY5FEE3. RETENTIONFEE: u` � � a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � �. IHERfBVAFFIRMUNOERPENfLTYOFPERNRVTHATiHEREISACONSTRUCTIONLENDIN�AGENCY . ' ' � ' FOR iHE PERFOPMANCE OF TME WORK iOR W W CN THIS PERAIIT IS ISSVED(SEG 7oY],CIV CJ. � ' � - � IENDEKSNAME - - . � IENDERSADORE55 � ICERTIFYTUTIHAVEREADTHISMFL1GT10NANDSTATETHATMEABOVENJ�ORUATqN15fAR0.ECT. TOTAL FEES � ' O � IAGflEETOCOA.IPLYN7THALLCRYANDOOUNTYORDINANCfSANOSTATEL/�WSREUTINOTOBURDINO . - � '^ CONSTRUCiqN.AND NEREBYM1T10RlZE R[PRESEN7ATIVES OF iH15 COUNTY TO EMER Ui'ON iNE .. . , . . . � • � ABOVE�FIRIONEOPPOPERTYFOR�PECT10NGtyiPO5E5, COMMENTS _ /�'l 5 /�-v�� m ve EE u w � _ � �� �J � y ��c7NANRE °PERMITTEE D E � . . , RECPT.NO. PAID BY � VAUDATION � WHITF—Depnrtment Capy,YELLOW—Finence Copy.PINK—Assessor Copy.GOLDENROO—File Copy,GREEN—ApqicanCs Copy ��� . � . . . . , . . . . . . �. . . . . ... . , .� . . . � �1 .����... c . . .� . :o". . ., . . * � ,. .. . • ' , - : .:,: ; . CITY OF DIAMOND BAR � , � INSPECTION RECORD � . �'��" . � —�. a � , o - . • , , . � . SETBACK •'' FLOORJOISTvti_ �� .- �-- r:%,`, � t. . , FTGSlFORMS/STEEL � '� FHA REQMTS � - ELECTRIC GROUND � `� UNDER FLOOR DUCT ; .. �. � ; , • .� GROUND PLUMBING UNDER FLOOR CONDUIT ' ' �`-'� `• ' ' • � SLAB GRADE � FIREPLACE FOUNDATION • -� TEMP POWER FIREPLACE BOND BEAM . - �` WATER SERVICE � • • -- MID NT.BOND BEAM - _ � -'a'` �,�, �' � �ROOF SHEATHING �' `.� `I"12•t� _ $FT.BOND BEAM �; , `� '.�.. . FRAMINGlVENTILIATION� � " " FINAL OND BEAM ' ROOF COVER ` � � PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWERIfUB TEST POOL ELECTRIC EXT.IATH/SIDING POOL FENCING WALL INSULATION � � POOL FINAL CEIUNG INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK ' \ '. LANDSCAPE/IRRIG. SEEP PITIL.L. - ON SITE IMPS. GAS AIR TEST FINAI ZONING FINAI CONST. FIRE DEPT.FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID � FINAL PLUMBING ENERGY �—. �- i, '� , <- f �:�,� '� a � - .... ... ...__'_' ..�.'_..�--._ �1.__.. - � — � . , . : .`. . . . COMMENTS ; ,_ - . , '� _ <_ � �.ti _. �: ' ' _. . , ,_\ , ` ' . . r ;: . �%�_� � ; � „ � -� . .., . . , ::;, , ,,rr. -- _ _ ;, SEPTIC TANK SIZE � ' ' ''�' SEEP PIT/U SIZE � � � ' � , _ -- - - ; ' '.� � _ _ , . ,, , . . . _ , . . __— _ .. . —... � . ; '. _,� ��..� _ . .— .