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HomeMy WebLinkAbout12710 (14) CITY OF DIAMOND BAR ' ., � " �� - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES T� . 21660 E.Coplcy Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS ��^�� • �BUII.DING PERMIT APPLICATION ' ,FIRMLY � JOBSITE ' / /� J ' APPLICATION o PERMIT /� P/C o ADDRESS �D71� ��r�OC��L /��Q� e DATE I I—ZS"J� NUMBER I y� �� # � APN LQT -- TRACT ISSUE I�,�25 �n/ TYPE OCC " , . DATE Y� CONST.' GROUP p OWNER r ' e ' " Q e' ZONING SEfBACKS ADDRESS��C"� 'eC Q 4IL__ .' z CfiY �Oc•+'lc.�� Ar ZIP -- TEL. � B•S T y REART RW ❑ .. • g APPLICANT TEL: SIDE/SIDE STREEf RW D � CONTRACTOR �Q/�9 i J - SIDE ❑ - � � C�7y S Z� I 6r.TE1323' •C� S/ PRaPOSED USE � Q p�l •1) � , � •l�• w ARCN/ENG! . : . �f ' t• 1 � DESIGNER � ' � r� f• � � , , NO.DWEL. . NO. NO., . n. ADDRESS UNITS STORIES �_BEDRQOMS ' ' . � CfTY ZIP TEL. cn �n DESCRIPTION SO.FT. FACTOR PSF ADJ_AREANALUATION O OWNER-BUILDER DECLARATION ' ' SFR/ADD/REM - - . - _.. _ p I HEREBV AFFlRfA UNDER DENAITY OF DERAJNY TNAT 1 AA1 EXEAIP7 FR01.1 THE CON7MCTOR5l4 � Ger3gB/C3fpOR .._ � � 11J CENSEUWiORiHEiqlOwWOREA50N(SEG70.11.68U5WE55M1DiROFES5qN5LODE/�NYGITYOR . (n - ZCOl1lT`/MMId/RE0UIRESAVEAMRTOCONSTiNC'f,ALTE0.MPROVE,pEWLI5I�ORHEPAIRANYSTRUG W PatidDack ��� 7URE,FfYOR TD R9�SSUANCE,AL50 REOUIRES THE 11PPLKANT FOR SUCH PERM�T TO FILE A SIGNEO W STA7EM[M THA7 HE Dii SHE IS LICENSED PUiLSUANT TO iHE PROVISIONS OF THE CONTMCTO0.5 L4 � CENSE UW(QUPTER�(C�MCNCPlO WITH 5[CTION T000)OF D�VISIDN]OF iHE BUSINE55 FND PRO• � PODVSpa i . FESSqNSCO�E)ORTMTHEOHSHEISE7lEMPTTHEREFROMANUTHEBA515FORTHEAt1EGEDEXEAIP• (� ,.� TqN.AN'/VIOUITIONOFSECfqN70.11.6BVAHYMPLILANTFORAPEHMIT5U0.1EGT5iHEAPPLICANT70 . Z Ro•Roo1 +] F, A CML iENKTY OF NOT MORE iHAN FNE HUNOREO DOUARS If sml.I: . . .. . . O O4ASOWNEROFTM[PROPERTY,OfiMVE�PLOVEF5Vn7HWACESASTNEIRSOLECOMPENSATIDN, Q �mmercinl - . ' � Z YALL 00 TME WOPoC AND iME STRUCNRE LS NOT INTENDED OR OFFERFD FOR SALE ISFG 70u.BU51• J � NESS AND VROFESSIONS CODE:TME CONTRACTORS LICENSE LAW OOES NOT ADPLY TO/JJ OWNER OF ? � , iROPEiiiYMM11JBUILD50RtAPppyESTNEREON,ANOWNODOE55ULMVlORKXIMS�FORHERSELFOR � ' - . (L Tioi0U0HH14pRHEROVJNELPLOYEES.FROViDEDTNATSUPI4VROVEl1EMSMENOTMTENDEDOR m QOFFERmiOR3ALE1F,IqVhYER�BULDINQORtlAPflOVEMINTI550lDWfTMINONEYEAHOF�OMP�E• ' ' � �TION,TME OhN1ER-&1¢DER M11LL NAVE TNE 64ROEN OF PROVwO THA7 NE OR SNE OID NO7 Bu1LD OR _ . . . . 61PFIOVE FOR TFIE PURPOSE OF SA:F} � �LASOVMEROFTHEPROPERTY.MIEX0.USNELYCOMMCTIN�WI7Ht10EN5EDLOHfRACT00.5 TO CONSTRUCT iHE Pi10JECT(SEC.7oat,BUSiNESS FND PROFESSiONS COOE:TNE CONTMC70R5 U� ValUa�lIXl �� ADJ.AREA � CENSEUWDpESNOTAVPLYTOANONTIEROFAPROPEHTTMMOBURD50RMPHOYESTHERE0N.A1� VAqCONfMCTSFOflSUCHPROJECfSWITHA00ftfRACTOR(5)LICENSEDPURSUANTTOTNECONiMG OUANTITY DESCRIPTION FEE � lORSUGENSELAWJ. . . . . . . . _. . . .. . . . . p O I AA1 E%EMPT UNDER SEC. B.i i.4 FOR TMIS PEASON Q - 3 �' _... u.. ¢ DATE OWNEA ' U , � W F6 UCENSED CONTRACTORS DECLAAATION W CL IFIERLBVAFFIRlJIM�ERVENAL7YOf0ERNRYTIIATIAMLCENSEDUNDERDROVISqNSOFCwtPTER U, � ¢ Y(COMMENCupYATH5ECf1ON70oo�OFDM510N70FiMEBU51NE55MA7PPOFESSpNSCODGAND Z � X l/Y LICENSE 6 H FUl FORCEAND EiFECL � � LLI A � LICENSE C 5 �-_ LIC.NO. �� � �V� � � � �V DATE 2 — .CONTMCTOR,�,f,R7L/� � 6J. W � WORKERS'COMPENSATION DECLApATION a yIHEREBYAFiIRlAUNpERGENALTYOF►ERNRYONEOFTHEFOLLOWINGDECLAMTIONS: � � � ' � Z ' � " � � � , � �IMAVEANDWIL�MAMNqACFiii7FlGiEOFCONSENTNSEIF�INSUREFOqWOflKENS' _ Q COMPENSATqN,l4SPHOVIDmBVSECTION]70oOF7HEUBOiIODDE.FORT/EPERFORMMICE " w Q OFiHE WOFK FOR WMICHIHIS PERMITR ISSUEU. � _IHAVEMI�WILLYA.'NTAINWORI(ERS'CdAOENS�TqNWSUqANCE,ASRE0UIREDBVSECT10N ' Q J7000F iNE LABOR LOOE,FOfl iHE YEqFORMMICE OFTME WORK FORNT11p1 TIIIS GERMi715 � Q /7 ISSUED.MVIMOR �R5.C.�(,P.�EaHSATiONINSUMNCE�G,/�piERAN�VOIILYNUMBEAME: CO�� CTI� O /��C/ ' � UARIER��4_1 l _ �✓/'7G� � �PLA�� . . '.'_ - . . - � � voucveiwoER _, �' G 0 — ELECTRIC . � �nss[cror�r��wrsEm.s�FrIDccnEvtaMisror�on[M�rlx�ooatuts�simlaatrssl PLUMBING Z 1 CEqTIFY iHAT pl TNE PERFORUANCE OF TNE WORK FOR WHiC1/TlaS GERurt IS ISSl1ED,1- MECHANICAL " (,'J 51ULLLNOTEM7LOYANYPERSONNANYMIWNERSOASTOBECOMESV&IECTTOTHE � WORKE0.5'ODMPENSA710NUN50FCAlIFORNI/�AN0A0REETMATIFISMOUIDB[COIAE INS�CIIOtyFEE - - � SUBIECTTOTHEYlORKERS'C0IADENSATIONCROVISIONSOfSECTIONTOOOFTHEUBOR � !� - � - � 000e.isNuiFORrHvnn�coua�rvnninasErrahsiows. �SSUANCE .� /�d � SMIP /!"> ' p DATE: 11PPLICANT: W ENERGY P/C ' � WMN:NC:FA0.URETOSEWREVADRKERS'C01dPENSATIONCOVEFAGEISUNUWFUI,AUDSNALLBE � � SU6IEGTANEMPLOYER70CRIUPIALVENALTIESINDGMLFWESUiTOONEMUN�flEDTH0U5AND� 'ENERGYPERMIT ' DOLURS ploo,000�N AODIi7pN TO TXE COST OF COYVENSATION,DAAUGE5/5 PROVIDED WR M ¢ SECTION]toeOFiHEIABOHCOOE,NTERESLI�ND�7TORNEY5FEE5. {�E7ENTIONFEE: � ' � a CONSTRUCTIONLENDINGAGENCY PRE-AITFEE: � � � O � � IH[REBYAFFIRMUNDEHPENlLLTYOFPER1UqYTHlR1MEREISACONSTRUCTIONLEN�IN011GENCY ' ' FOF iHE PERFORMMJCE OF THE WORK FOR WHICH TMIS VERMIT IS ISSUEO(SEG 70Y7,qV.C.). . � � IENDER'S NAUE - . _ .. . � ' � LENDER'SADORESS a ICERTIFYTMATIXAYEREA�h11SAPFlICAT10NAND5TATETUTT/1E�BOVEHFOPM�TIONISCORRECT. TOTAL�g OF DIAMOND BAR 2 J Y � IACREET000IAPLYWfTX►JyGITYMIDCOUNTYOROwANCE5NIDSTATEUwSREtATNUTOBULLOINO , S� CONSTRUCTqN,ANDXEREBYAUT1iONZEREPRESENTATIVE50FTW5CWNTYiOEMEflUPONTHE BUILDING AND SAFETY � � U O �BOVE�YEMIONED ON07ERT!FON PlSPECTIDN PUHPOSES. COMMENTS - � �?enn�S L�lLe-e���. m GEfWRTEENAIA[�Pfl'HT)1i� � _�c,�,,.i,� ��f 2t�S Y. y SIGNn7UREOFPfRA11 IEE OATE � . RECPT.NO. PAID BY YALIDATION 1NFiITE—Department Copy.YELLOW—Finence Copy,PINK—Assessor Copy.GOLDENROD—File Copy,GREEN--Applicant's Copy � -- � .... • , . � � . . .. , . ' -.. � . � � . • �R'� '�� �•� • . , ���."�.'. . . .. . . ... 1•. � i .. , . .. L, �. .. . . . � . . ... '�' . .. . . . . _ . . . , CITY OF DIAMOND,BAR. ,� �-:., , , ,._. . . .. . . . ..... . . . .. . ... ... - J: �" �` INSPECTI�N RECORD �- �.' ' � ' - k�. . . r� -� , . . .. . . � � � � � � � � • • � SET BACK ._ , �. , ,. . ._ I I•. FLOOR JOIST��`�� , . �, ,,,'� ;�� - :,'� FTGS/FORMS/STEEL =�`� � � • , . -. �•_;; �FHA REQMTS ELECTRIC GROUND--_ ' ' ' � � - UNDER FLOOR DUCT � - ., ., � „ r,- � � • GROUND PLUMBING 'UNDER FLOOR-CO�IDUIT • • \ � - � SLAB GRADE- --- -- - - - . � FIREPLACE FOUNDATION - - : . � '' . . '.�r";• ',� :� TEMP POWER - `' - � -� � ' �`'� ' FIREPLACE BOND BEAM -= _ - ' ' -�-. � MID HT. BOND BEAM WATER SERVICE:: .. - -- -- .� � _ • . ,., �, . ,� ; _ . . . . .. ROOFrSHEATHWG�:=.`•.= �-ll-9 '� S FL BOND BEAM .�:_�, � - - � ,.. , _. FRAMING/VENTILIATION - ' ` �•�` : ? FINAL BOND BEAM - ,• ROOF COVER = t ` ' PRE-GRADING � � � - • • ! �� �ROUGH HEATING :- - -- - - - -- -- � - BENCHING - - - ` • ROUGH ELECTRIC -� - �� � -- � - � ROUGH GRADING , „ ROUGH PLUMBING �- -- "- -- � �� . FINISH GRADING , -. . '. SHOWER/TUB TEST - - ' - ��� -- �� POOL ELECTRIC EXT.LATH/SIDING � POOL FENCING . �. , . ; . WALL INSULATION •- POOL FINAL , � ' CEILING INSULATION � � OFF SITE IMPS. DRYWALL NAILING � DEDICATIONS . SEWER . _ _... .. _ .._.. : FINAL ENG: � � SEPTIC TANK ._....._ : ._- , _ _..,. . ..._ . _ . . . LANDSCAPE/IRRIG.,. . SEEP PIT/L.L. -- ' - - i��' ON SITE IMPS. • � GAS AIR TEST -- -- - -- - -- - FINAL ZONING • - •� FINAL CONST. -- - - - -- - FIRE DEPT. FINAL - - � ' �FINAL HEATING -��- ' - - - HEALTH DEPT. FINAL � , FINAL ELECTRIC�- DEV. FEES PAID - FINAL PLUMBING ENERGY • • • • � .. . • . , � ! _. .. .... .. . _ . .. . .. .. .. ... . . . COMMENTS -- __ . � , .- . '� ' . . . � . . . � - - .-��-- , . - , - ,. , , 'r - , \ _ -. �' � • - - . _ . _ . • ; , . � _ _. _ ... _ • � . � - _ � . � � �� , . _. . , . :-.... SEPTIC TANK SIZE ' ' ' � ' ' � SEEP.PIT/U SIZE . , ; � ;,� _ .. . ..�+1��= � ; ' ; _ ' i ' I .. - . � UGt:r � � �i t)�' • .. .. . ' 1 !.1�t�1.C34/:�.)I'filli:l'�•'i Y7�1:.) -_: ! . ' � � r���:.�': �.,. e� . . ..��, � . . .. . _ .- �- -- -- � - -- � ' � ' , I --� � - .. . __. _ . ' ' . ' . � �� �tii_ , . .. . ,.i �\_ � � :� � " ' ' .—.. ._ . . .. , ', .. . ! 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