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HomeMy WebLinkAbout12496 (13) _ r CITY OF DIAMOND BAR � ���r� �� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES , �,c ' Zi�oe.coP�oynriY�swc�i90 . PRESS � ��'�+��� BUII.DIIVG PERMTT APPLICATION , FIRMLY � JOBSITE /�7�� APPLICATION PERMff Z P/C o ADDRESS �� +�`"'`S DATE ��f6�Q� NUMBE k $ ISSUE NPE . OCC APN LOT�—- TRACT DATE CONST. - GROUP p OWNER�IV IF M : p ADDRESS S��T• S I3�V� ' ZONING SETBACKS W CITY ZIP TEL. FRONT RW ❑ � APPLICANT�'�� TEL. � S DE/SIDE STFlEET RW O � CONTRACTOR o � ��W L SIDE O � A�DRESS ' .PROPOSEDUSE p� _nUf �1IauD SN�I!� +'N S�i/{-« �IY CITY p��A(�+_��� ZIP� TEL. G - •- �= � ARCFUENG/ - . ' . � • c-� � � DESIGNER NO.DWEL , NO. NO. • �(,Q ADDRESS UNITS �'" STOflIES' �� BEDflOOMS � CITY ZIP TEL N DESCRIPTION SQ.FT." FACTOR PSF ADJ.AREANALUATION � Q OWNER•BUIL�ER DECLARATION ' SFRlADD/REM O p i Hepmr�cw�1a+oEa v¢t+�utr ov verwar nuT i�u ExEuar caoM n�E conra�crons u- Garaga/Carport �W CEHSEUWiORTHEfOLLOWINONE iM7(SEC.M71.68USINESSMlOPROFESSIONSCO�E:ANYCINOH� � (n C� CDIARYWHCHRE0URE5AVEiWRTOCDNS7AUCLALTFR�PROVE.DEYOLISH.ORRE7AIRANYSiRUC• W Pg�jp/pBGk . u� TUqE pRIDR TO RS 155UANCE.l1150 REOU�RES TME ACPLICANT FOR SUCH PEN41T 10 FlLE A SICN[D w � STATFMENi iHAT HE DR BME IS L/GENSEU PURSWWT TO ME FROVISIONS OF THE COHiRACTOHS U- . ,.� CENSE UW(CFN7TEH Y(COMMENpNO VATH SECTION 7000)OF DMSqN 9 OF TME BUSINESS AND P0.0- LL POOVS� FESS�ONS COOE)ql1TUT XE OR SNE IS E7(EMPT THEREFfi01A M1D T1E BA515 FOR TME KIEOED E%EMP• TpN.ANYNOLATI0NOF5ECf10NTOJ1.68YAHYM7LICA1fTFORAVERA1R5U0JECT5TXEl1PPLICANTTO � Z Re•Roof � RCIVC.ifNALTYOFNOTMOiIETMANFIYEMINDREDDOLLAR51f50o).): ' � p4�0'MHEROF711EPROVEHT/,ORYYEUPLOYEESWI711WA0E5ASTHEIRSOLECOAIPENSATqN, O COmmBrC111 . . yVILL p0 iHE MpAK,AND THE STRUCiURE IS NOT IMENDED OR OFFERED iOH SAIE(SEG f0u.BUSI- J NESS MW PRDFESSIOHS CODE:T1E CONTRACTW75 LICENSE Uw OOES NOT�vFLV TO AN OwNER OF �. � ' � Vf10PERTY1N10BULDSORWPROVESTMEREON,ANDWHODOE55Up11WFiKNIAASELFORHERSELFOq m [= 7T610UGHHISORMENOWNEMPLOYEES,FROVDE07HATSUCNMPROVEMEMSARENOiMENDEDOR . L�1 OFFEiIEDFOR3l1LE1F,110VrEVER71�E6UlDP1aOHIMPROVEUEMI550lDWITHNONEYEMOFCOMPLE- � ZTION.THE OWHER&1RDER VlILLFMVE TME BUROEN OF PROVIN�THAT HE ON SHE DiD NOT BUIID OR � MCRWE FOR7NE VURPOSE OF SALEI W Olti.^OwNEROFTHEVPOOEHiV,A1.lIXQUSNELVCDMMCTUJ�VrtTNIICENSEDCONTMCTORS � M CONSTRUCT T1E VHOJEGT(SEG 7ot1,BUSINE55 AND Ci10FE5510N5 CODE:THE CONTRACTORS U• V01t18tiOf1 ADJ.AREA CENSE UW DOE9 NOTAVPLYTO/JI OWNER OF APROPEHTY WMO BURDS OR cAPRWESTNEAEON.MD � WIqGONTMCTSFORSUGHPRO1ECf5W1THACONTMCtOR�9�UCENSFAPURSU,WfTOiHECONTMC ounrmrr OESCRIPTION FEE � 70RSL10EHSEIAW�. . .. . . . _ . . . . . . 0 O I N.1 Dm1PT UrDER SEG &d P.C.FOR TH�S REASON � U - � , ¢ .., . . . , . . . . LL" DATE OK'NEN � ' �- � , W Fd UCENSED CONTRACTORS D[CLARATION W � CL IHEREBVAFF60AUNDERVENALiVOFVE0.R1ikYTHATIAMLICENSEDUNDERVROVISIONSOFCHAPTER Ur . .p. ��WuuENCH6WrtNSECTON70oo)OFDMSION70FTNEBUSINESSANOPROFESSqN5CO0E,AND Z X MY LICEHSE IS N FULL FORCE AND EFFECL � . � LICENSE CLASS �" L1C.NO.�7�✓��py . . � �-j o��J�il� U4 corrranrron-0�- o�1f��"_�t'Ffl✓� a , • w - ( = WORKERS'COMPENSATIONDECLARATION a • - N IHEREBYAFiIRAIUNDERPENALTYOFGERMIY0NE0FTHEFOLLANnNUDECUMT10N5: � U � � � � N Z //�� 4 . � ,,,p�IMAVEhNDN'�LLMAMTAMACEiRGICATEOFCONSENTTOSELFdNSUREFORWORKERS S , ' �OpA1PEN5AT10N.ASVROV�DE�BYSECTiON770oOFTHELABORCOOE,FORTHEVEAFORMANCE W OFTHE WO(i�(FOR WHIp1TNI5 VERMITI5155UW. � � 0 �I HAVE AN�W.LL 6WNTAW WORKERS'CDMPENSATION MSUMNCE.AS RE WIRED BV SECTqN ' Q �7o00FiMELABORCOOE.FOATHEOERFORMANCEOFTHEWOP.KiORwHICN1HISPEpMR15 1 � ISSUED.MV WORKERS'AOOAA7ENSATIO.�N INSlUM'rNCE GJ1iCER NJD GOLICY NUMOER�RE: CONSTRUCTION � cuwiEq �i�T�� �'tn N y PLAN REVIEW � VOLICY NUAIOER_J./_��'���P ELECTRIC ' � ! T Q (�}��{qNNEmrq7p[pq,fiE'fIDpFTEpER1,iT8FOqCNEMM7REppOliFlY;lf'ao)OqLEss} PLUMBING �� W MECHANICAL Z I CERTIFYTHA7 N TME PERFOR�IANCE Of TME VlORIC fOR WNlpi NIS PERIAIT IS ISSUED.1 (J 51�LLNOTEMPLOYANYVERSONWANYIAANNERSOASi08ECOME5Ufl1ECTTOTHE � NKIRKERSCOMPENSATpNUW50FCAL�FORNIA,ANDAGREETHATKI5N0ULOBECOME INSPECTIONFEE � � �� SUBJECTTOTHEM/ORKE0.5'Cd.�vENSATIONVRON510NSOFSECT10N77ooOFTXEUBOR �^� 1.�� COOE.IS uicowiNwrtHcaMv�rwm+nas¢vnovts�a+s. ISSUANCE �" � O 1�w-� SMIP �� � �� 0 o„h: � APPLICANT: �Y YV�'W� - T � � WIUWiNU:FARURETOSEWRENGAKERS'COMPENSATIONCOVEMGEISUNUwFUI.ANDSMAILBE ENERGYP/C _pt„^����O�y�-R.�vA}+R � - �y SUBJECTAl1ENPWYERTOCNhA�NALPENALTIESMOGV0.iWE5UPTOONEMUNDREDTMOUSAND 'ENERGYPE���S�A��CAI�r lY' D�LU�RS If I00.0001.N ADDITION TO THE COST OF COMPENSA710N,DM�AGES AS PHW�DED FOR IN LL� � SECTION]70eOF7NELA80RCO0E,INTEREST,ANDATTORNEYSiEES. R�ENTION � pw., CONSTRUCTION LENDING AGENCY PRE•ALT FEE: ' � � IHEREBYAFFlRM UNDERPENALTYOFCE0.RIRYTNATTHEREISACONSTPUCTIONLENDWGIIGENCY - FOR iNE DERiORUANCE OF ME YJORK FOR NTIIG17H�5 VERMIT IS ISSUED(SEC.�OY7,CIV.C.). . , � .�: � LENDERSWWE . . . .. . . � ' � LENDER5IIDDRE53 � WICERTIFYTHAi1HAVEREADiM15A0PLICA7ION�NDSTATETNAT7MEA80VEWFORMAT10NI5CORRECT. TOTAL FEES ' � ' d IMRF.^:TOCOY7lVN7THALLCRVANDCOUNTYOROiNANCESANDSTATEUNSREUTNOTO6UIL�INO CONSTRUC'f10N.MD HEREBY All�IiORRE REPAESENTATNES OF THIS COIMTY TO ENTEN UPON THE J� �//�•//(/� S� /�BOYE�A1EMpNEDYNOPEHi'/FORINSPECTIONPURPOSES. COMMENTS � ��r u�� �+'T I! � 0 � � _ ���A1L.J�. m PERMITfE ElP HT� Q .. /D . . . .. _ . � (� S�ONANREOF E � FiECPT.NO. PA1D BY VALIDATION WHITE—Department Copy.YELLOW—Flnence Capy,PINN—Assessor COpy.GOLDENROD—File Copy,GREEN—Appiicanl's Cop/ � ' • r .. . �' . ,r. i.l� . ,.� , . •.{....... �.7.� • .�5 . . , � . ...r . .-, : ...r�u.._,.�*. ,..�•, , �. -- .. � � .: .a� �:.I•.r. `�. . • ."�.' .. -r',; � , r . CITY OF DIAMOND BAR .�.�,�: �;�: �,. ;.. . , .�. ... ..... ... . .. . . .. . . . . ..... . . ., .. � .' . INSPECTiON RECORD,_` : � . ',� .; . � �'. ... ., . .. . E=TO } D � i ' � � � f ' SETBACK . � ; �`. �• ,'�,` ;. FLOORJOIST �.. �� � � ,. �- ..+ _,�... -� � ,. ,, , . . FfGS/FORMS/STEEL �'�� -FHA REQMTS ' ' - - � - ' - _ELECTRIC GROUND -: � '.; . .. � . -- �. . UNDER FLOOR DUCT � � � .�;- .- GROUND PLUMBING ' � UNDER FLOOR CO�IDUIT �' � � � � • ! SLAB GRADE - • FIREPLACE FOUNDATION � � '' ' ` TEMP POWER--- -_ ' - -- .- : : � FIREPLACE BOND BEAM . :: _ - - ••• � . . . . , ., . �. WATER SERVICE� . - - - � - �-- - MID HT.BaND BEAM ' ..' . . .. � . � � . ROOFSHEATHING Jc�e�e , `�.�•�- � �,.� '8 FL BOND�BEAM� � ' � -� • � . . . . . . FRAP�AIIVG/1IENTILIAI"ION � �� �`• ��`�' r FINAL BOND BEAM � � � ROOFCOVER '.., /btJ7-'fE Zi ' PRE-GRADING - - -� " ROUGH HEATING - � - - - -�� - BENCHING -- '�� � ROUGH ELECTRIC -� - -� ' ROUGH GRADING � ROUGH PLUMBING " -- �--� - �� ' FINISH GRADING , • SHOWERIT'UB TEST� - � - - � � POOL ELECTRIC � '� ' EXT:LATH/SIDING , � �,.� . POOL FENCING , ' � . WALL INSULATION' ' - . POOL FINAL - . . • CEILING INSULATION OFF SITE IMPS. � � DRYWALL NAILING � DEDICATIONS ' � • . , . SEWER • + . . FINAL ENG. • � .SEP_TICTANK- .. ... � .._. ___._ _ . _ •. _ LANDSCAPE/IRRIG. � ' -SEEP PITlL.L . . '_ :. .. - ._:_.�� r,� .: . - �N SITE IMPS. • � -GAS AIR TEST -�-- - - - . - -- FINAL ZONING : FINAL CONST.; - -- - �a-�l��4t :�,� - FIRE DEPT. FINAL - ' FINAL-HEATING - : � - - �� '� HEAITH DEPT. FINAL _. .. . . . J FINAL ELECTRIC - DEV. FEES PAID - -- - FINAL PLUMBING ENERGY • - � . . � � � -� a - QQ . . - • �,:.. - -_........ . . _ . . . •.. : _. . . -- - - ._ ... . COMMENTS -- --- : . . � , . --- --- .._ . . - _ __ ; , , , _ . _ . . . _.. _._. . , , , ,-.. -�i . ' 1 _ ... .. � � „ . � ----..... . ._._. ._. _. . . . .. � • . . . � � . . . � � � � �� � . . . --. . � . . ' ; , ' j - -` . - �tt: �•.L �Ji) • ; . , . _ �. . C' r . . . . _ . . . . .. .. .._ .. . . . . . . ., . . . .. _'�!1c[QVlfak�{;�;1;C)y•:' . . , .._. . , i �:. SEPTIC TANK SIZE ��'.�''� i � .IC1J(U�,. ..�. . , � � SEEP PIT/U SIZE � `�-, . . ; , � � ' � ` ,. `�. �� ;• _ .... . . ., .. , , i . , , _.. . . . . -- - - � ' . - - -. _ _ ... .. . - _. . . .. . .. , , - � ,,r�` ,:.._. _ . . . , � . � ..:'' � � -- -- . . � . . � . � . - . - . , : . � ; - : -. . - _ . . . . , . 1 ' . ... , i j.� .._. .. .. . '. i . �.f� _J . _ _ .. . _ _ . �. � ..