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HomeMy WebLinkAbout14552 (17) CITY OF DIAMOND BAR —�— ., ���� -- DEPART?�IENT OF COMMUNITY&DEVELOPMENT SERVIC /� _ .T� . 21660 E.Coplcy Drive Suite 190 " (909)860-3195 Faz(909)861-3117 PR ESS ����', BUII.DING PERMTT APPLICATION FIRMLY o� JOBSITE Y�V `� DATEICATION I 3 1 NUMB R����� p� ADDRESS � $ � ISSUE TYPE pCp APN LOT CT DATE ' CONST. GROUP p OWNER S CLl p AODRESS � YI ' ZONING SETHACKS � CITY � 6 IP ' TEL _ � REAR RW ❑ APPLICANT TEL SIDFJSIDE STREET RW O � CONTRACTOR SIDE ❑ ADDRESS � CITY ZIP TEL PROPOSED US� � � � ) � o ARCH/ENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL _� u� DESCRIPTION Sa.FT. 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(� TION.ANYNOLA710HOFSEGT10N7o]1.6BYANYAPPL1GA1difORAPERMITSU&lEGTST1EMPl1CANTTO Z Ag.Rpp� • �„� AGML PENKTY OF NOT MOiIE THlw FNE NUNDRED DOUl1RS(i500).): � ❑I,ASOWt1EROfTHEVROPERiY,ORMYEMPLOYEE5W17HWA0E5A5iF1EIq50LECOMPENSATYXJ, � COmTOfClel - � � MALLDO 1HE WOfIK ANO THE STRUCNqE 5 N0T NTEHOm OR OFFERED FOR SALE(SEC.7DM.BU54 J � NESS AID VHOFE5610N5[DDE:THE CONiMCTORS LICENSE LAw DOES NOTADDLY TO AN OWNER OF j VMPERTY MAp BUM,.DS OR MDROVES i11EREWl/UJD WVq DOES SUCFI WORK MMSELFOR HERSELF Oq � Q T}HOUGHMSORMERONNEMPLOVEES,PROVIDEDiHAf8Ud/WPROVEMENTSARENOTMErOE�OR m � ,OFFF�EDPDIiSALEF�FIOWEYERTIEBULDINO0i1tWROVEIAEHTISSOIDWITHINONEYFMOFWMPLE• Z •TION.TNE OYINER�UILDEN NnLL MAVE 711E BURDEN OF GROVWO THA7 ME OR SME DID NOT BURD Oq � MPfqVE FOR lT1E PUpPO6E OF SALE} . . � ❑I�ONNEROFTNEiROPERfV,AMEXCLUSNELYCONTMCTNOYrtTHLICENSEDCDHTMCTORS TO CONSTiLL1CT TME P1141ECT(SEG fM�.BUSINESS AND GROFESSIONS CO�E:THE CONTMCTOq3 LL V81uelI0f1 ADJ.AREA CENSE UW OOES WT IIFPLY TD�H ONrt1ER Of A GROVERTY 1M10 BUIlDS OR MPROVE4 THEREON,MD � 1MqGONTRACTSiORSUCHCi10.1FCTSWITHACOHTMCTOR(S)LKENSmVURSUANTTOTHECOMMG pUANTITY SCRIPTION - FEE � ipiSUCENSEUW.� - _ O IAM E%EM7T UNDER SEG B.l F.C.F TMIS REASON � Q 3 � , . , •„ • .. � � DATE OVMER �� �' V � LICENSEDCONTRACTOR �CUIRATION W w .( � IHEREBYAFFlRNUN�ERVENALttOFPERRIRY7MATINAl10EN5EDUNDERPNOVISIONSOFCHMTER V. � �(OOA/AENCWOWiiNSECTI0N70001OFDMSION70F1MEBUSINESSANDPROFES510N5CODE.MID z �1J W UCENSE 6 H fU1 FORCEAND EFfECT. m � ucase cuss uc.rio. � .�'j wh corrra�cToa Ja W . � WORKERS'COMPENSATION DECLAFiATION a ; � NINEREBYAFFlRAIUNDERPENALTYOF►EiWRYONEOFiHEFOLLONfwODECUMTiONS: Z ' � _IHAVEANDWILLUAMNH�CFHTIFIGTEOFCONSEMTOSELFdNSl1REFORWORNERS' _ ` � ¢ COMOENSATION,ASVROVIDmBV4ECTON77ooOFTNEUBOqCOOE,FORTHEFfRFOR1AANCE U Q OFTHEN'ORKFORWHIp1THIS7EieA1T6IS5VED. � i , � _IHAVEIIN[IVIILLMANTAPIVYOIINERSCOMPENSATqNINSURANCE.ASREOUIREDBYSECTION � �j � 4Q lTa00F1HElIBORCDOEFOqiY1EVERFORUANCEOF7NEWORKFORWHiCHiMI50EPlAITIS � i55UED.IAYWORKER5C041PENSATIONINSUIWICEGRqIERMDPOLICYNUMOERME: CONSTRUCTION � c,�uw�en PUW REVIEW � POLIGYNUMBER � ELECTRIC � (nsucmnr�[IDrate[m.s�rIDanEv�r.�rs�a.Ew�moatusR��lca�ss1 PLUM6ING A Z ICERTIF711UTNT1IEPERFON.IANCEOFiNENURKfORWMIG/THISPEfVa1715155UED,l MECHANICAL �'`7:�� SH11LL NOT EM7LOYANY VEASON N ANY MANNER SO AS TO BECOME SUB.IECT TO TNE y WORKER50DMPENSATIONUWSOFG1LiFORNI�MIDAGREETHATIF15110UlDBECOME INSPECTIONFEE S SUBJEGTTOTNEVJORKE0.5'COYPENSA710NOR]NSiON50FSECTION]7aoOFT11ELABOR � - CODE.I SNALL FORTI/VATH CdAPLY WITH T105E PROVISqNS. ISSUANCE ��/p��p����J ��-'� p �ATE: � APRICANT: SMIP _dAN c 1 '. �-`�"- /�L/ � WARNiN�:F�ULURE TD SECURE WOPKERS WIAVENSATIDN COVERAGf IS UNLAwFUL,/uuO SWLLL BE ENERGY P/C t �y "..UBJECTANEIAPLOVERTOCRIrANAI.PENALTIESMl�CMLiNESUPTOONEHUPDNED7110VWl� N1�1 a OOUARS�f700.000j.NPDDITIONTOiHECOSTOfCOMPENSATpN,DAMA0E5A5iROVIDEDFORIN ENERGYPERMIT �TITY A ���1J � SECTDN770eOF1HElABORCODE,NTEREST,ANOATTOPNEY5FEE5. RETENTIONFEE: �IJIIiD�l` � v���y OCONSTRUCTION LENDING AGENCY pRE•ALT FEE: . � � IMEREBYAFFlMIUNDERPENKTYOFPEKM17RYTHATTIEREISACONSTRVCTIONIFNDiNOAGENCY Z FOR iNE VERFOflMANCE OF TNE WORK FOR WHIGI TH15 VERMIT IS ISSUEO(SEG]OY7,qv.G). G.1 � LENDER'S WwE � � lENOER'SADDRE55 � ICERTIFYTHATINAVEqEADTHISAP%1CATIONAN�STATETHATTHEABOYENFORMATIDNISCORflECf. TOTAL FEES � IAOREETOCOMPLYWITHALLCT'ANOCOUMYORDPIANCESANDSTATEUWSREIATINOTOBU4DIN6 � � � CONSTRUC'TION.ANDMEREBYAUI1�Of112ERE7RESEMATNESOFTwSCOUNTYTOENTERUPON7HE . . _ ABOVEJAfNTqNEO OROPEN7Y FOR INSOECTqN PURPOSES. COAAMENTS 9 ,. �, � 2�a�. a ��,mEE �� 3 _ (n HONA .E VE OATE '� � � �� � RECPT.NO. PAID BY a VALIDATION WHITE-Oepartrnent Copy.YELLOW-Finanee Copy,PINK-AssessorCApy.GOLDENROD-Fib Copy,GREEN-Appiieant's Copy � r .. �'. . �. . � ..... .. . . , . �. .. ,. .. . . .. .,. '. . � . . . . .. .r. . � . ,1 � � . a . ... , ��' i � �'. .. .. . ,, . . •.... . ..... . . _" .._. ."'�. _. .. ..'"' '_'. .._...... .. . .._ _.. ......_' "" � ...'_ '' "_' ". ..,_ .. "' ��''-,,i��., `" ., �:. . :�: � .CITY OF DIAMOND BAR . .. � . :. �:".� . � , . . _ . . .. . .. ... ... �,, , ; , � �;�; , ;, _ INSPECTION'RECOFiD: ::. , . - ' . � . ' . _... . . .���;;,i�� � � . . . ... - ; --_ ,.. ' 'al►�.��a.�c�'r[���E. _. :�.��? _ �1������..�1-F:.a�a�.���.�y���C[�►. � '�'i. � ► ' c- o ' SET BACK �--- .—�-` .-•��`_•,--,--'I � ; ( ' FLOOR JOIST ' ���:' • ' - 1 ,r - FTGS/FOR��1S/STEEL , �,.. _ � FHA REQMTS�� ' j.. _.:_. ._.. . ...... _ :.- •--.._.. .-• - -- - ELECTRIC GROUND ---. ��_ �"_ ' - - � . � UNDER FLOOR DUCT �• � -- " "" ' • I . GROUND PLUMBING � � . UNDER FLOOR CU�IDUIT • : � , � ' ..:. _.. . -- - - - � • SLAB GRADE------� FIREPL:4CE FOUNDATION' �• • � •- ��- •��-�-• �==�-� �`�• � � .. :..-.. TEMP POWER ---- ' --- - - - - ' � � FIREPLACE BOND BEAM... "..'� -.- _-�� -."� . i '-: _. _ WATER SERVICE.-:_ _:� .::. __-_ _ . _ .. .�-- . -MID HT.BOND BEAM -- � �: , ., _ ._._ .. .. . ... . ROOF-SHEATHIfdG- ' e�• (`•'CC= � " , 8�FT. BOND BEAM • FRAMING7VENTILIATIbN ` � �� � FINAL BOND BEAM � • � •� i : ROOF COVER ` -, PRE-GRADING _. . _._ . .. . _..- -.- - . -R011GH HEATING-...__._._.._. . ...__.. . -- - BENCHING . . . _ • - - - '. ,�.. ; . ROUGN'ELECTRIC -; - - =- . _ _ . - ROUGH GRADING •, ROUGH PCU�ABIi�G-�. - � - -- �---- � -- - FINISH GRADING `-' SHO�NEF�UB TEST� -" - -- � � � � -POOL ELECTRIC ' ' EXT:CATH/SIDING---i - �- �— -- � - � POOL FENCING WALL IN5ULf1TiON � � • POOL FtNAL � • � . CEIUNG INSULATION . OFF SITE IMPS.. � � � � DRYINALL NAILING I . �, DEDICATIONS' ' � : �. . � '._ -'�•._ _ FtNAL ENG. .. . SEWER • ' ' - --- ---- -- - - .SEPTICTANK ...._.._. .! _.... .----... ... . �'--�:::.�. ;_/ , . ...._.. LANDSCAPE/IRRIG. . ' - -SEEP.PITlL.L.- = .---.- ==.:.__ .. . . ._ :. -'i:= � ' ON SITE IMPS. . .. �GASAIRTEST; .--- --- - ---. - . _ . . -- FINALZONING . , ; - -FINAI COIVST.-; --.__ __ 2-11� �D - - - -- - FIRE DEPT.FRJAL ._ , FINAL-HEATING- - -� �- � � � HEALTH�DEPT..FINAL..• • ' F1NAL'ELECTFiIC �• ' �. - - , =-1 - _ . _ -- DEV.FEES PAID _ ... � _ , .. . _ ..-. - - - - .. _.__. . . . ... , FINAL PLUMBING � '�•, ' • � ENERGY � � � � •� ! � _ •. � . - -. . - �ci=i�fr.���;r�r�c. _ . .. . ��, _:s_ - ---- --:�-- ---- �- ..._.. : ., _ . .. _, ..__. . . ._ .. . ....- , cor�nnnEcv-rs -=co_g-�, . z�-� � . ..,..,� . - -- . . . . ._ . . __ . . . - � - , , _ . , . . .-� -- - �• -- -- - -- � „�.,,•,, , , --- - - - � . ,� , - .. . . . . . _. . ; _._ - __.. . . . - � � •. �•.. . - _,... . _ . � . i ._J�� - _—� . . . . . . � - . � � I I � . . .... . . .. ._. _ , •r . .. . . ... � � .. I ; . . . . . . . . . .. . .. i. SEPTIC TANK SIZE � , , , ; ; � - . . -. -- . _ .. . . ., SEEP.PITlU SIZE �.•, _ .; ; � � ; - �-- - - - � . . _ , '��. _ .. . , . , , . � - ��� " J` _.. . . � � ; , . ,- ; ., . , ,. .. _ . _ .... _ _ . ,. . _... . , � .. - - . _ .. _ . , � ; . ` ._ : _ _ � , ��.... .�-�_ ., �., ...._. . . . . .. -- - . . � , �� _,� . ;� `---. -. - . . � _ _. , � . � _. � --._. _. �. , - ; •. ._ �>'_ . , �,� . �' � . . .. �