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HomeMy WebLinkAbout13717 (16) . EXPIRED C1TY OF DIAMOND BAR - ._' ' �--�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 0 CT 2 6 1��i� - 2t�o E.copioy nti�e s�c�t90 PRESS (909)8G0-3195 Faz(909)861-3117 ����^ BUQ.DING PERMTI'APPLICATION FIRMLY JOBSITE APPLICATION / PERMIT I /C o ADDRESS 3� . 1p • GE b� DATE b NUMBER�!� � ISSUE TYPE I OCC APN LOT TRACT DATE CONST. GROUP g OWNER _�T.— o ADDRESS " ZONING SETBACKS W CITY ZIP TEL. REAFi Rw ❑ � APPUCANT TEL. SIDFJSIDE STREET RW O � CONTAACTOR SIDE ` O q� C'D�D�RESS �P EL PROPOSED USE/ o � ' pb h ^ S O � ARCH/ENG/ ��._ .. 1� Go � �j(,�- DESIGNER NO.DWEL. NO. ���`�— ADDRESS UNITS STORIES �BEDFi00MS � CITY ZIP TEL. � DESCRIPTION SQ.Fi. FACTOR PSF ADJ.AREANALUATION � Q OWNER-BUILDER DECLARATION SFR,'AD�lREM O p 1 HERF9Y AFFliMI UOER PENAL7Y OF FERAIHY TH�T I AA1 E%EMPT FROA1 THE CONTMCTORS Ll• G3feQ0/CBrpOR W CEHSEUWFOi17HEFOLLOW�NaNEA50N(SEG7Wf.SBU57rESSAh9VROFE5510NSCO0E:ANYCIiYOH (n � COVNTYYIlACHREOUN4ESAPEPMiTTOCONSTiiUC'f,ILLTE0.��ROVE,DE1.101J5H2ORREPAIRANYSit1UC• W PatidDeck - 7URE,YRIOti TO R9 65W1NCE.ALSO REOU�RES 7HE APPLICANT FOii SUCH PENMR TO FILE A SICNED W � 8T�7EUEM THl1T ME OR SME IS LIGENSED PUIISUAM M iHE PROV�SIONS OF THE CONTMCTOilS tl• � CENSE UW�QU1➢TER i(CpAMENQNO YATH SECf10N 7000)OF DIVISqN 1 OF THE BUS�NE55 AND PRO- � PooVSpa FESSqNS COOkI OR TH1R HE OR SHE IS EXE4Pi TMEREFROY IND THE 9A515 FOfI THE 1lLLE0ED E%EMP• TION.ANYVIOlAT10NOFSECT10N70]1.6BVANYMPLICJ�tliiqiAVERMITSUBJECTSTHEAFPUCANTTO Z Re•Roof � A CML VENALTY OF NOT MORE T11AN FIVE Hl1NUfiE��OLUiLS�f 500).} � OL��EROF7HEPROPERTV,OHMYEMPLOVFESWITHWAGESASTMEIASOLECOIIVENSA7IDN, � (`,pmmOfCla1 � YAI.I DO iNE VYOPoC/J1D TME STRUCTIRE IS NOT INTENDED OF OFFENED fOR SALE(SfG 7ou,BU51- J NE59 NO PROFE5510N5 COOE TNE CONTRACi0A9 LICENSE UW DOES NOT�PPLY TO AN OWNER OF � Pf10VEHTYIMNOBUlD90Rw1PR04E5TNEREON,AN0YMO00ESSUGMwORKNiuSELFOAMERSEIFOR � [C i}IROUOFIHISORMEHOWNEM�IOYEES,PROV�DEDTHATSUGIMPROYEAfENiSMENOTMENUEDOR � OFFEREDPORSKE6FIOWEVER7MEBULdH�ORIMPROVEMINfIS50lDWRHNONEYEANOfCOMPIF � ��T10N,THE OwNER�BUtLDER WILL IUYE TME BUR:IEN OF PROVIN�THAT ME OR SHE DID NOT BURD OR IMPAOVE FOiI T1/E PUHPO^+E OF SALF1 W p�/140VMCROfTHEVROPERfV,/ME%CLUSNELVWNTMCTIPMYATNL�CENSEDCOHTMCTORS [[ Tp GONSTRUCf TME GRO,IEGT�SEG 7a�,BUSiNE55IwD PROFESSIONS COOE:THE CANTMCTOitS LL VdIUO�ior1 � � ADJ.AFlEA lL CENSEUWDOE9NOTMPLYTO�NOMNEHOFAPFtOPEHT`lri11DBUILDSORMFAOVESTHEREON.ANO � wHocorrta�crsconsuaivr+c�crsmm�ca+rrUcroA(siucensmvunswv+rroni¢corrtw�o pUANT1TY 0 S RIPTION FEE � i00.511CFNSEUW.1. O I/W E%EL1PT UNDf N SEC. B.1 V.C.iOR TNIS REASON U 2 LLr�' DATE OWNER V g J F LICENS[D CONTRACTORS DECLAAATION W � IMEREBYAFFYWt1NDEHPENALTYOFCEfUUR`/THATIAULICENSEDUNDEN0i10NSICNSOFCHAVTER Ur � �(OWnIENCN0IYTH SECTION 7000�Of D7V�SIOH]OF THE BUSMESS IwD PRO�ESSqNS COOE,AND Z X MY UCENSE IS W FULL FONCE AND EFFE:L `—.� L1J � LICENSE S_ � LIC.NO. ��fl�y � . . V D�TE }D CONTMCTOR����T�I-l�7L> n. .. . .. .. . .. . w / � YlOR ERS'COMPENSATIONDECLARATION � . � ., a ,., . � � 1 HEFE9VAFFIRu WDER DENALTY OF VERNHV ONE OF TNE FOLLOWIN�DECIAMTIONS. � � Z Q � ��14�VEANDW1LlMAINTAINACEiRIFICATEOFOONSENTiOSELF�INSUAEFORWORKER5 2 '� COYPENSA7�N,ASPR(MDEOBYSECT�ON77ooOFiNEU00HG00[,FORTMEVEAFORMANCE U Q OFTIEYVOfU(FORWHIR/THISVERY�T191SSUED. W � � �INAVEAlOVfLLM�1NTANNIORKERS'CIXAPENSATIONMSUMNCE,ASREOUIREDBYSECTION �� ,�/1 Q ]700OFTHEI/BOROOOE,FUX7HEVEFWi1MANLEOFTIEWORKFORWHICH7HI5PERMRIS C/ ISSUm.YYWCFlKENS'WMPENSATIDNINSUMNCEGRNERA.YDVOLJCYMIMBERARE: CONSTAUCTION' � CARiUER ��I/1�I�F— �L�l�b PLAN REVIEW � POLICY NUABEH_�11�7 ELECTRIC 7�...—/ � ���r�or�r�-�r�re�m�TppFnE �a.rrcwqpo�w�[ppouuc�s�m�oatess} PLUMDING e Z ICEHTIFYTUTNTFIEGERFORMIWCEOFTHEWOPICFORWNItlITHISPERMITISISSUED.1 MECHANICAL �'y��• (�' SMALLNOTEMPLOYANVPERSONMANYUANNERSO�Si08ECONESUBIECT70iME � WONKERS'CW�7EHSATIONUN�SOFCALJFORNIA,AN�AGREETMATIFISMOlA08ECOAlE INSPECTIONFEE S SUCiJECTTOTHEWOMERS'CO�.�vEN5A710NPFOVIS�ONSOF5ECT1ON17ooOFTHEI�BOR ,� � �, � �' ep�, HULeoHnMnniea.�v�rwm�rnoserarnnswns. ISSUANCE 0 SMIP _ u � DATE: APRICAHT:��Y� V U I Y � f�.f_ � i1 �r�i�o�.0` ' .. " �..,...T . WARNINO:F�IURETOSE REWOfiKERS'CaMPEN5A1qNCOVEMGEISUNUwFUI,ANDSwlLBE ENERGYP/C �y SIAJECTANEMPLOYERTOCi1WWILPENALT1ESAhDCML��NESUPTOONEMUrfJREDiT10U5AND ENERGYPERMIT Lt''L; �'•.. �� DOLLARS If lao.0ao7.N ADDITION 70 ME CAST OF COMVENSA TqN,�M I A G E S A S P R O V O E D F O R M � SECf10N77o�OFT1ELA80RCO0E.R7iENE5T,ANDATTORNEYSfEEi ' RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � INEREBY�FFIpMW0ER0ENALTVOFP[RIURYTHATTHEREISACONSTRUCTIONIENOPHIAGENCY iOW T1E VERiOR4ANCE OF THE M'ORK FOR WHIC/I TN15 7ERMIT IS ISSUEO(SEC.70Yt,qV.C.} � � LENOERS WUIE C IENDERSA�DR[SS � '� wICER7�FYTHnTIHAYEREADiWSAPPLICA7qN/�NOSTATETIA7THEABOVEN�OR6IATIDNISCORRECL TOTAL FEES � IAGREETOCOMPLVWITHKLCfi`/M10WUNTYOR�WANCES/iNDSTATElAWSFELATINOTOBURDiN6 , CONSTRUC'TION.M0 MCREBY AUT/qRIZE REPRESENTATNES OF TNIS COUNTV TO ENTFR UPON TNE ZA90VE�MFNTqNEDPROPER7YFORINSPECiIONPURPO5E4. COMMENTS � O J �� � � PERMI NAA1 �Ifn . � N SIGNATUREOFGEWA�TTEE �T � RECPT.NO. i'AID BY VALIDATION WHITE—OepaRment Copy,YELLOW—Finence Copy.PINK�Assessa Copy,GOIDENROD—File Copy.GREEN—AppliranPa Copy . , . , , .. � . , . . ., , � , . ' . . ,- , . . ..�. . .. ... .. � s •�• , .. - ��.. •' • . . + �i�. ��t:y,. - .. . ' �,(",.''' . . . Ll���`iP�.' . CITY OF DIANf01�lD BAR,. , . .... .. . � :� , ���`��. i� �' j�[i ._��`. :..:.... . ..:'INSPECTIO«�RECORD : , . , . --._ - '- , w: , , , .. . • .. ,._ ;'�Il�������'.C.C�ir �� �'�iF'= � � ;�.��'��a ������-��r�°,���"a�.��;,.. .. '���^ ..... ��° � �:� ��.�-.��.._.. 1.;�� ,� ..�.,�. '.� �:t��..._� .�. .. �� :fi`�-y��.�._.�1,. �,�.,-� . . . _. .�._::'.�:.,._...__._.. iSET BACK ��.! � j .,. - � � . �FLOOR JOIST : � �FTGS!F ORf��S,STEEL' . . . . � --- .-_. , . __, . . � . , . , �.•.:� - : FHA REQDATS ...�.. ._.. _ . . . - - - — �.-- - � -. . � UNDER FLOOR DUCT - - � � ' ;ELECTRICGROJNO . .._ .. . .. . • � �- ._ - --, • ._ - �GROUND PLUMBING •, • ; - ;� •UNDER FLOOR Cd'�i^UIT - " " " ` �. � �Sl�f',B GRADE ----- �' -- - -- - �- - - � ' "" FIREPLACE FOUNDATION � -, ; ' • ...._.. . , .,. . , TEMP POWER - ,, � -- --,: , - .:� FIREPLACE BOND BEAM �- : ��: � � - � L�JATER SERVICE. ....... ....... . . ..I.. .._... _. . . -MID HT. BOND BEAPti" . � 1 •''� .:.• • � ', : • '. .. , �ROOF SHEATHING � t•'.. _�'�q - - � �f7.BOND.BEAh" : -;�„ �, . ., • � _- . , ,.: ,; . - � .. '" '`,• . . . . _ . , .. ;FRAti",INGNENTILIATiON :� . , , •. ' FINAL�BOND�BEAM� . . . , „ ; ; � 1ROUF COVFR .�. . , � PRE-GRADING _ . ` . �ROL'GH.H�A71NG --_ _ ••. . :-:_ - 6ENGHING ' � i TROU�3�i'E+ECTRIC � .. , ... . � - - - - --- -- - .._.._ .. . . ._. •� _ .: .�"�� ROUGHGRADING ' !ROU�_,Fi-PLUMBING--'. _.. -.- -.-. - -......_. � _ ' _ .:_ 'FINISH GRADING ; -_. -------- ��S�-?Cv�1rPli UB TEST- - � - - - - - � ---; - ' - POOL ELECTRlC ' ! ' �----- : . . i i�iCT:-L�i h;'SIDING -- -• - -- - -._ POOL FENCING � ... , _ ; ..: --- �t'lALL IFJSULATION -- --- - - - - �;-, ,. _ POOL'FINAL ' t: �i�,�IL�i•!G R•:�ULATION - - _.._ _ . ._ .' ._ . .. .... .. - OFF SITE IMPS. . .. I �DRI^i%�rf�;:CN?.1L1NG -- -- DEDICATIONS - • - --- 1 "�- �.t� . -- - � . , � _�.r_�, FINAL ENG. ' ` � ;i;3�:P-IC TANK LANDSCAPE/IRRIG. ��;���.c.. �'L.L _. • .. c. ' ON SITE IMPS. _ r_.: - ;�::i•:����>?'i�ST ' ' FINAL ZOPJING - '-�= -- �= _ . _.. i I:;i_.:�.-.:.-::ONST._.. . ___ ------- _...__ . FIRE DEPT. FINAL � � �;:�"�:�_._..IEF,i1NG - --.-- -- ----- - - - - HEALTH DEPT. FiNAL - - - �. . .. ....... .._ . , tLECTA{C—- -.. _..- - - . . .- DEV. FEES PAID _ � - - - -.. .._ .. ; . .�_;__:_ - , T ._ .._ i-----:PLUti9BI�dG . _ . .. -- - - - .. .. .. __. ENERGY . � -- - --� - - -. ..... -- -- -. . . , . , _ w �er�cj� calt�c�, • , � ,.,����,_.:.._ _z_ -W _._._ ; ';�'_';;•.�1�'JIENTS �lc� _., _�`�..�s1�T �soYc�.<- , ��,v - , .�..—� .. - , , ,; ; ,i-. .. � � � , i , , �- -� ---- ..._.�_ . ----._._ .. _ . j--- - ---. - -- ..... . ... . ; � ; ; . ; ; . � _.. .. . ._.._. .. _ �. ' � . . . � , ... ... .. _ . . � . . , ' � - -.. • . I . . , . . i . . . _. .. _. _ . . : . . � �,-- -- � I ' i _ . . _. .,<.. . . . . . . , �, " � : 'SEPTIC TANK Sf�._ - ' . i ; , .. : � _ . . • � ;.. SEEP PIT/U SIZE � " _.._._.�._.....'._t�. .._._ ..�, ._. _ . ... , i .. ,. ,.. - . . -,1 ... .. . . _... --- . , , i - - • - - � - � _. .. .. .. . ' . .. - . ' . - .. ; _. . _ � ,i�l� . . . �! , :,. , .: , . � �. ._.. . .. .. . . 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