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HomeMy WebLinkAbout11606 J� _ CITY OF DIAMOND BAR � 4` . ' :' - � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES Zi66o�.c�i�y��o s�u i90 PRESS ��;�••y �' � (BUII.DINGPERMTfAPPLICATION ' ' FIRMLY � JOBSITE /r /J /� ,p � APPLICATION PERMR P/C o ADDRESS 7 v` .�.it'• /�GD ( �P�i O' DATE NUMBER �� N � ISSUE TYPE OCC APN � LOT TRACT DATE CONST. GROUP p OWNEfl /YJ�('. S. O�/7" . "" ADDRESSn�700 /JG'COit GQUv�G /Z• ZONING SETBACKS � CITY /�l-/�ClJ`S(� ut ZIP S D ;TELo7Os rYYs'�/�y� FRONT - RW ❑ APPLICANT TEL. REAR ❑ � SIDFJSIDE STREET RW O CONTRACTOR � � '7S DU / SIDE O � ADDRESS /V' - ,. _. ' PROPOSED USE� • [>O/�•. CITY ' ZIP TEL. �n/ii/77• - �. ! � - - - o f-' o ARCH/ENG/ • ' . - /=/r • � DESIGNER NO.DWE �� -NO. • NO. ADDRESS - UNRS '-�S K •� STORIES ��' BEDROOMS � CITY ZIP TEL N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUAT�ON � Q - . OWNER-BUILDER DECLARATION . . SFFi/ADD/REM O p I HEREBY AFFlRM UNDER PENALTY OF PEfWH'I7}UT I/ul EXEMVT FHOM TNE CONTMCTORS Lb Ge(egB/C81pOR � � LL CENSEUWFORTHEFOIIOWWOREASONISEGT0.71.6BU5WESSANDFROFESSIONSO�OE:ANYC1iYOR (n C� OOIMiYY/1M]IRC-0l1IRESAPER.MRiOCONSTRUCT.ALIERYAPFqVE.DE410USM.ORREPAIRANYSTHUC• W Patlo/Deck _ �Z nqE,pqqq 7p rt4 149UANCE.AL50 fiFaUIRES T11E AVPLK'.MR FOR SUdi VEW.�R TO fllE A SIONED � W � .� STATENEM 711AT NE OF1 SHE 6 LICENSE�PURSUANT TO TME VPANS�ONS OF TME CONiRACTORS L4 � CENSE UW(CF41PiEP Y(COAINENCNO N7hl SECTIDN 7000)OF DMSION 7 OF TME BUSINE55 AND PRd � POOVSpH FESSqNS CODE)OR T/IA7 NE di SME IS D(EMPTTHEREFROM ANO TNE BASIS iOR THEALLEGEO E%EMP- (J�7 TpN.AHTVIOlATIONOFSECTION70J1.68Y/NYAPVLKN�TFORAVEFWiT6UB1ECT57HEMPLIGM17T0 Z RaHoot •(JpC. � ACMLiE/U1TY0FN0T1.10RE7HANFIVEHUNDIIEDDOIUilSp500).): � OIA+�MMEROFTHEPiiD7E0.T/,OitAlYEM7LOYEESN'IiHWAGESA5T1ElA50LECOMPEN5AT10N, � COrtIR1BfCl81 1MLL DO THE WORK 1W0 iHE STRUCTl1RE IS NOT IHTFNOED Oi1 OFFERED FOR SALE(SEC.7Du.91156 J NEA4AND iHOFE55WNS LOOE:TME CON7N�CTOR9 t10EN5[UW DOES NOTA�DLY TO AN O�MNER OF N ►ROPER7YYV11OBUILDSORllvHDVESTHEREON.AIDWF1000ES5UCHWW1KHiM5ELFORHERSELFOR m Q 7HROUGHNSORNEROriNEMMdYEES,iROV�OEDiHATSUd1WVROVEM[MSMENOTMENOEOOR � .OFFEREDiORSALEF,MOWEYERT7EeULDWOOfiMPflOVEUEMI550lDYA7HWON[YFAROFCOMPLE• TqN.THE OWNER$ULDEN YNLL HAVF TME BURDEN OF iROVNO THAT NE OFi SNE D�D NOT BURD OR = YVROVEF0f11HEVUNPO5EOF9ALE4 W OlA40WNEROFTHEVROPEHfY,/JrIXCLUSNELYCONiMCiNOWfTHIICENSEDCONTRACT00.5 � TO CONSiRU(.'T hIE PRO.IECT�SEC.toa�.BUSINE55 MD VROFESSIONS CODE:TNE OONfMC70R5 W Ve1u0110ff �Q ADJ.AREA GENSE UW DOES NOT MPLY TOAN OWNER OF A PROPERTV VAA BU�LDS OR IMPROVES THEREON./�ND � W/qC01lTRACTSFOREUCHPRO.IECTSWIiNACONiMCTON(5)LICENSED7URSUURTO7HECONTMG QUANT(TY DESCRIPTION � FEE � 70R5 UCENSE UW.). . .. .+. l. . , O I AY EXEYPT UNDER SEQ 8.l P.G FOR TNIS REASON U �-� 3 _ .... _. . LL' DATE OWNER � W F LICENSED CONTRACTORS DECLAFiATION W � IMEREBVAFi1NYU1nERPENALTlOFFEiWRYTHATIAMLICFN5E0UNDERVROVISiONSOFCFIMT Vr _ . s 0(COAMJENCwU M7iM 5ECT10N 70001�DM510N�OF iHE BUSINESS AND VROFES510NS COD. X W UCENSE IS N FULL FORCE IW�EFFECT. m LiJ Q T � UCENSE CUSS ��J LIC.N0. O��V � H � � o�� .5=�-%.9 corrrancroR _ a w � WOqKERS'COMPENSATION DECLARATION a � IHEREBYAFFlNAUFDERiENALTYOFVERAIRYONEOFTMEFOLIDYnNGDECUW1T10N5: U � � � Z Q G �IIUVEAN0IN�LLMMNTANACEHTIFlGTEOFCONSEMTOSELFJNSUREfORWOqKERS' _ � OOMPENSATION,ASiROV�DEDBYSECTION97WOFTHEIABORCOOE,FORTHEPERWNAMICE W OF TME WOFK FOR M�N�Q/71U5 PERMIT IS ISSUED. � 0 J,�t IUVEAND WILL LUPrtNN WONKERS'OOUPENSnTqN PlSUtUNLE,ILS NE�VItiED BY SE / , Q 77ooOFiHELABORCODE,FORTNEPEA�OIWANCEOFTHEWONCFORVMKNiN�SPE IS /..� 65UEO.MYVVORxERSCOMPEN5A710NIN5UR+WCECMRIERANDiOLIGYMIMBERM CONSTRUCTION «<i � GARIER � G��G� PU1N REVIEW � ' � - �-- ' � . POLICYMMBER s � � ELECTRIC .. 0 (M55EcnoNr+�MorBEOo�.i�imOFnEPEraAtsro(1or+EluDrc�Da1�1C'..R�m10atEssl PLUM�ING . Z I CEHTFY iNAT NTHE PERFORIIANCE 0F THE NIORK FOR WHIqiTHIS PERAIIT I5155UED,1 MECHANICAL - (,7 5/uLLNOiEYPLOYFNYVER50NNM1YMANNERSOASTOBECqJ.E5U61ECTTOTME N WORKERS'Cq.�PENSATqNUW50FGLIFON1aA,AND�GREET1uTIFISMOULDBEGOME INSPECTIONFEE 7 " � SVBJECTTOh1EWWMERS'CdAPENSATIONPROV15qN50F5EM10N7700 FTHEUBOi1 1SSUANCE '✓ J CDO}ISHNLPORfNW1T7�GO�APLYM77H PROVISKKIS. /J � � �// SMIP � d� p DAT£ �� APRIGNT: t �'Y-- Cl2I�'•. � � -- . W ENERGY P/C �• � WMN�IId:f�Ll1RE TO SECURE WORKERS'CpdPEN5�T10N COVF.RAGE IS VNUWFU,AND SMALI.BE SU9JECfANEMROYERTOCRiMNALPENALTtE5M1�CMLFwESUVTOONEMUNDREDT10lk'�NO ENERGYPERMR 'pOLLAFiS�t100,00D),N IDDITION TO iY1E COST OF COMPENSATpN,DIIMAGLS AS PROVDED fOft W J 6FCTIDN�7oeOFiMELADORCODEH7EREST.l�NOATfORNEYSFEES pETENTIONFEE: � � Q ' � pW., CONSTRUCTION LENDING AGENCY PHE•ALT FEE: OC�.I � 1 HEREBYAiFIRM UNOER PENMTY OF FERIUHY TMA7 7MERE IS ACONSTHUCTION LENOwO AGENGY FOiI TME PERFORMlWCE OF 1NE WORK PoR WNldi 7H15 DERMI71515SUE0�SEF]oi7.CIV.G). � � LENDEt75NAAlE � � � LENDER'9ADORE55 .�� ¢ ICERTiFYTHATIHAVERF.�LTWSAPOL�CA170NAND5TATETU1iTHEA80VENFORMATqN15CORRECL TOTAL FEES W IAGREFTOQOIA7LYWITMALICfiYANDCOUNTYORDwANCE5AND5TATELAW5REU71NOTO8URDING � � CONSTRUCf10N,MlDMEREBYAUTNOiLZEREORESENTATNESOF7111SCOUNTY70EN7ERUDONTNE . . � � � S� MENTIONEDiROGERTYFORWSPECTIONPVNPD5E5. COMMENTS � 9 � ,, . m 7E RTE �1ME(PHIHT) Q . N vj 8qNA7UH V RANTiEE D�TE � _ RECPT.N0. PAID BY VALIDATION . WHITE—D¢partment Copy,YELLOW—Finence Copy.PINK—,Asaeaeor Copy,GOLDENR06—File Copy.GREEN—Applicant's Copy � � ,. " , � . , ,. . .�. • . .. . .. . . . . • ... . .. , � . . • .. . . . . . . . . •.y . . . . . • • , � . .. .. . . - . .� . � � --; ��� CITY OF DIAMOND BAR: ?;. :;... ., : ,. — , • .. . - ,. ,. .. ... . .. . . , __ . _. . � •,� 1 . . , . . ... 1NSPECTiON'RECORD'_ � � . . � , � � � • - � � � • - SET BACK ' -:�';�-o,:� \ - :. ;-.\ '��`�t:, FLOOR JOIST • • - . � ' _ - FTGS/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.�BOND BEAM-� ' - - • ' • , _ ' ,--;� ROOF SNE/�THING- . - • -�-`t �•:� ' L:. 8 FT.BOND BEAM . -, _, - -- -• `- ---• --.; • ..:, , I '. � FRAMINGNENTILIATION - � � ' FINAL BOND BEAM � • • .__ . . ._. . , "-2Z- `. , ' ' PRE-GRADING .._. - -... .. _ ROOF COVER _ � � ROUGH HEATING - - �- --- -�- ' -BENCHING ' � "- ; - ROUGH ELECTRIC - � - ROUGH GRADING . - - ROUGH PLUMBING - - -- - -- - - FINISH GRADING _ , • SHOWERlTUB TEST ; - - - -- - POOL ELECTRIC � • , EXT.LATH/SIbING , �POOL FENCING � � WALL INSULATION ' POOL FINAI : ' . CEILING INSULATION OFF SITE IMPS. • �- • DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. • • �. SEPTICTANK . . ..___� _. _ . _. _ , _ _ . LANDSCAPE/IRRIG. , � SEEP PIT/L.L.._. -. -- � -. ON SITE IMPS. � . , . . -GAS AIR TEST - -- - --- - � FIFJAL ZONING - - FINAL:CONST. - 5'.'�-gt! �,,�1` FIRE DEPT. FINAL - ' ' , FINAL HEATING - -- - HEALTH DEPT. FINAL ' ;,:. ; FINALELECTRIC -- " �" - DEV.�FEESPAID � - � FWAL PLUMBING ENERGY • . � ' '��=,v � �e)_<� r�x'� s � ,�-- - ... -• --• - - • - COMMENTS._ — -- .. . ... , . . .. ; . , . . , _ . __ . ._. , _. . �'•�� ; ; -- - � � . . _ . . , ..,r��, .. _ _ � ; ; _ - -=� _ , � ,.^'.,- , .\ . -----. . _ _ . , , . � i SEPTIC TANK SIZE � . , � . • SEEP.PIT/U SIZE•',7� !.•. . •,K�:, -_ , , . . . . � � � `' ' I , , . . , ,. , , - �- . _. _ . .... _ ' � ; - , _ _..... _ _ , ,�Y. ; ._. . , , .. ; � . . .. '- _ . . , _.. ... ;. � _. .. , � - - � _ _.. ' ' - ._� _. _.� � ,.._.. __.. _. . _. • .. i .. _ � _. ,� `, :•, , - - s. v j,` � . - - - ,.