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HomeMy WebLinkAbout13620 _� J� _ CITY OF DIAMOND BAR L"1 DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES j—� 21660 E.Coplcy Drivc Suite 190 (909)860-3195 Fax(909)861-3117 PRESS ����'� BUII.DING PERMTT APPLICATION FI RMLY � JOBSITE �� / I d d�, JQ� l`� APPLICATION . l � PERMIT ��P/C o ADORESS �� ip � u–r Q DATE ,NUMBER N � ISSUE TYPE OCC . APN LOT T ACT DATE CONST. GROUP p OWNER ['% " ADDRESS ZONING SEfBACKS � CITY TE 1 FFiONT RW ❑ APPUCANT TEL. REAR O � _ SIDElSIDE STFEET RW O CONTRACTOR SIDE � ADDRES PROPOSED USE CITY ZIP�� TEL9�'9'C��`� � ARCFVENG/ ��- DESIGNER NO.DWEL NO. `, NO. = CnDRESS Z�P TEL. UNITS STORIES �_BEDROOMS � DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFFVADDIREM � O p 1 MEREBYAFFqOA UNDER PEWLL7Y OF iEFWRY iHAT I MI IXEMPT FROM TME CONTMGTORS LI� Ga�99/C81pOR W CENSEIAWFORTNEiOLIfM'wGREASON(SEG7a71.68U51HE55ANDPROFES510NSCODE:ANYCITYOR (n ZCOUHTYW411QIREOUIFIESADERAIRTOCONSTIiUCLALTER�PROVE,DE40U5N.OqREPNR/WYSTRUG W PatiolDeck 7URE.PRIOR N rt3154UANCE.ALSO REOUIRES THE MPIICl1N7 FOR SUCM VERAIIT TO FLE A SIGNE� � ETA7E4ENT T1UT HE OR 5XE 6l10ENSED C110.5UANf TO TME P0.0VISIONS OF THE COHTRACTORS L4 W � CENSE UM1(C1IFPTER Y�CdAYENCNO VYITH SECi10N 7000)OF DM510N]OF THE BUSINE55 AND VRO- � FooVSpa _ � fE5510N5 COOE)OR 71NT ME Ofi SHE IS E%EMPTTHEHEFROM AND TME B�Si3 FOR iME ALLEGEO E%EM7• 710N.ANYYqUTDNOFSECT10NTm1.68YANY�OPIJCMlTFORAPERMITSUBJECTSTHEAPPLICANTTO ,qe.ppof � ACINLVENALT/OFNOTNORETHANFNEMINDREDDOlLAA5�t5o0).�: O OI/SOwNEHOFiMEPROPERTY.ORMYEMPLOYEESVnMWAGESASTMEIRSOLECOMPEN5AT10N, � COTTe(CIaI Z 1NLL DO tHE woRK,AND TNE STRUG'fURE IS NOT INTEN�ED OR OiFERED FOR SALE(SEC.70a1.BUSb J N NE55 N1D PROFESS�ONS OOOE:TNf COHTRAC70R5 UCENSE Uw DOES NOT APPLY TO AN WlNER OF � �� � PRDVERiY 1N��0 BUtDS OR M�PROVES 7MEREON.ANO MR70 OOES SUp7 VIORK HiMSELFOR IIERSELF pq � r Q THROUGHWSOfINEROYMEYPLOYEES,VROVI�EDTMAT5lIG/�1vROVEMENTSARFNOTNTEN0E00R m � OFFERmFONSALEIF.iW�M1'EVER111EBUlD�NGOi1MMiOVEl1ENTI550lDYATMMONEYEAROFCOMP�f- Z 'TION,TME O�MHFR�BUItDER WILL HAVE TME BUIIDEN OF iROVWO THAT ME OR 8NE DiD NOT BUIID OR = W PROVE FOR THE Cl1RPOSE OF S1LLE1. � QI,ASONMEHOFTMEFROPER'i1;AMEXCLUSNEIYCONTMCtNOWITMUCENSEDCONTMRORS TOCONS7RUCTTHEPNOJELT�SEG7oa�,BININESSANOPiqfE55lONSOODE:THECOrRFNCiORSl1- V21lIBtiDf1� ADJ.ARFA CENSE lAW DOES NJT MPLY TOIW CMNER OF A PHOPER7Y YRiO BULDS OH IMPROVE9 TMEREON.M1D YAqCONTqACTSFOHSUCHPROJECTSYnTHACONfMCfCR(5)LICENSEDPU0.5UANTTOTNECCYffRAG OUANTITY DESCAIPTIO� FEE � TORSLICENSEUW.} OIAAIfXEYPTUNDERSEC. B.iP.C.FORTNI5REA50N Q U u" �ATE OYNER r" � W LICENSED CON7RACTORS DECLAAATION -� � W INEREBYAFi7RMUHDERPENALTYOFGEMJRY7NATIAhILICENSEDUNDERYPOV15iON50FCMAVTER Vr s ��COWAENCIN�YlITMSECTION)0001�DM510NDOFTMEBUSINGSSMNJVROFE5510N5C00E,AND Z LL�� LfY LKENSE R N fUl1 FORCE AND EFFECt m �1... LICENSE 5 h��_LIC.NO �� jJ t� DATE,E2�J�CdJTMCTOR a S� —s--�— � YlORKERS'COMPENSATION DECLARATION ^ q� � L�1 � � IHENE87AFFlRMUNDERPENALTYOFPE0.NF'/ONEOFTHEfOLLOWwGOEQAMT Z a � _IWWEANDMIILLMAMTNNAGERftFIGTEOFCqiSENTTOSELFdNSUREFOqNORKERS' S CpAP[NSA710N,ASVRONOEOBYSECTON77ooOFTNEUBONCeOE.FORTNEPERFORMANCE W OF TME Y/ORK FOR WMIGH 71�I3 PERMIT IS ISSUED. � � Q �I HAVE AND W1LL►WMAN WORKERS'COL�PENSATION 1NSURANCE.AS REWIRED BY SECTION f� 97000F7}1ElID0ACO0C.FORTHEVERiOR�AMICEOFiMEWOPKFORWHICMTHISPERMrt15 7—(J � ISSUED.W V1'JFYCEAS'W�.�PENSAiION INSURANCF GARRIER AND VOLICY NUA�UEf1 ARE: CONSTRUCTION //`� � � CARAIER PVW R[VIEW � POLICY MIMBER ��'.��j ELECTRIC � � (tHSSECIIONNCEowTBE0.:�.aEtIDOFhEGOi.�iswli0r+ElMLiiED0a1A0.s(S+ODVatl�ess� PLUMDING Z ICER7IiYhuTNTHEVERFOPIAANCEOF7H[M'ORKFORWM�CNiM�SPERUITI5155UED.l MECHANICAL (� 314W.NOTEMPLOYANVPERSONNANYMANnER50h5TOBEC061E5V8lECTTOTHE �t��� „ '' "yl�,� N WORKERSCOMVENSATIONlAW50FCAUFOfW�tiIW�AGFEE MA7IFISHDUIOBFCOM[ INSPECTIONFEE � S SUBIECT TO THE WORKERS'COAIPENSATqN iRONSqNS OF _CTION 77Do 1E LABOR CI ""'.�_.. "" ' ape,�swuiFonn�vnrncoravtrwm+ vHows ISSUANCE ' r • � •.�� .�• •• � � . .-�--�� `p onre:� o��APPLICANT: �SMIP �LII�T F1':`" .�...V �� . � ENERGY P/C � WARNINQ:FA�UIRETOSECVREWORNEFlS'CGdP NSATqNCOVEMCEISUNUYJF ANDSM/J.�BE , � SUBJECTANEMIqOYERTOCitMriN.PENhLT1E5ANDGY�lFMESUPTOONEFNNOREDT4qU5AND ENERGYPERMIT DOLIAAS(il ao.DOD).N IDOITION TO THE LOST OF COMPENSATIDN.�AMIICES Il5 VROYDEO FOR RI J SECilON�70eOFT11EU00RCODE.N7EREST,MIDATTORNEYSFEES. ' RETENTIONFEE: Q d CONSTRUCTION LENDING AGENCY PRE-AlT FEE: O � IHEREBYACFlNAUN�ERDENJLLTVOFpERNM7HATINERElSAODNSTRULT10NlENOWGAGENCY n- FOR THE PERWRMANCE OF iHE WORK FOR Yn11GI TMIS PEN.nTI51SSUE0{SEC.�091.dV.G.). � � LENDER'SNAME C LENDEH'ShDORE55 w ILEfiTIFYTHATIHAVEREADiHISMPLICATION/WOSTATETWITTHEABWENFORA1AT10NI5CDRRECL TOTAL FEES + p., IAGREETOCOMPLYN7THALLCfTVANDCOUMYOfL�PUNCESANOSUTEUWSNEUTN0708URDINO � CO��STRUCTION,ANDHCREBYAUT1qRREPE7RE5ENTATNESOFiH�SCWNT/TOENTERUPOHTHE Z �BWE-MENT%7nEDP ENTlFORMSP � vua�osEs. COM6IENTS 0 _ -�� m OE AME(P Q N 0 y S E DER4R7 •DATE � RECPT.NO. F'AID BY VAUDATION WFIITE-0epartment Copy.YELLOW—FinanceCopy,PINK—Assassa Copy,GOLDENROD—File Copy,GREEN—ApplicanYa Copy .. . . .� � ., . . . .. . ' . • _ . ... ... . . �. ' . . �. � . ..� . w.. r. .... .. . ..... • . i.. .. .. . r � .. � .. � . '_ CITY OF DIAMOND BAR . . , . � -� - � � � INSPECTION RECORD � � . - '�1�,�-7;a�c,'=�1��►,``� ��I����� I��.�:�3����.)� �� '����J; o ��(� ��1� � � � �a c� o �w . -.._.. __ _ , _:�:. ,,..:.v, ,. .� �'�. .� �1..:�. .., J'-'S.�� �I►��'1�„3�,��.�;:.3. �-��,..�. SET BACK .. •,� � . � � . ' .. - . � FLOOR JOIST . �,,..,_ . .�,,;.... :i..., . .. ...-._ . , . , _ , .. •,� ,,. �•. . . .. ,I _ . ;FTGS/FORP�4S/STEEL - ' ' =• � ' FHA REQMTS `" ' - -- ;ELECTRIC GROUND. .. :�- _ _ UNDER FLOOR DUCT �_ ,- • � IGROUND PLUPJIBING UNDER FLOOR CU�IDU(T � "' � ' '' '• --. . . . . . , SLAB GRAdE -- � - FIREPL�,CE FOUNDATION -'•., . '; � �. ,�. . ��-\ :TEPAP POVVER - FIREPl.:ACE�BOND'BEAM �= t �'- �`: '� •'� ��= :VUATER SERVICE - - MID HT. BOND B�AM • ��� . �. r , �� � .: � •• ; . . ;ROOF SHEATHING • �-a-�2 � � �- ._ 8 Ff.BOND BEAr�� _ � • -� • -�� .•. . = '.. .-.,-••_�, • `.FRAMING,NENTILIATiON - - - - FINAL BOND BEAM� ' ' �� � � ' ' - ' ' iROOFCOVF_R � L-I'-� �) PRE-GRADING � ROUGH HEATING 6ENCHING � ;ROUGti ELECTRIC . ROUGH GRADING - � � ROUGH P�UMBING - ' FINISH GRADING �SHOVVERITUB TEST - POOL ELECTRIC - :EXT: LF1TH/SIDING � POOL FENCING �V':ALL tNSULATION � • POOL FINAL rCEIL1NG fi�tSU�ATtON�, � • ' '`�'•`•,'� OFF SITE IMPS. � _. DRYIIVALL NAILING� - ' i . . " " • ,....{ DEDICATIONS SEWER � - ••., �. • FINAL ENG. �SEPTIC TAFJK LANDSCAPE/IRRIG. :SEEP P1T/L.L. `� �..���.::. O�J SITE IMPS. . G.AS AIR TES? FINAL ZOhJING � - iF(NA�CONST. : ti.•.�.y'q � �� ;� FIRE DEPT. FINAL F11dAL NEAT!!�G HEALTH DEPT. FINAL ;FIN.AL El_ECTRIC DEV. FEES FAID P}":P,t PLU��IBID1a ENERGY _I � f : .,.�...�-�-�--,�...�- , _. ;�.,�=.���.'u;�;;W�s�,c. _ . . . , . Ys�'�..S�..w.._=:.`.51't.f_.W...:. ....._. ...�_ . . . . _.... ' • . _ ___:l.r:-�__..: �. .� ' - . � -. _." .. _ "_ (.. . � . �COPti9�JiENTS _ � . • ,:, , , ' � ,. , ,; , � - • , . - , ', . , , . , � --- . • . � -. . . , � — 'SEPTICTANh SIZE : iSEEP PiTIU SIZE _ i�..,._, . ..� .��:� _, .....' i � . � ..... , .. . . i . . ... r �: . - . . :►�i�' � ;�; _ -. . i , . , ;' . �..... ...... _ ... .., � � \ � _ .. . .. . . � . • • \ ; •:'. . . '. _..._._.._r.__.��_.��.....,__.... i i • � �\.� �� �` ' - � .. ..., .