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HomeMy WebLinkAbout14781 (20) . ---------- -- - � �� J� CITY OF DIAMOND BAR � � ,� • - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � Zi6so E.c�i�y n�;��s�u i90 PRESS Tv ' (909)860-3195 raa(909)861-3117 �`'�'� BUQ.DIIVG PERMTT APPLICATION � FIRMLY � JOBSITE �/�f �� APPLICATION 3 PERMR 1� / P/C o ADDRESS �l/G� DATE NUMBER M � ISSUE TYPE OCC -- APN LOT TRACT DATE CONST. GROUP p OWNER __ �7//L T "' ADDRESSZ�� S . K-f�MC,C ZONING SETBACKS � C(N � . 'C�l ZIP�1/7(�$` TEL'�C��5777 REART RW a APPLICANT TEL SIDE/SIDE STREET RW ❑ � CONTRACTOR 1 /C� SIDE ❑ g ADDRESS� y pqOPOSEDUSE T ^ GC. � ��G Par NG/ . ZIP�ZfCZ1 TELK7 !S - O /L f � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. u� tn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNEH-BUILDER DECLARATION SFR/ADD/FiEAA O p I HEREBY IFFIfMI U�OER PENALTY OF GEiWiiY TIUT�AM E%EAIVT FRdA THE COHTAACTOHS L4 Garege/Carport� [ll CENSEUWiOHTHEFOl10wNOREASON(SEG70.t1.6BU5ME551NDCRO�E55�ONSCODE:ANVCRYOR (n S2 OOLMTYVNi1CHNEdJWE1AVERMRTOCONSTRUCf,/LL7E0.MPpOVE,DEE10tISN,ORREDNqM1YSTRUG LJ,J P8i101�BCk Z TUR�PRqR TO RS ISSUANCE, fi�REWIRES THE APVLICMR FOR SUOI VERMIT TO FILE A 31GNED , � S7ATENEM TW1T ME OR SME 6 110EN5ED PURSUANT TO THE PROV1510N5 OF THE GONTMC70FY5 Lb � � CENSE UW�pfAPTER Y(COMMENCPx]WIiH SECTqN)ODa)Of OIY1510N 70F THE BUSINESS INU PNO- POOVSpd FESSqNSCO0Ela1TMATNLOR5HE1SEl(EMPTTHEREFROMANDINEBASISFORTHEALLEOEDE%EMP- (� T10N.ANYVqIATqNOFSECT10N7W1.SBYhM'AP7LICANTFOftAVERMITSUBJECTSTHEAPPLiCANTTO z pe-Roo1 , � A C1�Al VENALTY OF NOT MORE T1U1N i1VE H/NDNED OOLURS(lSoo)_�� . � O�IISOVMEROF7HEPROPERTV,OfiYVFMPLOYEESWITHWAGL5A5THEIqSOLEC0IIPENSATION, � Commerc0l - YALLDOiHE WON(AND THE STRUCTURE IS NOT NlTENDED OR OFFEt7ED FOR SILLE(SEC.7M�,BU51• J N NESS AND PROFESSIONS COO@ TIIE CONTMCTOitS LICENSE UW DOES NOT AGPLY TO AN OWNER OF = FNOPEflTY WIqBUIDSORIIAVHDVESTMCREON,IWO WMODOESSUQ1YIqiKMIMSELFORNERSELFOq Q TNROUGHHISOFiNEROWNE4VL0YEES.VROVIDmTHATSULHMPqOVEMENTSARENOTMENOEJOR m . � OFFFRmFORSAI.E.IF,110WEVERi11E9UlDIN00RYPFiOVEIAENiI550LDWrtMYONEYEAHOFCOMPLE- Z 'TION,iNE OYNIE1i�BUlDER WILL HAVE iHE BUHOEN OF VpOVW�iHAT M[OA 6HE DiD NO7 BUIID OR = YpROVEFORiNEVURPOSEOFSALfR �y,� OL�aM1EROFTNECROPERTY,AMEXCLUSNELVCOI.TMCiI1:aMrtiNLICENSEDCONTRACTOR3 [L TO CONSTRUCTTIE FROJECT(SEG 7aa,BUSIN[SS/ND PROFESSIONS COCE:THE CONTMC70F3 LI- VilU3IiIX1 ADJ.AREA LL� CENSEUWOOESNOTAPPLYTOANONNEFOFAGROPERTYWIpBUILD50RMPHOVE5111EREpLM10 F WIqCOHTMCT5FOq5Up1PR0.JECT5MnTHACONfMCTOR(57L10ENSGDPURSUAHTiOTFIECONTMG OUANTITY D[SCRIpiION FEE � T00.S UCENSE UW.y O 1 MI EXEAIP7 UNDER SEC. B.i O.C.FOR T1!5 RLASON a U LL. ¢ DATE ONRIER V . � UCENSED CONTRACTORS OECLARATION W � w INEREBYAFFUINUNDERPENALTYOFPE0.IURYTWRI/J.�UCENSEDUNDERiROVI5roN50FCWlPTER/ � � •(COAIMEHCNON7MSECTiON7000)OfDM510N]OFiMEBU51NE55Ah'DPROFESSIONSCODE,IWQ X W LILENSE IS H M.L FORCE/WD EFFECT. �u ����j� � 0 UCENSE CIASS � UC.NO.�1LL_L-�1��' V DATE I�I��I• C� t CONTRACTOR W � � WORKERS'COMPENSATION D[CLARATION . a O � � IMER[BYAFi11WUrMERVFNAl7YOFVERNMONEOFh1EFOLLOYANODECUu'UT 1 N + ♦ � _INAVEANDIMLLNAMTIINACERTIFIGTEOFLONSENTTOSELF�WSUREFO WO�iKE 5' y CONPENSATqN,AS PIIOV10ED BV SECiION A000:THE LABOR OODE.F E VEH RMANCE ib Of 7HE YVOfUC FON WHM317HI5 PERMIT 6 ISSUED. � �IMAYE/ViDMlILLIMMAINWORKERS'COMPETISATqNWSURANCE,M^HE :11REDBYSECTqN .1 '^�y� � J7ooOFiNEUBOROXILFORTN[PERFOR7AMICEOFTIEWOfiKFOH iCNTN15fERMlT1 V tj � 55UEJ.IAYVYDH�RS'COM^PE'NS,AT.q�NW7SURANCECMWCRIIHUPO�CY'UM3ERME: S RUC N � CAARIER �!� �' N IEW O POIICYN1AAeER � �(�` Q � � R1a55Ef.TIONNEmNo78EW1.ilFimOFnCVEfi.�rswnoNEH1KJFti�0alM5lst attEssl L !EiING W Z I CER7IFV THAT N iHE PERFORA/AVCE OF iME WORK FOR WNIp/THIS VERIA�T IS I55 [D,1 ti�LCHANIC�AL (7 SHALLNOTEMPLOVAHYVERSONINANYMANNERSOASTOBECOG�ESUBJECT707H �� • � riDRNER5COA1rEN5A7qNUwsOFCALIFdiNitiAND�CREETNATIFI5Vi0l1LDBECo INSPECTIONFEE S SU61ECfTOTHEVIORKERSCOMPENSATpNPROV1510N50FSEC710N]TODOFTMEIABOR ' – cooE,i swu voHnMnn+con�r�r vnn�nasE r/nrn�^nsar+s ISSUANCE R O _`=l' L SMIP � 1 � �,�+��w �� p DATE: � APPLICANT. ,�� '-7 � WARMNQFAILURETOSECUREY.ORKERS'COMPENSATIONCOVERAGEISUNLANTUL,AN�SHNiBE ENEHGYP/C �sf='L��N�1 �y SUBJECTANEMPLOYERTOCRIY'NALPENALTIESANOCMLFINESUPTOONEFl1NDREDTHDUSANO ENERGYPERMIT 1LD DO11A0.5(t1m.0o0�.W AODIT70N TO iHE COST OF COMPENSATION.DAMAGES AS PROVIDfO FOR IN � 6ECTION17DeOFTNEU80RCODE,INTEREST.ANDAT70PNEY5FEE5. RETENTIONFEE: a CANSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IHfRCBYIILFIRMUNDERVENALTYOF0E0.1UWYTHIITTNERELSACOq5TNl1CT10NLENDIN�AGENCY FOR iHfi VERFORMANCE OF iME WONK FOR WHICH 7MIS VEt71��715155UED(SEGloa7,dK G). . � � IENDER'S NAYE � �ENDER'SAOOHE55 � n- ICERTIFVTHATIMAVEREADiMSAPPLICAT10NIwD5TATETMATTHEIIBOVENFOR1AATqNISCORRECL TOTAL FEES 1 �' � IAGREETOCOMPLYYATHILLLCffYANDCOUNTYORDTIANLESANOSTATEUWSREUiINOTOBUqpINC � CONSTXUCT ANOHEREBYAUhqR12EREiRESENT�TNE50F1NI5COUNTYTOENiERUPONTHE Z IONEOPRDVERTYFOqINSP oosEs. COMMENTS � l G _ m v¢ �e rrt� � � N I UREO PE iTtEE D�T[ � RECF'T.NO. PP10 6Y VALIDATION WHITE-0epaRmant Copy.YELLOW—Finence Copy,PINK—Assessor Copy.GOLOENRO�File Copy,GREEN—Applicanfs Copy ' . . . .. ._ . . ..t ..t.... .. . . ` _. ��. � .. . . .. .F'. .•I:..� .! 1 . . .. ... ... ` ....... •. �.. . ......Y,�r .�. .......r . . � . . . .. _ ' CITY OF DIAMOt�D BAR , , • ' ' ., . . IfdSPECTiON RECORD : � � � � : - � • . �(��-�%'��:_�:C;o�^;�� , . ;�r`?�'� `li�-��.��.��: �►�.�-����q.lo,,1��.4`*e�i'.�'-�� . �1�'��.�������:.:� . _ ...._ - ��� . .�,... �.._,._ .,, .. �.. `SET BACK ... ~.� � � � j,1•• FLOOR J015T . . .�� � . __ -_ . FiGS/FOR�"5/STEEL` � -- " ' ! , FHAREQMTS. �J.' � _ � ' ' _ . � . . ;ELECTRIC GROUND__.._ .. ._ ' i� � UNDER FLOOR DUCT _.. _� . - ' GROUND PLUMBING U�JDER FLOOR CU�IDUIT � ' �SLAB GRADE�- - � - --- � FIREPLACE,F.OU�JDATION - ' �" :' � ' ' � �TED.4P POWER - � FIREPLACE BOND BEAM ' � ' ;INATER SEpViCE - - � MID HT.BOND BEAP�1 ' ' � � • - � ROOF SHEATHlNG '�`:�: ,. ���410� '. . - 8 Fi'. BOND BEAM � _. . , ' � - . .. FRA,�L11t•�GNENTILIATION '� � �' ' -'� �� �-' FINAL BOND BEAM ' ` ROO�COVER • ' • PRE-GRADING - - - ' � ROJGH HEATING' � - ' � BENCHING ' ROUGH ELECTRIC. '. �_ ' "•• _ ROUGH GRADING - ROUGH PLUh4BING - - -� FINISH GRADING ' SFIOV'JER.ri'UB TEST �- � - POOL ELECTRIC � EXT.iATHlSIDING ' -- • - POOL FENCING � V�:ALL INSULATION --;- - - - � � = ,_ - POOL FINAL CEiLIt�G If•�SULATIOtJ, F ' OFF SITE IMPS. ,DqYVJAL.L NA1LiNG -, - - - � DEDICATIaNS -SEWcR - -- - FINAL ENG. � ,- : SEPTIC TANK ' LANDSCAPE/IRRIG. �. SECP PIT/L.L. . � I `_`. `, '�;. '> >�` (7N SITE I��IPS. � 'GAS AIR TEST FINAL ZONING - Fli•�AL CONST. � �(^f 3-Q! � � FIRE DEPT. FINAL � FirL4!HcATING _ _ _ _ _ HEALTH DEPT. FINAL P�PJfiL[LECTFiIC � � DEV. FEES pAID - � f=;"1��+PLUFIIB?hJG ENERGY - — _..- -- - .. . I , .4w--� �,:��-----�---�--_--.�---,: I - - - i :ni` 6i t'�3.�.:W1�.��. - � ':y=1;. :..w .to;w .r... _ .. ,., — . - -- ^--- . � ! 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