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HomeMy WebLinkAbout13645 (7) ._. i .., i _. �� CITY OF DIAMOND BAR ��' DEPARTMENT OF COMM(JNITY&DEVELOPMENT SERVICES . � 2i�oE.c�i�ynri�es�c�i90 PRESS • (909)860-3195 Fax(909)861-3117 ''���� BUQ.DING PERMTT APPLICATION FIRMLY � JOBSRE APPLICATION PERMIT ' � C o ADDRESS �' � DATE � � ? NUMBER � ISSUE . TYPE OCC APN LOT T CT DATE CONST. GROUP p OWNER ___�y�. � a ADDRESS ZONING SEfBACKS w CfTY � IP�a� TEL.,�,9—2Q`7S1�7 REAR Rw O APPLICANT TEL. SIDElSIDE STREEf RW ❑ CONTRACTOR SIDE ❑ � ADDRESS PR POSED USE �� t` � CITY ZIP TEL ARCH/ENG! �e�o re Z // � ADOR SSR NO.DWEL. ' NO. NO. � f� UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� • OWNER-BUILDER DECLARATON SFR/ADD/REM O I MEREBY AFFlRM UHDER►ENALTY OF VERJURY iHRT 1 AM EXEMPT fHOM TNE COrRMCTOHS LI- G8f8gB/C8ry0R � 8 CEHSEUWFOi1TtEFIXLOMNOREA50N(SEG7W1.6BUSPIESSNIDVROFESSqNSCOOE:ANYqTYOi1 ' (f� � CDUNTYW}9G71REOURESAPEAAUfTOCONSTRUCT.ALTER�PR��.�E►KK�SItONNEPNf1ANYSTAUC• W �PetiOIDBCk ' NRE PRqH TO RS ISSUANCE.K50 RE W WES THE A7PUCAHi FOR SUp1 GEfIMR TO F0.E A SIGNED � ETATEYENT TIAT HE OR SHE IS LICENSED W RSUMfT TO iHE PROYISIONS OF TNE CONTMCTORS U• � CFNSEUW(01APTERY(COMMENpNOYA7HSECT10N7000)OFDINSIONIOFTHEBUSWESSANDPRO- � FoaVSPe FESS�ONSCOD�OAIHATNEORSHEI5EXE4PTT/EREFROAIANDTHEBASISFOi1TMEALLEGEDEXEMP•� C TqN.ANYV10lAiqNOFSECTION70�1.6BVANVAPMICAIlTFORAVERAIRSUBJEGTSTHEMPIIGWTTO Re-Rool J�t� � ACMLPEN�L71'OFN�TMORETMANitVEMUNDRED00LlARSlfsoo).k J � O�ASOM'NENOFTNEPHOPERTY,OFIMYEYPLAYEESWIiHWAOESASTNEIH50lECDM0EN5ATqN, (`,pmmOfClal WILL p0 THE WOF1K,/NO THE STRUCTUFiE IS N0T INTENDEO OR OFfEqEO FOR SALE(SEG 70N.BU54 J " NE53 M1D FpOFE5510N3 CDDE 7ME CONTMCTORS LICENSE tAW DOES NOi APPLY TO AN ONMER OF N piqPEHf`/1MqBULDSORtdPROVESTHEREON.ANDYAIODOESSUCNWIXiKHIYSEIFORHERSELFOR = (= tY1A0UGHHISORHEROYMEYPLOYEES,PROV10EDl/UTSIICHIMPROVEMENTSARENDTtt7TEN0EDOR m . � ,OFFERWFOpSALE1F,110YIEYERTMEBURDIN60RIMPf�OVEMINi1S50LDW�THNONEYEMOFCOMPLE- TqN,T11E OwNER�BUttDER YnLL INVE THE BURDEN OF PROVwO THAT HE OR SHE DD NOT BU4D OR MPROVEFORTHEPURPOSEOFSALE} � Ol�'OMMEROFiHEPROPEHTY,AMER4U51VCLYCOMRAC7INOM7TMLICENSEDCONTMCTOR3 TO WNSTRUCTTHE PROUECT(SEC.1W�.RUSINESS AND PROFESSIONS COOE:THE CONTRACTORS LI- VaIt18�fOf1 Q ADJ.AHEA CENSE UW DOES NOT M7lYT0 AN OKNER OFAPROPEifi`/Vrt10 BUMDS OR MPFIDVES TMEREON.IND wracorrtancrsFonwaivAo�Ecrsxani�ca+raicraus���Nsmvuasuurr�ornecartw�c- pUANTITY DESCRIPTION FEE � TOq9l10EN5E UW.�. . _. . ' + f . O I AM OIEAIPT UtAER SEC. 8.i F.C.FOR THIS REASON U '� • I� ? ¢ �� u' DATE ONMEFi V ' - �6 UCENSEO CONTRACTORS DECLAAATION W ¢ IMEHEBYAFFWMIM�ERPENALTYOFiERM11FIYTMATIAYLICENSEDUNDERPROVI5qN50FCHAPTER Vr , _ � � �(CqAAIENCMIOWIMSECTION7000)OFDMSION]OFTHEBUSINESSAND�ROFESSroNSCOOE.AND z. X W LIGENSE 6 W FIALFOBCEMI�EFFECT. m . . .. � • -;`f� ,. -. . .- _... . •_{�, . tL � � LICENSE CLASS LIC.NO. J � � �'j DATE CONiRACTOFi a' . . L = WORKERS'COMPENSATION DECLAFiATION Q � I MEHEBYAFili9A UNDER iElULTY OF►ERM1IRY ONE OF 7ME FOLLAWiNC 0EC(AMTIDNS: U N Z Q � _1NAVEANDYN111UNTAINACEHT1fICATEOfCONSENTTOSEIFdNSUREFONWORKERS' _ COAIPENSATqN,ASPROVIDEDBVSfCTON77ooOFTHEU80RLO0E,fd1THEPERWRMANCE U � OFi11EN'ORKFORWHIp1THISiEHMITIS195UED. � � _I NAVE AND WILL W1MAP1 WOIiKERS'CD4PENSATION INSURANCE AS REWIRED BV SECTION O �iooOFT�EL�BOitCO�E,iORTHEDENFOHMANCEOF7MEWORNiORWNICHTHI50ERA1R15 � ISSVE0.MYN'ORKERS'COM7ENSATqNINSUMNCECARRIERANOPOIICYNUA!BERME: CONSTRUCTION � � ��paEq PLAN REVIEW � VOLICYNUMBER ELECTRIC 0 �ya���nn�r�IDrare��sa�IDpcnfpEp.�rewqahMu��mpouu�lsemroqtFss� PLUMBING Z IC[RTIFYT4lTNTHEPEPFONMMlCEOFTHEN'ORKFORWMICM7MISVEW.�ITISISSUED,1 MECHANICAL Cy7 SM�1LL NOT EMPLOV M!Y VERSON N ANY MANNER 50 A9 TO BECOME SUBJEGT i0 THE y VrofUtE0.S'COIAVEI�l5AT10HlAW50FCALIFORlIA,/�NOAGREETHATIFISFIOULDBECOME INSPECTIONFEE SUBJECT TO TNE WORKERS'COUPEN5AT10N GR�V1510NS OF SECTIDN 97000F THE LABOfl s CODE,ISHl�11FORTHWRNCd��PLVWITNT1105EPRON51DN5. �SSUANCE � � � SMIP p DATE: APPLICANT. . W ENERGY P/C � � WARNINQ FAILURL TO SECURE WOP.NERS'COIAPENSATqN COVERAOE IS UNUN�M.AND SHALL BE � SUBJECTN/EMPLOYERTOCRiMW�LPEWLLTIESIWDCIVRFMIESUPTOONEMUNDREDTNWSAND ENEFGYPERMIT DOLLARS(f too.oDa1.W ADDITION TO T11E COST OF COMPENSATqN,CAAIAGES AS PROV7DED FOR IN ¢ SECTION]70lOFTHELABOHCO'JE,RfTERE5LµD117TONNEY'SFEES. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBYAFFlRMUrAERPENALTYOFVEFLAIRVTMATiHERE15ACONSTRUCTIONLENDWOACENCY Z FOR iHE PERFORMANCE OF THE WORK FOH MM1�ICM TM�S iERM1T IS ISSUED(SEG 7ov7,CN.C.1. W � IENDER'S NAME � LENDERSADDRE55 . WICERTIFYTHATIMAVEREADTHLSMPLIGRIONANDSTATEiHATTHEAeOVEINFDRM�tqNISWRRECT. TOTAL FEES � 1 �� � 1 AGREE TO COMCLV N7TN ALLGITV AND CAIMTY OPDINANCES M10 STATE UWS REUTINO TO BUlDINO CONSTRUCTICN,ANDHENEBY lIEREPRESENTATNESOFTHISWUNTYTOENTERUPON7HE ZIBOVE-►IEMqNEDPROPEHT/F INSPE aUR 5E5. COMMENTS " � � � QFEPMRTEENAME(PWN� ` � v� 6 iONATUREOFPENA�TIEE D TE RECPT.NO. PAID BY VALIDATION ' WHITE—Oepanment Copy.YELLOW—Financa Copy,PINK—AseeasaCopy.GOLDENROD—File Copy,GREEN—ApplicanYs Copy ' I .. .. , , . ,.�., , ,. ..... .. , . , � . r., ,. �, r . p�_- � .(' .r n'. ^ . , .. ;rrr � . . .v'•' � . .'. • . �. . . .. � � CITY OF DIAMOND BAR . . r. . _. , . .z ...� . ,. .-�;., . ..; lNSPECTION�RECORD � , . r�� : :c: . . : . �_ � ,� .. .. , :,, . ;' ., ;�:�..�---� �"f�fl.�����i��r! `. �����= ,,.�..{.I��I�:`�..,���.,:.��I►�:��.���':�.1��.� �.- �~+�.�'����?� 1�1�.� ��tn���� .. k.,.. �.�.�.,.,..�....- --- �� - -...� ,. .� ..n�.n.. - . ,,.,..._ �....a,�.u.�.��, �.. .. �SET BACK . � •� � �� , , � ,. � 1 , +'- FLOOR JOIST �� � ,, . i� . , . . . . . . � . ,.. FTGS/FORMS/STEEL— --' �. - •_ -- -- ---- .FHA REQMTS---- . __. . ._ - - - . --- - -. , � . - - -� . , 'ELECTRIC GROUND___ .._ _. _.-_ . _ UNDER FLOOR DUCT - � "' `�� ,- I � -- -- - 1GROUND PLUMBING : UNDER FLOOR CO'�i��JIT - -' '�' ' " ' � ... ,. 1 " � . ,.. ; �. ISLAB GRAQE- ---- l�` --- -- - -- _ ! FIREPLACE FOUNDATION ,„ , ' '^ i -- - - . . „ �TEMP POWER--- —�.,. - - :;.:. � �. � FIREPLACE BOND BEAM� . � � : -- . �� � . I , 1 WATEfl SERVICE- ---- --- - - - -- ' ' ' ��IID HT. BOND BEAR1 _ - _ . __ �,: . � -:� i - ; ROOr�SHEATHING'- ,. .: b-�2z• , . � �: i . 8 Ff.BOND BEAM -- - - --- - -- , , - - - - - -- ' !FRAh1lP.GNENTIL•IATION - • • •�'' � ' . �� �•� rFINAL'BOND BEAM ' � � .` ROdF COVFR' .�_,;� : � .,- PRE-GRADING - --- - - --- ---- � ' � ,. - - - , 'ROL'GH HcA71NG _-� --_ - _ . _ . . __ - 6ENCHING � . ,F{OU��'�LEC7RIC _! -.''' _,'� �,: i _ � : � . �. :, , ',. �ROUGH GRADING - - - - -- - ---- --� i. �ROlir!-i-�LUMBWG-- ;.- - ---- - --- ----, -`-:- _ FINISH GRADING ; �_; ---- ,;SNOY�l��i,'rUBTEST--, -- -- --- �-- --- ' '=:=� ' POOL'ELECTRIC' i . � �x� _ - -- -- -- y-- �_--. - •-- -- - POOL,F NALING '' . ' , : . • . . " ' r_ �.-L1�'HrSIDING------ " � 't�lR�L-tNSUtATION--; ��C�ILti��G"Ii:�ULATION,--- - - - �� -- -- ., . OFF SITE IMPS. - , '. , l�7RYV,�fiL.L NP,iLft�G—, -- - - - --- -,- - �EDICATIONS• - , ' • --- - - - - - - �!�c4"?FR- -- -- -i � FINAL•ENG. . , �N i�:EY'!C 7ANK � LANDSCAPE/IRRIG. ' , i iS��•�r �'_:/LL r r� 1 .. ON SITE IMPS. . 'I:- '=i��';T�ST ! FINAL;ZONING ' ' � • ; -, ' -`" --- -- -- :_.._._... .--- ----- --- - - . I;-+� ' ;�1dST..-!___. -_._ _. ._ _. FIRE DEPT. FINAL , � �_'-��:'-'=-- s-1� - -- � i� �- --- �EATING __._ -- -- -- - _ .._ . HEALTH DEPT.,F,INAL, ,.. - -: -. _ - � f � , __. ,_ . i,-+--•=ELEGTRIU'----- - -- -- - __ _ ._. -- DFV. FEES PAID•.. (-- �� PLUh1BfNG -- - -- -_ _ _-- ---- ENERGX ; . �-t7 - -_�f�- --- - . , ; i� - --- , -�— r, - �. - - . - _ :.,��'���?.���T.�:_._�'a . 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