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HomeMy WebLinkAbout14582 (27) :' CITY OF DIAMOND BAR � � ---�� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � ` � 21660 E.Copley Drive Suiu 190 - ' (909)860-3195 Faz(909)861-3117 PRESS ''��'�, BUQ.DING PERMTI'APPLICATION ' � � FIRMLY } JOBSITE �y APPLICATIOf� f'� PERMfT P/C o ADDRESS-���X D �.��TA- !L/N� pp� lX 1 _NUMBER� � APN - LOT TRACT ISSUE TYPE � ' OCC , � �—�—� i DATE CONST. GROUP p OWNER L�J L "' o ADDRESS ZONING SETBACKS � CfTYy1�}/�0�-�/4�_ ZIP TEL FFiONT flW p APPLICAhlT TEL SID SIDESTREET RW ❑ � CONTRACTO �u SIDE ❑ � ADDRESS��,N•�i,:� C � ZI TEL � P �P��� ow ARC NG/ � N10N/��ifL i' � DESIGNER NO.DWEL. NO. NO. ADDRESS � CfTY ZIP TEL UNITS STORIES � � .� rn OESCRIPTION'� Sa.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECIAFiATION SFFV/4D0/REM - O ; e I HEREBY AFFlpA UNDER VENALTY OF VEiWRY THA71 MI f%EGPT FROM THE COHTMCTOHS U• GeregB/C2ryOR � CENSEL�WFORIF1EFOlLOWN�[]REASOH�SEG7m1.68USINE55�IJOPPoOFESSION5GO0E:ANYdTYOR (n COUHTYNMICIIREOUPESAGERMRTOCONSTRUCf,/LLTER�vROYEDEM0U5M.ORREPAIRANVSTRUC- W PetiOIDBCk 7URE.GFLOR TO R4 SSUANCE,ALSO REWIRES 1HE 11PPLICMIT FOR SUC11 PERA1iT TO FlLE A SIGNED W � 6TATFMQfi TUT HE Oit SME 6 LKENSED M/iLSUMfT TO THE PiqY151DN5 OF THE CONTMCTOR4 LL � CENSE UW(dUPTER Y(GVIAMENCN�YVITM SEC?qN 7000)OF DMSqN i OF THE BUSINE5511ND VRO PooVSpa - FESSqNSCODE)OqiNATNEOR5ME15E%EMPT7MEREFH01AAhUTH[BASISFOHTNEALLEGEDE%EMP• (� TIDN.ANYVIClATK7NOFSECf10N70]1,68Y/NYAPPLICIVlffORAGERA11T6UBJECTSTH[MPLICANTTO Z RaRoof � ACIVILiE1ULTYOFNOT►qRETHANFNEHIRDREDD011ARS(35o0).} I OlAS01M1EROFTHEPROVER7Y,diMYEMPIOYEESWITHWAGESilS7HEIq50LECDUFENSATION, COrtITBfC�el MK1D0 7NE WORK/�N0 TME STRUCTURE IS NOT tlfTENDED OR OFFEP[D FOR SA:E(5[C.7D��,B1154 � J� , � NESSAND iROFE5510N5 OOOE:THE COMMCTOR9 UCENSf UW DOES NOTAPPLv TO AN qVNER OF j . PROPENTY N11q BUlD3 OR YPRO�/ES iHEREON.MA NMO DOES SUd/WOi1K HIMSELF OR MERSELF OR ' ' Q T7i10UGHMSORHEqqVNEMPLOYEES,GfiOVDEDiHAiSUCHMPflOVEMENT9ARENOTNTFNDE00R m �i� OFFEAEDPoR9AlE1F,NOWEVER7MEBlADNOORiMPROYEMEMI55IXDMA7HiNONEYFMOFCOAIPLE- Z T�ON.THE OWNERbUttDER YALL HI1VE TME BURDEN OF VROVINO iHAT NE OR 6ME DID NOT BIAID Oq WMPROHE FOfi THE iURPOSE OF S/LE} 04hSOMNENOFTHEFROPEHTY,MIE%CLUSNELYCONiMCTINaWfiHLICENSEDCOHTMCTOqS � TO COrSTRUCf TfE VfqJECT(SEG 7oN.BUSiNE55 AND VROFESSIONS COOE:THE COFrtMCTOFis tl- ValUallon � ADJ.AREA " ' CE NSE UW OOES NOTADP�V TO AN ONT�ER OFA PROVENTY WFID BURDS DR N�{10VE$iNEREON,AFD 11MOCONTRACfSiONSUp/PRQIECfSWITMACONTMCMR(S)L�CENSEDDU0.5UANTTOTNECONTMG QUANTITY DESCRIPTION FEE � TOiL4 LICENSE UW.} O I AY IXE4Pf UNDER 5EG B.�i.C.fOp TW 5 REASON � �""• 3 c� • - . . LL, o[ - _ i OA7E OWNEN U .,. �< LICENSED CONTRACTORS DECLARATION W 2 IMEREBYAFFKWUNDERPENAI,TYDFPERR1FiYT1NTIMILICENSEDUNDERFHO�nSIONSOFCHAPTER � • � s �(OW,4ENClW WIiTI SECTqN 70oD�OF DMSION J OF TME BUSINESS IwD PROFESS�ONS GOOE,AND Z ' ' � X W UCENSE IS PI FULL FORCE ANU EFFECL � m LLJ � 0 LICENSE CU S LIC.NO.� "_,���_i"� � �'j wh corrraacront�,L/11��nr+.�r °' w � WORKERS'COMPENSA710N DECUIRATION a . L y IHEREBYAFFIRIAUNDERPENALTYOFPEiWRYON[OFTHEFOIIDWINUDECLARATI0N5: ��� Z " " - � �INAVEANDNnLLWPITAMACERT1FlGlTEOFCONSEMTOSELFaNSUREFORWORKERS' a COYPENSATqN,A4GROYIDEDBYSECTION77000FiHEUBORCOOE.FOR7}1EPERFOflMANCE W Q OF7)1EYMORI(FORNTIIp17H15VERMlT{SISSUED. � _I HAVE AI�N1LL YAIMAM WOPofERS COMPENSATION INSUMNCE,AS REd11RED BV SECTION � /� Q77ooOF711E1I80qCOD�FORTHEPERFORIA�NCfOF7HEWORNFOR5N11CHTHISPERMRIS ��/�J �� � 65U�.WNORKERSCOAIOENSATqNINSUM CE NNENANDPOIICYNUMBERME: CONSTRUCTION wl/ � CMPIER�Q � O�' � PLAN REVIEW Z va�crr+u�"eE" � ELECTRIC . _��.]'TS 4 � �nassEcnorrr��wreem.s��oocn¢vew.�rswaa+[µerncnoauns�t,ao�ca�sst PLUnADiNG Z ICER7IFYTU7NTIEPERFOPAWICEOF711EINORICFORwMIptTHiSPERMITl5I55UE0,1 MECHANICAL (7 6MALLNOTEIAPLO7AN7VE0.50NN1ViYYANNERSOASTOBECLMIESU&IECiTOTHE � (n N9fiKERS'COMPENSA7pNU'NSOFWL�FORNI,�ANDAGREETNATIFISHOUIOBECAME INSPECTIONFEE SUBJECTTO iHE WORKERS CdM7EN5ATqN PRONS�ONS OF SECTION�700OF TN[UBOR rj CODE,I SHALL FORTM417H COM7lY WITH i/105E n�w pr�� ISSUANCE ,.�TV l���pl � �h SMIP v DATE�—�I�APPLIGINT: �� � WARNINp;iARURETOSECUREWOiL(ERS'COMPENS�A LOVERAGEISVIMWFlIL./iNOSFULLBE ENERGYP/C � J �y SUBJECTMIEMPLWENTOCRIMINALPENALTIESANDCMLFNESUPTOONENWUACOTIOUSAND ENERGYPERMIT - -- - -� DOLUILS(f 100.000).N ADDlildi TO TME CASTOF LDAIPENSATION,DMUGES ilS iROVIOED FOR RI J SECTqN]70lOFTHEUBORCOOE,NTEREST,ANOAiTORNEY5FEE5. A�ENTIONFEE: � OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: � � � � IMEREBYAFFlRMWDERVENALT/OFPERNMiHATT1ERE15ACDN5TRUCTbNLENOPIOAGENCY z FOiI TME PERFORYANCE TN[WORN iOR WNIUI7MIS VERAIIT IS ISSUEO fSEC.]Oa),CN.C.). W � LENDERS NAME . _ _ � � LENOER'SADDRES � TOTAL FEES � ' IL�� 30 W ICERTiF'YTNATINMERFJ�TMISACOLIGTIDNANDS7ATETHATiNEABOVEPIFONMATtlNISCORNECT. p� IAGREETOCdAPIVWIfHALLCfTYINOCOUNTNORDWANCESANOST�TEUWSREUTNOTOBUIL0ING � � CONS7RUCTIDN.MIDHERE9Y�Uf110W2EREPRESEMATNESOFTHISCOVNTYTOEMERUPONTHE . ,. , . � ABOVE�►�EHTIONED FROPER7V FOR wSPECTION PUNPOSES. COMMENTS J _ m PERMI7TEE PR� ' Q � ' - ' . (n 610NA7UREOFPEfUAITiEE JATE � RECPL NO. PtJO BY VALIDATION � WHITE—Department Copy,YELLOW—Finance Coqr,PINK—Aseessd Copy,GOLDENROD—File Copy,GREEN—ApplicanPs C.opy � � - - . " .. . .� �..�. . . .• .. �. � . ' . � . � . . . .. � . . ... . '. ' "__'. . �i ' '��•. r . r. � .. . . ' r ' . • � � , ,i . .�. �, .. � � .. �-;�-�-� CITY OF DIAMOND,BAR . � � -: , . . ( _. 1� � ,--,.. . -, •_ :'INSPECTION RECORD' � '. -, �- � "��`, , , ' �:_.. \�` �.- � . � , . ^. � . . . , .� ;.� . . � o , � - � � � � - SETBACK /��•,i��`-� , ���) � �,� ' FLOORJOIST �;% ' � i, �, - ';► • ' . .� � 1' f•:� -i 1 �1. FTGS/FORMS/STEEL FHA REQMTS- - - - -- - ' ELECTRIC GROUND - - ____ . - - � - � � � UNDER FLOOR DUCT ,� •;.•,_.-: �,,,•, ,• •<' . ' GROUND PLUMBING - � - �_ UND R FLOOR C�f�lDUIT� ���:•` f�^.� '` : •-;�.ti" SLAB GRADE� .. _ -- - . . FIREPtAG��FOk11�DA�lON ��. .1`�: _"`:`i`.:��;"��,i:� . � -- - ` • _.. : . • •. = FIREPLACE BOND BEAM . . ` ' TEMP POWER - � - - - ---._..... WATER SERVICE --- -- - � -- -�� - - - : - - �MID HT. BOND BEAM';`"�;�`.- .i `•"',•;` > . ROO��Sk�EA�FfIiVG- � " � .\ �y :• '• �'� ' ' ' ' ...,' ' •.' '�"'�.� " ��.? -;, �'. , . , � FT.�60NIIBEANI:�1 •• �'. _ '. �..�.�,. ;, �; ,- ;FAANIfN�/VEN�JLIATION� ��Z:i-L�� � �ti�•��>� '�'��•i_`�:=11 ;wNAL BOND BEAM ' � � � �OF.CDUER PRE-GRADING ; � � _ ,,. , �`` ROUGH HEATING - -2-8� •� � BENCHING ' `'� � ROUGH ELECTRIC -� � '` - � � � ' - ROUGH GRADING . ROUGH PLUMBING ; � � - - - - - FINISH GRADING . � ' ' SHOWERffUB TEST POOL ELECTRIC • � EXT.LATH/SIDING � , - � � �- P�OL FENCING WALLINSULATION :•��,�!! • POOLFINAL . " • CEILING INSULATION , .,.., OFF SITE IMPS. • � DRYWALL NAILING % ;•�:�'-;� -r DEDICATIONS � • `".,`.,' FINAL ENG. � . SEWER----- . .__.. _._ . _ . ._ , • SEPTIC TANK . ---_ � ��'"'`'--- '� '"� - -. . LANDSCAPE/IRRIG. . _.. .. _ +�ti SEEP PIT/L.L. - ' � �"`"t�� ti � ON SITE IMPS. • - � �GASAIRTEST ----- -�- � �- -- FINALZONING ` FfNAL CONST.-: - — - . �(7� - FIRE,DEPT.FINAL � ' FINAL HEATING - �� -�- " " � HEALTH DEPT.FINAL � i . FINAL ELECTRIC - - �� -- - - � DEV. FEES PAID - �� . � FINAL PLUMBING ENERGY • � , , . �' "� e ' . ��:.._.� � - . .. - ...... _ :� ,.�. -- •. ., , ••:.,� .._. ,..J � . ..,.. . _ . . .. - --- --.. _...._ ._ -.. . .. , ��' � . COMMENTS - �-� -- � � � � � ' � J ��L. ;�,1 .. , .. , . ' . , , - �� -- -- . _ . .- �-� - - _ - ' � . � . ' . � . ; �,�.-\}�Y �)'��� '���: 1, � � �- -- �- - - ' �- . ' , • . ' ' r: - - -- - ' � . 't. �� ,� . � . . . , � I ,�`���-�L_�7 �-- - ' , ,.): .�. . . . ... �1 ' ' I �:. -� �•� � - ��• ��� r � _ . . .. t' . . . -'� . � . .. , . SEPTIC TANK�SIZE � - , • � � � - � SEEP PIT/U SIZE � . � � � ,� � _.._. _ . - -. I : � ``. :�. �, ;, +, ' . ,i._:.--. � ---- ._� . . . .- . : .: _ �.�;c,��`,,„'��' >>..��,, ,�� :ti�'�•l�' �.► i � . .. . . . � .. , � ; � , . �._ ._ � -, _ .. � � -- ` • ,- `�, . . � \ ., t , � � � '��, , �. � . � . \ L.'� ' .. ;t.,..�._ _ . ... . .. . _ �-� � -- - � . .� - ,