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HomeMy WebLinkAbout12542 CITY OF DIAMOND BAR � � �� � EXPIRED -� �� - --� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � ' z��oE.coP��Ynri��s����o .. . «OV 2 9 ?Q00 • (909)860-3195 Fax(909)861-3117 PRESS '�A^' � BUII.DING PERMIT APPLICATION FIRMLY o ADDR S ���. � � � DA��CATION O Z NUMB R� � "p c� ISSUE TYPE OCC APN LOT TRACT - DATE 'CONST. GROUP p OWNER � . � LL ADDRESS ZONING SEBACKS � CfTY�. �Cc,� ZIP��� TE . �7 ' REAR RW ❑ APPLICANT '"� 1 /F:STEL 6 SIDE/SIDESTREET . R O � CONTRACTOR�S.{,f YI...P C� • SIDE � ADDRESS - � CITY ZIP TEL. PROPOSED USE � o ARCFVENG/ • • � DESIGNER NO.DWEL NO. NO. n. ADDRESS UNRS STORIES BEDAOOMS � CITY ZIP TEL c�n , DESCRIPTION 'SO.FT. FACTOR PSF ADJ.AREANALUATION p� �OWNER•BUILDER DECLARATION " ' SFRlADD1HEM O � _ p 1 HEREBY AFFlRM UNDER PENFLTY OF PERNHY Tw�T 1 AM IXEMPT FROM THE COHiMCTORS LI- GaB0�0(�Ort . lL CEHSEIAWFORT7EFOLlO'MNORF.AoON(SEG70.71.68VSINESSIWDPROiE35qN5CODE:ANYCI7YOR (n - • ZCOUHfYWHIGIREOUIRESAPEAMRTOCONSTiiUCT,ALTER��ROVE,DEMOL194�NE�A:RANY57RUG• W POtiO/DBd( ��� TURE Yfi1DR TO RS ISSUINCE,IL30 11[WIRES 7HE APPl1CANi FOR SUCM PERMIT 70 FlLE A SiONED � W S7A7FA1ENT THA7 HE OR SME IS LICENSED VURSUANT TO T11E GROVI510NS OF THE CONiRACTOf15 l/• c .CENSE UW(QUVTER Y fCOMMENCINO YATH SECTION 7000)OF DIVISION]OF TNE BUSiNESS AND PRO- �- PooVSpa TC FESSIDNSWDE)ORTWITHEORSMEISEXEYPiTHEREFHOAIINDTHEBA51SFOfITHEILLlEOEDE%EMV- � TION.�N1'VIOLAi%7NOFSECTION70�1.68YANVADPLM.ANTFOqAVERYIiSUBIECTSTNEIPPLICANTTO Re•Roof � A CML iENALTY OF NOT MOf7E THAN FNE HUNDRED DOU.AAS�f 500).): � � 04/VdM��EROFTHEPROPERTY,ORMVE4PLOYEESMATNWACESASTNEIRSOLECOMPENSATqN, COR11I1BfCldl ' WILL DO TF1E WOHK,AND TNE STRUCiURf IS NOT INTENDED OF OFFEREO iOR SALE(SEG 70��,BU51•. N NE5311N0 iROFES5qN5 COOE T1E CONTMCTORS LICENSE Uw DOES NOT�PPLv TO AN OWNER OF , PFqPERTT Mrt10 BURDS OR IAPHpYES TMEREON.AND W/10 OOES SUCH WORK MINSELF OR HERSELFOq Q TTIRdX)MHSORHERONTIEAIPLOYFES,PROVIDmTWlTSUCHIMPROVEUEMSMENOTN7ENDEODR m 1.�1 ,OFFEREDPoi15AlEIF.110WEYERTMEBULdN00R�APROVEMQfTISSOIDWRHNONEYFAROFCOMPIF• z TION.iHE OWNER�IALDER YALL H11VE ME BURDEH OF iROVP10 THAT HE Ofl SHE DD NOT BUILD OR = 4PROVEFORTNEWRPOSEOFSALE� � W OL1�SU�M4EROFTHEDROGEHTV,AME%CLUSNELYCONTMCTNOWITIIL�CENSEDCOMMRORS [C TO CONSTlIUCT TME PRO.IEC[(SEG 7ou,BUSINE55 AND PROFFSSiDNS CODE:7ME CAHTMCTOHS LI- 81118tip1 ApJ.AREA � LLl GENSEUWDOESNOiAPPLYTONIOWNEflOFAPPOPERTYVR108URD50flIMPROVESTMER[ON,AND T�- WHO MCTSFOHSUqfVROJE AC MRACf�i(3)I�CENSED%1RSUANfTOTHECONiMG QUANTITY DESCRIPTION FEE � 70,R,,SjVC UW /1 . � . . � ' L I�IL,O,(E /�ER 5 C B.i P.G FOR THIS RE�SON � 3 �`'v� r i� � � LL DATE Nn:ER � W �q LICENSED CONTRACTORS OECLARATION W 2 IHEREBYIlfF6WUNDERPEwLLTYOFVERAIRYTUT1Ju1UCENSEDUNDERPROVi5iO1150FLHAPTER " Vr � ��OD4YENGHOWITHSECT1DN7000�OFDMS�ON]OFTHEBUSINESS/iNDVROFE55qN5CODE,Ah9 Z �l� W LICENSE IS N M.L FORCE AND EiFECT. m � LICENSECLASS LIC.NO. ' � j � , . V DATE ' cOFtTAACTOR � a W � WORKERS'COMPENSATION DECLARATION 4 � IHEREBVAFFlRUUNDERGENALTYOfVE0.1URYONEOF7HEFOLLOVnNGDECURATiONS: � � V f� ¢ � �114lVEANDMALLLUMAINACFRTIFIGATEOFCONSEMTOSEtFdNSUREFOflWORKERS' _ COMPENSATqN,lISFROVIDEDBYSECTI0N77000FTHEUBOHCOOE.FORTHE7ERF011M4NCE w OF iHE YYORK FOR VYHICFI TMIS PERMIT IS ISSUED. � � �I HFVE AND WILL MARfTNN WORKERS COb�PEN5AT10N INSUAANCE,AS REOUIRED BY SECTION Q J7oo OF TME LABOP COOE,FOfI T1E PERFORMANCE OF TNE WORK FOR YMiCH iM15 PERMiT IS ISSUED.ANWl7RKER5COMPENSATIONINSUMNCECARRIERAN�V0.ICYNUMOENARE: CONSTRUCTION � ' _ _.. ...__ ... _.-.. . . _ _ _ __. > GiiRIER PIAN REVIEW � '- - - .... . _ . � raicr►iuue[A ELECTRIC - � (nassccriwr€mwreeaoi.��noFn¢rErr.�rsra+a+Etuu�t�oau�ns6+oola+�ss1 PLUMBING . Z 1 CERTIFV THfd N 7HE PERFORWWCE OF THE YK)iiK FOR WHICH THIS FENIAIT IS ISSUED,I � MECHANICAL � � - ('J SFUILNOTEMPLOYAN'/PERSOr11N11M'UANNERSOASTOBECOMESUBJECTTOTNE � WORKERS'COYPENSATIONUWSOFCALIFORNI.LIW�ACREETNATIFISMIX1lDBECOME INSPECTIONFEE S �SU0.1EttT0 THE WORKERS Cd.�PENSA7qN PROVISIONS OF SEC7Y#!90o OF iH[IIBOR � � - eaoe.isw�uroaTMrnn+ea.�a�rwin+nioseraovisaNs. ISSUANCE i � `p DA7E: IIPPIIGNT. - SMIP -��i�' �.r/,r IJJV ��� , � WAANIN�:FA4URETOSEWRGWORKERS'Cd1PENSATqNCOVERAGE15l/MAWFULI�NOSHALIBE ENERGYP/C � 6UBJECTAN EMPLOYER TO LRIMIWLL VENALTIES AND CN1L i1NES UP TOONE MUNDRED TIqUSM1D - ENERGY PERMIT����g��_T)A n OOLURS(f100,00o�,INADDI710NTOTNECOSTOFCOLIPENSATION.DIVAAGESASVROVIDEDFORIN �u�iTII'C � SEGT10NJ7oeOF7MElABORCODE,INTEREST,AnDAiTOPNEY5FEE5. RETENTIONFEE:B�,D�1](�`T�T�_rC�T'�J a CONSTRUCTION LENOING AGENCY = PRE-AlT FEE: O � IHEREBVAFLIi1MUNDERiENALNOFPE0.NRYiMATTNENEISACONSTiRJC'TIONLFNDIDWACENCV ' FOR TME VERFOfUW�CE OF THE WOWC FOR NT11d1 THIS PENAIT IS ISSUED(SE4]Oi7,CN.C). � , � LEN�EFZS N�/AE - - � LENOERSAODRE55 . ¢ ICERT7FYTIUTIHAVER TnSAPPLICATION/NDSTATETHATTHE/�BOYENFOfUAATqNISWRRECT. TOTALFEES � � � � IAOFEETOCpAPLV MAL CT'MACOUNTYOfiDNANCES/WDST�TEUWSREUTNOTODUILDINO � STiil1LT nERE9YAUTMOfUIE REYRESEMATNES OF THIS COUNTY TO FMERUPON iHE . . �AE YROVERiY fOR WSPECTION PURPOSES. COMMEFITS � ` \� !. m PERMiTiEE NF�E(PHINn Q � y ICNANRE OF PERMI E • E RECFT.N0. P.UD BY VAUDATION HI '—O�yartment Co YELLOW—Finaneo ,PINK—Aseessor Copy,GOLDENROD—File Copy,GREEN—Appl�eanYs Copy � � �- • � . .. . . .. . . . ... .. . . . . ... . . ... . .... _��. ,. � y�.. . � . r . ... . r. .. .. . ..�.. . ... � .. �.�. ., .�. �y., .� . . .. "' '.'"„ ..",."_ .. . . _ . . . � �� CITY OF DIAMOND BAR .: .. _ ,;-: Y . . , , -�. :•� . •. .• 'INSPECTION RECORD ' " . :. �_ , , . , , , . _ , � . ' �i o � , � • - � � � s - SET BACK ...�,` , -� , �.. 1�' ,` , ` �1 �;�' ' FLOOR JOIST'• � ,'. �� , �._ -� : '. • , : 1 FfGS/FORMS/STEEL =� ! ' FHA REC�MTS --•- - - - - - -' ELECTRIC GROUND - --�' - UNDER FLOOR.dUCT : . . •� .' -- • , ,' . - GROUND PLUMBING �UNDER FLOOR C��IDUIT• _ � • - ' SCAB GRADE- - - - � • FIREPLACE FOUNDATION - - - - � • • • � - - ' TEMP POWER• � ; -i - ' ' ' FIREPLACE$QND BEAM� "" - WATER SERVIGE �---_ �- - -' � - - - - � MID HT. BOND BEAM � - � ' � - - ' � ' ��' ROOF SHEATHING - � - } - � 8�L BOND BEAM � - FRAMINGNENTILIATION FINAL BOND BEAM ' � � " � ROOF COVER PRE-GRADING - - • ROUGH HEATING --- - - - BENCHING - � - ROUGH ELECTRIC � - � � ROUGH GRADING I � ROUGH PLUMBING - � - -. - - _ FINISH GRADING . '� , ' SHOWEF�lTUB TEST�- � - - �� � POOL ELECTRlC � ' EXT.LATH/SIDING . , � POOL FENCING WALL INSULATION � POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS � • SEWER FINAL ENG. - -. ._. -- -- - - - - SEPTIC TANK___._ . '..._. .. - .. " - . � ..-:..�-.:- LANDSCAPE/IRRIG. . . SEEP PIT/L..L. - - -- - - - �• '�-� - ON SITE 1MPS. ' GAS AIR TEST,------ - � � - - � �' FINAL ZONING - , • • ., , • � � . FINAL CONST -- - - FIRE DEPT. FINAL -� �••� •�- � �• � ' `� � FINAL HEATING � - - � HEALTH DEPT. FINAL ' FINAL ELECTRIC --- - �-- �� � � DEV.FEES PAID � �� -^ '"' --- FINAL PLUMBING ENERGY • � �"�=°� �-m-� - - i - --- - --- --- --.. _-- -- COMMENTS . _._... .. _ . � ; . - - - - - - -- - �_;-:�, ,�:� ' . _ � ' . �.. - � . ; , , � , ; - - - -- : - , . -„ . � -f.:' � ..: ." : � �, .., SEPTICTANK SIZ�,�`'' : �.,�;: �`` `-• 'r;,,C;'r:;�� SEEP PITIU SIZE ` ���`'`:,.:). - . , _ _ ; , ;�� ,;. , . . . . � � .,� � . . .. .. . . � ,r` � .�.._ . _ . . � . . . . .. . . , . , ; .� _. . . . __. .. . .. :� I i _. _ ' � , � � . � ,- , - -- - - - .. _ I - . . _ . . � . . . _ . �� .. �. . .� ,.� . �. -� �;'i --� - - � ��-:` :.,= ,�'i . . _ • _ ._ _ "` ,