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HomeMy WebLinkAbout13254 (24) CITY OF DIAMOND BAR � ,r J� - 1 DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � T� 21660 E.Coplcy Drivc Suitc 190 (909)860-3195 Fax(909)861-3117 PRE$$ ���' BUII..DIIVG PERMIT APPLICATION FIRMLY � JOBSITE ' 1 • - 'p. APPLICATION PERMIT 2 P/C o ADDRESS ��,� SrM�,� �-i�f�1C� DATE NUMBER J tt c� ISSUE TYPE OCC APN LOT TRACT a D O _ DATE ^ � CONST. GROUP °� OWNER _ 0 WADDRESS_ St,lnd7rd PdCifIC Of O.C. ZONING SETEiACKS � CIN �;�,i��'. I�1�c Ardtur Blr•d. FRONT AW ❑ APPLICANT . REAR ❑ � C'os[a �Icsl,Ca.92626(714)546-1161 SIDE/SIDE S7REET RW O � CONTRACTO.. ... . . - SI�E ❑ o ADDRESS_ AlISO Alr, II1C.. PROPOSED USE o CRY 29736 Avc.dc las Bandcras � ARCH/ENG/ Rncho.Snta.h�arg.92688(9�9)589_2021 _. DESIGNER N0.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL - N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUtLOER DECLAFlATION SFR/ADDiAEM O p 1 HEREBY AFFlRu UNDER VENALTY Oi 7ERAIRY hUT 1 AL ExE�7T FROY THE CqJTRACTORS LL Ga�O&rCy�rt � iL CENSEUWFORiHEFOLLOW7�OREA..ON(SEG70.71.6BUSM[SSANOPROFE5510NSCOOE:ANYCRYOR (� � COIMTYN711Q7REOUIRE9AFERMRTOCON5Ti0.1CT,�LTERMPROVE,DCMOUSH.ORPEPA:H/�NVSTRUC- W �atIU�DBLI( TUF1E PR10R TO rt9 ISSUNICE,ALSO REOUIRES THE MPL�CANT FOR SUGIi PERMIi TO FILE A SiGNED � STATEM&NT 7HAT ME Ofi SME iS 110EN5ED PU0.5U�NT TO i11E YROVi510N5 OF 7HE COHiMCTORS LI• � CENSE UM�(Q�MTEH Y(COA�MENCNO VA1H SECTION 7000)OF DMS�ON 70F iH[BUSINESS ANO YH4 � PooVSpa fE55qNSO00ElOR1HA7MEORSH[ISE7(EMPTTMEHEFROMANDTNEBASiSFOR7HEALLEGEDEXEMv. (rJ TION.ANYNdAT10NOFSECf10H707t.6BYANYAPPLK.MfTFOHADEIIMITSUBIELT5THE110PLICNRTO Z Re-Roof �„� ACIV4FENALTYOFNOTI.�ORE7NANfNEFRlNDFEDDdl�RS(fsoo).)� � DL�.:��NEROFTIEPHOPERTV.ORMYE�PLOVEESWITNWACE50.57HEIRSOIECOMVFN5A7pN, 0 COR1merC�31 - MALL DO TME Y70PoC.M1D iME STIiUCTUf1E IS HO7 IMfND[0 OR OFF[nCD FOR SALE�SEC.70W.BUSI- J N NESS AND VROFESSIONS COOE:iHE CONTMCTORS LIGENSE UM�DOES NOT APPLY 10 AN OWNEROf = PROPERTt W/IO BUlD50�i MPROVES T1IEREON.ANO YAI0ODE5 SUp1 WOf1K NIMSELF OR NERSELF OR � i}4i0U(YIHISORHEHONNEIIPLOYEES,VPOVIDEOIHATSULHMVqOYEMEM511NENOTMENOEDOA m L�1 .OFFERED FORSALE IF,IqWEVC0.TM[BUItD WG OR YPfqVEYL4T IS SOID WRTCN ONE YEAFiOFCOMPLE� L710N,7ME 01M�EiLBULLDER YALL FUYE THE BUROEN OF VROVINO TNAT HE OR&1E DID NOT BUIID O(i = MP110VE FORTME PURPOSE OF'SALE} W �4���LROFTHEPROPEHTY.AMEX0.USNELYCONTMRVJ6M77HLK[NSEDCONTMMM35 ¢ TO COHSTPoJCT TNE GHOJECT�SEC.)aa,BUSiNE55 ANO PROFESSiONS COOE:THE CONTMCTORS tL Valu2tion ADJ.ARE/1 � 41 �NSEUWDOESNOTMPIYTOANOWNEROFAYROPERTYYh10BUttD50RMVF10VE5TNCREON.MU � N1qCONTHACTSFOq5UO1VRO.tECTSWiTHACONTMCfOR(S�LICENSEDPURSUM(TiOTMECONTMG OUANTITY D[SCRIP710N FEE . � lOit±LILENSEIAW.�. . J 0 O I/W E%EMM UNDCR SEG 8.i P.C.FOR THIS REASON U � � LL" DATE OWNER F" . . Z W F UCENSED CONTRACTORS DECLARA710N w � INEREeYAtFlPo1UN0ER7ENAl7YOFVEFWiiYMATIAA1lICENSEDUNOERPRONSIONSOFCHAGTER �. . � O�Cp.V1CNdN01MTHSECTqN7Do0)OFDM510NJOFiHEBU51NE5SANDVROFESS10N5CODE.AN� Z ��� 1.(Y►K�NSE IS N FULL FORCE ANO EIF CT. m LK 0 2 � � UCENSGCUSS � �/ L1C.N0. � V pA7E ��,1' iJ�' �bC� CONTR4CTOR�� _ a W � WORKERS'COMPENSATION DECLARATION ¢ � � . "—' � IHEREBYIIGFIRUUNDERPENALTYOFDEfWMONGOFTMEFOLLOw:NGDELUMTIONS: U � Z � a � �INAVEANDWILlLU1NTANACERfIFIGTEOFCONSEHTTOSELFaNSUREiORWORKERS' S /1 p/�_ _ �T'. U CdAPEN5AT1qN,A5GHOV7DEDBY5fCT10NS7o00F7N[LAOORCOOE,iOH7HEPERCONYANCE w V C.���� V OF TNE WORK FOA Mll/�dl TMS FERMIT IS ISSUED. � � � �I IUVE AND WRL W1R7T/L'N WORKERS'C04PENSATION INSUiLWCE,AS REOUIRED BY SECTION Q �70D OF hlE LABOR CODE.FWt iHE PERFORAI/JlCE OF iME WORK FOp WMlpl MIS PERMIT IS 153UE0.MY Wl7FlKER5'CdaPENSATION WSURANCE CMRiER AND POLICV NUM�ER ARE: CONSTRUCT�ON � CMRIEH_ �,:�,� PUU�REVIEW 0 ��YN�D�p ELECTRIC � (nassccnor+rxmNoroe��ocne r , rana,�K..� °a,m�oa�Essi PLUM�ING =• I � Z I CERTIFY TMAT N THE PERFOfUAMlCE OF 7YIE M^DFK fOR WHICM 1Y115 VEN.iR IS ISSUEO,I MECHANICAL ' (,'} Sh1ALLNOTEM7�DYANYPER50NINIWYMANN[RSOASTOBE MESUBJECTTOTHE WORKERS'COMPENSATqNLAW50FCALIFORNIA.IWOACF' ATIFISh1IXADBECOME INSPECTIONFEE SUa)ECTTO7HEVMORKERS'C01.IF RONS �ECT 7700 T I/�BOR (� s .ISM�11FOaTHwiT� rW ����`V S ISSUANCE _�t"P O � � � -.. ,r, p OATE: � ' APPL : . . SMIP .. ''` �jA� . W 1. L-• ' �;�7 LLWAfiNiN�:FAILURETO SECURE WOiV(EFS' NS cov[�uce�s ur+uwFu�u+o sN�u eE ENERGY P/C —TT1 T ����C L���L�1` —_ SUB.IECTANFMPLOYERTOCR:M;N.LLVEN�LTiESAN f:1VILiwE5UF70ONEMUNDREDTH0U5.WD ENERGYPERMIT U�il'�,i�- DOlURS(f 100,000�,IN ADD1710N TO TME COST OF COLIPENSATpN,O.W AGES�5 OROViDED FOR IN J SECTION�7olOfTMEU�OHCODE,INTEREST,ANDATfOPN[YSFEES. qEjENT1ONFEE: � a CONSTRUCTION LENOING AGENCY PR[-ALT F[E: � INERCBYAFiINAUHOERPENKTVOFPEiWRYTMATTMEREISACONSTRUCTIONLENDINGAGENCY n- FOF THE PERFOMAANGE OF TNE WORK FOR WMICM iM�S GEiWIT IS ISSUED(SfC.]oYl,CIV.G) , � � LENOERS H1wE - � LENDERSAJDRE55 �j ��,�/�/�/ W ICEFTfYTW�TIMAVEREADTH15MFL1CAT ANDSTATETIIATTHEPBOVEMFORIAATqNISCORRECL TOTAL FEES I�� !✓� IV � I�GNE:TOCOMVIYWfTNALLGITYMlDCOUNT'ORD�NANCESMlDSTATEUIMSREUTNGTOBULOINC � b CONSTRUCTION,AND NERC6YAUT1qR12E REGFESENTATIYES OF TMIS COUHfY TO EMER UPON 7HE . S� ABOVE�MEtfTqNED V 7EH OAINSPECTION YU SES. COMMENTS � �� _ � Q CERYiTTE NAUE � N (n Sq�'U7uREOF F 'E DATE � R[CPT.NO. PAID BY V/WDATION VYHITE-0epertmant Copy,YELLOW—finanee Copy,PINK—Aa�essar Copy,G ENROD—File Copy,GREEN—Appl�eanCs Copy CITY OF DIAMOND BAR • . . - INSPECTION RECORD .� F � � � . � s - � � � � � - SET BACK ��•, FLOOR JOIST ' „ � i• •� � - `i� ,•�' . F7GSlFORMS/STEEL � � ; !• ; `f'_ 1 i FHAREQMTS,., .. - ELECTRIC GROUND � � ' - UNDER FLOOR DUCT `� � - ' ' GROUfVD PLUMBING UNDER FLOOR CO�IDUIT � ' SLAB GRADE � FIREPLACE FOUNDATION-- - -- - -- TEMP PdWER � - FIREPLACE BOND�BEAM - -=� - -- - - - ...= 4VATER SERVICE - - �MID HT. BOND BEAM--- - - � - -- --- - .. ... _.. _ ROOF SHEATHING 8 FT.BOND BEAM - FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER PRE-GRADING � ROUGH HEATING ' •l►�( M BENCHING ROUGH ELECTRIC - � ROUGH GRADING ' ROUGH PLUMBiNG - FINISH GRADING � SHOWER/TUB TEST. FOOL ELECTRI� EXT.LF�TH/SIDING � POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE Ih1PS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTICTANK ..-. - LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST � FINAL ZONING FiNAL CONST. - - FIRE DEPL FINAL FINAL HEATING p•� .c° HEALTH DEPT. FINAL FINAL�LECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY j'�I��•�ie,��,ij1l' _ ' � �r�x - •. , . _. .,-_„ . _ _ . _ . . �COMMENTS ., .. � - :�� ;.., �-. - . �- � � _ .. .' -%�, '- „ r. ,' , __ ' .. ,, .. _�,� . , _. • . . . . � ��� _.. A' i� ' - . . . �... : , .. � ,� ._ . . .. � ... . . � ,, . , , . .1: � , i . . .. . . � �1 �'. ��i-. . .� ., . ., . SEPTIC TANK SIZE SEEP PIT/U SIZE —�, �'�' . �� ; . . ''1�� ;.�',, .. • , . • -• --- -- !;.--;j , ), /_�.� j