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HomeMy WebLinkAbout12921 (4) �l �- .. .. . .. _ .. . _ . __. .._,.,-"..._ . � �` CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES EXPI RED 21660 E.Copley Ihive Suite 190 ' (909)860-3195Fax(909)861-3117 �UN ].3 ZOOZ PRESS ���� � BUQ.DINGPERMTTAPPLICATION FIRMLY o� JOBSRE APP4ICATION PERMIT � Z P/CG��.�� ADDRESS r7Q-� TbPS f0� ��- DAT� ��/4�99 NUMBER # c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GflOUP p OWNER Ss�t-IM�/A MaH.nMdo p ADDRE55 �so Te�'C�/�6- I'L ' ZONING SEfBACKS �W CIN /Z b _ ZIP�_ TEL. �"'� � �� REART RW p APPUCANT _F.4rr^r.aN a� TEL.�S�Z.L�� SIDE/SIDE STREEf FW O � CONTRACTOR �.[.t.l_.��/��.t.t.P a�/ SIDE ❑�_ � ADDRESS - � CITY ZIP TEL PROPOSED USE � ARCH/ENGI r?/ DESIGNER T/MFt O�iG.� p-Y-ro . NO.DWEL. NO. NO. n. ADDRESS 4�� S. �n,c..-.. ��- UNfTS STORIES BEDROOMS � CITy W- C.n,n,w. ZIP 9�_L., TEL�/�S�-9� � � DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALl1ATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O 8 1 HEREBY AFFlRM LNDER PENAL7Y OF PERIUHY iHA71/UI E%EAIPT FROM THE CONTMCTORS lF rt - ' - CENSE UW FOHTHE FOLLOWINa REASON(SEG 7471.6 BUSwESS AND VFOFESSIONS CODE:ANY qTV OF U COUNTYWHIGIREWIRESAFENAR70WNSTAUCT.PLiERMPROYE,DEMOUSH,ORNEPA7RANY5TRUG PatiO/D6Ck � 2, Z TURE.PRIOR TO RS ISSWNCE,ALSO REOUIRES TME APPIICMrt FOR SUd1 GERMiT TO FILE A Si6NE0 .� STATEUEM iHAi ME qi SME lS ULENSED WRSUM(Y TO THE PibVISItlNS OF THE CONTMCTORS L4 � . � CENSEUW(CF1ADlERY(CDMMENCPlOWI7HSECilON7000)OF�MSION70FTMEBUSINESSIViDPR0. �- PooUSpa FESSIONS OOOE)OR 7HATME OR SHE IS IXEMPT THEREFRW AND THE BASIS FORTME ALLEGED E%ErAP- TICN.ANYVqU1iqNOF5ECT70N7W1.68YANYAPPLIGANTFORAiERMIiSUB.7ECTSiHEAPPLICMlTTO � Z Re-Raot �,,,� ACMLVENAl7YOFNOTt/ORETUWFIVEHUNDHEDOOLLAR5�1500).�: � OI,ASOVMEROFTHEPROPERTY,ORYYEMPLOYEESWITMWAGESASTHEIRSOLECOMPENSATION, 0 COf�11f1erCi81 . 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B.1 V.G FORTHIS REASON � U 3 ¢ LL OATE OYINER V � W � UCENSED CONTRACTORS DECLARATION . W � IHEREBVAFFIiWUNDERPENALTYOF0E0.1UMTUi�A/AUCENSE�UNDERPROVISIONSOFCHAPTEN � � . p, •(CpAMENC1f1�YATM3ECT10N7oDD1�OM510N�OFh1EBUSINE55ANDPROFESSiONSCODE,AND Z �L W IICENSE IS N FlALFORCE M!D EFFECT. m � UCENSE CLASS LIC.NO. � � J VOATE � - CONTRACTOH � d �„ �10ND BAR � WORKERS'COMPENSATIONDECLARATION Q 1�SAFET � � IHEREBYAFFIRIAUNDERPEIULTYOFPEiWRYONEOfTHEiOLWWiNODECUMT10Ni � �� V - � � � y Z Q L7 �INAVEMUWILLMAINTAINACERTFlG�TE�FNNSEMTDSELFJNSUREFORWORxERS' S �i COMPENSA7K7M,ASVflOYl0E0BYSECitONJraoOFTMELAe0RC�0E,FORTMEiERFOFMANLE w OF TME M'ORK FOR WNICFI TMIS VERMR IS ISSUED. � 0 Q �IHAVfMDWILLMAINTMlYVORXERSCOMPENSATqNMSURANCE.A5PE0UIRED81'SECTION ''I - �-p� ]7000FTMEU80RCOOE,FOH7NEiERPoRMANCEOFTIEWORKFORNTIICHTHISiER/AR15 � � tJ �[ 2 � ISSUED.W NOHKERS'C04PENSATION INSURANCE C�ANERAND POLICY N11M0£RARE: UCTION � �qq�Eq N FiEVIEW � Q PoLICV NUAIBEN � , 0 (niSSCCr�oNNEmNo7sEad.RFiEDOCT+EFEar.fiSfi7aa�EVMMEDDottulS(Stoo)a+tFssl PLUMBING Z ICERTIFY711ATNTHEPERFORMANCEOFTHEN+OFKFORWHICHiHISDERMiTI5155UE0.1 MECHANICAL �� � (y�} SHALLNOTEMP�OYMfYPER50NINANYMANNERSOASTOBECOMESVBJEC1iO7HE FEE N WOHKERS'COMPEHSATIONIAWSOFCALIFORNI,tAN�AGREETHATIFISMULOBECOME S SUBJECTTOTHEWORKERS'GO�.�PENSATIDNVRO`n51�N50FSECTIOH]7oaOFTNEIABOR ' ' - - - ' .��11 �� OOOEISHALLFOF7I�MTMCOMPL�1MiTMTIpSEPROVISqNS. AN l� V � .SMIP � � � ' p DAiE: APPLICANT: - . WARNIN6:iALURE TO SECURE NURKERS CdAPEN9ATqN COYEMGE IS UNUWFUI.�ND SMALL BE ENERGY PIC � SUli1ECTANEMPLOYERTOCRIMNALPEN/�LTIESANOCMLFWESUVTOONENUNUHEDTqU5M1D ENERGYPERMI7 � DOlLMS�f t a0.000).W l�M1R10N TO TME C0.5T OF COMPENSATION,DAMAOES IS OROVIOEO FOR IN ._�J SECTION7�oeOF1HEUBOHCOOE,MEHEST,AN�A770RNEYSFEE3. RETEtJTIONFEE: � � CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O . � IHEREBYAFFIRMUtAERPENKTYOFVERAIRYTNATTHEREISACANSTRUCT10NlENDM�MENCV � Z FOR iHE PERFOf WANCE OF TME YYaKK W H WM�CH TH�S PERMR 15155UED(5EG 7w7.GV.G�. W � lENOER'SNANE - � -- � S ' � LENOER'SAOORESS , W ICERiIFYTHATIHAVERE/�1/NSAPPLICATION�NDSTAiET/NTiHEABOVENFORAAAT10NI5CORRECT. TOTAL FEES � � • � IAGREETOCO�.�PlYN1TNKLCfTYAN9COUNTYOFiOiN�wCESANOSTATEUwSREUTWOTO8UILD�NC �/-n, � Q . . CONSTqUCT10N,µDNEFEeYAUT110R�ZEFEDqESENTATNE50FiHISCOIMTYTOENTERUPONiHE. .. . L/ � /180VE•MENTIOIIED►IbPERTYFORINSPECT1p�PURP03E3. COMMENTS ^'� ,' O �H1�1.�� I_�� _ , � C�` � m VEAMRTEENAME�VW1fn 4 . . . . . _ . . . .. � y SIGNANREOFDERMITTEE OATE � . _ RECPT.NO. PAIO BY .VALIDATION WHITE—DepartmentCopy,YELLOW--Finance Copy,PINK--Asse Capy,G LDENROD—File Copy,GREEN—ApplicanPa Copy �'nn�e- o►�pp,rv. �-�-C�n�) , CITY OF DIAMOND BAR ; � .., _ - _ , _. : �• - '-i: ,:.' .. �- � . . . . . � ., . - ' INSPECTION RECORD,� . . _ _� . ,- , ,, � � � � • � � � • - - � � � • - SET BACK ', � �.;.�, ,_.� � ' FLOOR JOIST �_ � �,,;,,c,. FfGSlFORMS/STEEL � � �FHA REQMTS - . - ELECTRIC GROUND - UNDER FLOOR DUCT,, , , , , , , ,, GFiOUND PLUMBING UNDER FLOOR CO�IDUIT � � �•,�.:.,, t. ; �,. � - SLAB GRADE- � FIREPLACE FOUNDATION �` -� -. ", ,��. . ` TEMP POWER - ' FIREPLI�C��BO�b 6EAM � �� � � � -WATER SERVICE - - r � MID HT. BOND BEAM - ROOFSHEATHING � - � - � 8 F�.BOND BEAM � � FRAMINGIVENTILIATION FINAL BOND BEAM ROOF COVER . . PRE-GRADING ROUGH HEATING - - - . _ _ _ _ - - _ _ . . . BENCHWG �,:� � . . •,. , ROUGH ECECTRIC -�- - - ROUGH GRADING ROUGH PLUMBING � � - " - - � : FINISH GRADING . SHOWERlfUB TEST _ ; � - , .:;— � � POOL�LECTRlC EXT.LATH/SIDING � � � POOL FENCING WALL INSULATION POOL FINAL � CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING ' DEDICA710NS SEWER FINAL ENG. _ -__ . -- - - SEPTIC TANK. _ . _ _ _ _. ! _ _ LANDSCAPEIIRRIG. SEEP PIT/L.L._.--- - - ON SITE IMPS. GAS AIR TEST, - - FINAL ZONING � FINAL CONSTr; - - FIRE DEPT.FINAL FINAL HEATING - - HEALTH DEPT. FINAL FINALELECTRIC - - -�z;; E�,�' " DEV. FEES PAID FINAL PLUMBING ' ENERGY ' �r:.,� „ � . .. . ��,�. �� • ��, _ - - _ __ ,:���,; .,:.i �?�: . "�. _ , COMMENTS `� 'Y ". �:•,,:: �(i:- , ' --- - ! _ _ _ � � _ti _ ;, • � � � � _ •- . _ -- - _ _ .___ s . • _ L_ - ��'� _ - _- ' , _ . _ . .. " � .,L .�-:_ _ ��. :.� ' . � ' SEPTIC TANK SIZE SEEP PIT/U SIZE �� - i �:. � �, . . . , 1 ,- _..._ �, _. . ._ ;. ' /�.1.,�,.; . � � .� . U l:,,- '•1 ' 1 .:,;��,;�,� �