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HomeMy WebLinkAbout12333 (6) --- -- C1TY OF DIAMOND BAR . `� -� �'• � COl�1MUN[TY DEVELOPh1ENT DEPARTMENT 21660 E.Copley Drive Suite!90 . . - ' ' PRESS - � (909)660-3195 Pax(909)861-3117 "~' BUILDING PERhi[T APPLICATIDN FI R M LY o ADDRIESS �ZO GI�IN�.L/''� C�j u�1"'r�� Rd APPLICATION � � PERMIT `'`��6�" P/C DATE _NUMBER� M $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER e- .A S'l�' ADDRESS 3 y� / - � /_3 1K ZONING SETE3ACKS gCiTY_ 1 n rY' ZIP TEL. R�RT RW O APPLICANT TEL. SIDEJSIDE STREC_T RW ❑ � CONTRACTOR . fTIS G SIDE O ADDRES ' � PROPOSED USE � � CIN ZIP.��3 TEL � "�`' �"��-" � w ARCH/ENG/ z DESIGNER NO.DWEL NO. NO. nW. ADDRESS UNITS f STORIES Z BEDROOMS�,_ � CITY ZIP TEL. ' N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � � OY,MER•Bl'ILDER DECLARATION . SFRlADDlREM � ' O � I HEAEBY AFFIfiM UNDEH PENALN OF DERJUi7Y 7MAT I MI E%E4PT FROM 7HE CONTRACTOHS LI� Ga�890/C2fQ0ll W CENSEUN�FOR7HEFOLLOWINaREA50N(5EC.70.lf.5BV51NE551WDPPOFE55lON5CODE:ANYqTYOR (n Z COUNTYN'HIp1RE0UIRESAPERMITTOCONSTRUCT,ALTER.MPROVE,DEMOUSM,OAAEPAIRANYSTRUC- W Patio/peck W TUflE,PFIOR TO RS ISSUANCE,�150 REIX11pE5 TNE APPLICMR FOR SUCH VFRMIT TO FILE A SIGI.'ED W � STATEMENT THAT NE OR SHE IS UCENSED WHSUANT TO TME VROVISIONS OF 7HE CONifUCTORS L4 � GENSE L11W(RUPTER Y(CAMMENCING WITH SECTION 7000)OF DIYISqN 70F iHE BUSMESS AND DHO� LL' POOVSQa O FESSiON5CO0E)ORiHA7HEOR5HEI5EXEMP77HENEFqOMAND711EBA5ISFORTMEALLECEOEXEMP- (7 V TION.ANYVIOLA7qNDF5ECTION70]I.SBYIWYAPPLICANTFORAVENMITSI1fl1ECT5THE�PPLIGNTTO Z Fj0-R001 �„� AG7V�LPENN.TYOFNOTMORETHNJFNEHUNOREDDOlURS(f3W1.Y. � OlA50WVEROPTHEPROPEATY,ORMYEMVLOYEESwIMWAGESASTNEIRSOLECOMPENSATqN, O COmmertial Z WILL DO THE WOliK,ANO THE STRUC7URE IS NOT INTENOED OR OFFEAED iOH 5ALE�SEC.7DN.BUSI- J NESS AND 7pOfE5510N5 CODE:THE CONTMCTORS LICENSE LAW OOCS NOTAPPLY TO/W OWNER OF N PitOPERTYWFqBUILDSORIMPqOVESiMERECN.ANDYMODOE55Up1MNfiKHIMSEIFORHERSELFOR m C= THROUCHHISORHERONNEMPLOYEES.PROVIDEDTFNTSUCNIMPROVEMEMS�RENOTINTENDEDOR . w OFFERFDFORS1lLEIF,110WEVERTMEBUILDINGOH11AvqOVEM[MISSOlDwRInNONEYEAROFCOMPLE• . � iION.TNE OWNER�BUILDEfl WILL HAVE iHE BUROEN OF PROVING TMAT ME OR SH�DiO NOT BU�lO OR Z IMPROVE FOR THE WRPoSE OF SALE� = OI,ASOWNEROFTHEPROPERfV,AAIEXQUSIVCLYODNTiUCTWGWITMLICENSEOWNTPACTOfiS W ¢ TO CON57RUC7 TXE PRJ.IECT�SEG 7M�.BUSINESS MID PROFESSIONS CADE:iME CONfRACTORS U• V2�UeIi0f1 ADJ.AFEA W CENSEU�MDOESNOTMPLYTOANOWNEROFAiROPERiYNT10BUILD50RIMPROVESTHEREON.NlD � WNOCONTMC15iOASUCH7ROJECiSYnTH�COn7iUCTOR(S�LICENSEOPURSUAN770TH[CONTMC• QUANTITY �ESCRIPTICN FEE � Y TOi15UCEN5EUW�. � O 1 M�EXEMPT UNDEH SEC. B.6 P.C.FOR TNIS PEASON U � - ¢ � DATE OWNER f' . W �¢ UCENSEDCONTRACTORSDECLARATION W . . LL I HERfBYAFi10.AI UNDER VENALTY OF PERIURV THAT 1 AY�ICENSEO UNOEN�ROVISIDNS OFCMAPTER Vr d Y�COl1MENCWaN7TH5ECTION700010FDIVISiON]OFTHEBUSINESSAN�PROFESSqNSCODE,M10 Z X uYI�CENSE IS W FULL FOaCE AND EFFEC7. m li] /} ( - �J / G � LICENSE CLAS ` � l�C.NO. /� Z�+ j V �ATE� CONTRACTOfi a _ '' W '.._ .' _. _ � WORKERS'COMPENSATION DE RATION U � `�L ,'�Sn � IHER FFIRMUNDEAPENALTYOFPERIURYONEOFTNEFOLLOwINODECUM710NS. a Gu�{( , L� � f � �IHAVEANDN'ILLMAINTAINACEfiTIFlGTEOFLONSENTTOSCLF•INSUREFOHNVRNERS' _ � COMPENSATqN,AS PROVIOED BY SECTION 71o00F THE LABOR CODE.FON TNE PEAFORMANCE U OF THE WORK�OR WHlpl iM15 PERMIT IS ISSUED. _ , � ', � �'�' �' 0 ' W �IHAYEANDN7LLMNMAMWOFUfERS'COMPENSATIONINSUMNCE,ASREOUIREDBYSECT�ON � 770o OF iNE LF90H COOE.FOR THE PERFORMANCE OF 7HE WORN FOR WHICN THIS VERMIi IS ISSUED.MV V/O (RS' /PFNSATION INSUPANCE GRRIER AND POLICY NUMOER ARE CONSTFUCTION QGRRIER �^1�'�' .�r+�� i � PLAN REVIEW . . . ' Z POLICYNUMOER � ` ��r � Y ELECTRIC � 4 0 (MSSCCfqNNCmNOTBECCA4'I.E7EDOfT1EGEPM'6PoIiONEFat�Df11EDD�LL�15R ')��l PLUMBING Z ICERTIFVTHATNTMEPERfORMANCEOF7HEWORKFORNTIICHTHISVERMITLSI55UEql MEC NIC � �J' SIULLN07EUPLOYANYVER50NWANYMANNER50A5708ECOME5U61EGTTOTHE . (J) WOa(ERS'CdAPENSATIDNUWSOiCALIFOflNIAµDACflEEiHATIFISIKKILDBECOME INSPECTIONFEE SU&IECTTOTHEWO(iKERS'C01A7ENSATION ROVISIONSOFSECTWNa1ooOF7HEl�BOP OCOOE,I S F RTHWITH COAIPLY WI7H E PROVIS 5. �SSUANCE � p DATE:����APPLICANT. I� �� SMIP � ENERGY P/C ,J WAflNING:FALURET03ECUflEWO(iKERS'COMPENSATqN E AGEISUNUWFLL,ANDSWLLLBE � SV&IECTANEMPLOYERTOCA�'AiNALPENAL7lESANDCMLF UP70dJEMUNDREDTMOUSIW� ENERGYPERMIT DOLURS�f 100,000�,IN ADOITION TO THE CAST OF COMPEN511 NN.DMAAGES AS PflOVIDEO FOiI IN J SEC7pN370EOiiHEUUtORCODE.NTERES7,�N0�TTORNEY'SFEES. ' �ETENTIONFEE: � pW_. CONSTRUCTIONLENDINGAGENCY pqE-ALTFEE: ��� `" 3 ,� �'�� O . _ � IHEREBVAFF�RMUNDEFlFEN/V.TYOFVE0.1UpYTMATTHEREISACONSTR4CTIONLEN�NGACENCY FOR iHE PEHFORMIINCE OF THE WORK FOR WHld7 THIS PENMITIS ISSVEO(SEC.1oY7,CIV.C.�. z - w � LENOER'S NA1AE . F— LENDER'SADDRf55 � ICERTiFYTHATIHAVEPEADTMISMPLICAiIONANDSTATETHATT/ER80VEI�FORMAT10NI5CORRECT. TOTAL FEES � t 0. I AGREE TO COMPL`/WITr111LL CITY AND COUNTY ORDINANCES AND STATE UWS RELAT WC 70 BUILDING CONSTFUCTION,AND HENEBY AUTT70RIIE NEVRESENTAT!VES OF TNIS COUNTV i0 EN1ER UPON 1HE � zABOVE-M NiqNCDVHOPER7YFOHIN57ECT10NWRPO5E5. COMMENTS � �� �� T �s� _ m PE i AIAE IPRINT) . . � SIG ' EOFiERMITf ���� � ' t � RECPT.N�� PAIO 6Y VALIDATION � WHITE—DeDarlment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—F�ie Ccpy,GREEN—Applicent Copy � CITY OF DIAIVIOtJD BAR '�.;,��.. "�� . ": � � . � . = INSPECTION RECORD � ,. ; �, ' �� �'- " •-• .�: _.. . � . . � . , � . . ��' 1� e � e ' '�M,�.°.�- �.��� � o o � � - SET BACK �.� � .• � � FLOOR JOIST - - - -- - - -- ' FTGS/FORMS/STEEL " - FHA REQMTS �-•' . �� . - - ' ELECTRIC GROUND • "' UNDER FLOOR flUCT. >>: ; �-;� �- ,�. �. •;^ . • - GROUND PLUMBlNG � - UNDER FLOOR CONDUIT '�' � '�� .'�••�": �, ° ' SLAB GRADE -- - - - � � - • •• FIREPLACE FOUNDATION --� ' - ' - - -- - ' � • 1 , : )� „ . . -- . . . TEMP POWER = -' - �� .- . .. - - FIREPLAC�BO�Ib BEX�M ':'•'' , . . \ . WATER SERVICE -- � �-� � � •� ! - • MID HT.�60ND BEQM. ' ,•� ��.: .,, , . .._- , ROOF SHEATHING . ' ' 8 F�.BOND BEAM • ' " i FRAMING/VENTILIATION r ' FINAL BOND BEAM � -- : . ROOF COVER -� - � - - - • - - - PRE-GRADING �� - � � • � . . . . . _ _. ..- - . ROUGH HEATtNG � 7�p- � � BENCHING � ROUGN ELECTRIC - ---� -� - ' - ROUGH GRADING . ROUGH PLUMBING i - - � " FIPdISH GRADING � ' SHOWEF�fU6 TEST , - POOL ELECTRIC - " EXT.LATH/SIDING i • � �� POOL FENCING , ' WALL INSULATION i • POOL FINAL� � CEILING INSULATION i OFF SITE IMPS. • � � �RYWALL NAILING � DEDICATIONS - : SEWER .___ . . _... _ :__.._. ..__ . FINAI:ENG. � � '� _SEPTlCTANK. . . - . ' ':' � LANDSCAPFJIRRIG. � SEEP PIT/L.L.-. -- - - � - ON SITE 11APS. : GA5 AIR TEST - - �-- - - -- � - - � FINAL ZONING ' ' � ' F1NAL CONST. : - --- - -- - — - - - - FIRE DEPT.FINAL FINALHEATiNG � - • ��� �- , �� - HEALTHDEPT.FINAL ;. - � - - - � ---- - -- -� FINAL ELECTRIC �- ' -� " - DEV. FEES.PAID , - � � FINAL PLUMBING ENERGY , . \'• C� _... " \ �� I � _' - � � .ti. �,`_ �,1. �� . • - •- - . .;.�' . _1 �� �, ,� ^ `` ,.1 �'_ , � COMMENTS-. . .,1 ,` .��`�`:�•.� �}�.. . �,�� �� . -�� � _ - ... - ---:; _�,_..l � � -:. �� - -_ .� ' ' � . ; - - - - . _ • - _ , ... � � , . , , , ---- _... -.. . _.. , • . . . . ��1� : 1�1�•;:1� <<1�,� •1,\` • _ � i - 1 •• ��. \ . y ` ; - " „ - i . ' . . . . . _.. - -- - � - ' . � , � • .. .. .. . � _ . , . - � - - ' • i . - . . ' �-•. :':����! �.. - ; '` '`. � ; .. - - � ' .. . ,' „, . _.. SEPTIC TANK SIZE .-. . .. �..... :.. . � , _ _. --- -._... . , . ` 'r < <.�° - , � � - ---- .. _.._ ._ . � SEEP pIT/U SIZE ���----`�—=—�'�� —� _ . i t ,. -- - -- , i .. .. _ ; , • _ - - ' .,, � -- _ . . �, - � ' , � ; . : � ; , , � , t.'• . : V %, t � ..,;�+ ( . , ` ' I •\ 1 � ^ �!'.. ;�) l , ... `i� • , , . . . 1 ' _ . ,