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HomeMy WebLinkAbout13868 (443) �_ _.—�...�� .....� ___.�..._._ _.__ �, � . �� CITY OF DIAMOND BAR` �� � ' ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � 21660 E.Coplcy Drive Suiu 190 ' , ; � , (909)860-3195 Faa(909)861-3117 . PR ESS . ��._.`., BUII.DING PERMIT APPLICATION .:- " . ' ; > . ` FIRMLY . , _ . . Mw" , . � . o ADD ESS Z��v7 V�� V ��rEl��r. DATECATIO 3 �9 NUMB R��� " x� � . ISSUE TYPE OCC APN LOT / TRACT d � DATE CONST. GROUP p OWNER ' �1�t C.LC " � ADDRES ' " �ZONING SETBACKS � CITY�n1r1rUM.C..� ZIP� TEC.310 S D � FRONT RW ❑ APPUCANT TEL R�R O � � SIDE/SIDESTREET RW D � CONTFiHCTOR J[. LL '!., � SIDE ❑ ADDRESS PROPOSED USE � CITY ZIP�/I1�7� TEL � o ARCH/ENG/ ; ' � DESiGNER � NO.DWEL. NO. NO. ADDRESS � LNITS STORIES BEDROOMS � i , fTY ZIP � C TEL � cn �DESCRIPTION SQ.FT. 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I � : �� � OtA30MR1EROFTHEVROPERTV.ORYVEMPLOVEESWITHWAGESASTNEIR50LECOMPENSATION, � CpmmBfCl81 - " MALL DO THE WORK AND 1HF STRUCTURE�5 NOT INTENOED OR OiGERED FOR S�LE(SEC.70N.BU51- J � NE53IWO GROFESSION9 CODE 7ME CONTMCTOFS LICENSE UW DOES NOTAPPLY TO AN ONMER OF j � PNOiENTY NT10 BUttD9 OR MPROVES ThIERFON,AND YrtfO DOE9 SUCH Yqi1KH161SELF OP HERSELF OR � 7HROUOMMSOqHEROVMEMPtAYEES,PROVIDED7HATSUpIM17ROVEMENTSAAENOTINiEFIDEDOR m � .OFFQ3mFORSALEF,HOYYEYEitTMEBUIDWOORWI'fYDVEMENT650lDW1TMNONEYEAROFGOMRE- Z 'TION.THE OWNEH-0UIDER YALL 11�YE TME BURDEN OF PROWXI TMAT ME Ofi 6ME DD NOT BU�ID OR = YVROVEFORTNEiURPOSEOFSALF). � !�' � W O1�40M�NEROFTHEFROPER7Y.IWEXCLUSNELYCOH7R�CtIHOMrtTHIICENSEDCONTMCT00.4 [L' TO CON57RUCT THE PHOJECT(SEC.7aL BUS�NE59 ANO Pi10FE5SION3 COOE THE CONiMCTORS U- .VelU0�10f1 AQI.AREA Ci7 CENSENWDOESNOiMPLYTOANOwNEROFAFROPERTVYVhqBU4D50HWPROVESTMER[OH,AND � YRpCONTMCfSiOR&1pliiqJECTSWIiHACONTMCTOR(S�LICENSEJCURSUAtff10THECqffMG pUANTITY D[SCRIPTION FEE � 70HS LICENSE UW.} . . . . . �. � I � O I AM IXEAIPT UNDER SEG B.t C.G FOR THIS PEASON U � u" DATE I OWNER � .. � . . •v v � 1 U V t CQ.� i UCENSED CONTRACTORS DECIARATION —� � w INEREHY�FFUUAUIOERPENAI.TYOFiERNRYTHAT1AMlICENS[DUNDERPROYISIONSOFCHAPTER � � i(CO►aENpNa WRN SECTqN 70ao)OF DMSiON�OF T1E BUSIH[SS ANO PROFESSiONS C9DE.ANO� Z � � � W LICENSE 6 W FULL iCRCE AND EFFECT i m � UCENSE CLA ��� UC.NO.���ZZ��. �. '.!� j � w����� corrtrucToa�l�_. - _ ''a � � WORKERS COMPENSATIONDECIARATION a a� ��, , � IHEREBYIlFF7iM1,7lDERPENALTYOiVERNMONEOFTMEFMLOWINGDECLARAilONS: Z ' ��-� � _IHAVEANDYNIIEWNTAk/ACERTIFICATEOfCONSENTTOSElF�NSUREFORNUFKERS' _ � . � ' • � OOUPEN4A'ION.ASPRDVIDEDBYS[CTIp1Y/o00FTMELABORCOOE,iORiHECERWF.MANCE `U THEM/OqK iORNh11CH THIS PERMIt IS ISSUCD. � A _I HAVE AND YVILL►WMAPI WOi1KER5'GOI.IPFJISATION INSUHIWCE,AS IiE WIRED BY SECiION d 770o OF THE lAB0i100�E.FOR TNE iERFORW WCE OF THE WOAI(fOR WHICH THI3 PERMIT 15 iSSUm.GYWOHK RS' GENSATIONINSU ..ARRIERANDVOIICYNUTABERME: CONSTRUCT�ON j CAANER � / � PIAN REVIEW � POLICYMJI�BER�LZ �� � � � ELECTRIC - � (IFiSSEC1�OHNfIDNO78E00�.�EiEDOF7FEi'E�Mi6F0f10NEHU�O(iE7U0aUfiSb�o�MLESS) PLUMBING .�'Z�.i� Z ICERTIFYTHATINTHEPERFOfi1.UWCEOfTHEMlOfiKi0ilWHId17M5PERMITI5155UED,1 MECHANICAL (� SHALLNOiEMPLOYAN'fiEfiSONNM7YYANNERSOASTOBECOMESUBJEG'TiOTHE (q WORKERSCAMVENSATqNU�'/SOFCALIF.7RNIA,�NO�OREEi7MTIFISMOULDBECOME INSPECTIONFEE SUBJECf TO TME Y7qi0(ERS'COMPENSATqN VROVISIONS OF SECTqN]7aoOF 7ME UBOR ,�j7� rj COOEISFULLWfiTFNATHCOMPLYWITNTHOSEVROVIS10N5. ISSUANCE niir. — �1qg.q V!/ .� . . . . �� SMIP . .. . . . p DATE: APPLICANT: ` � WNWINQFAILURETOSECUREWON(ERSCOMPENSA7qNLOVEMGEISUNUWFUL,ANOSMAILBE ENERGYPlC 1 1 � � � SUBJECTFNEMPLOYERTOCR:MWALPENALTIE9ANOCMLFINESUPTOONENUNDREDiHOUSAND ENERGYPEFlMIT t� L J � DOLLANS(it0o.000).N ADOITIONTO 1HE COST OF COMPENS�TION,OMUOES AS PHOVIOED FOR IN ¢ SfCT10N770eOFTHEIABORCODE,NTEREST,ANDATTOPNEYSfEES. ' RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE � IHER[BYAFFIRYUNDERVENALTVOFPE0.tt1RVTMATTHEREISACONSTHUCTIONLENDWGAOENCV - ' ' � FOR TME PERFOiWANCE OF TNE WORK iOR WHICH THIS OEAHIT IS ISSUE�(SEC.]OYI,CIV.G�. , - . � LENDEIYS NAAAE . .. . , ,, 'I.�. i i � LENDERS/�DONE55 W ICERTIFYMATIVIAVEREADTHISAPVLICATIONMIDStATETUTTHEABOYEINFORMATqNISCORHECT. TOTAL FEES � .. . ., �5.��,� ' .� IAQREETOCOMPLYWITMALLCfiYANDCOUiTYORDNANCESMlDSTATEUWSREUTIN6MBU0.DINf] . I � CONSTRUCTION,ANOHEREBYAUTF10i11ZERE�RESENTATNE50FTNISCOUNTVTOEMERUPON7HE �', � ��. � - � ABOVE#tENT10Nm VRDVERTY FOR INSiECT10N GURGOSES. COMMENTS � ,aiaY�s L o(ee.-S m PERMI NAME�VfUHn ' . ' a 3 � y SI� U Oi PEM�ITTEE DA7 � � RECPT�� PAtD BY VAUOATION WHITE—Oepartment Copy,YELLOW—Finance Copy,PMK—Assessa Copy,GOLDENROD--File Copy,GREEN—ApplicanTs Copy . . . � . . . , . . . _ . . ..._... _ ... , ... _ __ . . .. /'�`�`�� CITY OF DIAMOf�pD,BAR , , ( -� �.:�,�,�� i.�,:INSPECT10fV�RECORD ..tr j ��,':�:?;• � _ ;;, �,� Y �\ 1�i ,,� , ,. � � �• ,i����� � �`�.�`. �' ' � � ���X��.;� �ya��� �'l.�",�`� ��`��i;?�.�'��� # � - _..a...=- - jSETBACK �`,7 ` � �",C z; :�: �'= S; •, . FLOORJOIST , . 1 .�- °,1 i •1� �c�C• , . ,�, ; �_, .. „ , FTGS/FORMSlSTEEL� -- _,._; V._ _ .:_ �_ _ .. _ ;FHA REQMTS_:_' . . . _ - - - � - -- -- -- - t ; : � � �:� -:. .:.- .�� ��. , -- - ....-- �, ,�. :. jELECTRIC GROUND___ __ .�� � � __ ._ ___ ______.__ UNDER FLOQR Q�1GT-: • �..� , .__ � _.: �GROUND PLUMBING <,,...:. ,r. UNDER FLOO{��CU1�4 UIT��� •"`�" ``•' ' .. ;1 ""- �.�� � -- . �,•.,. r, ... „- . . . , , . _- , . • iSIAB GRADE- -- - - - "�;� ---____ _ _. _-- - - ., . . i FIREPC:AG.EFDE)IJD'AI�ON .�.,.. .� ' • ; � '�htd�'�"sr�"•i�._ c..-- lTEMP POWER------ . ;�_ . _----- --. ,;: : FIR�PI�ICE BOND BEAM - _ _ ._ , ,�- ,_�.;_� 1WATER SERVICE ---_ � __------_-- --. _. . _ _ MID HT. BOND BEAM J��s-1 ,�,)�,,:� �_t ){.. ;�..r„ , , . _ , � I ROQF SHEATHING . _ . ., ;, _ � 8 Fi. BOND,6EAM .-' � •: '<� � _`_ ' �'-- , , :.,. IFRAMINGNENTILIATION - ---- -- - - FINAL BON��EAM��� , ~� + ���.� �� � i ' IROOF COVF_R .�� • ,� PRE-GRADING _ _ ..._.... � _ _. _. ..._ . _. ; ,; I _: _ _ _ _ _ --- -- - -- �ROUGH HEATING ---_ _ _ ___ . ,, .�.� - _- __ BENCHING _. - ,;, � .:, IROUGH ELECTRIC._ ..__ : ���':' '. �- _._. �i �ROUGH GRADING __ _ . _. _ __ ._. ----- -------- •---.--i , IROUGH PLUMBING- -- - - _ - - � �FINISH GRADING � J ( , �SHOWER/TUB TEST-- --- ---- _-- ---- �_ _ _ , P,ObL EL'ECTRIC , , . , -_; �, : , :: , :,., ..,,, :' I . fEXT.-L:.ATH/SIDING---- ------__ __ _..__ -- - POOL'FENCING , " � ° , . � _. _ � �WALL INSULATION --- -------- . _ . __ POOUFINAL . , , , �: �., ; ;;, i �CEILWG IrSSUL"ATION ________..__ .. -- - _ -- --- ___ _ OFF SITE IMPS. . ; � ,: ..; , ,, � " • � . � . „ �DRYWALL NAILING --_ __. .__ _ -- -------- ----_ _ DEDICATIONS ' , . � � SEWER ._ _ _. _ __---- -- -... _ __ FINAL ENG. - . , . ,: ,�, •-. „ �SEPTIC TANK �ANDSCAPE/IARIG.' _ ' : • SEEP.PtT/LL----. _---- �-.: ON 51TE IMPS. . , . GAS f�IR TEST � • - FINAL ZONING . --- -- _ ---- . �Flh„�,1_.CONST _ _-- _ ; ,,_ _ � -- : _ , --- -- . FIRE DEPT. FINAL . : _ , :,., �FI�'.••H�R'(1NG__ __�- '-�� `�_ � 1''r•'=�'��'`� \ HEALTH DEPT. FINAL - - - __. ._ .. _ � t :�,_ELECTRIG-- -- -- - - �= J , "�`,•- DEV. FEES PAID ._.. � .:r.t�-PLUMBiNG --�_ __ . . __ .. ENERGY , �,. � - --- .. i _ _ - - - -- _ _ _ _ , ,,, ..._ -- ----------- . __-- - - _ _. _. . __- __ . . '� ,@�.r���,.�,4"+:^`��x'��' t�.,`k'.:..ic:.i ... 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