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HomeMy WebLinkAbout12645 �� CITY OF DIAMOND BAR ' ' DEPARTMENT OF COMMUNITY 8r.DEVELOPMENT SERVICES 21660 E.Copley Drive Suite'190 (909)8603195 Faz(909)861-3117 PRE$$ ' ��"�'��� BUQ..DING PERMTT APPLICATION • FIRMLY ' � JOBSITE 9 . -/ APPUCATION PERMIT t, P/C o ADDRESS �7 �1III���ILW�o� �-N DATE �� NUMBER�Li� p � ISSUE NPE OCC APN � LOT TRACT - DATE I CONST. GROUP p OWNER C L • � ADDRESS C.Mti.a� n•:t wc-c� ' ZONING SETBACKS 'P�' CITY ZIP _ TEL _ REAR RW ❑ g APPUCANT TEL. SIDE/SIDE STREEf RW O � CONTRACTOR � D6 SIOE ❑ p� ADDRESS � PROPOSED USE o Wu 0 �N Y� � CfTY p�}AWJ�f t?�Z ZIP 1Y/���'TEL � . . � E � � o ARCH/ENG/ , ^-f '` �",lJ � DESIGNEFi NO.DWEL. NO. N . = CDDRESS ZIP TEL UNITS ' "STORIES ' ��"- BEDROOMS N DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLAFlATION SFR/ADD/AEM O . p I HEFEBY AFFlfW UIDER VfNALiY OF VE0.AIRV THA71 AIA E%EIIPT FROY THE CONTRACTORS lL Garepa�Carport � � [1J CEHSEUWiORiHEFOILOWR7UREA..ON(SEC.7Wf.68U5WESSANDPROFES510N5CODE:ANYCtT`/OR (n � CAUNTYNR11p1H[-0UIRE9AVERMRTOOONSiRUCT,ALTE0.MPROVE.DEMOUSH.OAREPAiRANYSTRUG W patiol�eck - TURE,PRqq TO RS 65UANCE AL50 REWIRES TNE MPLICANT FOR 6UG1 PERMIT TO FILE A SIGNED W SiAiEMEM iMIR ME ON SME IS UCENSED VURSUANi TO THE VROVISIONS OF TME CONTMCTOFLS L4 � � CEHSE UM�(GIAPTER i(COMMENCPlO WIiH SECTION 7000)OF DMSiON]OF THE BUSINE55/NU iRO V" POOVSpd �� • � � f ESSqNS COOE1 OR iHATHE OFI SHE IS IXEMVT iHEREFROAI ANO THE BA515 FOR iHE ALLEGED E%EM0. 710N.ANYVI0LAT10NOFSECilON7m1.6BY11NYAPPLKANTFOf1APERMRSUBJECTSiNEMPLIGWiTO Z qe.Roo1 � ACIVp.OENAL7YOFlqT1.10RETW�FNEMINDREDDOLLARSIlSoo)_I' � ., . � O►ASO�MIEROFTHEPROPERTY.OHMVEAIOLOYEESYnTHWACESASTHEIqSOtECO/APENSATION,. 0 COrtlfltefCl01 - � � � � YALL 00 THE WORK IJiD h1E STAUCRIRE IS NOt MENDED OR OFfEREO FOR SALE ISEC.10a1.BU56 . J N NE53 AND GROFESSIONS COOE:THE CONTRAGTORS LICENSE UW OOE9 NOT MPLY TO AN OWNER OF� ? � . iROPERTYYrt�O8URD50RIAAPROYE57MEREON.AN�WNODOE55UG1WORKHIMSEIFdiHERSELFON m � Q 1HROUOMHISOFIHEROMIEUPLOTEES.PROVDEDTHATSUQIWPHOVEMENTSARENOTNTENDEDOR W .OFFEREDFORSALEIf,110WE1�ERT�EBUM1DWOOFiMCROVEMENTIS50lDVATHINONEYFAROFCOFAPLE . . .YL �TION,THE OWNEREUItDER NttL HAVE THE BURDEN OF iROVINO THAT HE OF SHE DID NOT BNID Oft � MvaOVE FOHTIIE OuavosE OF SALE� � , c � O�ASOMMEROFTHEPROFEHiY.A1AD(CLUSNELYCONTMCTPlaWRHLICENSEDCOMRACTORS To wrrrsrnucr rr�PaaEcr�sEa mw.euswEss u+o vao�ssia+s cooE:n+E corrtn.�croAs u- Valuetbn ADJ.AREA CENSE UW DOES NOT APPLY TO AN OWNER OFAPROPEHTY VMO BULDS OR W PROVES iHEREON,AND . � WHOCOMMCTSFOHSUCHPRQIECTSMATHAOONTMCTOR�3)UCENSEDPURSUAM(TOTHECOHTMF QUANTITY DESCRIPTION � - � � FEE�� � iORS UCENSE UW.). . . . . O IAM ElCEA1PT UTAER SEQ B.t P.0.FON TMIS REASON� � 3 � - •- LL' DATE � OWNER � �"' . W � I UCENSEO CONTRACTORS DECLARAT�ON �j • � iHEREBYAFFW,IUNDfRPENALTY0F0E0.NRYTHATIAAILICENSE0UN0EflPR0VI510NSOFqUVTER Vr d f(COuuENtlNaMrtTHSECf10N7000)OFDMSION30FTHEBUSIHESSANDPROFESSIQVSCOOE.AN� Z 1AY LICENSE IS N FUi fORCE EFFECt � . �0 LICENSE CUSS � . . LIC.N0. D L J . _ �"'j DATE- CONTRACTOfi � o. W � WORKERS'COMPENSATION OECLAFiATION a � �MEREBVl�FFIPYtM�ERPEWLLTYOFVERRIRYONEOFhIEFOLLOW�NODECLAM7qN5: � U � - � Z Q O INAVEANDWILLIMNTAMACEHTIFlGTEOFODNSENTTOSElFdNSUREFORWORKERS' _ � � PENSATION,ASPRONDEDBYSECTION]7aoOFTHELABOi1CO0EFORTHEPERFORMANCE ' W - OF T/E WORK FOR WHIG17HI5 PERMIT IS ISSUED. � � _I NAVE/ND WILL MARlTIUH WOFIKEHS'COAIPENSATION MSUMNCE,AS REOUIRED BY SECTqN , Q �7000FTHE LABOR COOE FORTME VERFORIAANCE OF THE WORN FOH WHICH iHIS PERMIT IS ISSUED,IAV WORKERS COMOENSATION I�N�SU,R�ANC�E�CARRIEF AND iOLILY M1�IBER ME: CONS7RUCTION Q �� �O jc�waieA ��T��� '�v„=1� PLAN REVIEW � POIICYMIMBER��� � ELECTRIC � � � (IFaS5EC11CMNEID��oiBEod.�IETmOcnE�EaMisxaa�EN.roriF.noalkuR��la+�? PLUMBING Z 1 CERfIFY T/UT IN h1L PERFORIMNCE OF THE N'ONN FOR WHICH THiS VERUIT 6 1SSUED.1 �MECFIANICAL � (,'J SHALLNOTEMVLOYANYPERSONNAH'lMANNERSOASTOBECOMESUBJEC7TOTHE � N'ORKERS'CDIAPENSATIONUwSOiCAtIFORNI.�M�DAONEETNATIFIS�qUIDBECOME INSPECTIONFEE S SUBJECTTO THEN'IXil(ERSCOMPENSA7XIN VROY1510NS OF SECTION 77000F iME UBOR /�] cppE� wutvortt�n�eoMa�rwinina raonsrons. ISSUANCE ��G� ♦ / . p DA7E: �. ' APaUGwT: �,a.-. SMIP . . t L-.n_ W ENERGY P/C WMNINO: URETOSE(.11REVNRKERSCOMPENS GOV RAGEISUNUWM.ANOSHALIBE -� � SIRJECTANEMPLOYERIOCRIMWAIiEWLLTIE5AN0 LFwESUPTOONEHUNORE0T1qUSAND ENERGYPERMIT D�LLARS(1100.000).IN/�DOf710N TO iHE COSTOF COMPENSATpN,OAAUGES AS PROVIOEU FOR W � SECTIDN�TOlOFiNELABOP[ODE,NTEREST,ANDATTORNEYSFEES. ' RETENTIONFEE: d ; � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � 1HEREBYAFFIflMUNDERVEN/�LNOFPERIUHVTHATTHEREISAOONS7RUC710NLEN�INO�OENCY nZ- FOR THE PERFORMANCE OF iHE WORN fOR WHICH THIS PERIAIT IS�SSUED(SE0.]097,q¢F4 • • , � W � LENDER'S NAME .. . __ � lENOEH'SADDRE55 W 1 CERTIFY riuT 1 HAVE READ Tp5 AVPLICATqN/ND STATE TUT TME ABOVE NFONAATIOH IS CORRECi. TOTA� �G!11`I L S t11_L 1 1 I �_ /t, /� �, � IIIGREStOCOM7LVN77NALLGTYINDCOUHh'ORD4VANCESANDSiA7EU�'�SPELATW�tOBURDiNG CONSTRUCTION,MLMEREBVAUTI/ORREPEDPESEMATNESOFTWSCWNTYiOENTERUPONTHE . . . �� �� � rBpVE#IEHi1CMlED PROPERiY f0 INSDECTION VURDOSES. COMMENTS / S � �`� YW►•� � m FERMITiEE NAME(PR� � � Q .. . .. . . . . . . . . . .. � � Sqw, n o�re RECPT.NO. PAID BY �LS�I VAUDATION � � � � ; �WHITE-0epartment Copy.YELLOW—Fhance Copy,PINK—Asaessor Copy,GOLDENROD--File Copy,GREEN—Ap��l�cant's Copy - � - - CITY OF DIAMOND BAR ..� �: � �,;-, . . . . . . . " � ' f�iNSPECTIOI� RECORD``, _. _ . , , , � �� . s . ,. • s � � • - e � � • - 7 SET BACK . -- '% � �.\� FLOOR JOIST �,; � - .i �' i `• ,.,' +'�.=`�. FTGS/FORMS/STEEL . ,' . .'.. . •,, ; ;' FHA REQMTS _ _ __ ._ _ _ _ - ELECTRIC GROUND ' ' ' ` ' UNDER FLOOR DUCT ;. , , ,, GROUND PLUMBING ' UNDER FLOOR CO�IDUIT � �, � SLAB GRADE --- � � FIREPLACE FOUNDATION - � � TEMP POWER - - . . �- FIREPLACE BOND BEAM - _ - --- - � WATER SERVICE . . - - -- MID HT. 80ND BEAM .: - : , ,;..,.:,_ � ROOF SHEATHING � , � (,�Q9 -- Q! 8 FL BOND BEAM �� - ' � � ��� ' - FRAMINGNENTILIATION ��' �� � � FINAL BOND BEAM ` � ROOF COVER '.. I I��73-� � � `P,RE-GRADING ROUGH HEATING _ _ - --- . _ BENCHING - ' ROUGH ELECTRIC ROUGH GRADING ' ' ROUGH PLUMBING - FINISH GRADING SHOWER�TUB TEST� POOL ELECTRlC EXT.LATH/SIDING POOL FENCING WALL INSULATION �POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING ' ' DEDICATIONS SEWER FINAL ENG. SEPTICTANK ._ , LANDSCAPE/IRRIG. _ � SEEP PITlL.L. --= - . - � .. = ` ON SITE IMPS. GAS AIR TEST - - FINAL ZONING FINAL CONST. - i�-�3=ti'� -`� FIRE DEPT.FINAL FINAL HEATING - - HEALTH DEPT.FINAL FINAL ELECTRIC DEV. FEES PAID - FINAL PLUMBING ENERGY • r ��.�. Q @.nC.z�. . COMMENTS _ � . _ . _ , , . , , , , ' - _- _ � , ; , . _ _ - ; _. , . f _. ` . . , . . .. _ _ .. . , ', SEPTIC TANK SIZE , ' SEEP PIT/U SIZE w• !`� , ,�v __ �� � � � t+r��j - - . ! • . , . - , _ . �l�:^!( ��/i i(�::r'�If� =ill Y.��.. _ r �r �tr•��:-t�l�ti?�31`i!1 C)�Si���.:1,�cf .. .. ' . �, � . . . � . , , . � � � ... r�i, . ._ _ _ _ _.. ... . _. �� ' . ' . . �' . . , . , " _ , � � ` +_i` ..\ . .. . . . . _ . ... . . . . ._ . '' .. '. `_ .,. � _ ' _. ' .