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HomeMy WebLinkAbout13364 �� CITY OF DIAMOND BAR ' � F DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES � ai�o E.c��oy nav�s�c�iso PRESS '.%�.. . BUQ.DINGSPERMIT APPLICATION . FIRMLY o ADD ESS DATECATION S'i�/��g�NUMB R �J� if,CG " " ?�U�/ �UC�4'T� �V� v � � issuE , � TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER .D.A. , ZONING SETBACKS p ADDRESS W CITY ZI TEL � FRONT RW ❑ � APPLICANT � TE REAR � � SIDFJSIDESTREEf RW O CONTRACTOR 51DE ❑ A�DRESS PROPOSED USE R �� S 1 M�Ib{u S � Ib CITY ZIP TEL. � ARCH/ENG/ t. M+ G. r DESIGNER J NO.DWEL NO, NO. ADDR SS UNITS STORIES �'� BEDROOMS � CITY ZIP TE y DESCRIPTION Sa.FT. FACTOR PSF AW.AREANALUATION y . Q OWNER-BUILDER DECLARATION SFFV/VDD/REM O p I HEREBY AFFlRM UNDER VENALT!OF PENURY THAT 1 AM O(EMPT FROM TME LONTMCTORS L4 GaragelCarport � .� W CENSEUWFOH7HEFOlLOWNdPEA50NISEGTO]1.68USINESSANDVfiOFE5510N5CODE:ANYCRYOR (n C� COWTYMMIGIREOUIRESAPERAIRTOCONSTRUCLNLTf0.MVROVE,OElA�l15M,ORRERURNJYSiRUC• W P81i0/DOCk _ � �VTUqE►ftlOq TO R3156UANCE.ILL50 REd11RE5 THE AVVLIGW7 FOH 5�1CM VERMIT TO fILE A SIONED W � STATFMENT TIAT NE OR&/E IS LN:ENSED VURSUANT TO THE PROVLSIONS OF THE CONTMCTORS L4 CEtiSE UW(GUPTER O(COMMENClW WIiN SECTqN 7000)OF DM510N]OF 1HE BUSMESS ANO VR0- � PooVSpa FES&OMS CODE)OR TNT HE OR SNE IS OfEMPTTHEREFROM 1WD TNE BA515 FORTHE ALIEOED E%EMP- 7pN.ANYVplAT10NpFbECTqN7'W7.68YANY�VPLIGNifORAVEW.IITSIRJECTSTIEMPUGMTO �. Z Re-Raof � ACMLYENALTlOFpOTMOfiETlIANFIVEMUNOREODOUARS(f500).}. . � OlA40MHEROFTNEPROVEHTY,ORMYEMROYEE9WIiHWA6E5A57NEIRSOLECOMPENSATON. O CORI1119fC431 YALL DO THE N'ORK AND THE STRUCTURE IS NOT�NIENOED IXi OFFERED fOR SALE(SEG TW�.BUSF J NESS I/0 PROFESSqN3 COOE:THE COHTMCTORS UCENSE UW DOES NOT APPIV TO AN OWNER OF � VHODEifiYYNOBUlD3011MPROVE3TNEf�ON.ANDNMODOESSUGIWONKHIMSEIfORNERbELFOR , m � -� TIROUGHMSOqHERD'M�E�L�ES,7RDVIOEDTHAT5t1f]IWPROVE4EMSAAENOTMEN�EDOR OFFEREO iDR SALE F,IqWEVE0.��O OH MDRDVEMENTISSOIDMTiNW ONEYFJW OFC04PLE. TION,T1E OAVNEH�BUM1.OER WILL HAVE TF�E BURDEN OF PROV WO TNAT ME OA SME 0�NOT BURD ON W GiqVE iOR T�W HPOSE OF SAIEF � OI.ASOWNEROFi/1EPROPERTY.AME%LlUSNELYCOMMCTWOVATIUCEN5E000NTMCfORS TO COHSTRUCf iHE VROJECT(SEC.7W.BUSiNE55 AND VROFE5510N3 LODE�.THE WNTRACiORS U� VEIll8tbfl ADJ.AREA � CENSEUWDOESNOTMPLYTOANOWNEflOFAPROPERTYW/10BUILD50RMPROVESiMEHEON.AN� . . . NRqCOHTqFCT3FON3UCMGRQIECT3'MTMACOHTFACTOii(5)IICEN5EDR1R5UNRTOTMECONTRAG OUAN'fITY � DESCRIPTION FEE � mas uc�se Uw.4 . O 1��WPi UNOER SEC. B.t 7.G FOR TMIS REASON Q ¢ i i �=' OATE OWNER V � � W . . LICENSED CONTRACTORS DECLAAATION W j. :., ";,� � tF1ERE8YAFFIRYlR1ffERGENALTYOFPERR1MT11ATIAlALICENSEDUNOERVROVISqNSOFCWIPTEN-� Vr � � �(COMMENCNf3W1TMSECT10N70oo)OiDMS10N]OFTHEBUSINESSMIOPFlOFESSIONSCODE.ANU 2 , ^ W LICENSE L N ML f0(3CE ANO EFFFCT. m � � UCENSE CLASS � LIC.NO. :. . J , IH I V �) �� � -V OATE .. . CONTRACTOR � a W .. UFI?TA?.'','1TJ 1 � � WORKERS'COMPENSATION DECLAFlATION U "'��iIV Ci f'i:`ti!1 C!, . � � I MEREBYAFFlRM UNDER PENALfY OF pE0.NRV ONE Of 1HE FOLLONnNfi DECtAMt10N5: � � l� ¢ O _IHAVEANDWRIWMAINACERTIFICATEOfCONSEHTTOSELF•NSUREFORNORNERS' 2 L COUPENSATqN.ASVROVI0m8YEECT10N�70DOFTHEIABORC00EF0iiTHEVERFORMINCE U � Q OFiNEWONCFORWHICHTHISVftWITISISSUED. W G � �IMAYEANO`M�LLMAIMAINWOfiKERSWL�PENSATIONINSURANCE.ASREOUIREOBYSECTION /'� � �/� Q �700 0F THE LABOR COOE,FOR THE PERPDRMFNCE OF TME WOPK FOF YmICM i1115 PERMIT 15 � U = ISSUm.W WORNERS'COMPENSATqN INSURANCE CARNER AND POLICY NUMBEF ME CONSTRUCTION � o` > �Ep ' PU1N REVIEW z GOLICV NUTABER ELECTRIC � .Q : 0 �tr�sEcnor+rhIDwree�rIDOFnevew.rrsrrnar+eMrnimoa.w�R�m�aatEssF PLUMBING Z ICENTIFYTNATNTHEPERFORMMICEOFIHEWORKFORWHICNTNISVEfWIT�515S11ED,1 MECHANICAL � � - � 6wLL1NOTEMPLOYANYVER50NWANYMIWNER50ASTOBECOMESUBJECTTOTHE � WOR1(ERSW�APENSATqNUw50FGLLIFORNI.�ANOAGREE7HATFISHOUL�9ECOME INSPECTIONFEE � SUBJECTTOTHEVNAKERSCdAPENS�T10NPiiONSqNSOFSECT10N�7000FTHEUBOR �SSUANCE GOOE,I SMALL iOR(HWihl COMFLY WITH 7F/OSE FilOVISIONS � p DAt£ - APPLICANT: SMIP . �' 9 . � WAANINO:fA1LURETOSEWREWORKERS'CW.�PENSATqNCOVERAIiEISUlaAwFUL,ANDSH�LIfiE ENERGYPlC SUBJECTANEMPLOYERTOCRN.iiN�LPENALTIESANDCMlFWE3UP7DONEMUNDREDTMOU5AN0 ENERGYPERMIT � � pOl1J1R5(3100,000),INIiDDI71ONTOTNECOSTOFQ0AIPENS�TIDN,DAMAGESASPROV10EDiORIN J SECTION]70lOFTH£UBOHOOOE.INIFREST.ANDATTORNEYSFEE3. R�7ENT10NFEE: �• OCONSTRUCTION LENDING AGENCY pRE-Vq.G�FFE: � . [�C �ryEREBYAFFlPMUNDERFENALTYOFPEfYNRYlHAT7MERE15ACON5TRUCTIONLENDIN�AGENCV `l �/ �Z- FORTMEiERFOflMANGEOFTIIEWORKFORYh1K%ITMISCERM171SISSUEDISEG]Oo7.CIV.G). W � LENDERS NAME � - � LENOER'SAODRESS W ��EqT�ry7F�p7�WNEpEApT111gAPPLIGTIONANDSTATETMATTNE/�BOVENFORMATIONISCORRECT. TOTAL FEES - d IA6REETOC�PlYN7TN/�LLCRYANDCOINTVORDINANCESAN�STATEUWSREUTN�TOBUlDINO Cq�STRUCTION.ANDNEREBVAUT10R2EAEPRESENTATNESOFTHIS TOFMERUPONTHE . -. . S� /IgWE#1ENTqNEDP1iOPERTY IHSPE URPO'ES COMMENTS ' � �l , � �U/� � � � FERMITTEE NAME(VR . . . � " � BaHATUREO DATE RECPT.NO. PAID BY 0 VAUDATtON � � � WHITE—Depertment Copy,YELLOW—Flnence Copy,PtNK—Aseeesor Copy,GOLDENROD—Flle Copy,GREEN--AppiicanPs Copy - � � , ., . . , ,, _., . . .. . ,.. . , . ... , ; . . . . , , . . _ _ , ,� . , � � CITY OF DIAMOND. BAR ,.-� ,..: �, ;:� �. ' _ _;,,. .,, .�.. INSPECTION REC�I�D � , , - �.�. �, � . . .. ; . _. . . c,, �: •� �, � � -��. 6 B � • ' • � � • ' SET BACK -�.... ,\.., . , .'`'-- '.,\� :�, ., FLOOR JOIST ...� .t �,y p -��.r�,�<< ; ,,% ,�;•�j��,• , _ FTGS/FORMS/STEEL _ • �.` � _ , �-_- .I FHA REQMTS - - __ _ _ _ � _ _ _. . . _ - ELECTRIC GROUND� .- ::_ '_-- _ , . _ - . UNDER FLOOR DUCT ' , _ .� ;-,, . , t GROUND PLUMBING ' '� UNDER FLOOR COMDI�iT� + •� 'i;'�+�t:�' •.,;a;..'` ; . - SLABGRADE _. _ - _ --- ._. -- � ,: ' FIREPLA FpUND TION - is" ' '��1� ,;��•':��i � � . , . ,� .. 7EMP POWER ---- ' ' --- � � � � FIREP A� BO�Ib E M - . � � '_ . � _ --- WATER SERVICE . _.-- —,� -- _ _,_ _ , : - - _ MID HT.BOND BEAM � - _ - _. . : RO��`Sf�EA'�W�IGt=;:.;�-T �,- .-,.. `,- . . ".' -.. `__ '8 FT.BOND BEAM._ _ _ _. FRAMINGNENTILIATION � � �� FINAL BO�(D,B�AM-.,_..i. .;'; •^. ,• .. , .' ; ROOF COVER , . _,,, ' -t'= ' PRE-GRARlNE`j' :ij' �.:r��: '�.:.±.�r� .(�,��• « � , _ROUGN HEATING-- _ --- --- , - -- _. __--- . ._. .. BENCi I�G" •1S.:i:.�. .�`_ :i:' -: • �t� _,�j..,_, _ ROtJGH ELECTRIC- ', ; ' � ROUGH GRADING '� ROUGH PLUMBING� - --- � " '� � - "�' - - FINISH GRADING . . ._ . __-- _ . _ SHOWERlfUB TEST , POOL ELECTRIC - � ' EXT: LATHlSIDING -�-- - - - - _ _ . . - _POOL FENCING , WALL INSULATION � POOL FINAL , CEILING INSULATION OFF SITE IMPS._ DRYWALL NAILING � DEDICATIONS , SEWER _ _ - -- � - - _. _ -- ._. _ _. _FINALENG.' . � : SEPTIC TANK __-- _ __ ._ _ •_ � ; .�_,, _ LANDSCAPE/IRRIG. SEEP PIT/L.L. - _ -` ��-�_._ ON SITE IMPS. _,.. � GAS AIR TEST; — --- - - - FINAL ZONING � � FtNAL-CONST:-; -- �y ,� - u� � - FIRE DEPT.FINAL ' • FINAL HEAT�NG - - - - -- HEALTH DEPT FINAL � _.. ._ . FINAL ELECTRIC - - - DEV. FEES PAID - � � _ , FINAL PLUMBING ENERGY ��+' R� 91�1 r --- �- -. . __... -. - -. _ _.. COMMENTS __ - _ , ; . ,. ___ _ __ _. -- --_ _. ._ . _ ___ - -. -- _ _ , , _ , ; ___ _--- _I------- — _ _ , : L,�, �� �,,` , ' . . - .__ ,, . . - , . . , . . — _ _— ---._ _. ... . .. _ ��-- , �_, . _ - - - --__._ __ - . . . _ . _ . . . � � � � : , : - r-, —. ,. - .._:� � � � '.J . .. . , � . � .�_ .._... .. ._._ . . .. . . , , , . .. . . . , . t\ t SE�'�fIC,TANK SIZE - , �. SEEP PIT%U SIZE � _ , -. , 1.y. �� , ;. . . ; 1, ` ' „ ' . - _ � -- . ; ; . � _--- - 1'r �. , .. , . _ ,.. � i . ' . ' - - . . __ �. � � � /\\ ` } ..;_ � . � - _ - __ _�� -'�1, ,• � \ � ` � , , _ , -•�, \ ` - � ' �� _ I,�. �f .. , � "` \ . _ _ _. , ��� !