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HomeMy WebLinkAbout15425 -- — -- - _ _--- --�.--, , , -- _ � "� / 1� CITY OF DIAMOND BAR ' � i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Ihivo Suiu 190 . (909)860-3195 Faa(909)861-3117 PRES$ .�'*".. BiJQ.DING PERMIT APPLICATION FIRMLY � JOBSRE OV—I l o ADDRESS �g0 � � � DATECATIONr-� � NUMB R � p/C J � ISSUE TYPE _ OCC APN LOT TRA T DATE CONST. GROUP � OWNER . "' ADDRESS � '. ZONING SE7HACKS � CITY �k ZIP qOl.�.] TEL]/�f 67D'S�D FRONT RW ❑ APPUCANT T � � TEL.909-68'6-� REAR p � SIOFJSIDE STREET RW ❑ CONTRACTORCnI WPt7 for�t7�"�rl�rN cOPtJ�IFi•S SIDE p ADDRESS 43 S _ Lowp 1� c T. Svi TQ E g PROPOSED USE i n � � � o C TD ZIP �It7G1 TEL.v*S".4-5�iC-�i5qq , w NG/ r � DE5IGNER � NO.�WEL S� tt� c !, NO. � ADDRESS 3 ✓ _ ' UNITS � STORIES BEDROOMS ' � CITY v ZIP TEL. - � DESCRIPTION! SO.F7: FACTOR PSF-� ADJ.AREANALUATION Q OYYNER•BUILDER DECLARATION SFR/ADD�AEM ` � O . 8 I HEREBV AFFIRM UNDER VENALTY OF DERAIRV THAi I AM E%EUPT FROM THE COMRACTORS LF Garage/Carport � � CENSEUWFORTHEFOLLOwINORFA.ON(SEG70.7t.6BU5WE5SANDPROFESSIONSCOOE:ANYCRYOR (n ' � OOUMYNHId/RCOUIRESAPENAITTO00N5TRUCT.KTERMPRWE.DEMOLISH,ORflEFAIqAN'lSTRUG W patidDeck � � TURE,PRIOR TO ITS ISSUIIMCE,/�LSO qEWIflES THE APPLICArlT iOR SIKM PERMIT TO fILE A SIGNED W SiATEMEM 7HAT NE OR SHE i5 t10EN5ED PUfiSUANi TO TNE PROVISiONS OF 7ME CONTMC70R5 L4 . � CENSEUNl�QIMTEflY�CUMAIENCWOM77HSLCilON7000)OFDIVISqN70FTHEBV51NE55AMJFX0. - V"' PooUSpa . FESSIONS WOE)Oft iMAT HE OR SHE IS EXEMPi 7HEREFRqA AND THE Bti515 FOR hIE ALLEOED El(EMP• TqN.AHYVqlAT10NOf5ECT10N70Jt.6BYANYAPPLICANTFORAPERMITSUB.IECTSiHEMPLICA!lTTO z pa.q�} �,�, A CIVIL OENALTY OF NOT IAORE THAN FNE MINOREO DO�U0.5 ItSOD).)� ' � �L��NEqOFT/EPRODERTV,ORYYEIAPLOVEESWITHWAGESASTHEIR50LECO1�0ENSATION, � COfflmBfCI81 OO� � YVILL 00 THE WORK AND THE STRUCfURE IS NOi MENDEO OR OFFERE�FOR SALE fSEC.7aN,BU56 J N NE53 AND PHOFESSIONS CODE:INE OOMMCTORS LICFNSE UW OOES NOT A➢PlY TO AN OWNER OF ? . VROPEHTY YA%7 BUA.OS Ofi IYGROVES T/EREOH,MA W110 DOES SUd1 WORK HIMSELF OR MERSEIF OR � 7HROUfJ/HI50RXEROWt1EMGLOYEES,iROVIDEDTUTSUCMMGROVEMENTSARENOTRfiENOEDOR m � OfFEitWFORS�LEIF.HOWEYER7NE8UILDNOORMVWOVEUENT650LDWITMNONEIEAROFCOMRE• . . . TIOH,THE OWNERBUILDER WILL FUVE THE BURDEN OF PROVINO THAT HE OH SHE OID NOT BUILD Ofl = M7ROVEFOR7HEPURPOSEOFSALEI '� ' - W �IASOMMEROFiHEPROPERiY,AMIX0.U5NELYCONTRACTINOWITHLICENSEDCONTMCTORS � TO CONSTRUCTTHE VNOJECT�SEG 7ou.BUSINESS AN�PPOFESSIONS CODE:THE CONTRACTORS U- ValUetiDfl A0.1.AREA � ' � CENSEUWOOE3NOTAFPIYTOANOWNEROFACHOPEHTYWNOBUttDSORMVROVESiHEREON,NJD WHOCONTMCTSFORSUp1GRO.lECTSWITIACONTMCTOFl(S�UCENSEDPURSUANTTOTHECONTRAG pUANTITY ESCRIPTION �FEE � Nf35 LICENSE LAW.�. , - - . O IAM E%EMPT UNDEN SEG B.i P.C.iOR TMIS REASON Q (O T�L �S� 3 " ' 1i ; v,�e S, L1. � o�re ornren V � UCENSED CONTRACTORS DECLARATION W , _ . � IHEREBYAFFINYUNOERFENALTYOFPERAIRYTHATIAMI�CENSEDUNDERPPAVI5lON50FCNMTEH � . � Y�C01M.lENCYqWITMSECTqN70oa)OFOMSION70FTMEBUSINESSANOPROFESSIONSCODE,ANO Z �C W IICENSE IS N FULL fORCEMID EFFECT. m , A � , LL � UCENSE CLASS Q UC.N0. � '� � . O � c�� ��3 "j'i��fJ corrrw�croA W� 1''" fi'. m_ O � � WORKERS'COMPENSATIONDECLA T N / � � ROC IS'IP " � N I HEREBYAFFIRM UNDER FENALTY OF OEiWRY ONE Of THE FOLL G DECLAMT � � rL , . � �IHAVEANDNnLLWMT/JNACERTIFIGTFOFCONSENT SELF-INSURE �YS' , - _ � . � ' ' . � , � • COMPENSATqN,ASPROVIDmBYSEC710N�7000FTHE :f'6R� RMNlCE W OF 7HE VVOPo(FOR WHICM 7MS FERIAIT IS ISSUED.� � � �I HAVE AND NnLL 4AINTARI WOitl(E0.S COAI?ENSATqN INSl1RANCE,AS HEOUIRED BY SECTION /--� O S/OOOFTHELABORCODE,FORT}IEPERFOFVA.WCEOF7HEWORKFONWHICHTNISPERMITIS • �� /� tSSUED.MYWORK.ElR�S'CdAPEN3ATpNINSURANCECARRIEHANDVOLICYMIMBERARE: CONSTRUCTION ! jCARRIERSTA1 p/1SA 1� �NS. -i�i � NR VIEW � 7��- � POLICYMIMBER LI G7-OU � � ( � ELECT IC . �—� p �sEcna+r��rareeaa.c��mocneveaurs r+E��ra a�m; a P BING Z 1 CERTIFYTHAT IN THE iERFOHMANCE OF THE N'�RN R wHICH iH15 PERMRS U ,I MECHANICAL _ � ('J SMALLNOTEGPLOYANYPERSONWAN'�MMINERSOA BECOA�ESUBJECTTO [n 1MORKERS'C04PENSATIONUWSOFGL�FORNItiANDAGH INSPECTIONFEE ' � SUBJECTTOh1EWOfiKERSCOMPENSATIONPRON510NSOFSECTi0N�70UOF7H R � COOE,ISHALLFOfiT1M'ITMCAMPLYWITHTHOSEPRO SiONS. ISSUANCE S� � OA7F: Sf"�'I� APPL�CaNi:��yd•� SMIP . � W � WAANINQ FALURETO SEQIRE WOHKERS'OJM7ENSATION OOYERAGE IS UNUWFUL AND SMALL BE ENERGY P/C �� �y SUBJECTAN EMPLOYER TO CHIMRUL VENALTIESAND pVIL FINES UP TOONE NUNDREO THOUSMlD ENERGY PERMIT DOLLARS(!t o0.0001,W 11DOt71(7N TO THE CAST OF COMPENSATION.DAMAOE3 AS GROVIDED FOR IN J SECT70N 77oe OFTHE UBOq COOE,N7ERESL/wD�TTOqNEYS FEES qETENTION FEE: � CONSTRUCTION LENDING ACaENCY PRE•gLT� - CL IHEREBVAFFlPA7UN�ERVENALTVOFPERNRYTNATiHERE1SACONSTRUCTIONLENDWCAGENCY � � � �z FOR7NE VERFOFMANCE OF iHE WORIC FOR MA/IGI TH15 FERM1115155UED(SEG 70G7,CIV.G). W -� LENDER'S 1UME � � LENOER'SADDRESS � 1 CERTIFY THAT 1 HAVE READ THIS AVPllUT10N AND STATETHATiHEABOVE WFOfUUTqN IS CORRECT. TOTAL FEES � IAGREETOCOM7LVWITHALLCT'MACOUNIYORDININCESIWOSTATEUNSREUTNOTOBUIlDINO - WNSTRUCTiON.Iw�MEREBY AUi/qfiQE REPRESEMATIVES OF TW S COUN7Y TO ENTER UPON THE , S� ABOVE•1AEHTIONEDOROCER7YFORPISDECTqNVURVOSES COMMENTS � / � � QPEiWRTEE N E(PRI • fl� '� � (n 81�NAT E OF PE ITTE OATE � � . . . RECPT.NO. PAID BY VALIDATION WHITE-0epertment Copy,YELLOW—Fhance Copy,P�NK—Assessor Copy,GOIDENROD—File Copy,GREEN—ApplicaM's Copy � . • . . .. , . �.. , " � . r•. .. . . . . ._ . . . ,. , , "� \ � . ' CITY OF DIAMOND BAR .,,-, ,=, ,-._: , , . . , , ,. _ � - �=' ��INSPECTION RECORD ° : :. . , � - •� • � � • • � • � � • • - � SET�,BACK � ;;. .� " ' �FLOORJ0�5T, '�). ,.. ,. .��, i,\ �'_ ,,. , , . . ,_ FTGS/FORMS/STEEL s� ; � , FHA REQMTS ' - � ELECTRIC GROUND � _ _ ' : _ _ ' � ' � UNDER FLOOR DUCT_'� �; , l. ,.;:= .�, °:, �, GROUND PLUMBING � • UNDER FLOOR CO�IDUIT ,^, � •.� r.',^'•.t" ,' , �`, ••; � � , .. - FIREPL':ACE F.OUND�TION �%. =� , ` SLAB GRADE--- :.� � �' � � � � TEMP POWER - �-� ' � FIREPLACE BOND�BEAM "����- ��� WATER SERVICE . -- : - - --- --- - MID HT.BOND BEAM� : , ; , ' � . . ' '. • : AQd� �MEATh11�G•�-, � ` �,� ��...�... ,;•," ., ;- ' 8 FL 80ND BEAM.. . , . ` �ERfiMINGNENTI�.IATk�N :.;`��:. •r:.. , ;,,',-�,,.•�. .'��` FINALBONDBEAM .,�.' 1 ... 4 � ...._� . ROOF COVER ' ' �� ' ' 1���` PRE-GRADIN " ti r � �.' ;�,' ..�;l � ROUGH HEATING - P�°- BENGHINQ�'�_�-�;��; �.� . x, . �_', � :.•�,,.� ROUGH ELECTRIC ( j} ' t6 OUGH GRADING ROUGH PLUMBfNG �- - - - FINISH GRADING SHOWER/TUB TEST - - � POOL ELECTRIC EXT.LATH/SIDING POOL FENCING " ' , . WALL INSULATION POOL FINAL CEILING INSULATION '�,. ti:� ,i. OFFSITE IMPS. DRYWALL NAILING . � DEDICATIONS " ' SEWER_ __ ' FINAL ENG. � - - -. _ _ . SEPTIC-TANK -- - ---.- .: .'..' •' .: LANOSCAPE/IRRIG. SEEP PIT/L.L. - - . " ON SITE IMPS. GAS AIR TEST' - - - - . FINAL ZONING FINAL GONST. ' - --- I"7 D J . - ' -=: FIRE DEPT.FINAL FINAL HEATING " ' ' " '�' HEALTH DEPT. FINAL � FINAL ELECTRIC _ �7 f� DEV.FEES PAID FINAL PLUMBING:,,: , � ENERGY � �'i� I b ' . . „" ;,�, •�r;,. ,�,����� ,� , � ?':�;�� - .._...�. - .,.. ;, � , ,,, - - - ,- -. . _— - ---- -- ,. . C�MMENTS - `'Y'r,. -��I , , : 1 r � 4� � 1/o v �� �'Vl�L�r ��_,-,-< < �' � G�s 7+�'�'LS � �'L , ., . _ . - . . . , - � . � . , , _ . , , .. , SEPTIC TANK SIZE,�_ ; � SEEP PITN SIZE : ,; . , , 'i . . __ ` _ . _ . . , _. � �_ __ �_ _-- �. . i . � � %:_� _ � , _ � , . ; _ _ � 1 �. - � - . . , . .. .`. _. , .. . �� � �' � ;, .•,�' - � : ' . , ; �'. � , . . � • .. . _- -• f: