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HomeMy WebLinkAbout10907 (5) �'r. —-. _.._...----------— ---��- • CITY OF DIAMOND BAR" ...r` ': • � � - • � COMMUNITY DEVELOPh9ENT DEPARTMENT " � ' 21660 E.Coplcy Drive Suite 190 • � - • , ���s6asi9s FaX c�o9>a6�-su� .: " . PRESS ��.,._. '"''� BUILDINGPERh11TAPPLICATION FIRMLY o DDR'ESS•�3��3'. .�A�.��Q.�1� � �I :�, DATECATION�O `�� ��UMBER/��07 .#�� � � ISSUE TYPE OCC APN LOT TRAC�T " 0 ' DATE ��//AA �� CONST. GROUP � - p OWNER � � " "�' ADDRESS�- Z� e ' ZONING SETBACKS z CITY r' ZIP (Z TEL � FRONT . -. Ryy ❑ g APPUCANT �1'!MG " -TEL. �A�"� - . . REAR. ❑ � . SIDE/SIDE STREET HW p �� CONTRACTOR w � : � . . , ' SIDE _.... . • .. .. . . � ADDRESS • • . o CITY ZIP TEL. • PROPOSED USE . �?/0 � � ������� - � oARCH/ENG/ _ _ '_ _. . ... �-�'�--��"�/�';=SCr�(l/�.� z DESIGNER - � - . . .. w NO.DWEL. NO. NO. n. ADDRESS UNITS STORIES ' BEDROOMS ' � � CITY ZIP TEL. • , . .. . N . . . ._._ . _ . . . . . . . . . . . cn DESCRIPTION S4.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BL'ILDER DECLARATION.._.. . � SFFi/ADD.'REM ' ' _. . _ . __.. O . p 1 HEREBY AFFIRM UNDER PENALTY OF PERNRY THAT I�AM EXEAIPT FROM iHE CONTMCTORS ll• GyrOge/C9ryOrt � " ' . W CENSEUWFORTHEFOLLOWINGREASON(SEC.70]1.SBUSINESSAN�PROFESSIONSCOOE:ANYCIiYOR . (n ' - - � U �Jr(TyµHldiR[OUIRESAPERMITTOCONSTRUCT,ALTER�PROYE.OEIAOLISH,ORREGAIqANVSTRUC- W patiolDeck.. _ I,SZ� � f '� � W TURE,PRiOR TO RS ISSW WCE.AL50 REWIRES THE MPLIGWT FOR SUCH PERMiT TO FILE A SiGNED� W �J . STATE4EM 7HI1T NE OR SHE IS UCENSED PURSUAN7 Tp iHE PROVi5tON5 OF 7HE CONTMCTOR9 l4 � GENSE Uw(puPTER Y(COMMENGINO WiTH SECTION 7000)OF OMSION]OF iHE BUSINE55 AND PRO• - � PooVSpa. . � � � � f ESSIONS CODE)OR 7MA7 ME OR SME IS EXEMP7 7HEREFROM AND iME BA515 FON 7HE ALLEGED EXEMP• V TION.ANYVIOLATqNOFSECT10N7o31.6BYANYAPPLICANTFORADERMITSUBJECTSTHEMPLICA!lTTO � Z �RB•R001 ' � • ' �� A LML VEN/LTV OF NOT MORE THAN FIVE HUNDRED DOLURS�5500).): � '' ZOI.ASWMEROFTHEPROPERTY,ONIJVEUPLOYEESWITHWACESASTHEiRSOLECOUDENSAT10N,� � � COmmOfCidl � � � � � W:LL DO THE WORK,AND T11E STRUCTURE IS NOT IMENDED OR OFFERE�FOR 6ALE fSEC.7aN,BUSI- J _ � NE55 AND PROFESS�ONS COOE:THE CON7MCTORS UCENSE Uw DOES NOT APPLYTO AN OWNER OF = - � . . , _ . iROPERTYYAIOBUILO50HIMPROVESTMEREON,ANDYAI0DOE55uCHYYJRKXIMSELFORMERSELFOR ' • Q THRWGHHISORHEROKTlEMPLOYEES,PROVI�EDTHATSUCMMVROVEMENTSMENDTIMENDEOOR. � m . � OFFERE�fORSILEIF,NOWEVERTHEBU1L01N00RIMPROVEMENTI550lDWITHNONEYEAROFGOMPLE•" ' �. ' � Z TON.T/1E OW�ER�BURDEH WILL HAVE THE BUROEN OF iflOVWO THAT HE Ofl SHE OID NOT BUILD Ofi , � MPROVEiORTNEGURPOSEOFSALEI. � � � �. W OL��WNEROFTHEPROPERTY,AME%CIUSIVE�YCONTMCTWCN7iHlJCENSEDCONTMCTOHS _ [L TO CONSTRUCT THE OROJECT(SEC.70K BUSINE55 AND PROFESSIONS CODE:iME CONTMCTORS LI- VdIU8U0f1 ADJ.AREA � � � ; � CENSEUWDOESNOTIIPPLYTOANOWNEROFAiROPERTYWHOBURD50flIMPROVE5TIEREON,AND wnocorrrw�crsFoasua+vraaEcrsmrri�corrtancroa�s�ucErvsEoruaswwrTornecorrtruc• ' OUANTITY DESCRIPTIOV FEE . Y TORS 110EN5E UW.J. .. , .' -_ . ` .� . .. ..... . . . . .. . . .__.._ . . . ... _ . .._ .. . . . . . . . . „ _ . . __ ..__. . .... • � OIAAIE%EunTlAJOERSEC. � B.IP.GFORTHISREASON ' Q _ � V .. __ _.. . ._ .__ . .._ . . . . _. . . . . _ . . . . . _._ ._. ._ . . ` — � u" DATE�� '� OWNER _— — V .. ._ - .. . . Z .. � . .. . . . ..... _.. � _ '... _ _. _ W . ... . __...... . � � � __ LICENSED COIYTRACTORS DECLARATION`_ ' ` ' � W • • � IHEHEBYAFFIRMUNDERPENALTYOFPERIURYTHATIAMLKENSEDUNOFRPROVISIONSOFCHAPTER- S ' p� 9(COMMCNpNG WfiH SECTION 7000)OF DMSION�OF THE BUSM[55 AND�ROFESSIONS OODE,Ml�' Z � - - � /, . �N , • . •�. .- . LL� MY LiCENSE IS IN NLL FORGEAND EFFEG7. m '\— ^`— O ,. . _ ._ ... ..._. _..__. . ` l Slrfi�—C!' �iy' i � IICENSE CUSS LIC.N0. � � � � !���j` ��{i G�.. . F .. ...... ._ ._ _. . _ _. . , . � V DATE CONTRACTOR � � � � ' � W . � WORKERS'COMPENSATION�DECIARATION Q NINER[BYAFFlW�IUNDERVENALTYOFVE0.NRVONEOFTHEiOLIOWINGDECUMT10N5: Z ,,,, , � _IFUVEANDWILLMAINTAINACERTIFICATEOFGONSENTTOSELHNSUREFORWORKERS' _ ' ' " - - - - - COMPENSATION,AS VROVIDED BY SECTON]700 OF THE UBOH COD[,FORTHE PERFORAAANCE W _ _ OF TNE WORK FOR WHICN THIS DERAAIT IS ISSUE�. • � .... ...... . . ..... .. _ . � . . .. .. . . _,. . ._... . . ...._... "' ... .. . ._ � _IHAVEANDYnLLMAi!fTA;NWORKERSGOMGENSATqNINSUR.WCE,A5RE0UIREDBYSEGTION �. � 77000FTHELA80ROODE,FORTHEPERFORMANCEOFTH[WORICFORWHIQI7HISPERM1715 �3� �� ISSUED.►IV WORKERS'CAIAPENSATqN INSUMNCE CARqIER AND VOLICY NUTABERME: � �' CONSTRUCTIO -� �-- �- -� �� �- _ . ' j c�wa:Ea PLAN REVIEW � ^ ►—,.. • .. . . _. _ _. . .... . . . __... .- - - - , .... . . . .. . . ...._ , Z va�crNuuacA ELECTRIC . aI� ¢ C' �� (INSSEGTICY�NEmW78EW1.PlETmOfMGEi7Mt6PoRONC�aAiY�JDOl1ARSR�mIOflLESS1 �1 _ _ �/7 • y Z IGENTIFYTMA7INTMEPERFORMMlCEOFTHEMNRKfORWHICHTNISPERMITt51SSUED,1 MECHANICAL U' SHnI1N0T EMPIAYANY GERSON P!ANY MANNEfl SOAS TO BECOME SU&1ELT TO TME (n WUPoCERS'COMPENSATIONUWSOFCALIFORNII�Ml�AGREETMATIFISIIOULDBECOME INSPECTIONFEE� '�� � � � � � � � SUOJECT TO THE N'ORKEHS'C0�IVENSATqN PROVISIDNS OF SECTION 7700 OF THE LAOOR `. -rj , COOE,ISHMLFOHTMWITHCOMPLVWIMi}IOSEPROVISIONS. SUANCE x� ' �� �— O . . . ....... ........ ..._. . . S _ �. p OATF: APPLICANF. - . "..- ' _ ' ' ." . ._ � WARNING:FARURETOSEd1REYlORNERS'LOMPENSATIONCAVERAGEISUNUWFULANOSHALLBE - ENC-RGYP/C ..- . �—y SUBJECTMIEAIPLOYERTOCR:MiN.LLGENA1TIfSANDCMLFINESUPTOONEMUNDREDTMOUS�ND ENERGYPERMIT ' DOILARS�{700,0OO�,INA�OITqNiO7MECOSTOFCOIAPENSATIDN,DAIAACE51l5PROVIDEDFORIN � SECTqN�700 DF h1E LA80R COOE,IHTEREST,ANDATTOIINEYS iEE4.' ' - - - - � .. _ RETENTIONFEE: . "' _ . - . ._.. . .- -- a CONSTRUCTION LENDING AGENCY pRGALT FEE: ' � ' ' � ' � � O . ' � IHEREBYAFFIRMUNDEfliENALTYOFPERJUHYTHATTHERE15l1CON5TRUC'TION�ENDWOAGENCY � � ' " FOR THE PERFORMANGE OF iHE WORK FOR WHILH THIS PERMIT IS ISSUED(SEC.]09f,CIV.C.�. ' � ' '. . .. ._ . ._ ..... _ . .. ... . . . . . . . . � IENDER'S NAME , . . � LENDERSADDRE55 .. . .._. _ .._ . .__ . . ._ . . . W IGERTIFY7HATIMAVEREA�TMISAPPLICIITpNANDSTATEiF1�TTHEA80VEWFORMAT10NI5CARRECT. TOTAL FEES ' .. l��• `� � IAGREE TO CCMPLY NATM QIGRY AMJ COUNTV OFDINANCES AND STATE UN�S PEUTPIG TO BUILDIKC � � � CONSTRUCTION.ANDHEREBYAURIORIZEREPRESENTAT!VESOFTNISCOUNiVTOENTERUPONTHE � . Z �OOVE�MEMbN[D VROPEHTV FORINSPECTqN OUaPO5G5. COMMENTS � � � � � I.1Q � ► �-0� - � Q �GE EE E(PR1NTj �` I ; _ . ._ , . ._ ._ .._ .. .. . . .. . . .. . ... � � . � ��'•. a-�=�'7 N SiG IUi;E OF PE . E DATE — � RECPT.NO. PAID BY • VALIDATION -�� � -���WHITE—Department Copy,YELLOW�inance Copy,PINK—Assessar Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy � .. . .. . .. • �. ... .. . . . n . . � . . . . ...:�.•. . . � .... . , .. . � • . � �. . . . � . ' . . � . - ,.. � CITY OF DIAMOND BAR .:: '' ' ,:�;� , � ' ; . � � INSPECTION RECORD ' ` �� • � � • � ' • � + • - SET BACK ' , ;�.• - ., . FLOOR JOIST � � ..,,:-., ... - -- - - -.--. - - FfGSlFORMSISTEEL _ . � ' FHA'REQMTS ` ' - ' • ! , ,..-. -- " � . ELECTRIC GROUND ' UNDER FLOOR�DUCT�;i._, -,i e,� ,{ �,� •� �;,:- _=" , GROUND PLUMBING UNDER'FLOOR CONDUIT � • � • �• � SLAB GRADE - FIREPLACE FOUNDATION . ' � TEMP POWER - - --- FIREPLACE BOND BEAM-�� ' -'-: �•:�. :._ • . . . WATER SERVICE • � MID HT.BOND BEAM '.ROOF SHEATHING � ' � 8 Ff.BOND BEAM � , FRAMINGNENTILIATION FINAL BOND BEAM " . 'ROOF COVER - - -- - PRE-GRADING - , ROUGH HEATING � � BENCHING " ROUGH ELECTRIC ��- ROUGH GRADING � ROUGHPLUMBING � �� . . FINISH GRADING ' SHOWER/TUB TEST � + POOL ELECTRIC � EXT.LATH/SIDING � POOL FENCING WALL INSULATION POOL FINAL � --. :CEILING INSULATION OFF SITE IMPS. •DRYWALL NAILING � DEDICATIONS SEWER . . .. :_ „ . FINAL ENG. ; •SEPTICTANK - . . _ �} ' `�� LANDSCAPE/IRRIG. .. . � . SEEP PIT/L.L. � ON SITE IMPS. . -• �GAS AIR TEST -- - - - FINAL ZONING� � :FINAL CONST. - �- - - --- FIRE DEP,T.FINAL .;,_,_,.,_-" " •�-' ' _ -�- _`; _.�:� . , ,FINAL HEATING - - - , HEALTH DEPT.FINAL- -:. .. .. � - - - � - - - - - �FINAL ELECTRIC_:. � - �. DEV. FEES PAID ; .. FINAL�PLUMBING , -. , . , ENERGY � • . � • . .. __.. . . . , � • � . . . _ COMMENTS .. _ . -. _ -. , � j , - '_ ��\•�,= `'-- ' ; i ,. . �i`~�, . _.. • _ . ,.,.,.., �,. .. , , . :l ' .� � ` , -� , . , __ . i SEPTIC TANK SIZE ' - - - - ' SEEP PIT/U SIZE . . . . . I �I�'_� n•. � -- ,� _�• �; ' 1_'� -, -, ,:- � 2 � ' N _ .. ,,�., ..,-,• , �