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HomeMy WebLinkAbout11316 CITY OF DIAMOND BAR j COMMUNITY DEVELOPMENT DEPARTMENT 21660 E.Copley Drive Suite 190 (909)860�3195 Faz{909)861-3117 ' PRESS ''"' BUILDING PERM TAPPLICATION FIRMLY 4 AD R'ES5 ' DATE CATIO� �� NUMB R f����1/C 0 -- APN LO : TR CT ISSUE TMPE OCC � DATE CONST. GROUP p OWNER o ADDRES ` ZONING SETBACKS "' CITY ZIP TEL FRONT RW ❑ � APPLICANT TEL. REAR p � SIDE/SIDE STREET RW p CONTAACTOR �,� SIDE p ADDRESS � CITY �r n�1.��'1 Z�P.y7S03 TEL. PROPOSEDUSE ' o ARCWENG/ . z� DESIGNER NO.DWEL NO. NO. j C'DrDrRESS Z�P TEL UNITS STORIES BEDROOMS � � DESCRIPTION SO.FZ. FACTOR PSF ADJ.AREANALUATION Q OWNER-BI:ILDER DECLARATION p SFR/ADD/REM p I HEREBY�GFiRM UNDER PENALtt OF iEiWRY iHAT 1 AM EXEUPT FROM TME CONTMCTORS LI� G8f8fl6/CefpOn W CENSEUwFORiMEFOILOWWGREA50N�5EG70.7f.SBUSWESSANDPPAFE55qN5CODE:ANYpTYOR (n C� COUNTYYMId/REOUIRESAVERMRTOCONSTRUCT.ALiER�.1VROVE.DEMOIISM,OqqE�AIR�M'STRUC. w w NRE.PRIOR TO RS ISSUANCE.AL50 REOUIRES iME A➢PLICMfT FOq SUO�VER1AiT TO FILE A SIGNED w P8ti01DBCk . � 6TATE4EHT TNA7 HE OR SME IS UCENSED WRSUANT TO TME VROVI51ON5 Of TN[CONTRAC70R5 U� CENSE UW(dUVTER�1COAIMENCt1W MnTM SECTION 7000)OF DIV1510N 9 OF 7T1[BUSINE55 M10 VRb u' POOVS�18 ' � - � iES5�ON5CODE)ORTINTHEORSHEISEXEYPTiHEREFROMANDiMEBA515FORTMEALLEGEDE%EMP- TION.NrvVIOLA710NOF5ECTqN7o71.68�ANYAPPtICMlTfOR�VEHMIT5U8JEGf5iMEAPPIICANTTp Z q&pp�� A pVIL VENAIT`!OF NO7IAORE T1WJ FNE HUN�REO DOLURS(f500).�: 0 OLASONMEROFTHEPROPER7Y,ORAIVE►�PLOVEESNnTHWAGESASTHEIRSOLECOUPENSATnH, . 0 COmmOrCiel - Z NALL DO THE WORIC AND iHE STRUCTURE IS NOT WTENDED OR OFiEFEO FOR S�LE(SEG 70a�,BU51- J N NESS AND PHOFESS10N5 COOE:THE ODNTRACTORS UCENSE UW�OES NOTAPP�Y 70 AN OY/NER OF j 0{10PERTY 1N10 BUILDS OR YAPROVES TMEREON.AND NrtfO OOES SUd/NqRK HIA/SELF OR HERSELF OFi WTHROUCHHISORNEROWNEMPLOYEES,ifiOVWEDTHATSUCHWCpOVE4ENT5AiiENOTINTENDEDOR m 0 OiFEREDFORSALE.IF,F�DwEVER7MEBULpNGORIAIPROVEMEN715501DWiTNINONEYEAROFGONPLE• Z T10N.TME OWNER-BUIDER YnLL 11�VE THE 9UHOEN OF PROVINO TNAT ME OR SHE�Ip NpT BURD OR MPROVE FORTME CURPOSE OF SALE). W ❑1A50WNEROFTHEPROPERTV.AMEJ(d.USNEIYCOMMCTINOWI7HLICENSEDCONTRACTO0.4 Q TO CONSTRUCT TNE VFn1ECT(SEC.70��.BUSINE55 AND VROFESSIONS CODE:TNE CONTMC70RS ll- V01Ue�i0f1 ADJ.AREA W GENSEUWDOESNOTAPVLYTOANOWNEROFAPFOPERTVNT108UILDSORMPROVESiHEREON.AHD �T- WNOCONTiLtCTSFORSUCNORO,lEGT5M7T/ACONTRACTOR(S)LICENSEDPURSUANTTOTHECONTMG• QUANTITY DESCRIPTION FEE � TORSLICENSEIAW.�. 0 O IAU E%EAIPT UNDEH SEC. B,�V.G fOR iMiS REASON Q � � ?� U u" DATE OriNER F- Z U -- • �' � � LICENSED CONTRACTORS DECLARATION W � IHENEBYAFFIRMUNDERVENALT'OFDE0.IURYTHATIAAItICENSEDUNDENPROV15lONSOFCHADTER � . � O�COMMENCWON7iHSECT10N7o0o)OFDIVIS�ON]OfTNE8U5iNESSANDVROFESSqNSCODE,AND Z � ' �� MV UCENSE IS N Gl,ll FORCEAND EFFECL � m j � LICENSE CLASS � V � �C IIC.NO. �v � , V WTE CONTRACTO � a W ���777���sss���rrr � � WORKERS'COMPENSATION DECLARATION ��� Z - e I HEREBY AFFIRM UNDEH VENALTY OF VEflR1RY ONE OF THE FOLLOWPIC DECUMTIONS:� ' � _IHAVEANDWILLMAINTAINACERTIFICATEOFCONSENTTOSELF-WSUREFORNORKERS' _ CdAPEN5A7qN,AS PqOVIDED BY SECTION 77o00F THE UBOit CODE,FOR TME PERFORUANCE U Q OFTHEWOPKFORNMICHiHISVERMITISI55UE0. � � _IWWEANDWIlL1AAINTAINWONCERS'COMPENSATIONINSUiLWCE,A5RE0UIREDBYSECTqN � 77ooOF TNE LAOOR GO E.fOR THE PERFORMANLE OF TME WOR1C FOF WMCM TNIS CERMIT IS J ISSUEO.MYNqRK CA ►ENSATI RANCEC RIERANDPOLICYNUMBERARE: CONSTRUCTION - j CARRIER PLAN REVIEW ' o va�crNuueeA Z ELECTRIC ¢ �� � � (MSSECf1WNCmrqTBE00MFtEimOfTEPEPMTSW1i0NEHM�EDDOIWtSR��lOR M91N ��w � L:; �1 Z ICEi1TIFY7HATNTMEPERFORwWCEOFTHEWORKFORWHICHTM15CEW.11TI5155UED,1 MECHANICAL �� �_;,��4��'� C7 SwLLLNO7fMPLOYNJYPER50NINIWVMANNEH50A5TO8ECOM[SU&IECTTOTHE " y VlORKERS'CqAVENSATqNUWSOFCALIFORNIA�NDAGREEIHATIFISHOULDBEGOME INSPECTIONFEE SUBJEG7 TO TME WORKERS'COMPENSATION PHOVi510N5 OF SECTqN f7oa OF THE UBOR CODE,ISWLLLFOHTY�WIiHCOMPLVWITHiXOSEPHW1510N5. ISSUANCE � � �'�n( �(� O ��J� ��••.. p DATE: APPLIGINT. SNIIP �'�[1 �• • W � WARNIN6:FNLURETOSECUREWORKERS'COMPENSA710NCOYERAGEISUNUWFU�ANDSHALLB[ ENERGYP/C � SUBJECTANEAI7LOYERTOCRiMiNALPENALTIESANDCMLFWESUPTOONEHUNDRE�THOUSw� ENERGYPERMIT � OOLLAtLS(f IOO.Ooo).IN AOOITION TO TNE COST OF CpAPEN5AT10N,DAAUGES AS PRONDED PoR M! SERIONf70eOFTNEUBOROODE,INTEREST,ANDATTOqNEV'SFEES. RETENTIONFEE: OCONSTRUCTION LENOING AGENCY PRE-ALT FEE: � IHEREBYACFMUUNOFFCFN/J.7VOFDf0.1URYfNATTMEREISACON5TRl1CTiONLENOWQACENCY . F01i TNE PERFORMANCE OF TNE WOpN FOR WH1CH TMIS GER4IT IS ISSUED�SEC.]007,CIV.C.�. � � LENDER'S NAUE C IENOERS/DORE55 � ICERTIFYTHATIHAVEREADTIISAGPLICATqN/NDSTATETIATTICABOVEINFOM1ATpN15C0(1NECT. TOTAL FEES � � IACREEiOCOMDII'WITNALLCRYANDCOUN7Y0R7WANCESANOSTATEUwSPELATWOTOBUILDING � COHSTRUCTION,IWpNEREBYAUi110RIZEREPRESENTAiNESOFTW5COU11TYT0EMERUPONTHE ABOVEAAEN7qHEDiROFERTYfO NSVECTqN PUR➢OSES. _ /������� �C ` COMMENTS C � � OERWTTEENAYE(0 � � N i (A SIfN�uT YE I - ` OATE � R[CPT.NO. PAD BY VALIDATION ITE—Department Copy.YELLOW—Financa Copy,PINK—Asaessor Copy,GOLDENRO ile Copy.GREEN—Applksnt's Cop� • i . ... . _...,: _.- - �. - - . . . ., . . ,. _ ' ' .. . . . . ,'�1'.. � . �. "�t. • r..''f:�� .. � •. .. �:��7;��, . .f�.. r . . .. .. •.. ' � , i� . .Y: , ' , ciTv.:Oi= DI�MOf�D Cr4F� ; � , .�,:.', � :� . INSPECTIOP� REC�RD . . - , . � . . : . . . . .. . . � .. 'li'k=i.'�=�f�'�toX1� J��F1� •(�!-'y:������.l:x� .�,.,: (���'�:��l`'�C��►�} ii}��'j+c � :I►''l:iFa�:e'.-:e�si�;�. _._.__._...___. �._.....- ____ _.. - ... ___----- ----___�.. - ----, - —.._ .�_=..�� .�.. _ ... . -----_ --- _ �-_� __— ___----.�,. � .� � -- - � ::-___ .. — - SET BACK _ _ _ . . .. � ` FLOOR JOIST. . . _.. .---- - - -- _ rt � _ . FTGS/FORP.IS/STEEL � � I FHA REQPJTS � -'" � - � ELECTRIC GROUND �-UNDER FLOOR pUCT . • + . � - GR�UND PLUP.181PdG ' �' � UNDER FLOOR CUNDUIT � � _:. ". . ... SU'.B GRADE .-.. - • �• FIFiEPL.EICE.FOU�JDATION - �" �� TE�.",P POVVER --. . :-... � �. -. _ fIREPLACE BO�dD BEAM-- -- '-�••-=••�'� -- • —_ . . WATER SERVICE - �/L7�tj' - i� _ ��11D HT.�BOND BEAM . . I . . _ ./. ` . ROOF SHEATHING - n FT.BOND BEAM ' � FRAP,AINGNENTILIATION � � FINAI.BOND BEA��1 - � - - � i ROOFCOVER . _ -�.:_. . .--.-. • PRE-GRADI�JG. "" �� ; : ROUGH HEATING ' - - E3ENCHING � i ` ROUGH ELECTRIC - - - � ROUGH GRADING . ROUGH PLU��161tJG � FINISH GRAbING . � , SNOVVEFUTUB TEST � " --' ' ' "; PODL ELEC7RIC EXT.IATH!SIDING ._ ..... ..__.. _ . _. __.. . . � PDOL FENCIPJG . ' r- WALL INSUL�ITION � POOL FINAL • � CEILING INSUL/'+TI�N OFF SITE 1�.1PS.�, . .. • �RYWALL NAILING DEDICATIONS ' � : SEWER � FINAL ENG. - � SEPTIC TAPJK " LANDSCAPE/IRRiG. ' ; .. SEEP PITILL _ ___. _ ON SITE IP�1PS. � GAS AIR TEST: �- '" ' . - '� FINAL ZONING , FINAL CONST. . - � -- FiRE DEPT. FINAL � � FINAL HEATiNG •._� ' -•.-' `, HEALTH DEPT.�FIPJF,L :. - �- � -- FINAI ELECTRIC � .- .. � .. ' DEV. FEES P„ID � . FINAL PLUh481NG .: � L i . � ErJERGY •� �/���, _ � -- `�— .. _- . � � ---�---,. ;T��w•��M , _ I ..'_ - •�t w�__d'e E:�C.r�. . . . . . . ��C 1�z..__ . . . .. . . _. . .. " " COMMEfVTS ' � ' • + : . . .. _ . . . .. . . . . .,. � � . � `L�•\'�"' \'\"�,T�\,-\\"\�y; r � . /,..'-'��,= . � . . � ,\`_____- i � . � . . . SEPTIC TANK S1ZE -- - " ' . , � , __ . _ _ . - --...- � + . . . -- -----.. ... . SEEP PIT/U SIZE . . .. , , . , ,_. _�_, - . _.. _ . � . , , . . , ... .. ; ; . . �r� � , , , . , ; , _ ... . � . _ _. _ _ , _ --:,_ . _ , . . , - - - i - _ :i��� _ ' ; . � . . _. _. , , . . - _ �� . . . • . . _ _ . .. . --- - � . ., � � - � , ' � - . . . - � \'� , � � � .. . , 1 . \ 1, � r 1 � , . � �r . . : _ .. ._ ...._ ._... ... ._ ..._ . ... .. . . .. . . � _. . .