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HomeMy WebLinkAbout10260 .__. _ _ _----� - — -- ----- i --- -- - - -- ----. ____--- -- - �- - _ _ . - - �--a. t y - CITY OF DfAMOND BAR �/ CQMMUNITY DEVELOPMENT DEPARTMENf ,/ -:..� 216b0 E Copicy Drive Sui[e 190 (909)860�3195 Fux(909)86i-3117 I PRESS '""' BUILDING PERMITAPPLICATION FIRMLY y JOBSITE !� G �f Q ADDRESS��"� r�f" ��%�'N APPLICATION PERMR JJ� P/C o ��� L/�• DATE NUMBER � r � APN LOT TRACT y .'S_� ISSUE 7yPE �C ^��,C� � DATE CONST. GROUP S OWNER p ADDRES � ZONING SETBACKS �W CITY ">t-k� ZIP�Q,�,(TEL. - FRONT RW ❑ APPLICANT TEL REAR � � SIDEISIDE STREET pyy p CONTRACTOR__�-Ci3LL�. SIDE � ADDRESS � CITY ZIP TEL PROPOSED USE � � o ARCH/ENG/ DESIGNER i�ai NO.DWEL `�NO. � a ADDRESS 2 � CITY Z1P TEL. UNITS STORIES '� BEDROOMS � � DESCRIPTION SO.Ff. FACTOR PSF ADJ.ARE/WALUATION p� ONRJEFi•BI;ILDER DECLARATION SFqJADp,'REM O p 1 HEAEBY AfiWAI lMOER PE WLLTY OF PERIURY TUT 1 AM EXE4PT PROM iNF COMMCTOqS U- � GBfBQB�C81ppf( W CENSEUWFpRT1EfOLLOWNIOREASON�5EG70.7t.6BV5wE55ANDPROFE55qNSCODE:ANYGTYOR �V COINTYWH101REdlIRESA�ERIAITTOCONSTRUCT,ALTERM7ROVEDEMOl15/lOfiRERURAH'ISTRUC• W P81i0/Dedc TURE,PRpfi TO ITS ISSU.WCE.AL50 NEWiNES THE APPLICMIT FOR SUCIi VEAMIT TO FllE A SIGNEO w � STATEMENT THAT NE OR SHE IS LICENSED PURSUANT TO TME VRDVISIONS OF THE COHTMCTORS L4 � CFNSE UW(CNMTER�(COMMENCNO WIM SECTqN J000)O�DMSqN�OF THE BUSINE551ND PRO- u' POOUSQI � fE5510N5CO0E)ORTHATMEORSHEISEXEMPTi1�EREFRp1,IM1pTHE9A515FORTHEALLEGEDE%EMn- (� T10N.J�M'VIOLATqNOFSECTION70]1.SBYANYMVLICANTFOR�PERMiTSUeJECT57HEAPPIICANTiO Z Ro-Raol � ACMLiENA1TYpFNOTAqAETN.WiNEHLN0iiE0D011ARS(i50o�.j� � 04�SO4MEROFTHEVROPERTY.ORMYEII7LOYEESWITHWAGESASTMEIRSOLECQMPENSATION, COrtIrtl9rCi81 1Mll DO iHE WONK,ANU TME STRUCT1pE IS NOT IHTENDEO OR OFFERCU FOq S�LE(SEC.70u,BUSF � � NE55 ANO CROFESSiONS CODE:TME GONTMCT00.5 UCENSE Uw DOES NOTAPPIY TO AN OWNER OF ? 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' z � • ;'� �y.:p f-. � `LICENSEDCONTRACTORS EC TION � �•• � 1 HEHEBY AFFWM UNpER PENALfY OF PERIURY 711AT IAM LICENSED UNDER iROV1510N5 OF CHAPTER � f(C04MFNCHO WTI SECiqN 7ooD10F ONtSiQV f O�TNE BUSMESS M'D VROFF5510NS COOE,AND Z �� YY LICENSE tS N FULL fOfiCE AHD EFFEGL m v � IICENSE�CI+ASS UC.NO. �,,.1 V DA7E -1' �� ` �� COKTRACTOR p. w • � WORKERS'COMPENSATION DECLAAA710N a � IMEREBYAFiIPl.1WDERCENALiVOFPEM1ilY0NEOFTHEFOLL01NNC0ECLARAT10N5: Z � _IHAVEANDWiLLNAWTAMACERTIFICATEOFCONSENTTOSEIF-INSURfFOqMpqKERS = C01�VENSATION,AS VROVDED 6Y6ECTION 770a Of TNE UBOq O00E,fOH TME VEHFOHMiWCE U Q OFTNE WORK FOR VMiCl1T1114 PERAIIT I51S5UED, � W �IM�YEMDVlILL►WNTANWORKERS'COMPENSATIONINSURANCE.ASHEOUIREDBVSECTqN Q �700 pF THE LABDR CODE.FOfl TME PERWRMANCE OF TME WOfiK fORNNIpI TNIS FERMR IS /��• � ISSUEO.YYWOi7KENS'[OMPENSATqNMSURANCECMq1EHAH0VOlICYNUTABEFME: CONSTAUCTION ��. � CARNER PLAN REVIEW � POLICYMIMBER ELECTRIC 0 - fiF6sfCroNNEBJNOTBGOd�itF�maFMPEfMrrswrtaEH.11OaEppottAfis(i�oqorlFSSj PLUMBING W Z ICERTIFYTHATINTHEPERFOiWANCEOFTIEWORKFOqWHIC/1THISVER41TI5155UE0,1 MECHANlCAL C7 SHMLNOTE4PLOYNIY7ERSONINANYMANNERSOFSiOBECOME6UBlEMTOTHE (n WONKERS'COMPENSAT9NUWSOFC�IFORNIA164DAGREEiHAT1i15lIOlhDBECOu[ INSPECTIONFEE SUBJECT TO THE WORKERS'C04PENSATqN 7RON510N5 OF SECTION 770a OF THE LABOR S coo�isw�uconn+vnn�eourirvnrr�nasevHo�nswr+s. ISSUANCE ' O p DATE: APPIICANT: SMIP W � WMN�NG:FAWRETOSECUREWORKEN5CdA7EN5ATIONCOVEMGEISUNUWFULANU5wLLL8E ENERGYPlC �y SUBJECTANEUPLAYERTOCRI4NALVEWLLTIE51NDdViLiWFSUPNONEINNDREDTV/OUSFND ENERGYPERMIT JOOLURS(f t00,0oa).N ADDIiION TO iHE COST OF OpAADENSAf�OH,DAiA.W ES AS OROVOEO FOR fN SECTIOfi770lOF1HEUBDRCOOE.NTEHEST,INDATTOfiNEYSFEES. �r ` W RETENTION FEE: _ � � CONSTRUCTION LENDINGAGENCY PRE•ALT FEE: � IHEHEBYAFGIfWIRAENOENALtYOFVER1UFYf4//TTHEREISFCONSTRt/CT10Nt[NOMMAGfNCY � � ' FOR THE VENFORMNiCE OF THE WORK FOR MRppl Try15 PERMIT IS ISSUED(SEG i0V7,qV.C.). � � IENDER'S WWE / � IENDEqSADORE55 � w ICEqTIFYiHATINAVEpEAOTHISI{➢PLICATI0NAN057ATE71MTT1EA&IVEWiORYATqNISCORREGT. TOTAL FEES � IACREETOCOMPLYNrtTHI1LCIT'/ANDOJUNTYORpWANCESMOS7A7EUW5NEUTPI¢TOBUILDiNO � CONSTRUCTqµANDHEREeY/ulhqRIZEPEvpESEMATNE50FT145C0UNTYTOENTEHVVOHTHE . ABOVE�YEMUNED Pf10PfR7V FOqIN$PECTqN PURPOSES. COMMENTS � �� C ,c�/ �L���.� � PElMu77EE W WE(PAN(n � �_n �� -/�- (J� NANRE OF VER1.x OATE � RECPT.N0. PAID BY VALIDATION 1hIFitTE—Dep�nment Copy,YELLOW--financa Copy,PINK—Assaeea Gopy,GOLOENR Ile Copy.GREEN—ApplkanCs Copy . .. ..; . . . . . _ . . _ . , ��:; ., , ,': • . . . _•• ` , .. . . . � . . „ . . . . . . -��' : -� , , . ., - '� l.r��Y�,O� ��Q�IOI�V �I1rR ,. .� ' ,�1I�J .. -, . � R�ISPECTlO�� RCCO3�D ' ; ' , , � - • .. . .. . . , . .l. '!., . .. -- - � - ^_.. _ .. , _,_. . ���E��lac�'"�I�1��� ���,�R-�. �li���' _�.��'o��r.:, �v��,I��;��Ea�I,. ;�,I;.k�F: !►��ta�1:.e•`_rr�:�= . , � .� � . y . ; . � " .� """"�.... _..�•.; _-'. �_.. __. _.._J '_' ., •, ,.. . , .. .. �.�_--�'-�. ...... . _ ._. __. . . ....�...,..,....._�_ ._. � -�.��.�. '--. �-`.__._...�_�._.._.__...�..... . _�. _.--- . ....._ . .. --- - _ SE7 BACK. �• - ' � .� , '� j FLOOR JOIST_-,-_ '--... ._..'-- . . ._.. _.- -'-...- . '--- FTGS/FORMSlSTEEL - ; I FHA REQ"�' Y��,�, ' - ' ' ! � TS - ;1 -. �. ..��.,:=� � . . .i�: . ELECTRIC GROUND , UNDER FLOOR DUCT � =;-� ; ,� �;,� _��,� � • - GROUND PLUP.1BING ' - --_ � ' ; UNDER'FL�;dR'GU�'DUIT11' _1• : .���',"- ,�` � SLAB GRADE . �� ��� �' FIREPI�I�E FOUIIDATIOP� _ - �- � -- � .` � `•: ?EbdP PO�ti'ER� - -----: . -.. -.. .- . _ _. ::-: ":__.: _'--_. _ �lREPLACE BOND BEAM �`.• -'� �. �� � .., .,.� ,.. . � . �'VATER SERVICF -. - - ' ' ' -`- • - • = •� � PAID HT. BOND E3EAP.1 - �.. _._ .. . ... ROOF SHEATHING � - • ��8 � ' F3 FT.BOND BEAt�1 '�' '� "' FRAh11NGNENTILIATION �y S ' � �� I FIPJAC.E30ND BEf,F.4 - - - . ..__...__.__• . � Fi00F COVER - . - - - ----- � - - PRE-GRADING � "� - "" ._ . _ . ROUGH HEATIPJu -- - ' ' BE�dCHING - ; ` ROUGH ELECTf�IC ' -- - - ROUGH GRADING ' , . . . ROUGH PLUh161NG ��""�� - - - FI"JISH GRADING I - � I � SHOVJEWTUE3 TEST � � POOL ELECTRIC •- � '. EXT.L:ATHlSIDING . ._. _ . . __ �. ; _. POOL FENCiNG ; • ,, �. ; . :: i :. ti"lALL INSUTATION ; P�OL FINnL • • CEILING INSULATION OFF SITE I�:i?S. ` ' j • � DRYWALL NAILING DEDICATIOi�lS J ' j �.: SEWER. . _._ _ ,,_. _ FINAI E�JG. ... ; , ,. - --` - SEPTIC TANK _- -- :... ' . �.•'�. . LANDSCAPE/IFiRl3. � ' , ,. i SEEP P.1T/L:L.. :-- -----.. . __.. ._.'.._. . ". � ON SITE It,APs. . • : , _.. . . _ . ..... ----._..... ' .._.._. _ FI�JALZONING ; . ,.. .. : _.. , . FI�JAL COtJST..�. _ _ ���-� .�� -. .. ._ _� Ft:iE UEPT.��1tZ�L�i_:, ..::;. ��:� � t' � t.1 ='• I ::. FINAL HEATING .. . - —� . � . ; HEl�LTH D[PT'FINAL. �: .� _.._ _ . _.. i ` . FINAL ELECTRIC � �p��_n� ��- - - QEV. FEES PAID -• . . •. ; � FINAL-PLUP.IBING •• � �f�:�''( _ - . Ei�JFRGY '~ . , � { ' � � , . _ _ . I .., -,- .. . -;r-.--..---_ :,.��, , , . ► •• T:. i ' � � �'=�_���_-----�-�==---- --- ' _._._ _.._...... .. _ _. _. _ ._ . -- . , COMMENTS ' � ' � ' � -- - - . _.. _. _._. ._ .._.._ _ ._._ . .... i , . ,. , .. . .. . �, , � . � . . . . , _. . .... . _ ; __ . � _.._ _ . � � ; � , � ! , , _ . , , , i ... .\ � I , ... . . ; _ _ . .. . • � i ' , , � i •; SEPTIC TANK 51ZE � - ' ;. . _._. . - -- . .. - -- . ... _.__. ._.... , .. . . , : , . . . , . � SEEP PIT/U SIZE -- � , � .. . . . . . , . ; _. _.._ .. . -- -- - , - , . . , r , . � �•� - _ . ' i � , . � � . _ , _ � _ _ . , _ _ _ - - � � . _ ., • - - - - ---- --... -- - - ---- -- - - � ;c; . .. � ; ��y� _ I � , , � , . ' �� _ . . , _ -- - , , � � . , � '.- `"� ` �� 1,_,l' "1�`1 _ `� , _ . -- _.._ � ; -;,, ,� � , ,y �.} � I . _ . . -: -- .._. - � . iJ't.1�(. ��'�\� �\� _J� � ` 1'�;•�� � � . ; _.,. 1 � I . \ . , . , . ' ,.� �� . .. � ._ . ` . -- --. � : '-- '.. ........... ....'.-'-._. , _.-\ . . .�