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HomeMy WebLinkAbout11815 (5) -�--�.�- _-- - - --�_..—----- - _._. - � �� CITY OF DIAMOND BAR � �R - �� --' DEPARTMENT OF COMMUNITY&DEVELOP R S D 21660 E.Coplcy Drivc Suite 190 � �' ' (909)860-3195 Fax(909)861-3117 �n�� PRESS '���� BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE -�j�6 O �.�P�y ��� � APPLICATION/ PERMIT P/C d ADDRESS DATE L�'-�d" � � NUMBER / �� N��-a l�f' � APN - LOT TRACT �SSUE TYPE OCC DATE �1'�� �Y(�CONST. GROUP p OWNEZ�Y f3F I��AMOI�O � " ADDR SS Z� C�U LO/�L��I {�L ' ZONING SETBACKS � � CITY�IF� Y�AQ- ZIP TEL. REART RW p APPUCANT 1 A �C=T�-_'—� TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR N P'� SIDE p ADDRESS�1�5 K A � � PROPOSED USE C. ���M ��t CITY �VT/4iZ1O. ZIP /7(��_ TEL�. - ^ZSID ��—� o ARCH/ENG/ � ' � DESIGNER A��✓� NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL � cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER D�CLARATION SFR/ADD/REM O " p I HERFBY AFF6W UNDER PENALTY OF PERIURV THAT I AM EXEMFT FRqA iHE CIXITRACTORS U- G8�8g6/CB�pOfl LLl CENSEUWFdI711EFdlON'INf3REASON(SEC.70.71.68USINESSMIUPROFE5510N5CODE:ANYdTYOH (n U COUHryW/tlCHpE0U1RE3AGEfUARTOCONSTRUCf,JLLTERa�ROVE.OEMOUSH.ORREDAIR/�M'STRUC• W PStiOJDOCk "'- "" � 7t1RE,VfWR TO RS ISSUANCE.FLSO NEOUIRES 7HE 11PPLICAIJT FOR SUCN PERYIi i0 FlLE A SIGNED W - " ' '" " ' - � 8UTEMENT TUT HE OFt SME IS UCENSED PUFSUANT TO THE PROYISIONS OF THE CONTMCTOitS U• � � CENSE UW(CHAPTER Y(ODIAMENCINO YAiN SECTION 7000)OF DIVISqN 10F 7NE EU5ME55 AND PRP POOVSpB FESSIONS WD�OR iT1A7 ME OR SnE IS E%EMPT iNEREFHDM ANO7HE BA515 FOR TME ILLlEGEO EXEYP• TqN.ANYV10lAT10NOFSECT10N70.11.6BYANYAPPLN;A1dfiOfIAPERMiTSUBJ[CTSiHEMPLICANTTO Z RB-ROOf F, ACMI VENALTY OF NOT MOAE T1AN fNE NUNDRED 00t1M5(f 5001J: O ❑L��NEROFTW[PRODER7Y,ORMVEYPLOVEE5Vn7NwuGES►SiNEII150LECdAPENSATION, CpmmBfCiUI - Z W�.l DO TNE YYORK AND THE 57RUCNRE LS NOT WTENDED OR OFFEREO FOR SALE ISEC 7a�,BU51- O � NE58 AND CROFESSIONS COOE:TNE CONiMCT�RS LICENSE LAw DO[5 NOTAPPLY 70 AN O`M�ER OF ? ►RDPERT'f YV1q BUM1DS OR YVROVESTIIERCOH M1D YAq DOES SUCH WORK MIMSEIF OR HERSELF OR � 7HROWHNSOfiHEROWNEMPIOYEES,VROVIOEDTMA75UG11YVROVEMEti�SMENOTMEN�CDOR m � OFFEREDFORSAlE1F,1qWEYERINEBULDIN00RMRiOYEYENT650lDWITHWONEYEAROFCOMPLE� ' TpN.TNE OWNERSUILDER WILL HAVE TME BURDEN OF VROYP70 THAT HE OR SNE D�D NOT BUIID OR = YVROVFFORT1EPl1RVO5EOFSALE} W OL�aMNEROFiHE7ROPEHiY.AMEXd.U5NEI.VCONTRAMN�NnTHLICENSEDCOHTMCTO1lS � TO CONSTRUCT THE Pi10JECT(SEC.7os1.0U51NE55 AND PROFESSIONS CODE:THE COMRACTORS Ll� VdlUfltlOfl � ADJ.AREA � � GENSEUWDOESNOTMPLYTOIWOYmEROFAPROpERTYYMOBU4D50RIGPFqVEShiCREON,AND 1N�OCOHTRACf9FOR5UCMiRO.1ECT5WITHACONTMGfOR�S�LICENSEDYURSUAMTOlMECONfMF pUANT1TY DESCRIPTION FEE � iOfl4 LICENSE UW�. ❑I MA E7(E4CT UNOER SfG 8.L P.0 iOR THIS RFASON Q 3 �' � ¢ DATE OWNER � V � UCENSED CONTRACTORS DECLARATION w J � I HEREB'I/1FFIPIJ U/OER VEN�LTV OF CERNRv TNAT IA11 LICENSED UNDER OROVISIONS OF CHADTEq V, � •�COMMENCYNIIMTHSFCTION7000�OFDMSION]OFTMEBUSINESSANDOROFESSIONSCODE,MID Z ' ��� MYUCENSE6NFUlLFORCEM1DE�iECL m � LICENSE C{/.�SS G�, n LIC.NO. O _ � V DATE v ��U' COMTRACTOR d W � WORKERS'COMPENSATION DECLARATION ¢ � IHEREBYAFiWAUNDERPEN►17YOFiE0.R1FiY0NE0FTHEFOLLOWINQDECUMTqNS: Z "� � _IIUVEANDW.LLMNNTARlACERTIFICATEOFCONSEMTOSELFNSUf7EiORWOFU(ERS = CpAPENSATqN,ASPFOVIDEDBYSECTION77ooOFTNEIAUORCODE,FORTHE7EHFORAIANCE W OF THE WORK FOR YMIC?I THIS VERMIT IS ISSUW. � 0 �1 HAVE AND Vf.LL6WNTAPIN9NCER5'COMPENSATION MSUMNCE.AS REWIRED BY SECTqN O 9100OFTHELABOACOOE.FOflh1E�ERfORMANLEOFiHEWORKfORWMICNiM15iEKMR15 �O. ^A ISSUED.WWON(ERS'COMPE/NS�AT^pNINSUR NCEGRWERANDPOLICYNUTA3ERARE: CONSTRUCTION �+�+ � GRRIER ��� r l l 7 � PLlW AEVIEIN I �� - � � va�crr�uuaEa n_ � ; �� Ci ELECTRIC �1�� � (nass[crorarLIDNorBER�f'IErIDOF7�EaEw.�iBPoaCnEHf��OaUls(i�mlOqtFSS? PLUMBING Z ICER7IFVTUTWTHEOERFORUANCEOFTHEWORKFORYN1Ip1THtSPERUITI5IS5UED,l MLCHANICAL - (} SNMLNOiEMPIAYlWYPERSONNANNIANJNERSOASTOBGCOIAGSU&IECTiOTNE � WOPo(ERS'COGPENSATqNUW50FCALIFORNI.tANDAGREETMATIFISHOULDBECOME INSPECTIONFEE S SUWECi70THEYIOPoCERSCOMPEN5AT10NPROYI5qN50F5ECT10N77ooOF7MEll�OR � � CODEISFULLFOfI7HNATHCOMPIYWITHTlK)SEVROVISiONS. ISSUANCE J S .00 � Sh71P . � p DATE: APPLICANT, � ENERGY P/C WMMNO:fALURE TO SEGVRE WORRERS'COIdPEN5A710N COVEMGL ISUNU'MUL,AND SMALLBE � SUBJEC7ANEA/PLOYERTOCfiIMiW1LVENALTiESANDCMLFINE5UPT00NENUNDREDTN0USMID � ENERGYPERMIT DqlARS(t 100.OW�.IN ADDITION TO THE COST OF COM7ENSATION.D�AGES AS PFONDED FOR M ¢ SECTqN]7aOFTNEUBOi1CO0E,MEREST,AND11TfORNEYSFEfS. RETENTIONFEE: ' ' pw., CONSTFUCTION LENDING AGENCY PRE•ALT FEE: O , � INCRCHVAFFIRYUWEROENALTYOFPE0.A1flYTNATiHERE1SACdJSTRULTIONLENDINOAGCNCV fOR TNE OERFORM/NCE OF 7NE WORK FOR NM�CN THIS VER41T IS ISSUED(SEC.]OY7,CIV.G�. � � LENDERSNAYE - � LENDERSAD�aE55 � . � W� TOTAL FEES 1 CERTIFY THAT 1 NAVE READ THIS APPLICJITIOH INU STATE THAT TME ABOVE NFOMIATION IS CORRECT. d IACREEiOCCMPLYWITHILLLGTYIJACOUNT'/OFDWANCESANDSTATELAWSREUTINOTOBU0.DIN0 CON57RUCTION,AND NEREBV AUf11DWZE REPRESEMATNES OF TW 5 COUNT'TO ENTER UPON 7ME � ABOYEdAEN1qNE0PROPERTYFORINSPECfIONPURPO5E5. COMMLNTS � ' � � N i c� t�p �C � _v1n.h .� v aVER/AiTfEE /A�E PRINn . �/D—�n f � 1S � N SqNATURtO ERIAITTEE OATE � RECPT.NO. _PPJD BY VAt1DAT10N VYHITE—Department Gopy.YELLOW—Fnence Copy,PINK—Assessa Copy,G NRO�FiloCopy,GFEEN—ApqicanPs Gopy � �� , � . .. •J� . .. ♦ . . .. . . . _ ` .. . ' . , ... . . . � ' .. , i .. . . . . • • .� • � � .. .-' . . .. . .. . -�_. _.. . � . '�?�'� ITY OF DIAMOND BAR i.��� " ' -• � ,. � �� � NSPECTION RECORD � � � � � ,.� . . �;"� . . . . , - � �o E . • - � � � • - SET,BACK ` ' - •�,`;,', . �. ". ; ` FLOORJOIST �'� � � , ' i ':,- FTGS/FORMSlSTEEL �� � .- . , , FHA REG�MTS -- ELECTRIC GROUND - � " ' � UNDER FLOOR DUCT, ,: . , : � ;.<, •- � _. �.• �-• ', GROUND PLUMBING ° UNDER FLOOR COf�IDUIT : '� `. `� • - � ��' ': SLF�B GRADE FIREPLACE FOUNDATION � _ _ �'��- ''"'- � ' TEMP POWER - � �' - �� FIREPLACE BOND BEAM �' �:- ' _" - � ' WATER SERVICE -- - - - - MID HT. BOND BEAM -' - �' '•` ' • • - ' � ROOF SHEATHING. `. „ ,-�.. . ' -`�1� 8 FT.BOND BEF�M � , -,,• -:. - , FRAMINGNENTILIATION � FINAL BOND BEAM ' ROOF COVER " PRE-GRADING � • ROUGH HEATING � - - BENCHING- - � 'ROUGH ELECTRIC � � � - ROUGH GRADING ' ROUGH PLUMB(NG - - FINISH GRADING � - SHOWER/TUB TEST POOL ELECTRIC � EXT.LATH/51DING POOL FENCING . � WALL INSULATION � POOL FINAL CEILING INSULATION � OFF SITE IMPS. DRYWALL NAILING • DEDICATIONS SEWER . . . . . . _. . FINAL ENG. .SEPTIC.TANK . .. . . ^. -- LANDSCAPE/IRRIG. - SEEP PIT/L.L . =_ � ' ON SITE IFAPS. GAS AIR TEST� - FINAL ZONING ' FINAL CONST: - - � � FIRE DEPT. FINAL � FINAI HEATING - � � � HEALTH DEPT. FINAL FINAL ELECTRIC - - - DEV. FEES PAID � � FINAL PLUMBING ENERGY ,.. . s o ' - COMMENTS - � � �:-� , �- . . . . ' _ , . . , . _ � :iJ _ .. . �, (•. _j-7 -� _-� . . � j _ i � SEPTIC TANK SIZE , SEEP PIT/U SIZE . . . '� ��� � �" - . . , � , , ! _ } '� .�.: , , . � , . . . _ . . . , . • - _ • ; , `�, • � � �, r`,� ' � ,` . _. , � , . � . _ .. ' • . •