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HomeMy WebLinkAbout10757 CTl'Y OF DIAMOND BAR " COMMUNiTY bEVELOPMENT DEPARTMENT 21G60 E.Copley prive Suim 190 PRESS (909)86U�9I95 Fax(909)86t-3117 """. BUILDING PERMITAPPLICATION FIRMLY o ADDRESS L 4'2�'C a PPE�'�./�TN . Q� • DATE CATION � �NUMBER/0����!C � APN L T TRACT �SSUE TYPE pCC � OWNER �� MILS_ NiQ�I'J11,�'�N DATE CONST. OROUP " ADDRESS ��� � �• 20NING SETBACKS � CITY p�70KD�R ZIP �GS� �, fi�. HEAR RW p APPLICANT�,(�.f�!/�2�'r���_ TEL7/��,�� l SIDE/SIDE STREET RW ❑ c� CONTRACTOR O S7'• SIDE ❑ � C��S ZIP� TEL� PROPOSED USE r�+4��- U �S f ARC NG s C` i!z r• DESIGNER Na.DWEL ! � NO. '' `�'� NO. = CDDRESS Z�P TEL UNITS STORIES BEDROOMS � �n OESCHIPTION SQ.FT. FACTOR PSF ADJ.AFiEANALUATION Q OWNER-BL'ILDER DECUIRATION SFRIADWREM O I HEREBY AFFIRM WlDER PENAITY OF PEiLRlRY TFIAT I AM ExENPT FiWM 7HE CONTRACTOAS�F ��g�.u� W CENSEUWFOR7HEFOltOWWGHEASON(SEC.7031.6BI15WESSANDPI�FE6SqNSODDE:ANYpTYOR ((� 52 CWNTYWMCNNE�NRESAPERAIRIDCONSiRIkT,ALTERWPR�VE.pEA�J�I,pRRE04RANY5TFUC• �jJ �ytldDpCk � MiE.PNIOR TO RS IBSUMICE,/LLSO REW IHES TNE APPLICANT FOR Sl�F7�EIWIT TO fll�A 810NE0 W BTATENEM TNA7lIE Oq BHE�110ENSFA PUNSUAMr TO TIIE PqpV1910N3 OF 7ilE CpNTRACTpA3�I- � CENSE U1W(pW�TER 0(CaIAAIENqNO MtlTH 6ECTION 7000)OF CMSqN a OF 7HE W&NESS Mb PAO- V' PoOVSpfl - - J{ FESSIOIJSCODEjORh1ATNE0RSHE13EXEMPTTHEqEFROMANDTME&ISIbFORTNEALLEOEAE%EMP- V iION.MIYVIOlAT1ONOF8ECilON�O]1.68YANYMPLICUITFd1AVERYITeL9JECfSi11EAPPLICANTTO g. �� � ACMLPQIALTYOFNOTMOiIETMANFNEXUNDREOGq.Wi5p5oo1J: � OL�ONMEROFTHEPROPERTY,ORMYEMPLOYEESWITH1VAfiESA9THEIRSOIECOMPENSATqN, COmTa�Cb� WILL 00 7NE MlOFU(Ml�7}E STRUC7VIIE S NOT MRENDED OR OFFEREO iOR 6ME(6EC.7oM,BU61- nJ NESS MID VibFE5510N5 OODE:INE CONTMC70RS LICENSE LAW DOES AIOTAPPLY TO AN OWNER OF = � PNOPEfiT"/N7p8l14DSORNIVFOVES7NEREON,ANDVMOOOESSUp7MlOqKFNMSELFpiHERSELFOR C� TFYIOUGH NIS OR HER O'AM EMPIDYEES,VRO'ViDED THAT BUCH 1MPROVEMENTB ARE NOT M7ErDFA Oq m � OFFEREOPDRB�LLF.IF,IIOWEYE�LTHEBIALdNOONMAPROVEMENf1880lDWITWNW7EYE�NOfC04PLE- � TqN.7'Vff OWNER-BUILpER N7LL MAVE TME BUROEN OF PRONNCi THA7 ME OR BHE D0 NDT BULD OR YPipVE FOR tNE PURP0.5E OF BFLE} �LAS OWNEHOFTNE PROPERTY.AM O(GLUSIVELYCON7RACiM10 YNTM LCENSED CONTRACTORS STO CONSTHUCT TNE Vt10JECT ISEC.IW1�BUSINE55 AND►HOFE9SIONS ODDE:THE IXWTRACtOR3 LI' V91Wlb11 �� AOJ.AREA CENSE U1W OOES NOT APPIY TO AN ONNER OFA PpOPEFN WN08UMA8 OR MPROVES iHEREON,AND � WfACONTMCTSFONlUWPqO�CTSY1mHACONfRnCTOR(S)Lp�NSEDRJF5UMI7TO7HE00NTMG pUANTITY DESCRIPTION � � TOHS LICENSE UW.} � ❑1 AM EXEhIPT Ui�EN SEC. 8.i V,C.fGl THIS NEASqJ a 3 � u' DATE OWNER � O U � � UCENSED CONTRACTORS DECLARATION W � 1 HEREBY AFFIRIA UNDER PENALTY OF PERIURY TNAT IMf LIGENSEO UNDER iHOVIS10N8 OF CHMiFR �r O� •(COMMENCNiO YVITN SECTION 7000)OF Dry�S�ON 1 OF THElUSINE9S AND PHOFESS�ONS COOE.AND Z LLJ W LICENSE IS N NLL FOi10E/�ID EfFECT. m � � UCENSE CU95 LIC.NO. O � �J V DATE � CONTqACTOR 2 . W � WpRKERS'COMPENSATION DECURATION � yINEREBYAFFlRMtRmERVENALTYOFPERIURYOHEOFilIEFOLIONnNOUEqhMT10N3: z � _IHMEANDN7LlMAINTAINACERTIFlCATEOFCONSENTTOBELFINSUREFOflWqYfEflS' _ . OOMPEMSA710N.AS PqOVID�BY SECTION 7700 OF THE IABMi GODE.FOR THE PERFONMANCE W Q OF THE N/ORIC FOR NMICH iFUS PEFiM1T 1613SUE0. � �_I HAVE Alm N7Ll MqMTAMI WORKER6'COMPENSATION INSUIiANCE,�S REWIpED BY SECT1pN 4� a7o0 OF 1ME LABOR COOE.fON THE PEH WNMANCE OF THE WOHK WR MANCN THIS PERIAR IS ,S 3 . Z� � ISSUED,W NqRKERS'COMPENSATION INSURANCE CARH�ER AND POLICY NUMBERME CONSTRUC N � cuiaea PLAN qEVIEW � ao�cY w.n�eER ELECTFiIC � (n�sCcnoNl�wreEm.pl.t��oFn£vEw�fswrsa4EHAqiEDoo(1Ms�faqMt.fas} PLUMBING 1 CEflTIFY TNAT N TriE VEFFDRAWlCE OF THE N011K FOp I TNI9 PEN41T IS iSSUE�,I ��•H1wIC� &MLLNOT EMPIOYANY PERSON W ANY MANJER SO E E SUBJECTTDTHE Vj N�OiiKERS'COAIPENSATqN UYMS OG CALIFORNIA, AOREE THA IF I SVqULD BEODME INSPECTION FEE - SUBJECTTOTNfWORKERS'CpAPENSATqNP SION30F8E 870oOFTNELA80R f ��- �� -rj CO�E.ISFW.LFOqTHWRNCqAPLYWIiHT i S ISSUA � �,�: s-9 T �v��: SM � � v W ` A � WAIW WO:FAILURE TO SEQIRE MqfL(ERS' N 110N VE W WE B .MO IINALL BE ENERGY P/C _C�D � Q �ALl7 �y iUWECfANEMPLOYERTOCPoMWPLPENALIIESAND WE5UVTOONEl1U DT7p18AND ENERGYPERM(T r OOILMS(ttaa.0aal.��ITIONTOTHECOSTOFCOMPENSATION.DAMA�ESABPqOYI�mFpqlN � eECT10N�7aOFT11ELABOHCODE.MITEREST,IW�ATTOHNEYBFEES - RETENTIONFEE: CONSTRUCTION LEND�NG AGENCY PRE-AL7 FEE: 1 MFREBYAFFIRIA UNDEN VENALTY�PENUIIY iNAT THERE IB A CON5Tq�TqN LENpWO AOFNCV � PoN TNE►ERFOFMFNGE OF TNE YYONK POR NMICH MIS PEXMrt IS ISSUED(SEC.]0J7.pY.G�. � LENDER'6 MUAE - � lENOER'SADDREBS � i,an"rcE��co�vwm+°����"'.ro'uw1ONro°rm�i�cEa'w'"osr�uwsnEUTr1O+"c�io�"ioEn�+n TOTAL FEES �8 7� � WNSTRICTION.ANUMEPEBYAUT110RIZEREPRESEMATIVESOFTNISCOUNTYTOElffEpUPOHTNE - ,. S� AlOYE�1EMqfJED PR07ERiYFOH MISPECf10N PURPOSES. COMMENT$ `� F .�a 6 PEXNTTEE /� �I�Q� CA � ( � � � �� RECPT.NO. S�D BY �S NALIDATmN . ITE—�partment Gopy,YELLOW—Finance Copy.PINK—Assessw C�y,pOLDENROD-file Capy.GREEN—AppManC:Copy � ...�-'.:• :...-n ,:..._ I•e' . 1. .� ..i " _ _ - ... : . ..r.u. -.� . .; a::.. 1�. . . .- :�.. -'_ ..; .::`...-r . .,..� .: '. ...'.., �t S- _ . -V�.... - .. . a-rv oF ai��or�r� Bar� . . i���r���-��iaE� �a��c���n - �Ar�-Y' �:�`.._ � ► 0 + ' � �,�. . t� ��^�""�E;[��l� �, � +� 1. ' • • .�..�__..._......, ,�..�._,_. . -. .. . . . .�.r..r_k'^. �.. _ -- . T" " . _ ... _�. .... _. . , ..____ _—. , - . .. . � SET BACK .__ _ ... . _ . � FLOOR JC,{CT - _ '._ _ _' _ - - -- ---__ ---...__ - -- -�._ ...e. _.�_._�.....,______-- FTGS/FORMS/STEEL ` - ' ; FHA REQt�tTS - -- . � � _ ��..�._., � - ELECTRIC GROUND ' `�UNDER FLOO�DI�CT.�,-�, ,;.. -•y.-: ; :�,- � GROUND PLUMBING ' . . �UNDER I b Ebt�b' `'• • _ �, .-'_� t� t-. , .;�. j . -,. � ( FIREPI.�C��b�J�Jb -"--` � '� .-'�__�___"` � SLAB GAADE _ � " - -�------------- -_�`-----..-- -.-; ---� ___.._ ___�__«_., TEMP POWER_ - - _ __ ' FIREPLArE 8C7N��B�Alltr!!�- �_-.`- .,� x„� , . ... � •_ .. ,.� . : _ . • .- ;. ---y WATER SERVIGE � - � _. . 1 , ti11D HT`��NR:���:.---- c �_. � � - 1 _ _ ...5 :,. t ._. ROOF SHEATHING • 7 I - • `�„� ' � ��.'��ND BEAM ! �, --------- _.__ ___�. ___�_ ._.�_. .._ _� .. � _ _ -- -- FRAMINGNENtILIATION ____ ' FlNAl. B�?ND BEAM ! -- --- - - -._ __-� �---_ _.�_.�.____.. . _�._._s�_ ROOF COVEF __ PRE-GRADING ! _ _ _ � _._ - _ ____�---- ,- --_ .___ __ ._._ --- ---- - __._. R017GH HEATING - BENC H1NG � ' - ---- ---__ _�� ___ _ ____ _ __., _.� __,. . __ _ :_._-�- --;_ __ __.___ ROUGH ELECTRIC - - ROUGH GRADING ------- ------ ------__ __ _.___._ ---_ _�-- ---__ _._�. __�_.___ __ , - -----�-----.�..._.__. ROUGH PtUMBING : - ; FtNISi-t vRAQING ; . . ---------_,.- --- - "�._ _..r.W., SHDWER/TUB TEST ��----- POOL EI..ECT"RIC, . ' -----_ ��-- ��. ___ EXT:-LA7H7SIDIN� -�OOL FENCING , ' WALL INSULATION � � � ;�j P�Ot.FIiJAL -`Y� _ ':_.._ ___�.__ _ _---_-_______- ,�----�___`._._._ �.� � _.. . CEILING INSULATION i O�F SITC tMpS. �-- ---_ _ _---, -;-___ .__ -I----, --- _____._.____.__ DRYWALL NAILING � ' DEDICA710iJS . SE TEGTANK ` . , _ � ' FINAL ENG. ' � ��� �� LANDSCAPElIRRIG. -�-�--�--^ j _� -=-- - - . r-._-__ _._ -�, SEEP..PITIL.L._. _ ON SITE lh,1PS. -- - ------ GAS A!R TEST - ` j FiPtAL ZO�JING � ~ � � � � _ _ ,__�_� _ _.__ �_ � _ _. _ ___._._.�._._.� FINAL CONST. ---r�----. ` ___ � I i FiRE pEPT. FINAL ___� FINAi:IiEATiNG - -� H ALTN�3EPT FINAL ` �� ~ � - -_. _��_- -- -- _-- _ _-�� , . _ l L; ------_._---- FiNAL ELECTRIC � : DEV FEES P�,ID � --�-- - - FINAL PLUMBING - --_�` _- j-1 EP:ERGY_ ,_ _ ._ ; I -- --- r;----- - --� ::- -�-- ----±------- - _ ___,-_---t- _------ �, �, - '- , . . , ' , �` _ i _����`' � ?'��''�:+��` . ,_ _ __ __ _ i__�__�-___� . _ � COMMENTS _ -� __ � - -- ---- ----.� ----------- _ - _ _ _ � = -� _ ,: _ ---=-�-�.` • -- --- t- - -- -- --- ---- __ � � . -. ._ _ _.._ ..� ... - -_..__._� ._........ . '__}l._� __.� _'7 "'_' _'_._' . __ _ _ _ �_. " '_. _:�.. �'—'�—__ .—_ _._. . _.-... . ._�_._.'.__.__ ._"__'_' ' �� •- -T -� - � � � . . _� . \ --_ �`.'2 -. � � . - . . . .. .. . _._.._ . . ._. � . .. .... " � .. ," . . .., • _ _��r.K . , . . .�.. . .______�._�.__ - ___.— --"__ _'.'' ._ S�rxt' �+� ��,t...�.—_�.�._' _'.'__ — ____ -___ 'f._--_- . _ _�____ +---.. . SEPTIC TANK S1ZE _ _ �.. _ _ _ _. __ _ SEEP PIT/U SIZE .� � _. . -—___�_-- _------- ...._ _`-- _ ___ _._ _..___-_:.___------_- --_ _----- _.��__ --- --- -------- _ 7� � - h-.... • . . _. . ._._ . _ .. . ' ,_.__— _—_..__._` _'__. .�._�._._'_ __._ � -___.___��^._.,._�.�_ �__._ ,- 1 __ . . . . . ..__.._ ._ . .. 1 `" . : 1 • `' . _ . . . . � 1 - � . a ' ' y:.a � - - ,^a. .. � . _ . . _.,,-. _ . . ' ' ' . . . . ' .�. ,. - - .. .. , ... ._.. : .:.�. ., y .. _ . . ._ : .. . . . . . . .. _.. _ _.. .__ .._' _ . _ -:.-- ��..... -