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HomeMy WebLinkAbout15285 (15) _ - - . � . -_-�----- ----- --- ------�..- -- CITY OF DIAMOND BAR `✓ COMh4UNiTY DEVELOPMENT DEPARTMENT ,,.� 21660 E.Copley Drive Suite 190 PRESS (909)860-3195 Fax(909)861-3117 '""'+ BUILDINGPERMITAPPLICATION / FIRMLY y JOBSRE � APPLICATION ✓/ �/_ PERMIT � P/C o ADDRESS � S � `� H / DA7E �� '`�/^ NUMBER p � APN LOT 23 - TRACT '�7�.�� �SSUE TYPE OCC DATE CONST. GROUP p OWNER "—G C � ADDRESS y� /�iLP/�NL'r' ZONING SEBACKS � CITY pZ�i4�flC.� ZIPSD�3 TEI.�� �'yI2�S� REART ` RW �p APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR �6s SIDE ❑ �� o ADDRESS �' �` CITY �'�/.��D ZIP TEL,�S%LZ�7l�?Z�j PROPOSED USE o ARCH/ENG/ � DESIGNER NO.OWEL. NO. NO. a ADDAESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BCILDER DECLARATION SFR/ADD/REM � � O p I MEREBY AFFIRM UNOER PENALN OF VERlJRY hUT 1 MI EXEAIPT fROM TME COMMCTORS L4 Gaf900lC81pOR � W CENSELAWFORTNEFd.LOWINGREASON(SEC.)a71.68USNESSANDPROFESSiONSCO�E:ANYd7VOR (n U COUNTyWHIp7RE0UqE5A7ERMRNCONSTRUCT,ALTER��ROVE,OELWUSM,ORREVAIRANYSTRUG W Patto/Deek � NRE.PNOR TO RS ISSUANCE.I�LSO REWIRES TNE�PVLICJNT GOR SUCl/VERUIT TO FLLE A SIONEO � STATEMEM iHAT HE OR SHE IS LICENSED WPSUN(T TO THE PROVISIOHS OF THE CONTRACiOF3 L4 � CENSE UW(d1AOiER i(COYIIENCWO WITN SECTION T0o0)OF DINSqN f Of Tl1E 6USMESS AND Piq. � POOVSpe FES3IJNSODOE�ORTNATNEOH9HE�SEXEUPTiHEREfROMANDTHE8A5i5FOH7MEALLEOEDEXEMi• (� TION.IINVVIOlAT10NOFSEC'T�ON7071.6BYAM/APPIICAHTFORAOERGITSUBIECTSTMEAPiLICANTTO � z Re-Roof A CML PENALTY OF NDT 1AORE TMAN FNE HUNDRED DOlURS(f 500).): � ❑I,ASONMEROFTHEVHOOERN.ORYYEMVLOVEESN1THWACES/ISiHEIRSOLECOMPENSATION, O (�`pmmBfClei Z YnLL 00 THE WOfUC.AND THE SiRUGfURE IS HO7 IMENDED Oq OFFERED FOR SILE(SEC.7oII,BU51• J � NESS AND GROFESSIONS COOE:THE CONTMCTORS LICENSE LAW OOES NOiAPPLY TO AN OWHER OF j VRDPERiY YAq BUIlDS OR IYPROVES THEREON.AND MR/OOOES SUCH 1MORK HIMSEIF OR MERSELF OR � THFq1GHHISORHEROWNEYCLOVEES,VROVIDE0TMA75uCHIUPR�VEIAENi5Af7ENOTWTENDEDOR CD QOFiEREDFOFSILE1F,1qWEVER1f1EBUROWOORIMvf27VEA1EN715501DWRMNONEYFAROFCOMPLE• • � TIDN,TME OWNER�BUL�ER WILL HAVE THE BUH�EN OF VflOVIMO THAT NE OR SHE OID NOT BUILO OR = IMiROYE FOR THE PURPOSE OF SALE} ' - � W OI�ONMEROFTMEVROPERTY.AMEXCLUSNELYCONTMCTIN(7WITHLICENSEDCONiMCTOfLS . . _ (= TOCONSTRUCTTHEPRQIECT�SEC.7W�,BUSINE55ANDVROFESSIONSCDDE:THECW.TRACTORSU- VeIU82I0f1 ADJ.AREA� W CENSEUWDOESNOTMPLI'TDANOWNEHOFAPROPERTYWH09U1{�SOHMPROVE9TTIEREON.AND F 1MIOCDHTMCTSfORSUp10R0.1ECTSWITNACONTMCTOR(5)LICENSEDPURSUANTTOTHECONTM4 OUANTITY DESCRIPTION FEE � ToltS LlCENSE LAw.1. 0 O I w El(EY7T UNUER SEG B.l P.G FOR iHIS REASON � _� •� � � / �✓ i � � OATE ONMER V Z 3 �. 2• 70 �Q LICENSED CONTRACTORS DECLARATION w � [L I HERE6Y AFFIRM UNOER PENAL7Y OF FERNRY TMAT IMI LICENSED UN�Efl VF10VI510N5 0F C1IAVTER � �'�� � 7'• �O p_ •(C04AIENCINOWITMSECTION700o)OFDNISION�OFiHEBUSIHESS/W�PROFES5�ON5C00E,AND Z LL� MYLICENSEISNFULL ONCEINOEFFECL m � � �j O. �'O C�' IC J � UCENSE CUSS �� LIC.NO.�/ � � J r�^ � � �s O V OATE CONTpACTO{i d �� �,� W �tt- 9�'"'/ta 7�`r •�G'7 � WORKERS'COMPENSATION OECU+RATION � �S �T D i � IHEREBYAFFIHMUN�ERPEWLLiYOfPE0.1UMONEOFTMEFOLLOWWODECUM7qN5: Z �L...�L�n-S', �f � O � � J� N � _IIWVEANOWILLMAINTAPlACERTIFILATEOFCONSEMTOSELF�INSUREFORYIDflNERS' � COMPENSATION,ASVROVIDEDBYSECTION7/OOOFTlIEUIBORCOOE,FORTHE7ERFOqAIANCE � S r��� � Q OFTHEN'ORKiONYMICHMISCERAIITI3155UED. � � O Q �I MAVE ANO VALL MAWTAIN WORKERS CbMPENSATION MSURANCE,115 RE WIREO BY SECTWN �70oOF THE LABOR CODE,FOR THE VERFORMANCE OF THE WORK iOH WHId1THI5 VEPA/IT 15 ' • � ISSUEO.MYMqFiKnERSCAMPENSATpNINSUyH�ANCEGR�RI�E/P�/7 iOLILYNU�lOERARE: CONS7RUCTION - � � '4 CMRIER�.i T/�"�/l. /" L!/L�4� PLAN RE-VIEW � POLICVHUM9ER �L f/ s ���— ELECTRIC � �sSEcna+r�wreeoor.�r�ooFi�rearntsrrna�rtMrn�moawsg+m�oa�ssy PLUMBING G ^ Z ICER7IFYTHA7WTHEVERFORMMICEOFTHEWOFUCFOHNM1IIQITI/ISPEfU11TI5I55UED,l MECHANICAL . T� C'} SFI�LLNOTEMPIDYANVPER50NNM1YM/NNERSOA5T00ECOMESUBJECTTOTHE y NORI(ERS'COMVENSATIDNUWSOFGLLIFONNI�/WOAGREETMATIFISMOUIOBECOME INSPECT�ONFEE S SUBJECTTOTMEWORKERSCd.rf'ENSATIONPROVISqNSOFSECT10N�7000FiHElA09R - CODE,I SMALL iORTMYATI CpAPLY VATH T E DROVISIONS. ISSUANCE �j�wy 1S • � ,�,�.ey.�,�,�v SMIP � �;;��; p DAT£: APRICAM: / � WAPNma:FNLUREtOSECUREVNRKER+COIAPENS�TIONCOVERAGEISUNUYVFUL.ANOSHALLBE ENERGYP/C /"�7��T1�r7�n�R��$,� [�y SU9JECTANEMPLOYERTOCNMWALPENALTIES/NDCMLFNESUPTOONEMINDREOTHOUSAND ENERGYPERMIT DOLLMS(f 100,000),W AODITIDN TD THE WST Of CAMPENSATION,D�IAAGES AS PROVIDEO FOR IN ¢ SECTION]7GlOFTHEIABOi1CO0E,WtEREST,ANDATfORNEYSFEES. RETENTIONFEE: nW. CONSTRUCTION LENDING AGENCY PqE•ALT FEE: O � IHEREBYAFFIqMUNOERVENAITYOFGElLURYTHATTHEREISACONSTRUCTIONtENDWOACENCV / FOq THE VERfORAIANCE OF THE WOfiK fOR WMlpl TMIS PENAIT IS ISSUED(SEC.70Y7.CIV.C.). . � LEN�ER'S NMIE � i � LENDER'SADORESS � ICEIITIFYTU71l/�YEREADilCSMPULATIDNANDSTATETMATTIEAbONEIMFORMATqHISCOARECL TOTAL FEES � IA6REETOW�IPLVM7THALLGTYANOCOUNTv0�7DINANCE511NDS1ATEUNfSRELATNGTOBUR0�N6 ' � � GONSTRUCTION,ANOHEREBYAUTIqqIZEREPRESENT�TNE50FTHI5COUNTYTOEMERUPONTHE A00VE-IJEMIONEDPR07ERT/FORINSPECTIDN WiiPO5E5. . . COMMENTS 0 / h�,, � A�'�"� .Y �/�'�!Z/� m VERYITTEE N CRINn � � Q � � � gip E OF PERI.IITT � DATE ' RECPT.NO. PAID BY VALIDATION . .. .. WHITE—Department Capy.YELLOW—Fhance Copy.PINK—Assesea Copy.GOIDENROD—Flle Gopy.GREEN—ApplanCs Copy . _ . . . . . . . . . . _ .. .. f i CITY OF DIA«OP�tD BAR � . If�SPECTIOI� REGaRD . �1►!E-y����i?I�►`� i�::VE1= ,if��-��.�����'��• I;►`'k-����1��m���� e,�;k�� 4�wf�l�.,?'r,�'��,;� � —�_____�. - --__ � .____�_________ _____._�.Y.-- ____,___---- -------=___�..Y.___ ___ SET BACK: � FLOOR JOIST, _ �. - - - FTGS/FORMS/STEEL - FHA REQMTS -- " �' ELECTRIC GROUND � b� _ UNDER FLOOR DUCT • . - GROUND PLUMBING ' ' i 'Ll(�a�_ . UNDER�FLOOR GUI�IdUIT `'' , - =�' ` ` � SLAB GRADE -- --- ' --- FIREPLACE FOUNDATION- - TEMP POWER- - -- - _ - FIREPLACE BOND BEAM ' .: .:` ._ ` -• . .' , � ' WA7ER SERVICE - - ` ' DAID NT.SOND•f3EAM. � � i ROOF SHEATHING - 8 FT.BOND BEAM '. FRAMINGNENTILIATION ... FINAL BOND BEAM � ROOF COVER --� _: ." _ __ PRE-GRADING ' _ _ ROUGH HEATING -- - •- - - - BENCHING ROUGH ELEGTRIC -- --- - - � - �- - ROUGH GRADING , ROUGH PLUMBING" " - - - � FINISH GRADING SHOWERITUBTEST -- - � -- - - POOL ELECTRIC ; EXT.LATH/SIDING _ —. --_ ._ _. _ - POOC FENCING , ' ,' � WALL INSULATION , PODL FINAL - CEILING INSULATION OFF SITE IMPS. DRYWAIL NAILING r DEOICATIONS � SEWER__.-- _- __ _I C� (� ._ _. FINAL ENG. SEPTICTANK . : _--_ _F t_ __ _ LANOSCAPE/IRRIG. . ` SEEP.PIT/L.L. '. . --- --- --. ON SITE IMPS. ; ._. GAS AIR TEST i - --- �- �' - �� �- FINAL ZONING ' ._ FINAL'CONST: ; - - - --� - - ,' �_.• . "•. ,' FIRE DEPL FINAL FINAL HEATING - `, ' ` - �� HEALTH DEPT.FiNAL . - � - FINAL ELECTRIC - �"" " - . '-.. �_' DEV. FEES PAID FINAL PLUMBING � �� , •� ENERGY - - , �-` . � �, , � _ - __ `• ¢j �d"�c1���flc�c. _ _- . _ _ . < _ COMMENTS . _ ; _ � , . , . , ., . , , , : K a� _ _ , � .-- .. - '. - � - L�.I' . . , . . . . . _ ___ ' ` - _ ' ,�:.__J :Ui . . , . - , . , _ � � ----- .__ . _. �r•�'7��21.f�(=:L�•....� .'-..i_ . ` . , . ., . . . . . , . , � SEPTICTANK SIZE- _ . SEEP PIT/U SIZE - - � _. _ _ . _. ..._ ,�, �' ��k � - __ _ _ ; i _ _ _ , -_ _ - _ _ _ __ _ . _ __. _ , , . �'���" - _ !.= _.._ ! : , . ; . - - ; ,. , ., < . . ., , . , . . _ _ _._ _ __ . _ � -- - . 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