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HomeMy WebLinkAbout14146 , _�� _ CITY OF DIAMOND BAR ^ " • � ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �,� si�oE.c�i�ynri��s�c�i90 PRESS �����. � BUILDING PERMIT APPLICATION . FIRMLY } JOBSITE � APPLICATIO � Q PERMff I� /C • o ADDRESS �S�p J ���A�l aG�� ���. DATE �Q/U � NUMBEFI � # � ISSUE TYPE OCC APN ' LOT T CT DATE 'CONST. GROUP g OWNER � =� ' p ADDRESS� f ' ZONING SETHACKS • . . W C�TM N Z�P ' � FRONT RW O � APPLICANT TE v ' REAR ❑ � SIDE/SIDE STREET RW ❑ CONTAACT SIDE ❑ ADDRES — PROPOSED USE I J✓ � C �ZIP TEL , o ARCFUENG/ • , � •. � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS � STORIES �BEDROOMS � CITY ZIP TEL. N DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION cn � � ___ OWNER-BUILDER OECLARATION � .. SFR/ADD/REM �� O p 1 HEREBY AFF6W LNDER OENALTY OF PERIURY TT1AT I/uA E%EYPT FROM THE COHTMCTIXiS LI• GefBQB/Ca1pOR � W CENSEUWFOqiMEFqlO'MNOF�EASON(SEC70.71.6BUS:NESSANDCROFESSIDNSCOOE:ANYdttOR (n U COUHIYYMIp1REOURE3APERMR7000N5Titt1CT,ALTERMPAOVEDEA�Ol15H.ORRFPNRANVSTRUC• W PalidDeck � V� TURE.PRUR i0 IT3 ISSUANGE�L30 NECU�RE3 7ME APPLICANf FOR SUCF1 FERMIT TO FlLE A SIGNEO W N � BTATEMENT 7HAT ME OR SME IS LILENSED PURSUM7i TO iNE PR01n5KK15 OF TNE CONiMCTOFLS ll• _ ; . � .CENSE UW(dUPTE0.Y(COMMENqNO WITM SECTION 70o0)OF DIYISIDN]OF TME BUSiNE55 AND PHO• � P��Pe FESSDN9 CODE)DR 1H�T HE OR SNE IS EXEMPT iHEREFHO�A Ml�THE BASIS FOR THEALLEOED E%EMP• TION.M7VV�OLATIOMOFSECTION70�1.68YANYAPPLM.AI�rtFOR11PERMRSU&IECiSiHEMPIICANTTO �� Z RB-RO01 �„� ACMLPEMAl7YCFNOTMORETlUNFIVEMJNDREDDOLL�RS�fsoo�.1� ' ,_ � O1�40WNEFOFiHEGROPERiY.OfiMYEMPLOVEESWI7HWAGESASTHEIRSOLECOA�PENSATqN, O (,'pmmBfClOi WILL p0 THE WOFi1C AND TME STHUCTURE IS NO71HiENDED OR OFFERED FOR SALE(SEG f0u,BUSb J NE53 A!A iROFE551p7S WDE:711E CONTW�CT00.S LIGENSE UM�DOES NOTAPGLY TO AN ONMER OF � • ' � PROVERTYMk10BULDSOf1MVfODVE$THEREON,MIDNMODOESSUCMWORKMIMSELFORNERSELFOR m . � 7HROUGHHI90RHEqOWNfMPIOYEES.GiWNDEOiHATSUCFIMPROVEIAEHfSARENOTIMENDEDOR . , OFFERED PDR SALE If,/qWEVER 7ME BULdNO ORIYPROVEAIFM IS SdD WfiMN ONE YFAR OFCOMPLE- Z 'T10N,THE OWNER�BURDER WILL MAVE TME BUROEN OF VRONNO T/Ai NE OR 6NE�D NOT BURfl Oq � MPROVEFORTFIEVURPOSEOFBALE) . . . . . . O L��Ep OF TME iROPEirtY,M1 EXCLUSNE�Y CONTMCTIN01vRH L�CENSED CONTMCTORS ¢ 70 CONSTAUCT iTE VHD.IECT(SEG 7oN,BUSINE55 AND PROFESS�ONS CODE:TFIE CONTMCTORS t4 VflIUa(i0f1 �� � P.0.I.AREA LLl �NSEUWDOESN0T11PVLYTOANOWNEROFAPROPEFTtY1T70BUM1DSORMPflOVE9TMEREON.AI�D � N1qCONTRACfSFq15UQ1VR61ECf5WITNACONTMCTOR(S)UCENSEDPURSUANTTOTMEOONfMG pUANTITY DESCRIPTION ��- � � �- FEE _ � iC7il4l10EN5E UNL). . ... .. . . -. .. 1 _ .. . � O I AM E%EMPT UNOER SEC. B.L V.C.FOR THiS REASON U .I 3 � - • �.. . LL" D�TE OWNEH � � W UCENSED CONTFiACTORS DECLARATION -� � W IHEREBYAFFCWUNDERPENALiYOFPENUMTUTIAAILICENSEDUNDERPROVISIONSOftNAGTER �. , � ��COYAIENCNOWRHSECTqN7oo0�OFOM510NJOFTMEBU5INE55AnDPFiOFE5510N5CODE.AN� Z X W LICEHSE 6 N FULL FORCE IWD EFiECT. � m � � LICENSE CU155 ��� LIC.NO. � �'j �ATE O^" " CONTFlACTOFi w ` �1 � WORKERS'COMPENSATION DECLAAATION � N INEREBV�Fi1RA1UNDEROEtULT'OFVERNMONEOFTIEFOLLDWWGDECLAMTqNS: � !� Q � �IWIVEANOWM1LM�MNNACERf1FICATEOFCONSENiTOSEIF•INSUREFORN9RKER5' _ � � [dIPFNSATION,ASPROWDE08YSECT10N77000FTHEU80NCODE,FORTXEVEHFORIAANCE W - OF THE N�ORK FOR VMICH THIS VERYR IS ISSUE0. � C �I H�VE AND WILL AWMAPI WORKER3 CpAPEN5AT10N INSURANCE.Il5 HEWIREO BY SECTION QO 77000FTHELABORCOOE,FOR7YIEVERWRMANCEOFTMEWOi1KiORYMILHT115iERM1T15 Y ISSUED.MVIWRKER5COMPEN9ATIONINSUM^IKE!�Jj1�RPI�ERM���IDP�Of�C�VNUUOERARE: GONSTRUCTION � CARAIER � ��!vY/,"�FJi—� i .. .� PL/W REVIEW . . � ppUC/NLIIA9ER � ELECTRIC � (flCuSfCftpNIVEIDwTBE00Ai'LEfIDOFTEFEw.�i6f�ila+EMf�OFlE�ootlNlsR�Wla1l6S� PjUM81NG � � Z - ICERTIFY TU7 N TN[PERFOMUNCE OF iHE WORK FOii WNICNTHIS OEp1AiT IS ISSUED,I MC-CHANICAL ' � � (J SHALLHOT EMPLOYANY FERSON N ANY MANNER SOAS TO BECOME SVBJECT T 7ME � WORKERSCOMPENSATqNUW50FCALJFORNIAANOAOREETUTKIS BEQOM INSPECTIONFEE S SU6JECTTOTHEWO�iNERS'COMPENSAT ,PO iDN50F5ELilON17 ISSUANCE _ ` CODE.1 SH LL F n�ca.iv�rwm� S V SIONS. � � t SMIP O ,pAT€a� r APPLICA � .. ►+� ENERGY P/C � WAANIHQ FMURETO SECURE �S'LOAIPENSATpN COVERAGE IS UNUwFVL AND SM�LLBE SU61ECfANEMPLOYERTOCRININALGENALTIESANOCN:LFINESUPT00NEHUNDREDTHOUS�HD ENERGYPERMIT ' ' � � � Dq1AR5(1100,000),IN ADD1T10N TO TME COST OF COMPENSATqN.DN.�AGE7 AS PROVIDED FOFi IN . ¢ SECf10N77oeOFTNEUBORCOOE.IHTERfST,ANDATTORNEY+FEES. RCTENTIONFEE: � � a CONSTRUCTION LENDING AGENCY pRE-ALT FEE: � IHEREBVAFFIRYUlAERDENALTYOFPEILURYTMATTNEREISACONSTPUCTIONLENDINOAGENCY FOR THE PER WRMANCE OF TME WORK FOR WN�CH TN6 VERYIT IS ISSUE��SEG 70W,CIV.G). � � IEFIDEFS WWE� .. . . • . � lENOER'SADDRESS . W ICERTtfYTHATIHAVEREADTHt4MPL1CAT10NAND5TATE771ATT1EAB'7VEINFp{UTATIONISMfWECT. TOTAL FEES ' ' �• � IAGREETOCOMPIYWRMALLGffYIWOCOUNTYOfl�IWWCE51WD5TATEUWSRELATMN3TOBUILDiHO CONSTRUCTION.ANDHEHEBTAUfM(%i�ZEREPFiESENTATNE50FTUSCOUNTYTOEHTENUPONiHE . _ .. . . � ABOVE�YEMIONE�VROPERTYFOHINSPECTIONR1ftVO5E5. COMMENTS � �/ c G�. - m DEilu N (PiU!!i) � �� �� �/ :"�1 /� ✓1 -\ cn 8iO NREOFPE��7TEE Ox7E � ' RECPT.NO. PAID BY VALIDATION " NMITE—Depurtment Copy,YELLOW—Finance Copy.PINK—Asxssa Copy,GOLDENROD—File Copy,GREEN—Applicant'a Copy - . .. . . • .t•�Ti . . , . ��. ..... - .. . � .. .. • r . ;�`. �'-c.:J. , .r. ..i. .1. . .. .� � � . � . .'y� .. „ . . . ,�� . , ��� CITY OF DIAMOND BAR . :�, � •� -• � . . . .. , . ._., , ...;. _.,. . ; . ., INSPECTION ` : : „_ . . , ... .�.. RECORD . . . . . d � � s ' • � � • - SET BACK � � . . ; '.�._: .. ' ' ' " 'i-__.: �., ... . . FLOOR JOIST;, ' � . .� , �' � '. .. , . , � . FTGS/FORMS/STEEL -. .• FHA REQMTS - - � --- - - - - - --- - ---- ELECTRIC GFiOUND --: � ' ---- - � UNDER FLOOR DUCT : : -' -� ' -- GROUND PLUMBING �•' UNDER FLOOR CGf�lOUIT :.�. ' ' , i" � '• � • � _. . .. . SCAB GRADE - ---- . - -- _ -- ---- ': •- � FIRE�LACE FOUNDATION'-� :=` ' . '.' ' . ' • - - -- •—_ : , . TEMP POWER .- � . _ _. .;� . : � FIREPI.ACE BOND BEAPJI . . .._ - -- -.. ---.- . . _ ... . WATER SERVICE- __-__.-:._ . _:-... . .: :. "_-.-_--.:.._. .. - -- -MID HT. BOND'BEAM ' - .__ . „_ � . . ... ._. .. _ . ... _____. . ROOF•SHEATHING=='- . -- -� -' �' '�=- � � ' 8 FL BOND�BEAM • : , � ' -• • - FRAN11NG1VENTILIATION � � � � � ' FINAL BOND BEAM ' • ROOF COVER . � '� PRE-GRADING - - " ROUGH HEATING - � ' - -�- - -� BENCHING '' ' ROUGH ELECTRIC -' -- '= - - - -� - ' ROUGH GRADING ' ROUGH PLUMBING ' ---- --�- -- -- --- . - - - FINISH GRADING .. . , SHOWERlfUB TEST. � -� � � � - POOL ELECTRIC •- ' EXT.LATH/SIDING�- ' � -- �-� - POOL FENCING - ' � WALL INSULATION � - POOL FINAL ' . . CEILING INSULATION OFF SITE IMPS. • • DRYWALL NAILING ; ! DEDICATIONS ' SEWER ' FINAL ENG. . ._ . . _ SEPTICTANK .. .. . ....' --- .--. .--- .::. ... .._ .. _ LAN�SCAPE/IRRIG. . : � SEEP.PIT/L.L, - . = ..... .� . .. -. ._ . .. ON SITE IMPS. ' . - , , � . � GAS AIR TEST - - -- - - FINAL ZONING FINAL-CONST.•- - - - FIRE DEPT.FINAL ' � , .. FINAL HEATING -- �- -- � � - HEALTFF DEPT.FINAL ; FINAL ELECTRIC - - � DEV..FEES PAID . '- � FINAL PLUMBING ENERGY � � � i I • •r . _ � � �' ' e • _ i . . I _ . ._...__ . . . _ - -- •.. ..._.__..___---'-- .... . __ • - . -- � -. _ _._.. --- .. _... � -- . : _.. .._.. '. . ` ... � ,. COMMENTS ' � ' ' ' _ . ,. ' � � . � - ; . .. . i i .� _. , . - . _ ... . _ . - � .. . .. .... - -- - - . ; i . ' � • _ - . ... . . . .... .. .. . . i �� \ . ; , SEPTIC TANK SIZE - � ; j , . - SEEP PIT/U SIZE - __ � . . , �' _ � _ . . , - I ' . i . ; � _ _._. . . _..._ � � _ .. . . -- - ; � ' _ .. , .. . _ .. . .. , .. � � . . . �. , � . ., . . � . -- . . . . . .. . . ... ._ . , , , � .. _._ _.-- • - . . , .. _ .. ; } ... .. . - - , ' 1 � _ � ,