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HomeMy WebLinkAbout10232 (5) , .. . i .. - --� ----,._. ..... ..... . .. _ . . , .. t - CITY aF DIAMOND BAR" ' COMMUNITY DEVELOPMENT DEPARTM 21660 E.Copley Drive Suitc 190 , : PRESS (909)860-3195 Pax{909)861-3117 ` ' ' '*" BUILDING PERMITAPPLICATION FIRMLY 0 JOBSITE' " � ��Q� APPLICAT�QN PERMR /��,�j P/C ADDRESS �3 B 3 Sa v�� ��G�A aN c OATE 1_\�-V �3 I 1 NUMBER ��,r ' c� ISSUE TYPE OCC . APN LOT TRACT DATE CONST. GROUP p OWNER P� �'� ADDRESS 2��'S� N n�i-hn RN� 1��� • 20NING SETBACKS PIRED � Cfly`C�CAn..ar.� ZIP y��-�°�TEL.�/v "7`��-3J REART RW ❑ APPLICANT . u c. o P r p� c ti TEL. 4 '-��",_ p � � 1 SIDE/SIDE STRE• RW ❑ � CONTRACTOR CMQ-� W: r. � SIDE p Q ADDR�SS ��3 e ��`� - ' PROPOSED USE � CITY �lac1,U (.u�. ZIP �/f)3d TEL. d��� � o ARCWENG/ , . � iz DESIGNER — NO.DWEL O. NO. a AODRE UNITS STORIES BEDROOMS � CITY ZIP TEL. c�» DESCRIPTION S�.FT. FACTOR PSF AOJ.AREANAlUAT10N Q ONMER•BI;IIDER DECLAAATION � SFR/ADDlREM O p I HERE6V/IFFIHAI UNDEN Pf WLTV OF iERAIRY THAT I AM EXEIAPT FROIA THE COHTMCTORS l4 Ge/89fl�C8fDOrt �� W CENSEUWFORTHEFOLLOWINOFiEA50N(SEC.70.71.68115WE55ANDPi1�FESS10N5CODE:ANYGRYOR . (n ZCOUN7YMMId/HEOUtHE51DERu1iTOCONSTRUCT.ALTE0.��R�E.DE40lI5H,0iiREV1IRANYSTRUG W PatiolDeck � . TVRE,GR10R TO fT5 ISSUANCE,/LL50 REWIqES TNE AVOLICMT FOR SUCN VERMR TO FILE 11 SIGNEO � ' �� �w ��STATEMENT 7H�T HE OR SHE b LICENSEO PURSUANT TO THE PROVISIONS OF THE CONTMCTORS LL' � W � � GENSE LAW(CHAPTER i�COMMENCN6 NnTM SECTqN 700a1�DIVU^iON 7 OF THE BUSINESS AND PFiD LL PooVSpa FESSIONS COOE)OR iT1Ai HE OR SME IS EXEMPT 7HER[FROM hND TME BASIS FOR TXE ALLEGED E%EYP• � TION.ANYYIOlAT10NOFSECTION7071.6BYAM'11PPLIG�NfFOqAPEPA�ITSUBJECTSTMEMPLICANiTO Z Re•Roal ACML VENAITY OF NOT A10RE THAN FNE VNNDRED DOlURS If500).): � � ❑�ASONMEROFTHEVR�VERTV,ORYYEAIPLOVEESN1TNWAGESASiHEIR50LECOAI7ENSATION, � �mmerciat � � � . ' Z WILL DO TNE YlORIC IWD TME SiRUC7URE IS NOT IMEN�ED OR OLFEReD FOR SILLE(SEC.70��,BUSI- J � NESS AND►ROFESSIONS CODE:711E CONTMCTORS UCENSE LAW OOES NOT APPLV TO AN OWNER OF � . • � GROVEflTYWHOBUtlD50RMVROVESTHEREON,ANDVAI0DOE55UdiWDRNHIMSELFORHERSELFOR ' - Q TMROUGHWSORMEROWNEMPLOYEES,VROVIDEDT11A75UGHMPROVEMENTSARENOTMENDEDON m w OFFENEDiORSALEIF,HOWEVER7l1EBU0.DINUOFIUPROVEMEMI550lDWITWNONEYEMOFWMPLE• � 0 TION.THE OWNER-BUiLDER WILL HAVE TME BURDEN OF PRONN6 TUT HE OR SME D�D NOT BNLD OH Z MPROYEfOR1ME0URPQSEOFSALEy � � = OIASOxNEROFTHEDROVERTY,AAIE%CIUSNEIYCONTRACTINOWITHL�CENSE�CONTMCTORS W Q M CONSiRUCT TME PR0.1EM(SEG 7oa�.BUSINE55 AND OROFESSiONS COOE:T17E CONiMCTOFS U� V21UBtI0f1 ADJ.AREA � CENSEUWDOE9NOTAPPLYTOMIOWNEROfAOROPERTYYAqBUILDSORMPROVE4MEAEON,IW� WNOCOMMGTSFORSUp1GRQ1ECf5WITHACONTMCfOR(5)LICENSEDRIRSUMfTTOTMECONiMG pUANTITY DESCRIPTION FEE � TOftS LICENSE UW.). ' (} . . � O 1 AA1 E1fEYPi LINOEN SEC. B.{P.C.FOi1THIS REASON 4 V 3 � . � ¢ DATE ONMEH U 1 I � � W I� �4 UCENSED CONTRACTORS DECLAHATION W 2 INEREBVAFFIRAIUNDERVENALTYOFPE0.RIRVTHATIAMLICENSEDUNDERORONSIONSOFG/MTER V, • . . � . d Y(CqAMENCUWWRNSECTION70oD)OFDMS�ONlOFTHEBUSINES9ANDiibFESSiONSCOOE.AND Z � W LICENSE IS W FULL fORCE MA EFFECL , 0 LICENSME CUSS �C�,^ LIC.NO. �f D �O �3 � � v DATE` �fL Y l3 `7�1 corirw�croa �C h�-l.a� I t_ a � � �� I�I�� V � WORKERS'CAMPENSATION DECLARATION —i N IMERCBYAFFlRAIUNDERFENALTYOFVERIURYONEOFTHEFOLLAVlINOOECUMTiONS: z � �I NAVE AND VJ4L MANTMN A CERTIFICATE OF CONSEM TO SELF�NSURE FOR WOHHERS' _ � COMPENSAT�ON,l15VROViDEDBYSECT10N�7000FTHELA00RCOCE,iORTT1EPERPDRMANCE W ' � �THE WORK FOHy1RyC�iHIS PERY IS ISS�. ��� ��� � IMAVEANDNnLLWQIT NWORKE P ATqN AS ED �� ` 0 ]700 OF il�E LABOR COOE,FOR 7i1E PERFORMANGE O THE WORK FOR WMpf iM15 iERAUTIS• r rf—ll ISSUED.MYWORNERS'COMPENSATpNWSURANCECARRIERANDPOIICYNUAIBERARE CONSTRUCTION � I- L (/ . j GiiRIER�• ('..S t�o Mv i '}�� C�'. PLANREVIEW � POLICYNUMBER ` CTRIC �'p�';�� • c rn+ssEcnor+rcm eEaa.+�rmoFne�rar.rrsroau+eMru��oaur�sa�ac�a��ss� �MBING 1-IH1 1 �� Z ItERT1iVTHATNTHEFEAFOF�IANCEOFTIIEWORNFORW111p1TMISPERW715i55UED,1 MECHANICAL (} 61uLL NOT EMPLOYANY PERSON IN ANV MANnER SO AS TO BECOuf SU&7ECT TOTHE ` ^� 1 ,��� � ,; (n WORNERS'COMPENSATIONUWSOFGLL�FORNI/�ANDACREETHATIfISHOIADBECOME INSPECTIONFEE��� '� ' ' � � SUBJECTTOTMEWORNERS'COMPENSATIONVROVISiONSOF3ECT10N�7000FTME4BOR �� - ����. cooE.i sHui roAn�wm�eorav�r wini THose vqowsaNs. ISSUANCE ''� • ` • �� , � SMIP=. �-'� ... . . � p DATE: APPLIGIMT: � WMNINO:FA4URE TO SEqJRE WON(ERS'COMPENSATqN COVEMGE IS UNUWFUL.IIND 511ALLBE ENERGY P/C . �y SUBJECTANEMPLOYERTOCRIM?IALVEtULTIESANDCMLFWESUPTOONEHUNOREDT10U5AND ENERGYPERMIT OOLURS�ftao.DOo).W AD01710N TO 7HE LOST OF COMPENS�TION.DMIAGES Jl5 PROVIDED FOR IN ¢ BECTIDNI7WOFiNEUBORCODE,t1TERE57,ANDATTORNEY5FEE3. RETENTIONFEE: � � a CONSTRUCTION LENDING AGENCY pqE-ALT FEE: f� O � IMEREBV/iFFIRMUlAERVENALTVOiVEiWRYiMATTMEREISACONSTRUCTIONLENDMIGAGENCY FOR TMf FERFORMANCF OF 1NE WORK FOR YMKH TMS GEau1T 15 iSSUCD(SEC]oc7,CIv.C.). � � � lENOFR'SWVAE C LENDER'SADDRESS � w� TOTAL FEES � ICERTIFYT1uTIMAVEREADiin3MVLICATqNANOSTA7ETNATiHEABOVEINFORM�TqNISCOHREGT. � IAGREETOWGIVLYYnTHKICtiYANOCOUN7YOROWANCESANOSTA7EUwSREUT7N6TOW0.DIN0 � � GONSTRUCTION,ANOHEREBYAUTNORIZEflEPNESENTl1TNESOFTHISCOUNT�iOENTERUPONTHE Z ABOVE�4ENTIONEOPROPERTYFORWSPECTIONVURDOSES. COMMENTS � � S c.�� � �l � � � �� Q ¢ o uiTTEENIL � - - � . S—� � - (n 6iGHA7UREOFPE TTE DATE � � • RECPL N0. � PAID BY � VALIDATION . NMITE—Department Capy,YELLOW—Fnanea Copy.PINK—Asteasor Copy,GOLDENROD—File Copy.GREEN—Appllu t'a Copy . ..i^.r. .�..r�;M-�4•/.'e. 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FLOORJOIST-.... .. __.......--- .. ..._.. - ----- ---- ------ --.....� - FfGS/FORMSISTEEI- -- -- ' ' - - 'FHAREQMTS--- --� ' '� ' -- � - ' ' ' - ' ----...---- � ELECTRIC GROUND ".,�,��•;1`�� ' �:+ - •• � UNDER FLOOR DUCT � � �, -- - GROt1ND PLUMBING "` ._.. . _ �: :� : UNDER FL'OOR CUNDUIT - '- ` ' ' - -- � .',_ � �:�' I ' f•,��"t C� l,'i.{ 'i� :.. ": :�` .. ....: .: ... . •_. . - -- �� ..... . � . � � . SLAB GRADE.. . . " � �_.:• � FIREPLACEFOUNDATION- -- TEh1P.POWER:. _ . -.. .-:-__.- . _ _-__:� .-- - ., -�-- fIREPLACE B�ND BEAM :• • ' �-" —;' _:.t_ .,; ,. . :...:., � : . WATERSERVICE._.. ..__:... _ ... •.._ _ .. �. . . �,AIO HL BOND BEAM - -- . • _ ., ;., _._ . ._.. : .. ., � �, ROOF SHEATHING- � � � - - - - - a FT.�aoND BEArn � ��- � �� � � FRAMINGNENTILIATION �:.' � 'FINAL BOND BEAM - � - �- '� � �� � _ _ . ,. - - _ . :, 1 , . -ROOF COVER - -- - • -- _ ---....-- - - -- -.._._.._ - PRE-GRADING ,... - -- '�;�., i - ----. - .., --- - - - -- -- - ROUGH HEATING-- '- - = ' "-' - ` --'—' ' �ENCHING ' `' , - ROUGH ELECTRIC '----- �� - - - � - --; -- ' -- � ROUGH GRADING , ., ,.... ; �ROUGH PLUM6ING-1 - - --- - - _ -, ---� FINISH GRADING ,. .. , . . ,� ; SHOWER/TUB TEST , PDOL ELECTRIC • -EXT.LATH/SIDING - -- . __. _ _,_.._.._. .'-. FOOL FENCING ' , . • , . ` WALL INSULATION : - POOL FINAL • • • ! �' CEILING INSULATION OFF SITE Ih9PS. ' DRYWALL NAILING : DEDICATIONS : . ' • ' ; � . SEWER . - -- ----. !....- - ..-- - . - .--� .-: :.' _ ' -� FINALENG. „ ., , . : .SEPTICTANK -::- ..: --.- --- .`._`---:` . _ ...-_ . •. _._:. LANDSCAPElIRRIG. ' ` . , , ; � SEEP.PtT/L.L--`�---.. ..._..-- --- -- --- - - - - -:: . �... ON SITE IMPS. GAS AIR TEST � � - - � �- • -- - FlNAL ZONING "` ' FfNA�CONST.-;-----_� .__. _ .._ . . . . -:--:- , - -� --�--- - FfRE pEPT. FINAL - -- .- . ; :: FtNAL HEATING _.. __... . _ .- --- --:._.... .- - HEAL,7H DEPT. FIPIAL _; - -- - - - , , , � FINAL ELECTRIC - . - --- --- -- _. ..._.......__ . _.. DEV. FEES PAID , .. , ;, , , � FINALPLUMBING -- --.. . ._..-�- ---.... .--- - . --.. .... . �NFRGY , .. ., � ,;. � i. I ' -- � . .. ._ _ ' . . . + . � ,��_�, a�.�c,r= _ . . , _. . . ; , � . � . , � . . .._. . � .. - - ---- ---....---- -----._. .._. __. _ : _ ' ` COMMENTS ` �' ' ' : „ . ., . . ,: 1 ;;. . , -- ----------- — . ..__ ..__.. _. .. ------... . ------ . . . , ,... ,, _.. . i ---._._ _... ._. . . .- -- - --..._ - _ _ - ---- � '�, :`r. � . � i �_ .. ,. ' . .. . , i _.. __._. . ._. . .. _. . _._.�.. � . _ 5... � I � ' ' • • • ' . , . . � . . � �, . . . , I1 � . . . : . . . . , i , '__'... .,;_ . ... .' 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' -- - .. � `. _ - - -- - -- - - - � I _._._ . _ .---- _ _.. .. , .. �., . _....... .- . - - , .. � �. _ _ _.. � . . .. ......... . ... ..- --- --._..__...- -- --- - - -- �� 'C;� i . , , „. . . . � , . . , ._ , , , . . ... ''�9�1� � I i � . ,.. ,. . . . < . .. .. ...,. _--.. ....... .. . .. ....... .�.---- ; ,' . , . , � . ... . __.. _. __ ._ ... _. .............-.. II ` ' � , * . . _ _ . _..._ , , , . , , . i . �_ . _: . .. . . ; • -- - - - - - - " , . . , , . :�.�., r .. . :--: :' -_- ._.._�:•.:. .. _ . . _.. . ._ ... __... - .............. -- ---...._ ..�_. _._... .------- - � � � �