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HomeMy WebLinkAbout10111 (9) , . _ . . . - + - - - CITY OF DIAMOND BAR • � �� COMMUNITY DEVELOPMENT DEPARTMENT .,,.G 21660 E.Copley Drive Suite 190 . . . � (909)860-3195 Fax(909)861-3117 ' PRESS '�'� BUILDING PERMIT APPLICATION FI RMLY � JOBSRE �j st� APPLICATION PERMIT -�---�-F— P/C < AQDRESS ���0 0�• �aQi7�1/X�I�� A o DATE NUMBER N $ ISSUE TYPE OCC APN OT TRACT DATE CONST. GROUP p OWNER Ll.t� , p ADDR S ZONING SEf6ACKS , $ C ZIP L TEL �' , R�R RW a g APPLICANT TEL SIDFJSIDE STREET RW p � CONTRACTOR . . . I�C: SIDE p o CI6nDrRESS '' • TEL � PROPOSED USE w ARCWENG/ flUt�tiH�'NS�- . ,��', DESIGNER NO.OWEL. NO. NO. a ADDRESS UNRS STORIES BEDROOMS � CfTY ZIP TEL � cn OESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q ONMER-BI;ILDER DECLARATION SFRIADWHEM O p I HEREBY AFFIRY UNDEH GEHALTV OF PERR7M THAT I FM EXEMPT FROA1 THE COHiMGTOp4 l4 �n�.��h W CENSEUWFORiHEFOLLOWINORE� (SEC.70.71.6BUSINESS�APiIOFfS5iOH9CODE:ANYqTYOq (n � � � C-) CQMYMMICi1REOURESAVENM�iTOCONSTRUCi,KTER�VPFqVE.pEYOLISM,OqpERUR1INYST1iUG w P�1�k , . � 7URE PRqii TO RS 65UNYCE.AL50 REWIRES iHE APttICANf FOR SUp1 PERMIT TO F0.E 115iGNED w � � 6iATEMENT THAT HE OR SHE 6 LICENSED PUNSUANT TO iHE PROVIS�ONS OF THE COHiMCTOR9 Lti - ��� CENSEUWICII�PTERY(CCMMENGWONTi115ERqN7oDo1�FDM5qN]OFTHEBU4INESSIWDPRD� u" POOVSQ9 �� �' � FESSIONSCODE)ORTNA7HEORSNE4SEkEMPTTIIENEFROMANO7l1EBM1S15iORTNE�LlEOEDE%EYR C7 TqN.ANYVqLATIpNOFSECTqN7071.6BYAMlAFVLICANiFORAPERMITBUBJECTS7NEAPPLICANTTp z pB•ROOI ' � ACMLPEH�L7YOFN0T1.10RET1UNFNEHUNORE�DOLIARS(i5oo�.): � OL.��WNEROGTHEGqOPERTV,ORYYEYGLOYEESWIiHWAGESASME�N50lECOYGENSATION, L.����y� WILL DO iHE 1WPoC M!D TNE STRUCTURE IS NOT NTEHDED OR OiFERED FOR SALE(SEG TON,BUSti �J � NESSA/O i110iE5510N9 CODE TIE CONiRACTORS 4CENSE UW DOES NOTAPPLY t0 AN ONNER OF � . PROPERTY NMO BU0.D5 OR�APROVES THEREON,AHD 1N10 DOES SUp1 NUqK H�NSELF OR HERSEIF OR � THROUCMMSOqHEROKNEMPIDYEES.PRd'nDEDT1U175UO1�APROVEYENTSARENOiMENOEDON m 0 OFFEHEOFORSALEIF,110WEVEitiMEBUlDwOORM7ROYEMEHi1550LGWRNNONEYEAROFCOMPLE• � Z TION,THE OwNEREUI�ER MnLL HAVE iNE BURDEN OF PpOV1V0 7HAT HE OR SNE DD NOi BUILD Oq � Wi1qVEiORTMEpURPO5EOF3AI.E} _W ❑tASOWNEROFTHEiHOPERiY,AME%CLUSNELYCONTMCTNOWfTMUCEN5E000NTMCTORS , Q TO CONSiRUCT THE PIq.IECf ISE4 TW�,BUSMESSAND PNOCE5510N3 WDE:T11E CONTRACTORS L4 V9�U![idl ADJ.AREA W CENSEUw00ESNOi�PPLYTOIWC�VNEROFAPROPERTYYrt10BUMSORMPRpVE4MEREON,MlD Z N110GOMMCT9iORSUCIIVRQIECTSWIT/ACOHiRACTOP(SILICENSEDVURSUANTTOTIELOHTqAG pUANTITY DESCRIP710N FEE � TORSLICENSEUW.). � �• � , O IAA/p(E4PT IXlDER SEC. B.�P.0 FORTHiS REASON ' � 3 ' U LL � OATE ONMER � � W � LICENSED CONTRACTORS DECLAHATION w � IXENEBYAFilRY1J1JOERVENAITTOFFE0.A1qYT/UT1AlIL10EN5EOUN0ER►RONSIONSOFCMAFTER � � . . � i(COYMENdNOYV17F15ECT�ON700o1�FDM5�ON10FTNEBUSINESSANDP110FFS5pN5CODGAND Z ��� MYLICENSEISNFlALFORCEANDEFFECL m � � LICENSE CUSS /_� UC.NO. J v o�re �/7—gG coNraacroa o. w � WORKERS'COMPENSATION DECLARATION � � IHEREB�AFFUiA1UNDEpOENALTVOF0ER7URYONEOFTIEFOLLOM/WODEClAMT10NS: .rzV 1 � �IHAVEANDWLLLIAAMT�IN�CERTIFlCATEOFCOHSEMTOSELFJNSUREiORWORKERS' � � .. a C0IAVENSATION,ASVHONNDEDB�SECTqN77000FiNEUBORCODE,FORiNEPERPOfM1FHCE W r Q OF TME YJORK fOR WHIOI TN5 VERMIT 6 ISSUED. � � � ��M�YE�NDW�LLAWMAOIWOWtER3'CdAPEN5A7qNIN5UR.WCE,ASREOUIREDBYSECTION 0 �700 OF THE LABOR COOE.FOR TME FERfORYFNCE OF 7HE WOp1(PoR WH1p1 THt9 PENMfT IS � ISSUED.AIYYVDIMERS'CdAPEN5AT10NINSUMNCELANRIERMl�POIIC/NUE�BERME: CONSTRUCTION � ur�wen PLAN REVIEW �( �;J 0 POIICYMIMBEN ELECTRIC � • "- 0 R�sEera+�nareem.a�rmoF7�vEw.�rsa�aa€K�edmoa�sR+�l«+tml PLUMBING w �` y ICERnFYTHATYlTHE►ENFORMANCEOFiMEWONKPoqYM�dihnSPERURlSIS3UED,1 MECHANICAL C7 SMALLNDTE4PLAYINYPERSONNANYWWUEHSOASTOBECOMESUBJECTTOTIIE N WORKERS'C0IAPENSATIONUWSOiCAL�FORNiAANDAGREE7Wi1FISNOUIDBECOME INSPECTIONFEE_ - S SUBJEGTTOTMEWORKERSCqAPEN5AT10NVROVI5iIXI50FSECT10N770oOFTHELABOR , I�FORiHVrtTNoorav�rvnn+rrgq[v isiorr ISSUANCE � O !J(� oATF: � � APPIIGWT: a SMIP � WARMN(i:iAt.URETO SECURE WORNERS'OdAPENSATION COVERAOE IS UNUwRI�AND SNN.LBE ENERGY P/C I �y SUBJECTANEMPLOYERTOCRIYINAI.FENALTIESANOLMLFWESUPTOONEMJNDREDi/qU5A10 ENEAGYPERMIT � DOlURS(i 1o0.0W),N ADDI710H TO iHE COST OF GOMPENSATIDN,D�4AAGE5 AS PNOVWED FOfi W � 6ECTIDN]7010FiHELABOACO0E.H7ER[ST,AN�A7TOiWEYSiEES. � - � RETENTIONFEE: � � CONSTRUCTION LENDING AGENCY PRE•ALT FEE C� INEiiEBYAFflRMU/AERiENALTYOFPEM1RY1/NTTNEREtSACONSTRUC710NlENOWOACENCY � ' , FOR iHE PERFOiYAFNCE OF iME WORK iOR Nn1Ip17MS VERM�T IS i55UED(SEQ i�a7,CN.C,G . � LE�DER'SNAYE I �S LENOERSADDRE54 � `+ ICERTIiYTIUTINAVEREMT/LSMPLIGTqNANDSTAiETU1iTMEhBDVEWFOiiMATIONISCOflRECT. TOTAL FEES � a�/-r d IAGREETOCOMPLY1N7/1ALLUTYI1NDWlMTYOROIWWGE5MID�T�7FUMISREU7RMTOBNLDINO - . � COHSTRUCTqN,ANDMEREBYAUT1qWZEAEPqESENTA7IVESOFiNI500UNT'TOfMERUPoN711E . � A80VE#1ENiICNEO 7POVERTY fOq INSPfC710N VURPQSES. COMMENTS � J � m VFMMTTf E NM/E(FR1Nn �6�C.vCJ /�//�V � . Q Cn � • N pp1NTUNEOFPEHM�T7EE OAfE � � ' RECFi.NO. PA1D BY VALJDATION HMITE--Ospartment Copy.YELLOW-Fh�nos Cop�G PINK-Anesaa Copy,GOLDENROD-FIN Copy,(iREEN-ApptlunYs Copy . , . ,.., ... t.t;� -"'.'"7,1.�.'�,r�.��•.;.n">�;�;;.:.'rs ,,i•. , .�.i: :�.. ,,r`. 1y.i .�. .�,.�., l .<•�� +�. a.=' . � ............. , . , � , .. .. r � .. o _. .�.•.,.•:.�.. �.•:'� �,,.�.�.z... . � . ,'rr , f ..�PY:1' ..•Y,�>y'7 P �r�:i•i� � ��-��`i )1Y7'�.`:'•L.. :j;�i43•-a,. . �n.':,... ...o'.K-• . , , .5��� . . . .,r�.� , . d'� , . c�-y j �� _ CITY_OF DIAfI(I�ND Gi4R .`�,��,.r�: �� . 1,. .��,,..,_:.� - ..i �����,::.;�� . ;�.� � - � . � � ._..' . INSI�CCTIO�� REC�R� �� � , `�• �. � :['.' .... � . . . .����'.�J:'1':� � ' . .... .. e ✓_.:�1,% � �.f i 7 I. . ...1 C�'• .� I i i , _ I►���:a�c':KC�►;�� ;•;�.�,};,1��_ ��►'.��____'��c:!4r�.=� � II►��:i;�`�i�+l� ►1, �ey����:; �. �1i�'������=�.!'�a;�{` � SET BACK-.--- --.._ ,. �_ _ � _ . _ -�-_ ._ . �:...__. �_ _.�L--- --+a:�'_*.�etl�_�..�.�...�__.�.,_..---.. ��_};'i...^.:._._�- �,, `�' ,�� ��.�`��- FLOORJOIST- ' FTGS/FORPIISlSTEEL-.._ . �. .•�..� -----�----''-....---- = 'F'HA REQP,ATS---- --•- - ,... ., _ . ..•�'\-._-. .c.'�.:� --- . 1 : ELECTRIC GROUND �'•�' :�.:. :UND�R FLOOR DUCT �;_ �•�;��;�. ;.,.. GROUM1fD PLUPABiNG " -------- ---_ _-�--- ';.:;,', ; UPJDER.FL`flC�r'�� �1DUIT � ` . ": �:: ��, I �. �' .\��:' _ �; .:,`.;,__\\`„�:�-;�� i �. - � -. -,,;,r;=;:..,_.. ., ; SLAB GRADE-�----��° --- ... --- - FIREPUlCEFOUA�DATl�N"i--- -, -:-; .-- --_- - �----- ; = � —` ' " T7�•,�.7:�c ._. 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ROOF SHEATHING--- - - --�-- - ---------- � 8 FT.E30ND BEAM •;,; , ., � ; ; FRAMINGNENTILIATION .__ `��.• �=�� ;FIN.AL' B�ND-BEAF�1- - -`�� --- - - -- ` �---' _... i � --- . ----------- - - -PRE-GRADIPJG_ _ �_. _. . `'' -- ------- - --�---� 'r;�_ � .� R�OF-COVER_------------ ---- --------�- ROUGH HEATMG! �, .�� :,_:, I--�=:`.�,-;- ' ' ' ' ... - - - -.... _ _. . �� -BEfJCHING � _ ... .. . _ __ . . = --- -- , , - ------- i .._ ..... , . .,...,,...:,, ,, -ROUGH ELECTRIC--;- ------�- -�------ --ROU ,y GRADING , ,._ , ., � � :. .,.., .. . - i `; ......_ --�.. ,.;: : :- ROUGH PtUMB(NG`i--" ----- --- i- . , FITJISN GRADING :' ` ` ' �: ' � �... _ . .. , �. SH�W�RlTUB7EST-i__.. --------- ;---------,-._��.f� _. ,P.ODLELECTRIC.. ....:. . :...:. ...... . ,: - .., :.:., .;;. . .., i :, , . ,: �,� . . . _... , P.ODLFENCIfJG ;.;: �.... ' � ' ' - -- � - --_._.._ . _ i i � � . , � WALL INSULATION . , I � PODL FINAL- .:-; . ,. �,. -. ! ;; .. . _ CEILING INSULATION � I OFF SIT�IPAFS. ' ; ` - � ' � '� �•'"' ' i � DRYWALI.NAILING � ! DEpICA710NS •. . . . � � ,.� _ _ • . ,.,. , , SEWER.�-----------�..__I__,_..--- �-------�- �.. . .FINAL'ENG.., ... ,_ ; .,. , . ; ...., . _.. . . ..... ...... , . . . ,. ., ,. , .. SEP_TICTANK_.=-__.:_:. . ._.._-=��'--.. _._::_._...-.__::.-___.�__ . _CANDSCAPE/IRRIG. - ,. - � , .. - � � , _ . .. SEEP.PITIL.L:...;-.--..--.--- .-,-- , ." ,. ; '.". ON:SITE IMPS: . .: .. � ; GAS AIR-TEST. --...---._. ...------- - ------ ;- FINAL ZONING= � � , , ,., � - � �,� . . I FINAL-CONST.-- - --- ---- - -- -�--- FIRE DEPT. FINAL - -- _ - - ' • _. ... ,-•, i '.' - FINAL-HEATiNG---- -- ---- --------;------ - -HEALTH D�PT:FIPJAL;.-.::,--. --.,:: ...;: ,--. - : -- -- --- . --� : - . --,--�- - -DEV F=E :FINAL'EL`ECTRIGt,�:-�: ;�,,i;----: ;;.-- �`. � ES PAID �. - . •� . . . . . ,� � ' FINAL PLUMBINGn - ' � _J . '� �. �— - ENERGY V , . . - .� � ; _. ,.... ... .. --- i �� i � __.._.._. ;`„'.', r. . — _ , • - . � _. . `' ' �= ` _ . . . �J_:f� c)c-u""=�r•�-�-.�-"-�—�.'t ---_..._ ... , . ._. . .. , �, I I _� =.�ca- I i�� � 1 . _ ---'-- . � ._ . ..�.,� . . �.. . -,.. .'-- ---�-'- ---- --_.. ..-' --`-� '--'--------�'----F-- � I I. i '. ___._ . ,; �:. 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