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HomeMy WebLinkAbout10821 (9) �__..._.. .._... .. ..__ ..---------�- _....... - ------ ---- - CITY OF DIAMOND BAR � COMMUNITY DEVELOPA4ENT DEPARTMENT _.c 21660 E.Copley Drive Suite 190 . � . � ` ��� PR ESS • (909)86Q3195 Paa(909)861-3117 ' ''�"� BUILDING PERMITAPPLICATION � FIRMLY � JOBSITE � APPLICATION � PERMIT � � � P!C o ADDRESS DATE NUMBER� M c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER " ADDRESS ZONING SETBACKS ' , � CITY ' ZIP TEL. REAR RW p APPLICA TEL. SIDFJSIDE STREET RW O � CONTRACT SI�E � O � ADDHESS � CITY ZIP TEL. PROPOSED USE o ARC G/ ' z� DESIGNER NO.DWEL NO. � NO. a ADDRESS UNITS STORIES BEDROOMS � CIN ZIP TEL N DESCRIPTION SO.FT. FACTOR PSF A0.1.AREANALUATION � Q OWNER-BL'ILDER DECLARATION SFFVADD/REM O p I HEREBY AfFIRM UNDER PENALTY OF OEiW1iV TNAT I AIA E%EMPT FROA1 ME CONTf1ACTORS LF Gafeps�CetpOR � � � W CENSEUWFOq7HEFOLLOW�N�pEA50H(SE470.11.69USWESSMAVROFESSIONSOOOEANYCRTON (n C.� CpU1ryWMICHREOUIflESAPERMITTOCONSMUGT,ALTER�MiNOVE.OEMOLISH.diRERVPMlYSTRUO � W Pafiolpeck � � 7URE,PRiOfl TO RS ISSUANCE ILL.SO REWIRES TH6 APPL1GNi FOR SUCN PERYIT TO FIIE A SICNED W � STATEMEM TNAi HE ON 6NE IS UCENSE�VlIRSUANi 70 iME PR]VISIONS OF TNE CONTMCTORS LF . � GENSEUW(LMAPTER�(COMMENCIMOWITMSECTqN70ooIOFON�510N]OFTNEBU9MESSMIDVHO- LL' P��P, FESSIONS CODE)OR THAT Hf OR SME IS E%EMPT T1ERffR0A1 AND il/E BASiS fOR TNE i1LLE0ED EXEMP• TION.MnVoIATIONDFSECT10N7071.68YM/YMPLIGWfFORAPERYITSU&lECTSMEAFPIICMf�TO Z Re-Roof � �cm�vfl+an ov raT woaE nur+rrve in�oaEo uauws nsoo�.�: � O�ASMVNEROFTHEVNOVEHTV.ORYYEMPLOYEESMnTHWAGESASTMEIRSOIECOUPEHSA710N, 0 CW�IIMfCIeI - NnLL 00 THE WORK,AHO THE STRUC7URE IS NOi WTENDED Oq OFFERED iOft SALE(SEG 7oN.BU51• J NE55 AND iHOFE55qN5 COOE:ME CON7MLTORS LIGENSE UW DOES NOT APPLY TO AN OWNER OF � N PROPERTYYN�OBUlD40qM�ROVESTMEREON.ANDNMOOOESSl101M/OPKNIMSELFORMERSELFOR = Q TXRDUCMNISOfIMEHOM'NEMPLOYEES.pFi0N0EDTNiSUCMM7ROVEMENTSARENOTMENDEDOR m . . , W OFFEAEDFOASKEIF,110VVE�'Eq1HEBVLDWOOR�u7ROVEMFMIS4q.DWRYaNpJEYFMOFCOMRE• ' 0 iqN.THE ONTIEA�BUILDER MnLL H�vE T11E BURDEN OF iROVNO iHl1T ME OH SME DD NOT BUILD OR j WviqVEFOHTh�EiUiWOSEOFS/LLE} - - O�AS OWNER OF TNE PROPE�RY./W E%CLUSNELY COHTRACTH0IMTH UCENSED CONTRAC70R3 Q TO CONSiflUGT 7ME iRO.1ECT�SEC.7W{.BUSINESS 11ND YROiE551pry5 COOE:TME LONTNACTCIA3 L4 v0lllYll011 /�Q�.�i� W CENSEUWDOESNOTMPLYTOANOWNEROfAPROPERTYYAIOBUILDSORIMPFqVE9T/EHfON.ANO � 1NqCOMMtt9FOqSUCNDR0.1ECT4WITHACDNTMC70R(5)UCENSEDVuf15U.wTT07NECONTRAG. OUANTITY DESCRIPT10�1 FEE � TORS LIGEnSE UW.I. .. . J 0 OIAIAEXE4FTUNDERSEC B.IP.C.FOHTW511EA50N C � U R k" DATE �NT1ER V . W �¢ LICENSED CONTRACTORS DECLARATION w (L �MEREBV AFfIRA/UNDEH PENALiY OF PEiWRY iMA71AA1lCEN5E0 UNDEH iROV1510NS OF C1IAFTER V. (1 i(COAwENCwO WITH SECiqN 7000)OF D�ViSqN]OF THE BUSINESS AND pROFESSiONS COOE,AND � Z X MYUCENSESWFULLFORCEANDEFFfCi. � � LICENSE SS LIC.NO. J V DATE � CONTMCTOR � a W � WORKERS'COMPENSATION DECLARATION a N 1 HEREBVl1iFIRM UNDEH GENIITY OF PERIURY ONE Of TFIE FOLLOWWG DECLMAtIDNS: U N Z Q � �IMAVEANDWILI�NTNNACERTIFlUTEOFCONSENTTOSEIF•INSl1HEFORMIORKERS 2 � OOMPENSATqN,ASViIOVIDEDBYSECTION77000FTNEtABOftC00E,fORTHE7EHFOMW/CE W OF TME WORK FORNRIICH TNIS PERAUT 45ISSVED. � � W �,1 NAVE AND VY1LL�PlT�a1 WORKERS'COMPENSATIDN INSURANCE.A9 HEIXIIRED BY EECTION � Q77000F TNE LABO�i COOE.FOR iHE VERFOfiMANLE OFTHE WORK FOR WHIp/iXIS iERAl1T 15 � � 65VED,LlYYNW(ERS' oEN ATIONWSURANCE RIERAN OLICYHWBERME: CONSTRUCTION ' � LARRIER PLAN REVIEW � POIICYNUNBER ELECTRIC ' � � fMs3ECroNAE�MOTBE�.FtE7m0ihEFE�Mrt6PoRU+EHrDaEDDOIlkLSp+aNORlFssl .LUMB�. Z I CEa7�FV iHAT N THE�ERFOR4ANCE OF TNE KONK FOR W111CJ1 TX6 iEHAIIT LS ISSUE�,I MECHANICAL U' SHALI.NOYEMPLOYANYiER50NWAN1'MANNERSOASTOBECOFIESUBJECTTOTHE N M/ORKERS'COMCENSATION�AWSOFCAL�Fd7NIAANpAOHEETUTIfI5M0UI.DBEGOME INSPECTIONFEE �` S SUBJECTTOTHE�MW7KER5'COIAPENSATIONPNONSIONSOFSECTIDN770aOFTNEI/�BOR ISSl1ANCE '� ' �J' 000 ISWLLLF TNCOMPIYWITHT�Q SE�PNO�SIONS. nry — O �//� J� T � p DATE:���'1,PPlIGW7: _�1 /(//l� SMIP �1�, I���QQ W ENERGY P/C WMNINO�iAIIIRE TO SECUfiE YK)fV(ERS'LOMPENSATIDN COVERAOE IS UtiAWFUL.II�D SH�LlBE �y SUB.IECTAHE4PLOYERiOCWMNALPENALTIESIWDpViLFINE4UPTO0NENUNDRE0TH0U5IWD ENERGYPERMIT OOlURS(f 100.0001.r1 ADORION TO TNE GOST Oi OOUVENSAT10N.D1�.�AOES ILS YHOVDEO FOR IN � SECfiD11770eOFTMEUBORCO�E.NTERE9T,AN0l1TTOHHEYSFEES. � RETEMIONFEE' � � � � a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � O CL �NEREBYAFi1RYUH0ERGENALTYOFPERAIRYTNATTHEREIS�C�ONSTRUCTqNIEND�NOAGENCY nz- FORiHEVEFiORAUWCEOFiHEWORKiORWHIpITHiSPERMITI5155UE0(SEC.aoo7,dV.G1. , W i � LE'OER'S NAME � LEHDER9ADDRE55 - � � � W1 CERTIFY TNAf I NAVE PEAO THIS APPLKAiIONANO STA1E T1UT TNf�OVE NFORYA710N LS GDRRECT. TOTAL FEES , � a f� �'�� ' � 1�GREE 7U COV PLY Nn711 ALL CITYAN�COUNTY ORDPLW GES�A STATE UMiS NEUTINO TO BU4D�NO v V OONSTfiKT10N./410NEREBYAUf1qAREqFORE5EN7ATNE50FTwSCOUNTYTOEMERUPONME , , . � ABOVE-MENTI0NED7ROPERTYiONWSPECiIONGUR705E5. COMMENTS o � _ 4 vEnuirrc¢ � ' � � (A BbNAtt1NEOFPEFMI EE 1 � � S RECPi.NO. PAIO BY � VALIDATION� �� ., .WHITE—Dap�nment Copy,YELLOW--Finanos Copy.PINK—AtuuaCopy.GOLDENROD--FIM Copy.GREEN—Applant'a Copy , _ . - •,. :.�-�' .. -. ....;' - ='� -� . , � , , y. ... , � f =f':-� ..��. ..t:p'.' .. .. . ._ . �' . _ ..� ..... .. � .�..� ���� . CITY OF DIAPJIOI�lD;[3AR�! �'' ��'�7"��'� . . ri. :r� .,. i�t:� i:•�1. -) t.�:.. _ .. ',__. �:: . �g� ' ��VSPECTION REC4�RD,: :_..-� �''"�. ` , ' . *' '�-'�t i��'r �� ,'., .�..�•,� ...� �1�.�-�►��c,`''�l�)� ]';;V�:a °.I►.I���.����r. _�-.���'V :.�-�i���'.'��.����_�+��+! �f���� �Rli� y��'�''F'�'1�1' i -- �-' �_._.�.��. — -- �- _ SET BACK ., . - - _:, _; ---...__.. .;-_;. ... -- - FLOOR OlS7--=�- �- -�---- �- �--- ------------ - ---; , FTGSlFORF,ASISTEEL --- --_.�.. ...; _.. _..--------- - = FHA RE MTS' . . --- �- - .. . .. � -, ;�; '- 1-F--- --- � . ELECTRIC GROUND . � .� � 'UNDER FLUpR;DUCT ;��, ; , � ; � • �• GROUND PLUh1BING • ' -`- �� - - --- --- , . ' UNDER�LOOR'CUNDUIT �:= .1' ' - --- --.-. '- �.! .; - ','��= ; '1 .. .... _, . -- ,. . , SLAB GRADE-----"" --- --�-... _. �_ :' 'r•: _:.' FI EPLACE FOUNDATION..-_- -,-•..----• - - {-----�--- -- -i •' TEMP POVUER---- - � �� �- - - --- --:..--=--.. . _ ___.: _ :FIREPLACE BOCJD BEAFA ,.,:1 .� a.t..-'.,,=• .: -.-.• . ": :•. ,;.•;•: ; � _. ,. . � � . . �� .. .. .. � .. WATER SERVICE __..._ :_ .:__.:._:.._ . ..., - ------:; � ...: . 'MID HT.�BbND BEAM, �':;� �,;,--_ _,_. . - •:..; -�. -.'� •.•T��� I •� ROOF SHEATHING - -- � -- -- _ _ _._ __.-. 8 F7.BOND BEAM " �:-.'._':-•`,". � ��-� FRAMINGNENTILIATION , . . � ' • � `FINAC BOND BEAD.4 -""--�""" ' --� � "— ----�--'•.• : :-,: I �� ROOF COVER --- --- - �---- -----,--.- ------- -PRE-GRADING. _ ...-- .;-: � _. _. ° .- � �.. ., , ..... ... ... .. .........--------- .,�� � ; -- -- ... _ . ,. ROUGH HEATING-------, �_ ,..�-:'-_ __!-_�:'.:.!._-�_' '� .BENCHING ;. .,.._. _:�. .. : _..._._._. � ,_. ROUGH ELECTRIC -�,--- -------- �- �--- �-���-•-���- �� -ROUGH GRADING . ! � ,... . . , . ,. , . . . ROUGH PLUM8ING �� "-'----� - "-�-`-'-�-" FINISH GRADING ` ' " ' ' ' . . ; . SH�WERlTUB TEST; -- --- ---�--._ ...----- -,-------.. . _.. POOL ELECTRIC:..: . .. .. . . ,. .:- , .,., .. . . . ( � ... . . .. _ • : �..- EXT.LATH/SIDING- � - ---- ------- ------;-:: POOL FENCING :: •., , ,.i'.:,. ., : ,...: .. .,. ,.: ,. . -,'.•... ; I � ; WALL INSULATION ; ' , . , ; • ...: . PODL Ff NAL . , , .. : . . ,. . , . .�: .•� . � �•.•; -, � �:, CEILING INSULATION OFF SITE IP.9PS.." " - ' �,': � '.,' ; �:: . . . . . . •.. ... ... ,.,.. . ...,. .. .. .. . „ �. .. . - DRYWALL NAILING I � DEDICA710NS :.: ": ";` . �.:'. - ., . .. . ; � . SEWER- . � � � - . - -FINAL ENG.. , _' ,. , �. � _ ._ .__.: . . -- ----- --------- -- ..__. ._._ . . . . . . . .,.... , . .., . .. . � -- ' . .LANDSCAPE/1RRIG.. ` SEPTIC.TANK..=: : -_:.:__ -=-'-=`-� .. , ..: . _ .. ._.._ _ . �.� � I' . .. . � SEEP-PIT/L:L'_: .......... _.. .. _.._. _.._ .. .-�----- -----�—�:.--- -ON SITE IP,APS. . , .. , ,; _ . � -� , .. �• ... __ . . .FINALZONING '" , � �:...,:::._,::,,.,�.. , , GA5 AIR E - ------ ----- - - -------•�--- � -- � - --- ---- -�-- } : FINAL CONST. ;------- -------� ---------,�-- .. .-- - FIRE DEPT. FINAL- - __ .... .... ..--- - i �' � .. ,... FINALHEATING-- -- . ---- --------� ---- -HEALTH DEPT.�FWAL-;:- �-- _....__._ ....-- -._. _..--- ----..- ----..... - ,; , � � FItJAbELECTRiC----- �--, � --, - , - -; ;� -i -�� DE�. F'EESPAID � , :, .. ..: , :::.,,��...:� . .,.-..•� � � - . . . ,...._ .. .r.... - � - - FINALPLUMBING � � �� i ENERGY ' � ��� �� - �-• � � ..� __. � .t: ..� _�1 _.. -- � � -' - ... i � i - t,�� r:,C��.�.F � . � ■-, - �. . .- - • . .. { . ,.,. 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