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HomeMy WebLinkAbout12630 .-- - -. .. i. CITY OF DIAMOND BAR• � • � � • -J� - DEPARTMENT OF COMMUNITY&DE V �� � 21660 E.Copley Ihive Suiu 190 . ' (909)860-3195 Fax(909)861-3117 PRESS �`^^��. SUILDING PERMIT APPLICATION FIRMLY JOBSRE APPUCATIO -� n PERMIT �'/C o ADDRES t' � DATE � v' NUMBER A �, ISSUE TYPE � OCC APN LOT TRACT DATE CONST. ' GROUP p OWNEfl a �.ADDRESS ZONING SETBACKS "' CITY ZIP� TEL � �' - FRONT �� p � APPLICANT TEL: REAR ❑ SIDEJSIOE STREET flW ❑ �� t' Gl! - SIDE ❑ CON7RACTOR � ADDRESS , PROPOSED USE CITY ZIP TELq � � DESIGNER -�'�C�i f�5 ��IL � . NO.DWEL � NO. NO. � ADDRESS � UNRS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SO.FT -FACTOR PSF ADJ.AREANALUATION � Q , OWNER-BUILDER DECLAHATION SFR/ADD1flEM -• - O p I NEHEBV AFFlR4 UNDER VENALTV OF PEiWM THAT I/JA EXEMPT FROM THE CONTMCTORS U• GdfBgO/C.a�pOA � LiJ� CEHSEUWFORiMFFIX10WNOREl50N(SEG7a71.68U5INE55AN07ROfE5510NSC00E:ANYCITYOR . (n . � OOIMTYWHIq1REOUW[SAPERURMCONSTNUCf.ALTER�vROVE.DEE�OLISH.ORREVA:RM7VSTRUC. W �P8110/DBCk � � . . � Tl1RE.PNOF1 TO RS ISBUANCE,AL50 REOA/IRES THE 1WPLICANi FOR Supi VERMIT TO FRE 1161CNED . . . -� -� " '-�"- -�-�-�' '-....� ... . .. � STA7EMENT h1AT ME Oii SME LS UCENSEC iURSUANT TO THE PROYISi0N3 OF TH[CONTRACTORS Lb W � � CENSE UW I�ER Y(CUMMENGNO N7TH SECTqN 7000)OF DMSION]OFTHE BUSINE55/viD PRO- u- PooUSPa FESSqNSCODE)ORTNATHEOi15ME15E%EMPTTMEHEFPOMANO7HEBASISFORiHEALlEOEDEXEMP• T70N.AHYVIOLA710NOFSEC'fION7071.68Y/NVAPiLICAHTFORAPERMITSUBJECiSTHEAPPLICANTTO � Z Re-Raof . � ACIVILVENALTYOFNOTMOHETHANFNEM1FID11EDDOlU0.5p5oo).} , � Ol�`�MIEI10FiHEPROPERT/.ORUVEMPLOYEESMnTHWAGESISTHEiR50LECOMPEN5A710N, 0 COmrtlOfGial � ' 1NLl DO THE WOf W/�nD iME STRUCiUAE t5 NOT VITENDED Oft OFFER[0 FOR SALE(SEC.70a1.BUSI- J � NESS AND YROFESSIONS COOE:TME CONTN�CTOR9 L�CENSE U1N DOES NOTAPPLY TO/N OWNER Of ? . , , iROPERTY IMIO BUlDS ON MPROVES TNEREON.IfD`M�O DDES SUp/YIORK MMSELF OR HEfiSELF OFi � � 7HROlXWM50qHEROXMEYPIOYEE5,iR0VDED7HATSUCHMPpOVFMINTSARENOTMEMJE00R m , , � � .OFFEREDFONSALE�F,NOYIEYERTIE&1LDWUORMPROVE4EHT650LDW17HINONEYFAHOFCOMRE- - TION.THE OWNER�UIIDEN NALL MAVE TME BUi1DEN OF GqOWlO TMA7 NE OR SFiE DID NOT 9UILD OR � IIAPROVEFORTFIEPURPOSEOFSALEI ' � W OL�4�MNEROFTHEPROPERTKMIEXCLUSNEIYCONiMCTNOVrtTHLICENSFDCOHTRACTOFS � � TO CONSTRULT iHE PNOJEGT(SEG 7oN.8U4INE5S AND GROFESSIONS CODE:THE CONiMCTORS Ll• VelU0ti0f1 A0.1.AHEA CENSEUWDOESH0T/1PRYTOIWOMMEROFAVROPERTYWF70BUIL050RIMPROVESiMEREql1WD WNOCOHTRACTSFORSUCN7RQIECTSWftHACOHTiUCTOR�S�LICENSEDVURSUMITTOTHEWNTMG pUAN71TY DESCRIPTION FEE � TDR4 LICENSE UW} /'/ / /� / OIAYD(EMPTUNOERSEC B.1V_GFORTHISREASON U � � W����• � O�i � U u" DA7f � (C OVYNEII � l�I�. - � . . . /` / . . - . . 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J , V DATE CONTMCTOFl a W � WORKERS'COMPENSATION DECUTAATION � . = U N IHEREBY/FFUi4UNDERPENALTYOF0E0.R1NVONEOFTNEfOLLOVYINGDECLAWI7�ON5: � � � � � ' � N Z Q G _I/uYEANDW�LLMAMTAINACERTiFIGTEOFCONSENTTOSElFdNSUREFORWOIU(ERS' 2 � OCMPENSATqN,ASPROVOEDBYSELilON770oOFTHEUBOFiGOOE,fOfiiHEVERFORM�NCE w � OF THE WORK FOR YMItl/TX13 VERMR IS ISSUED. � � �I I/�VE AND WILL 61ARRAP7 WC%iKERS'COMPENSATION INSURANCE.�5 RE WIflED BY SECTqN Q �7000FiHEUBDHCOOE,FORiMEVEHFOfWANCEOFTMEWONCFORVn11G1THi5PEpMR15 ISSl1E0.A!Y Ypi1NER5 COMPENSATION INSU(WKE CARRI[RAND VOLICY NUMBERARE: CONSTRUCTION . _.___. __.. ._ . ...—_-._..____. . . __ ......... ... ... . . . . _ .. ._. _ . _. .. _. .' ..._._ _'�' "' ' . � CAAfiIER P VIElN ._- Zvaicrriu�e[A E ¢ � 0 (M165ECTpIHEmN0T8ERMi1.EiIDoFMVEA.RsfaRCN[IM�DPIDOotuFiS(siaqORLEss? PLUM�I G � Z 1 CEATIFV iHAT NTNE PEPFOHMIV�lCE OF ME N'ORIC FOii WHIC11TMI5 PEw�R a ISSUED,1 A� � (') SHALLNDTEMPLOYANYOERSONNANVUANNERSOASTOBECOMESVBJECTTO7ME � YIOWCER5CdAiENSATIONUwSOFCALIFORNIA/NJACREEIH�TIFISHOULDBECOME INSPE FEE S �SUBJECT70TMEWORKEitS'COMPENS�TION7ROVISIDNSOFSELT�ON�70aOFTMEU80R � � cooe.�s�wlcoannVin�COrdvLrwm�nasevAov�sious. SSUANCE �0��1]��L]Q o ` 'f�f , v �v � p DATE: • w � APPLICAM: � ' � SMIP. . � WARNINO:FAM1URETOSECUREMAFIXEHS'COMPEN511TIONCOVERAGEISUNUW S�uLLBE ENEHGYP/C �iTV�;��e�Btl�k (-y SUB1ECfANEMPLOVERTOLRIAIINALPENALTIESANDCMLFINESUPTOONEMJN�R TFIOUSANO ENERGYPERMI aa 1 �r� ���(��7-�+�J OOlLARS�i7oo,o00),IN AODITION TO THE fAST OF COAAPENSATION.DAlAAGES AS PROVIDED FOR IN ����II,��-'jyYf iY�7f'if'E3't'-1 � SECTqNJ70EOFTHEUBORCOOE,INTEREST,IWDATTORNEY5FEE5. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IHERLBVAiFIR4UNOERVENILLTYOFPE0.IURYTNATTHEREISACONSTRUCTIONLENDINOAGENCV .. FOR THE PfRiORMANCE OF THE YVONK FON M�NiC/l TMiS OERGI715155UED(SEG]OG7.CIV.G�. � � LE�IDER'S WVAE � � � � � IENDER'SADDRESS w ICERTIFYTHATIHMERE�DTM+MVLICATIONANDSTATETNATTSl1&JVEWFOR61ATqNI50DRRECL TOTALFEES ' � IAOREETOCOI.�GLYWITIIALLCRYAN�CIXINTVOHDINANCESM105TA�EUwSREUTYKiTOBUILDINO , �2 /� CONSTRUCTION,ANDHEREBYAUT110N2EPEPRESENTATNESOFTWSCCUNTY7DENTERUPONTME � �� S� MOVE�MEHTIONEOVROPER7YFORWSPECilONR1RPO5E5. COMMENTS � � 9 C�CILIA ���Na � Q VERYfTTEENAIAE(VRIHn_ • _. f( �b /)(� .. O' l l ,���J � N � SK. RE F�vERMi7iEE � DA E � . RECPT.N0. PAID BY VAUDATION WHITE-Dep ent Coa�,YELLOW-Finence Copy.PINK-Asxnsa Copy,GOLDENROD-File Coq,GREEM-Applicanfe Copy r ,....��.,.� ...�... .,,.�r... .,. „_ .,_ , • , � , . • , . . .. ._... _ .. . ..,... , -- . • CI F DIAMOND.BAR :� ;_�:;;. •;-;�, _ . CTION�RECORD�'' - ��� � � _�..._. . , ' .,: .. .. ; , .. .: . . F 6 i � i ' 0 � � � ' 5ET BACK " . ! ., - i � . . ,FL'QO�.JOIST•, '��..',� t. . . , `,-� . �_ . . '. • ; = ., . . . . FTGS/FORMS/STEEL -�'�"• FHA REQMTS-- -� ELECTRtCGROUND -- " - :- - --. � . - UNDER FLOOR DUCT, , "--,: - • ' � ' . - , , - GROUND PLUMBING � -� _UNDER FLOOR'COMDUIT . :``�'�»�,-;•. .� . �.';'_�� - " _ . . . , SLAB GRADE__. .... �.+_Y._,(,..,.�,'i . .-. - -- - �, : . i FIREPLACE'FOUNDATION!` � •.=.� . � �. . . . , _.__ :�.. , .- . .. , _ • . ,�:-•-_ • : � TEMP POWER �--� ' ' •- ' �� ��` � ' ' FIREPLACE BOND BEAM = -- - _ _.. . __ � . WATER SERVICE -`�'''" i`�i i - - - - - "MID HT. BOND BEAM • ` � '� - � ' , ,. . .. .. . . ROOF SHEATHING .... _ . _....._. . __. .. �.. :: �. 8 Ff.BONb BEAM . ,,-;,, � ;. , . ,,,; �,. - _• ,,•. _...:.�_� � . .::, � ;_ FRAMINGNENTILIATION FINAL BOiVD BEAIv1 �� f ; _. ROOF COVER `. " PRE-GRADING - • �.. ; � ' ROUGH FiEATING- - - -. . - � - - . - - - -- BENCHING . ,'. ROUGH ELECTRIC " " - -- -- - � -� � -ROUGH GRADING • ,.• . I `�' ROUGH PLU�,ABING-.- ---- - - -- - �---�- -: �. FINISH GRADING , , , , . j �. SHOWERlfUB TEST -- --- - -- � - -� -- POOL ELECTRlC • - " � EXT.LATH/SIDING �� : P�OL FENCING .: ' ' ' WALL INSULATION , POOL FINAL ' • � . : CEILING INSUTATION OF.F SITE IMPS. � `; �" DRYWALL NAILING ' DEDICATIONS SEWER ' FINAL ENG: . . ' � _ . . . _ .. SEPTIC TANK. ._. _ _..l _ _. _.... _. _. . :.. _.._.. ._._ LANDSCAPE/IRRIG. ' � SEEP PIT/L.L. - -•- � ON SITE IMPS. ' .• ,. . � , ,GASpIRTEST!.,-:. �, _�. -- _ , . , � , ; -,� FINALZONING � � ��. ;FiNAL;CONST:.� ' ' �"� _ . ; ;:i:� ',, • -,''- --�' FIRE DEPT.FINAL , FINAL' HEATING -� -- --- ` ' '' � ' � ' ''�-: -� ' HEALTH DEPT.FINAL• • . _. . . . .... .. FINAL'ELECTRIC - - ---- -� - - -- - " " " DEV. FEES PAID - - - - - - , . FMAL�PLUD,�SING„• ".\ ','?. ,.�r : �_`.. ENERGY • , . . . ,. ' ' ��.��: ,,:•.� � :� i:_�_.'� -'�`:.� . � . , . i �. ' �;�l1�1q' ' � _. . _.. . � .. -.. . --.. _. . ._ ._. . . _ . . __ - -- � COMMENTS - - - � � � � �� , ., , . � ; ; ... . � . _.. , -�;- �--•--� ; � , _ _. . +,' .'",c�� .._ . . ' ' ��_.j; \�.c; . _ .. � . {�Y l, -.- _ ` � , ! �J, �� i;eci `:1 a �'�:1b- � `�--------J � - � � ' ' � .� - � ,..�,� � . . _ :�i�tif.I::v1��i'.`t'�IJ�It)Y Cl� . � ' . . � �� , . . . SEPTICTANK.SIZE. �.. •�.,:.�: .�1T�,. ..�.t�� t� . ... -� , . . _ , . _ .. _ .. , SEEP PIT/U SIZE " _ � . .. , , � . . . , � `I� _. _. ; � j . , , ; , — �.- � - - _ � J -- �.. . , . � , � � . . .. . . . _ . ... ; 1 ; ; . . � .. . _ � i I • , ` .. . _ _. .._. .. , . , . . ; , ; _. _. . _ _ ... i , , � , --- _. i , ,• �,.. , , .. : i ' . . . • :' . �