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HomeMy WebLinkAbout11194 (7) __ ----------�--�---------------------__--�-- --- ._._ __... . . . . .__ . --. -. � . ��c� ---1 �-� - - - — CITY OF DIAMOND BAR ' ' `� � ' • COMh4UNITY DEVELOPMENT DEPARTMENT ��,.� 21660 E.Copley Drive Suite I90 PRESS (909)860-3195 Faz(909)861•3117 ''"' - � BUiLDINGPERMITAPPLICATION, � ' FIRMLY QJOBSITE � � �� .fj APPLICATIO PERMIT ///Gf P!C � � � � ADDRESS " Z 7 9 Z��D/itl .n !ZG'� � DATE NUMBER / z $ issue TYPE - OCC APN LOT TRACT DATE CONST. GROUP � OWNER O " ADDRESS Z 14 1 S ' I��,'f�,�,� � � ZONING SEfBACKS QCITY n'A/1?aM7S�d/IZIP TEL. REART RW ❑ . o APPUCANT T � SIDE/SIDE STREEf RW ❑ � CONTFIACTOR '�!.liAjJ(� �/�'arG� SIDE ' ❑ oADDRESS ��3 S� ,�' •l= pROPOSED USE o CITY C,LX��?L B ZIP TEL. G' wo ARCH/ENG/ iz DESIGNER NO.DWEL. NO. N0. a ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANA�UATION � � � OWNER•BI:ILDER OECLAfiATION �� ; : • SFRlADD/FEM ' � � � O " 0 I NEREBY AFFIRU UNDER GENILL7Y OF PERNRY THIU 1 MI E%EMPT FFlOM TNE CONTRACTORS ll• Gaf8g9/C01�Of1 ' W GENSEUWFORTHEFOLLOWMOREASON(SEC.7091.SBUSINESSANDPROFESSIONSCODEANVCITYOR (n � COUNTVNH�CNPEWIRESAPERIAITTOCONSiRULT,ALTER�F�PROVE.DE1dOl15H.ORREDAIRANYSTRUG W patio/peck - w NRE.PHIOR TO 1T5 ISSUIWCE.AL50 REWIRES TNE�VPLIGNi FOH SUp7 iER1AlT TO FILE A SIGNE� W L STATEMEM THA7 HE OF SHE IS LICENSED VURSU�NT TO THE DHONSIONS OF THG CONiMCTORS L4_ � � CENSE UW�CHMTER Y(COMIAENCINO YATM SECTION 70D0)OF DINSION]OF iHE 9I151NE55 ANO VFO- � PooilSpa FESSrJNS CAOEI OR TMAT HE OA SME IS EXEMPT THEREFHOM AND TNE BASIS FOH THE ALLEOED EXEMP• � TKKJ.ANVViOUTqNOFSECTiON7o�t.6BYANYAPVLICANTiONAGEP1Ali5U8JECT5T11EAVPLIGWTTD z Re-Roof � ACMLCENALTY OF NOT MORE TMAN FNE MINDRED DOLURS(f500).): �� OI,ASOWNEROFTHEPiiOPERTY,OHMVEMPLOVEESVATHWA0E5ASiFIEIRSOIECO�PCNSATION, 0 Commorcial - • � � Z WILI DO iNE WOPK�D THE SiRUCNRE IS NOT IMENDED OR OFFERED FOR SALE(SEG 70u.BUSb NE55 Ml0 PROFESSIONS COOE:THE CONTRACTORS LICENSE UM�DOES NOT APP�Y TO AN OWNER OF - � iROPERTYWr10BVM1DSORIMPROVESiHEpEON.ANDWHODOE55UCHWORHHIMS[IFOHHERSELFOR � - � THROUGHHISORHEHOKTlEIAMOYEES,GROVIDEDTNATSUtl11YPROVE1aENT5M[NOTINTENDEDpH C� _ w OFFEREDFORSALEIF,F70WEVERTNEBU4DMGORQ.IPROVEMEMISSOIDYnTMINONEYEAHOFCOMPIE• " � TION,7HE OWNEREUR�ER WILL HAVE THE BURDEN OF PROVINC THAT HE OR SHE DiD NO7 BUiID ON Z IIAPROVEFO�iTHEFURP05EOF3ALE} ' ' ' ' = OI,ASOWNEROFTHEPROPERTY.MIE%CLUSIVELYCOMMCTWCK7THLICENSEOCONTRACTORS � TO CONSTRUCT TNE VROJECT(SEC.fa�,BUSiNE55 AN7 VROFESSIONS COOE:THE CON7MCTDHS LI� ValU0�i011 ADJ.AREA � W CENSEUWDOESNOTAPPLYTOANOwNEROFAVPOPERTYWFqBU1lD50HIMPROYESTMEREON.ANO � N'FIOCONfMCT5FOR5UGHPpOJECTSWITHACONTMCTOR�S�I�CENSEDPURSUANTTOTHECONTiUC• QUANTITY DESCRIPT , — . � FEE � � TORSLICENSEUNCI. _ , . . � � OIAAIE%EMPTUNDEHSEC. B.lV.C.iOqTHISREA50N Q �K" � �� ♦ U � � OALE OWNER � � 2 Ooi /�h I� ! i . ��•('�O Z W �Q LICENSEDCONTRACTORSDECLARATION , W fL IH[REBYAFFIRMUNDERPENALTYOFPE0.M1IRYTUTIMALICENSEOUNDEROPOVISIONSOFGIAPTER V. � , . (L 9(cOA1MENCW6WITH5ECTqN700olOFDM5lON70FTHEBU5iNE55M1DPPOFE55KK1500DE,AN� . Z X MY tICENSE IS M FULL FORCEMlO EFiECT. m . . � ��� <—VS � LICENSECUIcSS' �!C'�Y(S LIC.NO._ � � U DATE T � 7 O�q�__ COMRACTOR s�l�f�I d . . W � WORKEFiS'COMPENSATION DECLAFiATION a • � 1 HER[BYAFFIRM UNDER PENAL7Y OF�E0.M1IRY ONE OFTHE FOLIAWWC DECIAMT10NS: � V � �� ���� `n a O �IHAVEANDW�IIYAINTAMACENTIFIGTEOFCONSENTTOSELHNSUREFORWOfIXEHS' 2 � COMPEN5A710N,AS VROVIDEO BY SECTION 970o OF THE LABOR COOE.FORTHE PEFFORMMICE W � OFTHEWORKFORW11Ipi7ri15PERM1T6155UED. . - � �HAVE AND NALL MN�NTAIN WORNERS'Cd10ENSATION INSUMNGE,AS REWIRED BY SECTION Q ]7000F 7HE LA80R CODE,FOH THE VERFORMANGE OF THE WORK FOR NM111CH TMIS PERNIT IS '- " � s'3 �2�� . ISSUED.MYVIONKEF45'COMPENSATIONMSURANCEGVW�ERANDPOLICYNUMBERME: CONSTRUCTION � CMfl1ER�C~'� PLAN REVIEW s•�L 1 Z . VOLICYNUMBER •V S O/ C\S ELECTFIC �2 •� Q — (IHBSECIqNNEmNDTB[WM�E�mCFMPEPo.R6fCiiCNEHI.rIXiED00l1M5lS�OD10RLE5S).; �+�� PLUMBING �Z ICERTIFYiHATINTHEVERFORMANCEOFTMEWORKFONWHICHiH15PERMITI5155UE0.1 •`' MECHANICAL _. � � (7 SHALLNOTEMPIOYANYPER50NPlANYMANNERSOASTOBECOMESUBdECTTOTME n N WORKERS'COMPENSATIONUWSOFGLIFOAN10.µDAGNEETMAiIFISNOUlD6ECOME�/ INSPECTIONFEE S SU&IELT TO THE WORNERS'GOMPENSATqN GROY�SIONS OF �N�700 THE�,�eOh _ _ ,. . � cooe'i sH�1 FOFTHWI?H CpAPLY WiTH TNO E 7RON51 L� ISSUANCE 7i O.O p � DATE:Z/�I`�il/L_ � 'V SMIP - �,1�� APRICANf: w WARNINO:FAI URETOSEGLREWORKENS'C0IAPENSATqNCOVERAGEISU �M105NALLBE ENERGYP/C LLSUBJEL7µfA�PLOYER70CRMWALPENALTIESµDCMLFINE5UP700NE1I �EDTNOUSAND ENERGYPERNIT _ ^�`� rf ��, DOLLAFiS(f100.000�.INA001T10NTOTMECASiOFWLIPENS�TpN,DMAAG[! PRO�DEOFORIN � � 9ECTqN nOSOF THE UBOR CODE,WTERESL ANDATTORNEYS FEES. ' RETENTION FEE: • ' ow.. CONSTRUCTION LENDING AGE�1 PRE-ALT FEE: � \ � IHEREB�AFFIRMUNDERPENALTYOFPERIURYTHATTHER[45ACbN5TRUCTIONLENDINCAGEN�I' �1 � 0- FOR THE VfRFOR1AANCf OFTNE WORK FOF NM1UCM TM�S VER1(jT IS ISSUEO�SEC.7oVt,CIV CJ. � � . Z . . .. _ . 1 !� � � _ i LENDEIYS NAME F- LENOER'SMOAE55 / � � � ICERTIFTiNATIHAVEREADiMiS�PPLICAT�ONA.VOSTATETFUITTMEA[iOVEINFOHMAiqNISCORPECL TOTALFEES /r / � � W IAGREETOCOMP�YK7Ti1AlLGTYIWDCAUNiYORD�NANCESANDSTATEUWSFELATWpTOBUI�DING � � CONSTFUCTION,ANONEREBYAUTMppIZEREVfiESENTA71VE50FTHI5COUNT7TOE1f�ERUPON1/1E z ABOVE�uEMIONEDiROPERTYiOqINSPECfIONPURPO5E5. . .. � I COMMENTS ' � I � lZoc� �F�S _��E.f 1 _ . m � PERAIITTE �N� ... �� � SiGNAN EU PERA�I O ��� � RECPT.NO. ��� VALIDATION WHITE—DeDartment Copy,YELLOW—Finance Copy.PINK—AssessorCo ,GOLDENROD--Fila Copy,GREEN—Applicant's Copy �, �+. `' . i �.,1 `v�� ` _ _ , .... + ; . . . , � � 'L J CITY.OF DIAMOND.C;i�i���t � � :��: ; � , . � , _ ... ..,.,. . Y �i �... � INSPECTION RECO� . :."� , ` . . . . . . .. -�� � �- .. . . .. . �,, ,. . . ��.�'t'- - ------�---.. . � � � . � . � � , - - - � - � �S�f BAGk \;\�\\ � . �;- : . _ ��'�r� �.,...�. ��. . FLOOR JOIST' "..+^�'_._._. ,. .. . ..__ . , ' FT'GS/FORMSlSTEEL ' � � FHA REaMTS - ' -, _ -�� � r.. . ,. . ELECTRIC GROUND. � � � ' --- -�� - ._ UNDER�FLaOR DUCT . _� _ �---- n �.. �.���-..�. ?��t."�-- .. • � , GROUND PLUMBING. i UNDER FLOOR CO�IDUIT '.;�:.'r•���:��'�•.. i SLAB GRADE.. __ _. . .. . - '' FIREPtAEE�FUI)NDATION - ' � _�,. ,_, .. ..����� -- I TEMP POWER - - ' - ' � FIREPLACE BOND BEAlti1� �' �.; �����•- .= , .. ' WATER SERVlCE ---- _ � . . .. MID H�..BONR BEAM --. Y �,�� ti-1 , i. . .. '.: �i � I'� ����s:�� . v, .. .. , , . . , .. �, ROOF SHEATHING �-- � ---- _ 8 FT.�BOND BEAM � . , . � FRAMINGNENTILIATION � - -- -:: - -- , FINAL BOND BEAM - � � . _ .. .. : ROOF COVEFi ' • � ' .. _ ._ _ _- PFiE-GRADING � � ' . _ __... _ ... _ . , ' ---' ROUGH HEATING . .._ _ .:_,-.'... . . .......; BENCHING. . . . . _ .- . 'ROUGH ELECTRiC"" � � ROUGH GRADING ' ROUGH PLUMBING��� ' F�NISH GRADING ' -� I SHOWER/TUBTEST' ' PQOLELECTRIC . � EXT.LATFt/StDlNG _ _ .: -= PODLFENCING. - � ,. , . WALL INSULATION _ - POOL FfNAL . � , CEILING INSULATION_ . _ _ _ : .__. .._'.. - .__ = OFF SITE IMPS. ' � ' ; . ORYWALL NAILING___. _ _. _ _ '._ - - - DEDICATIONS '� "` ' � SEV1lEA. ... _..- -- __.._.._-- --�- - � - --- - .... . FINAL'ENG.-'� . ... .... , ., , .. I SEPTICTANK- - - - _ --'.��,�':' : LANDSCAPEJIRRIG. , . . . , . . , , SEEP.PIT/L.L. - .... _ .- - • - :-. ; . , .. - � �ON SITE IMPS: ___..:__ ; GAS AIR TEST :• - -- - _\ -r.\;.•, .; ; :: _ , ,. __ , ` FIN�,L ZONING - i = ;FlNALCOlVS�-�---- ��'. .�\ \, , .,�..�n•�.�� _ FIRE DEPT.FINAL . • r ; FINAL HEATING " � '• HEALTH DEPT.FINAL - -: - - ,- , ; . ;FINAL ELECTRIC - DEV. FEES PAID . _ ' , ': , . . , _ •FINAL PLUMBING __ ENERGY - . __.. . . � _ __ r' � � ti- _. - -_ _ , �' i ,s' •1� , i . . .--. —" ,... ... • � . . . � � ,. C�MMENTS - - - -- - _ __ _ _ ; ' � ' , � .-- - -- - � _ , , � _ _ - --- . _ .. . . .. _ __- -- , , - - - - - - - � ., �.s,c�. , . , ;,_..`� , , _ � � �' _ ' - •_-. • _. . _ . ....- , , . . _ . ..� C: • ..� � • ., � . , ..... . .. . . . • , . - . i _. _ _ _ _ ._ _ , : . � � i - ''J.�l� _. ✓:_'� y—,'`•_�c.. � . . .. �i�� ..t�:. . i .. , \�\ I . _ . ... _._ .. ... . , , , ' . , , . . - SEPTIC l'ANK SIZE �_R��'�'� .. � ' _ __. _ . . . -- .. ------ SEEP PITN SIZE � � � i .1 i . - . _ ' , ;, :.., � . . _ _ � .. , I 1 �_•-,•:. �;�..1\ �.��.'1 _�-% . _ - ,. �- ..��_ _� —. �_-� �c-_•�\ w J..s.��'� , `:�1 , `.1 '.i��t� .. . i . .. _. ..-. -- ---- .__.._ ......._i . � � .--.__ . �. - --— � ,