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HomeMy WebLinkAbout11425 (5) . , . ___.. . . ...._.._..__.. _. ..._� _.. _...� -- ---.,-. -.-. . - --- - - - - -- ..__. � . . . -- - -- _ � . . -- - — CITY OF DIAMOND BAR. • COMMUNIT'Y DEVELOPMENT DEPART ,x,..� 21660 E.Copley Drive Suite I90 PRESS (909)860-3195 Fax(909)861-3117 'M'� BUILDING PERMITAPPLICATION FIRMLY o ADDfiESS �3� ��AMON.� •� APPLICATION ' �� NUMBER �lC r O DATE r� ISSUE TYPE OCC APN - LOT TRACT DATE CONST. GROUP p OWNER ro0 P t�-1�� ��.._,G_ ; o ADORESS NL`�� CA R. . ZONING S�BAOKs EXPlRED z CITY ZIP TEL. FRONT RW ❑ � � APPLICANT TEL. REAR ❑ � SIDE/SIDESTREEf � RW ❑ � CONTRACTOR i � • 51DE p , o ADDRESS � PROPOSED USE�r.��t'��,.�I' _ �/�fL)►�.�.�I i,,,,Q Sn�..,� o CITY . . ZIP� TEL 21j 4'n QC113 �`�- w ARCH/ENG/ 213_Q��1� QL+I OHE�.A1�5 z DESIGNER � � nw. ADDRESS NO.DWEL NO. NO. ' � CIN ZIP TEL. UNITS - STORIES I BEDFOOMS � � ��� � DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION � _ _ OWNER-BL'ILDER DEC ATIO q� �g� SFR/ADD�'REM ' O .p 1 HEREBV AFFIRM UNOER iENALTY OF CERIURY THAT 1 AlA E%EMP7 iRON TNE CONTMCTORS l4 Garage/CarpoA � W CENSEUWFORTHEFOLLOWINGREASON(SEC.70]1.68USINESSANDPROFESSIONSOOOE:/WYCfTYOR (n U �qJPlTYWHICMREOUIRESAOERMITTOCONSTRUCT,ALTEiLIMPROVE,OEVOLISH,ORRECAIflANY5THU6 W PatidDeck � W TURE.PRIOR TO ff5 I55UANLE,�LSO RCOVIRES Tr7E APPLICAN7 iOR SUpi PERMIT TO FILE A SICNED ; W ' ' ' STRTEMEM THAY HE OR SHE IS UCENSED PURSUANT TO TNE PROVISIONS OF Ti1E CONTMCTORS U� , � CENSE UW(pUDTER O(COIAMENCINO WITH SEGTION 7000)OF DINSqN 9 OF THE BUSIN[SS AND PRO• � P001/Sp3 FESSIONSCODE)OHTFUTHEORSHEISEXEMPiTMEREFROMMIDTHEBASISFDRTHEIILLEGEDE%EMV• � (� VTION.AN'IVIOlAT10NOFSECT10N7071.6BVANYAPPLICANTFORAOERMITSU9JECTSTNEAPP�ICANiTO Z qe.Rool • � A CML PfNALTY OF NOT MORL TW W iNE HUNDRED DOLLARS�f soc).�: � OI.ASOWNEROFTHEPROPER7V,ORMYEMPLOYEESNnTHWACESAiTHE1RSOLECOMPEN5ATION, 0 CpmmBfCIBI � Z IMLL DO THE WORK,AND TME STRUCTUFE IS NOT INTENDED OR OFFERED FOR SALE(SEC.70s/,BU51• J N NESS AND PROFESSIONS COOE:THE GONTRACTOFS LICENSE U�N DOES NOT 11PPLY TO AN OWNEROF ? . PHOPEfiiY YAq BURDS OR IIAPROVES THEREON,AND WHO DOES SUGH KORK HIMSELF Oq HEFSELF OR [L THROUCHNISORHEROWNEA�PLDYEES.PiiONDEDTHAT5Up11MPROVEMENTSARENOTNTENDEDOR m , QOFFEREOFORSALEIF,i10WLVERTME8l11L�wGORIMPNOVEMENTISSIXDWITM40NEYEANOFCOIAPIE• ' � - Z TqN,TME OwNER-BUILDER YALL HAVE TN[BUROEN OF CPONNG TwR HE OR SHE DiD NOT BUILD OR � 0.1PROVEFORTHEPURPOSEOFSALE� : O L�OwNER OF iHE PROPEHTY.AM EXClU51VELY CONTMCT WG YlRH LICENSED CONiMCTORS Q TO CONSTRUCT THE VRWECT(SEG 7o�a.BUSINE55 AND PFOFESSIONS OODE iME CONTR�CTORS ll• V81112IIOf1 L�OO��� ADJ.AREA W CENSEUN�DOESNOTAPPLYTOANOWNEROFAPROPEH7YWMOBURDSORIMPROYESiHEREON,AND � YVfqCANTMCT5FOR5UCHiROJECTSWITHACONTNACfOR(5)LICENSEDPURSUMffTOTHECONTMG QUANTIN DESCRIPTION F�E � i � TORSUCENSEUW.�. . . . . __ _ _ _ ... ` 0 ❑IAA1 E%EMPT UNDER SEC. B.8 0.4 FOR THiS RFASON U LL' DATE OWNER � ...Z W . . . . . .. .. . � LICENSED COrlTRACTORS DECLARATION . W � INEREBYAFFIRMUNDERPENKTYOFVERJURYTHA7IAMLICENSEOUND[RPPAVISIONSOFCHAVTER Vr � -p. 9(COMMENCING YnTH SECTION 7000)OF OIVISqN]OFTME BUS�NE55 AND PROFESSqNS COOE,AND Z � � � LL� 11Y LICENSE IS W NLL FONCE AND EFFECT. � � UCENSECUSS �� LIC.NO. ��14�0�, � V UATE �I�I9 . ..CONTRACTO(1 a . �w . � �• s WORKEFS'COMPENSATION DECLAAATION a ' � I HEREBV AFFIRM UNDER PENALTY OF PEIWRV ONE OF 7HE FOLLAK'INO DECLAMTIONS: Z � � � _IMAVEANDWILLIAAINTAiNACERTIFlCATEOFCONSEMTOSELFaNSUR[FOqYVORKEFS' � _ COA/7ENSATION,ASDROYIOEDBYSECTION37000FTNELA[iORC�E,FORTHEPERFORMANCE W OF THE WORK FDR WHILH TMIS PERAAIT�S ISSUED. _ � . � . . _ . . . . .. . . .. w _I HAVE AND WILL MAINTAIN WORKERS'COMPENSATqN INSURANC[,AS RE�UIHED BY SECTION : r/� . Q �70o OF THE WBOR COOE.FOR THE GERFORMANCE OF iHE WOPK FOH WHIq1THI5 PERA11715 �•� U ��ISSUED.MY WORKERS'C0IAPENSA7qN INSUMNCE CMR:ER ANO POLICV MIMBEN ME: CONSTRUCTION J . j tuanien _ _ . .PLAN REVIEW � --- z ��Y"�"A°ER ELECTRIC ¢ . 0 (iHF5ECi1U�A��NOTBE�M3EfEDOFMPERMTSfORONEHUDREDDdL10.S(StaqORLE5S1 PLUMBING z 1 CERiIFY THA7 W TME PERFORMANCE OF iME WONK FOH NR11CM THIS PERMIT IS ISSUED,1 MECHANICAL � U' . . SIULL NOT EMPLOYANY PERSON IN ANY MANNER SOAS TO BECCME SU&IECTTO THE . . .. � � WORKERS'COMPENSATIONUWSOFGL1FOFiNItiANO�GREETHATIFISHOULDB[COIAE INSPECTIONFEE � � S SUBJECTTO7HEYlOHKER5COMPENSATIONPROVISIONSOFSECT10N77ooOFTMEIABOR COOE,1511AL1 FORTlwITH COMPLY W11M TMOSE�IONS. ISSUANCE V w �� �1 � aav�icarn:�, � SMIP . p DATE: � J WAANING:FNWRETOSECUREWORKERS'COMPENSATIONCOVERAGEISUNUWFU�ANDSNA(18E ENERGYP/C � � � SU&IECTANEMPLOYERTOCRIMWALPENAL7IESANOCMLFWESUPTOONEF0.INOREUTHOUS/�ND ENERGYPERMIT _� .�� ' DOLLARS(i10D.0001,w ADDrt10N TOINE fASTOf CAMPENSATION,DAMA6E5 AS PROVIDED FOH IN V'• � '-II— J SECf1DN770lOFTHEUBORCOOE.INTEREST,I�NDIUTORNEI^SFEES. -- � • � � � 1 , p� RETENTION FEE: �,V�1� a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: ra� O � � IHER[BYAFFIRMUNDERPENALTYOFPERM1IRYMATTNEREISACONSTRUCTION�ENOINCAGENCY � � ' " ' FORTHE VERiOFiMMICE OF 7ME WORK FON WHlpl iHiS PEfiMiTI5155uE�(SEG 709�,CIV.G�. w -- - M�R ,, , ZS LENDEf75NMrE � S � � LENOEiYSAD�RE55 �� � � TOTAL FEES ¢ 1 LEH7IFY THAT I I/AVE READ iM15 MPLICATION IWD STATE THAT h1E ABOVE MFOR4ATpN IS CORRECT. � W IAGREETOCOM�LVVATH111LCITYANDCd1N7VOR0INANCESANDSTATEU'NSREU7WGT08UILDING � � � CONSTRUCiIpJ,ANDHEREBYAUT)IOqIZEREPRESEMATIVE50FTH15COUNTYTOEMERVPONTNE � � ABOVE-MENTqNED GROPERTY FOR INSPECTION PURPOSES. � - ? COMMENTS 0 �n.n Q / J .�lxsst`G/ J. �(Fi.21�u�D_ C � . � m PERMi7TEENAME(PR� n . .. . . ¢ � 5�.�� 371�g �.{ �/ � � / ' � SIGN AE�PERMITfEE aT y{ C{' — � � Ft[CPT.NO. � 1� PAID BY VAUDATI _ - � � �- �� WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOL�ENROD—Fite Copy,GREEN—HpplicanCs Copy � � :_ , � ... . . . . . 7 • .. , . - . , �'-! •�..,Y�.,. '� ,�., �.. , , ,:..��,,,;.• ,-. , y , . . - . . : . . . . .. ,. :.�' ,. r DIAMOND BAR : :� .���...�" ::; -;'�;� � ,: . :, .. . � � _. ' TION RECORD � , � � � - • � + � • - • � � . � :; � . ,�.._:. SET BACK : - - � •.� � � ! � � FLpOR JOIST� ' ' ' FTGSlFORMS/STEEL� - '` � �- -- FHA REGIMTS � ' ELECTRIC GROUND •_-!{.',t�;',.! -? , - ". UNDER FLOOR DUCT • . ,� :� • ^� GROUND PLUMBING � - '� UNDER FLOOR CO�IDUIT --. ' ' _= '�'=i .f ...:-'..: '"" : SLAB GRADE � I�r:'•, '; 11 .4.';: FIREPLACE FOUNDATION :- -- - - - � - TEMP POWER ----= _ -=-- -- - FIREPLACE BOND BEAM = ' '-' -`• -- -- '•'" ` ...__ . .. _ . .... ..... WATER SERVICE � -� '-� �=� -• �•� � - • ' •- MID HT.BOND;BEAM ���". • � � .. ROOF SHEATHING � - - - - " 8 Ff. BOND BEAM � •� FRAMINGNENTILIATION , - 'FINAL BOND BEAM - - -' • i ROOF COVER --. � -- � �- - PRE-Gf�ADING . � ` ' ' • ; ... .. . -�-- _ _ ROUGH HEATING- '--- ` '- - ' BENCHING• � ' ROUGH ELECTRIC • - - -- - ROUGH GRADING : `�' . � ROUGH PLUMBING --�� - �- - � -' FINISH GRADING � . ' SHOWER/TUB TEST� ' POOL ELECTRIC � � EXT.LATH/SIDING -- � _ . . ..__ i . . L E I . , WALL INSULATION ` POOL FINA� - � CEILING INSULATION OFF SITE IMPS. � DRYWALL NAILING ' DEDICATIONS � -. SEWER � FINAL ENG. . SEPTICTANK . _-:_. - ' ' `.' � '_ LANDSCAPE/IRRIG. ' SEEP.PIT/L.L ' ... ___.._ _ . _. : _ ' ON SITE IMPS. • GAS AIR TEST ...... .._. . -.---. ..-. : . FINAL ZONING ' FINAL CONST.;------ ��- - - - -� - ' FIRE DEPT.FINAL FINAL HEATING - -- -- --- -- - --- -- _ HEALTH DEPT.FINAL- ;_ .... __.. __ . .. - . -- --_ � FINAL ELECTRIC -- � - - - - -- - - - DEV. FEES PAID . � �: FINALPLUMBING � -- ---- ---- -- - - -- -- -- - - ENERGY • „ , ?. --- -- - - - - . .... _ . _.. � 1. . . . . . . :� . _.. i - • • � - . -- - - • , , , ... , , i ' - --- - - --... .- ------ -. _.. . _ COMMENTS � ' ' ' ' , , . , . __ . ----� - -----. ---- - - - - - - � . . . , � , i : --- :_ - -----.._ . ..._... -- - _. .. . ----. . __ , , ,, .. _ ', � �.. . _ , _ ,, _ , .. - .. � _ _ � � ; . I � � . � � i -� ., j - -- �� - .� . . .. ; , , � . . . . .. , _ . , _. . _ . _ ..._. _. . ; _ .,. . . .. . _ . .._.. . . � � , , . . � SEPTIC TANK SIZE �� � +.2 ' - - -- SEEP PIT/U SIZE - � � � ,� �-�� � - - � � _ . .... . „ ' i .. _ � ; + � ' � '' I . , . . , r ^. . , � ' : • � f � � - . ;. ; , . i