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HomeMy WebLinkAbout12378 (20) -- _____.^� . --�... � .._. . ..- - J,� CITY OF DIAMOND BAR � �. DEPARTMENT OF COMMUTTITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 . ' , . (909)860-3195 Faa(909)861-3117 PRESS ..'�'. . BUILDING PERMIT APPLICATION .. FIRMLY y JOBSITE APPLICATION r-- �.-j� PERMR P/C o ADDRESS ���I �I AMO�/�� C(`�_�"} UATE + '/• NUMBE ��� � p $ ISSUE � , 'TYPE`• � , OCC - APN LOT TRACT Z OO DATE ' CONST ` GROUP p OWNER � , . p ADDRESS L5'�OK'�i7 -�/�— . ZONING SETEiACKS�',�,. ��.�..,''., ,. w CITY E �4 ZIP TE��, FRONT �� • ' 'RW ❑ � APPLICANT !► _ TEL. REAR "�• • ❑ SIDE/SIDE STREET RW ❑ � CONTRACTOR� l�W U�IL SIOE '`� p - ADDRESS � CITY 21P TEL. PROPOSEDUSE ��G� S L. o ARCFUENG/ , ' _ . , � DESIGNER NO.DWEL NO. �. ` NO. . = CIDnDRESS Z�P TEL. UNITS STORIES BEDROOMS ' N � cn DESCRIPTION ' SO.'Ff." FACTOR PSF ADJ.AREANALUATION ' O ONMER-BUILpER DECLARATION SFR/ADDIREM � 8 1 HEREBY AFFlRM UNOER PENALTY OF PEMIRY iTUT IAM EZEMPT iROu TN[CONTMCTORS LF Gdf8Q0/C31pOR ' •� CET/SEUWFORTHEFOLLqvW�R[ASON(SEG7a71.6BU5WE55ANDFROFE5510NSCO0E:ANYGT'OR (n . C� OOIMTYWM�QIREOU�AESAGERMRTOLONSTRUCT,ALTER�MPROVE.DEAqL15H2ORRE7A:RANYSTRUG W patio/Deck •����`�. '.'.l ' - 6 iURE PRiOR TO ITS ISSUAHCE,AL50 REU11RE5 TME A➢PLICANT FOF SUCT1 PERMIT TO FILE A SIGNCD W . . , . � STATEMEHT T/AT NE OFi SHE IS LICENSED PURSUANT TO TME PROVISIONS OF iH[CONTRACTpq9 lJ- CENSE UW(CNAFTER Y(COM4ENCINO YATH SECTION 7000)OF OMSION 7 OF TME BUSMESS/J.D PRO- � PooUSpa . • � � �.�`�•, •,:�'.� , . FESS�ONSOOOE�Oq114�7MEOR5ME15E%EMPTTMEREFi10A1ANDTMEBA515FORTHEAILEGEOE%EA1P. (� T70N.AHVVIOLATIDNOFSEC'TION7071.6BYANYMPLICANTFORAPERMIiSUBJEGiSTHEMPLIGANTTO Z Re•Roof � !l CML iFN�1tt OF ND'T MORE 7lIAN FiVE MINDRED DOLLAHS�fsoo).): ' - ' � O1�0'NNEROFT1EVfi0PENTY.ORMYEMPIOYEESMnTNWAGE5A5Ti1EIR50LECOMPENSATqN, � �mmerdal . � ` '. - ' WKl DO TFIE WOfC(AND THE STRUCTUR[6 NOT IYTFNDED Ofl OFFERED fOR SALE(SEG 7Wt,BUSb �1 N NESS IUO PROFESSIONS CODE THE CONTRACT00.S LICENSE UW DOES NOi 11PPLY TO AN OWNER OF __ . Vf10GEHiYW/qBULD90Rw1PRDVESiH[REON.ANDYAIOOOESSUCNWORKHiMSELFORHERSELFOR � • ���' ' � wi1W0UCNHI50RHEROwHEUPLOVEES.�ROVIDEDTlU75UCHIUPpOVE4ENTSMENOTNTENDEDOR m Q OFFERmFORSALE6/qWEVERTMEBUlt11N00HMPIiOVEMURISSdDWITMNOhEYFAflOFCOAIPLE• • . Z �TION.iT/E ONNER-0UtIDER VALL INVE TNE BURDEN OF GROVN6 TWl7 ME OR SHE DIO NO7 BUiID OR � W PiqVE FOR TTl[PURPOSE OF SALE). � . . O L�ONMER OF iHE iROVERTY,AM EXCLUSrvELY CONTMCTP7U YnTM IICENSED CONTMCfORS � 70 CONSTPl1Cf 7HE PRO.1ECf(SEC.laa1.BUSIN[55 AND PROiE55iON5 CODE iH[COPfiNACTORS LI• ValUBtion �ADJ.AREA � CENSE UW OOE9 NOiAPRY TO AN OWNER OF A 7ROPERiV WHO&11D5 OR IMVROVES iHEREON.AND • � YYIIDCOMMCTSFOHSUC11VR61ECTSWtTfACONTMCTOR(5)LICENSEDVURSUANi70TNECONiMG pUANTITY DESCRIPTION �E . .. � TMS LICENSE UW.�. . . � 0 OIAAIOIEMPTUNDERSEG �B.BP.G.FORTHISREASON Q 3 � c� . u' OA7E OwNER F' ` O W . , � UCENSED CONTFiACTOFlS DECLARATION W � I MEREBYAFFIRY U10ER PENALTY OF PERAlRY i/U71AM tICENSED UNOER PROVISqN50F CNAPTER � � . . .. p„ Y�CQ.YAENpNOYrtTHSECIqN7000�OFOM510N70FTME6W"INESSANOPROFESSIONSCODE,AND Z ' � � `L AfYLICENSEISNiU.LfORCEANDEFFECT. m LICENSE 5 LIC.NO. � � � w���(2�() corrrw�cro� � _ a w � WORKERS'COMPENSATION DECLARATION Q � IHEREBVIIFFlRMUN�ERPENALTYOFiERIIXi'!ON[OF7HEFOUOWWGDECLAMiqNS: � Z � � - � _IIUVEMIDWILLMANTAINACER'TIFIGITEOFCONSEMTOSELF•INSUREFORWORKERS' _ � CdIPENSAi10N,ASPRDVIDEDBY5ECT10NS/ODOFIHEUBOiiC[O�FOR7HEPERFORUANCE W Q OF TIE MlORK FOR MM1G1 TMIS PENAR IS ISSUED. � 4 �IHAVEANDWILLMAINTAINMIORKERS'CO►1PENSATIONMSURANCE,ASREWIHEDBYSELTION . ,.— 77000F 1HE LABOR CODE,FORTHE PERfORMANCE OF TH[WOfU(FOH WHICHTHIS PEfUA1715 � 7 V � ISSUED.MV RNERS'OOra�ENSAT10NW5VMNCECARRIFFIWDPOLIC/NU18:RARE: CONSTRUCTION � � jCAMIER��1'�� PLAN REVIEW ��� ► � ' � POIICYNUM(!ER ELECTRIC I SO l�D Q � R�SECI�a+N�w72E0o�.RFIFDOFTEaEiAftstaRon'EMIwREnO[uut4R��'id+LEssF PLUMBING }���OD Z �GERTIFYTHATNTNEiERFOiWANCEOFTMEWORKFORW111G1iMI5PENMITI5155UE0,1 MECHANICAL 1�/�v (,'} SM/LINOTEMF�OYMIYPEH50NHANYMANNEfl50A5TO8ECOI.�CSU&IECTTOTHE � (n WORI(ERS'CdAPEN5�TI0NLAN50FCALIFORNIIIANDAGREETMATIFISHOULDB[COME INSPECTIONFEE � SL9JECTTO7HEMA�RKERS'COMFENSATqNFRONSIONSOfSECTqN 700 TMELABOR � ��� � E,1 FORTMMMC04GLYWITMTIIDSEPROVISqN. �� �SSUANCE / �T pDATE:� ��_ APPLICANT: SMIP 1 V � ENERGY PJC � WiWMNO:FALl1RE i0 SECURE WORKE0.5'DOIdPEN5A710N[OVEMGE IS UNUN'FUL,AND SHALL BE � StAlEC7ANE4PLOYERTOCAnANALOENILLTIfSIwDCMLFINESUPTOONEMUNDREDT/qUSMlO ENERGYPERMIT �� I� I D011ARS(f100.000).W ADDITION i0 THE COST Of COIAPFNSATION,OAA�ACES A$PilOVIDED FOR IN /�// � SECTtON17oeOFTNELABOHCODE,HiEnEST,ANDATTpWEY5FEE5. RETENTIONFEE: 'J�/ 4�`' � OCONSTAUCTION LENDING AGENCY � pFlE-ALT FEE: - ' � � IHERCBVAfflHAIUNDERVENALTYOFPCRNRYTHATTNEREISACONSTNUC'fqNLENDINOAOENCY f` � FOR iHE PERFORMANCE OF T1[MlORK FOR Nmipi iHiS PERMIT IS ISSUED(SEG�o97,GV.C.�. -Y � - � LENDER'SHunE . . S � LENDER'ShDDRE55 � TOTAL FEES Z.I I�� y� � 2�'.S�j i b � ICERTIF'ITHATIHIIVENEAO7TGSAPFLIGTIONANDSTATETHIUTMEi1BOVENFORMATpN�SCORRECT. w 1 AGREE TO COMGLY N7T11 ALL CIT`!ANO COUN7Y ORDIW W CES IWO S7A7E Uw5 RELA71N0 TO BUILDING � n' CONSTRUCTqN,ANUMENEBYAUTHORI2EREPRESENTAiNE50FTHISCOUNTYTOEMEflUPONiHE Z ABOVEadEM10NEDpROPCRTYi INSPECTIONVURPOSES. � ' � COMM[NTS � �o�� �-r�1a� . _ m GERMITTEE E(V ' � . . .�D � . 4 ys�cnnttm ocvcw.ine o�rE •�I Tf /_cl�/ � ; � _ . RECPi.NO. P?JD B• VALIDATION� WHITE--Department Copy,YELLOW--Fnenee Copy.PINK—Aesessa Cop/.GOLDENROD--File C:opy,GREEN--Applicant's Copy , ... _.._ .....; : .:;... ., . . .. � - � .. ,• , . . . � ., . _ . , . ,..,. .. .. _ � . - . '� �� , � . ': . . , , CITY.OF DIAMOND BAR • :.:. � , _ . . .. . _.... . _. . .. ..:. , . , . ' . .. . '�' 1NSPECTION REC�RD �, . ' .�� , ' - - �' . . ..: . . � ,• . . • . - - 8 e . � _ , � � , . � . SET BACK ' � " . , ` • - � `-' � FLOOR JOIST t�.�+_ 1 J ( ,);�;:.+,(.I 1�3<�I ' � ,. : . , , . ,, � . ... ._.. FTGS/FORMS/STEEL j.''� /� �' FHA REQMTS -,�, ,:t.:.� ,� ELECTRiC GROUND ,.- �4/� "� - � UNDER FLOOR DUCT.�: �` " „:�, .,� � _ - .��,.,:�.. , :.�;•-- .. .. GROUND PLUMBING O i 1'f UNDER FL(�OR�CONDUIT:�'� 't �:•.�7�� '' ; �' .� ,�i : SLAB GRADE--- ' � c .� ' : FIREPL�I�E',F6l�NDATION�%�• '�• ; �• ,r+� r. ;::��.� :; ..�. . , . ' 'r. �• 'J-l.�! TEMP POWER �'' "� � ` FIREPLACE BOND BEAM � �� � WATER SERVICE � - �r✓ - _ . . �:: MID HT.BOND BEAM -' �.• _�• .., J .;_,..'--' � , .: R�OF SHEATHING % �J f�� -� �. � � �' 8 FL BOND BEAM � • FRAMINGNENTILIATION l �. FINAL BOND BEAM � ' _ .. . �_ ..PRE-GRADING . .. _. _ ROOF COVER .� ROUGH NEATING / t7 . . .BENCHING - ' . _ - _ ROUGH ELECTRIC - � ., r:��'` '� ROUGH GRADING � ' ROUGH PLUfVIBING -- - �` ` FINISH GRADING •• SHOWER/TUB TEST L7 � � POOL ELECTRlC � EXT.LATH/SIDING � � POOL FENCING WALL INSULATION . POOL FINAL . CEILING INSULATION �� OFF SITE IMPS. ' DEDICATIONS � DRYWALL NAILING �f� � � I1 �1�:� I � ' SEWER.... . _ ... _. �� ---. FINAL ENG. SEPTIC TANK.. .... .. .. . . . � -. LAN�SCAPE/IRRIG. . • .-. SEEP PIT/L.L. . - -"' '� i`' - ' ON SITE IMPS. ' GAS AIR TEST -- -- ' 9 - - ' - - FINAL ZONING � ! � FINAL CONST:, -- - � p, - FIRE DEPT. FINAL - ' ' FINAL HEATING - � � " HEALTH DEPT. FINAL • FINAL ELECTRIC - - - � %: � DEV.FEES PAID � FINAL PLUMBING ' �/ ENERGY . � � ; � ,• ��, � � � ---- ---------- -.. _. ._.. _ . . ._ -•---.._ ....- ---- --�! --------- --- -. . . _ _ ...---.. .. -- � - - -- -- - . _. . -'..'_. ._._. . ' . , . .. , . . , . ; - __ . _..,. . . . . � . COMMENTS - - - ' _. `_'� ' ��:•t.� ... . . .. \ C' . �:� � , _ .. � � { . . •.,,._J „ .� ,.•�-. � l' 1� S {� '7 � I� . - ,�:i " , . , - _ . • i'.) i. 't � .. ' � � - � � ... _. r � . . , ') � 1,.'`` �'� i 1� \ �?- h .`� .rl�i L;?. ':� CZ t 1 � �'•� , r. . • / SEPTIC��T'AT�IK SIZE ' . , SEEP PIT/U SIZE • ,. . � -�� �., r,,., , i\ '�`— -.-_.'...;f,,..,,,;..t _. ' ! ; �-�..: . . , . .. . � �r �i `1 ��� � � � . . . , . . , , _ .. ; � �. {" , � --.. .. ' ..l � ,,; . ; . _. ,`.., ; , _ .. _ . • . ..; •,� `�-_._.,J � J. _.� . . .. _ �_ ;•. . . .