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HomeMy WebLinkAbout12824 (24) . . . �� �� J� CITY OF DIAMOND BAR � � • • DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICE 21660 E.Copley Drive Suiu 140 ' ' ' ' / � (909)860-3195 Fax(909)861-3I17 � PRES$ � ^��'�� BUQ.DING PERMIT APPLICATION� FIRMLY � JOBSfTE � � APPLICATION PERMR � /C o ADDRESS ' � � pATE �— NUMBER Y � ISSUE TYPE OCC APN LOT • TR T - DATE CONST. GROUP p OWNER . ' " ADD S � ZONING SEBACKS - W C � ZI EL — FRONT qW ❑ � APPUCANT �� ' REAR .❑ � SIDE/SIDESTREET RW -❑ CONTAACT R SIDE ❑ � ADORESS PROPOSED USE L���l�� f � CfTY�!'�_ Z TEL � ARCWEN(i/"� GQ/��� � DESIGNER "�'�— � NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. v�i DESCRIPTION Sa.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLAAATION - SFR/ADD/REM O � p 1 NEFEBY AFFlRM UNDEH PENAL7Y OF iERA1RY iW�T 1 AM ExEMPT iROM TIE COHiAACTORS LI- G3fHQ0/CAfpOA L3J CENSEUWFORTHFFOLLOWPNiNFASON(SEC.7071.6BUSINESSIWOPHOFESSIONSCDOE:ANYCI7YON (n C7 COUHTyMRq1q£OlARESAFEAMRTOCONSTAUCi.ILTER�P�'�E.DEMOU511.ORREPAiR/NYSTRUC- _ W Z TL1RE.CRqR TO R9 55U+1NCE.AL50 i1EWME3 7HE MPIM.ANT FOR Sl1CH VERMIT TO FILE A SIGNE� Patio/Deck LL� STATEMENT 7NAT ME OR 6NE IS L1C£NSED R10.5UANT TO TXE PROVi510N5 OF 711E CdlTRACTORS ll• W � CENSE UW(Q/MTER Y(COMAIENCNO WITI SfCTION 7000)OF DMSION f OF iH[BUStN[SS AND PR6 � PooUSpa � � • . FE59qNS COOE�Oq 1HAT HE Oi19HE IS E%EMPT iT1EHEFi10M AND iHE BA515 FOR iME ALLEOED EXEMP- TION.ANYVqlAT10NOFSEGf10N70]1.6BYAHYAPiIK.iVlTFORAiEHYITSUBJECTSTMEMPLIGNTTO Z Re-Root � ACIV4FENALTlOFNOTUORElTIANFIVE/M1INDREDDOlURS(fsoo).g ' � . O ❑I.AS0IVNEROFTHEPf10PEHTY.ORLIYEYPLOVEESWITHWAGESASiHEIRSOIECOMVENSATqN. � �mmercial � - � MIILL DO THE NK7FiK,M1D THE STiLL1CTItRE LS NOT IMENDEO OR OFiEREO FOR SALE(SEG 7a�,B1151- J N NESS AND VROFESSIONS CODE:TNE CONiMCTORS IICEHSE UW OOES NOT►PPLY TO AN OWNER OF � � . PROPEqTY VAiO BUlD3OR MPROVES TFIEREON.AND WHO DOES SUCH NOHN H145CLF OR HERSEIF OR Q T}WOUNiHI50FiNEflOYMEY7LOYEES,Vi10VIDED7{UTSUCMMPRpVEMENTSM[NOTRlTENDEDDR m � .OFFERmKA5ALE1F,/10WEXERTMEBULpN40RIMPROVEMENT1330lDVATHNONEYEAROFLOMi�• Z TIOH,TME OwNERBUM1DER YnLL MAVE T11E BURDEN OF VfiOVINO TNAT ME Ofl 6ME D9 NO7 BURD Ofl � wvHove wAn�e wnaose oF s��. W OlA40NMEROFTHEVROVERi1:AMEXCLUSNELYCONTRACTINOWfTHl10ENSEDt1kRMCTORS . --�� TO CONSTRlkT7HE VRDlECT(SEC.70a1.BUSINESS AND iROFESSiONS COOE:TNE COlRMC70R5 U• V81u81iOf1 ADJ.AREA � � tENSEUWDOE9NOTMPIYTOANONNEROFAVROPERTVYVIqBURD50RMCW�VE47HERE0N,AND W/pOOHTMCiSFOl75UCHPiqJECTSNIM�CONTMCTOFI�S�LICENSEDPURSUANTTOTMECONTRA4 QUANTITY DESCRIPTIOV- FEE � TORs UCFl+SE Uw.} . � O I IW EXEMPT UNDEH SEC. B.i P.G FOH TMIS REASON Q • �. � 3 ¢ p . �� _ . LL DATE OYMER � W F UCENSED CONTRACTORS DECUIRATION W , • , . . • � IMEREBYAFFRWUNOERFENKTYOFOEIWRYTIATIMILICENSEDUNDEflVROY15i0N50FCHMTER � �y . . - � ��CqAMENCNaYl17N5EC71DN7o0o�OFDMSION]OFTHEBUSINESSANDVROFESSpNSCODE.AND Z �� W LICENSE IS N Ml F E M1D EGFECT. ` m 0 LICENSE SS � L1C.NO. jJ � V DATE ' � ' C0r1TRACT a w � WORKERS'COMPENSATION DECLARATION a � INEREBYl1FFlPoAUNDERPEN�LTYOfFER1URYONEOFT7EFOLLOWWGDECIAMT�ONS: V �� � ' " � �� CA Q � �INAVE/NDNnLLNANTAINACEHTIFICA7EOFWNSEMTOSELF-INSUREFOPVIOHNERS' _ COMPEHSATqN,AS PROVIDEO BY SECTION]70o OF THE LAOOR COD[,FOR THE PERFORMIUJCE ' W OF7T1E WORK FORNMIG11W5 PERMtT IS ISSUED. � 0 �I NAVE AND VVILL YAMARI WORKERS'COMPENSATIDN INSURANCE.AS RCOUIRED BY SECTION Q �70o OF THE UBOR OOOE,FOR THE VERFORMANCE OF TFIE WORK FOR W11iCH THIS GERMI7IS � ISSUED.MYNURKF ' �MPEHSATIDNINSURAfICE ERAND OIICYNUMBERME: CONSTAUCTION � CARRIER ��—_(��� PU1N REVIEW � POttCYNUMBER . � � � ' 1 AI i�� _ � (�fiSSEcf�oNhlE�r+OTBE00r.s7.EimOFTEPEaMiSiORONEHI+a>IDDd.UVis(S+rolantEssl PLUMBING Z I CENTIFYTHAT IN iNE PERFOfiMANCE DF THE WOHN FOR WHip1 iH15 PERMR i5 i55UED,1 � MECHANICAL � (7 SHALLNOTEA�PLOYANYGERSONINANYYANNERSOASTOBECOMESU0.1EC7TOTHE ��� ,,, � �� y WORKERS'CdAiEN5AT1ONUw50FCAl1FOfiNIAANDAGREETMAiIFI5H0UlDBECOME INSPECTIONFEE ���j �+ S SUBJECTTOTHEYMORI(ERSC06�PENS�TqNFRON510NSOF5ECT�ON�f00pFiHEIABOR UANCE J '��� 'J '1 COOE.1 SHALl i'ORTTM9TNCOMPLY PROYISIONS. ^ T pOATE:.I-1-�9 APPIICANR?1��� S i.r1T��di—!�}l�lY+,JNl1�ATC �— � ENERGYP/C BUILDIN�3,I�T•� SAFET�� WARNINO:FAWR[TO SECURE VIOiiNENS'C0IAPENSATqN COVEMGE IS UNUWFUI�AND SHALL BE � � SUBJECTANEMPLOYERTOCRIMINALOENALTIESANDGVILFINESUPTOONE/RINDREDTHOU�AND � ENERGYPERMIT �� �� ' ' ' ' OOlURS(f 1a0.o0o�.IN hD01T10N TO 7HE GOST OF COMPENSA7qN,DAMAGES AS PROYiOED FOR IN J SECT10N770lOFTHEU80RLWE,NIEHEST,ANDA7TORNEYSFEES. FiETENTIONFEE: ' i O. CONSTAUCTION LENDING AGENCY PRE•ALT FEE: ' �� � � IXEREBVAFFlNAUNDERPENALTYOFPEfiA1R'lTMATTHEREISACONSTRUCTIONLENDiN6AGENCY Z FOR iHE 7EAWFLAAI�CE OF TME YVORK FOR WMlpl TMIS VENMiT IS ISSUED(SEG]097,qY G), W . �� LENDERSNAME � � � LENDER'S/DDR[SS � ICERTIFYTUTINAVEREADiNISAPVLICATIONANDSTATETNA77HEABOVEPIFORMl1TqN15WiiRECT. TOTAL FEES �� � � W IAGNEEiOCOMiLYW(fHALLCT'M1�COUHTYORDWANCESANDSTATEUNSREUTINOTOBU0.01NG �-/ � CONS7RUCTION,MIDMEREBV►UT110fiREREPRESEMATNE50FTW5CWHTYTOENTERUPIXJTHE .. � !J �'�� '// S� /1BOVE-MEMqNED OtWVERTV FOR WSV a�+wavoscs. COMMENTS � \ �7 �V / Q v � ��C , � � m vE „w, ¢ . � N saw�nr�o o�re � . , . . ,_. . AECPT.NO. PND BY VALIDATION � VYF11TE—Depertmant Copy.YELLOW—Fnance Copy,PINK—A�eessor CoFy,GOLDENROD—File Copy,GREEN—Applicent's Copy �� -��- - � . .. /. , , . . , .. . . . , .. ... . • _ . , � . ��,..11� 1��� � \1.1,. . CITY OF DIAMOND„BAR r._;;•;.,;,� -, � � ,. ��-� : - :;� ._. _ .� .�NSPECTION�RECORD��.�.;:: �:, •�; ..; - �. �' ... . . .I . '. . _ � 6 � e . • - • � � • ' SET BACK .. . �. .. : . � FLOOR-JOIS�„-; �� . �. �S _. FTGS/FORMS/STEEL =� FHA REQMTS �. ,.- -• -- - -- --- � - -� , . . . ELECTRIC GROUND ' � ." -:_ �_ " UNDER.FLOOR bUCT-.-';� �, • ' � - � � � r�, , �. .. i � GROUND PLUMBING '- " - UNDER ELOOR COAIDUIT, '�%� � ;�;..�� ..',',t ;_• : r•.'�. � ' - SLAB GRADE ---— � - -- - - - ---- ' ". � FIREPL•ACE�FOUNDATION :'��-'-=.' .�''. ':�'� i:.�'=-��-�� `' ; . _. . _ TEMP POWER ---� - " ' ' '` "'`- • - FIREPLACE:BOND BEAM- �- � � � --- � _.-: _ _ , . . , . . .. _ � �:.�:.-.�,;. .;, , WATER SERVICE ----_-_-. :.:_ ._:-.. __ .. . .MID HT.-BOND BEAM`•..,..,--..--- . ; _ R�OFSHEATHING-1�ti_ .; '` .'� �..-• ..:=-., - - . •,. . BFT.BONDBEAM...•;- , -.. ,-; --__ _ ._. , . _ _.�\ FRAP�IINGNENTILIATION _ FINAL BOND BEAM Fi00F COVER . : `. � ' .PRE-GRADING - - -- � I • ,.. . .. ROUGH HEATWG � - — - - -- - � BENCHING - - -- � -ROUGH ELECTRIC -� -- z-7� _ �_ ' - � � ROUGH GRADING � � . � -ROUGH PLUMBING" - -- - � �" :� � FINISH GRADING,- , , ' SHOVJER/TUB TEST � -� � - POOL ELECTRlC � • EXT.LATH/SIDING� - - --- _ - -- - - -- --- -- P�OL FENCING . '` ., . , WALL INSULATION POOL FINAL � • . " �• CEILING INSULATION OFF SITE IMPS. - � , . DRYINALL NAILING DEDICATIONS ' ' ' SEV1fER - --- - -. .: . -- -- -- - FINAL ENG. . . . SEPTICTANK____._. '_... .. -- - -.. _. _. . -- - LANDSCAPE/IRRIG. • . ON SITE IMPS. . : SEEP PIT/L:L. ...:_...__.. .. _ .__. -- :GAS AIR TEST--- - - _..._. . _ . . _:. ..� �,•, , „ FINAL ZONING � FINAL=CONST:-;--—'•- '� '� ��` --•� � -� ' ` • " � ' ' ` -FIRE DEPT. FINAL - - ' FINAL�HEATING --� -''- ''�';:''- - � ^ �+;• HEAL•TH DEPT. FINAL . FIIVALELECTRIC�-- -- -'� � i ___� ` . : DEV.FEES PAID _. __... . FINAL PLUMBING ENERGY �� i r. � � . � fn�� C� � • ~ '�' —� - .. , ,_,�_� _. _. ..—. _ _ ._. _.. - _. ._.. _. _ COMMENTS . _ . ._ . . _. . _.._ _.._ , . � � ; - ----- ... �.. -- _ _ ... . .. . , ; ',,• � `� �. � . .. .. -. . ' . . ._._ :�; . .. � i � , \'- -- - _ ' . . --i ��. .. . — � 1 1 _ .. .. �- " � � � • . ..:i ' - "-.-• • . , ' �� � . , . � . . _ _ ,.jii;�� �' .1'II'c . • � . � ` . . . . . .. . � . , '1 i(^!' � ,1. •.)('. �i" -r. (�"-:.... j ` . __. ..� - ' , �. _ . . .�._ .,. .:�`r�. t�`..1:!�'1'� . ' � � • -� . . - - . . ' ' SEPTIC TANK SIZE :. � � ' ; ; . � -. SEEP PIT/U SIZE � , . . , _ I ;��--•--� - - ; . . � � . _ _ - - ; . -.- _ - - ; _ . . .. _ . . � , � � . �� �:� . . .. . �- _ � ' 1 �- - , . _ , _.��-, _ _..._. . , . ._. ._ . , _ _ _� . i ; -- - -.... , _ . . .. . , . . . �.. , � _ . _ . , � . _ , , . . _ . ' �s . ..�� , _ ' - - . . ' ,