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HomeMy WebLinkAbout11661 (5) ; _ .__ ._ ._ _ _ .......--- - -- -- - .._.... . �.. -�--��-�----- .-'� . 4 . .... . ^ � CITY OF DIAMOND BAR ' •. - J� -- DEPARTMENT OF COMMUrTITY&DEVELOPMENT SERVICES �' '' 21660 E.Cop]eyDrive Suite 190 • ,� �� • , ,.PRESS (909)860-3195Fax(909)861-3117 � :-^_� ..: '`.:?-.•' .. '' ...��.. �BUILDING PERMIT APPLICATION. . - . . .: 'FIRMLY Q DDR1ESS---�SI���-�1�-� � APPLICATION ' � - � PERMR:` I/`�� P/Cd�'Q 'DD3 0 DATE �^`;�:; �' `::' ' NUMBEFt•' ��_ 71 E� ISSUE IYPE �,�' OCC � APN LOT Z' TRACT Z-Z--Z.-� DATE S� �C.ONST.'• •� t ' • GROUP � OWNER � F L.F� • , "" :ADDRESS '�` � ' ' `�ZONING .SETBACKS . � � �� ` ,`'; Z CfTY CD ZIP TEL� FRONT . .�`,-, .'• , RW ❑ �'REAR ' � � '' �- ❑ � APPLICANT ^ TEL SIDE/SIDE STREET RW • O CONTRACTOR SIDE O � ADDRESS ' PROPOSED USE � L 3 • o CITY ZIP TEL . . w ARCH/EN ��� �� � - � DESIGNE�SF��H� �-r�"N"� NO.DWEL NO. `� NO. ADDRESS UNITS STORIES BEDROOMS y CITY ZIP TEC� . y DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREA/VALUATION Q OWNEF-BUILDER DSCLARATION �.. SFRIADO/REM - O p I HEREBY AiFIiW UNDER FENAL7Y OF GERIURY THAT 1 MI EICEMVT FPOM TFIE CONTMCTORS U- G��9�g�� 1, 1 • � � W CENSEUWFOR7MEFOL1dM�NOHEti�ON(SEG7a7t6BUSiNE55IWDVROFF551]NSCO�[:ANYdTYOR . (n � � COUHTY1NapiRE0UIf1E5APERMRTOCONSTRUCi,1LLTEF�MPPAVE.DEMOUSH.ORREPAIRANVSTRL�G W P8I10/DBCk � 7URE,piilpq Tp(Tg IS9UANCE,AL50 REOUIRES iHE MPLICMlT FOR 6Up1 PERMIT TO iI�E A SIGNED W � STA7EMEM TMT ME OR SME 6 t10EN5ED PURSUANT N TME PROVISION9 OF THE CONfMCiOR4 U• , . .� CENSE UW(CHAVTER Y ICOMMENCMO YATH SECTiDN 70007 0FOM5lON i Of TME BV5ME55ANO VRO� � POOV$p8 fE55qti5 COOE)OR iHAT HE OH SME IS O(EA1PT THEREFROM AND THE 6A515 FOR THE ALLEOED E%EMP• 710N.MIVVIOLATIONOFSECf70N7m1.6BYANY�OPLICANfFORAVEPMITSU&IECTSTHEAPPL�TN z Re•Root � ACMLPfNALTYOFIqTMORE7W�NFNEMINOREDDOlUR3�l500�_)� , , . I . � Olti40N1�EROFTHEPi100Eiitt,OqMYEMPLWEESVATHWACESIISiHEIRSOLECOUPENSATION, � (`,qnmgfCidl W1LL DO iHE WORIC AND iME 5TRUCTUFIE IS NOT ttRENDED OR OFFEAED FOR SALE(SEG 70u,BUSI- J HE$$/11W VR�ESSIOH4�9DE:THE CONiMCTOH3 LIC£NSE UW DOES NOT MPLY TO M!OWNER OF � N PROPERfYYN/DBU�LDSOf1YFROVESTNEREON.ANDIMHODOE55UCHYlORN1aY5ElFORNERSEIFOR m � 7HPOUGHMSORHERdWNEYPLOYEESiHOVIDEDTHATSUCHMPROVEIAENTSARENOTMENDEDOFi , � OFFFREDGWiSALE1F,IqV/EVERMEBULDNdORYPR�VEYENTISSOIDWITENONEYFAFiOFCOMPLE Z TON,THE O�vNER�U1lDER WILL HAVE THE BUNDEN OF pROVIN6 iW�T NE OH SNE O�U NOT BUILD Oq = MPIpVEFONTIEPURP06EOF8ALE} W Ol�O�EROFTMEFROVERTY.AMIXClUSNELYCONfMCTNOK7T�UCENSEOCONTMCTORS � TO CONSTRUCf h1E PROJECT(SEG 7W1.BUSINE55 AND iROFE5510N5 CODG 1FIE CONTMCTORS U• VelU9li0r1 AD.I.AREA CENSE UW DOES NOTMCLY TO AN OMMEN OF A VROPEHiY YR�O BULDS OR IYPROVES T7ER&ON,M70 ; � MRIOOOHiRACTSiOFiSUCHGROJECfSWIh1ACONTMCTORI5IUCENSE0PUN5UNfiTOTNEWMTMG pUANTITY � DESCRIPTION � _ � � � FEE � . � ToasUCEtuEUw} . . . . . , . . O I IiM E7cEMPTUNDERSEC. B.l P.0 FOq TNIS REASON U 3 � • • u' DATE OWNER � � . W LICENSED CONTRACTORS�ECLARATION w � � INEiIEBYAFFq1MlROERGEHALTYOFpE1WRYT11A71AMUCENSEDUNDfAPRONSIONSOFCNADTER Ur , . . (= i(WLYENCWON7iM5ECT10N100o1�DM5�ON]OFTFIEBUS�NESSANDPFIOFESSiONSCADE,AND Z ' X MN UCENSE IS N M�FOFiCE lwD EFFECT, m L1J �y � . � UCENSE CU ►J LIC.N0. J � �'j WTE�OC� CONTMCTOR •• a W � WORKERS'COMPENSATION DECLARATION Q � ..� _.. _ U . . . . : N IHEHEBVAFF6WUNDERPENn1TYOF0E0.A1MONEOFTHEFOUOWI1:l10ELLAMT10N5: Z Q � _INAVEAWIMLLMNMAMACERTiFlGTEOFCONSENTTOSElFaNSUPEFORWOFiKERS' _ OOGPENSA710N.ASOROVIOEDBYS[CTION77000FTHEUIBORCODE,FORTMEPERFORM/JiCE U Q OF7//EV/ORICFORVYHId/TMi3VEiWITISI55UE0. � C �/ �'�1 MINE ANO YnLL�.UIMNN MOFiKEilS'COMPENSATION NSUMNCE,AS REWIRED BY SECTION • Q 77000FTHELAOORCOOE.FORiHEPERiORM�NGEOFTHEWORKFOHMRnCHiM�SiERM�7I5 ,�Q ISSUED.►/V RKERSCOUPE�{'SATIONWSl1MNCECllHR1EHANOPOIICYNUABERME: CONSTRUCTION � CARRIER ?' . PLAN REVIEW ,�Z- 1 . � wa�crraaecn �� ELECTRIC . � (nustcrc7lr�EmNoisE071dttEiEoaFnEFEw.(r5F0a�or,Elu�OR[UoottMSR:ac�ontESsl PLUMBING z ICERTIFYTHATNTHEPERFdWANCEOFTHEWONCFOHN?11pITHISPEfUAiTISI55UED,1 MECHANICAL � � SMALLNOiEMPLOYANYPER50NNANYMANNER50A5TO8EC01AE5U6JECTTOTME � N9w(EHSCOrdvENSATqNUW50FGLLiFOrtN1A,ANDAGREETHATIFI5HOl1LD8ECOME INSPECTIONFEE S SU&IECTT07NEN9RKER5COMPEN$ATpNPROV1510N50F5ECTION770 OFTT1EtABOR ISSUANCE . �O" COUE,I wtLL i TH C0IAPLY VATH TNOSE PROVISIONS. T � � SMIP ��� 3�'I(C�C' p WTE:__�APPLICANT: � . � ENERGY P/C W�iWINO:FAWRE OSECUREWORKER5COM7ENSATqNCOVEMGEISUNUMtiUL.ANOSNN.LBE �y SU&IECTIuIEMPLOVERTOCRIUNALPEwLLTIESANOCMLFWESUPTO0f7EM1ND�CDMDUSAND ENERGYPERMIT I� �IS DOIUFtS(t1ao,Doo�Nl�DDfT10N TO THE CQST OF COMPENSATICN.OAAUGES IS PROVI�ED FOR IN I /� ¢ SECT�ON]70e OFT1E LABOR CODE,NTEREST,AND ATTORNEYS FEES. RETENTION FEE: � •� �v a CONSTRUCTION IENDING AGENCY PHE-ALT FEE: � IHEREBYALFIPoAUNDEi1PENALTYOFPEM1qYTiUT1MERCISACONSTRUCT10NlENOWOAOENCY _ � � FOR 7ME PERFORMANCE OF 7HnE WORK FOR WNICH TMIS VERMIT IS ISSUED(SEC.]OY1,C�V.C.). ��� �� S � IEHDER'S WUAE�(�/J_j� � ��� � LENDEN'SIDORESS . � � ICEHTIFYMATIMAYEREADTWSA7iLIGT10NI1dD5TATETMATiT1EAflOVENFORM�i10NI5CONHfCT. TOTAL FEES � W IAOREETOCOMPLYWITMI1LLCfiI'ANDCOUNTYORDWANCESANDSTATELAwSREIATN�TOBUIIDINb � ' � CdiSTRUCTION.MI�NFREBYAUT/10WZEREVRE5EN7ATIVE50FiN15C0UNTYTOEHTENUPONTHE . . . � . . . . z �ewE+eEe�ror+�PAovERrr fon wSVEerior+vuAaosES. COMMENTS 9 Ar�l� ►��u/`� . � 4 PENurtTEE N [(P n(T) � _ . t"' � . . . . N �7 � 6�OWUURE crEwuneE o"'E L pAIOBY 0 � WWDATION _._ � . . - HECPT.N0. WHITE—Department Copy,YELLOW—Finence Copy,PINK—Aaeessor Copy,GOLDENROD—Fix�Copy,GREEN—Appicant's Copy . . - CITY OF DIAMOND.BAR.. ;;�:; ; �. ; , - .. ... . .., ; .:..,,,>:.. ...:..::.. . _. . ... ... .. _ . . . .. . .;, �. .�:; � : INSPECTION'RECORD . : ', '.- . .... ; . `� � � i•7.��' rlv ' .; - _ . . ,� � E m � � • ' • � � • - S�TBACK���.. ,� r;_M• , � � � _ ... FLOORJOIST ;._:_.��t.._i :: .:;.�;;:�, , ��;j�;� _ ' . ; . FTGS/FORMS/STEEL � � ; ' � :FHA REQMTS - - - - ---- - ,- - �- �' LS�.�1�' ._ ---- – . ELECTRiC GROUND C, L�1,.-- '� � ' UNDER FLOOR DUCT,. � .,; ;�: .�; ;,`,:. ,r, ,: �;� GROUND PLUM8ING Gj/° y,� �sFLOOR�'J Et��: �l-% _ � �"_�r SLAB GRADE '- �� 6 'ZS. - FIREPLACE�FOUNDATION `" •`�' � -- ' `= ` ""'� � ' ' - TEMP POWER - �`'' ---- - �- '` ' �. ' FIREPLACE BOND BEAM . - -�- ' WATER SERVICE-- . _ . . _ :-: ._..= MID HT.BOND BEAM - - 't J-" '' ' ' '- '' �� - ' . � ROOFSHEATHING_ �-''ri fB "� �� - 8 FL BOND BEAM � - • FRAMINGNENTIUATION .. y _ FINAL BOND BEAM �. , .�, � ROOF COVER�.�, 'PRE-GRADING � -- � ' - . ., , ROUGH HEATING � � - 91'f� - � -- BENCHING�;�'-� <<;�!'.� � � ROUGH ELECTRfC -.--- ` � .,.,� ROUGH GRADING • • ,.-. . I '� ROUGH PLUMBING � � " �_�.,�.;;��;, �" FINISH GRADING SHOWER�fUB TEST - - �y 1 � ��% POOL ELECTRIC - ' ' .. � . : EXT.LATH/SIDING � d � . POOL FER[CING _. ' ' WALL INSULATION ; �� POOL FINAL � . � CEILING INSULATI�N , OFF SITE IMPS. � DRYWALL NAILING � l� � DEDICATIONS . , � — :. . ; ; SEWER. ._. ... .. _ ' // y . _.. FINAL ENG. • -. SEPTICTANK... _. - ' ._-- - LANDSCAPE/IRRIG. . .. _ : ,.... . '.'-��� ' ''�' - ON SITE IMPS. ; ; SEEP P!T/L.L.: _ . .._: ._...... . GAS AIR TEST. -- - � �/ r. fj� � - FINAL ZONING • - ; FINAL CONST:,- --, f - - FIRE DEPT. FINAL ' ! : FINAL-HEATING -- �- � ' � � - HEALTH DEPT. FINAL , : - FINAI ELECTRIC -�--� - � � � " � DEV.FEES PAID •: � _.. _ � •: FINAL PLUMBING � � ENERGY � • � - ; � _ � . � e��� e s ` ' � ' � - . , .,. . . , � , � ,. . _ t� - - -- - - . . _ ._ _. _ . � � , � -- - - ---- .. - -.:-.-._--:-------------.... . ... .................. • ;---------- -=--- -�� - - • -- .CO(171NlENTS ._:--�----- .--.- .. . , . � . - -- ---- --� .. __ ._ _ .._ __._. - - ; .. _... . _ ; _ _ _ _ _ ._ , , - -...._ . . _ _ ..... - , ,, _.. ��.i 5 �1��� ( .. _ . .. . � . . „ .. - �- � ----.. .-- --_ . . _ �.� �_ \' . _ . , . . . � � , li '�� J . . � . . .... - l� `" :I-�� J. . � , i � . _ . ... � . �.. , � . . :- : . . ---... .. .. . . . . . .. . .. . . . . ' . , . I . . � � ��� ,. ���) .= , . . _ ,��V� },� �M .. . ; - � ,_ .�l t`��. , ,. <. . , \ ,,- �'>> • - � • `=- ---- r.i: - - -- - � , . . . � . . . . , � . ._ , SEPTIC TANK SIZE : , . . . . . . . . . SEEP PIT/U 51ZE . .._,.. � . , . . ; : , �_' ��.. .< < ,_; , � , ,. . � _ , _.. _ . ; � \� �., I _. _ . _. � � 1 _ _.. _ . :, - I I � ,.��j ... . .. ... . .. . : . . , � ... _ ._ , ; � �:, I ,-. I ... _.. � � .� �.\" ; � ' t .. ,1, � . . �� , � � - � �� �, _ "��•l.C�. . •i: � `\� -. ., � . . i �, . -.-- _ � . . . -:+.