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HomeMy WebLinkAbout12106 (13) 4 � �� CITY OF DIAMOND BAR � �• '� `� --� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� �� 21660 E.Coplay Drive Suite 190 � . • (909)860-3195 Fax(909)861-3117 PRESS � ����'� BUILDING PERMIT APPLICATION ' ' FIRMLY o ODRESS I��� C/�� IC.1 Cil I� [JII�I IC.i DATECATION 13 � NUMB R `� I � N/C g ISSUE IYPE DCC . _ � APN LOT TRACT DATE CONST. GROUP - � OWNER '� p ADDRESS ZONING SEBACKS �W CITY ZIP TEL 7��5�/G�, REAR Rw ❑ APPLICANT TEL /Jl�� SIDFJSIDE STAEE7 RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS - CITY ZIP�jf��TE . PROPOSED USE o ARCWENGI • � DESIGNER � NO.DWEL � NO. NO. ADDRESS CITY ZIP TEL UNITS STORIES BEDROOMS � �n DESCRIPTION SO.FT. FACTOR PSF ADJ.ARElWALUATION p� . . . OWNER-BUILDER DECLARATION . . � .. . SFRlADD�AEM � - � � � � � � O p I MEREBY AFFlRM UlIOER VENALiY OF PERIUR'/iHA71 AM E%EA1Pi FROM iHE CONTiUCTORS LF Gefe9B/CBtpOR � � LL CEHSEUWFOFlTHFFOILOW�NOREASON(SEC.7W1.6BUSWESSANOFROFESSIONSOODE:ANYCI7YOR (f� y COUNi'/W111CMREOUIRESAPERMRTOCONSTRUCLALTER�MPROVE.OEMOLISM.ORHEPAIRANYSTPUG w u� NRE.PRqR TO RS 159UMICE.KSO REOUIRES iHE APPUCANT FOR 6Upf PERMIT TO FllE A SIGNED w Patio/peck � STATEMEHi TMAT HE OR SME 6 LICENSED PURSUANT TO TME PROVISIONS OF 1HE CONTMCTORS LL � � CBlSE UW(CFIAPTER Y(CdArAENdN6 WITF1 SECTqN 7000)OF DMSIOH 7 OF THE BUSMESS M1D PRO PooUSpa . � . FE5910NSCOOE�OR7}UTHEORSMEISE%EMPT7HEREFFiCMM1OlHEBASISFORiHEAllEOEDEXEAIP• . � TIDN.AN7VIOlATIDNOFSECT10N7W1.6BYANYMPLICANTFORAFEiWITSUBJECiSTMEMRIC/J�TTO Z Re-Roat '„� A CIVL VENILLTI OF NO'T YORE 7NAN F1VE MINDRE�DOUARS(f5oo).). O �ttiSOM�IEROFiHEPROPERiY,OR4YEMPLOYEE5WI7HWAGESASTHEIqSOLECOMPENSATICN, � L] Comme�Ua� � - Z YALL DO TME MIOfY�AND iHE STPlIC7URE IS NOT INTEIIDED OR OFFERCD FOR SALE(SEC.704,BUSL J � HE59 AND iFiOFES510NS COOE:TNE CONTMCiOR3lICENSE UW DOES NOT MPLY TO AN OWNEA OF � . . . . PIqDERlY W/O BULDS OR W PROYESMERE014 MR1IM�ODOES SUCl1 ViR�RN HIMSELF OR HERSELF Oq ' � � 711NOUGHMSOqHEROMMEWLOYEE3,PROVDEDhUTBUCHMPROVEY[HTS�qENOTMENDE00q ' m OFFEAm iORSALE IF,NON�EVE0.IHE BULDNCOq MPROVE4EMIS SOLD W11HIN ONE YEAR OF C040.E• TqN.7ME OWnERAUILDER WILL IUYE TME BUNDEN OF VROwq THAT ME OR SNE DID NOT BUIID Oq = MVP0IIE FORTHE VURPOSEOF SALE} � . . W OlIL40MMEROF7HEiROVERTY.AME%CLUSIVELYCONTMCTN�WfTMUCENSEDCONfMC70RS � TOCONSTWJCTTNEVRO.IER(SEC.Mu.BU51Hf55M1DVROFES5�ON5CODE:TIIECOMRACTORSU- VelU0li0fl ADJ.AREA � ' � CENSEUWOOESNOTAPRYTOANOWNEqOFAPpOVEHTYMn10BULD50RIMPFqYESTMEHEON.IWD W/qCONTpACTSFOqSUpiPpp,IECTSNnT/ACONfRACTOR(5)LICE114EDPURSUAM70iHECONTMG �QUANTITY DESCRIPTION FEE . � TOf15UCENSEUW). . . . , , - ❑IAM E%EMPT UNOf R SEC. B.l P.C.FOR TMIS REASON � 3 {�� . . � �=' o�re OMMER r � U . . . - LICENSED CONTRACTORS DECLARATION W � INEFEBY/�FiVWUVDERPENILTYOF7ERR1qYiNAT1AIALICENSEDUNDEFPPAVISqN50FCHAPTER V. . � ��COMNENCNOWIT}iSECT10NiooD�OFDM5i0N70fTHE8U51NE55/WDPROFE55iON5C00E.AND Z �- ��� WUCENSEISNFUl1FORCEMAEFiECT. � ' 0 �IC,�SECUSS � UC.NO. � �� � �'j oRY� corrra�c'ton �Q�_ d W � � WORKERS'COMPENSATIONDECLAFiATION a � U � IHEREBYAFiWAUNDERPENILLTVOFPEIWRYONEOFTIIEFOLLOWiNODECURATI0N5:� - Z �50 � _INAVEANDWILLAWN7ANACERfiFlCATEOFCONSEMTOSElFaNSUFEFORWOitKERS' = i/O OD1/PEHSATION,/3YRONOEDBVSECTION]70aOFTNELA110RGO0E,FDRTHEPERFORYANCE W 7 OF THE MK1RK fOR WHICH T115 iEiWIT 19155UE0. � � �1 NAVEAND YIILL VAMAIN WDIIKERS'COEIPENSATqN RlSUf1ANCE,AS REd11RED 9Y SECTION 0 ]7o00FTNELABORCODE,FOqTHEPERFORA/MIGEOFTMEWOfiKFOHNrt1ILMMISPERAlIT15 , � 65UED.1dVWORKERS'CpAPEN5A7qNW5URANCECARRIERANOFOLICYMI�ABERME: CONSTRUCTION � GIRRIER � �}�_ � PLAN REVIEW � VOLR.'T NUMBER_ � Z�-L2s�s/Q ELECTRIC o �nasseeno�rr�r�orseca.aFrcnantveru�rswaa+e�x��oai►r�sa+m�rn�sst PLUMBING Z ICEH11iYiHA7Nh1EPENFORMANCEOFiMEWOFlNFORWMICHiMi5PER1ARI5155UED.l MECHANICAL (} 6WLLLNOTEMPLOVµYPERSpNNMlYM1WNERSOASTOBFW,.�ESUB.IECTTOME (q NORKERS'COMPENSATIONUWSOFGRII RNIAAN��CFEETHATFISHOULDBECOME INSPECTIONFEE � SUBJEC7TOTHE WOiiKERS' SqN ]70a Of 1ME 1A00N ' ' � � -�- - s COOE.ISNALLFOIfiNWRN airwin �Fy L,p�js ISSUANCE O y /� �p WTE: ! IIPPI � Y. SMIP � � WI6WINp:FAriUFiETOSEWREV.O(LCERS' F T -iuGE15UMAWNLMIDSHALLBE ENERGYP/C � 6UBJECiANE47�OVERTOCAWRW.VENALTIE ANDd cwEsuvToar+e�anaoaEorrausu�m �ENERGYPERMIT �� - - -� � DOLUR4(f100.000),IN ADDITION TO iNE COST OF 0061PENS�TION.�AMACESl15 P{IOVIOED iOq IN ¢ SECTIONl70eOF7HEUBORCODE,NTERESL�NDATTOPNEY5FEE5. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � �- O . � IMERCBYAFFlPoAUNDERPENALTYOFVERNRY71/�TTMEREISACONSTRULiIONLENONOAGENCY . �� � 1 I ' ' ' Z FORTMEPERFORAUNCEOCTNEWOW(FOR ICHTNISVEIW�TISISSUED(SEC.]OY1.CN.C.} - � � � . , W � LEHOfR'S NAUE w . . � IEHDEICSADORE95 ¢ ICERTIFVTNATINAYEREADTMSAPCLIC11TY1NM105TATEiHATiHEAflOYENFdiIAATIDNISCDRRECT. TOTAL FEES I,��'�O � I�UREETOCOMPLYWITHHLCfiY/WDCOUNTYORDINMICE5FND5T�TEUWSRELATIMTOBVLDINO � � CONSTpUCT10N,ANDMEREBVAlli110{iIZEREPRESEMATNE50FTNISCOUNTYTOEMERUPONTME . . . . . . . ' ' ABOVE�MENTIONED PROVERTY FOR PISPECTION FURGOSES. COMMENTS � r . � L a° rerwm w�¢�rw < � - _ Uj SfONANRE OF PE E � RECPT.NO. PAIDBY J VIWDATION 'WHITE—Uepertrnent Copy,YELLOW—Fnence Copy,PINK—AesesaaCopy,GOLDENROD--FibCopy,GREEtJ—AppicanYa Copy �- - � - . �. . .�.. . • ....... . . . . . '. . . . .. . � . . . A �„ , e. . . � . � ... . . ... . . . . ..�. . ... �. ....s_ ,-. � .. . . . .. . . . .. � . . ' .� ' 1'� . . .. . . ... .. . . .. � .. . � ��;�•► ' � CITY OF DIAMOND BAR - •��-r.-- �. , ;., ...:.. . ; -.. :iNSPECTION RECOFiD ���:� �'; ;;- . � , ... r' ..': �: . . L . .. - • � � • - • � � • - SETBACK ... . � . .. FLOOE�yj���Tl ��'`' {1 '•( (�t.''S '`•:',-:� :.� . : FiGS/FORFAS/STEEL = FHA REQM� - -�: --_' _. . ,-•� - . _... _ ; : .. , .ELECTRIC GROUND .. .... . . ..... ... _.._ .. ...... ..... . . . UNDER FL !�D � .�. . . :—. ,. _ .� . -.,,� �•.� . .. GROUND PLUMBING '� ' UNDE 'F�„+Q�RGU'� ��7�4�1 I�ti'� ,.`:,1 ::,,;:L,i � - � �- . :, . . . . �' � F�r; '`i1 ..f\ ::.';,.: ' ��,; ; '.' BCAB GRADE - - • -- -- - ..._ _.. .._ ; FIREPLA�£ LlNUATIOM=•�' �.\ . ._. TEMP POWER-- - - - � ;:. .,-,_..:-:: . � FIREPLAC�� ND BEAM ..::.. _. ..___-. . .�- ,. � .. -WATER SERVICE :_ ._: _: -:_..-:.-__ : _:-:_.: ..-._-:_� _ . - MID HT, QND 8 AtyF-�`-'•'L t �a".�'..`-� ''�,�.. � , , ROOF SHEATHING - - - _ _ • 8 FT.LO�ID�B�A� .'�=•, '�rY+ .�, • ...._._ '- , .: FRAMINGNENTILIATION FINAL BOND BEAM � - - -._ --- - , ROOF COVER,'. PRE-GRADING ' ROUGH HEATING...-.: � � .�' --- - - --- � BENCHING .. ._..... . --. . .. .. .�- -- � ' . ROUGH ELECTRIC ; - � - � � ' ��. ROUGH GRADING ,�,. � . ROUGH PLUMBING � � ---�� " - � --"� : -.- - FINISH GRADING • � ` SHOWERlTUB TEST�--� � � � FOOL ELECTRIC : • ; , EXT.LATHISIDING ; � , . FOOL FENCING � WALL INSULATION ; POOL FINAL CEILING INSULATION DFF SITE IMPS. ' � • - ' . DRYWALL NAILING DEDICATIONS � : . � SEWER._._. .... ' _ _ FINAL ENG: ---� - - -. ..----- �- - .. . _ ; .._.._ SEPTIC TANK _. .-_.... . . -_-- ..._-.- .. -- . -.'. LANDSCAPE/IRRIG. . ! ! .SEEP PIT/L.L . .:. _ _ ' ..:.:•.....: _.. _ . : ON SITE IMPS. . . ; �GAS AIR TEST�• - --- � -- --- -- FINAL ZONING FINALCONST.' ---- ---- -- . _ - . FIREDEPT. FINAL' ` FINAL HEATING � - � � �HEALTH DEPT FINAL . ; FINAL ELECTRIC - "- � - - DEV. FEES PAID - � FINAL PLUMBING ENERGY • - � , , . � . . � � _ ����,.� . , _. . ... . .._._ _-"... -�.�. _. . _�. � �:.. ���-.. . . . CClMt��N�TS � `- .... .�: ..•V; �.��=;�t � ��' _ . . , --- •� \. _,..�•W - . •'��, J �ts,., , , �::� ��. ,��_� � �{'.l � •� �`_ • .. _._~ ,C.. . ,� ..�2..z1'�= �_S��CL":'�• �., ' \ . ''. _ ... ... _ . ... .--- - ._ _ . . , i . . _.. . . . .. . . , ,� .,�� .. �.. , : �`�,,_� . � �`lJ• �J �� ` � v�l�,',��.J�r� . -- - - - - -- . ._.. _ _. . , . .. . ,, . - i _. _... .._. _ . . :,�':-.�.a::�..... • .. _ , • � . ._... r, , - •, � _ S"' \ _ _._ .. ... . _ _ . ... . _ . .. . . • ' . . � . . . . . . L . . ' . . SEPTIC TANK SIZE . . . � ; , , . , , . ,. , . SEEP_PIT/U SIZE �. ; : , , � . . ... � : � _. _. � . - - ;: , _ ; , , . . . . -- . - . . .. --�- . -- � ,`� � : .. -. . .. .-.___ _ . .. ' _ _ +�,��! . , � . , . _ . . � � . . , ', � :. .: � �' - -- • i � C"� ,.� � --.. , � � . v �.�_ . .�.,, . _ ��,�::� ' `-.�' .•�+-� . -- _. _. . . . _ . . _ _�. . . ._ i . ... . _. . i � ... _. �.::r-� �� . . _ . ` - '•