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HomeMy WebLinkAbout10283 `; . . _ .. _. . _ .._ ._..- --�- �-----..... - ----,_...------._.______.-�__---�--------�. _.,_ ------ CITY OF DIAMOND BAR � . � ) -�`� COMMUNTfY DEVELOPMENT DEPARTMENT' • f� ,,. 21660 E.Coplcy Dri�e Suite 190 // PRESS (909)860-3195 Fax(909)861•31 l7 """� BUILDING PERhtIT APPLICATION FIRMLY y JOBSfTE ' ' APPLICATION PERMff ID� P/C o ADDRESS�q�r ��S��) L DA7E ' NUMBER� M � APN LOT TRACT LIz S�� ISSUE TYPE OCC DATE CONST. GROUP � OWNER �h,I� !�� IS�G� p AD�RESS �/ �'� E O � ZONING SETBACKS w CITY�7a�/V"'/ ZIP C.'��l TEL.33� U��' FRONT RW ❑ � APPLICANT TEL. REAR p � SIOFJSIDE STREET RW ❑ CONTRACTOR �C� ik�-+� � SIDE ❑ � ADDHESS - � CITY ZIP TEL. PROPOSED USE �c�r--- '+-JC o ARCWENG/ DESIGNER �j NO.DWEL. / NO. • NO. n. ADDRESS UNITS L�' STORIES - BEDROOMS � � CITY ZIP TEL. � u� DESCRIPTION S�.FT. FACTOR PSF ADJ.AFiEANALUATION Q OWNER•BI:IL�ER DECLARATION SFR/ADD/REM � O I NERE9Y AGFIRM UNOER PENALTY OF PERJURY iNAT 1 AA1 E%EMPi FROM 7HE CONTRACTORS L4 Garape/Carport W CENSEUWFORiHEFOILOWw6PEA50N�5EG70.7f.68U5PlESSANDPROFESSIONSCODE:ANYGiYOR (n � U COUHTYMMICNREOUtRESAPERMITTO00N57AUC7ALTERMaROVEDEMOUSttOfiHEVNRMrYS7RUC- � W PetidD6Ck .� TUq�CR10H TO ITS ISSUANCE.ALSO REWIRES THE APD�IGM FOR SUCH VERM�T TO FILE A S�GNEO W ' � �� � - �T�TEMEM iHAT HE OR 511E IS UCENSED PURSU�NT TO 7HE VRONSiONS OF TME CON7MCTW15 LI• � CENSE UW IaFPTER Y(COMMENQHO W�iH SEC7qN 7aaa)OF DMSION 70F TNE BUSINE55 AN�PRO- u' POOVS� — � � �� � • ' ' ' fE55lON5 CODE)00.THATHE OR BHE IS E%EIAPT T11EAEiRdA/W D iME B4SI5 FOR THE ALIEGED E%EMP. TION.�MlVIOlAT10NOFSECT10N10]I.SBYANYAPPLMrIMFORAPERMITSUBJECTSTHE�PPLICANTTO Z Re-Roof � AGVILPENILLTYOFlqTMOF7ETH+WFNFHUN�REDDOLURS(f50U1�1: O 041150NMEROFTMEVROPFRTY.ORMVEUPLOYEESWI7HWACESASTHEIqSOLECOAlPENSATION, 0 Commercial � � � Z NnLI DO THE WO(iK,AN�TNE STRUCTURE IS NOT INTENDED OF OFFEREO FOf1 6�LE�SEG.i0ar.BU51• J � NESSANDVROFE5510NSCOOE:THECONTMCTORSLICENSEUWDOESNOTAVPIYTOANOWNEROF ? , , VROPE�'MMOBU4DSORIMPFqVESTHEqEON,ANDWHODOE55�1CHWOAKHIMSELFOFHERSELFOR •� LL TMHOV(3HMISORMEROwNEA1PLOYEES,VROVIDE0THA75UptUAPROYEMEP(TSMENOTMENOEDOR m � . , pOFFEREOFORSFLEIF,NOWEVER7NEBULDINGORILIPROVEUEN15501DVlITHINONEVEMOFCOYPLE. . •. . � � Z i10N,TNE ONMEH�BUILDER NnLL IUVE TME BUROEN OF iiiOVINO THAT HE OR St1E DiD NO7 BUILD OR � MPROYE FOR iME VUHPOSE OF 5A1E1. � W O11150wNEROLTHEVROPERTV.AAIE%CLUSNELYCONTMCTINOWITM�ICENSEDCONTMCTORS (C TO CONSTRUCT TME PRQIECT(SEG 7oa1.BUSINE55 AND PROFESSqNS CODE:T7E CONTMCTORS U• VelUB}i0f1 ADJ.AREA W CENSELAWDOESNOTAPPIYTOANOVMEHOFAVROPER7YNT1O9U1LD5DqMPROVESTXEREON.IWD � W1qCOMMCTSFOR5Ud1PRWECTSVATHACONTRACTOR�S�LICENSEDCU0.5UFNTTOTNECplTMG pUANTITY DESCRIPTION � FEE � � � TOitS LICENSE UW.). O O I A1A EXER�Pi UNDEF SEC. B.l P.C.FOR TMIS REASdJ J � . � DATE � OVMER z . � LICENSED CONTRACTORS OECLARATION ' 42 1 HEREBYAFFIR4 UNDFR VENALTV OF GERJURV TNAT 111u LICENSED UNDER VRONSIONS OF CwIOTER p„ 1(COMNENCINOWRHSEC710N70oo�OFDMSqN]OFTMEBUSINE99ANDiROFESSqNSCODE,AND Z � . X YV IICENSE LS N FULL FORCE ANO EFFELL � �f.,ta _ �_ � . ul � r r--rv � UCENSE CUSS LIC.NO. � V DATE CONTRACTOR � W � WORKERS'COMPENSATION D[CLARATION � N INEREBVAFFlRAIUNOERVENALTYOFVE0.RJRYONEOFTMEiOLLOwiNGDECLAM710N5: � . C1 _I/uYEANDYnLLMAM17AtNACERTIFICATEOFCONSEMTOSELFaHSUREFORNORI<ER5 � COMGENSAiiON.A3DROVIDEOBVSECTON�7ooOFTHELA00RC00E,FORTHEiERFOMIANCE � OFTHE WORK FOR WHiCNTFIIS VERMIi6145UED. � �IHAVEANDMnLLMNMAWWORKERS'OWAPENSATiONiNSUMNCE.ASPEWIqEDBYSECTION Qn llaoOFTHELABOHCOOE,FORTHEDERFORYANCEOFTHEWORKFORWHICFITHISPEIWITL^ LSSUED.4YYNNCERS'COAI7ENSA710Nw5UMNCECMRIERIWDPOLICYNUMBERM[: CONSTRUCTION ' � CARRIER PLAN REVIEW � va�cYNUMeER ELECTRIC � (MSSECfIONNEmNOTBCW1.fifTEDOfMPEii.(T6FOfi0NE1MDREDDCl1AitSR��la1LE551 BING � Z �CERTIFI'MAT W TME VERFONAIANCE OF TNE WORK FOR MR/Ip1 TMIS VERMI7 t5155UED,1 �CAL �, �� R� (�} SHALLNOTEIAPLOVANYVENSONNANYMANNER50►STOBECOYESUBJECT70TXE � •"y N WORKER5 CdAPENSATqN UM50F CALIFOflNU�M1D ACRfE THAi�F 15110U1D B[CD1AE INSPECTION FEE � SUBJECT TO THE YAMERS'COMPENSATKKJ PROVISiONS OF SECTqN 770o OF THE L/BOR s COOE.1 SNALL FORTMMTI td.�PLY WIT/T/q5E VROVIS�ONS. �SSUANCE ��� y � SMIP �laT_i.�—n '�' p OATE: APPLICANT: � ENERGY P/C WMNWa FARURE TO SECURE WONCERS COMVENSATION COVEMGE IS UNUwFUL.AND SIULL BE �y SU&1ECTANEMPIOYERTOCRNIWALVEN�ITICSMDCMlFNE9UPTOONE/NNDAEDTIDUSAND ENERGYPERMIT OOLLARS(f 100.00041N ADDRqN TO THE COST OF CAMPENSATION.UAMACES AS DPOVDEO FON M � 6EC7qN770lOFiNEIl�Bd1CO0E,INTERE3T,AHUATTORNEV'SFEES. ' qE7E�J'(�ONfEE: - ' " a CONSTRUCTIONLENDINGAGENCY PRE•ALTFEE: ' � � � - O � IHEREBVAFFIMIUNDEPPENNiVOFPERJURVTNATTNEREISACONSTRUCTION�ENDWOAOENCY � ' � � Z FOR THE PEFFORAIANCE OF THE WORK fOR WHICM THIS OERMiT IS ISSUED(SEG]oi7.pV.C.} W � LENDEiY9lUUE ' � � lENOER'SIIODRE55 � � 1GERTIFYTH�TIHAVEREADTIISAPCUCATiONANDSTATETUTiHEABOVENiONMATIONISCORRECL TOTAL FEES '3 ) ' � I�GREETOCOMPLYWRHhLLCiTYANDCOUN7YOfiDW�NCESM1O5T117EUwSR[U177NUT0&1LOiN0 � CONSTRUCTION,ANDHE�7EBYAlfTIqqIZEREPRESEMATNESOF7W5COl1NTYT0EMERUPONTHE Z �eove�MErrria+eovrwveancoaiHsrceTarrouavosEs. COMMENTS o ��i_ � �M��'� L��L T m ¢ PERAUTTEE NAME(VRINT7 �n 7'� � ♦ .��1�G1 � y qN1TUH OF GEf011TTEE ' OATf � � FiECPT.NO. PAID BY VAL�DATION WHITE—Oepartment Copy.YELLOW—Finance Gopy,PINK—A6aesaor Copy,GOLDENRO ile COpy,GREEN—AppllcanCa Copy � —.�.. . - . :ri:- . . . , -;v, +r�. .�• ,. . —. .. :.._. . . _....._,� . ..�.:r _. , _..,,...�.�_...�...r,_.- , . . . ..:.��....' .".�,' . . .. . . .. ,. � .':.�:.. .r .', •.. . .. .. . . . .��... !�� .�I.. � J� . i ���.t:.. ^Mi.• � •.{'�:4:\ ..�{ •I '� .��'Nr'� . . , �'f'� '...�. •V.'��1' :a. 'l:'. � , . . . : • .- . . � �. . .- �= .. �� ��� ' CITY �F DIA�JIOND.C3AR�'���'��� ' ' .r, i , '�'.ii !� , . ;� ._ �: INSPECTIOh1 RECORD �.�:';' .,, . _ � `� - - �� r : � - 1 ��....,..,.. , . �'i�.'. .?'i:..^.�(i_i� J�. - , ����JY�:������►! _ ����FI� 1�1�`�������,:��1��:'�0� 4►vF`���C��A.��►J�___�_-3_� yr,��� p�` ~���`^,��1�-�<. - _ ��1._.�_yL.._ �`:� y.:1� �..._ ._j.._.�.._ - - - ..�._ � ____. SETBACK .�; _ .... ... ._ -_-,r: i . ; . .. . _. . . FLOQRJOIST �-t.•.-, _ --- --- - ---- -.__..... .._ � :- . ���-� ,.. � „ . ' FTGS/FORh1S/STEEL-- - �" ' ' -- - - -- - FHA REQMTS - - - �; _,,• � ' --' ' ' ., _.c- ; - ELECTRIC GROUND , . UNDEFi FLOOR DUCT [> -�\� �-- `> -=-f_� -•�:,;,r.: , I -. GROUND PLUh16tNG " , - -- __ . �; ,'.:. i UNDER?"LO�RL�CS�.E'JUIT !1'., .-\_ •, .._.__ �' �,•�?_'.`, ���!�; � �; SLAB GRADE ..__... _. ' ..-., _..._, �.-�. .,...._ ._:. . FIREPLACEFOUNDATION _. . ::_..� : :-_ _: ----- -- .. _ TEMP-POWER ---- --- -__-_'-.:.: :.._ -.. t�.__:_:.._. _ FIREPLACE BOND BEAM ..- ��•:v � v _ � "-:: �.;.: -' ; : -� , �� ... _..�� --. ..-- - ----- WATER SERVICE.. ...----- -..__.. -- �,. . ::... c; : . PAID HT.BOND BEAM_._ .:__..._ ,,.. :r� � �_, ROOF SHEATHING -- � -- - -- - --- 8 F7.BOND BEAM `�'���� *' I � FRAMINGNENTILIATION ` ;� ,�1 '•� ' `FINAL BOND BEAM � -"- "-� " - ---- �"��-� -- - ' �� ' ' ;• - ---- . . . - - PRE-GRADING.. . ._ i ,, . . , i ., , .ROOF COVER--- - -- -- - ---� ---- -... ---. ._.. ..... ... . .... _._.._._._.. � �.: _. _..._._.__.. _ .. _. . , ;, ROUGH HEATING --! .-_.. _ , ' -'- -'-- ._- `- - BENCHING .. .. . . ,. . �,_ . ,. . -ROt1GH ELECTRIC--=-- - -- --- -- --- --; ----�. ROUGH GRADING . . . ..... . .. . . ..� . . :,. . .. , � � ' . .., . -ROUGH PLUMBING -•-�- - ----- -- __ -- -. - _ FINISH GRAQING • - : ,'., �SHOWERfTUE3TEST'.. j'`j �7 . . : "P�OL�LECTRIC .. , ; . . , - . EXT.CATH/SIDING- - --- ------ - ---- P.00L FENCING ' `� ` ' ' , WALL INSULATION � i ROaL FINAL • - � CEIUNG INSULATION � OFF SITE IPJIPS.. :: � " � � DRYWALL NAILING : i DEDICATIONS ' � •. SEWER._ ... .._. .. . !.. ._. . ' FINAL ENG. ... . i . SEP.TICTANK .:.-__. _.'...: ` ' - - :....._... LANDSCAPEIIRRIG. , ., SEEP_P1T/L.L.--:.. . .-.-.- .-.. -�---. _'_._'. - - - .,_,. ON SITE IMPS. ,,. . ( ;. : - Fl�JAL ZONING' = ` GA AIR.T �__.._.---... .._.. _ .. . ..-- - ---- ---- ' FINAL CONST.'; - — - _.. __ _. --- FIRE DEP7�"FJN.AL >>�: `. > �.• C.�� -t•l-�; . FINAL HEATiNG - ...._. ._.. --- - ...... --- . _.. .. . . HEALTH DEPT. FINAL .., • - -- ---- - -. . ._._. .,. . FlNAL-ECECTR�C- - - - " ' : , - - DEV. FEES PAID • �:..•, FINAL PLUMBING �- � � =� ���� ; _ ENERGY • • • • i ' _. ._ . - - --- ... . , . ,r �al� c _ n1c;�r -- � _ . ... ......_ . . , ,. � ----.. . ----..._.. . .. . .. . . . .. , � � .._ . i ; . -- _ �. : COMMENTS ._. _ . - .... � „ : . � - : , , ---- ---. . ..: -----.._. _ . _. . . . • ., . , . -. .._ � ,.. i ....._._..------ - --� -- ---- � - _. ...---- ---- -----. .. " � , ." ' .. ..,; . . � '., - - --. .... ......... . . ..... ... . . 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