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HomeMy WebLinkAbout10173 (5) �t 3� 1 - CITY OF DIAMOND BAR . ' ` : � COMMUNITY DEVELOPMENT DEPARTMENT z��o�.coP��y n��e s�,c��90 � . PRESS � (909)86o-3195 Fax(909)861-3117 h''"'� BUILDING PERMITAPPLICATION FIRMLY < ADDR�ESS p � � �W'��r' APPLICATION J� PERMR P/C p DATE "� � NUMBER M � APN ' LOT - TRACT y��S� �SSUE TYPE OCC DATE CONST. GROUP p OWNER /IJL� -oA� p ADDRE S �� .f1�,�X �/aC� ZONING SEBACKS ' �W CITY � ZIP`�Y/ TEL.c�9s�8'y�� RE�AR RW ❑ APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR C`�Gr�s�,C� SIDE ❑ . - o ADORESS PROPOSED USE �(M� � o CiTY IIP TEL �� . ��� wo ARCWENG/ � DESIGNER NO.OWEL. ^. NO. • � NO. ADDRESS UNITS STORIES BEDROOMS � ClTY ZIP TEL. c�i> DESCRIPTION SO.FT. FACTOR PSF ADJ.AFiEANALUATION ' � OWNER-BCILOER DECLARATIQN � SFFVADD6iEM O p I HEpEBY AFFIRM UN�ER PENILLN OF PFRJURY TMAi 1 W E%EUPT f�7HE GONTMCfONS Lb Gef9Qe/Cafpoft � W LENSEUWFORTMEFOLLOwNGRFl50NI5EG70.17.6BU5wE5SAHDVROFE551DN5CODE:ANYpTYOR (n U COUNTYWNIdIREWIRESAVERUITTDOONSTAUCf,ALTERMPROVE,DEi.qLISi{OHREP.URArfVSTM1C- W Pati0.�D6dc . ' � TURE,PR10R TO RS ISSUANCE,AL50 REOUC7E3 TNE APttICMli FIXi SUG1 CERMIT TO FlLE A SIGNEO � STATEMEM T1iATHE di SHE IS LICENSED NRSUMR TO iME pROVISiONS Of THE CONTMCiORS L4 . � GENSE UW(CJ/APTER 0�CO4MENCWC WITH SECTION/Oa0)OF DINSION]OF ME BUSINESS ANO VRO- � POOVSpB � ' FESSIONS CAOE)�TH�7 HE OR SME IS E%E4Pi THEREFROM MID ME BASiS FOR iME ILLlE0E0 FXEMP• TION.ANVVqLATpNOFSECTiONM7t.6BYANVAP7LICANiFOq�VERMITSUBJECTST+EMiLM.AN7T0 Z Re-Rool F„ AGMLVEN�LLTYOFNOTMORE7TUNFNENUNOREDOOLLARSIfSoo).1: Q O�ASOwNEFOF1/1EFROPERNOiiMYEMPLOYEE5Wi7XWA0ESASTMEIq50LECOMPEN5A710N, � Cpmmeftl3l y WILL DD TNE WORK.AN�7HE STRUCNRE IS NOi INTEN�ED OR OFFERED FOR SALE(SEG 7DN.9U54 �.I y NE55 AND VROFESSiONS COOE:THE CONTMCTORS LICENSE Uw DOES NOT MPLY 70 AN Ot^MER OF ? PFOPER7V NMO BUl�4OR WIPqOVES TNEpEON,AN�NMO DOES SUC11 Y�K)RK NIYSELF OR HE0.SELF OR � 7/tliWGHHI50qHEROWNEYPLOYEES,PROVIDEDTTIATSUCHIMVROVEM[NTSARENOTINTENDEOOf1 � • . , OOFFEREOFORSAlE1F,FqWEVER7ME8tALOWCOR�.IOROVFAIEMI550LDWRNYONEYEAROFCOM0.E- ' � Z TION.ME OWNER-BU4DEH M'ilL H�YE TME BUHDEN OF PROVINO TMAT ME OR SME DiD NOT BUILD Ofi . � W PROVE iOR TNE FURPOSE OF SALE} � �1A50YMER OF TME PflOPEHiY.MI E%QUSIVELY CONTMCiMO W17H LICENSED CONTRACTOIIS � M CON57PUCT TME iROJECT(SEC,ia�,BUSINE55 AND PROFESSIONS CODE:7HE CONTMCTORS LI- V81UAtlOf1 ApJ.AREA � W GENSEUWDOESNOTAPPLViOANOWNEflOFAVROVERTYWFqBl11LD50XMVROYESTNEREIX{N10 � YAIOGOMMGTSFORSUp�PR61EGTSWITHACONTMCTOR(S�LICENSEDPURSUAMTOTHECOffTRAG QUANTITY DESCRIPTION FEE � TORSUCENSEUW.�. Q O 1 MI E%EUPT UNDEH SEC. B.l P.G iOR THIS HEASON Q � . . , U . . .. ._ - . . . � LL' OATE '� ' � OYVNER r V . . . � UCENSED CONTRACTOFiS DEC TION W � IHEREBYAiFwMUN�ERGENAITTOFPFiiR1RY7HATIM/LILENSE�UND[RVfqYI5�ON50FCHMTER V. • p� 9�COMMENCWOWRHSECT�dJ7000)OfOMSiON]OF7NEBUSMESSINDPRO�ESSIONSCODE,MlO Z X W IICENSE�5 W FUl1 FORCE/i!A EFFECL m _ L11 � 0 LICENSE CLASS LIC.NO. � � V oaTE � �CONi�ucTor� � w � WORKERS'COMPENSATION DECIAAATION � � IHEREBYAFFIRMUNOERFENALTYOFOEiWRYpNEOFiHEiOLLOYANCDECWUT10N5: Z � _IMAYEIWUWILIYANTAINACEHTIFICATEOFCONSENTTOSELF•INSUREFqiVIOHKfRS' _ COMPENSATqN,ASPHOVIDEDBYSEGTIOND7DOOFTHEVBORCODE,FORiHEPERFORAIANCE U � OFTHEWORKFORWHiCHT11ISCEiWITSI55UED. � � w _IMAVEMIOWILLIMiNfAWY/(NY(ERS'001.IPENSATqNINSUMNCE.�SREWIREDBYS[CT70N { •�� Q �70o OF TNE LABOR CWE,FOR 1HE FEHFOPMANCE OF THE WORN FOf1 WHK+17/93 PERAIR IS � .._�! �If �'i J . ISSUEO.YVWORKENS'COMPEHSATIONINSUfUNCECAARIERAND00LICYNVMBERME: CONSTFiUCTION F -� 4 a r . , � CARFIEH PLAN REVIEW � � POLICYNUNBER ELECTRIC + Q � (MSSECi1JNNEmNOT8E00MlE7mOfTEPERFffRPoRON[MfO11EDORlAi�'i{t10D)MLE55� PLUMBING f�,j1+A7 Z ICERiLLYTHATNITHEVEFFORMANCEOFTHENUIIKFORWNICHTH15PE1WITISLSSUE�,1 MECHANICAL C7 SMALLNOTEMPLOYMlYFERSONINANVMANNERSOASTOBECOMESUBJECTTO7NE � WOPKERS'CO�.�PENSATqNUw50FCALIFORNIA,ANDACREETHATIFISNOULDBEOdAE INSPECTIONFEE SUBJECT TO iHE MORKERS'COMPENSATiON V(lOYi5qN5 OF SECTqN]70o OF THE tABOR , S COOE,ISIMLLFORTIMATHfAMPIYWITNTHOSEPROV1510N5. ISSUANCE � � SMIP p �ATE: APRIGANL _ —_ — � WMNiNG:FAIURETOSECUREWORNFiL^'COMPENSATpNCOVERAGEtSUNUwRA,INDSNALLBE ENERGYPIC �y SIAIECTANEYPIOYERTOCRIMPIALPENALTIESANOC1V0.fINESUPTO0NE1M1M7REDTl10U5AND ENERGYPERMIT DOlUR3�f I00,000),IN ADOITION TO TNE COSi OF COYPENSATqN,D�MACES AS PNOVDED FOR IN � 9ECTION]7oeOFTXEUeONCODE,INTEREST,MIDAiTORNEY'SFEES. � � pEjENTIONFEE: � � � � � � � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � O � IHEPEBY�Fi7R/AUHOENVENALTYOFPERIURYTNATTHEREIS�CONSTRUCTIONLENOWOAGENCY ' Z FOR ME PERFONIANCE OF THE WOAK fOR WMp/THiS PEfW I715 ISSVEO�SEC.70G7,pV.C.�. . W - . . . . .. _ . � LENOER'SWWE � � ' � � LENDERSADDRE55 � � � � � W ICEHTIFYTMATIMAVEREAOiMISAPVLICATqN/NOSTATETIATTIEABOVEINFORYATqNISCORR[CL TOTAL F S . / U , � IAGREETOCOi.�PLYWITHALLtfTYAN�COUHT'ORDWANCESANObTATEUwSFEI.ATPIOTOBUILDiNG � CONSTRUCiION,MLNEREBYAUTl10qIZEREPRE5EN7ATIVESOFTM5C0UNTYTOEMEHUPONiME �� �/j��/ Z ABOVE�YENTIONEDViqPERTYFORINSPECTIONVUHPo5E5. CO MEN7S � ��y ��/ L/�wl.'" . � KtY C�,�.V� IC��/1-� 1/ ,il�C'r'C��I i � — - - m VERuiTTEENudEryWNn ... . . . d L/-22-45 � � . • y ONATURE OF P E DATE � � RECPT.NO. PAID BY ALIDATION , � � .. .WHITE—Orpartment Copy,YELLOW—Finance Copy.PINK—Aseeasor Gopy.GOLDENROD--FIk Copy.GREEN ucenCs Copy I \ / . . . .. . . . , .... . . . .. . _ . , , ' . .V...:i:.�-.�....�r...'e� �.,a.r•.+.. ,.I.��, . ���"l.:y4 . "'i': � .1��•,:tl�1. ��:.��. �f•�"o'._ .H..... _ ._ ,:y„ . ...q,.+ _, �.h. i n•1...:.. . . ._ r�.. ..e. . , .. � . � . 't�i . . .. 1tI,A ... . 1 ,( _ 'i\ ��-, ., CITY OF DIl�Ii�OND�E3AR ,;;`,� ;� ..'.".."� . ' '�, .. ,._�.:: . _ _ ' 1(�lSPECTION RCC�RD � ':= = . - .':�: *.� . . .-_ . , •�: : ...�i. ,... ,. r. . - �li!E•���c��+tol�'1 _ ���V��► �I����G�.'�F,��'"�+"'' ��`.����C(�!`!1�+�:� I�►':,���;�4 _�!►v,f-`1:��-c�������,. - - _`� �....__� � __ ____ _ _ •-•--- - --- - - _.� �.. . �.__.___.- ..�._.�_. SETBACK.��; --- : .-.--. . _ . . _. .. ._ FLOORJ015T , .. -_ _ _ __._ - .. _._.. -- --- --- ---- ---{ :_; FTGS/FORMS/STEEL_- - ' � - - ---- FHA REQt�ATS....� �. .. ._; , ., ., --, -: .-: .. --,; ;.-.- : . I .'. , . . ELEC7RIC GROUND , UNDER FLOOR DUCT , ��._•.�: I -� :�_ , , . GROUND PWh�BING . --- -- - . _ '�..:� UNDER FLOOR CGNDUIT " _•.` �'. . ..._._ _��:��.-:_ •rr..: ; SLABGRADE..- .---.-- �; __. .....---.- - �__. .. . _ V ; , FIREPLACEFOUNDATION-_�. ._ ._._. __ ... .---. .. ,., . . - -- --- - -._. ._. __ . - FIREPLACE BOND BEAM� - '' ' • ��� � •' = f ` TEMPPOWER'.._-._.-- _:.: _::__.--_::-- _ _ .. .._ .. _ . . ... ,.� _,�� � ._• . - - .. _ _ -- - -- � _. VJATERSERVICE •.. . .- -- -- ' ` - ----- - -"., ` � ��11D HT.80ND BEAM , ; . :-� , ._ ROOF SHEATHING - � 8 FT.BOND BEAM - ' .. .. .. .;�.�., � ; FRAMINGNENTILIATION �� `� -` � 'FIFJAL BOND BEAM "- - ��- �- �- - -- ' ' --- � � . - - - -----,._... PRE•GRADING. .. . . ROOFCOVER --.-'- -: .:_.: _ � . ,... ,.�. � ; - ..... . . ._. ..... -- - ROUGH HEATING '- ' -'-' ' - - - ' '' -• -`-' ' ' BENCHING _.... ---. .. . . ROUGH EL�CTRIC _._ ...--.-. -.- ..- -..- -_-.--..�,_.._ _ pOUGH GRADING . . , . .. . . �., ; ` ROUGH PLUMB�NG-`- - ._... _....__ ........__.... _.._.. __ . �INISH GRAQING . . , : : .: ; ' SHOWEA,rfU6TEST, - - ' � - POOLELECTRIC� : - • � .:: -EXT."LF,TH!SIDING -. - ---- --- - -- - �- _- POOL FENCING . ' ' :. t �. WALL INSULATION � ; POOL FINAL �• - � . CEILING INSULATION ! OFF SITE ID.4PS. ., '� _. . �, � : DRYWALL NAILING '. � DEDICATIONS ': . " ' :: j :� SEWER-- ----- ' . . , , -- . FINAL ENG.. , , � _ -- ---- ---- - . . . . _ . _ .. ..... . . ... .... _ � , SEPTIC.7ANK.._... . �._ ' `„-, . _ •. _ �. . ' : LANDSCAPElIRRIG. • ' � --- �---�-- --,.. _.. . � , , .. ' , ._ . . ON SITE IMPS. � . _SEEA_P1T/L.L._' _ -- - - - ------- -- -- --� --.. ,:., . ; . . -GAS AIR TEST� -.- -•- - FINAL ZONING - � ' � � � � ---.... . -- -... .. _ , • __ . .. . _. _ FINAL CONST. ; --- --.�/�_j - � ---. . .. FIRE DEPT.�F.INAL'�:., � _. _ // �/ -- _ i.: ->., ( 1' ' .�� � . . FIMAL-HEATING- --- -- ----------- ' ------... � ---- HEALTHDEPT.FIfJAL. , - � .. , ''. ----�-) I �, , -FINAL ELECTRIC'-- �---- -- ._.. .._.. . _ ....-�-- . .... ... DEV. FEES PAID ,; .,.- , ; ,; FINAL PLUMBING . .. . . - --- --- .. -- -�-- --.. _... ErJ�FIGY I ; , , � ; : � . .. . _ ,.• _ , � , -- � ' ta �'��'�1=�olcti� r .. � - - . _ _. _.. . _. i � - - � , . . . .. • ., � -�---- -----..._ -- - --.._. _.... . - ---.... �' - - _.__ ' � � COMMENTS , . . , : .. .. , ,. . .� � ; � � ; . , . . , , , _ . .._. . -----.. _.. --�---- _ .-- _ .,-- -. ..-- - ...._ . __. . .. . i : - . � , ,. i . -- ---.. .--- ,.__._._.--- -- _` . . ..--�--- -.. . ----. _- -- I i .`, . . � ;: _ -- . . . . .- . i . � ,. . . ----- -- - - - - -, � _ .. . ; . ._ . __ _ . --- -- - __ . , , , :,. t• it ii ., � i I . , .:, ---.......... .. . -- . _ ..-- - - , � i . . � - - - -- -- — -. . , ... . . I . � -:. , , - _._ , .._ _ __. _... ,. , . ..... . ., . , _. . . . _. � f ; ; .,. , . � � - -• -- ..._.._. . . .. .. _. ,. .. . ( � ._ • . . . . , ,� SEPTIC TANK SIZE_ .. ._._._... ._ . _ � , i--.. ---- �----.. . - --- - ' - -- �-- ; - -- -- ::.,, , . ,. SEEP PIT/U 51ZE .._ . .... ...... ... . ._ I _. . ; .. . • .;��-;•.,. : ��� � I ' . � • - -- - _ _ ... . . __.._ .. . , . , , _ . . ... � , , .. , .,; ,. , . _ � - �� ! � . . , � -�----- -- -... _ _.... .. .. : � - -_ . _... . . _ _. _._.. . _ . .... � . ---. -.. . � .___ ; . I -_ - - _ __ , .. _. . _ _ . .._ -_- .# � ♦ . .-. ; �`. L,i � � --..._ ..--:.:.._- :-. .---.. ... .__ ; � . . .... j °:�: '�r�� -- • ������.. - . ' ' ! � � � ., ., , ' . .', �„ " . . . j r - . �'" . ' - -- • - � I � �.� � !�'�Ln. �?. � �� � I�' i �j - - - - �- --- - - - - � ' - � - - � . . '- � � � I' --- _._ ..- I . �1� !. l. �% ---; ;� � `\�, tF. � �_ , . � ' � , .. ._.�- --- -. ...-- - -�- i . _ _ � -� � '. .. . ,,� - - ' ' � � .1.. . . ; . ..yh�►��a���- ----�. . � ::• _. �_ __ ..! . -- ----- ---. ._._.._..._...__...---=�- � � - � �