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HomeMy WebLinkAbout10179 , _ _ ....... _ > � R�•3. t - � CTCY OF DIAMOND BAR ' COMMUNITY DEVELOPMENT DEPARTMENT .,.� 21660E.CopleyDriveSuite190 . PRESS (909)86U-3195 Fax(909)861•3117 ' �''^", BUILDING PERMIT APPLICATION FIRMLY � JOBSITE ��y APPLICATION n � PERMIT ��/C o ADDRESS o�d'7���L 3 V~�,r DATE �- NUMBER N � APN LOT TRACT �/a�S�y �SSUE TYPE OCC 1 ��V DATE CONST. GROUP p OWNER •�- "" ADDRE S �f O. '(��, �� ' ZONING SETBACKS Z CITY N�� ZIP �l/ TEL.,��"y�L. FRONT RW ❑ g APPLICANT TEL. R�R � � 51DE/SIDESTREET RW ❑ ' � CONTRACTOR ��,�/L,�h SIDE • p� ADDRESS � CITY ZIP TEL • •PROPOSED USE � � ARCH/ENG/ DESIGNER NO.DWEL �., NO. ° NO. _ = CrD�D�RESS ZIP TEL. UNITS '' �STORIES` � BEDROOMS� � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BI:ILDER DECLAF7ATION SFRIA��/REM O . � 1 HEREBY AFFIRM UNDER PENALTY OF VEiU1RY THAT I/UA E%EMPT iilOY THE CONTMCTORS LI- Gg�a��e�A W CENSEUWFORTMEFOLLOWiNGREA50N(SEG70.71.6BUSiNESSANDVROFE5510N5CDDEANVCRVOR (n U COUN7YNT11CHREWIRESAPERMITTOCONSTiiUCT,ALTER�MVROVE,DCUOlISH,ORREVAINANV4TRUG W PatiNpeek � TURE.VRqR TO RS ISSUANCE.ALSO REWIRES THE AFPLIGwT FOR SUCH PERMIT TO F0.E A SIGNED W � ST�TEMEHT Tuli HE Oil SHE IS UCENSED PUNSW WT TD T11E GROVISIONS OF TXE CONTRAGTORS lF � GENSE UW I��TER i ICOA1MENqNO YYiTM SECiION 7000)OF DIVISIDN]OF TME BUSiN[SS M1D 7R0 LL- PooUSpa � : iE5510N5 COOE)Ofl iHAi HE DR SHE IS E%EYPT THEREFROM AND THE BA515 FOR THE iLLLEOED El(EMP- TION.ANYVIIXATIONOFSECTIdJ7071.68YAHYMPLIGWiFOqAVERYliSUBJEGTSTNEAPPLILANiTO Z RB�R001 A CML FENAL7Y OF NOT MOPE TWiN iNE HUNDRED DOLU0.5If Sna11' QOLASOWNEROFiHEPROPERTY.ORAIVEMPLOYFFSWITMWACESASTHEIRSOLECOA�DEN5AT10N, O (�`pmmBfL18I � �• ��� Z NnLL DO THE WORK AND THE STRUCTURE IS NOT INTENDfO Oq OFFERED FOR SAIE(SEC.7oa1.BUSF J N NESS AND VROFE5510NS L00[:THE CONiMGTOFS UCENSE Uw DOE3 NO7 Av7LY i0 AN OwNER OF ? PROPER7Y NT10 BULDS OR IMPROVES 7HEREPv.INO WMO OOES SUCM M'ORK MIMSELF OR HERSELF OR � � THROUGHHISORHEROWNEIAPLOVEES.VROVqEDTNATSUp11MVROVE4ENTSMENOTINTENDEDOR � . QOFFERE�fOR3ALEIF,HO4VE1fE0.iHEBUILDWOORIMP1iOVEUENTI550LDNrtTlUNONEYEAROFCOMPLE• ' � Z T�dl,TME OwNER�BUILDER VnLL MAVE TM[BUF7�EN OF PROVIfJO THA7 ME OR SNE DD NOT BURD OR � IMPROVE FORTHE PURPOSE OF SALE} � w OI,ASOWNEROFTHEPiWPENT'I.AME%CLV".•IVELYCONTMCTINOWRNLICENSEDCONTMCTORS � TO CONSTRUCT TT1E GROJECT(SEC.)0��,BUSINESS AND PROiE55lON5 CODE:iNE ODfliMC70R5 LI- V0W8(i0O ADJ.AREA W CENSE1AwDOESNOTAPPL�TOANOY�NEROFAVROPENT'1MMOBUlD50RIAAPROYESiNEREON.AND � WVIOCOHTMCISFORSUpIDROJECT51MiHA00NTMCTOR(S�LICENSE�PUHSUANTTOTMECONTMG ounrmTv �E CRIPTION � FEE � TORS LICENSE UW.�. � . � O IAM EXEMPT UNDEH SEC. 8.t V.G FOR THIS REASON U � � . LL' OAiE ONMER C � � . . . ZW . . . .. . . . �Q LICENSED CONTRACTORS�EC 710N w CL 1 HEi1EBYAFFIRM UNDER PENALTV OF VERIURV THAT IAM IICENSED UNOEN PROVISIONS OF CHAPiER Ur � . p„ 9(COAMIENCINOYATHSECTION7o0o�OFDIV1510N70FTMEBUS�NESSANDPROFES510N5CODElWD Z `L 41Y LICENSE IS N Ml FORCE M1D EFFEGT. � � LICENSE CU55 LIC.NO. � V DATE CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION a NIHEREBYAFFI{WUNDERVENALTYOFVERJURVONEOFiHEFOUAINNOOECLARAT10N5: Z � . Q � �IMAVEANUWI��NAMTAINACERiIFICATEOFCONSEMTOSELFaNSUREFOqYIOHKERS' _ COA�PENSATqH,ASPROYi�EDBYSECTON77000FTHEU00HCODE,FORTHEPERFOFWMICE W OF iHE WONK FOR WNIGI THIS GERuiT IS ISSUED. � G w �IMAVEANDYI�LLLUP7TAINWORKEPSCOMPENSATqNMSUWWGE,ASREW�REDBYBEGTqN O �70C OF THE IABOR COOE FOitTHE PERiORIAANCE OF THE WOW(FOR WHICHTNIS PERAIIT IS � LSSUEO.MVWORKERS'CAIAPENS�TqNINSURANCEWAR:CRANOCOUCYNUAOERARE: CONSTRUCTION �� - - � --' GRiVEO PLAN REVIEW �ZZ ra�crr�ur�'aER ELECTRIC � Q (i16s5ECIbNNEFDNoiBEm.RFIF00FnfaEfi.fisirnoNEFINJRmDOtURSRta0jd1tE55' PLUMBING Z ICERTIFYTNATWTHEPERFORUANCEOFTHEYYOW(fORWMICHTMISPERMRI5155UED.l MECHANICAL •• � a ' ' C7 SMALLNOTEMPLOYANYVERSONNIWVMANNEfl50ASTOBECOMESU&IECTTOTME (n WORI(ER5COM7ENSATIONUWSOFCAIIFORNIA,ANDIIGREETMATIFISHOULDBECOME INSPECTIONFEE S SUBJECTTOTHEWORKEFS'WIAPENSATIONPRONSIONSOFSECTqN�7000FTNEUBOR . � � cooe.�srw.�caaHv�nn�coua�r win�nase vnovisia+s. ISSUANCE � SMIP p OATE: APPLICANT. ' , � ENERGY P/C WARMNO:FAILURE TO SECURE MXMKE0.5'OO�dPEN511T10N COVERAGE IS 11MAWFUL AN�SNALL BE � LL SUBlECTANEIAPLOVERTOCRINiNALPENALTIESMIDCMLFWESUPTOONEIaJNOREDTMW5AN0 ENERGYPERMIT DOLLAR.,�f to0,000),N/DDITION TO THE CAS7 OF COG7ENSA710N,DAMACES AS PROVIDED FOR IN J SECTION]MeOFTMEt1BORCO0E,W7ERE5T,N1DAT70RNEY'SFEES. RETENTIONFEE: � CONSTRUCTION LENDING AGENCY pREALT FEE: ' O � INEREBYAFFIMIUNDENiENJLLTYOFVERJURYTHATTHEREISACONSTRUCTIONLENDw6AOEHCY - z FORTNEPERWRIAANCEOFi/�EM/OFKFORWMp17MI5PERMITI5155UE0(SEC.]OY7,dV.G.). . , W ' � LENOERS NM1E � LENDERSADORE55 � ' � � ICERTIFVTHAiIMAYEREADTI15MPLICATIDNIWDSTATETUTTIE�BOVEWFOiWATqNISCORRECL TOTAL FEES �, � I ACREE TO COMPLY WITH ALL CRV AND CAUNTY ORD W ANCES AND STATE U'NS REUTNG TO BUILDINO � CdISTRUCTION,INDHEREBVAUTNO{71ZEREDRESENTATNESOFTWSCOUNTVTDEMENUPONTNE / T • �iA.QCS � S� ABOVE-MENTIONEDPROPEH7YFORWSPECTIONPURPOSES. C MENTS w u � �?�-P ��.� ��l)��C-�" ' �� m VEtiM�IpTTEE NAME(PRINn . . .. . y . . fn �C/ • �1 / y S�ONAiURE Oi V REE DAt � � � RECPT.N AID BY VAUDA . . .. . . WHITE—Depanment Copy.YELLOW—Finance Copy,PINK—Asaeesor Copy.GOLDENR ile Copy,GREEN— Ilunt's Copy . . ..A;.. =AYY'� . W';.:•,^-' �. .. . "j' .e:u.rJ�� .f•. '.j•,'• .,:��..:'?� ..'�: ,�rM..ti a '!;• :t' "'r.�.. lC.�..�.1.J',;l�.� 'y.; ��:y�•.•�a`� ... , ��.- �. � � .�.. , . .... . r.� ... , . ' . . .. ' t . � •r �\ j-;�� CITY OF DIARfOND.C3�R''.;�.'��. ' . .- ' , '�. , __ _ � , ��INSPECTIOP� RCC�RD ; ,.,.' ;. " _� . , . . � ` � , ".�'.,. . �, � ' .!:.�. ...... ,. ,`\ (`f-��X�I�C�I�J i�.�I�=a I]►'.�-�'����'.���fi+*� �(►E-�:������,[�.�! . � '� � T l�l-�'��'�`�i'���' .� _ _ - ,:�.��- - - .� �_.� _�. _._...,.... __ __._�.._ _ _ � SET BACK..... ;. ._._. . . .. , , .._. _..__._ . . . FLOOR JOIST- ---_ -�_. ... ..._.. ...--- - ---- - ----. .. - -----' ;�. FTGS/FORMS/STEEL--..... -- ' ' - -- - 'FHA REQMTS --- ' -' . ' -- .�.. � _ � ___ :_ ':.' : I �-, . s ELECTRIC GROUND �.: ' UNDER FLOOR DUCT � •� � . :�i, -• • • • ' ' GROUND PLUP�IBING' - - - ----- - '� . UNDER'•f=U00R 6U�IDUIT `.i'. �.��'�.. - : . --- .�, .,�, ,_:�� •, ��� f ; . SLAB GRADE - ---''��� ---- --.. _.. _ �: � :� ... :: ` FIREPLIICE FOUNDATI�N-- ----- -- -—- . . . � , � " -- -------- -- - - -------,-., , -TEMP POb'VER:- ...--___--,- _.- ;- . _�:.- - • .__- -. FIREPLACE BOND BEAM--- ''.� :.r,r_, ;� � 1.F:. ;.-,•: WATER SERVlCE� -- • � � � '� �� - � ' •� MID HL BOND BEAM - - - ---- - - ------ , ; - � � . ._ _ . , : . HOND BEAPA �.:.�..;i,, >, � :.:; FRAOMINGN NTIL ATION ��,P ::.: � ' FIP Al_BOND BEAM1,4 -- _ ---- -- -- -- ._ ; . ..: � ,. , , -AOOF COVER-..---_..- -- --- -� ----�- --------�-- - PRE-GRADlNG. ..._ _ . ,:.. ,.. . ..- • -- _ ._.. . � � , 'FtOUGHHEAT{NG---=---:� ':.. .- .• ..--- -.'-_- _:__� -_� : . E3ENCHING.. -- - - - -._. _--- , ROUGHELECTRIC._ ._ ._ ._....---.. . ...__...- -- -..._ __ .•.•. ROUGHGRADING.,,. ,.. . . . ..., � c: ROUGH PLUP�ABING--, - - -- -- " - - .- FI�JISH GRADING ' " � ' � " ' " ' ' SHOVJER/TUB TEST;--"-- -- - _ . --� - -' --- . : POOL ELECTRIC . . • . , -- --� - - --:- ---- - _ �EXT.LATH/SIDING�-- ; �- - POOL FENCING ,. � ' ' � ` � � � VVALL INSULATION F.00L FINAL �. � �.' CEILING INSULATION , OFF SITE IFAPS., . • � ; � �: DRYWALL NAILING ' � DEDICATIONS . .. . � , • � -� SEWER ----- -�-- -----!_. .. - -- --- - . . ... _�. '. :.. ... ..... _FINALEP�G. ... ., •: �. ::: � �- „ , ` _ LAN�SCAPEIIRRIG. `' " SEP_TICTANK :-_..-_-___- _ '--�- =-. ., _-.:..:... . :.. .. ... . . .. : , � ;;: . . ' . . , ' .._ ON SITE IMPS. � ,.:� ; :.. SEEP_PIT/L_L.L �-- ------ ---- - - ----- -- --� • ---- GASAIRTEST;._........... ... .... ..---- - -- ----..._ . FINAL ZONING . . ., . _. �... . , I . FINAL CONST. ;- -- - ���� - --- -- FIRE[SEPT.>FINI�L��,.� . - _ ( ��- .: ;. -`' •, I :� �FINAL�HEATING - -�------. ...._._.. .... - --.. --... --;- -- --- HEALTH D[PT. 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' . � b .•`.., . _ . . _ , . i . . . . . . , �.. . ----�--....... . .. . . ........ ... _ _. . �. . � � . , . . .. ... � . �, � _,. .. ".---• • -� ----�- - � �----- " • . � . , , . . . , . . � . , . '- ' � � • ` � .. � � I . • . . . . .. .. • - i - - - ------- .___.: _ ,� _ , I � ::� , . . . ; ; _�1., _ .. . i � _......... .... -. - --� -----._... . . ' '_ ! , ;. . ... . _..._. .. --- - -.. . .... ' , . : ��. .. , � �.. ;�� . I i . , , ,., ,. , .. , ,.. . .._ . .- - - __ , . . . . . , . . SEPTIC TANK SIZE._ ._. . _ _ ._.. .. . : � : ,-., � i ' --- ----------- -.. . -. ��:u�-��,_,-:.---- ---- ----------� ;; .. .: SEEP PIT/U SIZE � � � � .. ....- ----- --�� --. . _.._.._.._..._.__... . -----_ _. . ._... ,. ...�.,. , . .. . . _.. _ ..._ . .. _. y�.. . : . - -- --.. .. .---- -- i , _._.. . .._ .. _.__.._. _ _..._. . , -� I I ' � � - . s--�-- �-+ ' _ . .. . --. .._..- -- ---- _ , _. .. , � ; . � �=1- - i r,-;;, � ! _ - _ - - ; ----- -— ---...----------- -.. .-- -- - � '����� _ ' � , ��i ._ ! i . . .� �. . ,;, . ,. . . � _... _. _ _ _ . ...... -- - •_ � I - - �s�� :.c�-; �.-:�� � � � �''• '.�,,.._.,.. . � __`',:1 - ... ;. , -_ . . _ .._.. -.'.. . . - i I c. �. ,�..��+,- ...� _ �: --.\ �..\ ``' ! . , � . .. . . . .. — _._ .. ' . . __..._._... "' . .."__.' ' _ _ .�. � _.... _._... ... ._....' _'.... . l. . _._ "' _ __"_'_ '__�_�_--____"'__'_'_' "