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HomeMy WebLinkAbout12115 (11) . � �` CITY OF DIAMOND BAR� � DEPARTMENT OF COMMUNITY&DE .NT 'V �e . 21660 E.Copley Drive Suite 190 ' . . � � (909)860-3195Fax(909)661-3117 PRESS � '`'�'�. BUQ.DING PERMIT APPLICATION • � � � FIRMLY o D RESS S �� 'DATE CATION p„�r�,r GJ� NUMB R�•� �I�x,C O / � AP� LOT TRACT DATE O ��/� <�7 CONST. GROUP p OWNER ' " � ADDRE�SS ZONING F O�CKS RW ❑ � CITY 2 TEL • REAR ❑ APPLICANT TEL SIDFJSIDE STREET W ❑ � CONTRACTOR G " SIDE ❑ � ADDR S ' PROPOSED USE �� .d/nl CITY � ZIP TE �1 o ARCH/ENG/ . . urL �,, DESfGNER NO.DWEL. W,LK, NO. NO. N CrD�D�RESS Z�P TEL UNITS STORIES BEDROOMS � cn DESCRIPTION S�.Fi:- FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/REM O e1 MEREBY PFFiXM UNDER PENKTV OF iEM1RY iMAi 1 AM EXEI�FT Fi10M THE CONTMC70R5 U• GafB�B/C�1�OK .. ., �[ENSEUWFORiHEFd10wNOREASON(SEGTmi.6BU5WES5AI�VROGES510NSC00E1NYCIiYOq (n � WUM71M11d111EOU1RE9APERAMTOCONS7iR1Cf.ALTERMPIqVE,pEMOUSH,ORNEPNRANY67AUC� - W Patio/Deck 7URE.PR10R 70ITS 56UANCE.M.SO 11EOUIqES iHE AVPI�CANT FOFi SUQ7 PEiYdiT TO F0.E A 61DNED W STAiEYEHT 7HAT NE Ofi SHE IS UCENSED iWtSVIUJT TO TME FROVISIONS OF iNE CONfHACTO(iS L4 SSS �CENSEUW(C1N7TERY(COMYENGNOWITHSECTqN7000)OFDNISION70FTFIEBUSINESSANOPRO� � PaoVSpa � . . � FESSIONSCOOE)ORiNA7NEONSHEISFXE4PTTFIEHEFROYANDiNEB�lSI5FOR1ME1LLLE0E�E%EMP- (� TqI1ANYV10U1710NOF6ECT10HTW1.6BYl�M/MRICANTFORAPEWdiTSUeJECTSTHEAPR1GWTi0 •� Z Re-Roof � ACMLVEWLL7YOFIqTMORE7HIWFIVEIUNONEDDOlUR5lssao7.1' . � O�ASOWNEROFTIEGROVFRTI;ORMYEMPLOYEESWiTHWAGESASTHEtR50LECOlAPEN5A7qN,� � � �mmerdal - � � WLL DO 7ME WOfYC ANO iHE bTRUCTURE IS NOT IHTEhDED OR OFFERFD fOR SALE(SEG tW�,BU54. J � NES.4 A!O iROFE5510N9 CO�E T1E COHTMCTO0.5 LICENSE UW DOES NOTAPPLY TO AN OWNER OF ? . PROPEHIY YN1D BUILDS OR EIPROVES TIEREON,AND Vn10 DOES SUCH WORK HIMSELF OR HERSELF OR � TMHOIXiHHSORMERO+MEMPLOYEE3,VFi0YIDEDTMlUSW1WPROYEMENTSARENOTNTENDED011 m , OFiB1m FOR SAI.6.i,NDM'EVF0.�&ll.DP100F YPi1DMEUEM i5501D YrtTHM ONE YFAROFO�MPLE- Z 'TIDM,TME OWNEH�UIIDER WILL MAVE 7Y7E BURDEN OF iROYY16 hIAT NE OR 8HE O�D NOT BUIID OR . = 4VROYE F011 iM:PURPOSE OF SALEi � W O��1401M/Ef10FTMEPROPEiRY.M/IXCIUSNELYCONfMCTItJOWRfIIICENSEDCONTMCTORS ¢ TO CONSTRUCiTHE VR0.IECT(SEG 7W�.BUS�NESS IWD GROFESSIONS CODE:TME CONTMC70HS U• VflIUB[i0f1 �AQI.AqEJI '� �11 CENSEUWDOE9lqTAPPLYTOANOVYNEROFADROPER'1YYh10BUM90RMPROVE37HERE0N./i!A F- YAfOCONiRACTSFORSUp/PlIWECT9WITMACONTRACTOR(S�LICENSEDPUFiSUANTTOIHECONTRAG pUANTITY DESCRIPTION FEE � TqiS 11CQ15E UW.). O IAAA p(EMPT UNDER SEG B.i P.C.FOq THIS HEASON � U li. ¢ D�TE � ON7�ER U � . . . ' w � _. . LICENSED CONTRACTORS DECLARATION -� � W IXEREBYIIFFIHMUN�ERVENALTYOFVEiWFiYT1Ai1MIL�CENSEDUNDEHVROVISqN50FLHAP7ER V. � T D . � 9(C�UICW�M�iHSECT10N7000)OFOMSION]OFTHEBUSINESSANDGRDFESSpNSCO0E,M1D Z ' ?C MYl1GENSE IS N FUILFOFCEANO EFFEGT. m L1J ���f�'� � UCENSE CU.SS C q Z �L��LIC.NO. �"'� -yF� j -� o��A►T?,1— �?�(nP�l corrrR�cro��4�'fc 1-�SE�D a � WORKERS'COMPENSATION DECLARATION � . NINEREBYAFi1RMUHDERPENAI.TYOFFE0.RIMONEOFTHEFOItDWIN6DECUMT10N5: Z " ' � ' � � __INAVEANDWILLM�NTAMACER7IFlUTEOFCONSEMTOSELHNSUREFORWOM(EHS' _ OJMOENSATION,ASDROVIOEDBYS[CTION770oOFTHEUBOHC00E.iORTHEVERFORAAANCE W OF THE WOFiK NR Mh11CF1 i11IS PEHAIR{S ISSUED. � � ��I HAYEAND VALL MAINUIN WORKfRS COMCENSA710N WSURANCE,AS REWIRED BY SECTqN � 77ooOFTHEUBORCOOEFOqiMEVERFOiWANCEOFiNEWMKFOqWHICMiHI5VER/AITiS ISSUEO.WN9RKER5'COMPENSATIONWSUIIANLEURRiERAN�POLICYHUAIOERARE: CONSTRUCTION � � . _. .. . . . .. .. _. . . . .. . . ] CAHNIER PLANREVIEW .. . . .__._.._. _--- _ ---- - . . � ��Y K��R ELECTRIC ,. � (MSSECnCrit�NOTBEO7.ptE(IDOFTEPET�.�tBroRd�E�a+[ximootlM4R����`�} PLUM6ING r�O Z ICfRTIFY7IUTMTHEVERFORYANCEOFTF�EWOPKFORW111CH1HISCERIA�TISISSUED,I MECHANICAL- - - (J SFUILNOTEMPLOYANY►ERSONNAHYMFHNERSDASTOBECW.�ESUOJECTTOTHE � YVORKERS'COMPENSATIONU'MSOFCALIFORNIA,/WD�ONEE'�MATIFISMOVIUBEWME INSPECTIONFEE ' `- SUBJERTOTHEWOiKERS'COIAPENSATIDNPPONSqNSOFSECTqN77ooOFTH[UDOR � ��� D S cooe.isww.coAtmvimeoua�rNnn�teasevarnnsarrs. ISSUANCE r � SMIP p DATE: APPLICANT:� . �W ENERGY P/C WMNiNO:FAILURETOSECUHEM�OFiKERS'COMFENSATiDNCOVERAGEISUMIIWNL,IWOSMALLBE SU9AECi/WFII7LOYER70UUM�NALVENALTfSINDCNILFINESUVTOONEHUNDREDTHW54D ENERGYPEAMIT DOl1M5(i1oo.000�,W d0�t7qN TO TNE COST OF COUPEN5A710N,DAMAGES AS PROYIDED iOR IN ¢ SECT�ON77oeDFTHEIABORCOOE,�NTEREST.INOATTOPNEY5FEE5. � RETENTIONFEE: � a CONSTRUCTION LENOING AGENCY PRE•ALT FEE: � � O � INEREBYAFFlMJLNDERVENALTYOFPE0.ri1RYTNATiHERE6ACON5TRUCTIONLENDNOAGENCY ' � , Z fORiHEOERiORMANCEOFiHEWORKFORNMICHiNISPE�TI5155UED(SEC.]Ov7,CN.C.� W � lE1IDER'SNAME � -� ' C LFNDEN'SADDRE55 � ICERTIFVTMATIHAVEREADMSAPPLiCAT10NANDSTATEiMATTNEABOVENFOiWATqHISCORRECT. TOT�L FEES � � � � IAOREETOCOMPLYM1THALLCfTTANDCOUNT'lORDN�IICESANOSTATEUWSflEUTMGTOBUIlDIN6 ! - CONSTRUL'fI0N,1WDHEREBV/4fTHORIZEREPRESEMATNE50F7H15CIX1NTYTOENiEHUPONiHE . ' S�. ABOVE�MEMIDNEDiMVERTYWRINSVECIIONWMOSES. COMMENT$ ' � � r � I 9 r-� Z m v E WElva � . Q � . • y NA O VERWTfEE � RECPT.N0. PAID BY VALIDATION �_ � YVHIT -Dapa � Copy.YELLOW-Finaroe Copy,PINIC-Aaeeseor Copy,GOLOENROU-fue G�py.GREEN-Applicanl'a Copy � � � � � � . . . .. _ . , ...� . , •, , . .. . . �. . . . . , .. ., , . • . , . .. . TY F DIAMOND BAR ,�,;. ::. ; � :; ' CTION�RECORD�" -� � • '-�=•�' � _ �� . . ._ ,� .. . �; .. .� .. . �;�. .A, . ' j. .'.I'.•..') . , ' ! � � • ' • � � • � SETBACK ' c I I . I ' . _•�: _ `.,. . FLOOR•JOIST �•';;`�;l(,,C. j �:.,:.,'��;, ��'',' ';'��;'�• '� . . , �, FTGS/FaRMS/STEEL = c,; i: _�+�- r, 'FHAREQMTS.... . �. __.�. _� ._.__...: .. _ _... ..- --- . . -- -- ., '.. � • :. . ., _ . _. _ . _ UNDER FLOOR DUCT - � �-- ' ELECTRIC GAOUND.-� -- �;., ��, ��,c.•..,-'., . ,,.,'= ? -, GROUND PLUMBING -�'� ��'- • � �UNDER FLOOR'CONDUIT•=�• � -" •�� ��-� . � � ' .+'.'' �- SLAB GRADE ____ _ � �r._r .�.-�. ��;;; .._ ._._ - : FIREPLACE FOUNDATION��'=•;;',,, ' ', ;1j �'...iV:.��;.,� ,,:, ; � :�: TEMP POWER ----- '•"r:` =-- `= '�=� FIREPLACE BOND BEAM . . "� : 1 , _�_ � - - - - - ,-r.�•.�n - �-'.1.:�i .•��: . .• ; r ,. . -WATERSERVICE-_ ---_ - -_ ..__.. : - _ - - MID HT.BaND BEAM.:... •.•-,- . .. -. -- �.: . . . . � , . ROOF SHEATHING' - - • �,� . ' ' ' 8 FT.B�tVD'BEAM+ ' --; � ,�. . - -- • - .'c;'� I . :FRAMING/VENTILIATIQN.•�;-`,..,;': � : '��;� ��.�' FINAL BOND BEAM " ; ;: ROOF COVER:,'. ._ '' ' �- : `.PRE-GRADING �� � - � � � .�.._,�.� -ROUGH HEATING-� ---- - -� - --- -- - BENCHING ' - . - -.� . ' _ . . _. .__ _......_. •�.. , ROUGH ELECTRIC �� --� - `— - � - � - ROUGH GRADING - .: .. , `•_ ROUGH PLUMBING-�-- - - - - . FINISH GRADING . , . � �' -SHOWER/TUB TEST'--�- --� � `- � - POOL ELECTRIC • :: EXT.LATH/SIDING � � POOL FENCING ' ' • � ' WALL INSULATION � POOL FINAL . ' . . , • CEILING INSULATION ' OFF SITE IMPS.' -� � . DRYWALL NAILING . DEDICATIONS • � SEWER .. _ _. I _._ g g�8 FINALENG. � ; �� SEPTIC TANK __-- - LAN�SCAPE/IRRIG. . . , ' . • ,. SEEP.PITlL.L � . = :.. _.. _ ON SITE IMPS. - , ' . -GASAIRTEST -�� �- --- - FINALZONING . FINAI CONST.- - -- - - -- -- � FIRE DEPT.FINAL - ' - FINAL HEAT�NG -- - - - - - - - HEALTH DEPT. FINAL • FINAL ELECTRIC " - " - - . DEV.FEES PAID - � "�- � FINAL PLUMBING ,—,,:, ,-, ,- -, - , _,r ENERGY -.. ' � �` � . .. ; , �9 e s ��o -� - �i--� � • • i �=. . �- .., .. __ . , _,. �� -- . .._ - - - - -- - COMMENTS ._ ......._. . _ � �,. ., ; � . �c� , � �. _ . __. .... _. _ , � . . , . . ,�- � . .. ; , , SEPTIC TANK SIZE _ . _ , , SEEP PIT/U SIZE. __ � . � . � ... _. _ _ . . _._.--- _ _ � �.,.�..�....�_...,- . . � ' , -,. ' ' . , , : _?'_� _. �.. --- . _ , `, _" ' .;i:- �� �-�..%r'- _ � _. . ... ' �y;\r \ .. -- - �� '�. � -"' '-' '�` _ . '.�.�j - � .._�C:�i-t�4 l . ... . I ! ... . ' \\�` i� `.�.., a"`', \.v."-. � .. _ y �' � <f 11 ` . .. . . i \ �,_ (`��� l.\