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HomeMy WebLinkAbout16129 �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES •-`"'� 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PR E$S �'y�'� BUILDING PERMIT APPLICATION FIR Y � JOBSITE n APPLICATION PEFiMIT r �J P/C o ADDRESS �-Z�� tLir�E?V� DATE � NUMBER 1 �x � g ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER /' �� o ADDRESS �/ ' � ���?r• ZONING SEiBACKS � cmr ViGlv►1;rw 'S.L ZIP�/76S"TEL. ��-`�?7�3') FRONT RW ❑ APPLICANT TEL. REAR p � SIDFISIDE STREET RW ❑ CONTRACTOR SIDE ❑ � ADDRESS � � P POSED USE � 1 CITY L�C'� ZIP �li7L_ TE ' � ARCHlENG/ - r W!/ ' DESIGNER NO.DWEL NO. 7 NO. = C�DRESS ZIP TEL. UNITS STORIES BEDROOMS N �n DESCRIPTION SO.FL FACTOR PSF ADJ.AREANA�UATION Q OWNER-BUILDER OECLARATION SFWADDlREM O et YIEREBY AFFiHM UNDER iEN�LTY OF PE0.11MY 7HAT I MI E%EMVT FROA1 iME CONTMCTORS L4 G9f99B/CefpOR CENSEUwiOflTMEFOLLOWBI0REA5CN(SEG7671.6BUSiNESSANDFROFE55lON5C00[:M�YpiVOR (n � COVHTYYMIQ/REOUIIiESAGERMR7000N5iFiUCi,ALTER,0.IPROVE,DEMOl15/{ORREPAIRANYSTRUG W patio/peck - TUHE,VPqH TO RS�SSUANCE AL50 RE�UIRES iHE MPIICANT FOR SUCH PEfiMIT TO FllE A SIaNED W s STATEMENT TU11 HE Ofi SHE IS LICENSED PURSUMR TO 1HE VROYISIONS OF THE CdfTMCTOR4 LF 1 CENSELAW�CHAPfERY(COMMENCPIOWITHSELTIDN)OOO�OFOIVISION]OFTHEBl151NE55ANOPRO� � POOVSPB ' � FESSqNS[DOE�ORT1uTNEOR5HEI5fXEA1PTTHEREFHOMANOTME8A515FORTHEALLECEDEXE/AP• (� V TION./JlMVIOUTqNOFSECTiON7o71.6BVM7YAPPUCANTFOfiAPERMITSUeJECTSTNEAPP4CANiTO Z qe-Roa1 � A GVIL FENALTY OF NOT MOAE THAN iIYE/NNORED DOLURS(t500).1: O OL�301M�EROFTNEFROPERTY,ORMYEMvIOYEESYnTHwAOESASTIEIRSOLECOMPENSATqN, 0 COflIf11BfLW1 . - Z YALL DO THE WOM,AND TNE STRUCTUiIE IS NOT INTENDED OR OFFERED fOR S�LE(SEG TON,BU51• J y NESS/WD iROFESSIONS CODE:TNE WNTMCTORS LICENSE UW DOES NOT APP�Y TO IW OWNER OF � VROVERTI•NRfO BUkD50q N.IPROVES THEREON,AND YAIO DOES SUCH WORN HIMSEIFOR HERSELF OR (� TMROUOFIHISORHEROWNE►IPLOYEES.PHOYIDEDTHATSUCHIMPROVEMENTSARENOTNTENOEDOR m � OFF61EDiORSILEIF,FIOWEVER711E9UIlD�N00RIMPRDYEYENT650lDWfTHRIONEYEAROFCOMPLE� � �710N.7HE OWNERbUtLOER WILL HAVE iHE BUROEN OF VROVIN6 TMAT HE OR SHE DID NOT BUILD Ofi _ �AViIONE iOR THE PURPOSE OF SALE} ❑I,hS ONT�ER OF THE PROPERSY,M1 E%CLUStVELY COf�lTMCT7NO YAiH LICENSED CONiMCTOR3 �/� � TO CONSiRUCT THE FRO.IECT(SEC.TON.BUSINE99 M!D PROFE5910N4 CODE THE CONTMCTORS Ll• 1/8 j0l1 � ! 11� /IDJ.AREA W CENSEUWDOESNOTMPLYTOANON'NEROFAPROPERTYYRIOBUILOSOflN17ROVESTMEREON,MlD F vnacorrra�cTs�orisua�vaa�crsmn��carrrucror�s�ucfNstvvuruuu+rrornEoonTw�c aIJANTITY DESCRIPTION FEE " roRsuco+seuw.�. � OIMIE71EA1PTlAr0ER5EG B.iP.GFOHTHi5REA50N a 3 � �=" DATE OYmER r" 2 W � UCENSED CONTRACTORS OECLARATION w � IHEitEBYAFFIIWUlOERiENALTYOFPEiWRYTMATIAMUCENSEUUNDEHPROVI510N5OfCHAPTEfl Vr Z[ i(001�nENC1N(iM7ilISECTqN70o0)OfOM510N�OFTHE&151NESSANOiROFE5510N5CODE,AND Z X W UCENSE IS N FUl FORCEAND EFFECf. � u�aSE«a55 �""� V�.N�. -7 `3GV � � J V D�TE� corrrAncToa a a5 WOFiKERS'COMPENSATION DECLARATION a � IHEREBVAFFlR/AUNDERVENALTYOFVERri1RVONEOFTHEFOLLOWIN6DECLARAiIONS: Z � _I/I�VEAHDMnLLMANTNNACEPTiFICATEOFCONSENTTOSELFdNSURGFORYVORNERS' _ WMPENSlRION,ASVHOViDED8Y5CCTION3TooOFTHEUeORCOOE,FOHTMEPERFORMANCE �U OF TNE WONC FOR WHKH MIS PERMIT IS ISSUED. � O � � � �/fHAVEAND4nLLFWHfNNWORNEPSO�MPEN5AT10N�NSURANCE,ASREOUiRE�B�SECTqN )� /� J70oOF THE VBOR COO'c,fOq TNE PERFORMNrCC OFTHE WOHK FOR WHIp1 THIS PERMR IS � // / � 65JEO.MYWORKEfiS'Cq.l ENSAT�IDNy!N.'.URANCEGRRIERANDVOLICYNUMBERARE: CONSTRUCTION � V � GARIER ��'�[�t � PUIN REYIEW z POLICYNUMBEH � ��--�� ELECTRIC a .IAN � p �sEcrcx+r�mwre�m.s��roat�vEw.�r�swaas�►ac�oow�sg+mla+�ssi PLUMBING Z ICERTIFYTIATNTHEPERFOfUUNCEOFTMEWORKFORWMIpITHISCERMITI5155UE�,1 MECHANICA(. (,'} SMALLNOTEMPIOYANYiER50N�NANYIAhMlEF50A5T09[COMESueJECTiOTME � YAMER5 COM7ENSATION LAWS OF CAIIFORNIA,AND AGR _ AT IF I S/IOULD BECAME INSPECTION F ,�' '� S SUBIEGTTOTHEWORKERS'COMPEN ROVISqN FSE TIONJ70oOFTNEUBOR caoe.is�uuvoaNwinrcaattv �n�na n :.�s. ISSUANCE 0 ^ SMIP p DATE: K APPL . . � ENERGY P/C WARN:Nti:fA1LUR TOSEWREWDRKERS'CO�IPENSA710NCOVEMGEISUNUWFUl,M1DSHALLBE �y Sl1B1ECfANEMPLOYERTOCAlA11NALPENALTESMIDqVILfNESUPTOONEMUNDRCOTH0U5AND ENERGYPERMIT pOLURS(f 10o.0a0).W AODIT70N TO THE COST OF COAIPENSATION,UAAIACES AS PflOVI�ED FOR IN � SECTIDN77aOFTHEU80ACO0E,WTENEST,ANDAiTORNEYSFEES. RETENTIONFEE: a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IMERFBYAFFWIAUNDERPENALTYOFPERJURYTHATTHEREtSACONSTRUCTIONLEN�INOAGENCV Z FOfi THE VEfi W MIANCE OF iHE WORIf fOR WMlpl TMIS VERMIi IS ISSUEO(SEC.70i7.CN.Gl. W � lE1:DER5NAME � LENDERSADORESS W ILERTIFVTXATIHAVEHEADiMISAPFLICATI0NM105TAiETHATTHEABOVENiO{U1ATpN15CDRRECT, TOTAL FEES . ' � p. I AGREE TO COMPLY WITH 1LLL CIT'/AND COUNTY ORO WANCES AND STATE UWS NELATIN�TO BUILDING � CONSTRUCTION.AhD HEREBYAUTIqRIZE PEP{IESEMATNES OFTNIS COlR7TV TO ENTEN UPON THE Z M10NEDVROPEHTVFORtNSPECTIONVURPO5E5. COMMENTS � � ��f,r P�1f�Gl. �DE FENAAIEryWNn � �/ — � M ATE � RECPT.NO. PAID BY VALIDATION YYHITE—Deparlment Copy.YELLOW—Finence Copy,PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy �T r .� "' . , '!' . . . �t,' � . •�1;. e .f.l � . . . .. ' r . , . , r. , . .. .. ... . � . . . � . . . ��}.. . . - .� CITY OF DIANiOND,BAR . � _ ,>:;.., �.� .; IPvSPEC�'IOf+I RECOP.D � : �. _ . _ , . �j►y��::r���������� ��`���_� 1►!�;��p1'� . �I���--��;��'�J'.�lr��id�'�r-� .ya(►��.y,.?��:�_r�..aF¢__ _ �..� .�._.�... � o� _�. . _ .,t .,a.. _ �SET BACK . � � �*j E �`� FLOOR JOIST ' �FTGS/FORM�/STEEL� �' .: . , ;,r . ., ' ^� � �.� � _ _ ._ . FHA REQMTS ._: ._ -. . '. � _ �: ';ELECTRIC GROUND ___. .' � • ; ' � � : �.�" UNDER FLOOR DUCT - - � �GROUND PLUP�IBWG UNDER FLOOR CO�iDUiT ' ' ' - _,_� iSLAB GRADE- - �" - - ----- -- '` ` FIREPLAC�'FC3UNDATION . . . � .. ;TEMP POWER � ' FIREPLACE BOND BEAM' - � i !WATER SERVICE .- ___ __ _ MID'HT. BOND BEAM , . ; , _ , _ . ' '; � ; �ROOF SHEATHING.- • .' �1rj-,r'� '' ' �— ' 8 FT.BOND BEAPJ! ._ ; • . _ �FRAF.IING/VcNTILIATION . � FINF�L BOND BEAM � - iROOF COVFR � • � ' =� PRE-GRADING - - � ; �. ___ _ _ _ _ _ : ; ROUGH HEATING � . - . BENCHING ; � ROUGH.ELECTRIC.--,. '?_' . !_..:" ROUGH GRADING_ - -- • , ;ROUGH PLUMBING - ' - FINISH GRADING • � !SHOWERfTUB TEST ! - ----- -, -- POOL'ELECTRIC � • E�'T.-LATH/SIDING . _ _ _._. _ ._ _ - POOL FENCING ' V`��ALL-lIVSULATION- — ------ _ _ POOL FINAL i . :CEILtNG iTvSULATtON """-- OFF SITE IMPS. � ` ` , _. �RYLVALLNAIUNG - � �EDICATIONS � . " ; �; ,ScW�R- _ _ _ ; FINAL ENG. . , . . SEPTIC TANK ' LANDSCAFE/IRRIG. SC-cP P1T/LL. � " . `;',\ ' ON SITE IMPS tGE,S A!R TEST.� � ' ' FINAL ZONING lr lh'AL CQNST,_: _ _ FIRE DEPT. FINAL ,� ; -- !F!:`•1.AL HEATlNG_ _._ __ _ HEAL7H DEPT. FINAt ` Fit�.:L ELEGTRlC- ---- -- _ DEV. FEEc FAID � � - � ` ';" ' - G _ . _. _ . ENERGY. I _� . ..__ _ . . _ __ , ---- }--- �i.� ur.�air� �i— ,.o..,.�.. �.-----.-- I � �i __ _ � _ �. v; ;r r i � �:� .. ._._.! . � �:�. �_:. z� _ I ) _ _ �_ - . _ -`+ i_ t , - -- . .. _ _ s;�oT����NTs _ _ _ � _ _ _ _ , `..� . 1 , . . . . iC;" � -' '� i�-..i �.�_..��-It . . '� ' ;� .. . I _ ._. . .. . _ . . .__ ' . . . . . . .. , i '1 . ' 1'`l!: ' .,� ; - � ���_ll ' ' . �.. , ___ -_._��=----"� . - - -- ;t., . -- � . ;SEPTIC TANK SIZE . , i i _;-- �SEEP P�i/U SiZE _ _ __ _ --=- , _ ,,,_,,,., -- , � � �,.: ,+� - - - �V .. _ � _ . � ` ,�,< :.. . . . , ... . , ,. . - - _ __ . _. _ _ ,�,�'yT . , -•;.j . 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