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HomeMy WebLinkAbout18347 i '� � _�� _ CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES 21660 E.Copley Drive 3uite 190 PRESS (909)860-3195 Faa(909)861-3117 '��'�� BUQ.DINC PERMTT APPLICATION FIRMLY � JOBSITE / 7—� j� APPLI i PERMIT Q P!C o AODRES����(Ofvl//If�I/i(I.�//1Y;5 //__A2 DATE �� NUMBER "( 3� k c� ISSUE TYPE OCC APN ' lOT TRACT DATE CONST. GROUP °� OWNER "- (�5 20NING SETBACKS w �m,�s U��s T A FRONT RW ❑ 25 APPUCANT T L. SIDElSIOE STREET RW ❑ � CONTRACT � 6 �� SIDE ❑ � ADD��S PROPOSED USE Cff1G�/ T � ARCH/ENG/ • DESIGNER NO.DWEL N�. NO. ADDRESS UNITS STORIES BEDROOMS � CIN ZIP TEL y DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � , OWNEfl•BUIIDER DECLARATION SFWADD/REM � O � �MEREBY AFFlPAI UNDER►EtULT/OF PEiWRY THAT 1 AM EXEMPT FIiOM THE CdJTMCTORS LM Garape/Carport - � ` 8 CENSEUWFORTMEiOLIOWINaREA50N(SEC.7m1.68U51NESSANDiROFE5510N5CODE:ANYpTYON (n � WlN7TYNMIWRE0U1RE3l1PERMRTOCONSTRUCT,ALTER�PROVE.�EMOlISFLORREPAIFANYSTittlG W patlaJDeck � TURE PP10R TO ITS ISSUANCE.ALSO REWIRES THE APPLICNJT FOR SUCH PERAIR TO FlLE A SIGNEO w STA7EMENT TFU�T NE OR SHE IS LICENSED PUitSUANT TO 7HE PROVISIONS OF THE COHTMCTORS LI� � CENSE UW(dUVTER o(COMMENCW6 WITH SECTION 7000)OF�IVISION 7 Of THE BUSINESS AND CRD � POOVSp3 - - � FESSIONS COO�OR iHAT HE OR SHE IS E%EMPT 7NEREFpdA AN0 THE BASIS FORTNE ALLEGED E%E1AP. TpN.NtYV10LA710NOFSECT10N7a71.68YANVMPLN'JJlTFORACEIWRSUBJECTSTHEMPLIGWTTO Z Re-Roaf �,,,� ACMIiEHALTYOFNOTMOqEINANFiVEHUNORE000LLM5p5o0).}. � ❑I,ASONNEROFTHEFROVERTY,ORM'/EMPLOYEESWITHWAOESASTIEIRSOLECOMPENSATION, � �mmercial . - WILL DO iNE WORK AND THE STRUCNRE IS NOT INTENDEO OR OfFEHE�FOR SALE(SEG 701�,BU51� J NE55 AND GiqFE5510N3 COOE:THE CONTRACTORS UCENSE UW DOES NOT APPLY TO AN OWNEH OF N VROPERTYNRIOBURDSOflMiROVESTHEREON.M'DVAqDOESSUpIWORKHtMSEliORHERSELFOR � (t 7HROlXiHW30RNEROWNEYPLOYEES,FHOVIDEDTNATSUfMWPFOVEMEMSAfiENOTMENDEDOR m . �1 OFFERE�WN SALE IF,/10WEVER7ME BULDINO OR MDRDVEMENTIS SdD VATM�N ONE YEAROFCCAI7LE• z ��TION,7}1E OWNER$NLDER WILL HAVE 1HE BURDQ!OF PPOVNO THAL ME OR SHE DD NOT BUILD OF = IMPROVEFORTIEVURPOSEOFSALE4 uJ ❑l�0`�EROFTIEFROFEHTY,AME%CIUSNELYLOMMCTWOWiTHUCENSFACONiMCTOIL! � TO CONSTRl1CT iHE iRO.IECT(SEG TON.BUSINE55 AND�ROFESSIONS CODE:THE COHfMCTORS LL V81U8110f1 AQI.AREA CFHSE UW DOES NOTMPLY TO AN O'NNER OF A VROPERT7 VR1O BU6D5 OR MPROVES 7MEREON.AN� � NRpCONTRACTSiORSUCHGRQIECTSWI7HACONiRACTOR(S)LICENSEOPURSUMTTO7MEWHTRAC ounrmTv DESCRIPTION FEE � � TORS UCENSEUW.}�, . p 1 AM E%EMPT UMDER SE0. B.l V.C.FOR THIS REASON Q 3 c> � � DATE OWNER U - � J UCENSED CONTRACTORS DECIARATION W � IHEREBY/FFIRMUNDfRPE1UITYOFPE0.IUMTW�TIAMLICENSEOUNDfR7ROV15lONSOLCHAPTER � // //7/�� ' ` � Y�COMMENCHONrtTHSECTqNiooO)OfDM510N�OFTIEBUS:NESSANOPfiOFESSKKJ5CO0E,AhD Z L� G"« J X MYLIGENSEISN�FORCEANDEFFFCT. m IL � o ��S 3 ���.N 7 J �"j o�7E � � cormucroa/ a w ( � WORKERS'COMPENSATION DECLA. b Q = U � iHEREBYAFFIPMUNDERiENALTYOFVEiWRYONEOFTMEfOLIOWIN�DE RAT �j Z Q � �IlNVEANDM/�LLMAMTNNACERTIFICATEOFGONSENTTOSELFdNSURE RNERS' _ � � CdIPEN3AT10N,ASPROVIDEDBY5ECT10N77WOF?HELABOHCOOE,FORTHEPERFORAUNCE W OF THE WONC FOR WMICM MIS VERMIT IS ISSUE�. � O O _I HAVEAND N1LL M�1MAW WORKEpS'COAIPENSATIDN INSUfUNGE.AS flE W IRED BY SECTION i70oOFTY1[LABd'iCOOE,FORiHEPERWRMANCEOFTHEWOFKG'ORVh11C/1THI5FERA1R15 ' � tSSUED.A1Y WORKEAS'LOMPENSATION INSl1RANCE CARRIERAND POUCY NUMBERME: CONSTRUCTION � GwwEa PLAN REVIEW � POLICYMIM9ER ELECTRIC 0 (I/1165CCIIONN[IDNOTBEOD1�ftFIfDOFT1EPEPMT6R7RONEWDI%IID +aola+�ss} PLUMBING �� Z I CERTIFY THAT INTHE PERFORMANCE OF 7ME WOHK FOR WHICH �5 iE MR IS SUED,1 MECHANICAL (;} S/IALLNOt EMPlOYANY PERSON N/NV MANNER BE E THE N WONKERS'CdAPENSATION UN50F CALIFORNI AND� EE TN I S D BECOME INSPECTION FEE S SUB.IECTTO�17LH,�EgNglrO�i+MvnErHr�S'COAIPENSATIONP 5 OF o00FTHEUBOR pDA�""""—iJ V�pp�o�vnrn `^s . SM PANCE . � WMNIN2 F/uLURE TO SEGIRE VVOi710ER5'COUPEN5A7lON CDVEMGE IS MA SHALL BE ENERGY PIC � SUBIECfANEMPLO`�ERMCRIMW.LLVENALTESANDCNILFWESUPTO REU7MOL15ANO ENERGYPERMIT pOl1JJiS(i100,000),WIDDITIONTOIHECOSTOFLOMPENSATION,DAIAAG AS OVIDEDFORIN I .[ � 6ECTIONJ70EOFi1�ELABORCOOE,INTEREST.ANOATTORNEY5FEE5, RET�ENTIONFEE: V O , CONSTRUCTION LENDING AGENCY PRE•ALT FEE � IHEREBVAiFifiAIUNOERVENKTVOFPERJURYTHiITTHEREISACONSTRUC�IONLEHDIN6AGENCV FOR iNE PERfORMANCE OF TME WORK WR WH�CN MIS PERMITIS ISSUED(SEC.]ou7,qV.G). � � IENDER'SN.WE �S IENDER'SADORE55 � W ICERTIFYTHATIHN/EREADT1119MPUCATqNANDSTATET/1ATiHEABOVEINFOiiMATIONISCORRECT. TOTAL FEES - ,� � p� IAGREETOCOMPLYN7TIIALLCIiYANDCOVNiVORDINANCE5AHO5TATEUMSREUikHITOBUlDING CDNSTRUCi DMEREBYAUT110RIZEREGFESENTATIYESOFtH15COUMYTOENTERUPONTNE � ABOVE•ME �ON 0 PROVE OR NSPECfION VURPOSES. COMMENTS 0 /t � u Q PERMRT RI � Z�� � � SIGNATURE �TE � � � , RECPT.NO. PAID BY VALIDATION � WHITE—Depertment Copy.YELLOW—Finance Copy,PINK—�Assessor Cop'y,GOLOENROD—File Copy,GREEN—Applicent's Copy . . . , �. . . . �! ..T�l'. 'G�. 'Y�.r .V V� i'Y .Jn :N�, ? . .t'.. •.R.''k i.�� . .. . .�.�t.�. • � , . i !� .. . .. . . , e. . .. . CITY OF DIAMOND.BAR : , -. �_. � Ih1SPECTiON RECURD ': . _ . - . . „ . � ,y ; ' _ � ,�. .�. �. � � , .�_ . , � . .. ,__. . � ,_ , �. � . -, �._ I. �-� ��,��� .p��.la.E I��� IG,�-�+�"?c3�1���� ��I�,�-��I_ac-i�(Qi►E�+ �!�'i����'_, !�►.4-��.�:.,c, 1���� �i ;SET BACK ��� �FLOOR JOIS7� �ky_Y��� �+tr��_ �~� . �+��' !FTGS/FORMS/STEEL- - _.. -- ._ _. ,. . . ..�. FHA REQMTS ..: . _ . - __ :ELECTRIC GROUND . _ _'�' "' . _. . _ UNDER FLOOR DUCT - '' , ' ; - ' _---_ 1GROUND PLUMBING •UNDER FLOOR CdP�IDUIT - � ' �SLAB GRADE - - ', _- - - , ' FIREPLACE FI�UNDATION ` � _ - ' ..- I ^-- __ .._ !TEMP POWER_ _ . - -- _ _ _ _ . FIREPLACE BOND BEAM - _ _ � � - � ' , ; . !WATER SERVICE - _ ----- - __ P�11D HT. BOND BEAM � � ' - _ ; _ IROOF SHEATHING 8 Ff.'SOND BEAM , � - - - (F�iAMINGNENTiLiATiON FINAL BOND BEAM � � !ROUF COVER c . % PRE-GRADING - - - - ' � 1 , .. . , (ROIJGH NEATING BENCHING {ROUGH_ELECTRIC _-' ... � _- ROUGHGRADING _ _ _---._ ------; 'ROUGH PLUMBING- t JOZ FINISH GRADING i . �SHOWER/TUB TEST- -- ��L - - POOLiELECTRIC ;E�T.-L�,TFi!SIDING_ _:__. - _ __ _ POOL;FENCING r : ;WALL INSULATION__ _ __ _. . _ POOL FINAL : jCEIUNG If�JSULATiON - OFF SITE IMPS. ' ; � =, , ._ ,DRYWA�L NAIUNG � - - _--- ___ _ _ _ DEDICATIONS , - � - - FINAUENG. , . !SEWER---- _ I ' , iSEP i IC TANK LANDSCAPE/IRRIG. . ; . �SEEP FiT/LL.__ _ ' ON SITE IMPS. �GAS�;IR TEST � '� � � FINAL ZONING ' - ----_ _ :. _ IFIN,�l.�;ONST. ...._ .. __ _ FIRE DEPT. FINAL ; . � :FI;1P.L HEATING _ _ _ _ ___ _. __ __ HEALTH DEPT. FINAL i -.. �:--EyF,�-ELECTRIC � __ _ DEV. FEES PAID _ _ _ _.__--; . 'i �'ht_PLUF,ABING-- - • •Q2 -, - - ENERGY � _ _. 1 -_ _ -- - - , i � __ -- - - - ,.,Q�,�..-� - . !.._ _ e4..'f�:...`'!._ t�czr. _____ i� , . a., . ..----�-'- �.. _._ . _.... _-- - " ---. . _... . .- �- - - �- -- � . � ..-.__.._ � . ' �. . ' - .. .� --._ � � ._�— . ' . _ . ---- -_ . ... ... . . . . . ... .. , . , . �tCO��IM_E_NTS _ ' . , , . ! - _.___.__. _ ._ ---. _ _ , , :_ _. _._ _ _. ... _ __ � . , __ . , � , i -- . _ _ , ; _ , _ __ _ _, , , , - � . - -� SEPTIC TANK SIZE � ' ; ; I ' �SEEP PITlU SiZE- - .. _ � _ - , „ j . . .�� _._._.._..__�.� -. i � _ _._ -- I. .. .. � � . _ :� . : _ ._, - , : _. _. ' _ . _ - ' ! . . . ._ . _ ,r��� �:'� : .. - -- � ; , , � I , , � _ _ . � - � - � . , , , , . - . , � , . - . . —, � , . ; _ , � , . ,. , _ - � — �i �..W...............��.�..,'..�...�.+..�..���........i� . � , � �