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HomeMy WebLinkAbout11467 (5) � - - , . . . . .. . .. . _ .. __._ `� _, -- --------------_.---------�- --� ----��� -- • CITY OF DIAMOND BAR . • � COMhtUNITY DEVELOPMENT DEPARTMEMf � , ... 21660 E.Copley Drive Suitc 19� � � PR ESS (909)860-3195 Fax(909)861-3117 ''"' BUILDING PERhtIT APPLiCATION FIRMLY N JOBSITE ' / � q,"�qC� NUMBER # o ADDRESS �I ��S �. L7�lNA 7 C7�,, ,U Q. DATE CATIO ` PERMIT I I -�j� P/C l '" � APN LOT T C . ISSUE TYPE �— OCC DATE CONST. GROUP p OWNER /��.i r p ADDR SS � 10. c�.W - � C✓ ZONING SETEiACKS z CITY � lZIP I TEL. FRONT RW ❑ o APPLICANT ' TEL.��P�'— �-�Q 5 REAR _ e�TV� 2 �nnn ❑ SIDE/SIDE STREET RW ❑ ¢ CONTRACTOR - c911L i/.�C �1.�4 SIDE ❑ � CITY I�I��Q,A I.�57vL ZIF��t�. TE ^p PROPOSED USE < . o ARCH/ENG/ �. . . ' z DESIGNER w NO.DWEL. NO. . NO. a ADDRESS u� UNITS STORIES �'BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION Sa.Ff.� FACTOR PSF ADJ.AREANALUATION p� OWNER-BL'�LDER DECLARATION . _ SFR/ADD/REM O • p 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT 1 AM E%EM?T FROM TNE CONTMCTOHS L4 Gara B/Cd W CENSEUWFORTMEFOLLOWINCREASON(SEC.70�1.SBUSINESSANODROFESSIONSCODEANYGITYOR (n 9 �rt � " U COIJNTyµM111CHqE0UIRESACERAAITTOCONSTRUCT,AI.TER�MPROVE.DEMOLISH,ORRG7A:RANY5IAUG w w TURE,PRIOR TO RS ISSVANCE.�LSO REOUIRES THE APPLICANT FOR SUCH PERMIT TO FILE A SICNED W PatidDeck . . . � � � STATEMEM 7HIR HE OR SHE IS LICENSED PURSVANT 10 TNE YROV1410N3 OF THE CONiPACTOfl9 L4 . � . � CENSE UW(GUPTER Y(COMMENCINO1MiH SEGTION T000)OF DIVISqN 30F THE BUSINE55 AND PRO- PooUSpa . � FESSIONSGOOE70RTMA7MEDRSMEISE%EMPTTHEREFROMANDTMEBASISFOqTNEA1LECE�EMEMP- (� i V TION.ANYVqUi10NOFSECTION70]I.SBYANYAPPLIGNTFOAAPERMITSUBJECTSTHEAPPLIGWTTO Z R0�F70D� A CNIL 7ENALTY OF NOT MORE THAN FNE HUI:�RE�DOLLARS(f SDo�.)� � ZOL�ON�NEROFiHEDqOPERTY,OR6IVEMPLOVEESWITHWAGESASTHEIR50LECOAIPENSA7qN, 0 �mmercial ' . NnLL 00 TME WORK/WD TNE STRUCTURE IS NO7INTENDE�OR OFfERE�FOR SALE(SEC.7a�,BUSI- J � NESS AND PROFESSIONS CODE:7HE CONiMCTOAS UCENSE LAW DOE4 NOT�7PLY TO AN dWNER OF � , . PROPERTY MA108UILD5 OR IMPROVES THEREON,AND WFIO DOES SUpi WORK MiMSEIF OR HERSELF OR CC THROUGMMISORHEROWNEMVLOYEE5,7ROVIDEOiHATSUCHMPROVEM[N75�RENOTINTENOEOOH m � OFFEREDiORSALE.IF,FfOW[YERn1EBULDINGORIMPROVEMENTISSOLDWITHINONEYEAROFCOMPLE• ' Z TION,THE OWNEP�Bl11L0ER W:LL HAVE TME BURDEN OF PqOVING THAT HE OR SHE DID NOi BUILD OR � � IMPROVEFORTHEPURVOSEOFSALE�. . w O tASOwNEROF THE PHOPERTY,AM E%CLUSNELV CONTMCTINO N7TH IICEKSED CONTMCTORS . Q TO CONSTFUCT THE PR0.IECT(SEG 70N.BUSINE55 AND PROFESSIONS COOE:THE CONTRACTORS LI- V21U2SIOf1 /��J./�{j� W CENSEIAWDOESNOTMPLYTOANOWNEHOFAPROPERttVYh108U1LD50F9APROVESTMERE0N.M1D � WMOCONTMCiSFORSUCHPqpJECTSWITH�CAMRACTOR(S�LICEKSEDVURSUANTTOTH[CONTRAG. QUANTITY DE CRIPTIOV �E Y TORS UCENSE UW.). � � � O I IUA E%EUPT UNDER SEC. � B.i P.C.FOR TMIS REASON � G u" DATE OWNER � � Z � UCENSE�CONTRACTORS DEGLARATION � � IHEREBVAFFIKIAUNOEHVENAITYOFVERJURVTHA71M1LKENSEDUNDERVROVI510NSOFCHAPTER- U, p. 0(COMMCNCINGWRHSECTION7000)OFOMSION]OFTH[BUSINESSANDPROFESSIONSCOOE.MlO Z � . W MY LIGENSE IS IN FULL FORCE AND EFFEC7. ' � � r (f rL P� . � UCENSE C S`' � .-1 UC.NO. - � � � V DATE � i CONTRACTOfI dJ. �� W . /�, ' � WORKERS'C067PENSATION DECLARATION �����1 Q �1 � � /w � IHERE9YAFFIRAIUNDERDENALTYOF�ERIURVONEOFTHEFOLIOYNNCOECLARATqNS: � �IHAVEANDWILLMAINTAINACERTIFIGI7EOFCONSENTTOSElF�NSUREFORMpfiNERS' COMPENSATiON,ASPRONDEDBYSECTON77000FTHEUBORCODE,FORTHEPERFORAIANCE , O OF THE WORK FOH WF11CH THIS PERMIT IS ISSUEO: � . �w �IHAVEANDWILLMAINTA1NWOf1KE0.5'COMPENSATIDNINSURANCE,ASREOUIREDBYSECTION 77000FTHELAOORCOOE,FORTHEPERFORMMICEOFTH[WORKFORWHICHTMSiEitMiT15 �' ',�� ,_ ' . � ' �, , . . , �. . ' � J LSSl1E�.MYWOAKE95'COMPENSATIONINSURANCEGHHI[NNIDDOLICYNUTABERARE: 'CONSTRUCTION ` j awnica -vCf'� CO ' PLAN REVIEW Z vaicrnuuoca � • • ELEGTRIC ¢ � (fF1S5ECfI0NNCmNOTBG00MPLETmOFTE7ERMi6Poli0r�E14,fDPLDDOLLAfiSRtOC10f11E5S4 .�PIUMBING � Z 1 CERTFY THAT IN TH[�EAFORMANCE OF THE WORK FOfl WH�d/THIS PERMIT IS ISSUED.1 MECHANICAL C7 SMALL NO7 EMF'LOY ANY PEfl50N IN ANY MANNER 50 AS TO BECOME SU&IECT TO iHE ' (�j WORKERS'COMPENSATqN UWS OF CPLIF 10.NNU ACREE 7H11i IF I SHOULO BECOME INSPECTION FEE � . � SU&IECTTOTHEWORKERS'COMCEN54TIONP�OV��iONS SECTqN37C00FTHElAUOR oISHAIIFORTHWITICdACIYW r iovi; . ISSUANCE / p DATE: vy� APPLICANT: SMIP W J WARNING:FARUAETOSECUREWORKERSCOMP �SATIONCOVERAGEISUNUKTIILANDSHALLBE - ENERGYP(C LL SUBJECTANENPLOYERTOCRIAIPlPLPENALTIESANDCNILFWESUPTOONEMUNDREDT/10VSANU �� � DOLURS(f100.000).PIADDITIONTOTHECOSTOFCO/APENSATION,DAMAGESASPROVIDEDFORIN ENERGYPERMIT .rJ SECT10N�1oeOFT1ELABOHCODE,WIEHEST,AND�TTOMEY'SFEE3. '� � -�� - � . • p� RETENTION FEE: � o , CONSTRUCTION LENDING AGENCY PRE-ALT FEE: ' � IH[REBYAFFIHMUf�IDERPENALTVOFPERIURVTHATTHEREISACONSTRUCTIONLENDING�GENCY � � FOR THE iERFORAIPNCE OFTHE WORK FOR WMICH TMIS PERMii IS ISSUED(SEC.70B�,qY.C.�. W . . . . . . . . . � LENDEIYSNAME . S � LENOERSAODRE55 � � � ��� � , W� TOTALFEES ' IGERTIFY7HATIHAVEPEADTNIS�PPLICATqNANOSTRTETIATTMEl190VEINFORMATIONISCORRECT. , � � � IAGREETOCOMPIYWITHALLCITYANDCWNiYORDINANCESANDSTATEUWSREUTWGTOBUILDING - �. CANSTRUCTION,ANDHEREBYAUTFIORIZER[GRESENTAT.NESOFiHISfAUNTYTOENTERUPoN7HE � Z ABOVE�MENTIONED iROPER�vEcraN vu.voses. , COMMENTS � � � � � QP ITT E :�PRI/ � • .. . . N � �� y�� � i " PERA1i E DATE � RECP���PAID BY VALIDATIO � �WHITE—Department Copy.YELLOW—Fv+ance Copy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicanfs Copy . . � � .. .. .. , ., . . . � � , . . .. . • .. . . . . , •.ti. •r , :i.�.r,5' .. o . . �_...�.a.,f. .. ,:A.^`�. �.�:..s. . , - ,T... .. . ....,.. �,�;: . . - • , r� � � � � I OF DIAMOND BAR �:. � . .;�:� �. . . . . � � � SPECTION RECORD � � � . � � � - • i � l� ' � - � SET BACK ' FLOOR JO(ST - - � -- � FTGS/FORMS/STEEL � _ .,,.:,,,.�� _, FHA REQMTS - ' . . - ELECTAIC GROUND ���' " ' ' UNDER FLODA pUCT �' -. .� � . GROUND PLUMBING � - -- ;; � UNDER FLOOR CONDUIT �� • �+ ' SLAB GRADE ' � � �, � - FIREPLACE FOUNDATION ' -- - -'� � ' TEMP POWER . _- . = . - :..- FIREPLACE BOND BEAM � ' ' •'-� = • - - ' "' I WATER SERVICE •. • � . • � MID HT,BOND BEAM �� `" " " '� ' ' ROOF SHEATHING 8 FL BOND BEAM FRAMINGNENTILIATION ' FINAL BOND BEAM , � ROOFCOVER ; - - � - - PRE-GRADING • , ,,: ROUGH HEATING � -- - - BENCHING - . ROUGH ELECTRIC -"- - • ROUGH GRADING • ROUGH PLUMBING " FINISH GRADING i SHOWERRUB TEST - ' - - � POOL ELECTRIC EXT. LATH/SIDING . POOL FENCING • WALL INSULATION POOL FINAL � CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS ' . SEWER _ FINAL ENG. SEPTIC TANK _ _ LANDSCAPE/IRR(G. - SEEP PIT/L.L. _ , _ ' . DN SITE IMPS. GA5 AlR TEST . - • . ' �� -- - ��...: . - FlNAL ZONlNG ' - FINAL CONST.�. - - �- - -• - ' -=' = - � FIAE DEPT.FINAL FINALHEATING� - - -- • -� � • HEALTH DEPT.FINAL- - FINAL ELECTRIC , . � - __ ,� DEV.FEES PAID FINAL PLUMBING - , � � • ' � . } . ; ;ENE�iGY �' `• • , , __. , `. i ' ; , � ,- . , . ' • ' , • • _ , , � . . . COMMENTS . __ .�� __ . . .:,,. � �' ..�',;� ' ' .— -� � � s l�� ��; � �vrZ ; /,. . �`" �:.. . __ - . , . . . , _ ,, , ;� , , - . �. . , . . � � , . . _ 1 . � . . . . , . � .. � . . � . . ��c� . (� 5��� , ,� . SEPTIC TANK SIZE . . -- _ _ SEEP PITlU SIZE - � � .. , . � , . , ,�: i ' , , . • , , . - � � ; - . . . . , _. . _.._. _� .� . .. .. _ ._ ._._