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HomeMy WebLinkAbout11822 (5) J� -- CITY OF DIAMOND BAR . .... , ,- . � . .-,._. DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICS 21660 E.Coplcy Drive Suitc 190 � ' ' ' • (909)860-3195 Fax(909)861-3117 PRESS ���� . BUII.DING PERMIT APPLICATION - � 'FIRMLY �- �-_ } JOBSffE � APPLICATIONlr���q Sy NUMBER �Z� M/C-I� o ADDRESS 1 � C'�Z��'• DATE � i c� ISSUE / �/ TYPE •OCC APN LOT TRACT DATE v �I� —� O CONST. GROUP, p OWNER � �'i' ADDRESS Z�"�'�g�. �.�n.r CxQ ��'• � ZONING SETBACKS • � CITY�•�� ZIP 41 � TEL.��•��. FRONT - RW ' O APPUCANT�•'''n�PL�.TL^C1cS _ TEL.�43fa0. REAR '❑ I � SIDFJSIDE STREET RW ❑ CONTRACTOR � ' SIDE ❑ ADDRESS ��1 . ' PROPOSEDUSE $X3 � ( I1 � CITY�D• ZIP Q��o� TEL.g+�•�U�ydd o ARCH/ENG/ • -� DESIGNEFi � NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS a CfTY ZIP TEL N DESCRIPTION SQ.FT.' FACTOR PSF A.DJ.AREANALUATION � � OWNER•BUILDER D�CLARATION . SFWADDlREM - O ppp I NEREBV AFFlRM UNOER VFNAL7Y OF FE0.1UM 7HAi I AA1 E%EAIPT FR011 THC COHTRACiORS LF Gef8Q0/Ca1pOR � ' � CEHSEUWiORTHEFOLLOWNaREA50N(SEG7a71.68U5vJE53ANDPPOFE55lONSOODEANYCrtYOR (A OOUHTRWMIf]1flEQ11f1ESAPERMRTOCONSTRULT.ALTERMPR0YE.0EMOlISH,ORRE7AIpANYSTRUG W P8li0/DOCk TURF.PRqR TO R9 IS6UANCE �pEOU�HES T11E APPLICANT i0i1 SUq1 PERMIT TO FLLE 116iGNED w � E7ATEMENT TYUT NE OR SME 6 LIC£NSED GUFiSU�T TOIHE PROVISiONS OF TH[CONTMC7WIS L4 , � CENSE UW(CHAViEN i(COAIMENCNO Wf7H SECiDN 7000)OF UMSION 7 OF TNE BUSINESS AND VF6 � PooVSpa FESSqMB WOE�Oi1 SHAT HE OR SHE IS IXEIAPT THEREFqOM/�NO 7NE BA515 FOR THE ALLEOED EXENP- TION.ANYVIOLAiqNOFSECTONTOJ7.68YANYA7PLICANTFORAiEiWITSUB.lECTSiMEAPPLICANTTO � Z RaRoot '„� A CIVR VENAITY OF NOT MORE 7HAN iNE MINDRED DOLLARS IS50D11: J � O��ON��EROFTFiEPROPERTY,Oi1YYEMPLONEESN17HWACfSilSTF1EIRSOLEC04PENSATION, � O Canmercial . - � WRL p0 TME YK)RK NA T11E STFAJCTUR[IS NOT INTEIOED OR OFFERED FOR SALE(SEG TON.BW I• J NESS IU�D 7NOFESStONS COOE:iNE CONTiLICTOfYS LICENSE Uw pOE3 NO7►VPLY TO AN OWNER OF � � PRpVE1IiYVYYqBULDSORMVRJYES7/1ERE0N.ANDMAIODOESSUCFINORKHDASEIFORHERSELFOR m � � �TIWOUGHHISORHEHO�NiEMiIOYEES,GROVIDEO7/NibUQ/MPROVEMENTSARENOTIHTENDEDOH OFFEREO FOq SME 6 FqWEVEi�7HE BULDIND OR IMPROVEIAENTIS SOLD WI7HN ONE YEAR OFCOMPIF TION,hlE OWNER-0V0.DER YnLL W.�E THE BUROEN OF PROVWO THAT NE OFt 6HE DO NDT BUIID OR YPRDVE FOq THE PURPQSE OF SALEL W Ol�+"�NEROFiHEPROPEiT:M�EXCtUSNELYCOMRACTWONrt1Y1lICENSEDCONTiUC70R5 � TO CONSiRUCT TME PR6IECT(SEC.7oN.BUSINC55 MID PROFESSiONS CODE TFIE CONTMCTOR i LI• �V81U81i0f1�� ADJ.AREA CEl6E UW DOE9 NOTAPPLY TOAN OMMEN OF 11 iHOFERiY W!p BU4.D5 OR�IPROVES iHEHEON.AND ' � wr�000wrn�rsFOAsua+vAo.iecrswm��cor+rn�croncs���co+seowAsu�wrron�Eoo'rtrua pUANTITY OESCRIPTION FEE � Toas ucENSE uw.� . _ �i AM IXEMPT UNDEF SEG B.a P.C.FOR TNIS REASON � Q 3 ^ " �� . � �=" DATE � OWNERy+.�. 7� ` V � ' � LICENSED CONTRACTORS DECLARATION �j � IHEREBYAFFIRMUNOERPENALTVOFPE0.RIMTXATIiUAIICENSEDUNDERVROVi5qN50FCNMTER V. ' � ��ODAMENCWO rifTN SEC71�N 7000)OF DMSION]OF TME BUSINESSPf(J PROFESSqNS COOE,AN� Z X ►ry{10ENSE IS N ML FORCE AND EFTEC7. m LLI � � UCENSE CUSS LIC.N0. � J • � pA7E �' � CONTMCTOR� . , � . . a W : � WOAKERSCOMPENSATIONDECLARATION a , ' N IMERE0Y�1FF6WUNDERPEHALTYOfiEiWRYONEOFTHEFOLLOWINGOECIA�UTqNS: �� U � � �� � y Z 6 � G �1lI�VEANDWILLMANTNNALERTffIGTE�CONSEMTTOSELF•INSUREFORWORKERS' S " � COMPENSATIDN.ASVROVIOEOBYSEC710N71000FTHELAOORCOOE,FOHTHEVEAFORMANCE� W . OF iME Y/ORK F00.WH1G1 THIS FERMR IS ISSUED. ` 0 � _�1 MAVE ANO VALL MAIHTAW WORKERS COMPENSATqN INSURANCE,AS PEOUIRED BY SECTION /� � � �4 77000F7HEU�ACOOEfORh1EPENFORMMICEOFIHEWORKFORW111L71THI5VEAMRIS •��� f� {SSUW.L(YYVORICERS'COMPEHSA710NINSUMNCECARWERANDPOIICYM/1A8ERME: CONSTRUCTION �-`� �"� - ' � c�wa¢a � PLAN REVIEW 2 S�O O� --� � ra�cvnuMeen ELECTRIC . (n�ss[crcNrE�noreemrw�tIDavnevewRrsfoAa+eMrancv0au�sR�xloA�ssl PLUMBING �� � ICER7IFYTUTNiMEPERFOPI.�WCEOFiNEWORKFOi1wNICHTHiSPERMRI5I5SUE0,1 MECHANICAI (7 SHALLNOTEMPLOYANVPERSONNANYYANNERSOASTOBECOMESU&1ECTTO7HE , N WORKERS'Cp.�PENSATpNUwSOFCALIFORNItiANDAGREETMAitFISMOULDBECOME INSPECTIONFEE . . � '`_ SUBJECTTOTHEN'ORKERSLO��PENSATIONCROYISKNSOFSECTION77DDOFTMELA90R ! � cooe,i sH�ut romNwirr�oa�oirwm�nase vnows�ons. ISSUANCE 1 t D � SMIP p a�h: Avvi�rrr: � ENEpGY PIC WARN Wfl fA1LURE TO SECURE WiDfiKERS'LOMPENSATION COVENAGE IS UNUWFU�ANO SMALL BE � -� Sl18JECfMlEMPLOVERTOCWMINALPEWLLTESANDCMLFNESUPi00NEHLNOREDiNOU5AN0 ENERGYPERMIT� - - DOLWiS(i100,000).N/�DDITIOH TO TME COST OF C01AiEN5AlpN,DUAAOES A5 VROYIDED FOR W ¢ SECTION�7oe OF 7HE LMON ODOE.NTEREST,ANO ATfORNEVS FEES. � F{�ENTION FEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � � � � IHfREBVAFi1RA1UNDERGENA�TYOFGERIUHYTHATTHEREISACON57RUCT10NlENOwUAGENCY � � 2 FORTHE PERFOH4ANCE OF T11E M/ORK FOR WHICH TMIS VERu1T IS�SSUED(SEC.]Da1,C�V.C.). W � LENDER'SNAME - � -- � � , � IFNOERS.lODRE55 � TOTAL FEES w ICERTIFVMATIHAVEREA�MISADPL1G7Y1NANOSTATETHATTHEMWEWFWW�1710NI50DRRECT. . . p� IAGflEETOCdaPLYN7TNMLCfiYN�DCDUlTVOR�INANCFS/�1![15TATEUNSREUTNfITOBU0.DIN0 � /h�� CONSTRUCTION.ANDMEREUYAUTNDitiZEPEiRE5EMA7NE50F7144COUNiYTOEMERUPONiHE . .__. 1� S� ABOVE�MENTIDNEOVRO�ENTVFORWSPECTIONNRPOSES. COMMEHTS 9 Q.� �- m iERMfTTEE G PIrfT) — — . .�Q .. � . /_ , .. . .. . . . .. �P y 6qW1NREOFVE DAT � . RECPT.N0. PND BY VALIDATION � � � WH�TE—Depertrn9nt Copy.YELLOW—Fnance Copy,PINK—AeseseaCapy.GOLDENROD—File Copy,GREEN—AppftenfsCApy �. ... ....... .. . . ... ... . . . . . . . .... .i .. . ,� . • _ •1 . . � � . . • . . ' . .. , . • , . . . . . , . . ... . .. . '� �1' _ +�.� . . � _ . . . . . . CITY OF DIAMOND,BAR �.; �;� - .,, .,.�.,� . . . .�'INSPECTION REC�RD�' � '" . . . � . _ , ... . �. . .. , ,:.... .'; -- ;, ' . - • � � � - � • � � � � - SET�BACK' �. ��``:� .1 � i? _ n\_.� _ .FLOORJOIST�j� .,=�._J �.._,:� -_'-:��. .": %rI"/r' FTGS/FOF�MS/STEEL = - :� r , �., \ FHA REQMTS . . __,,_ , .. .� . � ��.�� .... '....;i,���.. _ ELECTRIC GROUND. -- -::_: �`. . _�- : � , � UNDER FLOOR pUCT=; .. .:_.i. -- .._ . ... . . ; - � - . GROUND PLUMBING ' UNDER FLOOR CGPIDUI :'! - ,.�.:•..7r•-:> ...`+ :': :';:' . • " .. . ... _ . . .. _ � FIREPt7�GE.FOUNDATION`... _''--- ' •�.-.-'1 .<: , � SLAB GRADE -�- ' - � _, , .. . .... .. . .. _... _,: •.-•• ' ' � FIREPLACE BOND BEAM �_ � ' TEMPPOWER ---� • ,:•, - - .. __ :, . _. _ ... - �- -- ... .. _. - -- �✓-.=--• �.,._.,.: _..:.i(+' ` .:.. � , ;.. WATER SERVICE- , , .:... .:, �...f_ �-.. . . . , MID HT.BOND_BEAM"`-, �.y _. _ ,..' ,' .�.. ; . ROOF SHEATFitNG! � _ j �;f,� , 8 FT��OND:6EAM-_�;� ` _ -- _ � I :� . FRAMINGNENTIUATION . FINAL BOND BEAM � . . - ROOF COVER. .": � ' PRE-GRADING ROUGH HEATING --. _..- -- -� ----.._ . .--_ BENCHING .. .� ; -- - - - . ::.. ; : ROUGH ELECTRIC -: �- ' ��-� - -- �- '—�- � ROUGH GRADING � ' "ROUGH PLUMBING �' - - - � FINISH GRADING � SHOWERlfUB TEST� - - - -- - --- --- � . - POOL ELECTFiIC . - ._ . . _ __._.. .._. . . POOL FENCING EXT.LATH/SIDING i � � ' � WALL INSULATION ' POOL FINAL - ' �� CEILING INSULATION OFF SITE IMPS. - � � DRYWALL NAILING DEDICATIONS - � - SEWER__..._ .. _. `.._ _' ... _ FINAL ENG._ • • � SEPTICTANK ..--_.. '- - - .--. - -.- LAN�SCAPE/IRRIG. . . ._ ,. SEEP PIT/L.L. � --== - - --= -- ' ....'-'.:. . .. ON SITE IMPS. . ,, . GAS AIR TEST; - - - FINAL ZONING FINAL-CONST.' ----- - / f • FIRE DEPT. FINAL ' f'�• • FINAI:HEATING -- -- - � ---- - HEALTJ=_I�?�EPTFIIVAL':;�-,.,t:.�l �-.:. � . �- . FINAL ELECTRIC �� -- - - DEV.FEES PAID FINAL PLUMBING ENERGY . • . � .. - . . - ^ e sy+ , - � :�. _ . _... _.__. ._._... . COMMENTS- --.. - ----- : ' ' �. , r• . . , . _ �• i . .._ . _ . , • ; :. _ ' , , � _ SEPTIC TANK SIZE � _ . , � . . . ,. _ . . , SEEP PIT/U SIZE , ��, - � . , . , ,.�.__ . , .. , , � , , si � ,�,�;..-;�—��� - ; -----,— � ,,. . < < ,_ _ . . _. . �_. � . , .__,. . , , - --- _.. _._. .._._ . .. . _ ;,. . r, �--__ �,ti._._ , � � -- . .. � , , , . .._ , •. ., . . , , :.: -- _,_. _ .----..__....---.. � � , , ,. .: � ,� � , ... .. . ; .- - ------...._. - -- -. .. . � - _.---. ._.. . ...-� _.�.— - - , � � �� , ;_ _ � : r, -�,� �� c �1�1 � � -1` '; , �__ �---- . �