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HomeMy WebLinkAbout12580 (14) % ,: - - y 1� CITY OF DIAMOND BAR '- � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � � � 21660 E.Copley Drive Suite 190 ' ' (909)860-3195 Faz(909)861-3117 PRESS � : ����,. BUII..DING PERMIT APPLICATION � FIRMLY � ADDR SS ���� �9�1 V��-D �• �•� APPLICATION �PERMIT � PlC� p DATE NUMBE �t � ISSUE . �. � .. ;' ..' TYPE._•-:i OCC -- APN - LOT TFiACT DATE -- ' CONST. GROUP � OWNER IL "" ADDRE S ZONING SETBACKS � CT' ZIP TEL R�R RW ❑❑ APPLICANT TEI. SIDE/SIDESTREET RW ❑ � CONTRACTOR � SIDE ❑ � ADDRESS _ PROPOSED USE � CITY 21P TEL. .,_. - - w ARCH/ENG/ • ; � ADD ESS , , NO.DWEL NO. " NO. � CITY ZIP TEL UNITS � ' STORIES � BE�RODMS,� cyi� DESCRIPTION ' SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION ' SFWADD/REM 2 - O 8 1 NEREBYAFFIRM UNDER PEtULTY OF PERUHY T11AT I AA1 E%EMPT FHOM TME CONTMCT00.514 Garaqa�Cerport � ' CEHSEUWiONTHEFOILPMNf3REASON(SEC.70.71.6BUSNESSANDGROFESSIOHSCODE:ANYCITVOR (� � � CDUNiYWMICHPEOIMiESAPERWTTOCONSTRUCT,�iTERMPitOVEDEMOLISH.ORREPAIRANYSTi1UC W P8tl0/D9Gk �� '' • NRE.PRiON TO RS 69UANCE.KSO i1EWIRES 7HE APDLN`,AM FOR SUC11 VEM11T TO FILE A SIGNEO W STA7EAIIXT 11UT NE OR 511E IS UCENSED PUHSUNff TO iHE PROVISqNS OF THE CONTRACTOR4 L4 � CENBEUw(C1IAPTERO(OOAIYEl1CW0 YnTH SECf10N 7000)OF DIVISION i OF iME BVSINESS AND PRO- V- PooVSpa -�� •� � . . - . FE89qNSCOD�ORTWITHEORSHEI9EXEMPTTHEREFH0IAMWTNEBA5i5FORTHEALLEOEDEXEMP• . (7 iION.ANYV10lA7qNOF5ECTqNTW1.6BYANYMPLICNdffOfiAPER�IITSUBIECT5IHEMPUGHiTO Z Re•Rool � .'� . � AGMLiEHALTI'OF NOTMOPE T/IAN FIVE MUrARED�OLlARS RSU%Y ' � . . . O OL�SMMIEROFh1EPROPERTY,ORMYEMPLOYEE5WI1HWA0ESA57HEIRSOLECOMPENSATqN, O Commercial ' � . — . Z Wll DO ilff MIOiYC A10 THE STRUCTURE IS NOT 4(TEHDED D{i OFFEiIED iOH SALE(SEG 7D1�.BU51- J N NESS MD PROFE4910N4 CODE:TNE CDHTMCTORS UCENSE UW DOES NOT AVVIY TO AN OWNEq OF . ? • • . , PROPEHfYV1Fq BURDS OR MPROVES iNEREOH.AHD WHO DOES 6Udi WORK HIMSEIF OR HERbELF OR .Q 'TYqU011H80RHERONT1EwPLOVEEQiROVIDEDTHATSUGIIMPROVEM'cNTSMENOTNTENDEDOR m �� � OFFERED PoN SALE F,IqwEYER7TIE BULDP�OOR IMfiDYEMEM IS SOID WrtHM!ONEYEAAOF COMPLE• �'TION,il£OMINER�BIALDEH MALL IUVE THE BURDEN OF VROVuq iHIU NE OR SME DID NOT BUIID OR �` -�j MvrovE faR THE PURP06E OF 8�LE4 ' • . � ,� • OlA50WNEROFIHEFROVEHTV.AMIXCLUSNELYCOHfMCiNOW17NL10ENSEDCdlTMCi0R5 ,��� TO CONSTRUCT iHE ORO.IEtT(SEG 7ou.BUSINESS M'D iROFE55lON4 CDDE TME CONTRACTORS LI• F VelUeti0rl AQI.ARE/1 CEN3E UW DOE9 NOTAPVLY TO MI 04N1EH OF A VR07ERTY W/q BUILDS OR IMPROVES 711EREOµM70 N71000NTMCTSFORSUp/PpOJECfSWRMACOHTMCTOR(9�LICENSE�PUR9UNITTOTHECOHTMG qUANTITY DESCRIPTION FEE � TORSUCFHSEUW.) . - �J �jt� OIAMEI(EMPTUNDERSEG B.1V.GfORT1115REA50N Q 1 vv� 3 �' U•6�-T- . u' DATE OWNER � � � W C7 GV T UCENSED CONTRACTORS DECLARATION W Z J!'��,� �'rE—GZa � IMEREBYAFFIIMIUIDERPENI�ITYOFPERIURVTHAfIAMLICENSEDUNDERPRON510NSOFCHAiTER � ?j �/w,/� , � -� ��fdWENCNOMrtiHSECTIONl00a)OFOMSION]OFTHEBUSINESSANOPROFESSIONSCOO�AND Z ���� �� W LICENSE IS W FL1LlFORCEAND EFFECT. m �.� ���OI� + ' A�yy�' `.\ 0 LICENSE CLASS LIC.N0.``7 VY�� � / J c � . _ . FU'�' DATf CONTMCTDR�L����(6/ ✓ tL - � , � WORKERS'COMPENSATION DECLARATION (,,.3(y ¢ � v V � IMCREHY�FFIRMUNDERiENALTYOFVEMIRYONEOFTTIEFOLlD1MN6DEQAMl10N5: Z _ • Q � _I/UVEANOWILLLWNTANACEHTIFlCATEOFCONSEMTOSElFJNSUREFORWORKERS 2 -. , � _ ' ' , • � . OMWENSATION,ASPAOVDEDBYSECTK7NS1000FTMELABORCODE,FORTHEPERFORMANCE U � OF T11E MfORK FOiI WHld/T1U5 VERMIT IS RSUEO. � � �I I/�VEAN�1Y�LL 11AMAIN WOi1NER5'COMPENSJRION NSUiUWCE,Il5 HEOVIRED BY SECTION �,� Q �7000FiHEU80RCO0E.FOR7}1EPEHPoRUANCEOFTHEYNORKFORWMICHhI15DERMRIS n ISSUFD.MY WORKER5 CpAPEN5A210N PISURANCE WiRIER AND YOLICY NUMB�R ME: CONSTRUCTION �f,.�� /7 � •� � cu�iEn PLAN REVIEW � � POLICY MIMBER,2�� �� � �• � ELECTRIC 0 (TNss[cfri+NEmwiB[oo1.FtETIDOfTEPERMisFnROr�E�a.rpiEoOatAf6a�aqonl65� PLUMBING �ST Q*I���IN( Z ICERTIFY THAT N THE PERFORMINCE OF iHE WOiiK FOR WHICH THIS VERMIT b ISSUED.1 MECHAN�CAL ���Ql`lOY Y Y l � C7 SHALLNOTEMPLOYANYPERSONNANYLUNNERSOASTOBECOMESUBJECTTOiHE N MIO(U(E0.5'COMPENSATIONUN50FGLIFORNIAANOAGREE7H�T615HOULDBECOME INSPECTIONFEE S SUBJERTOTHEWOfiKE0.5'COMPENSATIONPi10VI5qN50F5ECTIONf7000FTMEUBOR ' - �- QOOE,ISH LLFO TNCpaPLVN1iHTNOSEPHOVISqN ISSUANCE � O A� ^�� / `p DATE:pi��, �PPLICANT.��N� SMIP � ^� b�t!� � ENERGY P/C L � WAi71IN0:FMURE TO SECURE NORKERS COMPENSATION COVERAOE IS UNUwFUL AND SwLLL BE �� � �y SUBJECTANEMPLOYERTOCWMNALiENALTIESANOCMLFwESUPTOONEHUrAREDT10U5AND ENERGYPERMIT DOl1AR5(f 100.0001,N ADDITiON TO TF1E t0.5i OF COAIPENSATpN.DAMAGE9 AS PROYIOEU FOR iN � ¢ 6ECTION 770EOP THE tA80q COOE,NiEHEST,ANOATTORNEYS FEES. RETENTION FEE: 4 CONSTRUCTION LENDINOAGENCY p _ �T � IHEREBYAFFIRMUNDEflPEN1LLTTOFPE1UUfiYiMATiNERCISACONSiAULT10NlENDP10AG[NCY � - Z FOR THE PEHfOFMANCE OF iNE WORK FOR WHICH i1115 VEfiMIT IS ISSUEO(SEC.]OW,qV.GF W � LEN�ERSNM�E • � � � LENDERSADOHESS � �CERTIFVTHATIHAVEREADiWSAPPLICATIONMlOSTATEh1ATTHEABOVENFOR1IA7qNISCOHRECL TOTAL FEES � 1 ' d IAQREETOCONVLYVATMALIfliYANDCOUHTYONOMANCE5AND5TATFUWSNEUTNOTOBUILDING � ,CONSTRUCTION,Ala HEREBV AUT1qRQE REPPESEMATNES OF THIS COUNTY TD ENTEH UPON THE . '�.`.S�i, 14BOVE-/AEMqNEDPROPERTVfORINSPfRIONVURPO5E5. COMMENTS �' � D Y �, ��J � - . ' � iENMITTEENAME(FPo � ��� . .. cn '7Jl��'Yf� / _ �600'r r ' � SIOMZ7UREOFPERY1TiE , DA7E � RECPT.N0. PAIO BY VAUDATION f WHITE—Depertrnent Copy,YELLOW—Flnance Copy.PINK—Asseesor Capy,GOLDENROD—File Copy,GREEN—ApplicanPa Capy . . , . . .. . . . , . ....... , . . �'�• - ,. ;.�'`o. . . .. � ��. , ; . . " . . . . • . . . a� . a. �/ . CITY OF DIAMOND.,BAR ; ; ,. ;, , ._ _� .. t " - �� "����� �INSPECTION RECORD�`,'�� ,� � .. � ,' .. i .. . . -- . . :. . . . . . . . . f F ' � . . � � , ■ � . SET BACK',_' " � '_: • ', ' ".. `••! I., _! ' � ' FLOOR JOIST.;� . �� ; �'� " .,�-�=;�-. ' ._ �.I . ` • �, � FTGS/FORMS/STEEL , {t-G_q$ . �� �., FHA REQMTS�--• . , : , � - - - - - - - • . . _ . .. ... . . ELECTRIC.GROUND�-�_ _- �-_� " � � �- �- - - UNDER FLOOR dC1CT' �;. �;�. :. , ,•, , . , GROUND PLUMBING • � • UNDER FLOORCO�IpUIT��. � � ;___ _ � , `'.' t•'.. ' ' ,. , , SLAB GRADE � FIREPLACE FOUNDATION{ '= • �:" � - '- '-: =�-� • � ; TEFJIP P�WER -- �� - - -- - '�' ''�= � FIREPLACE BOND BEAM . .� -�--� � ' WATER SERVICE-. -- - - _ � ---- - --- -- MID HT.BOND BEAM- '' � ' ` ' R�OF�'SH�ATF�ING ''-' _�• /�����45� �� ' 8 FT.BOND BEAM � - � •- .- FRAMINGNENTILIATION L L/.�r � '� � � FINAL BOND BEAM •. ,- , � , - ; � . ,�-� : �� ROO�•COVER:` ' _:` i - PRE-GRADING. ('� __ ._ ._.:;, ;,_; '•• "•.': flOUGH HEATING.. . ,-- - :. . - - - - � BENCHING;'•.:.`:�r,� �-�',I ,'::`. }{ : ' .� 4 •.�_: ,:• .. : .' ROtJGH ELECTRIC - . � �� � � - ROUGH GRADING •• . '- ROUGH PLUMBING� �- 7�- � � :' , � - FINISH GRADING ' ' SHOWER(fUB TEST -� Z i � POOL ELECTRIC � 1 .. EXT. LATH/SIDING � • ���-j, ' �c,a �� � POOL FENCING ' i, WALL INSULATION � _ ....POOL F1NAL � :•- CEIUNG INSULATION r OFF SITE IMPS. • • • . " DRYWALL NAILING �,la� � �.��� DEDICATIONS � � � �� SEWER-- - - - '-- FINAL ENG.� � , . , - - -- — SEPTICTANK.._. _._.__ t...-.. __ . _._. . . LANDSCAPE/IRRIG. � ' � � � SEEP PIT/L,L.-- - - _-- - = _- - - =�= '.� '_ ON SITE IMPS.. • GAS AIR TEST- -;� - - - - - _.... ,_, � -_-, FINAL ZONING ' ' �' FINALCONST. ,"- - --� � � - �� � - `-, FIREDEPT. FINAL - - �- . .:, .._ , FINAL'NEAT�NG � - � ���,,' ,,,,_..- ; � ,,� HEALTH DEPL FINAL _ . � � :� FINALELECTRIC- �- - ,�. --�->�� . _ - - ._. � _:: ... )` _ - ..,, � � - �c DEV.FEES PAID - � � FINAL PLUMBING � < � ' �.` ENERGY • � � • � r' !/ �3�! � 1 � i, _ ' " i ; 1i .. l '` =`s� .,,` ." \ �f.'�'- O @�N - �„ i - � � �� ,. . .._.��,� .�-- .,�: ,� � , ,{ ; . ._. .-- -- -._ ._._ . . _ . . . . _____ ._--- - . . . - � . -- ... - .; � : COMMENTS - - - - - � � � � ' � ` -- -..__ . ._. _ ..-- --- - . . . .�- S��S_.�'r�-�:�� � . � i �- , _- - -- .. - - - . . - _ . , . ; . � : � :. . � . . . ... _ � ' . . _ . . ... ' .. : ' . . � , s - - - ' ' •• . � : '�'. . ' . � � �^+-j-i%i � �1I�; � . , •J � . � � '1 'I 1:'.ti 1�"t. �'�tl�to� � ti:- .�r • . �. '� �� �- �:t7�: tIl:'i �'i�ij�(�:�:�t,.1.lt. • � � � � • • � • ,� , .� rt.i. •,. t;tnr��:+ � . . - - �. , - - . ;\ � n ,. • � I , ' ' , .. ,...\. .,� V..: �, . _ _ . , , ` �` � t . � . . � ..A `•,. �; e r i , . �. , � . . . �e� `. ' � . !'_('� ' ' " . . sl "" ' ' ' . i • . . ; . l SEPTIG�.TANK SIZE •.-: •, - - � . ' . - ' , SEEP PIT/U SIZ� -- � . ,, , i � , . , . - , ��, .. �; , , � � . �' — � . i' .,=., .���' �i ; � ' r 1 ' • ' -- . � ', _� ! . _ _ . � h -�Z 1. .,...t ''. ; � � . > 6 - __ . , , ; , • i� " " fj .(, °JZ�� , .� .. ✓ / . ... _ ..... . � � � �L • .. 1 J � . __ . ... . .I.l �\ � .__ .' ' 1 � . " ' � _ . � � _ ,Y'�f����`• ' � I l'� . . �.'`'J { , � �