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HomeMy WebLinkAbout12494 �- ' � ._ ;, �L. , �� CITY OF DIAMOND BAR ' , DEPARTMENT OF COMMLINITY&DEVELOPMENT SERVICES � > 21660 E.Coplcy Drive Suiu 190 � (909)860-3195 Fax(909)861-3117 PRESS 'TM'� . BUILDIIVG PERMIT APPLICATIUN � � � FIRMLY o� JOBSITE � / �1� /' 1� p � APPLICAT�ON���p. PERMff z� P/C ADDRESSJ'1D'1 ! ' C.'���NWULII Dl� DATE F�� !1 NUMBE # � APN LOT TRACT ISSUE lYPE OCC p DATE ' CONST. GROUP p OWNER V—��—T�—f��%�" , ADORESS ZONING SEf6ACKS - W CfTY ZIP TE � / FRONT • py�/ ' ❑ � APPUCANT �'d(_ -Cl_((�/ TEL REAR ❑ � �y 7 SIDE/SIDE STREET qW p CONTRACTOR SIDE p o C�DFESS Z�P��1� TEL. PROPOSED USE� fS? p�( Q ARCFUE G/ � - " ' X DESIGNER N0.DWEL�'• ' i O.� , .• NO. N CDTOYflESS ZIP TEL UNITS ''� ' ' STORIES ` BEDROOMS � cn DESCAIPTION 5a.FT. FACTOR PSF ADJ.AREANALUATION p`� OWNER-BUILDER DECLAAA710N _ SFR/ADD/REM O 8 1 HEHEBY AFFlfUI UNpER VENALTY OF VEfWRV 7HAT 1 AM EXEMGT iHOM THE CONTMCTORS LI• ' Ge(BpO/CatpOR CENSEUM�FON7MEFd10WalCREASqJ�5EC70]1.68USwE55IWDPROFE55�pI5CO0EhHYCRYOR (n U CLtMiYNTt1G1RE0U1RE5APEN.�RTOGON57RUCT,AlTE1lMPROyE,pEMOUSM,OHREGAIRANY57RUC• W Petlp/DBCk � 7URE,VNOii TO ITS ISSIMNCE.AL50 i1EOt11RE5 THE 11CPLICAIf�FOR 6UC11 PEiW T TO FILE A 61GNED w _ � � � STATEYENT THAT HE Ofi 6HE IS LlCENSE�PURSUANT TO THE PRONSqNS OF TME CON7MCTOfiS LF CENSEUw�auW7fqc(CO�nu[nCw01ni1�sECTqr+70001�Dm5pH70FTMEBu5mE55u�mvflo- V" POOUSpfl . iESS�ONSCOOE)ORIIUTXEOHSMEISIXEMPT7HEREFRd/ANOTMEBA5i5iOqTMEALLEaEDEXEMP- (� T�ON.ANYV�OLATIONOFSECilON7W1.6BYMIVAPpLICMlTFOq�7ERMITSUBJECTSTHEAPPU�iWT7p - Z Re-Fiaof � 11GNLVENALTYOFNOTIAORETWWFNEHUNOREOD0.UA5(f500).Y. � 04�.40WNEROFiNEVROPERTV,ORMYEiuPLOYFESWf1HWAGESASTHEIR50LECOMFENSATION, - 0 Commerclal - ' � • WILL DO THE WORK,AND TME STHUGNRE IS NOT INTENOED OR OFFERED fOR SI1LE ISEC.7D1L BU51� J N NESSIfDVROFE5510N3CO0E:THECONTRACTO0.RlILENSEUWDOESNOTAVVIYTOANOVMEROF ? PROPERTY NM110 BUq„p50A MPROVES THEREON.AND NAq DOES SUCFI WORKNIMSELF OR HEqSEtF OR Q 7}WOUGH/pSOi1NERONNEMPLOYEES.PROVIDEDiHATSUCMMPROVEMENTSAR[NOTMEN�EDOR m � L�J OFFEHEDPoRSALEG,NOWEYEi�iNEBUIdNOORYPRDVE►IEML^SOLDWRMMpNEYEAROFppYP�E ' Z TIDN.THE ONNEN�BUIIDER WILL INVE TME BURDEN OF PROVPJO THAT HE OR SNE D�D NOT BUI(D OR = MPROVE FOR 111E PURPOSE OF SI1LE). W 04A:�WNEHOFTMEVROPERTY,AYE7(ClU51VELYCONTRRCTINOWRHUCENSEOCONTRACT0R5 � ro ca+srnucr niE eAaecr tsEe,ao..,eus�NEss u+a vno�ss�«,s caoe.n�e ca+rruerons�4 yaluation ADJ.AREA GENSE UW DOES NOT MPLT TO AN OWIIER OFA PROPERTY WFq BUILDS OR MPROVES TMEREON,AND � YAqCOHiAACfSiOqSUCF1PROJECTSWITIACONTqACTOR(5)�ICENSEDPURSUANTTOTNECONTiUG QUANTITY DESCRIPTION ' FEE � � 70(i5 UCENSE UW.). Q OIMIE%EYPiUNDEHSEC. B.IP.G.FORTHISREASON Q 3 � .,,,.,�. . .. . . . �="' DATE OWNER � V � W F LICENSED CONTRACTORS DECLAHATION W � INEREBYAFFlMJUNOERVEIULTYOFOERNR'�TNATIMILCENSEOUNOERDRONSqNSOFCHAPTER V, � 1(COMAIENCWOWfT115ECTI0N7000�OFDMSqN�OFTMEBU51NE5SNYJiROFE5510NSC00E,M1D Z MY LICENSE 6 Pl FULL iOfiCE IWO E�FEGL (.� � � LICENSE CLASS � C LIC.NO. ��J I Z � _ v pntE�Q� . -� _corrrnacton�� _ a w :- � ' WORKERS'COMPENSATION DECIARATION 2 I� U f, .ii , ' .f',1 1 � . � IHEi1EBYAFFlRMtRAER7ENALTYOFVEiWHVONEOFTMEFOLLOWINGDEClAMT10N5. ` Z - � ��I/IAVEANOWILLMAQITNNACERTIFICATfOFtONSENTTO$ELF-INSUREfOilWORKEIIS' _ Q CqAPENSATqN,ASiFqVIpEUBYSECIlONJ7000F7HEUBOHCOOEFOFiiHEPERf'ORMANCE W OF T11E WOPdC FOR WHid111115 PEW.��T 6 ISSUF�. � � �I HAVE AND WILL►U117iAM W01iNER5 C041PENSA7qN INSURANCE,AS RECV�REO BY SECTION Q � 7700 OF THE IABOR COOE,FOft iH[PERFpPMANGE OF THE WOHK FOq WMIp1 TF115 PERMIT 15 � ISSUEU.IAYWOfiKERS'CO/APENSATIONINSURANCECMRIERM1DGttICYNUMBERME: CONSTRUCTION �O• � GRRIER� � PLANREVIEW � POIICY NUMUER�,.� r�,�'�D Z:�—�� ELECTRIC . , � �sEeramr�rars[mwtFrEnccnErtw.�r�s�cNewwr�voayutsa+ao�attess> PLUMBING Z I CERTIFY TUT N iHE OERFOfiMANCE OF 7HE WORK FOR WHICH 7Hi5 PERIAR IS ISSUED,1 MECHANICAL C7 SMFLLNOTEMPLOYANYFENSONNINYMMINERSOMSTOBECOMESUBJECTTOTME N VpRKE0.5'COMPENSATIONUWSOFCAIIFORNIAAN011GREE7HATIFISHOULDBEODIAE INSPECTIONFEE S $UBJECTTOTHEWORKERS'OOIA7ENSATqNFiiOVI5lON50F5EC110N7iDOOFTNELABOR _ COOE 1 SVWl FOATIAYITH COMPLY WITM 7HOS�E JPROV151DN5. _ / ISSUA.NCE � � � �� � APP�ICAM: l/1��� �LA/`� SMIP _ r� p WiE: � ENERGY P/C WIANIHO�.FAIIURE TO SECIJRE Y.ORKEHS'W�APENSATpN CdVEMGE IS UNUwFUL IUA SN�LL BE (—y 6UBJERANEMOLOYERTOCRIUINALVENALl1E5ANDCMLFWESU�TOONENUNOREDTHOUSAND ENERGYPERMI7 OOLIARS(i100,0oa).IN ADDITION TO THE COST OF CpAPENSATpN,DAMAGES AS VflOY1DED FOR IN Jo� SECTIOHl7olOFTNELABOHWOE,NTEREST,ANDATfORNEY5FEE5. RETENTIONFEE: pW. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: ' O • � � IHERCBVIIFFIIWUNDERVENAL7YOFPERAlRYTHATTNEREISACONSTRUCTIONLENOINOACENCY FORTNEOERFOR4ANCEOFTMEWORKFORWNIGI7MISPERMITISISSUED�SEG70Y7.dV.C). ,�, - � .. � LENDER'S NAME . � LENOERSADDRESS � TOTAL FEES � � � ICER7IFYTUTIMINEREADTHISAPPLIGTIDNANDSTATET}URTIIEABOVEWFORIAA7qNI5CORRCCL W IAORE�TOCOMPLYNITIALLCfTVANDCOIM7YORDIWWCESANDSTATfUWSRELATlWTOBU4DIN0 ' � CONSTiilICTqN,MIDMEREBVAUi1qRIZEPEVRESENTATIVESOFiHISCOVNTYTOEHTERUi'ONiHE i . � ABDYE�YENiIONEDPROVERTYFOi11N5PECTIONGURPOSES. COMMENTS \ �� �O� � ' � � J � � PERMITTEE WwE / / Q O�y'/ �• bq i 1 UAf E � . . . RECPT.N0. PAID BY VALIDATION WHITE—Department Copy,YELLOW—Finenee Copy,PINK—Aeeessor Copy,GOLDENRO�Ie Copy,GREEIJ—Ppplieant's Copy . . . ... . ..:. . „ ,.. . ,. ... . ..�.,, . ... , . �., ,. .�.Y..., ,,. .,- .. •.�,,,� .. _ ., . . . :<;. . . .. , _. � . . . •,•. CITY OF DIAMOND.BAR ,� :. �.:�.� � `. �"� ��. � ' �INSPECTION RECORD�:.'" ;�, .� .:�. ��. � . . . . _ _� - . � ` . �&� � � . . • - , . , ,. . � . SET BACK ''�;�-'�.. 1� '- .�.. ' .,' . FLOOR JOIST '�•� i�. '' ,�•,'�� : t� �.,-,�i,i - i �=. FTGS/FORMSlSTEEL -'� � � FHA REQMTS- --- - - - --- - ' ELECTRICGFiOUND � �- '_____ - - - �- UNDER FLOOR DUCT ' - � - � , � GROUND PLUMBING • � ' •UNDER FLOOR CO�IDUIT � � ' �- ' • � .,• I ;�.� SLAB GRADE �� � •� FIREP�ACE FOUNDATION - � ' :,. � . - � � �'- I � TEMP POWER- -- �' � -- --- - ' ��� FIREPLAC�80ND BEAM .. " '""_`" -" ` ' _ _ .__ _ __! ' VVATER SERViCE� - - � � --- � - - - - -� � �MID HT. BOND BEAM. `�' ' - - � � ' ' ' - ROOF SHEA�'HING�, '.,1 i���K� �O-�� S FT.�BOND BEAIvi ,��, '., . ._ .� ..� �- - .. ' � : FRAMINGNENTIL1i4TiON •.•.���:- '- � FINAL�ONDBEAM � � ' ' ' ROOF COVER `' ,rb-o'l"( PRE-GRADING �-- � � � ROUGH HEATING- - — - - - , BENCHING- '� � , ' � ROUGH ELECTRIC �� - -- ROUGH GRADING . • "ROUGH PLUMBING -- - ---� FINISH GRADING . ' SHOWERIfUB TEST. �� �- � � - - - � '�' POOL ELECTRIC � = � • • EXT:LATH/SIDING � � POOL FENCING • 1 : WALL INSULATION • •• ���•�- . POOL FINAL. . . CEILING INSULATION OFF SITE IMPS. � � � : DRYWALL NAILING DEDICATIONS . ' . � � .SEWER_.__.. _ '.__ _. _ FINAL ENG. - � SEPTIC TANK. '_.. __ . _ _ . . . . LAN�SCAPE/IRRIG. � � � : SEEP PIT/L.L. .--:.- - � ' �.•;�. . ON SITE IMPS. . . . - , .• , . . ._. - . , GAS AIR TEST� ---- - - --- - �- FINAL ZONING - FINAL CONST. -- - )�_g 1� -a `� � -- FIRE DEPT.FINAL' � FINAL'HEATING - - � -- - � HEALTH DEPT. FINAL . � FINAL'ELECTRIC - " " " - DEV. FEES PAID - '- - . , FINAL PLUMBING ENERGY � • . , ' , • � , ; __�A 6 `.L � � _ :1. . �` , ._ ._.. COMMENTS^fb—tQ..4�� �.►u�cCte .�•. .��� '` I x+.: ;dA,t, , �q�� 1�p� .,..' fe, _� --._..__ .,. _ _ . . . . -- - .. . � �.`c��� . _, � �, l : , - ; , _ ._ . . . � - -- - - � ' ' `,•,`.` -f'_ - 1. :l_ _ ,, , , � , . ._ __ _ __ rv.�J �� . . . . � � . . . . . . . . ; _"' " ' ' i "fr t ' ' '_" ' . .. . . . � � � ' ;., - ,. , , ,,���rr;rj .;�,� . , ; . _ t :�t, , . . � SEPTIC TANK�$=jA ;'1I�;,"!�tiFC.l.tiJfJ , , SEEP PIT/U SIZE. , ..� :.;;J •'c.. '�;.,. , � , . . � i 1' . I�f .i.f .. . � • . . . . . , , . 'k� �� . ' i , . : , , . . � . t �_ �' ' .�._ . _ .. ' � . � �. � ---- ' .- -. . . . . _ ' . .r�, \ . � . � - - -- - _ - -_ � � i - . 1 •`' i .... . . . . �. ( . . .--- ' .. _ .> �'- .. -- .