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HomeMy WebLinkAbout12254 �� CITY OF DIAMOND BAR �� �" � • ;i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �c 21660 E.Coplcy Drivc Suite 190 ' � � (909)860-3195 Fax(909)861-3117 PRESS ' ' �'��� BUQ.DING PERMIT APPLICATION • • � FIRMLY oN JOBSRE I � �' C � U� DA�ICATION�,...�''j _��ERMR rz�.P/C . ADDRESS � }�UMBER A $ ISSUE _ �q D'TYPE OCC APN LOT TRACT DATE �� CONST. GROUP p OWNER � ADDRESS ZONING SEBACKS � CITY / ZIP�]Lz;jTEL ^ - FRONT RW O APPL ANT TEL REAR ❑ � SIDE/SIDE STFiEET AW ❑ CONTRACTO i� SIDE . ❑ O ADDR� PROPOSED USE���R Nt�/�Tt?-t CNA/1/6C��L�T � o CITY ZIP • TEL7 p ARCH/ENGI • • . . , � DESIGNER N0.DWEL NO. NO. ADDRESS UNRS STORIES BEDROOMS a CITY ZIP TEL y DESCRIPTION SO.FT. " FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER D�CLARATION SFR/ADDhiEM a (> 11£REBY AFFlRM UNDER PENALTV OF VEfUJRV TUT I AA1 E%Eb�CT FROY THE CONTRACTORS LI.� GaragelCarport W CENSENWFOR7HEFOLLOWNOREAuON(SEG7W1.6BUSINESSANOGROFE5310NSCODEIINYCRYOR (f� U ppUHTYMMIdIREOUIPESAPERYRTOCONSTRUCi.AL7EiLMPROVE,�EMOLISH.OHREPAIRANY5Ti1UC• W PatiolDack. "'' ��� tURE,Pi1qR 70 I13 ISSUANCE,AL50 REOURlE3 T11E MPIM.ANT FOR SW/PERMIT TO FRF A SIGNED w ..� STATEMEM 7HAT ME OA SME IS L�CEHSED VURSUNIT 10 711E PROVISiON3 OF THE COI+fMCTONS U• . � CENSEµW(�7TEq Y(CdaYENdNO Wfill SECTION 7ao0)OF OMSION]Of hIE BUSINESS AMJ VRD� � P��Pa fE55�DN9 tOOE)Wi iW�T HE Ofi SHE Ig E%EMPT iHEPEFROM dND 7NE Bti515 FOR iHEALlEOED E%E�aP• iION.AHYV10lATqNOFSECT10N7071.6BYAHYA➢R�CMITiORAPERwRSU&IECTSiME�PPLIGANTTO � z Re-Roof , � ACNR►ENALT'OFNOTMOqEf11ANFIVEMINDREDO�lURS(SS00�.1' J ^ ❑�ASOWNEROfTHEiPOPERTY.diMYE4PLOYEESNI7MWAGESISiNEIR.AIECONPENSATION, � �mercial l WR1 p0 THE WOiK,AIA THE SliiUCTURE IS NOT IHTENDED OR OFfERED FOR SALE(5EG 7as1.BU56 J � NE53IWD CNOFE5510N5 CODE ME COMMRORS LICENSE UW DOES NOT ADVLY TO AN OWNER OF . ... pROPEHiYWNO8ULD50RMPiqVE57MEHEON.N1�1N10DOESSVp1YJORKNIMSELFORNCRSELFOR � � (= Tluidl0HNI50itNENOwNEYttOYEES.VHOVIDELTLUTbUpIMPROVEM[NTSMENOTINTEN�EOOR m .. lil p���Fpq$µF,�F,�qWEVEqT1EBULdNQORWPIqVEIAENTIS50lDWRNNONEYEAROFCOMPLE• � TION,TNE O'MNER-BU0.0ER WILL/U1VE iME BUROEN OF VROYw�THA7 ME OR SHE OD NOT BUtID 01t MPROYE FOiiTHE PURPQSE OF SALE} • . O L 1�4 OwMER OF iHE OROPEiRY.AY EXCLUSNEIYCOMMCTWO N7TH UCENSfO CONTMRORS TO CONSiPUCT THE iRQ1ECT(SEG 7oa�.BUSiNESS AND VROFESSi�NS CODE:TME CONTMGTORS LI• V3111d1iIX1 ADJ.AREA CENSE UW DOE9 NOTA7PLV MAN O'M1ER OF A PROPERTY W/q BURDS OR MPi10VE3 7HEREON.AND � WIqpONTRACTSFORSUpiGHOJECTSNATIACOHfMCTOR(S)IICENSEDPURSUIMTOTMECONTMG pUAMITY DESCRIPTION � FEE � TO0.5L10ENSEUW.} • � O 1�M E%EMPT UHDER SEG B.{P.C.FOR THIS REASON U 3 � u" OATE ON'NER � ' � W LICENSE�CONTRACTORS DECIARATION W '�., _ _ � IHEREBY�FWMINDENOENhLNOf0EM1HYTHATIAMUCENSEDUNOEROFiOVIS�ONSOFCHAPTEl1 � , - ; . _ � � � ��COYYENCNOWfTM5ECT10N700%OFDMSqN]OFiHEBU51NE55MDVHOFE5510N5G00E,AND . Z X W UCENSE 6 N FUIl FORCE ANO EFiER. � �' �u � � LICENSE C1A55 ���� LIC.NO. J � p�7E � CONTRACTOR 1/'� 0- � WORKERS'COMPENSATION DEC TION a � � IHEREBYAFFIR/AlllOERVENAITYOFYERIUMONEOFTHEFOILOWiNGD[QARATIONS: U � � � � � '" a Q _IMAVEANDWILLWUN7AINACERfIFIUTEOFCONSCMTOSELF-MSUflEFOAWOiV(ERS' _ Q CpIPENSATION.ASPROVIDEDBY5EC710N7'7ooOFTHELAe�NCODE.FOA7HEVERFORUANCE W Of iT1E WOHK FOR WMAITM9 PERMIT IS ISSUED. � O _I HAVE AND M^.LL EUINTAPI N'O�KERS'WUPEN5AT10N PISUNwCE,AS REMARED BY SECTION Q� �70o pF THE UBOR COCE,FOR T�E DER�ORYANCE OF iHE N'�RK fOR VMiCH 7H15 CENMIT IS 65UEO.IAY 5'm�y/PfNS �INS�yf-�w,+GECARRIEN�N�POULYNUMO:RARE: CONSTRUCTION "---� ' CARqIER�/U �� � - PLANREVIEW .. Z aacYr�uiaBER p? ELECTRIC � p � '� —LY 0 �sEem+H[mwre[�rmeFne�ro.Rsra�u+e�oa.wuK�oqrntcss} PLUMBING � Z ICEHTFY7HIRNiHEVERFON�ANCEOFTMEWORKFORYMiCNTHiSPERMRI5155UED,1 MECHANICAL' ('} SMALL HOT EMFLOY N1Y OERSON N INY 1AANNEF 50 AS TO BECOME SIAJECT TO THE � riORKERS'COMPENSATIONLAwSOFGLLIFOPN�A�NDAOREE7HAiIFIS�WUIDBEC0IAE �NSPECT�ONFEE S SU0.IECTTOTHEWORKE115'CAM7ENSATqNVROVi510N50F5EC710N77ooOF7MEL/�90R �SSUANGE ��� CODE,I SF1ALL FO{iTFN11TN Cd.�PIY M7TX tMOSE P0.0NSIONS. � SMIP •�� p pATE: APPIICANT: � w ENERGY P/C � WAiWINO:FAILUNE TO SECURE NARKERS COMPENSATION COVERAGE 4^UNUwFUL.AN�511ALL BE SUBIECi�NEMPLOYEATOCRIMPULPENALl1E3ANDCM�FINE5UVi0ONEHUNDNEDTTK%AMID ENERGYPERMIT � OOLLARS(f tao.000).H/�DOrt10N i0 THE COST OF CO�.IPENSIUqN,D�NM7E5 AS VROVWED FOR W ¢ SECf70N�7oeOFiT�ELABORCOOE,NTEREST,AND�7TO�WEYSFEES RETEN'f10NFEE: pw., CONSTRUCTION IENDING AGENCY PREALT FEE O � �H[q[EVAFLIRMUNOERPENALTYOFGf0.NR7THATTHEREISACONSTRUCiIONLEN0INOAGENCV Z PoRTME PERFORMANLE OF iME WORK FON WHIp1 TM�S OERMIT IS ISSVEO(SEG 7oY7,CIV.C.). W � LENDER'SN/WE , � tENDEif5.10DRESS � 36 �a W ICERT1fYTMATIIUVEREAC1Hi5/IPPIJCATION/WDSTATETHATT/E.�.O�ENFORAAAT10NI5CCPAECL TOTAL FEES , p� IAGREETOCqAPL'/M/ITNILLLpi7M1DCOU1fTYOHD�NANCESANDSTATEUwSHELATINOTOBVLDIN6 . CONS7NUCT�01�1�ND NCREOY Al1i1tlRIZE PEVR£SEMA71VE5 OF iH15 COUNiY TO EMER UPON 7ME � S�. ABOVEJ.IEHTIOHEO GROVERTV FOR INSPECTqN PURPOSES. COMMENTS �� , � �F_YJ�c/.�-�On �/['�G�LI/'✓� m ~ - - -- - - VERMrtTEENAME v /� /7/>� - Q � L� � - y y 61DNARIREOFVERMITTEE � RECPT.NO. PPJD BY VAL10ATON WHITE—Dopertment Capy.YELLOW�nence Copy,PINK—Aesesea Copy,GOLDENROD--Filo Copy,GREEN--ApplicanYa Copy . .. . . . - • . . .. • , . . � . -• ?' , , •( . •-.- . •. , .,t� •i, . , . �. , ,. .. . , � „ . .- .. . . . � .. , CITY OF DIAMOND.BAR �- , . , ' '-� :��.� .-'. :� INSPECTION�REC�CiD ``... ���'. , : ,� � . . .� _ . ��,�. ;... ;�, , . . � � . � �, � e � � - • • � , . � . SETBACK . :�-... �� '� _.i' -- ` i _`�' � FLOOFi'JOIST>,�;;;', ' t ' �i 1��� ` l ;�''iII - . ., ; . FfGS/FORMS/STEEL :-"'� ' : ��. ._ r '� . � �FHA REQMTS . � -- • - - -.... . . �-� -- ...- - ELECTRIC GROUND � ' � -�" '-' � UNDER FLOOR DUCT • ,-; ', ,�,�,��� � , ; - : GROUND PLUMBING � UNDER Fk00F�CO�IDUIT ..,�: �:'�� ":•. , : �. �.' �•,'. , � ! - SLAB GRADE � � FIREPL•b'�CE�OUNDATION� - t � . l _.�. '� _'1.�. �..�1: �1 l`: .__ ... . . -- -� ''�' :. � ''= : FIREPLACE BOND BEAM�. _ TEMP POWER-��----- "` --.. .- � -- . _ . _ . '_ WATER SERVICE .. -�.__-: . '-. -:-__-. '_- :. -__-- .. .. ....�::: MID HT.BOND��EAM'•� •: -', ..' _.'�_.�:: �� : . , . � + '': ROOF SHEATHING � . _ . . •:.'.:�- • - ' . � .. ..._ _ .- - •,'-. •- - . ,' ' 8 Ff:aOND$EAM ,l' � `, i� �• ' � r, , • ; .: FRAMINGNENTILIATION � ' FINAL BOND BEAM � ' '� ROOFCOVER:� - ': ' PRE-GRADING � ` ' ROUGH HEATING - - . . . -- - -- ...__.. .... .... ._. . BENCHING . - - - ' - �- --• - � :, � . ROUGH ELECTRIC � �- - - -- - �� � � ROUGH GRADING � � � ROUGH PLUDJIBING-- �- --- ---- " - - ,- �: � FINISH GRADING • . ; `_ SHOWEH/TUBTEST --- � � � � � POOL ELECTRIC � • • . .� • •. .• EXT.LATH/SIDING - --- __ .-- -- . .- . POOL FENCING � : • WALL INSULATION ; POOL FINAL ' � • , - ' ' CEILING INSULATION . OFF SITE IMPS. •• � - DRYWALL NAILING i , DEDICATIONS ' � : - SEWER -- -- .. --� - -- - - --- - FINAL ENG. . . , . . � � SEPTICTANK_.._ _. : .-- . -. ----- . .... _.. . LANDSCAPE/IRRIG. . . `: :-. SEEP PIT/L.L,_. ._: -..._ - _ -._� ON SITE IMPS. . . • : -GAS AIR TEST� - �� ----- -� - - -- - FINAL ZONING ' '�" FINALCONST.- --- --- - - - � FIRE DEPT. FINAL -- -� ' ' ' ' = F�NAL HEATING - � - � --�- �- - - - HEALTH DEP.T. FINAL � . FINALELECTRIC " � - -� -- - -- - ' DEV. FEES PAID - - - - ��-- � ' FINAL PLUMBING �3 ENERGY • � „ _ � � :� ��� a �r•� � . - . . -- - .. . .. - -- - -. :�:.. _-_ -• ., � _.... . �: . - : . COMMENTS--- . . __ . . . __ _ .. _.. '� � � ._ ---- --... .-� -•-- - . _ ... ... . _ . ._. .-- , , . - _.. .. . . . . . � _. , - � . � . `•, • . �:� . .� i , - -- - - - - , . : ^�,,c'. _ �i ',!� '�,\ .'. • , c�. )'.� i _ . ; . . . : . - - � -- „ . i �- - ' � ' ��*;�� � - -- -- - - • _ � SEPTIC TANK SIZE _ , . � . . SEEP PIT/U_SIZE _ _ . , � • ,.. . � .. , . � i �� 1- -.. .. _ _ � : "��'` �i , � �.- �! . . � � . ' . . , , . � � . :.�. .' �t , , i � � . � -. - - �� ,. - ' - • ; - - - � ' . - • -- -- • , ' � , ........�..�....._....,...r.�.._. _ .. � , � � . . - ... �-� �.l f . .. . ..s ,i .. � . i . \ . _. '._ _ • . • . ,� � � , . ,. V `�� . �` , ,