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HomeMy WebLinkAbout10940 (5) _ .__....._..-------- - - --- � ---���-- CITY OF DIAMOND BAR . � �. : � : � � COMMUNITY DEVELOPMENT DEPARTMENT ,x_:,,� 21660 E.Copley Drive Suite 190 "'' ' PRESS (909)860-3195 Fax(909)86l•3117 '�" BUILDING PERMITAPPLICATION FIRMLY o DDRESS'//j��V���2►"-Z�'-�`�►`— DATECATION /� 3 � NUMBER ���v NlC/ ���" q� ISSUE' /r � !�� . TYPE OCC APN LOT TRACT DATE � � �• COl�6�p�R D GROUP. p OWNER � , ,- `� "" ADDRE � 1 '� _ ZONING SETBACKS ,��� � ��g � c � t FRONT - n�T n�V1¢.�Q� • ❑ z CITY ZIP��TEL. � '� REAR ❑'� ZAPPLICANT - � TEL. � SIDFJSIDE STREEf RW • O � CONTRACTOR� F1� �+.iSr �y'�jclJ SIDE - � ADDR SS Il �I(p_malY}A I . � n/ Y►/ jTfiGGO � CITY ZIP��_ TEL.�4 2.�r 14�d4 . .PROPOSED USE l�'�� �0 � .. , , . � ; _ w ARCWENG/ � v! J j � z DESIGNER �ld �� �'r�"`� � ' � - NO.DWEL. NO. NO. . ow., ADDRESS Z ` � UNITS STOAIES ' ' ��BEDROOMS � CITY ZIP 5 L3j TEL Z111 SZG 6 Zfi � - DESCRIPTION -SQ.FT. - -FACTOR PSF - ADJ.AREANALUATION � _ . . OWNER-BCILDEA DECLAAATION .__ .. . ' SFR/ADD/REM O . . . . . . _ _..._ p .1 HEHEBY AFFIRM UNDER PENALTY OF PERIURY THAT I IVA E%EMPT FROA1 THE CONiMCTORS LI- _ .� ..G0f39B/C2fpOR - �� � �� � � W GENSEUWFORTHEFOLLOWINGREASDN(SEG70]1.6BUSINE34ANOGROFES510NSCODE:ANYCRYOR (n C.� CpUNiYYh11p1RE0UIRE5APERMRTOCONSTRUCT,ALTERIMGROVE,DEA�0U5N,ORREPaIRANVSTAUG _ W P2t10/DOCk � � � � ' Z TURE.PRIOR 70 RS ISSUANCE ALSO REOUIRES TME APFLICANT FOR SUp1 PERMIT TO FiIE 115iGNED� ' �' W S7ATEMENT THAT HE OR SHE IS LICENSEO PURSUANT TO TNE iROVi510NS OF THE CONTMCTORS l4� . . � � CENSE UW(CHAPTER Y(��ENCINa NnTH SECTION 7o0D)OF DIVISION]OF THE BUSINESS AND VRO�� LL' PooVSpa _ � � - � FESSIONSCODEIORTHATHEORSHEISE%EMPTTMfREFROMANOTHEBISISFORTHEALIEGEDEXEMP• _ � TION.IIMIV�OLATiONOFSEC?ION7071.5B�ANYAFPLICANTFOR�PERAIITSUBJECT57HEAPPLICANTTO • Z �RB-R00� � " � ' - - � A CNIL PENKTY OF NOT MOFlE iHAN fIYE FNNDRED DOLLARS�f500j.�: . ,,, , O OIASOWMEROFTHEPfiOPERTY.ORMYEMPLOYEESNITHWAGE5A5iT�EIRSOLECOMPENSATION, � 0 Commercial . Z VnLL DD THE WOFU(.AND THE STRUCNNE IS NOT INTENDED OR OFFENED FOR SALE(SEC.701�.BUSF� � J N[SS AND DROFESSIONS COOE:TME CONTRACTOiiS LICENSE UW DOES NOTAPPLV TO AN OWNER OF � PHOPEFff`/WFWBUILDSORnAPROVESTHEREON,ANDWNODOESSUCHWORKHiuSELFORHERSELFOR � � � THROUGHHISORHEROWNEMPLOVEES,PROVIDEOTHATSUCHIMVqOVEMENTSARENOTMENDE00R m . , , W OFFEREOFORSKE.IF,HOwEVERTMEBULDINOORIMPROVEAlEMI550LDMA7HINdJEVEMOFC01APlE- ' ' � TION.7HE OWNEH�BUIL�EH NALL HAVE THE BUROEN OF PROYINO TMAT ME OR SHE DID NOT BUqD OR Z IAIPROVEFORTHEPURPOSEOFSALE). � = OI.ASONMEROFTHEPROPERTY,MIE%CLUSNELYCOMMCiWG1NTHLICENSEDCONTMCfORS � TO CONSTRUCT 7HE 7RQ1EC7(SEC.7o��,BIl51NE53 AND PROFESSIONS fADE:TNE CONTMCTORS U� IU31ia � AQJ.AREA W CENSEUWOOESNOTMPIYTOANOWNEROFAPROVE1iTYWNOBIlilD50R0.1PROVESTHEREON.AND � N71000N7MCTSFORSUCHPROJECTSWITMACOHTRACTOR(S)UCENSEDPURSUAN7TOTHECOMRAG QV/��.JT�TM DESCRIPTION � ' � FEE Y TORSLICENSEUW.). '.. .' . . . . . .. ' "" _ '_ .. .. . . .. � . .. .. . .. .. . _.. ._.... � O I AM fXEMPT UNDER SEC. 8.6 F.G FORTHiS REASON. U � . . . . . .. _ .. ._ _ � .. " _. _ . _ _ ' ¢ . . . . LL' OATE OWNER ' ~ . - . W _ .. . . ._.. . . . _ _ '..._ .. �Q . . . ._UCENSED CONTRACTORS DECLARATION ` '_ _ ' w 2 1 MEREBYAFFIRM UNDER PENALTY OF PERIURY TNAT IAIA LICENSED UNOEH PROVISIONS OF CHAPTER � � : � ' . .. . . d 9�COUAIENCPIC W1T315ECTION 7o0o10F ONISKKJ 7 0F iHE BU51NES5AI.0 VROFE5510NS CODE,M1D Z �X IdY LIGENSE IS IN FULL FORCE AND EFFECL � . � m � . . , � � LICENSECUSS ' LIC.NO. �LSZJ � j F- V DATE�� � CONTRACiOH �DVE2Gew (t�h, � a . w � ., .. - c� '—�— —'�WORKERS'COMPENSATION DECLARATION a . . = U N IHERCBYAFFIRIAUNDER�ENALTYOFPERJUHYONEOFTMEFOLLONnNGDECLARAT10N5: • � � N ¢ . , � � _IHAVEANDWILlMAM7AtNACfRTIFICATEOFCONSENTTOSELFdNSUREFORWOqNERS' S � � COMVENSATION,A5VR01nDE08Y5ECTON77ooOFTHELABORCODE,FORTHEPERFORUANCE w 11F THE WORK FOR WHlpl TNIS PERMIT IS ISSUEO. _ . � F � / _._ . . . . .... ; �IHAVE�NDIMLLMAIN7ANWORNERS'COMPENSA710NINSURANCE.ASREOUINEDBYSECTION ' Q v �7Uo OF TNE L�BOR CODE,FOR iHE PERFORMANCE OF THE WORK FOR WNICH THIS PERMIT IS /3 O� O ' � ISSUEO.MYWOHI(EHS'COMFENSATIONINSURANCECARHIERAN7POLILYNUMBERME � � CONSTFlUCTION � '-- '�� - �'� � CAHRIER��tz�t{l.�1�q_�__.la�.Ss�r REVIE �/S'w �/JO . � - _ . ... , Z POLICYNUMBER uWG���r3T 9- 00 . . . . ... ELECTRIC Q � � � �wssecnor+NEmnoreeaoe.�ocnf�a.�rsraaaetu�oae000uiu;s�s+ao�oatFssl. PLUMBING .. � 1 CERTIFV 7HAT pl THE PERFORAA0.4CE OF TXE �N LOR WHICH THI$PERMIT IS ISSUED.1 MECHANICAL .(� SIiALL NO7 EMPLDY ANY GEHSON IN ANY A1 R AS TO BE ECT TO THE . .__ ... _ . _ _ ... . ._ . . ... ... . . . ' � WORKERS'CAMVENSATIONUWSOFCALIF NV�A OAGREE TIFIS� e[coM[ � �INSPECTIONFEE � S SUBJECTTOTHEWORKERS'GOMPENSA7 NPROV iONSO +ECTqN7 OFTHELABOR SUA � ' -/ � CODE,I SHILLL FORTHWITH COM�LY Yn T � OVISiO 5. ���� O . ' __ _. .. . _. . . .... .. � p DATE: ?/Uc�Q 7 APPLICANP. - -.. . . -. .. J RGYP/C �- - WARNIY4FAILURETOSECUREWOHKERS'COMPENSATIONCAVERAGEISUNUWFUL,IWDSMALLBE �� ' LL SII�JECTMlEMGLOYERTOCRIMINALPENRLTIESANDCMLFINESUPTOONEHUNOa[DTHOUSµ� ENERGYPERMIT OOLURS(f t0a.00al.IN ADDITpN TO THE COST OF W1.17ENSATpN.DAMAGES AS PROVIDE�FOfl IN . � SECTqN370GOFTHGUBORCODE,IMEREST,ANDRTTORNEY5FEE5.' " � �� � RETENTIONFEE: O _ CONSTRUCTION LENDING AGENCY PFiE•ALT FEE: ���-/py�-��j—���}']���y ' � � `� �, � , � IMEREBYAFFIRAIUNDEROENALTYOFGERJURVTHATTHEREISACONSTRUC710NLENDINGAGENCY• "�"'� FOR THE PERFORM�flCE OF THE WORK FOR WNiCH TNiS PERIAIT IS ISSUEU(SEC.9a97,CIV.G). . W _ _ . ._. . _. . _.__.. ` _ . . . .. - - _ .. � � LENDER'S NAM[ � � �� _ - . ............ ._ .... . . . . � �1_-� LENDER'SAODRE55 � w ICERTIFYTIATIHRYEREADTHISAPPLICATIONANDSTATETHATiHEABOVEPIFORIAATIONISCOFRECT. TOTAL FEES . __ ,. _ _ .._ ' . /y�p. � � � �IAGREEiOCOMPl1'WITM�IIpTTANDCOUNTYORDINIWCESANDSTATEUWSR[UTWOTOBUI�DING , .� CONS7RUCTION,ANDNEREBYAUTHORIZEREPRESENTATIVESOFTHISGOUNTVTOEN7ERUPONTHE . . � ` Z ABOVE�MENTIONEDVROPERTYFORINSPECTIONVURPOSES. . (',QMMENTS ,m fPER RFE�� ^i K�� . •\ . _ _' ' _ .' . . � . �Q .. � i. , . ' <n 7 NI� '.�. SIG UHE OF PEH ifEE � � .- DATE // , � � , • ' : RECPL NO. 7 FAID BY � VALI�ATION i -�-� �� ��� �-- • ��-WHITE-0eDahmenl Copy.YELLOW—FinancaCopy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy �-` ., , . .�-•�;. .. i. , .. ... . . • . . . . - . .. ,-.. . . ,,. .. . . . . . i 7... . , .. ..: . . . . � , � .' . ' - • �' , � a ITY OF DIAMOND BAR . ., . . � , ;; . . , . _. � � � INSPECTION RECORD � � ._ . . , , . . . .. • • � � • - • � � • - SET BACK, � „--.,. ,,_, _ � `.,�'. .�. �; � FLOOR JOIST. . ...- - --- ' ' ... - - - -- . . . _ _ FTGSlFORMSlSTEEL -' ' � / ' � �` FHA REQMTS - - -- • •- ' ' 'ELECTRIC GROUND,-,-;• � „ -„, - � UNDER FLOOR DUCT. � •� ,, . � �� -' - � • GROUND PLUMBING� � � " ' `` - - UNDE�i FLOOR CONDUIT� � � . �: ` ' �� SLAB GRADE � ' � � FIREPLACE FOUNDATION ' " " ' `'�''��' ' ' ' TEMP POWER - �--- - -. .� .. __ - FIREPLACE BOND BEAM ti-=�- . . --._ . - � , WATER SERVICE - - ` - - = �� �' MID HT.BOND.6EAM � - � � ;` �i ��"'" ' ' ' - ROOF SHEATHING � � 8 Fi: BOND BEAM i, ; . ' FRAMINGNENTILIATION ' FINALBONDBEAM - ; ,` `I�,�;.; ,; , • ,. RDOF COVER- - ---. _. ... . . . PRE-GRADING: � .� :'. • �, • . ._.•. � ,�i..:1'�_:`�� ; _. . .... ._ ROUGH HEATING •- - � BENCHING � - - �ROUGH ELECTRIC- - - - - - ROUGH GRADING , ROUGH PLUMBING - - - - -� � FINISH GRADING . SHOWER/TUBTEST � - POOLELECTRIC • . ••� EXT.LATH/SIDING ,z . j `� POOL FENCING ' • WALL INSULATION : POOL FINAL CEILING INSULATION OFF SITE IMPS. " ' - - DRYWALL NAIUNG DEDICATIONS SEWER_. ... . .. _ .._ _ _ _... _ . FINAL ENG. . - SEPTICTANK- __. _. _ ' ' _ . -LqNDSCAPE/IRRIG.. : .. - SEEP PIT/L.L. - - --- - ' � -- ' ON SITE IMPS. ' , , GAS AIR TEST - - - --- -\,- FINAL ZONING � , FINAL CONST: :� - ---- -- - - ---- . - ''-, FIRE DEPT.FINAL : FINAL HEATING - -- - - - • HEALTH DEPT.FINAL � - � -- . - - , FINAL ELECTRIC � - -- '�-. DEV. FEES PAID •, . , . FINAL PLUMBING � �\� ENERGY , . _� � ._ c .`� � • � ' • � . _ ... ��, �.•• � . , • _ . _ .. .. . ... . . , --. - . _ - --- -----...--•--.. _-- - • - -- - - -- .. .. . . _..�_,_. .__ .. . , ... __ . _. ._. _. . . ... -. COMMENTS ... - - - _ . �� . - . , .. . - - -- --_ .._ _.. _-. .- - -- . . . . .,, , .. , •, ,. . . . . .._ .- ,_ ;= �•.� ��... ::, �- --- _� ; ' <<- _,'. ; � . _ _. _ .. . _ � . . � �. . . . . .. . . , , � . � - . . _ . - .� _ _ .___, � . - � - � • - - . � , _ ...� ' -- _.. .. _ . �. _ . . , � .�,. . _.. _ . _ __ _ .L�,. .�,,� � ,. . � � , SEPTIC TANK SIZE � .- ; ;1 ; ; _.. _ .._ . ....- - -- - . _. _. SEEP PIT/U SIZE t�t; , ' . G'/ / .._.�D sb� ^'-hp�'� _ , ; . _ 2 l . T � � � �j � 1 - • y4 - _ - ! �i .��/ -,. . �- �.�, � � � ,, . �� J � �� �- �.. , .. _ _ - . . .. .� , , � . . ' _ _. . -:- -- - - - -. ___ ._ , _ _. _ - - --_ -- - l!- � -.