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HomeMy WebLinkAbout11935 (5) CITY OF DIAMOND BAR� � � � -��' - DEPARTMENT OF COMMUNITY&D � CE ��; , 21660 B.Copley Drive Suite 190 '�� �� (909)860-3195 Fax(909)861-3117 PRESS , . "'%��''r' BUILDING PERMIT APPLICATION " � FIRMLY N JOBSITE � � APPLICATION f G� PERMIT PJ � o ADORESS O P pATE_ 1��1`"� f � NUMBER I � M � APN LOT -TRACT DA EE ��I`I�� �_' ONST. GROUP p aWNER _�./-�iI-E�Y1r�7tJ U/lI ae. �/LOi p ADDRESS ' ' ZONING SETBACKS - W CITY ZIP TEL. FRONT _ E X P(R E DRW O � APPLICANT �- TEL.�D REAR p� � SIDE/SIDE STREEf���,�, RW ❑ CONTRACT R � � , SIDE� U l,� i• �1 �.uUO • ❑ g CfTY S ZIP TEL � PROPOSED � tG ir . / • o AACFUENG/ . . �/ _"� , � �,-, DESIGNER N0.DWEL ��'�TNO. NO. � CDDRESS ZIP ' TEL UNfTS STORIES BEDROOMS � �n . DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUIIDERDECLARATION . .`" � ' SFR/ADpIREM O 8 I i1EREBY AFFlRM UNDER iEN�L1Y OF GERIURY THAT 1 AM E%EM�T FROAI7NE CVflTMC7qR5lL� GafBpBJCe�pO�! ' CENSEUWFORTMEFOLLOWINUREASONISEG70]1.68USWESSANDPROFESSqN5CO0E:ANYCITYOR (n ' -� � COIMiYKHK7IRECURESAPERMRTO00NSTRUCLILTER�PiqVE.0EA10U5H.ORNEPAIRANVSTRUC . W patlolpeck-• TURE iR1Oq TO ITS ISSUMICE,ALSO REOUIRES THE MPIICMlT FOR SUGf PERAIIT TO FILE A SIONEO W , � ETATEYEM THAT HE OR SHE IS UCENSED PURSUMlT TO THE VRONSIONS OF 7HE�NTMCTORS L4 CEN6E UW(CFIAFTER 0(COMMENCWQ N7TH SEMION 7000)OF OIVISWN a OF THE BUSINE55 AND PR0. u' POOVSp9 � ' � fE551DNStOOE�ORiMATMEdi5MEI3IXEMPTIM[REFROMANDiMEBA515FORTMEALLEOEDE%EMP• (� T1d1.ANYV10Ui10NOF5ECilON70.71.6BYANYAPPLICANTiORAPERMITSl1B1ECT5THEAPPIICA!lfTO Z p�Roof �,,,� A CNIL PENALT/OF NOT MORE 7NAN FNE HUNORED DOlLMS(tsao).} ... . . O OL��'MNEROFTNEPROPEFTY,OqMYEMPLOVEE5ri1THWAGESI57ME1HSOlECOMPEN5A710N,�, 0 COrtITBfCIeI . � . � �. Z MALL DO 7HE WORK AND iFIE STRUCfUNE iS NOT INTENDED OR OFFERED FOR SALE(SEC.)M�.BU54 J N NE53 AND CROFESSIONS OCOE:THE OOMMCTORS UCENS[UW DDES NOTIWPLY TO/W OWNEH OF � , , ►iqPE1TTY WIiO BUR.DS OR MPROVES iNER[ON,MO 1N10 DOES SUp1 VNAKHIMSELF OR MERSELF Oq� WTHNOUdIHISOqNEN01VNEMttOYEES,PRDYIDEDIHATSUCHWPROYEMENTSAR[NOTl1TEN0[�Oq CO � OFFFAEDFORS+LLEff,110M�EVERTMEBULpP160RMPROVEMENTI350lDWfTHINONEYFJUiOFCOMPIE� . Tql/,T1E OWNER�NIDEH NALL HAYE TME B'JRDEN OF VHOVYq THI1T HE OR SHE DID NOT BUIID ON� � MPROVE FOR iHE PURPOSE OF 9ALF1. �� � � � : , (y,� O11�4�WNEROFTHEPROPERiV.AA1DfCLUSNELYCOHTMCTNdMrtiHLICENSEDCONTMCTORS (� TO CONSTRUCT T1fE PIIOJ[CT(SEG TOM,BUSINESS AND PROFESSIONS CODE:TME CaNTRACTORS LI.� V81U9IIOf1 � AQI.AREA �� ' � � � L CENSEUWDOESNOTMPLYTOINOVMEROFAVHOPEHTYW/qBULDSORIMPROVESTHEREON.AND � NMOWNTRACTSFORSUCHPROJECfSWIT1ACONTMCfON(S)IICENSEDDURSUMlTTpTHECONTM0. OUAMTIIY DESCRIPTION - FEE � TORSUCENSEUW.} • ., , . `. �j 01 MI IXEMPT UNOER SE0. B.l P.C.FOR THIS qEASOH - a G / I'/�1 G Q � 3 � . u.. � OATE OVMER U � LICENSED CONTRACTORS DECLARATION � � IHER[BYAFFGWUNDERVENALTYOFiEiWMiNATIAMLICENSEDUNOERVROYIS10NSOFCMAPTER� � � . � , a, �(COMNENCNUMATHSECTION7000)OFDMSION]OFT11E8USINESSANOVROFESSIONSWO[,AND Z ' � ' X yy UCENSE IS N FUl FdiCEANO EFFECT. m � LICENSE CUSS v"�3 � . L1C.NO.� 7 � DATE� ����o�4 Y CONTRACTOR f d WORKERS'CAMPENSATION DEG TION a NINEREBY/FiUWUNDERPEN�I.TYOFPERRIfi'/ONEOFTHEFOLLOWINO�ELUMTIONS:� � � � z -� -� � �� ' " ' � � _114�VEANDMALLM�MTAINACERTIFIGTEOFCONSENTTOSELF•INSUNEFORWORKERS = COIIPENSAT/7N,ASGROVIDEDBY6EC710N]7ooOFTNEUBORt00E,FORTHEPFRFORIAMICE W Of ME M/ORI(FOR WNlpf 71115 iEH1AlT lSISSUED. .� � , HAVEMIDIMLLMAIMARIM'ON(ERSCOAIPENSA710NINSUiUNCE,A9RE0Uli1EDBV5ECTqN � � 0 97ooOFiHEVBORCOOE,FORTHECENF00.MANCEOFiHEWORKFORNM171CHiHI5PE1iMR1 • . ISSUED.MYriOFY(ERS'�OMPENSATqNINSURANCC�'FWERINDPOLICYNUMOfflARE: CONSTRUCTION f ...� CARRIER � �7'�iGr '� `'*'tZ�1 � ' PLANREVIEW � _ � . �� . . ... .. � vaicr NuuaEa ��tto/r 7�"� �l� ELECTRIC � �. 9� � (nessfcnonrdmMoteEm.F'tErIDOFnEPEfI.�'isfDiia+EH.l�OauRSK+�IOALE55} PLUMEiING Z ICEI1iIiYTHAT N iHE VERFOMIANCE Of 1HE Y/ORK FOR W111CH 1HI5 PERMIi IS ISSUED,1 MECHANICAL �� (7 SWLLLNOTEMPLOYANYPERSONNANYMANNERSOASTOB[COMESUBIECTTO7H[ . N WOHKERS'COIACENSATIONLAWSOFCALIFORNIAANOA6REETNATIfISHOI.L�BECOM[ INSPECTIONFEE S SL6JEMTOTHEWOi1NER5'COMPENSATIONPRONSIONSOFSECTIONf)DOOFTMEU00R � ��/J E,is wFOArnwirncorav�rmrnnas¢v su Ns. ISSUANCE � 7 SMIP . .� O /DATE: � APPLICAM:� � . � ENERGY P/C WARNINaFA1LUFiETOSEWAEWOFIKEH5 E ATqNCAVEMOEI UNUWFUL,�NOSHALLBE . (�y 6UBJECTANEMROVERTOCRIMINALPEWLLI �5 �CMLFNESUP7OONEHUNOREUTMOUSMID ENERGYPERMIT OOLLARS�ftoD.000�,MAD�ITIONTOTHECOSi FCdJ7ENSATIDN,DAIAACESASPqOV10EDFORM � � SEGTIDN]7o00FTHEl1BOHCOOE,INTEREST,ANDATfOPNEY'9FEE5. RETENTIONFEE: ��� O�O � � CONSTRUCTION LENOIN6 AGENCY PFiE•ALT FEE: � 1 HEREBV AFFIRM UNDER OENALN OF PE0.IURV i/UT 7HERfi IS�GONSTRUCTION LENDIN�AOENCY Z FOfi THE iERFORMANCE OF THE WORK FOH NMldi T115 PERMIT IS ISSUEO(SEC.�Oi7,CIV.C.�. , W . � IENDER'SNAAAE . . . .. .. _ . . C IENDER'3.1DDRES3 /� � �CEqTIFVTIWTIHAVEREA�IHISAPPlICATIONIWDSTATE7HATTIEABOVEWFORIAATIONISOCRRECL TOTAL FEES ' v pW,,, 1110REETOCOMPLYIM7lIALLCrtVANDCOIMTVORDIN.WCESAN0bTA7EUw5REU71fJOTOBULDIN6 � ' � ' � '^ CONSTRlJCT10N,/V7DNEREBVAUflIOR12EREVRESENTATNESOFTMISGOUHTI'TOEMERUPONIME. . . . . . ' ' � ABOVE•YfMIDNEDVHOPERTVFORINSCECTIDN�FU�ES. COMMENTS � 9 �1•��...�. � N. R s� �l � m OERMRTEENAAI RIMTJ � 4 t � . _ . ., . . .. . . . N B10NATUREO � IT7EE OA � RECPT,NO. _FAID BY 0 Z V/WDATON WHITE—Departrnent Copy,YELLOW—Finanee Capy,PINK—Assessa Copy,GOLDENROD—Flle Copy,GREEN—ApplicanCs Copy � -•������ • � � . � . . ... � . .'S',"�SL�'r'�',.-�i., .�, �.15 , .. 1 r .., .,�;.(-'r�,N...'C' � �Y.�,.. . . ��.Nl�:� .f. ,.�1" .. . . r�vv r . ♦ �� .i . . �.. � . � . .. ',.} � ..�. � .. � � � F DIAMOND,BAR'� ��: .';,,.., , J . . � .,TION RECORD,: � ' , '� , .�:. .� � . - � . �r�. - �j� . .. • .. f 6 0 � • ' � � � ' 0 • SET BACK . � �. ,� , ,� :, , �i , FLOOR`JOIST;�.�,,. .- . �\ _ , , � = FTGS/FDRMSlSTEEL r:. �. �. � _ FHA REQMTS•.-� - . _ .. .. . . . . _. .. -.- ---._.. . .. ELECTRIC GROUND - ._ . ._ ��.�. . . " - - . _ UNDER FLOOR DUCT ; . , .� .. __ . . _ .. _... . . �- .,� - • GROUND PLUMBING r �--i�-•i c��� -r � � � ' UNDER FLO�R COMDUIT � ' SI:AB GRADE --.� .. _ . ,, _ _ : � FIREPLACE FOUNDATION - `' . __ . � _ .. _.. '" � . TEMP POWER �, .,. ,., � .... �_, . ,, ....,;._,. ;- FIREPLACEBOND BEAM _ ..`... :�;_�.'.::. - -- . . , � •, ,-. ,. . , _. . . , .. _...��� _. . . . . _._ : ,.., �: WATER SERVICE ..:..-__....: _:..:...-. :._ _. -: ._-_"r- _". MID HT.BOND BEAM• =- - — .' - -•..... . .. ,,. . _ . .._ . _:. . _ , _ . , , ROOF SHEATHING `--'�- — - -•�- -�� '�'• `, ��` 8 FT. BOND BEAM - :. � ' , � I � FRAMINGNENTILIATION -� � ' � FINAL BOND BEAM � • ROOFCOVER" . , �". � '� ' PRE-GRADING -- - - - - • �-, ; -ROUGH HEATING- , . .. . ._.. .. ----. ... _ ... ..... BENCHING ._ .._ , � . ,.., , , .. . ROUGH ELECTRIC ' - ' "-� � ' " -� � ' ROUGH GRADING � ,• ; ! ROUGH PLUMBING - - - -- - - --- --- � . - FINISH GRADING . . � � ., , ". . ..; , I : SHOWERIfUB TEST� - � POOL ELECTFIIC� . . , , . . . � EXT.LATH/SIDING - - .. ... .. ... . . .._ . . POOL FENCING .., . � � • , - : WALL INSULATION I POOL FINAL � � � CEILING INSULATION OFF SITE IMPS. � � DRYWALL NAILING � � DEDICATIONS;:,' ', � ' ' i . � SEWER ..__ .. -- .._ ...._ - - - -- �--- -- � _. . .. FINAL ENG., , ., .;. ' . . SEPTICTANK . ' ... ..... . . ,, . _ �.., . . _ LANDSCAPE/IRRIG.. . , , � • { r . SEEP PITlL.L:::_..:.--- ---�- - �- - - . ,y ON SITE IMPS. . : .. , � GAS.AIRTFST.,__.. __. .._. _ �. \... � _ FINALZONING ; � -,,� FINAL' ONST:- -• -- ._• � .._ �� -.. ._. •- ...... .. FIRE DEPT. FINAL . F�NAI HEATING���- � - - - - - HEALTH DEPT. FINAL . � F1NAL ELECTRIC-� - - " DEV. FEES PAID � - - . . , s. FINAL PLUMBING ENERGY � �� � ' I . � , i , . f . . . � . � �� � b `� . .... 1 ' -' , , � I .. - - -- - - __ _ I , 'r�--• 1• • - .. _. : - .; , , , , . COMMENTS-� � - ' "` _ ._. _ ; - - - - _ _ _ � .. _ . _. ---- -- -- - - .. . ,\ , � . � .. � . , .. , �. _. . _ _ _ , . , �, , .� _ ,\t, � ` _ , : � _ . . � � \, .. . . ._ � . ; :. . ; , , _ - , , � , ; . -. _ .. . ._ _ . _ . ,. ' � - �-��- ��.. . _. _. . . . : � - 4�. .\ _ t_. , . , _ .. ._ , .� ... , i -.. _ .. , . , � � ' SEPTIG��NK SIZE . .. .. , „ . - : . : . ' ; S �P'PIT _.S Z� �", , - - , � � . . , . . . , � , ;' __ , . . ; ,. , � ; ;. __. .. _ _ . . ... � � � ..- :,... ... . _. . . _. , _ . , . . . . . , , . _ . _.... , . , - . ; , , '�� . � , .. . � , � � ��. .. � �: . ' � , � , � � i . � � .. . _ ..._ . . ... . , , '� `1`_._ _ .. _ _ . ._ _ . _. .;, , _. . _ __.... . . _.. . _ _ , ; . ; � i�i0�l . . .. _��S,..Cj�,� . _. : . ._. _ . . _ _ - . • ; .: j . �