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HomeMy WebLinkAbout10638 i . _._.�---—- -� -----.- ��' —' _.� CITY OF DIAMOND BAR' � COMMUNffY DEVELOPMENT DEPARTMENT 21660E.Copley DriveSuite 190 . PRESS (909)8643I95 Fax(909)861-3117 ' 4'"" BUILDING PERMIT APPLICATION FI RM LY o ADDR1 SS��I GI�I C7 (�I��--f..� 5��11-�5 APPUC TION Zy_ �� PERMIT /O6��p/C I DATE � � NUMBER N �� � ISSUE TYPE OCC APN LOT TR T DATE CONST. • GROUP p OWNER p ADDRESS 5 '� V S" ZONING SETBACKS " � CINQ.�'_'Tl1 IYI��l� ZIF�2H _(., TEL.'=5L/D-� REAR RW p APPLICANT TEL. SIDFJSIDE STREET RW ❑ � CONTRACTOR G � , SIDE ❑ O ADDRE S — PROPOSED USE ���'C 's���'��GG�''�—p(�q CITY� Z �O� 7� 1^ l� � • o ARC E G/43L OESIGNER S:'.G1 rh �� �i7 NO.DWEL NO. NO. a ADDRESS � CfTY ZIP TEL UNITS STORIES BEDROOMS � , cn DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BCILDER DECLARATION . SFR/ADD/REM O p 1 HEREBYAFFIiUI UNDER VENALTYOF PEFWRY TXAT I AA1 El(EMPTFROM THE CONTMCTORS L4 Gerepe/Cnrpart � . W CENSEUWFOHTHEFOLLOWWGREASON(SEC.10.7f.6BUSWESSANDPROFESSIONSCI7DEANYCITYOR (n �� U CpUN7yNMICNpEOIIIRE5A0ERutTTOCONSTRUCT.ALTE0.�PNOVE.OEWlI5H.0iiRE0�IqANYSTRUG W PBIIO/DBtk � � TURE,VRIOR TO ITS ISSW WCE,�LSO REOViRES TME MPLICANT FOR S'JCN PERAIIT TO FILE A SIGNE� W � STATEMENt TMAT HE OR SME IS LIC£NSEO PURSUANT TO T1E Pf10VI510N3 OF THE CONTMCTOH9 LL � CENSE UW(diMTER Y(COMMENCIN�YlITH SECTION 7000)OF DMSiON]OF TME BUSINE53 AND PRD� u' POOVSpB ' � � FESSiONS COOE)OR THAT ME OR SME IS EXEMPT THEREFROM AND TNE BASIS FOR TME ALLEGED EXEMP• TION.INYVIOLATqNOF5ECT10N10�t.S8YANYAVGLICANTFOAAGERMITSUBJECTSTHEAVPUCJWiTO z R6-R001 � � � F ACMLiEWLLTYOFNOTMOi1ETW1FNEHUNDREODOlUR51f5001.1: � OlASOwNEROFTHEVRODERTV,OR4YEMPLOYEE5VA7HWA0E5A57NEIRSOLECOA10EN5A710N, � �mmercial . � . . -Z MALL 00 THE WOR1f,ANU T11E SiRtKTURE IS NOT INTENOED OR OFFEHED FOR S/�LE(SEC.7W�,Bu56 J � � NE55 AND OROFESSIONS OOOE:TN[CONiMCTORS LICENSE Uw DOES HOi MVLY TO AN ONT�ER OF ? FROCER7Y WFp BUILDS OR oAVROYE3 THEREON,AND WF10 DOES SUp1 YNHN HI45ElF OR NERSELF OR ' WTHROUGHNISOqNENONMEMPIOVEES.PROVIDEDTMATSUCNMPROVEMENiSARENOiMEN�EDOR m � OFFEREOFORSALEIF,lIOWEYER7MEBUlDWOOFiMPROVEMENTI550lDWIT111NONEYEAROFCOYPIE• � Z Tidl.THE OWNER�BVILDEN VALL HAVE THE BURDEN OF DROVWD TNAT NE OR SHE DID NOT BUILD OR _ lAPHDVEFORTNE7URPOSEOFSALEy � O 1,AS ONMER OF THE ViL�VEHfY,AM E%CLUSNELY CON7MCT WO NrtTH 110EN5ED CONTMMORS � TO CONSTRUCT tME P(q.IECT(SEC.7o��.8U51NE5S u+D P0.0FESSIOHS COOE:THE CONTMCTORS LI� V81UBliq1 C� �'_/�pJ.AAEq W CENSEUWDOE9NOTAPP�YTOANOWNEROFAPflOPERTYWHO&11LDSORMPpOVESiY1EREON,11N0 � MnUCONTMCT5FOH5UCHPRO.IECfSM/I7HACON7RAC70i1(5)UCENSEDPURSUANTTOTNECONTRAC• QUANTITY OESCRIPTION � . � �E � . � TOqSLICENSEUw.J. � 0 O I AM EIfEMPi I1IJOER SEC. B.1 V.C.iOiiTH15 REASON Q � � � U ZDATE OWNER U . . . . O W 4 UCENSED CONTRACTORS DECLARATION W oC 111ERE9VIlFFIRIIUNDERVENALTVOFVE0.R/RYT1uT1IWLICENSEDUNDEROROVISidJSOFCHACTER Z .C' /N�j/E�� � C� p„ �(COYMENCINO WIi1i SECTION 7oao�CF OMSqN�OF THE BUSINE55 AND iROFE45lONS CODE,I1q � MY LICENSE IS H FULL FORCE AND E�FECT. c m 0 LICENSE CUSS � /� IIC.NO. [J� _ � '�• } . . _ ,,..1 i� ._ . . :•� . -... ., `, V DATE ��Z�� "�7�n CONTMCTGR a _� W � WORKERS'COMPENSATION DECLARATION � NIHEREBYl1FFIRAIUNOERVENALTYOFVEfLVRVONEOFTHEFOLLAWWODECIAfiATI0N5: Z . � _111AVEANDWILLNAMITAINACERTIFICATEOFCONSEHTTOSELFdNSUREFORWORKER5 � _ CO�IPENSATqN,ASGROVDEOBYSECT10N77ooOFTMELABO1iCO0E,FORTHEVEHWRYANCE W OF THE WORK FOR NA11CH THIS VERMIT IS ISSUEO. � � IHAVEANDWILLMAwTAINWORKER5COe1PEN5ATIONRISURANCE,A5RE0UREGBVSECTKN � �v p �70o OFTME U80R COOE,FOR TME 7ER WRMANCE OF TME WORK fOR MMICH TMIS YERM?IS �J ,� ISSUED.GYVMORKERS'COAIPENSATIONINSURANCECARRIERANDPOLIC'/NUMBERME: UCTI JJ �/ �• � GaaEa _NA�T�� U�ni�1D�.1 ��2� PuwR 5�/7. ° �,2G Ly/�� 0ZZ POLICY NUAIBER_ �--� �T]2 ^ � �- ELECTRIC —� . ' Q (MsSECnONNEmNOTBEWhR.EfE00FT/EPER.RswRaNEM.KJfiEDD0.1I6sR+�1�1F551 PLUMBING Z I CERTIFYTNAT NTHE VERFORUANCE OF iHE WONf FOR W1uCH iHIS VENMtT I5155UED,1 MECHANICAI. C7 SW1LL NOT EMPLOv ANY PERSON N ANV AUNNER SOAS TO BECdAE SUBJECTTO THE y WORKER5COAIPENSA7iONUVlSOfGLLIFORNiA�NDAGREETMAiIFISHOULDBECOIJE INSPECTIONFEE � ' - � ; `- SUBIEGT TO THE WORKERS'C0IAPENSAiqN PROVISqNS OF SECTqN]loo O LABO ��_ S CODE I SHAII fORTro+nTH COMaLv NnTH iHOSE VRMnSqNS. SSUAN lS p OATE�f�Z� ��� APPLICA . ' — ���� _ IP � WAAHIN6:FAILURE TO SECUPE WORI(ER4 COAIPENSATqN COVEMGE IS V 'ANO SHALL BE ENERGY P/C � � SUB.IECfANEMPLAYEHTOCRIMPlA1.PENALTIESANOCMLFINESUPTOONEMdHDREDiTpU5A1� ENERGYPERMIT�� DOLUNS(S1oo,000�,W AODrt10N TO T1E L0.570F W4PEN3ATION.OAA1A3E5 AS PRONOED FOR IN � SECTqN 77a OF iNEUBOR CODE,INTEREST,AN�A770RNEY5 FEES. � RETENTION FEE: � � � OCONSTRUCTIONLENDINGAGENCY PRE•ALTFEE ,��y � ' � IHEREBVAFFiRMUN�ERPENALTYOFPERAIRYTHATTFIEREISACONSTHUCT10NtENONCACENCY ��Ui� �� ' " . -' FOR THE PERFORYANCE OF iHE WORK FOR Mn/1p/THIS PER4IT IS iSSUED(SEG�007,CN.C.). � � IENDERS NM�E � � C LENDERS/DORE53 w ICERTIFYTHAi1NAVEREADT115MPLIGTqN/iNO57A7ET1uTT1EABOVENFORIAATIONISCpWECT. TOTAL FEES . 3 �U f � IACREETOCONPLYN7T11ALLCfTYANOCOUNTYOROwANCE511Ml5TATEUwSRELATWC708UROM0 " ' � � CONSTRUCTION,MIDMEREBYAUf110RIZEREVRESEHTATNE50FTW5COUNTYTOENTENUPONTHE � , . ABOVF•YEMqNED VROPENTV FOR WSPECTION VURPOSES. COMMENTS O � 1Ji l�s� m PERMITTEE NAME(PRi ' . . . � N _ _ ,` � lo—" ^'S� � SIDNAiUREOF PFiMUTTEE o�tE RECPT.NO. L PND BY �� � VALIDATION � WHITE—Oepartment Copy.YELLOw—Finance Copy.PINK—Aseosaor Copy,GOLDENROO--Fik Copy,GFiEEN—Appucant's Copy _ ..... ,,....-. rr- , .-� ��. - .. . : - •.� , • . ,- .. , c,. . - ,. �ri, '''.��.;.. .�,'..— - ,.-._- ...- —. . .., , . . , . .. _ . . ._ �� . .. � CITY OF DIAMOPJD .[3AR ::";� '�.''.;'. :' T , , : . .. . . ItdSPECTIOP� RECORD`;' ; -,. :`,. ', `; - . , ,.. ... . . , , . . . . ;� .. �... . . . .. . . . , , ... . i. . . . � . : � '.� . • . ;I������c,�,�ti�fo7►�� � ���V�F� �1'�-�����# '" �l�'.�=�a��i���il i�r�C�., �f��-��»c,�a'��-t`..� ��� ._��., -_�._._��..:-. - - -__.._..____.__ _ . v. .___�_�.:�.�..._1:� �-_u...— __ _ ,_ .__._ _ � �.� . - -- -- - . , . SET BACK --- -� --- - , , -FLOOR JOIST----- -�----. .._.... .... - ------- ---- -- �-----. . ..� , FTGS/FORMS/STEEL �---- - - .�: . , • . - . .. _. FHA REQMTS -- - .. , . . --- - - ... .--- - -..:,-.,.,-, i :, ELECTRIC GROUND •. UNDER FLOOR DUCT . t ,�: � .. .� . ; -: GROtJND PLUh1BING ' ' � - � - �� " � UNDER FL'OOR CUNDUIT -� - "�"- -- � _:_ . ___ ..:,;�•' � ' SLAB GRADE- `�� � -- - --- - � ;- ; � FIREPLACE FOUNDATION----- -- ------- -. --- . . � � ` -- - - �- TE1;M1P POVJER-.--::-_:.._-:. .: ._.. :_ :.. - -. ...-_.... '.:_: -FlREPLACE BOND BEAM • ' , . -� • ::.• ..., � :; . . .,.-•. . -_ - -- --- ._ . . --- - - 4YATER 8EFiV4CE.-`•�...� . .-•• '•~ _ --- � -`=�'„ MID NT. BOND BEAM --��.- � � , • . . ,;_ . � �. ROOF SHEATHING �. _.. _ _ ...-- -.--.- _ 8 FT.�OND BEAM � `. : ';�:�•, ; t•� FRAMINGNENTILIATION -'� ' '� FINALBONDBEAM �- - - --- �� �' r=,:;��;:.� I '� ..__..._.. -- - ...-... .. _ . _= PRE-GRADING ROOF COVER ---... _.----- .�;- <;. . �.�..., , �. , , - --. - - ROUGH HEATRJG-- -_ . _;� . _�: . .. .. .-. - .. "- BENCHING , -. `. ROUGH ELECTRfC ', --- � - - - - -- -�� - � - -�- � ROUGH GRADING , ' `- ROUGH PLUMB(NG �', --� " -- "- - - ' - � FINISH GRADiNG � ' " ' ' ' ' ` ' • . - . . � SHOWERIrUBTEST; - "" - � • � POOL ELECTRIC ' ' ' , ,., EXT.CATH/SIDING --' -- --- - - -- � - --- _..� POOL FENCING', ' . � ' � t . WALL INSULATION ; i • POOC FINAL • • � � ; CEILING INSULATION OFF SITE IP�1PS. • ' .. '". � . . ' ; �_� DRYWALL NAILING ' ' DEDICATIONS ' . , � � SEWER -- - --- - ' ' ' . FINAL EPJG.. . :_ .,... .....-�- --- - - -- - --.._.._._ . .. , ' '� ' `� _LANDSCAPElIRRIG. SEP_TIGTANK- _--.-::.-_ ... ._ _. . . . _SEEP.PIT/L.L:_1 ___ ___ ___ ' - " �N SITE IMPS. • GAS AIR TEST - ' - � -- FIP1Al:ZONING " , FINAL CONST.-...-- -- - - - -- - --- - --.._: ..... . . . .FIRE DEPT. FINAL , ,. . , .. FINALHEATING---_ _. -- -- - -- - . ---- ---- - ..._.._.. HEAL7HDEPT.FINAL.- . � _ . - - -- --- � ,. : FINAL ELECTRIC _,-_ - -� � - -- - - - --- -. • .DEV. FEES PAID . . .,. . , . • � . . ._. �_. . . ...... ..... .-� .`.. ^iv ; - + . _ _.. . , FINAL PLUh1BING � EPJERGY I S�Pit-i.�./�G��— S sTE�s=- '�IJ�i�� � . . . . . _ .. ' . . � U=1v c'J:._c)t;�r= ______i ; : - - -.._ ._. . . _ . . _ ... __. . . .. __� _ __ . . . -- _..... . ...... .. . -- - � -- - -- - -- ... _. ; : __._ . - - I I , . :: , , COMMENTS - ---- �� � ' � _ __ _ _ ..:�:� � „ . : ; . . , , , . .. . . . �, � . , , ;. . _ . .. --- - --- --. .... ; , . i � , ;, � . � ., . --- - ---- - - . . .. _._.. _ . - � �� , . , , .,. � .. ..._.__. ... . _. . --, . , • - - � , � � , . , -- --- -.. . _. . .. _ .,i��..� i I . .- — . _ . � . � . . ... '...��1.���'.. . � � , . i. .. ; . .. . ."__"' '___ ". ._ . ..- ' " _' . .. " L - . . � i .. . � . . . � . � SEPTIC TANK SIZE - - - � � � •-. .�. : I � -. ..... . . ...._._..._._...___ __. _.'-._'.._. _ '_..____'___.._._..... . . . .:tJ./�._-. . -� .. ;. I I . . . . ., .. � . � � _.. __ .. ... .._. _ �� : SEEP PIT/U SIZE __�� ' . . 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