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HomeMy WebLinkAbout11608 (5) _�� CITY OF DIAMOND BAR � � � • DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� . 21660 E.Copley Drive Suite 190 . (909)860-3195 Faz(909)861-3117 PRESS ��'�'�. � � BUII.DING PERMIT APPLICATION � , ' FIRMLY � JOBSITE � APPLICATION �j �J PERMfT P/C �/ o ADDRESS�l�� �TDC��lJ SP�'/�'✓�:S D��. DATE ✓ - + +�� NUMBER� N + � ISSUE TYPE OCC --- APN LOT - TRACT DATE ' CONST. GROUP p OWNE�S��CFS �ll�►►JES ADDRESS � ' ZONING SETBACKS � CITY C /'Y1 ZIP 1�LJ(- TEL. �y.� O� FRONT RW ❑ APPLICANT i1/!f'[ CP_DI/P �TEL. « " �� SIDElSIDESTREET RW ❑ � CONTAACTOR N 1'DOP SIDE ❑ : � ADDRESS 5 C C' T?( / . .--.� CITY CCsTA mPs H ZIp �La7G 7E�, / � PROPOSED USE� � ARCHIENG/ . . DESIGNER � �'� C� ' NO.DWEL NO. NO. ADDRESS "7 D rnF3_ i ✓ f1 UNITS STORIES BEDROOMS � CffY VI YY1 ESA ZIP g/9��/ TEL _ T7- ,GO� ' y DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLAAATION ' . SFR/ADD/REM O . e1 NEREBYAFFlRM UHDER VElULTY OF VEfWM THAT I AIJ El(EMPT F110M THE CONTMCTORS LI• ' .GBfeABMBryOR. � � CEHSEUWiORTHEfOLLONnN�REA50N(SEC.70.71.6BUSINESSANDPiK7FE5510N5CO�E:ANVd7YOH (n 0� � COUNTYN7MS/REOURESAVEAMRTOCONSTRUCT.ALTE0.�PROVE.DEAIOUSH.ORREVAIRANYSTRUC• W Patio/pock � � �-- ���• � � � �- 7URE,PRIOR TO R9 SSV/NCE.I1LS0 f1ECU�NES TME APPLICXlT FOfl 6UCN VERAIIT TO FlLE A SIONEO W STATEMENT 711AT XE OR SHE IS LICENSED V110.5UANT TO iHE PRWISIONS OF TME CONTMCTql4 Ll• . � CENSE UW(L7UPTER i(OpdMENqNO WITH 5ECT10N 7000)OFqVI510N 7 0F iME BU5INE55AND PRP � PaoVSpa ' . FESSIONS COOE)ORTUT HE OR SME IS El(EIAPT THEFlEFROM M1�TNE Bti513 FOR THE ALLEGFD E%EMP• iqN,ANYVqUITIDNOFSECTION7071.6BYANYAPPLKJ�NiFORAVERYITSU&lECTSTHEM7L�GNiTO Z pe-Roof � A CML VENALTI OF NOT��DNE 71UN FNE MINDREO�OLLMS(f5o0�.t � 04ti4CWMEHOFTHEPROPfRMORMVE4PlOYEESWITHWACESASTHEIRSOLEC0A1PEN5AT10N, �� O (',pmfllBf[I81 � WILLDO THE WOFK AND THE STNICIURE 6 NOT INTENDED OH OFFERED FOH SALE(5EC 7o/a,BUSI� J � NE55 ND PPOFE9510N3 CODE:THE CONTRACTORS LICEHS[Uw DOES NOT APPLV TO IW OVYNER OF ; ? . iROPERTTYhq BUlDS OR MPROVES MEREON.MID 1M1D DOES SUC11 WOw(HIMSEIF OH HERSELF OH � � Q TMROUf'fIHISDHMEROYMEIAPL0YEE5.PROYIDEDTFUTSUCHNPROYEMENiSMENO7MEN�EDOq m O OFFERmR7RSALEF.HOWEVERMEBUIDINGORIMPROYEMENTIS50lDVATHNONEYEAROFCOMPIE• � Z �TION,THE OVYNERBUILDER 1MLL HAVE TME BUR�EN OF FROVNO TUT NE OR SME 00 NOT BUM OR . . � MPRDVE FOR iHE VURPOSE OF SALE4 . . . . . W 04ti4WM�1EROFMEPROPEHTY.NAFXCIUSNELYCOMMCTWOWITNIJC[NSEDCOHiMCTORS � TO CONSTRUCT iHE PFqJECi(SEG 7w.BUSiNE55lWD PROFESSiONS OODE:TME CONTAACTOHS LI• VeIUB�iO(1 AQIAREA LLI CENSELAWDOESNOTAPPIYTOANO'NNEROFAPROPERttYn10WRD30RMPipVE57MERE0N.AN0 � M4qCONTRACTSFOR5UGTIVRQIECfSWITMACONTRACTOWS)LICENSEDPURSUulTT07MECONTRAG pUANT1TY DESCRIPTION FEE � ras uco+se uw.l - O I lW E7fEYPTUNDERSEC.� B.t P.Q FOR THiS REA50N� a 3 � . � � OATF OWNER � LICENSED CONTRACTORS DECLARATION W J � W IHEREBVAFFtlWUNOEPPENALTYOFVEiWRYTHATIAMUCENSEDUNDENPRON510NSOFCIUPTER Vr � Y(OOI.WENCPlON77T15ECTqNT000)Oi0MS10N]OFTMEBUSINESSANDPROFESSIONSCADE,AND Z X MY UGENSE IS N FULL FORCEAND EFiECT. , � UCENSE CUS UC.NO. �I�I�+�� . . � � �-j o�h a� . corrrrucron `•C G�•..d d� a �W �'L J'� WORKERS'COMPENSATION DECLAFIATION a N U N IHEREBVAFFIR1Al1NDERCENALTYOfPE0.1URYONEOFTNEiOLLOWMGDECLAM710N5: Z a � _IMAVEANDWILL4AMTNNACERTiFIG7EOFCONSENTMSEIF-INSUREFORriORNERS' S COYPENSATION,ASPROVDW9YSECTION7JOOOFTMEUBORCODE,FORTHEVERFORMMlCE W Oi TNE WORK FOR WHICM MIS FERMIT IS�SSUEO. � � I HAVE AND WILL MAIMAM WORKER5C01AOEN5ATqN INSUMNCE,AS PEOUIRED BV SECTION � Q 770aOFTMEIABORO00E,fOftTMEYERFORMANCEOFTHEWORKFORWHIR/TMISPERMITIS � � � ,ISSUED.MYY✓ORK�ElRS'COYPEISATqNINSURANCEC(j��RNERINDPOLICYNUAIBERME: - � CARRIE0. F-� ✓ LAN REYIEW �� •� ' � o POLICYM111AER�G(� � g ��I' ..... � Q 0 (nassEcna+r+�r+oreem+nFrmoF7�vEwartswna+��aruamoawu�siwlattFssl PLUMBING Z ICERTIFYTIUTNTHEiERFOR4/�NCEOFiHEWORKFORwH�CH7NISPERuiTI5i5SUED,I � MECHANICAL " ' - ('} SHALLNOiEMPLOYANVPERSpJNANVMANNERSOASTOBECOMESU&IERiOiME , � WORKERS'COIaPEN5AT10NUVf50FCALIFORMAAND�CREETINTIFI5H0UlDBECOME INSPECTIONFEE - SUBJECTTOTHEW'O�iKER5Cp1vEN5A7tON NOVISqN50F oOFiHELABOR - � � s _���'�wu�,�oA7�7rrcouPL-vmA'f Parnaior+, ISSUANCE �" A � 1 p � . ��r SMIP � • ' p OATE: 'r%i5 APP�IGWT:_ - , � ENERGY P/C WARNINO:FAILURE TO SE(.11FE WOFlRERS'Cp.�PE �TION COVEMGE IS U UwFUL,IUVD 5NN18E � r"y SU81ECfANEMPtOVERTOCRMNALVENALTIE5IWOCMLFNESUPTOONEHJNDRED7/qU5U10 � ENERGYPERMIT DOLLA0.S�Slm.000).N AOOITION TO THE L06T OF COMPENSATIDN.DAMACES AS PROVIDED fOR IN � 6ECTION77oeOFiNEU00RCODE,N7ERE5T,AN0A770RNEY'SFEEA RETENTIONFEE: � pw.. CONSTRUCTION LENDINGAGENCY PHE-ALT FEE: O . , � IMEREBVAiFlRMUNOERPENAITYOF0ERAIRYTHATTHEREISACDNSTHUCTIONLENDIA'QAGENCY ' FOR TNE CERLORMANCE OF iNE WORK FOR YV1/1G17MI5 DEiWi71S ISSllEO(SEG 7uG7,CIY.C.). . � N'07✓� ...� LEIIDER'SNiwE - . . .-- . - • � LENDERSADDHESS � � ICERTIFYTHATIHAVERE�DT11SM7LICATIONANDSTATETMATh1EABOVEINFOWAATIONISCORRECT. TOTAL FEES ' I ' � � IAOREETOCOMPLYYAhIALLCRYAN�COUNTVOR�INMlCESN�DSTATEUWSRELATINOTOBULDINO ' � GONSTRUCTIOfIANONEREBYMl�IIORIZEPEFRESENTATIVESOFTWSCOUNTYTDEMENUPONiME .. . � A80VE�4ENTIONEOVROPERTYFOflINSVECfIONR7RPO5E5. COMMENTS � O � � QP�EHWTT[! ElV ) . . / ��_.. _ . fn r � SqruNR oF EiLn EE OA7E . � . _ RECPT.NO. PAIDBY VALIDATI VYhIITE-0epertment Cop7/,YELLOW—Flnence Copy,PINK—Assessa Copy.GOLDENROD—File Copy,GREEN�Applitanl'a Copy �•� - - ....... . , .. ' . s. t . . . .. . . . .. . . .. = . � .... . ` „{� ...:Y:�.'�v. ,. .. .. � .� � . . . � i - � � , ., ., . . CITY OF DIAMOND BAR,.;;.,:; �; :��;� ' i`:. �,.�.rc•.-.... ,,..,- . . ...� .i..•.(� . ' � iNSPECTION RECO�RD`. �.� , , � � „ . .; s^:. .. � 1. r. .� : , . �. p i � • . • � � � � . 'SET�BACK � .: . � l : �,� ��; " FLOORJOIST ';�., � , _. . ..:. � : FTGS/FORMS/STEEL . � , _ FHA RE(]MTS- - . _.._.._..... - -.- --- - -- - -.---- -.. ._. .._ . _ELECTRIC.GROUND� - _�.:'. __"_�_ _ _ -- - - UNDER FLOOR DUCT --�. �. " : : � i GFiOUND PLUMBING �• ' � UNDER FLOOR CO�IDUIT '• • � '' SLAB GRADE� � -- � � � � � FIREPLACE FOUNDATION=' ` "' ' , � .. ._ . .. , 'fEMP POWER-- ;�'`` - - � - ' ' ' ' � ' � FIREPLACE BOND BEAM -�-== _=_ � ` � ' WATER SERVICE :_l __ ___ _. .... :: _ .:-_ - � MID HT.-BOND BEAM ... . . . -. . .�. • � . . ,. ._ ROOF SHEATHING i '-. �� � -- — '� - " " '8 FT'. BOND BEAM' �1 - ,•, � � FRAMINGNENTILIATION . ... . . .. . _ _. FINAL BOND BEAM"' .. '" ' " ' i ' . ROOF COVER. ' '� �PRE-GRADING - --• � �. - • ! �= ; , , , . _Fi�UGH HEATING ---. - -- -- .- . : : . BENCHING' � -• .. •" .:, � � :� -ROUGH ELECTRIC --- � ��� ' � ROUGH GRADING • .: : , ' ' �ROUGH PLUN161NG " " - � ---- - ---- -� -. ' "FINISH GRADING.• , . i .-' SHOWERlTUB TEST -- -- -- - - �-- POOL ELECTRIC • • . . • :' , ' :,y' EKT.LATH/SIDING � i POOL FENCING ' ` '�� WALL INSULATION POOL FINAL . . - CEILING INSULATION � �FF SITE IMPS.' � DRYWALL NAILING + DEDICATIONS . � • � SEWER----.. _ _ .. ..._: ... ._ . _ FINALENG:• . --- -- - .SEPTICTANK. .= --.- __- . - . .- . .. LANDSCAPE/IRRIG. • � SEEP PITlL.L. - .--.. - =- ;. . .l�N SITE IMPS. . � . . ; GAS AIR TEST --- - - - -- � -- FINAL ZONING � �FINAL-CONST.� --- �- -- - --- - - - - - - ---- - FIRE DEPT. FINAL - " ' FINAL HEATING - - --- -� � �� � � -:� - HEALTH DEPT. FINAL ' �F1NAL'ELECTRIC� -- - � � - � DEV. FEES PAID - � � . , : FINAL PLUMBING ENERGY. ._ � ' € �� e ai( .. . .... ..•_ ._ . :. .. . . .._..- - - - i°,.� ,,, ` -- . . .. . . ... . : ._ , . , , , . .. ... �COMMENTS .._. _ - - -. .._ _ ... _ __. . �.; ; � : . , . � , , .. .. . ; . __ . , . . - - - - - . . , , . : , : � �.t_ / . _ . _ _ .. . . • : . i ---- - - - _ _ . _. . , , , . , . ; -- _ - . . . . �., _ _..__ . `.. - . �?��;,� I i I . t _ . - • :� ���r . . � . . SEPTIC TANK SIZE � � , .. , ' . ; SEEP PIT/U SIZE ... _ , . -.. - � �� � . _.. . � ! � . . ' ... . .. i . �: � �,. i� � : _ . , _ . . . , , , , . , . � � .; . f, • ..T , , - � -- _ . .. _ . . . I . , . . � , �1, , . .