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HomeMy WebLinkAbout11696 (5) ' _ _._ . _ . ��CITY OF DIAMOND BAR ' ' ` ,� --J�� --� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 . (909)660.3195 Fax(909)861-3117 PRESS �'. ' . BL1II..DING PERMIT APPLICATTON � � FIRMLY oJOBSITE t/����E� ��j�/��S l�� � DATECATION� I � � NUMBER'� x�� q ADDRESS__1 J/ IJ � APN LOT TRACT O ISSUE TYpE OCC, . DATE _CONST. GROUP � OWNER G � ADDRESS i/ ZONING SEBACKS � CITY�' �4QEj��l .A ZIP�17/! 7EL � � REAR . Rw p APPLICANT TE SIDE/SIDE STREET RW p � CONTRACT SIDE ❑ � ADORESS �,PROPOSED USE �- o CITY ZIP�,[js� TEL wo ARCH/ENG/ � A G� R�J� SJYC� � � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP��, TE cn , DESCRIPTION 'SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O . p 1 HENEBY AGF6VA 11NDEH PEWLLTY OF PE0.RIRY THAT I AA1 EXEYPT iR01A THE CONTRACTOfiS U•� Garape/Cnryort � - - ' W CENSEUwFOq1HEfOLLOWPXIRFASON(SEG7mf.68V5WE55ANDDROFES510N5CO0E:ANVdTYOR (n CJ COUNiYYY111G/RE0URE5AGERMfTTOCONST11UCi,ALTER�P��DE1.101.15H2ORREPNRANVSTRUC- W �Z 7URE.PR�OIi TO If9 G6UANCE.AL50 11EWIRES TFIE APPLICMlT FOft 6UCH PENAIT TO FlLE A SICNEO w Palio/peck 6TATEMEHi THAT NE OR SHE 44 LIGENSED PVRSUiWT TO THE PFiDVIS10NS OF THE CONTMCTORS U• .� CENSE UW�Q111P7ER�(COMMENCNQ WITN SCCTqN 70a0�Of DIYISqN 7 OF 7HE BUSINE55 AN�PRO• u' PooUSpa . ; �" FESSIDNS GODE)qi T}NT HE OR SNE IS EXEMPT iHEREFROM/JA TME BIl5i5 FOR TME ALLE4ED E%EMP- TpN.ANYV10LAilONOFSECT10N70]1.68YANYAPVLIWfifOR11PERA1iTSUBJECTSTMEMPLICANTTO � Z qg-R001 � ACMLPENALTYOFNOTMONETIIN�FNEMINDNEDOOLURSff5a01k" " � OlA50M1VNEROFTHECROPERTV,ORAIYE4�7LOYEESVATHWACESA3TNEIHSOLECOAIPENSATIDN, O (�`pmmBfCIBI � ' YALL DO TNE WOfY(.AND THE STRUCTURE IS NOT MENDED OR OFFERED FOR SILLE(SEC.7oN.BU51� J � � HESS AHO iROFE55qN9 CODE:THE CONTMCTORS UCENSE UW�OES NOTAPPLY TO N1 OWNEH OF� ? . . , FROPERTY YYIq BUIlDS OR MPROVES TMEREON.NID MAIOOOES SVLH NORK HIMSELF OR HERSELF Oq � Q iT1HOlANW50RMEROYIIJEMVLOYEES,VROYl0ED711ATSURIWPPOVEMENTSMENOTNTENOEDOR m � OFFERmPDR5ALE6.110M1EVERINEBUILDWQOi1�APROVFYENT6SOlDN'ITHINON[YEMOF�MDLE• ' ' Z TIDN,TME OWNER�UILDER MALL W1YE THE BURDEN OF iROW�Ki THAT NE OR SHE dD NOT BUILD OR , _ �IPpOVE FOR7NE VURPOSE OF SALE� " • . �y,� Ol�^�WNEROFTHEPROVERf`/,MAIXCLUSNELYCOHTMCTNOriITHLICENSEDCONTMGTOFS � TO COt�STRl1Ci TME i{161ECT(SEC.70N,BUSINESS AND PROFESSIONS CODE:TV1E COHTRACTORS LI- VLIt18IlOf1 ADJ.AREA '' � CENSEUWDOESNOTAPPLYTDIWOYrt�EflOFAiROGERTYM1110BUlDSOflIMPPAVESTHEREON.AND wHooartrucrswnsua�vaaeerswm+�eartrueron�e�ueenseovuasuu+rrorneca+Tw�c pUANT1N OESCRIPTION �E � 70FS LICENSE lAW F . _ . . . O I AM E1�lAPT IMDEN SEG B.1 F.G fORTHIS NEASON Q � 3 v �• �. . � � � - OATE OWNER / , � LIGENSED CONTRACTORS DECLAHATION � � � INERfBYAFFlPYUNDERPENALT/OfVERA1pYT1ATI/WLICENSE�UN'JERPFOVISIONSOFCHAPTER � S ��COAMENCWfiYVITHSECTqNM00)OFOMSION70FTHE8USwE55NACROFE55qN5000E, /� Z X M'LICENSEISNFIALFORCEANDEFFECT. (/ m '\� '. ,, . `',\'�.: ' ' ' ` 0 LICENSECLA55 LIC.NO����/�-� ` j . �'j w7E ' corrrcucron aJ. w � WORKERS'CAMPENSATION DECLAFiAT10N a NIH[REBYAFFIRYUNDERPENALTYOFiEfUURYON[OFTHEFOLLAWINOOECURATqNS. Z - - " " C _IHAVEANDWILL►WN7/UNACfRTIFlCATEOFCON5EN7TOSELF-INSUiIEFORWORKERS = Q COYPENSATqN,ASPROVIDEDBYSECiION]70oOFTHEUBORCOOE,FORTNEiERFORMANCE OF TNE WORK FOR NMlpl TMS iENMR IS ISSUED. � O 1 NAVE AND N"LL I.WMAPI WOIMERS C0IAPENSATION TSUMNCE.AS REOVIRED BV SECTION 4 Too OF THE U1BOR COOE,FOR iHE GERFORMMICE OF h1E WOHN FOR W111CH 1HI5 GERAIR IS /�,3, D O 0 ISSUE0.WN0 F $:C�MPENSA INSURANCECAFWERANDPOLICYNUMBEHARE: CONSTRUCTION �[./1�� j cwnaER ��/Q I� �I�s/,�.�S �.V PLAN REVIEW I� 1 1 J �� r � va�cr►uueEn ,���� �r�.� �� ELECTRIC —r � (nG5ECI10NNE'IDwiBEad.slElEDOFnEFENMrsNfia+Eru,DiY�oott/3L96�rotOnLE55} PLUM�ING Z ICERTIFYTIUTPl1HEVERFORMANCEOFTHEWORKFORWHidITFnSPENAlIT61SSUED.1 MECHANICAL C�} SMALLNOTEYPLOYANVVERSONNI�M/YAMIENSOAST09ECOMESl19JECiTOTNE � WOPoCERS'COMVENSATIDNUWSOFCALIFORNI,�IW�AOREET1uTIFISF1d1LDBECOAIE INSPECTIONFEE S SUBJECTTO7HEM�ORKERS'CdAPEN5AT10NPRON510N50FSECT10N770oOFiMEUBOR ( /) CODEISw1LLFOAiMMITNCOAIPLYWIiNTHOSEPROV15�ON5. ISSUANCE J- � � � . 3/'J WTE: APPLIGNT: - � SMIP . *� �"�,�„�6 W ENEFiGYP/C �•���+.•.•y' �.TT'�.� . � WARNINO:FAtURETOSEWPEWOi1KER5'CGdPEN5A7qNCOVERAGEISUNUWFULIWDSHALLBE , � SUBJECTANEMPLOYERTOCRIMINALFENALTIESANDGVILFI�ESUFi00NE11UN00.EDTiqUS.WD ENERGYPERMIT�'' i OOLURS�i100,000�,WADD1710NTOiMECASTOFCOhIPENSATION,DN.�AGE5A5PROVIDEDFORIN , -A Y ' ¢ SECiION J70!OF iHE UBOR CODE,WTEREST,AND ATfOPNEYS FEES RETENTION FE�:' {'� � a CONSTRUCTION LENDING AGENCY • PHE•ALT FEE: /��J i y �' ' `" � IHEREBYAFFlflAIUWERPENALiYOFPEFWfiYiW�TTNEREISACONSTRUCi1QVLENDINOACENCY /�` �� r� �/l�{i - � ' FOR TME PER WRMANCE OF iHE WdiK FORNTIICN TNIS PERMIT IS ISSVED(SEG 7077,CIY.G). � � l.ENOER'S NM�E � � LENOERSADDRE55 � ICERTFYTMATIHAVERE/VDTMSAPVl1CATqN/WDSTATETHATiHEABOVENFORMATqNISCOMECi. TOTAL FEES � � � � r � W I AGREE TO COAAPLY WI7/1 ALL GTY ANO COUNTY ORDPUNCES AND STA7E Uw5 REUTN6 70&RDING � CONSTRVCTION,ANONFREBVAUTIqfU2EHE0RCSENTATNF50FTHI5COUNTVTOENTEHUPONTHE ' S� ABOVE�IAENTqNEO PROPERTY FOR MSPECTqN FURPOSES. COMIUENTS 9 �' , c ► ���� . a vEw�irrE�./ 7 � /^ /O � �� y 6qNA F VE 7TEE DATE /J � _ .. RECPT.NO. PAID BY � VALIDATION 'VYHITE--Departrnent Copy.YELLOW—Finence Copy,PINK—Aseeesor Copy.GOLDENROD--Fib Copy,GREEN—Applieant'a Copy - � � .1� .. ' .. .- - :'I . i,,, v'J: . .'�r�- � . , , . r . ' .. .'�.,, -.y. .� . ,._� . ,�.. , . � q „ . ,. .... � , , .. . . . • . CITY OF DIAMOND.BAR�, ,;,;� ;-�,�, ; ;.;,, , . . . .. .. ._ ..._ ... . ..... . . .. . . ,� : . . : _ ' ' ._ ',.:�INSPECTION�REC�RD�;.;.�• ;� �:: _ ' - . �,_ . . , . _ .. . . � ..:. :.i" � - . , . :�•_,; . � � , • • - � � � • - 'SET BACK;' �.: , �\c7,` �� , . : i 1 i �- . . FLOOR JQIS�I'\ �:•.,,�••, i -.,,'. '�- _ r S i' :�� '.. I -- FTb 'FOAMS/STEEL � : . ' � -�\ , FHA RE�MTS �;, ;�. .. .. - -------- � - -� - _; •_, ELECTRIC GROUND--�_� ._- '� � - j='`" 'UNDER F1�OA'DUCT,•;— : - , r. „•,-•� :�, i - • GROUND PLUMBING - � � UNDER FLOOR CUNDUIT���� _•. �• ;'=_ � • ��''�"` ••-' ' � ' —. � . - • ------ -- �- -- - ' _' ' FIREPL7�CE�FOI�NDRTION �� ' ��.� . . � ��.-:;.,_;�;•�-, =' ! . SLAB GRADE � � ' k�— TEMP POVIIER . _ . '•'� - - - ' • •` - � ! ' � � FIREPI,ACE�ONC�-9EAM ---- •-- •-•`� --•• ---•-: . � . , .�: - - -- - . '._•� :�. �:•:� ��. �.�. . .�... � : WATER SERVICE - - ;--- ------- - --. -- _--- -- --- �= MID HT.BON4BEAM'-:• :�'=; :� . . . . __ . __ ROOF•SHEATHING=-'� -- . _._ �_, . .�. __ ..... ., 'SFT.BOND6EAM�-�� •� �,: �� ';�..- --.���:- ', ; •,,-� I . - - -� - , : , , FRAMWGNENTILIATION ___ _.. __ _ FINAL BOND BEAM .,.�. , • .. . ..�� •, - ' �'-`�� ` ; �' ROOF COVER `:. • PRE-GRADING �"'-. ,.---.�, � ' � -- " - :•. �; : : ; •�: ROUGH HEATING -- �- - ... ..- -- - ---. . .-- - - BENOE-�ING-'r'•�:;s':.`. � `,� :'��_• ` .•��_ � •._•:i�.:`•_', . .,. � - ROUGH ELECTRIC- . � - - '- - — - � - � ROUGH GRADING ? "� -ROUGH PLUMBING � -� ----- "� �- -- � -�--'--�-�- "- � FINISH GRADING •� . . , SHOWEFUTUB TEST �--- --- -- - i - -- ; - • .-.__,, POOL ELECTRIC ' . � ., ;. ; ` ; EXT.LATH/SIDING , • POOL FENCING ' ' ' ' • WALL INSULATION � , POOL FINAL � • � � ' ' CEILING INSULATION OFF SITE IMPS. � � � � - � DRYWALL NAILING � ' DEDICATIONS . • ' SEWER .._. _.. ._...--- ' . . . FINAL:ENG. - , ; . ,. : ., , � .-: _ _. . . -- --.. - SEPTIC TANK _..--- . ' � t-�.. . . LANDSCAPEfIRRIG.. ' ' - ----- -<.- - - . ' .. _ , _ . - •,_ : . , . ._ .. . ON SITE IAAPS. . . , ..... . . SEEP P�T/L.L._.; .� - - - . .-- - -. . _.. . _. . GAS AIR TEST-:-- .---- - . . - FINAL ZONING , � FINAL-CONST: �---- - - - - FIRE DEPT.FINAL' ' - - - - ' +. FINAL HEATING---- � � --� - � � �� . � ��' HEALTH DEPT.FINAL _ � FIK'AL:ELECTRIC---- - . _ . - --- -: - - . DEV. FEES PAID - -- ---- - FINAL PLUMBING ENE GY• - � � ��2c= � � ' �- \ , . �- a e --. _ . ",. . . � . .-• - -- , . - , . . � ---- ---- -- - - -- -- -- - - . . .-- . -. . : , . ; . COMMENTS - ' ' � , , � , ------- . .. ---� ---- ---- - - .. . _ _..... __._.. _ . .. ; ---- - -- - -- - -- -- - - -.._ I ... .... ._. .� . . . � o� .�S\ •� , . , • . , _ , -... ; ,. � ; , ���. . , : - -- -. _.�:., �� • .. . _ . , . . . . � . ��- --,--`. . �: ' ,�.�_ �; ,:�'r' ' � . ' ^ � -- - -�. _. __ � . � .. ., ; ��• • � .. .. Y, . - -- + � . . : � - ' . � SEPTIC TANK SIZE ' , ... � � ; . ' " ' . ,. j c- SEEP PIT/U SIZE � . . � ; ; � • � ... .r. ,: :;• o v!•>' � . ; .. ---. . . _ .. . I - � - -- - ' i . � - ,-- - --- - � ..-,_... _. , .. , . i : . , , ., , � _ - -- � �- - - - ,.� ; \ . . � , , .. . _' _ � _ . , .. _ � -- -- - . _.. . __. . . — - ,_ ; � �- c \ � � � `' � — — - _ _ .-- ��`` • , . � _`D� j ' , � ,