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HomeMy WebLinkAbout11712 (5) CITY OF DIAMOND BAR � � � � '=''� ' � � � - �� — DEPARTMENT OF COMMUNITY 8r.DEVELOPMENT SERVICE /� .�c . 21660 E.Copley Drive Suite 190 . • ' . _ , (909)860-3195 Fax(909)861-3117 PRESS • �`^"�� � . � BUIl.DING I'ERMIT APPLICATION � • ' FIRMLY o� JOBSITE L/�j, �oGt9EN ,S�,Q�it/G S :�p. APPLICATION I (� PERMff /7/Lp/C_i�-� ADDRESS l 7 DATE O NUMBER 1f � APN - LOT �-- - TRACT - O ' ISSUE TYPE • pC t g OWNER �'f/j1i4�4�d�✓ OA/�S D� �r DATE Z CONST. GROUP p ADDRESS o ZONING SETBACKS , • "' CITY�L �n+aw�T�((�,ZIP�171/ .TEL{ ���I•�C3 FRONT RW O � APPLICANT TEL ll -�k3 - REAR p � SIDE/SIDESTREET RW p CONTRACTOR LL SIDE ❑ ADDRESS � CfTY �ZIP TE d - PROPOSED USE � Lb /lJ�s ��L oARCFVENG/ w DESIGNER �'r � �� � -��C- NO.DWEL NO. NO. - � ADDRESS a UNITS STORIES BEDROOMS N ��TM r��a1N�.r;� ZIP��Q4 TE • ri �n DESCRIPTION 'SQ.FT. ' FACTOR PSF ADJ.AREANALUATION Q . OWNER-BUILDER D�CLARAT�ON SFRlADD/REM O p I HEREBY AfFlRM UNDER PENALTY OF iEiWM THAi I M/EXEMPT FROA/TNE CONTMCTORS l4 ' _Gareg�a�rt � CIIiSEUWFOR7MEFOLLOwNOREA50N�5EGTm1.68U5NE55ANDPHOFE5510N5CODEM/YCrtYOH (n COUN7rYM101RE0UWESAFENA1RiOCONSTAUCf,ALTER��FlWE,DEMOUSN,ORREMIRANYSTRUG W patio/Deck,. �TURE.iNdi M R3198VANCE ALSO RC-0UIRES THE MPLICANT FOR SUCH VERMIT TO F0.E 115iGNED � W - STALEMEM 7ilAT HE OR SHE 6 110EN5E�iURSUANT i0 THE PRONSIONS OF iME CONTMCTOR9 L4 � CENSE lAW(d1A7iER Y(COVMENCNO WITH SECTION 70a0)OF DNISIOH�OFME BUSINE55IWO FRO- � POOVSpfl .. _ FESSqNS OODE)OR T11AT HE OR SME IS E%EIAP7 TMEPEFR0IA AND iH[BASiS FOR THE ALLECED E%EIAP- TION.AN1'VIOLAiIONOF5ECT10N7071.68Y/V71'APPLICANTFORA7EiWITSUDJECTSTHEAPPUCAHTiO Z RaRaot �•�,�•,��,/ �,�, ACMLiENKTYOFNOTMORE7HANFIVEfNNDREDDOUAR5�1600).): ' ' - . o Olti.aM1EROF7HEPROPERiY,ORMYEMROYEESMnMWAGESIISTMEIRSOIECOMPFN5AT10N, ❑ CdnrtlBfCl91 1'�• � � . L WILL DO iHE YYORK AND THE STRUCTUPE�5 NOT IN7ENOED OH OFFERED fOR SALE(SEC.701�.BU51- J N NESSAND VHOFE5510N3 OOOE:TNE CONTMCTOfi9 LICENSE UW DOES NOTMPLY TO AN ONMER OF � ONOPERi`/YY1qBUlA40RYPROVESiMEREW.MDVMODOE55uCJ1WORNWYSELFOR11E0.5ELFOq � (L 7HROUGHWSORHEHOAVNEVPLOYEES,VRONDEOTHAiSUC71MvpOVEMENTSARENOTRlTENDEOOR m � OFFQiEDPofiSALE1F.110WEVERMEBULDN00RIMPROVEYEM550LDWRlUNdJEYFAROFCOMPLE- . - '11ON,THE dWNER�BUIIDER Yl111 NAYE iME BURDEN OF PROYINO iHAi HE OR SNE DID NOT BUIID OR MVROVE FOH 7ME PURPOSE OF SALE} , w OI,ASOMII�EHOFTHEPRDPEHfY.NAEX0.U51VEL�[ONTMCfINC1MrtTHlICENSEDCONTMCiORS ¢ TO CONSTRUCT TNE VROJECT(9EC.7w�,BUSwE55 AND PROFESS�ONS CODE:THE CdifRACTORS U• Veluali0n A0.1.AHEA � L CENSElAW00E9NOT11PPLYTOAHOWNEROFAPROPERTYWMOBUR.DSORMP110VE9iHEPEON.AtA F 1M1000HTMCiSFORSUdIGR0.1ECT5MnTMACON7MCTOR(S)LICENSEDDUiLSt1ANTTOME001JTRAG QUAN717Y DE CRIPTION - FEE � � TpiSt10EN5EUW.�. . ` . . .. O IAM IXEYPT UNOEH SEG B.i P.G FOR THiS REASON Q 3 � _ . . , _ � � � . DATE OWNER ' U F UCENSEDCONTRACTORSDECLARATION ' W , � IHEREBYAFFlRNUNOERVENALTTOFPEiWRYiMATIAMLILENSEDUNDERPRWI5lON50FCHAPTEN Vr , � i(COARAFNCWO NrtTH SECfqN 7000)OF OMSION 70F THE BUSINE55 AND PROFESSIONS CO�E,ANO Z �l� W LJCENSE IS N FL1lL FOFiCE AND EFFECL m 0 L.ICENSE CUSS [� LIC,N0.?.�l oSo SI � v pah S�r-j—�� corrrrucron a w � WORKERS'COMPENSATION DECIAMTION � � 1 NEREBYAFFIRM VNDER PEN�I.IYCF OEM1M ONE OF iHE FOLL0INNC DECLARATIONS: ' Z ' - � � - \ O _IHAVEM![)VALLNARITAMACERTffIGTEOfCONSEMTOSEIF•INSUfiEFDRN9RKER5' ' _ ��• � , -• ��,�� ,, - � � .� .� e.1 '�]• \��y\�," � tOYVENSATION.ASPRONOED8V6EC110H77ooOFTHELA00RCO0E,FdiiHEVERFORMMICE W � . � Of THE WOfiK FOR WHICM 7Hi5 VERIAR IS ISSUED. � � y�.�I HAVE ANO WILL W�1MAP1 WORKER5 COMPENS�710N INSURANCE,AS REOViRED 8Y SECTIDN f O �700 0F THE UflOR COOE.FOR THE VERPDRMANCE OF TH[WOPK FOR WHIpI TNIS VERM1T15 / �1 ` ,0 7 ISSUm.W1MOPo( 5' P�+TqNINSUiUNCECARRIF�,q�yW/ VOLICYN{yWERME CONSTRUCTION O`�+ � � ' CARNER G I�'/ • —+��5 �� PLAN REVIEW � PoLICYNUTABER�1 - — ELECTRIC ' ��� � (ness[enor+rcID�+ore[m►a3£rEnoci�vEaarswaor+eKrrn[omuus6+�lau[ss4 PLl1M�ING Z ICERT�F"lTW�TM7TIEPERFORUANCEOFiHEWOi1KFORNRI�CH7HI5PER1A1715lSSUED.I MECHANICAL U' SWLLLNOTEYPLOYN!'/PEHSONINANYMANNERSOASTOBECOMESUBJEC7TOTHE r•� � YA1iKERS'CdAPENSATqNUW50FCALIFORNItiANDACREETMATIFI511IXA0BECOME INSPECTIONFEE C SU0.IECTTO THE YIUPofERS'G04�ENSATION VROVISIONSOF SECTiON]7000F THE IABOR • rj �oo�iswuicormrvnnicouvirvnn�rNosevarnnsarrs. ISSUANCE ��, � �' � �' � SMIP �. �� p DATE: APPLIGANT: � . � ENEFiGY P/C WMMN6:FAWRE TO SECURE WOHKERS'COAAPENSATpN COVERAGE IS UNUWFIA..ANO SHALL BE �� SUB.IECTANEu7LDYERTOCR7IINAL7ENAlTIE5M1DCNI�FINESUPTOONEHl1NDREDTMOUSAN� -- ENERGYPEHMIT DOlURS(ttoo,000�,IN ADDITION TO THE COST OF CpAVENSATpN,DAIAAGES AS VROVIDED FOR IN J0C SECTqN]7000F1HLUBOflCODE.RRERESLhND11TTOFWEYSFEES. R�ENTIONFEE: � d CONSTRUCTION LENDING AGENCY PHE-ALT FEE: � O . � IHEREBYAFFIN.IUWERiENAL7YOFPEiWRYi11ATTMEREISACONSiRUCT10NLENDiN�AOENCV � fOR THE iERFORMANGE OF TNE WORK FOR WNid17M5 iEFMIT IS ISSUED(SEC.�oV7,qV.C,). . � � IEtIDERS NMIE C IENDERSADDRE55 w� TOTAL FEES 139 .3 0 �GEqT1FY TNAT I IUYE HE/�D TMS A7PUCATION IND STATE THAT THE ABOVE NFORMATIOf/IS CORRECT. d IAGNEEiOCpARtM11TM1LLLpT7MACOUNTYORDP�A/'7CESANDSTATEUWSREUT11qTO8ULDINO � CONSTRUCiION,INDNEREBYAUfHOWZEREPRESENTATNE50FTW5COUN7Yi0EN7ERUPONiHE . . _ , , A80VE�IEHiqNm GHOPEIITY FOR INSPECTIDN PURPOSES COMMENTS 9 �. � . �SSC .. . m , /1 • , N VERIAIT7EE IN�� t' /r//��r� � 5 7 (n SqNA ➢E � DATE � RECPT.NO. � PAID BY � VALIOATI , WHITE-0epertment Gapy.YELLOW—Fhance Copy,PINK—Aseeesa Copy,GOLDENROD--File Copy,GREEµ—ADWicanf6 Copy � - • � • ... �- � . . . ..r n._�..... t.; ;'�' . , � .. , �� .. , .. . ` . . �t�; �. .. '. , . ., , , �i , .. , ,. . • . . ,� ,. . � • .� � CITY OF DIAMOND,BAR•,.;;. -. - :__-. ; . .. � �' � , � ',•` . 'INSPECl'ION'REC�RD `,. ` ,�'� �' . . � . , . , , . , �_ . . ����.. ;� .�- , . , .�: ._.. , � �, :�: ., - . � • e � • � • � � • � • SET BACK - '`���1 ,.... :� : f i f I � ' 'FLOOR JOIST'•� - : ..' ' � � - '': � ,_=. ��� i:�_ - . i :• , , ,. . �TGS/FORMS/STEEL �`•`" . . ' � �� FHA REQMTS-.,:-.-, .:-•. - -- � • � . .� , � � - 'UNDER FL'OOA DUCT.-: _. ... L, - .-. --.- .._ - - - -�� � ELECTRIC GROUND _..... -- --- ' � . •• :. •,.,.• -�. : . ,. .. • , GROUND PLUMBING � � �• UNDER FLOOR GU�IDUIT`.��.�. :..•,-�_ • • , =" ��-"---" � — - --�--- ---- � � FIREPL'ACE�FO(�NDATION • � � SLAB GRADE-� -- - �� ��. .;..:.'. ,.�,:t�_:� +'.: , ,. � ,,. TEMP POWER------� � _ ---- ' -� . � FIREPLACE��ND BEAM. _.. ._'� �_;� ��.,�.• � � � WATER SERVICE --=-- � - .�-. _.-�- _ - -.. - --- .-- . - MID HT.BOND.BEAIvI-. -�'" �' , - � . � ,_ _ ' - ROOF SHEATHING�- ' - =:t -.;.:- , - . . ., 8 F'L�OND BEAN�. � --.- -- �•- .� ;�.,�.� .,•.. � ; . FRAMINGNENTILIATION .. FINAL BOND 6EAM . . •, -- . � � �. t. �_- -.•. � ROOF COVER "" " PRE-GRADING� ;�"� ���-• .`�:• � , -. '' � � • • BENCHING'T�L,'ri,•_1 } �: ; ,:• ._ '.�. �(..._. • ��� ROUGH HEATING-- : -- - -- --._ ...- -- - . . - ... ' ,.:. � :: � ROUGH ELECTRIC-��' - -��� � -�-� � -� - - � � - � ROUGH GRADING �` ROUGH PLUPIIBING- ,- � - � � �- ' "--� �� � FINISH GRADING -. SHOWERlTUBTEST i � � �- POOLELECTRIC - � EXT.LATH/SIDING .- , -- - - _ . _,� . :��; POOL F.ENCING ' : . .�' WALL INSULATION � /f' %� � POOL.FINAL � • � CEILING INSULATION ; � OFF SITE IMPS. ' � � ' • i - DRYWALL NAILING i � DEDICATIONS • � � � SEWER --- -- ---'-- � - -�- FINAL ENG. . . , .. . � ; .. . ..... - -� - SEPTICTANK-----.-.-'----- - -- . .LANDSCAPE/IRRIG. ' -�- -�. .._ . ... . ,.. SEEP PIT/L.L,_;-_::--:--:.. --�---- -- ! . . . ON SITE IMPS. � ' . • . , GAS AIR TEST' - -- - ---- - � - - FINAL ZONING • • - FfNAL CONST. ' - -- - � � � � -� FIRE DEPT. FINAL - � - ' � ' ' FINAL:HEATING '---�-� � � -' -- � - � - �- � HEALTH DEPT..FINAL • •• � " FINAL ELECTRIC - DEV. FEES PAID � -`- --' FINAL PLUMBING ENERGY � ; � ' • " • j . �' � ! � ,.— � •___ �. ._ � . �. . . .._ __ -.. . .. .. , - --. . . --- --.. . _ . . � .. COMMENTS ' � ' - - - -- - _� � _ k�`-S'°�'l'�--��r�-��� ��� r �� �. �`r �� �� _ . . . ... __ . . - - -- -� � � '�� ��. '..��'� .. . . ` . � . ,_ . i � — � • • � .- _ . . -�� i' . - . , ' ; =-> .,\-'=`��. ` . .L, . , . . - -- ---._ . , . . . � . � ; - - - - -- ._ . _ . , • , , .,, , . • � : , - .. . , - -- . . • : � I . . , 1 . J � � I . SEPTIC TANK SIZE � ' � � SEEP PIT/U SIZE , � • � ... - - � i . . �i - , � . . , _. -- - .-.. .. _ _ --- . � � . ' � ' . I ' • . , �- . . , '. i -- -• ..._ . • . . . . ; � _ • . � _. . . _ . .. . -, - ,� - — . , _ ;�, - --- �.�� � : � -- . -. _ ---- - _ -. -�. .:: . .