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HomeMy WebLinkAbout11710 �` y . . -—, _ . . .. ; �� CITY OF DIAMOND BAR • ' • � - � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES �e . Z��oE.co��oynavos�c�i90 ' . . PRESS (909)860-3195 Fax(909)861-3117 � . ����'�� BUILDING PERMIT APPLICATION .�� • • : FIRMLY � JOBSITE f * APPLICATION PERMR / �^ p/C �, a ADDRESS �fl iQ � I�I�/ � � o ����'�') � � ��G� ��i DATE NUMBER M � APN LOT TRACT O _ ISSUE � �, TYPE OCC • , OATE CONST. GROUP p OWNER o ADDRESS n � ZONING SEfBACKS . • � CITY ,�f�� TEL _ FRONT � RW ❑ APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACT Ct . SIDE ❑ � ADD SS1� PROPOSEDUSE.���/`SL�ri�C/it.Y��- • /0���. � CITY ,ZIP�p TEL. � o ARCH/ENG/ C , ^_�.. .. _ ._ � DESIGNER G � "L NO.DWEL NO. NO. . ADDRESS UNRS S70RIES BEDROOMS � CI7Y ,ZIP��„�TE cn DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION Q ONMER-BUILDER O�CLARATION � SFR/ADDlREM • • O • 1 HEREBY AFFiW UNDER PENALTY OF PERRIRY TIUU 1 AM E%EYPT iROM TME CONTFUCTOF35 U• GefBQe/C01DOf! . � e CEHSEUWFORTNEiOLLOWWOREASdI(SEG70.11.6BUSWESSANDCFIOFESSi0NSC00E:ANYqTYOH (n C�17 COUlRYWlM]IREOIIIRESAGERMITTOCONSTitt1CT,ALiERNVROVEOEA101JSH.ORREPNRANNSTRUC• W palio/Dock TURE,VRIOH TO 1f3 ISSUANCE./�150 REOUIRES THE AVPLICINT FOR SUCM iERYIT TO FlLE A SIGNEO � 6UTEYENf 71fAT HE OR SHE t5 L10ENfiFD PURSUI�M TO TNE Vp0"ASqNS OF TXE CONTMCTORS U� W , � GEHSE UW(CFW7ER Y(COMMENCR�O WITM SECf10N 7000)OF DINSqN!OF THE BUSINESS AVD PRO- V" PooUSpa ' FE5510N5 COOE)OH T1MT ME OR SNE IS EXEW PT iNEREFROM MA i11E BA515 FOR TF1E Al1EGED EXEYP- T10N.l1NYVIOLATIONOFSECTION7D71.687ANYAPPLIGNTFOHIIPERMITSUBIECTSiHEAPPLICANTiD Z Re-Foo1 , , � A CMl VENA�TY OF NOT AqRE TNAN FNE NUNDRED DOLLARS(fSa01 Y � � OI��MMEROFiHEDROPERiY.ORAIYEMPLOYEESVAhIWAGESASiHE1R50lEtOMPENSATIDN, ❑ �mmercinl . . . MAl DO TH[WORIC ANO THE STRUCTURE IS NOT MENDFD OR OFiERED FOR SALE(SEG 7a�BU56 J NESSAND PRDFESSqNS COOE:IHE CONTMCTORS LICENSE Uw DOES NOT ADPLV TO AN ON'NER OF � iROPERTYNnfOBUlD90RMPROVE57HEREON,ANDMrt10DOES5UCMNORKHIMSELFORMERSELFOR � ' � TMROUOMM90RMEROWNDAPLOYEES,PROYIDEDiNA75UL11WiROVEYENTSAAENOTMENDEDOR m . 0 OFFEAEDFORSALE�.NOwEYERTHEBUILqN00RNGROVEAIENTI550lDWffHMONEYEAROFCOMPIE• � . . � TIOH.TME OWHER�BUILDER MALL MAVE THE BURDEN OF VROVPlO THAT ME OR 6HE DD NOT BUILD OR . , MVROVE FOR THE Pt1RPO5E OF S/LE� " ' W OlA40NNEROFTHEPROVERtt,/uAEXCLUSNELYCONiiUCTNONrtiNLKEN5E000NTfUCT00.S' � [L TO CONSTIiUCT THE PROJECT(SEC.7oa1,BUSINESS IWD VROFESSIONS CODE:TXE CONTRACTORS U- VOhletbn � ADJ.AREA �� LLl CENSEUWOOESNOTMPLY701WOY/NEflOFAPROPERTYW/qBULD50RIMPHOVESTHER[ON,AND � - � WFqWHTMCT9FO113UGIPPWECTSVAiHACOHTRACTOP�S)UCENSE�PUHSUNRTOTNECONTMb (jUANT1TY � SCRIPTION � � � FEE - � TORS LICENSE UW} . . _ � _ 01/M E7fEMPT UNDER SEG &l P.C.fORTN15 REASON U � � 3 ¢ . . . . . LL o�� ow�+ea � , � . w d LICENSED CONTRACTORS DECLAAATION W . [L I HERE9YAFFRM UNDER VENALTY OF FERIIJf�Y THAT I lUA IICENSED UNDER VHOVI510NS OF CHAPTER �. � , . � f(GOYUENCNO WRN SECT70N 7o0oI OF DMSION]OF TME BUSMESS M1J PROFESSiONS CAOE,AND Z ' X W LICENSE IS W F1A1 FORCE MA EFFECL m , • _ - , � LIC£NSE - . .LIC.NO. IOS� ��a 9 � , ��j DATE '�` CONTRACTOR • d W � WORKERS'COMPENSATION DECLARATION ¢ � �y IHEREBYAFFliWUNDERPENALTYOFPERRIR/ONEOFTHEFOLLAWWGDEQAMTqNS: � Z - " " 4 � � IIUVEANDWRLMAMAMACfHTIFIG7EOFCONSEMMSELF�INSl1REFORWORNEFS' _ / CpAPE115ATqN,A5Fi10NDED8YBECTI0N7'lOOOFT/ELABOROOOE,FORiHE7ERNMW�CE ' U O V �TME WORK FORwMIUI TMR PERIAIT IS ISSVED. � j_I HAVE AND VALL YAMAM WOANERS Cd.��fNS�TqN iNSURANCE,AS REOUIRE�BY SECTION 0 i7000F1HEUBORCOOE,FORiHEPERFOW.IANCEOFTHEWORKFORNMtd1THI5 �RMITIS ) .OQ � ISSUEU.MYWORK �S V�ENS1ATIDNM CELARRIEfl POIICYNUM IWE CONSTRUCTION \ 7 � ClFiR1ER � �/ �7/� �/l7' S �� PUW REVIEW ( L t9 G � POLICYMIMBER��� ELECTRIC � �ssEerqr+r+��rqlgepp,s�impc7r�pear.�iswqor�E�t�r�[npx�usR�oc�ot��ss� PLUMBING Z ICERTIFYTUTINTHEPERFOFVAANCEOFiNEMORKFORWHICH7HI5PERAlITISI55UED,l MECHANICAL � SHALLNO7Q17LOVAHYVERSONWANYYudNERSOAST08ECOAlESUBJELTiOiHE � � WORKERS'COMVENSATqNUW50FCAL�FORNt/�ANDAGREETMATffI5HIX1LDBECOME INSPECTIONFEE - ' S SU0.JECTTOTHEWORKERS'Q'7MPENSATIONFRONSIONSOFSECTION77000FTNEUBOR - - � caoe,i swui sonri+win+ea��r wirn n+ose rArnns�or+s. ISSUANCE I,S d'� � DATE: ' ' APPLIGM: '-. .SMIP " ... J - �/� � WARNIH�:FIULUREMSEWRENOfYCERS'COMPENSATqNCOVEMGEISUNUwiUL,M1�5HNLBE ENERGYP/C ��hV���`�r � � SUBJECTANEMPLOYERTOCWUINALPEWLLTIESIWDCMLiwESUPTOONEMUNDREDTHOUSAND ENEFiGYPERMIT DOW�RS(i IOO.00a).IN ADDI710N TD THE COST OF L17MPENSATqN,OAMAGES AS PROYIDED Fql IN J SECTqN]70EOFTHELIBOfICODE.MTEREST,IWDATTOIiNEY'SFEES. RETENTIONFEE: � SCONSTRUCTION LEN�ING AGENCY PHE-ALT FEE: 0 .� IHERCBYAFFIN4UNDERFENALTYOFPEMIHYTHATTHEREIS�CONS7AUCTIONIENDINOA0ENC1' ' Z iOR TME FER W RAUNCE OF THE WORK FOR WMdI THIS VERMIT IS ISSUED�SEG]Ov7,GV.G). W � IENDER'S NM1E -� � � LENDER'SADDRE55 •�� W �CERTIFYiIUTIHAVEREADTHISAPGUGTIONMl�STATET4ITTHEABOVENFORNATqNISCORRECT. TOTAL FEES � � . � � � IAGREEi00dAPLYWIMILLLGTYANDCOl11T'OROWANCESANDS7A7EUwSRELATINOTOBUILDINQ CONSiRUCTION./J�DHEREBVAUTIORREREDRESEMATNESOFTXISCOUNTVTOEMERUPONiHE . . _ , S� ABOVE#1ENTWNEDVROPEHTYFORINS�ECf�DN7URPO5E5. COMMENTS � L�. !(i � I��/r "—�C ' " � � � VEPoATTE�� � �� . , . 7 (A S�ONATU OF DE E DA7E � p . � . REC� PAID BY VALIDATION Vh11TE—DopeRmentCapy.YELLOW—FneneaCopy,PlNK�llseessotCopy,GOLDENROD—FileCopy,GREEN—Applicant'sCopy �� � - - _ i. .�.� ..�� .1'. �'!.�1'•� . . "1. . . . � . . . ,. ..i � �4� � . .. � ..� � . � i � . ... � . . . i. . .• . ' . , . 1 � � CITY OF DIAMOND:BAR �z;; -, •;-;;-; , "�" '� � � '�� INSPECTION RECORD�= == � � � ' � � � , _ .... . �. �,i� ;�� ;� � • , . " • � � • ' � � � • ' SET BACK�'; , r;'�� �� � ,.. . , .,: .. . ,FLOOR JOIST:_ : - . � '� . �.. ., F�TGS/FORMSlSTEEL .- �� . �.I' ' FHA REQMTS,--.,__� ;` - - - -- - ,, ... " `� -t- -� � � � UNDER FL'OOR DUCT ' "- - � ELECTRIC GROUND . - -... _ -_- - _ • • `, '. . "•. �... :, � ,��. � r .� , , GROUND PLUMBING ' � - UNDER FLOORC.U,�IDUIT•`�;_ :•��.��=., ` � " �; �. � ' -' _ ` ..._ , . SLAB GRADE...--- - � ---� - --..._ _..... _- - :;•. FIREPL'AGE'FOUND�TION '•:�' :`, '1'�� t�:� •_�::•:�•.t`�.'_: , .. _. ._ _--_-_� . TEMP POWER �-- - . � . --- -- '-. �.. :.. . ' � FIREf�LA�:E BOf�TD BEAM '..._ .,,i:��•:`: . . ... . .---- -- � . - -- - .... __ . ._ �_ : .'_ `_ �.'�_..`:_� • . . _. j WATER SEFIVICE - . .�- - -- -�_-- -- - MID HT. BOND BEAM• . "' � RdOF SH�ATHING-'_. -- '�= — - . . , . , 8 Fi: 80ND BEAM'--- - - -- -�- •� - �._ � }.1�,,. . ! ,. FRANIINGNENTILIATION � FINALBONDBEAM.,, ,. •. -•... ': o.=•:-•. � - ' : ROOF COVER'. PRE-GRADING�, �',�• � �� - � � �� � I ` R�UGH HEATING---- � - ------ •-�-- --- _. .__... _ . BENCHING�t'=!:'� ; ; ',•::' �`: . , _ ,;.� ,• . ROUGH ELECTRIC-�` � - -- - - - ' � ROUGH GRADING - • �, • ROUGH PLUT+IIBING "- � � " -- �-��- -- � . FINISH GRADING .. . ; . , f �. SHOWERlfUB TEST � ; .- POOL ELECTRIC � � � EXT.LATH/SIDING � POOL FENCING � WALL INSULATION ; � POOL FINAL . I ' CEILING INSULATION �. • OFF SITE IMPS. ' � i == DRYWALL NAILING DEDICATIONS �' • SEWER_._-. ----.- --- FINAL ENG. . - ; ; - - --- -- SEPTICTANK _. _.. .--- --. --. ----• ,._ . .:, . ,. _. LAN�SCAPE/IRRIG. . - i �'- SEEP PIT/L.L:.-. .-- -- ' -= - -- � _:_ :_ _ ON SITE IMPS. . , . GAS AIR TEST -- -- - ---- - -- � -• � - -- FINAL ZONING � � I .-: FINALCONST:�, -- �-� l -- ` - - - FIREDEPT.FINAL - - ' I � FINAI:HEATING -�� - - � - -�`� - HEALTH DEPT.FINAL __ _ ; : FINAL ELECTFiIC - ' � -�� - � � , � DEV. FEES PAID- -:� � - �� • � -� : FINAL PLUMBING ENERGY � � � • � � ST� �/ lr� � '� , �� . • . , . . . . .. .. . . . .. . . . . .. . - , .. .. . , . ; - ._. ..--- - --� - - •- --.. ---.. .--- . . COMMENTS - � � ' � � � � , , - - - -�-- ---. _ . , ,-- - - - --- --- - . . . � . _ _. , . � � - - ---- - ---. __ .. . . .. _ _._._. _. � , - ,,, � . --�' -�=t�. ,_ .� _ . , . , : ; •-�:� . �, � � ' . - - - -- -- - � • ;; • ` . , -�� � . - • • � ; :��. ,,.�, ., .. . . . � . � . . j ��� ,i' � � ��� - r r � ,. . . . . � , _ ...--.. __... __ , •. , . - . , . . � I � - --. _. _ . . . . . .. . , . . .. , . ' i .,�, .. .��`�. L. ..- ---- - -- - i , , � - --- . .I � , t•�� - ., . . - . _ .. .. . SEPTIC TANK SIZE- - - , � ; ' . j - , .. SEEP PIT/U_SIZE - - --- -' ' _ . • . � , . , - � - , , ' . i - -.. . - -.. .. .. . _. , � ! . .. . .. . ---- � . _... - _ _ _ . , � . . - - . _ .. i _. :,lt �j �,: .� . ., � , , ; ; : .. � . : . , . . . .,�. . � _ . _" -�_ � � ' - ..� . _. . _..._ � -, �, � • �A.` (... _.__. ��'`. ._. � ..�_ 1 . . �,_.�-_ ' - � _ �• y . 1 ,, � 1 �