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HomeMy WebLinkAbout11708 �� CITY OF DIAMOND BAR � '� ' � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES � ai�oE.copt�ynriYes�cei90 _ ' ' " PRESS '%� �. . ;BUII.DING PERMIT APPLICATION � � � FIRMLY o ADDRIESS��+� (r�J�E�-J'1QiLYL't S ,x � DATE CATION ( � NUMB R �v It/�� � ISSUE TYPE OCC APN - LOT T CT pqTE � Z S � CONST. GROUP g OWNER C/ ADDRESS o � ZONING SETBACKS w ' FRONT ' RW O , CITY P TEL 63 REAR O � APPLICANT�q,j TEL.�1T SIDFJSIDE STREET RW O � � CONTRACTOR � SIDE - � ¢ ADDR SS PROPOSED USE G ' o CfTY ZIP` TEI��[�� - oARCHlENG/ d • � DESIGNER � � n N ��£ NO.DWEL NO. NO. ADDRESS � UNITS STORIES BEDROOMS � CfTY ZIP�� T � DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BVILDER DECLARATION SFRJADDlREM � O ' ' p 1 NEREBV AFFlRY UNOER VENALTY OF VERIURY TUT I AA1 E%EMPT iROAI iHE CONfMCNRS l4' G8f9oB/C9IpOR � LL CENSEUWFORTHEiOLLON/ul(7NFASON(SEG7a�t.6BU5WESSANOPi10iES510NSC00E:ANYGTYOR (n U COIRRYY?M)/REGUIRESAPERMRTOCONSTRUCT.ALTE0.�PROVE.�EMOUSM.ONREDAIRANY57RUG W PatidDeck �ZTURE,PRqR TO RS ISBUNKE :.�REOUIRES ME APPLM�wT FOq SUp1 VERAUT TO FILE A SiONED W � STATEMEHT TUT ME OR SME IS LtCENSED iUFSUufT TO THE i1WVi5iON5 OF iHE CONiMCTOH9 l4 , � CENSE UW 1�TEN Y(COMwENCP10 Mn7H SCCTION 7000)OF DMSiON]OF THE&14iNE53 AND PRo- �' PaoUSpa . . iE55pN5 COOE)Ofl TW�T ME OR SME IS E%E4PT iH[REFROAI ANO T11E BASR FOR TME ILLLEGED E%EMP• TION.IIM/VIOLATIONOfSECT10N7071.68YANYAPPLIGNTFORAPE��TSUBIECTSTHEMPIICANT70 Z qeRoof � �CML►ENALiY OF NO'f YORE TNAN FNE M1N[7HED DOLUAS(f5[O).Y. , .. � Ol�d�`�NEROFTHEPROPERN,ORA�'!EMVLOYEESVn7HWAGESASTHEIRSOIECOIAPEN5AT70N, ❑ (�,qnTOrCial YALL DO iME WOtW AND THE STRUCiURE IS NOT MENOED OR OFFEfiED FOR S1LLE(SEC.7W�.BU54 J NE54 ANO VMFE5510NS COOE:IHE CpRMCTOR4 LICENSE Uw DOES NOTAFPLY TO IN OWNER OF � ' N VFqVERiYMM170BUlDSORMPROVESiMEREON.ANDIMNODOE55UC11N'OHKHIAISEtFORHERSELFOR = � 7}YqVOHMSOfiNEROVME1APlOYEES.VROYI�EUTNATSUp1W7ROVEYENTSMENOTNTENDEDOR m . OFFEPFD FOR SALE 6.IqWEVERTHE BUID�NOOR M7ROYEAIEM 6 SOI�MnTMrt1 ONE YEAH OF C0IAPLE• TqN.iHE dMMENAUIDER MnLL HAVE ME BURDEN OF VROVNO THAT NE DR SHE DW NOT BULLD OR �IPROVE FOR T11E PURPOSE OF SILE). " , � OI.A90NNEROfT71EPROPER1Y,lUAE%CLUSNELYCONTRACTNONrtTXLICEIL"EUCdtTRAC700.S TO CONSTR4ICT i/tE PROJECT(SEC.7os,.BUSINESS MA PIOOFESSIONS CODE:711E OONTMCTORS LI- - Ve1U9110� ADJ.AREA � CENSEUIWDOE9NOTAPiIYTOIwOMMEROFAVROiERTYNTIOBURD50RMPpOVES7MEREON.AND YYlpCOHfRACf9FDR5UCifVR0.1ECTSW1iHA00NTR�CTOR(5]LICENSEDiUfiSUMlfTO7HEOONfMG QUANTITY �-D CRIPTION FEE � TOnS L1ck7+sE l�w.I. . J . . . . . O I/JA EXE4CT UNDEP SEG B.i P.G fOR THIS REASON Q U � ' u" DATE OWNER � . � • ' � .. J . UCENSED CONTRACTORS DECLAAATION W � IHEREBYAFFIW�UNDfRPENALTYOFVERRIMTMATIAYUCENSEDUN�ERGROVISqNSOFCMAPTER �. � • , ' . � •(COYAIENCN(iY/fiHSECilON700olOFDM510N70FTNEBU5INE55ANDFROFES SCOOEIWD Z ��� MYLIGENSEISNFULLFORCEANDEFiECT. � � _,;' � LICENSE CLASS,p . . . LIC.NO.7.�/oS�_Q,�7 � � �TE �=��/ J�' � � ' 'corrrrucroa.� a �Y- � WORKERS'COMPENSATION OECLARATION Q � �N I HEREBVAFFlPoA UNDCR PENALTV OF GENURY ONE OFTHE iOLLAMP�NG DECLAMTqNS. � U � � N 4 C _11l�VEANDWRIAUMTNHACERiIFICATEOFCON5EMM5ELF-INSUR[FORWORKERS' 2 Q Cq�PENSATION,ASGROVDEDBYSECTON77000FTHEU80HCODE,fORTNEPERFORMANCE W OF TME WORIC FOR MMICH 7}iW 7ERMR IS ISSUED. � � ;�I/UVEIWDN'�LLMAINTAP7WOf1KER5'CpAPEN5AT10NIN5URANCE.�5RE0U1REDBVSECTION ' ' "- ' QQ 97000FiHElABOHCOOE,FORiMEPENFORMANCEOFTHEWONCFORWHICHTHISPERMRIS /���p/, � ISSUEO.MYWOFIKER5COIA7ENSATIONWS MNCEURiUfgdNDVOl1LYNUMB� �ne: CONSTRUCTION f �. 1 � C�ARiER �� PLAN REVIEW � � � VOLCYNUABER � �� ELECTRIC 0 ����prq� panc swqp+�Mrnrtppou,v�Is+ou�on�a� PLUMBING Z I CERTIFV 711AT NTHE GERFORIAA.YCE OFT1E WOfUC FOR WHIGi TNIS VE(W�T IS ISSUED,I MECHANICAL ' ' (,'} 51iALLN0T Er.1PLOVANY PE0.SON IN AMf 4ANNER SOAS TO BECO�[Stl&1EC7 i07HE � riORKER5CdAPENSATiONUW50FGLLiFOi1NIA,ANDACHEET1U71F1511dJlOBEC0IAE INSPECTIONFEE S SVBIECT70THEWONKER5COMPENSATIONFHOV15pNSOFSECTION]7ooOFTMEIAeOR ISSUANCE ` ` jS.PO COOE,I SHALL FORTINY171�GOr.�PIY MnMTMOSE PROVISIONS. � p DATE: APPLIGNT: SMIP , r�'� � ENERGY P/C WARMNO:f11LUFiE TO SE WRE WIXiKERS'OJA�PENS�TION COVEMGE IS UNLANFUL�h7D SHALL BE �y SUBIECTANEMPLOYERTOCFIMPULVENKTIESIwOCMLFWE5UP700NEHJN�RE0TF�0USiV�O ENERGYPERMIT - , DOLLAFL�(f100.00D).N ADDfiION TOTME COST OF CqAPENSATIDN,DAMAGES AS PROVIDED iOR IN J SECT�ONl70eOFiHEU�[iORCOOE,NTERESL/�NOATiORNEY5FEE5. RETENTIONFEE: ry � [ OCONSTRUCTIONLENDINGAGENCY PHE-ALTFEE: � �'�t+�tii'�� � IHEREBYAiFIPoJUN�ERFENAITYOFFEfWfi'lT/UT7NEREISACONSTRUCTIONLEN�wCAGENCY n- FOF T1E FEAFORuhNCE OF T1E WORK FOR WMldi 1H15 PERMIT IS ISSUE�ISEC.�097.CIV.G.). • � � � . � LENDERSNAUE ' � CS LENDER'SADDRE55 ' W ICERTIFYTMATIMAVEREAD7MSAPDUGTIONANOSTATETTIAiTMEABOVENFOitMAT10NI5CORRECL TOTAL FEES . . � 3 ti ��� � IAOREETOOOMPLYWffH/LLLCliY�NDCOIMTVORDPIANCE5AND5TATEUwSREUTNCTOBURDING . CONSTRUCTION.�NDNEREBYAUTf10RREREPRESENTATNE50FTItl5COUNTY70EN7ERUPONTME . . _ � S� 119WE�►1EHTIONEDYROVERTYFORP15vECT10NPUNVO5E5. COMMENTS 9 �r �1 � i���C " Q oenumEen n .C� �r/Cr/ y � ___iUw A��� —e � NS �� PE RECPT.NO. p PAID BY '� VALIDATION ' ' ~ - � WHITE—Depert+nent Copy.YELLOW—Finence Copy.PINK--Assesea Copy,GOLDENRO6—File Copy.GREEN—Applicanf6 Copy � • �� • . . •��, .�.�i,�a., ..�. •,.,��np� �, ' _ . , • � ... . ..e.i` .. • ' • �� �i�'•.. . � . •. . , . , . •" . , ' , . . , . ,� �. - . . , . CITY OF DIAMOND;BAR -:,� :_: �•� ;-, -� . .:....,. ... ... �_.,... ..._ . ..... . .... ... .. . .. . . . ,.. . . . , . , `;�.., . . , . INSPECTION RECO,F�D -,.:::. . ; : `' � . . . ... . . , , . . . • e � • - • • � � • - SET BACK�r � .,.. , . `. � � • 'i I �• ' .FLOOR JOISj �• �,,,.c .. ,,,� �. 't,'c=.�� I . . , . , . .. , , , FTGS/FORMSISTEEL =�•' ,.�� , � •�•, FHA REQMTS-,., - . ; - - - - - - -- EtECTRICGROUND�`-` -___'._'_"__ ' _ '_' -� UNDERFLOOADUCT. � - .. t � .. •, GROUND PLUMBING � • � _ UNDER FLOQR�CAM.4UIT;_ - � - '-�_�_ � .., SLABGRADE ------- � --- --- - - ':.� : FIREPL.A�E-FOl1NDATION "•' ,': -�':-` �_�'•�. •.�:,.=-'-•��'� •i':- j � TEMP P�WER .. --- ',� - ----- - ' : -�, : - � FIREPLdC�E$D�1D BEAM _•.. -•--- •-- --- �---� - • � - -�- - - �-- ----� 1NATER SERVICE -: - : _ .:-:-: �;-:._-. ; �----.-_= - � --- - � MID HT.BOND.BEAivf . � �-; � .._': �..� .,;,,:;_. . .. .., - ROOFSHEATHING '�-� ' - -� - - -- '�� �- - ` BFT.BOND.BEAM : `:" - .� : ', _-,-�.- 11•.` . ,,- � -.. FRAMINGNENTILIATION � FINAL BQND BEAM - ..., � -' � , ROOF COVER .`-:' � -' PRE-GRAbING, �:.�- �.� :.` '. . � --- - • ROUGH HEATING ._. .. - -- -- _ . . .. .- - -- -- . BENCHING�'=���'=: -` • � . ... . �..__ . �. � ROUGH ELECTRIC� ,� - '��- �� �-- � � � - - - - - ROUGH GRADING • • - � ROUGH PLUFJIBfNG -- - -- -- "�- ; - :. FINISH GRADING , . .,. . .,. ,, � -' SHOWERlTUB TEST i � � -POOL:ELECTRIC � - � ' : EXT:LATH/SIDING � � POOI:FENCING � ' • ' WALL INSULATION ' • POOL FINAL .. ; - " CEILING INSULATION � OFF SITE IMPS.� � � i : DRYWALL NAILING � DEDICATIONS � � � . -:,, , j < SEWER --.. . _. . --- - - - FINAL ENG. •. . . , ,. , . . .. i : SEPTIC TANK.-------.-. ---..--.--- -- . . -. :.� . ... .. _ .LANDSCAPFJIRRIG. . . , ' . , . . � �- SEEP PIT/L.L.--. -- - = `` • � ON SITE IMPS. � ' , : -- . .. - - • - � . . GASAIRTEST;-�-- --��- --; --� - �� -- - FINALZONING � • • .- ; ; FINAL-CONST.-; -- -- --- �o f,� - - FIRE DEPL FINAL ' -- ' i � • FiNAL HEATING- -�----' - " HEALTH DEPT. FINAL FINAL ELECTRIC �-- � -- � DEV.FEES PAID - � -- -� � � FINAL PLUMBING . ENERGY � • • - � � i . ,� 1 f�f,� , 1, . . , ,. � � . 4 S • • _ . ;� , . � � - ` . .1` ' _�•J ��l ' .• •-- ..- ' . � _'_"'__'__ '..._. .1. _'_"__" '" ' '_" ' _"" ' _ '._ . .. . . ' -_ ' ' : � COMMENTS - - _. - ' -- . . _ ,` ! ,... . . .. . i � � � , -- ------ ------- -� ---- .. - � - - - . ... _ � , , _. . . i , . i - - _ _. _ , , . - -- . .. ---- - - -- -- = ; �- - - ... .. .. . ,. t , - �� � ,�.5.,� - • ,, ; y ;. , , ,. . . � • ,. � . � ' , - --- - � -- --- � � . . - � .. .. . , . . , -.�-,. �. �,,.�:�; =` `�_�c_ . , �., _. _ � . ��- �>- _ :- i • �� - . � - - - - - - - - -- . ; • ,. . _.._ ._;:��. _. . • • � • �. � � , , . .. ---- -. . .. _. ._.... . --- - . , � : . i , SEPTIC TANK SIZE � - ' I ; , . . . , - --- . ,,. ,_ . ;,. - _ _ ,.. .--• ; c- SEEP_PIT/U.SIZE-�� •� 'ti'.,, . , ,. . . . , , � . _- � ' . . , , . , ' - - -. - � j ' � , , , - _.- . -� � � - _ . - - . ... , _._. � ..�1 - .. � . � ; : . _ , . . , . . . i : � , , . . , . . ,. t ' � - - .. .._ _ .. , - � , _ _ _ ,�, , . - - i •. - - . -- - .. - - _ _ � - C ,� �• - :�C�.J � , . � _ , __.� �- � � - � ". - - \�.:, '� f .