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HomeMy WebLinkAboutNo Permit Number (45) �� CITY OF DIAMOND BAR •� � ' � � ��� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � �� 21660 E.Coplcy Drive Suite 190 � ' � (909)860-3195 Fax(909)861-3117 PR ESS . • ��'�^'� . BUILDING PERMIT APPLICATION ' FIRMLY � JOBSITE APPLICATION `� y PERMIT � P/C o ADDRESS � - � �ATE `" NUMBER # � APN LOT AC " '�SSUE TYPE OCC , DATE CONST. GROUP p OWNE ' ' p ADD S •ZONING SETBACKS , � CI TE � FRONT . RW ❑ APPLICANT - -'� , .r REAR p � SIDFJSIDESTREET RW ❑ � CONTAAC R ! ' SIDE p � CI1Y E ZI TEL. PROPOSED USE J � I � , o ARCH/E G/ • A 'Jti/v�E/ :, ;.. . . . �,., DESIGNER NO.DWEL NO. Np, � C(DTDYRESS Z�P TEL. UNITS STORIES �EDROOMS � �n DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLAFL4TION ' SFR/ADD,'REM O p I HEREBY IIFFlPoA UNDER VENALTY OF GERNRY iHAT 1 AA1 EXEUPT FROA/THE CONTiL1L70R514 GaregafCarport �� • - [1J CENSEUwFORTHEFOLIOMlP10PEASON�SEG7671.6WSPlESSANDiROFE5510NSCOOE:ANYCRYOR (n - _ - �7 COUNTYWHOCNREOUIRESAGERMRTOCp15iAVCT,AIiEFi,0.17R0`/E,OEMOUSM.ORREPAIRANYSiAUC- W �V 7URE,VNOR TO RS ISSUANCE.AL50 REOUIRES 7HE MPLIC�WT FOfi SUCN PERMIT TO FILF A SIGNED W .Patio/Deck STATEYEM THAT HE OR SHE 6 LICENSED VURSUANT TO T11E VRONSqNS OF TME CONiRACTORS lF � CENSE UW(CHAP7ER 0(COLIYENCNO WIM SEMION 7000)OF DNISqN 7 OF TIE BUSINESS MIO Piq- � PooVSpa � � FESSIONSCODE)ORTMA7HEORSHEISFJCEMPT7FIEREFROMANDTNEBA5I5iORTHE/iLLEOEDEXEMP- (� 770N.ANYVIOIATIONOFSEGTON70]1.6BY/WYAPPLICANTFORAPEiW1T5VBJEGT57HEAPPLICANTiO Z Re-Raof , �,,,� AGML VENAIT'OF NOT MORE7T4W FIVE MINDHED DOlURS p5ooj.J: � � � � � OL�OWNEROFTHEVROPERTY.ORAIYF�PLOYEESWITHWAGESASTHEIRSOLECOMPENSATION, 0 COTrtfefCial . . � ' WILL DO ifiE MfOF1K FND TME STRUCil1RE IS N0T IMENOED OR OFFEHED FOR SALE(SEG 7ou.Bu51- J � � NESSAN�VROFESSIONS OOOE:TME[DNTMCiORS LICENSE LAw DOES NOT�PPLV TO AN OWNEH OF� - � , , VROOEHTYYNIOBULDSORMIPR7VESTMEHEON,ANDYMODOESSUCHWORKHI115ELFORMCRSELFOR ' ' "� 711{IOU011 HIS OR HEH OVM EYPLOYEES,PROVIOED i}IAT Stld7 MPROVEMENTSARE NOT IMENDED OR m 0 OFFEREDFOHSALEIF,IqN'EVER7I�EBUlDIN00RIMPROVEMQiTISSqDWRHNONEYEAROFCOMVLE- Z 710N.7ME OWNER�BU0.DEH w1LL IUYE TME BUROEN OF YROYINO iHAi ME OR 6HE OU NO7 BURD pq _ . w�vppvE Fpt THE pURFOSE OF SALE} W OI.ASOVMEHOFTHEVRDPEHTY,MIE%QUSNEIYCDHTRIICTWOWITHIICENSE000NTMCTORS Q ro mHsraucr n�e vpo�cr�sec.�ou,eusir,ess u�o vnocess�aas 000e n�E corrtructoas u• 'Valuation ' ADJ.AREA - - - W �N$ELAWOOESNOTMPLYTOIINONNEROFAPROVERTVNTqBURD50RMPp01/ESTHENEON.AND � 1M/OCONTRACfSFONSUG1PiqJECTSWlT1!AC01lTMCMR(S)LICENSEDPURSU/MTOTHECONTMG pUANTITY DESCRIPTION - �� FEE � Tqt,.L1GEN5EUw.). . ' . 0 ❑I AA1 EXEMPT UNDER SEG B.t P.C.FOR THIS REASCN Q �� �- � 3 � �� ., � � 1 . u.. � � D�TE ON'NER U 0 . . . , . . • . . �d LICENSED CONTRACTORS DECLARATION W ��•_ , --. � [L IHEREBYPFF6WUHDERPENALTYOFVERIUftVTHATIAMLICENSEDUNDfRV(IOVISiONSOFCHAPTFR�� � � �� � � � f(LdIMENCl/0 WIiH SECTION 7000�O�DMSION]OF THE Bl15ME5S Ml�PROFESSIONS COOE,AND Z ' �11 W LICENSE IS IN F1A1 FO EFFECL � m 0 LICENSE � LIC.NO. � �j DA �� " COHTRACTOR �� � d W � WORKERS'COMPENSATION DECUIRATION Q � INEREBYAFFIRMUNOERPENALiYOFPERIURYONEOFTIIEFOLlD1NNODECUM7qN5: � �- Z - ' � � � � _IMAVEMOWILLW�IHT�NACERfIFlCATEOFCONSEMTOSELFJNSUFEFORWORKEiiS' _ CqAPENSATqN,hSPROVOEDBYSECT10N7f000FTNEU00RCO0E,FORTNEPERFORMANCE W OF THE WORK FOR WNiql f/p5 fERMIT IS ISSUED. � �,IHAVEANDWILLI.WMAPIYYOPKERS'L011PENSATIdJR15UMNCE,A5PE0UIREDBYSEC7ICN � . - . ... . . . .. . Q4 97ooOFTHEU1BOi1CO0E,FORh1EPERFORIMNCEOFTHEWORNFORWHICHTHISPERMRIS ISSUEQ W Y/ORI�TCOMPENSATqN INSUMNCE. !' iOLICYNUMBERARE: CONSTRUCTION _-. . .._ .� .._ . ....._. ' j CARNER � . ,. � µ . . . _ _P . , . _. . . ._ ..._ .._.""' '_"_____ 0 POIICYMIIADER � LE f I� �� . '-. � v �__'_ ' � (Rass[ctnraNEmwre[ad.i�ElIDOFnfaE�uRsraioN:lAfORE�oatARS6+�)ar+Lf5s1 PLUM�ING ��• • •..•� � Z ICERTIFYTUTIN7HEPERFORMANGEOFTHEWORKFORN?iICHT/lSVERurt5155UED.l MECHANICAL�"" S"�—�-� (7 SMAILNOTEMPLOYANYCER50NPlAN'/4ANNERSOASTOBECOAIESU0.IECTTOTHE � WORKERS'COYVENSATIONU'NSOFCALIFORNI,tAN��GREETNATIF15110ULDBECOYE IN FEE ' SLBJECTTOTHEMWiKERSCddPENS�TIONPRON510N50FSECT10N77000FiMEU�DOR � � � i.`..,.� r'j cooe.iswuiForm+vnn�ea.�r�vwi�vAo�sror+s. ISSUANC �r'n '� n �` - a C°.� � DATE:.� �� �APPLICANT:���, • g � V•.•1 . . � T.�.�) �!i'1:^:. .�_.._�.�..... . WAHNINQ:FAILURETOSECUREWOi1KEFl5'COMPENSATIONCOVEMGEISUNUWFU�IlNDSMALLBE ENERGYP/C �y 1 I Cf�-�- ' �y SUBJEGTANEMPLOYERTOCRIAIiNN.PENALTiESANDCMLiWESUPTOONEMINDREDTHWSAND ENERGYPERMIT �LI�_��!�I�'��..•J:''•' �_ � pOUJ1R5(i100,000�,IN ADDI710N TO TNE COST OF OD�IPENSATIDN,OAMI1GE5115 GROViDED FIXi IN � SECTION770eOFTHEUBOHCOOE.INTEREST,ANOATTOPNEYSFEES. RETENTIONFEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: - � IHEREBYAFFIRMUNDERPEN/L7YOFPERIURYTHA7TN[RE�SACONSTRUCTIONIENDIN0A0ENCY ' ' Z FOR THE VERFORMANCE OF THE WOiiN fOR WHiC}/TNIS GEHMIT IS ISSUED�SEC.�OD7,CIV.C.�. W . � LENDER'S NAUE . . .. � � LENOERSADDRESS W ICERTIFVTUTIHAVEREADTIISADPLIGTIONANDSTATETUTTIEABOVEWFORIAATIONISWRRECL TOTAL FEES , p� IACREEiOCd1PLYWITM/LLCRYANDLOUNTYORDINANCESANDST�TEUWSREIATWaTOBURDiNd � � CdJSTRUCTION,AI�NEREUVAUTHORQERE�qESENTATNE50FTHISCOUNTYTOEMfRUPONTHE _ . _ , , _ � - �eove.0 EDPROVEHTYFORINSPECTI�Es. J COMMENTS � ��;)f'�,J�c3T l-'.77Qllj. /� � . m PERYI77EE NAA1E(VwNT) - � a . �1��4. p 4' -�!I�'„ s/�l'� ',�. � (n L1G1U7UREOFDEfWiTTEE �-T O�TE 7 y � • RECPi.NO. PAID BY ! VALIDATION WHITE-0epaRmont Copy,YELLOW—Finance Copy,PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy�� � . ..... . . . . .... , .�.1 �.. . � .. .. �.� " . .. ' :.(•i :? . i .. . 11.. . . � 1 � . {' -� .... . . . . � .. . � . . . �.. (ti ���. / \.I . . . . � �'=• �►,� .,;`` CITY OF DIAMOND:BAR�.• . .�� , �;-,:-� ... ...:... .. ... .,.. .. ._ .. ........ _ ...� ,,.::INSPECTIONRECOf�D.;: �.- " �:.�,c� � '; c:'. :�,t ,.,. .;.. .. . . 6 B � • ' • � � Q ' SET BACK � ' . . . , _ ,,. _ .�LOOR JOIST—�-{.,,� �� � ,�"��I , .� ;\'�+'��.` . - _ . - FTGS/FORMSlSTEEL =' � ' ' FHA REQMTS�:,.,� : ,;.-,, _ `\ .. ....... . . ...._..._ ... .: ELECTRIC GROUND- - �� -- - -- -:. UNDER FLOOR,bUCT'" �.;c1•. •.i 1 r �., ��, r,�, - �--- .. _ _.. . .. .... GROUND PLUMBING �•• � UNDER FLOQR CONDUIT_`�,��. .�y�,1�, ': �;.;�:..;_.� t'••- : _- SLABGRADE-- �--- - -- r:�.� � FIREPLACE�FOUNDATION '`S •-:-�-`-'-�` 1� •:_i.� ..I�`.� >,_) . � , =: TEMP POWER - -- �• -- --- � FIREPLACE�.BOND BEAM. --- _�-. . - _ - ,____. --- - - �NATER SERVICE - .-: - - .___--.___-- -_. -`_ ..:... .. . ._ . . � :. , �� ...�, , ,`r;,` �t 1L� , � MID HT.BON��EAM t � �^' � r.t . ' ' ' ROOF SHEATHING �' -� ��" � ' ' '''—'� - - 8 FT.BOND BEAM�= '�� � - � � � c•.�i •, FRAMINGNENTILIATION FINAL BONII 9EAM�'�;•�� ROOF COVER " � PRE-GRADING - ROUGH HEATING - - - - � � - BENCHING - � ROUGH ELECTRIC-- �� � � :- -` � � ROUGH GRADING , • ROUGH PLUMBING . - - -- � � � :. � �FINISH GRADING . ' ` ' SHOWERlfUB TEST � � ; POOL ELECTRIC "' EXT.LATHISIDING �PO�L FENCING ' . WALL INSULATION . POOL' FINAL •. • ' � CEILING INSULATION OFF SITE IMPS. • •� DRYWALL NAILING DEDICATIONS . ' � SEWER _ _. FINAL ENG. � -= -' � � SEPTICTANK -- -- � - � - --- LANDSCAPFJIRRIG_. . ' , ,,• � , =-_ =� ON SITE IMPS. . . SEEP PIT/L.L. . . :. .. ._._ _..... . _ GAS AIR TEST - -- - ,., ;- ;; __�.., �--, . � �,� , ` ,FINAL ZONING � % ;, ' ' ''`�' '�' ' � ' •FIRE DEPT. FINAL - FINAL'.CONST. _. ':. �, � • �,_ �, _ . _ , � ' HEALTH DEPT. FINAL • Ft G--- .... _ - �,. � ` FI�AL'ECECTRI Q � ' ' ` DEV.FEES PAID --- - , FINAL � � ING ENERGY - � � —,e- �ti�•.�'1 '�� �:�i. � ��� -- �- .__+ � •�� • . , _, 1 . �_ � . .. . ._ ., .. .. , �_ . ,... . . � COMMENTS - - �� � --- - _. . ; . . �. . �� . . . . . , • , — _. . _ .. ---1 ..-� \,�4. \�__ c^ _ •�r--�`! i ����lui,1� �� �1\1�— - � C' � ':T't';� , . c_<'.' - '�, � ... _ . ; ; .. - - - - . . , - __ _----- ,. _ -�__,. . 'J.� ��__ _. .. . . . . . _ \ �� ...�. ' � � --. ' � � . � ' - �'" t` ,��\ �- t�' i' ,-�_.\_\ � , _ ' i - _ . - - . , y ,.. SEPTIC TANK SIZE . � '.. . ; SEEP PIT/U SIZE , . .. . � : ,..�. _i � , I � �' - . . , i 1 , . , ,. - - - . . . . . _. • � � ' . � I �\, r - � r r. 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