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HomeMy WebLinkAbout14554 - �..`�. . ,.� ! �� CITY OF DIAMOND BAR � � DEPART2dENT�F COMMUNITY&DEVELOPMENT SERVICES ,�,� 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 PRESS - ���^'. BUILDING PERMIT APPLICATION f.�.a3 �,w�� �p v r FIRMLY � ���— �� APPLICATION , PERMfT L�� P!C JOBSRE � � o ADDRESS- —' — DATE • � NUMBER /��/ # $ SUE TYPE pCC APN LOT T ACT DATE CONST. GROUP � OWNER Q( t• "' ADDRESS �l L v� ZONING SETBACKS � CITY � P 4 ZIP�TEL. � REAR RW ❑❑ APPLICANT TEL. • � SIDElSIDE STREET RW ❑ � CONTAACTOR � QV Y» N L. SIDE ❑ ADDflESS� � CITY �• /eo� ZIP EL � a// PROPOSED USE o ARCH/ENG/ • DESIGNER N0.DWEL NO, ryp, ADDRESS � CffY ZIP TEL UNITS STORIES BEDROOMS � � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OVYNER-BUILDER DECLAFiATION ' SFR/ADD/REM O p 1 MEREBYAFFIiid UNDER VEWLLT(OF VERAIRY THAT 1 AIJ EXEMPT Fi10M THE COHTMCTORS U• Ger809/C9rpOR L1J CENSEUWfORiHEFOL�01Y1NaREASON�SEC.70.71.6BU5WE55ANDVR]FESSIONSCOOE:ANYdTVOR (n Z 7U�R�E,PiWR TO RS 156UE N10EE,�ALSO REIXIIR�E TIE APPLu1CANT FOR SUd1 PERMIT TO FlLE A SISG EO W Patio/Deck �u� STATENEM TUT HE OR&1E IS IICENSED PURSUMtT TO T/E Pi10'JISIONS OF THE CONiMCTORu L4 W CENSE UW�CHAFTER Y�COMMENGPIO WITH SECf10N 7000)OF DMSION 7 OF iME BUSINESSAND PR0. � PooVSpa FESSqNSCOOE�ORiTNTMEOHSHEISE%EYPTTMEREFPOYIWOTHEBti515FORiHEALLEGEDE%EMP• TION.ANYVIOlA710NOF6ECT10N70J1.6BYANYMPLICMlfFORAPEiWiTSIAJECTS7HE11VPlIGNiTO Z RB-R001 F ACMLiENALTYOFNOTMORETIANFIVEHUNDRED�OLLM5fS50DI.): " � Ol��1M�E110FTHEPPOVER7Y.ORIdYEMPLOYEE9VnT1WAGESASIHE1R50LfCOMPENSATION, 0 Cammerciat . - ' � Y11LL DO iHE WOqK,AND iH[STRUCiUqE IS NOT RfTENOfD OR OFFERED FOR SALE(SEG 70I�,BUSI- J N NESS ANO PROFESSqN4 COOE:iHE CONTMCTORS LICENSE Uw DOES!AT APPLV TO AN OwNER OF ? PROiERiY WNO BURDS Oi11MGRONES TIEREON.AND YI1q DOES SUCH WORK NIMSEIF OR NERSELF OR � 7HNOUGHHISOf1MEROYRIEIAPLOYEES,iROVDEDiIUITSUO/1MPROVEMENTSARENO7NTEN0EDOR m � � OFFFRmFORSAlE1F.F10YlEVEqiHEBUlDN00RMPROVEMENT650lDWRMMONEYFMOFCOMPLE� l � .•.5 �i�)_-/.�...• 1� . Z `710M.7NE OWNERBNIDEfl VYILL HAVE T1E BURDEN OF pROVINO THIU NE OR SHE DID IqT BUILD OR , , = MDROMEFOR7HENIRPOSEOFSALE1 �y,� O11�40NNEROFTHEiROPEHfV,AME7(ClUSNELYCOMfMCTNOMTTHLICENSFOCONTMCTORS (t TOOONSTRUCf iHE PRQIECT(SEC.7ou.8USINESS AND PROFESSIONS COD[:T1E CONTRACTORS U• VBIU0lI0f1 ADJ.AREA �11 CEN9EUWDOESNOTMPLYTOANOWHEROFAPROPERTYVR70BUILDSORWPfiOVESiHER[ON,M70 � w+aoorrtrucreroasucnvra.rtcrsmrn�mrrrracron�s�ucFr+seovunsu�wrrorneoonT�uc pUANT1TY DESCRIPTION �E � masucexseuw.�. O 1 AM E7�YPTUNDER SEG B.i P.G FORTNIS PEASON Q 3 � LL OATE OYlNER V e��/ N P r, � � r ll LICENSED CONTRACTORS DECLARATION W � IMEREBVAFi11WUJDERVEN/1TVOFVERIUMTHATIA4LICENSE�UNDERPRONSIONSOFCHADTER � s �(COA�MENGINOWfT115ECT10N7000)OFOMSqN�OFTMEBUSWE55N�1DPfiOFE55qNSCODE,AND Z X MYUCENSE 6 N fULL FOHCEANO EFFECT. � ���� � 3 u�.�. ��y�7.Z� � V DATE CONTMCTOR � a W � WORKERS'COMPENSATION DECIARATION Q � � IHEREBYIFFIRAAUNDERPENALttOFiERRlq1'ONEOFTHEiOLLOWINODECUfUT10N5: Z � _I/UIVEANDWRIM�NTNNACERf1FICATE0FO0N5EtlTiOSElFdNSUR[FORWORKER5 = COYPENSAiIOH,ASPROVIDEDBY8EC710NA0oOFTNELABORCODE,FOqTHEGERFORMANCE W Q OFTHEWWYCFORWH�pITHqPERAARI5IS5UED. � � � _IIUVEANDINLLMA1HfAMWORKERS'Cq.�PE!lSATIONINSUiUNCE,ASHEOVIREDBVSECTION � T7oo OF TME LAWH COOE.FOH 7HE PERFOR�IANCE OF TME WORK FOR WHipl TNIS PERMIT IS - � ISSUED.AIYN'ORKERS'COYPENSATIDdINSUiUNCE RRIE QPOIICYNUAIOE ME: CONSTFUCTION > A GIRNER�-S�.�r��- nY�;�i�,v,� � PLAN REVIEW � POLICYMIYBER I/✓IJ N 7���]�- _ ELECTRIC ,�' �.�� ��rt--_ �,-�.._..i r-I- � �ssEcrqr+rE�w7eeoor.s�tnoFnE��r�swna+EH.rorm0otu�s�siwlor�tEss1 PLUMOING 3 V Z 1 CErtTIFY THAT IN THE OERFOAIAANCE OF 7HE WORK FOR VMid1 TXIS 7ERMR IS ISSUED,1 MECHANICAL (7 &7ALLN0T EAIPLOYANY PERSON W ANY M�NNER 50�5 TO BECqAE SVBJECT TO T11E ' N riORKERSCOMPENSATpNUwSDFCALiFORniAANDAGREET/UTIF15110ULDBECOME INSPECT�ONFEE +'��� S SUBJECTTOTHEVIORI(ERSCOIACENSA770NPROVI510NSOFSECT�ON17000FTMEUBOR • _ • COOE, SWLLLF rrnvmreouttrv�nn�n/Jaserr+oviswr+s. tSSUANCE � . � /� � �P /�/l/ SMIP ��T ll:'!::':;:.v_•.L�::!.r'. WTE: APPLICJINT. � ����:�',: :-�._�.."_-.'_ WARNINaFAIIU TOSEQJREY�IOfV(ERS'C01.�PENSATiONCOVEMGEISUNUwFUL.ANDSNAl18E ENERGYP/C (-y 9UBIECTANEMPLOYERTOCRIMItULiENA1TIESANDCNRFWESUPTOONEMUNDRmTH0U5AND ENERGYPERMIT DOl1M5(t100.000).p1IDDITN7H TO THE COST OF COMPENSATIDN.DAYAGES AS PNOVIDED FOfl IN ¢ SECTION77WOFTHEUBOpCODE,INTEREST,ANDA770RNEY5FEE5. RETENTIONFEE: a CONSTFiUCT10N LENDING AGENCY PRE•ALT FEE: O � IMEREBVAFFIiWUNOERVENAITYOFVERAIRVTHATTXERE6�CONSTRl1CT10NLENDIN�AOENCY ' iORT11E iERFORUANCE OFT11f WORK FOR NMip1TM15 CERUR IS t55UED(SEC.7oo�,dY.G). , . � � LENDERS NAA1E - C lEN0Efi5A00RE55 �^ � I CERi1F/TUi I FUVE REM TMS AFPLICATION MR7 STATE TUT iME A80VE NFORMATqN I5 CORAER TOTAL FEES J � � IACREETOOOAIPLYN7771ALLCfTYANDCOUMYORDWANCESANDSTA7EUWSFEUNWTOBUILDiNC � COr�STRUCTI0N,MIDHEREBYAUT110RIZEREiRESEMATNESOFTH15COlAiTYTOEHTERUPONTHE ABDVEa1EM%NIEOPROVEffTVFORINSPEGT PURPOSES. COMMENTS � 1 � �/li � 1L �� O° vew�mEewwE wrrt�� ¢ � � � BqNATUPE FYEfUYT1E6 D�TE � RECPT.NO � PAID BY VALIDATION' WHITE-Depertrnenl Copy.YELLOW-Finence Copy,PINK-Asseasor Copy,GOLDENROD-File Copy,GREEN-Applicant's Copy � , . . , ., . ,...,. � .. .. . , ... . , . . .. . .. . . . . . ..,,, ... .. . .,. . . . . .. :. . • �� . . .. . —~ � . ... _ . _. ._ . . . .. �-���� CITY_OF DIAMOND BAR . ;;, , �._�� .. . . -�•��`�INSPECTION RECOfiD�,�.•'•:.°' �' ,..��.�� . , � .. .. ,. ��. ..��. . : ,. ���•. . .�. �. � , : �• , f.� o } C , � v t' � , ,. � a'. e . � -:I►���(.1.:.C1"�►1� :�:�n�. . :I►.�.:��,::�.:1�'�..'�"�G���3....r ► ��u� o - SET BACK y,• �•�:." �� ' '•� c� t � ' _' 'FLOOR JOIST - — - - . � �y I ' FTGS/FOR��1S/STEEL : .�•r i F��A RERPJITS•.. .. , r _ . ._. _ .. ..._..._ ....-.- •-, :: �- : --- - , ELECTR�C,GFiOUND ._. _- '�` '_ _ _ _. ___ . _. UND R'FLOOR`DUCT •,", , _ _____ , - ', �- ; � - GROUND PLUMBING • � UNDER FLOOR CO(�fDUIT ; ', •��.�� ���� ,' � ' 1,� -' . ._ .. . , . , � . � , ,. ,. , . . _. , . SLAB GRADE ----�-- � ---"� - - - - �- - • ; FIREPLACE FO NDATION•��� •-� ' ,.. _ : �,.;, , .�_��•-� ' . . . . . - - ---_ ..- ----- -- - TEMP POWER ----- ���`� -- -- ---- - ' � � `' ` FIREPLA'CE Bd D.BEAM ._ � ��- ' ' � WATER SERVICE'.. :-- . . =- --- : -..... �.:. _..- - -- - - : MID HT.'BOND BEAM' �'� '�=,`. ',: '., ,:_;- - - -; I .. ROOFSHEATHING -.-_ ....._ _ _ .. ._. ,�. :. 8 FT.BOND EAM, `, .. - -. ' -- � �-'. ' - � ,� .i'� � j �, FRi4MINGNENTiLIATION � FINAL B�ND BEAM � `' , ' �� ,. ; ROOF COVER `;'.` _ ._ ' � PRE-GRADING � ��� - - � " - � - - ' � � . ROUGH HEATIfdG- - - _ _ . . --. ---. _. ;.._.._. __---- BENCHING - ' . ., ' _ .. _ _. ... _. , .. ROUGH'ELECTRIC � �-� �- - �--� -•. � - ` - ROUGH GRADING � �- -ROUGH PLU!viBING-` - - -� -- ---� �� FINISH GRADING . .. ,. ' . , , : �: SH0INEWTUB TEST — -'� �� - -� � -.- POOL ELECTRlC EXT.LATH/SIDING - - ; POOL FENCING • • i WALL INSULATION � POOL FINAL � . ' CEILING INSULATION • OFF SITE IMPS. DRYWALL NAILING ' DEDICATIONS .. SEWER _ __ _ � -�?- ��G�O _ % FINAL ENG. . SEPTIC TANK _.__ .�_... _ ._._.... ..... . _._. . . LANDSCAPE/IRRIG. SEEP PITlLL... �.:- .. -.: __: -'-- -. . .. .. ON SITE IMPS. _: -GAS AIR TEST, �--�- -- - ------ = FINAL ZONING - , : FINAL COiVST:: -- - -- �- FIRE DEPT. FINAL - - ' ' < i FINALtiEATING,�., ;� , -; -.-�- _ ; , ,. , , .,•; HEALTH DEPT. FINAL � ..; FINAC ELECTRIC ' �' " ' " DEV.FEES PAID " , , ; - - -' FINAL PLUMBING ENERGY � � - ' �. - � ' ��i�� i:p —:�����.. , .. .._ �`,.. , � . . �JL'... .:.i.r�Ldr:'P:' . _ _ , • :1� •l, _. ..._._... .._._....__'.__ .. .. .._ . . _ ..._. .._.... ._ ..... ' i � � ... . . : -cor,nnn�rvTs �- - � � � , . -- - . - - - - _: . , _ __ . . _. . . , � - � � -- -;--- _ � - �, � .�\ � ,� �. L; �`�v,.: - -- - � - ; . , , , � , � - --- — - - � � - _ , - , .�� � .� ; � ,- , ; � . � , ��' -- --- . � � ; ' ' ,�. . . -..',�,•..�� ! ' SEPTIC TANK SIZE � � . . ' . � � - . � i SEEP.PIT%U SIZE , - � _._... � . , i ���. � � - . , . , . . • , � _. _ ..... .. ... . . ... .... .. ... _ . � . . . : .._.. _ _. ,. . . --. . . - ����� ��. ,... . , _ � . � , ; . ' . , .' � , . - . � , ... , .... __ ... _. . ... . i , _ ' , ` _ . .. _ i _ . . .. _ . . . .�. ���� i � . - . .,: -�� - � .,_ '~�-__...__ � ... . -- �i ��c�, ; i _ . _. � .. _ .. , ; .. .