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HomeMy WebLinkAbout12011 (13) CITY OF DIAMOND BAR � • � ����� � �� �� �� ---�� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Coplcy Drive Suitc 190' � , (909)860-3I95 Fax(909)861-3117 PR ESS ����'.. BUILDING PERMIT APPLICATION � � • FIRMLY }. JaBSRE fY APPLICATION PERMIT P/C p ADDRESS �I��O l,�eL(J�-� �O G(�"� DATE � �`� NUMBER �� p c� ISSUE TYPE OCC APN - LOT - TRACT DATE CONST. GROUP p OWNER ��.d L L� ;G � ADDRESS • �' " ' ZONING SETBACKS � CIN ZIP 92/2, TEL. ' �/ � FflONT RW ❑ , � APPLICANT lE. �• �'!1 v Il¢�� TEL. 9�i1 3S��P�C/1C REAR O � T—T�--"—' SIDFJSIDESTREET RW O � E,�i SIDE ❑ CONTRACTOR • � ADDRESS - � � � ,� PROPOSED USE CITY mi>Sio►1�iF.Li ZIP y TEL. � U � o ARCH/ENG/ . � � : � ' � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � : � CITY 21P TEL N DESCRIPTION" SO.FT. FACTOR PSF 'ADJ.AREANALUATION N Q OWNER•BUILDERDECLARATION . �" ..'. SFR/ADDlREM O - ppQ 1 NEREBV AFFlRN IAAER PEN�LTY OF VE1WH`/1/UT I AA1 F%EMCT FROA1 TME COHTRACTORS LI.� �� 'Gafe9B�Cl�pOrt � . 41 GENSEIAwFORTHEFOILOWNORFASOH(SEG7NI.68USINESSANOPROFESSIONSCODE:ANlCITYOR . (n - - �7 COUMTYVMN]IREOUWESADERYRTOCONSTRIICLALTERGAPHOVE.DEMOUSH.IXiREP11IRINVSTAUC•_ -. W PdtiO/DBCk � � TUi1E,iF110A TO RS IS9UANCE A4S0 R[W WE9 TME MPLICANT fOR SULH PERM�T TO FILE A SIGNED W ��� ' � ' STATEMENT i1MT NE OR SME IS L1CFl�5ED VURSUANT 70 iNE YROV1510N5 OF tY�E CONTRACTORS LI• , � CENSE LAW(diADTEA 0(COYYENCMD N77H SECTION 700D�OF DINSI�N J OF THE BUSMESS AN�VRO• � PooVSDe � � �� � � FESSqNS CODE)OR 1/1AT ME OR SHE IS EXEMPTTHEREFROM M1D 71�E BA515 FOH THE ALLEGED EXEA�P•. 710N.ANYVIOIAiIONDFSECilON7077.6BYANYlIVPLICANTFONA7ERNITSUBJECTSTMEMPLIG�NTTO Z Re-Roof �,,, ACtV0.VENACTYOFNO'TMOiiET1ANFNENUNDREDDOLLl1R91t5oo1.1:� . . . O Ot�30�M1EROFTHEPfqPERT1;OFiYYEMPI,0YEE3YlITHWAGEShSTNEIq50LECOM7EN5ATqN, � `(qmmBfCl31 ' � � .Wk!DO THE WOi11C►!O THE STRUClURE i5 NOT IHfFNDED OR OFFERED FDR SALE ISEG IMI.6U56 . J � NESS ND PROFESS�ONS COOE 711E C01dTRM^T00.S UCENSE UW OOES NOT APPLY TO IW CMiER OF j . VHOPEifTI'YM70 BUIDS OR MPROVES iNEREON,All�NTIO DOES SUCM WONC HIMSELF OR NERSEIF Ofl (� TWiOUONW50RHERONMEAr7lOYEES,iROV10EDTHATSU(]IWPROVEYENTSMENOTNTENDEDOH m , C] ���EGI�E�lER7�BULqNOORM7i10YEMEMI550lDV'Ai1m10NEYEAROFCdAPLE�� � � �TpH.T11E OWNER�BUILDER YVILL W1VE i1�E BUROEN OF VROVNO THA7 XE OR SNE DiD NOT BURD OR , . MAPRDVE FOp THE PUAPOSE OF SALE� ' ' � OlA30NMEROfiHEYROPEFT:IIME%CUISNELYCONTMCTNOMrtT/1lICENSEDCOMMCfOR9 TO CONSiRUCT THE PRO.IECT(SEG 70N.BUSINESS AND PROiE5510N4 CODE:TME CONiMCTORS U• �V21118IIOfl ADJ.ARE/1 � CENSEUWDOESNOTAPRYTOIWOWNEROFAVROPERTYWIqBUlD50RIMVROVESTIIEREON.IIM) W/qCONTMCTSFORSUp1iROAECTSWITIACONTMCTOR(S�UCENSEDiURSU�+TTOTHECONTMG QUANTITY DESCRIPTIOY FEE � T00.4 UCENSE UW} .. . . . . . . . . . O I AM O(R1PT UOER SEG B.8 i.G.FOR Tu5 REASON Q � 3 � .. . ¢ � DATE OWNER U � J . F LICENSE�CONTFlACTORS DECLARATION ' W � IMEREBYAFFiRMUNDERPENALTYOFiERA1RY7HATINALICENSEDUNDERVROVi510N50fCHAPTER �. . ' p. 0(C04Y/ENdNU WRN SECTION 7000)OF DMSION]OF THE BUSINESSAND PRDFESSpNS CODL MU Z UY UCENSE IS N FULL FOHLE AND EfFECt m � C � ucoase cuss � uc.Na. �" � j ��j DATE. .. . . . CONTRACTOR j((�1�?!t d "' �iu � � WORKERS'COMPENSATION DECLAFiAT10N ¢ N INEREBYAFFGWUNDERVENAI.7VOFfER1UPVONEOFiHEfOLLOWWGDEQAMTpNS: � � U � '� �� � - � Z Q '� � _I/UVE/JV0INLL►UNiNNACEHI1fIGTEOFCONSEMTOSELF-INSUREFORWOf1KEN5' S C0IIPENSATqN.A9GRCYNDEDBYSECT10N77o00FTHELABORCODE,FORTHEPERFOPM.WCE U Q OF7HEVYOPoCFORWHId/7HISPERIAITISI55UED. � '� ,�IHMEAN�WILLYAMAINWORNERS'COAIPENSATqNMSUqhNCE.A5RE0VIREDBY3ECT10N ' " ' ' ' ' ' ' ' ' Q 77ooOFiHELAf10fiCO0E,iOATHEPERFON.UNCEOFi11EWOFlKFORW�CHiNISPEfWITtS 6SUED,MVNqR R5 CENSATION SUfWiCECMRIERMNPOLICYNUMDERARE: CONSTRUCTION _ ._� ._ 'CAARIER .. �I�ati; '��le_.. �+.y. . ... PLkNREVIEW . . . . . . - . . � �V w ��—� �� o� � POLICYNUABER ELECTRIC A (n�SECnonwEmraoTBE�.stF�FDOan[vEw.�rista�ata[�a��cnWtt/utSR�a�oAtFssa PLUM6ING L� � Z ICERi1FYhuiN1NEPEPFON,11wCEOFTMEVfOFKFORWHICHTH15VENAiTI5155UED.1 MECHANICAL � � ('} 51W1HOTEMPLOYANYGERSONNIWYMlNNGRSOASTOBECOMESUBIECf THE � _ \ y WORKERS'Cp.�PENSATqNUw50FGLLIFORNiA,ANO�GREETHATIFIS BELOME INSPECTIONFEE ��f;a S SU(iJEC7TOTHEVIOR�(ERS'COUPENSATiONGROVISiON50F5EC71ON]7 MELABOR � �� � � COOE I SMAl F TN C0IAPLY Vn E iROVISioNS. ISSUANCE � 1 O p O�iE�2� `APPLM.At�t - SMIP . � ENERGY P/C WAiWIHO:FALUHC TO SECURE WORKEiYS COMPENSATiON COVEMGE IS UNUWFUL.AND SWLLL BE � S1181ECT AN EMPLOYER TO CRIMPUL iENALTIES AND GMLFwES UP TOONE MUNORED T110USM�0 'ENERGY PERMIT DO{.UFtS�SIOO,ODO),N ADORION TO tME COST OF C0IAPENSATION.Du.1ACE5115 PN01PdED FDN IN � ¢ SECTqN�70lOF1N[UBORCOOE,MERESiM1DATTqWEYSFEES. �_' � ' ' � RETENTION FEE: a CONSTAUCTION LENOING AGENCY PRE•ALT FEE: O , � INEREBYAFFlflMUNOERPENAtTVOfPERA1RYiHAiTHEREISALONSTRUCiIONLENDIN6ACENCV 2 FOR iNE VERFORMANCE OF iME WORK FOR YtNK71 TMIS VERMIT IS ISSUED�SEG]09�,pV.G). W - -� LENDERS NAME -� � � C LENDERSNDDRE55 � �CEflTifY7M11TIHAYEREID1T1I5MPLM.AT�ON�MISTATETHATTFIEllBQVENFOR1AATqNISCONRECT. TOTAL FEES � � . -�j�t O � IACPEETOCOA/VLYWI7HKLCfiVANUC0U1fTYOPDPUNCE5AND5TATEUW5REU71NOTOBUttDINO Cq�STflUCT10N,/NDMEREBYAUi1qNZEREVRESEMATIVESOFTNISCOUNTYTOEMEHl1PONiME .. _ , . � ABOVEa.1ENT10NEOYP0VER7YF0(iINSPECiqNPURPO5E3. COMMENTS � � tC.Ilurd .e•I �� m v¢raiitc¢wwE(owrrtj,� �n�f Q � /'1/.�` .� � _ Vj 61CNAT F E ITTEE OATE � ., . . . RECPT.NO. PF,ID BY VAUDATION -WHiTE—Oepartment Copy.YELLOW—Finence Copy,PINK—Asxs�or Copy,GOLDENROD—File Copy,GREEN—Appicantb Capy ,. . . , , ...� ... ,_, .... . . .., . . . . ., ., . . , .. . � . ..� .?..,,... , . , ., . . . . . . , ., , ..•. . . .. . � . . . • ( � � , - � � - � � f , - ' � � ' CITY OF DIAMOND;BAR •a T..:;;, ; �,� ' �,"� '•' '�'.�'�,•INSPECTION'RECORD ��,.� ::�� :�._:� .,.. -� � :. .. � .. . .... ..... . ... , .., .. . . - � � � � • - • � � . � . ;SETBACK ` ; � '.�`. _ ,, , . �1 .. . • FLOORJOIS'(���, , � ,�. .', � �,� ; '-_..:. , IFTGS/FORMS/STEEL = ' � 'FHA REQMTS -- _ - .. � _. � --�-- -. --..._ ., , !EI:ECTRIC GAOUND- -- _____._ `_� _ --__-- UNDER FLOOR DUCT , ,.,�� �` ' -"' �- �- - � -� .+ � IGROUND PLUMBING = ' UNDER FLOOR CO�IDUITI �!�. .',�. �`�' � •': ,'1 ' - . . .�. . � '.,:. :; . : . . .:': '�`:� _:�1;.:-__. ,.., . . ISCAB GRADE �� ---- FIREPLACE FOUNDATION '= � + ' .. ..: .. . . _. •. .. : . . . .. . �TEMPPOWER - ---.. '� _..._ .... _.. ':. „ ... ' FIREPLACE80ND�BEAM- - _ _ - •- --._.._----... . .' � - -- - ._... . . , . �.�, ,; ,..• �.. �, - � . • iWATER SERVICE ---_— --- -� - - _ _-- .MID HT. BOND BEAM ; �._,� . . .. � , � . � , � ° �ROOF SHEATHING-- - - — - - �'.. ---- • " 8 FT.BOND BEAM . . __. . . _.._ .. , . , ;�� � �,.c�,� 'FRAMINGNENTILIATION _ _ FINAL�BOND BEAM '� ` • '' i ' IROOF COVER .- .,. . �. : PRE-GRADING � -- -- - - � - _, . ! 'ROUGH HEATING- -� -- - --- - - --- -� - BENCHING ' ` ;ROUGH ELECTRIC �-i - '� -� � - - '�� - ROUGH GRADING , • .-. -- . . ; �ROUGH PLUMBING' ; -� - - ���-- ' �- --- _ FINISH GRADING .. ,.. , . . ' i SHOWERlfUB TEST "i._.. ._... ----....._ ._ ...._..__... .._. _. POOL'ELECTRIC � • • iEXT.LATH/SIDING_._ .. ... --..-- - -.- •.. ... .... . .. POOL'FENCING " • ' ' 'WALL INSULATION � POOL FINAL ' . • ' - ICEILING INSULATION � OFF SITE IMPS: . � � - !DRYWALL NAIUNG ' DEDICATIONS _. ' , � . ;SEWER. • � .... FINAL�ENG. . . . ' • ' — ---- - �. 3 �i . . :SEPTICTANK _.__.... .- .- -- .-----. . - --.. _� .. .... . ... IANDSCAPEJIRRIG. . ,, . , ;SEEP PIT/L.L.-. -. -.-_..: -_ - _.. _. ON SITE IMPS. , � . ' . GASAIRTEST-;---- - - FINALZONING � ,FINAL-CONST.-; — - - - - _ _ FIRE DEPT.FINAL . ' �FINAL HEATING -- � - -- - - -:� HEALTH DEPT.FINAL � . .. + • iFINALELECTRIC.- _. .._._. ... . -- - . DEV. FEES PAID _ : -- .__."..__._. ',FINAL PLUPJIBING I � � ' ENERGY � _. � � � • • � � _• " ,\ :' 1 � .. � . , . , � i :E iL' S ' 4 - - ' � • • ♦ / � . J• . . ... .... . . .. . : ; . . �•� � � . __..... . ..'_ -__ _._.. __. ... . .. .. .. ..... . • . � -.�. . _ _....... .._.' .. ... . . '.: � 1J�1. . . :GOMMENTS.. _.... . .. . . � , . .. _ .__ . . ; . , � � � ; — ---� ---- --- --- - - � _.. . ._. _ . , , . , _ _. _.._ . .. ; ; .._ � � ' � --. _ .. _ __ _ ._ - - .. , - , � � . � , , , � .. _ — — � : • _ ... . - _ _. � - � --.. _ , .�., . _ � i . ,�� - , } . � _''` ...-' �� �- -- - --. . � . , . • . . .... -. .__. _ . _ , . � � , , , � � ,:. . . _.. . : --- _ - ; . , ; � � _. - - -. . _. � 1 :� ` , ; `•\ • . � , (- ; �. , , - I ` , � � - . . .�� ' . •- . .,. . , - --- - - ----.. . _ �.�;. - ;SEPTIG TANK SIZE =��� 4' 1' 4 +�;:� .,.. ... ; : . ' . _. --�c��-�.. , , . . ;SEEP PITlU SIZE ,.. ,_ � -�, ; , . . , ,. . � _`---�----.-.�_,.�.,,.,;;:�.. . .. � l - . � � ,. .. . . . j -__ . _ .. � _ ._.. . ._ _.. , , _ _- . � i 1 i � _ . _ . _� � i . . ... ; . . .. . , , . � ,.. .. : ; . . ,,. � . --. _ . . ... __ .. • , � � � � ,� . , --- . . , . , _ , , . ' ' � „ • .. __.. . --, _ . ,. ..•. _ �� , . , .. ; . i } , . . . • ,.. , , ... . __. ... _. � , � : � �- . , ,-�.... _` , , _ .- . �, . ,11, . . .. � ..: . � ,� • �` . , . . .._ . . ; � . : � ��.,;.;-. - -.. . �