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HomeMy WebLinkAbout10576 (5) - CITY OF DIAMOND BAR� � , ' . '. , � COMMUNITY DEVELOPMENT DEPARTMENT � :,. 21660 8 Copley Dmc Suite 190 PR E$$ (909)860-3195 Fax(909)861-3117 ' ""'� B UILDING PERMIT APPLICATTON FI R M LY o� JOBSITE I I 1� � 'OI�}1'1 lr�(,,t�S I APPUCATIO PERMIT �C�F/C ADDRESS �_ DATE ' ���� NUMBER , q $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER - ' " ADDRESS ` ZONING SETDACKS �' � o , . , z CITY ZI TEL. � FRONT RW � S APPLICANT TEL. REAR O � SIDFJSIDE STREET RW ❑ � � CONTRACTOR SI�E ❑ o ADDRESS PROPOSED USE � CITY TEL � o ARCFUENG/ DESIGNER � � NO.OWEL NO. NO. n_ ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION Sd.FT. FACTOR PSF ADJ.AREANALUATION OOWNER-BL'ILDER DECURATION SFRlADWREM IHEREBYAFFIRA1tMDEHVENALTYOFDEfWMTHA7IAMEXEA1VTiibA7THECOHTMCTOR5L4 �arage/Carport W CENSEUN'FORTMEFOLLOWwOREASON�SEG7o31.6BUSINE55ANDVRO�ES5iM1SCODEANYCT'OR (J� U CWNTYWMKJIREW�HESAPENM�TTOCONS7RUCT,ALTER,IMPppVE.pEMOl1$N.ORNEVA:RMIYSTRUG w � w TURf.PRIOH TC7 ITS ISSUANCE,ALSO REOUIRES THE APPUCINT FOR SUdf PERMIT TO FlLE A SICNED w PatiolDedc STATE6IENT THAi HE OR SNE IS LICENSED VURSU�Wf TO TME 7ROVIS10N5 Oi TME CON7RACTOiiS L4 � CENSE UW lp1APTEH Y(CUAMENCtlJ�VATH 5EC11DN 70001�DIVISqN]OF ME BUSINESS ANU PRP V" POOVSp3 FESSpNSCODE)ORT�uTHEORSNEISEXEMPT7HEFEFROMANDTME&WSFOATHE�LLEGEDE%EM0. (� � TIOM.ANNVIOLRTIONOFSECTION70.t16BY�NYAPPLICMITFOAAVERYITSU&lECfSTMEAPVLIC/lNiTO Z Re-Roof A CIVIL iENAITY Oi NOT 40RE iNAN i(VE MINDRED DOLURS(iSao).�: � Q�L��'+ti'r1EROFTHFPROPERTY,ORMVEYMOYEESWITHWACESASTMEIRSOLECOMPENSATIDN, O �mmBfUdf � Z W4.1 DO THE WORI(/JID THE STRUCNRE IS NOT INiENDEO OR OfiERED FOR SALE�SEG 7W�,BUSF J � NE55 AND PqOFE55�ON5 D]DE:iHE CONTMC701�5 LICENSE Uw pOES NOT AVPLV TO/JI OWNER Of ? PROPERTV MAq BUILDS OR IUPROVESTHEREON,�NO Vm0 DOES SUCH VJORN HIuSELF OR HEilSEIFOR Q THROUGMMISOfiNEROWNEYPLOYEES,PROVIDEOTMIITSUOfwIPROVEMENTS�ENOTWTEnIDE00f1 CO � OFFEREDiORSALEIF,IqWEVERITIEBULdNGORWPROVEMENT1550lDWRMNONEYEAROFCpJPLE• ' Z TION.IHE OwNER-BUIIDER 1MLL MAVE TME BURDEN OF PROV!!a iHAT NE Oq SME O�D MO7 BtAtD OH � IUPROVE iOH TNE PURPOSEOF S.LLE4 ❑l�ONNER OF iHE PFp7EH7Y,AM EMCLUSNELY CONTMCTPI6 N7TH LKENSED CONTMCTORS (= TO CONSTPUCT TME PRO.IEC7(SEC.70��,BUS�NESS ANO PROCESSI0N5 COOE:ME COHTMCTOHS U- V8�u8t1d1 AQI.AREJ1 - W CENSELIIWDOESNOTAPPL�TOANONTIEROFAPROPERTYIMfOBUIlD50RMPi1pYE5MERE0N.MlO � VIFqCOMMCTSFORSVd1CROJECT5ri7T1�CONiMCTOR(5)LICENSEDPURSUANTTOh1ECONTMG Ol1ANTITY DESCRIP710N FEE � 70q5lICENSE LAW). ' ' ` � O IAM EXEMPiUNDER SEC.�� B.i P.C.FOH iHIS RE�SON Q { � U � DATE 7�jyt�� OWNEH C� U � Z ' W � LICENSED CONTRAGTOFS DECLARATION W , � IMEREBVAFFIRNUNDERFEWLLTYOF►ERRIRYTHATIMILICENSEDUNDEHGROVISIONSOFCHMTER Vr • , . . � d Y�COMUENCINOVATM5ECT10N7D0o)OFDMSION]OFiHEBU5�NE55ANDPROFES5qN5C00E,AND Z i� YY ICENSE LS W FI/LL FORCF 11ND EFFECT. m 0 LICENSECUlSS LIC.NO. j V OATE CONTMCTOR d W � WORKERS'COMPENSATION DECLAAATION -� Q � IHCREBYAFFIPlAU1JDERVEWLLTYOFPERNRMONEOFiHfFOLIAVnNCDECUMT�IX15: Z � � _INAVEANDVALLMAINTARIACERTIfIGTEOFCONSEHTTOSELFiNSUREiORWORKERS' 2 OpMPENSAiqN,ASiNOVIDEDBYSECT10N77ooOFiMEUBd1C00E,FORiNEPERFORM/NCE �U OFTME WORK FOR MMICH iMIS PERMIT IS ISSUED. � O W ���IHAVEANDWILLIMiMAWWOpKERS'C04VENSATIOHMSURANCE,ASREOUIFEOBYSECTION O ]7000F iNE LA90R COOE.FOR TNE PERFORMMIGE OF iHE WOfUC fOR WMIp1iMI5 VERM1715 ISSUEO.IAYM�ORKERS'CONPENSATqNINSURANCECARRIERANDVOIILYNUMOERAPf: CONSTHUCTION J � G1qHIER PLAN REVIEW � � POlIL1'NUMUER CTRIC � U p (n+sseenorvr[�r+oreem�moFn[��w�rswnartrxra�tooatu+s�s+aolaatFssl BING Z ICERTIFYIlui1NTHEPERFORIAM'CEOFiHENUHNFCRWHiCHTHISVFNeiTISI55UE0,1 MECHANICAL L} SXALLNOTEMPLOY/ViYVENSONNM(YMANNfR50A570BECAMESUAIECTTOTHE I � WOPoCER5COA1PEN5ATpNUW50FCALIFORNII�M�DAGREE7HA71fI5HOUtDBECOME INSPECTIONFEE S SUBJECT TO THE WORKERS'COMPENSATION VROVISiO1JS OF SFCTiON 770o OF THE UBOR � cooe.i swti soanrvnn�coua�r xnnr rNosE vaows�or+s. ISSUANCE � SMIP p DATE: APPLICANT. W ;� � WAPNINO:FNLUHE TO SECURE Y��RI(ERS'COuvENSATqN COVEiUGE�5 UNUwFUL.AND SHALL BE ENERGY P/C - _ �y Sl1B1EGTIWEMPLOYERTOCRIMPlI1VENALTIESANDLMLFWESUPTOONEMUNDRE0T1%)USM1D ENERGYPERMIT DOLLAliS(itao,00o6 W ADDITqN i0 ME GOST OF COMPENSATION,DMIAGES�S PRONDED FOR IN J 6ECTqN]70lOFTMELABORCOOE,NTEHESi,ANDATTORNEV'SfEES. RETENTIONFEE: Q a CONSTHUCTION LENDING AGENCY PRE-ALT FEE: " - � � O � IHEREBY�FFVLJUNDERPENILTYOFPEIWRYTWITTMENEISACONSTRUMIONIENDWGACENCY FOR TNE PFNiORYANCE OF TNE WORK FOR WMCN iY�15 YERMIT IS ISSUED�SEG 70Y7.C�V.G). � � IENDERS NANE F_ LENDER'SADONE55 � � � TOTAL FEES � ILERTIFYTMAil1UYERFJI�THISAPPLIGTIONMIDSTATETHl1TME/BOVENFORYATIONISCORRECL ' � IAOREETOCdA7LYVlITHALLC7iYMlDCOUNTYORDINMlCESMY15iATEUWSNELATP10iOBULDINC /j � CONSTFUCTION,MJOHEREBYAUfIqRiiEpEDRESENT�TIVESOFT1u5CO1Mf'/iOEMERUPONTNE , IIBOVE�MEHTIQ4ED VflOVEfliT FOq INSVECTIDN DURPOSES. COMMENTS � .�Jo - ' c� _ m c � E E(VWMI ¢ N � (A SI ATUR i ITiEE DAiE / � FECPi.NO. � PAID BY VAUDATION � .. WHITE—Dapartment Copy,YELLOW—Finance Copy,PINK—Asseasa Copy.GOLDENROD—File Copy,GFiEEN—AppncenYs Cow . �•z�r•'.. '•�:.^. . , ._ . .� ..... , . ' •. . . :t� �.��Y�� `T�:� _. . '."�, �.r• - �.�� S•a:y� , :f^-"" :,r� .ro,—.a...rn.�,r-., --.urn,r:r '.� . , . . . . , .'�.`.. . . .. , ,':F..:;'.�. . �_�' � . � CITY.OF DIAf�iO��D BA,R . , INSPECTION REC�63D :. . �, ``� . � . . �: , . . . � 1►.����c�;�!fo�►'N�ti�'����rl:��� ��� �. f � �►'.�-�.������e..i!pp� � '�� �.I�.f=:a-.c'•t'a1=� ' ���'..�'r,..__..._._..��-�__?�_ SET BACK: 1- - - _ _ . , FLOOR JOIST - - _- --. . . _... .. .._� ; FTGSIFORMS/STEEL ' - - � - � FHA REQMTS - _, �, , - •• � - „ ELECTRIC GROUND �/ • UNDER FLOOR bUCT • � � �- , � �� ! GROUND PLUMBING '- UNDER FLOOR CUMDUIT `' ' ` - . � �� _ '� � ' ' . .r. . SLAB GRADE �� ' � ' FIREPLACE FbUt��DX�TION :_"-_ - "'" ' " ' ' TEMP POWER - - � - - - • � - FIREPLACE BOND BEAM � • � . WATER SERVICE � - - •- MID HT.BOND BEAM �� �- �-� �. ROOF SHEATHING - E3 Ff.BOND BEAM 1 : . ' : ' - • ' FRAMINGNENTIUATION - FINAL BOND BEAM - - � " � • ROOF COVER - - - - - - PRE-GRADING � ' .. � " � AOUGH HEATING - ' - EiENCHING ; ' ROUGH ELECTRIC . - ROUGH GRADING . ROUGH PLUMBING � � FINISH GRADING SHOWEWTUB 7E5T -- -- -. POOL ELECTRIC - -- � • � � ' EXL LATH/SIDING , •, POOL FENCING ' "' WALL INSUIJ�TION POOL FWAL • � ,- CEILING INSULATIDN pFF SITE IP,APS. . � DRYWALI NAILING ; DEDICATIONS : . . ,. SEWER FINAL ENG. SEP71C TANK LANDSCAPE/IRRIG. SEEP PIT/L.L. '. ON SITE IMPS. � � • GAS AIR 7EST - ' `� --``- `-' i �' ••� -FINAL ZONING :'' '! FINAL CONST. : ' � � �-• • � ' •• ' FIRE DEPT.�FINAL: - . � , ..;�;:::( .':�1,.;;�; : t. FINAL HEATING --,! - � � - HEALTH DEPT.'FIPdAI ; � - � FINAL ELECTRIC d'//�� � DEV. FEES PAID � . FINAL PLUMBING ENERGY � � t. :n+'�c1:!c`�c^r:; . , _::L �..�e� _._. . _ . . . . . .. : " COMMENTS ._ . � . , . . . . C:•..F �;. .*-•. � . . , .. . '. . . _��'�f}, r . . . , . . � � . . , . � .. . i . . . .. . . . . ' " � . . . .. - �';,1;?� � �i�� ; _ . _ .. � ' , , . r SEPTIC TANK SIZE � , _ - . - � .. ..... _ .... � SEEP PIT/U SIZE ! � �. , '. . . : , ,� .. . ... , . _ i�.� • - � . .. . _ : � -,. . I ' . _ ... .: ... :... :_:: .�.: _ .. � I � . .... . '��A�� ' . i�; . . .. . . .. - i . .. , ' _',i� l.1`� - ' - ��1 �i•-- - , _ � ,. . � ��� '�``' ' ,�: ' - .. � . :� - - ����rl.:_ _ - -� -- � _"- -_. . . . ...._ .... ... . .._---.....__._. . .. - - _ _._