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HomeMy WebLinkAbout13386 (7) CITY OF DIAMOND BAR �--�� "- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES F � 21660 E.Copley Drive Suite 190 . (909)860-3195 Fex(909)861-3117 PRE$S .,.��'..' BUII.DING PERMIT APPLICATION ' ' FIRMLY 0 ADDRESS'v'"l✓� �ii�t.itfi�FFY. G��,i/� DATE CATION��.//��Gj� NU B R �I 38� q/C '� � 7 � � APN LOT TRACT • ISSUE � TYPE OCC � OWNER��. S B� �.{,O.A . DATE �l'-�`9�� CONST. GROUP �p ADDRESS o �'V1 G ZONING SETBACKS � "' CITY ZIP�� 7EL � FRONT . RW ❑ � APPUCANT �� .Iv1, I�I�iAf�1 TELB��,�4 SIDFJSIDE STREET RW ❑ � CONTRACTOR ' SIDE p ADDRESS � CfiY ZIP TEL PROPOSEDUSE �'�' N Li N'� o ARCH/ENG/ - � � DESIGNER 0 � NO.DWEL. NO. NO. ADDRESS UNI7S �' STORtES 2" BEOROOMS CIN ZI� TE v� OESCRIPTION SQ:Ff. FACTOR PSF ADJ.AREANALUATION _ p� . _ . OWNER-BUILDEROECLARA710N ._ _�_ � SFWADD/REM O � e1 NERE9V AFFqW UNDER VENALTY OF PERRIRY 7HAT 1 AM EXEMPT FROM TME CONfMCiOHS lJ• ' G8f8gBIC81pOR � CENSEUN�fON1MEfOLLOW'�IA6ASON(SEG)0.71.68VSINESSANODROFESSIONSCODE:ANYCITYOR (n COUMTYMRUQIREOUNiE3AFERMRTOCONSTFlUCT,ILTERIMPROVE.DEA10LI5M.ORitEV�IRANYSTiU1G W PatblDeck �NRE VRIOH TO R4134U.WCE,ALSO REOUIRES iNE APVLICANT FOR SUCH PERMIT TO FIIE A 61�NED w � . � STATEMEM THAT ME OR SME 44 UCENSED PURSUANT 70 THE P0.0V45�ON5 OF 7ME CpffRACTORS l4 CR�ISE LAW(C11AV7ER�(CqAMENCpq WITN SECfIOH 7000)OF DMSION!OF TNE BUSINESS AND VRO- LL' POOUSp3 . FESSpNS COOE)ORtMAT ME OR SME�S EXEMPTTHEREFROM�NO7ME&lSl3 FDRTHE ALLEOED E%EMp- TICN.ANVV�OLATIDNOFSECTION7071.SBY►NVAOPLIGNTFOHA7EW.IITSUBJECTSTHE�PPLICMffTO Z RaRoof �„_, I1qY0.►ENALTY OF NOT AqRE if1AN FIVE NUNDRED DOlURS(3500).�: � OL��MMEROFT�EVi100ERiY,ORMYEMVLOYEESNnTHWAGESASTNEIRSOIECOIACEN5AT10N, O COrtlfnBfClel . - . � '. Y�IIl DO THE YIORK,/ND TME STRLKTURE IS NOT INTENDED OR OFfERED FOR SN.E(5EG 7oN,BUSL J � IIESS AND DROFESSIONS p00E:THE CONTRACTORS LICENSE UW DOES NOT A7PLV TO AN OWNER OF . ? � . iROPERTY WVq BURD$Oq IMPilOVE57YlEREON,IND MR10 DDES SUp/YIORK HIMSELF qi MERSELF OR ' � � TNROUGHWSORHEROMMEMttOVEES.iROVIOEDTHAT6UCHIY7ROVE4ENT5ARENOTRlTEtiDEDOR m OFFENEDFORSALE IF,HOWEVER7I�E BULDINa OR MPROVEMENi IS SOLD WITHIN ONEYEAROFCOMPLE• TION.T11E ONMER�BUILDER VALL NAVE TME WRDEN OF GROVPIO iHAT NE Oit 6HE DIO NOT BUItD OR IMI PROVE FOiITNE YURPOSE Of SAL�. � W �4A90MMEROFTHEDROVEHTY,MIE%CLUSNEIVCOMqAL'T1N�WRHLICENSEOCOMMCTOILS . ¢ TO CONSTRUCT TME►RQIECT(SEG 7oa1,BUSINE55 M!D PROFESSIONS LODE:THE CONTRACTORS LF Valuetbn ADJ.AREA � . llJ CENSEUWDOElAIOTAFPLVTOAN0INJEROFAVROFERTYWNOBUILDSORMPqpVE3THEREON.AND � 1M1000HTRACTSiOR5Uq1iRO.lECTSN1iNACONfMCNi1(5)UCENSEOiURSUANTTOMECONfMG OUANTITY DESCRIPTION FEE ; � tau uc�+sE uw.�. OIAAIE%EYPTUNDERSEC. B.1P.C.FORTMISRFASON � U � 1�.. ¢ � . D�TE OWNER U � UCENSED CONTFiACTOFiS DECLARATION W � . � IHEREBYAFFGMUNDERVENALTYOF7ERRIfiYTHATIAA1lICENSEDUNOERVROVI510NSOFCHADTEq (� �(COM4ENCNGVRTMSECT%N17000)OFOMSION�OFMEBUSMESSFNDPROFESSIONSCODE,FNO Z T�+,! T"-�, ' � X W IJCENSE 45 N FUl FORCE AN�EFFECT. m a....��. LL1 � UCENSE CUSS LIC.NO. - � j �j DATE � . . CONTHACTOR G' . � U � W � � WORKERS'COMPENSATION DECLARATION -� � a r ni.�..,,� � ' NIMEREBYPFFIRMUNOERPENALTYOfiEM1RY0NEOFiT1EFOLLOWiNODECUMTIONS: - � Z ) nT Tr' A TT7� C?A T;�:' ' � � _I/IAVEANOMnLLAWNTAlIACEiifIFICATEOFCONSEMTOSELF.INSUREFORYlORNERS' _ � � � � COMPENSATpN,ASiROVIDEDBYbECT10NTooOFTNEIAeORCODE,FORTMEiERiORMANCE W - Q OFiHEWORKFOiiWMCHTMSPEPlA1T191SSUED. � Q �I MA`/E AND MALL MANTMi YlONKERS'COMPENSATION INSUMNCE,AS REOUIRED BY SEGTION �70o OF 1HE U100R COD�FOR iNE PERFORIAANCE OF tHE WOqK FOH WHlp/h11,4 PERMIT IS � 65UED.IAYNR7RKEASCOMPENSATqNNSUHANCECAARIERAN0G0.ICYNUMBERME: NSTRUCT �7 � c�ruea PLAN REVIEW "<- L � raKY"weEa ELECTAIC . _ � � � (t�ssEcnonrEIDwareEaor,�rmoFnEaEw.rrswnanEr�r�o�ou�u�(siw�a+tFss� PLUMBING Z �CENTiFYTHATRITMEVENFOiWANCEOFTMEWONKFO(tWHICHT/nSPERURI5LS5�ED,l - MECHANICAL � �} S/41LNOTEMPIOYANYPER50NNANVMANNER50A5TOBECOMESUDJECTTOTME (n WORNERS'Cd�DEN5ATI0NLAWSOFGLIFORNIIAlIDAOREETHA761SMOUlDBECOAIE INSP CTIONFEE _5. 9UB.IECTTOiHEWOAKERS'COMPENSA7qNPROVI510N50F5ECT10N170o0iTNEUBOR � • QCOOE,1 SH/�LL FORTHW�TH CO�A�LY WITH T110SE ORDNSqNS. SUANC � p DATE: APPL�cAPR: SMIP . . � WARNINO:FAILURETOSEWREWOAICER5COMVENSATIDNCOVEM0E15UNUM/FUL,/�NOSHALLBE ENERGYP/C � SlR1ECTANEMDLOYERTOCNUINALFENALTESANOGVLFINESUPTOONEMUN0iiE0TNW5AND ENERGYPERMIT DOLLAFli�f tao,00o),W I1DDrt10N TO THE COSTOF COMPENSATION,OAM�GES AS PROVIDE�FOR IN J SECTION]7olOFTiEUBORCODE,MTEHEST,�NDATTORNEYSFEES. RETENTIONFEE: oCONSTRUCTIONLENDINGAGENCY p ALTFEE: � � � IHEREBYAiFlRMUNDEqCENALtYOFFERNRYTHATTHEREISACONSTRUCTIONLEHDW0�6ENCY J � ,,; ��/ � ;� FOR7NEOERFOHMANCEOFTMEWORNFORNMICF/TM�SVEP/AiTISISSUED(SEC.]OW,CN.G} o�-�rx��-� � � LENDEHSWWE . ._ . . . . . T � IENDEfrSADORE54 � ICERTIFYTIATIMAVEREIDh113APGLICATKN/NDSTATETHATT7EABOVENFORMA710Ni3LORREGT. TOTAL FEES � �� � � IAGqEETOCOIAPLYWIiHALLCfTVAN�COUNTYORDPI.WCES�NOSTATEUWSRELATIN6TOBUttDINO � CONSTRUCTION,MIDHEREBYAtfTFIOWZEHE7RE5ENTATM1/ESOFTHISCOUNTYTOENTERUPONTHE . . , �' , . Aeove�u�E soA ws� rnr�v�Es. COMMENTS � � , �� ¢ PEfWfiTEEN (F .� � /l . . . . � y � SarutuRe vE O�re + RECPT.NO. I S�I D PqID BY VAUDATION �� WHITE—Departrnent Copy,YELLOW--Fhence Capy,PINK—Assessw Copy,OOlO£NROP–file Copy,GREEN—Applicant'a Copy � � � � . ' , . ., � . .� . - �- � , � . .. , a, . ' . . . ,.��� . ,..�. , . ,� � . , , ,.. .,,., .� . ,.. , �a' . .. �� .. . � ... ,. . �.r�� � .. • + "J CITY OF DIAMOND;BAR�, ;,, .; � ;, �. . ' ' " INSPECTION'RECt�RD,�..�.�� �. ; o c � • - � � � � - SETBACK �, � .� . _ ,_.�_�; :FLOORJOIS�':..1 '��I ` :`t� :� ! r.1 ' ` j•;1'. FTGS/FORMS/STEEL � . ,-� c _ � FHA REQMTS - - - - ' ELECTRIC GROUND � - -� ' " - - � � ' � UNDER FLOOR DUCT "�; • •,,:• ;�; . ; . ; � • GROUND PLUMBING UNDER FLOOR CO(�DU1T+;'- ��s:i� -•r�f� ^•"::- �` •- SCABGRADE - - -- - FIREP C F UNDA710N c�'.�i:, -•�;�.y :,..�,. ,,��i•� �� TEMP POWER - `., � ' � FIRE LdC�'6C�f�D E M = �•_._. ..•,. ; WATER SERVICE - � � - MID HT.BOND BEAM � - - � ' RbCjF SH AT t[VG''+" `. —� ,• -t _ 8 FT'.BOND BEAM - _ FRAMINGNENTILIATION Y � FINAL BOND BEAM, . ,,, .� � ROOF COVER 1 PRE-GRADING�� _ �.5�.`�} :; :�.!�, :..,��..�. ". __. . , , . ROUGH HEATING � - BENCHI {-;l-S:i�. �i� ' .�,a':;�: . _ �• '�_A 4!��i'. -'- ROUGH ELECTRIC ' - � ROUGH GRADING ' �ROUGH PLUMBING - FINISH GRADING . " SHOWERRUB TEST - POOL ELECTRIC � EXT:LATH/SIDING POOL FENCING • 1 WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING OEDICATIONS SEWER _ FINAL ENG. � SEPTICTANK. _- _ LANDSCAPE/IRRIG. • � ., _. � SEEP PITlL.L. -.- ---- - - ''- �' \` � ON SITE IMPS. • GAS AIR TEST - - - - - - - FINAL ZONING � FINAL-CONST. U �.�� FIRE DEPT. FINAL - - FINAL HEATING - HEALTH DEPT. FINAL - FiNAL ELECTRIC ' � -" � - - - DEV.FEES PAID � FINAL PLUMBING ENERGY :� � s �� � - COMMENTS - ' �,. �, ., ti:..�.�i, �� _ � , � _ . � � �-��.,1 -- � � . � _� , _��. - - , , � r. �_� . - - ____ SEPT(C TANK SIZE SEEP PIT%U SIZE . •� ' : ' - - � � i� f i - _ � � ' .� I�ti r. - , ; � � '�:\ `:\ , _ !� . •� - ' � � �' . . . + __ � �� , . , ' ` �, �� '�.