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HomeMy WebLinkAbout11018 _ ___ --,�:. ��-- -- - - _ ---- - ---�'�--- CITY OF DIAMOND BAR � C0�1h4UN1TY DEVELOPh4ENT DEPARTMENT ,��,,.� . 21660 E.Copley Drive Suite 190 PRESS - (909)860-3I95 Fax(909)861-3117 ' ' ' '�^' B UILDING PERb41T APPLICATION FI R M LY ¢ ADDRfESSeC JS�O/'���AC^� �'�'V� DATECATION _ NU ER l�I� #/C � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER n�12 Tlt��vt F S Bo LoT�N ADDRESS,J 7 �� .Sf�An,��ILC�1(�G,E ZONING SETBACKS gCITY_��,�_ ZIP /IG TEL. R�RT RW p❑ APPLICANT TEL. SIDE/SIDE STREET RW ❑ Q CONTRACTOR �� iiC - SIDE ❑ � ADDRE�� 'S�3$� ��s� PROPOSED USE � � � CITY ZIPC�4- TEL Z�y T17`��/ w ARC NG/ ��� 7��g7 W DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS = CITY ZIP TEL. N DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION � .. . .. OWNER-BCILDER DECLARATION � � � SFR(A�0(REM � � � O � i NEREBY AFFIRM 11N�ER PENPLN OF PERNRY TMAT I AM E%EMPT FPOIA THE CONTMCTORS Lb G3�290/C31pOfl - � W CENSELAWFORT}7EFOLLOWINOREASON�SEC.70.71.58USINESSANOPROFESSIONSCADE:ANYGITYOH (n U LOUNTYWHICNREOUiRESAPERMIITOGONSTRUC7,ALTER,IAI7ROVE.DEIAOI.15H2ORR6PAIRAM15f0.UC• W patiolDeck � Z TURE.PR�OR TO 175 ISSUMICE,AL50 REWIRES THE AV7LICANT FOR SUCN VEN.nT TO FILE�SICNEO � � S STATEAIEM 7/1A7HE OR SHE IS UCENSE�PURSUANT TO TXE VHOYISIONS OF TME CONiMCTOHS lb - � � CENSE UW(tl1aP7EH Y�COMMENGNG W17H SEC710N 7000)OF DIVISION 7 Of TNE BUSiNE55AN0 PR6 POOUSP9 � iE5510N5CADE)ORTHATNEORSHEISEXEMPTTHER[fROMANOTMEBA515FORTMEAtLEGEDEKEAIP- V TION.�NYYKKATIONOFSECTION7071.SBVANVAPPLICANTFORA�ERMITSUBlECTSiHEMPLICANTTO Z Re-Rool , � ACN�LFEKNLLTYOFNOTIAORETHANFNEHUNDREDDOLURS(lSao).�� , Q OI.ASOWNEROFTHEPqOPENT'.ON4YEMPLOYEESWITMWRGESAiTME1R50LECOMPENSAT10N. O �mmereial � � � Z W;LL DO 7NE WORK.AND TME 57RUC7URE R NOT IMENOE�OR OfFEHED FOR SALE ISEG.7a�.BU54 .J NE55 ANO VROFESSIONS COOE:iHE CANTRACTORS UCENSE UW DOES NOT�PPLY TO AN OWNER OF � ►ROPERTYYrt108UI1D50RIMPR0YE5THERE�N.ANDYMODOE55UCHWORKNIMSEIFORHCRSELFOR = a TMflOUGMH15ORHEROWNEMPLOYEES.VROV�0E0THAT5UCHIAIVROVElAEN75�RENOTINTENDE00R m , , W OFFFREDFORSPL.E.IF,HpWEVERTMEBULDINGORD.�vROVE1AENTIS50lDWITHINONEYEAROFCOAIPLE- � TION.T11E OWNER�BUIL�ER WILL MhYE TME BURDEN OF PROV�NG THA7 F'E OR&/E DID NOT BVItD OR Z IAAPROVE FOR TNE 7URPOSE OF SALE} w OlASOWN[ROFTHEVROPEifTY,M7EXCIUSIVELYCOMMCTINCWIIHIICENSEDCONTMCTORS . . . W CENC6NUWu00ESMNOTAPPEYTOANOYVNEHOFAVflO�RTYWNOBURD50oIMPROYE�3TMEREON,AND 'ValU2ti0fl AW.AREA �1' W110GOMMGi5FOR5UCHGq0.1EGT5W�7HAfANiMGTOR(5)IICEHSE�VURSUPMTOTHEWNTRAC• QUANTITY DESCRIPTION FEE � TORSLICENSEUWJ. � Y QO IAM EXE�P7 UNDER SEC. B.a V.G FOR THLS NEASON � u' DA1E OWNER � Z � LICENSED CONTRACTORS DECU1RA710N � 1 HEREBY AFFIRM IM�ER PENAL7Y OF PEf WRY THAT I F1A LICENSEO UNDER PROVISqNS OF CHAPTEH d, 9(COMMENCINGWITHSECTION7000�OFOMSbN�OFiHEBUSINESSANOGROFES510NSCO0E,AND X MV LICENSE IS W FULL FOiiCE AND FFFECT. LLI � LICENSE CLA55 C�Z Q LIC.NO, � V DATE���S'S T CONTRACTOR , W . � WORKERS'COMPENSATIO EC ATION a S • 1�G0'd' G � .._._� ---- _ . .. . . . V ' � IHEHEBYAFFIRMUN�ERPENALTYOFPERJURVpJEOFTMEFOLLON1NGDECUiL1TWN5: �n zQ Gf '- � Cra � �INAVEANOWILLMAINTAINACERTIFICATEOFCONSENTTOSELF•INSUNEFORWORKERS' _ �f � L,s �Q � COMPENSATION.ASiROVIDEDBVSECTIONl7000FTHEUOORCOOE.FO{ITHEPERFORMFNLE � i T OFTME WORK FOF WHIp1THIS PEAMIT ISISSUED. . . _ � _ � W _IHPVEANDNALLMAMTpINWORKERS'COMPENSATIONINSUMNCE,ASREOUIREDBVSEGTION � . ]70o OFTME U�BOR COOE,FOR THE PEAFOFMANCE OF iHE WORK F�R V/HiCH THIS PERMIT IS ISSUED.MYWORKEHS'COM7ENSATqNWSUR�NCECARR:ERANDPOL�CVNUMBERARE: CONSTRUCTION J j CAFiBEH PLAN REVIEW Z pa.�crr+uuoEA ELECTRIC ¢ � � fn�ssecm+r�mrare¢�oFn+eacaArrsax�a+e�oouu�s6+aloa�ssi PLUMBING w O '_ Z I CERiIFYTHAT P1 THE PERFpqMANCE OFTNE WORN FORNM1IICH TH15 VERMITIS I55UED,l MECNANICAL /�3. 3 (} SHILLLNOT EMPLOYANY VERSON W AYY AIANNEF SOAS TO BECOMc 5U&1[LT TO THE . . . � WORKERS'COIIPENSATI0NUw50FCAUFOFiNIA�ND�GREE7MATIFI OBECOME INSPECTIONFEE S Sl18JECTTOTMEWORKERS'LOMPENS�TqNPRON510NSOF5 CTIO 7 OFTNEtABOR �SSUANCE �� �,�� COOE.ISMALLFOHTMN7MGOMPLYWIMT105EPiro Sq O p oA7E:�z���� APPLICANi: $MIP - . � ENEFGY P!C WAFiNINQ:FAILUH[TOSECURE WOfiKE 'OMPENS iON CAVERAGE IS UNU'NFUL M1D SHALL BL � SIIOJECfANEMPLOVERTOCRIMWAL NAITIESIWDCN!LFWESUPTOONI:MUNDREDTMWSMIO ENERGYPERMIT � OOLURS(f t00.000).W ADD�TON TO TME COST OF�OMPENSATION,DAMAGES�5 PflOV10ED FOH IN �s}� � SEMIONf70lOF7HELABORCOOE,INTEREST,ANDATfOANET5FEE5. RETENTIONFEE: � v '� ' pw_, CONS7RUCTION LENDING AGENCY pRE•ALT FEE: O _ � IHEREBVAFFIRMUNOEPVENALTYOFPERJURYi11�TTHEPEISACONSTRUCTIONLENDINCACLNCY FOR THE PEAFORMANCE OF THE WORK FOR WHICH THIS PERuIT IS ISSUED(SEC.70G7.CIV.G), y ' Z . _ _ . _ . . . . .... i W � LFNDER'SNAUE 5 F- LENDERS�IDDRE55 , � ¢ IGERTIfYTHA7IHPYEREADTH15AVPLICATIONANDSTATETMAiTHEABOVFWFORMATIONISCORPECT. �TOTAL FEES � . � W IACREE TO COMOLY WITN�LL CITY AND COUNTY ORD�NANCES M1D SUTE lAWS pEUTIhG TO BUILDING � n' CONSTHUCTION.ANDHEREBYAUfFIOPIZEPEPFESENTATIVE50FTN15COUNTVTOENTERUPONTHE ' Z pBOVE�uEM10NEDVROVEflTYFORINSPECTqNGURPo5E5. , COMMENTS I O ^ � � (��/}���� ' �� �/'!y1��� �+ - � �� � OL-�Cl/� m PERMITTEEN E iNn � ��L�L� /1-� � � _ _ ', � &'NATU � PERMI E DATE . � RECPT.NO. PAID BY VALIDATION � - � � �WHITE—�epartment Copy.YELLOW—Finance Copy.PINK—Assessa CoDY.GOLDC-NROD—Fila Copy,GREEN—Applicanl's Copy . _ _. .... _. ... . _.. _._..,—. , .. .. �. . . � . . . � . .. . .., . . .. ,.. . - ` • C1TY OF DIAMOND BAR ' . INSPECTION RECORD . e � c. e - e o � � ' SET BACK � � � '� ' \, `� FLOOR JOIST � - - FTGS/FORMS/STEEL -- ' FHA REQMTS , �. ,.�, ' � ELECTRIC GROUND - - UNDER FLOOR DUCTr;`..`\:�•;�,���� :.�,-;� �.,�, ' GROUND PLUMBING UNDER FLOOR CONDUIT � �"� •'�•,.•``_� SLAB GRADE � - ' � � FIREPLACE FOUNDATION � TEMP POWER . FIREPLACE BO1Vd BEAM•'`'��..��".�,'a-� '; .;_,;,�.� : . WATER SERVICE - -• ' `�' MID HT BOA1 �$EAh1.- ` � �� � �� � � �`" `` s � - - _.,^, ,� ' �, �. . ROOF SHEATHING � 8 FT.BOND BEAM '��`s� , . '` ' FRAMINGNENTILIATION FINAL BOND BEAM � `y� � ROOF COVER -- - - PRE-GRADING ' RDUGH HEATING � � ' BENCNING ' ROUGH ELECTRIC � � ' � ROUGH GRADING ROUGH PLUMBING - FINISH GRADING I SHOWERlTUB TEST ' - - �-�� --� -- POOL ELECTRIC � ' EXT.LATH/SIDING ' POOL FENCING ;.r.- WALL INSULATION POOL FINAL • ' � CEILING INSULATION OFF SfTE IMPS. • ' DRYWALL NAILING DEDICA710NS SEWER.. _ _ _ ' FINAL'ENG. - SEPTIC TANK. . -.... LANDSCAPE/IRRIG. � SEEP PITlL,L. - - ON SITE I'vIPS. GAS AIR 7ES7 ' -- - = FINAL ZONING • FINAL CONST. -- - - - FIRE DEPT. FINA� 1 FINAL HEATING �- - � - HEALTH DEPL FINAL- - - - - FINAL ELECTRIC DEV.FEES PAID FINAL PLUMBING ENERGY � �_ � _. :c.\�:�� �, - _� , 6 � P7.l+ • �\' '." , . - , ..; ._. , , , .� •�•�.. ,-�.4 � ,_ ��� .. ._�� . ._.... ____ _ _... �. . ___.____ � � .. _ COMMENTS -� �. . �,_... �,;;— ;,: , _ . _-�� �. . . �.•.. :`�. ,�;'�: .':�._ C ... . , ��: . � . .. _ , � ' � . . . . . . i _ � � . . , —t� �"�.. �� �; . ._ ,�::�,�: ;l.: �•.-��—�..� 7�c �,,.<< . ' _ ,. SEPTIC TANK SIZE � " ` � . . . SEEP PITIU SIZE - ; , , _ _ . . . � ._ _ , ' . • ��`a�. ��`;:-. r.:` ..'�'.. ; � � �•,;."� `'• `�. ,� � �� y.� ` 1: , ����:�:\• 11.:,�1.,��,, .�:.�. . . „ _ : , . . �,� �,i � ., � ,_.... :�. . �