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HomeMy WebLinkAbout11285 ..-.,-----_!--__ ______, .�. ._.._ ..__.__.�.. ____ _._ __._____.._., ----��-- CITY OF DIAMOND BAR • COMMUNITY DEVELOPMENT DEPARTMENT ,'�.;,,� 21660E.CopleyDriveSuite190 • PRESS (909)860-3195 Fmc(909)861-3117' ' . '�^'� BUILDING PERMIT APPLICATION FI RM LY � JOBSITE�3,3� J APPLICATION Z � �� PERMIT /2 p� P/C o ADDRESS DATE �_NUMBER �� k � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � °C OWNER � p �1 iy�,£ �J ZONING SETBACKS o ADDRESS FRONT RW � Z ��Ty D IP ' TEL. REAR O o APPLICANT �}-• SIDFJSIDE STREEf HW ❑ � CONTRACTOR 51DE ❑ � ADDRESS PROPOSED USE '� �o � CITY ZIP TEL _ o ARCWENG/ _ _ z DESIGNER NO.DWEL. ` NO. NO. � a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL ` N � DESCRIPTION SQ.Ff. FACTOR PSF " ADJ.AREANALUATION � � _ OWNER-BCILDER DECLARATION _.. SFR/ADD/REM - O . p . .I NEREBY AFFIRM UNDER PENALTY OF PERNRY THAT I AM EXEMPT FROM TNE CONTMCTORS LI- Gef398/CafpOR - � - � �� - - - � W CENSEUwFOR7HEFOLLOriINOREA50NI5EG7o]1.68USMESSANDPROPESSIONSCODEANVCITYOi1 .- (n C.� �NiYWHICHREW�flESAPERMITTOCONSTRUCT,ALTERIMFROVE,OEMOUSM,ORREPAIRANY3TRUG W PaIlOIDBCk ' W TURE,PRIOR TO RS ISSUMICE,ALSO REWIRES THE 7�PPLICANT FOR SUGM PERMIT TO FILE�SiGNED - - . � S7ATEMENT THAT HE OR SHE IS LICENSEO PURSUANT TO THE PPOVISIONS OF THE CONTMCTORS l4 � � CENSE UW(CHAPTER o�COGAIENCINC WITH SEC710N 7Da0)OF DIVISION 9 OF7HE BUSINESS hN0 7R0. � � PODUSpe � � FESSIONSCODE�ORhUTHEOR5HEI5E%EMPTTNEREFFOMAN0T11EBASISFORTHEAILEGEDE7(EMP- , V TqN.ANVVIOUTIONOf5ECT10N70�1.S8YANVAPPLICANTFORAPFRMITSUBJ[CTS7HEAPPUCANTTO Z Re-Rcot � S � A CIViLf ENALTY OF NOT MORE THAN FIVE HUNDRED DOlUR5115o07.): � � 0 ](iA50WNEqOFTHEPROPERTY.ORMYEMPLOVEESWITHWAGE5A5THEIRSOLECOMPENSATION, � ❑ COrtIrtl0fCl81 , Z WILLOO TFIE WORK AND THE STRUCTUflE IS NOT INTENDED ON OFFERED FOR SALE(SEC.7w1.BUSH J NE55 AN�DROFESSIONS CODE:THE CONTMCTORS LICENSE UW DOES NOTAPPLY TO AN OWNER OF . � � . � PROPERTVNIHOBUItDSOFM7f2�VE57HEFEON,ANOYMODOE55t1tl1VJORKHiMSELFORHERSELFOR = [C THROUGNHISORHEIiOWNEMPIOVFES,PROVIDEDTHATSUCHWPROVEMENTSARENOTMEN�E00R m , _ . � QOFFEREDFORSALE�F,IION'EVER7HEBUlDiNGORIMPROVEUEMI5501D`MTN�NONEVFAROFCOUPLE• Z TON,TME OWNERAUILDER WILL MAVE TME BURDEN OF VROYINO TMAT HE OR SHE DID NOT BNLD OR = IMPROVEFORTHEPUFPOSEOFSALE). '� O I.AS OWNEH OF iHE 7ROPERTY,NA EXClUSIVELY CONTR�CTWG WITH LICENSED CANTMCTORS � Q TO CONSTRUCT THE VRO.IECT(SEC.701�.BUSINESS AND PHOFESSIONS CODE:THE CONTMCTORS U• �V2Wet100 �i �o� ADJ.AREA � - W CENSEUWOOESNOTAPPLYTOANOMMEROFAPROVERTYVAqBUILDSORIMPROVE5T11EREON.AND � � Vrt1000NTMCTSFORSUCHPROJECTSMATHACONTMCTOR�S)UCENSEDPIIRSUANTiOTHECONTMG pUANI'ITY - DESCRIPTION � -�- FEE � .. TORS UCENSE LAW.). Lw /' /�(,�. � �I IA1 EXEMPT UNOEH SE0. Sf'� `—� �,D"7 /.._E.d V.G FOR TFIIS REASON � U . ..� _ . . _ � . , . . _ .. Z DATE I�A �� OWNEH [7S �/_ I A� W . . _ . . . , ' , . ._ . ' 'DC—' � UCENSED CONTRACTORS DECLARATION. W � I HEREBYAFFIRM UNDER PENALTV OF PE0.IUHY THAT IAM LICENSED UNOER PROVISIONS OF CMA7TER . Vr . � . " d 0(COMIAENCW6WITHSECTION7oa010FDNISiON�OfTHE8U51NE55ANDFRDFES510NSCODE,IWD Z - X MV LICENSE IS PJ FUIL FOHCE AND EFFECT. m � . . � , . LLJ O � � LICENSE CLASS LIC,NO. J ' V DATE � . . CONTRACTOR � � n- W � WORKERS'COMPENSATION DECLARA710N ¢ _ = U � IHEREBYAFFIRMUNDERPENALTYOFGEfiIUHYONEOFTHEFOLLOWINGDECIIAAT10N5: - �� � � Q � _IHAVEANDWILLMAINTNNACERTIFlCATEOFCONSENTTOSELFJNSUREGORWORKERS S . . . � CDMPENSATION,ASPFOViDE0BY5ECT10N17G00FTHElABONCOOE,FORTHEPERFORAIANCE U _ OFTHEWORKFORWHIp1TMI5PERMIiI51SSUE0. � � '- i•'. .. - .. .� . . •- . t � w �IHAVEANOVALLAWNTAINWORKERS'CAMOENSATIONINSUHANCE,ASREOUINED9YSECTION ` � � Q 97oo0FTHELABORCODE,FORTHEPERFORMANCEOFiHEWORKFORWHICH7HISPERM1T15 y �(^ �SSUED.MYWORKENS'COMPENSATpNINSURANCEWRWERANDPOUCYNUMBERARE: CONSTFIUCTION � I .�v � j c.ww¢a _ PLAN REVIEW Z voUcrnviueEa ELECTRIC 4 � �sSEcrant�mr+oreeoor.w�ooatr+er[w.�rawaweraror+��oair�ls+oqora�. PLUMBING Z 1 CERTIFV THAT IN THE VERFORMANCE OF iHE WORN FOH WHICH THIS PERMIT IS ISSUED.1 MECHAN�CAL -(p SHALLNOTEMPLOYANVPENSONINANVIAANNERSOASTOBECOMESUBJECTTOTME . . ., _ _ _ � WORKERS'COMPENSATqNUWSOFCALIFORN1IANDAGREETUTIF15HOU�OBEC0IAE INSPECTIONFEE � SUBJECTTOTMEWOfYKERS'COMPENSATIONiROVISIONSOFSECTqN77000FTHEUBOR �SSUANCE � ��p s COOE,ISHALLFORTHWI7HCOMPLYWI7HTHOSEPROVISIONS. . �j . p DaTE: APPLICANT: SMIP � � W ENERGY P!C . -'--�� WARN�NQ:FAIIUHETOSELUREWOFKERS'COMPENSATIONGOYERaGE15UNlAWFUL,ANDSHALLBE � �y SUBJECTANEMPLOYERTOCHIMINALPENALIIESANDCMLFINESUP700NEHUNDREDTHOUSAND ENERGYPERMIT pOLURS(tloa.aoa).IN A��ITION TO THE COST OF CDMPENSATpN,DAMAGES AS PROVIDED FOR IN • � SECTION370eOFTHELA80RCODE,WTEREST,ANDATfORNEY'SFEES. � RETENTIONFEE: �� � � � �d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: ` ��~ � � . O - . . . . . . ... . .- � . . � � IHEREBVALFIRMUNDEHPENALiYOFPE0.IURVTHATTHEREISACONSTRUCTIONIENDWGAGENCY � � ' a- FORTHEPERFORI.INJCEOFTXEWORKFORWHICHTH�SiERE11TI515511E0(SEC.3o97,CIV.L.�. . w . �G �1 /� td]i]^ . � IENDER'SNAME ��� _ _' .._ .. . .. . ... .. . . F= IENDER'SADORE35 . w IGERTIFYTHATIHAYEREAOTHISAPPLICATIONANDSTATETHATiHEA80VEMFORMATIONISCAFRECT. TOTAL FEES ._ , __ : �3 r�S/` � IAGREETOCOMPLYWITr1ALLCITYANDCOUNTYOROINl1NCESMlDSTATEUWSREIATINOTOBUILDING CONSTRUCTION,AND NEREBY AUIHORIZE flEPRESENTATNES OF THIS CAUNTY TO ENTER UPON THE . Z ABOVE�MENTIONEOVROPERTYFORINSPECTIONPUNPOSES. . COMMENTS _ 'm q R.�� Ci�f R-/ST/A N J'�� � m P RMITTEENM�E(PWMT) . . . . . . ¢ �1 a•i•'� ?�(. C�esn-ve-i.. 2 ZU � �/ � SIGNATURE ERMITTEE DAfE � / / � fiECPT.N0. �"�_PAIO BY I�' VALIDATIO - - � � WHITE—Department Copy.YELLOW—Finance Copy,PINK—AssessorCopy,GOLDENROD—Fite Gopy,GREEN—Applicanfs Copy . .,?�,' ?7 F'"!, . . ., �� � ... , rr. ,r.,�.: . �y�+..��.xs.:t};� .. .ws�••ivyr��jyP•N4� ,�o/,!xTr;..`:T`1•.,._t'.•L. .-..`a., ��:r+��v�i,. ... '��rc:-^!7'�; - ,'.v;�.�w. '� CITY OF DIAMONp.SAR ' ; . . � � � ; INSPECTIDN RECORD , � � ; � : , ,;�. � :;, , f t � • - • � � � - SET BACK% ' � � FLOOR JOIST�) - - � FT'GS/FORMSISTEEL . ' FHA REaMTS:.. , ., r .-. ., . ; .. . f," . - ELECTRIC GROUND UNDER FL'OOR�UCT�'.a � :, �'.o :� ;;\� . '�,• c r - � ' GROUND PLUMBING UNDER FLOOR COT�IDUIT - " ��, ` � ' � SLAB GRADE ` " �IREPLACE FOUNDATION �'' ' `�' ." � ' " � " � TEMP POWER • . • - - FIREPLACE BOND BEAM ' � WATER SERVICE �'� ��� �'"�'J•` � MID HT. BOND BEAM � ROOFSt�i�4�H4f+!€-�-�— � �� :';��� B FT.BOND BEAM `' ' ' • FRAMINGNENTILIATION FINAL BOND BEAM . ROOF COVER --- ! Id' G PRE-GRADING . � � � I ' ROUGH HEATING - - � BENCHING � � � ROUGH ELECTRIC - � - - ROUGH GRADING . - ROUGH PLUMBING FINISH GRADING ' SHOWER/TUB TEST PODL ELECTRIC � � EXT.LATH/SIDING r.tic ��-� ' POOL FENCING WALL INSULATION � POOL FINAL . � ' CEILING INSULATION OFF SITE IMPS. � DRYWALL NAILING DEDICATIONS SEWER _ _ . FINAL'ENG.. � SEPTICTANK ' ''.\�- LANDSCAPE/IRRIG. , SEEP PIT/L.L. - - ON SITE IMPS. GAS AIR TEST- - FINAL ZONING '� � - '-' = �� f• - FINAL CONST. ; / - FIRE DEPT.FINAL .' � ; �, -_t ;• _ , , FINAL:HEATING - � HEALTH DEPT.FINAL - - - FINAL ELECTRIC - DEV.FEES PAID ' � FINAL PLUMBING ENERGY i : e • ; , ' - . " — ' _"' _ ' '"'. ' '...__' .'_ . ..... �. . .�– . , . _ .. . ' „" . I . ' _ - _'' _ '' '_ ' ' ' . _ COMMENTS -- --- -- `� � ' z9 � f - - - ; � r t• C . . ' . � � . � i • , _. � � , ��� '�� ; . .. �,� ��_ . ' , .. . � ,_, ,�.. �.. r... i i' SEPTIC TANK SIZE � ' � ' ' -`- SEEP PIT/U SIZE . , , - ��..� . . . , � � � , . -• '� . � �>. � . , _ . , f ` ' �`,C�� ; ;� c 1�t �\ ' _ ` 1, � ��.�'�v`:�, _ ,. . .. S � ,.�,` , ��� .' . ���