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HomeMy WebLinkAbout11361 (5) - -- .__ ___r__ __._._. ___.._,____. _._._ .---._ .__.....___ ._ . .. __ . .- - --; ---��� CTTY OF DIAMOND BAR . . ' COMMUNITY DEVELOPMENT DEPARTMENT '�-.�C 21660 E.Copley Drive Suite 190 � � � � PRESS (909)860-3195 Fax(909)861-3117 � '""� BUILDING PERMIT APPLICATION FIRMLY : � JOBSITE �'}�t � �r�c,ntc�,l�. ,�, � # APPLICATION PERMIT ' P/C � o AD�RESS � \ DATE NUMBER � � ISSUE TYPE OCC � -- APN LOT - T CT DATE CONST. GROUP p OWNER o ADD S O� ZONING SETBACKS � FRONT "RW ❑ Z CITY ZIP TEL ' � � o APPLICANT t TEL.y��J3 S DE/SIDE STREET RW ❑ ¢ CONTRACT R SIDE - ❑ � ADORES � CITY. C- ZIP S TEL. - � PROPOSED USE , w ARCH/ENG/ . __ . z DESIGNER ' ' - w NO.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.Fi. FACTOR PSF ADJ_AREANALUATION p� OWNER-BL'ILDER DECLARATION SFR/ADD/REM O � 1 HERE9V AFFIAM UNOER PENALTY OF PE0.RINY THAT I AIA EXEMPT FROA1 THE CONTRACTORS U• Gaf898/C81{MR � W CENSEUWFORTHEGOLLOWINGREASON(SEG7031.6BUSINESSANDVROFESSIONSOOOEMIVCT'OR (n ' - � '" - � - �- U CWNTYWHICHREOUIRESAPEHMRTOCONSTRUCT,ALTERIMPROVE,DEMO(15H2ORREPAIIiANVSTRUC- - w . - w NRE,PRIOH TO RS ISSUANCE,AL50 RE�U�RES THE A➢PUCANT FOR SUG1 FERMIT TO flLE A SiGNED w Patio/Deck . . , , � STATEMENT i/U7 ME OR SHE IS IICEN5E0 PURSUANT TO TME iROVI510NS OF iHE CDNTMCTORS l4 � �- � -CENSEUw(QMPTEfl9�COMMENqNOWITM5EGT10N7000)OFDMSqN]OFTHEBUSINESSANDVRO• POOVSp3 -- . FESSIONSCOOE)ORiMATHEORSHEISE%EIAPiTMEREFROAIANDTHEBA515FOHTHEIILLEGEDE%EMV-, C7 ' V TION.ANYVIOLATIONOFSECTION70]I.68YANYAPPLICANTFOHAVERIAIiSUB1ELTSTXEAPPUCANiTO� ' Z qe.q�� . , , A CNIL PENALTV OF NOT AIORE THMI FNE HUNDRED DOLLARS(f5ao).�: 0 OI,ASONMEROFTFIEPROPERTY,ORMYEMPLOYEESW�THWAOESASTMEIRSOLECOIAPENSATqN, O (`,pmmBfCl81 - , � Z WILL 00 THE WORK AND TME 9TRUCTURE 19 NOT INTENDE�OR OFFERED fIXi SALE(SEC.70�1,BUSH J - ' - N NE55 AND GROFESSIONS CODE:TME CONTFiAC70R5 UCENSE UW DOES NOT A7PLv TCl AN OWNER OF � - , PROPERfYNTiOBURD50RIMPROVESTMEREON,ANDWHO00E55UCHWORKMIMSELFOHHEHSELFOR ' • � THROUCHHISORMERONMEAIPLOYEES,GROVIDEDMATSUCHIMPROVEAIENTSMENOiWTENDEDOR m � OFFEREDFORSALEIF,MOWEVER7MEBUILDINGORIMPROVEAIENTISSOLDWITHINONEYEAROFWIAPLE• . Z TION,THE OWNEA�BUILDER MnLL FL1VE THE BURDEN OF PROViNfi T/U7 HE ON SHE DIO NOT BUItD OR � IMPROVEFORTMEPURPOSEOFSALE} . , w 04�OwNEROFTHEPROPEHiY,AME%CLUSNELYCDMMCTWf3WITHLICENSEDCONTMCTORS. . , _ [[ TO CONSTRUCT THE PROJECT�SEC.Ta1,BUSINESSAND PROFESSIONS CODE:THE CONiMCiORS U• V31Ua110f1 ADJ.AREA � W GENSEUWDOESNOTMPLYTOANONmEROFAVROPEflNNR109UttD50RIMPROVESTHEREOKANO �� � WFIOCONTRACTSFORSUCHPR0.IECTSWIiH�CONTMCTOR(SIUCENSEDPURSUANTTOTHECONifUG QUfWTITY DESCRIPTION � �� - �E . Y TOfiS LICENSE LAW.). _ .. _ ... .. � . . � O I AM EXEMPT UNDER SEC. B.i P.Q FO(1 THIS REASON � O � ' - ._ LL' DATE OWNER I Z � LICENSED CONTRACTORS DECLARATION : W � IHEREBYAFFIRMUNDERFENALTYOFGEIWRYTHATIAMLICENSEDUNDEHVHOYISIONSOFCHAPTER � l� p� i(COMMENCINO WI7H SECTION 7000)OF DMSiON 70FTHE BUSINE55 ANO PflOFE5510N5 GODE,AND Z � X MY LICENSE IS IN FUII FORCEAND EFFECT. , m LLJ _ .... _. � . . � � UCENSE C S LIC.NO. J t�l j V DATE CONTRACTOR �Jv d W � WORKERS'COMPENSATION DECLARATION � � IHEREBVAFFIHMUNDERPENAINOFPE0.NMONEOF7HEFOUAWtNGDECLAMTIONS: . N . � _IHAVEANDWILLMAINTAINACERTIFlCATEOFCONSENTTOSEIFdNSUREFORWORKERS'� - COMPENSATqN,ASFHOVI0ED8Y5EC7qN77ooOFTHELABORCODE,FORTMEFERFORNANCE OF THE WORK FOR WHICN TMIS PERMIT IS ISSUED. �G . . . . _ ... � � IMAVEANDNALLMAINTAINWORKERS'COAIPENSATIONINSURANCE,ASREOU�REDBVSECTqN O 77000FTHELABOHCODE,FORTHEPENFORMANCEOFTHEWOPoCFORYMIpiTHISVEHAllT15 . J 6SUE0.MV WORI(ERS'C�MPENSAT�N INSUILWCE CARRIERMID POl.ICV NUMBERME: CONSTRUCTION -- j GMRIEfl� • -Q��� . PLAN REVIEW . . ._ _ .. ._ . . ... . _ .._. 0 POLICY NUMDER J.�7 . . Z ELECTRIC ¢ .� �n+rssEcrbe�NEmrareEootiaFr�ocnEVEw,rrs�a�Nuor�moaunsg+ao�oa�ss) PLUMBING J.I� Z 1 GER7IFYTHaT IN THE PERFORMNJCE OF i11E WORK FOR WMIq1 TIitS PERMIT IS ISSUED,1 MECHANICAL U' SHALLNOT EMPLOYANY VERSON W ANY MANNER SOAS TO BECOME SU&JECTTO THE N WORKERS'COMPENSATION LAWS OF CAUFORNIA,AND AGREE iHAT IF I SHOULD B ME SPECTION FEE � � �- � �" � � - - Sl1B.iE TO EWORKERS'COuvEuSATtl�I SOFSECTbN�7 OF ELABO r " -�j FORTIWITH COMPLY WI SE PR SIONS. SUANCE ' r y ,/O O � p DA7E: APPLicn : MIP � NERGY P!C WARNIN6: UR TOSEWREWORNERS'COMPENSATIONCAVERAGEISUNUWFUl,M1DSHALLBE fI � SUBJECTMlEMPLOYERTOCRIMINALPENALTIESMDCMLFwE5Wi00NEHUNDRE0hqU5AND ENERCaYPERMIT ■ 1„ DOLWLS(S7oo,000),W ADOIiION TOTME COST Of CAMPENSATqN,DMUGES AS PROVIDED FOR IN - ��� ; J� SECTpN770BOFTHEUBORCOOE,INTEREST,ANDATTOHNEYSFEES. RETENTIONFEE: " OCONSTFUCTION LENDINGAGENCY PRE-ALT FEE: �l /� � INEREBYAiFIRMUN�ERVENALTYOFPERJUflYTHATTHEREIS�GONSTPUCTIONLENOW6AGENCY �7 Ja � Z fOR THE PER WRMANCE OF THE WORK FOR WNlql THIS PERMIT IS ISSUED(SEG 9097,CIV.C.). � W . . ... . .. . . . , .. � LENDER'S N/JAE _ � IENDERSFDDRE55 � �� � � � TOTAL FEES ,Z �. �'j-" � W ICERTIFYTHATIHAVEREAOTHISAPPLICATIONMOSTATEiHATTHEA80VEWFORAIATIONISCORRECT. � � IAGREETOCOAIPLVNATMALLCITYANOCOUNTYORDIWNCESANDSTATEUWSRELATWGTOBUILDING . . . , � CONSTRUCTION,ANOHEREBVAUTHDRIZEREPRESfNTATNE50FTX15 NTVTOENTERUPONTHE , � Z ABOVE� ENTIONED7HOPERTYFORINSPECTIONVU osea _ COMMENTS � - � � / � l m VE M EE NM1E IPRINTJ ^ � � -. .- . . . -. . � � � ` (n E DATE / RECPT.N0. PAID BY ' VALIDATION � ; � �- - �� WHITE—Departmant Copy,YELLOW—Finance Copy,PINK—AssessorCopy,GOLDENROD—Flle Copy,GREEN—ApplicanY3 Copy . / 1"vJ.'. ..i..�l`�� •�.��..��.�i•� ... .,� .. i . - �J.�.� . � ... ..w. .���.lM"�.. �M�r.:Ill..G'I.i..R�.- .;.t'kl'��2� „� a . � .. � , ., r.a. ., . S.'� 4 � .. .n .. . l' .�, .. � . .'��:":-'i r._.. . . . [ / ITY OF DIAM�IVD BAR � "''� ��-� � =.' I • ., .1 1 :1�. I.�(� i �. . �� :1,4 ; . _..:-.LL� �� � SPECTION RECORD� �;' , : �, ' � _ . f . . _ . :,,,,.F �;,� ; .;�, . . • � � � . � . e p , . � . SET BACK�:�> -' : � '. � '�` FLOOR JOIST• ` ' FTGS/FORMS/STEEL , " --- - _ FHA REQMTS , � ., '-' . - �- - . -- - - _,, ELECTRIC GROUND � �"" UNDER FLO�R DUCT -� - , j _ � GROUND PLUMBING- � -- - " -- - � �:�-�- : UNDER FLODR CU�IDUIT ` ' �� • • ': � � SLAB GRADE— -- ";; - - - � � ;_ � -�,- � FIFIEPIACE FOUNDATION . -�. -� -- �. ::•..__. - ' ' i :� - — . . TEMP POWER--- _-- :__-. . _-.. -___ -=-_ -- ----_ - FIREPLACE BOND BEAM , .. _ , ti.. . „. �. � ; , , WATER SERVICE --- --- - --- --- - - -��'• ` MID HT:80ND BEAM � '-- -,_ , . ; i - ROOF SHEATHING� 8 FT.BOND BEAM `= '•�'i�',�� i ' FRAMWGNENTILIATION - -' ' FINAL BOND BEAM - - - - - - - = "' ' � ; : � ._ _. _ . .. ROOF COVER-- - ----- --- - - -— - ,-.�.--- - � PRE-GRADING �i - � -- - -- - ��:i� ! � ROUGH HEATING -� , , � ' -I " BENCHING ---- --- -- - - - - ; `� ROUGH ELECTRIC-�--- - - � -- - - -�---i- 'T�- ROUGH GRADING � �-� ROUGH PLUMBING- J - ------� -- :----" � 1��`" " FINISH GRADING ' ' " ` ' ; . , SHOWER/TOBTEST -- !-- -� - -- ' " POOL�ELECTRIC • . • .: ( �" . EXT.LATH/SIDING -- -- ! --- - , - . - _ PQOLFENC►NG'' , , , � �� WALL INSULATION � ! ' POOL FINAL� • , . . � -� CEILING INSULATION I OFF SITE IMPS: - "' - DRYWALL NAILING ! � I DEDICATIONS ' ,, SEWER----- - ---'- - ' -� -- -- FINAL ENG. � , ,<<, . - �. SEPTICTANK:------_- -_-- --. __ , - __ ': '. ' LANDSCAPEIIRRIG., . ;:'.' � , , . , . SEEP PIT/L:L. : --- 'v ' " ON SITE IMPS. -- - - - ' -'� , . GASAIRTEST --- --- - � -�-- FINALZONING ' '• " � • � - — - - - � : ' FINAL�CONST. }-- - --- -- - ----- - .. -- FIRE DEPT.FINAL - -- _ _. _ . - � ,� FINAL HEATING--- - -- - --- - -- -- - HEALTH DEPT:fINAL -� - - - - - - -' . � --_ _--.--- _-_ _ DEV.FEES PAID � -. FINAL ELECTRIC —"-•,-� - . . FINALPLUMBING----- - - � -- - � i ENERGY � � � : . � i ;',' � _. � -- - - � '. • - - , i c , a � , . . -- - � . .. . � � , ii � � .�, � . � ---------- -- � ! , . : _ , - - --. ..----------- - �-- - . _ , , , COMMENTS- . � , ,. � , � �. „ � � • __ _--- -- - - � I I � . .� . . . . . , i, �. . ' �J � . _�_-__ ______' __ _. . . .._ � , • • . . � . I , _- _ __ ....___._ _ _ .__ . '_._ ...__ . _ _ . . . � . . . _ .' ' � .,. , I . ' j_ ""_" _ "._ _.___. _._____.__ "____ .___ __ ___ __. __ _._�.... '_..'__ . � . 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