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HomeMy WebLinkAbout13737 �� CITY OF DIAMOND BAR � � DEPARTMENT OF COMMUMTY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 ' (909)864-3195Fax(909)861-3117 PRE$S �'*�'� BUII.DING PERMIT APPLICATION FIRMLY o ADDRESS_Z�E7�'j��1.��M�b� pA�CATION'��'—C� NUMBEFF'�� r� N� l g ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER �Cbn1�1 6¢-�2 p ADDRESS_ Z�to�", f.fa.�.If�M�Tb1J ZONING SETBACKS � CffY 6 O ZIP� TEL�1'!l�IS�SI�I�i7 R�RT RW p� APPLICANT �L�L DG1L TEL�i�o_ 2-b_ t� SIDE/SIDESTREEf RW ❑ � CONTAACTOR SIDE ❑ ADDRESS � CfTY ZIP TEL PROPOSE�USE � ARCH/ENG/ DESIGNER NO.DWEL NO. NO. ? CnORESS ZIP TEL UNfiS STORIES BEDROOMS N cn — DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFR/AODh1EM O . 8 �t HEHEBY AFFlRM UNOER PENALTY OF VEiWRY THAT I IUI E%EMPT iHOld THE CONTMCTORS lF Garnge/Carport - . CQISEUWfORTHEiOLIOWMOREA50N(SEG703t.6BU51NESSANDPROFE5S10N5C00E:ANYCRYOR (n � COUMYWHN7fREOlARESAVERAIRTOCdJSTPLCT,ALTER,IIAPRm'E,OEYOUSH.ORIIEVAIRANYS7Rl1G W P82(0/DBdC - � - - TURE.Vi1IDR TO RS ISSUMICE/L50 REWIRES TNE A7VUC�NT FOR SUdI PERMIT TO F0.E A SiGNED W � STATEMENT THAT HE OR BHE IS LICENSEO PURSUANT TO THE PROV4SION5 OF iHE CONTRACTOfl9 l4 CEN"E UW(p1MTER Y(COMtAENCINO W1T115ECTqN 70D0)OF DMSqN�OFT/E BUSINESS AND PRO� V' PDoUSpe FESSqN5GO0�OR7W�TMEOR5MEI5EXEMPTMEREFROM/W�iHE&1515FORT}IEhLLE0E0E%EMP• (� TIDN.ANYV10.A710NOFSECT10N7m1.68YANYMRICANTFORAVERIARSUBJECTSTMEAPVLICANTTO Z Re-Roof � M/C�L NALiY OF NOT MORE THAN FIVE HUNORED DOLURS IS500).1: , � ASOMINEROFTHEPROPEIiTY,DRIAYEMPLOYEESWIiHWA0E5ASTNE1R50lECOMiEH5ATI0N, � COmT0ICl21 . - TNE WOimC AN�TME STRUCTURE IS NOT INTErDE�OP OFFEREU fOR SALE(SEG 7ou,BUSI- J N NE S IVlD iROFES510N9 COOE THE COHTRACT00.5 LICENSE UW DOES NOT APPLY TO AN OWNER OF � PROPEHTY NRp BUtLDS OR�APiqvE3 THEREON,AND YM1IO OOES SUCH WORK HIMSELF OR HERSELF OR � TWqWHN50qNEROYMEINPLOYEE3,VROMDmT11ATSUd11MPROVEMENiSMENOTP7TENDEDOR m �1 OFFEHED POqSME F,MOWEVEf�THE BUIDINO OR MPIIOVEMINf IS SOID WITMN ONE�EAR OFCOMPLE- � ��TION.THE GWNER�BUILDER VALL MIWE TME BURDEN OF iNOVN6 T}fAT HE OR SME DID NOT BURD OR IMPROVEFOflTHLVURPOSEOFEALE� � OI��WNEROFiHEOROPEHTY,/JAE7(CLUSNELYCOHTRACTNONrtIYIJCENSE�CONTMCTORS TO CONSTWJC�7HE PROJECT(SEC.7oa1,BUSINESS ANO VROFESStONS CODE.:THE CONTMCTOR3 L4 V31118t10f1 ADJ.AREA CFNSE UW OOES NOiMPLY TO AN OWNEfl OF A PROPERiV NTfO W ILDS OF M�PFIOVE3 THEAEON,AND � 1MqGONTMCTSFOR5Uq1iROJECT9WITIACONTRACTOR(5)LICENSEDPURSUANTTOTHECONTMG QUMf�ITY DESCRIPTION FEE � TOfiS LIGENSE UWa. • . . t . �a.�-� OIAMIXEMPTUOERSEG B.�P.C.FORTHISREASON q I iw �C�q/KG � �=' DATE — OWNER U `_ �^d C �P�vIr I�IG✓L pCV7a��. W 'V �• i� �O! \ C. � ` LICENSED CONTRACTORS DECLAAATI N W - �•� . � I HEREBYAFFIRAI UNDER VENAITY OF FEiUURY TF/AT IAA1 IICENSED UNDER PROVISqNS OF CHAPTER Vr � �(QOY4EHCMlOWITNSECf10N7000)OFDMSIONJOFTFIEBUSIHESSANOFROFESSIOt�SC00E,AND Z X MY LICENSE 6!1 Ml FORCE AND EFFECT. � ui �0 LICEKSE CLASS LIC.NO. � � J w� CONTRACTOR a w „�j WORKERS'COMPENSATION DECLARATIOU Q . � IHEREBYIIFFRUAUNDERVENILTYOiVEiWRYONEOFTMEiOUDWiN00ECUMTIDNS: Z � _iHAVEMIDWILLIAA7NTAINACERIIFlCATEOFCONSENTTOSELF-INSUFEFORVpRKERS' _ _ COMPENSATqN,A9VROV10EDBY5EGT10N]�OODFIHEUBORCODE.FORiHEVERFONANICE W OF THE YNJRK FOit WMIGI TMIS PERMIT IS ISSUED. � � _I HAVE IND M1LL rMINTAN WOPoCERS'CdIPEN5AT10N INSUR/WCE.�S REOUIR[D BY SEC710N Q07ooOFiHElA00i1000E,FOf7THE0ERFORMANCEOF7HEWOHKiORWHICHTHISPERMRIS � ISSVED.MYN9RKERS'COMPENSATqNINSURNICEGRWEHFNDPOl1CYNUMeERARE: CONSTRUCTION � CAARIER PLAN REVIEW � � POLIC'/NUTABEH E�E�� � � Q (M1iSSECIqNNEEDNOiBEWM�ETEDOFTIECERI.(TBPoRONEFAJK%iEDOq.lAR4(S7ro)ORLE55} PLUMBING Z ICFHTIFYT/1ATINTHEPEPFORMANCEOFTHEW01iKFORK'HICHTMISPEHA1R61SSUE0.1 MECHANICAL (J SHALLNOTE�7LOYANYGE0.SONINANYYANNERSOASTOBEWIAESUBJECiTOiME y NORKERSCOAIPENSATqNUW50FCAl�FORNI0.�DA6REETNATIF15110UlOBECOIAE INSPECTIONFEE � �'-.�.� S SUBJECTTOTHEVARKERS'COMPENS�TIONPRONSIONSOFSECiqN�IODOFTHEUBOR GW E,I SMALL FO(iTTTMM C01AVlY WITH TFIDSE PROYISIONS. ISSUANCE �" � SMIP p OATE: APPLIGNL W ENERGYP/C � ���� WARNINQ FALURETO SECURE YAi1KER5'COMPENSATpN COVEMCE IS UNUWFUI.AND SMALLBE (—y SUBJECTMlEMPIOYERTOCRIMVIALVENA1T1E5ANDCMLFINESUPTOONEMINORE0TKK15IwD ENERGVPER�I�'�'�1����� ' �� �^T��11 DOLLARS(1100,0o0).WIIDOITIONTO7MECOSTOFCOMPENSIITIDN,OMIAGESASPROVIUE�FORIN r* ' � - J SECT10N770tOFTHEUBORCOOE.NTEREST.ANOATTORNEY5FEE5. �� , pC RETENTIONFEE:VL" 1 c7t.*� e�n- .�r--•r•'tr a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IHEREBVAFFIRMUNOERVENQTYOFPEiLR1RYTHATTHEREISACONSTRUCT10NlENDINCAGENCY � � - FOR TME PERFOMWICE OF 7HE WORK FOR MR1ipi TMiS VERMIT IS ISSUED(SEG 7097,pV.Q). � � LENDEi�5NAA1E ` � . � LENDER'SID011ES5 � ICERTIFYTIATIHAVEREA�TNISAPVLICA710NANOSTA7ETIiATTHEABOVENFORM�TI0NI5CORRECT. TOTAL FEES . � � � IAGREETOCpAOLYMATHALLCfTYANDCOUNTVORDCLWCESANOSTATEUwSREIATN�TOBUItDINO , � . � COHSTRUCTION,ANDHEREBVAUT/10WIEREPRESENTATNESOFTHISCOUNTYTOENTERUPONTNE � . Z ABOVE�MENTqNFA FHOFER7Y FOfl INSPECTION PURP06[5. � . COMMENTS � ��CJ� OC��'L J _ m v wu+e rywnn � �-�-�1� y SIONANREOFVENAIITfEE DI1TE � RECPL NO. PAID BY VALIDATION WHITE—Departrnent Copy.YELLOW—Finance Copy.PINK—Asaessa Copy,GOLDENROD--FIIe Copy,GREEN—ApplicanCs Copy �..�1... .. 'y�iC' :T" n..,yyn, �.�-,r� ��SnY�tl"4;rN��Mr.ti,+,Y '1'�Y� :5'•f.r,Nw:�r;�,�. �{- 1'f�T�� �••� "y. . , r'�`.. t�` I�.9;'!t��i ' :,1•.� 1�- f�f`�� X�.r}'r� i✓�'I �l'?:�' , ..., , . �3.. .. ;,[S' •.�,'n. :;q�f r"i:, �. , ,.Y. �'' / 5��''',(rr,!"�',1'ri„, � 1 F..... .. .'�:. , .. _r . �r:� . -�y�. . .k _ �F`'<. ..� .7 � : . CITY OF DIAMOND BAR , . . ' . � . INSPEC'PION REC�RD - - � �-.��1�ra��.�-=�.��o����: ���� � �.�� ��� ..,.��.���► f � � r= ��� :;���:���=���� -— _ r. ,....:_.s ,�.�.,......�..<_.:,-.c-�._,.. .:r: �SET BACK . ' . � ' ' ,- , �� FLOOR JOIST. i , � ., . _ jFTGS/FORMSJSTEEL ' � FHA REaMTS ' ' ' ' ' " ' " ;ELECTRIC GROUND _ UNDER FLOOR DUCT -- - i _: �GROUND PLUMBING UNDER FLOOR CO�IDUIT '' ' .- - '. :SLAB GRADE - - � FIREPLACE FOUNDATION � '" ' � , �TEMP POWER FIREPLA�E BOND BEAM - • !WATER SERVICE MID HT.BOND BEAM - - 'ROOF SHEATHING 8 FT: BOND BEAM - - � ' �� �FRAMINGNENTILIATION - - FINAL BOND BEAM ; ; ROOF COVER ' PRE-GRADING - - ROUGH HEATING BENCHING � � , . iROUGH ELECTRIC � ROUGH GRADING - , 'ROUGH PLUMBING - • FINISH GRADING . SHOWERITUB TEST- - � - POOL ELECTRIC ;EXT.LATH/SIDING - POOL FENCING � 'WALL tNSULATiON - - - POOL FINAL iCEiUNG RZSULATION QFF SITE IMPS. �� ' I ;� ?DRYWALL NAIUNG � DEDICATIONS • !SEWER - - , FINAL ENG. � � SEPTIC TANK LAPJDSCAPC/IRRIG. ; ,SEEP PIT/LL. ON SITE IMPS. �GAS AIR T.EST FINAL ZONIPJG 'Fi�J�,l.CONST. �'-�:�-`•- 'r��,r��"�'==� � FIRE DEPT. FiNAL � ;FINfiL HEATIIIG - � : --!.='' � HEALTH DEPT. FINAL, —, � . - �INC,1.ELECTRIC �-•< �. �p . - DEV. FEES PAID '. .. - - ---' rl!�1�,L PLUPJIBING ENERGY .—.. -�- - -�-- --�-- - -%.4k��^:�,.':�'.�I«t�-:sr...:,:�,._._..�,., I �cor�rnnEtvTs - � , _ I i_ '—___. I . _ ____ ' __ _ _ __ _ � . � . . � ` . . � . .- .. " ." "... 1 . . � � � ._ . . I . . �SEPTIC TANK SIZE ' ' iSEEP PIT/tJ SIZE ; - a;V.._....._._..��., , , , , � :. �-.� � _� _. - _ � �y�t�" . .. . _ �. ; , �+ .�� - - _ - ..�.. t - . � �� y ' " _'`�, _Y..� ' _ , , =, �. � : - , , ;. � - .-� - ; _ ...�.:`:�.:�...:..