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HomeMy WebLinkAbout10026 (5) - C1TY OF DIAMOND BAR . • COMMUN[TY DEVELOPMENT DEPARTMENT ,,.,; 21660 E.Copley Drive Suite 190 � _ � PRESS (909)86Q3195 Fax(909)861-3117 �'M", BUILDING PERMIT APPLICATION FIRMLY y JOBSITE ��'//f�/�DA/J /�iIDI/Vl�i APPLICATIQ � PERMR ��/,, P/C � ADDRESS OL/[/ /� 11/V DATE " � NUMBER 0 `� It ' � ISSUE TYPE OCC � APN OT TRACT - DATE CONST. GROUP °� OWNE��� � ZONING SETBACKS ADDRESS e - ✓ . $ C ZIP�S?� TEI,�/n �yi�3950 FRONT RW O g APPLICANT TEL. REAR p � SIDE/SIDE STREET RW O CONTRACTOR SIDE ❑ � ADDR SS � CITY ' ZIp O TEL. PROPOSED USE oARCH/ENG/ � DESIGNER , NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.F?. FACTOR PSF ADJ.AREANALUATION � p� OWNER-BI:ILDER DECLARA710N SFWAOD/REM O p 1 HEREBY AFFIiW UNDER VENALTY Of PEiWRV THAT I NA E%EYPT FROA1 THE CONTMCTORS LI• Gef89BlCeryO(l W CENSEUWFOHTHEFOLLOWWCREASON�SEG70.71.66USSJ[SSANDVROFE5510NSCOOE:ANYtlTYOH (n U COUMYWMId/REOURESAPERURTOCON57NUCT.ALiFRMVROVE,DfY0lJ51�ORREP�IRANYS7RUC• W P8I10/DBdC - w iURE.PRqR TO RS ISSUANCE,AL50 R[QUIRES THE APMKANi FOiI Sl1CF1 PER1Aif TO FILE A SIGNE� w � 6TA7EYEHT THAiNE OR SHE IS LICENSEO PURSUANT TO TME PROMSiONS OF TNE CONTMCTORS lF � GENSE UN��ClUPTER Y�COMNENCINO WITM SECT%N/7000)OF DIVISION i OF TNE BUSMESS IWO PRb � POOVS� iESSqNS WOEI OH THAT HE OR SHE IS EXEMPT TMEREFi10M IWD TME BASIS fOR T1IEALLEGED E%EMP• T�ON.IINVVIOLATIONOFSECTION707t.68YM/YAPPLICANTiOR�PEfWITSUBJECTSTHEMPIIGNTTO Z Re•Roo( � ACMLiENALTYOFNOTYOHETHINiNEHUN�NEO�OLLARSIf50o).1: � pIASOVMEROFTHEPROVfRTY,ORYYEMPLOVEESWIMWAGE5A5THEIpSOLECDMGENSATION, ❑ (`,pTrtIBfC�el � - Z IMLL DO TNE WORK.AND THE STRUCNRE IS NOT IMENDED OR OFFERED FOR SAIE(SEC.)Ou.BU51- J � NE55 AHD iROFE55iON5 GOOE:THE CONTMCTOR9 LICENSE Uw DOES NOTA�PLY TO AN OWNER OF j � P110VERTY YYIq BU0.D3 OR MPROVES TNEREON.MID WHO DOES SUCM WO�K MIMSEIF OR HERSEIf OR � THiqIX;MW50RHEROWNEMiLOYEES,PRON�EOTHAT5W1MPqOVEMENTSARENOTMENDEDOH m . . . � OFFEREDFORSALEtF.HOWEVERTMEBULpN00RWPRpVEMENTIS50lDWRHINONEYEMOFC0IAPLE Z T10N.TNE OwNEH-BUILDER NALL MAVE TNE BURDEN OF PROVWO iHAT HE OR SNE DI�NOT BURD OR = MopOVE FON TNE VURPOSE OF 51J.E). W Olti^OM'NEROFTHEPROPERTY,AME%CLUSNELVCONTRIICTINUWfTNLICENSEDCONTMCTORS (� TO CONSTRUCT THE VRO.IECT(SEG 70N.BUSINESS/ND PROFESSIONS COOE:TME CONTMCTORS ll� V21u91id1 AQI.AREA W �NSEUWDDESNOTAPPLYNIWOWNEROFAPFOGERTYWNDBUIIDSOflMiROVE9iHEREON,AND � YlHOGOMRACTSFORSUGIVROJECf5YA7MACONTRAC70R(5)LICENSEDPURSUANTT07NECONiMG QUANTITY DESCRIPTION � FEE � � TORS t10ENSE UW.1. ') OIAME%EA��TUNOERSEG B.lO.CFdiTHI511EA50N U • I S v ' �� � O � ' t �. �0 Z DATE OWNER . v ' _ _ /.. � � �✓ F UCENSED CONTRACTORS DECLARATION ' ' W 3 ;y, Y r � IHEREBVIIFFIRAlUNOERPENALTVOFif0.1URVT11A71M1LKENSEDUNDEHDNOViSiONSOFCHADTEA Z C7� L�� / ' p„ �(COYYENCNONrtTH5ECT10N7oao�OFDM5IDNlOFTMEBUSINESSIWDPROFE9510NSCODE,ANO d r `L MY I�CENSE IS N F0. ORCE AND EF EGT. �J ('/ m - � /s � UCENSECWSS��� UC.NO. / V I � j �.� �'i, /J� 1--� WDATE CONiRACTOR � • y0. 'S � WORKERS'COMPENSATIONOECUIRATION Q J S ' N U , � IMEREBVAFFIRUUNOERVENALTYOF0E0.NRVONEOFTNEFOLL01MN6DECUMT10N5: Z _ �i', /� � _INAVEANDNnLLEWNTAINACERTIFICA7EOfCON5ENT705ELFdNSUiIEFORWOiUCERS' 2 ��' /� COMPENSATqN.ASVFqVIDEDBYSECilON77000FTHElABORCOOE,FONTMEPERFORAINlCE W OF TNE WORK FOR WHICH 1HI5 PERMIT t5155UED. � � _IMAVEMJDMALLMAWiAW WOHKERS'COMPENSATqNINSUMNCE,ASREOUiREDBYSECTION Q ]7000FTMEUBORGO�E,FORTMEPERFOMIANGEOFTHEWORKFORWHIp17M15iEiW1T15 BSUEO.MYWCOp,�cERSCOGP NSATIONI�1$SIRANCEG ERANOPOLICYNUMB[HME: CONSTRUCTION � cAawEa- ✓ �� N�� PLAN REVIEW Z va�crauueEa �, ��7'— � ELECTRtC Q Z y. 3 S � (1F;SSECICNIEmNDTBE�APIEImOFMP6Mf6Fp10NEFIlIOfEDD0.1ARSR�W�p1LE551 PLUMBING � Z ICERTIiYTHA7WTFIEPERFORMMKEOFIHEN+DN(FORWHIdITMSVERMITISISSUED.I MECHANICAL (,'} SHALLNOTEMVLOYANYCERSONNANYMANNERSOASTOBECOMESU&IECTTOTHE . , . � N WORKERS'GOMVENSATqNUW50FGLL�FORNIAANOAGNEETWITIFISHOIhDBECOME INSPECTIONFEE SU&JECT TO iME NORICERS'COVPENSATqN VROVISIONS OF SECTqN 77ao OF 7HE LABOH 7 s COOE.ISHALLiOpfHWIMC04VLYWITMJly��5,EQPRONSIONS. � ISSUANCE w��l�lr+���'} ✓ � � _ p DATE: APPLICAN7: �•//��✓ '��� �(/�/V SMIP �a n W ENERGY P/C WARNINQ iA1LURE TO SEQIRE WORKFRS'COr.��ENSATqN COVERAGE IS UrlAWR1L.11NO S/ULL BE �y SUBJECTANEMPLOVERTOCRYWALVENALTIESANDCMLiNESUPTOONEMINOREDiYqUSAND ENERGYPERMIT DOLLARS(f100.000�.N ADDI710N TO T11E COST OF COu0EN5AT10N,DAYIGES I3 PiiOVIDED FON IN - ¢ SECTIONi7olOFTMEUBOiiCOOE,NTFREST,ANDATfORNEYSFEE3. � RE7EMlONFEE: � � a CONSTRUCT�ON LENDING AGENCY PRE-ALT FEE: O � INEREBVAFFlRMUNOERPENILLTYOFPERR1RYlHATT1EREISACONSTRUCTIONLENDiNOACENCV �- FOR iHE PEAFORMNICE OF THE WORK fOR WHId17H�5 PERM�T IS 65UED�SEC.ioo7,CN.C.J. � � LENDER'9 HAME � � LENDER9ADDRE55 � � ICERTIFYTMATIWIVEHEADiIUSAPPIICAT70NANO5iA7ETXATTHEABOVE�NFOMAAT10N19CORRECL TOTAL FEES � � IAGREETOCOMPLYWITNALLCITYANOCOUNTYOROw�710E5AND5TATEUwSRElA71NCTOBUlDINO . CONSTHUGTION.AND NEREBY AUTNOWZE REPRESENiATNES OF iW5 COIMTY TO ENTEH UPON iHE S� AB�vEJIEN710NED VROPERTY FOf1 WSPECi PUIiPOSES. COMMENTS � ��i�.�.� 5�,��II�D� m EFYITTEE (PMHT) . . . . fn �/S� I /_�1r�� y N EO PERMITT � DATE � . RECPT.NO. PA�D BY VAUDATION WHITE—Department Copy.YELLOW—Finarue Copy,PINK—AsaessaCopy.GD ENRO ik Copy.G —Appl Cs Copy :._.,• ..,..�.....,.,>�.. ;,,.,..,,,. .;...;;•; � .��1 . . , , .e.•,'. •.yr . , :r.� . ..�y��. .....v�y.a.r'?'��3t} "^.A'tisQ:JJr.%w:. '..r�. .. :y�.v�iit�-.Rf .. ,'�!,l•�, ....'r>'�.'n.J.u!•r,l;.rr•:-�.�...:..�.e�, r CITY OF DIAMOND I�,4R ':.' ��':;;::,':�:� . , . � . . ... , . •.� i ;, � : .,,, ,. : , , „ , : . ,. , INSPECTIOfd RECQj4Q�':, ;. � : . '� '�' . � .. �� '..:. . . , ,;,,�,...� ��,. -I�� , . .�� � . , t: � 1, �� s" � �i I� ' - . , '�~'� r 4 D � .. � ��0�`' L� 1�.E-� s�l�til�_ !�� �. ��'+���3c��j o��.- I�`!-�_��f,� ���r �..4^�..� ,�t Il �� �e� a-'� SET BACK=• - - - . . - -_ � - FLOOR JOIST- �t.��._�s_-.,ti_..�l�S- �_-.^-�--�'-- _'l,.� � : . - ' ., - -- ----, . FfGS/FORF S/STEEL . . ,. --... _.. FHAREQUITS--- - ., _. , , , `.�•.... :-- � •:� ELECTRIC GROUND � . UNDER ��pO�, UCT��:, �.`:. ;;�.`. '� � �` : ��-`:. �•;• ; '.' GROUND PLUP.4BiNG - _..._.__ . . _. . _ UND�R��DCSft�CO^lblllT `��..:_-: +'_ .��•� ;�.�`;.•:-.:.�,�!� � ' SLAB GRADE. . _. .. . ', __. � : •�•. ' :�" :`- " FIREPL�ICE FOUNDATION -- '� � " ' " .' ' ' - ------ --- ---- - . TEP�1P POWER .-_ _ _-.: :_ _::... .:_._.: ... .. FIREPLACE BOND B AM .':, '=�• -.�:�_� ; :, •-: r..-,_:.•�;� • ; WATER SERVICE _. . ._ . • PY11D NT,�B riD BEAM�. �, �:��: .:��:.' .. • ;.�;�i. • '�. � , ; �' ROOF SHEATHWG - - - � �-- f3 F7.BOND BEAM ',�`'.'_ '" �' ! � FRAMINGNENTILIATION _ `` � �- �FINAL BOND BEAM - - - -- " -- -� � - ��- -� " ` - ,. , ROOF COVER --- - -. -- .�-:� . .. . .- - - - .:�. ._ � PRE-GRADING . . `,•; . ..-. - - -- --... _..__ ._ • ,:, , ... ROUGHHEATING-._... ... .�. - -•; ` BENCNING ..-- - - i . ftOUGH ELECTRIC . - � - - - ---- -- - - ROUGH GRADING ,. ' ' �ROUGH PLUM8ING - - ..� _ _ - •--- FINISH GRADING „ ' 1 :, `' SHOWEWTUB TEST�- - - ._. ..._._ ._ . .. _. . ..... --.--- POOL ELECTRIC . �� ,: , .. �- , ; . EXT.CATH/SIDING i - - -- -- - - -- - POOL FENCING, . . : . WALL INSULATION , POOL' FINAL • , --' CEILING INSULATION OFF SITE.ID,4PS. ".' ' - � DRYWALL NAILING , DEDICA710NS . ' ' _SEWER .- ---.. �. '... .-----.. ..._ . __ FINALENG. � � •=� . . , _SEPTICTANK_ ..-___-.:. :-_- .-. . . - - - - LANDSCAPE/IRRIG. � ., ., , � . i :- SEEP.PITlL:L. .. .. ._ �'.. .�_'.. ; _.,` '_. . ON SITE IMPS. ;.. � , �GASAIRTEST'---.._..._... ....__� _-,.: , .�� ��.�. . - - --.,�r - FINALZONING - „ � FINAL-CONST. ,- -- -- ��� �� ' �•� =::�1�. ' FIRE DEPT. FINAL �. FINAL HEATING-- � - � _.. ._�"• •-� , _ �. HEALTH DEPT. FtNAL -- . ._ _ _..-- --.-- .--. .._ ' • �. . -, � . • _ . . .,. . ; _. FINAL ELECTRIC - y '. ;�; ,`,'��+� --; - �� �: - DEV. FEES PAID ' . �. : ,. . .. . FINALPLUMBING-.,.. =..Z7���` �'��� RG : `, � _ ��y� EPlE Y �- �� •. . � ' S � _��•,, , . ;.. �T• •:� - _..... .. �. . . _ • . . - • . r \ i,'' •J. i 'T�-�` f `�R+7�#•':� .. . . �` . ' � , r,� 'il ^P!`��:�,e1:'li- �., � . : _.,__r .__. . _ . , _ ... � � `, __._.. ----- - ----=----. ._.---.- . - - . _ . `-.,, � .``�,. � „ : _ __._.. ..--._ . .--�. .. � �. ;; _... 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SEEP PIT/U SIZE �� � � � , _ ...... _... . . ..... _ . _... . .. -- , , . , . � � i i , __„ , � , .. ,. ,. . _ ;� ; .- - + ' I ' _ _.. _.... _ . ...... ... _. , - . . 1,� � . . � , , � . - -- -� --..... _.... . ; .:-.. - -- ---- ... i � I , - :_.. .- --...:-- ..- - - --- --. .::_ _ .:..:. .... ..... -- - - .- i ! -- � j �:_ - ; , . .. , . , ,�� ; � .. . , . . . ,r� �� i . . . _... _ � .- - - , , Y , , �_ I , . �;. ,, .�� v C �.-, �. , _ _ .. _ . . — - � � -. ., ;�;� . �. �=�\� . . _i . . I -- ..�`_� „ 1--` '� �\. _ � ` ���`s� �l � -.. . ,• , � -, . v, . • 'r '. _ ._ .=.. :� .. .. ' .. '..I ...:. :,: _".. . .. '_ ' . .' ..". _. _ .. _ .. ' _"._' __....._... ."___"�_' _ . . �� .1 - � ' -- ---- '— - ' -