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HomeMy WebLinkAbout11744 (5) _ _. . .. - - �----- -- - - ,, -- - - ----- �------- ------- --- ---____.. -- � � ---��� - � CITY OF DIAMOND BAR " COMMUNITY DEVELOPMEN7'DEPARTMENT • x,,.� 21660 E.Copley Drive Suite 190 , PR ESS (909)860-3195 Faa(909)�8�61�-3�117^ ' ''"' BUILDING PERb4ITAYYLICATION FIRMLY � JOBSITE �f d/� � ��/ ��.., APPLICATION Z ERMIT (� P/C o ADDRESS !���� �/�/� /��fLt/wL !r� • DA7E � UMBEF{� # � ISSUE TYPE OCC APN � LOT TRACT DATE . p OWNER �L ry sI S CONST. GROUP p ADDRESS � • ZONING SETBACKS z CITY ZIP g�ra 3 TEL. FRONT RW ❑ p APPLICANT TEL. SI�SIDE STRE_T RW ❑ z ' m CONTRACTO S�OwtSy L . SIDE ❑ oADDRE � � � pROPOSED USE��'I��I_ CITY ZIP YTEL C w ARCWENG/ , � z DESIGNER NO.DWEL. J NO. NO. a ADDRESS UNITS � STORIES Z ' BEDROOMS__� � CITY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-6�ILDER DECLARATION SFR/ADD/R[M ' O ' I NEREBV AFFIRIA UN'�ER PENALTY OF PERIURY TMAT 1 AA!E%EMPT FROA1 THE CONTMCTORS tl� G829B/C3�pOR W CENSELAWFON7HEFOlLOWINGREASONI5EG70.7�.SBUSWCSSANOPROFE5510NSCO�E:ANVCITYOP (n U pOUNTyWHI�qEOUIRESAPERMITTOCONS7RUCT,ALTER.MPHOYEOEMOLISH,ORREP�Iq/NYSTRUP W patiaDeck TURE.PRIOR TO RS ISSUANCE,M.50 REWIHES THE APPLIGNT fOR SIJGI PEW.��7T0 FlLE A S�GNED w STATEMENT TMAT HE OR SME IS LICENSEO PURSUANT TO THE PROVISIONS OF THE CONfRACTOftS L4 W � CENSE Uw(CHAP7ER i(CAMIAENCINC Y/ITH SECT�ON 7000)OFD�h510N 70F iHE BUS:NESS AND PRO� u" POOVSp3 iE55iON5CODE1�ITMATMEOH5ME15E%EMPTiMEREFPOMANDTME8A5i5FOpiHEMLEGEDEXEMP• (� � TIDN.ANYVIOLATIONOFSECTION7071.SB�ANVAPPLICA4TFORADERMITSUBJEGiSTHEAOP��pIfT70 Z Ro-Rool A CML VENALTY OF NOT MORE THPN FIVE lIUN�flED OOLUAS(f 5007): , Z ❑�ASOWNEAOFTHEPROPERTV,ONMYEMPLOYEESWITHWaGESASiH[IRSOLECOMPENSATpN, � COmrt10rG�21 W'�LLDO TME WOR1C ANO T11E STRUCTURE IS NOT IMENOED OR OFFERED FOR SALE�SEG 7W�.BU51. J N NESS ANO VROFESSIONS CODE:TNE CONTMCTORS LICENSE UW DOES N07 APKY TO AN OWNER OF ? � _ Di10vERTY Mnq BUILDS OR IMPROVES TMEREON,ANO Nn10 DOES SUCH YlORN HI45ELF OR HERSELF OR �� � TNRWCMMISORHEROWNEMG�OYEES,PROVIOEDTMATSUGMW.VROYEMEMS�RENOTINTENDEDOR m w OFFEREDFORSALEIF,MOWEYERTMEBUIDINCOA�PROVEMEMISSOLDWfTVU40NEYFAROFCOAIPLE� Q TiON.TNE OWNEN�BUILDER WILL HAYE TNE BUR�EN OF PHOVING TWl7 ME OR SME DW NO7 BUIID OFi Z IMPROVEFORTHEPURPOSEOFS�LLE]. - � _ ❑I,ASONMEROFTHEPfiQPEHTY,IIME%41151VELYCONTMCTWCWI7HLICENSEDCONTRAGTO0.S W � TO CANS7RUCT THE PROJECT(SEC.7a6 BUSINLSS AND PROFESSIONS fADE:TME CONTMCTORS L4 VdIU.7Ii0f1 ADJ.AREA W CENSEUWDOESNOTMPLY70ANOWNEROFAVROPERTVWFq91/ILDSORWPpOVESTMEREON.ANO � Wh�OCOMMCTSFOflSULHPRpJECTSYATMACONTRACTOR(5)LICENSEOPURSUAMTOTHEWNTRAG QUNNTITY DESCRiPTION � FEE � TORS LICENSE UW.�. a ❑IIA�EXEMPT UNDEA SEC. B.d P.C.FORTHIS REASON Q � � U . .. W � DATE OYMER V . Z �¢ LICENSED CONTRACTORS DECLARATION w [Y IHEF[BYAFFIRAIUN�[RFENALTYOFVERNflYTHATIMILICENSEDUNDERFqD1/ISqN50FCHAPiER � ' , d 0�COMMCNCWO WTTH SECTION 7000)OF DMSION 70FTHE BUSINESSIlO PROFESSIpryS COOE,AND Z X MV LICENSE IS IN FULI FONCE AND EFiECT. � m � LICENSE C 5 q�_'�"� LIC.NO.�� � �O � V DATE Z�g / CONTfiNCTOFi a� d W . �� � � WORKERS'COMPENSATION DECLAHATION ¢ �� � S 1 = U � IHER AFFIfiMUNOERiENAITYOFVERNRYONEOFTHEFOLLOWW4DECUMTqNS: I' N Z C � Y—� w � INAVEANDNIILLMNNTAINACEHTIFIGTEOFCONSENTTOSELF�INSUflEFORYR]PKERS' _ Q COMPENSAiqN,ASPROVtOEDBYSECTION77o00FTHElA00RGO0E,FOPT„EPEHiORM/NCE `U OFTHE N'ORK FOq WHICH THIS PEHMI715ISSUED. . � � � w _IXAVEANOWiLL1.NMiAINWORKERS'COMPENSA710NINSURANCE.ASREOUIREDBYSLCTION . O J7000F iME LMOR CODE,FOA TME PERFORMANCE OF THE WORK FOR WHICH h1i5 PERMIT IS ISSUED.MY WO��RS�' °�ENSA710N IN RANCE CA IER AND POLICY NUTABER�C: CONS7RUCTION j i��Y""i'��'� ��� _���• PLANREVIEW CARPoER Z vacvNuruiEa Z ��f��I ELECTRIC ¢ � � (fMbSECf10NNCmNOTBE00RPLE'fEDOFIi[PEW.fTSiY�RONEMlDREDDCAIMSR��l�LF351 PLUMBING W Z ICERTIFYTHATWTHEVERFORIAANCEOFTXEWqRKFOHwHIGITHISCERNITI5155UED,1 MECHANICAL � 1 C7 SMALLNOTEMPLOYANYCERSONNANVMANNERSOASTOBELOMESUBJECTTOTNE . y WOPXERS'COMPENSATIONUWSOFGtLIFORNIA,µDACREETMATIF15110.LD8ECOAlE INSPECTIONFEE � S SV0.IECTTOTMEWORKEflS'COMPENSAT PROVISIONSOFSECT�ON77000FTHEUIBOR � COOE, HALLfO Hwm+ca.+v�rmniT osernovisrons ISSUANCE � � 6 �_ SMIP . p OATE: APRIGINT: �/�/� J WMNINGF 4URETOSECVREWOAKERS'COMPE�+SATiONCOVERAGEISUNUWFUL,ANDSW�L�BE ENERGYP/C � �IA�� lYV1l � SU[iJECfANEMPLOYERTOCRIMINALPENALTIESANOCMLFWESUPTOONENUNDREDTHOUSMlD ENERGYPERMIT �1�� � J DIX.URS(f 700.000�.IN�DDITION TO THE COST OF COMPENSATqN,DAMAGES AS PROVIDED FOR IN � SECTION]7CBOFTNEUIBORCOOE.INTEREST,ANDATTORNEY'SFEES ' RETENTIONFEE: � � �� - � d CONSTRUCTION LENOING AGENCY PRE-ALT FEE: - ' O � IHEREBY�GFIRMIIN�ERVENAL7YOFVERIUHYTHATTHEREISACONSTfll1CTIONLEN0ING�CENCY - � FOfl THE PERFOliMANCE OL THE WORN FOR VMICH TMIS GEAMIT I5155UED ISEG]OD7,CIV.GJ. , , Z �- W � IENDEiYS NAME F- LENOERSADORE55 � ¢ ICERTIFYiMA71HAVEREAD7NISAPPLICATqNM1DSTATETMATiHEABOVEWFORM�TqN15CARRECT. TOTAL FEES , W IAGFEE TO COMPLV WITr/ALL CT'AND COUNTV ORDINMlCESAI:D STATE UWS FEUTINC TO BUILDINC � CONSTRl1CTION,MIDHERE�YIUJ�NORREREPRESENTATIYESOFTHISCOVNT/TDENTERUPONhIE • � ABOVE� ENf10NED VROPERTY FOR INSPECTpN PURPOSES. Z COMMENTS � ___���� _ � m ITTE NAME(VRIffT) ' ' . ¢ �� / -i� N (n iURE FEflMiTT . AiE � � RECPT.NO. � PAI�BY VALIDATIO � ��WHITE—Department Capy.YELLOW—Finance Copy,PINK—Assessof Copy,GOLDENROD—Filo Copy,GREEN—Applicant's Copy � � ' � � -..-, . � r . . .. .. . . � . � . . . .. ., . . - . . .. . . � i : �.� r .. , . , . . � . . . . } ,... , r . ..... .. , , . ., ,..�, � . , . . , - ... .-i �� CITY OF DIAMOND BAR� ' � • '� � , INSPECTION RECORD � .-�' •. • ; .. .... , � • • e + • ��i1�'� � 1.,.. o� o � � . SET BACK .% � ' ' ' :. . � � l � FLOOR JbIST —- - -- • : - FTGS/FORMS/STEEL. _._ � � FHA REQMTS -- - -- � . ELECTRIC GROUND ' UNDER FLOOR.DUC7� - • ,, �'-, ' � GROUND PLUMBING - -- UN�ER FLODR CO�IDUIT�:-' • ' �� � SLAB GRADE -- - - FIREPLACE FOUNDATION - TEMP POWER - . - ' . FIREPLACE B�ND�BEAM'_ ` " , �..� , . WAtERSERVICE - - -''' '• ' =. -- �MIDHT.$OND�BEAM; , . ; ;�,. . . . . _ `.,, ROOF SHEATHING ` ' 8 F�'.BOND BEAM • FRRFJIINGNENTILIATION �- FINAL BON�BEAM � . ROOF COVER - - - - PRE-GRADING • ; ROUGH'HEATING /.S�fP : ` BENCHING � � - ROUGH ELECTRIC� - '� - ROUGH GFIADING - ROUGH PLUMBiNG - -- - - - FINISH GRADING • . ' SHOWERITUB TES7 - ` POOL ELECTRIC EXT.LATH/SIDING POOL FENCING . ; , WALL INSULATION POOL FINAI • r , � CEILING INSULATfON OFF SITE IMPS. � DRYWALL NAILING DEDICATIONS ' . SEWER ---- - -... . _... . __.. • FINAL ENG. SEPTiC 7ANK .. __.._ __ _ LANDSCAPE/IRRIG. . � SEEP PIT/L.L.-; --- - -- . ON SITE I�VIPS. � ,.; GAS AIR TEST ` ---�-- - FINAL ZONING FINAL CONST.• --- - FIRE DEPT.FINAL - - - ' _.. , FINAL HEATING - f6 - - HEALTH DEPT. FINAL - -- - FINAt ELECTRIC - � -' � DEV.FEES PAID FINAL PLUMBING ENERGY ; . . . . . t � � . - -- `�\ . _. - ` - .e Cq'�e e � ti , ;� - _ c .'� �, _ _ :, , _ . �_ " . . . COMNIENTS•� r., .� . �_ . . . �- — • - , , , . . . � ., . _ - � �. ' ' . � . , . ._.... . ... ._ . .... • . L\ . _ -� .. ... _ ... _ . . , . . ' . . � � :� \ , � •-\�, . � ! .. . �{. - . .. . . . . . . . . , . _ l . .♦ �1 . ._ � 1 .. � \ , � `J � � �� I�. _ . _ " , � ' . , � � .` - . .. .n��. .. ^ ��i�`t ' .� l• •��'•.1!; �- `�` . , ., � '. : '' • -. _ . SEPTIC TANK SIZE " ' " � � - --...... ... - SEEP PIT/U SIZE � � � � .�'ll � � . - - - � � ��• ;s�• ' i I ' ; '' '��.\ � ` --- • . , ` � `� . � t � _ �' � ..