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HomeMy WebLinkAbout13044 (16) ' �� CITY OF DIAMOND BAR � �� / DEPARTMENT OF COMMUHITY&DEVELOPMENT SERVICES �� . 21660 E.Copley Drive Suite 190 ' ' � ' (909)860-3195 Fax(909)861-3117 PRESS '���'� � ' BUILDING PERMTT APPLICATION ' � � FIRMLY o DDRESS�Z���K Ff"VLL P R • DATE CATION 1��5_/�� NUMBE N!C�1' I?) 1 '1 $ �!O ISSUE �, TYPE • OCC APN LOT�.o TRACT DATE �'��5'��✓"I• CONST. GROUP p OWNER p ADDRESS h cL /�. ZONING SETBACKS • : � CITY_l�I/fF��Nn BA'"IL ZIP TEL. REAR Rw ❑ � APPLICANT� �TEL � SIDElSIDE STREET RW ❑ � CONTRACTOR I'�`� Go �.. SIDE ❑ � A�DRESS y/� � ' . PROPOSED USE W��N H� ba "(`S � CITY ZIP TELi�LS�G_�� '" • o ARCH/ENG/ � DESIGNEFi N0.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � � CITY ZIP TEL. c�i� DESCRIPTION SO.FT. 'FACTOR P5F ADJ.AflEANALUATION Q OWNER-BUIIDER DECLARATION SFRJADD/REM O ' p 1 HEREBYAFFlRM UNDER FENALTY OF VEiWM THAT I AA1 EXEN7T FROM THE CONTRAC10R5 LI• � GerEQB/CO�pOR � iL CQlSEUWFOAh1EiOLLOWPI�REASdJ(SEG70.tt6&)SINESSANDVROFESSIONSCODEANVCRYOR (n U COU�(ryYM#CHqEplARE511PERA1ITTOWNSTPUCT,ALTER.sAPROVE,DEUOLISH,ORREVAIRANYSTRUC W patlo/Deck ' � NRE PR�OR iD IT9155W WCE,M50 REOUIRES THE APPLMNWi FOR SUCH GERMIT TO FIIE A SIGNE� W STATEA1EttT TNAT NE OR SHE IS LICENSED PURSU�NT TO TME PROVISIONS OF THE CONTRACTORS LI• � CEN�E UW(QIAP�ER i(COMAIEN@�O WI7H SECTqN TOoo)OF DM510N 7 0F ME Bu5iNE55 AND VRD� u- Pool/Spa � � � FESSIONSCOOE�ORM�THEOFiSHEISE%EMPTTMEHEFROMMlOMEBASISFOHTHEALEGEDE7(EMP• (,7 TION.ANYVIOIAiIONOFSECilON7D]1.60YAHYMPLICANifORAPERUITSU&IECiSTHE�PPLICANTTO Z RB-ROO� � AC7VILVENALTYOF1qT1JORET11ANiNEMUNDREDDOLU0.5(t500).1' ' . . � OLASMVNEROFTHEPROPERiY.ORUVE�PLOYEESYnTNWACESASTHfIRSOLECAYPENS�TICN, � O �mmarclai - . � YALLDO ME WOFbC MA TNE STRUCTURE IS NOT IMENOED OR OFFEflEO FOfl SALE(SEG.�0��.8U56 J N NE59 MA VROFESSIONS COOE:TME[ONfMCiORSIICENSE Uw DOES NOT APPLY i0 AN OvmER OF ? PROPEiT'MffO BULDS OR MPiqVES THEREON,ANDY'MO DOES SUpI WORK MIYSEIF OR MEHSELF OR � Q THROUL`NHISOflNEROYR1EtJPL0YEE5,DHOVIDEDTHAT5UC11MPROV[MCNTSARENOTINTENOmOR �� m W OFFpitDiOpSALEIF.110WEVERIHEBUIDINGORIMPpOVEMEHTISSOLDWTTMNOHEYEAROFCOMPLE• � ZTION,TME OnVNERBUpDER MnLL HAVE THE BUpOEN OF VROVPIO TNAT NE OR SHE 010 AqT BU0.D OR . � IMPpOVEFORTiIEPUPPOSEOFSALE} .' . . �4 ti4 W4NER OF THE PIiOPERT'/,A1A EXCLUSNELY COMMCTINO NTRi LICENSED CdRMCTORS �� � TO CONSTRUCT iT1E FRQIECT(SEG.7Du,BUSiNE55lWD FROFESSqNS COOE:THE CONTMCTORS L4 V21t101i0f1 AQI.AREA ' �1� CENSELAWDOESNOTAPRYTOANOWNEROFJ1PflOPERTI'NTfOBUILDSORMPROVE57MEREON.AND � WIqO�NTRACT3FORSUpIPRQ1ECTSWITHAODNiMCTOR(5)I�GEN5EDR1RSUiWT70THECOHTRAG OUANTITY :DESC ION � FEE TOlLS LICENSE UW�. � OIWfXE4PTUNDEHSEC.� B.tP.C.FORTwSREASON U GL � . � . . ¢ __ WV�' ' �/ 7 � ' •� �ATE Ow4ER � � z w F _LICENSED CONTRACTORS OECLARATION � � w � � IHEREBYIIFFYIYUNDERPENALTYOFPEMIRYTMA7IAMLICENSEDUI.DENPRON510NSOFCHAPTER� � Z ( � � i(Op.�MENCWON7iH5ECTIONiOoa)OFDMS�ONiOFTNEBU5�NE59l1NDPFiOFE5510N5CA0E,AND NY UCENSE IS N FUIL FORCEAND EFFECL ) ` �� . . � l. � UCENSE CU53 6. c�'3 � �,�.No.- s`3�' � . �"j DATE I������CONTMCTOFl� .�� � 6J. � WORKEHS'COM.PENSATON OECLARAT�ON �"���� a _ . , � IMCREBYAFFIRMUNOfRVENI�LTVOF0E0.NRVONEOFTHEiOLLOWINGDECLAMTIONS: � V '� T, 2 Q � �IWIVEANDM�LLMANTIUNACEHTIFIGTEOFCONSEMTOSElF�MSUpEiOHWORKERS' S CO►IPENSATqN,ASVROVIDEDBYSECTI0NJ7000FTHElABOqCOOE.FORTHEPERFORMMICE W OF 1N5 WORK FOR MA/KM T116 FERMIT IS ISSUEO. � . 0 I HAVE ANO WILL MAINfA7N V/ORKERS'COMPENSAiqN INSVRANCE,AS REOUIRED BY S[CTION � O �7000FTNEUBOROODEiORTHEPERFOfUIINCEOFTHEW017KFORNT9QiTHISFERMITIS 65UED.WWORKERS'COVPENSATIONINSl1iLWCEGARRIENA7:DGOLICYMIMBERME CONSTRUCTION jGARIEII � �� PLAN REVIEW � vouCYNuuOfR�/fn�f LI '� _ — ELECTRIC I � (M1aS5ECI1d�1E�NOTBE001.flETEDOFTEPERMT6PoRONEF4R,0(IEDD W1itSR+0010R1ESS1 PLUMBING � � W Z I CERTIFY iNAT RlTHE PERFORMANCE Of TME WOi1K FOfi wHIp1THIS VEW.�iT I5155UED,1 MECHANICAL .=� • (, 5'Wl NDi EIAPLOYANY iERSCN iN ANY MMNER SOAS TO BECOME SUOJECT TO iHE ��.`�:V��h�!Jt11Ci 1If1�r� � WOPo(ERS'CO�A�ENSATqN UWS OF CALIFOf1NIAANO�GREE Tw�71F 151101.1D BECOME INSPECTION FEE �` /'AT S SUBJ[CTTOTMEMNNKERSCOMPENSATIONPflOVI510N50F5ECTION77000FTHEUeOR - ' u�{��y1�Q1�dIa�Q T f7 COOE.I SWUI FDATMYIiH COMPLY WI7NTHOSE PNOVISIONS. �SSUANCE A.LI O �,�.��Q � .-, p MTE:.���'7_I_ APPL�t�T: IY[�. / ' '�V SMIP _ .�. \ _ � T� _T ENERGY P/C WMNINO:FAILURE TO SELl1RE MARNERS'COMOEN511TION LOVEMCE IS UNUWFUL�17D SHALL BE �-y �SUBJECfANEM�IOYERTOCAWINALFENALTIE5117iDdVILFWESUDTOONEFUNORC�TH0U51W0 ENERGYPERMiT OOlLA1LS(f Io0.0o0l,N ADDrt10N TO THE fAST OF COAIPENSATION.DIJIAGES AS GaOVIDE�FOR IN J EECTIOn770eOc7liEUBORCOOE,INTERESLIwDA770N�EYSFEES. RC-TENTIONFEE: �}T � 7� OCONSTRUCT�ON LENDING AGENCY pRE-ALT FEE: _�,'�1 . i�u � � INEREBVACFlAYUtA[RPENKiVOFPE0.RIRVTHATTHEREISACONSTRUCf10NLEN0INOAGENCY ' ' 0- FORTMEOERFORMANCEOFTHEYVOPoCFORWHIpITMISPEN.�ITISI55UED�5EC.foV�,CIV.CJ. . � � LEMDEq'S WwE - � � LENDER'SADDRESS W ICENTFYTHATIMAYEREADTHISAPVLICATIONANDSTATETUTTME�BOYENFORMATqNISCORRECL TOTAL FEES �{� � �/�. ��D � IAGREETOCOI.IPLYW(THALLCfTY/iNOCOUN7YOi101Nl1NCE5AND5T11TEU1N5REUTN(ITOBUI�pINO l . � �CONSTRUCTION.ANDHEHEBYA{ffIqPoZEHEPRESENTATIVE50FTHiSCOUNTYTOEHTFRUPONTHE . ABOVE-4EHTIDHF-0VROPERiYfORM57ECTIDNVURPO5E5. COMMENTS �' `,� - .-��v-r^-� .�: r,J�,f/� , . �---- • Q GEiWITTEENAY�E�fP��. �J r-�1 �u� _ ,r� I . . ,N . '�'.....' /%✓ ' ' "� ,/ . SK'inA7 F EfwITTEE ' DATE V ' � � _ . ,. . . _. . RECP7.N0. � FAID BY �� VALIDATION � � F— WHITE-0epanment Copy,YELLOW—Finance Cop�,PINK—AssessaCopy,GOLDENROD—Fp e Copy,GREEN� �canl's Copy � � - l f-� ! 1 '7� 11�7 \ll � , . . . . . �:�,�qtT ' :�.•. . . ,.r . , . . , , - , . .� - . , :. . ��.,,.-. , , .+ , . . .�. .. �. , , �`_; CITY OF DIAMOND BAR � � , . � . , . . . . . . ... . . . .. . . - . �� � �� INSPECTION RECORD" : . �. ' � � . ' : , _ , . � � � • ' • � � • ' SET BACK •. �-• � ! ; ' .j : FLOOR JOIST -'�� ' ;.: t <.'., . . _ . FTGS/FORP,�S/STEEL '' . • .. FHA REQMTS - - - - � - �- - - - �' ELECTRIC GFiOUND -- � . ' "� ' ' UNDER FLOOR OUCT ' . i : GROUND PLUMBING - UNDER FLOOR CO(�DUIT • ' '•�:'� = ' ' "'• ! " SLABGRADE- . - � FIREPLACEFOUNDATION '. ;��� ' �. ' .' '' .',',� . , TEMP POWER � - - - '-. � - FIREPL�ACE�BOND BEAM_ . .._... . _ . . :- ...-_ . -. . . _.. _ . .. . , ,.. . .. ., , WATER SERVICE. -� � _. _ MID HT.BOtJD BEAM. "� • .. , .. . ROOF SHEATHING�' - .� ,. , S FT.BOND BEAM . �•: :\• -.. r;. ; FRAMINGNENTILIATION FINAL BOND BEAM � ' � ROOF COVER . .- ' : PRE-GRADING �� - � . : ROUGH HEATING - - - - —� -- - BENCHING � - �.• � :. . ROUGH ELECTRiC-�� � ` - ��- -� ROUGH GRADING • ' ROUGH PLUMBING - � - �-- --: -- . FINISH GRADING SHOWER/TUB TEST � POOL ELECTRIC � EXT.LATH/SIDING POOL FENCING ' ; ' . WALL INSULATION POOL FINAL � CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS ' . ' . . BEWER . _. . .._.._ FINAL ENG. � � � -- -- .. _. _._... ._... SEPTICTANK _._.. ' __. _.__ .... .. _ : ._. .__ LANDSCAPE/IRRIG. ° SEEP PIT/L.L. - - � ' " ' -- ON SITE IMPS. " GAS AIR TEST -� - - • • � - FINAL ZONING � �INAL•CONST: p� �' �( - �r FIRE DEPT. FINAL FINAL HEATING - � •' T --' HEALTH DEPT. FINAL . FINAL ELECTRIC - - - - DEV.FEES PAID FINAL'PLUMBING ENERGY � � �• , . , . � . . . . i i ' �� , e • � . . .. - _. _ _ _.. . . . .. • , , , „ .. � _ , .. . . - ' • -- - . -. : . . : .. ... ... . _.. . . ._ _... -- COIVIMENTS�-� _"- �. . . . � . � _ . . • . � . : - � - ' � ' � _ . . . _. � . _ � _ + . , , , . ... • , . ..t - - - . . . . .. : , .��, �, . , , . - - , ,i �•. . t i ' _ _ . �� � � � �. , .. ;:�1,.. . . . ' .... . � . . ' . . . . . . . ' rll�Ay I . � - 1 1 ` . ..�� _ . � "_.". . . ,�.�. '. � � � ' • . • � � , SEPTIC TANK SIZE � . . , � � � .. .. .. . . SEEP PITN SIZE • "';' , .. - _ � � � - � � � . _.. _. ' i : - � , .-_. .. . _ -. � � . , . .. .. � . . . , . � `. _ . . C'�,3 ,���� . � ; �, ���� , .;. .� � : - � � � � �- ���� �'�