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HomeMy WebLinkAbout11302 --�� — CITY OF DIAMOND BAR � COMMUNITY DEVELOPMENT DEPARTMENT ,x,..� 2166DE.CoplcyDriveSuitc190 PRESS (909)860-3195 Fax(909)861-3117 �'M'� BUILDING PERMITAPPLICATION FIRMLY o DDRESS d�.C� l/�".I�� � O APPLICATION � �Lf � PERMIT P/C �C� � DATE NUMBER q ISSUE TYPE OCC . � APN LOT TRACT� � DATE CONST. GROUP • p OWNEfl '� , o ADDRES ZONING SETBACKS oCIN ZI TEL. � - FRONT RW ❑ o APPLICANT � TEL4- .1� S DE/SIDE STREET RW ❑ � CONTRACTOR SIDE - ' ❑ � ADDRESS 'L �� PROPOSED USE � CITY ZIP TEL. w ARCH/ENG/ z DESIGNER - N0.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION m � OWNER-BL'ILDER DECLARATION " SFRlAD�/REM O p 1 HEREBY AFFIRM UNDER PENALTY OF PERJURY THAT I/V.1 E%EMPT FROM THE CONiMC70Fi511• Gat999/C31pOfl W CENSEUWFOFTMEFq10WINGRElSDN(SEC.70]1.69USINESSANDPROFESSWNSCODE:M1YCfiYOH (n ZCOUNTYWNICHREOUIRESAPERAIITTOCONSTRUCT,ALTER�7HOVE.DENOUSH,ORREPAIR�NYSTAl1C- W PaI10/DBCK w TURE.PRbR TO RS ISSUANCE,AL50 PEWtRES THE APPLICAM FOR SUp1 CERMIT TO FILf A SiGNED � W � STATEMENT T1fA7NE OR SHE IS LICENSEO PURSVANT TO THE CROVISIONS OF THE CONTMCTORS l4 � GENSE lAW(CNRV7ER Y 1COMMENqNG YnTM SEGT70N)ooD)OF DIVISION i OF THE BUSINESS ANO PFO�� V' PooUSpa 0 FESSIONSCOOE)ORTWITHEORSMEISE%EMPTTHEREFROMANDiMEBA515FORTME�LLEGEDE%EMP- V TbN.11N'/VIOUTIONOfSECTION7071.S8VANYAVPLICANTFOR117ERMIT5U8JECT5THEAPPLICIWTTO Z Re•Rool � ACMLVENALTYOFNOTMORE7WWFIVEHUNDREDDOLURS�f500I.1: p OI.A50'NNEROFTHEPROVENTY.ORAIYEMPLOVEESN17NWACESASTHEIRSOLECOMPENSATION, O COTrtIBfCi81 z MnLI DO THE WONK,AND iHE STRUCNRE IS NOT INTENDED OR OFFEFED FOR SALE(SEC.70U.BU56 J NE55 AND DROFESSIONS COOE:THE CONTMCTORS LKENSE UH'DOES NOTAPPLY TO/W OWNER OF � PROPERTY'M108URDSORPAPROVESTHEREON.ANDMMODOESSUp1VJORKHIMSELFORHERSELFOR � CC THROUCMHISORHEROWNEMVIOVEES,PROVIDEOTHATSUCMIMPROVEMENTSARENOTMENDE00R m . , W OFFEREDFORSiLLE1F,HOWEVERTMEBUILDiNCOR1AIPROVE41[NTISSOIDNATHiNqJEYFAROFWMPIE• � TION.THE WINER�BUILDER W:LL HAVE THE BURDEN OF PROVINO THAT HE OR SHE DID NOT BUIID OR � Z IMPROVEFORTIIEPURPOSEOFSALE). � = 04ASON?lEROFTHEPROPERTYM7E%QUSNELVCONTRACTINGINTHLICENSEDCONTMCTORS Q TO CONSTHUCT 7HE PRWECT(SEC.7ou.BUSINESS FND PROFESSW�+S CODE:T7E CONTMCTORS U�� VelUeli0fl AQI.AREA W CENSEUWDDESNOTAPPLYTOM70wNEROFAPROPEH7YWMOBUM1DSORIMPROVE9THEREON,ANO � VrtqCONTMCTSFORSUCHPROJECfSN'ITHAQOMAACTOR�S)UGENSEDPURSUAMTOTM[CONTMG OUANTITY - DESCRIPTION � FEE Y TORSLICENSEUW). � O IAM IXE�APT UNDER SEC. B.8 V.G FOHTHIS RE1lSON U � . Q u" OATE OWNER V Z W �¢ LICENSED CONTRACTORS DECLARATION _ . ' ' w � [L 1 HEREBYAFFlPM UNDER VENALTY OF PER1URv THA71M1 LICENSED UNOER FROVISqNS OF CHADTER V. 1 �+O d 9�COMMENGING WffH SECTION 7000�Of DM510N]OF ME BVSINESSAND PROFESSIONS COOE,AND Z t «� X MYUCENSEISMFULLFOR ANDEFFEGL m , ' 11J `S ', � LICENSE CLASS LIC.NO. J � F�- . V DATE�-2 4 CONTRACTOR � a W [� WORKERS'COMPENSATION DECLARATION a _ . .. = U � IHEREBYAFFIPMUNDERiENALTVOFPERIURYONEOFTNEFOLLOWIN�DECLARAT10N5: y Z Q � _IMAVEANDYN•LLAUINTNNACERTIFIGATEOFtONSENTTOSELFaNSUHEFORWOFU(ERS' 2 � COMPENSATION,ASVROVIDEDBYSECTION77000FTNEUIBORCOOE,FORTHEVERFORAIANCE w OF THE WORK FOR WHICH THIS pER1AIT 5 ISSUED. � � � W �IMAVEANOWILLMAINTAMWORNERS'COIAPENSATIONINSURANCE.ASREOUIREDBYSECTION . Q �700 OF THE LABOR CODE.FOR THE PENFORMMICE OF THE WOF1C FOR WHICH THIS PEi1MlT IS ISSUED.MVNURKf v ATqNINSURANCECARiUERANDPOLICYNUMOERME: CONSTRUCTION � CARRIER ���+/�✓1+ �y�l� PLANREVIEW .- ' � POIICY NUMBER� � • ELECTRIC . �. (ill55ECf10NNEmNOT8E00�.6'IEiEDOGiFEPERMTISPo�YCNEFlJrDfiED00lLliLSIS10010RLE551 �G � , W MECHANICAL Z 1 LERTIFY iHAT N THE PERFORMANCE OF THE WOHN FORVVFIICN THIS PERMI715155UED,I (•J SwLLLNOTEMPLOVANYPER50NINANYMnNNER50A5TO8ECOMESUeJECTTOTHE � � WORNEfiS'COMPENSATIONLAWSOFCALIFORN10.µDAGREE7MATIFISNOUL�BECOM[ INSPECTIONFEE 6UBJECTTOTHEWORKERS'COMPENSATIONPROYISIONSOFSECT ]7000FiHEUBOR { OcaoE.isN!l���v�opg�n� m�caaa�rwitr+r sEvaovis� � . ISSUANCE p OniE: ���� ` `(�APPLICANT: 1 O. SMIP � ENERGY P/C WARNiNC�FAtLURETOSECURENIORKENS'[DMPENSATIDNCOVERAGEISUNU M.ANDSHAILBE � � SUWECTMIEMPLOYER70CR:1AINALPENALTIESANDCM�FINESUPTOONEMUNOREDTHWSAND ENERGYPERMIT DOLLAR.�(f 100.000).W ADDITION TO TNE COST OF CdAPEN5AT10N.DAMAGES AS PROVIDED FOR IN � SECT�ON]70eOFTM[UBORCODE,INTEREST,ANDATTORNEY'SFEES. FiETENTIONFEE: � a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: ' O . � IHERCBVAFFIRMUNDERPENALTYOFPERJURYTHATTMEHEIS�CONSTRUCTIONLENDWC�GENCV d FORTMEPERFOflA1ANCEOFiHEWORKFOHWH�CHTMiSPEW.�ITI5135UED(SEC.�oi7,C1Y.C.). Z W . � LENOEN'S NM�E H LENOERSADDRE55 � ��� � � � � TOTAL FEES � w ICERTIFYTHATIHAVEREADTHISAPPLICATIONANDSTATEiHATiHE/�BOVEWFORMATIONISCORREGT. d IAGREETOfAMPLYN7TH�LLCITYANDCAUNTYOFDINIINCESANDSTATEUWSHEUTWGTOBU�IDING CONSTRUCTION.AND HEREBV Al1THOIU2E REPRESENTATNES OF THIS COUNiV TO ENTER UPON THE ZABOVE�MEMION DPROPERTY iNS�ECTaNDURPO5E5. . COMMENTS p 4 J . _ QPERMITTEE N fUNT) t ^ �( � G . . (n ��'I��C O '�.I � � SICNATURE OF PERMITTEE DATE � � RECPT.NO. PAID BY VALIDATION � - WHITE—DeDanment Copy.YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROP—File Copy,GREEN—Applicent's Copy {r �. . .. . . . . ,. ... . -,-..• . .. ... . .. . .� . L4� .. �. .m�. . � �a. . �(:. ' . . . .... .. . . .. � , . . . . . . . � . . ,.. . , . .«.���.v � .�y ..._ .. - .. . . • �� � 7'. .. . . ... .0. . `�, ',� CITY,OF,DIAMOND BAR. �.,,�", � ; - ' , _ �� -' � _ � INSPECTION RECORD „' �,:� .' � . . � �-! .. . . ,. , -. . . .. . . . r � I 3 • .► e ' '���;� _ �I��;�.�.�c�i i'1 0 � e � _ s SET BACK '� . '• FLOOR JOIST ;__-;-,_ . . � � ' ' FTGS/FORMSlSTEEL__- -_-"_'_ � - FHA REQMTS '-` ' ' ; '. . '• ' � . _.. ELECTRIC GROUND UNDER FLOOR DUCT�,�,'. = � ' GROUND PLUMBING UNDER�FL�7OR CU�IDUIT � - - - - � � ` � SLAB GRADE - " ' ' FIREPLACE FOUNDATION ' � - ' ` " � � • TEh1P POWER -- -- -- - � • - -- - - - FIREPLACE BOND BEAM � � � ... . _ .,.. c, WATER SERVICE • - � � �' MID HT.BOND BEAM� � � � � � - ' ROOF SHEATHING � 8 Ff. BOND BEAM � i FRAMINGNENTILIATION �.:. FINAL'BOND BEAM - - : i .,, ROOF COVER-- - -- ---- - -- -- PRE-GRADING ` ` ' __. _. ._ ROUGH HEATING-� � ` -� - ` � - '- � ` BENCHING - i 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 . ' , �, SEVJER __... ._ . ..-- ---. ? f ..._. . _ .. _FINAL'ENG. � SEPTIC TANK . _ ..---- _..._. -. - ..-: -.:-- _ LANDSCAPE/IRRIG. ' � SEEP PIT/L.L.- - ----..._.. _.. .. - - -. ..� __.. ON,SITE IMPS. .. ' ; GAS AIR TEST;-- ----- - - - - -- - FINAL ZONING ' � � ' FINAL CONST. - � �� - - - --- FIRE DEPT. FINAL � . ; FINAL HEATING -. - - . . . -_; . - HEALTH DEPT:FINAL .: - - _ -- - - - -- � . , FINALELECTRIC - -� - -� : • - _ - ; DEV. FEES PAID , • •.. � . ,. ,. . FINAL PLUMBING �� ENERGY .. • i . , ,� . ,: �.�, . j Z.e �I�tG!� e.. . : ., -- i• .. , - : - - - .. _ . , ---_ . _. _. ..., . . . . ... - � - ---- -- . _ . . ... _ _ � . .. -- - - --- . ._. . i. COMMENTS -- _ -- � ' , : . , _ , , . , � -.:;: � .. , � - - : _. .. . � ��_ •'� , ��,. �'� , �� � --- .: _ _ . i i . _ 'ti , . � -- � - . � � � , , '._' . . ..___ __. ._ _ _ _. . .. .. . ' . . -�7 ' . . � . � . .. ' , .. � .. . ...._ ". ..... __.. . /: O .�j . i - • � . . . . , . . , . . ' � . . .. __" ' __ .. .. .. . � � . ��� ,` :.. .` 1 ;,f1 'l• .. �� � _. i . ' ' .\ . � .' • . . i . . . i , � � � . . . . . . . ��4 . . • . . . . . . . . .. .. .. � . . . .. --.._.. . , _.. .. .... . ... .. . ._ . . . .. I . . '. .. . � . SEPTIC TANK SIZE" - '" ' " ' ' � ' , , ---- -- -- -- - - - -- --. _. . . - -- -- --- - - SEEP PIT/U SIZE � . � I I ; .. , - ' � .. � ; - �-- - � -. : . i _ . .... . ., , , , - - - _ _. . . ' , , i ... j I � ; ,�', • �` '� ` , .. ,�. �, � ,.'�-- �� ,. �,. 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