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HomeMy WebLinkAbout12805 � � . .. J� CITY OF DIAMOND BAR �'� � �•• � i DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES ' �c . 21660 E.Coplcy Drive Suitc 190 • (909)860-3195 Faz(909)861-3117 PRE$$ � �'+�'�. �� BUILDING PERMIT APPLICATION � FIRMLY } JOBSffE �7��� ��1i�A 'i1�,� APPLICATION ���(— � PERMIT r� � P/C o ADDHESS � �� �L 'J ' DATE `. W NUMBER� p � , . ISSUE TYPE ' OCC APN LOT TRACT � S/ DATE CONST. GROUP p OWNER ��1[l � C�Ar �[a'S"r � ADDRESS �20NW� SEfBACKS � C�UV YdMCQ ZIP 9d v�TEL3�0 ,�O�f'� R�R Rw ❑� APPLICANT TEL SIDEISIDESTREET flW ❑ - � CONTRACTOR SIDE ❑ � o ADDR�,SS CITY a 1 ZI�1'1l 3 TEL. PROPOSED USE o ARCFUENG/ � . • � DESIGNER � f N0.DWEL NO. NO. ADDRESS -L UNITS STORIES BEDROOMS � CITY ZIP T L. � DESCRIPTION SQ.FT. FACTOR PSF ' ADJ.AR AL TION � OWNER-BUILDERDECLARATION SFRlADD/REM OR 1 • O p 1 HEREBYAFFIitl.l UNDER VEIULT/OF VERIURY THAT 1 AM E%EMPT FAOM THE CONTRACTOiiS lF G0r'dg9/Ce�pOR W CENSEUWFOHTMEiOl10wINORF.A50N�SEG7m1.58115P1ES5ANDPROFESS10NSCO0E:ANYLITYOR (n U CpUMy1N11pIRE0URE3AVERIARTOCONS7AUCi.ALTER�PRWE.DEl.qL151lORREOAIqANYSTRUG W PatiolDeck - � -� 7URE PWOq TO ITS ISSU�NCE.I�LSO REOU�RES TME APPLICANT FOH SUGI PERMiT TO FILE A SiQNEO W STA7EMENT TlUT HE OH SHE 19 LIGENSED PURSUANT TO THE FFIOVISqNS OF THE CONTRACTORS LF � CENSE UW(CHAPTER i(COMMENCWO YATN SEGTION 70D0�OF OMS�ON 7 OF TME BUSINE55 AMJ iRO� LL PooVSpa FESSIONS COOE)OR iHAT HE OH SME IS E%EUPT THEfiEFROA111N0 TNE BA515 FOq iHE ALLEOED E%EMP• iION.ANYV10lAilONOF6ECT10N7W1.68YANVAVPLIC/7RFORAPEM4TSUBIECTSTIEMPLIGUffTO Z qe-Roof � ACMLFENAL7YOFNOTAIOitE7ilANFIVEMUNDREO�OLLAR5ff50q.Y• ' � 04h90WNEROFTHEPROOERTY,ORMVEMVLOYEESVAIHWACE5AS7HEIqSOLEC01A7ENSATION, 0 COfnmBfGl31 - � � YALL DO iHE WOF11C AND THE STRUCTURE IS NOT tlfiENDED OR OFFERED FOR SnLE(SFC.701�,BU51- J ' � NE59 AND ii10FE3310NS COOE:THE COffTMCTORS LICENSE UW DOES NOT APPIV TO AN OW NER OF ? . . . . iROPEHTI'W�A BUttDS OR YFROVESTMEREON.AND 1MH0 DOES SUpf WORK MIMSEIF OR MERSELF OR . LC 7HROUGMMSORHERONR�EMPLOYEfS,VROVI�EDTMAT5UQ11MPROVENEMSMENQTNTENOEDOR m , � OFFEREDPoRSAlE6HOWEVER7MEBUlDWOORMPiqVEMEM550lDWRMINONEYEPAOFCOMPIE• Z TiOM.TME OWNER�BUIIDER NALL NAVE THE BURDEN OF VROVWO TW�T ME OR SHE Di0 NOT BUILD OR = pAPpOVEFOqTMEGURPDSEOFSALE� ' W OI�OVMEROFTHEPROPEHTY,M1fXQU5NELYCONTMCTN6WRNL10EN5EDCONTMCTORS � TO CONSTRUCf TNE FRQIECT ISEG 7W.BUSINE55 AND PROFESSIONS COOE THE CONTMCTORS LI�� VBIU8lip1 �ADJ.AREA � � CENSE UW OOES NOTMVLY TO AN OYMER OF A YROPERTY VM1IO BUILDS q11MPROVE$iHERC-0N.IW 0 . � W/qCOHTRACfSFOFiSUCMVR0.1ECf5W1T11ACONTMCfOR{S�LICENSEDPURSUlIMTOTMEGONTMG pUANTITY ��D[SCRIPTION �� � FEE � tauucENSEuw.� ^n OIAME%EIAFTUNDERSfC B.Li.GFORTHISREASON Q W �L'LL/ � 3 .. ¢ �� ! l - V" �ATE OWNER � � f" W . � LICENSED CONTRACTORS DECLARATION • W 3 �,�O OC IHfRfBVIFFIRIIUNDEFPENALTYOFVE0.1Uf7YTMATIAAILICENSEDUNDERVROVI510NSOFCHAVTER� V, . p. •�COYAIENGNOWTISECTiON70oa)OFCMSION70FTHEBUSiNE55ANDPROFES510N5GO0LANU . Z X W LIGENSE IS M FtJIL FORCEANO EFFECT. m L S u� o uceNSE cuss C "/O ��c.No.��_ `ZZZ 3 �. [ � oate� carrrucron � 1,L a - w 5w t � WORKERS'COMPENSATION DECLARATION a , N . U N IHERFBYAFFlRYIRDERVENALTYOF0ERRIRYONEOFTHEFOLLOH^NGDECLAMTIONS: Z � Q � �IINVEANDYALLMARtTAMACEIRIFIGTEOFCON5EM705ElHN5UREfORWWi�(ERS' 2 COMPENSIRION,ASVNOViDEDBYSECTION77ooOFTHEIABORCOOE,FORTHEPERWRMANCE w 7HE WORK FOiI NM111d1 T}n5 PERAIIT IS ISSUED. � 0 IHAYEAND N'ILLYAR/TNN WORKERSCOMPENSATION PlSUIW�CE,AS PEWIRED BY SECTION • Q 77000F TME L1BOR COOE,FOR TNE PERFORYANCE OF iHE WORK FOR WMIp17MI5 PERIAR IS 155UED.W W�ORlK'ERS COMP SATION W$U�1 CE UF� R M1D VOUCY NUMD_RAAE: CONSTRUCTION � C/�ARIEH_L� • � � PLA Y! ' . _ _...._ . _.__. . _. . . ' . _ _ 0 VOLICY NU.OER��b q LECTRIC .. � a � RKss[cnortN[IDwreEcua�rmoFnErEnarsFoaasr�rorFnoouW�R�W1ontFssl PLUMk31NG Z ICER71FVTUTNiMEOERFOHAVNCEOFTHEWONCFOPWHICHiMISFEWA�TI5155UED,l �MECHANICAL ' � _ - ('} SMALLNOT E!APLOV ANV PEfi..OH IN ANY MANNER SOAS TO BECAME Su&lER TO iHE � � � WOW(ERSCOMPENSATIONUWSOFCALFOiWU�/W�ACREET/AiIFI51iWlDBECOME INSPECTIONFEE S SUBIECTTOTHEN'OFKERSCpAPENSATIONCflON510N50FSECT10N�7000FTMEUBOR � � COOE,1 SHti!FOqTNlfTH COMPLY WIiHTNOSE VHOVISqNS. ISSUANCE � � SMIP . �j'}c r �-�QQ W DATE: APPLICAM:' {J L u 1 7 7 � ' � WARNINa:FIULUR[TOSEWHEYAFY(ERSW1AVEN5AT10NCOVEMGEISUNUwFULANUSFNLLBE ENERGYP/C � SUBJECTANEMPLOVERTOCRIMINALPENALTIESMIDCMLFNESUPTOONENUNDREDTHOUSAN� � ENERGYPERMIT1iTSI_(1L`T7�O��AR r DOl1A0.S(f1oa.0oo),INADDITIONTOTNECOSTOFCOMPENSATION.DA4AGESASPROVIDEDFOfiIN t,li J. vi"Li ' J SECf1ONa70lOFTHELABdiCOOE,NTEREST,ANDATTORNEYSFEES. RETENTIONFE � ¢ g3U�.��F - a CONSTRUCTION LENDINCa AGENCY PRE-ALT FEE: O � IHfREBVAFFYIMUNDERVENAITYOFPEiUURYTH�TTXERELSACONSTRUCTIONLEN�IN6110ENCY FOR TNE OERW RMANCE OF T1G WORK FOR WNldl THIS CE�IT 15ISSUED(SEG]ov7,pV.C). � � LENDERSNAME � � LENDEiiSADDRE55 � ILER7�FYTNATINAVEREADT45MPLICATIONMI�STATETUTTHElIDOVENFOR1AATqN15CORRER TOTAL FEES �� ' � IAGREETOCOAIVLYYATHAILCRYl�M7COUNTYORORlANCESANOSTATEUWSREUTINOTOBUIDiNd . " � GONS7RUC'T10N.MOMEREBYAUf1qRREREVRESEMA71YE50FTH15GOl1N7YTOENTEHUPONTNE . . . � . MOVE�MENTIONED PROPENT`I FOP INSPECTqN VURPOSES. COMMENTS � 1 a w�-s L� vo� - . Q OEPodi Ewuaetra � L� � y NA7 REOF YERAu E DAT � RECPT.N0. F'AID BY VALIDATION WFitTE-0epenment Copy,YELLOW--Fnance Capy,PINN—A�sessor Capy,GOLDENROD—File Copy,GREEN—,Applicant'a Copy � ,. ..�.-.... ........ . i. :...,�n,...�.:.....,, ., � �Y,i-„ �.,,-.n-..., . .. , . _ , .i .r.•. ,r. ... . . .. . 1.. . , .. �, . . . .�, . , . . . � . . � .�. .• .,... . ��' - ._ ... .. . .. CITY OF DIAMOND BAR - - : , : ; � ..: . ��::.. .. .. . .._ ... .. . . .i :. ° �:. . :,�, : . INSPECTION RECD�D ... ,. � ,,., .`::. •� -, , - . . • � � • ' • � � s ' SETBACK ' � � � � ' • �!l-'.J') FLOORJOIST �^,�� '�.,•�' .� � �• i;,. ` ':. I , FTGS/F�RMS/STEEL I ` • y FHA REQMTS ,...,-:, r: , - ' ----- - --- ' �._� ;_ .. . , ELECTRIC GROUND -� - - '_..._ UNDER FLOOR D G�'--�. ,_, . .:. .-. . . ,.:.,;, r-� � �� GROUND PLUMBING ' � - : UNDER FLOOR CO�IDUIT _�. �1�:,`.'� >>� 'i�':1'�' � '- SLAB GRADE ._ _ FIREPL�bE-F'Ol1NDATION��'� '� ' � . ��Ii 1:'r•�c�i �. TEMP POWER - ' - _ =� FIREPLACE BONp BEAM _ - � - ---. .. � i : �.> >. � �- � r - - . . . WATER SERVICE -- - - - -- - = 'MID HT.BOND BEAM � r-� ' :�,-„ � � ' ' , . -�_�. . - --• . . _ ROOFSHEATHING - -_ , 8 FL B01QD;$�AM'`r. � � )' t� .nrrvi� r���,�: . -. ' FRAMINGNENTILIATION FINAL BOND BEAIV� _ _ .�:� j..� c��� ROOF COVER PRE-GRADING i=,�,.i.�. '�-,'�..;,,'•,r";1-• ,i� �!" . . ROUGH HEATING -...;_ . ... _ - BENCHING .. . . . .. ._ ... ._ , • ; RpUGH E ECTRIC �• // � ROUGH GRADINC� • I ' RbUGH P UMBING- ' - - " - -- �' ^." �� . FINISH GRADING. , . � � SHOWER/TUB TEST� - POOL ELECTRIC < EXT. LATH/SIDING � POOL FENCING : WALL INSULATION POOL FINAL � • CEILING INSULATION OFF SITE IMPS. '� i �_ DRYWALL NAILING ` i DEDICATIONS . SEWER ' FINAL ENG. , - - -- .. _. . . _ SEPTIC TANK _ . .. -. -.. ... LANDSCAPEIIRR!G. SEEP PITlL.L. - -- �- � - '- ON SITE IMPS. -' -, ' GA �AIR.TEST� - - - -•. . . -, : i ,. .. _: FINAL ZONING ! : FtNAL'GONST.� -�-- ';'; '"; ' . - '�� � " ' ;� FIRE DEPT. FINAL ' -FWAL HEATING� ' � ' �'_`,.' ;',' � � � � HEALTH DEPT. FINAL FINAI�ELECTRIC -" �. . ' i,�; �" DEV.FEES PAID - . -- --' FINAL PLUMBING � ENERGY � � � � , � • . , �� t .� j��...�1)'` , ;�1,. ,� '1 !�:•�v-�Y, '} �. I" ��'�.�� C �� c� � w� :� ,— . ; ..; _ . _ � � I � • •• �'` --- � -.... . . � . ._���:.J .�.• . . . • '\-• • - �. J_ _ � � �. , �� � - - . . 5 - -- .. �COf�IMENTS - , �,' . _ ..�- � ; ; ::"` _,., J�,�..i _ . , _.._. _. _.. _ _.. _ __ • - . � - - --- - - - .. , . . i .� .. � 1 I � . ..._ , ! ' 'L J/ J i Ji J�t C�� ' -.�. 1 �� � �� i� ' :a��c` i C) '�\r._ r�� r-.. _.... .. - - • � . , -- �.�..I'l'): � � , . ' ... i'\� � (� --- - - , . � n• � •_l._.\'� I i ... • .. , � . -. .. . .. ._ . . .. � . .. . .... _._ .. . . . . - , . � . . � - . . . � SEPTICTANKSIZE;�•`�::;;____,_.�_`'Y'.,;:'�t�:l:+t-� ��Ti>�. . , � i SEEP PIT/U SIZE � � . . . . ��~ _.. . . . � , � . . � � .. ,� - _ � �� i , . ,. . „ �I ! ' .1 . ` . .. .�:"' , "�- _ •=, .,.� .,. � .� •-: � :. ;� . ,�..,. �.. . . . � , �„� \- � .� - � , : i .. ' � . � ; _ c,�.� •� � �_ _� 1 '., : ) � �i. , �:.�;� )•--�. I : - 1 j i� � . ... ; ' � .. `1 , � , , _ . _'__J_ ' . �