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HomeMy WebLinkAbout12815 J� CITY OF DIAMOND BAR � •� • ' � • /-' _ DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 `� PR ESS '�'�^'�� � SUILDING PERMIT APPLICATION . .. ( FIRMLY o� JOBSffE ,,/ �� �� '` APPUCATION. PERMIT e'�Q/ P/C ADDRESS 2 � 52 O�I[. /vi^�v'�'� �(J� � DA7E l2��B�L� UMBER�vl�l� # ISSUE q � APN LOT � TRACT � DATE I2'� I�� f TMPE �CC p �WNE�� I Arwa�..e �r.d�6d•b-.f� �}l��1/ CONST. GROUP ' p ADDRESS�Y� TD v�/4�ct R Iw,l• ' ZONING SET6ACKS • � CITY J O/j�i-i✓«- ZIP fl�� TEL. FRONT qyy � ❑ APPLICANT TEL. REAR ❑ � . SIDFJSIDE STREET RW ❑ CONTRACTOR O fd A/S� SIDE p � ADDRES -� � CITY ZIP � /�TEL gD�j-97 -� PROPOSEDUSE o ARCFUENG/ � . . —�7---�-- , DESIGNER �i7 NO.DWEL NO. NO. a ADDRESS � CfTY ZIP TEL UNITS STORIES ?� BEDROOMS -S � , �n , DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION . . SFR/ADD/REM O p 1 HEREBYAFF60./UNDER VEIULT'OF GERAIRY THAT I AA1 EX[MPT ii10M 7HE CONTMCTORS LF Garapa�Carport � 41 CENSEUWWA7HEFOLLOYlINOREASON(SEC.70.tf.68U5WE55ANDFROFESSqN5C00E:ANYpiYOR (n U COUHTYWHIpIpEOUIRESAVERMRTOCONSTRUC7,AlTEi�MPROVE,OCMOIJSi�ORREVAIRANYSTHUC• W Patio/Deck � TURE,PRIOq TO R4 ISSUMICE.ILLSO iIEWIRES THE AVVUCANf FOR SIICII VERM�T TO FlLE A SIGNEO W - � ' STA7E4EM THAT HE OR SHE IS LJCENSED PUR.UANT TO iHE PROVISIONS OF TME GOMMCTOfLS LF � CENSEUW(CFiAPTER i(COYMENCWO WITN SECTION 7000�OF DIVISION 7 0F iME BU51NE55AND iR6 LL POOVSP3 � ' FESSiONSCdOE�ORi11A7MEOR5i7EI5E%EMPTTMEREFROMM1DiNE8A5iSFORTIIEALLEGEDEXEMV• (� TION.ANYVIOUTIONOFSECf10N7W1.68YANY�PPLIGNTFORAPERMIT5UB1ECT5THE11FPUC/NiTO Z Re-Roof �„_ AGVILVENALTYOFlqTAqRETH�flFNEHUNOREOD0.lARSIfSoqJ: � � �� � o ❑I�ISONNE110FTHEPROPENtt,ONMYEMPIOYEESWITHWACE5A51HEIRSOLEC0IAPENSA710�J, COmmerCl31 - . ' . � L M7LL DO THE WOHK AND THE STFlUCNRE IS NOT IN7ENDED OR OFFERED fOR SALE(SEC.70I�,BU51- . � � NESS AND PROFFSSIONS CODE:THE CONTMCTORS UCENSE UW DOES NO7 APPLV TO AN OWNER Of j . . VROGERTYYI1qBUlASd11YVRdJESTHEREON,ANDNAfODOESSUdiYIORKHIMSEIFOqNERSELFOR � THROUf'J/NISORNEROriHEMPLO'IEES,iROVIDEDTIUTSUCMMPROVEMENTSARENOTMENOEDOf1 m Q OFFERmFOR5ALE1F,F10YlEVER7MEBULDw00RIMPfOVEMENTI550lDWIi1aNONEYEMOFCOMP�E- . z TION.7HE OWNER�UIIDEN WILL NAVF 7HE BUROEN OF DROYINO iW1T NE OR SFiE DID NOT BUILD ON . . . _ = p1PROVEFOR71iEPURPO5EOF3ALE1 "' . - w ❑1A40M'NEROFTHEVROVEHTY,AAIE%CLUSNELYCONTRACTTI�IMTHLICENSE�CONTMCTOR4 CL M COHSTAUCf THE PR0.IECT(SEC.7ou,BUSIHE59/VrD PROFESSip+S COOE:THE CONTMCTORS U� V01t1B1i0f1 � ADJ.AREA � � �l, CENSEUWOOESNOTMPLYTOANOVRIEROFAPROPERTYM9108V4DSOR0.IPROVESTHEREON,M10 Z yAq�pMq�C{g�pqg�ppp,�EC75yy�n!ACONTMCTOR(5)LICENSEDPUHSUANTTOTMECONTMG QUANTITY DESCRIPTION FEE � TORSUCENSEUW.). . . . . . . . . Q O 1 AM EXEYPT 11NDER SEG B.1 P.C.FORTHIS REASON q 3 �' , � � _ OATE OWNER - U . . . . .. 0 W • � LICENSED CONTRAC70RS DECLARATION W � I HEREBYAFiW11 UNDER FENK7YOF VE0.IURY TUT 1A1A LICEFLSEO UNDER CROVIS10NS OF CIUPTER V, � p, 0(COA111ENCWON7TNSECfqN7000�OFOM510NfOF7HE8U51NESSANOVROFE5510NSCODE,AN� Z ' X MY LICENSE IS N ML FORCE IWO EFGECT. m � � LICENSE��/$5 �r�'� LIC.NO. �O��� � � V OATE �-L a� � COFfTRACTOii� � a . � � WORKERS'COMPENSATIONDECLAHATION �� a �i �j�G O K ZL�J' � � N IHEREBY RMUNDERiEWLLTYOFCERNRY0NE0FTHEFOLLOWINGDECUiUTqNS: � �� z 3 A� � u�ri S ��1 OZ�I� � �IHAVEFN�W!Ll61ANTNNACEiiTIFIGTEOFCONSEMTOSELF-INSUREiORWOflNERS' = P �i T COAIPENSA710N,IlSPiqVIDED8Y5ECTON77ooOFTMEU80RC00E,iqi7HEGERFOR/AANCE � W OF THE WORK FOR WHICHTHIS PER/AIT IS ISSUED. � (/ � S. .i,I S p v L�V/ � _IHIIVEANDWILL4ANTAINWORKERS'OWAPENSATIONINSUMNCE,1l5RE0U1REDBV5ECT10N � �� - - - - . � ]7ooOF7HELABORCO0E,F0(iTHEGERPoRMANCEOFTHEwORKiORWHIp1THi5PERMITIS ISSUED.IAYN'ORKERSCdAPEN TIONWSURANCE/CA�RR�ERMlOPOIIC'/NUAIBER/W[: CONSTRUCTION . > GRiiIER ��'� �'S/Y .�Gl'�'S �� PLANREVIEW ---� �-- - . . .. . . .. . . � POLICY NUM�ER�!/J[/�� �I , �— 7 �d ELECTRIC 0 (nassEcnonNcmr+7reeCd.t'tErIDaPnEGE�wtrswnarEMl�Dn[ooaursR+ao)onLE55} PLUM W HANICAL � C� Z I CERTIFY 711AT N il1E�ERFORMANCE OF iHE WORK FOR WHICM THIS GERMIT IS LSSUED.1 ('} 514W.NOTEMPLOVMIYFER50NNANYMANNER50A570BLCAM[SUBJECTTOTNE - � VqRKEKS'COAIPENSATIONUYv50FCALIFORNI�ANDACREETHATIFISFqlri08EOWAE E S SUBJEGTTOTHEriOFiKER3'COGVENSATq OVISqNSOFSECTqN17ooOFTHEUBOR � � � �OE,1�IALLF fITrMnTHCOMPLYWI � -PROVISiONS. IS CE �AS � / 1^ry �fl. �p OATE:_�{�J Z7 APPLICANT: . A11P , � � � ENERGY P/C WARNiNG:FA0.UflETdSEGUREY/URKERSCdAFENSATION OYE AGEISUNIAYJFII,AND51ULlBE �/� ' � SUBJECTMIEMPLOYERTOCIUMNALVENILLTIESANOCML u� UPTOONEMUPDREDTHOu5M10 ENERGYPERMIT n��QUYI � >,,, DOLWi.�(5100,ODOI.NADDITIONTOTHECOSTOFCpMPENS DMIAGESASPROVIDEDFORN �T vv�+ J� SECTtlN�70eOF131EUBORC00E,NTERESLANOIITTONNEY5FEE5. RETENTIONFEE: � OCONSTRUCTION LENDINGAGENCY PRe•niT F��Ty p�IAN(OND BAR � � -� Q IHENEBYALFlRMUNDEROENALTYOFCERIURYTHATTHEREIS�CONSTRUCTIONLEN�WGIIGENCY _�����G n1.1D SAFETY � � � nZ- fORTNEOENWRMANGEOF7MEWORKFORYMICHTHISPERMITI5155UEU(SEG.]OY7,CIV.G� W � IEPIDERS NAAIE . . . . � � LFNDERSADDRE55 � TOTAL FEES � � ¢ IGERTIFYTNATIM�VEREADTHISADPLICATIDHANDSTATEM�TTHEABOVENFd7A1AT10NI5CORRECT. � IAGREE TO COMPIY VRTH ALLCT'AND COUNTY ORDINANCES AND STATE UN5 REU1TM16 TO ButDINO . , � CONSTRUCTION,ANOHEREBVAUiNDRREREPRESENTATNESOFTHISCOUNTYTOEMERUPONiHE , ABOVEd1 qNEDGf10PEftTYFORINSiECT10NPURPOSES. COMME�'ITS � � � v {�.rl S , m PER1A (PNtln � � 9p N SqNATU OFPERMITT iE � . . . RECPT.N0. PAID BY VALIDATION � WHITE—DoDartmentCapy,YELLOW—FnancaCopy,PINK—AseesswCopy,GDLDENROD—FileCopy,GREEN—Applicant'sCopy � � � ��� . � � . . � , . . .�-. .. , , � , .. . , '..�..�.. .. , •v. • :ti: .i.. ��' . .. . � � ` ..' , , . CITY OF DIAMOND.BAR ;� •,• . , 1 � ' ' �� � iNSPECTION�RECORD,`,'_ �. ,. '. '� ' • . . .. . � _ . .; .� . . _.c.�, a ■ � a - � � � • - SEf BACK • ' �,.�..., ; � . . . �, 1 , : �_ �.,; ,_ FLOOR JOIST.I � �,.,_ ;, � ;� �_ , .. _. . . . FTGS/FORMS/STEEL .� ( - •'. i _ r� FHA REQMTS - _ _ � _ ELECTRIC GROUND UNDER,FI.00R,DUCT,_,. ,� .-,.� , •.�. � ' GROUND PLUMBING � " UNDER FLOOR CO�IDIJIT ,• ;• �•� `.��, -- " • SLABGRADE- - . . . � � FIREPLACEFOUNDATION `• ' ,� ,', ,•.. , ` ` , TEMP POWER -��� --- � - ' ' FIREPLACE BOND BEAM - - ' . . ; ., .. ., WATER SERVICE - _ �. - � - � _� MID HT.BOND BEAM�� .. `.; ' , •. . . . ,: • . ' ROOF SHEATHING �� --. .•�.; _�,.� .. . .. 8 FT.�SQNb'BEAM.�. � ;�, �, �, • . _ - .;_,. - `� .. , . FRAMINGNENTILIATI�N � � � • FINAL BOND BEAM � ' ROOF COVER �� � PRE-GRADING �ROUGH HEATING • / 2 � - - - BENCHING - - ---- " ' ROUGH ELECTRIC � - ROUGH GRADING • � • � ROUGH PLUMBING � - � -- � �� : - FINISH GRADING. . , � SHOWEF�/TUB TEST POOL ELECTRIC �� EXT.LATH/SIDING POOL FENCING ' � WALL INSULATION POOL FINAL ' CEILING INSULATION QFF SITE IMPS: � DRYWALL NAILING DEDICATIONS ' SEWER _. _ ' FINAL ENG. ' � _.... _ _. . _.__ SEPTICTANK . - . - - -- LANDSCAPE/IRRIG. ' � SEEP PIT/L.L, - - - ON SITE IMPS. " GAS AIR TEST; � - �� - � � �. FINAL ZONING FINAL CONST. - ---- � -- - � - FIRE DEPT. FINAL ' • FINAL HEATING - y� � - HEALTH DEPT.FINAL , FINAL ELECTRIC - � DEV. FEES PAID • . FINAL PLUMBING ENERGY ' �� 'a� = • e ._ . . . . ..; � _ _ ... _ ' ..- --- .. ..l�. •-�_- -.. - -- , . COMMENTS- -- .-��. , ,�'� .�� : :� - - � � - . , . _ � _ �, . ., .. , . _ _ , . ��, . _ ��J-: i :_t� r`�� :r�.V.`,. 'r: � , ' . i , , c . ., , 1 , \. - _ -,�,t _ �' . � . . �_ , - R��.�f.'Cy i �� . r �, � � . ... . . . ._ ... . .. . ' : , . ' . � .� ' .. . ..1'. . . SEPTiC TANK SIZE r'`;.` '_� � �!�i t� • . . ' ' ... . . _ - • . . SEEP PIT/U SIZE ;'' `r`,; _•1�:tri;::_�•�t;i 'i ��.'.; ' ; • ':�'.1�1�•Y :Y� i^��. _ . . . , ��� j _. . ; i , � . - ' . . . . _. � �1 _ . . .. . . . . . i � -- - ��� � . �.. . , �..,t .� . ;�:�:-,. � ; . , .` , • �. , ; � 1 .� '•�� 1�_c . .. _ - 1 j ' ` _ � �; -` :,.\� .