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HomeMy WebLinkAbout12539 (32) �� CITY OF D]AMOND BAR '-' ' ' �� �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � �� , 21660 E.Copley Lhivc Suite 190 ' (909)860-3195 Fax(909)861-3117 PRESS ����^� • BUII.DaVG PERMIT APPLICATION � FIRMLY o DDFiESS / � 7 Q Q�'`�--`'' '�`� ` DATEICATION ���,L•L/T�/ NU B R 12539 �� • a � APN LOT �CT DA EE b Z Z ONST. GflOUP p OWN�R " LL' ADDRESS 20NING SETBACKS - P`�' CffY ZIP . FRONT - HW � ❑ g APPLICANT TEL. REAR ❑ • � SIDE/SIDESTREET RW O � CONTRAC R ��/L SIDE ❑ - � ADDRES PROPOSEDUSE '� 'I.��•� � �' o CIN � /�G ZI�� TEL. - ,1 ow ARCH/ENG/ , � ADDRESS � NO.DWEL. � ,.NO. i• NO. UNffS �, • " STORIES �'' BEDROOMS � CITY ZIP TEL. , u� . . DESCRIPTION 50.FT. FACTOR PSF 'ADJ.AREANALUATION p� . . OWNER•BUILDER DECLARATION . ' SFA/ADOlREM- � � ' O IHEREBYAGFlRM UNOERPfNALTY OFPERAlRY7HATIAM F%EMPTFROAITHEGOHTRACTORSl4 GareOe/Carpan CENSEUWFORTIEFOl10WINORFA.,ONI5EG7W1.68U5P1ES5ANDGROFES510N500DEANYCRYOR . (� U COU!lfYW1AC11RE0UIRESADERIARTOCONSTRIICT.ALTEi�MPROVE,DEA10lJ5F1,ORRE�AIRANYSTRUC• W patiolDeck . � TURE,PfVOR TO RS t55UANCE,K50 REWIRES THE APPLICM7T FOp 6Ud1 PERMIT TO FlLE A SICNED W � ' ' � SUTEMEHf TMAT HE OR SHE l5 LJCENSEO iURSUAHT TO 7HE PROVISIONS OF iT7E LONTRACfOfiS U• CENSE UW�QUPTER Y(Cd1MENCNO MATH SECT�ON 7000)OF MVISION]OF THE BUSINESSAND VR0. LL' POOVS� '' . FESSDNS COOt�OR TMAT ME OH SHE IS E%EMPT TMEREFROAI AND iHE 8�515 FOR THE/�LLEGED EXEIAP• T�ON.ANYVIOLATIONOFSECTION7U7I.69YMIYAVP�ICJNiFON�GERMIT5UB1ECT5TMEMPLIC/WTTD Z Ra-Fioot _ F ACMLVENALTYOFNOTMOfiET1UN0IVEMUNDaEDDOLLIIRS(fsao�.g � • � O11150NMEROFTMEGROVERTY,ORMYEMPLOYEESYYIiHWAGESASTHEIRSOLECOMPEN5�T10N, U CpTTOfCl�1 � � WLL DO THE WOPoC,IUa THE STFGJCTUHE lS NDT IMENDEO OH OFFEPEO FOR SALE(SEG 704a,BU51• J N NESSAWVROFESSIONSCOOETMECONTFLICTORSLIGEHSEUWDOESNOTAPPLVTOANOWNEROF = � . . . - PAOPERTT W/q BUlD50R wtDPAVES TIEREON.IIND YA10 DDES SUCH WOPK NIuSELF OR HERSELF OR CL T13i01X`.HNISORHERONTIE4PLOYEES.DROVI�E0IHATSUd/MVROVEUEMSAqENOiIME�IDEDOR m OOiFE�E0FOf18MF.ilqYYEVER1f1E8UlDP100RIMPROVEMEMIS50lDWffMNONEYEAROFCOMPLE- Z 'T10N.7ME OwNER-BU4DER NnLL INVE ME BURDEN OF VfiOYINO iM�T NE OR S11E OiD WT BUIID Ofi � fAPROVE FORTH[GUHPOSE OF SALE). ' �y,� OI,A40'NNEROFTHEPRDiEiRY,AMEXCLUSIYELYCONTAACTW6WfT1iUCENSEDCOMMC7IXi3 � TO CONSTRUCi THE PHOJECT(SEG)OW.BUSINESS AND iROFE5SI0N5 CDDE:THE COPITMCTORS LI• VelU0tiIX1 � ADJ.ARFA � � CENSEI,AWDOESNOTMPLYiO/WOWNEROFAPROOEHTYM'M08ULDSORWDROVESTMEREON,MlD W��OCOMMCTSFOfi5UCM7i1QIECTSWITNACONTMCIOR�S�UCENSEDPUflSUMITTOTHECONTRAG OUANTITY DESCRIPTICN FEE , � TOiL4l10EN5E Uw 4 . . . . . . OI/JAIXEE�PiUWERSEG B.1P.GiORTH�SREASON Q 3 • �? . ,: . . . . � � DATE OYMER V F UCENSED CONiRACTORS OECLARATION • w � IHEREBYAFFliWUNDE0.FENALTYOFPEFWrtYTMATIAMUCENSEDUNDERPROYIS10N90FCNAPTER Ur . d Y(COAWENC0/0N7TMSECTION7a00)OFDMSION]OFTHEBUSINESSANDPROFESSIONSCODE.hNb z � X L1Y tKENSE IS N FULL FOFiCE AND EFFECT. � UCENS (�'4AS5 � �3 � uc.No. L � �� ` � . V DATE �� corrrrucron a'J. . W � WORKERS'COMPENSATION DECLARATION ¢ � IM[REBVAFFIiWUJDERCENALTYOFiERR1RYONEOFTHEFOLIDWINGDECUiUTI0N5: - - Z - ' _ � _IHAVEANOMALLI.WNTARIACERTIFlGTEOFCONSEMTOSELHNSUREFORWORNERS' _ COAIPENSATION,ASPROVIDEDBVSECTION77ooOFTHEUBORCOOE�ORTHEPER�ORMANCE � 'U OF 7HE WORK fOR VMIp17H15 iE WAIT R ISSUE�. � G ^I HAVE AND WILL MARRAIN WORKERS'COMPENS�TION INSURANCE,AS RCOUIRED BY SECTION - 0 77ooOFTHELhBORCODE.FOfi7HEPERPORMMICEOFTHEWOR�FORWHIq1THISPERMITIS Q�!n O . ISSUEO.UY KEP' SA710N INSUIUwCE CARRIER .VOL�CY NUMBERJIHE: CANSTRUCT� � L � cAaw¢n � PLAN pEVIEW _ _ _ � POLICYMIM�ER � � ELECTRIC ' � (TV855[croun[EDNorBE006nFtFOCctIEPEAMrsinRa+ElaHYlEnoauK,ISia�catEss) PLUMBING 2 1 CERTIFY TMAT N TME PERFORUMICE Of TNE WORK FOR WHICH iH15 PERMITiSISSUED,1 MECHANICAL (} SF1hLLNOTEMVLOYANYPEH50NNMlY61M1NERSOASTOBECOMESUBJECTT0T71E N YVORRERS'COMPENSATIONUw50FGALIFORHi/�ANDl1GREEhtATFISVqUIDeECOME INSP IONFEE S SUBJECTTO7HEWORKE1t5'COMVENS�TqNVRUnSiONSOFSECT10Nf7o00FiMEUBOq � � ,�O cao�,i srw�roAn+wini corar�r wrrN r�rose vao�sar�s. ISSUANC .�t � SMIP I S V p DATE: � APPLICANF. _ � ENERGY P/C WARNINO:FMLURE TO SECURE VJOfiKEFS'CG.�PENSATION COVEMGE IS UMAwFUL AN�SHALL B[ �y 6UBJECfANEMPLOVERTOCiiiMlwV,pENALTIESANDGVILFWESUPTOONEFUNORCDTHOUSANO � ENERGYPERMIT DOLURS(1100.000).N MDiT10N TO i11E CAST OF COAIPENS�TION,D/W AGES AS PFONDED FOR IN �J SECTION]TOlOFiH[UBORCOOE,NTEREST,AND�TTORNEYSFEEA RETENTIONFEE: - � GONSTRUCTION LENDING AGENCY PRE•ALT FEE: O Q IHERCBYAFiIM1UNDERPENALTYDFPEiWN'YTMATiNEREtSACONSTRVCTOHIENUWQA6ENCY � �- FOfiTMEVERFORMANCEOFTHEWORKFONYMIGiTM15PERMITI5155UED(SEC,7097,GN.CJ. . Z �� lJ l � LENDERSNAME � � IENDEfiSADORE55 ' � ICER7IFYTUTIHN�EREIDTHISAPP�ICATIONM104TATE7HATTIEABOVENFOfU1AilONISCORAECT. TOTAL FEES OC7� 2 2 19 �� 1 ,L ,� /\ ' W 111GREETOCAA�PLYWITHAILCtTYANDCOUNTYORDNANLE5AND5TATEUwSRELATIN�TOBNIDiNO � CONSTRl1CT10N./NDHEREBVAUINORIZEREPRESENTATNE50FilUSCOUNTYTOENTERUPONTNE ZABOVEIIEMTIONW VHOPEPTYFOR INSVECTION PURPOBE3. COMMENTS F DIAMOND I3 9 � - BL1II-DING _ m vic e�varrt� `,O ? Q _ � � B uREOcvEHUITTEE OATE � _ � RECPT.N0. PAID BY 2 VALIDATION WHITE--0epartmont Copy.YELLOW—Flnence Copy,PINK—Asseaea Co{r/,GOLDENROD—Fiki Copy,GREEN—ApplicanCs Copy � � CITY OF DIAMOND BAR ; ; , :,: ;, , -_ . , .. .. ,� :;'��INSPECT�(�N RECORD�;,, �- � � . l. . . . .. .... . . � ' _I' .j. " . ��� r. . . ' �' � � � � � � � l ■ ` � SET BACK :.\i•-c:.:� ��=' ` �' ;�,0 ' FLOOR JOIST � ��::`� i.,i ;.`�= ..'�� . ' .: FTGS/FORMS/STEEL ��, � �,. �„� FHA REQMTS -- - - - - - - -- -� ELECTRIC GROUND � ' J • "'', ' UNDER FLOOR DUCT�"� _ _ � - � GROUND PLUMBING UNDER FLOOR CG�IDUIT-r--�-'�, = .. „ SLAB GRADE - - �. • FIREPLACE'FOUNDATION � ' �� � � TEMP POWER " � - - � - � FIREPLACE BOND BEAM . . �-- - � ' . �. �WATER SERVICE � �. - - -- � ._ MID HT. 80ND'BEAM'--`' '� ' =- ' ;.: .-_ - - � '��-�..•• ROOF SHEATHING �=;= ' O Z� � � S FT.SOND BEAM ' .y �.. . ,,,. � .: ' _ � 'FRAMIN�NENTILIATION _ � t� � FINAL'BOND BEAM ' ROOFCOVER j�. �� �at.0 � `PRE-GRADING - ' � �ROUGH HEATING-- - � - - - BENCHING � ' -- � � ROUGH ELECTRIC - - ' - AOUGH 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 ; - _ SEWER_.. _ �` ,.., � FINAL ENG. . _ .__. . _. , SEPTICTA�IK ' �� �:," ' :.. . :.,..� _. ._.. _ .LANDSCAPE/IRRIG. i ' ON SITE IMPS. �SEEP PIT/C�l�. _ -- =.�;'�i r?::�, . . �GAS+AIF� EST, � -- - ' • FINALZONING � , . :. . , FINAL Cd?�ST. � - ��=6-cj ��� - - FIRE DEPT. FINAL - • FINAL:HEFiTING � - - HEALTH DEPT. FINAL • . �/�t F1t�AL E1.ECTRIC � - - � ' DEV. FEES PAID � ' `�� - FINAL PLUMBING ENERGY • � • • • r�� ,�" �. . ' . . � ' . :;=�`R i.1� _ � ., , ��'., *`-' - �"'.�-- ---- -- _ _- _-- ' - - ' -._'�:..�._.__T_..... _ , . -. . � -. �- . ` . . . .. : _ . ...: . .. .. �`- ' COMMENTS � _ . - . . � . ._ �� ��`�. ��:� � , j - _� � �.� .. _ < • � .. . . .. �- --•-• ',\�-.-. ,. �,•�;;• ... =� _. . , , . , - --- � • �. , , V� 1�� ,. . .. . . . . _ . . ``__�� ' . . � . \'�• � , _- _ ' . . � ' � � . . �� '• SEPTIC TANK SIZE - SEEP PITN 51ZE - . , �- _ . f:`� _ .. ..__ . , � � "::�! ;' '. }��_-- � ' .. � ., .,t. , , ' �,� � _. i � [QVI(i v: � _ • t) `C('i;.; � '���1!:r! �: ' ! Tf f i - . _ . . ��`' 1.,; . .^\ . . .\ _ . ,} .. l � . � �.'_�: r . �i �C - . . . � . _ - , . : � .. , . -.-- - .