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HomeMy WebLinkAbout11075 i ---�� —� CITY OF DIAMOND BAR � : � ' � COh1h4UN1TY DEVELOPMENT DEPARTMENT � �' 21660 G Copley Drive Suitc 190• , PRESS � (909)8643195 Fax(909)861-3117 . '�^' BUILDING PERMITAPPLICATION FIRMLY JOBSITE APPLICATION PERMITI P/C o ADDRESS� � DATE_t��� ��_NUMBEF�� q ' � ISSUE—�- TYPE OCC APN LOT TRACT DATE CONST. GROUP °C OWNER �[f f'� OO ADDRESS��1 M /:6JSN ZONING SETBACKS oCITY ,Q�(_Q��-. ZIP�j= TEL: a�` D REART RW ❑ APPLICANT �r/1 -TEL. � o �'t7 � SIDE/SIDE STREET RW O � CONTRACTOR Mou� VG ��/(� SIDE ' ' ❑ Q ADDRESS ( � �Sl}� L PROPOSEDUSE � u GD�S�Y;{�� o CITY�Lku'1�b (J�c-_ ZIP�� TEL.�� ' . �_ � . �c� o ARCWENG/ � � � � y z DESIGNER � NO.DWEL NO. ' NO. = CDDRESS Z�P TEL. UNITS STORIES BEDROOMS �� � DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BL'ILDER DECLAHATION SFR/AD�lREM - O � .. I NEREBY AFFIRIA UNDER VENALTY OF PERAIRV THAT I AM EXEMPT FP.OM THE CONTMCfORS LI- G0t098/Ct�OR W CENSEUwFORTHEFOLLOwINGREA50N(SEC.7o71.58US�E5SANOPROFES510N5CO0E:MrvCINOR � (n � � � U �p�JNNWNICHPEOUIRESAPERMtTTOCONSTRUCT,ILLTERaPROVE,DEMOLISM,ORREPAIRANYSTRU4� W patio/Dack � Z iUqE.PRIOR TO RS ISSUANCE,AL50 REGVIRES THE MPLICANT FOR SUCH PERMIT i0 FIIE A SICNED w ' � STATEMENi THAi NE Ofl SHE IS UCENSED PUflSUANT TO THE PROYISIONS OF THE CO�dTFUCTORS LF � . .� .CENSE UW(CHAPTER 91COMMENdN6 WITH SECTION 7000)OF DIYISqN 70F THE OUSINE55 AN�PHO• POOVSpO - iE55lON5 CO�E)OR THAT HE OR SHE IS EXEMPT THEREFpOM AND THE BASIS FOR iHE ALLEGED EJ(EMP- VT10N.ANVVIOlAT10NOFSECTIqJ7071.68VANYAPPLICANTFORAPERAIITSUa1ECT5THEMVIICANTTO Z Re-Roof � � � A CML PENALTV Oc NOT A10RE TW W FNE HUNDRED DOWlRS(f 500).): ZOI.ASOwNEROFTHEPROPERTV,ORMYE�PIOYEESN�THWACESASTHEIRSOLECOMPENSATWN, � COmrt�B�Ci31 ' . WILL DO TME WORK,AND TME STRUC7URE IS NOT IN7ENDED OR OFFERE�FOR SALE�SEC.7aa/,BUSI• J � NE55 AND PROFESSiONS COOE:iME CANTMCTORS UCENSE UW DOES NOT APPLY TO AN OWNEfl OF � .PROPEHTYWHOBUILDSORIMPROVESTMEHEON.AN�WHODOESSUCNWORKXIuSELFORHERSELFOR m � �[L� THROUGIIHISORHERONMEM7LOYEES.PRONDEDTHATSUCHIIAPROVEMENTS�RENOTINTENDFAOR . QOFFEREDiOR511EIF,HOWEVE0.TNE8UIL01NGORIMPROVEIAEMISSdDWIT1ANONEYEAROFLOMPLE• � Z TpN,THE OWNER�BUILDER WILL NAVE TNE BURDEN OF GROVINO THAT HE OR SNE O�D NOT BUIID OR = IMPFOVEFORTNEOURPOSEOFSILLE). O�AS OWNEROF THE PROPEflTY,AM E%CLUSIVELY CONTMCi1NG WITH LICENSEO CONTMCTORS Q TO CIX�STRUGT THE PRQIECT(SEG 70�e,BUSINE55 AND PROFESSiONS CODE:TNE CONiRACTOflS U• V3IU0UOf1 ^ ADJ.AREA W GENSEUWDOESNOTAPPLYTOANOWNEROFAPHOVER7YWH09UItD50RYAPRpVE5i11EREON.MN �� VrtfOCONTMCTSFORSUCHPRQIECTSWfTHACANTRACTORI5ILILENSEDPURSUANiTOTNECONTMP �UANTITY � DESCRIPTIOY FEE � TORSUCENSEUW.I. __ _. . . . . . . _. ._ . . . ... � O IAM EXEMPT UNDER SEC. B.8 P.C.FOR THIS.REASON Q - � - - V LL � DA7E OWNER � � W . � LICENSED CONTRACTORS DECIARATION w , � 1l7EREBYAFFIRMUNDERPENALttOFPERRIRYTHATIAMUCENSEDUNDEADROYIS10N50FCHA0TER � � � �' 9�COMMENCINON77HSELTION7000)OFDIVISiON�OFTME8U51NES5ANDPflOFE33lONSCODE,AND � Z - IAY LKENSE IS IN FIAI FORCEAND EFFECL � L1J 9 m � LICENSE CU55 — LIC.NO.�.S�'/y � H � . V OATE Iy/,��CONTRACTOR-0��ff b ���.Ff�v G�� a w � , . �- . � WORKERS'COMPENSATION DECLARATION a N IHEREBYAFFIRMUNDERVENAL7YOFPER1UfiYONEOFiMEFOLLOWINGDECUi1ATqN5: V � � �• N Q O _�MAVEANDWiILMAINTAINACERTIFICATEOFCIXiSENTiOSELFaNSURLFORNORNERS' _ � � COMPENS�710N,/SOROVI�EDBYSECilONa7ooOFiHEUBORCODE.fORiHEPERFORMANCE W OF 1HE WORK FOR WMICH THIS PERMIT IS ISSUED. � 0 ' .. .. . . . . . _. _ W _IHAVEAN�WILLAIAINTAINWORKERS'COM7ENSATqNINSUfUNCE,A5RE0UIRED8Y5ECTION . Q77000FTHELABORCODE,FORTHEPERFORIAANCEOFTHEWOFKFORWHICHTHISPERMITIS �� J ISSUED.MYWORKERS' M�PE,oNSATqNINSURANCECARR:ERANDPOLICYNUM6ERARE: CONSTRUCT�ON � CARRIEH �+. J-.! A _ _ PLAN REVIEW ' Z POLICY NUMOER�ia 1 l.7i r'f � ELECTRIC Q 0 (n+asecror+NEIDr+oresmr.�rmccnfaEw.�rsrrna+[�a+rnmoaw�slsiaqoa�cssl .PLUh98ING Z I CERTFY THAT IN THE PEHfORMANCE OF TME WOHK FOH N?nLH TMIS PERMIT IS ISSUED,1 MECHANICAL Cry SHALL NOT EMPLOYANY PERSON IN ANY MANNER 50 AS TO BECOME SU&IEC�TO iME. . _ . . . . . � WORKERS'COMPENSATIONUwSOFCALIFORNI0.�NDAGREE7HATIFISFI0ULD8ECOME INSPECTIONFEE � � t � / SUBJEC7TOiNEWOHKERS'001.1PENSA710NVROVISIONSOFSECTION7TOOOFTHEU90R /� � � � -�j COOE,16W41FOR7HWITMC0IAPLYWITNT�HOpSEOqOVIS10N`5. �SSUANCE ��v _� p DATE:.�r y�� APRICANT.�RiY��I'�}�+ SMIP � t � WARNIN6:FAIUIRE TO SECURE WORKERS'COMOENSATION COVERAGE IS UM.AN'FU�AND SNALL BE ' ENERGY P/C � � SUNECTANEMP�OYEqTOCRIMINALPENALT1E51W�CNILFWESUPTOONEFNNDREDIHOUSAND ENERGYPERMIT pOLLARS(f IOD,000),W ADDITON TO TME C0.5T OF LOMPENSATION,DAMAQES AS GHOVIDEO FOH IN � SECf1ON�7olOF7HELABOHCODE,NiERESLIW�ATIORNEY'SFEES. � �� � RETENTIONFEE: � a CONSTRUCTIONLENOINGAGENCY PRE•ALTFEE: � � � O . � IHEREBYAFFIfiMUNO[RPEN�LiYOFpERJUAYTHATTHEREISACONSTRUCTIONLENDINGAGFNCY �- FOR THE PERFORMANCE OF THE WORK FOR WNIGH iH15 PERMIT IS ISSUED(SEF 7097,CIV.C.). Z _. W � LENDER'S NAME F— LENDERSADORE55 � � �� � � � ICER7IFYTHATIHAVEREA[/iHISAPPLICATIONANDSTATETNATTHEl180VEP1FORMATIONISCORRECL TOTAL FEES W 1 AGREE TO CON7LV W:T:1 ALL CI7V ANO CWNTY OR�INANCES ANO STATE UWS RElATt1:G TO BUIIL�NC �Q�) / �� � � �I � CONSTRUCTION.AND NERE�Y AUT/10RIZE RGDRESENTATIV[S OF THIS COUNTV TO ENTfR UPoN THE �/'/�� �/�U � . Z ABOVEdAENT10NEDPRO�ERT'FORINSPECTqNCUfiPO5E5. , �'�� CL' � • COMMEN � �fA`S i�n� _ m PEflMITf AYEIPWM \ . ... •. . . . Q � �� Si e PER u D E � � RECPT.N0. PAID BY VALIDA _ � � � WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD—Fite Copy,GREEN—ApplicanPs Copy - � � • _ , . .. ,�, , ...,,. .s, �, _.,,r.. ;r�.r;....,�.,�. � ..n...�.�'.,. �_ .� .- .'.'ww..vArrt�'LY' . . + . ..•.1.. .. . . �', ' � ^`•t'•. , .. � CITY OF.DIAM�ND BAR ,. . � � '� : , . � ,;.. . , . . � • ". . INSPECTI�N RECORD , �; .; � ' � . . ,. . . . ... , . . ; . • � � • ' � � � � - SET BACK ' � �' ` • FLOOR JOIST - -�- -- ' - � - , '- FTGS/FORMS/STEEL FHA REQP�ITS - ' - , �- -. ELECTRIC GROUND " • � UNDER FLOOR DUCT � GROUND PLUMBING - ' UNDER FL'OOR�ONDUIT " � � ' � ' � SLAB GRADE • � FIREPLACE FOUNDATION -' ""' TEMP POWER - - � - - - FIREPLACE BOND BEAM � ' � ' • WATER SERVICE � � � - MID HT.�BOND gEAM� � '•'. • , ' ,. �ROOF.SHEATHING . , � 8 FT.BOND BEAM � ' FRAMINGNENTILIATION FINAL BOND BEAM - ' ROOF COVER - ,2 / �!7 - � - PRE-GRADING ROUGH HEATING — - - - BENCHING ROUGH ELECTRIC � - - ROUGH GRADING. � ROUGH PLUMBING FINISH GRADING � SHOWERlTUBTEST - - - ' POOL ELECTRIC EXT.LATH/SIDING POOL FENCING , WALL INSULATION " POOL FINAL _ . CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING : DEDICATIONS . SEWER FINAL ENG. SEPTIC TANK -- •• • � .. LANDSCAPEIIRRIG. SEEP PIT/L•.L. _ . ._ __ _ . ON SITE IMPS. � - GAS AIR TEST FINAL ZONING . FINAL CONST. ' — — FIRE DEPT.FINAL � FINALHEATING -- --- - HEALTH DEPT. FINAL ... � -- FINAL ELECTRIC - - DEV.FEES PAID • , FINAL PLUMBING � ENERGY ' • • - - . . _ - - �- . . . . . . COMMENTS -- . .._ _. . - - _.. _ . , � • � . . s �.�� . ` _ �_� _y� . .. . , .�s � " � � � ' . . , . . . ! : .�... . . . . . _ ; � SEPTIC TANK SIZE ' - -- � - ' SEEP PIT/U SIZE - � � _. I _ : .� . , �' � , , � ' � ` ' '