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HomeMy WebLinkAbout14655 (8) _----- ��---____- __�__..-._. _...�--- - -- - -- : ' `' \ r r CITY OF DIAMOND BAR � i`r'� ---1 DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � "�'ccc� � 21660 E.Copley Drive Suite 190 � �� (909)860-3195 Faz(909)861-3117 � PRES$ ��M�'Y ' BUILDING PERMTT APPLICATION FIRMLY � JOBSffE O s�� , D DATECATION 3 3 UV NU B R/ /��S N� 4 ADDRESS 0 � ISSUE �1 !,�1 TYPE OCC APN LOT TRA DATE � V�/ CONST. GROUP � OWNER a ADDRESS � ' ' ZONING SETBACKS � CITY ZIP TEL. REAR RW ❑❑ APPUCANT TEL. SIDFJSIDE STREEf RW ❑ � CONTRACTO SIDE ❑ � ADDRESS CITY ZIP b TEL PROPOSED USE � ARCFUENG/ • DESIGNEFi NO.DWEL N0. NO. ADDRESS UNITS STORIES BEDROOMS � CfiY ZIP TEL. � v� DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/F1EM O 8 I HEREBYAFFIRM U/DER PENALTY OF PEiWRY THAT 1 AM E%EIA7T FROA1 iHE CONTMCTORS L4 Garage/CBrpart CEHSEUWiORtHEiOl10M11NOPEA50N(SEC.70.71.6BUSulESSANOVPOFE551ONSCOOE:/�M'pTVOF (n � COUNT`lNh11GIREIXIIRESACERMRTOCONSTRUCT.ALTE0.U.1aROVE,DEA/OL151iOHNEVNRANVSTAUC- W Pgtl0.�DBtk - NRE,PitlON TO RS t55UANCE.ALSO REOUIRES THE APFLICANT FOR SUCH PERMIT TO FILE A SIGNED W � BTATEMENT THAT HE OR SHE IS LICENSEO 7UqSUANT TO hIE PROVISiON4 OF TFIE CONTMCTORS U• � � CENSELAW(CFIAPTER i(COMMENCWO wliH SEG710N 7000)OF OIVISION�OF 7NE BUSINESS AND PP0• POOVSpe - FESSpNS COO�OR THAT HE OR SHE IS EXEMFT iHEREFROM AND 7HE BASIS FOR THE ALLE6ED E%EAIP• 7qN.IWYYIOLAT10NOFSECTI0N70]1.68YANYMPLICMfTFORAVERIAITSUB.IECTSTHEMPLICANTTO z p�p�} ,,,� ACMLVENALTYOfNOTMO{7El1WdiNENUN�RED00LUftS(lSao).k " � OI.ASONNEROFTHEVROPERTY,OHMVEAIDLOYEESMnTNWA6ESA5THEIqSOLECdAPENSATqN, � �mmerciat - WRLDO TIE WORK,AND TiE STRUCILIRE IS NOT IN7ENCED OR OFFERED FOR SALE(SEG 7W1,BU51� J � NE59 AND iROFES310H3 COOE:THE CONiMCTORS UCENSE UW DOES NOT ACVLY TO M7 OWNER OF ? , � iROPERTYW/108V0.D30RMPROVESTMEREON.ANDN170DOES5UCMWORKHIMSEIFORHERSEIfOR Q 7MFqU6HIM50RMERONMEMPIOYEES,PROVIDEDTHATSUCMIMPROVEAIEMSARENOTNTEDOEDOq m � OFfEREDiORSILE6MOWEVE0.TNEBUIIDW(iORMMiOYEIAENTI550tDW1TMWONEYEAROFCDMPLE• � �TION,THE ONMEHAULLDER M11LL HAVE TXE BURDEN OF VROVINa TWR HE OR SHE DID NOT BURD OR pAPRWE PDR iHE VURPOSE OF SILE�. �y,� - 04�OM'NEROFTIEPROPERTY,NAf%CiUSNELYCOIRMCTNCMrtTHLICENSEDCONIMCTOR3 2 TO CONSTRUCT THE iROJECT�9EG 7oN,BUSINE59 ANO PROFE5910N3 CODE T7E CONTRACTOHS LI• V81U8fIW1 AQI.AREA LL1 CENSEUWDOESNOTMPLYTOINONMEROFAPROPERTYWMOBU0.DSORAIVROYEgTMEREON,ANO � 1MqCONTMCfSFOHSUQIVR0.1ECT5NnTHACONiMCTOR(S�LICENSEOPURSUIWTTOSH[CONTMG QUANTITY DESCRIPTION FEE � TORSl10EN5ELAWI. _ OIAMEXEMVTUNDERSEC. B.1P.CFORTHISiiEASON a 3 . � � ¢ OATE OWHER V � UCENSED CONTRACTORS�ECLAHATION � . _� W .IHEREBYAFFlRIJUNDERVENKTYOFPEfi1UR'ITHATIAMLICENSEDUNDERGROVISqNSOFCHAPTER ' V, ` � s �(COMMENCIHON77HSECTqN7aoo)OiDIVt510N�OFTHE&75INESSNN7ROFESSIONSCODCANO Z ` ' � D ��L MY tICENSE f5 W NLL FORCEA7+D EF FGT. m � UCENSE �S UC.NO. � j � o�� corarrucron 'Ja � WORKERS'COMPENSATION D[CLARATION Q � INE0.EBYAFFOiYUNDERVENAI.TYOFOEiUUMONEOFTHEiOLLOWWO�ECURAilONS: Z Q � _IHAVEANDN'ILLMNNTAINALERTIFIGTEOFGONSENTTOSELF�NSUREiORN'ORNERS 2 . COM➢Rl511TION,ASPPOVIOEDBYSECTION77000FTHEUBORCOOE.FORTHEPERFORMANCE W Of 7HE WORI(FOR WMCH THIS 7EAMR i3ISSUm. � � d _I MAK ANO N1LL MAINrAN WOPoCERS'COMPENSATION INSURANCE,AS RE W iRED BY SEGTION 77DOOFTNELA30RCOOE,FORiHEVERWRMMlCEOFTHEWORKWRWNIp1THI5PERMRIS , � C;SIJEO.WWGPo(E 'COM EN�1TIOf{INSU��f ARRi RMIDPOLICYNUAIB[RME: CONSTFlUCTION a��� � CMNEH PLAN REVIEW Q GpUCy NltlIBER���J ELECTRIC - ¢ � �rF+ssEcroNr�nnorseoor.s�FrIDOFnev¢wrrsFona�tur��oaur�sRioo�aAt�ss� PLUMBING Z I CE�4TIFYTlIhT INTHE PERFORIAM'CE OF THE W'ORK FOR NMICH THtS PERuIi IS�SSUED,1 MECHANICAI V' SHALLIqTEMPLOYAWPER50NNANYMANNER50A5TOBE00ME5U&IECTTOTHE � (n YIORKERS'GOMPENSATqNUW50FW.�FORMtiAND�OREETHATIFISHOULDBECOME INSPECTIONFEE S SUBJECTTOTMEYYOflKENS'COUPENSATIONVNOV15lON50F5ECTION7�ooOF7HELfBOf1 � woE.lu �Fom�n�couv�rx�n�n+Q�prp�sior+s.,� ISSUANCE ���`n � ���� p DATE L' GAPPLICANT.�/V(J v,`� SMIP ���l/fIlwl � WARNiNO:FALURETOSECUREWORKERS'COMPENSATIONCOVEMCEISUNUWFUI.ANDSHlLLLBE ENERGYPI ry SUfilECTANEYPLOYER70diMPULFENALTIES/JVOGIVILFWESUPTOONENUNOREDiHW5AN0 ENERGYP ' DOLLaRS(t�00,0otl),Ml ADD�TION TO T/E C0.5T Of COM�ENSATION,OMUOES/S PROVIDED iOR IN � SEC710N97oeOf7HELAeORCODE,1NiEREST./WDAiTOiWEY'SFEES. REfENT10 � � �� � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBVAFFlRAIUNOERPENAL7YOFPERIURYTHATTHEREISACONSTRUCTIONLEN�NNI�CENCY ' FOR THE PERfORA/ANCE OF 7ME WORK F00.WHICH MIS VfNAIT IS ISSUEO(SEC.�oW,CN.C.). , � � lENOE(tS NNAE � LFNDERSADDRE55 ¢ ICERiIFYTHATINAYEREADT113APPLICATIONANOSTATETNATiNE�BOVEMFORMATIONISCOMEGL TOTAL FEES n�/'.a]� W IAOREETOCOMiLYW1THALLCRYIWOCOUNTYORDWANCESM�OSTATEUWSREUTINOTOBNLDINO � '7 � CONSTRUCTqN,ANDNEREBYAUf1K7RREFEPRESENTA71VE50FTN5COUNTYTOEMERUPON711E ' V 1� Z ABOVE�AIEHTIONWPR07EHiY ORINSVECTqNPURPOSES. COMMENTS � fi �oz�,�. � -a6�� _ QVERutTTEEWWE(DRII�-�� /` •� �� �rtr�tii �n ��C.f't--' (A SIGNANREOFYEPAIITfEE DATE � RECPT.NO. PAID BY VALIDATION WHITE—Depanment Capy,YELLOW—Finance Copy,PINK—Asseua Capy,GOLDENR ite Copy,GREEN—Ilpqicanfs Copy ._ � ... , . . _ F .., .. . . . .. . . .. . . . .. '"' � CITY OF DIAMOND,BAR , . ..... . .., .. ` %/ . . _ . � . -,_�\ . ,.�. � , . . _ n �J � � ' � . -��=1hlSPECTION;RECORD , � .� � . .. a J i �� �� ;' '' ; 1������.��� �.�'��' ,�. , o — i.l������;�.�.K;���' •��n�',.��..,�'�; al�:��a�;�;#. ' .. - -- — ..�.,...�...�...... SET BACK � '- '.� ; , � � .,� ? - . FLOOR JDIS � , �.: ,� -; � .� ;_;. .., . ._, .-. . ,. ,. �FTGS/FORMS/STEEL_ _ .-. : :;- � ,� . .-_ � FHA REC}MTS.-- - '. '. -- - -, - - - --- --�-- —. ! � • :ELECTRIC GROUND_._._ _ . - ' -:" _� `�• ' `-- . UNDER FLOOR DUCT �, - � , - -- � _!._ GROUND PLUMBING � UNDER FLOOR Cdi�!DUIT � -'' ' � ' ' "- � � � � •:.. ... . . .." -..- - �SlA6 GRADE - - ' '' --- - -- '•' • � FIREPL'ACEf�UNDATION � ; t: • ' � '. • i ^ ITEMP POWER , ,- - � - ; FIREPLACE BOND BEAM ' � � �WATER SERVICE - -- - -- � - - - - MID HT. BOND BEAM � ' � � ' � � ^ ' � •� , �, - 'ROOF SHEATHIPJG � 8 FT.BOND BEAM- . ._. : + ,,� �,.�t, : . .:� �. _,- � � E ;,, 'FRAMINGNENTILIATION - �� FINAL'BOND BEAM �� �`"•-- ' ' ROOF COVFR ' .�,' � PflE-GRADING • � . � ROUGH HEATWG - � � � BENCHING i ` % - � �. "� ROUGH GRADING 'ROUGH ELECTRIC _. . - -' :� 'ROUGH PLUMBING - --- - -- - - FINISH GRADING } . !SHOWERl�UBTEST-' -- - ' - ' � �- '- POOL'ELECTRIC i ' EX7'.LATH/SIDING - ; - - POOL FENCING i �.. ;WALL WSULATION -;- - - POOL FINAL � • � I : CEILING ►P:SULATION, - � '" - OFF SITE IMPS. ' 1 -_ iDRYWALL NAILING ; - DEDICATIONS � ,'SEWER j FINAL ElVG. ' ' SEPTIC TANK LANDSCAPE/IRRIG. ' ' ;SEEF PIULL , ON SITE IMPS. 'CAS F:In TEST FINAL'ZONING . , - - ;FIN�:L CONST. _ _ _ ._ ___ _ __ FIRE DEPT.FINAL ' �F1�J:,�HEATING . HEALTH DEPT.FINAL ':=fr�,t.�ELECTRlC - - - - DEV. FEES PAID ' - . ,- - ' • �- ( ; :'i�_•'r.�:PLUMBING- - ��„fl�j (��j1' . { ENERGY � � �(, . •r-- -' - � - --� - - - - • - • ' ' ' - � � __"_ .....- -- -- - - .i[ �4�F}�L ",L7 C; . � , �. i.: - -� - �- - - - . --�--- - - -.. . .....c:..5a.'' na.._..,................._.... - - . -• -... __ • , 4 t j iCOPJIMENTS . � , --- - -- • � , i ' ; . � . ,; " _� '. . __. . . ^ , . . . .,� 1, , \, . • - -- - ��� �'`�'� ' ' ; ��,�� , . ,. . _ ,. � � . , . .�V i, . � , , � . , . - . , _ - "..�Ft;`,fs�f7�'. �. '� ; : 'SEPTIC 3'ANK SIZE �` �'" r . + � , � � _ SEEP PIT/U SIZE '�:��A9,Ul�f�;�l.i��.�'�1{ , -- ---- _ _I : , ; . - , �,t�t.� i - : . . - . . -- . � � i - � i � : � ,,��1� . .��� � _ i - - - i �.� . . . . . . : � _. ' ' � �..-. . �, ; ' ' I � `' ' _ " _ • � � . _ ,. .. , \ _ I i • �� I . ' l\'�C` �. . ' _. , '� ' i 's _.._:..�w_:....._....__::�:;� �, 1 �y _ � � � - .