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HomeMy WebLinkAbout10477 (5) _ _. _ .... ,,... .�,�� - - , �i• ,�, - - CTTY OF DIAMOND BAR � CQMMUNITY DEVELOPMENT DEPARTMENT • 21660 E.Copley Dnve Suite 190 PRESS � (909)8603195 Fe�c(909)661-3117 "�'� BUILDINGPERMITAPPLICATION FIRMLY y JOBSITE APPLICATION . PERMIT• P/C �-�(p� � ADDFESS � DATE NUMBER�1� #__'��7___,_'_+' � ISSUE �TYPE OCC APN LOT TRACT � DATE CONST. GROUP g OWNER _ 1 ADDR ZONING SETBACKS �8 CITY ZIP �L. REART ' � ❑ APPLICANT, TE�� SIDEISIOESTREET RW ❑ m� CONTRACT R SIDE ❑ � ADDRESS _ CITY ZIP TEL. 7 PROPOSED USE 1 � ARCHJE � DESIGNER 0- C � NO. L. NO. . NO. ADDRESS �.}��t'�— UNITS �� _ STORIES Z BEDROOMS � CITY ZIP TEL. y DESC T N SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BI;ILDER DECLARATION SF M O p I HEREBY AFFlRM UNOEH PENK7Y OF PERJUM TIUT I JJ+I EXENPT FROM THE CONTMCTOflS L4 perape/Giporl � CENSELAWFORiMEFOLLOWINOREASONI5EC.70.71.66U51NESSANOPROFESSqNSCOD@ANYCIiYOR (n COUNTYWHICNREWIRESAPERMITTOWNS7RUCT,AI.TER,MOROVE,DEIJOLi6H2ORRE7MIRM1YfiRUC- W pg�lO/DaCk 7URE,PRKKi TO ITS ISSUANCE,AL50 RC-0UIqES TYIE AiPL1['.ANT FOR 6UGH PERNff TO FLE A 51GNE0 W STATEYfNT TFI�7 HE Oii 6HE LS LICENSEO PURSUANT i0 T11E PFiONS10N3 OF TNE OONTMCTOpS U. � CEN6EUW�qiAPTER�(CqAMENCW�MII7H8ECTIONT000)OFdVISqN70FTHEBUSINESSANDPRO- u' PDOUSpB FESSIONSCODE)ORTW1iNEDR8NE19D�MPTTHEREFROMANU7NEBA516FORTFIEM.LEOEDEXEMP• (� TqN.ANYypLATIONOfSECT10N7097.6BYANYAPiLICANTFORAPERMIT3U&IECTSiYIEMPIICAN7T0 Z Rg-Rpp� F A GML PEN/LLTY OF NDT MORE THAN iNE HUNDRED C0.lAR5(35a0).): � 04ASOWNEHOFiXEPROPER7Y,ORMYEMPLOYEESWITNWA0E8A9T/EIRSOLECOMPENSATqN, � (�^p��T•ICIBI Wp.L DO THE WOqK,AND THE S7pUCNRE IB NOT IN7ENDED OR OFFERED FOR SI�LE(SEC.7W�,BUSI- J _ y NESS AND iROFES510N5 GODE:71iE CONTMGTORS LICENSE LAW DOES NOT AiPLY TO AN OWpEA OF = iROPERTY WIW BUILDS OR W PRDVES 7HEREON,AND YNiO DOES SUCN WORK NqASELf OR HERSELF OA � THHOu0H1iISOi7NEROWNEIAPtAYEES,PRpVIDEDTMATSUCNIMPROVEMEN75ARENOTNTEMDEOOR m OFFERED fOR SALE.IF,YIOWEVER ME BULOINp OR MIPROVEMEM'IS 801D YMTNIN ONEYEW OFOOMPLE� TION,ME OWNER�BUILDER WILL 1U�VE TME BURDEN OF OROVWO TNA7 XE ON SNE DID NOT B4RD di NAPROYE FOFl 1HE PURPOSE OF SALE). W OI,ASOWNERpFTF1EPpOVER'fY,AME%CLUSNELYCONTMCTWOWITHLIGEN6E�GONTMCTOH9 � TO CONS7RUCT TNE VRQIECT(SEC.)ou,BU9tNE45 AND PqOFE53lON5 COOE�TNE O�NTHACTOP3 LI• V81U9tiq1 AD�.AREA L11 CENSELAWOOESNO7AOPLYTOANyNNEHOF�PROPERTYWF10BU1LDSORIMPROVE8TIEREON,ANO � W1p00NTRACTSFORSUpIVRO.lECT5N7T/1ACONTRFCTOR(51LICENSEDPURSUAN7TOTNECONTMG• QUANTITY D65CRIPTION FEE � TORSL�CENSEUW.). ❑I AM EYEMGT UNOER SEC. 9.6 V.C.FOR 7NI6 REASON U O�'�R�^.� • � � � �l� l c'Ci'S ' LL' OATE OWNER � W r LICENSEU CONTRACTORS DECLARATION W � IHEREBYAFFlRMUNOEHPENALTYOFPERJURTTMATIAA/tICEN&EDUMDERPFqNISqNSOFCNMTER � � /_JJ a. �(COMMENCINO NATH SECTION 7000�OF OIVISqN�OF TME BUSINE49 AN�PROFESSION9 OOOE,AN� Z C.�C� X MY LIGENSE IS N FULL FORCE EFFECT. o '_^ � 1�1 L1�1� � F. LICENSE CUSS UC.NO. ��✓w j V DrATE CONTRACTOR�.yiy„a,�� � .. .. � v�� � KE COMP�NSATIQN DECIARATION ���r �, � 3-j�� , � y IIENEBV AFFIRM UWOEq PElULTY OF DERJURV ONE oF 757E FpLIOWINO DECUMTIONS ' � � _�IMAVEIMIDWILLWUNTAIHACERTIFICAYEOFOd�SENTTOSELF-INSUREFORWONKERS' Q OOMPENSATION,ASPROVWEDBV9ECTIONmaOpFTM�IABORCODE,FOqTNEPERFpq CE W Q O�IiE WORK FOR WNICM TNIg PENMIT 151&4UE�. � r INWEiWOWILLIAAYJTAINNADRKEH3'G1�MVENSATIONINSURANCEASqEGN)1qEpDY9ECTIOK... . � , ry Q �700 0F THE NBOR COpE,FOq THE PERFORMANCE OF THE WOtiK PoA WHICH iHIS VERAi1T l9 U ISSUEO.W WORKE�R$O-O-I.I�PENSA�TION NJSl1RANCE CARRIEA ANO POLILW NlIM9ER ApE�. CONSTRUCTION � j CARRIER :�i fC��- ��� PLANREVIEW � POLCVNUMBEN � ELECTRIC + p (MBSECIIONNE�NDTBEWA�lE7EDOFhEPERA,ff6RORONEMN7REDOR1JiS(i1O010RLESS� PLUMBING Z I CEHTIFV 7MAT Nl TNE PERFORMINCE OF TNE KCRK F ICFI THIS PFRMR IS ISSUE0,1 MECHANICAL � SMAILIVOTEMGLOYANYPERSDN�NANYMANNER TO E SUB TOTHE y , M/ORKERS'COIAPENSATqNLAW50FCNLtFORNI NDA T FI BECDIAE INSPEC710NFEE S iUBJECTTOTHEVNORKEAS'COMPENSATKKJP VI 7iIQ 10 OOOFTHEIJ�BOR V E�sNUL wrtmm�mcoMv�r win� v a ISSUANCE O � � DATE: � APPLICANT: SMIP WAqNIN[i:FARU//E T09ECURE YVORKEHS'COMP 511TpN OOVEMOE 15 UNLAWFUL.IWD 8XALLlE Eh1EHGY P� � BU&�ECT'ANEMPLOYERTOCRWINALVENALTIESAN'�CIVILFWESUPTOONEHUNOiiED1/1d15AND ENERGYPERMIT � � .l, COLI.ARS�i1p0,000),W AUOITIDN TO THE COSTOF�OMPENSATION,DAMACiES AS PAOVIDED FOR IN , � BECTqNJ7W dFTXE LABON CODE.MTERE97,ANDA770RIJEV'S FEES. •� " RETENTION FEE: � CONSTRUCTION LENDIN6 AGENCV PRE-ALT FEE: � ^ I XEPEBV AFFIqM UNDEN VENALTY OF PEft/URY THAiT11EqE I6 ACONSTXUCTION l,ENO WO AUENCY FORTNE VERPoRAIANCE OF71iE WaRK FOR WMd/TN19 PERM�TIS ISSUED�SEC.7oi7.d�.C.). � LENUEH'9 NAME r v/� 1� � lEfi�ER'SAD�RESS � ICEMIFYTNATIIUNEREAOTHISMVUGTIONIINp9TA7ETIATTHEABOVEWFORUATIONIeCDRRECL TOTAL FEES V IAOREE TO COWPIY MATH II�L CliY M1D COUNTY ORpWANCES ANO 6TAiE LANT RELATq16 70 BUILDINO � CONSTNUCTIqY,AND MER��AUTHORIZE NEPRESEN7ATIVES OF 7HIS COUNTY TO ENTEH UPON TNE -YENTIpNm OqOPERTY FOR INSOECTION PURPOSES. COMMENTS Q ' � . • , . � PERWTTEE E(PRI � �, �. . • G -�r9 7 � awr+� E E D/.TE pECPI:NO. PAID BY VALtDATI � WHITE--Dapubnent Copy,YELLOW-Finance Copy,PINK-Aeaeasa Copy.GiOLDENROD-Flle Copy,OREEN-ApWksnfm Copy . .. . , . . .. ... _... , . . . . ... . ... : � , . .�. .. .. � � � . � - � CITY OF DI�►I6�OND BAR r I��SPECTIOfV RECORD .., � - • � � • - ► ' =��sw- s � � - a}.... _ _ , , . SET BACK ' i �� � • � FLOOR JOIST - FTGS/FORMSISTEEL FHA RE(aMTS ' ELECTRIC GROUND , ' � � _UNDER FLO�R DUCT . . . . � ' -+---- ----------�-- -------- ----- �- - ---- -- GROUND PLUMBING UPJgER FLOOR CUNDUIT • - ' � SLAB GRADE __ _ __ � FIRF�LACE FaUNDATION -' '' �__ -�-_ _ _i_.:=-_-=-------------_ TEMP POWER I I f'iREPLACE BOND BEE�M • � - � - �-------------._��----- �. Wl17ER SERVlC� �' "-�� ' -- „e-':�'------� I MiD.,MT. E�QND•B�AM�.------- ' � ---.� ROOF SHEATHING �!S�Z7-`r7 i �'-�_ ; 8 FT. BQND BEAM ' , E FRAMING/VENTILIATION h �_-�?�__ FINAL BOND BE,�M " , � • •-- �____-, , -T„' -_--__'__.- ROOF COVER � ' � PRE-GRADING ; ' -�-�-�2 3-���---����- -•---- --- ------- ------�-----'�-------___.. � ROUGH FiEATIfVG BEIVGHING ' --- - ROUCSH ELECTRIC r'-1�� �__ ,� � ROUGH GRADING j --- -- - - � -------., �_...-----------------------'----- -------- - —•� ROUGN PLUMBING-_ 3 l) _`; - j FINISH GRALIING --'- � -� - =_ __� ----- --- - - �--------- � SHOWER/TUE3 TEST POOL ELECTRIC `_ . ------ � - , � EXT.LATHISIDING �-/�-q7� ________ POOL FENCING ---�- ...... POOL FINAL- ---...---=-- ----� -------: WALL INSULATION , --- ' ------------- -OFF SITE IMi 5._---- ------------------•----------.I CEILING INSULATION `� �� � ' � --�----------- ---- ----- � ORYWRL�NAILING DEDICA7IQNS ' � __12..-11_-9'Z _--:-- --------------- - --.__ __ � ------ SEWER ( ; � FINAL ENG. � — ------ ------�---------------------------�- SEPTiC TANK I ' ! :� IANDSCAPE/1RRIG. � , � - ------� --- ----- --�--� �-�------- I SEEP PIT/L.L. � � ON SITE: IMPS. i - � �---��t------------------- ----- ---------�-------- ----------- , GASAIFiTEST., � '''" ' ; FINALZONING � I 1. --=r7-�----- - - - ------ -- FINAL CONST. � FIRE DEPT. FINAL L - ---- ------ --------------�------------ ' FINAL HEATING i HEALTH DEPT. FINAL ! FINAL ELECTRfC _ _ ` 1�. - `; : DEV. FEES PAID !�"_ _`_ � ; FINAL PLUMBING � � ' �^� ~ --------�---- ------------ -- -- , „ - r- z��"'' ' � . .�. ,,. ,�.�_ `� ENER Y � i ------- - ----- - - ------ --------------- - -------- - - ---_ �- ._ , . � ' '"". r .. . . f . . • I "" - � � ' + � , �Y : � t 1 __`__.___.-_� _-_`_._}_. 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