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HomeMy WebLinkAbout16519 . - � . J� CITY OF DIAMOND BAR fi - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suiu 190 PRESS (909)860-3195 Fax(909)861-3117 BUILDING PERMIT APPLICATION FIRMLY y JOBSITE ` / ��� �.y �,� APPLICATION � Q'� (�l PERMR � ' P!C o ADDRE55��(L'(O Q j�d��-��.1- DATE � I" " 1 NUMBER�S� k � APN LOT TRACT ��a L�7_ D TEE ONS7. GROUP g OWNER ADDRESS / D �ZONING SETBACKS Z CITY�Y'1/i l'�P ZIP�.�(vla. TEL R�R RW ❑❑ � APPUCANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE � ADDRESS PROPOSED USE /- CITY ZIP TEL � ARCWENG/ • DESIGNER 'ss • NO.DWEL NO. NO. N ADDHESS ' • UNITS STORIES BEDROOMS � CI7Y Sc�,,f e A n� ZIP 9.�'�,£ TEL�]�S�;SS�' cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ' p� ' OWNER-BUILDER DECLARATION SFR/ADD/REM O p 1 NEREBY AiFlRJ UNDER VEtUiTY OF VERRIM THAT I AM OfEMPT FROM THE CONTMCiORS LN G3te�Ce�pOR � . . - lL CENSEUWFOftiMEFOl1WVINOREA50N(SEF70.71.68USiNE55ANDGf10FE5510N5CD0E:ANYCITYOR � (n COUHTYWF#piRE0UWE5AVERIARTOCONSTRUCi,AITER�.IPAOVE,�EM10LI5H2ORREFAIRANYSTRUG W P8t(O/DBCk - ' �' � � NRE PRqH TO RS IS6UANCE.ALSO REWIRES THE MPUCANT FOR SUCH PERAIIT TO FRE A SIGNED W ETATEIAIXT 1}UT ME OR SHE IS LICENSED VURSUANT TO THE PROVISIOHS OF THE QONiMCTOR9 LI- CENSE UW(CHAPTER�(LUMMENdNO WI7H SECTION 7000)OF OMSION 1 OF TNE BUSINE55 ANO DR0. � POOVSpB � ��-� �- � FESSiON3 COOE)OR hNT NE OR SF1E IS EXEMPTT7IEREFROM AND THE B.1515 iORTME ALLEOED E%EMP- TION.ANYVICIATIONOFSECT10N70]1.68VAHYAPPLM./�NTfORAVERMRSU&lECiSiHEAPPLICANTTO Z Re-Roof � � � � ACMLVENALTYOFNOTMOiIETMANflVElA1NDREDDOIJARS(i5oo�.): - . � 04�3�MMEROFTHEiROPERT/,ORMYEMPLOYEESVYITMW�GE5h5THEIR50lECOMPEH5A7qN, � COmT6rCla1 . . - � YALL DO THE YVORK At�TNE ST{CICTURE tS NOT INTENOED OR OFFERED FOF SALE(SEG 70u,BUSL J N NE58AND VROFESfiqN3 CODE:T}IE CONTRACTORS IICENSE IJ1W DOES NOT MPLY TO AN OWNER OF ? . VROPENfI'MAIO BUlD3 OR E/VROVESTHEHEON.AND YAiO DOES SUCH WORN HIAISEIF OR HERSELF OR � THROUGHWSORHEROMMEMVLOVEES.VpOVIDEDTHATSI)[71MVROVE4IEMSIRENOTWTENDEOOR LD OFFERED FOR SALE IF,i10N'EYER7ME BULdNfi OR IAIFROVEMENT IS SOID WfMN ONEYEAROF COAIPLE- � TION.THE ONMER�BURDER MnLL INVE TME BUMEN OF GRDVING THAT HE OR SHE DID IqT BUILD OR MAPiqVE FOR 1HE PURPOSE OF SALEI. � Ot��MEROFTHEiROPERi1;M/EXCLUSNELYCONTMCT1N�Nt711LIGENSEDCONTMGTOR3 TO CONSTRUl:T iHE iHOJECT(SEG 7W1.BUSINE55 FND PROFESSIONS CODE:711E CONTRACTORS LI• V0IU8IIIX1 AQI.AREA CEMSE UW DOES NOT MPIY TOAN OHMER OF A PNOPERTY M'HO BUILDS OR MPpOVE3 TMEREDN.AA9 NM1q�DNTRACTSFORSUqIPRQ1ECTSVATNACONTiUCTOR(5)LICENSEDPURSUANTTOTHECONTMG QUANTITY DESCRIPTION FEE � TCIRS UCENSE UW). . . . . . . . . . . O IMI IXEAIPT UNOER SEC. B.l P.C.FORTHIS REASON a U �=' DATE OVMER � . � � � � LICENSED CONTRACTORS DECLARATION W � � _- � IHEREBYAFFVWUNDERPENALTYOFPE0.JURYTHAlIAl1UCEN5E0UN0EHGRON5iON50FCW1VTER Z -�� �� -- � �(COMYENCNO N7TH SECTqN l000)Of OM510N�OF TME BVSINESS ANO PROFESSIONS CODE,AND _ LL� YYUGFNSEISNFUICfORC NiOEFFECT. m � LICENSE C1A55 L1C.NO. j � DATE � � � CANTR/ICTOR n- W � : WORKERS'COMPENSATION DECLARATION Q y IHEREBVAFFlRAIUNDEROENALTI'OFVERtt1MONE0FTHEFOLLOWIN00ECLAR�T10N5: V y Z Q � �IFNVEAN�WILLMAlJT/JNACERTIFICATEDFCONSENTTOSElFJNSUREGORV+OR1cER5 2 � � � �- GqIPENSATION,A5Pf10VIDE08Y5EC'TION77000FTNELABONCOOE,FORTHEVERFORMANCE U � OFTHEWORKFORYR/1GITHISPERMITISISSVED. � O ��HA{IE ANp WILL MAMA�N N�ORKERS'COMOENSATION INSUiUNCE,AS REdIIRED 9Y 5[CTIDN O �7o00FTHEUBORCOOE,FORTHEPERFORMANCEOFTNEWORKFORWHICHTH15PER/ARIS ISSUEO.NY i�yc EAS'COMO NSATION INSUMNCE URRIER AND POLICY NUMBERARE: CONSTRUCTION � CARPoER—�C� • PLAN REVIEW � POIJC�MIMBER�.�P L�� � ELECTRIC � � � � � �Sucrq�hcIDrqrg��q,n�ppFnEpstwtsqqpnEµ.w�oputu�sKiaqoa�ss} PLUMBING ��, Z ICEqTIFY7HATINiHEPERFORMANCEOFiMEYJORKFORYM1CHiNiSYERMITi515SUED,1 MECHANICAL C� SIiALLNOT EMPLOYANY PERSON N ANY MANNER SOAS TO BECAM[SUBJECf TO7HE � N'OWCEHS'GDUPENSAT10NLAW50FfJLLIFORNIAPNDAGREETHATIFI5H01ADBEGOME INSPECTIONFEE SUBJECT TO iHE NCKiKERS'Cd1PENSATIDN PROVISIDNS OF SECTION 7700 OF THE IABOR U �j cooE,isrwtwnnr,vrtNcourirwin�nasEvra�nsr�s. ISSUANCE �0 � � `I SMIP . . OATE:��9-�/ APPLICANT: G WAqNIN6:FAKURE TO SECURE 1NaRKER5 CdAPENSATION COVEMGE�S 11NUWFt1L.AND SNALLBE ENERGY P!C �"y SUB.IECTANEMP�OVERTOCRIMPlALGENALTIESANDCMLFNESUPTOONEHUNDREDTMOUSAND ENERGYPERMIT pOLLARS�f 100,000),N fDDITION TO THE COST OF COMPENSATION,DAMAGES AS GROVIDED FOR IN � SECT10N7'/oeOFT1ELIBORLOOE,WTENEST,ANDATiORNEY'SFEES. RE7EN71ONFEE: a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAFFIRMUNDERPENAITVOFFEtLIURYTHATTMEREtSACONSTRUCTIONLENDINaA6ENCY � FOiI THE iERiORMANCE OF iNE WORK FOR WHipi THIS PER1AiT IS ISSUFD(SEC�OW,CN.Cj. � �aoEaS�E�N�.,�F���TF� � � LEN�EH'SADORE55� . ;/\� W I CERTIFY THAT I HAYE READ 1Hi3 APPLICATION AND STATE THAT TIE ABOVE MFORIAATION IS CORHECL TOTAL F E ES � �/ � I A(iREE TO 00M7LY Yrt7H ALL CRY ANO COUNTY OR�INANCES AND STATE Uw5 REUTW6 TO BULDINO CONSiNUCf10N,MANEREBYAUi110fUZEREFRESENTATIVE50FTMI5COUNTVTOEHTERUPONTHE . , � 1180VE#AEMIONEDPROPEflTYFOHWSPE � PURPOSES. COMMENTS 0 J � m vc�irrEewwerowrm a �_� � � SIO VERMiTfE ATE � RECFT.NO. P/UD 8Y VALIDATION WHITE—Departmenl Copy,YELLOW—Ffnance Capy,PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy � , . , . . .. ., . , . . . , . � . . . .. 1' '�, CITY OF DIAMOND.BAR . . . , ,. � - ; t:�._ . .. .:..:INSPECTION�REC(�RD � ,.� � . . _ ,, , :�: . � � ' ' . . . .:. . ! . ` *,� ►�.����.�a�.� i ;SET BACK , . -i�� .�� .'. FLOOR JOIST• ; ._ � __ \ ; , .`�,.�--'-= �FTGS/FORP,AS/STEEL _-._ �� _: � _ -_ - -_ . FHA REQMTS � " , _ _� _ , ,,: _- . . . i _ ;ELECTRIC GROUND ..._ . � " _ ___. _ UNDER FLOOR`pUCT ' � - _ - - . � !GROUND PLUMBING UNDER FLOOR Cdf�IDUIT iSLAB GRADE __ .. _ ----_ _ _ ' ' ; FIREPLACE FOUNDATION .-, : : . . .� ' , iTEMP POWER- - -- - ,- ' i FIREPLACE BOND BEAM � � ; � sWATER SERVICE- - --- - - - - -- - - -- � MID HT. BOND BEAM ' - � - � ' ' � �ROOF SHEATHWG � ti ' ; , �: ; . 8 F�.BOND BEAM _- =, - . ' . .._ _ . � _ _. . ____ !FRAh11NGNENTILIATION - -- - -- - - FINAL'BOND BEAM . , r � ' : , � .. �.-: , ,. � ,. !ROOFCOVER �.-� _ - ,,, _,_. PRE-GRADING �'��- : . . ' . . • .. •' ; r . .. . . . . . , �ROUGH HEATiNG _ _--- -- _._ •. � _ _ __ _ BENCHING :, -:.�,,:. .. _ � .� , : � _ , `ROUGH ELECTRIC__' "� ' ' ' ' ROUGH GRADING .. . -- __ - -�- _ _ . , , , , .., ;ROUGH PLUMBING-'. .-- -- -- -- ' --- - : FINISH GRADING ; � ' 'SHOb'VER/TUB TEST-' - -- -- �-- - ' -- POOL ELECTRIC ••� iEXT.LATHJ5IDING -_ __ . _ _.__.__ , _.-- --._-. -� - - _ POOL FENCING , ; `WALl�iNSULATiON - -.-_ _ _ _ . - - - . POOL;FINAL , � , ;CEILING INSULATION I - _ ---- � _ OFF SITE IMPS. ; ,- DRYWALL NAILWG _ - � DEDICATIONS ; ;; !SEWER --- ----- _ _ _ _ FINAL'ENG. _ , , . , �SEPTIC TANK LANDSCAPEIiRRIG. !SEEP PIT/LL � : ON SITE IMPS. !GAS AIR TEST . FINAL�ZONING - ;FINAL CONST.__; .____. ___ FIRE DEPT. FINAL --- -- - , ;F1NA.L HEATING ____.___ _ _ . . __ HEALTH DEPL FINAL � ' ��iNAL ELECTRIC- -- --- - - - DEV. FEES PAID ' = _ _ __ . __._. � : {�f=1;�l11�-PLUMBING - --- � _ _ _ ENERGY : "'. .• , � - _.. _._ _, . __ -- - - - -- _ _ .. V- .,.- — �— - --__ , _. - --- - - - - _ ,, • - ; -- �i ,�':ta �t��a��t i , �.�.���. ,�.�.�....__ ..._ , ,.,.___ , � . , _._.__ ._--.. .--.- .- - . . _. _ _ _ , ,. , , . ; _ , _. � ..__� '� ,'�.� � 'COMh�ENTS - - _ _ „ ' � � -� - -- _-- -. ._ _ _ � � ; _ , , -_--_ __ _ -- _ ---- � . � _ _ . ' � , _ _ ; - � � __ , , � , .. . . -_ . -• . . . , . � , , ., . � , - - - � � ' I _ __. _ � , �. - , _ ---�. . . , --..�. . _ . . • - _ , , • . I i • ' - - ' � , , : _ � ; ; , . _._ _ , _ � _ , , . � - � _ . ;, ,• ,, _-�., + - - , • , jSEPTiC TANK SfZE - ___ _ ,• , - � , . f SEEP PIT/U SiZE - — ' ' � � _........_....._...-�._.....,.� -- _ _ ,. . . . _ - - - '�{ ; � :�,� . , � - � : ; `�..:A� . , _ _ . - , , �.�..�� ' , . . , , , , p �, _- . - - , : _. , . _ , , , . , . _. l'� ` , , - � _. _ : _ . .., �, _ _ . i ,. ; � .. �,! _ � ; .; _ _ __ _. - - - '�'��►� � � � ?_ , . i .�.� �� � � �' ' � �' �. i . � � � ..� � _ _ • . . ; � � # ' '�� -�;. �: . � � . i aa..,: � � .: - - . � _ ! ;.� . . � ,. �. .._ . .i . , _. .. - , I 'ti•��} .# R.� _ ._ . ..._ � . \ \ .. .. .. � � +. � ,_ +.