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HomeMy WebLinkAbout16511 (31) f� CITY OF DIAMOND BAR �— DEPARTMENT OF COMMUIIITY&DEVELOPMENT SERVICES " � , 21660 E.Copley Drive Suitc 190 (909)8603195 Fax(909)861-3117 PRE$$ '����� BUQ.DING PERMIT APPLICATION FlRMLY o� JOBSITE �37ao G,r�, �,,nL� APPLICATION � �lQ-(�' NUMBER J l 71/C ADDRESS ( �rG DATE o ' ISSUE ' " 'TYPE'd�"', � OCC � APN LOT TRACT Zz ' DATE CONST. ` GFOUP �j OWNER "' ADDRESS t s- ZONING--SETBACKS�'-=':'`•.�_ � -' ' ,}_. . ,.. � CITY i ZI Z�TEL. � l -REAR r -`.. . . •.RW O❑ APPLI ANT TEL. SIDE/SIDE STAEET RW ❑ � CONTRACTOR �___'.�,��_,,,.�' SIDE � ADDRESS_ c, ����4'/l[.- pROPOSEDUSE � CITY /�ZIP TEL. � ARCH/ENG/�!P` /�j „�S. V' �S�OG . DESIGNER D 1�-r� NO.DWEL NO. NO. ' AD�RESS ��S� � - / rS%7 UNITS STORIES BEDROOMS � C ZI TEL N DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION ti � OWNER-BUILDER DECLARATION SFR/ADD/REM O 1 HEREBY AFFWM LHDER PEWITY Of PEiLR1RV TU7 I MI EXEMPT FN0�1 1HE CONTMMONS U- G818p8�C8fpOR � e CENSEIAWfORTHEFOLLOYYNX1RE11SON(SEC.70.71.6BUSWESSINOPROFESSIONSGODE:AN1'CITYOR (n � COUNTYWIAd1t�GlARESAPERMRTOCOl.'STRIKT,/LTERIMVROVE,DEMOLISH,ORREP/JRANYSTRUC• W PBtIdDOCk � ' . � . . TURE VRIOR TO RS 6SUANCE,ALSD REW WES THE A7PUCANi FOR SUCH iERMIT TO FlLE A SIGNED W � STA7EMEHT TUT HE OR SHE IS 4CENSED PURSU/NT TO TME VROYISIONS OF THE CONTMCTORS U• . . GENSE UW(Cl4�VTER i(COMMENCPI�WITH SECTION 7000)OF OIVISqN 7 OF THE BUSINE55 AND VRO- LL' PooVSpa� ' � LESSqNS COOE)OR THAT HE OR SHE IS E%EYPT iHEREFROY ANO THE 9AStS FOii iHE ALLE6ED E%EAIP• TqN.11M/VqUT10NOFSECTION70.7tlBYANYA➢PLICIU7TiOFiAPERMiiSU61ECTSTMEMPUClU7TT0 Z Re-Roof � � ACMLVENALTYOFlqTMORET/ANiNEHUNDREDDOLUWS(i5o0)J: , � pI,ASOYMEROFTHEPROPER7Y,ORF1'IEMPLOYEESNA7NwACESASiHEIR50LECOMPENSATION, O COmmBfGldl - ' WILL DO iHE WOHK.IWU TNE STRl1CTURE IS NOT IPRENOEO OR OFFERED iOR SALE(SEC.1Wt,BU56 �l NE88 AND FROFESSqNB COOE:TNE COHTMttOR4 UCENSE UW DOES NOT APP�V TO AN OWNEF OF , � '�• �� ' � N PROPERtTMIHOBU0.DSORNPRONESTMEREON.AN0IMHOD0E55VCHWORNHIMSEIFORMERSELFOF � � � (t THROU6HHISORHERONMEWLOYEES.GROVI�EDTUTSUtliWPROVEMEMSANENO7N7EN0E0IXi m -- - �� � � �- {L OFFFIE�f-0RSKEIF.HOwEVERTIEBU0.DNOORMPROVEMENT650LDWITHWONEVF�WOFCOGPIE� � 'TION.THE OWNERAURDEfl VnLL HINE THE BUHDEN OF PROV�NO iTU1T ME OR SME D�D NOT BUIID Oq MPROVE FORif1E PURPOSE OF BALEI � 04�601M�EROF7T1EiFiOPERiY.AMIXtLUSNELYCONfMCTNOWI7HLICENSEDCONTNACTOR9 TO CONSTpUCT THE VHOlECT(SEC.7ou.9�15INES3 ANO PR�FESSIONS CUDE:iHE CONTRACTOHS LI� V01UeliOn AQI.AREA CENSE UW DOES NO7MVLYTO AN ONNER OF A PROFERN WNO BURDS OR MPROVES MEREON.M10 .2� wNom�rt�ucrsravsuavaaecrsx�nucorrrruaoats�ucENs�vunswurrron+ecartruc p�q�7y DESCRIPTION FEE � TOlYSl10EN5EUw.). p I NA EXEIAPT UNDEF SEC. 8.a P.C.FOR 7Ni5 REASON � � LL' OATE OWNER V � UCENSED CONTRACTOFS D[CLARATION W - � INEfEBYAFFIRAIUNDERPENAITYOFPE0.URYi1/ATIAMLICENSEDUNDENPROViSiONSOFCHAPTER Ur � 9�CO�MENCpN1`MTN SECT�ON 7om)OF DMSION�OFTF7E BUSINESS ANO PROFESSIONS COOE.IIND Z X MY UCENSE�3 N iUl FqiCE EFFECi. m tL � LICENSE CLASS_ UC.NO. _ � - � DA7E�f/,7,T�-���`O�CONTMC70R_ a � WORKERS'COMPENSATION DECLARATION Q � U � I NEREB AFFlRM lXlDER PENALTY OF FERNin'ONE OFiHE iOLLOWWG DECUMTIONS: Z Q O 111�VEANDWiLLNAIN7ANAGERfIFIGTEOFCaN5EM�5ElF-INSUREFORWORNEF75' 2 � � COMPEHSATpH,ASVROVIDEDBYSCCT10N37ooOFTHELABORC00E.FdiTHEDERGORMANCE W TME WOPK FOR WN�OI lMIS VERMIT t9 ISSUEO. � � I IUVE AND WILL lUR7TAW WORKERS'GOMPENSl�TiON MSUMNCE.AS REOUIRED BY SECTION O �7ooOF7HEUHOilOOD[.iOfiTNEPERWRIAANCEOFTNEVVORKFORWHICH ISCE0.MIT15 S��r.�ri�, � ISSUED.W E0.S'COYPENSATION W WWCE CMti�ER ANO POIiCY ER ME CONSTRUCTION �'"' � CARAIER G .- — - - PU1N REVIEW � "�rstcrd�r� �caw�rEooanev�w,+rscro�•5�R� P UMBWG C Z I CEN7�FY TMAT IN TME iERFORMMICE OF TME WONC FOR WHIptTH�S FERMIT IS ISSUED,I MECHANICAL (� SNALINOTEMPLOVANYVERSONINANVMANNERSOASTOBECOMESUEUECTTOTHE � � WORKERS'COA�PENSATIONUWSOFCALIFORNihIN�AGREE7MATi1511WLDBFCqdE INSPECTIONFEE . � SUB.IECTTOTMEWORKERS'COM7ENSATIONPHOVISIONSOFSECTICN77ooOFTMEI�OF �SSUANCE - � COOE,ISHALLiOqTHMATMLV4PLYW�TMT EPR�HSqNS. � /'� SMIP p DATE:��APPUCANT. . w ENERGY P/C WAANINQ FAILURE TO SECURE V1CMiKERS COMPENSATION COVERAGE IS UM.AWFUL.AND 5 W�LLBE �y SUalECT1WEIAPLOYERTOtRIMPIALPElULT1E5ANUCMLFiNESUVTOONENUNDHEDiHOUSAND ENER6YPERMIT pOILMS(f1 Do,oao),Ml/�DDITION TO THE CAST Of COMVEN5AT10N.DAIAAGE5/5 iROV10ED FOR w � SECTIDN 7T0!OFTIE LABOR CODE NTEREST,AND AiTORNEYS FEES. ' RETENT�ON FEE: W CONSTRUCTION LENDING AGENCY PRE-ALT FEE: G. � 1 HEREBVAFFlRM UNOGR PENA�TY OF PERN1iY TMAT THERE IS A CONSTRUCTION LENO WO AGENCY ' iOR iHE PERFORIAANGE OFTME WORK FON WM�C TN�S VEN.1R�S ISSU (SEC.]Ov7,CN.C.). F IENDERSH�E �'I v! �'�!� � � LFNDER'SAOORE55 � ICERTIFyTHATIIUVEREAOIHISAP%JCATIONANDSTATETNATTNEABOVEINFORIIATION�SCORRECL TOTAL FEES w IAOREETOCOMPLYWITHILLLLRTANDWlM1YORDINANCE51wO5TATEUH'SREUTNOTOBUIDIN� - n" CONSTRUCTION.ANDMEREBVAUTYIORi EREPRESENTATIVESOFiN15COUNTYTOEMERUPONiHE � ABOVE�MENTKk1E0iNOPERTYFOR PEGT�ONNRPOSES. COMMENTS _ � � ¢ PFRA1ITf NAME(7N� , 3 2�-�/. � � SIG REOF7ENAI DATE � RECPT.NO. PAID BY ' VAUDATION WHITE—Department Copy,YELLOW—Finence Copy,PINK—Assessa Copy,GOLOENROD—Fila Gopy,GREEN—AppicanYs Gopy • .. . ` l'. ' . . .�C♦ . . � . . . • . � . -• . - " ' . .. ' .. . .. . .. • . . ��. ` � �. , � . ... , . .. _ ` CITY OF DIAMOND BAR _ � __w� �.\ r.:�� . - �� It�iSPEC�'ION RECORD �.- � , � . . . j� � c . _ _. , �' ..: _ _ �' r•,�.•y t - �,�, �— ��� y ( [ ���J.!�����l.:d�6 ' '��r��,'�.,,�;�-�,..�`. ����ABF� ��V�J!��������� �`�r"s �1�1� rr����1�'6�r�' .r�.�.:.�..r...r..e....�.�......r.»..�.�..,...�.r., . . � _.�.':s,,. .. ,_.... w......._.»......_. .....�., ._..� ..�.�,.—�--- `- `— -_._. �SET BACK : ' ; �; � , -i �� "� . FLOOR JO{ST --` , � � , A j „ . , _ . . !FTGSlFORMSISTEEL ` l I - -- FHA REQMTS ; ' :: � lELECTRIC GROUND. _. _ .. ' _ --_ _ _ .. . _ UNDER FLOOR DUCT - ' � • - ; -. !GROUND PLUMBWG to •�•p� UNpER.FL00R CO��IDUIT� . . ' ": i — _ _ ' ' --�— . - . 'SLAB GRA�JE------- `: (��-►j--.� - FIREPLACE�FDUNDATIOPJ `_ '.; . �. . . . , � TEMP POWER _ .__- , .. __----- . ; ; , - FIFiEPLACE BaND BEAM . __ • ; ; 'WATER SERVICE ---� -- _--__. __ _. _ _ '-- MID H�BOND BEAM : :., _.: ' � � 'ROOF SHEATHING! % : ' ' ' ' , . • 8 FT.BOND BEAM ` ., , ; !FRAMIMGNENTILIATION ---- - - - FINAL BONDBEAM :_ • � ,' ROOF COVF_R �, PRE-GFiADING'' ` - ,� , �. ., •� `� �•, � , �ROUGH HEATING BENCHING �.-. ,, , ,�- -_ . .� . � ` ,. '; •- , t _ . .. _ • lROUGH ELECTAIC.... '._- �_`: .''_ _!_._� __ � _' � .ROUGH GRADING � - � ROUGH-PLUMBING _ _ __. _ __ _ ._•'- FiN1SH GRA0ING j �_ SHOVJER.�TUB TEST ; - - -- - POOL'ELECTRlC . I �� :EXT.LATH/51DING - --- L� �C) i POOL FENCING i ' ,VUALtiPJStJtATiON - -- . POOL FINAI. - j ; : '�CE1ltNG INSULAT(ON -- " - OFF SITE IMPS. ' , , ;DRYI�JACt NA(LING -; -1�1= -�r , � �EDICATI�NS , . iSE1NcR _ _ - - � �-��i ENG. ' - S�PTIC TANK LANDSCAPEIIRRIG. !SEEP P1TlL.L _ � ON SITE IF�iPS. ; GAS AIR TEST � FINAL ZONWG - . ;FINF�L COh�ST. �_ _ _ � FIRE DEPT. FINAL ! iFtN�L FlEAT1I�G . _ _ _ _. _ NEALTH DEPT. FINAL - - + � . �Fi?J�L El:ECTR{C-- � -t!/ � DEV. FEES PAID _. .__� �'�:_3F!PLUMi31NG - ENERGY _ , , , . , . _ _ _ . �.. -- _ -- .--,--R-..-�-<-.--- � -. -- _�.... , . . , _ , c: #� �� c[` c' .. �-n , _ - ,_. . . , . . , , . . �;;JP�PNEf�!'I_S _. . ; , �-- ---- - � -.. , , . , - _ ., _ ,; . _ __ . __ . __ �- • j I __� - - � .. '� . : . , _ _ `, , , , � _ , � , � _ _ � � . . _ _.. _ .. � y __ -- �SEPTIC TANK SlZE � . _ SEEP P1T/U SIZE ' ` � - __ _ _ - - _ ��_... ���� .��.�.,� . _ . _ 1 ,, , - --- _ ' ' ; - � - ;{�3� t::;i -. - , � __ , �.7 �' _ __ _ - . ; � i : 9 -__ •- .. „ - -- , . y.�- -• - `�-�.: � _ , ��, . � ` .. �. . , , _ . .._�_.� _� � ,