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HomeMy WebLinkAbout14113 . --- --- - - ----_.__— ---._._. � .� �..,_.,_,. � g CITY OF DIAMOND BAR �� DEPARTMENT OF COMMUMTY d�t DEVELOPMENT SERVICES � 21660E.Copley DriveSuite 190 � � (909)860-3195 Faa(909)861-3117 PRE$$ � �'*�' � BUILDING PERMIT APPLICATION ' , FIRMLY � JOBSITE a�g3 ` Ln DATECATIOIG�/_�� NUMBER��'C / � o ADDRESS ( � � APN LpT�T_ TRACT �SSUE �_ t', TYPE ' '• OCC DATE CONST. GROUP ; o OWNER�- " ADDR SS ZONING SETBACKS. ' � � CITY � r ZIP 17 EL. 7 FRONT , . �' RW ❑ APPLICANT TEL REAR p � _ SIDE/SIDE STREET RW ❑ CONTRACT.Q Q. S SIDE ❑ � A�DRE �i PROPOSED USE S • �V CfTY �N ZIP TEL � � ARCWENG/ DESIGNER NO.DWEL NO. NO. ADDRE55 ` UNITS STORIES BEDFi00MS � CfTY �ZIP ' SEL' rn DESCRIPTION S�.Fi. FACTOR PSF ADJ.AREANALUATION � OWNER-BUIIDER DECLARATION SFR/ADDIREM � O p �HEqEBY AFGIRM UNDER CENALTY OF VE0.AIRV TNAT 1I1A IXE�.�PT FR04 THE CONfRACTORS L4 GarapeJCarport . lL CE/AEIAWFORiHEFOLLOYVINOREA.rON�SEC.TWI.6BV51NE55AN0iROFE5510N5COCE:ANYCT'OR (/) � COUMYMh�d1RECU1RESlIPOWRTOCONSTRUCLALTER�M7ROVE.DEMOl1'3tORREPAIRINYSTRUP w Z IURE,VRqR TO R813SUANCE.ALSO REW�RES THE AP7LIGM iOR SUCH OERMIT TO�1LE A SICNEO w P8110IDBCk � . � STATEMENT TFNT ME OR SHE IS UCENSED PURSUMIT TO T1E PROVISIONS OF 7ME CONTMCTORS U• CENSE UW(C7NV7ER 0(COM�/ENCNO WITH SECTqN 7000)OF DMSiON]OFTHE BUSINESSAND GRO• � PooUSpa - fE59�ON5 OODE)O(iiHAT NE OR SHE IS IXEIAVTTHEREFROM AND TNE BASIS FOR 7NE AllE6E�E%EMP• TION.ANYVqLATqNOFSEC'ilON7o]7.6BYANYMPLICM7�FORAYEiWITSUB)ECTS7NEAFDLICANTTO Z �qe.qpp� � ACMLVENhLiYOFIqYMOFETWliIYEFAINDREDDIXURS(f5ao).k � 01ASOYMEFOF7HEPROPERTY.ORIAYEMVLAYEESLN7HWAafSASTHEIR50LECO�IPENSATION, O CommerGidl . . - WLL�O TNE WONC AND THE STRIN:NRE 6 NOT IHTEN�E27 ON OFGEREO FOq SALE(SEC 70u,q�l• J ' y NE53 AND PiqFE35qN3 COOE:TME CONiMCiOR3 LIGENSE UW DOES NOT AGPLY TO AN OYMER OF ? PfqVEHTY VAq BUIIDS OH IAIPROVES THEf1EON,IWD VA10 DOES SUCH NOFlN HIMSEIf OR HERSELF OR CL THNOUGHMSOqMEROMlEMPLOVEES,VROVDED7HATSUCH�IVROVE4EHTSARENOTMENOEDOR m � ,OFf6iEDFORSALEIF./1OWLYERiMEBUIDPqOHIMPitOVEMB�TIS50lDYlfiHINONEYEAROFLOMPLE � T�ON.T/E OWNER-0UpDER W1LL FNVE TME BUR�EN OF PROVINO T1Ai HE OR SNE OID NOT BUIID Oq IMPROVE iOR T11E VURPOSE fiF SALEI. r_ W OI,A4DWNEROFTHEYROPERfY,AME%C1115NElYCOMMCTWOWfiHLIC£NSEDCONTMCTOq3 [t TO CONS7PUCT T1E PROJECf(SE4�ON.BUSINESS AHD PROFESSIONS CO�E THE OONTiUCtORS lF Valuatl0fl � (��J.AREA 111 CENSEUWDOESNOTMPLVTOFNOWNEROFAPROVERTYNTq&1LDSORMIPROVESiHEREON.AHD � MhqCDNTRACTSFOH5UL1/VHnIECTSYrtiHACON7RACTOR�S)LICFNSE�Pl1RSUAHfTOiMECOHTRAG OUANTITY C PTI � ,. � TOR9 LICENSE LAN[1. ` / OIAIJEXE4PTUJOFASEC. B.1V.C.fORTM:SPFJ�50N Q U � �• u' DATE OWNER � . _ � W , LICENSED CON7FACTORS DECLARATION w � IHEREBYAFFIRMUNDERFENALTYOFPEiWRYTFMTIAMLICENSEDUNOERiAOV15iON50FCHAPTER ,�+ n ^ � �I�wENClI�MlITN SECTION 7000)OF DM510N]OF 7HEBUSINESSAN�GROFESSiONS COCE,AND Z - �"" ��=�/� � -" �� `� W UCENSE IS p7 F'ULL F01iCE CT. • m � LICENSE CUSS LIC.NO. � � �• ,!`,/ _, q�;�� � �p � , ,J Y K�<U � � OATE – " COMTMCTOR n. V . WORKERS'COMPENSATIONDECI.Af1AT10N a Uv v � y U N IHEREBYAFFINAUNDERPENN.TYOFPERIUMONEOFTHEFOUAWINGDECUFATIONS: � Z ._ . , �' i ¢ _ � _IMAVEIWDWILL�NTAINACERTIF7CATEOFCONSEMTOSELF.INSUAEFONWORKERS � _ _ . ' � COYVENSATION,IISFROYiDEDBYSECTION]7000FTMEUBORCOOE.FORTNEPEHFONMANCE IU Q OF7HEYVOPoCFORWMIG1iH15FERMITI5155UED. � Q �`(/.�tINVE/W�WILLMARlT/JNWGFlI(ERSCOIAPENSATIONINSURANCE,ASRECUIIEDBYSECTION OC� �� / •\l7000FiHElABORCOOE,FORTNEiERFORAtANCEOFTHEWOHKFORVMId/THISPERMiT15 / � 65VEO.MYWOt1KE S'COMP NSA710N RANCECMR�EHINDGOIICYNUMBEHME: CONSTAUCTION F uwwEn _ ��� �C-�YY�� PLAN REVIEW � POLICYHUMBEH �c���� 7 �� ELECTRIC � Z, r _ � , - � (MssEcf�ONNEIDHc78Eop.a.EIEDaFnEOEFMiswNouEF4lDli�DaLlpsR�ODJORLEssl PLUMBING D_CA�� Z 1 CERTIFYTMAT N TM[VEfIFOHNANCE OF TNE NC7fiK FOR WNIGH THIS PERMIT IS ISSUED,1 MECHANICAL —i � (,y�} SMALLNOTEAIPLOYANYPERSONMANYMAMJERSOASTOBECOMESUBlECfTOTHE N MORKERS'COMPENSA710NUN'SOfCAUFORNIA,ANOA6REETNA71FI5MOULDBECOAIE INSPECTIONFEE SU&IELTTO7HEWOHKERS'COIdPENSATIDN POVISIONSOFSECiION]7ooDFTHEIABOR �(f � s coo�,isNut� a�rwrtrcoe�v�rwm�T e arrs. ISSUANCE �U o �� . ��, , p DATE APPLICAM: C 'SMIP i '� WARNIIM:FALUqETOSECUREWORKERSCp.�PEN5ATI0NCOVEMGEI5UNUIWFUL.ANOSNAILBE ENEHGYP/C � (–y SUBJECTANEMPLOYERTOCRIMWKPENALTIESANDGVILFINESUGTOONEMUNDqEDTYlOUSAND ENERGYPERMIT DOLURS(f10o.000�.IN/�DO1710N TO THE COST OF COAIPENSATqN,OAIAAGES+�S PROVIDED FOfl IN ¢ SEMIDN]7o�OFTHELABORWOE,INTERESLANUATTOiWEY3FFE5. RE7ENTIONFEE: � � - a 0. CONSTRUCTION IENOING AGENCY pRE-ALT FEE: �_ O 0. INEREBYAii1RA/IN�EqVENALTYOFPERRIRYTHATTN[HEISACONSiRUCiIONIENOW�ACENCY ' ' � FOR THE PER WRMAHCE OF TNE M'ORK iOq YYNICN iHlS 7ERMIT IS ISSUED(SEG]Uil,CN.G} . . � � LENOERS NM�E - � � LENDEitSADDRE55 � IAGPEETO�vi�rwi"r�T"r�m�°v°�,�`�`o�rr'r�"�N�cESAN03T�UWSREUTING'TOBULDEI O TOTAL FEES a.,g'r''7 C'/ - . , :.� �G.' /1 CONSTRUCTqN,/WDHEREBYAUfIqRREflEGRE5E1lTATNESOFTHISCOUNTYiOEMEHUPON7HE l D �� � ABOVE#1EN710NEDPROP qT'IFORINSDfC710NPURPOSES. COMMENTS � � � � ' _� -99 i m CER 1 E N 11lT) - Q # CA ) � S URE PERN� EE OATE , ' � RECPT.NO. PAID BY � VALIDATION ; WHITE—Dopanrtfent Copy,YELLOW—FNence Copy.PINK--Assesaor Copy,GOIDENROD--File Copy,GREEN—ApplicanCs Copy � — -rtr�, ..;_ , ,- . � �wf r��.�w.o:tf' .j/ oy Jit� .v� ,0�-.'»..0 " � ,?rt�' a-:6A� �ti.r,..:.� i�.� ,S T+. .� ..Yi: . .., ,� . ip^'y:� R 7� +... . . r. �. ... � �C . .1�1 1',.ii.`. � .. � ��' ` �� awA'��wr���af ��C;>: � h��M4:. n,^'�. . . � . 51' C(TY OF DtANiQND BAR , , , ,�,..._, ` - , :�_� : , , .,;_ , � ��. . � � �: : It�1SPECTiON RECORD �.� ° .. : � . . � i � � .. , .:c� ... - � �, Y .-,,;,�.�.....�.....,.� . , 1�_ ���''�l�. ,0 �i � @ � _ E !.;���7 ��'+4��"jr���",'s,.'�p�r�' ;w.....:...:- ..v....��:,.. . _..._��... . SET E3ACK �.: . � � FLOOR JOIST '- �. `.� �' - , � \ I � ' I (. - ,, ;FTGSJFORM5/STEEL' • 2. .� � _ _ _ FHA REQMTS .J__,( ;_ .. . :_'_ ._' --_ __ _ __�� 'ELECTRIC GROUND _ �O� - UNDER FLOOR DUCT • ,- � � ' - �GR�UND PLUMBiNG � � -UNDER FLOOR CU�IDUIT : �. `i���� '"' ' �� '- "' ' ' 'SLABGRADE -- . _--- - -- FIREPLACE'FOUNDATIO�t � ', �i' , ' � „ , ,: ;� ., _. ;�-` � . _ ;- ;TEP�IP POWER - -- - - -- -- - - FIREPLACE BOND BEAM ;. t��' ; , ...:.,_;. . • : iWATER SERVICE - - _ - MID HT.BOND BEAM � � : :' i ��: ' ;: �: :' ; � !ROOF SHEATHING ',t' )' ', t �- .�,= 8 FT.BOND BEAM , . � . . . _� _,_. , , 'FRAMI�JG/VENTILIATION ��`..��. ; � 1• • • �, FINALBO DBEAM � ' � `. �ROOF COVER .�.• � , PRE-GRADING /� _ _ -', ` i ROUGH HEATING -- - flEhl�'HI G�C.� �}�j p p� . ,., . , �ROUGH ELECTRIC._ .� _ "' ' ROUGH GRADING - �---- - - !ROUGH PWMBING--;- - - -- - -- . --� - - FINISH GRAdiNG , 'SHOV'JEF�lTUB TEST- -- - -- - - ; - - • PObL ELECTRIC � IEXT:LATH/SIDING -; - - - POOL FENCING Z� � �. .' I : . iWALI.INSULATION ; - _ �_ : - • - POOL FINAL p � ' . �CEILING INSULATION --- --- - - __ �FF SITE IMPS. . • ; =i iDRYVJALL NAiLIyG ; - DEDICATIONS � . .- . - __. _ FINAL ENG. , � -,• �SEWER . _ jSEPTiGTANK I LANDSCAPE/IRRIG. ' ;SEEP_PIT/LL.__ �� � - ' '�,'�=� 1 ON SI7E IMPS. ; ;. ,GAS A1R TEST I � � FINAL ZOMNG '; ; =- ;FINAL CpNST,� . '.._ , _ , 1 ' FIRE DEPT.FINAL - _ � ;. I : F1NAL HEATING__.____ , _.. ! HEALTH DEPT.FINAL - - - , . _ F(tdF.L ELECTRIC- . _ _ - _ _ � DEV.FE�S PAID - -- ---__ � ; ` rHdAL PLUMBING - - • ENERGY � �, f�ri"'7! �S J�� 2� � — �____ ._ -- . _ -- � �_- _�=- _ `� ,,c"'�-■1' �+` ; C' i , __J _ '':.Y� 1.S[-�.�"�Yta�.ti .u�...:t,.� _ _ ... ._ _ _ r �, i l � , � .� ' !COMMENTS - _ . , - `- . _ -:-- - ' ���v c� �aTZ�''_'0 ��— �U�..���� ��'—(o��,..lV_�.5 � ���_t�� - -r c,i i� - _ . . �',,'i�f- . � . � � � . �, �, ; , � � - �. � r, ,�t� - ' �',G��� r•���j'y 11•.` ' . ' . . � �_,� � . ,` _ _� 1 i � i ..�T" �'�' ,..-Tt i�% - .r..��: . .� �., ... , __. . , . . � � . . ��I-1`- Ttl�?�'i(:If-;9 '� - � . . , - , „i�.�__ . . � �, _ �. . _ f . � , ,, , , � ; _ . . ; ti _ _ , �, . , �,_ � - , ;SEPTIC TANK SIZE . + " ' ,SEER P1T/U SiZE __ . . � , '. _ ; ,� , , � ��.�" '�-..,_"'.� �_ ; � � `� :� .. � , t �� : . ,' �,;�,� s�►�� � = : - _:_ � . , _ _ i � � ;F�}� ., ::F. � � '. ` . � , ... . _ _ i . t i• i� i ;� __. _ \ . � _iJ f �� � .'�� � ��/ � � - �.� y . � . .. � . . -) "� . . � ��.'� "' � . . .. i __._ _1�i�� � . �,i. `c ..._:,�..::...:.L.u.. .-� - ( - , �