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HomeMy WebLinkAbout10683 �..�_�_%. - CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT .,,� . 2I6b0 E.Copley DriveSuite 190 PRESS (909)860-3195 Pax(909)861-3117 ''�" BUILDING PERMIT APPLICATION FIRMLY � JOBSITE �/3� /��E��yL���y,� APPLICATION Z� � NUMB Rt�O x� • o ADDHESS DATE c� ISSUE TYPE OCC . APN LOT TRACT DATE CONST. GROUP °C OWNER 0 "' ADDR ZONING SETE3ACKS z CITY ZIP �TEL. - R�p RW p g APPLICANT TEL. SIDE/SIDE STREET RW O � CONTRACTOR A B � 'In6• SIDE ❑ � ADDRESS PROPOSED USE � ar� n� TE a ARCWENG/ nu, A 91 B� � DESIGNER NO.DWEL NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OOWNER-BI:ILDER DECLARATION SFR/ADDIREM' p 1 NEREBV AFFiRM UNDER VfNALTY OF VE0.AIRY T1uT I/W ExEuvT FROrJ THE CdltRACT00.5 L4 Gerope/Carport W CENSEUWfORTN[FOLLOWPIGPEASON(SEG7a71.6BU5WESSNJOOpOFE5510N4CO0E.AM'CRVOR (n U CIXIN7YNM111G1REOUIRESAPEPMRTOCONSTRUCT,AL7ER��FIOVE,DEMOLISH,OqPEPA1qANYSTRUL W petidDeck W TVRE,iRpfl TO RS ISSUANCE.ALSO REWIR[S T/1E APPLILAM FOR SU[N PEIWIT TO fl�E A SiGNED � lTATEMENT iHAT NE OH SHE IS 110EN5ED PVfiSUANT TO TME PROVIS10N5 OF TNE CONTMGTORS L4 � CENSE U�M(CHAPTER Y(COMMENLNQ NAiM SCCTIDN T000�OF DM510N]OF iHE BU5iNE55 AND VHO� � POOVSp9 FESSIONS COOE)OR TYIA7 HE Ofi 5HE IS EIIEMPT 1NEREFRdA AN�THE BASIS FOiI iHE Al1EGED E7fEMP- TiOH.ANVVqIATtlNOFSECT�q+7a]t.SBYANYAPVII('.11MfORAPEIWITSU&IECTSTMEAVPLIGWTTO Z p�Rool F A CN1L PENALTV OF NOT 40RE THAN FNE IM1JNOREO OOLUIqS(f5o0��: Q � 04���EROF7HEPROPERTY,ORYVEMPLOYEESMnTHWAGF5A5TMEIR50LEC04PEN5ATqN, COR1R10fCi81 YnLL 00 THE WORK,AND TNE SiHUCTURE IS HOT wTENDED OR OFiEREO FOR SALE ISEG 70u.W54 J N NESSANDPROFESSIONSGO�E:MEfANiMCTORSULENSEUWDOESNOTAPPLYTOANOWNCROF ? VRDPEIiTY YV/q BURDS Ofi IMVROVES 7MEREON,/W�YMO DOES SIJCM YYONK HIMSELF OR MEHSELF Oq (L TNROVC.NMISORNEROVMEV7LOYECS.VROVDEDIHATSUC1iWPROVEYEHTSMENOTWTENOED011 m W OiFEREDiORS/lEi.11DV/EVERi1�[BUID�NGORMPROVE4ENTISSOIDYATHINONEYEAROFCOMPIF• � 710N,iHE OwNER�BUILOER N'iLL HAYE TME BUR�EN OF GNOViNU THAT HE OR SHE 00 NOT BURD Oq Z IAIPHOVE fOR TNE PURPOSE OF SALE�. = 04ASOWNEROFTNEPROPEHi1:N.�EXCLUSNELYCONTMCTNGWITHUCENSEDCONTMGTOHS W ¢ TO CONSTRIKT TnE iROJEC7(SEG 7a�,BUSiNE55 AND CROFESSi0N4 CDDE 7HE COHTRAC70R5 LI- Vi�UetiOn AW.MEA W CENSEUN�DOESNOTAPPLYTOANOWNENOFAVflOPERTYWFqBUlD90HIMPROVE9iHEREON.AND � 1MqCOlITMCTSFORSUCHVR0.1ELT5MATNACONfMCTOiyS)UCENSEDFURSUAMTOTMECONTMG ouaunrv DESCRIPTION FEE � TORSLICENSELAW). � OIAIIOIEuvTUNDERSEC. B.LVC.fORTHISREASON U � ¢ u" DATE ONTIER F' 2 W �¢ LICENSED CONTRACTORS DECIAAATION w f� IMEREBVAFG1iWUNDENDENALTYOFPE0.AIHYTHATIAMLICEN5E0UNDEM1iROVISqN50FCHACTER V. � �(COw�ENpN(3 WIM SEttIOM 7000)OF DMS�d17OF TNE BUSINESS AND OiqcESSIONS COOE,AND z ` � �� MYlKENSEISNiULLFORCEINDFFFECT. m �'� ti . � � UCENSE SS (_- u� LIC.NO. � Y-- V DATE CONTRACTOR W � ORKERS'COMPENSATION OECLAFL4TION � = U � IHEi1EBYAFFIRAIUNDERVENALTYOFVEiWRYONEOFTMEFOLLOYANODECIARATqNS: N Z Q � �IIUVEIWDWILI�NT�INACERTFIGTEOFCONSEMTOSELFaNSl1REGORNORNC0.5' _ � CpIPEN5AT10N,AS VRONDED BY SECTION 71ao OF THE IABOR CODE,FOR THE OERFORAIANCE ' w OF 7ME tYORK FOR WNIC11 T11tS VERA�IT q ISSUEO. � � �IIUVEAND WILLYAMTIUN WORKEiLS'COIIPENSATION INSURANCE./S REOUIREO BYSECTqN 4O 070o OF i1�E L1BOR OOOE,FOR THE GER W R4INCE OF TME WMK FOR VMtCH iM15 PERAIR IS � ISSUEO.MYWONKERS'LOYPENSATIONINSUIIANCEWRR:ERAN�POIICYMIMBERME: CONSTRUCTION � �pyEq PLAN REVIEW � VOIICYNUMBER ELECTRIC � � �rwssEcr�x+wcmrroTecoo�rmaa,r�rE�rarswna+e�a�nr�000uuisa+ao�oa�ss� ?tuMei i Z 1 CERTIFM TMAT N iHE iERFORIAMlCE OF TNE YAFK FOR WMi01 TH�S PFNAIT IS ISSUED,1 M[CHANICAL C7 SHALLNOT E4PLOYANY iERSON R1 ANY AIAw�ER SOAS TO BECOAIE SUBJECT TO THE N WORKEaS'COUPENSATiONUW50FCALIFdiNItiANDAGREET1uTIFISNOULOBECOME INSPECTIONFEE SUBJECT TO TME WORKERS'C04PENSATIDN VROVISiONS OF SECTION]700 OF THE UBOR p q � O COOE,ISHMLFW17HlMTNCpJPLYW1IH SEPROVISIONS. ISSUANCE �9� •M ��°� SMIP �' `p DATE:�LL'� 5 APPLICAHT. � � WARNiNa:FARURE TO ECURE WORKERS COMOENSA7qN COVERAQE IS UNUwFUI.AND SNALL BE ENERGY P!C SU&IECTINEMPLOYERTOG1a1w�1.CENALTIESANOCMLFINESUPTOONEMINDREDTqUSANO EN[RGYPERMIT .�r�r, � � ��AI }, DOUARS�f10o.aool.��DDrt10N70TMECO510FCOA1PEN5ATION,D�ACESASPRONDE0iW11N -T„—�.J—f J J� SER�ON]70!DF THE UVBDR COOE.NTEREST,ANDA7TORNE�^5 FEES. RE-TENTION FEE: a CONSTRUCTION LENDING AGENCY pRE•ALT FEE: � IMERCBYAFFIMIUNDEHVENALTYOFPERRIRYTMATTNEREISALONSTPUCTIONLENDWGAGENCY �Z fORTNEFENFORM/NGEOFiHEW[MKFORNM1G17MISiENAi715I55UED�SEG70Y�,CN.G�. W � tENDER'S NM�E � LENOfRS+I�DRE55 � � ICERTIFYTHATIIWVEREADhtl5l1VPLICATIONIWDSTATF1HATiHEABOVENFqU1ATqNISWRRECL TOTAL FEES �3�� W IAGREETOCOUPLVWI7HI1LCrtYAN�COUMYOfIDIWWCESANDSTATFUWSPEUTINGTOBULDINO n' COHS7W/CTqN,ANDNEREDYlWT10R1ZEREPHESENTA7NE50FT7115COUdTYTOEHTENUPONTNE � ABOVEJdEM10NEDP110PEHTYFORINSPECTIONWRPO5E5. COMMENTS � J � m iERYiTTEE WME(PRiN� a .�►,ll_ gar'9� � � y EIGNANHEOfOERMITTEE � DATE � RECPT.N PA1D BY VAL.IDA N WHITE—Depanment Capy.YELLOW--Finanee Capy.PINK—Asaetsor Copy,GOLDENRO�Fite Copy,GREEN—ApplM.�nt'a Copy ; � - �r. . ": .� , . . .� _ . .. ... � � .�. . ,.J . i. r ��- .. .-'J". 1'' • i.'.. �f- . " .. . " - • . � ..�w,✓,�.u-.;n•.. . , ....h. w ... , .� ..n ., . . —,c... .r..i. CIT�' OF l�lE'�►�!iOf+if1' C�':4°t �. . , � ,� . � .. .. _ . . INSPECTiOlL !?�CU:?D� � . ,. ... . ,,_ � - . i►�E-�:a�,c`cri��►`I '���U�. •I�`k-7:��c��j'o�:P. . • I��l=,'�ci`-jr�c�►��. � .e���iF� � ��,�+�1�.���c'•s:��;{ _� SET BlICK �---------- _..._....i i. .t----•-------- -----•-- 'I��FLOOR JOIST ...._. , - — -___�.�-_ _ .,--. . _.�.,...._.�.i :..._ - I : _._ F7GS/FORP�IS/STEEL ' ' � - - - � f-Hn REQ'�1TS �. __,_�: .` _ � �- . ' ' ELECTRIC GROUND , � � UNDER FLO(�E�UfiCT_,���;.�y _.. �,��;.;;�: •,�=-���,=. , ' -• GROUND PLU��IBING UNDER Ft�C��f3'CC3�iDUIT is:�.:: �•�=�'� '-=��_:.:;•�..`\ '� ; SU18 GRADE - �' - -.-. -- FIFiEPLf'�CE FOUNDATION � ;-,�.�. . � . - . _ __ TEt.1P POWER- - . . - _- FIREPLACE E30fJD BEAM •;�J(i�,',.��� � ` '. . ' , �11ATER SERVlCE ``:. � .•,:.,'`, ,� -,�'T�� � • F�11D HT. BOhJD.�3c`Af.q• � �CLI '•>°�:;.:�''��' ; . � ' �(;`; . .. ,. _�� }; �� � � ROOFSHE,�,TH1NG -'�- - - - 8 FT.E30PJD BEA��1 �a��'�'• ��'�'�' ' � ' FRA��1INGNENTILIATIOP� ' �FIPJAL E30N7 BEAf�" � � " . ; . � ROOF COVER _--- _ _. _ -- - - - - - PRE-GRADI�lG � . . _ � � ' I - , ROUGFi NEATING -- ' ="-' = _ � - ' � E3ENCHING _ ; ROUGH ELECTRIC -- --- -- - - � ROUGH GRADING , , ROUGH PLUP�1f31NG �--� - -- -- � � f"IfJISH GAADING SH�VJEWTU3 TEST - -- - POOL ELECiRIC ' � � i EXT. LATH!SfDING -- � - F'OOL FEP��I�JG ' �"✓ALL INSULATION __ _•—r� POOL FINAL _� � ' CEILING INSULATION ; � O�F SITE I�.";'S. � , � DRYWALL NAILING ' DEDICATIO��S SENJER, � _FIPJAL EPJG. � t SEPTIC TANK - � LANDSGF,PC/lRRfG. � , SEEF PIT/LL_ '_...__ - - - -r ON SITE I`,��S. 1 ` GAS AlR TEST'- - - . - - - -- -- - FIPlAC ZONING ' � � � RrJAL-CONST. - - - � ��- • �- FtR� DEPT. FINAL I FINl�L HEATING-- - - -- - - - - � - - H�ALI H DEPT. FIP1F�� - - -- FINAL ELECTRiC - , • - DEV. f=EES PAID i I .' FINALPLUP.4BING --- --���—/ T7 �-�' --__ ------•�_- i 13 ����2'��j�_ i Er�,����Y � � �--- - --- 1_ -' -t.-,..�,..>>. � � _ � ., �_ , � � T i�,:�� ��:T-`___�`�_.__ �,,:,"�,—. , . � - -. COPJIMENTS- - � ' i -- -- —— , _. ..__. . . -- ... --- _ . .. � . : , , - ------. _.. . — , __ . . . . , � .: ---� -----�---- --1– - ------ , � - il� �1 $ — -------- ' I - - - .. ..,.. .. . �,.� �� ' • -- ... .__ . �;. .,. . _ . _. . _. . ._ ... CU(�; (i � ii;: i- ----�---- — - i --- — ' SEPTIC TANK SIZE - : _ . -.- _. .; SEEP PIT/U SIZE �—' , - . ^ � � • � �js� , - - i � + w, ' � - i - - � - _ i�. . i 1�`) � . I� . , ' . i . � � , - �,�., �- � \1'� ;'�:, i , ', - _ :��i . _- _: _... _ '. -. . . ; .- - � - -- � --- -. . ..._ _ ..._. i