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HomeMy WebLinkAbout10637 --. _.. ---.._. . __ . ,.. . ._ .. _. .. . . .. _ . . .._ . ...._..... .__. � ._ - - .. � CITY OF DIAMOND BAR / COMMUNITY DEVELOPMENT DEPARTMENT ,,.c z�66o�.cop��y n���so�c�i90 PRESS (909)8643193 Fax(909)861•311� '°''� BUILDING PERMIT APPLICATION FIRMLY � JOBSITE APPLICATION PERMIT P/C A ADDRESS 1�'IU vh�-�'� 1�15T�t DR �-�5!? DATE NUMBER/O�� 1t � ISSUE lYPE pCC � � APN LOT TRACT DATE CONST. GRDUP � OWNER M��► /CK � ADDRESS SQa0) 5. TEI� A'JE �F LD� 20NING SET9ACKS CffY �OL�l1AE.�-C.�� ZIP L' �D TEL.�?i�Zd-1-?-44� FRONT RW ❑ APPUCANT W f�1F=TL I�llE3�E]-1 TEL.?� "1 iA_77 r t„ REAR ❑ Z SIDFJSIDE STREET RW ❑ � CONTRACTOR SIpE ❑ ADDpESS - ` � PROPOSEDUSE_ C�kK4..�G'-(A'L D C.� � �(gSjQ-'S.�• Q R H/ENGIMA'1`�tu�,v� ZIP aU� TEL.S����3 -7�t33 �i. 4t��.lt±� P.z� n�-'l�.. .t± t"k-�MISi�.t4 ustt 1 �— � DESIGNER �?Of�_/kA-�-'� S��lLCk3 � � j R`���' ADDRESS D 2 14�P.fi'-I.I�A /c�� Z-l(r ro0.DWEL NO. NO. � CITY��y�"L P�L�f�_� _ ZIP � �I, TEL��(Q,��(� UNlTS STOR�ES BE�ROOMS �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BI:ILDER DECLARATION SFRlA00?iEM p 1 IffREBY AFFIRM UJDER PENAl7'/OF PFRJURV THAT I AM EXEMPT FROM iHE CONTMC7WIS LI- G8f909K'.91pOf1 - LIl CENSEUWFORTHEFOLLOWW�NEA50N(SEC.7n31.iWSINES3ANDPROFESSION9CODE:ANYCITYDR (J� � COUNTVN4tlpIREOUIRESAPERMiTTOCONSTHUCT.ALTE7i,1MPROVE,DB.WLISH,ORREP/.IRM1YSTqUC- W p�NOJDYd( V 7UqE,PRIDR TO RS ISSVANCE,ALSO REW�RES THE APPIICAN7 FOR SUqI PEAMIT TO FlLE 11 SIGNED w STATEAIEM THAT MG OR SHE I6 UCENSED PURSUANT TO TNE DROVISIONS OF TME CONTqACTQii4 LI- � GENSE LAW(ChUPTER�(COMMENCINO WITHlEGTION 7000)OF�IVISqN 7 0F TNE 0U31NE5S 1WD PR0- u' POOVSp� FESSIONS OODE)di Tf1�7 HE OR SNE IS EXEAIDT7HEREFpOM AND TNE BASIS FON TFIE ALlEOED FXENP• TION.ANYVqLAT10NOF8ECTIOH7W1.6BVANYMPLICANTFORAVERMITSU8JEL76THEMPLICMITTO Z Re-Roo1 r A CML OENAITY OF NOT RWRE TW W FlVE HUNDNED DOLLMS(!5W 1.7: � ❑4�4�'NNEROFTNEPROPERTV,ORMYEMPLOVEESWITNWAOES�STNEIRSOLECOMPEf�44ATI0N, � Commucial WILL 00 TNE WOqK.MIO THE STRUGTUAE IS NOT IMEPOED OR OFFERED FOR SILLE(BEC.7W1.lU51• J NE55 ANO PROFESSION6 CODE:THE CONTMCTDRS LICENSE UW OOES NOT APPLY i0 HJ ONMER OF � PiIOPERTYYYIiOBUILO30RM/PROVE5IHEREON,ANDWHODOESEUCNWOHKNIMSEIFORHERSELFOR = � iMqOupNMSORNEiiOWNFMVLOYEES,PpOVIDEDTMA78l1CF11M�ROVEMEMBARENOTWTENDEDOR m � OFFEREDPoRBALEIF,MqWEYER7MEDURDINfJORWIPROVEMENfISSOLLWITWNONEYEAROFCOMPIE- � TIdJ,1ME OWNENSUIIDER WILL N�VE TNE BURDEN OF PROVNO THA7 ME OR SHE pID NOT BU40 OR IMPROVE FOH iNE PUPPOSE OF SAI.E). ❑I,AS ONMER OF THE PROPERTY,/JI E%CIUSIVELY O�N7MCTM0 WITFI LIGENSE�CONTNAGTORS �/� � i0 CONSTRl1C7 THE PROJEC7(6EC.70/�,BUSINESS M1D PqOFESSIONS CODE:THE OONTMCTOi18 LI• VHIUBI V{/Y• O�U ApJ.AREA CENSE UlW OOES NOT APPLY TD AN OWNEN OF A PROPERTY MMO BUILDS OR IMPROVES THEREON.AND Z WFqCONTRACT6iOR9tIG1PROJECT6NnTHACONTRACTOR(B)IICENSEDPl1R6UIMTOTHECONTMC- OUANTITY DESCRIPTION FEE � TqiSIIGENSE UW.� p ❑I NA EXEMFT UNDER BEC. B.�P.G fOR TNIS NEASON U 3 ¢ u' DATE 01^MER f' . Z W � UCENSED CONTRACTORS OECLAAATION W � �HEREBY AFFIRM UNDEN PENAL7Y OF PERlUHY 7HAT 1 AM LICEN6E0 UNDER PROVISIONS Of CHAPTER � , d �(OOMMENCINO NATM$EGTION 70W�OF OIVISqN 9 OF THE BUSINESS MI�PqOFES$qN3 DODE,11ND Z X MY LICENSE IS MI FULL FORC6 M1D EFFECT. m � UCENSE CU�,S)S �Y, IIC.NO. ` v���� � V OATE ��r�"l CONiMCTOR �MIdJILSO7t�SCN � LG • a� WORICERS'COMPENSA710N DECLARATION � � IMEREBYAFFIRMUNDEHPEWLLTYOF►EfiM1RYONEOFTHEPoLLOWINODECLAMilONB: Z � _111�VE ANO MIILL MNN7AIN A CEHTIFIGI7E OF CONSENT TO SELFINSURE FOq M/ORKER6' '�S COMVENSATION,AB P(�VIDED 8V SECTION 97o00F THE UBOR ODDE FOR TIIE PEHFORNANCE � Q OF TFIE WOPoC GOR MMCN TM9 PERMIT IS ISSUEO. . , �FJ �M�VE ANO WILL MAINTAW WOflKERS'COMPENSATION INSURANCE.AS qE0U1RED 8V 9ECT�ON Q8700 OF TFIE UIBOR CODE.FOR 7HE PENFORMANCE OF 7NE WOPo(POA WMlpi TM19 PERMfT IS ��/��� � I6SUEO,MYWORKFRS'C041PENSATIONI/NS�U�WJCECARRIERANDPOLICYlAlU18ERARE: TRUCTION � �. GIRRIER T� LIIJ/J P�AN REVIEW � POLICYNUMOER ELECTRIC Q o mussEcriorrr�wreeaou0.�an,Faeanrr�swaa�ti�moauasa+�a+�ss1 PLUMBING Z 1 CER7IFY TFMi MI TME PENFOFlMMICE OF TIIE W1DRK POq WNlpl iM19 iFRMIT IS ISSUfD,1 MECHANICAL �� ('f SHAIL NOT EMPLOV ANY PERSON N ANV MMINEH 90 AS TO BECOME SU&IECT 70 iHE �.�� � WORKERS'C011PEN9AilONLAWSOFCALIFORMAANDA(iREE7MATIi15HOUlABECOYE INSPECTIONFE S BUBJECTTOTHEVYORKER3'COMPEN9ATqNPiiOVI510NSO,5ECT10N17000FTNELNlON CdOE,1 BHALL FORTXVATM CddPW WITH T 5 PRpV S 5. ISSUANCE o ,P �.� . s-. y p OA7E: C��� APPLICANT: L� , . . � ENER6Y P/C � � WARNINO:FARURE TO SECUHE WtMNERS'COMPEHSATION RAfiE IS UNIAWFUL.ANO SHALL BE � SUBJELTINEMPIAYERTOCRIMINALVENAL7lESMNCNILFWESUPTOONEMUNOREDSNOUSAND NERGVP T � • � OOlLAR9(1100.000�.W ACDITION TO TME CAST OF COMPBA9ATION,GAMAGES Il4 PROVIDED FOR IN /J A ' J DECTIDN�7oeOFTMELABOROODE.NITEREST,ANDA7TOHNEY'SFEES. M'IONF . _ L�•`�r Q OCONSTRUCTION LENDING AGENCV pRE-ALT FEE: � �� � 1 NEREBV AFFIqM UNOfN PENAL1Y OF PERJURV THAT THERE IS A CO�LSiRUCTqN LENDINO MiENCV PoR TNE►ERFORMiWCE OF iHE WOWC F00.YVFIIGI THIS PEqM1T IS ISSUEO(SEC.i00a7.CIY.C.�. � I LENDER'S NMIE � lEN0EN7ADORE33 ' � �� , /� /' � 1 CERTIFY TMAT I NM/E READ TMIS APPLICATqN ANp STATE h1AT iFiE AfiOVE NFOIiMAT10N IS OONRECT. T(�TAL FEES � ��� 1 S�9' S✓ � IAfiREETOCOMRYWRHALLCT'ANCCOUN7YOAC�NANCESMlOSTATEUWSREUTIN4T06UILDINO , �,� � CONSTRUCiION. ONER Y EREVRESENTA7IVESOFTNISCWN�'/TOENiERUPONTNE � C � �aove-ME non tv i vEcrae�wnPoses. COMMENTS 9 t`'..r`" („� � oEwainEE roa ,_ .+ /� % � y r"v'�.� �• lIONl�TJp PERM 'EE� _;, , •� D TE j�ECPT.NO.�1/ PAID BYl�� � VALJDATION � WHITE-0epartment Capy.YELLOW—FManca Copy,PINK—Msessor Copy,dO1.DENROD--FIIa Copy.6REEN—Appllant'e Copy .. .. .. , . ,. . . .;,., _ � .,... . .... .. , . . . � . , � ;� . . .... . � .,, . _ � . ._ - ciT�r aF oi�n�or�a BA� - IN�PECTIOh[ P.ECC?RL? ' ► � s e � � • . � � � r � � .. ,- .. 5ET BACK ' FLpOR JOIST ' FTGS/FORMS/STEEL � ~� FHA REQMTS �,_. ,� , , f ^ - ELECTRIC GROUND __ UNDER FLOCIR pU�CT: �, i �. r ,.. ;. � , • , , GROUND PLUMBING UNDER F�OOR'COnIbUlT ' i •"��' • •: I+'�;�� SLAB GRADE � — -�------ _� _ __�I FIREP�E FdC1NDA'7'ION TEMP POWER ' FIREPLACE BOND BEAM � i WATEFi SERVICE -` ' ' � ` ' ` �" � I MID HT.BUND BEAM . ROOF SHEATHING ' ," ' ' : � ' 8 FT. BOND BEAM • .. FRAMINGNENTILIATION S 2G�7 _T.0__ ---- _ ' FINAL BOND BEAM ,_, '..�? � , � � ,• '� 1 ,~,. !" r �, --- � ROOF COVEFi ' PRE- RADING� � :1 i' r ' . �.�, i ROUGH HEATING - -- — �---------�—` -- - ----- I BENCHiNG --�. l ROUGH ELECTRIC _ !8-2/-�'7 i�g���,_ ; ROUGH GRAQING ` � I --- -___.. ----,--------- ROUGH PLUMBlfVG _: _ T _ T ��` - _„__.�_____ � FINISH uRADING SHOWEP,iTU6 TEST = __ `. POOL ELECTRIC � ^ ; EXT.LATH/SIDING -- - � -- -------- ' POOL FENCING i--- � - -- , — -.-------------------- ---- - - � WALL INSULATION _ POOL FINAL CEII.ING INSULATION � O�F 51TE lMPS. �� DRYWALL NAILING �•L4sr7 DEDICATIONS ---�- ------- - -��-t --��- ' � SEWER + , FINAL ENG. '------------ -�-�-i_.-- _�__�_1___. I SEPTIC TANK ^ � '�T '• __�_ ` _ � LANDSCAPE/IRRIG, i I - SEEP PIT/L.L. _ ! � ON SITF IP�}FS. -T- "-"� GAS AIR TEST I - r------------..--_ I i� �_, FINAL ZONING , �___ I FINAL CONST. ; y� � � FIRE DEPT, FINAL •. FIRkAL HEATING � . � � HEALTH DEPT. FINAL FINAL ELECTRIC ! i -- _.!B a DEV. FEES PAID I ���"-'-- 1c�-_-- - -- -------�------------ -- ---�----- -- - ---- FINAL PLUMBING j �' ENER GY � Y � I-�� --- ---- -- ---------------- t-- --------- ------- -- �-- ---- � ---------- --- ----- ------------ _--- . � . , --- --+- ----- -----------...- - ---._ - ..,._.�. . �---------! i_ • • ' ---___�_.�_ __-�-- _ ---- .-. ---L--�---- --- COMMENTS ._____. _._---- -�--- --- -- --- �'�'�� �tel/.r��- - �l�-C�'.�----�OorZ__llt� - - ------------ — ------- i �--- —-- ---- ---- I : ---- ---------------- ;- r`. -- -------•--------- -------•---- ------ ----- F 1' ` • ' . +� �OR 7 � '_� _- __._' __.".. �._ __..__'__".'-'. . _.."'_""_-"______"'_"____-.�__.�_- -Y__ �.1.'__ ' , . __ SEPTICTANK SIZE -� -- SEEP PIT/U SIZE __ -- ----------�----- ---------------- -----�---------- -- -- - - - _�_.. _.,............_.._.. ___..._ ...,.., - . ,¢����a �b � � r ---- -----....-------------- ----------------------- --- -- � � " - - t-✓"��� �i''� � � �- - � _. �-�-��-� -�7`�--- r, - �; �� S��ld- s�� �.,.o ��J� �W�r.y� 1 G. �2 ----------------------- ----��-- ----....---�- ' . , : � ; � --- ,. � --����r�–��—��z" � ��: ' cL .:/-,�'. _ .,*„�+� j �f1 ,�,,��h — ,,,, --� �. .. . .. . _. . � � __�