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HomeMy WebLinkAbout12702 � - . _ _,.� ---- — - - EXPIR�D �,� _ CITY OF DIAMOND BAR -� � • � ' ' DEPARTMENT OF COMMUNITY,&DEVELOPMENT SERVICES .SC P 10 "t�;;,t� � 21660 E.Coplcy Drive Suitc 190 • " -��R"" . (909)86a3195 Fau(909)861-3117 P R ESS ��'�' • BUILDING PERMIT APPLICATION = � . RMLY �' ��BSRE IS I�I' S,V�U��Y �l STA fl�'�' APPLICATION � � � PERMIT C � -o ADDRESS_ � DATE NUMBE� D N � N ~ LO7� TRAC7 ISSUE TYPE �QCC DATE CONST.V.- �_ GHOUP � � OWNER S tIU�E 1 GA.L. GE • ADDRESS_ IOI V/�►Ir�NGI� /�'t�S� U(t ZONING SETBACKS `' ' � CITY�ULL�. ZIP �12W3�{'TEL 'L-�2 FRONT RW ❑ APPUCANT __ULTS �S�L - TEL S S � SIDFJSIDESTREET RW ❑ � CONTRACTOR •�•G• ��LI �S SIDE p ; � ADDRESS - Y � G'� pROPOSEDUSE /�A�DIGC.I� O�(=1 G �l.►7G o CITY f7Y2Ahlfz� ZIP TEL - , . ARCFVENG% ! � - •• i �� DESIGNE �S �cSSfJG kp,DWEL NO. , NO. ADDRE$S P' � UNlTS STORIES BEDROOMS N CITY-�Al.l LUIS OgtSPAf.6L�P�134-fl 1 TE �'.�4'1' v� �DESCRIPTION •SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OYVNER-BUILDER DECLARATION SFR/ADDlHEM " O p I HERE6V AFFliM UNDER PENALtY OF iERA1HV 7HAT 1 AM EXEAIPT Fii011 THE CONTMCTORS LF G819g6�C9tpOrt IJJ C£NSEUWfORTMEFOLLOWINOREA5d1(SEGTWI.6BUSWESSANDFPAFESSqNSCODEANYCfTYOR (n L1 COUNTYVMIICMREONNESAPEiM1ITMCONSTRUCT,ALTERMPROVE.DEMOIISFI,ORREPAIRANYSTRU6 W �2 NPE.PRIOR TD R9 68UANCE.A150 REW WES hIE AVVLICANT FOR SlX]I iERM1T TO FRE�SiCNEO � Patio/peck 6UTEMEHT TIAT NE Oq SHE IS LICENSED PURSUMlT TO THE PiqN5KKJ3 OF THE CONTMCTORS U- � CENSE UW(GUIPTFR Y(COMMENpNO WI7M SEGTION 7000)OF DIVISqN 70F TME BU5INESS FNO PHO� � POOVSpB FESSqNS COOE)ORTTIAT NE OR SME IS E%EMMTHEREFROIA ANO iHE BASiS FOR iHE ALLEGED EXEMP- TION.ANYV10U1TONOFSECTIONTO]1.6BYANYMPLICANiFORAVERMRSUBJECTSiXEMPUCMlT70 z R9.qpp� �„�, A CN4 FB�ALTY OF NOT MONE TIAN FNE/UNDRED DOLLARS�55�0)F ' �� - � ❑�OSOWNEHOFTHEFROPEHT'/,ORMYEMPIOYEESVATHWAGES115THE1R50IFCOM7ENSATIDN, � �mmarcial--- 2Q ,� - WILL DO 1f1E WORK,/lA TME STRUCTVRE IS NOT INTENOED OR OFFEFEO FOR S/LE(SEG fa�,BUSI• J N NE%AN�VNOFESSIONS WOE:TME CONTMCTORS LICENSE UW�OES NOT APPLY TO MI ONNEHOF . . 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B.1 V.G iORTHIS RFASON q U l� ¢ DATE OriNER V � LICENSEO CONTRACTORS OECLARATION � . � w IHEPEBYIIFFIWAUNDEpCENAITYOFFERNRV7HAilAMLCENSEUUNOEHVROVi510N40FCHAV7EH � � �I�MMENCHl3Nrti1/3ECTION7ooa)OFOMSIONJOFTNEBUSINESSANDPNOFESSIONSCOOE,AND Z � ��� W LICENSE t3 N FULL FORCE AND EFFECf. m ��..� uc�,� s ��c.r+o. '�l 3��D � Z> DA7E CONTMCTOR � �L I T� J lL � WORKERS'CAMPENSATION DECLMATION -r � IHEREBYAFFIFpAUNDFRPENALTIOFFERIURYONEOFiHEFOLLOWW6DE0.AMTIONS: Z � \ � ��IHAVEMOWILL4AMTNNACERfIFlCATEOFCONSEMTOSEL�dNSU[iEfORYARKERS' . �, _ . , • , , Q COMPEHSA710N.ASPROVUEDBYSECiIONJra00FiMELABORCODE.FORTIEVERFOMIMICE� W SF iHE WORK FOR WHICM THIS PERMR 19155UE0. � '� �. , � , ���INAVEIWDYALLIM�MANWONfERS'C04PENSATqNINSUMNCE,ASREWIREDBYSECTqN NOY 2 4 199 ` � �� � � J7ooOF7HEUeORCOOE,iORTHEPERFORMANCEOFTHEWORKFORWHICHiHISPER1Art15 LSSl1ED.YYWORKERT P�EJN�SATIONW51J`�1ANCEGHRIERAlIDVQ11CYNUMBERARE: " CONSTRUCTION �� � GRRIER �/�V l�/C�^AKJG(.' C.p - . PLAN REVIEW�. � PaiCrr�EA b Z2 CL� �ELECTRIC-' B 'O � . p (nasSECIfoNNE�NOTBEms�EiIDOF11EVEwArsFOaa+EHRo1�DOclU0.5(S+a�0aL6s� PLUMBING • � � W Z ICEATIFYTWQINTHEPEPFORMANCEOFTHEYJOFVCfONVMId/THISVE�IT15155UE0,1 MECHANICAL- � a-� 0�� � C7 SFMILNOTEMPLOYANYYERSONNAN'(YANNERSOA570BECOMESUBJECTTOTHE � �� . � � N'ORNERS'COAIPENSATqNUW50FGLLIFORNtA,ANDAOREETHATIFI5HOl1LD8ECOME INSPECTIONFEE,..� ��+ S 6UBIECTTOTNEWO(8(EilSCOMPEN511TIDNYROVI510N50F5ECT10N]7000FTHEVHOR " "'� � � � • �--• � � �' 000�,�sNut rmmm��coMr�rvnn�nasevrrov�saHs. ISSUANCE q DATE: � APRICAM: _ • � SMIP _,_. . . . ., ,� w . � ENERGY P/C . O' .. � WAqNINQFAM1L ETOSECl/HEVA7RKERS'COMVEN� IONCOVERAGEISUM.AWFUI_/�NDSHAILfiE ,. .� .'-,� ` � SU&IECfANEMPLOYEflTOCRIAAINILFEWLLTES cm4cr+Eswroa+eHurmneon�oue.um ` ENERGYPERMIT�� ''+ ,� � � � v '1 � j DOlURS(f 100,000),IN ADDITION TO THE COST OF COYPENSATION.DAMIIGES AS PROVIDEO FON Pi � 6ECTION�?oeOF1HEtA80HCO0E,INTEREST,AN�AT70RNEY'SFEES. RETENTIONFEE: CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � � IHEFEB`/AFFlRAIU�AERVENALTVOFVERAlRYTHATTHEREISACONSTRUCfIDNLENDINOAOENCY FOhiHEPfRfORM�NCEOFTHEWORKFOHNMN]ITHISPEWAITISISSUED�SEC.lDV7,qKC.�. , , . � LENOER'S HAME �/� � LENDER'SAOORE55 � T �AL F�E$ � � ` � • I CEHTIFY THAT 1 HM'E REI�7NI4 AFFLIGTION MD STATE THATTHE 1BOVE INFORIAATION IS COqPECT. `� e W IAQREETOCOA/PLYWITHALLCT'ANDCOUNTYOflDP1INCE5ANDSTATEUWSREUTNOTOBUlDINO ! � � CaNSTRUCi10N,A1�DHEREHVAUTHOfUZEFECRESENUTNESOFiHISLOUNTYTCIENTERl1PONTIE (/ G4L l'Z.2 � ' 5� �eavE-ra�r+r�or+EnvrwvErm�rtuvEcr�or+vur�vosEs.- COMMENTS � ` ,� Z �;• � ,�K�.' 4�r�� •�f� .'PE E NAME RItfT) • ca_n �r �i'g 6�^- y SNSNATURE OF PE E . . ATE � RECPT.NO. PA1D BY VALIDATIOfV �� WMITE-0epa�mont Copy,YELLOW--Finence Copy,PINK—As�sesa Copy,G EN OD--File Copy,GREEN—Applicant's Copy _ �� ��-- �� '` �'�� �� ' CITY OF DIAMOND BAR � . , �: ` "`'�'��' r 'INSPECTION�RECORD . , � . ' � . ._ . � . - � _ ..,, , r,. , . • o � • - • � � • - •SET BACK � - ' ., ' . . FLOOR JOISl;�=; _-- :'�i �; ;.;•"„ 1 - FTGS/FORMS/STE�L, - � FHA REQMTS - i ; ; • : .a . ELECTRIC GROUND`.'= - y UNDER FLpDFt DtJGT _•:;��.` • l , ;- . GROUND PLUMBING ,/ UNDER FL'0C7R CO�fDUIT �.'�' � -' SLAB GRADE--- -- 9'% �' .-'`�-�. . FIREP(:AG�EfOUNDiA'fION"' . . ,, ., _ . ; � . . . .., TEMP POWER - - � �''~ " FIREpLACE BOND BEAM � � � ' -WATEF SERVICE � �' - - MID HT.BOND BEAM ` '-"'" ''� ' ' ;; j , . ROOF SH�ATHING=� ` � �.7/ y? '� ' - S'FT.BOND,q�AM ' � ?�' � , , ' -- FRAMINGNENTILIATION . � FINAL 60N BEAM - . �: :. � -- � RO�F COVER ' PRE-GRADING , - -- �_ . ,,-.;. � . ,�, , i �'..r � ' ' -FiOUGH HEATING -. _ �/ - �- BENONII�tG`�J'=�.`:' > > . ���i• �.�� �`,'..� ..�' <' .. . �_ ROUGH ELECTRIC � --- ' � � �-�� �!' • ROUGH GRADING ROUGH PLUMBING -" - � � : FINISH GRADING , . , : , ' SHOWERlfUB7EST � POOLELECTRIC • � • �EXT.LATH/SIDING � POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION �:` OFF SITE IMPS. " DRYWALL NAILING � f �j DEDICATIONS , ' SEWER-- - _- � • � . ` FINAL ENG. . SEPTICTANK-_ _ -- - _ - - ' 1 . - LANDSCAPE/IRRIG. _ • SEEP PIT/L.L. = -= '-' � �" ' ' � ON SITE IMPS. , . GAS AIR TEST; - - -- - FINAL ZONING FINAL CONST. - -- FIRE DEPT. FINAL ' FINAL HEAT�NG-- - �- - � ' HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID - - ' FINAL PLUMBING � ENERGY - � . � , � ! i��1 =� ` , • � •- . ; '� ;•�i.. .- � , ___- --� — COMMENTS - - ` -�-s' ;tiY�� . ��,.' �7�s� '�//�, .� • L� .�,.. �� �,�z o . � i��Z �ti � d�,1�;r`'c,,���ra.i�w�•�p � . , ... � %z/�:f :l�in;vt�'�;I"��?'�•�•I,.t _:� _._. -• _,�•..., ...a-�, , .; �i3 t �f����� . _, .. �' �' �` I ' .,1• �, ��1. -:,,� ; �� v Z E' fLlcv�-1L � C..t/�/�f � r � �l �c.,- L _ � ' . ^ i �i;✓7i. � /J Gv�l✓ � . �:\� `�. �:�\ ..�� �. . G!Zv . ��l'''' � t l r1��'(c,c: 1L.�../ > �� - � u�-r SEPTIC TANK SIZE . , SEEP PIT1U SIZE � - , , �` r ` � � i � " ( ' , .I � 1 ` � ; � � , f ' - l � � , ..� ;. ��. . . . , � �: �. , , - . � . i � � . i , ' (: �- -',-;;; -c. a �, ;�r rl ! , ,, --�- .�, �� - � .���a>'�� �` - . - . J-�: '1- �r ;/- � , -� + ' _> �.7� /-. � � _ .� . .' ) �� ., j l ,C i�r J_' �'�) _,��'1 i --�' �`I