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HomeMy WebLinkAbout10038 - CTI'Y OF DIAMOND BAR� ' � COMh1UNCfY DEVELOPMENT DEPARTMENT �" 21660 E.Copley Drive Suite 190 PRESS � (909)860-3195 Fax(909)861.3117 . ' ""' BUILDING PERMIT APPLICATION FIRMLY o� JOBSITE 1,' �� �� APP4ICATION � NUMB R L `�' P� '� ADDRESS���� N . N/7'JtUV U�_,QR DATE N c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER p ADDRESS 20 h 3 �__j�J A L�S� (Z�� � ZONING SETBACKS . � CITY o ZIP�. TEL REAR Rw ❑ APPLICANT b �� TEL. SIDFJSIDE STREET RW ❑ � CONTRACTOR � � �G 1 o SIDE ❑ a ADDRESS W �' � pROPOSED USE � �- � � � CITY �--^/S.- ZIP�TEL. — � o ARCFUENG! _ � �ESIGNER NO.OWEL N0. , NO. CDDRESS ZIP TEL. UNITS STORIES � -BEDpOOMS r�i DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION oOWNER•BL'ILDER DECLARATION SFRIADD�AEM p 1 HEREBY I1FFiFlM tM�ER VENALTY OF PERA1t1V TMAT I A�EXEMM FPOA1 TN[COfRMCTORS LL Garape/Carporl � W CENSEUWFORTNEFOLLON7NQRE�SON�SEGTO]1.6BUSINESSANDVflOFE5510N5CO0E:ANYCfiYOR (n U COIRdiYWHId1REWIRESAiERM17TO00N57RUCi,11LTERMIFROVE,DEMOIISH,ORREPURNiY5Ti1UC- W Pet10/DOCk W TURE,PRqR TO ITS ISSUANCE,AL50 PEOUIFES TIE M�LICM1i FOR SUCH OEHYIi TO FIIE A SIGNED W � .STATEMENT iHAT H[OH SME IS LIGENSEO PURSUANt TO 1HE PROVIS�ONS Of THE CONTMCTORS LI- , � GENSE UW f�PTER Y(COMMENCiN6 W17M SECTqN 7000)OF pIVL510N]OF iHE BUSINESSAND FRO. LL' POOUSpB FESSiONS GODk�OR Twt7 ME OR SnE�5 E%EUPT TMEREFRdn ANO 7HE 8�915 FOR TME AILEGED EXEUP- TION.AN'fVIOlAT10NOFSECT10N70]1.6BVANVAPPLICANTFOqAPER1�li5UBJECTSTHEAPVLIGNfTO z Re-Raof � ALMLVENALTYOFNOTAqRETWWiIYEHUNOHEDDOlURS(fso0)): � 04��WNEROFTHEPROPEIIN,ORMVF�APIOVFES4nTHWACES�STHEIRSOLECOUPENSATqN, O �mercial � � � � 1M�LL DO iNE YX7FIc.ANU iXE STHUCTURE IS NOT IN7ENDE0 OR OF�EREU FOfI 6AlE(SEG.7oH.BUSI• NESS AND VROFESSIONS COOE:THE CONTRACTORS LICENSE UW DOES NOTAPPLY TO AN OwNER OF � VROVEqTYNM11O8UttD50RWPpOVESiMEREON.ANOW1qDOE55Up1WORKMMSELFORMERSELFOR = (t TMROUGII HIS OR HEA OVJN EMP�OYEES,PROVi0EO7HAi6ULH MPFO�EYENTS ME NOTl1TENDED OR m , � OFFE0.EDFORSALEIF.IIOWEVE0.TMEBIADIIJaORIMPItOVEMENTI550lDWITNINONEYFJ1NOFp�MPIE- Z TiON,TNE O'NNER�BUIIDER WILL HAVE iHE BURDEN OF PRONNO TNAT HE OR SME WD NOT BULLD OR � MAPNOVEFORiMEVURVOSEOF5ALE4 w O�ASOwNEROF7HEPROPERTY,AYEXCLUSNELYCONiMCTINON7THLICENSEDCON7tUCTD{LS Q TO CONSiRUCT TIIE OROJECT(SEG 704,B1151NE5S AND FROFESSIONS COOE:TME CONTMCTOHS LI• V21UBIiIX1 ADJ.AREA W CENSEUWOOESNOTAPPLYTOANOWNEROFAFROPERTYW/IOBURDSORM7iWVEgtMEREON.IWD � N4qCONTMCTSFORSUdIPROJECT5N7TMACONTRACTOR�S�LICENSEDPIINSUANTTOTHECONiMG QUNNTITY DESCRIPTION FEE � TOHS IICENSE UW�. � D I AM E%EMPT UNDER SEC. E.�V.G Fqi iX13 REASON � � U � QOA7E OWNER v , � LICENSED CONTRACTORS DECLARATION W � INEfiEBYAFiWJUNDERVENAL7YOFPERRIRYTMATINALICENSEDUNOERPROY151CN50FpIAPTER u. � p. ��COMMENCpW WITHSECTqNioao)OFDMSbN70FTME0U5iNE35INOPROFE55qN5C00E,�ND Z __ �L W LICENSE IS N NlL FORCE�A EFfECi m \ 0 LICENSE CLASS � LIC.NO. � � 1:� V DA7E ��� f=��CONTMCTOFi - � G• W �y � WORKERS'COMPENSATIONDECLARATION ��31"-�- J . —� � v U � I NEREBYAFFWAI UNDFR VENALTV OF VE0.IURY ONE Of iHE FOLLOWiNO DECUMTIONS: � l� a G �IHAVEANDIMLLMAMiNNACENTIFlCATEOFCONSEMTOSELFaNSUREFOi1WOiiICERS' 2 < MMPENSATION,ASPPOVIDEOBYSEC7iON77aeOF7MElABOROODE,iORTMEPERFORYANCE U � OFTHE WORN FOR W111CM TMIS PERMIT IS ISSUEO. � 0 �/ ]C-1 MAVE I�NO 5MLL AUnfTNN WORKERS'Cd.�PEN5AT10N INSURANCE,AS REOUIRED BV SECTqN �{}� Q 7�]7000FTHEUBORCODE,FORTHEVERFORMANCEOFTXEWDRKfORWHICHT/11SPEPoAlT15 ��/J � L� ISSUED.MYY.'OfiNE CdAO NSATqNINSUMNCECANR�ERANDPOLICYNUA18fRME: CONSTRUCTION � ��/11 r� J "� j CARqIER Si1 � )D S PUIN REVIEW ►'` � VOLICYNUI/BER � ^ ELECTRIC �1 � � (IwssEcnoraNE�rqie[oohrtEfEDOPn[rEw�fr6Rxta+[fILtDREno0LLMs6�m)ontFCSI PWMBING Z I GEPTIiY TMAT W THE VERFO{WANCE OF ME WOfLC FOR WXItl/TMIS VERYIT IS ISSIIED,I MECHANICAL (7 SM�LLNOTEMiLOYANYiER50NNANYMANNEASOASTO8E00VE5UBJEC7TOTME � WORNERSCW.�PENSATqN�J1W50FGLIiORN1.�AND�CiREETNATIFISMOULDBECOYE INSPECTIONFEE S SUBJECTiOTMEWORKERS'COMPENSATqNPROV1510NSOFSECTqN�7ooOFTHEUBOH coo�,�sH�u FOAnrvnn�eoua�r wm�rHosE vrao�sror�s. , ISSUANCE � �pu�. �� SMIP p OATE:��APPlIC1lNT.�_ � ENERGY P/C WAqNIN4:FAILURE TO SECUNE WORKERS COAIVEN5ATI0N CAVERAGE IS UNUWFUI.ANO SW1LL OE � SUBJECT/WEMP�OVENiOCRWNAIPENALTIESANDCNILFNE5UP700NENUNDFEDiHOUSANO ENERGYPERMIT DOlLMS(SI00.000),W ADDITION TO TNC COST OF COAIOENSATqN,OA11AGE5115 PROVOEO FOR YI ¢ 6ECTiON770lOfTHEVBORGODE,IH7EREST,AND�770RNEYSFEES. ' RETENTIONFEE: � � � pW., CONSTRUCTION LENDING AGENCY •AL7�E � ' " � IHEREBVAFFIfLIUNOERVENALTYOFOEiUURVTHATTHEHEISACONSTPIKiIdJlENOINGACFNCV C U FOR 7HE VERFORMANCE OF iNE WOi1K FOR W1up1 TMIS iER1IlT IS�SSUEO(SEG.�oA.pV.C.�. � � LEN�ER'SNAAIE C LENOE�YSAJDRESS � ICERTIFYTU7IM�YEHEI�7NISAPPLIGTIONMIDSTAtEIMATTNEi1B0�'ENFORM�TqNISCORPEGL TOTAL FEES � IAGREETOCOYPIYWITHA1jGNANDCOUNT'/ORORIANCESANDbTATEU`NSPEUTWCTOBURAiNG WNSTNUCTION.Ml�MEREBY AUf110R12E REPRESENTATNES OF i19S COUNTY TO ENTFR UPON THE � ABOVE�4ENTIONEDVROPERTYFORWSPECTqNR1HPOSES. COMMENTS � o u�- L�—�� ¢ VEiWi4'TEEWWE(vl�iNn � � � W1T REOFFERMITfE DATE � RECPT.NO. PAID BY VALIDATION � VYHITE—Depertment Copy.YELLOW—Finance Copy.PINK—Aseeasor Copy,GOLDENRO Ae Cepy,GREEN—AppllcanYe Copy rY t,._..:1'T.,... .'.w}.f, .,,•��•t�.�„���.� t��i..;.�;i'��:: �w-�'t.�:>.+- ;:�r�;>'i.�,v,: 4s�.�.. 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', _ � .� � -' ' FIREPL.ACE FOUNDATION "_.__ �"''` ' '.."._ '.:._ � ' ` - - --- -- - - � - — TED.IPPOWER --- - - -- • FIREPLA�EB N��BEAr1�,' �,. .',���: ! _---.�..:;;�.•• :�� '- I WATERS�RVICE /-- '•'� � � ''J � MIDHT:�BOND'B�Ah1 - ;: - --•. --- :�"'..� �-, � � ROOF-SHEATHiNG' � '"- � - .C,-' �'"`� �1 . 8 FT.BbND BEAM � " � �- � FRAMINGNENTILIATION � � ''' '.FINAL BOND BEAM -- - � -- " - �� ' ' I ROOF COVER------ -- ---- - ------ - ... -_ - PRE-GRADING. '�- ':•, -� , - - -- - - ' r• - - - - - - - - - - ROUGH HEATING-•- �-- __ _' ' -- -' '' � BENCHING � , .. . ' � -ROUGH ELECTRIC� � - ---�- - �- -- - �� ROUGH GRADING , . , . , , : �. ROUGN PLUPABifVG-! � � -- - - � - -�-"-� - :-- FINISFi GRADIP�G ' ' " � SHOWERItUE3 TEST "� ' � - POOL ELECTRIC � - ' ' EXT.LATH/SIDING-- , - ._ ; - - _- .. . -. POOL FEPJCING ' ' •. ,...' WALL INSULATION ; � POOL FiNAL � • : : • � � � ; ; ; CEILING INSULATION � OFF SITE Ih4P5: DRYWAL�NAILING ' � DEpICATiONS � ' , ' , . � ' ' SEWER---- - ---�' .. . . _. FINAL ENG. .. . � . SEPTICTANK - - � ' � ' � =`_ �'���. _. . LANDSCAPEIIRRIG. ., SEEP_.PIT/L-L-. ------. -.-- --- ---.-. - --....... _. . :_ _._'.'::_. ON SITE IMPS. � - • ; ,.. ' FINALZONING'� ' '` � � � GAS AIR TEST -- ---- --- —-- -- - ---- - - - FINaL CONST. -------- ---;,.`; ;. ;._,.: - ;- FIRE DEPT. FINAL - � _ FINAL-HEATING - -�--- -- L::,; i. . '..:���F, -� - - HEALTH DEPT.FINAL - -- -- - ---- -. , . ,� . FINAL ELECTRIC . _ - --- -. .--- - - - DEV.FEES PAID . , , , . . ..., . „ � � FINAL PLUMBING- � -- ��/4�s� �J �; ENERGY � • • ; ' U , �"`'` _ - ___ . _ � - � i �. , c �i�+i�a�^r�t.;i`_"'...'._.'.... . _ - . . ., � . , . .. _ . .... _ ._. .. _... ._._._ _.._._.. -- ---- ---....---.._. . - --�- --- • COMMENTS- --- . ; � .►'�' � . . . , . , � ; - - . . . ,. _ . , ------�--� ---�--- - -- -- - - -- --- --.. .__ .. � , ., . , _ ; � --�-- ----�- ----- - - -----�- ------- - ----. .. .. ._. _ . ' �s, i � � � , . . . . ,' ' .' -�( � ' . � - - -. .. .� .-- - - . _ . _ . .. . , ; ;. 1 cj�;�1-; ;1 --t r , - - . � �.•• i - -- �-•���'v - - . . . -- - -- -- - ... ... .. . . . . .. .. . ... ; i � �� ' . . -- - . ,__.. _._.. _ ._.. . _ � ; I . , , � . . . , _ . .�� ... .--- �-- - . . _. _ , . . . , ��-,--� .. . . ; � , � .v - - - - -- .. � � � _ . . . -1 �=�J,n.�' • � �-' - � . _ � �� .-�. _� . . . . � , , ._ , , .,,. . i � .. . .. .. , . . � � , . SEPTIC TANK SIZE- - ,.. . . , ' ---. ..-- � . . ..-- -�- ----�---- -.. ... --.. .- -- --- ._._.._ . _ , ; 1 . , , � � i SEEP PIT/U SIZE - - - ' i..-. . _ , � • . , . , ;� _. .._�t . , � , . . . . � . , . , _ . . '�� �� -. , _ : � -- ,.... . ._ _.. . _. *' �� :_ . ._. . ' . . _ ' - . '_ � ! �._ _ . _ . t -.--__ _ - . . ` _ . . ._ . . . . _. ._ _^^ . ... '__'_'._._ _"" . '___ . '.. _ ' ' ... .__.' ____. 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