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HomeMy WebLinkAbout10395 ------ -...- ---- ...._ . _.. -------,--� - ---. _ ._. � - - .- - _ —____—...--- -- • CTTY OF DIAMOND BAR � COhlMUNITY DEVELOPMENT DEPARTMENT 21660 E.Coplcy Drive 5uite 19D ' PRESS• (909)860-3195 Fax(909)861•3117 "" BUILDING PERMIT APPLICATION FI R M LY o� JOBSRE /S} � /� APPLICATION r/J PERMIT �rj P/C ADDRESS I �/ �� DATE �Y NUMBER ✓ 1t � ISSUE TYPE OCC APN OT TRACT DATE CONST. GROUP p OWNER � p ADDRESS ZONING SETBACKS W CITY ZIP � TEL '� � FRONT RW p � APPUCANT - TEL • REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTO SIDE p ADDRES � � CITY � - IP " TEL PROPOSED USE o ARCH/ENG/ � OESIGNER lzfi N0.DWEL NO. � NO. n. ADDRESS � CITY ZIP TEL UNITS STORIES BEDROdMS � cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BL'1lDER DECLARATION SFWADDlREM O C I HEREBY AFiIRA1 UNDER PEN�LTY OF PE0.A/RV THAT I AA1 E%EMPT FHOM THE CONTMCTORS Ll-' GB/BQB/C81POR W CENSEUWFOqTHEFOLL�WNGRFA50N(SEGT0.71.6BUSNESSMID7ROFESSIONSCOOE:ANYG7YOR ((� U COUHTYNMICHREqURESAVERMRTOCONSTRUCT,ACiEfLIMPROVE,DE610L15H2ORREPAIRANYSTRUC• W PatiolDeck � lUNE.PRIOR TO RS ISSl1ANCE,AL50 REWIRE9 7NE APDLICANT iOH Sllp1 PER�IIT TO FRE A SIGNED W STATEIAEM TF1A7 HE Oii SHE IS UCENSED PURSUANT TO iHE PROVISIONS OF iHE CONiMCTOH9 L4 - � CENSE LAW(d1MTER i(COMMENCNO MII7N SECTION 70oC70F DIVLSION 7 OF iHE BUS:NCSS Al.0 PqP � PooVSpa FESSION9COD�ORTUTHEORSHEISE7fEMPTTHEHEFROMANDTHEBASiSFORTHEALLEOEDE%EMP• (ry TIDN.ANVVIOLATIONOFSECT70N70]1.68YANVAD�LICANTFOqAVEPIAITSUBJECTSTNEMPLICANTTO Z Re-Rool A CML iENALTY OF NOiAqRE iHAN iIVE MUNORCD DOLLARS�ISOD).�: � OI.ASOWNEROFTMEPROPER7V,OR�IVEUPLOYffSWITHWAGESASTHE�qSOlECO1JPEN5ATION, COf11TB1C121 Z N'iLL DO iHE WORK,AND iNE SiflUC7URE IS NOT INTENDED OR OiFEREO FO(i SALE ISEG 70a1 BU56 �J � NFSSANOP110FE5510NSCOOE:THECONTMCTORSIICENSEUwDOESNOTAPPLVTOANOWNEROF ? , VROGEH7YYRp BVMS OR IMPROyES iMEREON,AND WFq00E5 SUCM N9NR HIMSELF OR HERSELF OR Q TMROUCHNISOFNEROWNEUPLOVEES,FROViOEDTMATSUCHwPpOVE1AEMSMENOTN7FNDEDOR , m W OiFEREDFORSPLE.ff,XOWEVERTHEBULLMNGORIMPROVEMEML55IXDWITHINONEYEAROFWYPLE. Z TqM,TNE OwNER�BIAL�ER N�LL NAVE TNE BVRDEN OF PqOVw6 THAT HE OA SHE OiD NOT OULD OF = MPROVEFOHiMGVURPQ5EOF5ALE). ,W OL�SOWNEROFiHEOROPERTY.AA1f%CLUSNEIYCONIMCTWdW1T11LICENSEDCONTMCTOitS � 70 CONS7NUCi 7NE PROJEC7(SEG 70��.BU5INE55 AND VHOFE55lON5 ODDE:THE CONTRACTOiiS L6 V81UetI0f1 /��,J,(1REA W CENSEUw00E5NOTIIPVLYTOANOYRIEROFAFROPERTYWHOBUdDSORIMPROYE9IHEREON,ANO � NM1qCONTRACTSiORSUCHVRQIECT3WITHACONTRACTOR(S�LICENSEDVURSUANTTOTHEC0IITMG ounrmn DESCRIPTIOFJ �E � TORS LICENSE LAW J. 0 O IM1 EXEWP7 UNOER SEC. B.t P.C.fOq Mi5 NEASON Q � � U LL � Z DA7E OWNER � ¢� LICENSED CONTRACTORS DECLARATION W J CL INEREBPAFFIRM UNDER iENALiY OF PERA1qY iHAT IAM IICENSED UNDER 7RONSIONS OF CHAPTER � / p„ 0(COAIA1ENCwCWRMSECTiON7000�OFOMSqNfOFTHEBU51NE551WDPPOFE55iON5C00E,AND Z � - _ � � � `X MY�ICENSE IS N FULL FORCE AND EFiECT. � ```.� ��� � \ � LICENSE q.ASS � LIC,NO, � V OA7E � � CONTMGTOR 6�. W � WORKERS'COMPENSATIONDECLAIiATION Q ¢ _� � 1 NEREBYAFFIRM UNDER PENAITV OF PF0.IUHV ONE OF TME FOLLOri'INC DCq.AMTIONS. Z � _IHAVEAND1MlLAWNT�WAGEATIFICATEOFCONSEMTOSElFiHSUHEFORMqR1(ENS' _ � COMPENSA710N,�SPROVIOEDBVSECTIONlIooOFTMEUIBORGODE.FORTHEPERFORMANCE `U Q OFiNEriqRKFOPWHICHiMI5PERIAITI4155UED. � �1 NAVE AND YALL NAMAIN WORKERS'CdAPEN5AT10N INSUiLWCE,AS REOURED BY SECTqN O �7000FTMEUBORCODE,iORTHEDERFORMMICEOFTTIEWOPoCiOFWHICHTNISDERA.11T15 ISSUED.MYWOR 5' EN9lT10NW5UiLWC WiRIERAN� icrMn.+ecn�ae: CONSTRUCTION j uwn�en PUW REVIEW � 0 � POIICYNUMBER ' . . EL� . � (f1C55EcfpNrEEDwiBEmr.�tEimOF7lEVERwi6iCita+E�af�UNCDPIW�SRtayaqLFSSI LUMB Z 1 CERTIFVTIU7 W iHE PERfOHMANCE OF iHE WORN FOR WMICH THiS PE0.VIT 6155UED,I MECHANICAL � C7 SHILLLNOTEMPIOYANYiER50NWANYMIWNCq50A5TOBECAME5U8JECTTOTHE r � WORKERS'�IAPENSATIONUWSOFCALIFORNIA,AND�GR[ETMATIF151q1ADBECOME INSPECTIONFEE � SUBJECT TO THE N'OiiKERS'OD�IPENSAiION PROVISIONS OF SECTIDN]700 OF THE IABOR coq[,�s nica�v�rwin�nrosea isar�s. ISSUANCE � p OATE: �'� '� APPLICANT. ���J�L� SMIP � � I. � ENERGY P� `� J , WARMNO:FALURE TO SECURE W01iKER5'COMPENSAiION COVEMCE IS UNUwFUI.MA SH�LL BE [—y SU&7EGTANEMPLOYERTOGRIAIWALpENAL17ESAN�GVILfINESUPTOONEMUNDREDTNOUSAND ENERGYPERMIT DOLUHS(f io0,ao0),M ADOITION TO THE COS70F COAIPENSATCN,OAMAGES AS PROVDED FOR IN ¢ SECTION]70eOF7HEU80RCO0E,NTEREST,ANOATTORNEY'SFEES. pE7ENTIONFEE: � CONSTRUCTION LENDING AGENCY pRE•AlT FEE: •- � INEREBYAFFIN/IUNDER7ENALTVOFVERIURYiHATTNEREISACONSTRUCT10HlENDNGACENLY FOR THE 7ERFORUANCE OFM[WOH�f fOq WMICH TMIS 7ENYiT IS ISSUED(SEC.foG7,CN.C.} � � LENDERS WUAE � IENDEA'SrLONE3S' - w IGERTIFYTIUTIHAVEREMTMSAPCUCATIONANOSTAiETMATTMEA00VENFOM1ATpNISODRRECT. TOTAL FEES �� {� � IAGREETOCOMi'L`lWI7HIlLL�RYANpCOl1HTTORDWANCESANDSTATEUWSRELA71NdTO8UlDINO / � CONSTRUCTIq{ANDMfREBYAUi/qR2EREPRESENU7IVESOFTHISCOl/HTYTOENTENUPONTNE Z /1BOVE�IAENTqNED VROPERTY FOR INSPECTION FURPOSES. . p �/r /�/ /� ///��� �/� COMMENTS J " (i�-� .j' m 4 FEIaI17TEE WW (DNi � '� � (n OqPUTUREOFPE IT1E ' �DAT��� � ' RECPT.N PAID BY VAUDATION . . . VYF11TE—Department Copy,YELLOW—Fnenee Copy,PINK—Assessor Capy,GOLDENROD—Fik Cop�,GREEN—ApplkmCe Copy '` , '�i. . , , . , ..:��.r .. • ...... . , r �^'�..�..",. �{ ' � ' ". ,. . . . .�;'� ., , :J!7;.! �n' � . . � J�J.� fi.�1 ��-ls �.. l. .1• �~ . �\ . � � .. .. . . . . •:L� . . � �' \ ' ', �--, �I �; ci�r oF oiAnnoraQ e��R .. ; ;, : .. \ _ � . . . . �'� �� ,' INSPECTIOtV RECOf�:D , � - , � � , � . ; • . , . . �� . �1.►'k-�:���F�f]`� � ��'.��� 1,.��;��4c',� °�,, ' ��1���+�i�'+c�' ��`1 _ � _ _c�1` � _���`�'.��.c-���� „ ', ,�' _�� �C '�'- �`� __..._....�� � ; .__ .�_. _._� __ ._..._. _ _ _._ �._. SET BACK "•. -- - _. ; � ,- , _ _ FLOOR JOIST',� __ _-'•—� - - - ...- -- -- - -a: FTGS/FORP,ASISTEEL- - - - " ' - - FHA REQMTS - � � � ' `� - ELECTRIC GROUND - � UNDER FLOOR DUCT � '� ��' GROUND PLUF,ABING � '- �� --� �- UNDER FLOOR CONDUIT = �• �• ' .l . �� SLAB GRADE -- -- ' --- � - FIREPLACE FOUNOATION.- -.• . . . . . , _ ' _ . " _ , TEMP POWER = -:- :_- -._..--.-� - - _- ._:... _ . �. .. . FIREPLACE BOND BEAM .-.�: .• ,'• .. ,...:. , :,,., �. . . , , , , WATER SERVICE - - -- - - -- -- ' '"••��� FAID HT. BOND BEAPA � � ' ' ' = � ' ` ROOF SHEATHING �-- - �� � 8 FL BOPJD BEAPA •' 1 ° ' FRAMINGNENTILIATION - '�INAL BOND BEAM � - : j ' � ROOF COVER- - - - - - - -� - • PRE•GRADING � '''' '" ' ROOGH HEATING -: ---' ' -- � • - 6ENCHING � ` ROUGH ELECTRiC --- -�- - � - " - - ROUGH GRADING , . „ j ' ROUGH PLUMBI�JG � "-" - - FINISH GRADING � . � � SHOWEfUTU6 TEST�, - -- -- - - � - --"� � . PDOL ELECTRIC � . I . EXT.LATH/SIDING ��" �� � � .� POOL FENCING " .. � ��. WALL INSULATION POOL FINAL ` � • ' CEILING INSULATIDN OFF SI7E IP11P5. ' • . � DRYWALL NAILING ; DEDICATIONS � � SEWER.__,_.__ _.. . � _ . __._ _ . _ FINAL ENG. � SEPTICTANt<.. _ - '' LANDSC�.PE/IRRIG. � ' ' . SEEP_PITlL:L. ; ___ __.. _. ._. .- -'-'..- -- ON SITE IMPS. GAS AIR TEST - -- --- --- - - - FINAL ZONING ' ' FINAL CONST. :, _ -- ;. ---- --- - ------ . _ FIRE DEPT. FINAI _ ; � _. FINAL HEATING �- -- - ------- - - -- - - HEALTH DEPT. FINAL" -. - - - - � FINAI,ELECTRIC"--- :�.. �-- . - . � . � ; -. - � DEV. FEES PAID . ... . . .. FINAL PLUPABING �� (� �'�.j������— EPd�RGY .ii.„ . ,� c � , -. .... ,cx '���eJ, CXc r; ' � . .. �� �_ ----�--------._' ........ ..- -- - --._._ __..__ , , � ;,� COMMENTS--- - - - • _. � .� ; ,l . , i ; ------ ---- - - - - - ---�---� - - - - - ----..... . . -- .. .. ..... . . %� ' . _ . . . . - - - , � : � � _,�_�._ - .. _ . .. _ • i . `'', - i.' -' '� : • , . _ .. -- - -- _.. , , . , . , . _ .. _ ,� '���.c'. . . • - - --- -- -- - - I �' ' - i ' I - ---- .. . '' ' , --..._ . ... ,-_- -- . � . , . � ' ' ' , " I - -- - --. --- L��� - � `�:1. " • �� _. . , . • `. � ' . .. . � . . � � i � . - _..__.. . _. _ ...- - � . _. . . . , SEPTIC TANK SIZE '� �- - -� � - -- „ �- ._ . .. - --- . . , : -, , - - ; - � SEEP PIT/U SIZE � � ., . ; __. ...... .. . . .. . .. . -- - . . .. ... . ; . . , . , . . . . � . • .. . � I ' ' . . _ . _ ,._.._... � �►,f � . , ' ! ; i - - - - -.. _. _ � . _ _ . .. ...._. , .. +.�.. _ � � .--. . • _ ._... - --�-- -- - , . _ ... . ..._. ..._. _._ . .--- -- - --- -- -- ---_. .._ . --- � - _ ��� i i . . . . . er , - i � . . � 1�1� ;:1 I . , • ; . .. ._. . _ _.. -- -- � _..._ _ i � ,` . � , �',. ,,.� �`� `�, . . .--- --.._.. _ -• i . . • ; _. _... ._ . , .. - -- ' � - ' - � I �- �, . .. , ,��. . ' �. _ . ,� : . . . , , . . . ,� , . . �� '4 � � � . . . . . �� . �.._..' '_ ! ' _" ' ' _ � ' � -..� .. ._ .1 .. ._ . _.. . _ . . .._.._ _ . . .. . _ _..._ .. .'"".. _.__. _... .. -._. . .