HomeMy WebLinkAbout26533N 14 CITY OF DIAMi BAR DEPARTMENT OF COMMUNITY & VELA TENT SERVICES 21825 Copley Drive, Diamond Bar, CA 91765 (909) 839-7020 Fax (909) 861.3117 Building Inspection Hotline (909) 839.7027 BUILDING PERMITAPPLICATION JOBSITE ADDRESS +jl6iq k' 11 APN LOT F T DWNER ,IFJE'(u ADDRE CITY ZIP TEL APPLICANT TEL CONTRACTOR ADDfl , TE 2 �L EZZIIIPP DESIGNER/ t41J E' r ADDRESS CITY ZIP TEL OWNER SUiLDER DECLARATION IFE yAMON UIUER PENALTY OF PERAM THAT. Pit EM.PT FACY THE CORMACTORS M DENSE LAW FORTHE FOIlWAHE "ACROSS (SEC TRSf ASV88FESI FACFESS"S OCOE ANTC"CA CGHNtY AP¢NRTTpWN$TWJCi lyT£0.UiPWE CIMCLISH W111EW3tNtf$iPUG MRS, PAVOR TO HE WAVOCE, ALSO REODWE5 THE APPVCQHT FOR SUCH PERAOT TO ME ASENED S(A<ENfJR TNI:i HE � $Hfi L4 UCEN$£4 WRYJAXi TD i4 PR7+151CNSOF 1HE f4VTAACSLHE LL s sCODEFRtFW+#aE9NEEXExSPFMEREFwmTXE�eAsn�roRTHEAtiFUEDE TON AXYYXY.A1%N1046EGYWX lWt 48YANY APAiLPNi FOfl AFE%ARMIBIECT4 ThEAPPLK`M'TTfl A CN0PENAttt NOT NDpE iWVIflYE 1flik:�RED OOLWi8 HSo01l OI MPE WORT THE WIu00 THE WORK, AND THE BTPUCTUIYE 18 HCT IMTEND� Cq tlFFEPED FOR eNE I6EC AND TP SMAE TORYYE INTENDEDOFFEREDSA.EIB SOM WS "A4 M AN AV PAYESSKWB WDE i,Yy CGNEMCTpC LICENSE UW piEe IETAPRTIO W OWNEROF PRppEFOY WFEBUEOBtM ENPO'hB TMEAEDN NR WHD DOF9 SUDHWORKHIMSEUORHEABELGOq TfIFEIUry{HEOR HEP OMIM GYP6bYEES PobYNEDTiNT 911[], YPg7VEMENi9AgENOT WIEtOFDOq OFFEIN4i0RHATEF FKM'kYEg1NE&IRDPIDCRMIPIGT4NHiTtl54btE N OFR% CR O ISO H C 1LW TXF QMXEPAIA{pEq YN,{. YNVE TOE&p10fM � PPFPIptl TllAi HE 4P 6XE ND IAi 81ID0 Oq MIppDVE FOp tHE RFRPOSEOF 8ALE1 OI ASOYIM OF THE PROPERTY AM E%QU9N MTXLICENEED CCIAMAS TPIVOT H AND PRiFACTWD CODE THE CS Li ICEDAVA SOFAPSAHDPPAST) OUNC CERTOODNSWDAIMFHOTAWECT THERENAhR OFAPPOPFgTT WND BDP88 OR WPAOYFSTHEREW AFID UW DDFB NDTEACHYTOTETS VA4O 18LXAi PRQ16C1H WRNAODNTPACTORIB)UCENSEO PUR9VANi TOTHECOMRIC WITH NHESUCE lORE4©1119F UW I ELAW) O 1 AM EXEIYH UNDER BEG S F PC PoP THI9 REAECN DATE OWNER LICENSED CONTRACTORS DECLARATION I HEPFR'FAFFIPM VYEERO T WAT I AMLEEIARED 4WEfl PROWS+ON9OF CNV P WRM seam 'DOM m'DOF W5414OF THE EAM MI)CENEIS IN MLFOgCE ANDEFFECT i LCENEE CI.A LIC NO CATE CONTRACTOR WORKERS COMPENSATION DECLARATION L HEPEBf NT{RMUNOEq PENAtttd PFRRNh' OMEOFTHE WALOWeNi 064APATWF _ I HAVE AND ARL NAPRAN A QMRFFEATE OF CONSENT TO ASO INSURE MR WORKERS COMPENSATION 8Y 8ECTON STSG OF THE UBON CODE FOR THE PEAWPEWiGE CFTHE WdKK FCA WHICHTWE PEkWRiB{BOOED _I HANENE SM NAMAW WINPLEP9'0.YAPENSATEMt IX$HRWGE, M RMAHAW BY$CTEN STO}OF TiH U8fN 046E FCq TXEPEFIFOAHNtfX' THEWpMia>q WHKRi'ff94FElMMFC COVED NY WdlSLERS COMPEN6AtEN gi&IMNGE AMDFOLGYNNtBERAFE. CARRIER - Ar -TI POLICY HOWER ri ITHISSECfCWKiENDT�CdAtETCVCFTIEPEFMr DF aeN,FavwauNWa,Iw� THEW W AS PERMRT ICFAiHOT,ATWTHEIV SHAALNDT ENROYAAW p T BECOME THEEa PERSONPATDEWN£ WBHOU 10 THE W N%NOPAIA EORfEPS 2fYffHASNE3N UWS OF CwLIFWpBA ANDAOAEE NNiIF I EItlUDBECaYE "" ANDAGR SVRE TTtl1HE\YOPKERSLONPENBATEN TH��E--ryEHH LABPi SOI((�F�"BEOj�T({E��EJN SEE �j 9" WRTIM9TH WMPLY WfIH�f LSP1ppOF GATE Ni( APPLIGNT ,L P .i WAPISNO F E 4ECUPE EOgIlERA COMPENBAfEN ODVERAOE IBUNLAWFUL,AMO BHALLSE &IRIECT N! EYROIEP TO CPW WK PENNTIEBNID DML FWEB VP i0 WE IlMDF6D TN0lLSN4 OODNW(S{pOf OF AS PMPADFDFWM CODE INECOST ATIONSATENDNFWEB 9ECTEN TaE OF THE LA6OR CODE INTEREST AND ATttIRNEYS FEES THE CONSTRUCTION LENDING AGENCY I HEM" NFIRN UNDER PEVFLTT OF PERA11ii THAI THERE C A CONSTALOMN LEMO NT ADENGT FOR THE PERFORM.WCE OF THE FAOAY FOP WHKN THAT PETWO, 18 C WED ISM 301, w O.) L RSXANE LEHDEASMDRR9 I CERIFFT THAT I HAVE REXlTHIS APPLCAMRI AND STATE THAT THE AROSE NFOR OCKNC COMECT I AGREE TO CONRY TO Al CRT AND CGLWtt CFLOWNIK$8AN0 STATE LAW$ REU,YAI ITS BVXDWO CDMSTWCTEX AND EEIIFBYAtiFENEF REPPESENfitNE8CF 1089 COWttiO ENiEPLItONTNE ADOYE YEtRYlNEO PRCYERtt FOR pbpECi10N OVRPMEB Patti PFRtertEE N.Hff 611TRI1 8Im1ATW4f OFPEPM'nEE ONE SN APPLICATION PERMIT -7 , PAC 53 DATET NUMBER •7JJ 1f OTC ISSUE t^ Ja 1 TYPE OCC JJ DATE CONST GROUP ZONING SETBACKS FRONT RW ❑ REAR ❑ 17 SIDMIDE STREET RW ❑ SIDE ❑ PROPOSED {� G it NO DWEL NO NO UNITS STORIES A BEDROOMS 0 DESCRIPTION SO FT FACTOR PSF ADJ AREANALUATION SFRADDIREM UJI PffikVOp6k tU LL PMDGSp6 Z RwFw � CammAiCkl m, VBluellDq '"" ADJAREA DUANTNY DESCF41PTION FEE U S H iJ J w U 2 li..............._....._ U Z ✓ CONSTRUCTION . �k PLAN REVIEW ELECTRIC PLUMBING MECHANICAL INSPECTION FEE ISSUANCE 4 EMIR S ENERGY PIC ENERGY PERMIT RETENTION FEE PRE ALT FEE TOTAL FEESK COMMENTS�"�— PT NO !ELBY VAUDATION 'I*'.'iF;s^?{C7�R[,>^FlCiyi(S �3".TT:^T•i'::l-.ii.T.�TVr^^AT.�-r(�iE,';Y!i_T,,..� .., c: _... _. ..,. 101FMOTAr e •-- � 0 SET BACK ( FLOOR JOIST FTGS/FORMS/STEEL FHA REQMTS ELECTRIC GROUND UNDER FLOOR DUCT GROUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT BOND BEAM ROOF SHEATHING 8 FT BOND BEAM FRAMINGNENTILATION FINAL BOND BEAM PRE -GRADING ROOF COVER ROUGH HEATING BENCHING ROUGH GRADING ROUGH ELECTRIC ROUGH PLUMBING FINISH GRADING SHOWER/TUB TEST POOL ELECTRIC EXT LATH/SIDING POOL FENCING WALL INSULATION ............... POOL FINAL CEILING INSULATION OFF SITE IMPS DRYWALL NAILING DEDICATIONS SEWER FINAL ENG SEPTIC TANK LANDSCAPEARRIG SEEP PITIL L ON SITE IMPS GAS AIR TEST FINAL ZONING FINAL CONST FIRE DEPT FINAL FINAL HEATING HEALTH DEPT FINAL FINALELECTRIC FINAL PLUMBING DEV FEES PAID ENERGY :COMMENTS SEPTIC TANK SIZE SEEP PIT/U SIZE r7weiwd� ��rnfzza1 r Ll eft —to, -=ytzt> `42j� / _`� 3� Y `8r zi N ti +�Xn N {`j1t1f ¢(•1„Its 1� ,f/ L9%v`e'4 17) let J?, w it d.,vr a (7- / ''/ten 4 ,Ov� ple,r-A 4w e wa. if . /trrly S PRE �twrys dS�. a i Pi.1/t 4AeAe 4r�, f ! c�nn t��! c, ,` i t ef (GiY�k7/f�i.et-nLCdAe ?�'Si�ts l�� �,a,►�.. u d.�r � Cr 1 v'r nr � �: � pl�� ��� uf�. /f�• �-� �d r3138'j�3SG cgs6tev2s Ole kla 010710 G-. -, ej t�A-"z �f 91 Y 8) qZZ lyd 5` ,ago IA,.; � J ;, 3. ew ,tom c eYlgj aj 20 y r yzz 7 649 �tq' ) �f fl 51e� W&J- e� �s Any ,,ems, s