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HomeMy WebLinkAbout14249 �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUI�IITY&DEVELOPMENT SERVICES c 21660 E.Coplcy ihivc Suitc 190 (909)860-3195 Faa(909)861-3117 R ESS `^��� BUII.DING PERMTT APPLICATION � FlRMLY � JOBSITE APPLIC T O t� PERMIT �. P/CC� �/ o ADDRESS DATE ` NUMBEFi �1 , �� � ISSUE TYPE, OCC APN LOT TRAC DATE ' CONST. - � � GROUP p OWNER Y� 'S / " ADDR SS l/1 L (. ZONING SETBACKS W CITY ZIP (76 TEL. � FRONT RW ❑ APPUCA TEL REAR ❑ SIDE/SIDE STREEf RW ❑ CONTAACT ¢. SIDE O g ADDR SS „ PROPOSED USE �6 Q� o C(TY � ZIP TEL� b Z I� � ARCH/ENG/ _1 ' .� • DESIGNER �u �� � NO.DWEL p7 NO. NO. r1 ADDR W • UNITS V STORIES �BEDROOM �J � CITY ZIP D� — N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER•BUtLDER DECLAHATION SFR/ADDlHEM O p I NEREBT AFFlRM UNOER PEwLLTY OF GERIURY iHAT t IU1 E%EM7T iROM THE CONTMCiDRS U• G8f89���rt W CENSEUWFONMEiOLLOYVIN(7REASON(SEG70.71.6BUSINESSANDPROiE5SqN5CODE:ANYGRYOR (n C� �pIMTyWMp1RFOURESAVERMRTOCON5TRI1Ci.ALTER�MPROVE,OEMOUSH,ORREPAIRANYS7RUG W patio/De& �L1URE PRIOrt TO R3 SSUANCE.ILSO REWIRES THE APPLICAHT FOR SUCH PERMIT TO F0.E A SiGNED W � STAiFYIXT THAT HE OR 6ME LS LICENSED RIRSUIINT TO THE PPOVISi0N5 OF iHE CONTMCi0R9 LH � CENSE UW(CMAVTER 0(COM4EHCINO VnTH SECiiON 7000)OF�NLSION]OF THE BUSINESS AND PRO� LL PooUSpa FESSIONS COD�O(i 1TUT ME OR SNE IS F.7(£MPT TNEREFRqA AND iME BASiS FOR TME AILEDED E%EUP- TION.ANYV�OIATIDNOFSEC710N7o�1.68YANVAPPIICANTFORAVERMITSUBlECTSiMEAPPLICAHTTO Z q�qpp� � J1CML►ENAL7YOFNOTMOREiHANFNE/ri1NDPEDDOlUA51f5oo).1: � OLA+�'�'NEROFTHEPROPERTY,OHMYEMPLOYEESWITHWAGESASiHEIRSOLEL04PEN5ATqN, � �mmerclal 1MlLL DO 1HE WOA1(.AND TME STRUGTURE IS NOT INTENDED OR OFFERED fOR SALE(SEC.7oN.BUSI- J NE55 AND VqOFESSIONS�OE:THE COflTRACTOitS LICENSE Uw OOES NOT AVPLY TO/N OWNER OF � ►110PERTYYAIOBULDSORIMPROVESTHEREON,MANMODOESSUCHWOqKHIMSELFOFHERSELFOR = Q iMi10UGHMISOqHEROWNEMPIOYEES.PROViOEDTHATSUCiIY.IvpOVE4ENT5ARENOTNTENDEDOR m lj1 pfF91mFOR5AlE1F,/10WEVER7HE6Ul�N1OORMPROVFIAFNTLS50lDWITHINONEYFAROFCOUDLE• ZT10N,THE OWNEN$UILDER WILL NAVE THE BURDEN OF GqOVRI�TNAT ME�R SlIE�IO NOT BUILD OR � MPflOVEFOli7HEPURPOSEOFS/�LEL O l��MMEROFTHE PROPEHtY.M1IXClU51VRYCONTMCTWO N^.TN LICENSED CONTR+1CT00.4 /��� TO Cp15TRUCT THE iR0.1ECT(SEG 70N,BU91NESS IND VROFESSIONS CODE:TNL CONTMCTORS U- V8IU8lI0 �'�^'V 4 ADJ.AREA CENSE UW DOES NOT APPLY TO Ni OWNER OF A VflOPERTYNTID BUILDS OR IIAPROVES TtEREON,AND yJIqOONTRACf$LOHSUCl/PRQ1ECfSYIITHA00NTRACTOR(5)L�CENSEDiUPSUMlTTOTHECONTMG OUANTITY DESCRIPT�ON FEE � TOHS UCENSE UW.). O II61 EXElIPi UNDER SEG B.t V.C.FOi1TH15 REASON U �� V � � „ /� � OATE OWNLR W ' . � , �21/' .C. � ! ��I� 4 UCENSED CONTRACTORS DECLARATION W � � I '° 2 IHEREBYAFFIHAIUNDERPENALTYOFPERIURY7HA71AMLICENSEDUNOERPROVISIO�SOFCHAGTEF Vr ��` Y(COAIYENCWOWITHSECTION70ao1�DN151ON70FT1EBUSINE5SAN0VROFE5510NSCOOE,MIO z � W LICENSE IS N Fl1LL FOiIGE FFECi. m / . r. � Uc�cu � ��c.No. d � � I � v �� v corrrrucroa �. ... � w � WORKERS'COMPENSATION DECLARATION ¢ r , ;VD BA � `-' D SAIETY N IHE�waUNDERPEN.�LTYOFPERIURYONEOFTHEFOILDNrtN6CECLAMTICNS: z Q � �I IUVE M!O YIiLL1AAMITJUNACER'TIFIWTE OF CONSENTTO SEIF-INSURE FOR WONKEfiS' 2 � CpAVENSATION,AS PROVIDCO BV SECTION 17000FTME UBOR C�DE,FCR THE PEp�OfU�MicE W OFT1E VmWc FOH VMICHTM�S PERM!T IS ISSUED. .� � �_I VEANDW�LLIMVRNNWO�K RS'COAIPENSATIONINSUMNCE,�SPEWtREDBYSECT�ON Q 77 OFTHELABORCODE,FOfi ECER�ORIAA4CEOFiHEWORKiORWHIp1TNI5PERMITIS � 7� = 4� D.MYWO ERS'LY11A7EN ATIONINSVRANCEGRNIERANOP0.ICYNUMBERAflE: CONSTRUCTION ? n-n r - PLlW REVIEIM1I • � M1IABER � ' �, - ELECTRIC � � ( � �� 0 �ncs[crr,nr��wreE��oFnf�m.�T�ra+a+eµro�oau�ulsioo�aa�ssl PLUMBING Z ICENTIFYTlUTNTHEPE(iFON.��NCEOFTMEWOWCFORMMiCHTN�SVERNITl5155UED,1 MECHANICAL (7 SNALLNOT EMPLOYANY VERSON N ANY MANNEP 50�5 TO BEGOMc SU&IECT TO iME N WORKERS'CdAP NSATIDNLAWSOFCALIFO � lUl0A6 �Ti15MOULDBECOME INSPECTIONFEE S SUOlECTTOTM KERS'C0IAPENSATIO NS ECTION�7000FTHEUBOR �SSUANCE , O� COO� HMLF fl7HWITHCOMo�VWIP1 O 7R0 5. � IG d �pp���rtT SMIP p UA7E: - " � � J ENERGY P/C WAJiNIN�: AILURE OSECUREMA')HI(ERS'CDIAP'�NSAipNCOVEMCEISUM.AWFULNdDSHALLBE � 6VB1ECfANEM YERTOCR:uMILVENAlT�ESuIOtlVILFWESUPTOONEHUNDRE0TY101IS11ND ENERGYPERMI pO�LARS(!f 00.000�.IN ADDITION TO TIE COST OF CW�ENSATIDN,DiVA�CES AS GNOVIDED FOR IN � BECTIDN17olOFTNEU�ORCOOE.INfEREST,ANDATTORNEY5FEE5. RETENTIONFEE: � OCONSTRUCTION LENDING AGENCY PHE-ALT FEE: � IMEREBVAFFIRIAWAENCENALTYOFVEii.IURVMATTHEREISACONSTRUCT10NlFN0�NGACENCY � FON THE VERfORMANC£OF THE W W7K FOR WHK]I iNlS VEHAIIT IS ISSUEO(SEC.30W.CIV.C.). � � LENDERSNAME � LENDER'SADDRE55 / /_ WICERTIFYTHATINAVEREADTMSADOLICATIONANOSTATETHl1TiHEABOVENFOP/AATIONISCONRECT. TOTAL�FE�� � O • �� � IAGREETOCAMPLYWITN/LLCITYANDCOUNTYORDINANCESANOSTATEUWSREUTINGTOBUILDIN6 � . TRUCTION.MD HEBVAUTHORI EREVRESENTAlNE50FTHISCOUNTYTOENTERUPONTHE ZhB0 �MEMIONE V E T�' ONINS CTiONPU�+cosEs. COMMENT = 1 � � � �\ � m G E E(PW / U��J � � G � y SqrUTUREOFFERMI7IEE OA7E RECPT.N0. PlUD BY VALIDATION � WHITE—DepaAment Copy,YELLOW—Financa CaPY�F�NK—Assesea Copy,GOLDENROO--File Copy.GREEN—ApplicanCs Copy � CITV OF DIAMOhID BAR : :, . , ., - ,- .. � INSPECTION:RECORD � • -, ' - � �.._...,�..._._..............____�..�..._-.��. + "I%�.`�.:��e,��+Eni�,�� !����-� ��►�E-�'r���.�,��_�, �I►��-�,����dl�)ll.�:��i����F= �i►`�-`iRa�� m����, � �SET BACK . , N�,� �; ; 1 x :_K� �� � FLOOR JOIST � ' � � ;F7GSlFORMS/S7E�L ' ' -' =� � . , HA REQMTS � ,-. -' , . •. . . . _ . .. , — -- -- ,ELECTRIC GROUND ...__ � �""� 11NDER FLOOR DUCT � � - j�� , -� ;GROUND PLUM9WG - UNDEFi FLOOR CU'�iDUiT��': "__ `�_. , `_ !SLA6 GRADE - `� - ---- - - ' ' FIREPL:ACE FOUNDATION �_ . -. � " - ' ' I �=� :. - FIREPLIICE.BOND BEAM ! .� - _ . , ,. TEMP POWER . . .. „ �;! = �;! . _ �WATER SE�iViCE � ' , MID,HT.BOND BEAA4= - � ' . iROOF SHEATIiING-'� `• '�. • ti_'' . � " " 8�T. BQND BEAM , -� . - iFRAP/�liv�iNENTILIATI�N . . .� •- FINAL BOND BEAM � ` � IROUF COVFR : � PRE-GRADING � ' � ' ' 'ROL'GH HEATiNG - � _ _ - BENCHING`,��I . � �- ': ,��,' ?ROU�H�LE=:,TR1C. .� _ ' ; -.� _ ' � 'ROUGH GRADING - -- - �ROUGF; �LUMBING--' -- - - - - -- __._. _.._ _ FINISH GRADING ' ------ SNC'�°��Rr'UBTEST - ----_._.._- -. . .. .. _ POOLELECTRIC � ��Xi:L_AiN�SIDING- -- - - POOL FENCING �. �;4^!At!I^lSJLATION- -- - -- - - - POOL FINAL • � GrlL�tvG1�•:SULAT(ON; - ' - "� OFF SITE tMPS. _ � _ - - - .. _.__. _ . DEDICATI�NS �iDR'':��^J.t�LL NAILING- � . , 4.�,EVircR -- .. ; - _ _ FINAL ENG. ; - i iSc":YTlC TANK LANDSCAPE/IRRIG. i'S:.�����!LL • • ON SITE IMPS. r.^...r._�_^ '��.;.;_: I,I>;�:.ST I FINAL ZONI�dG __. L'°:-�:'� ^-:�.'�1fJST, -- '•= ' :. ` �.. - ` .� . FIRE DEPT. FINAL ; ,,: ' 'i�ATiNG . _.J�— HEALTH DEPT. FINAL _::�._� _ . _ r. ' ._tLECTRiC' ` ��-���.q{�/ ' J��'v _ ' DEV. FEES PAID - — � _; _. . _PLUMSiNG y� 1 ENERGY � -� — � _ __ ./� , �_. --- e 3 �i ��: �rc�c'-�'�`�'.�""� ..� � � , i � _ . . ' ._:.Y��..::�.4..�'::,J_.�:i:;�'R.'... ."".�,...._..," I "_'_ - � �... _.. .. -.. .. ._.... .. .. . . . .. __ ', - .1. ` . �. . 1 . � � " -...""- " i .. - _ . ' _ t . ,;:;C�:��MENTS_ . - , -� - � -- - -- _ . � � , F .� . : _ . . , - . _ r . i: _ _ , j � . � � ,�_ _ _ ; ' � __ , ; �SEP,T4C TANK S1�� ' `SEEP PIT/U SIZE - i �� . ;k�l� �� _ f •/ . , � , i ' . i - i {���� ,. ;�; t ,. ._. � i __ , i � ; � � -� �� , � _ _ _ , . ; ; , , ._. � _.. —, . , _ , - : . � � - � -- � ��=� ' j `+ ' �i ,� �� � , __. ---_..__._..._.___ _� .. - --_.- ----- -