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HomeMy WebLinkAbout13977 (25) , _ , �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES �� �,� 21660 E.Copley Drive Suite 190 � (909)Sb0-3195 Faz(909)861-3117 PRES$ '��'� BUQ.DING PERMIT APPLICATION FIRMLY oJOBSITE ^ *� APPLICATIO �+ PERMfT 9 P/C ApDRESS«�_�' S •��a m o�d �a�'�f�� DATE ����"l �� NUMBER ��`��it � ISSUE TYPE OCC APN 1 T TRACT DATE CONST. GROUP � OWNER lJ�� ADDRESS ZONING SETBACKS � CITY 21P TEL. REAR Rw ❑ APPLICANT TEL. SIDFJSIDE STAEET RW ❑ � CONTRACTO SIDE p ¢ ADDRESS � I pROPOSED USE r 5 � CfTY , 21�� TE P�+ ARCH/ENG/ • 1p � DESIGNER NO.DWEL. O. NO. ADDRESS UNITS STORIES BEOROOMS , N� CfTY ZIP TEL DESCRIPTION SQ.FT. FACTOR PSF A0.1.AREANALUATION ¢ OWNER-BUILDER DECLAFlATION SFR/ADDiAEM O Q I NEREBY AFFRM UNDER i[TLLLTY OF FERAJNY TIAT 1 N.�E%Et�1VT FROM 7HE CONTRAGTORS L4 Garnge/Ceiport � - [1J C[NSEUWFGi7HEFOtLOM�INOREA90N�5EC.7a77.5BUSME55ANDPROFE55�ONS00DE:ANYC17YOR (J� �� COUMYWMqIRE0URE5AVEiWRTOCONSTRUCi,ALTERaPROVE.DE110115/1,OFINEP�INM1'/STRUC- W POIiO/DBdc Z NRE,PNqit TO R9 ISSUANCE FLSO REWIRES 1HE APVLICAM FOR SUCM VERMIT TO FlLE�SIGNED �l� ETA7EYEM TNAT HE Oq SHE LS 110ENSED VURSUANf TO ME VHO'lISIOHS OF TME CONiMCI0R5 Lb � � CENSE LAW�QIAPTER 9(COMMENCNO WITH SECTION 700010�DMSION]OF iHE BUSINE59 ANO PRO� V' PooUSpa � iESSqNS OOOE)OR T11Ai NE OR SNE IS E%EMCT THE11EfNpAAND iHE BASIS FOR TNE ALLEG[0 EXEMR TqN.AHYVKKA710NOFSECT10N7W1.68VANYMPLICMlTiONAPENYITSUBJfCTSTNEAPRIGWTTO Z Re-Roof r A CMl iEr1ALN OF NOT�IORE TNAN iNE NUNDRE�DOLIAAS(f500).)' � O1,/30MMEROFTNEPROPER7Y,Ofl1AYEMPLOYEESVAMWAGE5A5TMEIR50LECOMPENSATIDN. � �mmercial - MALLDO 7}iE WORK�ND THE STRUCTURE IS HOi IMENDED OR OFFERCD FOR SALE(SEG 701�,BU54 J N NE55 AND PIqFE5510N5 OOOE:TNE COHTMCTOAS LICENSE lAW OOES NOT/PPLV 70 AN OWNER OF ? VIqPEXTY 1N10 BUILDS pi MIPROVESTHEHEON.MA 1N10 DOfS SUCH WORK W MSELF OR NERSELF Oq (L TMqOU(7FINISOfiNENDWNEYVLOYEES,FROYI�E07MAiSUU1M�qOVEMCMS�RENOTMEHOE�Oft m � ,OFFEREDFORSKE6.IqNiEYER7MEBUlDINOORIMPiqVEMENiI530LDN77HNONEYEANOFCdA�IE� TqN.THE OwNER�BURL`ER WILL MAVE iNE BVADEN OF PROVwO ifUi HE OR SHE OID NOi BUILD OR � WPiqVEFOq7HEPVRPR:EOFBAI.E� W ❑�ASOMMEROFTHEVRDVCHiY,IWEX0.USNEL�COHiMCTN6WfTNLKENSEDCON7MCTON3 � TO CO/iSTRUCT TME PH61EC7(SEG 70M.BUSIHE55 AND PROFESSIONS CODE TME CONiMCTOflS U• V21U�lid1 f��.AF1EA GENSE U'M DOES NOTMPLY TO AN OYMER OF�YROPER7Y YMD BUMS OR;AAPflOVES TXERCON,AN� � wr+ocorarucrsronsua+ar�aEcrswm�xcarrrucron�si��KSEOPURsuurtron�Ecartiuc pUANTITY DESCRIPTION FEE � TORSUCENSEUw). O IAM EXEYPT LNDER SEC B.t G.4 FOq TMIS REASON � � ^ � � 1 CL � � � S f LL DATE OWNER V . • � - UCENSED CONiRACTORS DECLARATION� � � � �� - ' . � . � . � w 1 NEHE9Y AFFfiN UNDER iENA�TY OF iERJUfiY TNAT 111A1 LICENSEO UNDER iROV1510N5 OF CMAPTEN � �(COWdENCwpYnTNSEGT10N7000�OFD�h5lON70FiHE8USINESSFNDiROFE55iON5COD[,AND 1G W tICENSE R►1 ML FOi10E MrD EFiECt 0 UCENSE CL/lSS `�+ �I� LIC.NO. . � o��X— (�--� ��M�� W r � WORKERS'COMPENSATION DECLARATION �O�t� Q � � �N IN.ERE/9VPFFwYU1ACHVEN.LL7YOFVEfWRYONEOFTHEFq10WNGDECLARAT � y INAVEANDWILLMAMTAPIAGEHTIFIGTEOFCONSENT705ELFdNSUREFORN9RKER5' � � OOAIPENSA7IDN.AS PRON-0ED BY SECTION i7oo Of TME tA80R WDE.FOR iHE VEHFORMMICE OFTHE WOPoC FOR WMId1 iMS VENAIT 19 i55UE0. G �I NAVE AND VALL MMHTAN WOPoCERS'COMPENSATION INSUMNCE,AS RCOUIRED Bv SECi10N Q ]7000FTMEUHOh000E,F�RTIEVEPFOFlMANCEOFiHEWOAiCiORWHICHTHliPERMITIS � ISSUE�.WWOPKEA5COAIPENSATpNINSUFLVKECMNCRMDPOLICYNUMUERME�, CONSTRUCTION � CAARIEH PLAN REVIEW � 1'OL1C`/NWBER LECTRIC � -� �MssECibnt�IDr+oieeca.s��IDocnEv[rurswraw[Krrn[nmur�sR+¢7o��[ss1 PLLIMBING y ICERfIFYTUTNiHEPENFORMUJCEOFTMEY.oRKFORWMIp1TN15PEN4Rl5�SSUCD.1 MECHANICAL —���� -�� C7 6M�LLNCTEMplO'IMlYPERSONWANYMANNERSOASTOBECONESV&1ECT70THE N YNRKERSWUGENSATIONUwSOF AUFOiL+IA,M�DAGREEi T �l£fKKADB[COME 1NSPECTIONFEE � S SUB.IECITOTNEWOpKERS'COA�PfN TIONVRONS OFSE ' �7000FTMElA00A ocoE�s�uu,cormn�n�couv�v 1 hqSE PiqVi ISSUANGE � � � 0 + " SMIP t.�'f� �,i IJJ . p pATE:� I�j .5`G APPLIC . p . WAANWO:FiULl1HETO5ECl1NEWOiVCRS'CONPENSATIONCOYE EIS ANOSW�LLBE ENEAGYP/C �7��_ T f�1T��t`p SU&lECfM1EMPLOYENTOCRIM1NhLPENALTIESANOCIV4FWE5UPTOONEIMIDRFATNOU5AN0 �� "' l � T � � ENERGY PEFMIT • � c`�.i 1� DOIWiS(St00.0aD),INPDDI770NTOTHEC0.5TOF�p1APENSATpN,DAAWGESASPROY�OE�FOqIN —m-m-j��t f�'�Ts e Y � $ECTDN7�0lOF7MEU60RCODE,NTEREST,ANDATiORNEY5FEE5. RETENTIONFEE: vVi+�+��' a CONSTRUCTION LENOING AGENCY pRE-ALT FEE O � �NERE9YAiFl11YUNOERPENALTYOFPERAIRYTHATTHERE15ACON5TRUGTIONIEND�NG�GENGY fOH TNE PERFORMAtKE OFTME WORK FOR WHIW THiS PEAW�i IS iSSVED�SEC.7oG1,pV.4} � . � LENDERS N�E � LEMOER'S110DRE55 w ICERIIFVTHATI�VEREA�iNISAPP�,ICATONAN�STATETIATTXEABOY'NFOPAI�TIONISCORRECL TOTAL f EES � D . � IACR[ET000I.IVLYYATNALlC17YANDCOUHTYOROWANCE5ANU6UTEUWSREIATIN0T0&1MINO . CONSiRUCTION,AND HEREBY AIfRqFIIE H£PRESENTATIVES OF THIS COIN/T'TO EMEN UVON THE � �ernE•uer4i�neovaovV l pr+wS�vunrps�_ COMMENTS g ,j��+ U� � � QvE i :EEwuae�v /� / � Cn �' ^ /1�U �'�. w / �/ , � S�G OF PENA IEE OATE � � RECP7.NO. PAID BY � . VALIDATION , WHITE-0apenment Copy,YELLOW—Finan�e Copy,PINK—Aisesaor Copy,GOLDENROD—Fue Copy,GFEEN—Appicent's Copy - '�� CITY OF DIAMOND,BAR ,,. .. .. . . .._....:5�.�.. ,, :I�JSPECTIOt�t�RECORD . . . . . . . � ..; , � ' ' • , . . . �:• . � � , - , - , - -. - . . . - ,. - . ... ,. _,�,�,,.:..:�...�..:.._.�.._.__ �.�f������.��n���1:�.� �����3 .�fy.���t0� �•'1►�1������l�i����v���.�1'.?� ;r►�_�-�I:��c����� - -�- ----- ._..�..... �..,.._ .� � ISE7 BACK ,. � �- - �i - - �_. FLOJR JOIST��� s ....�, ;�' :,--c :�~I^ . , ._ . . . ._ , . , .. .. , ., . ;FTGS/FORP�1S,STEEL-._- - -�.. . � --. : •..._.,.. --' -- . ,FNA REQ�JITS _ . ' � � --•.''_ '. _. �. : ! � • --_- ;ELEC7RIC GROUND ._.._ .__.. '"' _.. __._._ ._ UNDER FLOOR DUCT- ' � ' , , , _�; .. ---- '' ; _' _. _ . ; . _ . __ a._:.. �GROUND PLUME3ING UNDER FLOQR Cdi��D'J1T % ' � ' ' `' ` '' � ��� '.�; I `-�� . __.=..._... .. .._ �SLAB GRADE---- ---� • - - -- - -��--- - - - - �` , FIREPLACE FOUNDATION ` ' � � :: - �--- ITEMP POWEA-..... . - ,:. _ ----- - - �- ;...,i:-_ - ;. � FIREPLACE BOND BEAM - ---- - _. ..__ �:.�., . ... . , tWATER SERVICE -- - -- :_. ___._ . ::: MID HT.BOND BEAM •c� •,:t 1 �; �•;_! ..i�. i':� il� �,.. , — , _ ..., ` , . , , .. .•. iR00F SHEF,TNf�tG I << � �-.i" � !f�, i� (, � j. : � 8 FT.BOND BEqPrI, .; ,. -:•; � 4. i i . � •• � : . .. { 'FRAh11NG.NENTILIATION . - - �j `•.,! -. _,,.�;�r- FINAL�BOND.BEA�h� � .� �: . , . _ ._ _ ; , .. .. .. IROUF COVER .i , . . , . ,. .i ;.-. PRE-GRADING .. _ - - - - --- �' � ; _.. _ ..._. _.... !ROUG}iH�A71NG - --- - - ` . . - --- --- BENCHING , , _ � iROU�H ELECTRlC_. ! ���! " ' .� `. : :_ .' �ROUGH GRADING - _._ . . _ . _........... ........__ ;.- . ._.. . .!�..._ � ., ;ROUGH PLUMBING ---- ------ --- '---- -- - `�- FINISH GRADING I �._ ;SHOb'JER/TUB TEST � -- - - ----- - ; - - - -- -'- POOL�ELECTRIC .. _ . .' � ": . ;EXT.L4TH.rSIDING -•--- ---- ' - ;- P�OL�FENCING . . ` • ;.NALLINSULEITIO�v -;- ----�--- .E .._._.. .. ..�_. _ .- POOLFINAL ', i �: 'C�IL1iVG Ih7SUCATION: -- — _- ; - - OFF SITE IMFS. _ � " : ' �' � �� ;DRY1�b't1CL NAILING -;-- -- --- � . ...... . .. .. .. ❑EDICATIONS . . . � � , � �S��b"1EA -- -._ ... . _ __ - , __ FINAL ENG. . . .. � -•, I'SEPTIC TANK LANDSCAPE/1RRIG. ' ., ; �•' �i6t-`..EP_�'iT/LL, ' ' ON SITE IMPS. � , ��i:,S f,l,TcST ' .� f . , FINAL ZONING , • i � �T ._.. .- . . . . , . ... . ----- �F!:���:�ror�sT.--' --`� ��1_�: ,�. ;. , , ., .� �� - � • I : ' , ,_ ,`•;-`_:�. . ;,., FIRE DEPT.FINAL �Jr:J•":'_HEATlNG.. . ---._.:'_�� �;� ,._. ;�:�' ='��� ' • � . �:� HEALTHDEPT.FINAL _ . ... . ..........._ .... _ ._ i� J DEV.FEES PAID i=i:::.:_ELECTRI'� - - � �l- � _ . - _. _ .._ . ... . ..__� : _ __ __ __ � �-.-, � . ._..._.. �'�.— s_ _ �--'^:.:PLUP.1BiNG-. . ---.. . _.: _ . . __..... :.... EhJERGY � . �- - - ----- ... _ _.._.. - - -. ` _ , , , ... , ... .. .-- --._. ._.. --- -- -. . .. _. .... . _ ..r ��� 1' :c,l.�-:.'sy c `• '� ��• ._� , I_ ' s�wr:�_�=Y:.:-a�� �: i '•-- ' - - - ��.. __ ._...---... _. .. . _-..---. . . . .... .... ...... .. .... _ .. . , . �t��i � � ... � . ..� - , " - �� .. ._. . . ._ . . - . � _. . . .. . ..'- �/ -�-!���' _ t :;COi;!{MENTS �;%'.. , � ` - - - . . � . . . , ; _ -. . - ---- . ._......__. - - - - - - . _ . , . , .. . ; . � . _. �, _ _ _ _. � - . j �.. ... , . j � . , , � , . .� _. , � , ._. . . . . ._. _. . . . . � -- - . . � i _..... - - -.. - .-- � , . : � . .-�� � . � c�, . � , ;SEPTIC TANK S{ZE - . -- - . -� �. . ; ; , -, �SEEP PIT/U SIZE -. . ..... . ' � _. _ _ . . . .. .. ... .... .. _ . ,.�r�.. .. ..,�.__._._� - - -- - ; � , . , _ i ; , - � . ; _ � . . , - , : _. _ . - . . .. . . . .. . __.. . _ . , � ; 1 ' � ,. . . ..... _._ . ---. ! ; : � - - - - _.. .. . . . - --- __. . -- -- --..._... - � ����� �,�:: - _ , .�- , , i i . 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