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HomeMy WebLinkAbout16614 (22) . . . ..._ _— �i.. ......_. . . _ .... . . . . . _..._ . . _. -- �\ CITY OF DIAMOND BAR �—' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES u66o E.Copley nrive suice 190 PRESS '� ,(909)86Q3195 Fax(909)861-3117 . ������ BUQ.DING PERMIT APPLICATION ' FIRMLY N JOBSITE J APPLICATION ('� PERMIT P/C o ADDRESS ��� ���/�'� �N' DATE " �v NUMBER k � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP g OWNER A Li%�LF/E'• __ "" ADDR SS /`4 ��• ZaNING SETBACKS "' CITY �/N`fe�"� L�ae ZIP 9%7f�'�TE n S O FRONT RW ❑ � APPLICANT TEL. REAR ❑ � SIDE/SIDE STREEf RW O CONTRACTOR � � / �E' � SIDE ❑ � ADDRESS / o✓' AVE ui CRy Io C ZiP 9/76/ 7eC.9�'��9Z3i/5�J/ PROPOSEDUSE P� ARCWENG/ � � DESIGNER N0.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS �N CITY ZIP TEL. DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OONMER-BUILDER DECLARATION SFR/ADD,'REM p 1 MEREBV AFFIFM UNDER PENALTY OF OE0.AIRY T1UT 1 AY EXEAAPT ipOlA THE CONTMCTORS LI• Ge�pe/CBfpOR W CENSEUwFORTNEFOLLdMNOREASON(SEC.70]7.6BUSINESSANOPROiE5510N5CODE:ANVLITVOR (n C� COUMYWMClIREOUIRESAPESWRTOCONSTRUCT.ALTER�PROVE.OE40USH,ORREPNRANY57RUC-. . W PgtlO/DBCk � 7LlR�Pf1q11 TO R3 IS.RINICE.ALSO REW�RES THE AVPUCrNT FOR SUd/VERYIT 10 FILE A SIGNCD w ETA7FMENT 7HA7 HE OR SME R LICENSED PURSUAIlT TO T1E PROVISIONS OF 7NE CONTMCfORS Ll• � CENSE LAW(dUPTER Y(COMMENqNCi VrtTH SECTION 7000)OF DMSqN 7 OF TNE BUSiNE55 AND PRO� u- PooUSpa FE5510N5 COOE)OH 1/U7 HE Oii SHE IS EXEIAPT THEREFROM AND iHE BASIS FOR THE I�LLEDED EXEMP- TION.ANVVqIATIOHOFSECT10NT07t.6BYAHYAPGLICA1fTFORAVERMIT5U0JECTSTHEAPVLICANTTO Z Re-Roof � A C1VlL PENAL7Y OF NOT MOqE iHIN FNE/M1INDRED DOLLARS lls00).)� � OtIl40wHEROFh1EPROPERT/,ORWYE�PLOYEESWITNWAGESASTHEIRSOLECOMPENSATION, 0 (`,pmmerCiel YnLL DO iME Y/OIiK.AND TME STRUCTURE IS NOT IMEW ED OR OFFERFD fOR SALE(SEC.7ou,BU51- J HESS ANO PROFESSIONS O7DE:iME CONiRACTORS LIGENSE Uw OOES NOT AVPLY TO AN OWNER OF N GIIOPERTYINIO&1LDSORIWPROYESiHEiIEON.ANDN'NODOFSSUCHNORKMIYSELFORHERSELFOR m � ri1R0UC�IHISORNEHOVMEMPLOYEES.VROVDEDTUTSUGiM7ROVEMENTSAIYENOTMENDEDOR , L}1 ,OffEREDWFSILLEIF.HOwEVE0.7NEBULOW60RM1VROVEYEMISSOIDMATMNONEYFAROFCOMPLE• . Z �T10N,TME OwNER�BUIL.DER N�LL MAVE THE BVRDEN OF DROViNO THAT HE ON SME DI�!qT BUIID OR � MPFqVE FOiI T1E PURPOSE OF SALE} � OIASOWNEROFTHEPRO�ERTY,MIE%CLUSM1IELYCOHiMCTWGVfTHt10ENSEDCONTMCTOH3 TO OONSTHUGf THE 7RWECT�SEG 7oa1,BU31NE59 M1D PROFESSIONS COCE:THC CONTMCTORS U• VdIUOIiOn ADJ.AHEA CEfJSE UW DOE9 NOT MPLY TO 11N OYMER OF A VROPERT`/WHO EULDS OR IMPPAVCS TI+EREON.AN� � W1qCDMMCfSFORSUCFIPRQ1ECfSWITHAWI(TMCTOR(3)I�CENSCDPURSUINfTOTMEWNTMG QUANTITY OESCRIPTION FEE � � fORS UCENSE ll�W F O��IXEMPT UNDER SEG 8.l G.G fOR TMIS RFJ�SON U 3 � - . . LL OA7E OWNER V , ,� � _.. � W : UCENSEDCONTRACTORSDECLARATION W � IFIEREBYAFFIRMUNDERPENALTYOFPE0.RIRYTHAi1IlMLIC£NSEDUNDERGROVISIONSOFCHAPTEN � Vr � j� i(OQ.WENCNQWrtMSECTqN7ooC)OFOMSION]OFTHEWS�HESSANDPR�FESSIONSCOU[.IND Z ►IN LICENSE R N FlA1 FORCE ANO EFFECL m � s9�5� � � uo�cus/�' ^ C 2� ��c.No. j � v M� roy�lD / corrtrucroa�(Q�/� �+ ' a w � WORKERS'COMPENSATIONDECUIMTIO� 1�G U U C �I � IHEHEBVAFFIMIUNDEROfN11TYOFGER1URYaNEOFTHEFOUDYfNGOECLAMT10N5: � , Z Q � �INAVEIUAYNLL1.wNTAMACERTi1CATEOFCONSENTT09ELFINSUREiOR1VONCERS' 2 - CONPENSATpN,/uiROVIDEDBV$ECTION170aOFTMEU�ORCODE�ORTMEPER�ORMANCE U � OFTHE WORK iOF WM!O�TMiS PERMIT IS ISSUE'J. w 0 � W �IlU1YEANDW'LL4�MTNNYfORKERS'CM�PENSATIONINSUMNCE.A5f1E0U1REDBYSECTION Q J7000F7HELA80RCOOCFORTHEVERFORMANCEOFTHEWORKiORWM�CMT1u5PEf1MiT15 65UED.WWOaQKERS�,[9�OMPF TIOHWS'u.CECMRIERAN�POIICVNIIMBERMf:: CONSTRUCTION jGRNER v/L�• ���• PLAN REVIEVJ Z va�crHwe[a_--, -f 4_ w i �l..:• NG�77c1_�l ELECTRIC � a �C,�--yT-o'--�--"'�:�"l v - p (fViSSECIY_Y7NE�NOTBEOOMRETIDOF1tEPERdT6FOf1O+EM1�D([DOOLLARSR'�I��1 PLUM�ING Z ICERTIFY THAT W h1E PERFO(iMANCE OF TNE W0�1K FOR VMIpI THIS OER41T IS ISSUED.I MECHANICAL • � (} SHALINOTEMPLOYINYPER50NNANYYANNER50A5TOBECOMESUB.:ECTTOTME , � ^ -• � NqRKERS'Cp.�FEN5A7iOqUN50FCJLIFO�iNiAANDAOREETH,�TIFIS�aIriDBECOUE INSPECTIONFE �1� � ���"M��1 S SUBJECTTOiHE1WfiKEFS'C0�.�7ENSATqNPROVI5qN50F5ECTqN]�OOOFTIEUBOR �� :�.+...-/'� caoE�s�w�.van�rn courir win�nasE rHovisaxs. ISSUANCE /f L 0 SMIP l/ 17 ��f'� � � p o�h: �v�iawr. . � WAPNIHO:FAP161E TO SELURE MlOfiNERS Gp.�PENSATqN COVERAGE 15 UNUWFUI.M.D SwLLLBE ENERGY P/C � SU61[ttANEA1PLOYERTOCiUMW1U.PENALTIESANOCMLFNESUPTOONEHUNORE071�W5AND ENERGYPC-RM V_ n pOU.ARS(f too.000).W AODIT�ON TO ME COST OF LOMPENSATION.O��CES A$VROYDED FOR IN y . ¢ SECT�ON77olOFTHELAOOROOOE,NiEREST,ANDATTORNEY'SFEE4. RETENTIONFE : �"'— -- - _� � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHERCBVAFFMV.IUNDERPENILLTYOFPE0.1UiiVTHATTXEREISACONSTRUCTIONLENDINGAGENCV FOR iHE OERFORAIANCE OF 7ME WORK FOR WMICH TMIS VERYI715 i55UE�(SEG 70D7,CN.G). � � IENDERS NUAE � LENDER'SADDRESS WIGERTIFYTNATIHAYEREADTWSAPOLICATqNANDSTATETHAtT/[AOOVEWfGU.1ATqNISCORREGi TOTAL FEES ��.�� � I AGREE TD CAMPLY WITN ALL CfTY I�NO��ORDINANCES M�D STATE UYJS REUTMJG M BULDINO �t CONSTfU1CT10N.AND NENEBY AUfHORIZE flEPRESENTATNES OF TW 5 COUNTY TO EMER UOON THE � A80VE�WENTqNEDVROPERTYFORINSPELTIONPUNPOSES. COMMENTS � Gv ��F/rita .a. m VERMI7TEENIWEIP ' � ¢ 6 D � • � .(n SIGNA7UNE0 EiW� D 7E � RECPL NO. _i'AID BY VAUDATION WMITE-0epaRmenl Copy,YELLOW-Finence Copy.PINK-Asaessw Copy,GOLDENROD-Fib Copy,GREEN-Applicanfa Copy � .., � . . . ��I..t J; M. � ..r • ... ,�. ,.. ' . , . . ♦ + ' � . .. . -. � . .. • . ' '. .� . . . . _ . . .. � . �f.: �!�""�'�'�`'. ' . '•� — � CITY OF DIAMOND�BAR ., ..;, ... , --� � � � � \ : ,.. . . . . , , . , ,, _��_� � .._;,::;�::,:��INSPECTION.RECORD ��� � .:�r<_���. . �� � �; �, , � . . . . , � ; �►!��i��.�x~�'�.1��� '•.��.�1�. *�..�1!.���' •��.�.'��-����o-;�f]►�� +���ey� ���-��!�c,`I�'m��'� _ y�i�l= a. iSET BACK . � i I � ; ; -. . . � �i . 1 � ,'. � i FLOOR JOIST M . \W� � � . t. ���r���.�. � ;�— � -• • • . , . !FTGSIFORP.IS;STE�L' . ._..: ,, .. :_-: _•-.. �.� ._._ . � FHAREQMTS-- ---.._.. .: . . __. . . _. . ., �..: - �- - - . . _ . . ....--.. .. ........ � �._ i ELECTRIC GROUND. . . _ ___' = " __ __ __ UNDER FLOOR DUCT = ; _ - - i�. !GROUND PLUMBING UNDER FLOOR Cd�,IDUIT -'" �.�t,' . `.- �•� .. ' _� , .. . . . ..� : __._..___ �SLAB GRADE _. -._- ` ' - --- ... . ; FIREPLIILE�FaUNDA710N, .. .: �,:� . i •. �., , � .. ,. . . �_:.— ITEPJIP POWER - - --i � - -, .�._ _: ;;. •.� FIREPLACE BOUD BEAM - ��` ' • ' � IVJATER SERVICE._ ..._.. - --- .. .--- ..... ... . . ,' - MID HT.B�ND�BEAM'..',+,��� ... t. ._., `-, ',-��_r•. .,...; . , , � � !ROOF SHEATHING -:�:: .. �8 Ff.B�Nq.6E�1h,1 ,:.�' :`� _ ' _ .. . . . . . . , . i FRAP�IING-NENTILIATION - - -�-- - - -�- -- - FINAL�BOND BEAM � � � � � �- ' � ,.. (ROOFCOVER .;: ..� PRE-GRADING ` '' _.. - •,� ;., _ )ROUGH HEATING � � - -� � "" - � - - �� BENCHING � i - , ;,, , (ROUGH ELECTRIC... : .:..� : •• ! - `.'.'- -.-- : ROUGH GRADING - - - --- . - : �" ROUGH PLUMBING- -;- ---- -- -- ---- � ' '- FINISH GRADING ' - , ._ 'SHOWER,TUB TEST . --- -- -' - --- POOL EL:ECTRIC • � ' • � �E?:T: LATH/SIDING --: -- _ : -�- : POOL FENCIP�G . � ; i � I�^lALL iNSUI.ATiON --! -- - -- POOL FINAL • . - I ,,.. �CEILiNG-It•1SULATION - -�- - - - � OFF SITE IMPS. • ! '"� ;DRYWALL NAICI�dG - : - -- -- ---- - DEDICATIONS ' ' ' ,.. �SE4"dER --- __ ..__.__ _. - FINAL ENG. , _� ; ,.. �SEPTIC TANK UIPJDSCAPE/IRRIG. ' ! '� {SEEP.PIT/LL. �� ON SITE I�APS. • . - I :. !GAS fJR TEST � � FINAL ZONING ' � .... �FI�J�L.CONST._:. ... F1RE DEPT. FINAL � . - ----- -. _ . .. . _. . ;F1;rALHEATING. ._.__._ �,�Q .. _ HEALTH DEPT. FINAL - � -;, ---- � �Fi�Jt,l ELECTRIC ........- - �- . .._... -- ... ... ' -... DEV. FEES PAID � . _...- -.._.._..; .- � : . i��^::!^.LPLUP.9BING - � --- --- _ - - -- Eh!ERGY j ,� • ---.._...... . .--- -� . ;� � . .. .. _ ,.. . . . i ;.._...._.. � . . I, . _ _... ... .-- ...... ..... . . . Y , .. l� ��L`i��le.aj�s-.. � ..W �. � � I � �I "' "_"__"" '_.. ._ ... . .. .. . � . � . ._.�.. _` ' "_— ` _. . \ __ , ' , ' i . . ' ' "' � � . ••s,� ..._ ..._.. . ';C.Ot�IMENTS- , �., � .,, `,`.� ... .` ; �`,.1� ',;; �• ,,• . ----- . _...---- - ' - - �� ;__ s i� -.�� -- - . ----.... ._ _:. .... .. . .... . : f�--- , . . . ._ ; , ; ; - � . . . � .. . . _ , . _. _ . . --- .__ _ _ � � � � ; - - . . , . �� �- _ _v • .,_, �•.,- __. , , - i . , . � -� .ti.�.! -- ' _ _ _ ._.... .. .... � i � _ _ � _ . - - - . i � . . � _ .. . .. . . ,-. _ - ; � ,SEPTIC TANK SIZE - '' ^ ' ' ` � . I 1 �C( �� ' , , . �. ..• __:•:. ,. ; � ;SEEP PIT/U SIZE - -� ' � _ - - _. .. .. _-- .. .... . ..__ ,.._. .. .. � i � ., . . �:i�. , _.... . - - - , � .. . I . . __ � i _. . ' . .. -_- . _ .. . ; . _ � - �•.: - � � .�,'�w�, ` , r; c.=.=. . . i i _. ' ._.. _.__ . .. __.. . ± _ ' r�. � . . { , . : .._. :� ..� .. . ..� . . ......... .. . - -�- - . ... . . , • ,_ � � ' <�c C:, ,, •,\ ; � . . .... . , � — � , • , l :�� . .._ .y4 .. .. .. .: . I \ ���i,�� t i\ �\ _ �\ . . I . ' _ �� . .... . . . C�1... .. . . . . . ( �• � � i� � - • _ � ' • '. ' ' � �� .. _ _ ...��.���.i'_— _ I � � � I _ ' I . ... ' ' � ., . . . . . . ' . . . _ � . . � i