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HomeMy WebLinkAbout16194 6 ` f� CITY OF DIAMOND BAR � �7'����t � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 L.Copley Drive Suite 190 • (909)860-3195Faa(909)861-3117 -- , PRE$S �`'AM� BUII.D[NG PERMIT APPLICATION ' � F LY o ADDRESS ��`�� �rn ��I� /"�A�e pA�CATION O, NU BER M/C � APN LOT TRACT ISSUE TYPE OCC --� � DATE / CONST. GROUP � OWNER �����' 'r o ADDRESS Z fm� S ZONING SETBACKS Z CITY ZIP� 7EL Q S��"`/SD7�. REART RW p g APPLICANT TEL. SIOE/SIDE STREET RW ❑ � CONTRACT R � � .iR� SIDE ❑ g ADDRE S PROP� . cmr ziP �- 9 Pu ARCHlENG/ � DESIGNER Z� NO.DWEL NO. NO. ADDRESS UNITS STORIES ' BEDROOMS � CITY ZIP TEL. � cn DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANAIUATION Q OWNER-BUI WER DECLAFtATION SFR/ADDlFiEM O p 1 HEREBY AFFlRY IMDER PENALTY OF CEMIRY T1UT 1 A/A EXEYaT FAOu THE CONTR�C70RS 11• GBrBg9/CdtpOR � iLt CENSEUWFORTHEFOLLOWMORfASOH�SEC.7o71.6BU5NESSANOVROFE5510NSCO0E:MIYCITYOR (n ...._.... _COIMTYYMaG11RGOUWESADENARTOCONSTHUCLALTERe.IPROVE.OEMOUF.H.ORREPAIHANV6THUC-. -_ W _.PONO/D9Ck _ . _.. . _ '. __. __._ . . IURE,GRqq TO rt9 UlUANCE AL50 HEW IRES THE APPIICAMT F0�1 SUCN PERMIT TO FILE A SiQNED STATENENT T1AT ME OR SHE IS UCENSED FURSUMT TO iNE PFqV15lON5 OF TME CONTMCfORS�4 � CENSE UW I��R Y(Cq1MEHCH�YA7N SECTION 7000)�DNISION!OF THE BUSMESS AND PNO• � PaoVSpa - � FE6510NSCOOF�OR7NATHEORSMEI9EXEMMTHEREFROMINDTMEBASISFOR7HEALLEGEDE%EMv C7 TION.WYVIOtAT1DNOFSECT10N7N1.68YAHYAPVLIGMFOf1AGERMIiSU61ECTSTHEA7PLIGNTTO Z Re-Roof � AC1VRiENALTYOFNOTYORE7HANFNEMJI:DREDDOlURS�fSOD).�: • �- Ot�w^aM�EROFiHEPROPERTY.Oli4YEMPLOYEESYnTHWAG[SASiNEIRSOLEQDIAPENSATION, � CommercWl . - � WILL 00 THE WOfiK,AND T11E STflUCTURE IS NOT IMEN�ED OR OFFERED FOR SALE(SEG 7W�,BU51• J N NE59 AHD VROFESSIpiS CO�E:ME COHiMCTOHS UCLNSE LAW OOCS HOTl1CPLY TO AN OWNEROF ? �h PROPEHfY YAp BUlD3OR NJPROVES TMERFON,AND VINO DOES SUdI V/ORN HIAISRF OR MERSEIFOq � TlY10UdiHISORHEROWNEMPLOYEES.i110VIDE0TIATSUCIIMPROVEMEHTSARENOTMTENDEDOq m �i OFFERmiOR3AlE1F,110N1EVE0.7NEBULDWGORI4P(iOVEYCNi650LDVA7HMONEYEAROFCaY0.E. !� �.A TqN,THE OwNER-BUILDER W1LLluVE THE BURDEN OF GROv!NO Tui HF.OR SME DID NOT BNiD Oi1 � MPfqVE iOflT}1E PURPOSE OF BALE} f�'�, . �y,� O4�^��EROFTHEPROPERTY,AME%CLUSNELYCOfrtRACTWOWITIILICENSEDCONTMC70R3 (= TO CDNSiRUGi7NE iRQlEGT(SEG 7w1,BUSINESSAND PROFESSIONS CODE:iHE CONTMCTOHS LI• V t- L� �Ld t k ADJ lL1 CENSEUWDOESNOTAPVLYTO/�NOMTiEflOFAPHOPERTYMT10BU6D50RMPRONE5iT1ER[ON.IWD ' F W1pCOHTRACTSFOfiSUdIDRQ;ECT5N1TMA00NTMCTOR(SILICENSEDPURSUMlT70THECONTMG OUAN OESCRi t0 �� FEE � T00.5I10ENSEIAW.�. / _ OIAAIEXEMPTUNDERSEC. B,1FGfORTHiSRG50N Q 1 � U �� u. ¢ 7 MTE OWNER U ✓'`r....�i F- 1~ UCENSED CONTRACTORS DECLARATIOh W �"",��' � IHEREBYAFFIR4UtA[RPEW�LT'OFCERIURVTUT1luALICENSEDUN7ERPROVi5iON50FCHAOTER V. �� � �� � ��CpwENCeqN7'115ECTION7000)OFOMS�ON70FTMEBUSINESSANDPFi0FE55�ON5GOOE,AND Z £++ p WUCENSERNFULLFORLE/NO FFELCL m � LICENSE LU55 C�I�� V�IL LIC.NO. G� lO ` ' � �V �. `. ��' �j DATE ��Z�` CONTMCTOR 'L�' a � � 4 ✓ W l ! � WORKERS'COMPE-NSATION OECLARATION U �✓" � NIHEREB IRMUNCERPfNALTYOfpER1URYONEOFTHEFOLLO'MKGDECLAAATqNS. Z � �VEANDYYILLIAAMTUNACE1tTIFICATEOFCONSENTTOSELF-INSUFEFORVqFKERS' _ � �j COMPENS�TION.ASVROVIDEDBYSECTIOH]7a00F1NEUBaRCODE.FORTHEPERFORAIANCE W OF TME WOR%iOR NMICl1 TNIS VERUIT IS ISSI'ED. � C 4 �I XAVE AND NnLL MNHTAP!WOR1(ERS COMPE`15A7qN INSUMNCE,AS P[OUHED BY SF.GTION T �700 OF THE LABOR CODE.FOR TH'e VERFOFAIANCE OFTNE WORK fON WHiCN TMIS PERA7IT IS f\ � ttSVED.MYNON(iR5'COYPEN;yITpNINSURANC£CARILERAN�GOIICYNUVBERANE CONSTRUCTION LO�I UV � eu+roeA PLAN REVIEW � POIICYNUMeER ELECTRIC � (IV�SECIKr�MEmNDi¢EOd.RE(EDOF7IEPERMTBRN70NEHJ�D(iCDWtUASIS�ro70iilE5S7. PLUMBING Z I CERTIFV THAT W THE GEPFORYANCE OF THE WOr7K FOR WHldl THIS FEM11T IS ISSUE0,1 MECHANICAL (�' S�1A11 NOT E V iLOY AN'I PERSON IN ANY MArmER 50 AS TO BECpAE SUBJECT 70 THE (/� WOFKERS'COLIPENSATpNUW50FCAliFORN1IM�DAOFEET/UiIFISNWlDBECOIAE INSPECTIONF S SUOJECTTO THE VAiiKERS'COAIPENSATION PROVISqNS OF SECTqN]700 OF iF1E UBOR -- ' " CLOE,1 SHALL FOfii/1W17H COMDLY N1iN THOSE VROVISIOHS. ISSUANCE � � � SMIP ��,� - p DATE: APPLICANT: � WAIiNINU:FALURETOSECUREWORKERS'IX.MIPENSATIONCOVERAGEISUNUWFUL.ANDSHAILBE ENERGYPlC � SUBJECTI�NEYPIAYERTOCRIM!WLLVENALTIESAN�tlVIIFMESU7TOOHEHUNDFlCDiNdJSAN� ENERGYPERM DOlURS q f o0,000),IN ADOITION TO 7ME COSTOF CpIPENSATqN,DAAUCES!LS DPOV!OED fOR IN R � 9EC110N]70eOFiNEU�OROODE,INTEREST,ANDATTORYEY5FEE5. RETENTIONFE ✓ a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � 1 HEREBVAFflFY UNDER PENALTV OF PEiLM11RY THAT iMERE IS A CONSTRUCTION LEND:NC AGENCV ' � FOH TH[iERFORMM�CE OF 7H[N'ONC FORN'HICH THIS :RMI IS ISSUED(SE�1.CN.G� Z _ Il � �M��f�;'(� �w LENDERS N/VAE Q�� �T ^ C lENOER'S/UDRE55 �Ll 46t �ZVCJ S I n• �Z L�I3 � 1 CERiIFY iMAT I MAVE HEAD THIS APPUCATIONAND STATEiHATT1EAElOYE INFOR1A�1qN 19 WFRCCT. TOTAL FEES � w IAGFEETOWA7LYWITHALLCITYAN�COUNTYORDININCESANOSTATEUNSREUTNGTOBU0.DING ' �� � GONSTRULTION.ANDHEREBY11UfH0{iRERE7RE5ENTAT1VE50FTH15COUNTYTOENTER1iPONiHE � � � � � S� I80VE�YENTIONEDPROPERTYfORWSPECTIONGURPQ5E5. COMMENTS � ��U�I1�La1V�j � m PEN1I ERj E NAUG ryH�Nn ¢ =�'.i.� 3�Z D I ► N f`fl'L�'9� (A S_K.�VR[OFPENdITiEE O�TE - � - . FiECPT NO.l _ PND BY VALIDATION - WHITE—Department Copy,YELLOW--Finence Copy,PINK—Aseesaor Copy,GOLD[NROD—File Copy,GREEN—ApplicaM's Gopy . . . . ..' • , . . . , . .1 � ... ,. . .. . , . . . . ' .� . �- ,s.. . . . ..,. . � .. .� . „ . . ,. ' .. . . ... . � CITY OF DIAMONDrBAR:, ,:�:.,.._,:...; :�:;,��.�s :_ . :�:��It�SPECTiOt�.RECORQ . ._ . „ - .. . .. � . � . �,_. .. ., � , ., _ ... . • 3��.)��. � .i. ..1-- .� 0 I'i �.1('� :,1� ! � ' ��.,.-r,.:l.�'v.�le�.^��E�eT�.�1: . . jSEf BACr�. _i.;; .:; j , !�`\ . • • FLOOF�JOIST �. . . ii ! ..t � �,.��.. - ' 4•.�`: -,�, .... �.. --.--_—. . ' _•_ •. _.: � -- .. !FTGS/FORti45/STEEL� -: __�.' :. .,, . �; : : • . -, - - . FHA REQMTS- -- ----._.. .- - - - � , - - ..... . . ---------; � . �ELECTRIC GROUND...__. .._. '"' ' - ' ' .'� .`.... _ UNDER FLOOR DUCT � " �� � . _ _...._ _ -- - ...i -- --- �� :�, � -- �GROUND PLUPJIBING UNDER FLOOR CU��I�UIT ' .�':; '-., , � � �. � , ;�. �: I iSLABGRADE - `��`' -- -�-- - - -- - �- �' ' � FIREPL`ACE`FOUNDATION " - - 1;" . . '..� i 1 . ��.. i ' . ITEMP POVb'ER.. .. ...-- .,- ---- - -- - ,� _:,;.-..-__ . ' FIREPLACE BO�JD BEAM . . .._.... ._ ,..�. : .•, �^ ;V�JATER SERVICE - - -----. ._.. _ . : : MID HT.BOND BEAM � , : . ^ ; , , ,�� ,. .....;: : .:, � :., !ROOF SHEATHING •,`��,.--� : .-, • � . , -. � 8 FT.BOND BEAM :: t '. � r r . . _ . _ _�.� t _;�. 'FRAMINGNENTILIATION ` •, .^ •, •" �r - c_ �. ._�.' �FIf�AL'BOND BEAM .. . _ . _. _ • . • '• .:'-. . 1 ;,�, 'ROOF COVER .�_: , PRE-GRADING - - -- -- ' '�- ' .. _ . ...._ � �ROUGH HEATING - _. . ._..___ -.,: -- - -..._ . . BENCHING , 'ROUGH ELECTRIC ..:_._ � =!. • ` = : : . ;:, ROUGH GRADING._ .. __ .... ---._. _..... . ........ __ - iROUGH PLUMBING � ' � . ��'� - FINISH GRADING �SHOWER/TUBTEST '--- -__... ----._... .:__. ._ ._ ..._ : : POOLELECTRIC � ` , iEXL-lATHlSIDING---. - --- ----. . _.- � - - POOL'FENCING ' . ' IWALL-INSULATfON- . ' .- - - ---- - . ..._.._. .... ... POOL FINAL �- �� � • ; ;. ;CE►LING iTJSUtATION - --'-- --- "--" � - , � OFF SITE IMPS.- . ' ` ' ;DRYVVAL.I:-NAtLING ;-�" -�-� -- � - � DEDICATIONS ' " ;SEV'JER----....._ . --: --. - - -,-- FINAL ENG. . . ; •., !SEPTIC TANK , LANDSCApE/IRRIG. ' � ':. ; = ;SEE?_PIT/LL. _ � . ,. ' ' •--•�" � •� ON SITE Ib1PS. �• i �-. •G.AS AIR TEST ' . FINAL'ZOMNG i '; _. ._ ?FItiALCONST._; . ._.__.. .�_. __ _ FIRE DE�T. FINAL • ! -� ;F1fdALHEf,TlNG.---. . ----.-- -..... ' HEALTH DEPT. FINAL - --- - ' - ':�itvl.L ELECTRIC --- - - - DEV. FEES PAID ;f�".1/`.L PLUM51h�- - - . - EtJERGY ' ���------ - -- . ..._..... . . _ . . . . . _ . . ; . , . ..� _ --------...-- -�-- -._. ._. . ..__. ..... . . . ...,,.,......�...,�--�- � '�� e ,GC�fl. _i . . � i- _ . �.. ,�:��:�'_.���-��. ...... - - -. ._.. ._._. . . , � � _ . :_._.... �-- - - -�-- --... ...--� - ' ; � '-: . . t � _ . . ._ . . _. •.... .• � . i , �COMiUlENTS _ - . ' : , , ;`, ��: . . - j _. . _ . � -- ..... _. . . _ ._ ._ , � . , i I - --. .__...._ . r�– __.._._._._— , , ��—'�T i_ / r-T � i � �.?,\�r:.��' � _.. -. . _.. . .. �. _ _ i � I i .— � _ . . . _ . .�.: � � i �. . .. .. .. . � -._.. _.. .._. .. ,... ��:;:,• �� �,� /I!iii� , ' I � i i �.� � ' . � � , � . . . . . _. . _ .. . _ . . . . ISEPTICTANKSIZE ��_.......--------..,�_..: .�lF=II � � � � j , �. , �.:.,�. , ---- � _' ,.._.._. 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