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HomeMy WebLinkAbout13626 ��� CITY OF DIAMOND BAR /�— . DEPARTMENT OF COMMUNITY&DEVEI,OPMENT SERVICES �� 21660 E.Copley Drive Suitc 190 (909)860-3195 Fa�c(909)861-3117 PRESS ��^^' B(JII.DING PERMTT APPLtCATION � FIRMLY o� JOBSITE L3 G7J �G�cl� L/'nVt'[l L—� DATECATION 3 NU 8 R` " � C ADORESS_ � ISSUE TYPE OCC APN LOT TRACT DA7E CONST. • GROUP � OWNER �< .4E3�ZL ��S ADDRESS ZONING SETBACKS �W CITY ZIP TEL REAR RW O APPLICANT��L'�^�/,�.1_�'rlJ TEL StDE/SIDE STAEET RW ❑ CONTAACTOR G G GG'7 D SIDE O � � ADDAESS L • . �m,� j r Z�P ��",� TEL. PROPOSED USE � -f-{-f4EA . ARCHIENG/ DESIGNER NO.DWEL NO. NO. = C�ESS Z,P �L UNITS STORIES Z�r BEDROOM� u�i DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREPJVALUATION � OWNER-BUILDER DECLARATION SFR/ADDtREM p 1 HERES/AFF7ttlA UNDER PENJLTY OF PERAIRY THlIT I AU EXElAPT FFqM TtE MNTRtCTOR4 LL Garage/Carport {37 C£NSEUWiOATiEFOLLONWONFA50NISEG70.71.SBUSWESS/�HOPROFE5510N5000EM1VdT'OA (n (.� mWf►NIAO/REWIRESAVFAMRiCICON57RUCT.ALTER�P�.���QIORREWURANYSTFIIIG W patiNDeck Z 7URE YiuOR 7U R9 155UM10E AL50 REWIFlES iHE AVPIiCAPlf FOR SUCM PERI.IR TO FlLE A SIGNED i1l nA7FMENT T4uT HE OR SHE IS UCENSED PURSUANT TO 7HE PHOV�SWNS OF THE CONTMCTWI9 L4 W � CE1�4E UW(QU7TER 0(CAMIAENCPlO M1tH SECTIdV 7000�OF OMSR7N.t OF THE BUSMESS AND PR0- � PooVSPa FESSqNSCOO�OR1TfATMEORSNEISE%EUPTTHEREFROMM�DTNEBA515FORTNEAt1EGE�E%E�o- (7 J7CN.ANYNOlATI0N005ECTION7071.lBYIHYAVPLIGANTFOq�iEAMIT5UAIECT$TNE���lIG1NTT0 Z RaRoo1 r ACfVR VENJIL7Y OF NOT 1.qtiE TY71W FIVE 11UNbRED DCIURS(f500).k O OI�SOwNEROFh1EiROPERT',OliMYEMVLOYEE3VATFIWAGE3A3TifIq50lECOMPEN9ATqN, � CpmmOrNel . ' � WR100 itiE WOiV(AHO TNE 57RUCTi1RE IS NOT 7MENDED OR OFFEAED fOR SAIE�SEC 7N�,Bu51- J NESq AND VROFE94lONS LWE TME CONTMMORS LICEHSE lAW DOES NOT APOLY TO AN OVrt�ER OF N GqOVEHTTVAq9UtD$ORMPROVE47MEREON,IVAYMODOESSlKNW00.KHiA1SEliOR11ER5ElFOR � Q T/NQAMMSONNEROMNERtPLOYEE3,GROVIDEOTHATSUCf/MPqOYEMEPRSMENOTNTENDEDOR m � OFFEAmFORS�LE6.F1JwEVERTNEBUlDNJ00R�.IPROYEVENTI350LDMrtTYnNONEYEMOFtd.�PLE .� Tl�k,TME OWNER-0U!lDFA vNLL HAYE ME 6V�➢EN OF PRWR70 TUT ME OR SHE DO NOT BUM OR MPApVE FOq rNE PURPOSE OF S1U.E} � OI�SOMNEROFTHEPiqvEHfY,WEX0.U5NELYWN7MCiR7aN77HLICENSEDCONTRnCTO0.5 ro mwsTaucr nrt v�cr�sEa�au,eusikess uao vnocfssions co�e me carta�croas u Valuetwn ADJ.AREA LENSE UW DOE9 NDTMPLY TOM1 OWNEA OF A PROOERTY 1N�0 BUtDS OR MPROVEg T/EREON.AND � wHowrrrw��crsronbxra�vnaEcrswmr►m'+rw��cron(s���r+SeoPuawu+troniEca+rrUe pUANTITY �ESCR�PTION FEE � TOR4UCENSEUW� O I M/IXEYVT uJDEN SEG B.�P C.FOH Ti!S PF150N Q U W � DAiE ' OYMER U �< LICENSED CONTRAC70RS DECLARATION W J 2 IHEf1E8YAfTtttl1UN0ERPEN,LLTYOFFFIWRYTHATIANLICEN5EDt1NDERPROV1510N50FCtiAPTEA � � �(COAIMEHCNONTTHSECTION1000�OiDMSqN]OFTHEBl/51NE391.NUVROFES5ION5CWE,ANO Z {fY�IC£HSE IS N ilAl fdRCE ANCI EFFECT. I'/� � LICENSE C/U55 �/�LIC.N0._'���� � j � pATE�(L�'� �COMTA�.CTOR ! � WOR!(ERSCOMPENSATIONDECIAFtATION �^-�'- � N �HERfBYAFFlRMUNDEqPFNALTYOFVERR1f1YONEOFTNEFOLIDW!NCDECUNA SL U7 a � _IHAVEAHDYALIMAMTM1�CEltTIFlGTEOFCONSEATTOSELF�7NSUREFORWOAKFAS = � pOHVEry5AT10N,AS Pi1WbED BY SECTqN�7a�OF TME U80R COOE,FOq�}1E PERFORMuiCE 'U OF TME WOM(fOR V/IilC37 7M5 PFHA�IT 19155VED. � O �HAVE ANp WILL IAAIMMi WOi1KER5 Cd.17ENSATION iNSUMNCE,AS REOU�RED BY SECTION /� Q UOOF�HEV90RCODE,FORT�EFENFORM�NCEOFTHEt4^DNCWNWMCNTFN9PEFMRI$ � � � ISSVED.AIYWORKER5CMIFENS�TbN�NSUqM10ECARRIERFNDPOIICYNWBERME: CONSTRUCTION � GRPoER L �— ���P PLAN REVIEW O voucrrRxmER ' E(.ECTAIC � (na55[CrcHr�IDt+07PEa�it�IDacnEcrn.�rsw�+crh (nm�oa�� LUMBINC, ,�i 1A,';;'� C Z i ttnrffynur r�n+�vEnranur�n�e oc n+e wanc coa w�an�nns vcaurt�s issuEo,i MECHANICAL (� SHtl�HOT EMRAY ANY VERSON N ANY MNMER 50 AS i0 BECOME SUBJELT TO TME � WOPoCEPSCOMVEN511TqNUM�OFC�LiFOPN1�,MAAOFEET1u11F�:.�10ULDBEtOME INSPECT�ONFEE { -�{ S SUBJFCTTOTHEVIORKER5CWPENSATIONPqOV15�ON50FSECTKKJ�7000F7HEUBOR �5,5UANCE ������ j 1��v � WDE,I SNALL FOF{TFI'/A11�COupLY WiTH T/05E PRONS�ONS. p OATE: �l 3 j,APPL�tNi'.�Q� SMIP l`Tm�cr r•.-, .--. , _ _ . :, .�T? � ENERGYP/C P rir , - - "� WAfWINO:FAI�URETOSEd1REWOfMERSCdAPENSATqNCOVEM0Ei5UNUwFUL�WOSH�LLBE T ��,�" ' J '____.. .. �.. ... _ � Sl18JECTANEMPLOVERTOCRM?UL7EN.LLTIESAM1CmLFINE5l1Y700NE11UNDREOiHOVS�tN ENERGYPERMIT DOlU�3(f70o.000).N ADO�7K1N TO THE COST Of CWOENSATIDN,DlJdA6E3 A4 PflOY1DED FOR IN J SFCf10N J7oe OF TME LABOH OJOE.M7EPE5T,M!D ATTORHFM9 FEEA RETENTtON FEE: Q d CONSTRUCT�ON LENDING AGENCY PRE•ALT FEE: � INEREBYAiFiRMUNDERiENKTYOFPERAIMTUTTHERE�3ACON5TRUCTIONLENOtN6AGENCY n- FOR THE PER W RMAVCE OF THE WOFK FOiI WNIp1 THiS PERMfT 14 t55tJED(SEQ�oc7.dV.C.�. � � tENDEFTS NiJAE � tENDER'4ADOi1E55 � icem�rrH�riw�vene�on�s.�vouwranumsurenurn�e,�eovEa+Fowa�raaiseoanEcr. TOTAL FEES � p_ IA�REETOCOMPlYN7THA�LUTYINDCWNTYORDMANCE4ANO5TAiEUW4RElATNOTpBULOfNp � CONSTNUCTIOH.ANDNEREBVAUI}IORREREFqESENT�TIVE50FTHiSCOUNTYTOENTERUDONTIIE ABpyE-MEN7IOMFD FiIOCENTY FOFi 1NSPECTION PURPOSES. COMMENTS � �l�l�r',L���726� m P EENM�E(7NtlT) �_[/ � (n ,.�! IV �3-f'9 •�r � � C) c /� � SK'iHATUREOFVEfWiTfEE O�TE � � RECPT.NO._ PAtD BY _ VAUDA710N WHITE—Departrnent Copy.YELLOW--Fnance Copyt,PINK—Asus�a Cop�,GOLOENHOD—File Copy,GREEN—AppicanYs Copy . . , _. . - .. .' . ' ' ' . '� .w. :!'. .+.'i.�. . 'd". . .... .�� .• . . .^�, . , • � . - r CITY OF DIAMOidD BAR fNSE�ECTION RECORD . -� � . iii��:i l�f�'C��f _. -.-e--,h � lT�'������ 0_ �t--- � �1�-�`{��'�Ga� �`f`i�� _-_ �..�.�_-��-_-,;-.--.����y��.�:�-o�_- f ,SET BACK ., � . ' � ' �', - , ' ' � FLOOR JOIST . , ' . . � r=t GS,'FORP4IS/STEEI � ' � FHA REQMTS �� � � � 'ELECTHIC GRCUN� UNDER FLOOR DUCT • 'GROUND PLUMBING UNDER FLOQR CUP,IDUIT '' � � ' '� � SLAB GRADE FIREPLACE FOUNDATION TFh1P POWER I FIREPLACE BOND BEAM - � � � WATER SERVICE MID HT.BDND BEAM �. • • P,OOF SHEATNIPdG � • • - � 8 F�'.BOND BEAM ; � � � - ' F�3i+h11WGNENTIL1ATlON - FINAL BOND BEAM ' ' � �� '"' HOOF COVER PRE-GRADING RGt1GH HEATING BENCHING �RCUGFi ELECTRIG ROUGH GRADING - � ROUGN PLUP�iBWG FINISH GRADING SHOVJERti UB TEST POOL ELECTRIC E?.'T.lATHISIDWG POOL FENCWG LVALL lfvSULATiDN POOL FINAL { � -' CE1L(NG iNSULATION OFF 51TE IMPS. DRYINALL PJr'-;IUNG DEDICATIONS St4^JER � FINAL ENG. SEPTIC TANK tANDSCAPE/iRRI�. S[EP P!TlL.L. ON SITE lh1PS. � . G�1S NIR l"EST ! FINAL ZONING ' . FI�dAL CCPJST. � g'�' , - FIRE DEPT FWAL riCdAL HEATING HEALTH DEPT.FINAL � - �lilAL-EI.Er,TRiC / � DEV. FEES PAiD i=;�:;,_;.PLU��18lNG I.3 - --�— e - ENEFiGY ----l1 T -�'— - ��''r"';.a�'�ul�', _ _.__ - �� - � _ - . ' � , � , . ' i CO�v1rv1E�NTS - - -- - . .. . - � - - • . , , > > , � , , _. ., . �_ � _. , .J . 1 ,. �SEPTIC TANK SIZE SEEP Pi"i'/U SIZE 1i_ - '!�_` -- � i. -- � .i - . - -- ,i , "��� • . ' �� . . - . � . . �� ,f ' _ ,. . � ^ , ' - , . t- " :� _ . . . .. � � '� rV, _ . _ ' ` - . .. ` . i ._ . _. „ - -_ . . . � i ', - � - - - , ..:.� — - i . j ,