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HomeMy WebLinkAbout14125 (17) � - - - - � , _�� CITY OF DIAMOND BAR ' _ � � DEPARTMENT OF COMM[JNITY&DEVELOPMENT SERVICES � 21660 E.Copley Lhivc Suiu 190 • (909)860-3195 Faa(909)861-3117 PRES$ ���'� BUILDING PERMIT APPLICATION FIRMLY o DDRESS ���'� s �'���iF �Q/ DATE CATION '�D NUMB R � I " k �� $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP g OWNER LL ADDflESS ZONING SETBACKS "' CITY ZIP TEL. FRONT RW ❑ APPLICANT TEL. REAR ❑ SIDFJSIDE STFiEET RW ❑ CONTRACTOR 4 /� �C � / SIDE t ❑ � AODRESS '�/ � f . ��5n./TiUF.0 � CITY ��6� ZIP��TEL�_ PROPOSED USE � ARCFYENG/ DESIGNER �T �u � �� �,� N0.DWEL NO. NO. ADDRES `� � UNITS STORIES BEDROOMS � CITY�� � • ZIP���lE v� DESCRIPTION SO.FT. FACTOR PSF ADJ.AFiEANALUATION -: � OWNER•BUILDER DECLARATION SFR/ADDlREM - O },�,� I HEREBY AFFlpA UNDER VENALTY OF VfiWFv THAT I AM EXEMPT FROM TME CONTMCTORS lF � Garaqe/Carport � CENSEUWi011hIEFOLLOWWOPEA50N�SEC.70]7.68USWESSANDVFOFE5510NSCODE:AN'/CITVOR Q7UMYNHICHREOUMESAVERMRTOCON5THUCf,ILLTER,MPROVE,DE►qUSM,ORREVAIRANYSTRUG W pat(olDeck TURE,YRqH TO RS 156UANCE►LW REOUIR[5 THE MR�CAN7 FOti SUQf PEWAR 70 F0.E A SipNED W 6TATEMEHT fHAT HE OR SHE IS LICENSED PUiLSUANT TO TME VROVISIONS OF TNE CONTMCTOR3 L4 � CEMSE lAW(CNAV7ER Y(COMNENCWO WIiH SECTION 7000)OF ONISION 7 OF THE BUSINESS ANO DRO� � POOVSpB FE6510NSCOOE)ORTHATHEORSHEISE]fEMPTTHEREFRdAAND711E&lS15FORi11EALlEOEDE%EA1P• (� TION.ANYVIOLATIONOFSECilON7Wl.68YANYADCLIC/�MfORAPEPYITSUBJECT5h1EAFPLICANTTO Z RaRaol � A CML PENALTV OF NOT L10HE 7H/Jd FNE HUHDHED DOLURS Iisao�.r � OL�.+^�1MNEROFTNEPROPERTY.ORMYEMFLOYEESYAT/WAGEStiS7HEIRSOLECOMPENSATION, 0 CpmmBfCl2I � N7LL DO 7HE NbRK AND TF1E STRUCTURE IS HOT�MENDED OR OFFERED FOR SAIE(SEG.7W�,&15h J � NESS AND PROFES"NNS CDDE TNE CONTMCTORS LICENSE UW OOES NOT APVLY TO At!OWNER OF = Vf1DPERiY W1q BURDS OR MPHOYES THEREON.MA WHO DOES SUp/NORK W 1ASEI,F OR XERSEIF OR Q 7HROUOMNISqiHER01N1EMPlOYEES,GROVDED7HATSUCMM�ROVEMENTSAHENOTIHTENDWOiI m � OFfEREDFORSKE1F.HdNEVF0.MEBULDINUORMAVROVEUEHTLSSOIDWfTMNONEYFAROFCOMPIE- Z 'TION.7HE OWNER6URDER W�1 HI1VE THE BUROEN OF iROVINO 7HAT ME OH SHE�ID NOT BU�lO OR = 47ROVE FOit TME OURVOSE Of SALE} .--.�� W OI,ASO�MIEROFiHEDROPERTI;AME%CUl+NE1.YCWfTMCTIN4NTTNLICENSEDCONTMCTOR3 - � TO CONSTRUCT THE PROJECT(SEC.7oa/,BUstNESS FNO PROFESSIONS COOE:THE CONTMC70R5 LF �VelUelion A .AREA�� � CEN6EUWDOESNOTMPLYTOANOwNEROFAPROPERTYVrt10BU1lDSORMPpOV[STIEREON.AND _ 1M70 COMRACTS fOR SUCH iHO.JECT3 WITHA COMMCTOFt(5)LICENSED WRSUANTTO THE CONTMf. � Tonsucorseuw.�. f � � FEE �1 AAI E%EYPT UNDER SE4 B.t P.C.FOR THIS REASON U Il.. � WTE OYmER V . � IICENSED CONTRACTORS DECLARATION W � IMEREBYAFFIRMUNOERPENALiYOFPER1URYi11ATIAMUCEN5E0UNDERVROV�510NSOFp1MTER Vr S �(WI�MIENCNOYrtTHBECTqN7000�OFOM510N70F7ME8U51NE55ANDVROFE55lON5� Z � W IICEHSE IS N NLL FORCE IWO EFFECT. � LICENSE CU155 C I� LIC.NO. / D��� j - � a�� • /b • �j.� cor�rnwcroR �.c'.a /�� i' a . w q � WORKERS'COMPENSATION DECLAFiAT10N •�Z��'/i ¢ N1 HER�V AFi11W IMDER VENALTYOF VERIURY ONE OFTNE iOLL01N�NG DECLAMTIONS: Z � �INAVEMlDW!LL1MKf1A1NACERTIfICATEOFCONSEMTOSEIF-WSUREfOH1WRKERS' _ . { CouvfN3A77oN,A5PROViDEOe�SECTON77ooOFTNEUeORCODE,fOitTMEFERWRMANCE U OF WORI(FOR VMIC11 TNIS PEM/IT IS tSSUED. � IIUVEANOWRL4I.77TAINWORKERS'COMPEN;AT[)NiNSURUJCE,ASREWIHEOBYSECTION � ��,1� !) Q 77000K TiE LA00R COOE,FOR THE GERFORMANCEOF THE WORK iOH WHlqf THIS PERMIT IS � � LSSUED.M�VM�'og/K FRS COMPENSATION�NSURANC�LARR/IEg�M�ID POLICY BER ME: CONSTRUCTIO - � �"�J � CAMIEA"��ry•���L'•/�%V �C/•S' � � PLANREVIEW � - � � � ra��crHuuaen C-tJ - � � �I� —� ���� ELECTRIC a � (n�sccrn�r�rm�aa.aetIDocnEv�rarrswaa+eHu�a+moou�s�s�oqoa,ccc; PLUMBING z ICERTIFY T1AT N THE PERFORMANCE Of THE MOR1C FOR WMdI THIS PERMIT IS�SSUED.I MECHANICAL ('} SMFLLNOiEMPLOY/�NYVER50NMANYWNNER50AS708EGOMESUBJECT70TME � WORKER5COMPENSATqNUWSDFCAUFOfiNIA,ANDACREETHATIF151KK1LOBEC0IAE INSFECTIONFEE S SUB.IECTTOTHEWOHKERS'COMPENSATqNPRONSIONSOFSECTpNJ7000FTNELABOR, � C OE,I`Sj�ALL.F n�coi.�a�rwin�+ �SEPROVISIO�NS-.� ' ` ISSUANCE pDA ' v� APPLICANff�^�t `�- ���,`' SMIP D . � ENERGY P/C fl C 1 WARNINO:FNLURETOSEWRE WORICERS'LOMOENSATIONLOVERACtEISUNUWFUL,11NO5W4LBE (—y SUBJECT/NEMPLDYERTOCRIMW�LPENALTIESM10CMlFWESUPTOONEHUN�REDTHOU5AN0 ENERGYPERMIT DOlURS(S1oo.ao0),N I10DITION T07HE COST OF COMPENSATION.DAMAGES AS GRONDED FOR IN J SECTION]70tDFTNELABORCOOE,INTEREST,ANDATT01iNEYSFEES. RETENTIONFEE: 1 pw.. CONSTRUCTIONLENDINGAGENCY PRE-A FE�(� �''�����������1�• �' � IHEREBYAFGIHMUNDERVENILTYOFVEiWi1YTHATTI1ERElSACONSTAUCTIONLENDW0A0ENCV ( FOHTHE PERWHI.IINCE OFTHE WOPK FOR WHICHTHIS PERA/1T IS ISSVED(SEC.70u7,pV.G). � IENDER'SNAME � C lEN0ER5/�WRE55 �7q L—� w ICERTIFYTHATIMAVEREAOTHI3APPLICATqfIANOSTATETUTTNEABOVENFOH1AATqNISCORRECT. TOTAL FEES C U� J � IAGREETOCOAIPlYWI7HALLdTYANOCOUNTYOHOWANCESANDSTATFUWSNELATINaTOBUIlDIN4 CONSTRUCTION.AN�MEREBv AUT110R1ZE REPHESENTATIVES OF THIS COIMTY TO EHTER UPON TNE � ABOYE�MEMIONEDVi100ERTVFORINSPECTIONPURPO5E5. COMMENTS � �'v S'-v��� � � o _ m PERMfTTEENAME�PWHn ,/��� !� rn _,r 7�c-� � /�� I f��� � /` � ' HINATUPEOFPERM�TTEE OATE �� � RECPT.NO. PAID BY VALIDATION WHITE—Depanment Gopy.YELLOW—Fnance Copy,PINK—AssessaCopy,GOLDENROD—File Copy,GREEN—Applicant's Copy � , - .. , . .. . . , - . , . .. . � . _ . �.. � �,'' CITY OF DI/-�MOR1D,BAR , . , . . . � ; .::� ,. .�. . IN�PECTIOfv1.REC(��D �: : .. _. ��'��!����.r�,��t`I��� !��i",� �1���-���c��..��'-_,,;�!��t��-�•� ,�,��sl�li�t*'.._., _��c���:; �I�E..`i.Faac ��'���� � SET BACK • � , �' , � . FLOOR JOIST•� .�,�..,, p�� ...,.. . A �. �� ___ FTGS/FORMS/STEEL _-- - -- FNA REQMTS. '. . _ � _ _ , ' , ;ELECTRIC GROUND ._ . ' _ _- UNDER FLOOR QUCT ' `-� � GROUND PLUf�1B1NG UNDER FLOOR CUi�iD'JIT - - .--_ _. _. �SLAB GRADE - '' - - - FIREPLACE FOUNDATION � : " �.TEMP POWER - FIREPLACE BON7 SEAh,A ' - ;WATER SERVICE - - - MID HT.BOND BEAM ' - � `�� � � ' � ; �ROOF SHEATHI�tG `� ', � :� �'•� .�}•. - 8�'. BOND BEAP;A .. •. '. - • . ' , iFRAh.11�d3.NENTtLiA'iION �' FINALBONQ BEAM • ' ' -- �J -�' '� t 'ROOF COVF_R � PRE-GRADING�•�' •� - ' `,``� � � � ' '•ROUGH HEATiNG - ,` _ BENGHING �, �, , ,, ,.r . � , - . , _ , 'ROUGf-t ELECTRIC -' -- _,: ,,- _: ': - . � ROUGH GRADMG' � - - - - . . � !ROliGli P1.UMBING- ---- — ' ` � FINISH GRADING ; . --" �SHOLV�R,TUB TEST -- ' -- POOL ELECTRIC . . �� , , __ , ' :EXT:Lf,TH!SIDING__._� .. _ _ _. _; - - POOL'FENCING � � , , __ ` ,I�VALt1NStJU1TION - ;-- - ._ __. . ._ .. POOLFINAL ., i , CE(LING Ii�:SULATfON - - - • - �FF SITE IMPS. � • { - �/ ; ,DAY4`J.ALL-NAILING _ _ - ; DEDICATIONS i ;.� �SE1�^i�R _ . " :\_ . ._. �� � �INAUENG. ' ;S�Pi1CTANK +�� ` \ ,'`,,•'\` �LANDSCAPE/IRRIG. , ' � ' �'SE�P °Ii1L.L. __ • �� ON SITE IMPS. • • � � �'G:-S F,I,TEST ' . � �,._ _ .�,� � -- . .FINAL ZONING ; '',Fff�'��._{���NST._. _ -- _ � � FIRE DEPT. FINAL : r F1 ':._}-IEATING . _ . -- --. - , HEALTH DEPT. FINAL - ; .._.__ - �:- ,� :__ELECTRIC - - DEV. FEES PAID - - � ` _ . , ; ; - .'."�._PLUMBING - � ENERGY � . -- -- _- _ � _. -�,.,...'.>,� x,.t-..-�----- .....�.a� , � - - - � -- - - ,�� ....9� Y71 riult ' I _ �� _J , • - ... .. ,�._ ; !._.._'- _ _. _ _ _u_ s;� ,\ .. . . _ — � � " . . • .>�--- -'_._.'- - - - �- • - ---_ �.___�.---^----- --- --------- -- '--....._._.��..� __--'----•----,_.,—�--� - � . "� : , ;��G�:���MENTS - _ . � . i = � _ - _ _ _ ,, - - -- - ; � . � , ,_, . , ��� � ; .. . . . � - _ - - , �_ . . . . . - i . ; i � _ , � i . ( '� • � ;i�1� . ; �;' ; � _ � - � , . . � . � i ;�I; ;SEPTIC TANK SIZ�';�it�'+,;r ,r,;,�:Ic?'�'I'�::� , � , SEEP PIT/U SIZE ` � . , ; _ _ - - ,�J� ,U '+_Ut� i, . � _.�....-., _ ___. _ i _��y t.---_ --- . ', ' S � ,. . - _ �. : - . I. '���� ^ _: � . _ - - � ;; �:{I _ _ . . _ . , � ; . , ; . _... , _^4 � , � . ' : • � � ♦ .. . . . . . � � . . ' ( � � . . . . . ' _ . .. . ... � ..... .. . . .. � . . _ .a���✓....._.�..�.�....�u�...�i���w��..ru.�_.� .. . _ ._.. , .. � .�