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HomeMy WebLinkAbout15583 � ��� CITY OF DIAMOND BAR -"�� DEPARTMENT OF COMMiJNITY di DEVELOPMENT SERVICES • � 21660 E.Copley Drive Suite 190 ' (909)860-3195 Fax(909)861-3117 PRESS � ��`M^�. . BUII.DIlVG PERMTT APPLICATION. FlRMLY N JOBSITE / APPLICATION � PERMtT I�C,'� PIC o ADDRESS_�C7S � ��?/ �i.`7'� l�::r+�»i�h DATE � NUMBER FJ•��� N e� ISSUE � TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER _ ��l.�f_�/r/� �• I�T!'LJ��}r���— ADDRESS ZONING SETBACKS � CITY ZIP TELG � � FRONT RW ❑ REAR ❑ � APPUCANT�d[}�� - TEL _ �- SIDFJSIDE STREET RW ❑ CONTRACTOR • ' SIDE O � ADDRESS 6'{',r�l �='�S� ry� v , f •• pROPOSED USE " ' CITY /nii'��f n ZIP n�TEL�-iO�1 1Z-f'f'�' r�-" . � ARCHlENG/ � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES ' BEDROOMS � CITI ZIP TEL y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BUILDER DECLARATION SFR/ADD/REM O p 1 HERE9Y IIFF�FM WDER PEN/�LiY OF Of0.A14Y M4T 1 MI EXFUOT FF04 THE C[W1A�CTOWS L4 (�i8f89�8ryOf1 [lJ CENSEUWFORTHEfOLLOW7N3REA90N(SER7WI.SBUSNE39ANDVi70FE551dlSCOOEANYCRYOR (f� CJ COUNTtYN71O1REW1iiE5APEFYRiOCONSTRUCT,ALTEFZb1PFpVE,DELqU31,ORREPAIflM1Y5iflUG w �L IURE PRqR TO R��SSUANCE ILSO itC-0UWES iHE ADRIGWT iOR SUCH VERutT TO fRE A StGNEO W PatiOlDeCk STATEMENT TTUi HE OR SME IS UCENSED PVRSU/WT TO THE PFIOWISIONS OF THE CONTRAC70R9 L4 � Cf1SE UW�CNAPTER i(C0IAMENG3Ki W17N SECTIQV 7000)OF DMSION 7 OF THE BUSME55 M1D pRO� �-' P��Pa FESflqN$CODE�Oq THATHE OR SHE 19 EXEMFT THEREFROIJ AND THE 811St3 iOR THE ILLIE�ED EXEMP• na�.�wrwawnwoFSEcnor��mi.seru+r�rn�vrrron�rerwrtsua�crsn+e�rr��xrro Z Re-Roof F e avw v�+a,r oF r,oT r�ofle,w„me M,r+onEn oowws�ua�.r. O ❑4��EROF7HEiROPEiiTY,ORWEMPLOYEE3WITHWAGESASTHEIRSOLECOA/7EN5A710N, � (`,Ort1TeM101 � Z W41 DO THE WOq(AND THE STRUCTURE IS WT IMENDED OR OFFFFED FOH SAIE(SEG 7oW,8U54 J NESJ MD PROFES"IM19 LOOE TfE WNfMCTORS ULENSE UW DOES NOT APVIY TO AN OWNER Of � � PipPEPTYMIY/OBUIDSORIYiROVE9T/1EREON./UAMIHODOE95UCIIWORKMIASElFORHERSELFOR (t TWOlKY/MSORI�NOMMELPLOYEES,OROVIDEDT7WTSUQI�AOROVEMENfSARENOTMENDE00A m LlOFFEi1ED FORSALE IF,HOWEVERiNE BUlD01�OR MPIqVEMEHf�S SOID W�7NM ONEYFAA DF WMPIE Z TqN.TME OWNER�BURDER W�LL HRVE TNE BURDEN OF VROVINO TUT HE OR SHE D�D NOT BUM1D Oq , � MPROVE Fdi iHE PURPOSE OF S/LE} ' O l AS ONMEROF THE PFqPERTY,AM IXtLU3NELYCONTMCTNO WT/UCENSED CONTMCTOH3 ro wr+srracr n+e vnaccr�sec rou,ausn+ess n�w rra�ssa�+s 000E n+e axrnucrajs u� Valuation ✓/ ADJ.AREA CENbE UW OOE9 NOT MPLYTO AN OMTIER OF A VROVERTYN110 BUlO4 DR 4VIqYE3 TIEREON,M1D � WIqCOHTMCTSFd19Up1iMlECTSWI7HAOOHTMCTOR(�UCENSmPUASUAHfTOT1ECONTMG pU DESCRIPTION FEE � TOfR UCENSE UW I. A IAM IXEMPT IRAEi13E0. B.l P.0.FOR THIS REASON � � f�. �` V + � � _ D1lTE Ov'MER V � � W IJCENSED CONTRACTORS DECLARATION � IHEREBYfFFIiYUOEAVENILLTYOFFEFUUHYlMAT11WlICENSEDUNDERVROVI510N50FCHMTER _ s �(OO�WE�NCN�WITHSECTqN7000)OFDMSIDN70FMEBUSINE34ANDVROFESSIONSCOD�AND Z LLJ W UCEMSE IS N FVLL FORCE MrD EFFECf. m � ucaJSE«�ss r'—�1,�_uc.rro. y �� " J U oxrEQ�'��—S1t3_corrra�croa N � a dWORKERS COMPENSATION DECU�ATON Q � 1 HERE81'AFFlRM UNDER PENKTY OF PE0.AIRY ONE OF hiE iOLLOWwO DECUMTIONS V y Q � _I HAYE I/A WR1 MAINT.VN A CERTIIICATE OF CONSENT TO SElF�N9UN£iOR WORKERS $ OOLWEH9ATqN.l5PF10VDm875ECT10N77000FTHEU80RCODEFORTHEPERFpRMANCE W OFTHE WORK FORYNiICN TMS PEIWIT IS ISSVED. � � Q _I NAVE MD WILL I,UMAN YIORKERS'Od1GENSAT10N INSURANCF.A9 REOU�RED BY SECTION ry� ^ n' ]7ao OF iHE U1BOR CODE FOA 7NE iERFORM1tNCE OF TME YVORK FOR wH1CH THIS PERMR IS �� P'C! � tSSUED.tlYNdixERSCOtIPENSATKININSURANCEGRRiER1VlOPOLICYMIMBEAME CONSTRUCTION � �Ep PLAN REVIEW � aaicrr+uw��r+ ELECTFiIC � �gsc�norir�aotgE�rmpcnepw.ir5waar�rtrv�noou�smao�ora� PIUMBING --�y!��� Z �JICERf6l'T1ATNIMEVERFOiM11NCEOFTT+EMqPoCiORwM�p1TM40ENMRIS�SSVED,I MECNANICAL �t���' X 511ALL NOT FJAOLOY ANN VERSON N ANY 1AANNER SO A4 T(1 BECOME SUBJECT TO ME N ��hewcEnrcoravexsAna+UwsoFulnoarn�+o+o�cncEt�uT��sNouneeoaeE - INSPECTIONFEE - S SUBJECTTOTHEMIORKERS'WidCEN`•.ATIONPROVIS�ONSOFSECTION3lo00FTME 000E i sww.�oanMnn�couv�r wm�nose vrarnnsroNs/. � �R ISSUANCE � � -�� pDAi£l���'„i�DAPPIICANL•�g�y� J 7,tf'�� SMIP ` � �� • �. ENERGYP/C �T�]'V ()T' 1J1t"" c A WARNINQFAlURETOSEQ�EwORKER5COMVENSATqNCOVERAGEISUNUwFUL,MASMALLBE z� �`� � SUBJECT/WEr.��LOYERTOCRO.�PULDENALT1E9M1DCMLFHE4UPTOONEMUNDREDTqU51WD ENERGYPERMIT r T11NJ t�'��'�• } OOL1ARSptoo.000�N/�D01710NTOTNECOSTOFWMPENSATION.OMU0E5/�SPROVIDEOFOHMI ��j ...i sEcraN»oeoFn+ev�or+coo�.�aesTa+v�rrorw�^sr�Es. RETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBY/�FFIRMUNDERPENALiYOF7E0.1URYTiUTTHEREI3ACONSTRUCt�ONLENDwOAOENCV Z FON THE PER WPoAANCE OF THE N'ORK fOR WHiR1 THIS VERMIT IS ISSUED(SEG�ov7,pV.CJ. W � IENDEN'S NAME � C IENpE1r5AppRE55 � iAoqEETO�pyR yi�TN/J1CR`f/WDOOUNTYORDINANCESAND3T�UW9R��m roe�"'uwEn`r+o TOTAL FEES ' ) CONSTRUCTqN,ANO HEREBY�UTHORIZE REPRESENTATIYES Oi TH6 COVNTY 70 ENTEH UPON TME . �. A00VE#1EMIONEDPROPERTY(OR�NSVECTIONDURPOSES. CO�MENTS � 9 C�?�-�cr I .,•,�ri�r�z � Q rEr�m�wu+E maHn� - ' --� _� � . � �o ,� �--,::_�f J� � O I (n tUNREOFPERMIiTEE OA7E � RECPT.NO. PAID BY VALIDATION , WHlTE-0epaR'nent Copy.YELLOW—Finnnee Cepy,PINK—AssessM Copy,GOIDENROD—File Copy;GREEN—ApplicanYs Cop�r I CITY OF DIAMOND BAR . - . -. � � INSPECTION.RECORD � � - .- . � . . . , .� r---.;..----.— � rt�� --- --�� 1 '1:�1?�-.t: y AI ��:�yr'-•- i �1!'�����1� 1�'{����� io �[��---'�.v.�'��-e;�E.p '� SET BACK .... �I ' � � � . r ; � I ' FLOOR JOIST � .- . ;-- FTGS/FORMS/STEEL ' ; , _' ! , FHA REQMTS _ �' ' " �" � � - - � ELECTRIC GROUND - - ' • UNDER FLOOR DUCT- • - � ' � GRDUND PLUMBING UNDER FLOOR CdMDUiT �' " ` ' - '-^ ' ' � " ' -� SLAB GRADE - FIREPLACE FOUN�ATION ! ` ;TEMP POWER FIREPLACE BONQ BEAM - I.� �� ��_ • ' � ' � �WATER SERVICE MID�HT. BOND BEAM ' � '.ROOF SHEATHING CJ- - �� 8 FT.BOND BEAM ` • •= • � - � _ -' �FRAMINGNENTttIATION FINAC BOND BEAM ' ROOF COVER a S d6 PRE-GRADING -- ��� �ROUGN HEATING' BENCHING � ROUGH ELEGTRIC ' ROUGH GRADING -� - ROUGH PLUMBING-- FINISH GRADING SHOWER�fUB TEST - - - POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION � POOL FINAL CEILING INSULATION � OFF SITE IMPS. DRYWALL NAILING DEDICATIONS - ;SEWER � FINAL ENG. � ' SEPTIC TANK - LANDSCAPElIRRIG. SEEP PIT/L.L. -- -:1 :'�.-:.'.'.'_�, ON SITE IMPS. "` GAS AIR•TEST � FINAL ZONING FINAL CONST.___ 6,r� � . • ' �' `FIRE DEPT. FINAL ,, FlhAL HEATING' �� . . • -�. -��- HEALTH DEPT. FINAL ' FINA�ELECTRIC �. � , � DEV. FEES PAID -- - i=fhJAL PLUM8ING • - � -- - � - �ENERGY � � . �E�..-�,�_ — --- -i -- - - - - �:,;.:�..rf���- ��c+,'c-� � - � • -.__ -.:: � _ '_ -_ � ...� ___ .. ._. - - , .. _ _ � �COMMENTS � - — � `., t , �' ; I - - ` " _ �, -- . . . . _ . _ - ___ . _ . SEPTIC TANK SIZE - 'SEEP P�T/U SiZE �� '�,..����..__-- ------� — ' . � �� a � '_— �:', ;��: .:..j ���� � �t. . . .��� . - ; �' � , -� � , !�� ,-���'�� � _ �T� - - - - i � - - - � � , �� .� �. . � _, � • �r`�� ' , . . 1 . � �. ` . �l. , \ .. J�;11 . ; � 1 .. _ . , . . , . .. .. , . . . __ ' . ' _ . ._ . _ . . -' I