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HomeMy WebLinkAbout14383 _ _ . _. .- . __._ ___�- CITY OF DIAMOND BAR v�-- j��� � � nEraRT�tEtv'r OF COMMUMTY&DEVELOPMENT SERVICES � r � �� 21660 E.Copley Drive Suite 190 ti,n�, (909)860-3195 Fau(909)861-3117 PRESS : BUILDING PERMIT APPLICATION G f,�-j�( L's FIRMLY o ADDR SS �3 ss Z�y�+✓visY�-�T= pA�ICATION "3 ��� l NUMB R��N� �1 �� � �� � APN LOT TRACT SZ-?��7 ISSUE TYPE OCC �v17��rs.r DATE CONST. GROUP p OWNER " ADDRESS ��� il�7L/ ZONING SEfBACKS � CfTY�RL/� Z�p��� ��,q��y7lk¢j . FRONT RW ❑ APPUCANT ' TEL. REAR p � SIDE/51DE STREEf RW ❑ CONTAACTOR �'.A-.rn�I SI�E ❑ � CIDnDrRESS ��'P �L PROPOSEDUSE Ol)T �.bC� ��('"L-P - � ARCH/ENG/ .r d�/� ��c �L DESIGNER��L,�,�itl�1'1Tl'�f—�SO:_ ADDRESS ' NO.OWEL NO. NO. N � NITS STORIES BEDROOMS y CITY�'�,�.��a/ IP� TEL. � v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ONMER-BUILDER DECLARATION SFR/ADD/REM O 8 I MEREBY AFi1RM UlAER VETUL7Y OF PENUIiY THA71 M1 E%EMPT iROAI THE CONTMCTORS l4 Garaga/Carport . C415EUWFORTHEWLIOWNOREASON(SEG7001.68USWESSANDYROFESSIONSOODEINVCfTYOR (n COIMiYNR11Q1REOUIFtESAPERMRTODOfJSTAUCT.ALTEFtMPROVE.OEMOLISH,ORREiNf1ANY5TRt1G W Patio/Deck TURE ORIOR TO ITS ISSUANCE,AL50 REOUIRES 7ME A7PlICANT FOH SUC11 VERIAIT TO fILE A Si�NED W 8TATEMENT 7HAT HE OH SNE IS LIC£NSED PURSUANT TO THE FROVISIONS OF iNE CONTMCTORS lL � CBISE UW(CMMTER 0(COMI/ENCRW WI?H SECTION 7000)OF OIVU'�ON�OF TIIE BUSINE55 AND Pq0- V' POOUSpO FES:qNSCOOE)OR?HATHEORSHEISIXEMPTMEREfROMANDiHE8A515FOR111EALLE0EDE7IEMV• C7 TqN.ANYVIOIATqNOF8EGT10N7031.68YANYMPl1CA11TFOqAPEfW1TSU8JECTSTHEAPPLICANTTO Z Re�Rool �„� !1 C1V0.PfNALTY OF NOT MORE TNAN FNE INNDNED DOlURS(i5ao).): � OIASON�NEROF7HEGROPERTII,ORWYEMvIOVEES1MiHWAGESISTHEIR50LECOYPENSATqN, � �merCial . - 1MLL 00 THE MNFNf,AND THE STiNCTURE IS NOT INTENDED Ofi OFFERED FOR SFLE(SEC.70N.BUSI• J � NESS/lO VRDiESS10NS CODE THE CONTRACTORS LICENSE UW OOES NOT APPLV TO FN OWNER OF ? , OROPEHTY W110 BULDS OR YPROVES THEREOH,/WD WNO OOES SUG/wl7RN W YSELF OR HERSEIF OR � ilGi0U0HHISORHEHOWNEYPWYEES,OROVIDEDTUTSUCIIMPROVEMEMSARENOTME/IDE00R m OfFEREO PDR 5KE K�N�VERTME BULDq7�ORIMPROVEIABR IS SOLD WITWN ONE YFMOFCpARE- �T10N.THE ONNER�UM1.DEH WILL INVE 7HE BUFqEN OF VROVINO THAT HE ON SHE DID NOT BUIID OR IMPROYE FOfi THE PURPOSE OF SAIE? W OI,A80WNEflOFTMEPROPEHiY,M1E%CLUSIVR�COMMGTINOWITi1LICFNSEDCONTRl1CTOflS � TO CONSiAUCf 7HL PtiQ1ECT�SEG 70N,BUSINE59 N�U VROFESSIONS WOE:7HE CON7iUCTORS U• V81UdU0f1 r ppJ.ppEq � CENSEUWDOE9NOTAPPIYTOANOYYNEROFAPROP[RTYWFqBUttD50HMPR011ESTHERE0N,M1D YYFqCDNTMCTSFORSULHVRQIECTSM77HACONTMGTOH(5)IICENSEDPURSUNlTTOTHECONTMG ounrmnr DESCRIPTION F�E � TOfL5L1COJSEUW.). O I MI E%FYPT UNDER SEG B.i P.0 FOR TW 5 REASdJ Q 3 c� _ . , u. ¢ DATE OYMER V � UCENSED COrlTRACTORS OECLARATION � � w IHERE9Y1lFFUUIUNDEROENALTVOFDERIIIRY7HATIMIIICENSEDl1NDERPROVI5ION50FCHACTEN � // _/ "7 � _ ` O.� � �(OdAMENCHO NrtTN SECTION 7000)OF DM510N J OFTHE BUSINESS AN0 7ROFESSIONS CODE,AND Z L N W LICENSE IS IN FU.L FORCE M!D fFECT. �'] � � LICENSECUSS LIC.NO. S/n / S�� � VDATE CONTMCTOR�f�,�i���� d . W r S � WORKERS'COMPENSAT�ON D[CLARATION Q � ,1�NER�jEBV AFFIRM UNDER PENAL7Y OF iERJURY ONE OFh7E FOLLAWMCi CECLAMTIONS: Z � �INAVEMIDKILL�.U7NTAMACERTIFlG1TEOfCONSENTTOSEIf�NSUREFORWORNERS' 2 WYOEN�ATI0N,A5CROYI�EDBYSECT10N77ooOFTHELABOiiCODE,FOR7HEPERFOMIANCE �U OF 7ME WORK fOR NM1IIGI TMS PE W.�IT IS ISSUEO. � � �I NAVE MO WILLMMfTAP/M/OFiKERS'COAI7ENSATION WSURI�NCE,Il5 REOUIREO BY SECTION � �7000FTNE U80R OO�E.FOR TNE PERFORNANCE OF iHE WOWC FOR WNiCH THIS PERMIT IS SsuEo.rar -r�scaeo�s�ncNws CMRIEAANDPOLIC`/NUMeEN E: CONSTRUCTION � CARRIER.��G r Ol� � l PLAN REVIEW �" ' � POIICYNUABER ELECTRIC r-'� �T T1�� � � �nassEciv�rkmwrsem,+�rmaFnEv[a.�rswr�on��a.rnaEooaiu�s�siw�aj�ssb PLUMBING �� O �� Z ICERTIFYiNATNiNEPERFORIAANCEOFTHEW00.NFORWHICH7HISVERAlIT15L5SUED,I MECHANICAL C�} 51uL1NOTEMPLOVIWYPFR50NNM1YMANNER50ASTOBECOMESVBJECTTOTNE vj MORKERSCOMVENSATqNUW50FGLLiFIXWitiM1DACREETNATIF161qUlO8ECOME INSPECTIONF � S SIRJECTTOT:EYA�+KER3'COMPENSATqNGRON5qN50FSECTI�NJ7000FTNEUBOR ( !�' ' LO,� coo�.isHULFOAn�w�nwanv�rvnn� vHowsnr+s. ISSUANCE Bt� � � � /� ----_—__.__ I .� p oah���n/ APRtGNT: v//T t/�S SMIP _ � WARNINO:FAILURETOSEWREYIOFKERSCOMPENSATKKICOVERAGEISVNUWFVL.MDSMALLBE ENERGYPlC � SUBJELTANEA�PLOYERTOCRiMWALiENK71E3MACMLFNESUPTOONEHt4lDREDiF10USAND ENERGYPERMIT OOlUfiS(i1 W,000),N/iD01710N TO 1HE COST OF C0IIPENSATK7N,DM4lCE5 AS PROVIOE�FOfl M � SECTION]70�OFTNEUBORCODE.NTEREST,IWDAT70RNEYSFEES. � RETENTIONFEE: J —� a CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O � 1 HEiiEBVAFFlRM UNDER PEN�LTYOF PERM1IRY THATTHENE IS A CONSTRUCTION LENDWO A6ENCY / FOR TME VENFORMANCE OF TME WOHN FOR riHICN T///HIS.^iERMIT IS ISSUE4(SEC.7oY'!,CN.C.). . � � LENOER'S NM�E /%J N� V �/�4/ � �—' , C LENOER'SADDHESS � ' � ICERTIFYhUT111AVEREADTIISMPLKl1TIONANOSTATETHATTIGABOVEINFORMATIONISCORflECT. TOTAL FEES � �� � Il10REETOCOMVLVWRMALLCT'ANOWUlTYOMIN/NCESNIOST�TEUWSREUTtKiTOBU0.DIN0 CONSTRUCTqN,AND MEREBYAUTIORIZE REFRESENTATIVES DF TFtlS COUNiY TO ENTER UPONTHE � ABOVE�MENTIDNED7ROPERTYFORWSFECf P�VOSES. COMMENTS = A A �--/ � v1G� � � PFRMfTTEENMIE�PFI ���� ' N � � � y a�c c F PElUbTiEE O�TE RECPT.NO. PAID BY VALIDATION 1 = �'� � WHITE—Oepartment Copy,YELLOW—Finanea Copy,PINK—Assessor Capy,GOLDENRO�File Copy,GREEN—ApplicanYs Copy ',f ... . ,..; , . . .. . . � ,. . . . � , ,�� . � - , � � . , , , . , ��1�.� � � .. ',; .. ' � � CITY OF DfAMOND BAR . , , _ � ,. -- � - �, ; --; ; �.�::���:: .: : it�lSP�CTIOtV.R�COFD , � ' . . J , ,, .�-�.-�-�-�- . .� _ . __._.�, ��,�� ,7 �,y �y, ,. ._ p -y �,y . _. .� �.�,.,.�,F^'..'t1�%�.:.r}C ;. �����r�IEI� �� ' �('S" 0 ' (�.�"�"i���`��je�����'�r... ���J�..rCi1r'L1� _ - ..,_,........,.....�-.,_....,.....��.� ,� _ n , .� ._-�. . _..:.:-n,. .. . ..- .� . �...,,. .., . SET BACK� , _ _ �. '�� � ' .. ,� -, FLOOR JOIST , . .. c , . _�._ ..� . . .__,;- , . � _.. , , iFTGSlFORMSJSTEEL ' � ,-.� • �-. FHA REQMTS ` ` . _._ _ _ �ELECTRICGROUND ____ ._ � _ __ _ UNDER FLOOR•DUCT '- '� • iGROUND PLUMBING - UNDER FLOOR CdP�IDUIT . ' ' ' ' � � , _.— �SLABGRADE- - - - FIREPLACFFOUNDATION •. � � �TEMP POWER _ _��,, - ; I FIREPLaCE BOND BEAM - - ` , .� :WATER SERVICE -- - - - - - MID HT.BOND BEAM ` ; � , . - !ROOF SHEATHIiaG ` • � •' ` � 8 FT. BOND BEAM ' � ' ' , �FRAMINGNENTILIATION I - FINAL'BOND BEAM . . , � ; .. . .. ,_ . 'ROOF COVF_R ' PRE-GRA171NG' • ' ' • ROUGH NEATlNG __._ _.. _ BENCHING�; . , . ,. :.. : � ;ROUGH ELECTAIC _i: '- ' . ` ROUGH GRADING - -- - ' 'ROUGH PLUMBING --- -- . - -- - - - FINISH GRADING � : ;SHOWER(fU8 TEST- - - POOL ELECTRIC EKi'.LF,TH/SIDING - . -. - - - - POOL FENCING � ; , ;WALLiNStJlATiON__ . . -- ; __ _ __---- PQOL FINAL ° . iCE1LICdG1NSULF�TiON - OFF SITE IMPS. ; . , �DRY4VAL.L NAILiNG �" " " DEDICATIONS : SEWER -- __ __ _ _ FINAL'ENG: . 'SFPTIC TANK LANDSCAPE/IRRIG. 'SEEP_°ITIL.L . - 1'+,•� ON SITE IMPS. ;GAS AIR TEST I FINAL ZO�JI��G FlNA�GONSi. � - �- .. (�_(y) __ FIRE DEPT. FINt',L :F1PJilL HEF�TING --_ __ _ __ _ HEALTH DEPT. FINAL ';i�vC.L[LECTRIC - DEV. FEES PA!D - - �'=1;�J?�.t_PLU�1B1�!G - - - ENERGY . i �1—_ _ _ _ . _. _ , _. _ . ' ( � - _ - - -- _ . . _ � . _ ... . . . . . _ .. ... r��a,�+s.4 ^ _ _� V_:_ . ., . — . . -._ .. --- --... -- -- - . . . _a.i�a.��'+.n�_ . ����' � 'COr��MENiS - -- - __ . _ . , `�� , ; _ __ _ _ ; ,', I,:s _ . , �,.� , � . , . . --- - __.�.._, , , .. � - -- - . � . .. i -- , �� , . ... . : ,_ �� , , - • - - , � , � , , . . . ,_-- � � - - � , i ;�,,� ; � :`�I£',I , _ . . _ - _`_� , �. . , , 'SEPTIC TANK SIZE - - - _ � , �SEEP PIT/U SIZE _ . _ - ' �•;:��.� ---�-�� , __ , _ _ . — � _ _ _ _ � _ �_ ; _.� _ ._ . � _ _ . , �' . _�� .. - � . . � .. - _ R C_ . _ : .r. ., . " ' , ' , . ... .... .__ __ ..... ��+��j� .i��k �- �7 �• � � . . . , . � .. .. .. �7. . _ . _. _� 1 ; . . I _ '_ � '� i - - , , . . , ... , . _., I . i � . . — , . , . . . _ , , _ __ . _._ . . .. . � _ � , , � � i 4 .� ,A,......., _� __.. _. .. �.`+ ' � �'`�.i�•-- � ._ . , . _, . . _« . . I/