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HomeMy WebLinkAbout16099 n � J� CITY OF DIAMOND BAR �� i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 2i�o E.c���y n�►�o s�c�i90 PRESS (909)860-3195 Fax(909)861-3117 ���� BUII.DING PERMIT APPLICATION �.�5�CS �cti FIRMLY � JOBSITE APPUCATION �y � PERMR �—Q P1C o ADORESS � � � DATE �- f-� NUMBER I A � APN LOT D n TRACT `� ISSUE TYPE OCC DATE CONST. GROUP �'j OWNER r' �` ADDRESS ' �'I v K�/�.I�1 ZONING SETBACKS w CITY ZIP�7�fLTEL. RE�AR RW �O � APPUCANT TEL.l�� SIDFJSIDE STREET RW ❑ � CONTRACTOR S .t� SIDE O ADDFiESS � �v� PROPOSED USE C..P� g CITY ,�r►/i � ZIP�ZblZTEL - C � ARCH/ENG! /� ` DESIGNER ar� (9�ds ���-� NO.DVlEL NO. NO. � CITY�K� �' � ZIP`l27 cSe"re�.4�LY�' UNITS STORIES BEDROOMS N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AAEANALUATION � OWN[R•BUILDER DECLAFIATION SFR/ADD/REM O p I NEPEBY AFFIRM UNDEA VENALTY OF VERIURV THAT I MI E%EMPi FROM T71E CONiMC70R514 Garape/Carport . . . ik CEHSEUWFORTHEfd.LOwWOREAuON(SEC.70.11.6BUSwESSN1DPROFES510N4C00EANYCfTVOR (J� ZCDlMT1WHIR/f1EIXMESAVEHYRTOCONSTRUGL�LTER�MPf10VEDEMOLISM.ORREPAIRANYSTRUG W PetIOIDBdc �� NIiE,PRiOR M ITS RSUMICE.ALSU FIEOUIRE3 TME APPLICANT iOR SUCH VERMR TO FILE A SIGNED W ETATEMENT iIUT HE OR SHE IS LICENSED VURSUANT TO iHE PHOV�SIONS OF THE CONTMCTOR9 LF � CENSE UW(d1APTER i�COMMENGN�N7TH SECTiON 7000)OF OMSIDN�OF THE BUSINE5511ND PqO. �- PooVSpa FESSIONS CODE)OH i/7ATl1E OFi SNE IS EXEMVT iHEREfRqA IW D THE BASIS FOR THE ALLE6ED E%EMP- 7qN.ANVVqLATqNOFSEC110N7W1.68VAHYM7LKANTFORAVERMR5U81ECf5THEAPPLICANTTO Z Re-Roof F ACfYILiENALiYOFNOTMOREi1LWiNEHU1DREDDOILARS�fsW).1: ^ ❑�/30MMEROFiHEPROPEFT`l.ORMYEMVLOYEESWITMWAQESASTMEIq50lECpMPENS�TION, 0 (`,pmTBf�(flI . �L'• WILL p0 THE YVORI(AND 7HE STRUCTUR[�S NOT�NfENOED OR OFFERED FOiI SALE�SEG 7o1r,BUSI- J 1E53 AIO Vf10FE5510N5 COOE TNE CONTMCTORS IICENSE Uw DOES NOT APPLv TO AN OWNER OF N PROPERTVMM1/DBURDSORMPROVESTNEREON,ANDMAIODOESSUC/1Wd7KHIlISEIfORHERSEIFOR � (� TNROU6NWSORMENOWNEMPLOYEE5,7RDYIDELiM�1T5UG11MPROVEMENTSARENOTNTENDEDOq �A� OfFEf1EDFOR5ALE6.N�VhVER7NEBU0.INN00Rw1PROVEMEMI550lDWff19NONEYEAROFCOMPLE- �•� �TIOH.TNE OWNER�BUILDER VALL NAVE TNE BUR�EN OF FROVNO TIUT HE OR 6HE DID NOT BUiID OR � pADppVE FORTIE VURPOSE OF SALE). � OI.A40NMEROFiHEVROPERiY.AME%CU15NElYCONTMCTNGWRHUCENSEDCONTMCTOR3 TOOONSTRUCTTNE PR0.1ECf(SEG 70M.BUSINE95 ANO VROFESSIONS CODE:TME CON�MCTbRS LI• V8Ill8tIOf1 ADJ.AREA CENSE UW DOES NOT MP�V TO M7 OWNER OF A PROVERTY W110 BULD9 OF IMCROVES TNEREON,AND W1qCOHTMCfSFOHSUQ7VHOJECTSWfiHACONTMCTOR(5)LICENSEDVUi15UNRTOTMECONTN�G qUANT�TY DESCRIPTION FEE � TOA9 UCENSE Uw.} . O I AA1 pfEIAPT UNOER SEG B.i P.G FOR iHIS REASON U � � OA7E ONMER V � � UCENSED CONTFlACTORS DECLAAATION -� � w INEREOYAFFlFYUNOERVENALTYOfPE0.1URYTHATI/uALICENSEDUNDERPkOVIS�ONSOFCHAPTER Ur � 0(COINAENGMa VAiN 5ECT10N i0o0)OF DMS�ON 70F iME BU51NE5S M10 GROFE5510NS CODE,AN0 Z MYUCENSEISNFULLFORCE NOfFFECL m � UCENSE CLASS UC.NO. � �� � y� � �~ ✓ �--J d p�7E I""�I'�O�_ CONTMCTOR� W � WORKERS'COMPEPJSATION DECLARATION Q � IHEREBYAFFlRMUNDERPENALTYOFiEiWR/ONEOFTHEFOLLOWINGDECUMTiW15: U y Z 4 C1 _.IWIVEANDW�LL►UMTfM1AC£RTIFICATEOFCONSENT705ELFdNSUREFORY/ORKERS' _ � � COAIPEHSIRiON,ASiROV10EDBYSECTON770oOFTHEU�eOi70�DE��TMEVERGORMANCE W OF TIE WOPoC FOR WHIQ/TNGS PERMIT IS ISSUFO. � A � �t HAVE ANO V.'ILL W RRAM WONKEHS'CdA�ENSATION INSUfIANCE.AS RCWIRED BY SECTION J7ooOFTHELABORCOCE,FORTNEVERFORMMlCEOFTHEYlOiuCFORWHipi1H:5PERMITIS � ISSUEC.MVwu�v KERSCOy�p;ENSATiONW/SU�RANCE f1lERANOFOIICYM1618ERME CONSTRUCTION � c�qqiEq ! k-�-1'T l L 71K P��' - J � �. PLAN REVIEW � POUCYNUAIBER �.1.�VrL .�_ ELECTRIC 'a enssEc„a+�cor�oree�ooFn+er�r,.r6�c,r+a+e�oa.w�a,�on«ss� PLUMBING �-S� c � I CE0.7IFY TMAi R!TME PEFFORMMlCE OF TME WONK FOR WMILM iHIS VENAIT IS I55UED,1 M6CHANICAL (} SIWINOTEMPLOVANYPEA�NNANYMANNERSOASTOBECdAESU6)ECTTOTH[ N W'OR1(ERS'CO��PENSATIONUWSOFCKIFORNI^INDAQREETIATIF151WVlDBECOME INSPECTIONFEE S SUB.IECTTO?MEWORICERS'CO�IDF.NSATIONP{iONS10NSOFSECT10N77000FiMEUBOR �,J� D COOE,ISMALLFdiTNWITMCAMPLYWITHJ�qS P,j�VISWN �p � �J_`- �p�V�Gs ��/ SM PANCE ��II CI N� . I p DATE: I�I'�Q I APPIICANF. . +� WARMNO:FAILURE TO SEQ/RE YVORKERS COMPENSATION COVEMGE IS UNUWFUI.AND SWLLI BE ENEFiGY P/C � � � SU&IECTANEMPLOYERTOCRIMpJAL7EN.LLTIE5MI�CMLM'ESUPTOONEHUNDRE�71qU5/WD ENERGYPERMIT Vy ` ppU/1Fi5(t100,000),IN�DDITON TO TME COST OF LOMPENS�TqN.DMIAOES AS PROV9ED fOR IN � SECiqN7]OeOFTHEU�BORCODE.MEREST,ANOATTORNEYSfEES RETEMIONFEE: OCONSTRUCTION LENDING AGENCY pRE-ALT FEE: �� ��t LL �HEREBYAFFli1MUN0ERPENALTYOFPERJURYTHA7TNEREISALONSTRl/CTIONLENDWOAGENCY �- FOR 7HE VERfORMANCE OF i11E WORK FOR WHIG1 TH�S VER•MI,T I3155UE0(SEC.�oY7,qY.� � IENDER'SNM1E d�� �✓`�� _ , + �v� C'�1 . C LENOEH'SIDDRE55 . W �CEpTIFYTIURIMAVEREAOT/15APPUCATKXIANDSTATEhUTiNE1180YENiOM1�TIONISCORRECT. TOTAL FEES � L,�J`J � � I�OREEiOCOMPlYN7TNALLCT'ANDCWHTVORD�NANCESANOSTATEUWSNEUTINOTOBURDIlW [ONSTaVCfION.MAMEREtlYAUTMORIZENEPRESEMATIVESOFTHISCOVNTlTOENTERUPONTHE � � � /�BOVFMENTqNFDPROPERiVFORINSvfCT10NPURP06ES. COMMENTS � 0 J � ¢ GERMiTTEENMIE(iRiF7T) . � � SiONANREOFPERMiTfEE DATE � RECPT.NO. PAID BY VAUDATiON WHITE--0epardnent Copy.YELLOW—Finance Copy.PINK�Assessw Copy.GOLDENROD—File Copy,GREEN—ApplicanCs Copy . .. ., _.... w,.:- .� .. .... ., . . . .:�� �. ....... . , . .. �.<..,-. . . . ,., i. ... 1 .y �c ... �.. y _._ , � .. .. , . . . . .. . .. . , . . , , '!"T . ��/-�r'`'`..� ! �`, % 1. � CITY OF DIAMOND.BAR ,,: . . . . � - . ��> IfvSPECTIOP� RECORt3 .,. . ,' , , . , . . � � , ; „ : : U ��-- , , , �, . _ , '��'i����-��=��`��C����� �_'�;'��= 'l�E-���,�,''��.�.,�,�:!iia i►"F;���C�1�IXo.�►'d�'!,,.,a�.aw����'�r': ,..J.!'��`�E��o,�"� _ � ,.�,�,. .�., ._....:... _ ,...,. : . � __� ..,. _ . 'SET BACK . . ,� . . ' �^ - . .�,-FLUOR JOIST , _.. �. � ,.,. .� .. ��C . . .. FTGSlFORM�/ST�EEL_ __. _� •..;: , . , . .. _ FHA REQMTS . ' �. , ',. , _ .: 'ELECTRIC'GROUND __ _ �� ' . _ _ UNDER FLOOR DUCT,` ' ' ` '' ' � - i 'GROUND PLUF,�BING UNDER FLQOR CUPdDUI�, _�, '.�.��� '.',�� ' . , _ —; � - -- SLABGR;,DE_ __ _'•' � __ _---- - FIRERL'A'E� G1idDATiON ••, ��:.� �•;� ,,•, ,,.. • �:— ':TEMP POVVER _ _ _ T. , , _. FIREPLACE-�bN�BEAM _�� ;,,•; , , . : � ' �WATER SERVICE- - _ .. _ . _ _... . � MID HT. BOND S�APJI �� �., ��;. r,� ,`���, :..:, ,, " � ... ;, c.^ � s • . . ,. .,, � , � _ , � . ,ROOFSHEATHING _) �. : i'.�� � =,�.�: 'J_. - 8Ff'.,B DB AM ,,,.`�. . . , • . � .:__ ;', �-; . . . . __ _ , ..' . , �.. f FRAh11NG,NENTILIATION - � FINAL B D BEAM� , . , . i � ' �ROUFCOVF_R , ,. . PRE-GRADING �:.ti. ;-. <.._., • .-. ,..: :� � � . . :. . _ ,, , , -._ , _,. BENG I d�'a\';��- '1 � . '; _ 't �• �r ;,: , ;.;�:.,',. ,,�, I ?: I ROUGH HEATING' !ROUGH ELECTRIC : _": ._ ' ; ROUGN GRADING - -- !ROUGH PLUUlBWG -- --- - ' - --- FINISH GRADING ' !SHOWER,�TUBTEST- --- - ' -- - POOL'ELECTRIC � �� i E}:f.LATHrS4D1NG-- ', _ _---- _. __ P�OL'FENCING � ! ` : �WALL iNSULATfON ; - - - __.. - -- ._ _- - POOL'FINAL : ; , •: i GL-ICiNG i�SULATION -- -_ . _- -.- -- _ OFF 51TE IMPS. f . . iDFaY1NALLN�',(LiNG --; -- --- _ � _ DEDICATIONS " ' , , ; sScWER_ _. . - i - _I __ FINAL ENG. ; � ,SEPTIC TANK � LANDSCAPEIIRRIG. ; ` ' ;SEEF PIT/L.L. ON SITF IMPS. jG�S AIR TEST : � , FINAL:ZONING !F.INAL COCdST. _._ ---- _ ___ ..._.._ _ __ FlRE DEr T. FINAL - � . i �; f F!^lF:L H�ATING --- . __ _--- --- HEALTH DEPT. FINAL � . � . - — i�;:�AL.ELECTRiC -__ __ _____ ____ _ ._: _-- DEV. FEES FAID _ . � - _- - _ ; , �•- :',- -;�.,tPLUh.1�IVG -_ _- -- - _ _ _ _ ENERGY , , - --- __ _ _ _ __ _ �i _— �..�. �_ �'.-----, �: � f `. - - -- - �-- -- - -- . _ .. {.- '- . . _ . . .. 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S � -� " 'i ' � . t � � - .i . . . . � _. _. _ ._ _. _ .. ._ . . ... • L. jSEPTIC TANK SfZE_ _ ._ ; � - . , i _- `SEEP PiT/U SIZE -- ., _ . . - - . , -i,-- �...�... , . ....,,. ,_ ` � � � — ' — � .. . � _ _ _ , ; � � __ .. _ .. .:., _ _ . -� . , I _ .:_ . � : � � �-�'''''�'�:��S'-.�� . „�=�i . ,. ... . _ . __ _ , . , . � _ _. ._ __ _ .1- _ � � , _ - - . _. , i , . _ - - .- - _- - - � �,, . � . ��t'� �.�:i ' --- — — � ; _ .:: _ _ _ . � i . ._ _ , � ; _ _. . . _ . ...- _,.;:. � , , : . - _ _ _ __ _ _ _ � , _ � _ ___ :... __. ; i .. f ' _ �". , . _ . . .._.. , _ _ _.. _. .. . � . �t i �