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HomeMy WebLinkAbout16442 f . . � , �� CITY OF DIAMOND BAR ,,_/ DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suiu 190 � � (909)860-3195 Fax(909)861-3117 RE$$ '��� '��^� BUILDING PERMIT APPLICATION � FIRMLY JOBSITE ^� c-^ APPIJCATION � �PERMff L L P� o ADDRESS `�� J � ^, DATE f NUMBER $ ISSUE TYPE OCC APN LOT—� TRACT OATE CONST. GROUP � OWNER nyi -�/Ll+e- �l !'a2�',— � ADDRESS � ZONING SEfBACKS Z CITY ZI � TEL. ^ REAR RW O g APPLICANT TEL. SIDE/SIDE STREET RW ❑ a� CONTAACTOR_�. � SIDE ❑ ADDRESS��_�y PROPOSED USE g CfTY/7 f�i� ��;rli'xk' ZIP�/eQJ'�EL.��D�'/Uu � � ARCFVENG/ � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N �ESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER-BUILDER DECLARATION SFRlADDIREM O Q I HEREBV AFFlRIA UN�ER PEN�LTY OF VE0.AJRY T11A7I IJI E%EYPT Fi10M 7ME CONTMCT00.5 U• GefU90/CefpOA UJ CENSEIAWFORiHEiOILOWNURFASONISEG70.71.6BU5:NE53ANOPROFE53�ONSCOOE:/JIYCITVOR (n C� WIMYV/111GINEOURESAVERAIRTOCONSTRUCi,ALTERMP��.DEA101ISFLORREFAIRIWYSTRUC• W patidpack � � '� � � �� V� TUi1E,if1qR 70 R3 63UANCE.ALSO REOU�PES iHE APP4�CMfi FOR SUCF7 PEM11T TO FILE A SIGNED W � ETATEYENT 7NAT HE OR SHE IS LICENSED PUiLSUAHT iO TME PROYISICNS Of iHE CONTMC70Fi5 U• � CENSE UW(OIAPTEN Y(COMMENCWd M9TH 6ECTqN 7oau1 OF DIVISION 7 OF iHE B1151NE55 ANO Pp0• � P��Pa iE551DN5 CaO�Oil TFIAT HE OR SHE IS EXEMPT 7MEREFROM MlD 7ME BR515 FOR iME�LLEGED EXE�P• TqN.lIMlVqLATqNOF6EGTION70.71.6BVMIYAPVLICANTFORAPERA11T5UDJECTSTHEAPPLICM1iM Z Re•Rool � �CMLPENALT70FNOTMOR[TNANFNEHUNOREDDOlUNS(t5o01.k , � OI.�Sd�MlEROFTMEPROPERTY,ORu'/EUCLOYEESW!TNwAGE5AS711EiR50lE�OM7ENSATION. � Cp�7mBrCl�l YALL DO TME YfOiYC ANO iF1E STRUCIVNE IS NOT MENDED Oi1 OFFERC.D FOR S�LE ISEG 7d�,BUSb J NF54 AND VNOFESSqNS CODE:THE LONTtUCTORS LICENSE UW DOES NOT AVPLY 7D AN WMER OF � PROPER'il'N'1108URDSOflIMPROVESiMEfi[OKMAIYIIODOESSUCHN'ORKHIMSEIFORMERSEIfOR = Q TIq�UONHI50HNERONIHEYPLOVEES.PRDVIOEDTilATSUWYPROVEMENTSARENOTMENDEDOR m W OiFEiIEDFORShLEK.MOWEYE�LIMEBUlDP7�ORMPROVEIAEMISSOIDWITMNONEYFAROFCOAIVLE• G' 'TqN,THE OWNER�BNIDER MALL YUVE 7ME BUflDCN OF PflOVPKi TW�T NE OR SHE pD NOT BURD OR '.fj MPROVE FOR TME PURPOSE OF ePLf} W 01,�4SOwNEROFT17EPfpPERiI'.�MIXClUSNELYCONTMCTNOWITHLICENSEDCDflfRlICTOR3 � TO CONSTRUCT TNE GR0.IECT(SEC.70U,BUSINE55 AND Pf10FE551DN5 CODE:TN[CONfMCTORS U• V01Ufl1iOf1 A�J.AREA JL—J CENSEUWDOESNOTAPPLYTOANOWNEROFA7ROFER'fYYAIOBULDSORI4PRDVESTNEREON,AND � IMtl00MR1CT5Fd15UU1PRnIECT5WITHACOHTRACTON(5)L�ENSEOVURSUAMTiOTMECONTMG QUANTITY �ESCRIPTION FEE � TOfi3 UCENSE UW.► . OIAMEXEAIPTUID[RSEG B.LV.GiORTHISREA50N U 3 ¢ LL' DATE OWNER � � U J UCENSED CONTRACTOHS O[CLAFlATION W � INEREBTAFFW.1lMDEHFENALTTOfPER1URYTM�TIAMUCENSEDUNDERPHOvi8iON50PCHAPTER Vr . - '� .._ .. , {� ��CqAYENCYKiWIMSECTIONTD00�OFDMSION70FTHEBl15iNES5AN7VROFES510NSCODE.iWD Z O W UCENSE IS N FUl1�F0�EF�. ' ? 1 t( � F,., LICENSE CUISS L !T �,�.Na. �7/�d� J �"j o�Te _� corrrrucroR �-L�l� _ a W � WORKERS'COMPENSATIO`J DECUIRATION � N IHEFEBYAFFIR1111NDEIiPENALTYOFGE0.R1NY0NGOFTHEFOLLOK':NGDE0.11M710N5. U � Z Q � _IHAVEINDYNLL►WNTANACERTIFlUTEOFCONSENTTOSElF�NSUREFORMVfU(ER5 2 . • � � COMPETISATION,ISVROVIDEDBY9ECT10NTTDOO�TNEL�BORCOOE,�ORTHEPEHFORAIANCE �U pF THE Y/ONK FON MMICH TH�S GE(W 1715ISSUEO. � � �IHAVEANOW�LLI.u:MAP1WORKER4'COrdPENSATiON�NSUMNCE.A5RE041REDBYSECTION Q 57000F 7NE LABpi W�E.FON iN[FERFORMANCE OF THE WORK FOH WMICN THIS PERMITIS bSUEO.W M/ON(ERS�ENSATqN INSUiWJCE CARRIER M1D 70LICY NU4BCRARC CONSTRUCTION � CARRIER '�7 •�� " PLAN REVIEW � {107�O 0 POLICYNUMeER�����LC��—� ELECTAIC d o m�ssEcrn��mNoreeon.nt�manEv��rswnor,��ooau�maoio��s.,�y PLUMBING w MECHANICAL Z ICEtiTIF{�TNTMEPERfOR1AlUlCEOFiHEWORKFORWHK]ITMISPEIWITISISSJED.1 'V SMALLNOTEMPLOYN:YYENSONNu�YM/MIERSOASTOBECOMESUOJECTT07ME � YqRKERStdADENSA�IONUW50FCALIFOfUJIA�N�AC.REE7MTIF15110ULDBEW4C INSPECTIONFEE _(,^ S bUBJEGTIOTHEM�OfiKERS'COIAPENSATIONPkO\�SqN50FSECT10N]7000FiHElABOR �SSUANCE �� vv CcODF/�I�SHALL iORTNMATH CO�RI'1RMi �L1N5. p DATE:�.�/�_ AGPLICANT. '���-��?��— SMIP � � 1 ( ENEFGV P/C WAiWINO:iAILURE TO SEQJlIE WORKERYCOU7ENSATION COYERACE IS UNUWFI.t.IWO SMIILLBE (—y SUBJECTNIEMPLOYERTOCWMWAIPEN/1TIESANOCMLFWE5UPi00NEHUNDRE0T/10VSAND ENERGYPERMIT DqURS(fto0.000).N ID�fitON 707HE COSTOF COMPENS�TION.OMUGES AS PROVIDEO FOR IN ¢ SECiqND7oeOFif�EUDONWOE,N7ERE5T,u�DA770aNEY'SFEES. RETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O . CC INEREBYAFFIRMUNOERVENAITYOFPE0.NMiHATiHE�EISACON5TItt1CTIONLENDINCACENCV n- FOq iME FERFORYANCE OF TXf WORN FOR WMK71 THIS GERAI�T IS ISSU�O(SEC.7a W,GIV.CJ. . � F lEFOER'SlUME � � LENDEftS�00RE5S � ICERTiFYTMATIHAVEREADTH�S/NPLICATIONANDSTATE�T7MEABOVEWfONAATIONISCORREGT. TOTALFEES .� ��� � IAGREETOCOMPLYWITNKIGfiYANDCOI.NT'/ORDiNANCES/NDSTATEUWSREUTWOTO8Ut0�N0 . CONSTAUCTqN,AND NCREOV AUiY10RIZE REDPESENTATIVES OF TMIS COUNTY TO ENTER UPON TNE � ABOVE•YEMqNEDiROVERttiORINSPECT10I1PUHPO5L5. COMM�NTS � �n�.� Y'n�n fY►'��� � m RM (PW^!1) � Q � N � y SIG � ��TfEE )A � RECPT.N0. PA1D BY VALIDATION WHITE-0epertment Copy.YELLOW—Finence Copy.PINK—Assessor Copy,GOLDENROD--Filo Copy,GREEN—Applicanfs Copy .. . . ., . .... . . ... • r, . . .."�, .. , • . , . . , . . ,. . , .. � .. . . . . . - . CITY OF DIAMOND BAR ; , , .. ... .. , . . . . . . � ... - _.. � �.........: :.....INSPECTIO��.RECORD ;. ,...; -• �::..: . � � � � , `, ;:. . �. . , . . .. �I I�'��Y'r�'�.�a���.►��.� I o '�q F �.l�.�-��.�.�"�'°�.�. '+�r���:���;����I��* q��,��':,�.�'` �`i ��_�- ��.�P�;;I-- ,.r J J'. l. � ,....'.�.,�..'�•'�. 1SET BACK . ,j i. � j " ` •. . FLOOR JOIST - ; � - ;;; " • . . _: .. . ._ . . , . . . , �FTGS/FORt�1SlSTEEL '- • � ; ,.^ ; • .- ... •� - FHA REQMTS _.. �. '_.'.' .. � .,� _,_, . .. . ; = �ELEC7RICGROUND_._. . __ ..'�:•� . _ . ._.. . ... UNDER FLOOR DUCT �. - � ,-� -� � I ., ------ �..,._. . ; ,. +GROUND PLUMBING • UNDER FLOOR CUf�'DUIT' " " �"1 � �• '.SLABGRADE -- -- - '�� ---.__. .. ..._ _. ' � FIREPLACE�FOUNDATIOPI 'r ._ � . �� • .�_ , ; � ,- .;--���-r- ----- --- -- � FIREPLACE BOND BEAM -- -- " ' • � � ITEP�IP POWER-- --- --.= - • iWATER SERVICE- --- ----- �� -- - - MID HT.BOND BEAM ��i .i r.• -:. �. .:. . . ' IROOF SHF�ITHING . �'\ � i 8 FT.BOND BEE1h11 .; . -- - � . �''' ` ; : , _ . 1 ' `� ._• ._ . . . . _ . ., . .'. ... IFRAh11NG/VENTlLIATION� .:.- ---- i � � FINAL'BOND BEAM - • _ IROOF COVER .�.: : , :. PRE-GRADING - _. . .._ ..__._. ._ ..... . , IROUGH HEATING - -- ---- ` �� . - - -- - BENCHING - -- , . � - iROUGH ECECTRIC.._ �...-. ' ' ''-'- - - '-- "_- � _ . . ROUGH GRADING -. . . - - -- - ;ROU3H PLUMBING - ----- - - -- - - FINISH GRADING �SHOV✓ERlTUB TEST '- - ` -_ . • : POOL'ELECTRIC� . . , iEXT.LF�TN!SIDING-. - _.. :.._.._ . - .. . . POOL'FENCING . �' . :. ; . ;t�'dALL-iNSUtATION -. - -- - - � -- - POOL FINAL • � ' " �CEILlt�JG IPdSULATION.. - - ---- _. � . - : .OFF SITE IF.4PS. . . , , - ;DRY4VACCNA1LIPdG- . ._ . _. -._ ... . DEDICATI�NS ' � .. ` - - -- � -- .. ;SEVJER- -- - -_.._ ,_. ... . FINAL'ENG. , , _.. �SEPTICTANK • LANDSCAPE/IRRIG. � iS�EP..PIT/LL. . � � ON SITE IMPS. • • ; = ' �GAS AIR TEST - FINAL�ZONING ` =• _ .._...--- IF.t�•lAl.r,ONST.-. ---.. -- -. -- ... . FIRE DEPT.FINAL . ,,, ; ; ;F1�tiAL HEATING . ...._.__._ . HEALTH DEPT. FINAL ' " ''� ^. - DEV. FEES PAID r, I, C,L ELECTRIC ......_. - -- - !!i=�•FAL PLUhABING • ��'f� - ENERGY , i . ...._ . �,--- . .._ .. � _ _. .... ----- - . .... - -.. . . , , , � , � •----- � ... _ .. . I; ..._._.- - -------._.. . ..._ :c ��G( cl:� tr�t� __�.���� -�`"' •�' J , . ; .�:...,:.:.�._�- �� --- �----..._ .. . _. _ . . - - _ , _�,`.y_._,�` � `'_.�,�.;.1 i_ i - �;COP�IMENTS_._ __ . . .. .._ . _ _. ._.. ...._ .._ _ _. . . � ; �..: -- — .__. ..__. � -- . . . , . ; ; . �-----�-------._.._... _ .. , .__...__.. . . _ __ _ ; . _ � .. , , ; � � � � �% � - i __. _.. _ . . �..; , � , . : ! . i ...,; � . . . _ . . :. . . . _ i j -----. . . -- .__ . . : i ; i ._� ����.� ...� _ . _ . . ; , ---- . _ ; .. ._. ; - -- --- . - .-�}�, +;� � i -. 'SEPTiC TANK SIZE -- '. � � . . � . � �� ... , , ` , .. i , �SEEP PIT/U SiZE - ---- - -- � .. ;�i� . .�� _ . . _ � - � ... I ;... ' , .. �: � ,. . i, . . . _.. _ . . - � . -._ _.. . . ._ ' � '. � ,,p���� ,�� (. -. . , ., : i . -. '- . . -.--.. _ ... . .- - . . i . , . , �. , , , � . . ... . __ _. . ... __._..__; .._. __ . _ _....- -.. �- _ . -,-_ ., , .�. � • , - ' � � .. , . . , , ..._ _.. � ... ._. .,� . i - _ �. .�. ! ' . . . . ` i�:�,r i� � _ 'r. 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