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HomeMy WebLinkAbout10301 i p� • ; - CITY OF DIAMOND BAR COMMUNTfY DEVELOPMEN'I'DEPARTMENT .,. � 21660 E.Coplcy Drive Suite 190 PRESS (909)86a3195 Fax(909)861-3117 ""'� BUILDING PERMITAPPLICATION FIRMLY 4 AJ DORESS��q��'I CoGeih pA�-� APPLICATION l PERMIT O J� P!C p DATE NUMBER ' � M g ISSUE TYPE OCC APN LOT TRACT L�S��Sr DATE CONST. GROUP p OWNER 17J G .L.` ?i4 p ADDRE ' C � �/��' ZONING SEfBACKS • "' CITY ''y� ZIP V� TEL. • FRONT RW p � APPLICANT TEL. SIDEISIDE STREET RW p � CONTRACTOR C�-`CiK�r SIOE p ADDRESS � CITY ZIP TEL. PROPOSED U5E �Ui'''��►+�G o ARCH/ENG/ DESIGNER �i7 NO.OWEL f�" NO. NO. a AODHESS STORIES BEDROOMS � CIN ZIP TEL. UNITS � �n DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� OWNER-B�ILDER DECLARATION SFqlADDlREM O Q I HEflEBY AFFlRM UNDER PENALTY OF PEiWRY TMAT 1 AIA E%EYPT FROM iHE CONTRACTO0.S l4 � Gerape/Carport � W CENSEUN'FORTHEFOLLOWNGREASON(SEG7WI.SBUSiNE55ANDiROFES5bN4CO0E:INYCT'Oq U COUNiyWH101REO111RE5AVERMRTOCONSTRUCT,11LiERIYPPOVE.DEWl15H.ORPEMINANYS7AUG W P8[iOIDpCk � TURE.FR10R TO RS 65UAHCE.AL50 IIEOUiRE4 ME APPLICN7f FOR SUCN VERMIT TO FILE A SIGNED W ` ��� ST�TEMENT iNJR HE OIi SHE IS UCENSED PUR6UAN!TO 1HE PIiON510H5 OF THE CONTMCTON6 L4 � . . , � CEHBE tAW(dWTEN Y(C011MFNClN1 WITH SECTION TooO�OF qN510N 7 0F THE BUS�NE55 AND Piq. POOVSPp FESSIONS COOEI�7 7MA7HE OR SHE IS E%EMPi 7HEPEFROY�NO iNE 6A515 FOR TNE ALLEGEO E7fEYP• TbN.ANYV10lAT10NOFSECTION7071.6BYMlVAPPL1CufTFORAOERMI7bUBJ[CiSiNEMPLICANiTO Z Re-Roof � ACMLPENILLTYOFNDTMORE7NANFNEMUWRE�OOlURS(f5�0)): � OIASOWNfqOFiHEPROPERTY,pq4YEMMOYEE5N7THWAGESASTMEIp50lECOMPENSAT10ry, Cp(�mglCifil W0.l DO iNE WORK A!D THE SiRUGTURE IS NOT INTENDED Ofi OFFER[D FOfl S/�LE(SEC.7D1�.BU54 �J � NESS Iv.O PROFESSIONS CODE:THE CONfMCiWLS UCENSE l�w DOES NO7 ADpLY TO AN OMME(7 OF ? PROPERTY YN10 BUIlDS OR MPROVES THEREON.M1D YMO DOES SUOI YlORN XINSELF IX1 NERSELF Oq 2 MROUCNWSOpNERO�N�EMPLOYEES,OROVIDEOTNATSUCHWPROVEMEN75�RENOTMENOEDOq m QOfFEREDFORS�LLE1F.110WEYE0.7ME8lJlqN00R�AFROYEMENTI550LDNnT»NONEYEAROFCOMPl6 Z T�ON,TNE ON'NER BNL�ER Nnl1 HAVE THE BURDEN OF PROVW6 iHAT HE OR 6ME DD NOT BUIID Oq = MPROVEFORTHEPURPOSEOFS/LE� W O«SOWNEqOFiHEPROPERTV,/uIEXCLUSNFLYCONTMCTIHOWfiHL10ENSEDCONTRACTWiS (= TO CONSTRUCT ME PRO,IECT fSEG TON,BUSINE55�ND PqOFE5510N3 WOE:THE CONTRACTOqS l4 V61U81i0r1 ADJ.AREA W CENSEUWOOESNOTl1PPlY70ANONNEFOFAPROPfRttWF10BULO50RIMPRpVESiMEREp/,AND � N1qGONTMCTSFORSUQIVRQIECTSWITHACONTMCTOR�S�LICENSEUPURSUANTiOhIECONTMC ounNnnr DESCRIPTION �E � TORSLICENSEUW.} 0 O I IIM EXEMPT UNOER SEC. .i P.C.FOR THIS REASOf{ Q 3 �¢ � o�re —/. � L 1— Z ON/NER V � LICENSED CONTqACTORS OECLARATION W � IHERGBVAFFIRMUNDERPEWLLNOFCEiWRYTW�T1IlALICENSFDUHDGNPROVISIONSOFGUPTfR AI�...v� , , p., ifCpAMENCWOWRHSECTqNIaoIOFOM5qN70F7MEBU5�NESSu�DPROFE5510N5CD0E.�ND z � '�'YV `X MY UCENSE 61N FULL FOItGE AND EFFECT. � � UCENSE CUSS LIC.NO. j . V DATE CONTRACTOR a W � WORKERS'COMPENSATION DECLARATION � IHEREBVAFFUWUNpERPFNALTYOFDEiWNYOUEOFT11EiOLLOVJINODECUMi1DN5: Z � �_IHAVEANDWILLMJUNTANACEpT1iICATEOFCONSENTTOSELF-INSUREFOq1WRKERS' _ COYVENSATION,AS VROVIDED BV SECTION 770o OF TNE lABdl LODE,iOR TNE PENFORLUNCE w Q OF TH[WOqIC FOR WMICH TMIS VEN41T IS I55UED. � _I HAYE AND WILL WUNTA7i WOPo(EHS'COMPENSATION W SURANLE,AS REOUINFD BY SECTION Q 77000FiMEUBORCODE,PoHMEPERFOFU/ANCEOFTMEWORKFORV+HIpITH15FERMiTIS 65UED.MVNORKfRS'CONPENSATIONINSURANCEGRRIER/JJOOOLICYMJMBER1lRG CONSTRUCTION juawEa � PUIN REVIEW � iO1.ICY NUMBER E�� 0 (iVtSSECIkN1i�NOTB[C1Af1.E7mCfMVE1MR6FOHONfH.fORED00lURSR�Oc)ORLF56I Z 1 C[RTIFYTH�T W THE PERFOi1MANCE OF THE M�Oi1K fON WHICM TNIS PERAtlT IS RSUED,I MECHANICAL - - �U` SMALLNOTEIAPLOYANYiERSONWANVYANNERSOASTOBECdAE5UBIECTTOiHE �•�i,l { (n WONKERS'�jjMPEN5AT10N LAWS OF CALIFOHNt�,µ0 AOREE TUT IF I 51qULD BECOIAE INSPECTION FEE ��" �4� `' � ' - S SU6JECTTOTMEWORNERS'QOAIPENSATIONPROVISIONSOFSECTION77o00�THELAeOR " •- �— CODE,I S31ALL LORTIM'ITH COMP�y VATH T/qSE PROVIS�ONS. ISSUANCE � 0 p DATF: APPIICANT. SMIP � ENERGY P/C / WARNiNG:iMURE TO SELURE WORNERS'LdA0EN5AT10N COVERAGE IS UN.AWFUL.AND SMALL BE � SU6IECTIWEMVLOyERTOCR74INALiENALTIESANDCMLFWE5UP700NEHLNDREDiHWSAND �NERGYPERMIT DOLIARS�{t ao.0o0�N FDDIT�ON TO TXE COST OF COMPENSA710N.O��GES AS GRpYIDED FOR IN ¢ SECTqN]7oeOFTMELABORCOOE,HTERE57,/WDAttORNEY'SFEES. RETENTIONFEE: w CONSTRUCTION LENDING AGENCY � � PRE•ALT FEE: � IMfNfBVAFF6iuUN0ERVENALTYOCVERNRYTMATTIIEREIS�CONSiRUC'f10NLENDINGACENCV Z FOR THE iENFORMNICE OF iF1E WORK FOR YIHICN TN�S PENMIT i5135UED(SEC.7ov7,CN.4). W � LENOERS HAME � IENDER5A00RE55 �� TOTAL FEES � � ICERTIiYTNATIHAVEREADT113AVPLICATION+WDSTATETHATTHEA80V[WFOqMATqNISWHRECT. p� IACREEiOCOMPLYYA711ALLCITYANDCIXIN7YORDWM'CESFN�S7ATEUwSPEIATwGTOBUILDING � COHSTRUCTION,ANpHEREBYAUTMOHqEHFPRESENTATNE50FTMISCOI;NTYTOEMERUPONTME ABWE•YEHf10NED PROPERT`I FON wSPECTqN R1RPOSES. COMMENTS � � p�P C-���� ���;��,. % m PERM�TTEENNAEryRxliJ N ,�.� _� /1�'�/�� .�=��'S+ 7 (n BbNANflEOFFEqM EE OATE � RECPT.N0. PAID BY VAUDAT�ON ✓ � WHITE—Oepartment Gopy.YELLOW—Flnence Capy,PINK—Asa�saor Copy.GOLDENROD—FIM Copy,GREEN�ppuc�nt'a Copy ..� .. ,. .�' . ,. ' . . -.i. .. , ,�":, . ,' . ..;a. 1.,.,k'... , •.�r.,t.��.° :q,i l..r.:r} � � _ . , ..7�,..,.+.�;.. .. , , �. . � . _ . . . . . , . . .T��, , � . . . . .. 'i,. �1: .��"�.�. 1�. l.►` ciT�r.o,F DIf�P��ar�� c�:R .� �� ��.. �,:: � � �, . , ,.. �. � . �-�. tr�s�Ecrior� ��c��� : : :. . ;:. : .. .. � . . . . :;. . .. ., , , � - " � l, _y•i�o;- ��..�-�:��c':• rj .�, :c �- k;; ��. . _ � _.._.__._._��.....:._ ' :.. .�_.,_ �.-, .�- �,,` �� _. . ._. . . li�l=3.1=�c;.�tg1►� V�Ic � �- ,�-��l.fi . ! " �I � � �• �= 'r1'::.��,'''`�'y� ���� '1 ' . e r � ; 1 � � � � . .�. .. .. � . .�.` ..� ` i _.. .._.�-..._•..._ .�_��...�_.�__�._ . __'—"..._...'_'"'..." '•. _. ..._�..�."' ' __ SET BACK-,- . : I ... _. _. ... I FLbOn JOIST.�. _ .. - --- ---._. ... --- _ � • - -�_— ��:,: , . ;. � . F�GS/FOR�.4S/STEEL-- , . . _. _ . . .. _ � FH/1 RE�t�TS •"`��,� .,•; �—_.��� :�, .. I ELECTRIC GROUND � - - � '� � UNDER FLOOR DUCT ����S �•' >; ��`� • - . 1 ;' GROUND PLt1MBIhdG ' - - - �. , UtJDEH-�-L'�10 ti Cr,Vti[7U1T 11, :.'\' �,,�, _ � �>-;_� • : ; :.•: F�� -- \'. SLfIBGR/',DE ..----- '. -.- -. . '- ' ' ' ' FIREPLACE.FaUNDATION . ' — - - - -TEt.SP-POWER= - �--- - �=--- - . - - : ._ .-.. . .::.::. ...__;. . fIREPLACE-BONDBEAM ��•.�. �._>.�; ,. �.:,�-.;� i : . ��.t•...�._ ,.` . _.. . .. .. _. ..... _.. .. � VUATER SERVICE-- ---- -- - �' - - P.91D NT. BUND BEAM �::: <.- .. .•, , .. ROOF SNEATNING - - � - -� -- 8 FT.E30ND BEAFA � - ' �"� ' FRAMINGNEN?"ILIATION ' � � �- 'FINALBONDF3EAM �� - -- - --- � - - ' pOOF-COVER- . .-__:----- - — - "_: _"__...:.- . .--. -PRE-GRADING- - � `' ., --- .. _ '�.,. 1 . __ - -.. .. ..... ROU.^,,H i-iEATIrJG - : - , --'- - ,,- , , C� E3EtdCHIhJG , ...,.. . , ROUGH ELECTRIC--;— - - - - - ` �_j ROUGH GRADIPlG .. ,.. � . , , . " ROUGFi PLU�.1E31NG ` -- . - - - - FirJISI l GRADC�G -- . � SHOVJER'TUE3 TEST � /' � POD�:ELECT F�IC. � , _.. __ ,,.. _ ` ' . ; . � __ /-� s� EXT.CATH/SIDING . � -- - ---- --�-,--�� PO�L FEPd�{PJG �. , � WALL INSULATION ' 1 POOI.FINAL - • � CEILING INSULATION �� OFF SITE It�1P5. •�� � — ------.. _..__ • DRYWALL NAILING , I DEDICATIO��S . ' � ' � . . . SEWER.. --- --. - _...... FINAL�NG. . . - -. ... .- -- -- _ .. . SEPTICTF�NK .. . : ' ` = `.. . � . _LANDSCAPE/IRfiIG. ' - I � �� SEEP.PlT/L.L. --- - -.. .. __. . _ '..' .- --- ON SITE 1�,4P5. : . • � _ , . . GAS AIR TEST ._ _ . . - -.-.---. -----.. � FI^JAL ZONING '" ' �__—___ � _ FINAL CONST. , --- .. - �-- - - . ._ .. -.. . - ��FtR,E�i7Lf'T'F,�1�7���•�.,•-`.•,,.� ..':. . - �.�=t �___ _ � FIRAL HEATING - - - -... .. _ ....._..-- -.,... . . � H�AL1 H UEPT. FI�vF�L� .. .� . `� .-- - - , ,. ,,. _ , • , � FINALELECTRIC _ - .. ..._. ._ .. . _ _ •, l - I DEViFEES PAID �. . . . � FINAL PLOP.IBING-- - �/ � E�•:E:RI:aI' . �—� -- I , ' s�-� - - j_;_ .-- �_.-_.-._._�_ ; - --- ---i i..'w! �'. _.'i�'-'-•�Y:.t_�._.. .._..—a , ' ' ... . . ,- � � ---- — -- _ — - -- _.. . . .... _. _ . � I COMf�IENTS - - .T�_ , .. . , ,, , � , , -- . , � . � : , . . . ' � _ . _ . - � - - - - �. � _ .. ..._ _. . . .._ � . �-- .. . I ; ---- - - -- - �-- . �, . . , . . i �. , . ._. .. _, . . _ . . .. . . .--— -- ------- , , , � ; , : . . . . . . � I i_-___. . _ . . _ _._ . : � —!?�r�—�;-���/��'4 — , � � . , . _ ... . .. _. . ... , ; . , i .. SEPTfC TANK SIZE - - - . . , ------.... ... -- .... _. - --- .. - --- - ---. _....... _. . ,. ..., i ; i ... . ,. . SEEP PIT/U SIZE . ._ _. - -. , , , . - , � . . . � �, - - - - � I . . � . . . � � __._____, ,!`t • -- . . ' . , , ; - � ---..... _.. . - - -- . _ _ —i-- - _ -. _� - _ . _ . - _; . .. ���f _ , ; . . _ i . - ` � :... -- --- - i ` �•�L�..��.� .�+��_,:.� `,_(� � '. j __ _ , -C �,_t. ;_` `i � ,� , ` �\` �..�. � - - - .. � _. � .. . . , ._..__ , _.._.:.. _. __ . . . . ��_.._�. ------ --- - . .. � � ; � - �:.�_.._..___-� -- - -- �- ---- -- - -- - - - �