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HomeMy WebLinkAbout16026 i J� CITY OF DIAMOND BAR (�j�i - DEPARTMENT OF COMMUNIT�"dcDEVELOPMENT SERVICES �,c zi�oE.c���ynriv�swc�i90 �� � pRESS (909)86Q3195 Faz(909)861-3117 �`'��'� BUQ.DING PERMIT APPLICATION FIRMLY y�, JOBSITE � /r �.; �+����r-�/ � APPLICATION PERMIT 1 _�� P/C o ADDRESS ��L'✓ —�� � DATE �i����� NUMBER U�v g � ISSUE NPE OCC APN LOT TRACT OATE CONST. GROUP � OWNER ,,�i (�M• � ADDRESS ZONING SETBACKS w Z CITY /�?�;^O �'/' ZIP TEL FRONT RW O g APPLICANT �`' TEL�������LY SID SIDE STREET RW O � CONTRACTOR .�/TE N.E�''' .fT . SIDE ❑ � ADDRES G�• ' n/ 7 CITY .rAi�D�n+^J ZIP /717 TE /•'' - PROPOSED USE Pu ARCH/ENGI � DESIGNER��i�'C�l „ NO.DWEL. NO. NO. ADDRESS//7�Z �arA.��r ��/S�' UNITS STORIES BEDROOMS N cmr/.�v��� ZIP i 26/:, TEI�yS' JZS�"/�� �n DESCRIPTION SQ.FT. .FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/AOD/REM � � O p I NEREBY AFilitll UHDER OENALTY OF PERAIM iHAT 1 M/E%EMPT FiYOII THE CONTRACT00.5 LL Garage/Carport f1J CENSEUWFORTHEiOLLOWNOREA50N(SEC.70.t1.6BUSINESSANDOROFES510N5CO0E:ANYGTYOR (f� ZCOU�RVWMCMNEOIAREEAPERMRfOCONS7RUCT,ALTER�FiOV[.DEMOLI°..H2ONREMiRANVS7RUG W P81I01�eCk LL� 7tNiE.PRiOR TO R9195UANCE.AL90 REOUIRES THE MPUGAIfT FOR SUQ1 PE W.dT TO FILE A SiGNED W ETATENENT TIAT NE OR SHE IS UGENSED%1RSUANT TO TME PROVISIONS OF TIE CONTRACfORS LF � CEMSE UN�(qIMTfR Y(COMMENCMIO WRH SEGiUN 70D0)Of OMSION]OF THE BUS�NESS IVA GqO� �- PooVSpa FE5910NSCOOEIORiHATH[ORSHEISEI(EGPTIHEHEFRdAANDiHEBA'�ISFOR7HEALLEGEDEXEMP• (} TION.ANYVIOLATIONOFSECTIONTIXi1.6BYAHVAPPIICAf.TFORAVERMIT5U8JELTSiHEAPDIIGMiO Z pa.q�} � ACMLVENAL7YOFNOTYORE7luNiNEWNDREDDOLURS(f5a0).�: � OL�aN:EROFTHEPROPFFTY.ORMVfMPLOYEESYAiMWACESlISTHEIRSOIECOMPENSA710N, � COrtIrt18fCWI � WILL 00 THE WOFiK,AHD TNE STRUCTURE IS NOT IMENDED OR OFFERED FOR SKE(SEG 7oN,BUSF J N NE65 AND VROFESSIONS CODE:ME GONTitACTORS LICENSE UW OOES NOT AVPLY TO AN OWNER DF = PiqYERfY YMq BURDS OR MPROVES THEHEON.IINO YR10 DOES SUp1 MORK MIuSELF OR MERSELF Ofl Q iMROUGHHISONIffRONMEMPLOYEES,GHOVIDEOTHATbUpIMVROVEMEMSAN[NOTMENDEDOiI m � .OFFERmiORSALEIF,NON�EYE0.TMEBUIDINGDRIMPfiDVEM@RL450LOWRHNONEYEAROFCOMPIE Z TION,TME dMJER8U0.DER MALL FUVE THE BURDEN OF VROVwO 711AT ME OR SHE DID NOT BUIID di = WPHDVEFORTHEPURPOSEOFSILLFI (y� 04�ONiNEROFTHEPI10PEiRY,AMEXCLUSNEIVCOMMCTINOWRHUCENSEDCONTMCTOpS � TO CONSTRUCT TNE FRO,IECT(SEC.7ow.BUSiNL55 MA iROFE5510N5 CUJE:iN[CON7MCTOR3 LI• V21U8I1011 ADJ.AREA � CENSELAWDOESNOTMPLYTOM10NR1[ROFAYROPERTYWMOBULLDSORMPROVESiMEREON.AND 1MqCONTMCTSFOASUp1VRQlECiSWITHACONTMCTOFyS�IICENSEDPl:R5UMITTOTNECONTMG OUANTITY DESCRIPTION FEE � � Toasuc�r+s�uw.�. A OIAYE%EYPTWDfRSEC. B.tP.C.FORTHISRGASON Q G E�E�1Y-�� U n ` T LL' DATE OwNER U �� '+� F CC���L Q � u, !S .d,' r•.(Tr : LICENSEO CONTRACTORS DECLARATION w r�iTaC � �n.���J' i��/, � IHENEBVAFFIRMUNDERPENALTYOFOEM1RVT11ATIMILICCNSEDUNDE8CR0`n510NSOFCHAPTER 11. '� / � �(OOMYENCNOM/ITMSECTION70oo)OFOMS�ON]OFTH[BUS:NESSFNDPHOFESSiONSCODE,ANO �? �rT 4�i✓iU (�L`C.t�� W UGENSE IS N iULL FORCE M10 EFFEGT. An ` m �� IICENSE Ct/lSS CIC LIC.NO. �G'L'�` j . r' DATE r1I�a L'D I CONTRACTOR d Ti � WORKERS'COMPENSATION DECLAFiATION Q � IMERFBVAFFIRAIUNDERVENALTYOFOERNRYONEOFhIEFOLLOWRIGDECUMT10N5: z G ��MAVEMqNn��MAINTAINALERTIflGTEOFGONSEMTOSELF•MSUREFOAHORKERS' _ COMVENSATpN,AS PFlONOED BV SEGMIN 77000F T1E LADOR CODE,FOF THE VERFORAIANCE C� � OFTNEWdiKFORwMICHiNLSVEWAITlSISSUED. � 0 �I NAYE Mq WILL MAIMAW WOP1cERs COMFENSA7DN W SUMNCE,AS REWiHEO BV 9ECTION Q 77000FTMELPBORCODE,FOHTNEPERFORMANCEOFTMEWORKFORYMICNTMISiERM1T15 � ISSUED.IAYWOR1cFA5'00}�PENSATqNW5UW�I�CEGRR:CRAN�POLICYNUMBERME: . CONSTRUCTION cua� h� /� � ../' %/O/I PLAN REVIEW � POIIC'I M7IABER,}j/C. C�/^ lX�T/��(1—i'n C ELECTRIC � I p R�SECI�ONAE�tJOTBEQ'l�FtFf�OFhEv[R.frs�aioNEVf�iSOWu�1tSR�ac)rntEsSF PLUM9ING � Z I C£RTIFVTHAT N THE PERFOiUAANCE OF TME WONC FOR KNlp/TNIS 7ERAl1T IS�SSUED.1 MECHANICAL (,�' SIIAI.LNOTEMPLOVANYVERSON�NANYMANNERSOASTOBECOIAESl1BJECTTOiME � WOWCERSCOMPENSATqNUwSOFCAUFOR1:ItiAND�OREETMATIFISHOVLDO[COUE INSPECTIONFEE S SU&IECTTOTHEWORKERS'COMVENS�710NY 510NSOFSECTK�N]7000FTMElA[iOR cooE,isNutcoAnMnn+caar�rwmi Rrnnsar+s. ISSUANC[ � O p ��CI^12�G I APPLICArlT:f '�fd � ��Yl�?�i.l.✓ SMIP J WARHINO:FAILURLTOSEWREM'ORlCERS'CDMPENSATIONCOVERl1GEISUNUM'FULAN�SMALLBE ENERGYPIC LL SUBJECfANE4PLOYERiOCRiM:NALPENKTESANDCfYILFWESUPTOONEHUNDREDTFqUSAND ENERGYPERMIT DOl1AR5(l1oo.Om1.W I�DIT70N i0 7HE COST OF COMPENSATION.DAMAOES/S GHOVIOED FOR IN ( � SfCTIDNI7DlOFiHEUBORCOOE,INTEREST.ANDATTORNFYSFEES. RETENTIONFEE: I •`7 d CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � IMEtiEBYAFFU1AlUN0ERVENKTVOFDE0.NRYT/uTTHEREISACONSTRUCf10NlENDIN�AGENCY FOR ME Vfi3PORMANCE OF TIE WORK iOR NM1IICH T115 FER41T IS ISSUED(SEG]Oa1,CIV.G). � � � LENDfR'SNAUE � IENDER'SADORE55 � ICERTIFYTHATIHAVEREADTMISAVPUC�710NANDSTATETHATTHEABOVENfORMATIONISCORpCCT. TOTAL FEES � � IAGREETOG�DMPIYYATHALLCRYANOCOUNiYOFiDWANCE5�ND5T�TEUWSREUTNOTOBUILDWO � CONSTRUCTION,ANOXEREBrAUT/qWZEREPRE5ENT1111YE50F7MI5LCUNTY70EMTERUMNTME /�BO�WlTIONEO PROVERTY FOfl INSPECTqN iUflPOSES. COMMENTS � /4�i',f/�./ /'i[���� m PERMITTEE (PRINT) c4_n � .' �1��,.,..— O/-2 L-n! N SiGNATUREOFPE TTEE 0�7E � RECPT.N0. PAID BY VALIDATION WHITE—OepaRment Copy,YELLOW—finenco Copy,PINK—Assessa Copy,GOLDENROD—File Copy,GFEEN—Appicant's Copy CITY OF DItiMOND.BAR . . , . . . , �IfLSPECTfOf��! F3ECORD � . � � � , , . . . • � . • . ; ►��'��.�.�:.C.��.�k, �'���_ i�►`���... e� 8 1r4-'1�'������►, .,._.._.�.. _�:.�F!_=', � ��.►„��-�c��°�R�� ',SET BACK � � - , � � �y ,. � .. FLOOR J�OIST�- � • � -�' '��;.,,_... __ _. '. :,'.. . ;FTGS!FORh1S!STEEL . • • FHA REQht7S�' _. . .._ , . , -=— � .. , IELECTRIC GROUND � _. ? . - UNDER FLOOR DUCT �• � ' • • , _ , - • �....-- �GROUND PLU��^BING I � UNDER FLOOR CUf�!DUIT � �` I... . ...._..__.._. . ;� .,: , , i ;SLA6GRA�JE- • - - ' FIREPLACEFOU�JDATION � �•- � ': .��.••.`�� .T � '.TEh�1P POWER - - - - -. �. , FIREPLACEBOND�B�Ati9 - '••;..-: :`•. : �.'�::`: . . ' -IT - . -• .�- _ •. - r. ; 'WATER SERVICE - MID HT. BUiVD BEA1�,4i�-. \ ..� �•.'•:= , .••�•. •:: �ROOF SHEATHING a FT. BOND BEAPA. .,• . � �`" �' ` '- ` ' � _ ��. . _ _. _.. . �FRA�AING.NENTILIATION -- - FIN!'tL�80ND BEAM ; ;ROOF COVER �' ' I PRE-GRADING - - `� �''`�-� � ! • ;ROtJGH H�ATING - - BENCHIJJ��.-v':�. •<<:: � �': � .�',.`. . i . - - . � .... _. ROUGH ELECTRIC ZZ C ' � I ROUGy GRADING , �: - � � . '•ROUGH PLUti1BING - -- � - �� ' FINISH GRADING ' SHO4"JER.rTUB TEST ' ' - - POOL�ELECTRIC ' � 'EXT. LF,TN!SIDING - - • PCOL'FEPdCiNG � . � =L�lALL fNSULATiON � - -- -- -- - POOL FINAL � .GEILiNu^1^�SUL.ATION � - - - OFF SITE IMPS. -DAYLVALL NAII_IfJG � DEDICAT10T�15 • iSEVJER � FINAL`EfdG. 1 •SEPTIC TANK LAN�7SC�'iPE/IRRIG. � � ; � ;SEEP P!TlL.L. ON SITE Ih,1PS. ;G.�S AI�;TEST FIN<,L'ZONIPdG � �FIPdF�I.CONST._ . � .- .'�.I, .'` FIRE DE�T. FINAL , F1'vAL HEATIyG �_ • � i �HEA.LTF! DEFT. FI�!AL I I • �`riP��,l ELECTRIC -� 3��y'�41 �, 1' ,1-DEV. FEES pA1D -- r1----- , . . ... . ;;i-i;•ir,L-PLUD.191Nu - ' ��ENFRGY �------ . . .. - — � , ._..- -- - _ . _ _ . �..--- � ..�,..�.;..-.. ,.�-.�.�;.--- --.-• _ . _ , . . � . _. , c,�.��,r:+....:.;;.•;t. . , �^_ _ I " .._"l:",:.'r..',.^�...__.T.x......:�,.��..�.'..._..__"..._...I . . , � . ..... .. .. . .. _ . . _' ." '_ " . . . ._ " .�. .. , corr��:��r�-rs . _ � . ; . � . . , . .� .- . ; ; . .. .. , ; . - _ — . .. , i . . __� ; . ;-- I . . .. . . . . . . . ,_ .. � �\ .. , _ .. . .. �___' �SEPTIC.TANK SIZE - ' J �SEEP Pli/U SIZG - -- _ --- — `�...._., . ; ^..k�� .�..._.�.._... i ;� ', — _ —_ , . '�. .. �... :.'. � .. ' -- , i • _ _ � . — :��f�(' � . '=' _ _ .. -� ; , . .. _. �... ... `- .. .. -- . - i --- . , ,. _ .. . _. � ". � . .: . : , • .. _...:��; _ ; '�' • . ,- . _ _�. . . .--. �