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HomeMy WebLinkAbout13226 (17) �.. ._.. _._. . . _ . i . -- — .. . . � . , CITY OF DIAMOND BAR � l� -• DEPARTMENT OF COMIv�UNITY&DEVELOPMENT SERVICES -� � 21660E.CopleyDriveSuitel9Ct PRESS '� (409)860-3195 Faz(909)861-3117 �'�� BUII.DING PERMIT APPLICATTON ' FIRMLY QJ0651TE �7 � `��D �i� W�Ir�i v) ��LU�i DATE CATI���1 �r/ NUMB R ��?'��/ M/C—��-I N 4 ADDRESS 4 �� ��N $ ISSUE r TYPE OCC APN LOT RACT DATE�_� ����._CONST. �I � •GROUP p OWNER �� . ADDR Sr� O O M. �`V 7�• � ( ZONING SEiBACKS � CITY ^� ZIP� ��l4 TELR'I 2L'1 s FRONT � RW ❑ APPUCANT '✓V �?% TEL�� REAR ❑ SIDE/SIDE STREET RW O � CONTRACTOR v IIV �t ' ( ��3,1" SIDE ❑ � ADDR SS` �� '� PROPOSED USE_��jf � o ��7y I . ZIP Z•�1 TEL.� Z-2 . � �ESIGNER G1.K1'�KG"'N�� �G�• NO.DWEL O. NO. ADD SS' � UNITS STORIES BEDROOMS ' N C�7y ZIP�.u�� TEL7�� `l�f�2- l7 y DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUIIDER DECLARATION ' SFFUAOD/REM O Q I HEREBV AFFlR1.1 IAmER 7ENALlV OF DERAIFY THAT 1 AA1 EXEMPT FR01A THE CONTMCTORS LI- Ga�9���R W GENSEUwFORTHEFOLLOwNOi1U50N(SEG70�L68USINESSAN�Gf10FESSION500DE:ANYCITYOR (/) C� COIRlTYWHIpIREOU�RESAPERMRTOCON57AUCT.ILLTERMPFqVE.DEMOLISH,ORHEPAIR.WVSTRUG W patiolDeck Z NRE,PWOR TO R9ISSUANCE.AL50 REOU�RES TME AVPLICMfT FOR SUQI PERM�i TO FILE A SiGNED W � STA7EMENT 7TUT NE OR SME IS LICENSLD PURSUAHT TO TME PROVISION9 OF THE CONTMCTORS l4 � CENSE U�M(tlUPTER i(Cpd�ENCPlO WI7N SECf10N 70001�DIViSiON 7 0F 7HE eU5iNE55 AN�PRO� LL' PooVSpa FE5510N5 CaDE)OR TlUT ME OR SME IS E%EMPT iHEREFROA1/UJ0 THE BASIS FIXi THE ALIEGED E%EMP• TION.FNYNOl�71�NOF5ECT10N7o�t.6BYANYAVPLICANTFORAVERMITSU6IECTSTH[MPIIGNTTO Z Re-Roof � � ACMLPEWLLTI OF NOTMO�iE TMAN FlVE MUNDRE��QIMS(f5oo)J� ' � 01ASOMR�EROFTMEPROPfHTY,ORMYEMPWYEESYlITMWACESASIHEIRSOLECOIdPENSATqN, 0 (`,pTI110f�I0I YALLDO TME YNFYC AND TME STPUCIURE IS HOT�NTENDED OR OFFERED FOR SILLE�SEC.701t.BU51� J NE55 MlU ifqFE55�ON4 ODOE:TME CONTMCTORS LILENS[Uw DOES NOT APPLY TO AN ONT�EH OF N PfiOGEHTYYAIOBUlD5Q7AAPfiOVESTHEREON.MIOYVHODOE55Up1WOlU(HIMSELFORHERSELFOR m (t THROUGHHISORHEROMMEYPLOYEES.GHOV�DEDTHATSUp111JPROVEAlEMSARENOTPITEN�EDOR � OiTEAEDFOii4/LEIF,110NlEVE0.7MEBUtDINGORIYDROVEMEMIS50lDWITVYNOKEYEAROFCCA1PlE• Z TION,1HE OWNERBUILDER WILL MAVE TH[BUROEN OF GROVWO THAT NE OF SME DIO NOT BUILD OR = MPROVE FOR TME PUFiPOSE OF SALE} W ❑�ASOWNEROFhIEGROPEHTY.F7dE%QUSNEIYCOMMCTINOWRYILICENSEDCONiMCTORS . . [L TO CONSTAUCT TM[PR0.1EGt(SEC.)oa,,BUSiNE55 MIO FROFE5510N5 COOE:iHE CONTMCTORS ll� V31Ueli0n ADJ.AREA lll CENSEUWDOESNOTAPPLYTOANOwNEROFAPROPERTTWHO8UrtD50RMPROVE5h1EREON.AND t. N11000HTMCTSFOfiSUCHCR0.IECTSWITHACONTRACTOfi(5)LICENSEOPURSUIVITTOTMECONTMG pUANTITY DESCRIPTION FEE f� 10R4 UCEALSEUW} � � OIAAIE%FL�PTUNOERSEG B.1D.C.FOR1MiSPEl50N U 3 � . - i LL" DATE OWNER � � Z W F LICENSED CONTRACTORS OECLARATION � ' � W � .. . � , �1 � , IHER[BYAFFIfWUNOERPENALTYOFDEM1AIMTMAT�AMLICENSEDUNDERDROV1510NSOFCHAPTER V. YY p� f�LVY4ENf.ltqWIMSECT10N70o0)OFOMSiON]OFTHEBUSINESSFNDPROFESSIO�:SCADG,AND Z W UCENSE�5 W ML FORCE AND EFFECL m � ICENSE CU55� �o.No. K o9 5�j 1 � Q .:---.� ' ^- ��co'+*rucron Q�,�W��..�d+r.�� �1 . , . w �, �. . .. , � WORKEAS'COMPENSATIONDECLARATION 1 + � a LCi.tivat, � �. ,3 < - . - N I NEREeV�FFlR1A UNDER VENALTY OF VEFWRY ONE OF iHE i0U0VdNG DECUMTIONS. V a.a�`. �u � ...+ �. + � Z Q , � �I NAVE/ND Y/�LLMAIMAM A CERTIFlUTE Of CONSENT TO SEIF-INSURE iOR WORKERS'-� - : _ . , , . � , � , , ' �1� ' ' � ' � CDN7ENSATION,/�SPRONUEDBYS[CT10N77000FTMELIDORCODE,FORTHEiERFpq1AANCE w OF1H[WORKFORYV111C11THISPERMITISISSUED. � •. . . . . ' � ,�INAVEANOYALLMARITAINM/OfiKERi'CdAPENSATIONMSUMNCE,ASREWIRCDBVSfCTION - � ' � � Q4 71000FTMElABORCOOE.FOIiTNEVERFORMM'GEOFTMEWORKiORWHICHTH15PERMIi13 �,! . I G Iw�I�• � LSSUED.YYM"ORKERS'C04PENSATIONIHSUMNCECMRiERM1DPOLICYNUMB�RPAE: CONSTRUCTION {r a�,j�� � uaa[a��CY�A �1aSJ�ly����r'�'�'j���_L�� PUWRE-VIEW , '� • • � VOIICYMNBER I_�( P�017if}IZ(O��I �-�1�+- 1 ELECTRIC � � , . � � (nassEcnor�rKIDr+oTee��oFnEaE�a.�rc�on�Mruu000u�R,a�on�ssl PLUMBING _f M Z 10ERTIFYTHATINTHEPERFORMANCEOFTMEVARKFORNMICNTNISPEA��TlSISSUE0,1 M[CHANICAL � VD ' ('}� SFIALLNOTE�!PLOYANYPERSONNAN'/MANNERSOASTOBECOIA[SUBJECTTOTHE , � YIORKER�CdAGENSATqNUWSOFCALIFORNIA,ANDAC1iEETN1�TIFI51qUlDOECOME INSPECTIONFEE. S SUNEGTTOTIIEM�ORKERS'C9MPENS�TIONVR W5i0 SOF �iON7�000FhIEU00R � woe.isN,ui�omHvnn�coua�rwm+ ho.sio' ' ISSUANCE - � � � p DATE:��_ APPIICANT: / / � �. . , . � - SMIP� � • , _ . � L•�� •. � �j � • - ENERGY P1C - " _ . . _ ` � � WAANINO:FAILUiIE TO SECURE N'ORKEfi".,Wn�7EN5A7qN COYERAGE IS UNLAwFUL.nND SHALL BE � ��,�� '� Su61ECfANEM7LOVEHTOCWMINAIPENAL71E9A1:OCMLFwESUPTOONEHUNDREDTY10U5AN� ENERGYPEFMIT � ' �� OOUARS(f lao.000�.N ADO17ION TO iHE COST OF COMPENSATION.DAAUGES AS CROVIDED FOR IH � SECT�ONa7oeOFTHEUBORCOOE,NTERESLIWDA7T0iWEY'SFEES. - RETENTIONFEE: • J�Lrv � � d . _ - � ' CONSTRUCTION LEKDIN6 AGENCY � � � ' �pR�- T /J O ' Y � 1 HEHCBYAFFIRI.1 UNDER CENILTYOF OERNRV THAT TMENE IS ACONSTRULTION LENDINO AGENCY � � FORTNEPERFORM/�NCEOFTMEWORKiORWHid/TMISVEpMITI515511E��SEC.7097,dKC.� ' / WA � . . � � ' a•� � LENOER'SN�U1E FI����ItTItF1/�L T�/`1��� � LEN�ER'S AODHE55 ������C - � ����' a , �/ w ICERTFYiHATIHAVEREADTHISAPPUCATION/N�STATETNATTHGABOVENFORIAATIONISCORRECT. TOTAL FEES � �t������ � ' ` ����i � V � I�GREETOCOA/PIYWITHALLCRYMlDCOUNf'/OROWANCESANDSTA7EUwSFEUTINOTOBURDINC , � CONSTRUCTKK{AND XCRFDY AU1110RiZE REPRESEMATIVES OF TW 5 CWNTY TO EMER UPON TNE � � ABOVE�YEHTIONCDVROPERTYFOqINSPECriONPURVO5E5. , � , /� COMMLNTS � � � . _ � �V'I'_W -s��"l.li I�'.���Ilt)� . � \\ ' � . � �� . . _, m GE{iutTTE rt'!Tl .. . _ } " �.� �i' (,�.�.li � � ' %�.. . , ' . 1 ' , . . o'. , .. �. ' 1 y� y �tut{e F EPMI`._. �:-��; _, ,.� ��.�. ` ` � j RECPT.NO^ ,VAfO BY-• �� VALIDATION r � ~ ' ``WHITE-0eperiment Gopy.YELLOW—Flnance Copy.PINK—Assassor Copy. OLDENROD—File Copy,GREEN—Applicanfs Copy � . , 1 - , CITY OF DIAMOND BAR . : , ; , , � �' INSPECTION RECORD ' . �. '. , ` � ' • e � � - • � � � - S.�T�$ACK • . �-. r. FLOOR JOIST �. ' � �, - ' �'•) t ,�,! i , r` ,.' t- � .,�-i• FTGS/FO�iMS/STEEL� ; , `�r • . ' � � � FHA REQMTS � ELECTRIC GflOUIVD', ,i, .—/ c -. UNDER FLOOR DUCT ,1 � ,, �;_:�. GROUND PLUMBING' � �/� �t � _ UNDER FLOOR CO�IDUIT� ` �.��•� ': �_` ': ;; SLAB GRADE FIREPI.`ACE FO�UNDATION�� ' � � �' � �" ' ��� ' +' TEMP P�WER ` ' FIREPLACE BOND BEAPA � ' � � " ' ' "..' . WATER SERVICE - - MID HT.BOND BEAM�" '-','�;-.� �• ` ROOF SNEA�'Fff�1G��� '.� �`ti ; l'J:': . ; 8 FT.'�BOND BEAM�.- ,, '. ;1• . FRAMINGNENTILIATION ��•�'���� � r-� .�4��� FINALBONDBEAM ,. , „ - � ROOF COVER ' PRE-GRA�ING :� = � -• +�'. : .. : , ,�, :• �- ; .t . ROUGH HEATING - BENCHING �•`= - : �{ � •- •.;" + .: r'.�,":'_'�' ROUGH ELECTRIC ' ROUGH GRADING R�UGH PLU6JIBING FINISH GRADING • _ SHOWER/TUB TEST� - � POOL ELECTRlC EXT.LATH/SIDING POOL FENCING . � WALL INSULATION POOL FINAL • ' ' � CEILING INSULATION ",1�� S �� OFF SITE IMPS. � DRYWALL NAILING ' ' DEDICATIONS �� SEWER FINAL ENG. � . SEPTIC TANK _ . ',, LANDSCAPEIIRRIG. SEEP PIT/L.L. ' �~ � ' ON 51TE IMPS. . GAS AIFi TEST - FINAL ZONING ; FINAL CONST. � .� s# - FIRE DEPT. FINAL � FINAL HEATING � �--��_ � HEALTH DEPT. FINAL . FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING � �� � ENERGY �. ,...�_� _ �„'� � p • . ' _' ' -._..�.—_,_.�. � _ _.._ _.. _. ..._.... COMMENTS � �� ����1��5_fJ! 4�� [ � .t. . . 1 � .t e� %s u. ��_d�.�j , . s .;.� ..�:�c:�..,,, r"r�*,,�9Li���;� j-=�� �..�.�._ , � . �. , . . J� �i � � �r.�� C,',�;—�;-�!;�o �J t.:u.- '�=, ;�,, _ `t.�^..i � � / �.�/ f S.� �'��v�vnR- [���:i-c:�—/r7 0 �� � /�zf�S �,z�i,�— �ccsx�s � G,:�.c;s ��s- p1��'. ,F -� . ^ —� � /.�P �`1 �/�cQi� � P�v�.`��BYc N� /i'/...r� . . � 1 5/ar 5's 7���____l-�p�`��',C�--�p--�� ��-������'--�_. . _ SEPTIC TANK SIZE _ / , SEEP.PIT/U S(ZE���l�? �J'� � �/ a �����`7`�s��,��-v�a�/ — , . _p. G�—'��`—�',—�',`e,�^� -- �-�C�_-_.(�' � . •.�/3/`> .�, • d '�x • 1�e �� '78`�o ` �'�" -� %a r2: D � �j c��t , �: ��,�_—c� (�fl� � ��r// ,��•���r.�__�_�_�v��j_� _�jr-t:1-7 4-��.. . . _o� �.r��� �� �� � �� ' -..� �T� - ��1����.� s�,�.�`t$ �4�� _ � �