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HomeMy WebLinkAbout13886 (17) � \ ._ _. _..__' - - ... ./ _..r�_. / _ . . . � _��._._. 1����� ��,_; CITY OF DIAMOND BAR �` � � � i-- � r DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� . 21660 E.Copley Drive Suitt 190 . (909)860-3195 Fau(909)861-3117 PRESS ��'��'� BUQ.DING PERMIT APPLICATION FIRMLY } JOBSITE APPLICATION PERMIT P/C ��j��C o ADDRE55 2�y Sa C op[c y DATE� - C NUMBER�t1 � � ✓ . � APN LOT TRACT ISSUE � NPE OCC DATE CONST. GROUP � OWNER � u s wr�S r' p ADDRESS ZONING SETBACKS � CffY 21P TEL. REAR RW ❑ APPLICANT TEL. � SIDFJSIDE STREET RW O CONTRACTOR D'J C F;r o c� • SI�E ❑ � ADDRESS L�IJ 1 ��+'�bCt' PROPOSED USE It�l+'G 70 � CITY L14 NslnrS ZiP `10�31 TEL.SbZ�Y�-oqla �� o ARCFUENG/ • � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS = CITY ZIP TEL. � �n DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREhNALUATION Q OWNER-BUILDER�ECLARATION SFR/ADO/REM O p 1 HEREBY AFFiR1A UHOER PENALTY OF PE0.AIRY THA7 1 MI EXE�PT FROM 7HE CONTMCTORS ll- G2fHqB/C�1pOR LLl CENSEUWiORTHEFOl10WINGREA50N(SEG70]7.6BUS�N[SSAN�PHOFESSqNSCODE:�INYGTYOR (n C7 COUNTYWMCHREOUIRESADERAIRTOCONSTRUCT,AITERIYPROVE.OF40L15KORREDtiRM1Y57AUC• W � NRE.FPoOR TO RS RSUNICE,/�L50 p[OUIRES THE APPLIGN7 FOA SUCH VEHMIT TO F0.E A SiGNED W P2Sb1D0Ck STATEMENT THA7 ME OR SME 6 LICENSED PURSUANT TO THE PfiON510N5 OF THE CONTMCTORS L!• � CEHSEUW�C/UV7EHO�COMMENCYN01NiH5GCT10N70o0)OFDIVIS�ON70FTHEBUSINESSANDPRO- � PooVSpa FESS�ONSCODE)ORT/IA7HEORSMEISEXEMPTTl1EREFAOMANOTME8A515FOitTHEA:IECEDEXE4P- C7 TpN.ANYVqIATIONOFSECT10N7071.68YM7VAP7LICANTFORAPERM�T5UBIECTSMEA7PLIGNTTO Z Re•Roo1 � A pNl PENALTY OF NOT MORE T14w FNE HUNOREO DOLLARS(fsoo).): � 04�30MMfROFiHEPHOPEN7Y.ORMYE1AFlOYEESWITNWAGE5A5iMEIR50LECOMPEN5A710N, � CpmmnfCl71 - YALL DO THG WORK AND THE 5TRUCTURE l5 NOT uRENDED OR OFiERED FOR SALE(SEG 7ou.BUSb J N NESS AND GROFESSKKI4 COOE:T11E LONTMCTORS LICENSE UW D�ES NOT A➢PLY TO AN OWNER OF ? PR07ERTY MMO BUlD3OR W PPAVES THEREON.MA NAi000E5 SUpi WORN HIAISELF OR MERS[LF Oq Q TNqOUGHH150AHEROVMlEMPLOYEES,PROVIOEOiHATSUCl/MPROYEMENTSARENOTIMENDE00R m � ,OFFEf1ED�ORSN.E1F,110YYE'/ER7HLBUIID�NOOitiYPROVEMENTI550lDM/R/9NONEYEMOFCAMPLE� Z T10N.TME ONTIERBUttDCF N�LL NAVE THE BURDCN OK PROVING THAT NE OH SHE OID NOT BUILD Oq � WPiqVEFOR7TIEPURP0.5EOF5MF} w OI�OWNCROFTMEPfiOPERfY,AMEXQUSN[:YCOMMCTINOY1fiM�ICENSmCplTMCTORS � TO CONSTRUCf T11E GROJECT(SEC 7a�.BUSiNE55 Ah0 VIEOFESS�ONS CODE:THE CONTMC70R5 LI- Ve�U0fiIX1 ADJ.AR[A � CEHSEUWDOESNOTMPLYTOANOWNEflOFAPROGERttWHOOUILDSORN1PFqVESTHERCON.AND MMOCONTN�CTSFORSUq1DR61ECT5WITNACOHiRACTOR�S)LICENSEDPURSU/NTTOTIECONTM6 pUANTIN DESCRIPTION FEE � TORS LICEHSE Uw.} OIAAIIXEMPTUNDEH564 B.aP.GFORTNISREASON J Q U LL ¢ OATE OYlNER V � LICENSED CONTAACTOFS DECLARATION W w � IHEPEBYAFFIRAIUNDERPENALTVOFVEfiA1MT1UTIAMLICEN5E0UN0ERPROVI5iON50FCHMTER V. � •(COw/ENCv10 NrtTH SECTqN 7aoo)OF DMS�ON 10F TNE 8U51NE55 AND VROFE55tON5 COOE,A4D Z �� WLKENSEISNFLILfORCEANDEiFECL m � UCENSE CLASS LIC.NO. J V DATE � GONTMCTIXi a LL � WORKERS'COMPENSATION DECLAFtATION -i a � U � iMEREB�AFFIRIAVNDERVENALTYOFGEiWRYON[OFTMEFOLIOw:NGOECUNAT1oN5. Z Q � �IH�vEANDYALLMA1MtiN11LERiIFIGTEOFCONSEMiOSELFaNSUFEFORWOi1KER5' 2 tqIPFH'uATqN,ASPPOWEDBYS[CTON77oJOFTNEVBORCODE,FORTHEVERFppMANCE W OF 711[WORK FORwHiCM iMIS VER�IT IS ISSUEO. � 0 I H�YE AND VALL MNNTAW WOW(ERS'COMPENSA�ION INSURANCE,115 REW�REO BV S[CTION 4 ]7000F iY7E UD6H COOE.FOR T11E OERFORIAMICE OF TNE WORN FOR W/1ICH THIS CEHYIT 15 0 ISSUW.IIYW9FY(ENS'GOYPENSATIONINSUR/WCEGRRIERAIOPOLICYNUMOEFARF'. CONSTRUCTION r�� � ���U � CNiRIER �����_ �'�l V�� PLAN REVIEW _ � Pa�crnu�+e[A . '�l� ELECTRIC • � � (IFKSECTONNimWTB[Q7.LIETEL`OF71ED£fA7f6fr7RONCHJRO(iED�OILUY'R:m1�LC331 PLUM�ING Z 1 C[RTIFY THAT N iHE�ERFORMANCE OF iNE N'ORK FOR WHICH TNIS PERMIT IS ISSUED.1 MECHANICAL LJ' SIUILNOTfNf�OYANYPENiONR1AI:YM/NNERSOASTOB[COfALSUBJECTTOTH[ (/� MqPMERS'CO�APCNSATIONUN50FClLLIFOflNI/�ANDICREETMAiIFISHOUIDBCOOME INSPECTIONFEE � SUBJECT 70 THE WORKERS'C04PEN�11TqN PROVISIONS OF SECTION�70o OF iME UDOR � coo�,isrw.tcamn+in+couP�rv.vm�3-evrro�saras. p ISSUANCE 0 o�re: �-12'°�°� APPLiCAN7: 1 lh`c o�b`'l l �'f e�' sMiP � � ` w ENERGY P/C � WMNINU:FAILURETOSEWREYNRKERS'COMPENSA710NCOVEMGE6UNLAwFUL.ANDSHAILBE � SU6IECTANEYPLOYERTOCRIMiNALGENALTtESANDCNRiP1E5UPi00NEMUND�E0THW5ANO ENERGYPERMIT DOLLAAS(f I00,0o0�,IN ADDITION TO THE COST OF COMPENSATpN,OA/AACES AS PROVIDED FOiI IN � 5ECf10N770eOFiMEU80RWDE,MTEREST,IW0ATT0�41EYSFEES. �EjE/NTIONFC-E: a CONSTFUCTION LENOING AGENCY , pqF}A�F€���� � I HEPCBY�fFIMI UNOER VCN�LTY OF PE0.IURY THATTHFRE IS�LONSTRUCTION LENDWO AGENCY �I �I FOp TNE OEFfORNANCE OF THE WORK FOR WHIUi TNIS GENAIT IS ISSUEO(SEC.70D7.dV.CJ. . W � � IEPIDERS WwE C LENOERSI�DRE55 W� TOTALFEES ICERTIFYTMATIHAVERE/D7NISAPPIICATIONMIDSTATET/UT7HEABOYENFORMATqNISCORRECT. � IAGPCETOLOMPLYWITNKIGfiY/UJDCWNTYORDINANCESANOSTATEUwSRELATINGTOBU1AMa CONSiRUCTION,IND MEREBv AUf1ARIZE HEGNESENTATIVES OF THIS COUNTY TO ENTER UPON TME Z1180VE�NE1ffbNE�ORODERTV Oq INSPECTION Vl1RPOi[5. COMF�`LTS r , l ����z .� - � �r��� p, /� Q"fs-/�` � PE �]T_ �(-p ^ /n�— "1—�2�``' / 1' �J.#i� �� `! —!�/�/ ��(/� � � � � ' � (A SIG TUREOFPERMITfEE DATE � �/ � � � • ECP� PAID B VALJ AT10N � WHITE—OepaAment Copy.YELLOW—Finence Copy,PINK—Asseseor Copy,GOLDENqOD—File Copy,GREEN—ApplicanPs Copy ��� � � ,� . , ,. , - i .. .. . , . . ' . _ i..`.. ._ ;-,�• . , �, , .. ,...... . . . .. ...� ;•� , . , '•�-� � ' '� CITY OF DIANIOND.BAR - � . } , � IP�SPECTION RECORD • � -� I ����.i.��=�tA;` ��i,�.&'4_ �r. 6 1.►����i::r_� E ���� 4 i"1!''.Jt��� ���?.�.:��� ? . �JS i ' - ...� .. , �� _v...��n�i.Y.. �. .-. .... SET BACK , _ � V�� FLOOR JOIST FTGS/FORP�"S/STEEL ' ' FHA REQMTS ' � ELECTRIC GROU�d❑ UNDER FLOOR DUCT GROUND PLUt:�BING UNDER FLOOR COP�IDUIT � � ` SLAB GRADc FIREPLACE FOUNDATION TEh1P POWER FIREPLACE BOND BEAM ,VUATER SERVICE MID HT.BOND BEAM � , � 'ROOF SHEATHING 8 FT.BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM " ROOF COVER PRE-GRA�ING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROJGH PLUI�1BING FINISH GRADING SHOWER,TUB TEST POOL ELECTRIC EXT.LATN/SIQING POOL FENCING • VJALL INSULATION POOL FINAL CEILtNG tNSULATION OFF S1T�IMPS. DAY'4Ni�LL NAILI�lG DEDICATIOtJS SEV'JER FIt�AL EWG. � � SEPTfC TANK LAPJDSCAPE/IRRIG. • SEEP PITIL.L. OPJ SITE IPAPS. GF.S AiR TEST FINAL ZQNI�IG 'FI?d�,L CONST. 3 -� � FIRE DEPT. FRJF�L FIti.AI HcATIf�iG HEALTH DEPT. FINAL I �iNf,L ELECTRIC I DEV. FEES P,=+ID � 1_�'1•11'.L PLUti4BING ENERGY ' I - -..�.�:.,�–..,......ra.,�,,.--------�------ — '�t" �.����.. .�f�..t~.f.:._��_. .'!�'J'�..::...,.,�.�.......�...�. ' cor,n��ErvTs _... ..- --- - SEP71C tANK SIZE � SEEP PIT/U SiZE . . ;�.;,�. ..... -���,�.�.., ...�i ;- _ g �_� . - : . . ; . . . , ;;y j��:. ;�; , , .. .� . . �:� � i �. . . ; _.,. �`� . , � ...._.____..._�`�.----.....:;�_w..:; - � � , ` , . "��� � CITY OF DIAMOND BAR "'+ , ��r DEPARTMENT OF COMMUNITY�DEVELOPMENT SERVICES �� , 21660 E.Copley Drive Suitc 190 (909)86a3195Faa(909)861-3117 PRESS ��'^"� BUILDING PERMIT APPLICATION FIRMLY � JOBSRE r APPLICATION PERMfT p 2 o ADDRESS 2��SD J+ [O ���N DATE '� NUMBER N S � � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER - L?c.�-L .�t�/ Car(�ra�c Ge� �r "" ADDRESS � �-o lC ZONING SETBACKS 0 "� CfTY � 4✓ZIP TEL. FRONT RW ❑ � � APPLICANT .U�laoV,,.. nuGi- TEL.{b2 (�51-��8 REAR ❑ � - SIDFJSIDE STREET RW O . � CONTRACTOR GC ��C hT�c�-Jur SIDE O ;�✓ ; ADDRESS w �,�.�n(n e.r PROPOSED USE ���G 1 V � l n'n1[(r✓NuJ ;,� � CITY �-f'� 4 hrC. ZIP �G3(TEI..�,C�2�� � ARCH/ENG/ � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS f STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SQ.F7. FACTOR PSF ADJ.AREANALUATION Q OWNER•BUILDER DECLARATION SFR/ADD/FlEM O p I HEREBY AiFlIM tROER PENAL7Y OF FEM1AIRY THAT I�VA E%EMPT FROA1 THE CaffTMCfOf15 lF GaragelCarport W CENSEUWiORiHEFdlOWNOREILSCN�SEC.70.7f.68U5wES5ANDGROFESSKKISCO�E:ANYCT'OR (n � COUHTYN4f1OfRE0UWE5AFERMR1l7CON5TRUCT,A1TEi�OdPROYE,DEA10LI5H2ORREPAiRANYSTRUG W patialDeck NRE,GRiOH TO ITS�SSUANCE.ALSO REWIFES TME MPLICIW7 FOR SUC/10E�ulT TO FILE A 5�6NED W .� STATEMEHT iHAT H[OR SME LS LICENSED PURSUANT TO iHE 7POV�S�dNS OF THE CONTMCTOR9 L4 � CFNSE UW(OUPTEA�(COMMENpNO WI7H SECTIOH 1000�OF DMSqN 7 OF THE BUSINESS M1O PRP V' POOVSp� FESSqNSCODE)OHTXATHEORSHEISEXEYPTTNEREFROMAN�TNEBASISFORTHE/U.lEOEDE%EMP• (� TION.ANYVIOLATIONOFSECiqN70.t1.60YANYAPPUGNTFOfi�PERMiTSUBJECTSTHEAPM�:ANTTO Z Re-Rool � ACMLVENALTYOFNOTMOitETH�NFNENUNOREODOlU0.51f5na�.f � 04�OMR'IEROFTHEPROPEHTY,ORMYEMP�OYEESWITNWAGESASTMCIHSOLECOMPENSATIDN, C) COf11RIBrtldl ' M7LL DO 7HE WOR1C ANO THE 5TRVCTURE IS HOf IHiENDED OR OFFERED FOR SALE(SEC.7W�.BU51� J NESS IJ�D PIqFE5510N5 COOE:iNE CCMMGTORS LICENSE UW DOES NJT APPLY TO AN OWNER OF N PHOPERTVW1pBURDSOH1YPfiOVESTNEREOH./WDWNODOESSUCHWORKHIMSELFORMCRSELFOR � � iNROVOMNI50RNEROWNEYPLOYEES.GROYDE0TMT5UCMPIPPOVEMENTSARENOTMENOCDOfI � L11 OFFEAEO iOR SALE IF,1%7WEVER 11�E BUIDING ORnIP(qVEUUfT 45 SqD WItloN ONE YEAROF COMPLE� Z TION.THE O'NNERBURDER WILL IUVE TNF B��OEN OF PROVWO TNAi M[OR SHE 0�NOT Bl11lD OR = w1PROVEFORTI[PURPOSEDFSALE} (y� 04��LNOFiHEPpOPERfI;AMEXCLUSNEIYGDMRACTiNOWITHLIL:NS[�WNTFUCidiS CC 7t7 WNSTRUCT T1E P1IWECT(SEC.7D�1.BVSIN[SS M7D PHOFESSIONS Co.E:TME CONTMCTOqS Ll� Valuation ��n ODO ApJ.AREA LLJ CENSEUwDOESNOTMPIYTOANOwNEAOFAPR07ER7YYAqBULD50RWPiqVE57H[RCON.AND _. _ � 1MOCON7MCTSFOHSUCHPR0.7ECTSYnTNA007iMGTOHI51lIC[NSEOGUFSUMrtTOMEGONTPAG QUA,UTITY [SCRIPTIOf� � FEE � TOnS LICENSE Uw.). O IAM IXEMPTUNDER SEC. 8.t P.C.FOR THiS ReA50N Q � ' U �� K LL' DATE OWNER F' � W F LICENSED CONTRACTORS DECLARATION -� � w I NEREBY/FFIPoJ UNDER VENAL7Y OF VER0.Jm'iNAT I AM LlG[NSED UNDEH PROVISIONS OF CHAPTEfl V. S Y(COYMENCN01MiH5ECTqN7000)OiDMSrONIOFTHEBUS�NESSMIDPROFESSiONSCACE,MO 7 X W UCEHSE IS N FULL FORCF M1D EFFECT. Cl 0 LICENSECUSS �_'� ��_No. ZSyti 3� � 7 v w� 7�2 ��1�corrrw��cron��fl d�ti1(,C � r� a � WOFiKERS'COMPENSATION�ECLARATION � � -� - � a N INENEBYIFFIRV.UNDERPENALTYOFOERJUR'/ONEOFTHEFOLLON7NGDE0.AiU7lON5: U y Z Q O �IHAVEANDN^LLIAAIJT/UNACEqTI�ICA'EOFCONSENTTOSELF•�NSUREFOFINqRKERS' 2 � COAIVENSIITION,�SPROV'OEDBYSEGTION7�ooOF7MEUBORCOD[,iOR7HEVERfORM�NCE W OF TIE MfORK FOR WHIC11 THIS PERMIT IS ISSUED. 0 1 IMAVE/�N�W11WRlfA:NK'OFIKERS'COMPENSATIONiNSUqANCc',ASpEWIflEDBYSECTION �� Q i7000F TH[UOOR CODE,iOR TH[PERFORUANCE OF TNE WOPK FOR WNICH THIS VERAIIT IS � ISSUE7.AIYWON�:FRS'COAIPENSATqNWSU CECAf10./'[RINDDOUC'�NUAACENME: CONSTRUCT1ON �.[�/��/.�J � uAwEn S-�G�'e �lJ✓�N PLAN REVIEW � � 7 ✓[/ Z po�cvnween 6 C� �- 9� ELECTRIC Q ��' � (IFGS..�CIY.NAEmNOTB[OOMLEfFDOFiICPERMT6fi71i0NEM1K7(YDDCUAtI^,6��IOIilE55F PLUM9ING _.� Z ICERTIFYTMIlTW7M[PEflFORMMlCEOFTHENOW(FORWMIqiiH15PERMITI5�S5UE0,1 MECHANICAL � N/ORICERSCOMP HS�IONEU�30FUl�FORN'+EAANOACR EETIUTIF S/qlh�BEGOME INSPECTIONFEE � St10.1EGTTOTMEWOnKERS'COM�ENSATqNPHOYIS10N50FSEC710N177�OFTNEUBON cooE.�sHw.coAnrvrn+ca.��.rwin�nas[vaowsnNs. ISSUANCE 2 � SMIP �6V p DATE: APPLICANT. , W ENERGY P/C � WARN�NO:FIULURETOSECUREWOHNERS'COMPENSATIONCOVEMGEISUNUWFUL.ANDS/VLLBE � SUBIEGTANEMMAYER70CRW?IA�VENALTIESANDCMLFINESUPTOONEM/NDREDTMWw1N� ENERGYPERMIT DOl1ARS(f I00.000�,N ADDRION TD iHE fAST OF Cq.1PEN5AT10N.DAMAGES AS PflOYI�EO FOF IN � SECT�ON]7oEOFTMEIABORCODE,MTEHEST,M�DAT70FWEYSFEES. RETENTIONFEE: a CONSTRUCT�ON LENDING AGENCY pRE-ALT FEE: 1 Q IXERfBYAFFIRMUNDER7ENKTYO�PERNRYTHATTH[REIS�OONSTRUCTKKJLENOW�AGENCY �•� r _ �"� h d FORTNEVERPoRAIANCEOFiHEWORKFORWHIp1iM157ERMITI5155UEU�5EG]oY7,GV.C.1. � ; � � LEN�ERSWWE � LFIAER'SADORE53 � ICENTIFVi1UTIXAVEREADiNISAVVl1CATIONAN�57ATETNAT7HEABOVEINiOR/AATIONISCORRELT. TOTAL FEES W IAGHEETOCpA7LYWITNM1CffYAN�COUHTYORDWMlCFSANOSTATELAwSPEUTINGTOBUL�iNO � COHSTRUCTION.ANDMCREBYAUfIqRIZEREPRESEMATNE50FTMISCOUNTY70ENTERUPONiHE SL ^�°�MENT10fICD VAO�ERT!F wsr¢crqn v�nroses. COMMENTS 0 I�l�,��o�A1� �e��ti � �J /� ¢ VER41 E MAA16(� Y v v �✓�" � . . u, /j�!/!.�vJ 6'� y 61GNATUHEOFPEW.IITTEE DAlE � RECPT.NO. PAID BY VALIDATION WHITE-0eperlment Capy,YELLDW—Financa Copy,PINK—AssessorCapy,GOLDENROD—File Ccpy,GREEN—Appicant's Copy �'` _ CISV OF DIAP��ORaD B�R ' _ IIJSPEC i IOt�! RECORD • ^ �'� ��.....,li��:i:y�s;�;l,�a►��...._...._ :����t,�:. ij1'�'�:)�i;s+ o __.._ v �i ��.�e1►� !�'��..� �-_ _..,_. ��. ._°�_.��'��_�; .�_. . ... _ �._.._.._Y..t_ .- -M .__�_....,�-�'��� �r"l E-� .�_ �� i1►� �.���_ '1 k-�'_�.�_ � e�. r �. .a:L ... w....... .�� . - . .. 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