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HomeMy WebLinkAbout16536 _. .. ._....... -- ..._. CITY OF DIAMOND BAR / - �� � DEPARTMENT OF COMMiJIVITY&DEVELOPMENT SERVICES � T� . 21660 L•.Copley Drive Suite 190 �j / (909)860�3195 Faa(909)861-3117 `�" PRESS ��'�� BUII.DING PERMIT APPLICATION FI RM LY � JOBSITE � / APPLICATION PERMIT � P/C o ADDRESS .%ti I�S7 Q T i or3 l�CG.1� ,C„�✓ DATE ��� �I-�I NUMBER � � �► � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP �j OWNER�LAlN� l�1 1 11t. 1c " ADDRE S"'t� ��� �i i��7 c�'�A ' ZONING SETHACKS W CIN ��u-� �+4 ZIP r� TEL. 0� y 3 � FRONT RW ❑ APPLICANT i N'!�!CN� C!�oj-�N c:— TEL. .3 ' �.� E. REAR ❑ SIDE/SIDE STREEf RW O CONTRACTO� L�'��'f C/�� �Ct/�:C,wt7C f =r'!'-I G— SIDE O a� ADDR S 1 b ,73v�X—e��.��� o CITY �b� ��NQ ZIP .�`f ' TEL. 0 �=C -d � PROPOSEDUSE � ARCWENG/ � DESIGNER NO.DWEL NO. NO. ADDRESS UNRS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDEFi DECLARATION SFR/ADD/REM O p I NEREBY AiFlPY UNOER VENALTY OF CEP.AINY iNA71 AM E7(EMPT FROY THE CONiMCTORS lt- Gefe90/CdIpOR LlJ CENSEUwFOHTliEiOLLON7NOPEA�ON(SEG7W�.SBU571ESSM:OPROFESSIONSCODLM7�CrtVOR (/� ' � � COINliYW11101RE01MESAYEliMR70O0N57AUCT,ALTEFtMPf10YE.0EMOL15H.ORREPNRANYS7RUG W P0t101DBCk TURE PHqR TO RS ISSUANCE A150 ilEOUIRES THE MPLM,ANT FOR SUd1 PERMI7 TO i0.E A SiGNED w � ETATEMENT TNAT HE OR SHE IS LICENSEO VURSU�WT TO THE PROVISIONS Of iM[CONTMCfORS l4 � CENSEUW(ClUFTERO(CdaNENCWOY/ITHSECfION7000)OFDIVISION]OFTHEBUSINESS�NDVRO- LL' POOVSpa FESSqNS OOOE1 OR 1HATME OR SME IS EXEMPTMENEFi10M ANO 7ME BA515 FOR iME�LlEOED E7(EMP- T10N.ANYV�OLATIONOFSECf�ON707t.6BYM�'ADttICMJTfORAVERIAITSUBJECTSTHEAP7LIGWiTO Z Re-Root � ACMLPEWLLttOFNOTMO�ET1ANilYE/UNDREDDOlUR3(f5oo).�: . � O10.40N�NEAOFTHEVFiOPFRTY,ORYYEMPLOVEfSN77MWAGESASTHEIqSOLEC04PEN5AT10N, ❑ COrtIT0fGl21 ' WIl1 DO THE WOWC AND iH[STRUGTURE IS NOT INTENDED OR OFFERED FOH SALE(SEC.7oa1,&151• J NE54 MID VROFESSION9 COOE T11E CONTMC70RS IICENSE LLw OOES NOT APPIY TO AN OwHER OF � PMPERTYYM1IOBUILD90RMPRONE311/EREON,ANOVAIODOESSUCHNOf1KNIM5ELFORMERSELFOR m � i1il0U(iHH50RMERONMEM7lOYEES,CROVIDEOTWUSUCHMPROVEMENTSARENO7IHTENDEDOq OFiERED PoRSALE F,/qWEVER7ME BVIlDINO 0111UPqOVEMFMIS SOID WRMNONE YEAROF COMPLE- Z �TION.7ME OWNER�BULDER MALL HAVE TF1E 9UfmEN OF PROVwO THAT NE OR SNE DO HOT BUIID OR = WPRDVEfORi11EPURPO5EOF6LLE�. W ❑LASOWHEHOFTMEOAO�ERiY.ANEXCLU5IVELYCONfRACTINOYrtMUCENSEDCONiMCTOR3 � TO CONSTRUC7 THE PR0.IECT(SEG 70N,BUSINFSS ANO PFOFESS�ON:COOE:THE OOHfMCTORS l4 V9IU0IIOR ADJ.AAEA CENSE UW DOES NOT MPL�TOAN OWNEfl OF A PflOPERTY 1MH0 BU0.DS OR IMPROYE9 7MEREON,AND � W1qCOHTMCT4FOR5UCMDROJECTSVVITIACOMRIICTOR(5)LICENSEDOUNSUANfTO7HEC1'NlTNAG QUANTITY DESCRIPTION FEE � iORS LICENSE UW.). . .._.. _ • OIMID(EMGTUNOEHSEG B.tP.GfORTHISRE1150N U � DATE OWNER � ' ... . . � ' W ~� � LICENSED CONTMCTORS DECLAHATION W � � IHfREBYAFFlRIALNDERPEWLLTYOFPERIUMTMATIIUALICEN5E0UN�[NPRONSIONSOFCMAOTER Ur � ffCqAIFNC4N3MniMSECfION'l000)OFDrviS�ONJOFTHEBU4INESSMIOPROFESSIONSCODE,AND Z X LIYUCENSE IS N FULL FOi7CEAN0 EFFECT. LLJ �7� �r+ m � tICENSE CLASS 4�O �t. �^�� LIC.NO. ��I O� � _ rV ��,5-�r�o 1 courrucron r f;ff/GAL Q�CL/�.;" a w � WOFIKERS'COMPENSATION DECLARATION U , �%` �,� CI •� � IMEREBYAFF7WUNDERPEN.LLTYOF7ERtt1RYONEOFTME�LLOVANCDECLMA7IONS: y Z Q O _IHAME�NUYYiLLNAN7AINAGERfIFIGiEOFCONSEMTOSElF�NSMEFORNqRKEfiS' S � Cp11oEN5A7qN,A$PRONOEDBVSEC710NY/000FiNEUNORCOOE.FORTHEOER�OFAUNCE U { /OF TNE WONC FORYMIG17H15 DERMIT IS ISSUCD. � � �I HA�E AND MIILL YAMAIN WORI(ERS'�1APEN:ATION INSURANCE.AS REW!REO 9Y SE^.iqN d �70DOFiHEUBORCOOE.FORi/1E7ENWRMANCEOFTMEWORKFORWHICHTHISPENURIS � ISSUED.IAYMORKEi15Cp.IP}y�+s ATION�NS ECA.q}n,iE-R,A�N'DV NUUBERARE: CONSTRUCTION � CApR1ER �-�►cc 1 Jr.+C ��^'� PLANREYIEW ' . y A t�l l'1 7��J—1�i[J�.Z �� ra.krriuMeen - ELECTRIC o �nassEcror�r�mr,oTeemu�[ooFnfaEawrswaor�e�a.rn�¢noaiaasR:aotont�s7. PLUMBING ` w �` Z 1 CE0.TIFV THAT N THE FERFOq1AANGE OF THE VAPoC Fdi WHld/THIS PENMIT LS ISSUE7,I MECHANICAL 1•J � SHALLNOT EMRW�NY PERSOn INANY MAHNEH S011S TO BECOAIE SU0.IECT TO THE � NORKERSCOMPENS�TqNUW50fCALI�ORNI�ANOAGREEilI�TIFISIqULDBECOME INSPECTIONFEE '� Su0.1ECTTOTHEWORK[RS'OOMCEN PROVISqN50FSEC310N�7qoOFTNEUIfOR � .�"_ v� cme.is�wlroan�wirHcaaairwi rnovisioN. ISSUANCE QOA7E���I� Q/ AVPLICANT:,�'�"��� SMIP . � WMNiNC:FAAUREiOSECUREW'OiLCERS'C�oENS�TiONfAVERAGEISUNUwFULMASHAILBE ENERGYPlC SUBIECTANEMPLOYEHTOCiUUWALPEWLLTiE5M1DCMLFNESUPTOONEMWOREDTHOUSAHD ENERGYPERMIT OOLURS(f 700•000I•N ADDITIdJ TO THE COST OF COYPENSATION,D�AGES AS OROVIDED FOR IN D � SECTqN]70lOFiHEU1BONCOOE.NTERESi,MID�TfORNEY5FEE5. ' RETENTIONFEE: 11Y� pW„ CONSTRUCTION LENDING AC�ENCY PRE-ALT FEE: � IMEREBVAFFliUAtR10EFPENAITYOFPE0.NRYTHATTHEREISACON57RUCTIONLENOW011GENCY Z FOfi iHE YCNIOF7YANCE OF iNE WORN FOR WM�G1 THIS VERI.UT IS ISSUEO(SEC.]OY7,CIV.C.} W x IENDER'S NAME � s � LENDERSADORES4 \ � ICERTIFYTHAiINMEREADTM1511PPI1GITIONANOSTATETWiTiNEABO'/EINFORNATqNIStORRECL TOTAL FEES ��•v� � IAOREETOCOMPLYWITHALLCIT`/ANDWU�T'ORDINMICCSMMJSTATLUWSPEURN6TOBUdDINQ � ' CONSTRUCTION.ANO MEREBY AUTMORRE RCVRESEMATIVES OF THIS COUNiY TO ENTEfl UPON TNE � ABOVE-4EMqNEO PFOVEHTYfOR WSPECT�ON DURVOSES. COMMENTS � � J � � 7EiW1TTEENAIIE(PNIIYT) 6 N � SIGNANREOFPERMITTEE O�TF � RECPT.NO. PAID BY VAUDATION NMITE—Depanment Copy,YELLOW—Fnence Capy,PINK—Asaessa Capy.GOLDENROD—Filo Copy.GREEN—Applicant's Copy � , CITY OF DIAMOND BAR , ,,.,: ,.,-. ,� - , ::.:.:_�.:•,,.:IP�!SPECTIOr� REC�RD �: ..:.�•��. .- :.�:: , .. , , �� ,.. , .. , � , r� . . ��C►F�7�X��Lj�.l�a��..��:��,�.�� '.1.�l- ��1F:o � �~�a*; E� �;���;'MI�� ►�.�e;. .� .�:� � 1?�� ►` -�1 ���''�•o , �....�.-�� �...� � � �= . �...��...��..�._ �,:.��w �..�� �a�_: ,w��� _ �5ET BACK . ;'� ; , -� . j ~FLOOR JOIST ,, �� ����� ��i��. I FTGS/FORh"S/STEEL -- - . ,� r--.� : ... �..... � �.FHA REQMTS... ._ ... - --- -. :. _._ . :. . . . '�-�- - , _ _ .; '.: �ELECTRIC GROUND . .. _..._ ' _ .... . �UNDER FLOOR DUGT - ,: � � . ... - � . � . _.� _ _ _ . . � :: GROUND PLUMBI^!G UNDER FLOOR Cd��IDUIT , - - ' .. . . . . . _ . . _ ._. �-�-- .SLAB GRnDE- - - `� - - - ' � FIRERLAGE�FOUNDATION - . . � . --, TEh4P POWER . .-- --. FIR�P.L1cCE BOND 6EAPJI ' .'- I , , . - - - . , i..f._ WATER SERVICE - - - - '._ MID HT:BOND BEAFA' � . � .. ,. , ; ROOF SHEATHING � 8 FT.BOhQ BEADA: ,'. - - � � ' - '-: j ; •FR,4DJI)NG.NENTILIATIa�d - - -- - - FINAL�BOND BEAh4 -. . . � .- ROOF COVF_R _, � � FRE-GRADING . _ _ - - .' _ , ; _ _ ;ROUGH HEATING -- - - � -- � � - BENCHIfJG •: . ; , .AOUGH ELECTRIC- -'-.-- . • . . � '..'- :._�;"' :� - ROUGH GRADING - - - - - - - -- . RJJG}i PLUMSING -;-._. .. ----. --- -� I FINISH GRADING `: SH�'r'JER;TUB TEST-• - - POOL`ELECTRIC . • � 'EXT:-!�',Tfi/SIDING -- - - --- - - - POOL FEhCING .. i . �V'JALL INSULATION -. - - - - - -� - . POOU FINAL - ; ; � - , ;CEI�iN3 iivSULATION � - - - � - OFF SITE IMPS. ; ;.: ��7RYlJALL Nf;ILING � 1 DEDICATIOP�S SEVv'cR__.._ .. _ .. _ . ... --- FINAL'ENG. . �. ; r:. 'SFPTIC TANt< LANDSCAPJIRRIG. � ' !SE�?.PfT/L.L. _ , ON SITE Iti1PS. � � ' �Cz�,S f,.IFi TEST., _ � FIPJAL ZOMPJG � . , . I�Ii•��.L.CON,�..T.. _. _ .. . . ,_ FIRE OEPT. FINAL: • j � , __ . . . ... . IFl?:/�.!1-lEF�T1NG ...--- ..--.,r 1�`� � . 11EALTH D�PT. FIN.�L � ----. � -. _ � i;'i:��1_�LECTRIC _ f/ - - . _ DEV. FEGS rr'�ID -.._. _.. .... . -� .. _ �. .. ''' ':�.L PL11;.13!P�G -- - - ENERGY I , . t.l' -'-- !-_ . , ;� -_.. ._..._. ....._ ._.. .. .. ----- . , ' -�-- I��,=..,o...�. ' ......� - _ l�....- ---- ---. .... .. I. .. I 4:;t,�;�l=r. rj�.e't'� .,...._._ - .._.._ ' ,. 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