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HomeMy WebLinkAbout16737 (23) i . G� � . . �'— CITY OF DIAMOND BAR � � � "�� --- DEPARTMENT OF COMMUNITY 8r.DEVELOPMENT SERVICES i ' 21660 E.Copley Drive Suite 190 �• � (909)660-3195 Fax(909)861-3117 PR E$$ 'M'� BUQ.DING PERMIT APPLICATION FIRMLY oJOBSITE ,/J�2� �' /�(arat�� f�.)f}�'1/� / i/ DATE CATION I �,�C�,�OI NUMB R ly�A� a ADDRESS �� �1 L.VI /VN�/V vl/IJ �tV Lo t g ISSUE ` TYPE OCC APN L T TRA T DATE CONST. GROUP � OWNER o ADDR S ZONING SETBACKS � CffY ZIP TE ' FRONT py�/ ❑ APPLICANT TEL. REAR � � SIDFJSIDE STREET RW ❑ CONTRACT SIDE ❑ ADD S � CfTY ZIP _ TEL PROPOSED USE ARCFUENG/ DESIGNER NO.DWEL NO. NO. = CIDnDrRESS Z�P TEL. UNITS t STORIES -�� � BEDROOMS � tn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLAAATION SFRlADDlREM O p 1 MER�Y AFFlRY UNOER PEWLLTY OF PEfiRJRY 1TUT 1 AA1 E%EMCT iROAI THE CONTMCTOIiS LF� G8�ep9/Ce�pOR . . .. tL CFNSEUIWFORTH[fOLLONnNOREA50N(SEC.7071bBU51NES5ANDPROFES510NSCODE:ANYCfTYOR (n 5� COUMTYN1�f11NEd11i1ESA0EqYRTO[DNSTRUCi,ALTER,IYV{qVE,DENOLISN,ORRE7AIRANYSiRUG W patlolDeck V� 7URE VRiDH TO RS iSSUAHCE,/:50 REGUIRES TNE APPLM,liNT FOR SUCH PERAIIT TO FILE A SiCNED w � STATFMENT THAT ME OH 6HE IS UCENSED GU0.5U11NT TO THE PROV1510NS OF iHE COHiMCTOR9 L4 CQ15EUw(pU1VTENY(COMMENG11qWfiH5ECT10N70o0)OFDMSION70FTXEBUSIN[SSMDPRo- u' PDOUSpB FESSIONS COOE)OR 1W�T ME OR SME IS E7(EMPT TMEREFROM AN�TME BA515 F�R THE�LLEOEO EJ(EMP- TpN.AHYVK7LAT1D110FSECT10N70]1.68YANYMPLICANTFORAVERMIiSUBJECTSTMEAPPLICANTTO z Re-Raol � A CIVIL iENALiY OF NOT►qHE TIUN FIVE MINDRED DOLLARS ISSOD).1: � OL��NiNEROFTHEPROPER7V.OR1AYEUPIAYEESIMTHWACESA>THEIRSOIECOMDEN5A7qN, 0 L`q�mBfCi81 - Wkl DO THE WOPoC ANO THE STRUCiURE IS NOT IMENDED OH OFFEHFO FOR SALE(SEC.70a/,BU54 J N NESS A/O PROFESSIONS CODE THE CONTMCTORS LICENSE Uw OOES NOT AFPLY TO AN OWNER OF ? iROPEHiY MR10 BUILDS OR MPfpYES iMEREON,AND YM0 DOES SUCH KORK NINSEIF OR MERSELFOR CL TMROUGIIHSORMEROMMEMPLAYEES,PFpVIDEDT1uTSWIwPROYEUENTSMENOTNTENOEDOR m 0 OiFEHEDFOH511lEF,lAWEYER7NEBUlDINdOR�dPi10VEMRlTISSqDWRHNONEYEAROFCOMPLE- Z TIDN.THE GWHER�BUILDER YALL HIIVE T17E BURDEN OF VROVNO THAT HE OR 6ME OD NOT BUILD di � MiROVE FOli7HE it1RVO5E OF S11E7. (y� OL�ONMEROFiHEDROofRTY,AAIEXCLUSNELYCONTMCTIJGYlfIHUCENSEDCONTMCTOR3 � TO Cd�STRUCT TME OHOJECT(SEG 7041,BUSIKESS AND PROFESSIDNS OODE:TME CONiMCTORS L4 V81118�iOf1 ADJ.AREA CENSE UW DOES NOT MPLYTO FN ONR�ER OF A PROVER7Y W1iD BULDS OR IMPROVES iHER[ON,AND T�- MrtqCOMMCTSFOHSUCMVFqJECTSWf7NACOHTRACTOR(5)UC£NSEDVURSUANT7pTHEGONTMG OUANTITY �ESCRIPTION �E � TORS LJGEHSE UW). OIAMIXEYPTIM�DERSEC. B.�VGFONTHISRFJISON 4 �' 3 CL ,'�'�, � <' }. � OATE OHR.ER U . Z w ' } . F4 LICENSED CONTRACTORS DECLARA710N W K IHERFBYAFi1RMUl�ERVENiILTYOFVE0.tt1RYTMATIAYLICENSEDUN�[RGi10VISIDNSOFCHAPiEq V, s �(C01.MIENGN�WITN SECTION 7000)OF DIVISqN]OF TNE BUSINE55 AND PROFESSiONS COOE,AND Z X MY UCENSE IS N FULL FO�iifCE nAND EFFECT. � UCENSE CUlSS}�y�1,�v�`7�� LIC.NO. � � l � �j DATE ��%1'/'YJ/ CONTRACTOR d W �.� / n� � WORKCRS'COMPENSATION DECCARAT� v � i � IHEREBYAFFGWUNDFRVEYALTYOFpERNRYONEOFTHEiOLLON7NG0ECUMTqNS: � Z �C � �IHAVEAHDWILLMANT�JNACERTIFICATEOFCONSCMT06ELF-INSUHEFORVNqKERS' _ COMPENSATION,�SPROViDEDBYSECT10N71000FMEUBOflCOOE.FORTMEPERFORA/NJCE w OF TMEKTJN(FOR WHICH TM9 VERMIT IS ISSUEO. � � � _tHAVEANOMlLLYAWTMNWORKER5COMoFN5A710NINSUMNCE,ASRECUIREDBVSECTION Q3looOFTNEUIBOHCOCE.fOiTHEGERFORMMICEOFTHEWORiiOHWnICHTHi4PERMITI3 � RSUCD.YYri9R1(EAS'LON �NSATI0NIN5 ANCEWRfiIERMDPOLICYNUMBERAAE: CONSTRUCTION � CMRIER �� � PLAN REVIEW � ���B�R ELECTRIC � �nusEcna+r�mwre[aoi.s�t�morn[v[nHrsxaa+[r+.ronr000unruR+rolrn�ssi. PLUMBING /� Z ICLRtlFYTHATNIHEPERFORMANCEDFTHEWORKFORWHICHiHISPENMITL5155UE0,1 MECHANICAL �.�� V (7 SHA1L NOT E�PLOYANY VERSCW IN ANY uANNER SOAS TO BECdA[SIAJECTTO THE . (/� NORKERSCOMPENSATIONUWSOFC�LiFORN1,�ANDACREETN�fIFISMOULDBECOIAE INSPECTIONFEE S SV&IECTTOTHEWOHICERS'COMPENS�710NPRONSIONSCFSECiqN770DOFTMEIABOR 000c.�sw�u roanmin+ca�v�r wm�t�.os¢cnwisaHs. ISSUANCE � � O p DATE: APPLIGM: SMIP . � WARNINO:iMUPE TO SEIXlRE WORKERS'COMPENSATION COVEfUGE IS UNLAwF1/L�ND SHALL BE ENERGY P!C � 6U&IEGTIWFMPLOYENTOCRIMItU�PENALTIESANDCMLFWESUPTOONEMIMDREDTFIW5NJ0 ENERGYPERMIT OOILARS(i100.000�,N 11DDITION TO THE GOST OF COMPEN511TIDN,OAMACES AS PHOYIOE�FOR IN ¢ 6ECTION 770!OF iHE LABOR COOE.NTEREST,ANDATfORNEYS FEES. RETENTION FEE: d CONSTRUCTION LENDING AGENCY pRE•ALT FEE: O � IHEREBYAFFlRMUNDERCENALTYOiPE0.NRVTHATTMEREISACONSTFUCTIONLENDINCAGENCY z FOB TNE PFRFOFMANCE OF THE WOFK fOR WHILH THIS FERMIT IS ISSUED ISEG]OV7,qV.G). . W � LENDER'S NA1AE C LEHDER'SADORE55 W� TOTAL FEES � 1 CERTIFY TNAT 1 MAVE READ THIS APPLICATION Ml�ST�TE TMAT TME ABOYE N�OMI�TION IS[ORRECL � '� � IA6REE70WUVLYWITHALLCrtYIwDCOUN7Y0aDUUNCE5AND5TA7ELAwSRELATN�TOBURDINO � CONSTRVCTION,ANDHEREBVAUTF10i712EREPHESENTAT1VE50FiH15COlNITYTOENTERUPONiNE /180VE�AENTqNED PROPERTY FOfl NSPEC710N FURPOSES. COMMENTS � �,'11,�o_��c 1r l��rra.� Qverwiirc¢wwe Ivwr+Tl /� � ��L�//�/� y SiCNATUREOFPER1ArtiEE D� • � RECPT.NO. PAIO BY VALIDATION WHITE-0apertmant Copy,YELLOW—Financa CApy.PINK—Ascessa Copy,GOLDENRO�File Copy,GREEN—Applicant's Copy . . .... ..,.. . ... . . • , . ... . , . . . . , �,�: ... . ,+� . . i . . . .. . . . . , . . _ . . .. ... � � . � -' `� CITY OF DIAMOND,BAR . .., . _ � �� � � : ;:: .., . .. ! , .., ^.— � �. . . r.;;. , r�RJSPECTlOf�! RE�CORD �i� ,,. __� r.. .... . . .� -}�.. � �".. :" ._.., �_... .. .. . T----�--���, , >?�j;I}!�3'��.��.P'.C.�'J.�.P . !nC-��'� �1�.����.,�.�.�°��fi: �(�`����=�w.��,�►���+ ' +�,�'�:�kl'� ��►�.�-� �J�c�!�'o].�{ _ , �._:.�''.��..�. ._. _..�..�._..,.�..m _ ..�..,..�...��. .. ti w��.;:;..., ._. �SETBACK :�.• (�c:•� �I� , , ,-� �, "i., 1 . FLOORJQIST ` � r; '`,,...'_ ...,►' ,• ,1•,_...1 :�,e, a\. , ' . , , . � .. . , . 'f-fGSlFORMS'STEEL'-' - � . .. .�•:- . : •.� _. • . . . ... � _ .. . , . , . _ :-. ,.� , . _. FNA REQMTS- � - : � iELECTRIC GROUND _ •- -- ------- ..- UNDER FIOOR DUCT -- � , � . ,. .� ••.' -', �,,.. ;, -- ' �� � ;' !GROUND PLUMBING � -UNDER FLOOR CdP�iDUIT -"�' �''`� '' '�' '� ' '�'' � � � • :.� (S6A6GRADE -- . . - ----- . _ '- FIREPLAC �FQ� ND�ITION \: �� _i .�..'.!ti .�i ; - -- �TEMP POWEFi -- � :� ��, : . FIREPLACE BONQ BEAM � ` � ;WATER SERVICE-- -- � - _ . - , h11D HT� �f�p E3EAhs;'.1��. _ ( : �1�1;i� "i ��: �.l{\� , ;ROOF SHEATHING - .���_ 8 FT.BO �B�A�,A,_ � _. :�', r,',' •��� - ,-��,�:. "� '': I ;. —Y :" . . .'. ', . . .. _: . ., .'� !FRA�IING,NENTI�IATiON - - -- - - - FINAL�BOI�D BEAP•A -• � •• ! `. " !FiOOF COVF_R .. . , �, ^� PRE-GRADING . ... . ..... . .. .. . . . , �ROUGIi HEATING . : 1�r..",/ . . _. .. _ .. . .. BENCHING � . _ �i—Ll� ; ; , ' . ,., � : �.� . . , . • 'R'JUGH ELECTRlC---.'.... . r ` '_. I-. . .'_ . i._�'" �_ _"� ROUGH GRADING --- -- . _. _. _._.. _. . __...- -- - ...__; ,. . �R�UGH PLUL181NG...:._. _ .. _. . . __:._ . . .. - - FINISH GRADING � ; � tSHO�"JER(fUF3TEST ; . ----- - - -� --' - POOL'ELECTRIC � . � � i � ;EXT:-l.hTN!SIDING --• - - - -- � - . ..._ .; .. ._. ._.. POOL!FEhCING I ;. Il"JALL1NSUtATION-_. . ...... _.... ... . _ . : . ._.. .._ . POOL�FINAL . , 4CriL:IPdG i��SULATiON - - - . . . . : " - OFF SITE IMPS. , : � • - �DRY1�'4ALL-Ni;ILIPdG ; - - . - . .-. _.__.. DEDICATIONS . . _� �S�WcR - - .. . . ._ _.._� - _ FtNAL'ENG. iSEPTIC TAP.K LAPJDSCAPE/IRRIG. ' ;SEE?P(T/LL.. . ON S1TE IMPS. � jGt,Shi�TEST � , FINAL'ZO��I�dG � . _ - �r;'•:�,t��..OfJST. ..- ---. . . . . . .. . �, _ FIRE DEPT. FINAL • . . � � il�.�r.:r.L.HcFTlN� ------- • : q�'D_IJ. . � :.. HEALTH DEPT. Ff�AL _� � - `_— DEV. FE�S PAID - . . -. .=i�;.^.=-ELECTRIC ' � ( ' -.. . . -...---- i , _ ------ ��..,�._.,. � ..;.._ __. _._.._. .. _... ,�. ....�PLl;P�1�lP�G- - -- ( _ . EtJ�RGY ..- -— - -- : . . . .---.....- -....--- --- -- - - � - -- -. _ .. .. . . - , ,1.-�_: _ ., _._ .. ---..._-� - - - - -.. __ ..... �. ,�, , �;-. . .. _ ..__ . -- _. _ . .. _ . : . . , .,..r.e..� ---,�R,.�, ' _ .. .. . _F. '�0.� �••�.f.:l'.^�ti� T�r, '� �� .��� (` _:a�-a���.. .isL_.roc:� �.. . : ..j ' '.11�'.1�.' . �i �:u0i,,�fJiENTS--- - _ � • , �� �� , ,�ii� c:i� ,-',l' .�' . - . .. :, i . .. . . . • � -, , � ... .� �. : ,-� .,�. 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