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HomeMy WebLinkAbout16137 (20) ... _.�_�.___-._,_..___.__ �. --------- ------- . ._ _ . _ i.--------- _ _ . CITY OF DIAMOND BAR . ' � ��� � ---�� -- DEPARTMENT OF.COMMUNITY&DEVELOPMENT'SERVICES � ; .. � 2166o E.coPky nr;��suite 190 PRESS I ` ` �.• - (909)860-3195 Fax(909)861-3117 ' BUILDING PERMIT APPLICATION . , FIRMLY N JOBSITE f , /� /J� � �/(_G��� APPLICATION PERMIT I + I 3 P/C � o AODRESS [�' ' C ',[N�� v T DATE NUMBER � ll' # � ISSUE ` IYPE _ . .00C APN LOT TRACT DATE V CONST. GROUP p OWNER' K _ "' ADDRESS S �_ . � ZONING SEfBACKS � � CfTY '�-/7_ /1� ZIP,�7ELGJ,��'I797�/S/ � REAR RW ❑� . APPUCANT TEL SIDFJSI�ESTREET RW ❑ � CONTRACTOR SIDE ❑ g ADDRESS � PROPOSED USE 2-- CfTY 21P TEL � ARCH/ENG/ ' _ DESIGNER � NO.DWEL. NO. NO. ADORESS � UNITS STORIES BEDROOMS N CITY ZIP�Q�'TEL��_lT/_� 97 y � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLAHATION SFR/ADDlREM O � 1 NERE9Y AFFIFW UNDEN VENALTY OF fEfWfiY TMAT IAM EJ(EMVT FROA17T1E COH�MCTORS LF GflfegB/Ce1pOR CENSEUWiOfiTMEFOLLOWNOREASON(SEG7W7.6BUSWESSM7DPROFESSION9COOE:MfYCRVOR � (n COUNttWFpGHREUU1f1ESAVERMITT�CONSTRUCi.KTER�o��,�MOLJSH,ORREPAIHANYSTRUG W PBIIOID9Ck TURE,PRqq TO RS 154UANC4 ALSO REOUIRE3 7HE APVIIGJlf iOR SUtli iEiW IT TO FILE A SIGNED ,• W .� STATEA/ENT iHAT NE OR dHE IS LICENSEO MIRSUANT TD TNE VROVISIONS OF THE CONTMCTOi13 LF � �CENSE UW(CH�DTEP O(COMYENCNO N7TI SECTpN 70D0)OF DMS�ON 70F THE BUS�7�g�N0 iN0. � PooUSpa - iE54qNS COD�OR iHAT ME Ofi SHE IS EXEGOTTIEREFR0IA M1D THE BA515 fOR iHE ALLEGED E%EMP- TqN.M1YV101AT10NOFSECT10N7071.6BYMIYAPPIICNlTFOR�PEHMRSUBJECTSTHEAPpLICAN�TO Z Re-Roof �,,,� ACNILPEWLLTYOFNO?MORETIIANFNEM1NDRfDOdLAS(Sso01.0 " _ � OLIUONMEFOFTMEPROPERTY,OqUYEMPLOYEE9W17F1wIWE9ASTHEIRSOLECONPENSATqN, � �mmerclat . . ._ _ WILL 00 THE WORK AND THE STRl1Cil1RE IS NOT IN7ENDm OH OiFERED�OR SALE(SEG TON.BU51• J NE73 A1O PROFESSIONS COOE iNE CONTMCTqiS 110ENSE LAW DOES NOTAPP�Y TO IJl OVINER OF �� J � FIqVEHTYY1110BURDSOfiMPipVESTHEREQ4ANDN1�000ES5UClIWORKMIIASELFORHERSELFOq� � � � • a THHOUONWSORHEROWNEMPLOYEES,Ft10VDEDh1ATSUCHWVROVEMEMSARENOTtlJTENDE00q m _ � 11J OiFEqEpPpNgKEFHOVlEVERTMEBUL�PKi0i1M�ROVEMEMI330l0YrtRYNONEYFI�AOFCOMRE. '� 11 j):'.'"1.� ZTqN,TME qVNERBU0.DER YALL HAVE TNE BUROEN OF VROVNO THAT ME Ofi SHE DD WT BNLD OR� = MVROVE FORiNE PUHPOSE OF 5ALE1 � ❑�ASOWNEROFTIEVROPEHII:IUAEX0.U5�VEL7CONTMLTNOWffMLICENSEDCOMTRACTORS . TO CONSTRUCf THE PRO.IEtt(SEC.7oN,BUSiNE541W0 OROFESSIONS CODE 711E CONTMCTORS U• Ve1U911M ADJ.AREA CENSE UW DOES NDTAPPL�TOI�N WtlNER OF A iPOVERiYYM110 BUILDS Ofl�dPpDYE9 iHEREON,AND N11qO0MRACT9GOR5UCHDPOJECTSYNiHACONTRACTOR(S�UCF.NSEDRIRSUAllTTOTNEOONTMG� ' �OUANTITY DESCRIPTION FEE ' � TORS LICENSE UW.} � O 1 AM IXfL1PT UNDER SEG B.�P.G FOR THIS REASON U �=' DATE DYMER � .. . . . . U � UCENSED CONTRACTORS OECLARATION � � INEREBYAFiIN.�UNDERPENAI.TYOFPERRIRVT1UilAMt�CENSE0UN0ERPROVIS10N50FCHAPTER V. . ., a � �(OOIAMENGHD M/ITII SECf10N 7�7)OF OMS�ON�OF TNE BUSINE55�ND PROFESSpNS COOE,A.W Z W�ICENSE IS N FULLFORCE AND EFFECT. m Q� �� � � LICENSE CUSS // UC.NO. . J - � pATE��'_7__/ CONTMCTOfi d . � � WORKERS'COMPENSATION DECLARATION Q . , . � 1HERE YAiFIiWUlAERPENILLTYOfVE0.1URVONEOF7HEiOLLOWINGOECLARATIONS: U � Z Q G IIMVEANDNnLIIJAMTIUNAGERTIFIGTEOFCONSfNiiOSELF•INSUREFORVpRKEHS = - -� �- � Z Cq/PENSATION.ASVqOV�0ED8YSECT10N�7000FTMELABOi1CO0E.iORTMEPERFORMANCE U � OFTIEWOHKFORYAiiCMTNi4PERMITISIS5UE0. � I HAVE AND WILL MAINTAIN VYOPoCERS'COYDENSATION INSUW WCE,A4 REWIRED BY SECTION �/ �' J7ooOF7MEUBORC00E,FORTMEGERWRMANCEOFT/1EWORNFORWMICHiN15PERMRI3 // 65UE0•WYJO NB'C��P�SATIONWSUi1ANCE RIERINDPOIICYNUtABERARE: CONSTRUCTION ��,��/r�/.i � craacn � !. ��-t� J1��� � ��, PLAN REVIEW � POIICYMIMBER,6,��,_._.(��_�� -�1 ELECTRIC . . . i v i . � p (n�s[ctn+r+E�NoreEoor.s��moFnev�rarr,�aon�Hru�noal�asR�ao�aatFss} PLUMBING a Z ICERiFYiHATNTMEPERFORMANCEOFTMEWOMFOfiWMLMTHISiERMITI5�5UED,1 MECHANICAL (�' 6/1ALL NOT E7.1PlOV ANV PERSON N I1NY MANNER SOAS TO BECdIE SUBJECTTOTNE � WOpKEFSCOMPENSAiqNU�Y50FCAl.IfORN�A,ANDAGREETMATIFISHOUIOBECONE -�NSPECT�ONFEE S 6UBIECTTOTHEWORKERS'COAIPENSATIONPRONSIONSOFSECTI 1�7000F1HE R 000e,i stiul roartiwm+ca+r�r w�m»as¢rr�oHsar+s. ISSUANCE 0 ' �(�� ' "����� � �SMIP " p� DATE:I,I� APPLICANT:�� . � �� � � ENERGY P/C WARNINa iNLURE TO SEWRE WORKERS'COMPENSATION COVEMOE IS UMAWFUL,ANO 51uL1 BE � �y SUBJECT1WEMPLWERTOCRiY1NALPENALTIESANDCMLFMlESUPTOONENUNDHFDTHOUSNID ENERGYPERMIT �, DOLURS(t70a,00o),INADDITIONTOTHECOSTOFCOMPENSATION,DN.UGESASPROVIDEDFORIN � 3ECT10N 770!Of THEUBOR COOE.INTEREST.ANO ATfORNEYS FEE3. RETENTION FEE: p. CONSTRUCTIONLEN�INC�AGENCY PRE•ALTFEE: � - � INEREBVAFiIfUIUNDERCENALTYOFPERIURVTHIITTHENEISACONSTRUCTIONIEHDIN(SMiENCV - �� ZZ iORiHE PERFORAIANCE OFTHE WORK FOR WH1CH 7HI5 iEM1IT IS LSSUED(SEC.70u7,CN.G). , � LE/.IDERS WU.IE � . � � � ., � � � LENOEN'SAODRE55 . ^ � ICERTIFYhNTIHMEREADT/15MPLICATqNMlOSTATETMATTHEA00VEINiOHA1ATqNISCORRECT. TOTAL FEES � ���w " � p� 1 A(3REE TO COM�LY N7TN N.L CITY hND COUNTI'W�D WANCES ANO 51�TE UWS REI.ATiNO TO BURDINO _ , � , CONSTRUCTION./NOHEREBYAUi110R12ERE7RESENiATNE50FiW5COUNTYTOENfERUPONTHE � � S� ABOVE�MEMqNEDiROPERTYFOR�N57E vunPosEs. COMMENTS �� � OS i g l,r�s' . � � QGEWdRTE NA4EryHINn - � � �, �D / � , � � SqNA E OF PERMITT ' � DA E � ' ' � ' I • � RECPT.NO. PAID BY VAUDATION NM�TE--Depertrnent Capy,YELLOW—Finance Copy,PINK—Asseua Copy,GOLDENROD—File Copy.GHEEN—Applicanf5 Copy ,....,,. .�.'r , ..,�t . .... � i... . i n . ,. :.. .�.��..,..r... - . . .a� ...... .:. . , .. . .. .. . � . . . _. _.. . - . �, ., . . ,..__ . � . . . ., ._ . ...� �.� .. ._ ....,,.. .� . , �.,..�. u.r P .. . . . �. . .. . . .. � .. ,.. _ .. .. w . . �. . . .. . . .. . . . � . . . . � . � . .\�\ � CITY OF DIAMOND BAR = � . << ��r.l_.,r,F,.�a��o ��:,� � .Jj �_�:::�r�t��;ts:I��SPECTIONrRECORD 'r:�:7r.��.;.:::�� �;.'r'�i�' it � �*�:... ,.p ��'�: 'siJ�• � i.,-. ,� :7n-�i�t� j - � - :,�, � a-t:_' .. _ . . . . , .... . '\� ". ' � �� �,-,. c 9.� r.:�� ' i � '�„ e �i ' .��� '��� ' � 'l 1� .s^�_ �.°�� :� �SET BACK :;��; \ I I (....T�1,:�,-,� ;�. � � ,,_,,.., fLOOR JOIST � ,`.� - �c� ��. � • - •� _;7�.L�,. � � (FTGS/FORMSISTEEL� _' c '-, `� -• i=-.__.---�- -'_=------ . .. . _ . . _ _ , _.. :.-- -- - .�_---._. � . ,., y, � c .. � � _ :FHA REQMTS.:_ _�__`_�-_-:� ___--- --- -'_-�--------� �, �ELECTRIC GROUND..___ ___ ���'='- ._j =.%��1._�I-,�->_ UNDER FLOOR DUCT-- --- '� '" �''F� - _ \ '.; r. - --.._. - - -- --- - _ . . . - . _ . -.. IGROUND PLUMBING - -- - �' . UNDER�FLQOR CUi`1DUIT,-^�: `' ",.,., ,•` -;i�,'.'� � - - `„� , `�; ISLABGRADE- - . `'`" ------- --- ' FIREPLAGE��OUNDATION _b i"�,-!�: =..�� ` � Z'_.����� � ��.� _--- --- --s�.,_��:���, i:, FIREPLACE BOND BEA .._ - - ;.:;;�,,.��h � �.�. (TEMP POWER---;; . _ M' -- --___---..---.._.. "., , , �WATER SERVICE ---_ _-- -- --- --�----:_ .._. .�..._, .-- . -PJIID HT.BOND BEAM �. � .r'._ �_ ;1�7:�nar,�,.^,� � i:i IROOF SHEATHING�.-;�� . '., ' .:' .� � ' � -�.__---- -=---- �;.��:.,,;, � _ . , ._ . � '1 ' ., � I � ;! , .�^�.i a::, cB F?.BOND BEAM-------- -- ` •-. _._ . ._ „ . _ .____._ - ._-- -- ---- IFRAMINGlVENTILIATION --- -- FINALIBONDBEAM . ��,�.�:���i^�j�, j ;�� - - - -- --- - -- - ROOF COVER .�=,f - -- �, � ��� �� FRE-GRADING --� .-_,.--'�-- .. --- -- �_ .-- �'- � '�->�:���� :��i �_: , � � .... . .. IROUGH NEATING _ ---- �._ � � - ---------- - = 'BE�QNIN a 1=_. _. - •---- _ ._ .__--•-- •,-- -�- - ' ,- ---- - -� ,.�, ,- -�- -c-�•, ,.•; �r _�r � `�> _,r-,:,, � ;�.. ROOGH ELECTRIC ._:__ � . `� � �"�'�, ��= = ' OUGH GRADWG . ' . , '' , _. a , a . � R • __ ____ __ ____. _ .__ _ ------- - - . _. ___..._ . � _. . ...- ---i -'' -"�u•; �INISH GRADING - . _ _.. _ .._ I ROUGH PLUMBING---i--- --- •---- -- - �SHOWERI�UBTEST '-- ------ --- -- - I--- � : POOL!EI:ECTRIC �-;.: �_, �� ,�� , . ,� -�,�,.,.,3r , �.; IEXT--LATH/SIDING---�-- ------ ----- � ------ POOLIFENCING _ .1 . , .,, ;, ' : . � � � , .;< ,- ,�, . WALL-INSULATIflN - , - --- --- --------i----- -POOLIFINAL `, . .. _- � — - _ . ,. . , ���. , � , . . . �� , ...Th�;• U ,-.:, ��- _ . . �.,, . ',�'i�I..V " '.. r.�...��.1 r '_` CEICtNG iNSULATION,— -------- -------;------ OFF S,ITE IMPS. , ,:, . , ,, '.,.� . . . -, , .:,. . ,,,, ." �DRYWAL:L NAtCiNG--;- --- -- --- - ------------. DEDICATIONS ,`._:., � . ,. � ,. , , �SEWER--- ------- —.7 �-� - - --- -- -- - - - - FINAL�ENG:. � ,��� - �SEPTICTANK L'ANDSCAPEJIRRIG. ' ,. .. �SEEP PiT/L.L.- - - - - -, a. ,.-�, - -- - ----- ON SITE IMPS:,� ;;.,. , , . , .�.,•.,• ,,.. ' - �GAS AIF�TEST I- - -. _. - �.+,,ri .. , ;� i rT�..; FINAL�ZONING ' '- " . � . ,, . . . _-- �FINFiI._CONST-� --- ...-- - ------- - - -- ---...!- - __ FfRE DEPT. FINAL�,, • _ �c:�,��� „�.. : •:� �F�NALNEATING'------�..------- --- --------:. . _ HEAL�H DEPT.FINAL- -- _ _- - __._... -- ------ --- _--- : : � �Fif�1ALELECTRiC---- -------- --- - -- --t -- DEV.FEESPAID- ---,------- -�----:: --.�:—_..__�_.____ ,� �;�fi,3P.L-PLUMBftdG- - --------- --- -----�- I--- - � ENERGY - , � _. . . ., . . ., _ , . � I � . , . ,-- - _.,-,--- ----- ------ --- --- --- -- --- , , , :, . ; , �... ----------I— ---- _.._--- _ __—�_- ---_ _- . _.. . ,� � �;� ���r€ ,•• 'i � . ::� .�,.�� _ ,�..��� - �'' - -- - -- --- ---- ----_ -------- - ---_�---._._..._ _. , � S�� -. , _ ,. _ � _ ; .-, -- ' ;l-� i,,��a �`�,\.j�` _ ...�'.� �� �. c_;. ; .. . _ _ ---- ._ ._ ._ --- - -- ---�---- —__...._. 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