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HomeMy WebLinkAbout13244 , . _. . . _.... . _ . . .. . . t . �� CITY OF DIAMOND BAR DEPARTMENT OF.COMMUNITY&DEVE I �c 21660E.Cop]eyDriveSuite]90 � (909)860-3195 Fax(909)861-3117 PRESS ��^'� BLTII..DING PERMIT APPLICATION , FIRMLY �� JOBSRE ,O6'0 �• �i AC�N� �� h�.� APPLICATION � PERMR / 7 -P� 9 _(I ADDRESS DATE �l � NUMBER` ` A $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP °G OWNER �P� � o ADORESS � Ly 20NING SET6ACKS � CITY t�lw.4'�Gfi� P�..�3�PNZIP 7r•.E,OTE . G � FRONT RW ❑ APPUCANT AAtN i�— 'i'f�N TE . „(� " ' REAR _ �'T n on.,.. ❑ � � SIDFJSIDE STREET ❑ CONTRACTOR ��_ SIDE p ADDRESS 1��_�. �2e� 12 g CITY J�-O NC�� f3�P41 21P.Cj TE .SC,7�.?)� PROPOSED USE - r� ( � Pou ARCWENG/ • � DESIGNER NO.DWEL. NO. NO. CrD�D�flESS ZIP 7EL UNRS STORIES BEDROOMS � cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATIpN � OWNER•BUILDER DECLARATION SFR/ADp/REM O �HEREBY�FFIRM WDER VENALTY Oi VERIURY IHAT 1 AM EXEWT iROM iHE CONTMCTORS 11- Ga�g���rt __ W CENSEUWFORiMEfOIICNlRIOREASON(SEC.7a71.S8U5ME5SANOiROFE55qN5CO0E:i1NYq7YOR (n __ y COUNitNMIWPEOUIHESFPERMR7000NSTiAJCf,lLLTEI�MvpOV�OEMOLISH,OflREMIflANYSTRUC• � uJ - Z NRE,VRqR TO ITS ISSUANCE/�LSO RFOUIHES TME�PPL�CMIT FOH SUCH PERMIT 10 i1LE A S�GNED P3fi0/OBGk � $7ATFVEM TMAT NE OR SME IS UCENSED VU0.5WWi TO TNE VROVISIONS OF iME CONfRACTORS L4 � � CENSEUW�CNAYTERY�COMIIENCNOVvfM5ECT10N7000�OFDMSqN]OFTHEBJSINESSM9Gf16 PooVSoa LESSIONS�D�OATIIATNEORSHEISEXEMPiTMEREFROGANDiH[6ASISfORTHEALLE0E0EXEMP• (J T�ON.ANYVIOI�TiONOFSECT10H7071.6BYANVMDLIC+WTFORAPERMITSU&IECTSTNEAPPI�CANiTO Z (jg-Rpp( � •CMLPENAITYOFNOTF10qETWWMEHUNDREDDOLURS(SS00�.); � ❑LASONNEROFiF1EiROVERTY.ORMYEMi'LOYEESWIMWAGESIISMEIRSOIECOMPEN5A7NX1. Q (',pTfnBfC181 - N'�LL DO iHE WORK,AND THE STHUCiUHE IS NOT HTENOED OR OFFEAED FOR SALE ISE4 To11.BUSI- J N NESS AND PiqfE55lOH4 COOE TME OONTFLtCiORS L�CENSE UW pOES NOT APPLY TO M!OwNER OF = iROCERiY�M10 BULDS OR YPqOVES TMENEOfl FND WHO DOES SUCN VNOPN MI45ELi OR HERSELL OR �C 71NOlKaHM50NMEHONTlEMPLOYEES.iFqYlOEDTNAT8Up1YPROVEMEMSARENOTWTENDEDOH C� �� O�FEREDiORSALEIF,HOM'EYE0.11�EBULD�OORwIVHOYYEMEM6SOlDW1TIR10NEYEMOFCOMV�E� Z i�ON.THE OwNER-BUIIDER WILL HAVE TME BURDEN OF PROViNO THAT HE Oq 6NE DID NO7 BIAID ON � MPRpVEFOR711EPURPO5EOF9AlF.} � W ❑I.ASOVYNEROfiHEPIq7EHf1:M1EXCLUSNELYCDMMCT�N�WfTHL10EN5EDCONTMGfORS � TO CONSTRUCT TNE PAOJECT(SEG�oN,BUSINESS AND PFqFE5510NS COOE:TNE CONfMCTOi1$�F VdIUetI0f1 U ADJ.AREA CFHSE UW DOE9 NOTAPPLY fOAN dA'NER O�A VqOPEHTV N?q BUILDS OH II.IPHDYES TMEREON.AND � �CONTRACT9w0115UCHVRQlECfSWfTHACplfMCiOR(SjUCETISEDPURSUlUTR7TIECOHiMG pUANTITY DESCRIPTION , FEE �G O��M EXE4PTUNDER SEG B.1 P.C.FORTH�S REASON Q / /' S V � � , L DA7E ONTlEq V � J �_ IICENSED CONTRACTORS DECLARATION W � IMEREBYAFFUWUNDERPENAL7YOFPEMnivTHA71/UALICENSE�UNDfRVFOVI510N50FCNAFTER {� O�CO4Y[NCNOWRHSECTION7WO�OFOMSION]OiTHEBU51NE55W�PROFESSIONSCOLE.�ND Z fA� � u� YYLIGENSEaNFULLFOnCEI7AEFFEC7. m 1-gj i � UCENSE CIASS �`T� UC.NO. � � , � � V DATE�(�_1/ �j `� CANTMCTOf7 a . 17.1 A D Q Q ` � WORKERS'COMPENSATION D[CLARATION �,` -� ' " - � � u V atl1.1V1'v 15��! � IHEREBY/FFlRMUNDERiEN+LLTYOF7ENURYQVEOFTMEFOILOWINO�ECUA►TId�S. Z � , I T � � _IFNVEANDWRLMAMTIIWACEfRIFICATEOf�ONSENTMSElfdNSVREFORYpRNEFS' _ �` '"` �+'�1� L+ CpAPEHSAiION.ASPROVIDEDBYSECT10N77000FTHELABORCODE.FqiTHEPERMMIANCE �U E WORK FOR V/Hlqi T115 PEi1M�T IS ISSVED. � 0 1 HAVE AND WILL MNNiAAI WOFKERS'COAIPENSATqN INSUMNCE,AS RE WIRED BV SECTION 1 � Q ]70o OF THE LA70R CODE FOq 11�E VERFORAIM'CE OF THE WORN iOR WHiC11 THIS PERMiT IS � /� , � ISSUED.MYIH]PKER4'OdAOEN5AT10NW5UHaNCECMR�ERANOPOLCYNUTA9ERANE: _ CANSTRUCTION � V � c�ruuEq �TA'1� ^h'U�� PIAN REVIEW � vawwM»�B�R C— `�� ELECTRIC _Q�, G (f1�5yECi1CNDEBHC7iffE0CAi'tETEDOFTEPEW.fT6PoitOhEHUL(Y�OOILV'tS�L: `I�NNlE�1 PLUMDING � Z I CCRTIFY T1uT N THE PERFORM�NCE OFTHE SWRK FOR WHIp11Hi5 P[RMIT IS ISSUED,I MECHANICAL (J SH/LLLNOTFu7�0YIWYVEA50NNANYMANH[RSOAST08ECO�AESUDJECTiO7NE (/) WURKERS'GOAIPENSATIONUWSOFGLLIFORMA.ANOAGflEETIMTIFISNOUIDBECOME INSPECTIONFEE SUBJEGTTO TNE NOWCERS CpAVENSATqN VflOViSiONS OF SECTqN]70o OF THE 1�t10A caoE.istwl onnman�coMrtvwm+iNosEvqowsrons. ISSUANCE I� i O �-f p � �� p OATE:'� APPLICMR:l.—iC— _ C,t�c^ SMIP _ — _ . � , � ENEAGY P/C � WARNIIJ�:FAILUqE TO SECURE YYOFNERS'LOAIPENSATqN COYERAGE IS UNUWFLA.ANO SXLLL BE �"'y SUBJECTANEMPLDYERTOCHa1:WlLPENALTiESANDqVILFINESUPTOONEHUNDNED7M0U5AND ENERGYPERMIT DOLIAiL+li10o,000).W ADDITION TOME COS70FCOMPENSATpN,DAM�GES AS PROV�DEO FOR IN � SfCTqN77DeOF1HELMORCOOE.INTEREST,ANOATfORfJEYSFEES. RETENTIONFEE: - a CONSTRUCTION LEN�ING AGENCY PRE-ALT FEE: O � IH[REBVAFi1RYUN�ERPENALTYOFPERNflY7HATiHERE15�CON5TPUCT10NlEN01NGACENCY Z iOR THE PERiORMN10E OF iHE WONf FOR WHICM TMIS DEiW IT IS ISSVED(SEC.iDY�.CN.G). W � IENDER'S NAArE � LENDER'SADDRESS • Q ICEHTIFYTNAT�NAVEqFJ�D7H15AFPLICATION/NDSTATETIU7TXE►BOVEHfOw.UT10NISCOHf1ECT. TOTAL FEES � w IAGREEiOCOIAPLYM7TMALLCfiYANDCOUHTYORD'NANLES�NDSTATEUWSREUTiNOTOBUILDING � � CONST(iUCTION,ANOHEREBYAUfIqWZERE7RE5ENTATNE50FTH15COUNTYTOENiERUPONTHE S� ABOVE#1FMqNEDPROPERT'FORINSPECf10NWRPOSE3. COMMENTS � I � RNN 1 c i f�o.� m rEw�m6ewwEryar+r� � ' � �� ��o. <x//�/99 � y SK.NATUFEOFPERMITTEE 0 fE � � REC .N0. PAID[lY VALIDATION �� WHITE—Depariment Copy.YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENROD—F e Copy,GREEN—ApplicanCs Copy 1�-�' l ���' � � �� :;� --c--—^--- ,. . . c-- _ , - . . • _ . .. . .,,. _ .. ._� .. ' , - _ .'. . . .. . .._. '...--- ... , T'' F DIAM�ND,BAR , . � ECTION.RECORD ��':i'►1'�1���tiG4,I�.I9j��.��� .�����: .��� '�c-=� ��r, �� �_,.�,� �•;6.a�`�a+i ��t,` . � i_ cz c � ' ���._.:_..:_... �..�_ . .�...:.....�-� __...... �.��� ...._�.���..���:_..�.. _..,,_,.. ��..� �1���r.�.�,�.�r;.._; S�T BACK�y . � `.C ~ � +i . + FLO�R JOIST,,. • , • - ��.4 , FTGS.�FORl.",5;S7EEL , . .�.. �' FHA REQP,ATS - ---.. ._ : • ELECTRIC GROUND . . �- ' UNDER FLOOR DUCT � • 'GROUND PLUPABIPJG t,a�r� %`��' UNDER FLQUR�CUP�IDUIT ' ' � '. -.� ' ' �S�.AB GRADE - � - FIREPLACE•FOUNDATION . , . ', ;•�, : - - - TEP�9PPOVJER '�'•��: !'� `'' FIREPLAGE'BONDBEAM - � '�� � ' � V�.'ATER SERVICE � MID HT.E30ND�BE'AMi , .:= �' ' - c 1 i � � �POOF SHEATHIfJG , ' ' ` 8 F-T.BOI�D BEAh1 . : ' : � �� • .' . _ ' - -`.•` I . FRAP.91tdG/1,'ENTILIATION FINAL�BOND�BEAM' � � � .HOOF COVER .'� ' PRE-GRA�ING �FiOUGH HEATING � 6ENCHING • �ROUGH ELECTRIC._ , ROUGH GRADiNG - ROUGH PLUPJ�BING FINISH GRADING SNO'JJER,rfUB TcST POOL ELECTRIC • EXl':tf�TH!SIDfNG - - - POOL FENCING �.f:At.L INSULl�TtON - POOL FINAL � ; . �Cc(CI�vG 1TdSULP,TION - OFF SITE IMPS. • 'DRYV'JAI.L NAfLITJG - DEDICATIONS �SF4"dER FINAL EPdG. � : • �S�PTICTANFC � LANDSCAPEIIRRIG. � _ S�EP PIT/L.L. .. ` ' . -.�� ON Sil'E IMPS. ��,5 AIR TEST FINAL ZONING J ` �F1PlF,L CONST. FIR�DEPT.FINF�L �'i^l��.L l-iEflTli�dG . . .- - - . HEAL7H DEPT. FINAL - - - . F{t.A_ELECTRIC - � DEV.FEES PAID • - -- ._��`:?;t�'LU'.78!NG - � ENERGY � ; I _�_�_ i.:.--- • ' i� _...... . .. . _ . ,r, �',�'�':�!)c;.� ' . .�' ', . i _ ., .��.�.. _�:�rc•.i��..r.� ^ _ ... . . . �; __-._ . . ._. _ . . . . . . . . -� .:. 1 _.. ..�1. . , , I ��_..� \.. ' . . . -I . . .. - - "— ' '._'__._... . �.::C�!,rit��ENTS � , „ ; . . . � , -. ,,, � . � - _ j . ... , f - 1 .i - - - . . . . — L � f: � _ _ , ''-- , _ __ __ � , , ,.. , SEPTIC TAfdK S1ZE � � , �� �SEEP P1T/U SIZE . -. . _- ;�..... . �� ��_.,�., , I � ; _� .. ; � i� . , � ...__�_ . � � '. _`� . � . - . i .t.. . . �� . .. .. . :. -, . . . -- --- � . ��,.: ; .. . . ' . , --.' - . � .. . . ... . . . .. ..- -- y��� �:::� �� .. . . . - - - ' • ' }. _ ... . __ . _ . , . '� � ., r : . , . .. . .,. �` ( � \ \ \ ' �. . . p . ... ... .. . . _ . � . . . ' _ ' _ • . . � c.. , _ ��.......-' . ' �` � f �