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HomeMy WebLinkAbout14419 (30) / �� CITY OF DIAMOND BAR r---• DEPARTMENT OF COMMUNITY dt DEVELOPMENT SERVICES � 21660 E.Copley Drive Suitc 190 (909)860-3195 Fax(909)861-3117 PRESS �'^"• BLJD.DING 1'ERMIT APPLICATION FIRMLY ¢ JOBSRE �}��� S. �����ti� �3o t '��V'� . APPLICATION PERMIT ---l�LJQ P/C o ADDRESS�'R' DATE �� �� NUMBER / l /l � #� APN LOT TRACT �SSUE TYPE OCC � OWNER ���vrc. (�rcv DATE CONST. GROUP "' ADDRESS - O Yt���Y G c f ZONING SEBACKS 0 "'� CITY Glt�..0 a L ZIP �i l='�' TEL �1 3 . FRONT Rvy � � APPLICANT�CSo-«t� TEL.S62 °�4��-�7�-Z REAR p � SIDFJSIDE STREEf RW O CONTRACTOR 4 t < <`^ S SIDE p � ADDRESS y t Z C Y�Y�- _ o CfTY S• •5 . ZIP d'G7 E 5 y �lu��-�7s PROPOSED USE ►� ARCH/ENG/ � DESIGNER NO.DWEL • ` NO. NO. ADDRESS UNITS STORIES � BEDROOMS N CITY ZIP TEL. N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION O OWNER•BUILDER DECLARATION SFR/AD�lREM 8 1 MEREBY AFFIRM NOER VENALTy OF pERAhtY TH�T IAA1 EXEMPi FROII THE CONTRACTOqS LL Gefe fl�C2�pOR � CENSEUwFORTMEFOLLOWN�REA50N(SEG70]1.6BUSINESSAN�VRCFESSqNSCWEANYCfTYOR (� 9 OOUI(P/MMICHREOUIRESAPERMRTOWNGTqUCLKTERlAPipVE.DEYOL15H,diNEPAIRANV57RUG W patio/Deck TURE iRqq TO R9 159UANCE,ILLSO REOUIF[5 THE APPl1CANT fOR SUCH VERMI7 TO F�LE A SIGNED W � ETATEYENT THAT ME di SHE IS UCENSCD VU0.5UANT TO THE PRONSIONS OF iHE CONTMCTOq4 L4 � CENSE UW(CHADTER a(COM/IGNCVJO Wf7H SECTqN 7000)OF DMSqN 70F THE BUSIN[SS AND PXO� LL' POOVSpB � iESSqNSCOOE)ORTIATNEORSHEI9EXEMPT7HEREFpOA1AND7HEBA515FORiNEALLEO[DE%EMP• (3 TION.ANYV10lAiqNOFSEGT10N7W1.68�ANYAPPLICAIlTFOflAGERYITSU&IECTSTHEMVLICANTTO Z Re•Fioof �„�, ACIV0.PENALT'OF NOT►qqE TMAN iIYE HUNDRED DOl1AR5(f50o).�: � O�IISON'NEROFiHEPROPERTY,ORMYEAIPLOYEESWITHWAGESA;THEIR50LECAM?ENSATqN, (`,pmrtlefC111 - MALL DO THE WOfi1C AND iHE STNUCiURE LS NOT INTENOED OR OFiERE�FOR SALE(SEG 70u,OUSI- O N NESS A10 PHOFESSqNS COOE�THE COMMCTOpS LICFNSE UW DOES NOT APP�Y 70 AN OWNER OF ? VFIOPEHiY WHOBUMS OR 61PROVES THEREON,NAN1f0 DOES SUdi WORK HIMSELF Oii HERSELF OR � MROUGHWSORMEROVMEMROYEES,VROVIDEDTHATSUCMWPROVEMENTSARENOTN7ENDEDOf1 m �1J OFTERE�fORSALEtF,IpWEVERiMEBVILOP100RMPROVE4EMI5501DW17MWONEIEAROFWNi'lE � �T�1.T/1E OWNEH�BUIIDER M7LL IUVE TNE BUFI9EH OF PpOVWp THAT NE OR SHE DID NOT BUIID OR MPROVE fOR TNE RIRPOSE OF SALEI. w OL�OYMIEROFiHEPROPEHTY.JIMIXClUSNELYCONT/1ACTCJOWRHLI[ENSE�CONTRACTOqS 2 TO CONSTRUCT TME VRQIECT(SEC.70U,BUSML'SS AND VROFESSIONS COOE:THE CONTMCTOFlS LI- VdIU8ti0f1 ADJ.AREA L11 CENSEUWDOESNOTAPPLYTOANOWNEROFAVROPERTYMnqBVMSOqMPRpYESTMFREON,MtD � MA10WNiRACTSFOFiSUp1VR0.1ECT5WI7NA00MMCTOR(S�LICENSEDPURSUANTTOTMECONTMG QUANTIN DESCRIPTION �E � TOFi5l10EhSEUW.y , OIAAIE%EYPTUNDERSEC. B.iP.C.FONTHISRGSd! � U LLZ' DAiE OWNER F- .. Q W • ' F UCENSEO CONTMCTORS D[CLARATION -� � W INEP[BYAFFYWUNDERPENALTYOFVENURYTHATI�UAIICENSEDUNDERiROVI510NSOFCHAVTER � � ��CDMMENCIN�WfTMSECTION7000)CFOMSION]OFTHEBUSInE55AND7ROCESSCJNSCOCE,AND Z �j� W LICENSE LS IN Fl1LL FORCE/wD EFFECT. m � u��E cuss -�a c•2 C, uc.No. 2 0 8 8 l 6 � �jo�te 2 IS G Gj corir�ucron �3orY t�,.� , -' w a � WOHKERS'COMPENSATION D[CLARATIGN � 4 � ¢ � ( 'a i Y �t � S -c d`� � IFtEREOYAfFlRMUNDERiENAIiYOFVERIURYONEOFTNEFOLLOWwGPECIARATqNS Z � � O _IHIIVEIWDYnLLYAMAIHACERTIFIG7EOFCd15ENTTOSEIF•IASUREFORKUNKERS' = D Q CdJpENSATqN,AS PRpVIDED BV SECTION�)0o OFTHE LABO�t CoOE,FORTHE GERFORMMICE U Q OFMEWORKFOHVAI�GITNISPERMITISISSVED. � � , 1-- ' _�NAVEAHD W'LLNANTAIN WORKERSCdAVEN5AT10N INSUMf10E.L5 REOUIREDOVS[CTION � ]7ooOF TME LABOR CCOE,FOR TN[CERFORIAN.CE OF THE WORK FOF WHICM h11S PEFMIT t5 ISSUED.MY WON(ERS'CAMPENSATqN INSURINLE CARRIER ANO PGLICY N�'MBERME: CONSTRUCTION � GMNER G1AL Cc�,[� . PUINREYIEW � a ���3EA—���� 7 �� p ELECTRIC o m�sccr,�,���recc��o�nE�ca�..rsFa,«.eM,�,c�oa�u�sR,�a+�ss> PLUMBING Z �CERT:FYTMATINTHEPERFqiMANCEOFTHEWOPoCFONWHIp{THISiERMITI5155UED.l MECHANICAL ♦/ C7 SH�l1NOT EMPLOYANY VEASON W ANY MNiNER 50�5 TO BECOIAE 5U0JECT TO THE (q WOHKER5COMPENSATIONUWSOFCALIFO(iNI11WDAGREEriuTIFISHOUL�BECOUE INSPECTIONFEE S SUBIECTTOTHEWOFKERS'C061vEN5ATqNVRO'lISqNSOFSECTIONi7ooOFTHEUBOR CODE.1 F011THwRH COMPLV WI q5E V 510NS ISSUANCE 0 �(� ���_ � W DATE: �?' I}(n°�� APF'LtGINT:��� V"-- — SMIP ,� . � WARNiN0:FA1LUflE OSECUREWORKENSCOMVENSA �COVENAGEISUNUwNL.ANDSMALLBE ENERGYP/C �y SUNECTµEMMOYERTOCRIYPlALPENN.TIESI�NDCN:LFWESUP700NEHUNDRCDTMOVSAND ENERGYPERMIT O JDOlURS(ttoo,000),N ADDITtON TOTME COST OFCOMPENSATpN,DAMAGESAS PROYqEO FOR W SECTqN]70sOF711Et�BORCDOE,NTEREST,MIDI1TTOi1NEYSFEES. n oc RETENTION FEE: �— a CONSTFUCTION LENDINC�AGENCY ����'� �_ PFlE-ALT FEE: �� ,,,{{{ � INEREBVAFFlMIUNDERPENALTYOFPE0.RIRYTMATTHEREISACONSTRUCTIONLENDINCAGENCY v`J� //r iOR THE PERFOPMANLE OF 7NE riORK FOR WHiCMTH�S 7EWAli IS ISSUEO(SEC.7097,CIV.C.�. �Y-7 � � u jLENDERS NAME � C IENDERSADDiiE55 � ICE(inFYTMA711WVEREWTHISMPLKA710NM1DSTATEiHATT1EA80VENFOPl.1ATpNISCORRECT. TOTAL FEES � w IAGRCETOCOAIPLYWiTHFILCfiYANDCOUN7YORDWMCESANDSTATELAwSRELATW470BURDIN6 � � CONSTRUCTION.ANDHEREBYAUi/10flIZEREPRESENTATNE50FTHI5COUNTYTOFMERUPONTHE � ' ' ' ' � ABOVE•4EM10NEDOibVENTYFOHINSCECfIONVURVO5E5. COMMENTS � �~� [J . ��l0� \Of�^ �J ' � N PE EE NN.�E(PRI \ �� � I � � S�G UREOFP P TiEE �ATE � R[CPT.NO. _PAID BY VALJDAT N WHITE—Oepartment Copy,YELLOW—Finance Copy,PINK—Assessa Copy,GOLDENROD—File Copy,GREEN�Applicanfs Copy ' . -. .. . . . .. .. . .. . ....... .. , . . . . . , .... .. .._ . . �� . , . .. . . . .. . .. . % :.:��, CITY OF DIAMOND BAR . _,. ( _-� �. . . , . .. , . �: -� , � ; , � r: �:�r; ;.:..-:..� INSPECTION RECOR[3 ' -�. �;::.... �.: � �.._.� .. , . . . ..�.:-._ .� • ij .��c� ����.1 � '��� �i� c�; o .,�; ,r y:���o-`p � rg� .t� ,ir� � � ` � :.1�r.:'��o):�# ��ti� �rc.�� �'� 1. �����.�?.�.��,.r, l � �. ��.. �':'��_ �I���- �_. w.....�.:.d.,.... . .� ....._._....�. - - � .. z.v�.....4�.�. ._._..... ;SET. . �...,.�_ , .. ��;.; � . .:....__. BACY. '. : '1'� \ I`:L i `.`.�_._ �l - f' ......,..__..._y�... --- � .: ,. � FLO,OR JQIST; , �� - _ I �.:.�.- . .. ; . . • j�_-._. !FTGS/FORP�ISISTEEL' ' �� ` � FHA RE�P,ATS . � ---=---- 'ELECTAICGROiJND_..... __ __ :••-' - -- _-- _ -- UNDER FLOOR DUCT-� � � -- - -- --; � ;._'- IGROUND PLUMBING ; -. - - � UNDER FLOOR CUF,�DUIT. , i � ISLAB GRADE-- - --- � -- -� -- - -�- - " FIREPCACE`FOU;JDATION; . . , , . , � � - , . --• -- � �;;,-..;�_-::; . . ,.,, . , �_ , , ;TEPJIP POVVER • � � � FIREPL�ICE BON�BEAh1 - � •� {�^.�ATER SERVICE- -- - -. _ - - - .' � . MID HT.BOND BEAA1 ' ' • , . ' - , . •. � � .._ t�_r r _. . • , ROOF SHEATHING B F7. BOND BEAPA, .- ' i � , _.. . - - - - -- -. . iFR.�1h,",IivGNE�:TILIFITIOhJ - - -- __ r=1NAL'BOND BEAM ,..,-� •.�•, I '.- (ROUF COVF_R .c . ': �' PRE-GRADING �. _ _ � ��. : ;ROL'Gfi FitATING :. -. :���7 ,� _�_. 6ENCHIPdG .. . , , , !ROUGH:E�ECTRIC..... . . _ ... , _ ROUGH GAADiNG_ . .. . .... __ .. .. . . .._..__._ . .... . . �AO:1C:,�PLU1�161NG -'�- �- ---�- ---- � FINISH GRADING , •. ----- ISHGrdLR!TUB TEST-�--- � --- --- �- - - POOL�ELECTRIC ' ' � ---- . . . �cXT.L�,if�rSIDWG-.- : _.._ .. __ - .. . ;.... .._ pOOL FENCING ' � �i�":AtL-tNS:JLATION .__,. _ ._. ....__ . _ . _. _ . ...._. . - POOL FINAL �� , ! � i:�-l�i��13 li•:�UU�TI�N ...f -. .._. .... .. - -- -._. .: . ._ _. _ OFF SITE IMPS. ' I ' . ' ' i :: �I:J._ — _. . ... .-.- - - - _ - DEDICA310P�5 ;DRY'i'Jf�L.L NF�iLING- _ _ , : - -- . . , ; , . �.c4"��r;--. .__. .._.._.. .. ... _,_ . - -. _. FINAL:ENG. � . , i;�=-f'`f�TANK � ' LANDSCAPE/IRRIG. . . ' �'5�=�.�.:T;L.L. .. ON SI7E IMPS. � r---•-•-•f I � i�ST '' , FINl1L ZONING ' . . ,��� � ,__._-.:-....._:_- - �;;_;� :'_:._�;i�idST._'----. - . -- _ _ FIRE DEPT. FINAL ,. ; : �' .1EF;TING ............___ HEALTH DEPT. FINAL - _+:_:'..-_�: . ''Z°��'=— -- � - � ; i_;__::...-cLEGTR{C ------ . . .._ ... . . DEV.FEES PAID _ _..-- - .,.... ._ � PLUh1BING - -- -- . . . � EDIERGY ^ : i---- , - _. . __. _.. . ._ __. _. . , , ; � .... ......-,.��-,,.....,...,..,r_ - ... ..--- __ ..._ _. , __ ._. . .. . ....._ _ _ �... .�.� � r�.-,�c`�c�1 r.l€.c + ! :'� i � � -- ,�-�._:.�:��:aR-:.r...:._ - -__....._ - . , - : _ _. ..._._.._._ . - - .. . . - . . . . � � . � - , , __._.,__.. .. . .. -- - --� ---- -- � � � ;�,�..<<r,Pf ENTS ----- ; � � ,.�. . ,;.. !` r . ; ; i . `� •�\l�. '' �.:`�, ` � � • , ! . . r �'�� � . . _. .t . .�'� . .... . . (�{. ,.� ' ,..,,��' .� ," � --- . -' •� _ .. _._ . . . - �;♦ � . .� l" . . i, . .. . � . . � ...... .. . . . . . . . . . .. . � . ,... , . . ' . ' ' j' . I ... ... . . . ._.... . .. ' � . ' ' . ' _._' 1 .. __ _ .__ . ...... � ' � _ `����� - - , . - � . I . •C � _ . . . .. � . . , . . , ; ._.. ...._. _... . ,. . . ... .._ �. ; , - . , , , . — � . - - � . . I �SEP i IC TANK SfZE . ` --. ,; , .. � . � .,_.. �SEEP PITlU SIZE . . .. �, ., .. , .. . . i � �_ _ . : _ . ....- � - -.... - -��� . ��--- ,�'. ' .--.., _. . . - + � � I � -- .�. �`�:. � . . � . - _. . � i . . i ; ' •'�j�� � ��.a ._.-. - --`� ; 1 _ . .. . ---.�.._i , _.. , ,. ; _ . ! _ _. .. ;�: .� . � i ; .. . . ._. : . . . . . _ _.— ..: • <. I U.. � _:��-.. ,�. �� . , , �� .. . _ � 1 � ' - � :. ' :+ � � ,��t. l �. . ... "'��-' C:� ' 1'�-'�ti r l�-. r _�_. _...._..: ; '>;, --��/ I � , � .--_._- - --�� ._..._��. �, _..-<--- •- . =t ---