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HomeMy WebLinkAbout10892 __ _�___ � � � � � CITY OF DIAMOND BAR � � _��� � ' COMbiUNiTY DEVELOPbfEIVT DEPARTMENT " � ' 'C �E7��� '� 21660 G Copley Drive Suite 190.�•.•• . +•. . . (909)860-3195 fax(909)861-31I7 - • � • • PRESS "` BUILDING PERA4IT APPLICATION FI RM LY �o� JOBSITE 1 O O , l� ��,, APPLICATION J� �J• ADDRESS �- ' �• ���MON� e�+�C,.; pATE V v � _NUMBER /�OQ �C� . �Z'7 _l(i � APN ' �LOT' TRACT � ISSUE TYPE OCC DA7E CONST. GROUP o OOVNER � ��`�AN ��-�Il-���_ . p" ADDRESS ZONING SET➢ACKS � . ��'•� '� •' .. . . . . . -• FRONT o CIN ' - . ZIP �TEL: ' � REAR flW � � �APPLICANT ���Gjf�3 7EL.�3 O • ❑ � SIDE/SIOE STREET qyy p � COPlTRACTOR SIDE p , o ADDRESS . ... .. .... _ ... CIN. ZIP .TEL PROPOSEDUSE ��LG. L�G1.d�'UE� LF,L�'�tLs' . oARCHlENG! ' . _ . ' . � DESIGNER . --- -- , � . '' a AODRESS NO.DWEL.� h0. NO. � C�T1� 21P TEL UNITS STORIES � � " BEDROOMS . .. . . ._.._ _ . .... . ... _ ._. . ._.. ' . . i ' N DESCRIPTION SQ.FT. FACTOA PSF ADJ.AREANALUATIO"J � � � �� � � OYJNER-BCILpERDECLARA710N . _._ ' SFFL�ADD,�REM � . O � . _. _.. ' 1 N[REOY AtFlRAI UNDER DCRALT!OF PERNRY THAT IA!A EXCMPi FROM THE CON•RActons u� Garaga,'Ca�ort �� � �W CCYSELAriFORTMGfO:LOWiNGRER50N(SEC.�O]i.58U5�NE55AM1DPPOFE55iOHSCODE:ANYCITYOR (n - � �-- - ' ' � V COUN'YNNIp1REOUIRESAPERMITiOCONSTRUCT,ALTE0.�MPROVE,OEAlOUSN,OHFlEPAIRINYSTRl1G ' W Pa[IoJDock 4il NR�'PR�OR TO RS ISSUAYCE,ALSO p[OVIRES T+E AVCLIGM7T FOA SUCH 7ERMR 70 FILE�31CNED " � � � - , STA7EMCNT TNAi NE OR SHE IS UCEtiSED PUFlSUA.Yf TO TNE P�OVISIONS OF 7HE CONTHRCTOHS LI-� GEkSE UW�CHAPTER Y�COMMENCING W17H SECTION 706')OF DIVISqN 7 0F TH[6USINLSS RND PR0• � � PooL'Spa � � � ' � . Q fL5510NSCOnE)DfilMATM�ORSM£tSEXE�MPTTMERCPPOMANaTH[BAS'SiORiNCALLEGEOExEA7P- (� � � � - ' U TI011.ANYVpL�iIONOFSCCTION7091.5BvµVAPPLICMfTFOliAVERMiT5U8JECT5TH[�PPIICANTTO z Rn-Rool � � � � A CIVIL PEYA�,TV OF NOT IJORE THAN FNE Hl,•N7RED UDLLAAS(SSoo�.�: • Q ❑I.ASOWNEROFTHEPRJ➢EFTY,OiiMYEMi'LOYFESWITHWACES.l5THE1F50LECOMCFNSATqN, . D 'COfTfflBf�i3I '� z W1;,L D�THE WOAK.AN�iME STRUCiVRE IS NOT IN7ENDED OH OFFEAFD FOR SA�E(SEC-701�,BUSI• J ' ' N NESS M!�PROFESSiONS CO�E THE CONTMCTORS LICENSE U'N ppES NOTAF%Y TO IW OY.R�[R OF � - PRCPERTYY/IqBVIL�50f111APqOYE$iMCAEON,ANONh1000[SSUp7h'OflKNIA15ElFpqN[RSEIFOR � � � ' ' [L TMpOVCHH150RH[qpYMEA��LOYE[S,VPOVIDEDiHATSUCHIMPROVEMCNT511RENOTR+TFNOEDOf1 m ' , Q O�FEFEDFOfiSALE.IFNOWEVCRTHE6:11LDINGORIMPROVEMENTI550lDWITN;NONEYEAROiCOM�E-� � ' , , � �, iqN,TH[pWtiEA�OUILOC�'MLL HAVE THE BURDE!!OF PROVINO THAT HE OR SN[Di0 NOT BUI�p p/� . � IMVRCVE FOR TNE VLRPOSc OF SALE). . � f.0 GlA50YrNEROF7HC0.i�PEA7Y,AME%CLUSNELYCONTMCTMGVT.HL�CENSL�CONTMCTORS � TO CON.�.TRVCT TH[PR0.IFCT(SEC.70N.BUSINE55 ANO PROFESSiONS COOE:THE CONTMLTOqS LI- V�IU2I10 � ADJ.AREA ��'� ' . W CENSEUwpO[SNOT�Pi�LYTOMlOWN[ROFAViIOPERTYW�fO8UR090flIMVfiOVCSTH[RCON,AhD � x riHOLONTMCTSfO(iSUdf7AQ/CC'SWfTNACQVTFAtTO�(S�LMFNSEDOURSUANTTOTHECOMRAC• �"" ionsuc[NSEuw.�. OUAYfITY � "DESCRIRfION" ' � - ' � - � FEE ' Y . _ _._ ..'. ... ... .� . .... . _ �. _. . ' • � . .. . .... .. _. _ Q O 1�M EXEM�T UND[q SEC. 8.17.Q FOR THIS RE/SON Q � ' " � — - . �� r . . . . . ..�. . . . . ! .. _ .. .. . .... . U ... :... u-- o.re D—z`�/- — •}/ L�UG/k�/ c.�� F . - - ^�p . . . z I �/_OKNER1� _ U . _ '" _ " " _ _ �� , i __ _ � ... ...LICENSEDCONTRACTORS DECLARATION' ' -� ' W �� �. K tNER[OYAF:IRMUNOEFCENA:T'OFpERfURVINAt1AA1LICENSEDUNDCRD17O�4510N50FCMAPTEH V. � � (i O�COk/JCNCINGW.'TFISECTION7�OC)OFDMSON70FTHEBUSI�CSSMl�FRpFE55KKJ5C00C,AND Z � � + �X 4Y�ICENSE IS IN FLtI FORC[ANO EFFECT. � � LICENSECLASS � LIC.NO. . . .. ... .. � . . . , � V �ATE CONTRACTOR � ' �� a W � WOFKERS'COMPENSATION DECLARATION 4 � IHCR'c9YI1FF�RMUN0ER0ENAlTYOFpEiWf1YONEOFTHEFOLLOwiNGCECUMT10N5: U � 4 0 __Il1AV[ANDW!LlMA1N7AIVACERTIFIG7ECFCONS[ryTTOSELF-WSURCFORVIORKENS' _ � ' ' - �� � � - Q COMPENSATIph,ASPROVIpE08YSECTIONP000FTHEUBORCODE,�ORi41E0EPFOFMAA'CE U � Q _ OFT�EWORKFOANNICM1Ht5vERWT�I55VED. __ _ W � W ��IHAVEANDW:LL�AINTAINWOAKERS'COMPENSATqNINSURANCE.ASREWIqEDBYSEC710N � � , 770�OF 7H[U^CR CODE.FOfi TME PEFF�fUAIWCE OF}NE WORK iOP WMICN TNIS GEFMIT IS l' . J ISSU[�.MYWORKEflS'COMFE\SATIONINSUHANCECARi71ERA!lDPOLICYNUMOERARC: 'CONSTRUCTION �(,,�/�( �7�yr . J('7� � j_ c��mrn PUINREVIEW 3�♦V ' � �V (�iJ �(i ' � POLICYNVM�Efl ' ' ' � ' �� �Y _ I ' r� � ELECTRIC — � p � (iK55ECf%7NhEmNOTB[OChG�.E7E�OFM0EWM6faqOhEHIlLYi�00l1AiLS(=1T�pf1{y�'.;; PLUM�ING . � u� ICCRTIFYTHA7PITXEPEf1FON.IAM10EOFTMEWO�iKFORWHiCHTHiSFERMITtSI55UED,l MECHANICAL . C} .5lIl�LNOTE�IPIOYANYPEfL`ONINAYYMMNEfl50AST08EC01dLSL'OJECTiOTHE � � YIORvERS'COI.��EN�47KklLAYlSOFCAUFOJiN1AAM1`JAG17[ETwtiIFISHWLDBECAME INSPECTIONFEE � ' ' SU61[GT TO TML WOHR ERS'CONPENSATION VqpV1510NS OF SECTqN 7700 0F THE U�Oq � � woE,isru,tvo�nmirMcoMv�vw�n�nroseaao�sar+s. iSSUANCB �O !7� . .. . .. . . ._ _ p DATE: APPLICANT. SMIP � �� w ENERGY P/C . ' � WnRN:NC:FAII,VR[TOSECUREYVORKEfiS'C06•PENSATKKICAVEHAGEISUNLAWFUL,AN�SHALLBE "'� � SU0.:CCTANEIIDLOYERTOCR!MINALPENALTIFSN:DCMLiINESUPTOON[MUNOREDTHOLISAND ENERGYPERMIT � �O[LMS(f IOa.ON�,W AODIT:'ON TO THE CCSiOF�pMPCN5FT10N.DAMACES/t5 PROVIDEO FOR IN SECTIONVC80�THEU60RCO0E.INTEnEST,lJ:DATT00.RGYSiEES. - � �� • - � � � RETEPITION FEE: �� '� � - - _ � � p CONSTRUCTIONLENDI�GAGENCY PRE-ALTFEE: , - -� �• �' �� • • ' " . � IMER£GYAF��qM�R/pERFENALiYOFDE�UURVTHA7hIERE15ACQV57RUCT10NLfN0�NC�CENCY - � FOR hIE PERFOMIANCE OF TNE WORK fOR NMICN TNIS PERMIT IS ISSUED(SCL.]09T,CN.C.). ' , ' . .. .. .. .. .. ... ... �z __ . .. --- - '�19°7 . , . � �ewocn•s r,auE . , , �- urmeasa�onrss _ _. . _.... __ . Q IAGRCETOCCM IYVATHALLCRyA4 CAW�YOW'NAAN ESANOSTI EVUWSRELATING OCBUILDING TOTAL FEES . . . � � J � • � CON�TfUCT1�IJ,AN�HERFOYAUTNORIZEREVRESENT�TNE50F7HI5C0UNTVTOEMERUi'ONTME . � - AdOVE�MEA7qNEDAAOPERTYfORINSPEGTIONPUqPO5E5 _ COPdMENTS ' ' ' . 0 ' .. ._. .._... / . ..... .._'_' '__' . . . _ ,/2o,s�E4 C�s�/cA S m PEF6uTTEFNaIAE' . . . . . .. .• . . . . . . . uQi �ll2'LO �p�Z t�t-C�' . . ,'.� S�GNATU��E EHMITTF�. . . . OA7E • � � • • - - RECPL NO. � . PAID BY� - VALIDATION ��� - • � �WHITE--0epertmenl Copy,VELLOW—Finance Copy,pINK—Assossor Copy,GOLDENROD--Filo CoFy,GREEN—ApplicanPs Copy . � � � : "�;, , . . -............ .�.•y-A . , :n.,Y• „ ., . ..7.-..._ .�.j,. �}1. •i� . .� _ . � . ....�_, . . .. . �. i �� _ . � . .. „ . .. . . . . .. � " ' / ' . . .� . ' � , 1 � c� y � : ; , :i • - ` � CITY OF DIAMOND BAR ' ; , � � INSPECTION RECORD • � � • • - • � � � • - SETBACK ' i FLOORJOIST• •- FTGS/FORMS/STEEL FHA R�QMTS�,`. , .—. � • ELECTRIC GROUND UNDER FLOOFi bUCT GRQUND PLUMBING UNDER FLOOR CONDUIT SLAB GRADE FIREPLACEFOUNDATION '-�� '-� � � "' • TEMP POWER _FIREP.LACE BOND BEAM WATER SERVICE � ' ' � ' � ' MID HT.BOND BEAM ROOF SHEATHING 8 FT.BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ROUGH PLUMBING ' FINISH GRADING SHOWEF�lT'UB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER , \. FINAL ENG. SEPTIC TANK ' " '� '•• LANDSCAPE/IRRIG. SEEP PITlL.L. ON SITE IMPS. GAS AIR TEST � FINAL ZONING FINALCONST.` ' ��' '�''�- � FIRE DEPT.FINAL'" ��;...,.. • _ .' -- - FINAL HEATING HEALTH DEPT.FINAL FINAL ELECTRIC DEV.FEES PAID . . FINAL PLUMBING ENERGY . ' • • COMMENTS � ,_�- � , � • . � , . , - ,, ,-. _ � '� 1 •�' - . � , . ..�, • �� , � . ' .. , _ `: SEPTIC TANK SIZE k.,ti�� �'� ' SEEP PIT/U SIZE � . '. � , � 2 �-•..-_ . ,—. .:. '�., _. �� �- ,• . - .'. � �� ` ;. ` ti.�-1 :,1 >` ;;',` ✓ _J-�'`� af 6 G� li