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HomeMy WebLinkAbout16176 �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY 8c DEVELOPMEN'I'SERVICES � 21660 E.Copley Drive Suite 190 � � (909)86Q3195 Faz(909)861-3117 PRES$ '��A� BUQ.DING PERMIT APPLICATION FIRMLY � JOBSITE G � APPLICATIO PERMfT �I- ,nP/C j�_^ • o ADDRESS ���! 1• ��Ja%i:t-L•.' �'C1'= DATE '� _� NUMBER v f N N/ � ' � ISSUE TYPE OCC • APN LOT T CT DATE ' CONST. GROUP p OWNER I�r :� f�(.�� '���1�° _ _ , LL ADDRESS � ����-n /�LLA • 1�� ZONING SEfBACKS �"' CfTY 'v �+� ZIP �-1 Z.Z�TEL. , �b'1 vo( REAR RW ❑❑ APPLICANT TEL.�Y� / SIDE/SIDE STREET RW ❑ � CONTflHCTOR o►2aw�Ca pEv��cP�.tE,••'T SIDE ❑ � ADORESS 'lo n�a�. CfTY l✓Z1�lNE- ZIP 42GI�TE 49�(�1�3^Iq.� �PROPOSEDUSE • . tiJi .L�r c'��ik� A 1 � 9 •c�%' � � r n , ARCWENG/ ✓ DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUA710N p� OWNEFi-BUILDER OECLARATION SFF/ADDlREM � O �ppp 1 HEREBY AFFliM1 UNpER OENAITV OC GERAIRV THA7 IAA1 fXEMPT FROY TME CON7iUC10R5 L4 Garage/Carport CQISEUWi011THEFOLLOWWOREA50N(SEG7at1.6BU5MES3ANDPROFE5510f15CODE:ANYGRYOR � (n OOUMYWFiIWREOUIRESADERMRTOCONSTiNCf.ALTE�tIMFF10VE,0EMOL15H.ORREPAIRANY57AUG W patlolDeck TUHE,PRqR TO IT8158UANCE,ILL.A REGUWES iME APPUCNIT FOR SUp/PEIiMIT TO FILE A SIGNED W lT�TEMIXT iHAT HE Oft SME IS LICEN6ED VU0.5UMR TO iNE VROYISIONS OF iME CONTMCfOR4 LF � CH1SE UW(d/MTER a(COMMENdN6 WITH SECTION 70�0)OF DMSION]OF THE BUSINESS AND PilO. �- PooVSva FES9�ON5 COOE)��T HE OR SHE IS E%EMPT THEREFFIOM AND iHE BASIS FOR THE ALlEOED E%EMP- iqN.ANYV�OlAT10NOF8ECT10N7W1.68YANYMVLICANTFORAPERMITSU&lECTSTNEMPLICJNTTO z' RB-RODI f,_, A CML PENKTY OF NOT MORE Ti/N FNE MINDRED OOLLMS(f5o0).Y � OIASOWIIEROFTMEGROPER7Y,ORMYEwPLOYEESW17HWACES�3TMEIRSOLECOMVENSATION, O CpTT0fCl31 ' MALL DO THE WORK AND THE BTMICTUNE IS NOT INTENDED ON DFiEREO FOR SLLE ISEG 7W�.BUSI• J NESS MD VROFE45qN5 COOE:TNE CONiMCTORS UGEHSE UW DDES NOTAPPLY TO AN ONT.IER OF � � PROPEHTYMnIDBU0.DSORMVROVE57NEREON.MIDYV/10D�E55UGiWORNMiMSELFOqMERSELFOR = � (L 1HROUGHMSORMERONNEMPLO'YEES,VROVDEDTUTSUd11YPROVEYEMSMENOTNTfNOEDOR m � OfFEAE'OFORSALEF,IpWEYERTffBUt.DW60RMiROVEUEMt55IXDN7THN10NEYEAROFCO►�PLf• � TqN.THE OWHEN-BUILDER WILL HAVE TME 6URDEN OF YNOVPq THAT ME OR SHE DID NOi BULLD OR MPIqVE FOR THE PURPOSE OF SALE). � 04�SOMMEAOFTHEVROPEHTY,AMpICIUSNELYCONTRALTWOWRF7LKENSEDCONTRACTOR3 TO CONSTRUCT THE VR6IECT(SEG 70u,BUSIHESS AND Pf10FESSI0N5 CaDE:iNE CONiMCTOF3ll• V21UetiOfl ADJ.AREA CEN�E UW DOES NOTAVPLY TO/W OVMER OFA PROPEffiM WHO BUILDS OR�APROVE9 T1IEREON.AND � M/1qCONTMCTSFORSUQIGP0.JE(.TSWI7HAOp1iMCfOR(S)LICENSEDPURSUIMTOTHECpfTRAG Q�Jqn(j�7y DESCRIPTIO�I ' FEE � � TORSUCENSEUw.). OIAAIE7(EIIPTUNDENSEC. B.IP.C.FOHTHISREA50N � LL_ F DATE WMER V �` W .. � LICENSED CONTRACTORS DECLARATION w � CL INEREBYKFRiAIUNDERVEN/LTYOFPERIURYTUTIAMUGENSEDVNDERVHOVIS�ONSOFq/MTER Ur � �- " � - . " - s ��CddwENCHOWRM5ECT10N7000)OFOMSqN7DFTNEBVSINESS.�NDPROFE55iONSC00E,AND Z ��L MY LIGENSE IS N FUII FORGE NaD EFFECT. m � LICENSE CUSS �^I LIC.NO. �J � pATE ,^Z I'a� CONTMCTOR a W � WORKERS'COMPENSATION DECLARA710N a N I NEAEBYAFFIPoA UND[R PENALTY OF PERIVRV ONE OF THE iOLLOWIN�DECLARATqNS U N \ , Q � �LVHAVEANOWil1WNTNNACfRTIFlUTEOFCONSEMTOSELFaNSUREFONMl7NKER5' _ ��O4PENSATqN,ASPROVIDEDBYSECTON�70oOFiMEU80NC00E,FORTHEPERFOfiwWCE W bF TNE WORK FOR WHIGI THIS PERMIT IS ISSUED. � G Q _I HAVE AND WILL MAMNN WORKEPS COAIPENSATION INSUqANCE,AS REOUiRED BY SECTION r(]� 2 1 2 0 01 Q 77000FTNEUBORCDDGFORTNEPERWRMANCEOFTHEWONKiORNT1ICMTNISiERMR15 Lj� � ISSUED.►1YWDF�KER5COMPENSATpNWSUMNCEURRIERAN�00LICYNUTABERARE: ONSTREUtIU1V •� � � GRRIEH LA�VIEYV � POLICV NUABEH _ 0 (nassctnor+rr�r+otseoo�stFrenoFnfr�.+rsianar+E�un�imoa.wasR+oo)aa�ssl PLUMBING Z I CERTIFY THAT H 7HE PERFORMFNCE OF THE YIONC FOR WHICH 7HIS PERM�T IS ISSUED,1 MECHANICAL (�' SWLLLNOTEMPIAYMIYPEH50NNMR'MANNEHSO�STOBECOMESU0.IECTTOiHE � WORKEPS'ODA�PENSATIONUwSOF �9 �M.Ap(DAGREETUTiFI5N0UL�9ECOME INSPECT�ONFEE S SUBJECii07MEYlORKERS'COA1P ONP VISiif�50F5ECTION77ooOFTNELABOR Oa coo�.isNULtormr�nrNcoua�r .n�na e7isa�s. ISSUANCE oa�te: Z'Z�^�� �aaucur7: SMIP • •� W ENEFGY P/C � WARNINO:FA�URE TO SECURE NURKERS'ODMPENSATION COVEHAGE IS UNUWFU.AND SIMLL BE � SUBJECTAN EUPIpYER TO CRM7dM.PENALTtES AND CML FINES UP M ONG NUNDRED 7Fi0U5M10 ENERGY PERM17� � DOLUIRS(f f aa.000l.�N�DDITION TO THE COST OF COMVEN5A7qN,DAMAOE5/�5 PRONDEO FOR IN � SECTION�70tOffHELA80RCO0E.INTEREST.ANDATTOiWEY'SFEEB RETENTIONFEE: 'L •Q O a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � INEPEBYAfFIqMUNOERCEN.4LTVOF0E0.R1RVTHATTMEREISACONSTHUCTIONLENDINdAGENCY � Z FOR TME PERFOfUW10E OF T1E VYORK FOR WHid17MS iERMIT IS ISSUED(SEC.7001,CIV.G�. , W � LENDEf75NAUE � LENDER'9ADDRE55 w IGENTIfYTWVIHMEREADiHISAPPLICATIONAN�3TATEM�.ITNEABOVENFppAIATqNISCORNER TOTAL FEES 3�g.r1 . 5S0 � 111GREETOCOMPLYWI7HALLCfTYANDCOIMiYORDINANCES/�NDStATEUwSREUTNO700NLDINO OONSTRUCTION,AHO HERE9Y AUTFIDRIZE REVRESENTATIVES OF TMIS GOIRRY i0 ENTERUPON TME //{{ �A/� S� IBOVE-4ENTqNEDPROPEH7Y�ORINSPfCT�ONDUNP0.5E5. COMMENTS�,� ���5 � � � �Z.'l.� n �= � , � O° vEau �lP "Rl 1 G'L' � � ' L �/J HATUREOF MIITfEE W E � � RECPi.NO. PAf�BY . ALIDATION WHITE—Department Copy.YELLOW—Finance Copy.PINK—Aeseesa Copy,GOLDENR06�ile Copy.GREEN—Applicanfs Capy � • : . .. .. . " ' .. . .. , � .. -. � � r ,_. , . . .. � ' , . ,- ... .. .h.: � � ;�ro•. � . ..�t , �, .. �t..�^. ,. � .... . �i � - CITY OF DIAMOND.BAR , ,_ . _ � � - IfJSPECTION RECORD � -� �- � � , ;��.��'.D:�:�B '� 1� ' �o� ° .I�.���—��` ' �`��i".::..._���:.�.��'��F+.�_ ;SET BACK,•.. , -• -j , � , ', . � FLOOR JOIST . ;� ; , ,. , . , FTGS/FORMS'STEEL ' • ' � � � , ; .;�� FHA REQMTS ` ' . � �ELECTRIC GROUND • � �� � '..:� t '' UNDER FLOOR DUCT � ' - - • ,GROUND PLUP,ABING UNDER FLOOR CO�!QUIT."" �' - ;:' ,` , � �, ' . . . �SlA6 GRADE -- � - FIREPLACE FOUNDATION ' : �� ; .,'•� �..� ' � . • .. , . . :TEti1P POWER - . _ _ -� FIREPL'ACE BOfJD BEAh1 - . .= ' , - . . � . ,WATER SEF3VICE � h"ID HT. BOND BEAM �• -' • � :ROOF'SHEATHIPJG � � • :��, � 8 FT.QOND.BEAM, ,, '` '��" ' � - ` � ' ' • �FRAD,AINGNENTILIATION '�.�-:�' -.,�;_ ' �� �� FINAL'BOND BEAM�� ' � � • ' .ROOF COVER ' PRE-GRADING � - • ' :ROUGH HEATING BENCHING ' ' � � iROUGH ELECTRIC ' ` ' ` . _ " . ROUGH GRADING ' :r... r. , -- ; i... _ __... _._.. :ROUGH PLUMBING :yi,;-�`�. , � _= FINISN GRADING . . ;SH�WER.ri'UB TEST - � POOL'ELECTRIC � • EXT.LA7H/SIDING- - POOL FENCING i ;WALL INSULATION - - � POOL�FINAL � � ;CEILING INSULATION OFF SITE IMPS. � � - :bRYVVALL NAtLiNG 3�- -0( DEDICATIONS . . - 'SE4VER FINAUENG. • SEPTIC TANK •. LAPJDSCAPE/IRRIG. � ;SEEP PIT/LL. � • OPd SITE IPAPS. - .GASAIR TEST 2�' '.;,,•- - ,. FINAL'ZOMNG FINFiL CONST. C_C�..p( FIRE DEPL FINAL _ � 'FINAL HEATING _ . HEALTH DEPT. FINAL � ;FINAI.ELECTRIC �{-�,-u�� � - - DEV.FEES PAID - - -� '~ �f�l"!At PLUfr4BING �"`l-d� - ENERGY ( J� i --... ._..._ _. ._ .. .. _ . � - I . _ I . �. . . .,;, �-�-�--- — — . _. .. _ ... . �r��:-� A-.�c�r. � I ; ;_ . . .�.:!.�.r�.�.�M•.�::�_:. -_..._ � ' ' __ • _._ _. . . ... ._..._ _ .__ . � - ' . _. --.. _. -; ; • � .. • �COt�1MENTS � � ; . ... ,,� -�:_ --- ----� � ! +�- �; ; . ,• - � � . � _ ___ .. _ I - .. ___; • • , � � ` �• ���. ' � �.Ijii�� _ ,. i ' � • . � - . _ . . .. . . �� _ ,':' . , . , , . . . . . . _ . L===-=- _ ..._. ._.. . „ , . , •� • � . , 1 ,•l. , j • _ . .. • -"- ' ; . ; _ � _ _ _ �� , � �... . -- � � r �SEPTIC TANK SIZE `�,-'�- . � -- ;SEEP PIT/U SIZE -. . . .r,..a,.,._..,.,.F,..�..,.� � -�' - �,l�!��, � . , , � � -ii'�..�'':' , - . . � - _ . -- , ' ;s�=�+� . . - � ' �.,I� -. ..;:� ;_i � .�� _ . .. � i _- . . . . . .. . _ ;_ - ; . � �- �- - •�� ,;. , (- �� ��' ;'�`�_ ; --- . .i , � ;� � � - �:. . .;••�.ti - � .. i � _ ; . . , . 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