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HomeMy WebLinkAbout13522 (22) J� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �' �,� . 21660 E.Coplcy Drive Suite 190 � (909)860-3195 Fax(909)861-3117 PR E$$ �'�^' BUILDING PERMIT APPLICATION , FIRMLY } ��BSRE / /1 APPLICATION PERMIT 2 P/C o ADDRESS-_ ! �a� ,D,'arnovrd 1.06(1�� DATE NUMBER ✓���N � ISSUE TYPE OCC APN LOT�� TRACT Z OU DATE�� f�CONST. GROUP p OWNER L i ' "' ADDRES G r• 'li�r ZONING SEBACKS 0 � CfTY �' ZIP�j� TEL - I REAR RW ❑ APPLICANT TEL. � SIDE/SIDE STREET RW ❑ CONTAACTOR �C . SIDE ❑ ADDRESS g CITY ZIP TEL � -i C PROPOSEDUSE ARCFVENG/ DESIGNER NO.DWEL. tJO. NO. = CIDTMDRESS ZIP TEL. UNITS STORIES BEDROOMS h �n DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUAT70N p� OWNER•BUIIDER�ECLARATION SFR,'ADD/REM O p 1 HEREB'IAFFIqA UNDER PENAITY OF PERRIAY T1uT I MI E%EYPT FHOM 7ME CONTMCfORS LI• � G0reg6/C6tpOft � CENSEUWFORTHEiOLLOMANOHU50N(SEG.70.11.68USWESSANDVRCFESSiONSCdJE:ANYpTYOR (n COUHiYWHIGIPE0UIRESAPERMRTOCON57RUCi.ALTE1�MPpOYEOEMOLISltORREPNRANYSTRUC• W patiolpeck TURE,ViWq TO RS 65UANCE ALSO REWIRES iHE A7DUCANT FOR SUCH GERMIT TO FlLE A SICNED W � STA7E4FHT THAT HE OR SME IS UCENSED PURSW WT TO 7HE PHOVIS�ONS OF 7ME CONTMttOR3 U� CEMSE U�M�CFIAPTER 0(CpAMENCPIO K1TH SECTION 700C)OF DIVISION 7 OF THE BUSINESS AN�PRO• LL' PooVSpa FESS�ONSCOOE)ORTHII7MEORSMEISE%EMPTiMEREFROYANDTN[BASISFORTMEALLEGEDFJCEYP• C7 TION.AHYYIOUTIONOFSECTION7oJ1.6BYANYMPLICANTFORAYEPoaiiSUNECTSTHEAPPUCANTTO Z Re•Roof �, A CML VENAL7Y OF NOT MORE 1HAN iNE HUNOHED DOUARS({SOo).J: _ O �1A50YMEROFTHEVROPERTY.ORMYEAIPLOYEESNnTHWAGESASTHEIR50LECOlAPEN5A710N, � COmmOrClal - Z YAt1O0 iHE WORIC AND THE STRUCTURF IS NOT WTENDED OR OFFENED FOR SALE(SEG 7W�,BUSI• J N NESS/WD VROFESSlON4 COOE:THE CONTRACTORS IICENSE UW DOES NOT APP�Y TO AN OWN[R OF iROPEHTYWHOBURD90RMP{IWESTHEREON.ANDW110DOESSUCNWORKNIMSEIFORNERSELfOR � •�'• ` � TNROUGHNiSORXERCMJEYPLOYEES,PROYlOEDTHATSUCHIMPnOVEYEMSARENOTMEN0ED0(i m -�-4� �? � OFFERED FOR S/LE If,HOWEVER�&11LOPl�Ofl MPROYEMEM 6 SOlDN7TNPJ ONE YEAROF C061P1E� ��710N.THE OWNER�BUILDER MALL HAVE THE BURCEN OF pROVINO THAT HE OR 6HE DID NOT BUIID Oq � MPlqVEFORiHEPUHPOSEOFSUE7. . W 04A40W1:EROFiHEPfiOPERfY,AMEI(CU15n/FLYCdlfNACT!lDYAIHLICENSEDCONTRACTONS � MNNSTAUCTTYIE VR0.IECT(SEC.7oa/,BUSINESS IWD PROiE55i0NS COOE 1HE CONTRACTORS LI� V3!t18ti0R ADJ.AREA CEHSE U�M DOES NOTAPP�Y TO/N ONTlER OF 11 PROPERTY MAIO BUM1DS OFl MPROVES TMEREON.A1+J � W11000MMCT9iOFiSUd/VR0.1ECT5WITIACOMiMCTOfi(5)IICENSEDPVRSUMlTTOTHECOHTMG pUANTITY DESCFlIPTION FEE � TORSUGENSEUW.). O I MI E7(E4MU1mEH SEC. B.i 7.G FOR Mi5 RE�SON J LL' DATE OwNER � UCENSED CONTRACTORS DECLARATION W `,, � IMfREBYAFFIR11UlAERPENAITYOFPERNRViHATIAMLICENSEDUNDENPROVI5qN50FCHAPiER ti� ' �•.�„ 1 '2 � s 0(COIYENCINO 1MiH SECTION 7000�OF DM510N]OF 7NE BUSINESS AHO DROFESSqNS COO�AND Z "�� �� � {� .J X MY LICENSE IS N FULL FOR E AND EFFECT. . � UCENSE ClASS UC.NO. �7�T�� I � V DATE � � CONTiUCTOR �M �u•,�xt. a W � WORKERS'COMPENSATION DECLARATION � NIMEREBVAFFlIWUNDERVENALi110fVER1VfiYONEOFTMEFOLLOWWODECUMT10N5: V � _IIUVEANDWILIIMNTA:NACEHiIFIG7EOFCONSENTTOSELFdNSUiiEFORNOiiKERS' � - Q COYPEHSATqN,ASPROHIDCDBYSECTION�7ooOFTHELA00RCODE.FORTHEVER�ONAANCE OF ME WORK FOR WM1LN iH�S VERMIT IS ISSUED. � �I/UVEANDWILLI.WMA?1WOR1(ERS'CdAPENSATqNINSURANCE.ASXEdL'REOBvSECT10N Q l7000FTHELABORCODE,FORiNEPERFOfYANJCEOFTHEWORKFONWHICHTHISVERM171S ISSUED.AAYYVOfU(E 'COMP NSATIONINSU1j�1LE RIERANDYOLICYNUM3ERME: CONSTRUCTION � GRRIER G Z '� � PIAN RENEW o raicrruueEa E 0 (Ms".�ECIONIL[DwiBEooM�ElIDOFnEPEaMisrottaS��.►nKDDotIl3tsK��1�LE',51 UMBI L 1 .�� 2 ICERTIFYTMAiHTHE�ERWRMANCEOFTHEWORKFORWHIp1THISGEMAiTISISSUEO.I MECHANICAL ' � C7 EMALLNOT EMDLOYANY iER50N IN ANY AIANNER SOAS TO BECOME SUOJECT TO iHE � � 1N�RKERSCpAPENSATqNUw50FGLLiFORNIA,IWD�GREEiMATKISHOUI�BLCOME FEE SUBJECT TO THE WORKER5 COIAPENSATqN PFlOVISIONS OF SECTqN]700 OF TXE LABOR �j COOE,15/uL.FOR7HwRHCOMPLVWI7NTNO5EVROVISpNS. 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TOTAL FEES W IACREETOLOYPLYM77HALLCRYAN�COUNTYOROINANCESANDSiATEUWSHELATINOiOBUIDING ' � CONSTRUCTION,ANDHENEDYAUTFIORQERECNESENTATNESOFTHISWUJTYTOENTERUPOHIHE � � AOOVE-NEMqNEDVROPERTYFORINSPECTIONPURPO5E5. COMMENTS � �'C�Ce rd tr • e f e �_ //1� PEiWfTT NAMCIP �I �— , 1 — / � . • y SiGN REOFVERURTEE � D�7E . � RECPT.NO. PAID BY VALIDATION WHITE-0epartmant Copy.YELLOW—Finonce Copy,PINK�Asaeesor Copy,GOLD NR ile Copy,GREEN—ApplicanPs Copy - ... , . .... , ' . . '.. � . . . �.. . ..� . . . . _ . . - � y . , ... � CITY OF DIANIOND.BAR , ,,. ,., �-- .. . . .._ � ", ` �.�r -. •� It�lSPECTIO�J`RECORD `. � . . ..� � -.- .- .� .. . . . .. : . . . .. . . , , - , 1' "_ . \�\ �\\�\\ . " . . �' .... ..., ' .� \ � �' ... �y_.. �.�Iti.���.�:�`�.Coa�`N . . �.�o r��'.-��1��.�-��!��:J.�.....,M,�"'I�`1-�►���Q ql��►.�' +���'�hr� f�`.!� �-+=rr���:� _ !SET BACK . � � � FLOOR JOIST_ � � _..._w d � ..... 'FTGS/FORP�15lSTEEL \ .-; ,. ,. . ..,._ .. _ _..... - - FHA REQ��ITS . . � _. .'- -- _ . � .-.- ...-! • ... _ _� _ 'ELECTRIC GROUNQ . _ . .. ' ' ' � '.. . ' UNDEa FLOOR DUCT � �. . ,. _ �.._. . _. . _. ' ,. _.__._ � ^ ! - .GAOUND PLU�,ABING UNDER FLOOR CUi•iD'JIT' i , � ;;. '" � -- �_ ! � :SLAB GRADE- - - '� - ---- -- -- �` . . FIREPL'AGE F'OUNDATION - • � � ' -- . �.. ....;. . . � , 'TEh1P P01VER �. _ �. - �: : � FIREPLACE BO�ID BEAF�� _- - �' i , ' WATER SERVICE- - - . . - -- _ -- PJIID HT. BOND BEAM • =• ` � .•• : ... ' . � t , 'ROOF SHEATHING " 8 FT. BOND 6EAM • -� � • - •� ` � ' � . .. .. . .. . _ , __ •FRAP111NG,NENTILIATION - -- - - - FINAL BOND�BEAM � � ' 'ROOF COVER .::,� PRE-GRADING - � - -- ' - _ . . , . . 'ROUGH H�ATING� - ._ ._ .,� _ BENCHING ... � �•: .�, ROUGH E�ECTRIC " ' � .. � . : ' ` ROUGH GRADING - ; �- _ . _.. ROU:�H PLUME3ING -- - - - - -- - --�--- - FINISH GRADING � " •SHO`�VEA,ri"UB TEST -- -- - ' - ' POOL ELECTF3IC . ` � ��X7: L�iiHrSIDING � - -- - POOLFENCING � � '� � :,. tPlALL INSULATION _.__._.._... .... .. ... .. .... - - - - POOL FINAL ' � . ;�CEILIiIG I�•:SULATtON•- " - - -- OFF SITE IMPS. ' DRl^JUALL"PJAILiNG - -- � - � - DEDICATIONS . I ,. _ , ,.: Gr�1'ER . ._.. .... ... . , �//�/�J/� �!'� FINAL E�dG. i�StP`ICTANK Y LANDSCAPEIIRRIG. � ��StE?.P1T/L.L. - . ON 51TE IMPS. ; . � �.,;5_f,i�i EST FINAL ZONING ; =- •----•--�---- _.. . .._..•,: � r-;�;:;.�.aNST._ .. .---.---.... .... _ _ . FIRE DEPT.FINlIL : . ,F1;;.�_�.'{EATING --- - - HEALTH DEPT. FINAL . - -- � � . � - -- -- - � : i.:_.:_�LECTRIC; -- - - - . . _.. - •- -. � DEV. FEES PAID - _ .__._.._ --- � _'.'� PLUIy1BING - ?fl�� _ � .ENERGY . _ . . -. s . . . ,_ . , . . � � . -- __ __ _ _.___ � . .� :���.cr �.,��c-ir: , i _.:s7=:..,.:.�s r��z.r. __..:y - .. -- �:_.�._ , . . . . . .. . . ._ . ..._ . ... . .. . . . . . . i � i ., ' � , � i . � .._. i , .... . : •_"-.` ., . , . . . . . . ._ . � . . . i . .'-- ..... ._ � _ . , . � .. . . ` ;��;;tirMENTS , • _. _�. -.... .� ' � , , -,. . . _ � � _ - .-- . , . . , ; � _ � . . . - - _ ; ' `. . ' . : .: - -- ` -- ---_ � i -- , , , ; . . . . . � � . . . _ ; , ; � � : ;SEPTIC TANK SIZE � j , . ' : j _ SEEP PIT/U SIZE - - _ _. . . . . --- -- - - - , . ;��..�_�� -- ' . , . . ' .. , Y � � - - ' ; � . . , _.: • :- .�.. - , _.. ._ - -- ';`:l�j��' . ;^.: - ._ . , i ; � . . . . . -- - - . � . , . , , . ; . .. ' --. . _ � � � .. � . � �� . ., � .-�� i �..:_._._..:_ �..:�.....:;__:..: 1 _ ; � �r r _...�.. � �, . , , ._ . �_�, ;. �:. � �, -T .i�, . ,