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HomeMy WebLinkAbout12125 (20) S� �� _�� CITY OF DIAMOND BAR ' - � � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES � �,� . 21660 E.Copley Drive Suite l90 (909)860-3195 Fax(909)861-3117 PRESS ��'%�'� . BUILDING PERMIT APPLICATION � � F�RMLY JOBSITE f� -/ APPLICATION rXv �/1 PERMIT P/C o ADDRESS_��/O J �1,4�1.�1(� �niQ'Cl. �{ DATE v �'/ � NUMBER +2I� �� � APN LOT� TRACT 2• ISSUE TYPE ' � OCC DATE �'� !� ��� CONST.1 � • GROUP � OWNER PI�2M 42.1N1 f�f _ ' ' ' p ADDRESS L/�f ZONING SETBACKS •��� � CfTY � ZIP TEL. ' ' REART RW ❑ APPUCArlT l'•�+�Y f� TEL� . $IDFJ8IDE STREEf RW p � CONTRACTOA 06' SIDE p � CITY ESG 1-N/N(7 ZIP 917/D TEL PROPOSED USE� �r2--(�IA.N� CrU N 1'(�i,�st't-��A � o ng�Nc,� L nr,o . � DESICaNER �N� A�' G�'�i�7� NO.DWEL NO. NO. . ADDflESSI�.�f hL• '71.lL 1. � • UNITS STORIES BEDROOMS CITY 0�`/�tf�JWl ZIP TELT[q -(eIOO v� DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� _ OWNER-BUILDER DECLARATION SFR/ADO/REM O p �HEREBY IIfFGW WDER PEWLLTY OF VEiWRY THAT 1 AM EXEMPi FNOM THE CONTMCiORS LL Garaga/Cerport � 11J CElSEUWiORi11EFO110M'INORE�ISON(SEC.70.71.68USINESSINDPROFESSqNSCODE:ANVpTYOR (n �) C9U11TYYMq�REOUIRESAPERMRTOCONSTRUCf,ALTE0.�PROYE.DEA10U51-I,ORREPAIRANVSTiR1C- W �Z IURE PRIOfi N R9 68UAHCF,A190 RECUIRES ME�VPL1CANi FOR 9UCH PERYIT TO FlLE A SIGNED w Patio/Deck � STATEMQlT 7M�T 1£OR SHE I6 LICENSED VURSUANi TO TME PHOY1510N5 OF THE COH�MCTORS LL CENBE UW�C7/APTER Y(QDYMENCWO MTH SECT70N 7000)OF DIYISqN 7 0F THE BUSINESS IW�VRO �- PooVS B • � � � 0 . FE5910NSOOOE)ORTWITliEOR5HEISE%ENPT717EREFRDMAMJ7HEBASISFOfiTHEALLEGEDE%EYP- (� TIDN.AHYVIOL�TIONOFSECTION70]1.6BYANYMPLICAFf�FORADERMITSU9JECTSTHEAPPLIfJWTTO Z q�q�} � ACMLVEW1lTYOFNO7MORETHANFNEHUNDREDDOLL/.RS(f5oo).): � � � OL�+�M�EROFTHEPROPERiV,ORM'/E�PLOVEESWIhIWACESA57HEIflSOLE00MPEN5ATqN, 0 CORIIi19fCI8I � � , WILL DO T1E WORK M70 THE STRUCTURE IS NOT MEN�ED OH OFFERED FOR SALE(SEG 7 W,BU51� J y NESS AND iROFE%IONS OOOE:TME CONTMGfORS LICENSE UW DOES NOTAPPL'/TO AN OWNER OF � iROPEffiYYY/1OBNLDSORNFROVE57/1EREOK/WDYVFIODOESSUCHWORKMMSCLFORHERSELFOR � � � THROUGHHSORNEROWNEAAPL01'EES,VROVIOEDTHAiSUCHWPROVEMENfSARENOTNTEN�E00R m � .OFFERFDWRSALE6.HOWEYERINE&1lDwdORYPROVEYEM550lDWITMMONEYFAROiC01AD16 ' Z TION.THE OVMER�UIIDER NALL HAVE THE BUMEN OF PROWlO TMA7 HE OR SME D�D NOT BUIID OR � MPROVE FOR 1HE PURPOSE OF BALE} I � OL�OMNEROFTIEPROPEHTY.AMIXCLUSNELYGONiMCTNOMrti/1LICENSEDCOHTRACTOR3 , ro ea+srnuer Te+e vnaeer�see.�ou.eusir+ess u+o vnor�ssiar+s eooc:n+e conrw�eroAs u• Vnluation ADJ.AREA CENSE UW DOES HOT 11PP11 TOAN OYMER DF A FROPEHTY Yh10 BU4D5 OR 41VROVES THER[ON,ANO WHOCOHTMCTSFORSUCM7N0.)ECTSWITHACOHTMCTOfI(SILICENSEDPURSUANTTOTHECONTRAC pUANTITY DESCRIPTION FEE � 1dL4UCEN5EUW.�. . , . . � O I AM EX�APT UNOER SEG B.i V.Q FOA THIS REASON � O V'�""' '� � ' I (� � h c�.' 'r 6 O �= D�TE ' OWNER �, _ f . � � O � � r UCENSED CONTRACTORS DECIARATION W � IHEREBYAFTWIUNDERPENALTYOfPERR1RYTHATIAMLICENSEDUMJER7ROVISION50FCHAPTER Q s •(WI.MENCWIiWITN5ECT10N7000�OFOMSpN]OF7ME&151NESSM�DFROFESSqNSCODE,NJU Z �(7�.5 a ' ��• { � LfY LIL�NSE 6 H R1LL FORCE AND EFFECT. / m 1 1 � V � '� rw � � UCENSE C 5 G�� LIC.N0. �+' O � ' - J V DATE CONTRACTOR .�l1 � n. . . . W .... _ .. . .. . —..� � � . � WORKERS'COMPENSATION DECU1FiHTION a O D O b 34 O Q NIHEREBY�FFIRMUNDERPENALTYOFVEMIR'/ONEOFiMEFOLLOWiNUDECUMT10N5: . � Z � � �IHAVEANDWILLMAN7AM110EqTIFIGTEOfCONSENTTOSELF•INSUR[FOBriORKEHS' '. _ ` , ..., , . ' .., � ' . .I � CDYPENSATION.ASPROVIDEDBY6ECT10N770oOFTMELABORC00E,FORTHEVER�ORMANCE U Q OFTNENR�pKFOliMM111C11THISVER1AR5155UED. � � �1l4WElINbYlILLMAp(UMMIORI(ERSC0IAPENSATIONINSUqANCE,ASREOVIREDBYSELTION ' ' ' ' ' � � � �700 DF iHE L/BOR COOE.Fdi THE GERFOMWICE OF THE WORN FOR NMICMTHIS PERMITIS n c ^�T a-7 ISSUfD.WWOPo(ERSCOMVENSATIDNINSUNANCEURRIEHANDVOlIC7M1G6EFME: CONSTRUCTION �_L_�___ 47 ��(V > CARRIER� � . .. - PLFW REVIEW � fi� �I Z�J � �- Z voucvr+ur.�eEa V�� ((I�_('�4 ELECTRIC I � O Q . � (nassEcm�N[mPaiBEm.�I£fEDaFTEOEw�isii%iaEH+�.YtE0D7uutsb+mlORtESS} PLUMBING 2 r �SO Z ICERTIFYTu7rt1TMEPERFOFiMANCEOFTMEWORKiORWMIdiTMI5PE1WrtI5155UED.l MECHAN�CAL - 3��D� U' SH�LLNOTEMPLOVANVVER.�ONNANTMANNER50A5TOBECAMESUBJ[CTTOTHE � WORKERSCOMPENSATIONUWSOFGWFORNItiANOAGREETHA71FI5HOULOBECOME INSPECTIONFEE S SUBJECTTOTHEWORKERS'COMPENSATIONPROVISqN50FSECT10N97000FTHEUBOH eaoe.isw�usonn�vnn+eouatrwin�n+oseoRo�nsaNs. ISSUANCE �O�,�O � W DATE:���� APRICANT �� �V"+�G v`� . S6�IP . ��O O � WAqNINdFARLR[TOSEd1HE1WRKER5COAIVENSATiONCOVERAGEISUMAwFlA..AN�51ulLBE ENERGYP/C �y SUBJECiAN EMPLOYER TO CPJNRUL PENAlT1ES MA CML iINES UP i00NE HUNDRED 7110US�WD -ENERGY PERMIT ` � � ' " � DOLLAFiS(f t0a,000),IN ADDI710N TO iHE COST OF C0IAPENSATqN,DAMAGES AS PROViDED FOi1 W ¢ SECTqN770lOf7HEUBORCODE,IN7EREST,INDATTORNEY5FEE5. RETEFITIONFEE: dO a CONSTRUCTIONLENOINGAGENCY PHE-ALTFEE: � � ' O ` � IHEREBYAFFIRMUNDEFOEN/�LTYOFFE(ilUp'lTNATTNEREGACdISTRUCTIONLENDINOACENCY_ . � ' ' Z FOR iHE iERF01WANCE OFTM[WORK FOR WHIG1 THIS iERM�T IS ISSUED(SEC.7ov�,CIV.C.�. , W � IENDER'S NM1E ��. . � LENDER'SAODRE55 � W ICEflTIF7TUITIMAVERE/DTHISMPLIGTIONANDSiATETMTTNEABOVE1NFOi1MATqNISCORRECL TOTAL FEES � ' 1 // d IAGflEETOCOMPlYN7THALLCT'IWDCOUITYORDINANCESINO57ATEUNSPEUTNaTOBULOINO � /J'���n � COH.aTRUCTION.ANOHEREBVAUifqlilZEREVRESENTATNE50FTWSCOUNTYTOEMERUPONiHE _ . . . � �, �, IIBOVE•AIEMIONEOPROVERTYfORINSPECf10NPURPO5E5. COMMENTS � �'� �' v = c- , �C�'�'c� _ - - m oEaumcc F�aw '� � �� � 7 �� (n 6q1UTUHEOFVEfiAITTEE • , ; OA E � . . . RECPL NO. PAID BY VALIDATION � ITE-0epartment Copy.YELLOW—Finanee Copy,PINK—Aeaessa Copy,GOLDENROD—Flle Copy.GREEN—JWpliunPs Capy - - �� � � �.L . ' . .. . _ . .... � . � , . . . . , . \ � � CITY QF DIAMOND BAR�, ._ . . : . - � i ' , . . . . , , ... _ . .,,,.;.. , � �._� , ; ' . . . ... INSPECTION RECOfiD�._, •� �� , . .� . .. . . . �,. ., . . s � � • - • � • • • - SETBACK .. -.� (• j . � • FLOORJOI$T,_; � :, -� ,�, - � � � '•(�! . . . FTGS/FORMS/STEEL . �� FHAREQMTS � ,. ., - ,; _ -. �., �. ;, - - -; ELECTRIC - ' ¢:�� �� � UNDER FLOOR DC1C1� ^.Y�,�,, ...� ;- -;',. , � . -_ - --_ ! GROUND PLUMBING ' `o � � • UNDER .CQ�ID,UIT',i_1 ,� : ' •, '•:1'� .:c'.."• '.���'.:�:�,�;� :- , . SLAB GRADE � - � - "�-- •. FIREPLA �FOUND TION - � 7EMP POWER....__ . ,. , --- - - � �, ... : FIREPLA�E'�Ofilb�BEAM - .. __'_._..•��� . ,.,_ . . . - -.. _ , . : , .� ._;:� �.z•i_�.._� V1lATER ERVICE - - : - � .- ----- MID HL BOND BEAM`- �.' � • . . , • ROOFSHERTN NG'. '� r' }`��_ -` :�- ,_•:..•.�-..�_ � _� BFT.BOND.� M•�.i„ ' r., �ti�.'. - • ��,�;,i'a ,: .. FRAMIIVGNENTILIATION ' FINAL BOND BEAM - -. , � _ ,, � , ,. , , ' •• ' ROOF COVER;.- ' PRE-GRADING ;�.•=: ��r..,� .'� ,. �•, �;.i,t•! - ; ' ,, .. _ _ROUGH HEATiNG... ; __ _ . -- -_ _ _... BENCHING•�'='' ��=�.;�`; _ ' a�•J-;�;:ti-,., �.„• ROUGH ELECTRIC -- - - - �- ' ' ' ROUGH GRADING . . _ ROUGH PLUMBING -- - ` �--- - --- FINISH GRADING ' • SHOWERITUB TEST - - -� - POOL ELECTRlC �XT.LATK/SIbING • - � " r':• -c � POOL FENCING � . w� I VUALLINSULATION , i'S: `'`""-� POOLFINAL • . . � ( 5 CEILING INSULATION OF�SITE IMPS. •� bRYWALL NAILING : DEDICATIONS ' SEWER_. ._.. FINAL ENG. . SEPTICTANK_..._.____: . _. ____. ._ ..., .., . . ; LANDSCAPEJIRRIG. • SEEP PIT/L.L. = . .- -- - . _ ON SITE IMPS. . - � GAS AIR�TEST'� - - �� � , �•� FINAL ZONING : . �INA4 C�N T:- ._ , .__. _\ .. • . .. �. __.. FIRE DEPT.FINAL - FINq1;HEATfNG -- � ''"' '� , �-, ' i '- �- HEALTH DEPT. FINAL FINAL EL CTRIC - - -� --' ' ' - ` DEV.FEES PAID - FINAU PLU6IBING --� ., I •.1,,.. . 1 ,._.') 1 ENERGY . . , :r �! I ''l � . � , � �; • • --. - •, � � �. .,.. •.,�_„� ��,..,��_. _. . �. ; . , .. � .� _ . , _. ..__.. . . _ _. . _ . _. .._.. .. . , .... _ . . , . .. _ ... COMtv1ENTS � ---��`=; .. .,: ., :. �,,,-�, � , � . . .. _ . f�S� � � � . -_[�D.... .. ��.-D-oJ'�--._ �]-�-�x.:ti`. . � , , , , . ; . . . . _._._. . _ ..... - � . , . Jj-• _i -. -�' _. ., ; � . . . • _ ,_.._. , _ .. �`l Ii•.) - .. ��-'•.' -�' , � C�-� �'� � _ • . .� � t�'�'G •i r.•t/. . . . � . , , �.�.• '� �• ` , \ . '- . . , , t . . . ._... . ,. .. .... . ,. � , . .. , . � � ��,. .1: ' � � _ . ... . .. .. _. . . � , - ,O�`,,•f,...� . .� � �-� -.�� -�� - .� , `{ 1•-' i ' ' �-! . _. _ . . . , .. � S�P_TI�TANK SIZE - ' ' � � , . . . - � SEEP.PIT/U_SIZE � � � _. .. . , ,. � � � _. _ . .. � - - ' _ — _ _ . - .. .. , � ; �- {- •'..+ _. . . ., . , ! � ...._....r. _...._._: . � ; . .,.. . , .. � : — � � �. - , —. _ . �..I�.�w __ ��1�-� . . . . .. _.. .. _ - ' �� . _,.t�""'"... ..`J.., `j... ., . . _ ; ';;"'1�. ;' _ .. �•�a;v':�LL.. v-�=� � �..._ �, �;,.�}_ '�Q�