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HomeMy WebLinkAbout16314 (23) • +�= f � �� ,� CITY OF DIAMOND BAR � : � �-� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 2166o E.coploy nrivo suiu 190 PRESS � (909)86a3195 Fax(909)861-3117 '�'��� BUII.DING PERMIT APPLICATION ' FIRMLY � JOBSITE ,� APPLICATION � (�, (� PERMfT � p/C ' o ADDRESSZ�� �-� E�C_l..(r�T� �TQ+E3�T DATE � �'" " NUMBER N g ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER ADDRESS ZONING SETBACKS "' CITY ZIP TEL. FRONT RW ❑ � APPUCANT�� ,�� TEL 2�-�i REAR ❑ � ` SIDFJSIDE STREET RW ❑ CONTRACTOR��TC�1Jtr o t 11J C.r� SIDE ❑ � ADDRESS . ' PROPOSED USE__�•�.r ofE' •.�f'RrtS�(w1G.- ..r. c.�1 CITYI,2USA ZIP�1"1(12 TEL �— RAvG .t- �vt��A�.< �t�� �,��� �• � ARCWENG! • _ ...... , . - DESIGNER �N��. � �N�'� ADDRESS NO.DWEL. �, _ - NO.�.. •',..�{ ', NO. � CITY ZIP TEL UNRS S70RIES BEDROOMS � v� DESCRIPTION SO.FT. FACTOR PSF ADJ.AREfWALUATION � OWNER-BUILDER DECLAHATION SFRlADD/REM O p I HEREBY AFFryMI U1DER iEtULTY OF PEHAIRY THAT I MI E%EMPT FRdA 7ME CONTMCTORS LL GaragdCarpoA � lil CENSEUwFdiTHEfq1U4INOREA50N(SEC.7o]t.6BU5ME5SANODROCE5510NSW0f:ANYCIttOR (n �7 COU/lTYYh9CHRE0URESAGEHYRTOCONSTRUCT,ILTERIMPROVE,DEl10L151�ORflEPA1RANYSTRUG W PatiolDeck �Z IURE.PRIOq TD rt$LSSUANCE,AL50 iIEWIRE3 T11E APPLM�INT FOR SUCH PERMIT TO FllE A SIGNED W 87A7EMENT THAT HE OR SME IS UCENSED PU0.5UANT TO 7l1E PIWYISIONS OF 7HE CONTMCTOR9 LL � CENSEUW(UIiWTENiIODMMENpT.riWITHSECfpN7000)OFOMSqN70FiMEBU51NE5S11NDVRO V' POOVSpe � FE6510NS COOE7 OR ilU7 NE OR SHE IS ExEIAPT iMENEFROM ANO TNE BAS�S iOR THE ALLECED EXEMP- TqN.ANYV�0U1TIOr10FSECT70N7o71.6BYANYMVIK:AHifORAVEIWITSU[iJELT5iHE11GPlICANTTO Z RB-ROOI ` QO F,_, A CML VENALTN OF NOT MORE THAN FNE HUNORED DOLLARS(t5ao),I: O Ol�O�EROF7MEPROPERTY.OFiuYEMPLOYEESMATMW�GE5A5i11EIRSOLECOAIPENSAiION, � COmmOfGial - Z VALL DO 1HE WORK IlAME STittJCTUqE IS NOT MENDED GR OFiENED FOR SALE(SfC.7M.t,BUSb J N NE53lWDiROFES510NSCODETIECOHTRACTORSLICENSEUwDOESNOTAGPLYTDANGwNEROf ? iNOPER7Y Vh10 BUlDS OR IYPilOVES TMEREON,ANO VMO DOES SUCIi V/OpK HIIASELF OR HERSELF Oq (= THROUOIIHISOftNERONR1EVPlAYEES.p{10VIOEOiFfATSUGIMPROVEMENT3ARENOTNTEFIDEOqi m pOFFERWFOHSN.EIFHOWEVERTNEBUIDWOORMPpDKMU1T650lDWRXMONEYEAROfCOMPIE- � 'iION,THE OW/IER-BUpDEH MnLL HAVE TME BUNCEN Of PqOVINO TNAT HE OR SHE D�D NOT BUItD 011 MVROVE FOf17NE CURPOSE OF SdIE). � OlA90W1lEqOFTXEOROPEHTY,AMD(CLUSNELYCONTMCTPIOWITILICENSEDCDNTRACTOR3 TO CONSTiM1Cf TNE►AWECT(SEG 7aa,,BUSINE39 AND PROFESSIONS CODE TF1E CONTMCTOR$�I- VdIl10[IOf1 ��AQI.AREA � CENSEUWDOESNOTAPPLYTOMIONNEROFAGNOPERTYWHOBURDSORWPROVESTHEREON.AND YwqCDMMCTSFORSUq17f1WECT5WITHACONTMCTOR(5)LICENSEDPUHSUIIMTOTHECONTMG pUANTITY DESCRIPTION �E � lOftSLIGENSEUWJ. O I NA EXEMPT UNDER SEG B.i P.G FOH 7Nt5 REASON Q � * U u" DATE OWNER � � U J LJCENSED CONTRACTORS DECLAFtATION W � IMEqEBVAFFW1.lUN0ERPENILLTYOFPERtt1MTUT1AAILICENSEDVNOERPRpV1510N50fdIMTER � � t ICOYYENCwO VrtTH SECf10N 7000)OF D�W S�ON 7 OF TME BUS�NE55 AND PROFESS�ONS COOE,M'D W UCEHSE IS M ML FORCE M1D EFFECL t�9 I�� m � IICEN5ECU55 ��� UC.NO. j V DATE� d� CaNTMC70R a - = WORKERS'COMPENSATION DECUTAATION a � IHEREDVAFFliUIUNDERiEN.LLTYOFVEFiNMONEOf7HEFOlIOwiNCDECUIMTqNS: Z � �IVNVEANDWILLWWTNNACEftT�FICATEOFWNSENTTOSELF�NSUREfORYVORKER4' _ � CpIPENS�TqN,/SVROV�DEDBYSEC710N�7o00FTMElABORCOOE.FORTHEGERFONMANCE `U O OFTHEN'OPo(iORYM�pI7f1I5PERuiT6155VED. � �I HAYE ANO'MLL 4AIMAPI WOqKERS'LDMPENSATIpN INSUf W�ICE.�5 REOU6iED BY SECTION Q 77aoOFTM[LAOORCODE,FORiHEGEi1�OiWANCEOFTNEWORKFOHWHICH7NI5PEPMRIS LSSl1ED.WN9fL(ERS'CflMPENSA710NIN5URANGECARRIERANDPOIJCYNUAIOERARE: CONSTRUCTION � � � j uqmER Cr0 t„b•tvJ�AC.\C�L, PLAN REVIEW � oa�crNuue[a�.,.nQ��ZSF�� ELECTflIC � (I/tsSccT�NNEIDwiBECGMLElmaPnEFERAtSiDRONEM.R�Of1tDDaUfs(S�oo)oRtE55�, PLUMDING Z 1 GEHTIFTTHAT N TNE PERFOMIMICE OF 7ME WORK FOR WM�LH T115 PERMI715�SSUED.1 MECHANICAL SMIU.L NOT EuOLOV ANY CE0.50N N ANY IA.WNER 50 AS TO BECOUE SUBJECT TO TME � WORKERS'WIAPENSATIDNU�WSOfGLLIFOANtAM1DAGPEETXATIFISNOULOBECOME INSPECTI S SU6ICCTTOTMEYKKittE0.5'C04PENSATIONPfiOVI5qN50FSECT10N�70oOFTMELA90R • � �� - �• �+�' caoe,i s+uu voanrmn�cour�r vnn�nase rnowsior+s. ISSUANC � � SMIP � r . . � p DATE: 11PPLICMfi MRR - W ENERGY C � WNWIN6:FARURETOSECUREVARKERS'CAMPENSATqNCOVEMGEISUNUWFUL,ANDSHAL�BE �y„ SUBJ£CTANEGPLOVERTOCR:uINALVENALTiE5/�NDCM�FNESUPTOONEM1NDi1EDTMOUSAND ENERGY -RMIT DOILAFtS(f 10o.0oD),N I10DIT10N TO TME COST Of GO�.�PENSA7qN,DAA�AGES AS PROVIDED FOR iN � SEtt10N�7aeOFTHELABOf1COOE.INTEREST,ANDATTORNEY3FEE5. RETENTIO �� pW., CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O . � IHEi1EBY/�FFIRMUNDERPENALiYOFPE0.IVAVTHATTNENEISACONSTRUCT10NlENDINCAGENCY FOR iHE YEN WMWICE OF THE WORK fOR WNiLN TMIS iERMIT IS ISSUED(SEC.]OY7,Crv.G). . � � LENDER'S NAGE � LENDEH'S ADORESS \ W ICERTIFYTUTIHAVEREADTHIS�PVL1CATqNANDSTATEMATTIE�BOVEWFORYAT10NI5LORRECL TOTAL FEES 35•��p�� � V � I AGREE TO COMRY WITF1 ALL CIN IWD COUNTY ORCtNM10E5 AND STATE UwS PEIATMlO N BU0.DINO � CONSTRUCTION.ANOHEREBYAUiNOqIZEREPRESENiAT1VE50FTM6COUHTTTOENTERUPONTHE ' 1100VE#IEHTqNEO PROPERTYFON WSPECTqN RINPOSES. COMMENTS � D1��1, �Q.kS..''��,�vV m D�NAME(PRIHn ' a 3� !�- <„ �_ --��-_� 26 (A S�GNATUREOFPERMrt7EE DATE -T � FECPT.NO. PAID BY � VALIDATION WHITE-0epertmanl Copy.YELLOW--Finante Copy,P�NK—AssessorCopy,GOLDENROD—File Copy,GREEN—Applicant'e Copy � ___ CITY OF DIti111�OND BAR . ., .-.• ,..,;,; �;� .. .. , __, �.,�tdSPEC i IOtJ'R'�ECOR�I� : - . . .:.. . ' - ;. 1\ ��� . _.. . .. . . ' - ' , ,�.: , � `. �._.'.^ ',,.. � . �. � ��.l�'..'���.�!3�'�'.��.��� ���i,�� '�1.►��;��:'—`�'. .,,�_..f�.�-�;���x�.[�.►.t!��'��.'���: _..'m�!':,�:���.,�'e :��: �� ,_ . .._ .. � .y, . :�- �SET BACK .. � '. -. ; ' � . i S�-<<';� . :: �FLOOR JOIST .�_. --, ..�.' , ^ � ... � I� . ._ . _. �FTGS/FORP�1S/STEEL' - '" ' ' � �; -�i ;. FHA REQMTS " ��� ' • _ - - : . . _- - I � . . -------- , , ° �ELECTRIC GROUND__.. .._ .. ���� - __:.� . :_ ..._.`•_._ . UhDER FLOOR DUCT-- � � ' , � --- - .. . ..-- -- ' , _. IGROUt�D PLUh481NG . • U�JDER FLOOR CdP,iDUIT -- � - ' ' ' ' ` �SLAB GRA�JE --- - - - ��•` --...___....---.. --- _....._ r.�. � FIREPL.ACE FOUNDATION .. :- ! ��, . . �TEF.4P PO�VER.-...---.. _ ...._._....- -,_,, ,: ... ;• � FIREPLACE�BOND BEAM ` � "•;` ' �-_= - ; :--�._t�:,• •_ ,., , . �INATER SERVICE- ...... .. . .... .. . .. MID HT. BOND BEAM'-.: r 7:'� ,. ':/ '�'•c !. ,�-�.�' �. ,-;... ;;,r:. : :: ,..a , � �.. _.,.. .. IROOF•SHEATHING � -2$-01 ` -----�-- 8 FT.BOND BEAM -- _ _� ,, _": i ;' ��.-- !Ff#AD111hJGNENTtC.fATION I �.�' :�'•-�• . ' -' � � � � FINAL�BOfVD BEAM - . . � ._ . • .. .. . .:.. . , ;ROOF COVF_R .;;:' � r � PRE-GRADING - - -- - _ . _ . � . � � !ROUGH HEATING. ":::: "'� - _ -- ' BENCHING � � .... ,,.. : , iROUGH ELECTRIC ...!__. • ='�� � " " ,. : � ! _... ' ROUGHGRADiNG - - - i .- � FINISH GRADING � � � ROU�FiPLUMBING ' _. ..__ ...__..__.. � _.. _ � ... . �SHOVVERlTUB TEST-� - - - - � - �-� � � '- -- -POOL ELECTRIC � �� �EXT.-LATf-flSIDING ---: _ -- - --- -- ; . - POOL FENCING ., ' .. - , : ,WALL INSU;ATfON-- -; - - ---. ..- :; : ...-�.,- :. .. .._.. . POOL FINAL � • , ' • ;CEILIPJG iiJSULATiON� - -- ---- - .. . _ _. OFFSITE Ih1PS. ' ' •. ' : :_� ►7RYL'VALL NAILING .. -- --- - _ _ -- DEDICATIONS ` : ` ,ScW�R � FINF.L ENG_ � SEPTIC TANi: j LANDSCAPE/IRRIG, " i � S�Er P!T/L.L - • • '�� ON SITE IPAPS. • • 'GAS AIR TEST � F1NAL ZONIPIG ! -�, .,:. .. _ . _..-- - --. . ,Fli•jAL CONST.---------- �f�� � � ,. _.. FIRE GEPT. FINAL ;. . ,:� - Fl:v�.L HcATING __...._. _ ..� HEAL7H DEPT. FiN.AL + � ;, ;('i7J�-L ELFC i RIC -. _._._ � - - _ - . -- : '-DEV. FEES PAID - -- - ----�- . — .._._ . E ;�=;,tA,.PLUh1BIhJG - -- - ENERUY � �_____ ; ,_--- —--- - ----- - - � , , �.:.--- .--�.,.....R.,....-•-.--_ , i �-- -- --. ---- -� -- - : _ _ � _ :-- _ - � {� T_ . - _. .. _ - � � � � i!�''�•r, �.�.�.:,Ji-,,�'•'Gi--�", '_'�:`•_j I f c � ... �..,:l�:zd::�_ .._.r.e:.. — • ---' '� � •. . . � .��_._: . ., - • ---.. .. .. .__ .._. . � . �_ : .' , .. , . . . _� . i ' _ _ ... ... ...... . . ' i,OPJl.�JI_ENTS � , � , _ , , � . . �--- -- - ----- --._ .._ .. ' � . . . ; , ---- - -�-- - ; � -- �- --� �" ;1 i• .. . ; .. . � ; i _. _. , . . . I . ' : - ... . : 1 , . . - . , , .. ; _. _ . -- - - - � -- -.. , ! � : � _._.. . _ __ _ � - -_ - - — - ' ,, � `. i _.. ,� _ " . � . •___•� ..' . . .. ._ .I i - . . � Ir' � '__ _ _,..�!. � � . . . , . , , � • , �. :� : � � ' � . . . � i.' i , _ � _ '__ . . i I ' . "_."_... ..... ".. .. ._ .__., . . . ..� . , . `SEPTIC TANl: SIZE � <' � � I � � �- ,.___— . : �; !� ; . , . �SEEP PiTIU SIZE - . .._._..._._ _.. : . . . . , _ ,. � ......,I�r��.,;.� '_._...";'_ .. _ ". ,_ � . . , ,. i . . . i_ . ..: :. . .: . .— .. � — .. : .. s.. ; ,�� ; ., ... . . . . .. . .__._ .._..:. �. _._ . _ .. . _ . : . ... ....... .. — — — — —. , � , , : . .... ..... . _ . .., .. , __.. . _ ,�.�: -. . � . :�;;��. �. � , . . _ . _.. __ -: : � . . . � a���t` �.�: .::.� - i �; . - . ' . . . . , � . � . . .. .. , . , ,......_ _.._ :_: .:_...:.,_ _... :�__' . .. . . _ � ..: . . . , _ . . , ::. : . .:. _. .: . �.::. � ....... ...._ . . _ . , .- . .. . .�. ,_ : i � ��' ! r.;_ •1 � , , _ _. .-- � ' �.y .... ��� .... . _ � _. - _ . . `. � . ; ' .. .':>`, . . .�. : , - ._ ... .._�-,. . ...__�---__. �:. j _. � � ._.�-.�,-._�fi�.. _ . .I . ( ' �� . __ � . . .. . ,. . ... , __ , ,.�. . • . . , . . . - . . �