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HomeMy WebLinkAbout13231 �� CITY OF DIAMOND BAR �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � Zi�o E.coPi�y�Y�s�c�i90 PRESS '"� • (909)86Q-3195 Fax(909)861-3117 �'M�� .BUQ.DING PERMIT APPLICATTON FIRMLY o� JOBSRE ` � APPLICATION2 il q NUMBER� � M�9��� ADDHESS � • DATE �� �� � ISSUE - i --1 TYPE•' OCC APN LOT TRACT DATE �� '-' '� �CONST.���� GROUP �j OWNER` � ' � " ADDRESS • t C ' ' '�� ZONING SETBACKS W • .. FRONT RW O � CITY ZI I TEL REAR ❑ APPLICANT TEL SIDE/SIDE STREET RW ❑ � CONTRAC GL SIDE O g ADDFi S PROPOSED USE � 1 ' CfTY 1 21P I TEL 4 � ARCH/ENG/ • . DESIGNER NO.DWEL. NO. N0. ADDRESS UNRS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION N � OWNER•BUILDER DECLARATION SFR/ADD�AEM O � 1 MEREBY AFFlRM IM�DER PENAtTY OF FEiLR1RY TW�T 1 AEI EXE1dPT FROM TME CONTMCTORS LF Garape/Carport ' CBISEUWFOR7HEFOlLOWHOREA90N(SEG70Jt.60U5!lESSANDPROFESSiON5CO0E:IWYCT'OFl � (n CWNTYWHICHREOUYiESAPER►MTTOCONSTiiUGf,KTERMPROYEDEM0U5M.ORHEPAINANYSTRUC• W patio/Deck T11RE,VRqR TO RS 159UANCE.IL50 REWIRES THE APVLICANT FOR SUC11 PEHMiT TO i1LE A SIGNED � STATFYEM THAT HE OR SNE IS L1C[NSED PURSUANT TO THE PROVISIONS OF THE COHTMCiORS U� \ � CENSE UW(dUDTER 0(COM4ENCINO YATISECTqN 70eo)OF OINSION]OF THE BUSINESSlND PR0. � P�VSpa � fESSqN6[OOE)OH THA7 HE DR SHE IS EXEMPT TMEREFROM M�D THE 8/SIS FOR THE ALLEGED E%EYP• TqN.AHYVqLATqNOFSECT10N70]1.60VANYAPPUGWTiOqA7ER1AliSU&1ECTSTNEMPUGNTTO Z Re-Rool � AGMLiEMALTYOFNOTMOFETUWiNEMUNCREDDOILARS�fSOC).}. , O OlASOWNEqOFiHEVROPERTY.ORMYEMPLOYEE5Nn7Hw.1GESA5THEIR50lECOMGENSATqN, O COrtIrtl0fCl21 � WILL DO THE WORK AND THE STRUCNRE IS NOT IHiEN0E0 OA OFFEREO FOR SALE(SEG 7Wl BU51- J NFSS luD iROFES510N5 CODE TME CONTRACTORS L�CEHSE UW DOES hOT APPLY TD AV OWNER OF N PNOPERTYMMOBUILD90Ru0ROVE5THEp[ON.ANDM/110�OLSSUCHNORKHIMSELFORNENSELFOR = (t h1fqUGHHSORHEROVMEMPLOYEES,VROMDEDM�.TSUp1MPROVEUENTSARENOTMENDEDOR m 0 OFFEREDPDRSKE6,iqWEVERTMEBl1LDIN00RCIM10VEM[M45501L`WRMNONEYEAROFCOMPLE- � T�ON.Tlff 01MHER�BUIIDER YALL MAVE TF�E BUh7EN OF PROVWO 7}uT HE Ofl SNE DW NOT BURD OR = IMVRDVE FORTIIE PURP0.5E OF SALE). w OLIISONMEROFiNEVR07ERi1:AMEX0.U5NE:�COHTMC7w�WITF1LtCEN4EDCOrfTRAGTWiS � TO CONSTRUCi T1E PRQIECT 15EC.7W/,BUSiNESS IWD VROFESSi0K5 CODE:THE CON7fUC70R5 LI• Vfl1118110f� ADJ.AREA CENSE Uw DOE9 NOT/.PVIY TO AN ONNER OF A PROPERN MRiO BU0.D5 Ofl MVROVES THCRCON,NrD � 1MqCOMpACiSFOR5UC71VRDJECTSWIIHACONTRACTOR(5)IICENSmPURSUANTTOTMECONTMU pUANTITY D[SCRIPTION FEE � toas ucer+sc uw.�. O I AM EXEMPT UNDEH SEF B.i P.G fOR THtS PEASON U � L Q i 2 U u" WTE OWNER � � w LICENSED CONTRACTORS D[CUlRAT10N -� � w I MEREBYAFFliW UHDER PENALTY IX PERNRY TW�T I�w LICENSED UN�ER PitOV1510N5 0F CHAVTER Z .��" �I1 � s f(CdWEHCWOWITNSECT10N17o010FDMS10N70FTHE8U51NE5SIW�iROFE5SroY5CO0E,AY0 Fi WUCENSEtSClM1F EAlOEFFECT. ;' " ;j � ' � (a 5' L,I N't • •a � LICENSECLASS�' ���� LIC.NO. � j W�"1T� I I N �U l �j DATE ��`�CONTRACTOFi a W . . . .. ' - '. . � WORKERS'COMPENSATIONDECLARATION ¢ •1��rO r y ` N IHEREBYAFFlRMl1NDERPEtULTVOFPEM1fiYONEOFiHEFOLLON^NCOEQAFiA710N5: Z `a r v"�J U b� � _114VEANDWRLYAMAINIILERTIFICATEOFOONSENiTOSELF•INSUREfORNVRKEFS' 2 � COYPEHSATION.ASVROMDEDBYSfCT70NnooOF7NELA00RCO0E,FORTHEVEHFORMANCE U Q \�OFTNEWON(FORwHiCHiNu^PERMITISISSUED. , � � � �1 HAVE p1Yl VALL WUNfAN WOFKERS'COIAPENSATtON INSUMNCE.AS REWIRED BY SECTION ^�I` " dO ]7ao0FT1ELABORCOOE,fOR7HEDERiORMANCEOFiHEWORKFORWlIICHTIISPERIAITIS � ISSUm.MYWOFYC S' F ATIDNINSUFWKECAARIERANDPOLKYNUMBERARE: CONSTRUCTION 1 �� � CARPoER PLAN REVIEW � pa�crruueeR � `/ ELECTRIC �� � � �tHss[cna+rzmwteeoa�t�hooFnEOEpartswna�µ�rnm �R�ac7rnt� PLUMBING 3Z��D Z ICEHTIFYTUTNTHEPERFDMUNCEOFTHEN'ORKFORMMiCMiMiSPERMiTIS155UED,1 MECHANICAL CnQ.�O (J SFULLLNOTEMPIOYIWYVER50NNANYWNNERS011STOBECAMESUBJECTTOTHE y WOiUCERS'OOMPENSATION UWS OF GLIFORNIAAND AGREf MAT IF I SHOUIO BE:bM[ INSPECTION FEE SUB.IECTTOTHEWOHKEqS'LOuvEN5AT10NVRONSIONSOF5ECT10N77o00FTHEUBOR ISSUANCE � rj E.I Si��TH COMPLY hLLa'1 T1q5E PROY1510 . �1 � p Ll. 1 1 ti t1 O p DATE: APPLICANT\d� � SMIP !1 :l � . � ENEHGY P/C WARNMn FAIWRE TO SECURE WOiiKENS'CW.�PENSATION COVERAGE IS UNUN�FUI./wD SMALL BE �. �y SUBJECfANEMPIOYERTOCRIMIWLLPEtULTIESM'OCMLFINESUPTOONCMUNDR[DTHOUSAND ENERGYPERMIT pOU/1R5(f f00,W0�,W ADDITION TO THE CAST OF LOMPENSATION,DAIAACES AS PROV'aC0 FOR IN ¢ SECTION770lOFTNEUBDRCOOE,INTEREST,ANOATfOfwEY5fEE3. AETENTIONFEE: � oCONSTRUCT�ON LENDING AGENCY PRE-ALT FEE �� � IHEREBYAFFIRAIUNDERPENALT'OFPEitR1RYTMATTHEREISACONSTRUCTIONLENDWGACENCY n- FORh1EVERfORMANLEOFiH YK)RKFORWHIG1THi5iEM11T�5135UED�5EC.]oY1.CIV.C.). - `Z IENDERSNAA�E���� � � � LENDEiYSADORE55 WICERTIFVTUiIHAVEREAD7HI5APPLICATpNANOSiATETFIATTMEA80VENFORMATIONISCORREGT, TOTAL FEES ' � � � I AGREE TO CdAPLY N7TH ALL UiY AND COl1NTY OROINANCES AND STATE Uw5 HEUTIHa TO BULDiNC I � CONS7RUCTION.ANDHEHE6YAlJIFIORREREGHESENTATIVE50FTNISCOUN7YT0ENTENUPONTHE -/,�J � .. S�, -IAE EDVPOOERTVfONINSPECE NPURPOSES. 'COMMLNTS� 1 `� :1 ` •, �; �' � . � /t.t,� �(a 2 � n" -� m PE I E NAME(P � � • �- � � N - - t -� n � y SIGNANNE PEFbAI EE DATE \ � T � RECPT.NO. � _PAID BY � � �VALIDATION V �1 � WMITE—Depertment Copy,YELLOW—Finance Copy,PINK—Asaessor Ccpy,GO ile Capy.GHEEN—Appticanfs Copy � � .. ,. ,..., ..... ... . _. . n�._... . . .. . .. .-, '(� . ,.. . :�•• • ���f., �.�. .�:.�.. , �f:��. ..,.F�a;!. . , • . . .. , , .., _ -- � CITY OF DIA�iOND BAR ., , . ._. . .. _ `i' .,._ . . .� � �.-._.;...- ,; ��, �INSPECTION'RECORD �� . .: . ' ; , . . . .. , ; . . , . _ . . . . . .__.,._�... � _.., ---,---�--- 'r�iir��..����t���� i�';�1'� .;.I►. ��t�� Iy.�`i���'���:�►I�+��'�b?� �( �����a _- - , - �'�� ...��. - �� '����... �. __.... .'' ;S�T''BA�K�i- -�� i� ; ��. ;. j, � . FLOORJOIST ! . �- • • ,. . - � . _ , _ , , :FTGS/FORPJ;S/STEEL ._�- .��y . ' ! � FHA REQP�ITS '_ _ '` ,. '..'_��' � ' ._' '. _ . ._i :_ � .. _ . , :ELECTRIC GROUND . ..._. ._ _.�". '"- � __ .. ._.. UNDER FLOOR DUCT- _ - � >'- ' �_. _ . ;GROUND PLU��IBING — , ' - UNDER IGR��!V�,TUf,iDUiT - Q���� -- ' ' .�:. ' - - �SLABGRADE- -- `'��` - ---- -- FIREPLACEFbIiNDATIOPJ , � ` � - ' ` � , i .�, �TEh1P PO4NER _ - , ---- - - ; . . ; FIREPL'ACE BOND BEAPJI -- ' _ .; ._�. ._� � . . . � :,-- !WATER SERVICE - � - - - . - - -- , . . h1lD HT.E30ND BEAM i ; i . � • � , . ! �ROOFSHEATHIPdG�.�..'.!.' ,' � � ; � li ,i!!i�".� , ; -. : �BFT.BONOBEAb1 .. .:; :'._.� . . . .. . _. , �, � . , ... . , . • • - - . .,_._.. . IFRAPJIINGNENTtL(ATION - -� -• - FINAL 6dND B�EAM �� , - � . � ,;; !ROOFCOVER .�.' � PRE-GRADING � - � � _... . . . ;ROUGH H�ATING . - _ - ' _ . 'BENCHING �FiOUGH E_ECTRIC ..�.__: •'•���� � ' " ROUGH GRAD�NG -• � _ . _.. �- -- -. , _.._ � � : ;ROUGH PLUMBING -' --- -� � . - ':- FINISH GRADING i ;•; iSHO'�VrR.rfUB TEST - • -� -- - - POOL ELECTRIC i � ` ;E?�'T:-Lr,THiSIDING- . - - ' _; POOL FENCING �4 �L� - - � : �ti^lALL tNSUL-ATION- '--- --- - • - ` ' - POOL FINAL � , � 1 7 - �. __�.. � ii�1I:1PJa I�•:�ULATION - � � - OFF SITE IMPS. —''.; ;DRI'b'VALL-PJAiLIPdG� ; - � -- - � ; - �EDICATIONS — �" �SE1;'ER - ---;- . _._ ; FINAL ENG. .. , , .. ; .. �jStPTiCTANK i , ti�. LANDSCAPE/IRRIG. ' , �;StE°°IT/LL... ' ��j'� '' OPJ SITE IMPS. - r�::'S f,i:ti i�ST • FINAL ZONING � L_ - - ._.:'_"_'". . __ . - . . _ . . . , ':�;P•.`.�.t.i;OidST._' _'.."_ •`..' 1 : . . i '.. ' --- _. __� _.. . - _ + ; -," � _•: FIRE DEPT. FINAL j ; FJr,'__t�EAT1NG _ �_ -' HEALTH DEPT. FINAL - _--- •- '� i•.•`� tLECTRI:;- - --- DEV. FEES FAID - � -- - . � �_ _.._._.� _. - -- ,_ .. ..,';. PLUMBING'_._._ ._. _..._.. _. . :. . � ENERGY . , .. _.._.. , , . . f. �: __.. _ n •, $� p � - � - � , , � �, --- _.... ... _,_ .� - -. -_, .. . _. ; i �, �:�-i��k..r�'._:��%r'- ..�_..___...___ I i _ -.-.- - -- _._ _ .... _.. , � I j. ��-- , � . . ' . . ' ".._• __._ ._.. .- -- - � --�------ -- ---.. .- - .—. __....- -- -- - _.. _ ..- - �- - -- , ;co�„P�IENTS_.,,.. , , , , � , � � � , _ .. _. _. . , ; , �� '. �, � . _ ;'. , � . i � _ _ - - . • , , f � . . , . ... . . . . _ . . ._.. _ ; � _. .. .. , �. ; ._ . . . , _ _ , . . _._. ._.. � 'SEPTIC i'ANK SILE ! � SEEP�PIT/U SIZE , . . � - - . . ... _.'. . _ . � ' ' — � ' . . . � ; .._.. _ _. . - • �!�'�.; . . . . . ��\� �"r" . ; i :i ;: ''� t- � ._ . . , : :. '1�,„ . , � •� t'� , � �_ . . .. � _ _ � f � � � ' _. V �: � 4�� , ; � - —�+)' �=$��o� . . .. . . . . ... . . _. . . - �' ./ • , ' --T '� ' ' _ '_ _�. 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