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HomeMy WebLinkAbout14004 (16) �` CITY OF DIAMOND BAR i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ���"� Y� 21660E.Copleyl?riveSuitc190 y PRESS (909)860-3195 Fax(909)861-3117 - . ������^�� BUQ.DING PERMIT APPLICATION FIRMLY OBSITE � y,.A,,� A� I � APPLICATION PERMfT L P r^ o DRESS��7Z� t%"'�G�YQL� +��' DATE � ~� NUMBERI ._ aU � �ZV ._ ISSUE " �-` . TYPE - 1 i OCC APN LOT TRACT DATE CONST. GROUP p OWNER � G�` "" ADDRESS�Sl � " �ZONING SETBACKS Z cmr p� �ZIP TEL. -- . FRONT RW ❑ g APPLICANT TEL. SIDFJSIDE STREET RW ❑ � CONTRACTOR : R- C�� N • SIDE ❑ � CnDRESS ZIP��� TEL.Qe�-�Q �ROPOSED USE �f�71 v Ca�� � �L,C�'��ds �2 M� o ARCH/ENG/ � . `. 1 1 . � DESIGNER NO.DWEL. ,NO., NO. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDEH D[CLARATION SFR/ADD/REM O , � 1 NEAEBY AiFlRM UNDER PENKfY OF PEfWRY f1UT 1 AM EXFMPT FROII TME COHTMCTORS LF� ��h � � � � C875EUWFORTf1EiOl10wNOREIISOHI5EGT0.7!.6BVSMESSAHDCROFESSqN5C00[:ANVCfTYOR (n GOUHT7MMICH REOUIRES IIVEHMRTO LONSTSNCT.�LTER MPAOVE,DEMOUSH,Ofl REPNR/W Y STRUP TURE,iRpR TO RS ISSUANCE,►LSO REWIALS THE APP�IGMfT FOR SVCM v[NMI7 TO FILE A SiGNED ,Patl BCk �/ � ST�TEAIEM THAT HE OR SHE IS UCENSED PURSJANT TO THE PROVISiONS OF TME WNTMCTORS LI• � CFNSE UW�dUPTER Y(COuuENCerO M17H 5[CTYON 7aoo)Of DIVSION]OF TNE BUS:NESS AMJ PRO• LL' POOUSp3 FESS�ONS COOEJ Ofi TU1T HE OR SME IS EXEAIPT TMEREfRMI AND TME BASiS FOR i11E AL1EC&D EXE4P• TqN.ANYVIOLATqNOFSECi10N7071.6BYAHYAPPUGvfTFORAPERMITSUAIECTSTMEAPOIIWfTTO Z RC-ROO� � AGMLiENALTYOFNOTMOREi1W�FNEHUNOFEDDOLLMS(tSOD�J: � 04�.'+�N�NEROFTHEPHOPERTY.ONMYEMPLOYEESwI7MWAOE5A5TMEIR50LECOMPENSAT1oN, � Commercial WILL DO ME WORK AND THE STRUCfUFE IS NOT IMEN�LD Oq OFFEREO fOR SALE�SEG 7a1,6U51• J HE54 A1O VROfE5510N5 COOE T1E CONTMC70RS 110ENSE UW OOES NOT AFPLV i0 AN ONTIER OF � � ViIOPCFTYMAIOBUItD90R�1PpOVES711CR[ON.AN�Mrt�ODOESSUCHN'ORKH!MSELFOFiHERSEIFOR � N Ct TNROUONMSORMEROVMEMPLOYEES.CROY�DEDTIATSUCN�YPPOVEYEN75ARENOiNTENOEDOR m � OREHEDPDRS/ilE6.F10M/EVERTMEBULdNGORMPROVEMDlfISSq.CWITiYNONEYEAROFCOMPLE- Z TqN.TNE UMNER-0NIDER V1:LL 1UVE T}IE BURDEN OF VROVNG i}UT NE Oft SME DiD NOi WIID OR WPf10VE FOR ill[PURP0.SE Of SKE7. w OI,A40YMEPOFTHCVR07ERTY.AMEXCLUSIVELYCONTRACTTONrtfHLt�NSEDCON1MCfORS ��� w ccr�uW00[9NOTA7VLYTOAN 70M'NENOFAPROFE7YWM0 uwso�nwr�Rove�sni REON.AND Vatuation ADJ.AREA � IMIOCOMIIACTSFORSUp/VR0lECTS'M/HACONTRACTORjSjIICENSEDPUfiSUAHfTOTHECONTRIIG QUANTITY DESCRIPTION FEE � iWiSL1CQ1SElAW.). /��� OIAMEXEMPTUI:DERSEC. B.�i.C.fORTNW^REASON Q 'V✓`�� ` � � � DATE ONrNER ~ � � w ... UCENSED CONTRACTORS DECLARATION —� � w IMEREHYAFFIfWUND[RPENILLttOFVERAIRYTHA7IAMUC£NSEDUKDERFROVIS:ONSOFCMAPiER Ur ' g� /1 ��h,� ` � i1COAWFNCWOMATH5ECT10N10001C�DMS10N]OFTMEBUSINESSIWOVPOFE5510NSCOOE,ANO Z O'• X W UCENSE LS N FUl FCFCE AND EfFECT. r � � LICENSECLISS�ib� C= UC.NO. �T�7� f j � DATE���Q CONTf7A:TCR�Qy�,�� J ! � WORY,ERS'COMPENSATIOh DECLARATION i��j�' Q � �� U � IXEREBYAFFlHAIUNDERPENALTYOFPE0.NAYONEOFTNEFOILOWvlODECIAMTdlS. ^ . • �-•-� _._ �� � Z `l ."['' � t. . �. ♦. Q � _INAVEANDWILLAUINTAMACERTIFIGTEO�LONSEMTOSEIF•INSUREFORY�ORKERS' 2 � ��-�-� �� r� � � � � � � "� � � I ' � � �� �� � � COMPENSA7qN,A5DROVIDEDBYSCCTIONf7DOO�THEtABORCO0Ei0ATHEFERfORM/�NLE � W OFTF1EWOfiKFORN^11diTMISCERM�TISIfiSUED. � '�1 , . ... . . , � C Q _I HAVE ANO Vl�LL 4AMAM WORISERS'COMPENSATION INSURANCE,AS REWi�EO B�SEC710N ]7coOFiH[L/➢ONCOOGFOqTNEVERFORAUNCEOFTH[WORNFOfiN1/iCHTHISVERIAITIS � , � = ISSUE0.WNORKERS'COYPEN TqNIN '7ANCECA.RIFRAkD00lKYHU4BERME: CONSTRUCTION � j uww¢a �� / PU1N REVIEW � � POLIGYMJIABER�_f�.Q—�_O • ���,�y ELECTRIC �n I l — �L�.rt � (n��crnN�wrB[oa.nEhvocnEOEa►rrsiaia:EN� •diou�aA�� PLUM6IYG ' !J � �J C.� zICER7IFYTHATNTHEVERFORMMKEOFiT1EWOHKFORri11ICHTM15PERA�RISI55UED,1 � M[CHANICAL (•} SWVINOTEMPLOYIWYPENSONN/NYMIWNERSOIiSTOBECO�.�i:SWJECTTOTME � V/ONKCRS'CdIGENSATIDNUWSOFGILIFOFNIA,MIUAOREETW��IF�SHOUIOBECOMC INSPECTIONFEE � S SUBJECTTOTHEV.�ORK[RS'W4VENSIITIDNVROVISIONSOFSECTION77000FTHELABOR ocoE.iu+�usamn+irHwu�.rvnn�nasEvaohsioas. ISSUANCE !��,_ 0 SMIP �� � �� p DATE: APRICANT: � w ENERGY P/C • � WARNINO:FNLURE TO SECURE N011KER5 CdAPEN5.ITION COVERAOE IS UNLAWRIL.M1D SHAILBE 1 SUB.IECiIWEMPLOVERTOCNY�ALPFNAL7IESANOCMLFr,E5UP700r�EMUNOR[DTHOu5AN0 ENERGYPERMIT +`�` pCl1AR$(5100,000),IN IDDITION TO7HE COST Of CAMPENSATIDN,D/JAACES AS VRONDED FOR IN � SECTIDNnOlOF1M[IABORCOOE,INTEREST,ANOATfORNEY5FEE5. RETENTIONFEE: C��TV n �'R��T' `� a' � O CONSTRUCTIONLENDINGAGENCY PR LTFE��� TT T1T*'�` �*• Tti T-���-t_rr:-r�^S 1T L t:r � INEREBVAFFmuUNDERPENILTYOFPERNHVTHATTNER[S�CONSTFUC71dJLENDIN4�CENCY FOfi THE GERiOR1A0.YGE Of`i1�E WORK FOR WMIp1THIS vEH1AtT IS ISSUED(SEG a09�,CIV.C.). //�� � LENDERSNNIC �� � LENDERSADORE55 1��,�,T1 WILER7IFYTHATIHAVEREAOTMISAPPUUTIONMlDSTATETWlT7NEABOYEINFORMATI0NI5COHRECL TOTAL FEES �/ p_ IAGREETOCOM7LVN7TH/LLACfTYANDCDIMT'/ORD:wWCESANOSTA7EUMr'RElA7HCTOBUCDIN6 CONSTRUCt10N.AND MCFEBY IU�110RIZE REPRESENTA7NE5 OF THIS COUNTY TO EMER UPoN THG ZPBWE.YEMqNE�VNOPERNPofiINSPECTIONPURPOSES. COMMENTS � �G�(�W' �{�/�if�t ' � � PERMITTEEyIM N Q / � 7�.i�_ g� � � �Z � S. �1COFf. EE DA7E � R[GPT.NO. PAID BY VILL�DATION VYFiITE—Department CJpy.YELLOW—Finance Cop7l,PINK—Aasossa Cap�,GOLDENFOD—Fda Copy,GREEN—Appliwnt's Capy � . . � .. � � .. � . . . , �i: �.r.�. • ��� . .-' . -�..� . ._ ��d�, . . . . ' .•t: .. , .rr .l.r :r� ..�.��.��..�.•�e.��.• . w .t�u ,,. � •r:.� CITY OF DIA�JIOND BRR , . _ , . :: :-; ... :INSPECTION�RECORD :,• .. . _�. r... : _ . ' . . . . .. . .. _����ic�.�.l��� ��''�!�.=" il�►� ' ��''����i�,�l ..,1_ �, r�e����. . ,. � � r�-1 �CV�J-�c�_._......._,._}, ..__' .s n �w� d ..F��_ � �P ���[�4 �I�rJ/_"^ •.I'��T �.. �...�.d�►... ' y.... n�....+sr.....a..n�.�.�.�.u�w .u. ...�.��.. � •SET BACK�!-� ; •� ���, 1 � �. .�: �� ; '• " t FLOOR JOIST� '\x ! -� � ,. �..,-r., �< i�',,i � ! 'FrGS/�OR"�!S/ST�EL �- �_ ZO 1� ' �. FHA REQP�ITS . ` ' � J � ' - �ELECTRIC GROUND..... � �' `' _... UNDER FLOOR DUCT . . - ,. � . ' ,...._�.�' ' •- •=- , ,_;.._ . �GFiOUND PLUP�IBING UNDER FLOOR Cdf,iDU(T, � •-, ,;,,�� .-. �,-.��.�.- i :. . . .. „ --- _. , �. ..._ ISLAB GRADE .. - _ �. - --- --- _ . '•' FIREPLACE FOUNDATION �., .s-:: �:....�..�:::;c_. ... , ; ' � ;TEMP POWER ��� � , � - � . FIREPIACE 80ND BEAPr1 � � ` WATER SERVICE --... . ._. . . ... .. • I . PJ11D HT.$�f�1���3EAM.:,��i;.,,,,' I �:�,:',��:...<<,.0 . I ROOF S EAT�1tt3G,'•'i � �i� ��� ��•�.�::;j � F3 FT. BOND BEx.P�1; <s ��.���� ��;:�`!Y� 's"�t"`:;a, . .. � . �� ;, .. _ ..,.. , - IFRAh11NG, �ENTtLIATION , ••,�� •,� ,�, � FINAL'�ON�6��i ��� '�" � � � ' � • � - I ROOF COt/FR .: ' ' PRE-GRAOING � � i ROUGH HEATING -� -- - ` � � BENCHING „ tROUGH ELEGTRIC _.. _. ' :_)_ ..�. : . ' '. ROUGH GRADING -- - ;ROUGH PLUh1BING . FINISH GRADING � • � ;SHOVVERITUBTEST- - - - , •`' POOL ELECTRIC ; � ; --�• �• � iEXT.L4TH!SIDING---.---- ----- . . - POOL FENCING „ ' �V'�`ALL fNStfLATION - -- - - _. . - ; -- POOL FINAL . � ,CE1L1iJG IN:SULATI0�4 OFFSITE IMPS. � i •=: ;DRYI,"d�',i.l-NAfLING ; - - �, �., "�: „ ,, ,�,. ��DEDICATIONS • !SE6riEP. ......... . ...._ ....._ �, FINAL ENG. — _. SEPTlC TANK LAPJDSCAPElIRRIG. � � .SEEP PiT/L.L '' �'�•��`. ON SITE IMPS. � ' ;GHS d:IR TcST ' FINAL ZONIhlG �' � -.- ----�---- • _...— `_ , Fli:;�:+.;(7Pd,5T... /. . ...... . ..11�Ep • �. FIRE DEPT.FINAL � , ;Flt�1:�.t HEATWGti. .---.. . ..... ... . ...,• , ��_�: r .' -`. HEALTH DEPT. FINAL . ; . __--- - . :�:�;:::'.;_ELECTRIC .. _._ ... _... . . .. . _. DEV. FEES PAID . . - -... __. _....._.___ ...., ':�" "� F-.PLUh161NG - ,� _ , ENERGY � _.. � . . ., ._ , .. � _ . . . - • � - .� .. . . .. ... . .. . . , , . , , : . . ..... ,� -- -.._......_._; .. ._ _ . f� .'=..��1'���'--����1ct�: .,;.� ...� r c.� c; � __ i� __ ..._ _ _" __ _ . . � ' -J`i) _ _ '--�� . � � _ • _ \ .C� I . � . : - _. _�'.:;;;�:�'j� .j C � <i�-}- . ,'co;�r,nErv-rs � - � . :-- . �v,�p�.�_q_;`��,���-Y;,� � ��. ..,. : . . . i �.. ! 7 rL��,si F-*—�t.`e.���—+�5�(��'�_ �c+`b� - - . � • ; . � � t.. . � ... . • . . ; � • j�,... -•1 j�,�`�;c . . . I �t� � .. 1 : � i , .� ., , _-� , ;-- i � \� � � , . . � ! - i , . . � � �. 'SEPTICTANK SIZE ` . ' . . . � =' SEEP�PIT%U SIZE : . . � . _........_ � '�- T��^ _.. , �. , . � _ . ;�'i� . . _. `�. ; . ; :_ � i �.. ' _ , � -_ �i,'����� , . 'I�'� . . _.. . _. . : i . . . . . . .. . -_ ' i �.� ...i � ' ' � . ' � ; � �. . j .. . . . . . . . . . ; . . . � . ' ' � . . .. . . . .. . . . ..: .. . . .. . ... . .. ', ' . �r-\`1:`�f � :.�J-+� I ... � ' ' .... _...-. . �'. . � . .. . . . . . . � . ;��. � � . .. i.1 ; ' 1 � �<�--�, ` ` .. . � --- _.__... ...... ._..�.,._� _ \ '-�: \\ i