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HomeMy WebLinkAbout13409 (16) i .__. __.. .... . . � � �� CITY OF DIAMOND BAR � i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suitc 190 � . - (909)860-3195 Fax(909)861-3117 PRE$$ '��� BUILDING PERMIT APPLICATION FIRMLY o ADDRIESSI�[� �,���r��7�L� Y�• YJ�,�I� DATECATION���Q NUMB R I� "� I#/C I ��� � ISSUE �7 TYPE OCC � APN LOT T CT DATE r7�' L G CONST. GROUP g OWNER �//�(I�1(f � C�. ADDRESS i��y �m���� L A�. ��F�. ZONING SETBACKS � CITY ZIP TEL R�R RW � APPLICANT TEL. SIDEJSIDE STREET RW ❑ � CONTRACTOR 'fCIN� � _ SIDE O � ADDRESS ' ' - • CfTY ZIP�� TE PRaP�OSED_USE Pai ARCH/ENG/ • � � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SO.Fr. FACTOR PSF ADJ.AREANALUATI�N OOWNER-BUILDER DECLAFiATION SFR/ADD/REM I HEt1EBY AFFIRY WDER VEN.LLTY OF VEiWRY THA71 A1A E%FMPT FRdA THE CONiMCTORS LL GBtegB/Ce(pOtl B CEN"u[UWFON7NEFOLLOWwOAEA+ON(SE0.70.71.68USMESSMAPii0FE5510N5CO0EANVCITVOR (n � oou+rrwr�nEou�a�vew+rtroca+srra�ctKrERe�rnove.ceuousn,orirr�rNaurvsrnuo W 'patiolDeck TUi1E PRIDR TO RS ISSUNICE AL30 REOUIRES TME MPLiCJ1NT FOR SUCH PEtWIT TD FIIE A SIGNED w � STATEMENT ifNT HE Oq SHE�5 LICENSED PUFSUAtlT TO iHE PROVl.lONS OF THE CONTMCTORS L4 � CEHSE UW�qiAPTER Y(COMGENCNf]VATN SECTION 700C1�DMS�ON 70F THE BU51NE55 ANO 7H0. � PO01/$p9 FESSIONS COOE)OR THAT HE OR SHE IS OfEIAPT THEREFROM AND TNE BASIS FORTHE AILFCED E%EMD- 710N.ANVVqI/171JNOF6ECTION70J1.6BYINYAVPLIGHfFOft�iENMITSUBJECTSTHEACPLICAHTTO Z Re-Roo1 � AGVILVENALTYOFlqTA10RE7T1ANi1VEM1NDREDDOILARSIisao).r � O4��EROFTHEOiqPERTY.ORMYEMPWYEESvnTHWAOESAiiHEIRSOLEODIAPFNSAT�OH, 0 �mmercial - WILL DO TME WOfiK.MID 7HE STRUCIUR[IS HOT IHTENOED OR OFFERED iOR SALE(SEG 7w�,BU56 J � NE53 MD VfqFE5510NS COOE:TNE CANiiUCTORS UCENSE Uw DOES NOT APVIY TO AN OVlNER OF ? ►ROPEp'i1 NTiD BUR.D9 OR MGi1DVE3 iMEREON.AND YYF10 DOES SUCII WORK MIMSELF Oq HERSEIF OR (.� TMROUGHMSORHEROMMEIAPIOYEES.PROVIDEOiHAiSUP11MPROYENENT51UiENOTINTENOEDOf1 m L�1 pFFEpEpFpRSALEi,lION�EVER7NEBtJL01H00qMPR0'VEMEMISSOLDWIT1aNOHEYE�ROiCOMR.E- Z �710N,THE ONMER�BUIIDER YnLL MAVE TME 9URDEN OF PROVNO huT HE OR SHE DD NOT BUM1D OR = WPROVEfOqTNEPl1RPO5EOFSAlE4 � W OLti70NrtlEROFTHEFROPERT'/,/WEXGl15NELYCOMRACTINOVrtIHUCENSEDCdrtMCTOR4 _ � 70 CONSTRULT7HE YRO.IECT(SEC.T01�.BUSINESS IfD PRDFESSIONS CODE:TME CONiRACTORS U• VflIU31i0f1 ADJ.AREA � CENSEUWDOE9NOTAC7lYTOANOWrIEHOFAVpOPERTYMIF10BU1LD50RMPHOVESTHEAEON./I�D YApCOMRACT5FOq5UpICilOJECTSVATNAOCflTMCTOi1(S�UCENSEUPURSUANTTOiHECONTMG- ovarmnr DESCRIPTION FEE � lOR5L10EN5EUW.1. O I NA EXENPT UNDEF SEG B.i P.C.FOR THIS PEASON U l_L � OA7E OVM[R � � J F_ LICENSED CONTRACTORS DECLARATION W � INEREBYAFFIPoAUHDERPEWILTYOFVEFUURYT}uTllUAUCENSEDUND:Hii10N510NSOFCHAVTER V, � �(LUYYENGNO WIM SECiION 7000)OF OMSION 70f TM[BUSINESS AND PRDFE5510NS CODE.MiD Z W t10ENSE IS N FUIL FORCE AND EFFECT. qn � LICENSE CLASS C /�� UC.NO. C F�f.� � � W7E CONTRACTOR�rL'!� J � �F'O a = WORKERS'COMPENSATION OECLAMTION � � INEREBYAFFIRMUNDERPEWLLiYOFiEfWRYONEOFTHEfOLLOVfiNODECLAMT10N5: V N Z a � �I/N�E/N�NALL�IMANACENf�FIGTEOFGON�CNTTOSELF-INSUREfORWOFKERS' 2 CGUPENSATION,ASPRONDEDBV4EC710N77D00F111ELAeORCaOE,FOR7HEVERFOF1rAu�CE w OF TNG WOR1C FOfi WHICN TMIS iENMIT IS ISSUE0. � � �I MINE AND YnLL MAufUW WOFl1fERS COMPEN5A71ON INSURANCE,AS REWiRED BY SECTION dQ ]70oOfT1ElABORCOOE,fOR7HEPERWiUAANCEOFT1EWOfIKFORWMICHTHISVERYRIS 1 nSQ/� � RSUm.NYN9W(ERS'COMPENSA710NINSUMNLEGRRIERANDPOLICYNUMBER�RE: CONSTRUCTION �.y `� �: �wEp PLAN REVIEW � POLICYNUMBCH���� .��Q'—��� ELECTRIC — ,-- - Q „A (i5s6ECf�ONN[IDNOi��.f1EiIDOFiFE►VEa��RsiDqor�E/�p1Eo0oulFSR�ooloRtFSS7 PLUMBING '�P:� .Z ICERTIFYTUTN7HEFERFOMW�CEOFT1EWOfUCfORWNiC1�T1a5PERMi71S65UED,1 MECHANICAL (�' � 51uL�N�TE��L�YANVFER50N�NANY►IANNEHSOASTOBECOYESU&IECTTOTME � MIORxERSCOMPENSATqNUw50FGALIFORNi^AHOACREETMATIFISMOULDBECONE INSPECTIONFEE � Q S SUBJECTTDTHEWORI(ERSCOMFEHSATIONVROVISIONSOFSEGTION]70oOF1HEUlBOR � COOE,ISHMIFORTINA7NGOL�PLVWITHIMOSEPiWN5�W15. ISSUNNCE �v � �� � �SMIP � � ..w��i I�l�� ..f;``'� — p Dn7E: APPLICMR: �'[7T= �• _' . ENERGY P/C �T� n�� �����' � WARNINO:FACURE TO SECUHE WORKEPS'OOIAPENSATIGI WVEHAGE IS UNUwFUL.AN�SHALLBE C-� t�1 t -- �—y„ SU&I[GTANEMPLOYERTOCRM:NALPEN11tIESANOCMLFwESUPTOOHfHUNOREDT1KK1SwD U �� DOLURS(fta0,o0o�NADOrt10NTOTMECOSTOFCOIAPENS�TqN.D/UAAGESIISVfiOVOEOFOFi1N ENERGYPERMIT t+Ti�j n�`` J SECT%1N�70!OF 111E UBOR COO�►7TEREST,�ND ATTORNEYS FEE& ' RETENTION FEE: Q � CONSTRUCT�ON LENDING AGENCY PRE-ALT FEE: O ^ � IHEREBYAFFIRMUNOERFENHTYOFPERIUHYTHATiMEREISACONSTRUCT10NlENDINCIIOENCY //� _ / Z FOR TNE YERFORAINICE OF Tf1E WORK FOR WNICH THIS GERMIT IS t55UE0(SEG 70YT,qV.GI. W . � IENDER'SNAME � LENOER'SIDDRESS � ICERTFYTHATIINVEREADT115AOPLICATpNANDSTATEiNATT1E/iBOYEINFOiW�TqNISCORRECT. TO AL FEESSS'��` d IAGqEETOCpdPLYWITHILLLGTYANDCOUNi'/ORDINN/CESMIDSTATEtANSPEIATNGTOBURDIN6 CONSTFUCTION.AND NERE6Y�UI1bP¢E PEPR[SENTATNES OF iH15 COUNTY TO EHTEH UPON TNE � ABOVE•4ENTIONEDFROPFRTYFORINSPECTIONPURPOEES. COMMENTS � � -T�� �!�4�� . Y�� ¢ PEHMI7TE�„ w� �--�-�y � N S�ONATURE OF VE TTEE ' DA7E � RECPT.N0. PAID BY VALIDATION WHITE—Department CopY.YELLOW—Finona Copy.PINK—Assessor Copy,GOLDENROD—Fib Copy,GREEN—Applicenfs Copy .. • . . . .. . . .. ' . . . .. � . � ,f . . . . ,. . .. •. .a. � .� , . .. . . ,'.:�—•'� ., , . , .. . . �. ', CITY OF DIAMOND,BAR - . : .,. _ , : :,:If�SPECTION RECORD �. . . . ,� .�. . � " - -. �--- f y :-,. �t-. .�` .��r +��►��li��,iC;�'[°n�„�►�� .^_�,1, �C�� �.'1r.i��►,'..~"a��:D..�.� �.,.�'.�.'�1���."��s:=.��e'��� ,...._. . �,iEr���.��...�- ,I.��.f��r�.�.�r'�1'•.�_e� yS�T Ei.AC�: > >,.....,;!I_� ;� ;� I �. <` --�. , . FLOOR JQ,IST,: ...`...._;... .�....,........._.�i,....,..._.«.. ..........._... _r . . � ,: . �.___ , _ _ , . . � :FTuS/f=OFi�,'1S'STEEL. ._. • ..- �: ' . -- ` .. . FNA REQ"A7S. • _ _• -,_ ; . _. , . . '. r �. �ELECTRIC GROUNQ- . • - , "i . 1 :��'' UNDER FLOOR DUCT j _ GROUND PLUMBIi�G � . UNDER FLOOR CO�dDU1T� • - - ' ! � , , , . .. - .. _. . . _. . . . , ._ , . _ , 'SL�6 GRADE �• -- - � ' , FIREPLACE FOUNDATION , , iTEP.^,P POVVER � FIREPLACE BOND BEAh" � VdATFR SERVICE _ - . MID H7. QONA'�EAF.1 ' � ,;• �,• ;; � ., . • ;POQr=SHEATH!NG . � ' I R�T• E30ND•$EAP11 • '• - - ' �'� ,.:; _ iFf?AF"ING�I��NTILIAI`ION � - .. . . _. � FINAL`B�ND BLAM' � � � � --- 'fiOUFCOV�R : PRc-GRADING - l � � � 'ROJGN H�ATIPJG -_� BENCHING � - - ROUGH�LECTRIC � -" I ._ : . : FIOUGH GRADING � - - ---� �. FiOUGH PLUD.",BING - - - � FINISH GRADING T Sf-;O�VER/TUBTEST � - - POOL�ELECTRIC � EXT.LATH.'SIDING -- - - - POOL FENCING I I � ' �^.'/1LL IPJSULATi�N � - - • POOL FINAL ' . ,CEiLiNG t�JSULATION - OFF SITE IPJ�PS. � � DRYb"JAL.L PdAILl��1G DGDICATIONS " ' � SEb4�ER . FINAL ENG. -�•� ; - SEFTIC TANK IANDSCAPE/IRRIG. ' � SEEp PIT/LL. . . .. �' � O;V SITE Ih1PS. , . GAS AIR TES'f � � o ,p" FINAL ZOtvfNG ' f�!��t,L G�NST. . $'-/�-.Q�j��,-1.1¢.aY�C FIFiE DEPT. FINAI • � F;�dnL H�ATINu � .. ' NEALTH DEPT. FINAL - � FiNA!_,FLECTRIC- . DEV. FEES PAID � - � - f=1^,11L PLU?.4B!P•IG - _ � ENEFfGY �_(, � ----- _ .. ... . . _ I I I �. . �•-. . - ( ,�..�,.._. ,.;r-_........-._....._... .. , �. . t����if' L.;,,l;wC�fc;.. �_ _... . � _ I E..,4'..A'1.: ..tx_l::C'... ' � . . •�`` \\ . . .. C;O���P�J�E�:TS _ �_ .._.__ . j '�.. ' - ,-,-- �� � ; ;.:. ; �- " - '�- '..� , ��.,—. . . . . _�... , • � . �' � � '.:��._ . , 4--�,:�--� - .. — � � . , .. TSEFTIC TANK SI�E -- — -- SE�!�PIT/iJ SIZE � � --- ' ' -- ;� :_. - ----�k+!____.. ...., �_,�.�.:_ ," ._;�:.., ,�� --- . .. . �.� ;--T.--; , . � ._ .. . . . - • _ ���� ' {� . _ __ _ ,� _ _-. .. . !'.���� ; �_ ;_ �_ _� . . , . � .. .. . . . . .._.. : . . ... ------ ------. . ' .. . . , j. _ . . � � � • . � . . _. • . . , _� i �....._....._.� ' ..��..,.�..�........_ - � _ ,,1 � �. _'�.' I . �