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HomeMy WebLinkAbout15496 (23) _�,� _ CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drivc Suite 190 , V ' (909)860.3195 Fax(909)8613117 PRESS .'*".� BUILDIIVG PERMIT APPLICATION •__ . FlRMLY. o ADDRESS 3�3v OLS �/�aC[✓ '/� DATE CATION F a � NUMBER_���/C d � APN OT T CT ISSUE TYPE OCC g OWNER � O S� DATE CONST. GROUP p ADDRESS '� ' ' ZONING SETBACKS � CITY ZIP A 7 TEL. -U FRONT RW ❑ APPUCANT �. TEL. R�R p � SIDE/SIDE STREET RW O CONTRACTOR * S hC SIDE p � CfTY ES �-� ziP l73 TEL�o�- . 2SSI , PROPOSED USE � ARCH/ENG/ • ti DESIGNER NO.DWEL NO. NO. � CIDnDrRESS ZIP �� UNITS STORIES BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BVILDER DECLAHATION SFR/ADDiAEM O � I HEREBY AfFtlW LHDER VENALTV OF VE0.URV TW1T 1 AY p(EA1V7 FRdA THE COMMCTORS U- Gare9e/CarPorl CENSEUWF011TNEFOLLOWINORFA90N(SEC.7a71.6BU5WE55MIDPROFE55qNSCODE:ANYpTYOR (n CQNRYNINCHREOURESAPERMRiOCONSTFiUCLKTER�MPROVE.OEM0U5H2OHREPNRANY3TRUG W patidDedc NRE,iRqR TO ITS q9UANCE.AL50 REW IRES 7HE APPUCANT FOR SUp1 PERMIT N FILE A SIGNED W QTATEMEM THAT ME OR!HE IS LICENSED PURSUAM TO THE GROVi510NS OF TIE CONTMCTORS U• � CEMSE lAW(CHAVTEH��COhAMENCWO N1TM SECTION 7a0o)OF DIVISqN]OF THE 9USINESS AND Pfl0- � PooVSpa - � . fES.5qN5000E�OfiT/N71fEOR5MEISIXE4PT7HEf1EFfqYM1DiHEBASISFORiHEALLEOEDE%EYP• (� TION.ANYYIOlAT10NOFSECTI0N70�1.6BYANVMPLIGWTFORAGEWAITSUaIECTSTHEAPPLIGNTTO Z Re-Roof � A GVK iEIULTY OF NOT AIORE THAN FNE FIt1NtlRE0 DOILAiL4 If6ao).r o ❑II�SOMMEROF7HEVPOPERtY.OfiIAYEMDLOYEE3WITHWAOESASTHEIRSOIECOMPEHSATqN, � �mmercial - '- Z 1NLL DD THE MIONC N!D THE STHUCTURE t5 NOT MENDED OR OFFERED FOR SALE(SE0.701�,BUSI• J - � M68S AMD PROFES&ON8 COOE 7HE WNTMCTORS LICENSE UW DOES NOT APPLY TO AN OWNER OF ? iNOPEHiN VF10 BUILDS OH 11�Pi10VE6 TNEREON,ANO YYHOOOES SUCH WORK N�MSELF OR NERSEIF OR • � THROUGHHISDRNERqNNEMVLOYEES,PROVpED1HATbUCMIMPROVEMENTSARENOTMEtAE0011 m . OFFFRm FOR SALE.IF,MOYlEVER7ME BUIDMq OR MPROVEMBfi 6 SIXD WITlq!lONEYEAROF COMPLE• �TIDN,TFff QNNEWBULDER VALL NAVE iHE BURDEN OF PROVINU THAT HE OR&IE DID N0T BUILD Ofl = YPIqVE iOR TT�PURP06E OF SALEI. • � OlAS01VNEROF111EPROPENTY,IWEXCLUSNEIYCOMRACT11bWI7/1LICENSEDCOHTMCTORS TO CDNSTRUCf THE FR0.IECT(SEG 7014.BUStNESS INO iiqiESS10NS LODE:TME CONTMCTWI3 LI- V81U8Ii0f1 CENSE UW DOE9 NOTMVLY TOAN OWNER OFA PROPERTY WHO BU4DS OR MPiqVE3 iHEREON,MA ��•AREA W/qC011TMCiSfORBUp17ROJECTSWIiHACOMRACTOH�S)LICENSED%1RSUANTTOTNECOMRAG ounranrr DESCRIPTION tau ucouE uw.} FEE � OIAME7(EMVTNOERSE4 B.tV.C.FORTHISREA50N Q � U LL' DATE 05VT�ER � � U UCENSED CONTRACTORS DECUIRATION W � 111EREBYAFFlRMU1bERPENAL7Y0iPER1URYTNATIMILICENSEDUNOERPR�YI510N50FG1APTER � s Y(CqMFI�CwON17HSECT10N7a0o�OFOMSqN�OFTMEBU51NE551WOVHOFE55qN5�E,AND 2 K MY LICENSE R N FUl FOHCE ANO EFFECT. y� � ��V v` � �►►►.....���.. UCENSE CUSS 1 UC.NO. � � � DATE��/��corrrrucToa � ?� 3 a = WORKERS'COMPENSATION DECLARATION Q � IHEREBVAFFlRMUNDERCEflALTYOFPE0.IURVONEOF7HEFOLLOWPIQDECLAPATIONS: Z � _IWWEIfqWILLMANRAINACERTFIGTEOFCONSENTT080.F•WSUREFOHWORI(ERS' Q CO�wENSA710N,A5PROV10EDBYSECT10N7/000FTMEUBOFICODE,FORTHEVEHFONAANCE W O OFTIffWORKFORN1ddITHISVEiiMITI3L"SUEO. � � �I IUVF/UID VnLLIdARR/UH WOFiI(ER5 COAIPENSATqN W SURANCE,Jl5 REOUIRFA BY SECTqN i7o00FTHELABOfiCOOEfORTHEPEPFORMANCEOFTMEWOWCFORN?1IpITHISPERMITIS ISSUED.IAYYWHKER P SA�SU y��na IERAfAJPOLICYNUMBERME CONSTRUCTION � uaPoErt-�Ih�� I"G`C '� 7 H S PLAN REVIEW � paicrHwBER ?j EIECTRIC �saEcnor+r+�wreeoa.nFrFnoFnEVEaMr�swaa+��ua�moaiu�sR,oqoa�ss� PLUMDING �D B ICEHiIFYhUTWTHEPERFORMANCEOFTHEWORKFONWMCHTHISPERA11T151S5UED,l MECHANICAL SFIALL HOT EMPLOY ANY VERSON W ANY YMINER 50 AS TO BECOME SUBJEGT TO THE (/� YlORKERS COMPENSATION UWS OF CILIFORNIA,AND AGREE TIUT IF I51iOlAD BEC0IAE INSPECTION FEE S SU9IECTTOTHEWORKER5COA10ENSATIONVROVISIONSOFSECTIONf7000FTHElAeOR caos.� wui Mrmrvvm�co�.w�rwm� n ��s. ISSUANCE i O �/�'Y"�� �SMIP ��� DATE: vd APPLICANT. � WFF!!IN@FA0.Uit OSEWREW'fMtKEHS'COMPENSATIONCOVEMOEISUNLAWFUL.IW�SHALLBE ENERGYP/C _ I �y SUBJECi/NEMVLOYEqTOCiUMBJILVEWLLTESANDpVILFNESUPMONEM/NDRFDTHOUSAND ENERGYPERMIT - } DOLURS(if0o.0oo).NAODITIONTOTFIEC0.STOFCOMPENSATIDN,DMUCESASPqOVIDE�FORW � J SECTIONi70sOFiHEU80RO0DE,INTEREST,ANDATNRNEY5FEE4. - aC RETENTIONFEE: 7 9 � 7/1An OCONSTRUCTION LENDINC,AGENCY PRE-ALT FEE: �j—�_r � IHEREBYAFFlRMUNDERPENALTVOFPERIURVTNATTHEREISACONSTRUCTIONIFNDWOMENCV lA� � FOR 7NE PEiIFORMINCE OF THE WORK FOR WMICM TMIS OfR1AiT IS ISSUED(SEC.iOYI,qV.0.j. � ANn�,��.. lE1DEiC5 NAYE C LENDER'SADDRESS � ICERTIFYTHATIHAVEREADiHISAPPLIGRqNANDSTATETUTT1EA80VENFOAMATIONISCORRECT. TOTAL FEES - ' � '�.30 � ' p� IA6REE TO CCYAPLYN7TH/LLl GTY AND COUNTV O{iDINANCES AND 6TATE U`NS REUT7W TO BULDINO '^ CONSTRUCTION,AND NEREBVAUi/qRIZE REPRESENTATIVES OF TVIIS COUHTYTO EMER UPON iHE � � . � `��{ ABOVE-GEMIOI/FD iFiOVERTY INSPEtt10N PURPOSES. 0 �s J,/�/����{ COMMENTS � (/�ti �/� °D vewnnewe e wv��u;,��AJy Q cn � �i�iv� y 516NATU�YE�EE'—� OATE � ' RECPT.NO. PAID BY VAUDATION WHITE—flepartment Copy,YELLOW—Financa Copy,PINK—Asseaaor Copy,GOLDENROD—Flle Copy,GREEN—ApplkanCa . . . �.�. . .. .., . , . . - ,;. , . � �,��:, - �.a. ,d;,�.�-. ;t,.;:, . . . . . ., . .,..�.�.. . . , . .. CITY OF DIAM�ND;BAR ,. , .. ,. ' i � J ... . ,�: It+ESPECTION�REC(3RD '� :�.-'� . . ; . c. . .. . , • � m'+ D � � ' • 1`� ' ! � � ,� ' ��,¢��n9 � �SET BACK ,. � � � i�. . �. �,\ �' . . FLOORZJ,O�ST, i � .� - f �. � . ; . � �� . .., , . , ,. ,. , IFTGS/FORMS/STEEL � - -'- � : :., __.._ .-_. .._ ,,,� -----. _ FHAR,EQMTS _ _ . _ .- --- ----. .-- �_.. _ -- - ----- _..- - - - --- ----- -- -------� `_. lELECTRIC GROUN�_ __ ' "" ____._ UNDER FLOOR DUCT-- - ` �; . -• --- � �=�:', � � -' _ --- — ---- �..,. . _ _ _ .. , !GROUND PLUMBING - :. � UNDER FLOOR CO�IDUIT •:. � •�� , - "--- . � �-� �SIABGRADE--- -- -'; --- -- --- --- �`'�'' - � FIREPL•A�E-FOUNDATION � ;'.�, , . � ,�•�,c:• ., �• 1 ?TEMP POWER -- ,, ; ---- -- ;.--_-_ ;:;: ! FIREPLACE BOND BEAM� ' : .: �.!:_, - -_•_ :. :.:. ,,� � `, ' ;WATER SERVICE- --- _ --= - -- -- - - - - � ;� i- - .MID HT.BOND BEAM • • ,. .� : :.. :- - . ,, ! ;.; +ROOF SHEATHING':, i � . .� • %. 8 FT.BQND SEAM . _ � . ' ' . , y: : -' ' ' - ' � =; !FRAMING.NENTILIATION ' ---- - --- - � FINAL BOND BEAM •.ROOFCOVER .,. : .�". _ PRE-GRADING -� - - - -- - - --- -- ` ` ' •' ' ' -- ----- - , .. �,, __ - - __ _ - -- --- -- iROUGH HEATiNG ---- -- ~ - - _ -- ` BENCHING_ � �.,, I < lROUGH ELECTRIC--' -- ,;....--''- � . . . � _'�': �:-' �'_ F10UGH GRADING- --- _ - - -- - _ _ -----' iROUGH PLUMBING--- — ---- - ---- ' - �-- I----''=. - FINISH GRADING � ' ;SHOWER/TUBTEST---- -• -- —_. . _-�- - -' ' POOL�ELECTRIC � - . , , , � _ f ;EXT.-lATH/SIDING --, — - --- - _- - - --- POOI�FENCING , � :=. -` I [.�� ' � ;WALL-INSULATION- -- - — - ;-- - -- - - � -POOLFINAL � ; � ; CEILINGIIJSULATION,-- - - - - --- ;-- i- OFF 51TE IMPS. . ' ' ,.,; , � - iDRYWALL NAILING--- -_ __ .. --- ,-- __ _---- ---_ �EDICATIONS :. . ; " 15EWER- - --- -.._J _ . - --- ;-- FINAL ENG: � � - jSEPTIC TANK i LANDSCAPE/IRRIG. ' ' I ` � iSEEP_PIT/L.L. _ . ON SITE IMPS. • - � ` : ;GASAIR7EST-� - _ ' FINALZONING � :.:: ; . ; , ., � �FINALCONST._. .._--- - ---- ---_ _ . ---_---- FIREDEPT.FlNAL _ - -- �•,.. � . � �; ! .FINF,L.HEATING -_--- - - ------ ----- —__ _ HEALTH DEPT. FINAL -- -- - - -- � :., ' FINALELECTRIC----- ----- - _ . __ _ DEV. FEES PAID - _ . --_ __ - - -----------� ` ?Fl�1nL-PLUMBWG - -- - _ _. .. - -- ENERGY . _. . . , ., ! r . ------- - -- _- - _ _ - - .. _-. {----- i , . � ; + � ----------�---- -- --- . ._. _ . __ _ . - .<a�� �r„r•, ,€��e� ,, •, ;; - - ' ���-m.�._2 .c.�mr��__u�..�..::,�:.._.��:�.,:Y — --- -------- -------_. ._._ .. -- -----._. .... ._ . . . . ..� . .- - ��, , ,t.-.�. �.�, . . .. , ;� .. _ f .. .__.. . � . � _ . - . . ___. . ..� . . .. -- . - .' � - � : _ ---- - -� — - . . _ - ----•-----.-�--=._-__��__... _ . _. _ _.._..._ _ ____ . . .. _ - - -- - . ,COMMENTS � � � � ' � :� i � � , . . � � , . , � �_---- - ---- - --- - - - — - --- _ . _ __ . ._ . :.�� . ,. ,. - , ; �: . , � ; . � _ . ` i --- - , ; ; �. , . � . , ---_ _ ._ _. - - -- - . , � .1. i -- -- - - -- - - _ ; ; .. _ — . _ ,. . ;,-�.—_ . i c- ... � . .. � , ., • � � I *: , � I ---- ----- - - - - � � . i t� �� _ � � ; , •.•'•.: � • _ _ � � ---------.. . _. . .. _. _ .. . - -- - - - � . :�� - � , .. �r� ���-. I �'- ' --- ----- - - ---- - - - -- ..__ ..� .. . . .. � . • � . . ' - � � 1 _- . , ."� .. �. . . _._ �\. , .. .. r.• . ... . .. .. _. . .. , _.'_'_ _. .'___ ._'_' ._ ___ _. .. __ .� � . ._. . .. : . . ( � • . . . . . ., � .._ iSEPTIC TANK SIZE - - , .. -- ,. �. ,. i _, .,.:; i ' ` ' , ' - -- I ;: ISEEP PIT/U SIZE-__— ; ::. ; _ _ - - -, _ - --- - -- -; ,. ! "�� .;� - � , - . - ; : . . � ; __ � � , , . �:?�. _ �. ' t � � ,,,,, :� _ ; � _. _- _ - , f . �� .�' - < - -, _ ,, _ , � i --- - . _. _ -- - ,--- ---- - --_ , ___ _ - . , ,� ' , , . � ' - - - . . . � - - . ; , , , . . �, .�:: - - - . __ , � . , �. ' , - � : . � �„ _ .. ` , � �,__�t` �� � � - - - � ��. � _. .__ .. -- � . � i _;,_..,.�_�.�._...._ . _ \ . . , .. - � . . , -,. , , �