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HomeMy WebLinkAbout16308 (23) l� CITY OF DIAMOND BAR - - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 � (909)860-3195 Faa(909)861-3117 PRESS �y�'� BUILDING PERMIT APPLICATION FIRMLY � JOBSRE / �p� APPLICATION � PERMR II eI� P/C o ADDRESS � � O�DUI� DATE � NUMBER l�U 1 r $ �SS�E f� TYPE o�� APN LOT TRACT pATE V CONST. GRaUP ' p OWNER �n a ,�a�K "" ADDRESS ZONING SETBACKS �"' CITY ZIP TEL. REART RW ❑ APPLICANT O TE �� SIOEISIDE STREET RW ❑ � CONTRACTOR '�7 OD i�7 CO w C SIDE O � CITY ES,�_� G°�` ZIP� Q iP TEL�1�'7�.T/,Q PROPOSEDUSE �k�; e�%f�:~v� nj�� cOI.B t.00i P�+ ARCWENG/ • L: T% ti � DESIGNEFi NO.DWEL.=-....... ....__........,.NO... ',':t:..•• +:; NO. ADDRESS UNITS STDRIES BEDROOMS � CITY ZIP TEL y DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFR/ADD/pEM O p I MEREBY AFFlRM UNOER VENACTY OF PEfWRY TMAT I AM EXCMM F'fYON THE COMMCiOFi5l4 Garage/CarpoA � lll CENSEUWFORTMEFOILOWNORFASON(SEC7a71.6BUSWESSANDii10FE55�ON5C00E:RNYCRYOR (n 52 COUNiYYNfQ1RE0UMiESAPEMArtTOLONSTFYICLKTERMPf10VEDEMOUSH,ORHEP�IRANYSTiIUP W PdItO/DBCk Z NRE.PFWR TO RS ISSUMICE.�L:A RCOU6iES THE MPLIGWT FOR SUCH PERMR TO F0.E A 6iGNED �l� STA7EIAENT THA7 XE ON 6HE IS IICENSED fURSUANT 70 THE VROVISIONS OF THE COHfRACfORS lF W �� CENSEUW(CIUFTENO(CdAMENpNOWTISECTqN7W0)OFDMSIDN70F1HEBUSMESS�NDPRO- � PooUSpa FESSIONS COD�OR i}UT HE OH SHE IS EXEMPT iHEfiEFHOM IW D 7HE BA515 FOR iME KLECED E%EMP- 77DN.ANYVIOlAT10HOF5ECTION70.11.60�ANYAPPIICANTFORA7ERMITSUf3JECTSTHEAVOLICANTTO Z Ro•Roof � .�- O� � A CIVIL VENALTV OF NOT MORE TW W FNE HUNORED OOLURS(f 5oo)J� � . O O4��EROFiHEPROPERTY,OHAfYEMPLOYEESWIT1wAGESASTHEIRSOIECOMPENSA7qN, 0 COrt1T0fGi.]I . ' � 1MLL DO THE WORKµD THE STRUCTUR[IS NOT INTENDED OR OFFERED FOR SAIE(SEG 70u,&lSl• J NE55 AND VROFESSIONS CODE:iHE CONTMCfORS UCENSE Uw DOES NOTAPP�Y 70 AN OWNEH OF y VNOVEifTYMMOBULD50RM/7ROVE57HEREON,M�DW/qDOESSUCNWdiKH1u5ELFdiNERSEIFOR � (� THNOVOMMISOIiHERONTIEMPLOYEES,YROVIDEDTMATSUGi1MPROVEMEMSARENOTHTENOEDOR m . W OFFFqEpfqigALE6HOYVEVERMEBUILDNQORNPROVEMENT650lDWfTHRlONEYFMOF0061PLE- TIOM.iHE OwNERBUILDEH 1YLL 1NYE iHE BURDEN OF iROY�NO TMAT ME OR SME DID NO7 BURD OR = MPfipVEFORhICPUNP05[OFS�LF} , /� �y,� �11150WNERDFTNEVRDPEHfY,FME%CLUSfVELYCONiMCTPqM'ITHIICEfiSEDCOHfMCTOfi3 � TO CDNSTqUCT THE PROJECT(SEC.7Du,BUSME55 AND PROFESSIONS COOE:7NE CON7fUCTOqS LI• VelU9t� O v J.AREA CEHSE UW DOE9 NOTMPL7 TOAN O'M1EN OF A PROPEflTI'N?q BURD9 Oq MPROVES iMEREON,ANO � MAqCOMRACTSFORSUp1PROJECTSM7TIAC+ONiMCTOR(S)UCENSEDVUASUNfTTOTHfCalITMC- pU NTITY DESCRiPTION FEE . � 70115 LICENSE LAW.} .... . • . J �IAM EXEUPTUN�ER SEC. B.�P.C.FOR TMIS REASON Q U lt.. � DATE ON'NER V � UCENSED CONTRACTORS DECUIRATION W J � W IMfRFBYAFFlRA1lNDERGENALTYOFDE0.IURYTNATIAAdIICFNS[DUNDERGROVISIONSO�dUD7ER �. � i(CpNnENCINOWIiHSEGTKJN1D0ola0MSqN�OFTNC8U5INE55ANDPROFE5510N5CA0E,AND Z IAY LICENSE IS N FU.L iOFCE AND EFFECT. 7 /�1 Q m 01�... LICENSE C1A55����LIC.NO. �` -� L j r, pATE ��T��'�, CONrMCTOR ��/l+M 00 �h a T � WORY.ERS'COMPENSATION DECLARATION a � IHERE�VAFFlRIAUTAERPENALTYOFPERM1IRYONEOFTIEWLLOMANGDECUMTiW1S V � 4 � �IMAVEANDM�LLAWNTANACERfIF16A7EOFLONSENiTOSFLFNSUHEFOFIIWRKElIS' _ - Od.IPENSAT10N.�5PROVqEDBYSECTqN7�ooOFTNEIMORO00E,iOfihIECEAFORAIANCE U � OF1HE WORK iOfl WHIQITY.R VERMITI5155UED. � G �IHAVEANDM"LLAMIMA:NWORI(Cp5'CCa1vENSATqNWSURANCE,ASPCOUINED8V5ECTION I� �U 0 �7000FiHELABOACODE.FORTHEPERWNMANCEOFiMEN'OtiKiORWHICHTHISGENAITIS ISSUED.W YK7iLCERS'G�DAAPENSATqH WSU�Uf�ICE C�R IFR M1D POLICY NUMBER ME: CONSTAUCTION � j � �qryEq C/ � pLAN REVIEW � po��cr►n�ue[a ^� C//!i f�OO � �,� ELECTRIC 0 �ssEcnonrrt�roree�tE�oFn[rerr.�racor�a+erua�oaunsP�rolaa�[ssl PLUMF3ING W MECHANICAL Z 1 CERTIFV TNAT N TME PENFORAIANCE OF iHE YRNUC FOR VMIp1 TMIS PERMIT IS ISSUED.1 C7 SW�LLNOTEMPLOYANYPEFiaONWM1Y►�Y`1NEASOI.STOBECOUESU0.IECTTOTHE N WORKERSCd.IGENSAiqNUM/SOFCAIIFORNIA,MID�GREETHATf151qULOBECOME INSPECTIONFEE S SUBIECT TO TME NrOitKERS'COMVENS�iqN iROV1SqN5 OF SEC7�ON�70o OF THE IAAOR caoE,i sw�u coan�wrtH cour�r vnn�r+ose vaowsaws. ISSUANCE ' pDATE:� AVPLICAM:��!�%���� _ SMIP � � . W � " � W1IRNINO:FA0.UftETOSECVREWONCERSCO�AFENSATIdICOYERAGEISVNUriM.ANDSHAlLBE ENERGYPlC SU&/ECTANEMPLOVEHTOCRWMALPENALTIESANDCMLFINESUVTOONEMUNDRC�TNOUSAN� ENERGYPERMI �1 � DOILAFiS�ilao.00o),N ADDITION TO TME LQSTOF COMPENSATION,DAMAGES AS PHOVD[D FOR IN � SECTION]7o00F7HElABORO00E,NTEPEST.ANDATfOfiNEV5FEE5. RETENTIONFEE �Y� aw.. CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � INEREBYAFFINAIUIDERVENALTYOFPEWURYTIUTTMEREISACONSTPUCTIONLENDINGAGENGY �• PoH TNE iERPoRMANCE OF THF WORK FOR NM1017NI5 OERIAIT IS ISSUED(SEC.7007.CN.G). � � LENOERSNAUE C LENOEHSADDRCSS . w ICERTIFYTHATIHAVEREADTH�SAPMMJRIONANDSTATFTHATTNEABOVEINFORIJATbNISLORRECT. TOTAL FEES � � IAGREETOLOMPLYWITN/LlG�fl'1WDCOUlTYOR��NANCESMIDSTATEUWSREUTINOTOBULDINC � � � CONSiRUGfION,M!�NEREBV AUM1�ON�ZE PEGqESENTATNES OF iMIS Cd1NTY TO EMEH UPON iHE , � •4EMIONEOVFiOPERTYFOfiINSPEG��ONPUNPO5E5. COMMEN7S ; � /��t � L(JOOn p. � '� � � ' V �EENMIE(PPIF/T) . ?�.-�.t 3 2/-O/ NA OFPERMi E OATE ' \ RECP7.N0. PAID BY !VAUDATION WHITE—Departmenc Copy.YELLOW—Finence Copy,PINK—A�sessor Copy.GOLDENROO--File Copy,GHEEN—Applicant's Copy � .. .... � . � . . . .. , , , � .. .,v •� , , .. y, . ..... ,. ,. � .. . . ,. � • ' ,. -.. . .. . -. .. . � . . � .. , ;�� --� CITY OF DIAMOND.BAR., , � --�,.;� �. � . , �. ;: . � ,-,.. �; , . \ ` i '� , . _ �� � - � �tPvSPECTiOf� RECURD Il � . .. � �r� � ' ' ��_... .. -..� j , `��-����.��r1�r��� • ��''r��� 'I�E-����'_�i�.������. �7`��a��s,� �[�'E-��_��`,a� y � __ � r � l. �. ��� .�..., �._...�_ �.. ___._.. __ .� __ SET BACY. : • ��i`,.ri.� ;i • � . ,, � .1�-`�. �•- �:. FLOOR JOIST � \j �.`��!�� � � . � � 1 . , � l���� r � _ C' .,. ---- v-� � ..�--�"'`- . I . i FTGS/FORMS.�STEEL.• .;: ' , � ; � .;, `� • FHA RcQMTS, " � ���_ I ELECTRIC GR�U�1D..---. . ' ��� _ - - •'-- •�< • .� -�! '•�� ', I?,�� _ UNDER FLOOR DUCT � ,. • ;. . , ,, _.. , . --- - . . .. . :GROUND PLUti"BING • •- UNDER FLOOR CUf,iDU1T - � ' i ':� . - -. -•----- 'SLAB GRA�JE . .. '�•'' - - - ` FIREPLACE FOUNDATION •,i , I �TE�,�P POWER-...- - ; . ... . ... .. .:, ,-.-� �� `• FIREPL'•AOE-Bb��3 6�Ah4' :�`.� y-.r:.•. �.��;:'� �, ::; .- - ;,-- , WATER SERVICE._. _. .. .I... .- - -�- - � . _... - , F�IID HT.�3OfUD A Pd`'�`'.� � ��� � �^.����'C�.} .i• .;, � �..,,..� .`F\CSe7.�'�H�ii1`lN,"1'�. �' '.•1^3��� ,;.r� ,...�.. 8 Fi'.2 �D:�EA�� .,., `�.y..�_;c�;:..�. -l-'=� � � �� � y� �1l'f,;, - �---�-�-�-'- � 'FRAMItJG.��ctv`TI.�`1�i1���':'�';' ��`;�,:� '!�";- ' T FtNAL E30ND BEAP,ii� ` .� ,�••� . . • • . I :. --+`. -•�•�C- , : �ROO�C�VFR . ^ (p�� PRE-GRADING . . , , ;ROUGH NEATIPlG - - . -- BENCHING _ " � ' _ ,�. '� � ROUGH GRADING �ROUGH ELECTRIC...'..._.I _ ... _... _... _....-+ � , . , . , ;ROUGH PLU�181NG ; - � - - --- - - - FINISN GRADING � SHOb'VER,TUE3 7EST � �- � • -� ' • POOUELECTRIC • i � ' �EXT.LtiTWSIDING - - - ' - POOL�FENCING � ' � `L:'ALLlNSU�ATION .- - -- - � �; , , - :_,,� POOL'FINAL . � ; . , CEILI�IG iTISULF,T(ON � , / .' � OFF SITE IMPS. � � . �DRYL°JA'�C PJAILIiJG - - DEDICATIONS � � - ;SEV'J'cR ---. : . . FINAL EWG. . .' � .. 'SEPTIC TANK ,� ?:1�:.�� . � LlaNDSCAPE/IRRIG. ; -_ �5[EP PIT/LL. "�( �> '� �.`'�,w, �=� ON SITE lMPS: G�',S AIR TEST � FINAL ZONI"dG � IFIi�:�,L_CONST.. �-A3.+a .. � �"'� FIRE DEPT.FINAL � � . ^' , ,� . . _ HEALTN DEPT. FINAL - � �, ,FI.��.LHEf,TI�.G _ _, � =--— ' �:�i;v<.�EL.ECTRIC .... .._. . 4 _.. DEV.FEES PAID _.. _... . _..._.. --- ` ' _ �;:.;n,��LUP�3ING � � EtdERGY � • ;��- - --. _ . _ .... . I , I � ; . .....-- ,;_.._..,._.... _ _ -- ; - � . _ � �'_ -.. �---. ,.- --- _ _ - - -_... 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