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HomeMy WebLinkAbout15789 (37) � J� CITY OF DIAMOND BAR � • � � � , ,,._ DEPARTMENT.OF COMMUNITY&DEVELOPMENT SERVICE5 �� 21660 E.Copley Drive 5uite 190 � (909)860-3195Fax(909)861-3117 PRESS ���', ' BiJ�.DING PERMIT APPLICATION . � FIRMLY N JOBSITE p � APPLICATION � .- QQ PERMIT 15 � P/C o ADDRESS 1�0 Z �-ea�her wood �r DATE � �� NUMBER �� N � ISSUE TYPE OCC ' , , APN LOT ' TRACT DATE CONST. ' GROUP g OWNER-�C�Cj 1 Tan � � �` ADDRESS g,O Z 1=eq h r w oo l7�'. ZONING SETBACKS � CITY !' ZIP�I 7(��TE � fA� �. FRONT _ RW • ❑ APPLICANT . Iv(� CAYI�I'QGt'�trIEL� �� REAR p � SIDEISIDESTREET RW -O CONTRACTOR O { C SIDE p � ADDR S I :� 1' /' __ CITY r . ZIP OL 7E �jl � PROPOSED USE � ARCFUENG/ � , DESIGNER NO.DWEL. NO. NO. A�DRESS ' UNITS STORIES BEDROOMS � CfTY ZIP TEL � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION . ti . . � OWNER•BUILDEF DECLARATION _ '' ' SFR/ADD/REM - ..O p I HEREBYAFF6M I,NDEN FENALTY OF VERAMY THAT 1 AM EXEUPT FROAI THE CON7MCTOHS l4 GefepB/CBfpOR �� � - iL CENSELAWFORiHEFOLLOWWONEA50N(SEG7o]i.68U5NES5ANDPfiJFE5510NSO00E:/NYqiYOR (n C�7 COUrtYMHICHqEOUWESAPEPYRTOCONSiAUCi,ILTERMPROVEDE�I�USYORiiEVAIRANYSTiiUG W PatlolDeck �L TURE,Ppqq Tp Rg pSUANCE,/�LSO REWIRE3 TNE AFPLiCAN7 FOH SUG/PERMIT TO FlLE A SIGNEO w STATEMEM THAT HE Oq SHE t5 IJCENSED PI10.Sl1ANT TO 7NE iROVL5lON5 OF 7HE CONTRACfORS l4 � GENSEU'M�GIA7TENi�COMMENCN01M7NSECTI0N7000�OfDM510N�OFTHEBUSINESSAMJPR0. �' P��SPa � � ' � FESSIONS WDE)ON TNAT HE OR SME IS E%EYPT iHEREFROM AND TME BA515 FOq 7HE ALLE6E0 E%EMP• TION.ANYVIOLA710NOFSECTIONfW1.69YM1YAPPLICAMFOitAPERMITSU61ER5T11EAPPlICANTTO Z RaRoo1 �„_ AGVILiFl��LTYOFNOTMORETNNFNEINNDREDDOLURSI'�)1: � OL��WMEROFTHECROPER7'l.ORYYEuttOYEESVnTNWAGE51lSTHEIRSOLECOAIPENSATION, ❑ (`,pTrt1BfC�81 ' • 1N�LL DO 7ME YvOiK!WD iHE STiA1CTURE IS NOT ttJiENOED OR OFFERED FOR SALE(SEG TOK BU54 J NESS ANO VROFESSIONS CODE:THE CONiMCiORS LICENSE lAW�OES N07 APPIY TO IW OvmER OF y P110PEi1iYMIFqBUIDSORMPROVESTMEREON,ANDY/410DOE55UdIWOqKHIMSELFORHERSELFOR = � ' (� TMHOU(3HMISOflNER�YMEMPLOYEES,PROYlOEDTW�T6UpIMPROYEMEMS�RENOTNTENOmOR m , OOFFEREDPOR3N.E�F.HOWEYERIMEBULdN�OR14PROVE4ENTIS50L�W1iMNONEYEAROFCOMPLE• Z TIDN,iHE OwHER�UrtDER WILL FNVE iHE BUPDEN OF CROVINQ TUi FIE OR 6NE DD NOT BUttD Oil = MPRDVE FOH iME PUPPOSE OF 511LE� � _ W O�►SOwNEROFTHEFROPERTY,MIEI(CIUSNELYCOATMCTNOVrtTNUCENSEDCOHiRACT00.5 � TO CONSTRUCT TME VROJECT(SEG 70M.BUSINE55 AND PROFESSIONS CODE T11E CONTi1AGTOR3 LF Valuetbn�� ADJ.AREA CENSE UW DDES NOTAPVLY TO AN OwNER OF A PR07ERN Nn70 BUL�S OR I►IPROVES THEREON,ANO MIlqCOHiMCT9FOASVd17RQlECfSWRMACONTMCTOA(9)LICENSEOPURSUANfTOTMECONTRAG pUANTITY DESCRIPTION FEE � � TONS 110EN6E lAW). _' ' ' ' O IAM O�MPf UNDEH SEG B.i P.G FOR Tt15 REASON U 3 ¢ . LL" DATE OWNER � � � . , U LICENSED CONTFACTORS DECLARATION -� � W IHEHEBYAFMYUTAERiEWLLTYOFVE0.AIRYTHATIAMLICENSEDUNDERFROVI510NSOFCMAPTEH Ur � 0(CO6MIENCHOWITF/SECTqN70oDJOFOM510NlOFTHEBUS�NESS.WDVROFESS�ONSCODE.�wD Z X MY UCENSE IS N FIA.L FOFIGE/�ND EFiECL � r� 2�7��j m � LICENSE v— I`� UC.NO. �� � . J �"j oa� — o J corrrnncroR a w � WORKERS'COMPENSATIONDECLARATION � -` U � �. _ • - . � IHCRFBYAFF6i4UlAERPEWLLTYOFGE0.M�YONEOFTHEFOLIDwiN40ECUMT10N5: � � Z ' � � Cn Q � _IH�YEANDW'LLWUNTANACERTIFlCATEOFWNSEHTTOSELF�NSUREFORWON<ER5 2 COUPENSATqN,A9PpOVDE�BVSECT10Nf70oOFTMEUDORG00E,FORTNEiERCORYANCE �U OF T/IE WpRK FOaYIMpI TMS YEiWIT R ISSUm. � � _I HAVE Al.fl MALL►WNrAN YYORKERS CDMPENSATION INSUFlANCE.AS REOU�RED BY SECTION Q J7o00FiHEU80RO00E,FORTNE7ERPOMUNCEOFiMEWORKFORNMICHTHISPEHMITiS 155UED.YYNcORKER5C`01IPEH5ATpHINSUMNCE RIERANOP0.iCYNUMOEHIUIE: CANSTFUCTION � — CARRIER s7�i'P_ F.A Y�. �. . _. .- - � ---• - PLAN REVIEW - �- - --...- •-- - -. . � oo��'wr.eEa �h�C�� l� ELECTRIC . 0 (IF�SECIIpNt�IDHpTgEppr,plFlE�ppfhEppa.�i6poqadEtarnRED0oW1iLSR�m)OqLEss} PLUMBING T �%T_ W � 'MECHANICAL ' " ' - ', Z ICERTIFY7HA7Ni/1EPERFORMMICEOFiHEN'ORKFORWHIp1iMi5PEN.nTI5155UED.1 (J SFW1NOTfM7LOVANYYER50NN11NYMIWNER50ISTOBECOME5U61ECTT07NE "yI„ji� � � WONNERS'COMPE4SATIONUN50FCALIiOiWI�ANDACNEETN�TffISHIX1LD8EODIAE INSPECTIONFEE S bIAJEGT TO TME WORKERS'CdAPEN5AT10N iROVI510NS OF SECTION 770a OF iHE LABOR � COOE,1 SMALL FOql4NJ17N C04PLY VnM TIIOSE PRONSIDNS. �SSUANCE �` � �kc�ion (��M�rc���I-crs SMIP a� ���-�9DD p DATE: APPLICMlT: . W ENERGV P!C WMM�q:FA�UR[TO SECURE WORNERS'CdAPEN5AT10N COVEfUGE IS 11NUWFUL.AND SIULL BE ' � SUBJECTANEMPLOYERTOCRI�.�iNM.PENALTIESANDCN�LiwESUPTOONEINNOREDTqltSAND 'ENERGYPERMIT � Y� I! 1�'1 ! ' � r OOl1ARS(f100,000),MJADDITIONTOTHEC0.5TOFCpAPEN5AT10N,DMU0E5A5PROViDEDFOHW BLlILD1N ` � � ¢ BECilOn37oeOF7HEUBORCODE.NTEAE57IWD�TTO�wEYSFEES REfEM10NFEE: ' � CONSTRUCTION LENDINGAGENCY PRE•ALT FEE: � IHEREBYA�FIRMUNDERPENALiYOFFERIURYT11AiiHEREISACONSTRUCTIONLENDINUACENCY iOF TNE VERW RMINCE OF iME YVORK fOR WHIQ/THIS YERYIT IS ISSUED(SEG]OP/,GY.G). � � LErvDEfrSNAME � C LENOER9ADONE55 Q ICERTIFViHATINAVEHEADT113A7PlIGTIDNANDSTA7ETHATiNE/BOVENFORAu710NI5CORRECT. TOTAL FEES � . � 1/AREETOCOMOLYN7TNPLlCIfYANDCOUHTYOPDiNl1NCESANDSTATELAWSNEL11T1NOTOBURDINU ' CONSTRUCf10N.AND HEREBY AUTMOR�ZE AEPRESEMA71VE5 OF 7Ni5 COUNTY TO EtlfER UPON iME . . . , S� ADOYE-MEMIONEDVROPERTYFORIN57ECi10NPUMO5E5. COMMENTS � _ U - � . m VEfw�Tff tvwrrt� a - / 7va � � O TTEE o�re . � . RECPLNO._ PAIDBY �WWDATION WHITE—Depenment Copy.YELLOW--Flnance Copy,PINK—AeseesorCopy,GOIDENROD—Fle Capy,GREEN—Applicant'a Copy .. . , ... .. , ,.... . .�, . . .. .. ���•: .. � . . .•�. ..� �:��, � ..�., � � . : , ''', �r,.: •;�f',;t:l•... ,�•.h•.. , .... , ..1. vrS:`. . •���i � CITY OF DIAMOND.BAR . �, ., :�;: : �. � ...� . . _,;:�;;� (NSPECTION'RECORD� . . � . � - , . . . - ,. , . . . - . . . � • , . . �:� .. . . , 1. _ , . � , 9 � � • � ■ � � � � - SET BACK ' I � ' ' � i ' ; FLOOR JOIST•� i i . ' . ., � FTGS/FORMS/STEEL , FHA REQMTS - - - - - - - - --- --- ' ELECTRIC GROUND - -- ' - •� - -. UNDER FLOOR DUCT -- - � - GROUND PLUMBING UNDER FLOOR.CO�IDUtT �: , • • - - ' �SLAB GRADE � - -- - - -- - •; ' RREPLAC�FOUNDATION'- = . . • � -: , . " , . . . .. TEMP POWER-�-- -- � - - . FIREPLACE$OND BEAM ' ' - ' " '' '.- . --- ' _.. _ . . _ - - WATER SERVlCE - - - - -'�- - . - �MID HT.BOND BEAM ' �-'-_ � : � -.. ,; . : _ : . . � .: , . � . • - ••- - -. . . , - .. . ROOF SHEATHING - - - - �- ' 8 F7.BpND BEAM �� ' � . • �. FRAMINGNENTILIATION FINAL B�ND BEAM . . ROOF COVER:' ' PRE-GRADING � , ROUGH HEATING - - --- -- •- � - - BENCHING ' '' ' -- � _ -- - - - ' � � ROUGH ELECTRIC ' =-` �� - -' � • - ROUGH GRADING , . . ; _ . ROUGH PLUMBING � - -- -- - � FINISH GRADING . - SHOWEWTUB TEST� - " - " POOL ELECTRIC � . � EX7:LA7H/SIDING , - -- - + - . . PO�L FENCING � � • WALL INSULATION � POOL FlNAL ; .:. CEIUNG INSULATION OFF SITE IMPS. , - DRYWALL NAILING � DEDICATIONS �. ' SEWER _. . ___ _. , FINAL ENG. . _. -- - � SEPTIC TANK. . _....�. _ _ .... LANDSCAPE/IRRIG. ... . , , • SEEP PITlL.L: - .- - . _ . .___._ ON SITE IMPS. . .. . • GAS AIR TEST - � - - -- � -- -- - - FINAL ZONING : . FWAL CONST. --- - -- -�- - FIRE DEPT.FiNAL • � FINAL HEATtNG � � �- - - - - -------- HEALTH DEPT. FINAL FINAL ELECTRIC ' -- � � �--• � � DEV.;FEES PAID� FIN L'PLUMBING � , •. ,�• �: � ENERGY -�� . . � . . _� -- - ' ' �' s � . . _ ! . - . . _._ . .... _ _ _ , . . . ,,.. . . ._ .. �. � . . , COMMENTS - 1 Z - ( - e0_,�� � ._. _._ _. _ ..... -- . . � ; _. .. .. _.. _ • , ; i .__. .. -- - . . . � _ . . __ '_ . .,.`•�� ... . .. . . , -� . � i . . . 1 -_.. . �. . �. . . , . � � �• , . ' ' ` ' __ . .. � ' I � ' 1 _'_'' ' ' ' ' . . • • , ' ; � .. . .,.. . . . .._ t SEPTIC TANK SIZE � � � . . ; � ! � i _. SEEP.PIT/U StZE _ . , ; J i � i . ,. , .. _ ._ . , , , . - -...- - � � , ._ . . . , � . , i • � - . , _ ... ... -- � . ; I - : � , � . --- .. _ ' i \;.\ \, ; - - . . .- . _. __ _ . ( . ., � � � � :( .. . .--- ,':t', `: i ) I � .. ... _ . ' ,1 `� '..i •- ' _. ._ ' .