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HomeMy WebLinkAbout13770 (14) .� ' � CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES „� 21660 E.Coptey Drivc Suitc 190 O (909)860-3195 Fax(909)861-3117 PRE$$ ��'�^+ BUILDING PERMIT APPLICATION FIRMLY � JOBSI7E /�� ��" APPUCATION 'z�G� PERMR (��1PlC o ADDRESS_�.� 3�� (�OL��ST VTrV`TD DATE l i NUMBER � �o g ISSUE 7YPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER �LL'T�_,�' l L i S• i ADDRESS S CfI-� O ZONING SEfBACKS � CI7Y ��1✓ ZIP TEL - I FRONT HW ❑ APPLICANT TEL _ REAR ❑ SIDE/SIDE STREET RW ❑ � CONTRACTOR �{�lt`--►o nJ�,7 `R C1t7'���G't SI�E ❑ � ADDRESS ��"3(., �/�x r'+�� 7J►�- - -pROPOSED USE � ��� �N ST��" � CITY TZ.��_ ZIP TEL� t'�G J � ' �-p . ARCWENG/ � DESIGNER o AODRESS NO.DWEL. O. NO. UNITS STORlES BEDROOMS � CITY ZIP TEL u� � DESCRIPTION S�.Ff. FACTOR PSF ADJ.AREA/1/AIUATION 1 Q OWNER-BUILDER DECIAFiAT10N SFR/ADOlREM � 1 HEREBY AFFliW UAER PENALTY OF PERlURY T11Ai 1 AM EXEMPT FNOM TME CONT11AC70RS L4 GdfdQ6/C�.dfpOR CENSEUWFONTHEfOt10WWOPEA5p1(SEGT071.6BUSWESShl�DPiqFE5510N5tODE:M/VCITYOR (n COIMliYVhYCNREWWESAPEiWRTOCONSTHUCT,AITFRWPROYEDE►IOLISH.OfiREPAIRANYSTAUG W Patiw'Oeck TURE,VRqH TO R9 ISSUFNCE ALSO REOU WES THE MDI�CANT FOR SUCH VERMIT TO GILE A S�CNEO W � STATEMfM iHAi ME OR St1E IS LICFNSED PW W/A!(T 70 iHE PROYISiONS OF TME CONTRACi0R5 U � � CENSE lAW(GIAYTER I(COIIMFNCWO WITM SECTqN)om)�D�V15�DN f 0i THE BUSIHESS AND PRO PO01/Sp3 fES5qN5 COOE)OfI7/UT ME Oq SME IS E7cEMPi TNEREFHOId ANO THE BASiS FOHTHE ILLLEGEO E%EMV• iqN.ANYV10lAilONOfSEGTi0N7031.68YANYAPvlKA11TiORAPEW.11T5UB.lEGTSTHEMPL/CANTTO Z Rg.qpp� F,,, AGVILVENAlPIOiNDTYOfiETWWilYE11lX�WREDDOlURS115oo1Y. � OL�ON�NEROFTHEVRODERiV,ORMYfM7lOVEESWITHWAGESASiHE�H50LECOA17EN5AtqN, 0 (`,p��m6lCldl - WILL 00 THE V/OiLC AND TNE STRK7URE IS NOT IMEHDED OH OFFEHED FOA SKE(SEG)oM BU54 J N NESS AND GROFESSIONS OOOE THE CONTHACTORS IILFNSE UY'/DOES NOi AGPLY TO AN OVlNER Oi � PfiOPFAfY M1110 BUlDS di YiROVES THEREON.AND MAi000E5 SUOI WOiiM WYSEIF OH NE0.SELF Oq � iTY10lK�iWSOiiMfHOYMEMPIOYfES,OROViDEDTNATSt1G1WP1iOVEYFNTSARENOTNTENDFDO{1 m � OFFEiIEDPORSALEIF,IqYrEYERTHEBIHDYKiOHYVROVEYFMIS50tDWfi19NONEYFAROF00A1P1E - � 'iiON.THE OWNER�BUUDEH VAIl HAVE THE BURDEN OF PROVYXi iHAT NE OR bME DO MT BURD OR MPf10VE FORTHE WRPQSE OF SALF� 'y� Olti.O'NMEROFTNEGR07ERTY,AME7(0.USNElYCONTRACTNOW7ML10EN5E�CONTMCTORS � TO CONSTHUCT THE Gp�IECT fSEG 7ou.BU511:E55/ND PNOFESSIONS COOE iNE CONTRACT00.S LF V2ludti0rl AD.I.AREA � CEltSEUWDOESNOTMPIVTOANOVMEROFAGROPERTYVAp8UkD30RWPROVE4TMEHFON,Al10 rm000rrtructsconwa+rnaecrsmm�ooertw�cron�5���s¢ownwurtton+econTww pUANTITY ESCRIPTION FEE � Toas uco+se uw.t. O IAM IXEMPi UNDEH SEG &i P.0 FOq Tw3 REASON Q � . 3 � . .. LL � DATE OwNEH V � LICENSED CONTRACTORS DECLAHATION � � w I HEREBY AFFIRY II�ER PENA1tt OF CERAIRY TMAT I AM IICENSED UNOER VROY1510NS OF UTAPTEH V. � �(C06M1ENCNOWIiHSECTlOtl7Doo)OfDM5qN10FMEBUSINE55ANOPROfE5510NSCODE,AND Z MY UGENSE t5 M/FULL FOHGE NO EFiECt m � ��� C�� ��.�a. (p 9 3 0`� Z � . � c~�iil ontE 1_��I A�9 cornrucToa :���� �`-i a�. a6 WOAKERS'CAMPENSATION DECtAfiAT10N Q � U � INEREBYI1FFIfWINIDERiENKTYOFPERIUHYONEOFTMEFOLLOWW00EGLAMT1oN5. N Z 0 �INAVEANDMnLLMAwTNNACERTIFlCATEOFCONSENTTOSElHHSUREfORriOqMERS' _ � COMPENSAiION,ASii10V10ED0VSEGT10N37ooOFTNELA60RCODEFORTNe'PERFORMMJCE U Q OFTY�WORKfORNkW7i1u5PFAWTISI55UED. � 0 �I HAYE AND YALL MAA(TAN wOHttERS'COIAPENSATION INSURhNCE,AS REWIRED BY SECTION 4� 7700 OF iHE LA90R COOE.F�R 1ME PERFORMANGE OF TME WORiC FOR N'MiCM THIS PERMIT IS 6$UEp.►(YWOqKEA..COAIPENSATqNWSURANCECAHWERMIDPOUGYNUUBEqAPE: CONSTRUCTION � � �yEq ST�/�Tc �'L�� PLAtJ REYIEW � ppucyra�eEp 1�h� b'�_� ELECTRIC 0 (IStSaEcfuNNFIDtArsEm.REr�ocnE�Ftixi5FOaa�14ADF'¢n0a1AFt4R+aofUitfss? PLUMBING Z ICERtIFYTHATNiHEPERFOiWANCEOFTMEYYORKFORW19G1T1i15PEWaliI5155UFA,l MECHANICAL (,� &WINOTEMPIDYAN'/VEHSOHNANYMADwER50ASTOBEC01IE5U8JECTTOTNE Uj MORKEFSLOMPENSATqNUWSOiCALIFORN�AN�DK7REE7WUIFISNOUDBECOYE INSPECTIONFEE S SU6IECTTOTHE1MOFiRERS'GO�APENSAfpNPROVI5iON50FbECT10NSIWOFiNeIABOR .' _ 1�f�� U� c�opt/�s�Hui ronnrvnn�eauv�r Mnnr nasE raoa;ae+s. ISSUANCE � DATE:_�_�_I�APPLICANT: ,I_C�L SMIP , �I�� W � � ENERGY P/C •-- v WAqNIN@ iALI1RE TO 6EQ1RE WORKEiiS'COIAPENSATION COVERAGE IS UFRAWFUL N�D SMKL 6E � SUBJCCTANEMPLOYEpTOCAWJULiENALTIESANOGVtLFWESUPTOONEMUNDiiE0THW5ANO �ERGYPERMIT �!�'�! , / '��f DOLLMS(i100.0001.N ADD1710N TO iHE COST OF COMVENSATqN,DMIAGES/S PHOYID W FOR W � sEcrnr+ua oc n�u�aon cooE wrEaESL u+o�now+Ers FEEs RETENTION FEE: �''f"v- : .�- :•r -:-� T'. �.F? a CONSTRUCTIONLENDINGAGENCY PRE•ALTFEE � ' ' " � '�' � �r O CL IHEi7E6YAFFlRAIU�OENVENKTYOFVE0.NRYTMAiTHEFE45ACON5TRVCTqNLENDwOAGENCY a- FOHiHEiERFORMANCEOFTMEM�ORKFORWN�CHTHISPEW.��T15155UEO15EG�o97,GV.G). � Z W � 1E11DEH'S NM�E � LENDERSADOHE55 � � w I GERTIFY TNAT I NAYE RFlD THIS APVLICATION AND STATE iHAT T7E A00VE PlF01llIATION IS WHHECL TOTAL FEES { p� 1 AGREE TO CONR�NlITH ALL GN AND OOUN7'Y ORDWNiGES ANO STATE Uw5 RELATM/O TO BUILDINO ��� _ _� ` � . CONS7RUCTq+1ANDMEREeYAUiMOWZEFEDiiESEN1ATNE50FTMISCOlN1TYWENTEflUPOHTHE !1 / I - ' /�BOVE�MEN710NED PROPEFiTY FOR WSPECTqN WRPOSEA ��-1 i`l/\ Z /� COMMENTS ��rx� - � �R- / tD ( �� � m PEWAITT � � -�- - (���- ���xl 9g � 51GNAN OFVENM�T7EE ��— DATE � � RECPT.NO. PAID BY VALIDATION WHITE—Departmenl Copy.YELLOW—Financa Copy.PINK—Assessor C.opy.GOLDENROD—File Copy,GREEN—Appl�canCs Capy �.. ,..� .�. — � � .� ��K .w.«..�-...... _��..., . . . , .g. � �.,�.. < ,......e��.. ` �..''ka?�- , i ... ,•::-v`%T�m.n,n..+�v.n.•N�t� ;n.�.Y..v.r. •;•e.l-p.....y,�..•.�, .. CITY OF DIAMOND BAR _ ' ' . . � � INSPEC�i'ION RECORD ., � ( ��`� � � � � ►'�Y�,�_��iA�`• �'� ' �= .���-�-� � --J,���;�L.��.d�;,l�_�- D��.-._ - -��,.1�`—i'.�..�.,-_.,�_��,-�°"ai— - ;SETBACK � � ' - � `� '` � ' FLOORJQIST,;, ;r . _ -- -- - , _ ._ , .� , , , . FTGS/FORMS/STEEL' - - - - FHA REQMTS , `" ' - .� _ � ` - ., ELECTRIC GROUNO - UNDER FLOOR DUCT ------ ' GROUND PLUMBING UNDER FLOOF3�CUTIDUIT"'_''=,, ,-,: ' � �.',;' _ - 'SLAB GRADE - - - - ' FIREP�A�E-FOU qATION � �:i\�.1 ; � ' . 'TEMP POWER � FIREP�ACE�BOND��EAM � ` '--` ;'� '�- � WATER SERVICE - - � � MID HT.BONDBEAM,-;�^'T �"I���•;;�'..�,'�� � . ROOFSFiEaTki�NU' '�?::J6•c , �' 8 FT.BOND BEAM', , � , • r- .��-, -, _ �FRftMI�tCzN�tV�tILIAI'IbN '.. , `' � '� ' �' � FINAL BOND BEAM � ' � f�00F COVER ; � � �� ' � � PRE-GRADING �ROUGN HEATING BENCHING �ROUGH ELEC7RIC . . _ � ' ROUGH GRADING - -- � ROUGH PLUMBING - - FINISH GRADING ;SHOWERlfU6 TEST -- • POOL ELECTRIC 'EXT.LATH/SIDING ' - ---- POOL FENCING " WALL INSULATtON . ; � _ -, POOL FINAL CEILING INSULATION � " - � OFF SITE IMPS. DRYI�"JALL-NAILWG- -- - - QEDICATIONS SEWER FINAL ENG. ' � SEPTIC TANK ,_ 11aNDSCAPE/IRRIG. SEEP PITlL.L. " ! ON SITE IMPS. , GAS AfR TEST . FINAL ZONIPJG . - - FINALCONST._: 7�tp•�1 � FIRE DEPT.FINAL • FI�IAL HEATING __ HEALTH DEPT. FINAL - - , Fi�aAL CLEC7RIC -- ._ DEV. FEES PAID -- --� fi=1h1:+1L PLUMBING ENERGY i ,Ar,�_�a����;�tj� � �. :�> 'J __ ., i— �-- -- � .. - �-- --- _ '. . .--_— __ __ __ _.. � - - - - - �---- - - . - _��� ;�7.� ':" .��....._ � � `. I � . , 1 ' ; 1 �CONMEVTS � � , � , � ..l�. , �'�. _'�Y - . � - .. .. , _ , � , I.� � � � . . SEPTIC TANK SIZE � SEEP PI�"/U SIZE - �' �.� . � . . � .� ��� � ��l�f �.�^ . s. _ • . r., �`. -.: - ' , .._ '� � . ! _� �� i �r—, ., � �{,,_,.,�.,...�___."�_.,.a._...._._...a � ' � ' . . , ' ` ,�\ ,�,'��,�i� .. �5 �`� 1.��. � ''__�,,,1 '�. �