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HomeMy WebLinkAbout16199 (22) _. . ._......_.. . . ._._._. .. - ••-�_• � " - --.. . .. .. . . . . . . l`,,� r: :-;�� CITY OF DIAMOND BAR � � �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 '" ���a6o-si9sr•����s6i-3u� PRESS ���� BUQ.DIIVG PERMIT APPLICATION FIR LY � JOBSITE f i ' /',,�� �t APPLICATION r� PERMIT P/C o ADDRESS � t U,�• L' v�LGi_/_.s+ _��h�K5S DATE_� V NUMBER i1 � _ ISSUE TYPE OCC APN LOT TRACT DATE _CONST. GROUP p OWNER � ADDRESS � C�� / � ZONING SETBACKS � CIIY ' i ' ZIP�I!G� TEL.` � � ` . REART . Rw O APPLIC NT � TEL. SIDE/SIDE STREET flW O � CONTRACTO�i ! ✓ i • SI�E ❑ � ADDRESS ' PpOPOSED USE � o C(TY ZIP TEL.�C��l=��f`OC � � ARCH/ENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS _ UNITS STORIES BEOROOMS � CITY ZIP TEL � DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � � ONMER-BUILDER DECLAF7ATION SFRIADDIAEM O p I HEPEBY AFFlRY UNOER PENALTY OF iERR1ftY THAT I AM E%EMVT FHOIA iH[CONTFUCTORS l4 GaragelCaiport ' � � � W CENSEUWFORTHCiOLLOwINGREA50N(SEG7o]1.6B175INESSANDDROFE5510NSC00E:ANYCfTYOR (n ' " � Wl1HfYVM11ClIREOUIRESAPER4RTOCONSTRUCLALTER�MPROVE.�EMOUSH.ORREPAIHANVSiRUG . W Patlo/Deck � .. - - � . � . TURE PRpR TO RS ISSUANCE,AL.,O NEOUIRES THE APPLICNfT FOR SUG1 PERMR TO FILE A SIGKED W .jr ETATEMENT TMAT NE Oft SME IS LICENSED R/HSUMIT TO THE PROVISIONS OF ME CONTMCTORS lF � CENSEUw(OIAViERY�WIAMENCWOWITNSECT10N7000)OFOmSION]OFiHE0u51NE43INDPRb � V" POOUSpO iESSpNS COOE)OR 7fUT ME dt SNE IS FXEMPT TH[REFROM ANO TME BA515 FOR TNE KLECED E%EMP- TION.ANNVIOLATqNOFSCCTIqJ70.7/.68YANYAPPLICANTFORAPERMR5U8JECT5THEMPLICANTTO Z' Re-Root - � �CMl iENALTY OF HOT 40RE 7HAN FNE MINDHED DOLUHS If5t01.}. ' � DL��'MNEROFTNEPROVEHiV,ORYVFMPLOVEESYVITIIWAGESASiHEIHSOLEfbMVENSATIDN, � (',pmm0fGl01 . YNLL DO 7HE WOF1K AND THE STRUCTURE tS NOT N7TfNDED OR OFFFNED FOR SnLE�SEC.701�.BUSI� J NE55 hND PHOFE4�10N4 C�DDE:THE QONifUCTOAS LICENSE Uw DOES NOTAPP�Y TO/W OWNER Of N P110PEKTYYN�OBULDSORN�PROVESTMEREON,IWDMMODOESSUGIN'ORKNIMSELFOq11ERSELFOR � � THROUOMWSOqHENOVMEYPIOYEES,ViqV10E0THATSUPIWPROVE4ENT5MENOTNTENDEDOR m W DiFEREDFOHS/LLEIF.IqYVEVE�l1MEBULDP1GOqMPROVEMEM6SOlDWITMNONETEIIHOFCOYVLE• � ZT�OM.7HE OWNER�BUIIDER NnLL IUVE THE BURDEN OF PROYPlO THAT HE OR SHE DIO NOT BUIID OR � MPRDVEFORTHEPURPOSEDFSALE� �1,/.S OMMER OFTME PROPERTY,MI E%CLUSNEI.YCONTR�CTNQ WfTH LICENSED OOHfRACT00.4 � p� TO CONSTRUCi THE PROJF.CT(SEG 70N,BUSINESS M1D PROFESSIONS CODE TNG COMfMCTOR3 ll- V8�U81i0f1 ADJ.AREA lL CENSEUwDOESNOiMPLYTOIWOVMEROFAPROPERTYNT10BU0.D50flIMPilOVESiHER[ON,AN� � W/qCONf1UGT9FOR5UGMPNOJECTSWITHACONTHACTOR(5)LICQISEDiURSUhMTOTYIECOHfRAG OUANTITY DESCRIPTION FEE � TORSUCEMSEUW} � _.. O IMI IXEMPT UNOCR SEG B.t V.C.FORTHIS HEASON � 3 � � �=" DAIE OWNEA � V . ... � J LICENSED CONTRACTORS D[CLARATION W � IMEREBVAFFIMJUNDE11iENAL7VOFVEiL0.1HYTUiIAIII�CFNSE�UNOCHVROVIS!ONSOFCMAGTEN Z ' � , • _ s �(OOA4dENCNOWITISECiqN70ao1�'DNiS'ON10F7NEBUSINESSANOPROFESSiON5CO0E.IND X W LIGENSE IS N FULL FORCE AND EFFECI � LLl � �����u C-��_��.No. 3 7 -o�a = �— O cornrucroa . a W o"�—��=�— �C-�'�y��y � WORKERS'COMPENSATIONDECLARATION / Q N IHEREB W411M1ERPENALTYOFFEFLRIRY0NE0FTNEFOLIAMANGDECLAM710N5: U � Z G �IMAVEANDVALLMl�MTAPIACERiIFlGTEOFCONSEMtOSELF-INSUREiORWORKERS' 2 �� � � CpIPENSATION,ASPRUVIDCOBY9EmTION7'/DOOFTNELAOORCOOE,FORTMEPERFppMANLE U Q O('TMEWON(FOH�MMiCNTM�SPENA�TISISSVED. � O �I YUVE AND WILL MANTAIN WORKERS'COMPENSA710N INSUMHCE,AS RE WIPED BV SECTbN Q 9looOFTNELMOftCOOEfORTHLiERFORNANL[OFTNEY70FlKFORWHICNTMSFEflMt71S . _ � ISSUED.MYVARKERS'COIAPEHSATIONWSVpAhCEGRRIERMI�POLICYhVMBERME: CONSTRUCT�ON � CARNE0. PLAN REVIEW Z pa�crNuueEn ELECTRIC ¢ o �rvuusccinnrr�raroeoor.a�oFnePc%�raronax�ax.s�oauAs�s�miauFssi PLUMBING � 2 1 CERT�FV TMw7 W TH[oERFORIAANCE OFTHE YpRI(FOR WH:dI THIS PEAMIT IS ISSUED.1 MC-CHANICAL (ry SHALLNOTEMPLOY/NVCERSONNANVY�MIEHSO�ST08ECdAE5U61ECTTOTHE . . � WON(ERS'COMPENSATqN U'�/S OF GL�FOANII�AND�,HEE THAT IF I SNOULD BELOYE INSPECTION FEE ' — S SU0.IEGTTOTMEN'OPoCER5COi.�7ENSATIONPRONSION50FSECT1DNf7000FiHElABOR COOE,ISHALLFOfiTNMTMCOL�PlYW17HTMO5EPROVi5iW15. �SSUANCE ��� � � SMIP " p DATE: AVPLICANf. . � ENERGY P/C WMNINO:FA0.URE i0 SECURE YYORNERS'COMPENSATqN COVERAGE IS UNUwFUI,AND SHALLBE � SIAJECTANEMPLOYEHTOCRIM7IALVENALTIESANOCMLFWESUVTOON[MUNDREDTHOUSAND ENERGYPERMIT � � ' D�LLM.41f700.000I.N ADDIiION TOTME C0.5TOF COMPENSATION,DAM�GES AS PROYDED FOFi M � SECTION77oeOF7HELABORCOOE.NTER[ST,ANDATTDRNEY5FEE5. � RETENTIONFEE: pW., CONSTRUCT�ON LENDING AGENCY PRE--ALT FEE: � IMEREBVAFFlRMUNDENVENALTYOFPERIURYTHATTHEREISACONSTRUCTIONLENOwGAGENGY � ' FOR TNE OERioRYANCE OF THE WORK FOR WMIG17H15 PERMIT IS ISSUED(SEC.�OW.GV.C.). . Z W - � LEN�ERSWWE F= IENDER5A00RL55 . � ICERTiFYTNATIHAVEREMiHiSAPVLICAT10N/iND5TA7ElM�TT11EAF10VENFORMATqNISCORR[CL TOTAL FEES � �� - w IACREETOCOMPLVVATHALLCfiV1UlI7COUNTYORDWANCESANDSTATEUWSFEUTNGTOBURDING ' • � CONSTRUCTION.MIDHERCBYAUf1�ORREREPRESEMATNESOFTHISCWNTVTOENTERUDONTHE � �� � � ZAOOV AENiIONEDYHOGERTYFORINSPEttIONPUHPO5E5. COMMENTS � � � �r ¢ ER e�v �rrt� c / . ��y • �„ C� . V � N 51G 7 � F TEE ,�- DATE � RECPT.NO.� � _FAID BY VALIDATION WHITE—Deparlment Copy,YELLOW—Finence Co{ry,PINK—Assessor Copy.GOLOENROD—File Copy.GR EN—Appli fe Copy . ' . � � . • . . � . • � . . � . , . � � . . - � , .. . .. , , . .. . . .. . .. . . . - ---_ � CITY OF DIAMOND,BAR,, .,. ,, f . ... . . . . .. , -. _-. . .. .. . . ..... R PE (ON . , _..:� � ,..,;:,. ... , dS CT 'RECORD �..,., ���. . .... . . . � � c : _ . . . � ..� :.. �r` ��� � . � . _� ,. : . ,_:.--�:---.---, ��e a � s' �) � � � F'� i �.� .r���'a�.���,r�. Y�,.:a.,.,.:_�x.: _ �SET BACK. . ! + ; �.... � _ � �ti . .. �. FLOOR JOI$T . -� • .-_ ��j� , . , , � , . . _ ;FTGS/FORM5/STEEL.,_ _,._� _, , � � , . .... FHA REQhATS__ , _ .�� .. .. . _ .. ....._ _- . _ .._..:...:.... :.. .. .. . ,.,.... , .,_�.' . _ UNDER FLOOR DUCT ._ ,. ..,, „ : ... ..... .. __�' ' 1 �; �ELECTRIC GROUND __..._... ♦• �- - .•_. : , . �GROUND PLUMBING UNDER FLOOR COM1IDUIT . < . � ' • '•; ' :'' � " ' '. j � ' , ,. � - .. .._ •- �SlA6 GRADE ------- '.•: ' - _ - - - - ..� • � FIREPLACE FbUNDATION �� . � : - , , : •; , � ; �, i �. ITEMP POWER— -- ;: ;, -- - - __,.: . ; ;. . . FIREPLA�CE}BOND BEAM - - c.�.�. - -' '- - , ::• . . .,.. � . . IWATEfl SERVICE---.. . - --- - - . -- '. .- - MID HT.BOND BEAM ,,r.. :', � ,_. ., ..... , ..- � ; ' �.� � I ROOF SHEATHING S FT. BO.Nd BEAM�...,�-. . .,_ . . I -.�.,=, .: . . _. �. _ _ . . . .,_. _ , . . . �FRAMINGNtt�TILIATION -_. -_ . . . FINAL BONb�BEAM-. .., - . . . '•,; •- :�-,,;.. � � . IROOFCOVF_R .�'-' � " - PRE-GRADING �-- � '�� - ! = }ROUGH.HEATI.NG -.." : : :: ;. .,.•.._. .. , . . , - BENCHING • • IROUGH ELECTRIC---:- - `�` . .:_. � . :.. r `., ', ", '.. ROUGN GRADING �-- . , � ;ROUGH PLUMBIPJG � ----- ' FINISH GRADING . �SHOVVER.rTUB TEST-• - - - .-- ._ . - POOL�ELECTRIC . � . . . ; , ; f EXT.IJ�TH?SlDWG .. . _ ; ... _.._._....; _. . POOL'FENCING ' . , � � � ;V`dALt-INSULATION- -=--- --- _._._ ; .. . .._..: ..._.._ POOL'FINAL : - i CEILING�I�JSULATION . _ ---- - _ : �. . � . . OFF SITE IMPS. . '�. . ' i -< �DRYL^JALCNA(CING _ . -- -- � - - -� _ _ DEDICATIONS . ". . . , � ; .. .... - _; . FINAL'ENG. , . . �SEWcR- � , I ,.. iSEPTICTANK � L.ANDSCAPE/IRRIG. � . . , ;SEEP P!T/LL... .. , �. ON SITE IMPS. . . . , . � . , iG�SAIRTEST.j `. : FINAL'ZONIPvG ' ' I ,.. _. . ... . , ,. ;FIPJAL CONST. _, ___ . ..... ��q,��._. __ FIRE DEPT.FINF.L • � , , i ,,, �FIN/!L HEATING_...---.----.__. . .... . ... .. .. . .. . HEALTH DEPT. FINAL I _ : _. iFiNF,L ELECTRIC _.._.... .. . . - . . ...... _. .-- -. DEV. FEES PAID _ --- .... ._._� �., �--- ;f=1:�11`•,L PLUMBING - --- O'�il O � � ENERGY . ... . . „ � '; --- - ,,� . � I . � --- - - -- • , - . .. . : ' � . , . , .._._.__...— - ----. . ..... .. _ . . _ , ---- � ' ,�',= _ ;,• . , . ,4�T n` ��„°��--�^-�-�----- � ... _ _ • -: ... --.. ..___._._... ,._ �� :- ---... . ...._ . - _.. ._ , , , .,. ... -- • ; _ _ ... _. .._...- - ----- _._ . : . _ �,� ,`,�,.;'��; jCGMMENTS � �.� ; . --- . -- �--- � ; . . ; . _ . _. , , ;. f -- -- -. - - -- _ , _ . � _ ; i � - i � � _ ._.. _.__ . _ .. . .. . . . ; . � . � _..',:� . ;.•' . . - - - - � , i ; . .. _ i__ I�_ �.'..J_;;`�_ � i � - :. ..., { "---� . . I _ ._ .. __ _... ."_ ' ,_,_ '�"J.i _ . . . I . � . . ' ' '�. . � \ ;��J'v, ^_ ' _..'" "_ ' -..-- . • ,1�. i � ' . I � • � ��'�1\ C (� ii < _ .. .. . . _ , ' ' , k , ; i ; . I �: . __ _ . . , , � . � � ^_ • �,; �,:• ,;. ,... . i ; .. . , . . -�-=� SEPTIC TAMK SIZEI....--=—___'-�._..�:_._.._. , , . . . . , .: I �.. . ,.. . . . . . . , ... . . SEEP Pii/U SIZ[ - - - � -- R.,_,,,_.._._._._,,,.,,,.. ..... ..... ... . .. . . ,- , . . .. __. _ .._ _.. .-- . . . . . i , .. �� � -. �: , ; ' � : ' I � -�. : :�'� - ��, - ; : - - - . .. , ; _ ; _ __ _ _ . .. , ; . ._ ��: _ _ _ , _ _. __ _ _ _ . i ;i�i .�.. � �._ . , . .� . '� ' , . . , , .. . ' �.�' .....� =. �.�, � i i c: � -��:..'. : .�.,.-0':. T.' .. ._. _ _ ,. � � ;. . ri '�++�."�'.�u . �#. .� � .. . _ . . . .. . . . .. . - � � -- - - - -� ' . .�: .. . �--' Y- , .' . i a� �� . .. , . i ' i. i ,.,� '.�-���. - . .... �� � ,.._ ,� ._, � � 1'i' �� 1-' . ' ' r I _...::1:.�.�...Y.__�. �' �{ -- ^ . � .- . . _ . ._._ �,. . ... . .. .