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HomeMy WebLinkAbout13873 (14) J,� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 PRESS � (909)860-3195 Fax(909)861-3117 . K"�^'� BUILDING PERMIT APPLICATION FIRMLY o ADDRIESS,� DOv V'C�L� SI,2/nG�^S APPLICATION �a _ PERMR %���P/ `ZQ� l !� DATE v� NUMBER � �� / U $ , ISSUE _ TYPE OCC APN LOT TRACT DATE CONST. GROUP ' g OWNER --� p ADDRESS !.:(!�� �E �7Y�'j� G' � n ZONING SETHACKS W CITY SO ZIP�77NS TEL3[O �Qi"c� FRONT RW ❑ � APPLICANT C TEL.��f i S(�,fT S DAE/SIDE STREET RW ❑ � CONTRACTO � [G/1 �-O SIDE ❑ g ADDRESS '7 CITY 21P���-/ TE O PROPOSED USE ( [ 1 C/- f/. P� ARCH/ENG/ � ' � C � DESIGNER NO.DWEL. . NO. ADDRESS UNITS STORIES BEDROOMS CfTY ZIP TEL. � �n OESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION p� ONMER-BUIIDER DECLAR/1TION SFR/ADD/REM O , p 1 HEREBY AFFIRII UNUER VENALTY OF VERRIHY h1Ai 1 AM E%EMPT FqOu THE CONTMCTORS U• ('jaf8Q0/G1fpOA � - LL CENSEUWFORTHEfOLLOWNOREA50N(SEC70.'1�.68USNESSANDPROFESSIONSOODEINYCRVOR (� ZCOIMfYYMIpiRE0UIf1ESAPE11MR1OCONSTRU(.'T,KTER�PROVE,GEMOUSIf,ORRCPNfiANY6TRU6. , w "Pa1�0/�BCI(— " �l� TURE.iRqH TO ITS ISSUANCE,/�LSO REWIRES TME APP�ICANT FOt15ULH iERM1T TO FILE A SIGNCD W � BTATEMEHf 7HAT ME OR SHL IS LICENSED PUfiSUANr TO iNE PROVISIONS OF THE CONTMC70R5 lF � � � CENSE UN�(WM7EP 0(CO►IYENCPIO N'ITH S[CTION 7000)OF DIYISION�OF THE BUSINESS AND GHO• POOU$pe FESSqNS COOE)OR THAT ME OR TiME IS E7(EMPT iHEREFROM AND iHE&1515 FOR TNE ALLE6ED E%EMP• TION.�NVVIOLAiIDNOFSECTOH7071.68YANYAPVIICANTWRAVEiWITSUBJECTSMEAPP�ICANTTO . Z q�qap� , F,,, A CML►ENALTY OF NOT IAORE 7NAN FNE HUNORED DOlURS�lSoo)): I � 04�dN��EROFTHEPfWPERN,Of1MYEMPLOYEESWITHWAGESASTHEIRSOLECDMVENS�TION, (`,pmmOfCIUI ' YNLL DO THE WORK ANO TME STRUCTURE i5 NOT INTENDED OR OFFERED FOH Sr1E(SEC.7at.OU54 O N NESS N1D VFlOf'E5510NS COOE:TME CONTMCTORS LICENSE Uw�OES NOTACPLY TO M/OWNEH OF� � i1qPERTY VMO BUIDS OR NIPRDVES iHEREON,ANO�MIO OOES SUCH NOHN HIMSEIF OR HE0.5ELF OR CL THROUGHNISORHEflOY/NEMPLOYEES,PR0Yl0EDTHATSUGIRIPROVEM[NTSAR[NOTMENDEDOR C� � OiFEREDFORSALEIF./10N'EVER7NE8UtDqbOR14PROVE4ENTIS50LDWfTMNONEYEAROFCOI./RE• z TION,iNE OWHCR�UIIDER WILLHAVE THE BUROEN OF PRONNO THAT IIE OR 6HE DID NOT BUILD OR � MVROVE FOR iME PUfIPO..E OF BALF} . W OI.ASOYM[ROFiHEVFOVEHTY,MIE7(Cl1YNELYCOMMCTINOWIiHLICENSEDCOMRACTORS Q= TO CONSTHUCT TME PR0.1fCT�SEC.Iw�,BUSINESS MID PIqFE5310N5 WDE:7NE GC�YTRACTOfiS U• VHIl1,7�IOf1� �/ �� ADJ.AHEA IL LENSEUWDOE9NOTMPLYTOANOWNEROFAPROPER7YYhqBURD50RMPROV[SiMCRCON,AND � YAfOCONTRACTSFORSUCHGFIOJECTSYATHAWNTMCTOFI(5)tICE45EDPURSUNJTTOTHE00N'TMG pUANTIN DESCRIPTION FEE � � TORSLICENSEIAWJ. . � O 1 MI E%EIIPT UNDER SEC. B.�P.Q FOR THiS REASON U � � � - � 3 � T JB u' DATE OWNER U � LICENSED CONTRACTOFS OECLARATION W � 1HEREBYIVF'FIRA/UNDEROENALTYOiiER0.1RYiHATIMIUCENSEOUNDERFAOVISiONSOFCHAPTER Ur � Y(COMMENCNON1iH5ECT10N7000)OFDMSION70FTH[bU51NE55ANDPROFC5510N5LODE,AND z W lIC[NSE IS N FUI.I FORCE AND EfFECT, m 0 UCENSE ClASS � I � UC.NO.����1 9 �� . J �-' o�rE 7�2r7/�<� corvTrucron�Q�/ '�JQ�_ = WORKERS'COMPENSATION DECLAHATtON '�I�I � a NIMER�vAiFlWAUNDERPENALTYOF0E0.NRYONEOFTHEFOLLOVnN6DEClARATIONS:[.�, Z ' �' ` - . ,�� � a - � _INAVENAWILLMAMTNHACEfITIfIGTEOFCON5EN7iOSElFdNSUR[FONWDRKFPS' � _ � , ' • � •� . � . ' � ' ' COMPENSATION,l4SVROVIDEDBYSECTION]70aOFTNEU00ACODE.FOi1THEVEf1FORAWICE W OF THG WOPoC FOF WHICH 1NlS V[RuIT IS ISSUED. ' .. , � - . . 0 � .. . . � _ .. . � �IHAYEANOVlILLIAAMN`IWORKCRS'COMPLNSATIONINSUMNCE,ASREOUIREDBYSECTION � , , 0 J700 0F 7HE LABOR CODE,FOR THE VEAFORMANCE Of',THE WOR1f FOfl NM1IIp1 THIS PCRMIT 15 �'' ' � �� � '�/��'� ISSUED.tJY fIKER4COMOENSATiONWSURANCEGARRIER oaaicvr+uusEnu�e: CONSTRl1CT10N'�•;� �� - �� u.i � CARRIER `C�� . PLAN REVIEW � / � POLICYM11.18ER — � ELECTRIC ' � � n:�� ' _—c��1� (iF�SEC110Nr�E�NUTBEOd.f'LEI�Cf71EP6MTSR7ROhT_FUORCDOOIl/RS6t )OHLF551 ' PLUMBING .. � v1 1 r...�,-' i Z ICERitFYMATNiHEPERFOAMMICEOFTHEWORKFORWMIp1THISVENd�TI5155UE0.1 , MECHANICAL ' 1� 'r' SILLLL NOT EMPLO7 ANY PERSON W 1WY MANNER 50 AS TO BECOAIE SU&IECT TO Tt1[ � ri9iiKERSCOMPENSATqNUW50FCKIFORNItiN1Dl1GREETMATIFISHOIADBECOME INSPECTIONFEE S SIAJECTTOTHEWORKER5COA1DEN5�T10NPROVIS ' FSCCTIQN�7000FTHEW30R eoo i o�wmrcouv�r sev ans s. ISSUANCE � � �7M1�-}— �' SMIP '_.�n=-'�v. ��` . �� � C�l p DATE: APF'LICANf: . — — - � WAHNINO:FAIWP[TDSECUPEVlOpKERS'CAMOENSAiqNCOVEM0EI5UNLAWFULMIDSMALLB[ ENERGYP/C A��+T� f� ,�) . � 3U0.1EC7/WEMPLAYERTOCWUINAIiENALTtESANOCNLLFwESU7700NENUNDR[DiNOU9AND ENERGYPERMIT _{ajTY QI' R/�`� , � �1 7�� �„ DOUARS(f70o,0oo�,NADDITONTO7NECOSTOFCOMPENSATqN,ON.�ACESASCiYOViDEDiORIN �7�+ � SEGTION�70eOFTHEIABOFCODE,WiEREST,ANDATTORNEY5fEE5. , RET-NTIONFEE: � OCONSTRUCTION LENDING AGENCY , p�p�i�5;.� � � IHEREBYAFFU1MlM0ERPEN/�LNOFPERIVi7VTHAT7HCREKACONSTitt1CTId1LENDINOAGENCV � FOR THE PEFFOiWANCE OF iHE WORK FOR WNILH THIS PERMIT IS 55UED(SEC.�097,CIV.C.). � O � LENDEq'S NnME u�' �S LENDEIi'SADDRESS _ / w ICERTIFYMIITIMAVERE/�D71115MPlICATpNM105TATETHATTNEABOVEWFOiWAT1ONI5CORRECT. TOTAL FEES � �(�J /t� � p_ IA6PEETOGOMVLYWITHALLCRYANDCOUNTYORDuiNICESANDST�TElAwSREUTINUTOBV4DIN0 //�� � V CONSiRUCTION.ANO HEREBY/1UTIIORIZE RE7RESEN7ATIYES OF 7HI5 COIMTY TO EN�ER UPON THE �'�) G� /,'� ABOVE•MENTIONED VROVERTY FOR INSGECTqN GURPOSES, � � J ? �� I COMMENTS I` � tl\ � � 2'el_+. � � �- � - m P!����AME Ivw ' Q � � � r, �t � �„ �n. / ,. . (n 51 TU PERM7Tf E OATE � � RECPT.NO. �Q PAID BY � � VAt lC]ATIC]N� WHITE—DeDartment Copy,YELLOW—Finance Copy,PINK—Assassor Copy,GOLDENROD--Fila Copy,GREEN—Applicant's Copy _ . , , .�.. . , , . .. .... . -., , .4. . , �. .r. .... � ., , . . � � . . . , .. .. ., ..� . .. , � . , ,,.. ...� _.. .� , � .,, / ' �`: � `t �1 CITY OF DIAIVIOND B�►R ;, , �. . . , . �.•�� , :.-:�; INSPECTiO��d:PECORD ' : . �''��.- ,' ' , ��. ��, �, �•y , r "� �+ m r� � e � � r� ;������'."� �II►_����.�.,.�l�,lt,� ��,��'�__!_I►,.�-�i�.���n�: • I►.k-�(����'k.�►I "��•.�1�u. ��a�,.►�= r ��fi..�fa� '', ;SET BACK , ���� , � ,. , FLOOR JOIST � ���� � - y,� _ � � . ' =� , . , , .. . , �FTGS/FORMSISTEEL . _ � . . -- . .FHA REQMTS . � _ .. , � : .. - ,• . ; ,_•, . .__ !ELECTRIC GROUND . . _. ._ '� - '' . . UNDER FLOOR DUCT � '' - '' � ; ! :. . , . - ' � ._` � . •--i-,-,- ,. - ..._. . ._ �: , � . . `� - • -• ,.,�` „ � , ., . , 1 ._ � , `' ` . '.., � :...�.�_...._ GROUND PLUMaING � UNDEF� FLOOR COr,iDUiT. �SLABGRADE--- - FIREPLAGE�FOUNDATION � :• � �:• � I _ _ ; , ; _ , --- — 'TEMP POWER -- - � �.: FIREPIACE BOND BEAM ' ' ' �'� ' "'. ��� = ' ' ' I � �WATER SERVICE - -- - - ' ' MID HT. BOND BEAM'� i- -�� �. ' • � � !� ; � �� iROO��SHEATHING�� i ,\;� � t: . '• c 8 FT. BOND BEAM , - �• • ,,• , , , . � ;FRAMINC/V�NTILIATION ". ''' ' ° ` FINAL•BOND BEAM � � �� � - r �- �ROOF COVER '•. ` ' ' �' � ' � � PRE-GRADING - - '' ' ' ' !ROUGH HEATING _ _ , BENCHING , � :, ; , ;ROUGH.ELECTRIC. .'� .. ;':. _"' ' !... -__ 1....'�'_ '., 'ROUGH GRADING . .._. _. .. - - � .: 'ROUGH PLUMBING - - - ---- - ' - - -' � FINISH GRADING i : i,SHOWER/TUB TEST �-� - - - POOL:ELECTRIC ' � ' ' ;EXT. LATH/SIDING � - � POOUFENCING �� ' ; � �WALL INSULA710N - - . - - - - POOL'FINAL � � I . ; iCE1LiNG INSULATION - - �� � OFF SITE IMPS. � -a,• ;DRY4VALL f�(A1L1NG . - � � - ' DEDICATIONS . ' _... . . . _.. �SEV'�lER FINAL ENG. ' '' I ' ;SEPTI�TANK LANDSCAPFJIRRIG. ; ' �SEEP PETlLL ' ' `-� +' �?'>'„_ ON SITE IMPS. • � : JGA°�Aln TEST , FINAL'ZONING '' { ��'� 'f�I,�,f,i.Ca�ST. ` FIRE DEPT. FINAL - ^ ' _ _ � � ,, -. ����� - ' '- `Fti�:�:L HEATING _.. ��' '� .•:•' -.•; '' HEALTH DEPT. FINAL - _ : j .--- •- �i fr:r.:_ELEGTRIC . .. .. .,. . DEV. FEES PAID _..--� -... � . ----- ��,_....r I..PLUMBING . _ . . . . . . E�J�RGY � �' „ � . _ ...... ,i.. __. .._._... ...�_. . . _ - .. .... � � ;;.._. . _..._.._ .... . _ ��. , _, � �; �i�� {��'�����---• � �.V1• '> . , � --- ���._,r • _-,��_�..�. � . , ' . . .., _ , , ---- � .. - - _.__. .._..:.:... , . •.;,�. (� _ _ .. . , �;'_ . ,.�,' � 1 .. ';C01I�MENTS , � � .� , `. � 4i ; . f 1�, , � � �"-' !-!_J_4._!.�_./J�-.—.5��� ` �7� ay Q� �' :�v� _�a �1 � ��s 1 i�,c�,�P�-S'� 7�i�°► , � ' . ` �'--_1��.�..o��i-�-�` �����- � _�_v_��_ . � - �—:?T�'� ��-� __:__.�, -� �, �,.-�-� _ ��1��:. ' � ) �.�7 �p � � / —=S ��CJ�����_(���_ j ' � _ �. ti . �. . � . , � ,.' � I i . � , � ; , , 1 . � ,.. . _. � � ._ � � '� ` .. �'. � � i. iSEPTIC TANK SIZE • . ' . ' ; . , .:,•' ' +SEEP PIT/U SIZE ' - ; _. --- ; � � ��.�..�.... � . � . � � � ' ,, � - -- � � � � . i � _ . - i � , - , i .- _. ; _. __ . �; I ti�1f�' , � � � �. � � . � , 1: , , ; , � ' . I _ _. . � . �.. . ..- , _ .,.. , , • . � �-- • , . _ _'�_�....__.n_......_.� ' ' _ �� ' ' , . - _ . '. . ...� ,,_� � ,. ., . .� •