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HomeMy WebLinkAbout16288 (17) J� _ CITY OF DIAMOND BAR ,�/ DEPARTMENT OF COMIvIUI�TITY 8t DEVELOPMENT SERVICES 4 � 2i�oE.c���ynri��s�c�i90 PRESS w (909)860-3195 Fax(909)861-3117 ���� BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE /+ APPUCATION �l PERMfT PJC J� o ADDRESS Z l N DATE �v�/"��NUMBER I��g x v�� O�y � . ISSUE TYPE OCC APN ' LOT T T DATE CONST. GROUP °C OWNER ►- � ADDRESS O . r� ZONING SEfBACKS � CITY ZIP�Q� TEL. � 2I FRONT RW ❑ APPUCANT TEL o REAR O � SIDE/SIDE STREET RW ❑ CONTRACTOR K�%V�} GoN�I�,�CTO� �. SIDE ❑ � ADDRESS PROPOSED USE � � ' CfTY ZIP TEL � DESIGNER �/e/�C Dt�S/�CN NO.DWEL. NO. N . , ADORESS�Sb S_ Wf�'"�� p UNITS STORIES BEDROOMS � CITY L-/-►- ZIP G TEL1(3)�7��7� y DESCRIPTION SQ.f"C FACTOR PSF ADJ.AREANALUATION OI OWNER•BU�LDER DECLARATION SFR/ADD/REM 1 MEREBY ALFlRM UNDER PE/UiTY OF PEiWRY T1UT I MI E%EIAPT FRdA TNE[ONTRACTORS ll• GdfB9B/C81pOR B CENSEUWFOi47HEiOLLOMiW�HFAS�N(SEC.7077.6BUSWESSANDVROFESSqNSCODE:ANYd7YOR (n � COIX(fYYYF11CHqE0UIRE5AVEHMRTOCONSTRUCf,ALTER�PRDVE,DEMOUSH.ORHfPNRANVSTRUC- W PBIIONOd( � TURE,PRIOR TO fT5 ISSUANCE.AL50 REW�RE3 THE APPLICANT FOR SUp1 VERMIT TO FILE A SIONED w � 6TATEMENT TMAT HE ON SHE IS LICENSED PURSUMfT TO TME iiiOV15lON5 OF THE CONTMCTORS Lt- � CENSE UM�(OiAPTEN C ICOMMENC7NO WITH SECTION 7000)OF DIYISION]OFTME BUSINE55 MICI PR6 � POOVSP3 iE531DH8 COD�OR THAT HE OR SHE IS E%EMPT iHEREFROM AND iME BASIS FOR il1E ALLEOED E%EMP• TIDN.ANVVIOLATIONOfSECTqN70J1.6BVANYAPVLICJINTFOR�PERMRSU&IECTSTNEAPPIICANTTO Z Re-Root F A CML PEN.LLTY OF NOT MOR[THAN FNE MINORED DOLURS(fSOD).1: � . . ^ p�ILSOVMEROFTHEPROVERT`/.ORA/VE/A7lAVEE5NnT11WAGE5ASTHEtqSOLECOA1PfNSATION, 0 COfnT6fGl81 1 M/41 DO THE WORK,ANO THE STRUCNRE IS NOT INTENDEO OR OFFERED FOR SALE(SEC.70a1,BU51- J HESSMD PROFESSIONS COOE TNE CONTMCTORS UCENSE Uw DOES NOTMPLY TO AN OWNER OF � ifqPEqTYYY4qBUq.D90RMPiqVESiHEREON,ANDW11000ES5UpIWOfiKMMSELFORMERSELFOR m � iMR0U0M lilb Ofi MEfl OMM EMPL01'EES,VHOViOm TNAT SUGI MPROYEMENTS ARE NOT HTEHDED OR OFFEpEp FOq$A�E IF,Iq'WEVER7HE BULaMa ORIMPROVEMENT IS SOID WITT4N ONEYFAFi OFCOMPIE , � TION.TME CANIER�BUII,DER WILL HAVE 1HE BUROEN OF PRONNO iHA7 ME OR SME DID NOT BUILD Oq ILIVROVE FOR THE 7URPOSE OF SILE7. W OI,IISONTIEROFTHEFROCERT`I./�4�E%ClUSNELY[DNTMCiINOWIh1LICENSEDCOHTRACTOR3 � (= TO CONSTPAICT 7f1E PilO.1ECT(SEC.)01�,BUSiNE44 AND OROFESSIONS CODE:TNE CONTMCTORS LI• V81ue�lOf1 AQI.AREA 11J C£fWEUWDOESNOTAPPLVTOANWMEROFAPROOERTYWNOBU0.DSORIAI7ROVE5TN£REdJ,AND � vn+ocwrtrucrscoasuwvnaccrsvnrr���mucron�s�ucer+scoouasuurrron+Ecarta�� p�pM17y DESCRIPTION ��, 1 FEE � �uco+se uw.�. f� O INA EXEYPT UNOEH SEC. 8.i V.G FORTHGS REASON . Q { U 3 � � I ' u" O�TE OWNER F � � V .:_i UCENSEO CONTRACTORS DECLARATION W � IHEREBYAFiIAdUNDERPENALTfOFFER1Ui1VTMATIAMLICENSEDUNDEAVROVi510N30FCHA7TEH � . � •ICOMMENC4NiWiTH5ECf10N700010FOM5qN30FiMEBU51NES5ANDVROFE55iON5CADE,A7:D Z X W IICEHSE IS IN FULL FORCE hNU EFiECT. m LLJ � �F-. UCENSE CU55 UC.NO. J 7� DATE CONTFiACTOF d T � j WORKERS'COMPENSATIONDECLAHATION a . � N IMEREBVAFCIMIUNDERPENAl1YOFVERIUR'lONEOFTFIEWLLOWINQDECLAAATIONS: U � � ' . - y I , Z Q � �INWEMIDMI!LIMAMNNALERT7FICATEOFWNSENTTOSELF�NSUREFORWOAKERS� ��� 2 �' � � t COM7ENSATION,AS PPOYIUED BV SECiION 71000F THE IABOH C�DE,FORTHE VERFORMANCE . W OFTHEWORKFORVMIC11THtSPEqUR�51S5UED. "". . .� : ;. .� : � �. . . . _ . � � � O �IHAVEANDWiLLAU1MAINWOpKEPSCOMPEN5AT10NIN5UMNCE.ASREWIREDBVSECTON � � 77ooOFTMELABORCOOE,FORTHEPERFORUANCEOFiHEWORKFORWNiCHTnSPERMITiS .� - �$.� O��' = ISSUED.MYWOi1KER5COM7ENSA7qNW5UWwCECANRiERANOPOLICYNUMeERME . CONSTRUCTION ` j uawen � � . PLAN REVIEW v r � , �'�1 . � vacwtnnaeEA - � , - � c.; `` , � , - ELECTRIC _ ' , - � � �� rgcvraoieeoa,atrIDOFnEv�+nrtarona��rnncvoat�s�s�miattFssi PLUMB�NG Z ICERTIFY7HATlliHEVERFOMIINCEOFTHEVfOPKFORWHILT/TMISPERM�T15IS5UE0,1 MECHANIC L M f�. . � (3 511ALLNOT EMPLOV ANY PERSON RJ ANY AUJ�NER SOAS TO BEC0IAE SU&IECT TO 7NE � � ' � . � � ' � ' ' � y WORNERSCOM7ENSA7qNLAwSOFCALIFOi1NIA./WDAGREETU11F15110ULDBECOAIE'` INSPECTIO FEE S SUBlECTTOTHEYIORKERSCOMPENSATIONPPOVISIONSOFSECTION77000FTHEU80R ISSUANCE CODE,1 SIU11 FOFTHWITH COMPLV WRH THOSE PROVISIONS. SMIP " BY� � � � ' . p DATE: � 11PPLICAM: ... � � ' ' ENERGY P!C ; � WMNIHO:FARURE TO SECUPE WORNERS'Cd.�PEN5AT10N COVEMGE IS UNUWfUI.AND SWLLL BE� � SUB.IECTANEMPLOYERTOCROAWALPENALTIESANOCMLLINESUPTOONEHUNDRE0T/1IX15AN0 � ENERGYPERMIT OOLURS�fIoo,Om).NADDrt10NtOTHECOSTOFWMPENSATION,DAAUaESASVROVIDEDiOHIN . � � I\ ¢ SECfK1N]70lOF7NElABORCODE,NTERESi,ANOATiORNEY5FEE5. ' '� - � ' �- - RETENTIQNFEE: �U��V o ,"' '`�� ;�t CONSTRUCTION LENDING AGENCY:. .'. ; pRE-ALT FEE � IHEREBYAfFl1iMUN0ERPENALTYOFDERJURYTNATMEREISACONSTRUCTIONLENDIN6AGENCV ~ FOR TME PERFORMMIGE OF iF�E WORK FOR WHlpl TMIS GERutT IS ISSUED(SEC.wc7.CV.C.1.. � . 1 ' , '.t.� .__ . , " i . . � ,. . . _ . ` . � LENDERSNM�E L� � LENDER'SADORE55� � ICERTIFYTIATIMM�EREADTHISAPPl1CATIONl�NDSTATETMATiNEABOVEMFORMATqNISCOiiRECT. � TOTAL FEES L � � O.0 ,� � IAOREETOCOM7l1WRMILL1CfTYAN�COUNTYORDItUNCE5ANO5TATEUwSREU7wOTOBULDINO � ` ��^��l � / � CONSTRUCTION,ANDNERE9YAUiMNUZEREPRE5EN7AT�YE50FiHI5COUN17TOENTEHUPONTHE J � Z I100VE-MENTIONEDVROPERTYFOHPlSPECTIONRIRPO ES. . � COMMENTS � � � � W, � y: - - � m pE1WfTTEE � , � . �e�. - can /3��+ 3,`� D � SIONANREOFDERMiTTEE , --�- . . DAT . RECPL NO. PAID BY VAUDATION � �. 1NFitTE—DepaRment Copy,YELLOW—Finenca Copy,PINK—Assessor Copy,GOLDENROD--File Gopy,GREEN—Applicanfs Copy 5 CITY OF DIANiOND.BAR - ,:,� ,.__-�... :�;: - - :.R�SPECTt01'�:RECOIRD . . . , ' < � . .. . .. . . .. 11������, �V ; `. '��°r. ,� ' � � ,��k-'� ti��p.l�.�► � l�� ��`�- �'c�'�tGS� , _.. . _. f �� .�t �_��"" � .� ' ��^ ° � ��. � � �a; � I SET BACK. . _ � FLOOR JOIST.._..�__.w........ .,_1.,�._.. ..' t•��,_.,. ... .,__I( .- j FTGS/FORP�AS/STEEL , ,. _. . . . _. _ _ ,FHA RE�MTS_' ' . .. �� ,. _. ' . �,. , .. _ - IELECTRIC GROUND _ __ __ _ �'• ' _. _ _ _ __ UNDER FLOOR DUCT--- - " � • '• . ___ _ I _ _ .. - . : ,;, ' _ �. , . ;GROUND PLUMBING I �� � : UNDER FLOOR�CUP��DUtT: ' ' ' " - i . _.— __ . . . .. .. ISLAB GRADE __ � -- -. . . _ _ ---_ _ ; FIREPL�P:CE F011NDATION :� , }ti -� : . : . .: : _ ; , ; ITEh1P POWER ----_, ___. . _. __. , - � FIREPLF�CE BOND BEAM = � : : , ' ' • . ,•-- !WATER SERVICE . .. -- . ��__ MID HT. BOND BEAM �, �.:.',�, ' ��, . ::,�r ':, ; .. , . , IROOF SHEATHING ' I - ,.: 8 FT.BOND BEAP11 - - -- . �FRAh91NG.NcNTILIATION - � - FINALBONDBEAM , ,: jROOFCOVER • � � - : PRE-GRADING ��' �' �' ' '� � - IROUGH HEATiNG -- - - , . _ . - _ BENGHItdG;�t-��-� �; . _ i ,. •, � 'ROUGH ELECTRIC _- - ' _ � , _ � ROUGH GRADING _ _.. . __ _ __ __ ___ _.. . ;. ,ROJGH PLUMBING ' -- - - - -- - FINISH GFiADING ! �� ;SHOWERlTUBTEST-� - - -- - POOL ELECTRIC � i� 'EXT.-LATH/SIDING —�- - POOL�FENCING ' I : ;V'lAtL-iNSULA'iION - . - -- . - POOL�FINAL ' ; ---- GEIL1NGIivSULATION '. ' =- •• - - OFFSITEIMPS. ' =: iDRWVALC"NAiI.ING - "- - , , ' DEDICATIONS � • �.. !SE`lJcR __ __ _ ..___. _- -- --- .. . , _ FINAL ENG. � I : ;SEPTIC TANK UANDSCAPE/IRRIG. ;SEEF' P2T/LL. _ ' • • ON SITE IMPS. ' iGAS AIR TEST ' , •7/-� . FINAL ZONING • - !FINAI:CONST. .,_._ _ _ __ _ . �1 � � v .�i �: :r' _ FIREDEPT. FINAL .FIfJ.�LHEATINC_.____ _ . ` f'_ HEALTH DEPT. �INAL � - � '�iN�,L ELECTR(C - - . . . � - DEV. FEES PAID - --- �;=ii�i!`,L PLUt�.9BING _ _.._ _ _ El�3ERGY — i;-� - -- -_..__; _ . . - - _ __ _ i.! -- -. . . . ._ , - . . .. _ .. _... __ .--- . _. . . . ..__. . .. ._ . -- ^� ,�F�.W�� �� ����,� � ':.��.e. ...i�!r____ _.� _.�.�....� . . � � � � � -- :. . . � ..�' . �1 -� - --. . . . . . . . � . . � � . _ � . 'ico��r�nENrs S/� ����� �,� �,���� � ` . .�,� ..� �Te.�.�- s ��,., _ _ _ __ . �� C_c�—.c� ry` __ _ ._. -- - p , ; � _ �al • �/ w�t Y t 't �v���-�a,,.,.. E��d*^�tiC_� " i �� ;_ : ; � . - � �J _ �.F�. �/,!�i t ���UGf./��-F•T-C�-��l�-�. .. ����' � _ 7 I � ��[j � I L/ _ ' _. ! - __ . � , . .. "'i:. i , ' � . � �� L���, �,1\/S���C�7Gr0 G�Y'�'1'�S/ S �l♦7� _ lo CU.�/��t- 7 �V .� S , � t�''Q't� �t'��,�'L/72%�-G TC�� � - , - _,r-- I . --- - � ..__ _ i _�p g S ' v2�'S S.;,2G' d_..S-r ,SEPTIC TANK SIZE _ �J .tl� �oc�✓�!� ✓o�••.s l �'o.✓���7 0 �2. � / ., ry _^ __ _ , � SEEP PIT/cJ 51ZE - - - i .,-�-,; �z. /.t. 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