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HomeMy WebLinkAbout16357 (23) __ ..._._ ._ _ ...... . . . _. . , ,�� , . i . ,,. �� CITY OF DIAMOND BAR ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ,,^� . 21660 E.Coplcy Drive Suiu 190 � (909)860-3195 Fex(909)861-3117 PRES$ '�'^" BUQ.DING PERMTT APPLICATION FIRMLY ��„� J08SITE ��� �O�o�eh S���h� D}'' APPUCATION ,� ,J--���, PERMIT P/C o ADDRESS DA7E •7 NUMBER��, w � . � ISSUE � D TYPE OCC ' r� APN LOT TRACT DATE CONST. GROUP g OWNER f�0 Y1 h " ADDRESS ���-O� (�nt� Y �o i n �h � ZONING SETBACKS � CITY Q_ ZIP �T�—_ TEL_Po{���P��K� REAR RW p APPLICANT �-f'I�h� TEL. SIDE/SIDESTAEET RW ❑ � CONTRACTOR SIDE p � ADDRESS � CITY ZIP TEL PROPOSED USE � O , ,� Pii ARCH/ENGI , , . , ` ' . . . ._... ,�� r... � DESIGNER NO.DWEL. NO. ' NO. ADDRESS UNITS STOFIES BEDROOMS CITY ZIP • TEL N rn . DESCRIPTION -• •••S�.�FT: ° '''FA� ORPSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFRJADD/REM " O I . 8 1 HEREBY AFFlRM UIDER iENALTY OF PEfWRY THAT 1 MI E%EIAVT FROM 7T1E CONTMCTORS ll• Gdf3g0/CBryOh � �� � CENSEUWfORTHEFOILOWIIJ�NEA50N(SEC.70.71.6BUSMESSIWOPROFESSIONSCODE:ANYqTYOR' (n _ _ COUNiYWFAG111E0URE5AVERIARTOCON3Titl1Cf,ALTER,IMPPOVE.�ENOU9I,ORREDAIRM7Y5TRUC.. � �jJ ��PBIkVDOdc'-' -- � IURE.VRqR TO RS ISSUAMCE./LL50 REW IR[S iHE APDLICANT FOR SUCN VERMIT TO FILE A SIGNED W � 6TATEMEM iHAT HE OR SHE IS LICENSEC PUi15W WT i0 THE PfiOVISIONS OF iHE CONTMCTORS U• CEHSE UW(Q/MTER i(COMMENdNO VrtT11 SEC7qN 7o0a)OF D!VISqN]OF THE BUSIN[53 AND PRP LL POOVSpB iESSqNSCOD�ORTHATMEORSMEISEXEMPTMERE�fiOMANDTHE8A51SF08TM[/�LIEDEDEXEMP•� TI�/�.IWYVIOUTIDNOFSECTION70]1.68YANYMPLICANTFORAiERAlITSU&IECTSTHEAPPL�CANTTp Z qe-Roo( � ACIVILiENALiVOFNOT►qREi1WIFNEHUNOREO.DOltARS(i50D).): O ❑1A40YMEROFTHEVROPFRT:OR►IVEYMAYEESNrtTHWAGESASTHEIRSOIECOMPEN5AT10N, � �mmercial - � Z WM1D0 THf WOWC AND iHE STRUC7URE IS!bT INTfNDfD OR OFFERED FOR SALE(SEC 701�,BUSL J N NESSNJDP110FF3610NSCOOE:TNECONTMCTORSLICENSEUWDOESNOTAPPLYT06NCNMEROF ? _,,.,...,...,,,,,, ..,,,�• � � „�,.,.�i• iHOPERTYYM1IOBVILDSORMP110VE9THEREON.NIDNIIDDOESSUG1VfORKHIMSELFORMERSELFOfl '"" ' Q TWiOU(iHWSDRMEROWNEMPLOYEES,PHDVIDEDTMATSUCNIMPROVEMENTSMENOTN7ENDEDOR ' m . � ,OFFB1EDiORS/LEF,lqWEYER7MEBUILDP100fIMPfiDVEMENT650LDWITNWOHEYFAROFWYPLE TpN,TY1E OWNER�BUILDER N7LL FUVE THE BURDEN OF PROVIN011UT ME OR SME DID NOT BURD OR M/PRDVEPDRiHEPUHPOSEOFSALE� ' � W OlA3OM�NEROF7NEDIqVERTY,AYEXCLUSNCLYCONTRACTNOYrtTMLIC[NSEDCONTRACTORS � TO CONSTRUCT THE PPWECT(9EG 7oN,BUSINESS AND PROFCSSIONS CODE:THE CONTMCTORS ll� V81ue110f1 . ADJ.AREA CEN9E UW DOES NOIMPLY TO AY qYNEq OF 11 VROPEflTY YAfO OUILDS Oi11A1PROVE4 THEREIXi,AN� MI11000NTMCTSFORSUdiVROJCCTSNnTHAWNTMCfOR(S�IICENSEDPURSUAHTM?HECONTMG pUANTITY DESCRIPTIDIJ FEE - � iORSUCENSEUW.} . . ' . OIAMOlEA17TUPOERSEG B.IP.GfORiMISREASON . Q �: -�n�. y,..�r Y� U � � � � � C�r¢ �� OYINER V � 110ENSED CONTRACTORS DECLAFiATION � � w IHEiIEBYAFFYWUNOERVENAITVOFVE0.IURYTUTIAMLICENSEDUNDEAPROVISqNSOFCNAPTER V, � •(COMNENCHOWfT115ECTION70oo)OFOM510f170FTHEBU5INESS/wOCROFE55qN5CO0E,AND Z `� WUCENSESWFULLFORCEANDEFFECT. i m . � IICENSE CLASS IIC.NO. � 111------... � � DATE ..---.. . ••�.•. �•CONTMCTOR a. WORKERS'COMPENSATION DECLARATION � NIMEREOYAFFGWUHDERiENALTYOFVE0.IUMON[OFTHEFOLLOWINODECLAMTpNS: �, Z � _IMAVEANDW1LlMNNTNNACEATlFICATEOFCONSENTTOSttF-INSUFEFORKORNERS' _ . ., COYPENSATION,ASPFWVIDEDBYSEC710N77xOFTMEUBORCOOE,FORTNEVERFORMANCE U ,Q '� OF ME Y/ORK FOR riH1CM T1113 7ERMIT IS I55UE0. , � ��I HAVE Alq WILL MAIMAIN WOPoCfRS'COIAVENSATIDN INSURANCE,AS REWIRED Bv SECTqN w� O �- 77DOOFiHEUiBORCOOE,FORiN[PERFORMANCEOFTHEWORKFORNNiCHTHISPERMITIS 7� � ' �ISSUED.MYWONI(ERS'COYPEH511TIONIHSURANCECMRIERANDP0.ICYNUMOERMC CONSTRUCTION + ` �/ ,� � � c�wwen PLAN REYIEW �� � ._ � � raicrr+uweEA �' ELECTRIC �. J� (IHS3ECTIDNNE�NOTBEOO�PL£IIDOFhCPEW,fTBPo1i0NENl�Df�ED00LLAftS(St00JOq1F551 PLUMUING 'Z � ICERTIfVTUTNTHEPERFORMIWCEOFTHEWOPICFORYlIi1CHTHISiERMITI5155UED.1 MECHANICAL I(�3 � SMu.1NOTEMPLOYANYVER50NINANYYANNEq50ASTOBECdAE5U61ECTTO7HE �uj WORKERSCOMv�SATqNUW50FCALIFORNIA,MIDACREETMATIFISVKKADBECOME INSPECTIONFEE i`- SUBJECTTOTHEWORNERSCOMPENSATqNPiIOVISIONSOFSECTION77ooOFTHELAflOR �S , COOE,1 SNNl NRTNNnTH GOMPLY WIiMTqSE PROVISIONS. , ISSUANCE- G � _ � SMIP p OATE: � APPLICAM: � ENERGY P/C WARNIN6:FNLUPE TO SE WAE WONfER3'COMPENSATION COVERAOE 19 UNLAWFUI,AND SHALLBE �� SIAJECfANEMPLOYERTOCRIMINALPENALTILSANOCMLFNESUPTOONEMUNDRC�TMOU5M10 ENERGYPEqM1T � Oq.URS(i100,000).07 ADDIiION TO iHE GOSTOF COMPENSATION,DMIACES AS PROVIDE�FOF IN � SECTION170lOFTIEUBORCOOE.INTEREST.MIDATTORN[Y5FEE5. � � �� RETENTIONFEE: o ' CONSTRUCTION LENDWOAGENCY ' PRE-ALT FEE: � IHEFEBYAFFINAUNDERPENILLTYOFPERRIMTHATTHEREISACONSTRUCTIONLENOWGAG[NCY � � FOfiTHE iERFORAIANCE OF THE WORK FOR WMICH THIS PERMIT I5155UED(SEG.90Y7,CN.C.). . � LENDER'S W1ME � LENQEi#SAD�R[55 � /� ///�����. W ICERTIFYTNATIMAVEREAOTHISAPPLIGTiDNANUSTATETMATTIEABOVEIN�OiUlAT10NISCORRELT. TOTAL FEES /�GI ��� 1 A6REE TO C0IAPLY VAM N1CT'AND COUNTV ORDINW CES A1A STATE UWS RELATN6 TO BULDINO � OOH„7qUCilON,ANDHEHEBVAUTWq12FREPRCSFNTATIVE50FTHISCWN7YTOEMERUPONiHE ��� � ADOVE•MEMIONED PROPERTY FOF WSPECTIDN CURPOSES. COMMENT � _ ` � ' �iU o o/� y,r e, Y�n �ry � PERMI7TE__�� v .. v_, ! �c C,L—,1=o�. (A BIGNATURE P RA11TlE OATE � ` RECPT.N0. PAID BY VAUDATION WHITE-0epertment Copy,YELLOW—Finence Copy,PINK—Aseeaaor CoQy,GOLDENROD—Fllo Copy,aREEN—AppliuM's opy _ n.-, , . . , .. ... ..... . . .. . . . .. , . . ... , � . • . .. ; .. , .. , .,. � , ...,.. ,. . . .. .. .. . ., � 'l�°' CITY OF DIAMOND BAR . , . , � `�,�� +,\ ��•�'``; ,� T �:��s.:.�:� ;:_INSPECTION�RECOi�D .i ; ."} ' ' .;;; ,,.. `1 � ..,. _ 1 � . 4. � r + y 'r..p.,::� '.- '.'-;.,.... y� _:�,/ .� � :��.1,�4'���C�.�7�d,�.�� ��n���: . �L,L��.�� l,� I��.��1�.�1�P��`�R f� . ..� . ��/��'��' T 11`[��j�.`l f� �'�.^��`•��.� . �___. -__.'�� . ' _'� ,... -..�..... ...+ .,�...-..M.,- ,.. _ .. !SET�BACK� �� � , l �•1�0' •�, � r,t'.., FLOOP JO�S�(�i ,"� � ; _,l �� „ . � , . .,. , ,�. _�.., , , �_ - -- , � IFTGS/FORMS/STEEL. . . ,,..:.. . . ; --=- .- __,, ' FHA REQMTS -�---:�'.... :.. : ... . .. .. .,-� ;. . __. _ .. - --- + , . _._... ..__._ , � , , : I T ��.�. " ELECTRIC GROUND :" "-,' . _ �-- 1 I1 _. UNDER FLOOR OUCT- - � . - , �, _ . ..,. �---r.. , .. ---.--- �GROUND PLUMBING ; , UNDER FLOOR CUf�iDUIT. ' .�, ' --, . , ' - �' "'.'�. I '.�; _ —_---_—._.—�T._._,.�,._. SLAB GRADE .__ . ''�'' .-. ..----- " FIREP,LACE;FOUNDATION -., .� �-. _.._. .. . , ,�i�-� i • ---..�.-- !TEMP�POWER—_._. ..__..... ..... . ...... . :,.:. . . . '. FIREPI.ACE BOND BEAM �. C��'r• _. .. :.',� ;'i; ;• j �:.; I WATEfl SERVECE .. _ _._. .. ----... - - .. . . ' MID HT. BOND BEAM ; :� :;�,;�.� I ;'�� — -. . -- iROOFSHEATHING- ,i � '�, : +': � � � ,�;•,-,`,� , i, ... ,E3 Ff.BOND BEAM. .. ... .. .. _ ._.. 1 �,, i FRIIMING,NENTIUATION ' � � +�,�� FINAL'BOND BEAM . � - - , '`� �— — .;-, � - iROOF COVFR .�.�i , � � PRE-GRADING -- ' .� f ;,� I RQtJGH HEATING' - _. . ... -- .. ,:�. .__ ....._.__.. .. BENCHING_ . _ - ..._._.. . . . .. _ — ,�;,., ; ; :ROUGH ELECTRIC__. '...' �"'�� j�---"�.�.''�: 'ROUGH GRADING - __ _ _ _ ___ -- ---- , :, �ROUGH PLUMBING - - ----- - - ! - - - �, FINISH GRADING j �� ISHOWERITU6TEST ;-- ' POOLIELECTRIC ' � � � � � ;EXT.LATH/SIDING - � - -- _ _ _; -- POOL'FENCING ., , . , , ;WALL iNSULATiON _,...- --- ---- ; --...--..__ � _ .. POOL�FINAL : , � �., .:, � . I CEILING 1fdSULATiON . . _ . i - , OFF SITE IMPS. . � � , � _ 'DRYWALL NAICING- ; .` _(�.Q4 _. DEDICATIONS � . �r_-- _:. i ; : � - - --- - .. .._.. ... - _. FINAL ENG. ' �� - ': . I :. iSEWER �- - !SEPTICTANK I t'��`J �\ � LANDSCAPE/IRRIG. . i ; ;SEEP PITlLL., � . "`-`--=--_�,� ON SITE IMPS, � ,. I .�— ',GASf�IRT[ST ' ' ' FINAL'ZONING --- _ . _. _.. _ _ _.. . � �. !FIN�,L�ONST. '-- ._...--- . _ , ' ,-. FIRE DEPT:FINAL . : ; . . j � IFIhF,L_HEATING .-- ---... _. s" 1 ' 1�.' �'� 1 HEALTH DEPT..FINAL � , ,; ., � ...._ =i ._ ,. - - i ; . . ,_ _ � � ' DEV. FEES PAID�-, � + ; :. :=ify�l.ELECTRlC --- - _..__ . .-- ---... _. ; � � ___-__ �ii=?i•l�.L PLUMBING .._.. __ ..._. _ ENERGY � >. .__ _._ ,__ I '�"_._'_'_...''__' ..........._.._.. _,.. _. _... .__.._._._ .. . . . .. � . . — . . . --__."__ . �' ._" .. . . , '+ �I __ ..__.. ,.....__ ' .. .....'.'__. ., . _._ . . ... .. .... ... . .�. . . .. . � . ._�. .. .. .. . . .. . . . .. . i�.� � i���fP�C�Ir G C r" I � �` ,... �.� _ __ _, _ ___ _ -': _. __. - _.. .. ... - i � _.. ... -- � . �COtV1�lIENTS _ . .. i � . , , _. -- ._ --- _ . _ _ - -- : . ; �. , ; , - —___--------�— _: _._ . _._ . _... _ ! .. � . . � i �J`E� ,4 ' �tl ; , -- . - ; - ; t ,i-� � �., _ .i ! �1 -. . . _ . � . - • ' , .� � � . . . ... . .; �•+ � -. ..... . � . .... .. .. . . . . . --'- + — I . . _. . . � . ,. - —i- �'- _. _ �---��----. . .. . . . � .. � � , ,. . ' ' ' �_)..�� iJr��7 �- - - �c- __` /i: r-.( _�'--�__..__..�--- � . � _. � `� .I� • � i _ . - . , - t•--- � ,r � �� � , j i�' � �SEPTIC TANK Sf�E -- - i : ; . , — —. , - '_— , . . .;,� , ; , ;, , � � ISEEP PIT/U SiZE, . � .. _ . ._— -- _.___�__ y .�n-�.r__._ ..... - - - �----- ,. ; . , . �, i . � ..`��E . _ � _ ' � . ... ... . . � ---- � : . -.-- � I .. ., ... , : _ . . _ -_ , - _ , ' j . . .. . � -- -- I , . _ . _ ._ . : � ,.. - '- ' ,..� _,..-. .. .,.. ._ y . .�� .' _ �� . , ', . ., . . � .�,, . i. �,. ; ,��r,� . ,�. ��; � r -- -- _ _ ! L. � � • -� / -- -- -- -- - ( . �.i�.a ...:�, � � � '�.f �}/',� � 1�`1�JI� �, , ' � . ' ' � � � , . . .. �. . . ' I � � �� . .. ._ . 1 � �, , , . -- '—--- -- ' - .. , 4 1�� ~L� `� � `\ ,� ' i • � " ' � _�,..-_., -- Ir . , . � . . � � 1 ' .i '� � -— —' i � � + I (. ^. _. � \ . - _ 1 ' .. _ � . � _ � .� _...r ` ��. -- ----- ---