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HomeMy WebLinkAbout14426 (17) �J� �� CITY OF DIAMOND BAR' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �i . 21660 E.Copley Drive Sui1e 190' � (909)S6a3195 Faa(909)861-3117 PRE$$ `��'� BUILDING PERMIT APPLICATION FlRMLY JOBSRE APPLICATION �] PERMIT �P/C o ADDRESS �� TG f'1 Sr` DATE ► NUMBER N � ISSUE TYPE OCC APN LOT TRACT DATE CaNST, GROUP � OWNER "" ADDRESS ZONING SETBACKS � � r FRONT • RW ❑ CITY �ZIP� TEL C REAR' ❑ APPLICANT TEL. SIDE/SIDESTREET` � RW O � CONTRACTOR SIDE p g CiTY �SS ZIP TEL PROPOSED USE eW � Id� � ARCH/ENG/ . —"Z�. 1 �ESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDflOOMS � CITY ZIP TEL N DESCRIPTION SQ.FT. FACTOfi PSF ADJ.AREANALUATION N Q OWNER-BUILDER DECLAAATION SFRlADD/REM O p I HEPEBY AFFlRY U/OER VENALTY OF 7ERA1itY TNA71 M1 E7IEMPT FRpA TME CONTMCfOfIS Ll- Gefeg6/C0ry0A liJ CENSEUWfONTMEFDLLOW�N�NEA.M1ON(SEC7oJ7.6BU51NE531NDPROFE5510NSCO0E:ANYCRYOR (n <) �pUNryWHq/REq11RE5AVERMITTOCDNSTRt1CT.ALTE0.�PAOYE0E61OL19lORREPAIf1ANY5iRUC- W P8110/�BCk � T{IRQ,Fqqfi ip RS ISSVANCE.IL30 REOUIRES iNE APPLICANT fOR SUCM PERMIT TO FILE A 61GNED W � BTATEMEM THAT NE OR SHE L4 UCENSEO W/0.5UMIT TO TNE PRDVISIONS OF Tlff CON7RACfOfiS Lb CENSE U�M IClUP'fFH i(COMMENCWO VATH SECTION 7aoo)OF DIVISqN]OFTHE BUSINESS AND PHO- u" P�OVSpB FESSqNS CODE)OR T/UT HE OR SHE IS E%EMPT 1HEREFpO1J ANO THE BtiSlS FOR 1HE ALIEGE�EXEAIi�- TqN.ANYVqlAT10NOFSECTION70.71.68YANVAGPLICANTiORAiERANiSUB.lECTSTHE�PVLIGMTO Z Re•Roo1 � � ACML PENALTY OF NOT MORE 7NAN FNE MINORED DOLLARS ISSOD).): " - , Q 04ASOM'NEROFTI7EPFiOVERTY.ONAIYEMPLOYEESVAiHWAG[SASTFIEIRSOIECOM7ENSATION, 0 Commerciat . � M7LL00 THE WORK,/HD TME STRUCTURE IS NOT IHTENDED OR OFFERfO GOR SILE(SEC.70��,BU56 J MEBS ANO VAOFES.a10N3 OOOE:TME CONTMCTORS LICENSE UW OOES NOTAPVLY TO AN DWNER OF ' N PROPERiYW1iOBUlOSORNAPROVESiHEREON,ANDM710DOESSUCHVJORKHIuSEIFORHERSEIFOR m Q TMROUONXISORNEROMMEMVLOYEES,VNOViDEOTHATSUGMMPROYEMEMSANENOTttfTENDEDOq � ,OFFEPWFORSN.EIF,IqWF/ERTMEBUILDINOORIMPROVEMENTISSOIDWRMNONEYEAAOfCOMPLE- �TION.THE OM'NER9UILDEH WILL MAYE 7HE BUHOEN OF PRO'�ND T1l�T ME OR SME DD NOT BURD OR IMPiqVE FOR THE PURPOSE OF SALE). W O1A50'MNEHOFTNEVROPEfifY,AME%C1115NELYCOHfRACTIN�WIMLICENSEDCONTMCTORS � TO CONST�WCT THE PRGIEC7(SEG 7o�J.BUSINE55 MD PROF[SSIONS CODE THE CONTMCTORS LI- V01U011011 ADJ.AAEA CEH6E UW DOES NOTMPLY TO Ml ONHEq OF A VROVERT!NT10 BUIlDS OR MPFi�KS TMEREOH.IWD � WFqCOHTRACTSFOR5Up1GRO1CCTSWITHACOrRRACfO(1(5)IICENSEDPUR9U,WTTOhIECONTMG OVANTITY OESCRIPTION � FEE � TORS UCENSE UW.J. /�, �C . O IM1 E%EMPT UNOCRSEC 8.l P.G FOR THIS REASON U OO S f /�1. G ¢ � LL' DATE OWNER V � LICENSEO CON7RACTOFS OECLARATION . � � � • � w IHEREBYAFNiMUN�ERPENALriOFPEfWRYTHAilA�1lKENSEDLNDERVMN51CfJSOFCHAPTER Vr � �(Cp111ENC4q Y11iM 5ECT10N 7000)OF DMSION 7 0F THE BUSINE55/ND GROFESSIONS ODOE,ANO Z X MY UCENSE R N FLXl PoHCEANO EFFEGL m �u 0 UCEHSE CUSS UG NO. � J � � pATE CONTRACTOR a .� , . . WORKERS'COMPENSATION DECLARATION � � N IHEREBVAFFlPMVNDERGEN/�LTYOfPEa�lfh'ONLOFTHEFOLLOWnJ(iDECLAMTIONS: U N Z Q � _11+AVE11WYnlLMAMTNNACERTiFICATEOFLON5EMT050.F�IN5UREFdtNOFKERS' 2 � � COMVENSA7lON,ASPqOVIDEDBVSECT10Na7ooOFT1LLABd1COOGFOIiTHEDENFORA�ANCE W OL THE WOHK f OR MMiPI 1H�5 OEPoAIT t9155UED. � � _I1UYE IIND YVILLMARRNN WOi1KER5'COMPENSATION MSURANCE,AS REOViRED BY S[RION O 770o OF iHE L/BOR COOE,iOF TNE DERFONAAICE OF THE WOfIK fOR WHICH TNIS PERM?IS 65UED.A1'lWORKEfU^COMi'ENSAiIONINSUMNCLCAFiRIERANDPOLICYNUM6ERAAE: CONSTRUCTION j cwwcA PLAN REVIEW � PpLICY M/MBER ELECTRIC � ' � �� o �Ssccttr+rsmrxneem�.f�rmoFnEvtnrrrsru+a�ru�moouu+s6+an��[ss? PLUMBING ��i Tn w MECHANICAI Z I CCRTiFYTW\71NT/1[PEHFO�1.uANCE OF iNE WORK FOR YMiCH THIS VENMR 6155UE0,1 (3 511AtLNOTFMPIOYM�'/PERSONNANVMANN[RSOAST00ECp.�ESUBJECTTO7ME ' � WORKERS'C�APENSAT�ONUWSC�FCAL�FOfiM1ANDACREETHATIFIS11IX1LD8ECOME INSPECTIONfEE � S SUOJECTTOTMEVYORKEi15'COMVENS�TqNPROV15lON30f5ECTqNi1000FTHEUBOII ISSUANCE COOE,I SFULL FORTMMITH COMPLV WI7H h1O5E VRONSION4. �_ � SMIP ��t1],I�� p DATE: APPLICANE uL`lJ BAR � J ENERGY P!C �� WAqNIN2 fIUWRE TO SE WRE YXNiKEHS'COAIPENSATION COVEMGE IS UNUYKUL.AND SMAIL BE SA['GT � 9UBJECTMIEMP�OYERTOCFiMINALVEfULT1E5M1DCNiLFWESUPTOONEHUNDRE0T1qU5iu1D ENERGYPERMIT ����� � DOLLARS(1 f 00.0001.W��710N TO THE COSi OF WGPENSAIUN.OAM�GES AS FfiOViDED FOR IN ¢ 9ECTION170lOFTNElA80RGODE,INTENEST,ANOATTOfWfY9FEES. ./j[TENTIONFEE: ti CONSTRUCTION LENDING AGENGY PRE-ALT FEE: CL IHERFBV/�FFIWIUNDERCENALTYOFPENIJMTNATTHEREISACON57RUCTIONLEN01NO�0ENCY ' �z- FORTMEVER�ORMANCEOFTHEWORKFORWNICHTHISPENd�TI5155UED(SEC.J�D7.CIV.C.1. � W • � lEN0ER5 WVAE �S LEN�ERSbDRE55 W ICERTIFYTUTINAVER[ADTHISM7UCATIDNANOS7ATEiT1AT7NEA80�'EINFONAATIONISCORRECT. TOTAL FEES /a3 'r� � IAOREETOW1.17LVN77HAlLGrtVANDODUNTIORDINANCE5�ND5TATEUwSPEUTN6TOBUtDIN� CGNSTRUCTION,NJD HEREBY AUT}q1UZE REPRESENTATNES OF TNIS CWNfY TO EMER UPON THE � ABOVE�MLNTIONFDFNOVER7VFORWSPECTqN7URPO5E5. COMMC-NTS 0 � � m PERMITTEE � a � � y SIONANHE RMITfCE DAT � RECPT.NO. PAID BY � � V/WDATION WHITE—Depertment Copy,YELLOW inance Copy,PINK—Nsseasa Copy,GOLDENROD—Fila Copy,GREEN--ApplicanYs Copy .. .. .. . i.. . • .�.: .�..� r�:�,l ••,..Il•...� . e.�:6•�. . — ... ... _ J� ' r•. .. . ...�,.�..., . .. ..,. .�. . � . ���r. . � . . . • . . � . . .1�, . . . . . . . ....,. , . , CITY OF DIAMOND BAR . ,,; � ,_�:�: .,.. r��::INSPECTION�RECORD �;�::�,�. �, . ... . � .. . . _ , ,.�� . . . .. . .. �,� `i���c�kC's�+�i � '�+ `•�`�j` 1 � ^-y c� ,�l'� ��'(►����'�Q;_ ��'���*. ���y�'q�� i�a��=��,�'o,� � -� �R.�+ '�� . ,..�R ����r"��,.� �,�r. �" ., �� � � ��..�.......,...,........... — ,. .....,....�,,.. .. .....�.,,�,,,....�..,,...... . ,. . . _. ;SETBACK ., '�1 , , -,• -. ,� ��.. , �.,-,,,. FL�ORJOISI i� � � �� � ; ,. - i�,. 1 FTGS/PORMS/STEEL .-�� , � .,` � 1� : • FHA REQMTS_ _ '` � t . � . '.._`__ _. --T- --��------- � �ELECTRIC GROUND __ ___ "'" ' UNDER FLOOR DUCT � %� ; � .. . , _..___... ,, . , . ,. ��,. - --_ --- - .. .._..._... IGR�UND PLUMBING : .� _. .. UNDER FLOOR CU',4�UIT _ -- ... ' .. ( ._=� iSLABGR�+QE �--- - �� - -- ' I FIREPL CEFOU��pA ION .' +,,� : ; } ; , it, T�MP POWER- �-- -; ,; Z'(?��_ _ _ = ' i FIREPLACE BOND BEA . - •-- -. .` --- '�• ..' �'� M � IWATER SERVIGE� _ .--- . , . : � . -MID HT. BOND BEAh9 �::. . , :, IROOFSHEATHING: �. ��.....,! i,� : ,.. ',,; . '�r�.•: 'BF('.BONDBEAM . .. . .._._ ._. � _ :-: i , iFRAh"If�G,NEfdTlllATION � .,-. � :-- - - FINAL�BOND BEAM - _ . , � , . : , . i ; �RObF COVF_R .c;,; � � '�_ - . ':�, PRE-GRADING.. .._ ._ . - -. _ .. .._........__ ��, I ;� - -. _ . _ ._. , ,,. ' �.. ;ROtlG}-I N�ATING --- _..._. _.... __ . BENCHING , . ;�•• � : IROU�ak��LECTRlC.__.: . ;..,,.;_. '_. _; ', � . �. ' �. ROUGH GRADING ... . .--- --...... .. .. - -- - ._.._....; jROUC,.�PLUMBING - - - --1 ' ' FINISH GRADING i •:..� �F• ,.._ . _ . , . _ 15NO�J�R,rTUB TEST--'; - --- �- -- - -.-, -'. POOI�ELECTRIC , ; � r ' ----- ��XT.L;Tt-ir'SIDING . � ___. ..._._...._ _.. . POOUFENCING � . � �tMllLlifdSULATION.._...--- _ ; ._. ..� _.. .._._.. . _ POOL''FINAL . , � � — . �}C�ILfi`JG"I(�:�ULATION' --.. _.._.. _. . ... , - -.. _...: . OFF 51TE IMPS. � ',: . ; ; . , i -. jDRY'�'Jt�tL NAILING ._. . _.. .. .... ._. _. .. �EDICATIONS. , ' ; . �'SEPIFR------ _ .. .. . . _ - _ _ FINFiL ENG. � I 'r'' �i:�EPTIL'TANK ; LANDSCAPE/IRRIG. , � �iSEcP#='_TlL.L �. ON SITE IMPS. , r�-;;----• , ;,�:��.;_;�,I�; i cST I � FINAL�ZONING ! �� ;.c E�idST � �,.,': : '• , •.. ; . �� �, s, . FIRE DEPT. FINAL • , I , ; i ; �(. l.:.. _ .lEAT1NG _... ( ,r, , i = %• ' � .. , .: ;��. . .�- . HEALTH DEPT. FINf�L . , .. ._.. ._ __ tLECTAI�'.- - --.. - -- _ _ ...: , . . . . . DEV. FEES PAID _ . ----. . .. __. . I ;.. -�= � RGY _ ._ _. . � - - . N E ' , � PLUMBING� E , , , . _ . _ . .. 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