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HomeMy WebLinkAbout14131 (16) '� , _ ��., ._ _ ..� • � CITY OF DIAMOND BAR r � -��� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ,,�e 21660 E.Copley Drive Suitc 190 , (909)860-3195 Fax(909)861-311? '' - PRESS '•;�'. � BUQ.DING PERMIT APPLICATION ' " . FIRMLY } JOBSITE � c� ' APPLICATION�r � PERMIT / ? PJC o ADDRESS�.33� / £� �bG��i�-/ cs�✓C6-$. DATE V NUMBER� � � ; $ ISSUE TYPE _:. OCC ' APN LOT TRACT ' DATE CONST. GROUP � OWNER _.S"�UC.tT.If/G/5�/V� /`7�T , , � ADDRES �'l�Z /✓H`/�rs'T O19 ZONING SEfBACKS . ' � CITY �u/�!3 21P 9/S7�?1EL..�'�!� � FRONT - RW ❑ APPLICANT S. o/12 E77?� TEL. � 3�� REAR ❑ � SIDFJSIDE STREET RW ❑ CONTRACTOR SIDE ❑ ADDRESS ���� � CITY 21P TEL - • PROPOSED USE � ����G L . �ii ARCFUENG/ . r ' DESIGNER ��- � ADDRESS NO.OWEL NO. NO. - � CfTY ZIP TEL UNITS STORIES BEDROOMS ! � ' �n DESCRIPTION SQ.FT. FACTOR PSF ' ADJ.AREANALUATION � . . . . OWNER•BUILDER DECLARATION ., SFR/ADD/REM _ ' I NEREBYAFFCU/UNDER PENAIT/OF FERRMY TrIAT I M/EXEMPT i{IOM THE COflfRACTOH3 LF ,Ga�g � CENSEUWFORTMEfOLLOWINOREA3ON�3EC.70.71.6BU5WESSANDPROFE55lON5CO0E:AN'!CT'OR (n 0�8IpOR .. . .. . . COUMYWNIGINEOUIRESl1VERMRTOCONSTAUCi,AITEq,MPROVE,DEMOLISH,ORREVAIfiANYSTflUG . W Patia/Deck NRE►faOfi TO IiS RSUJWCE,lLL50 REOUIRES TME MVIICMfi FOR SUUI PERMIT TO FIIE A SIQNEO W : � ETATEMENT T/UT HE OR SHE IS IJCENSED PURSUANT TO 7H[iROVI510fiS OF THE CONTMCTORS�4 � � CENSE UW(GiAVTER Y(LdAMENCN�WITH SECTION 7000�OF�MSION 7 OF T11E BUSINE54 AND ORO. PooVSpa . � . � . ; FESSIONSCOOE�ORiW.THEOR511EI5E%EA�PT7HEREFROMMIOTHEBASISFONTHEALLE6EDE%EMP- (� TION.ANYVIOlATIONOFSECT10N7Wt.68YMf/APPt1C/NiFOqAPEW.IITSU61ECT5THEAPPUC/�MN Z Re-Raol . F ACMLPENALTYOFNOit,qRE7HNIFNEfNNOREODOLUR51i5oo).): .. . . � �I,ASOYINEROFTMEPROPERTY,ORMYEMGLOVEESWITHWAGESAS7MEIRSOIECOMPENSATION, � � Cammercial . .� . . ` MLL DO TME YfOftK AND 7/1[STRUCTUR[IS NOT RlTENOED OR OFFEHE�FOR SILLE(SEC.TOl�,&151• J N NESS AND PHOFESSION9 CODE:TME CONTiUCTOR4 IICENSE UW OOES NOT AVPLY TO/�N OWNER OF = , , OROPERTVW/qBUIDSdIR1VRO1fE3THEREON,MONMODO[SSt1tliWORIfMNSELFORHEPSEIFOR ' " � (� THROUO/IHISORHER0IVNEYPLOYEES,DROVDED7HAT6Ud/MPpOVEIAENTSARENOTpJTFNDEDOft m �i� OFTEAmiORSA1E1F,110V/EVER7MEBUlDIN60RWPRDVEMEHTISSOIDWRIpNONEYEAROFCOMPLE-. Z '710N,TIE dVrt1ER8URDER WILL IIAVE T/E BURDEN OF OROVINO 7FIAT NE OH BHE OU NOT BUIID pR ' � M7fiOVE FOii h1E PURPOSE OF SALE} •. .�. . O 4��N OF iME PiqPERf7 AM E%CLUSIVEL7 CONTMCTIN�NrtiH LICENSEO C9NTMCiORS ; � 70 WNSTRUCf TME PHO.IECT(SEC.7DM,BUSINESS AND PROFESSIONS COOE:THE LONTMCTORS L4 Valuation � � � ADJ.ARE/1 � � � �� ' CENSEUWDOESNOTAVGLY70ANOWNEROFAPROPERttVR10BUM.D"..ORMPf1OVE37HEHE0N.AND WFqCONTAACTSFOR5UG1PRQIECTSWITHACONfMC70R(5)LICENSEDPURSUAMTOTHECONfRAG OUAMITY DESCRIPTION FEE � � 70t19110EN5EUWJ. . . . .. . .. . . . . . O 1 AN EXE4PT UN�EA SEQ B.�V.G.FOR TMIS REASON Q 3 � � "-- o�� OWNER U .. � .. . . .. . . 1 ' � � .� UCENSEDCOrlTRACTORSDECLARATION W � � � IHEREBYAFiRWUNDERVENPLNOFVE1WilYTMATIAMLICFNSEDUNOERPROV1510N50FdUPTER � � � � �, , . � �(COMNENClq WfTH SECfiDN)000)OFDMSqN J OF iHE BU51NE5SAND iROFE55iON5 COOE,AN�.� Z � ' � � �y� W IJCEHSE 6 N FUIL FORCE/�lA EFfECT. m � LICENSE CtA55 . . .. .. .LIC.NO. � � � i � ��'i�'j-� DATE . . .. . .. CONTHACTOR � d = WORKERS'COMPENSATION DECLARATION a . � IHCRFBYAFFGWUNDERPfWlL1YOFPEiWMpJEOFTHEFOLLOWIN�DECUfUTqNS: � � ' Z � .. �� �' � �� , � _IHAVEANOWILLMNNTANACEHfIFICATEOFCONSENTTOSELHNSUHEFOHWORKERS $ � 0061PENSATION.ASPROVDEOBY6ECTI0l17)OOOFTHELABOIiC00E,FORTHEPERFOM1ANtE� " W Q OF THE WOp1(FOR WNICH THIS VERMR IS ISSUm. � � Q _I HAVE M7�WILL MNMAP!WOfIXERS CDM7ENS�TION INSUMNCE,AS NEWIRE�BY SECTION �1000FTT1ELABORC00E.FORTHEVERFORMANCEOFiHEWORNFORNTIICl17HISVEFMITIS �, . � 153Um.YY1MDRKERS'COA1DfNSAT10NINSUiUNCECARRIERANDPOIICVNUMOERME: CONSTFlUCT1ON _ > c/wa¢q PLAN REVIEW Z POLICY WMBER ELECTRIC .,. Q'T CL_ Yt � �sEcnor+rcmaorsem.sa�nocn[vear�rsroaa+eHumvmuusR+amon�ssl PLUMBING �� Z 1 CER7IFY THAT IN THE PERFORMANCE OF iHE WOR1C fOit WHICH THIS PEqMIT IS LSSUED,I MECHANICAL U' SH�LLNOTEMPLOYANYPERSONINANYWNNLRSOASTOBECOAIESU&IECTiOTHE ' (n NOPKEHSCDIAPENSATIONUWSOFCAL�FORN111WOACFEETMATFISHOULDB[COIAE INSPEGTIONFEE � ��`- � SUBJECTTO7HEWORKERS'OOM7ENSATIONPROVISIONSOFSECTION77000FTHElABON � � � �j CdOE,iSHAl1FORTMVA7HCOMPLYMnTHiHOSEVROVI510N5. ISSUANCE O�� n � 1 � � O v v • , � � p DATE: � APRICANT: - SMIP ^�+�'e � � WARNINO:F/UIUHETOSECUREWONCER5COM0EN5AT10NCOVERAGEISUNUWFUL.ANO5F41LLBE ENERGYP/C��_��_�i�....� � �� SU61ECf AN EIAPLOYER TO CfUUNAL VENALTIE4 M1D CML FINES UP 700NE NUNDRED T10USWD ENERGY PEiit�'U4,�TNG AN •"'— COLLMS(f I0o.000).N ADDfT10N TO TNE CAST OF COMPENSATqN,0�1MCE3 AS VROVIOED FOp W � 9ECT1DN970eOFTNELABOROODE,NTEREST,�NDATTORNEYSFEES p���ONFEE: � � ' � , o CONSTRUCT�ON LENOING AGENCY PRE-ALT FEE: � INfREBVAFFtRMUNDERPENALTYOFPERri1RY7HAiTHERE6ACONSiRUCTKKILENDW6AGENCY � � FORi11[VEHFOR/AANCEOFiHEWORKFORWNICHTNISPERMITI5155UED(SEC.90a7,CIKC.). , , � � � lEN0ER5 NM1E ._ ,. . . . . . . � LENDERSADDR[SS �) � � ICERTIF7T/NTIHAVEPEADT115MPUCATIONANDSTATETMATTHEABOYENFOfiMAT1DNI5WMECT. TOTAL FEES � �� � -lj� �/ � . � IA6flEETOCpAVLYWITHALLqfYANDCOUNT70RDINANCE5ANO5T�TEUWSREUiNOTOBUM1DIN6 C �� CONSTRUCTION,ANDHEREBVAUi/10WZEREiRESENTA7NE50FTFtl5COUNTYTOEMERUPON7HE . . . . � _ . . _ ' , �eove�uE�rtioaEDv irForiwSPEcrar+vURvasES. COMMENTS � . .�r aCERMITT E NAME � . .. . " (A NA PE VERAIITTEE DATE � . .. RECPT.NO. PAID 6Y V/W�AT10N WHITE—Depertrnent Copy.YELLOW—Finence Copy,PINK—Asseesa Copy,GOLDENROD—FibCopy,GREEN—Applirant's Copy � , . . " . ., l . . � . 5 • • . . . •'y� � i , . . . � ��� ... � �- . .. .� . � � . ' • � . CITY OF DIAMOND BAR - ,� � ...,`. �`�. . INSPECTION RECORD � . . < .. � . . . ��-. . . - . , � . . . �' .. . ,, �. , . . � � , . � . . � � , . � . SET BACK ' 1 � `���. � , .. . `� . },'���.1`• , FLOOf}JOIST '��, •�� , .. � . ' .; FTGS/FORMS/STEEL '�' � � ', FHA REQMTS - -. _.._. . �. .. . .�. . _. ...._._ .._ . ..._� , ELECTRIC GR�UND - � - �:" _ -� � --- �� - �-- UNDER FLOOR DUCT • . . � . ; ,.-,. ---� - ' � ' ' + ,�, GROUND PLUMBING � � UNDER FLOOR CONDUIT � ' � � ; , �'.: SLAB GRADE - - - -- - • � FIREF�LAGE FOUNDATION � ' ' . . .' .-'�' ' ^ ' '� " ! TEMP POWER __ '. � . , ,` FIREPLACE BOND BEAM - .. �" � - ._ _ , WATER SERVICE-�.:..,�;_ :_ .. .. -:-.-:- .. . '.--= MID HT.-BOND BEAM- . . . _, � , ROOFSHEATHING '- - - � - -- � - '8 FT.'BOND BEAM � �;•. - �• ' � FRAMINGNENTILIATION . � FINAL BOND BEAM � � , � ROOFCOVER.� ; . ': . ' PRE-GRADING - � - �- ' �ROUGH HEATING �-, _ _ . . - BENCHING . .. ,� � . . 'ROUGH�ELECTRIC-�'� - � - ' , - -ROUGH GRADING . � R�UGH PLUMBING-i �- " " : - FINISH GRADING , . •, ,... , ' SNOWER/TUBTEST;�� ' - - � : . : POOL ELECTRIC ' ' . ' � : EXT:LATH/SIDING ' � � ; � POOL FENCING � ' ' � • '� ` WALL INSULATION i POOL FINAL . , . CEIUNG INSULATION OFF SITE IMPS., • ' DRYWALL NAIUNG DEDICATIONS ' ' + SEWER _ — --. _.. ' . : .. FINAL ENG. : � SEPTIC TANK _ _ _ . . LANDSCAPE/IRRIG. -SEEP-P!TlL.L -•=- =.. , ' - , . .. . ON SITE IMPS. ,, ' . .' ,. ; ;„ �GAS AIR TEST �- ��- -� - FINAL ZONING �-' -FINAL CONST. -- - -- -- --- FIRE DEPT. FINAL - •' ; . . FINAL HEATiNG -- - -�- - ; �� : HEALTH DEPT. FINAL - � FINALELECTRIC� - �:� " - , / � DEV.FEES PAID. � -� - - � " FINAL PLUMBING `� ENERGY • i , , , I -y� a _.. . , ----- .... .. _ '.._ . . . _.--- -------.... __. . — --- - ...' ___ -- ---.. _ _. .. COMMENTS �v _ - ._ c�? ... . . ,_ , .i ! ..._. .. , , ; . _....._. . . ----�—����� - -- � ,. � ' , I . _ ------ . ._� . �� y . � � , , , I . � . ---. : , �, � , - - . _ _ . _ ;,� . , �.. , . �. r, — �' , r.l:C! {: � -r�.3,,,. , �;ia '..,�� �.�,r,1: r•i- -.- .,,.. _ . __, _ �r�.7T71 • ''L.l� .!� � �. � . i ' . I ;y� SEPTIC TANK SIZE .... -,c.�, . , . , SEEP PI7/U SIZE � �� � � � . _ „ � , , , . . � . , . _.. _ . . .. , i _ ...... � . . , .. , ; , �...:._ , .. � • . , --- . _ .. ' , , r. . . .... _. I , . , . � . ..... \ r_ -. r—, ,' .... . ._ . _ .... . . .. . � i ���� , . � � . .. ' '•i .— - . �. 'v.,'`� . . � . \ '` ^� .� . . _ � .. �_ �.._ , , ' . ' ,