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HomeMy WebLinkAbout11702 �� CITY OF DIAMOND BAR � 4 DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES 21660 E.Capley Drive Suite 190 � � - (909)860-3195 Faa(909)861-3117 PRESS � � "�'. � BUII.DING PERMTI'APPLICATION ' , ' � - . . �.FIRMLY o DDRESS�'_�Q' �vLQ/�JV S�i�Q//VCe'- ,Ll�c. DATECATION i � �$ NUMB R �� iPllC /� �+ ISSUE TYPE OCC ' , APN - - lOT TRACT DATE ' CONST. �GROUP p OWNER � LL ADDRESS ' ZONING SETBACKS � CI7Y ' ZI TE . n FRONT RW ❑ APPLICANT � L. '�4�i�'�In REAR ❑ � ^��- SIDE/SIDESTREET HW ❑ CONTRACTOR SIDE p g ADDRES _ PROPOSED USE � � CITY ZIP�� TE ' o ARCFUENG/ s��f , � DESIGNER �S-/Y ��/IlIE��GINcC- G NO.DWEL. NO. NO. ADDRESS D � ,�l" � � �! UNITS STORIES BEDROOMS � CITY ZIP TE � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � p� OWNER-BUILDER DECLARATION._., SFR/ADD/REM � O I HEREBY AFFltiA UNDER PEW�LTY OF PEM1AIRY TUT I AA1 EXEYPT Fi1dA THE CONTMCTORS U- G2f8QB/C81pOR � B CENSEUWFORTMEFOLLOwINORFA50q(SEG7o�t.68u51NESSANOPROFE55lON5CODE:ANYpttOq (n U COl1uryWlUtlIREOU1RE511PEiUARTOCONSTRUCT.ALTERMPROVE,0EA10115H.ORHEPAIRANVSTRUC• W P21i0/DBCk � � TVRE,VNOfi TO rt9 SSUANCE.ILSO NEOVIPES iHE APPLICANT FOR 6UC11 GERMIT 70 FlLE A 61GNE0 W BTATEMEHf TMA7 HE OR SHE IS LICENSED PURSUN(T TO 7ME PROVISIONS OF TME COrlTMGTORS LI• � , � CEMSE UW(�PTER 0(Od��ENCINO VAiH SECTION 7oa01 OF DINSION]OF iHE B1151NE5S ANU PRO- LL' POOVSp3 ` . � FESSqHS COO�OR iHAT ME OR SME IS EXEIAPT iHEREFROM M�D 7HE&1515 FOA TME FLLEGED EXEMP- TION.ANYViOlAT10NOFSELT10N7o71A8�AHYAPiI�C�+TFORAGEFIAITSV&IECiSiMEAPPLIGMlTTO Z R0-ROO� �ti'•.'� ' ' �,,, 11CMVFNALTYOFNDTMOilEtTUWFNEHUHORE��OLLAN51tsm).). . . O O1�30WNEROFTHEiROPEATY.ORYYEMPLOYEE5VYI7HWAC[SASiMEIRSOLECOMPENSATqN, 0 Cpm1110fC1¢I � � Z NA1 DO TME WORK ANO TME STRUCNRE 6 NOT IMEIQED OR OFFEREO FOR S�LE(SEG 70N,BUSI. � NESSAMFROFESSIOHSWOETNECDNiRACTO0.5LICENSEUIWDOESNOTAVPIYTOANOWNERDF j , , . VHOPERT`/Mh10 BUIDS OR YPROVES MEREON,AND MM110 DOES SUCH WOHK NIUSELF OR MERSELF Oq � TN1q10NMISORYIENOWNEMPLOYEES,oROVIDEDTMAiSUCMMPROYEMEMSARENOiMfENOWOFI m OFfEAED iOR SALE IF,HOWEVER7ME BIJILDRId OR W PROVEYENT LS SOLD WRMN ONE VEAROF COMPIE. T1DN,THE OYVHER�tIRDER VALL FU�VE TNE BUROEN OF PROVIN�i11A7 ME OR SHE DID NO7 BUILD Oq � MViqVE FORTME VIIRPOSE OF SALE} ' W ❑lhSOVMEROFTHEVROVEHTY,AME%ClUSNELVLOHiRACTVWWfi/1LICENSEDCONTMC70RS � TOCONSTAUCTIT1EPFi0UECT�5E0.7W.8U51NE551WDPROFE5510N5CO�E:7HEWNTMCTOFSU-. VLIUdIi0f1 ADJ.AREA ' � � CENSEUWDOE9NOTMPLTTOANOriNEROFAVROPERTYYrtpBUlD50RIMFAOVESTHEREON.ANO wNocart�ucrscoAsua�v�crsvnnucanw��cron�s�ucENsmauasuurttotr�Ecart�uc pUANTITY DE CRIPTION FEE � ra�ucErsE uwR :� _. _ . OIIWEXENPTIRDERBEG B.IP.GFORTHiSRFASON 4 LL ' � . , .. �-_. . � . D�TE ONRIER V , �4 UCENSED CON7RACTORS DECLARATION � CC . W . � IHEREBYAFFGWUHOERPENALTYOFPEiWR'ITMAT�AMI.�CENSEDUNDERFROVISIONSOFCHAP7ER � s 0(CdWENCNOWITNSECTDN700010FOM5qN]OFTHEBUSINESSM�PROFESSIONSCOOE.ANO . Z u�� W 110EN5E IS N FUt�FORCE/�ND EFFEGL m � UCENSE GUSS LIC.NO � � � V pATE � " COMiUCTOR����,�� a W � � WORKERS'COMPENSATIONDECLARATION Q � N IMEREBYAFFIRMUNDERiENALTYOFPERAIRYONEOFT11EfOLtAYnNGOECLAMT10N5:' ' U " '" " " � N 4 � _IHAYEANDYALLMNMAN�CERTIFlCA7EOFCONSENTTOSEIF-INSUREFORWOi+XERS' 2 OOI�MENSA710N,ASPROVIDEDBYSEC710N77000FTHELABORCWE.FORiHEPERFOfiMANCE �U OF T1E WORK iOR M/F11CH Ta5 PERMIT IS ISSUED. � C �I HAVE AND VALL MARRAfN WON(ERS CO�.�PENShTIDN MSURANCE.IS REOUIRED BY SECTION� ' Q 77000FiMElABORCODGFORTHEPERPOiwMlGEOFiHEW�fiKFORWHip17NI5GERMITIS �p � ISSUED.WWOPKERSCOYFENSATIONWS��C�E�CM�RI POLICY�`RM� CONSTRUCT�ON � ' j CAHRIER �� �� (1�7�!!�..5 / ��� PLAN REVIEW � � I , � VOl1CYMMPER���_����� ELECTAIC / / � p (IFa55Ecnor+N[mN0'tBL0o6iiETIDOCTEVEw.frsPoaONEHt�DpEDOn1/lL"R�m�ORlE5S1 PLUMBING Z 1 CERT�FY 1HA71NTHE GERFORUANCE OF THE VlORK FOH WHid1 TMS PERAAIT IS ISSUED.1 � MECHANICAL - - S�Wl NOT EMPIOV ANV VERSON N ANY AUNNER SO AS TO BECOME SU&IECT TO THE � WORKERS'COMPENS�TqNUMI50FCALIFORNI/�M10hGREETNATIF13110UlDBECOME INSPECTIONFEE S " SUfl1ECTTOTXEYVORKERS'CdAPEN5A710NPROVI5lON50FSECT�ON�7000F7HElABOR � � �� f ��p CODE,I SMALL FO(iT1NV1TN CdAPLY 1MT11 h105E PFqV15iONS. ISSUNICE `� � SMIP I . j.0 p DATE: APPIICANT:- , , � WAANIN�:fA1LURETOSECUREKOPICERS'CMIPENSATiONCOVFRA�E15UMAwFlA.1WOSHALLBE ENERGYP/C � SUBJECTIJIEMPLOYERTOCW4W.LLPENAL71ESM10CNilFNE5UP700NEHUHDREDTFIOUSAN� ENERGYPERMIT OOlLMS(i100.OW I.IN A�DITIONTO THE COST OF CqAPENSATqN,DAMAGES AS PHOYIDED iOR IN � � 6ECTION170lOFiHEUBORCOOE,INTEREST,ANDATfORNEY5FEE5. RETENTIONFEE: nW. CONSTRUCTION LENDING AGENCY PHE-ALT FEE: ' � IMEREBVAFFI(1MUlDERVENALTYOFCERIURYTWUTNEREISACONSTRUCTIONIEND�N��GENCY MAV 7 � � �� - Z FOR 7H[GER�ORIAANCE OF TNE WOPI(FOR WN1CH T1/i5 iEN.l1T IS ISSUEO(SEG 7oa7,qV.G). W , - � LENOERS WWE - � - . � lENOER'SADDRESS � W ICERTIFYTIUITIWIVEHFJ�Di1�6AFPL1CAilONANDSTATETNATTIE/�BOVEWFOR1A11TIONISCORflECt TOTAL FEES � •�� •+Q • d IAGREETOCOUPLYM7T/ALLCrtYANOCOUNTVORDIWWCESANDS7ATEUwSREUTNOTOBULDINO � CONSTRUCTION.AND HEREBY ILLfR10RIZE REPRESENTATNES OF T/IS COUNTY TO ENfER UPON THE .. . . S� ABOVE�AIEMIONEDVROGERTYfORINSPECTIONWFiPO5E5. COMMENTS � � �•����SS�� .. . � PFRAUTTEE WW � . Q _._��./ �. _ . ln / N snru vc n� o�rE _ T ' , , RECP7.NO. � PAID BY VIWDATION F � WMITE—DapeRment Capy.YELLOW—Fnance Copy,PINK—AeeessorCopy,GOLDENROD—FileCopy,GREEN—PpplicanYs Copy � - - �. . � • � � • . .. . , '�'. • . ., . . " ., ` . , r .. . � ..��.� "�.:a,'''' �.. �. , .,� • . . .. . . ..'1: , . . .... . .. . ,, _, CITY OF DIAMOND�BAR•.: ;,, ,;, ,- ;. � _ ` `:�:�':`�:.-'''." �INSPECTION�RECORD = •-� ' � - . ,1 . �' . ... . , ,, ., � • ..'. . ,-�.' ----- " .,, _, s � � • ' � � � . � . S�T;BACK `y ..., �Q � i� ,_ 1 � , � I .� �,_:�� ,FLOOR JOI.�j.. `'•�.% � :.�' � _ ��`.. ._ ' _. . � .. FTGSlFORMS/STEEL � - � � .+� •. �>, �, FHA REQMTS =;,---:.,,..- -� - - .. .. .. .-�-- - ---; , ELECTRIC GROUND --.-- �:.---- - --- --_`'� :� ��'. .`' -:_ UNOER pOR UCT,; • _,." ; � _-_ ..� :: ,- _� _ ' - GROUND PLUMBING � UNDER FLOOR CODIQUIT_. �����,�-, ': =. � �: '•�.�::. �� � I :: FIREPL'A �FOI'JNQATION � 4 !•." ��` -- -'��=��''-=-% � � ---- -� - -- � • - - .. .. , , SLAB GRADE-- -- � .., . . , • ti-- : � TEMP POWER-------- ' `� �- -- ' '�;:_ � .. ; FIREPLACE��f�1D BEAM,'.•.'."�-_. :_-:-:, - -:-,--, ..-- - ----, , VYATER SERViCE__.__. ._- ---. �: -.-- : , -__ -- -. -- - �MID HT.BOND,B�AF�f•',_ .1�%�_.. � -� ='t.�'- ,'•.�= • .. , . , ROOFSHEATNING"=� '•� . __.. .. _ _..__ , --. _ _ � . �S �E3�NDBEAM�;r-_" _ � • =�ti� r �.� � FRAMINGNENTILIATION FINAL BOND BEAM .• � • • � - - -• ' - - - - - Fi00FCOVER.::� . . `PRE-GRARING\"• `, -: -t,,; � J = •• - ---. — . . . ROUGN HEATING ---. ..-- ----.,... - ---- - - - ..__. BENC G- -1- • ' r- '�=- "' � •� -��- -i-. � . , �- . . .- � . ,. . . • - • • ROUGH ELECTRIC `. - � -J .��--` -� � � - ROUGH GRADING '�•r . � , -.•- : • ' ° ROUGH PLUMBING-�i�- - - - -- - -- - ::. FINISH GRADING - � `' SHOWER�TUB TEST � - �� -� - � �: � POOL ELECTRlC •� • � -•' + � EXT.LATH/SIDING � POOL FENCING ., , • ' ' � WALL INSULATION ' � %d-P�+ • POOL FINAL ' • • � • i : CEILING INSULATION aFF SITE IMPS. - DRYWALL NAILING � DEDICATIONS • ' . ' • , " SEWER------ � -- - . . .... ..... ' .. ._._. . _ _. FINAL ENG. • , , . -SEPTIC TANK-- _ _l _ ,_ .__ . �; . . _ LANDSCAPE/IRRIG. � SEEP PIT/L.L.--• - - - -� -=- �- - -- ` � -' ' � ON SITE IMPS. � � � : GAS AIR TEST�-- ---- - -��--- - - --- -� FINAL ZONING • • " FINAL CONST. ,�------ -� -- G•-�L�yg � ^ -- � � FIRE DEPT. FINAL ; :� FWAL HEATING�-- - ---- -- - � - - HEALTH DEPT.FINAL � .•: FINAL ELECTRIC - - �- -- - �- : � - DEV.FEES PAID ,• =.., �•��• , > � FINAL PLUMBING • ENERGY � � • i .-� .,- _� � . ; • ' ' ' . ... . . ..-�._._...l.lf.��1�J �'":.�..."'."' ' • • ` _ '" _" _ '_'_�. , . . � ,. . �.. - .. COMMENTS -.._..-- - -- . _: _.. , � . ; - , , . . , . ._c�'] . �� � _ . ' S T . , . '-�. . ' , � � _ � . ,. , _ �. , . I. � ___ _ __ . __ _ .. . ' t _ 1 ` - � 1 , . . � . __ • . . . .`.." _ ' �'_ J `�e�'�'\� .- � � ' ' . � � �'.� � �}) �1) (.'�...� 1 " '" " '. __'_ ""_ . i � . , . . . ; . "�' .- _ ' __ _ . . . .. . . .. . . � � � _ . . . • . . , ' I •"^�. � . . .i � � . . . --�: . � -.. .. . . .. .. _. . . _ I . i ' , � ; . _.._.._ . .- - .... .. .. ..... . - • � , .. -. - SEPTIC TANK SIZE _ �- . . . , ; I � ,��_� �,. SEEP PIT/U SIZE , . . , .. . � �r Y�►�", . , ... � _ - - - ; ; __. . , ; - - . .. . --.. _- . � - - � I . . . , ,. �.: . . _. ,. . . , , . , _ . . . , , , , . � , ; . . ,.. ., ; , . . --- - - - -.. . ; . ._ __.: ; . _. _ . . _ , . __-� ..��. . _ -. . _ . , -• -. , - 7`',C' _ C�_C,\`, �:� � . . ._ . . ._ . __ . ` . i �.. ` •: .. .... . .::-... � _ � ,,.,