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HomeMy WebLinkAbout14564 (29) � : � ' �'�� CITY OF DIAMOND BAR -X ��� � - � DEPARTiAENT OF COMMUNITY&DEVELOPMENT SERVI ES �,� 21660 E.Copley Drive Suite 190 (909)SGb-3195 Fax(909)861-3117 � PRE$S • �'�", BUII.DING PERMIT APPLICATION FIRMLY o DDRESS "1 lD � (�1 O L�E�jI � r�+ I�_D DA7ECATION��`�,- Q NU BE � $ ISSUE TYpE pCC APN LOT TRACT�T- DATE CONST. GROUP � OWNE�l�IQ�/ I��+ff'1-� p ADDR S � ZONIN� SETBACKS z CITY P TEL.4dC�.39(o-l3 FRONr cvnlo�f�1RW ❑ g APPLICANT TEL. REAR p � SIDElSIDESTREET RW ❑ CONTAACTa J SIDE p rt ADDRESS o CITY ' � ZIP TEL �1 � - ' PROPOSED USE o ARCtVENG/ � �pC�B � DESIGNER NO.DWEL NO. NO. ADDRESS , � CITY ZIP 7EL_ , UNRS STORIES BEDROOMS � �n DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION O OWNEF•BUILDER DECLARATION . SFR/ADD/HEM � 1 MEREBY AFFlRM UNDER VENALT/OF PERIURY TNAT 1 AM IXCMPT FROM THE CONiMCTORS L4 GerHgB/CerpOR CENSEUNFORiNEF0.LOwf1011EA3011(lEC70]1.66USINESSANDifiOFE5510NSCODEANYGRYOR (n WUlITYNMIQIREOUIRESAFERIARTOCON,.TRUCT,ALTERMPRDVE,pEA1pt15H2OHREPAIRANYSTRUG W P81i0/DBd( Tt1RE►ILOH TO RS IS6UANCE ALSO REdUIRE3 TME MPLICANi FOR SUGI VERMIT TO FLLE A SICNED W � STATEYEHT iW�T HE Ofi SHE IS LICENSED PURSUAN7 TO THE VPOVISIONS OF THE CONfMCTORS LL CENSE LAW(C1IAPTER Y ICOMMENpNfi WfT11 SECTION 7000�OF DMSqN 7 OF ME BUSMESSAND PRO- V' POOVSp3 FE59�ONSOCOE)OFiiHAiMEOR5NEISEXEMPTTHEREFRpAANDTHEBA415FORTXEALLEOEDE%EMP• C7 TIOH.ANYV10lAT10NOF5ECf10N10]1.SBYANYMPIIGNTFORA7ERMR5U&lECT3711EAPVLILANTiO Z Re-Hoof � AC7V4VFNKTl'OFNO'fUOqETHANFNEMUNDRED00UJ1R5�f50U�.): p O�A501M�EROFiHEPROVERTY,ORWEYPIOYEESN77HWAGESISTHEIR50LECOMFENSATpN, ❑ (`,pmmBtCIF11 - � Z MALL DO TNE YMORK Ala THE STRUCiUHE LS NOT IMENOEL OII OFiERC�FOR SALE�SEG 7ou,BU54 J � NE53 AID VROFESSIONS CODE_711E COHTRACTORS LICENSE UW DOES NOTADVLY TO AN ONTIER OF ? , GROPErtiYM110BUlDSORMPROVE3THEREOfLANDMkfODOESSUCHYADRKHIMSELFOAHERSELFOii ' (C THi10U(L/MSORHEROMMfMPLOYEES,CR0V10EDTNATSUd/1YPROVEMEMSMENOTMEt�EDOR m � OFfEREDPDRSALEF,FIOWEVER7MEBULD�NOORMPipYEMINTISSOIDWITXMONEYEAqOF00MPLE• Z 'TION.TME OMn1E1iBUlDER MLL NAYE TME&1RDEN OF PROVNCi TMAT/1E OR SME D�D NOT BUILD OR � MPROYE FOq iHE iVNPOSE OF SALE} . O l A4 OVMER OF THE CROPEiin:AY EXCLUSNELY CONTRACTNO WRH LICENSED COHiMCTOiLS TO CONSTpUCT iHE PR61ECi(SE47W.BUSINE55 AND PROFESSIpJ3 CO�E:THE CONfRACTORS U• V81U8Ii0fl ADJ.AREA CENSE Uw pOES NO7ADVLY TOAN OWNER OF A VROVERTY YV1q BUlDS OR II.�vROVEg THEREd{ANO T�- VNrDODHTRACT8FOR8Up/PR0.1ECfSMAh1ACOHTMCTq1(S�LILENSEDPURSUANTTOTHEOONTMG pUANT1TY DESCRIPTION F�E � ttx+s uc,�xse uw.�. . OIAIAE�MaTUnDERSEG B.iV.C.FORTH15REASON Q 3 " LLZZ' O�TE OWNER � � W LICENSED CONTFlACTORS DECLAAATION W � IHEREBYAFi1W1UH0ERPENALTVOfPERR1RYT11AT1AAILICENS[DUNOERYRONSIONSOFCHA7TER V. . � �(COMAIENCIIiUYATNSECilON7000�OFOM510N70FMEBUSINESSANDVROFES510N5CO0E,AlA Z �� W LICENSE LS N R1L1 FOiiCEAND EFfECT. m 0 LICENSE CLASS LIC.NO. T � �j DA7E � CONTRACTOR ' ( , W ' � WORKERS'COMPENSATiONDECIAAATION �r� a Nt EREBYAFfR41UN�ERPENALTYOfVERIUHYONEOFTMEFOLLOW:NODE0.AHAT10N5: Z � �IHAVEANDWRLIMMAMACERTIFICATEOFCONSENTTOSELF.INSURGFOqWORKERS' _ CO4VENSATqN,ASGROVIDmBY6ECT10N77000FTHELABOi1CODEFORTHEFERFORAW�CE W Q OF7ME WOfiC FOR WHIG1 iNL4 VERMR 6155UED. � �I HAVE AND VALL WMA71 WORNERS OOAIPENS�TqN iNSURANCE.AS REOUIFED BY SEC110N Q 77ao DF 1//E LABOR CODE FON iHE PERFORIAANCE OF THE WORK iOR YVHIp1 THIS PERMIT IS ISSUED.W PKERSCOrAPEN5AT10NINSUMNCECAR iERMAPoII UMB£fl CONSTRUCTION � ' '_ � '_" . _ ., . -.... ♦\ _ ...� � CARNER . . � . . , V PLANREVIEW '-- -. .. .. --- � --- --... _. � vaucrtivaeEa •' ��+C�.��� ELECTFiIC � (n+ss[cnoNNE�DqTBEoo�s;EfIDaF71fPF7MTsroaanEHtAt%i[DOaLlfY,6+m�atlEss} P UMBING � Z ICERTIFYIHATNTHEPERFORMANCEOFTHENORKFORWHIq/TH15PERA11TI5155UED.1 MECHANICAL (� SH�ILLNOTEM�IOVANYVERSONNANYMANNCRSO1l5TOBECAMESUBIECT707HE � y WOR1(ERS'CdIPENSATI0NUW50iUL�FOiiNI�ANDACREEMATIFISMOULOBECOME INSPECTIONFEE S SUBJECTTOTMEVPORKERS'COMPEN qNPRON510N5 ECTION77000FTHElABOR t 000e.is�utiFormnnn+caar�r in� errow s. / ISSUAIVCE � pDATE: �.3�on APPLIC . • JVI.�� SMIP _,�=:I. Twt � '� WARMHO:FARURE TD SECURE NfORKERS COMPENSATION COVEMGE IS UNUwFUL,IWO S/ULLBE ENERGY P/C � SU6IECTANEMPLOYERTOCWMNALPENALTIESMIDCMLFWESUP700NEHUWREDTMOUWlD ENERGYPERMIT DQ1A1iS�f IOo.000).Nl1UDfT10N TO i11E COST OF COYPENSATION,DIAUCES Il5 YROVIDEO FOR PI ¢ SECTpN710lOFTHEIABOR000E,NTEREST,MlOATTORNEY'SFEES. N1 RETENTIONFEF;,� r " 7/�nn aW, CONSTRUCTION IENDING AGENCY PRE•ALT FEE: �'�llr�. � V Q IHEREHYAFFlflMUWERVENALTYOFPER1URYi/UTTHENEISACONSTRUCTIQVLENDINOACENCY �U��l�l'11���I1�T �y d FOR iHE PERFOpYANCE OF TNE WORK FOR WHIGI THIS DERM�T IS ISSU[D(SEG 7oW,CN.G�. +�� �n � i�U t�*1rT�ti . f`f; � LENOERS WUIE c'�v j Y � LENOERSADDRE55 W ILERTIFYTNATIHMEREAD7MSAPVLICATIONAN�STATETUTTHEABOYENFORAUTqNISCdNECT. TOTAL FEES L�7 p� I�aREETOCOMVLYWIT11AL1CRYANOCOUNiYOHDWANCE5MIDS7�TEUwSREIATIN�TOBU0.DING � f � � CONSTRl1CTION.ANDHERCBVAUTIqR12EREDRESEMATNfSOFTWSCOVNTYTOEMFRUPONTIIE . ABOVHAEMqNED Pi10PEH7Y fOR WSPECTqN DURPOSES. COMMENTS � ( � m VE RTE NNAE(7fU ) � Q N � (n S NA P.E FV RW7T DATE 2 � , RECPT.NO. PAID BY VALIDA110N � WHITE—Dapartment Copy,YELLOW—Finence Copy,PINK—As�eena Copy,GOLDENROD—FileCopy,GREEN—Applicant'a Copy , .. �. .. .- �.., ,�_.. �� '_..-�-..�.:..,:.� �=` .. . . '.' . ` .. • _. .. . , r� n.��.� . .. ., _... ••o�::i•.:r:.`i�.. . e . . , . �� 1 � �-� � .. .. : . .... ... .... ... . . . .,. � CITY OF DIAMOND BAR.� ;,.: : , , :;_; ' � � ' I��SPECTION RECORD"� . ' . .� ."`�' ' . _. . . -,,: . � , . � a.��l►�:E-��=.�;�� ca►r.l�,� .I�'_���„1f�.E-�����'k�.�:�.� ,� � �. � ' o -SETBACK .,� . ' �- � : , �,-" -�, -i ,�, FLOO�10lS�: ,•i<,:•=.r' `�f.=�r � :C,-- '�, .li.) • � - FTGS/FORPASJSTEEL FHA REQMTS - - -- - - �J--- --- � ELECTRIC.GAOUND-� - -- " ' � -- � - � UNDER FLOOR DUCT-- 1:_= t.-y.�� � „ �;,j � � GROUND PLUMBING � � ' � " UNDER FLOOR CU�IDUIT �J � ' � ' SLAB GRADE --- .� ,��7� '�' -- .. . FIR�P�A�E'�FbFJND`f,TlOt�=+J l' ;!' �-�,i+:�t ,�.�r`%1:; ;`.: ,�� � ; TEMP POWER--� --- `'� ,f;-- � ' • � � FIREPLACE 80ND BEAM. . _ ..-. -� - - __ - ___ . __ .. . •'� -•- � --- -- . , , . �� � ,�1 ;...�:�:1 i,'. ��,.,',:. ... . -;... � . WATERSERVICE - -� - `�?-{-�' ��.-' -- • -- •- MIDHT:BOND�E�M.,}:: , . . .._ .�. ..._ .. . .. . _ _. RO�F-SHEATHING - -- - - - - , ,: . 8 FT.BOND��EAM'� • '�;.• : ,; . . •t •,,. ..�:: i;,; ;-..� �� . I � FRAMINGNENTILIATION FINAL B�ND;BEAM ! • ROOF C�VER .': . .. ` , '. ��PRE-GRADING - - ' ROUGH HEATING --- -- ---- ---- --•-- - -- BENCHING � - --. . _ , ., , 'ROUGH ELECTRIC ;--- - - - - - � - ROUGH GRADING ' =' ROUGH PLU?JIBING -" - - _ FINISH GRADING ! ;� SHOWERIfUB TEST i - � ' FOOL ELECTRIC � � ' � - - ---- ..._.. .-- - EXT. LATH/SIDING- � � POOL FENCING � WALL INSULATION POOL FINAL ' � • � CEILING INSULATION OFF SITE IMPS. � � DRYWALL NAILING DEDICATIONS � . SEWER—-- ... - ' _ .. _ . . - - - FINAL ENG. , . � ..._ . . SEPTICTANK_.. _. '._... _. .._. .. ...__.. ... . LANDSCAPEIiRRIG. ' �' , =SEEP PIT/L.L... . - ` - _. .. _ . ON SITE IMPS. . :• �GAS AIR TEST - --- - - � � � FINAL ZONING ' - FINALCONST., - - � - FIRE DEPT. FINAL - ' -FINAL HEATING � - - - - - - . - HEALTH DEPT.FINAL .. , i -�� -FINAL ELECTRIC� -- � �� - �� " - � - ; " - " DEV.FEES PAID --� -� �- . , . FINAL PLUMBING ENERGY • � . • ��\'�'i�1. �t,=ti-�-..��k i � �.1�;�,1 • i ' i . !_ti _} ' i ;fa' '.��p ,�(��P��►_�� � _ - J 1 ::.� �_za:a� � ' . � .� 1 - � ` �.J... _ J _. _, � .`. � . . . � I- . - ------ � -- - - - ---.. . . ' , . . . . .. . . i t'''. � • � � r COtJiMENTS --- -.. _. _ __ . ; . .. . � � � � , , , . . - --�-----. ...- � - - � -- - - , � , . . . J'. � - . . , , i - ---- -' �--- - ------ - --... _ _ , � � -� - . , ... . . ,� _ . , . - - - - - — . .. . �� );r,�� . , �!•,� ,•).rr �� �- ; y `- '/ ' �i i '1;�� f .��-'-�'�`� . . .. � ._. •i i - - - - -- - - ' ' � J . . . - . • - � . ,` � ---._ _ . .,. . � ; ' - -.. .- - � . ' 1!,�r �'�' �t, `� .. - � -- - _ . .. __.... . , i , • " '- • .- � - . -• • - SEPTIC 7ANK SIZE � ' ,� , ; ,.� SEEP PIT/U.SIZE , � � _ , . , . .. �rr � -- .. . . . .. �� � - . . . . , r � � ,'��+�� �. . " ' ' � , . � . . �, �, � . � . . i�.. ' a. ` \ �i \ /�� ' S 1 ! � . _. :- - - . � ' - �-' .. . :. .i1,���� > __. �`,.�; , _� .�J i . . - ---- -- - � _ '��. �,.�,_ � , � . � � �;� ' 'I , _.._. .. _" ._ . . � . `wJ�l _ � "1�) `\'' '1�.. 1�. . I �1 .i � � �� . , - - � -- --- " l ��, � �