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HomeMy WebLinkAbout16568 (15) , . l CITY OF DIAMOND BAR ' 1�� �Q --�'� --- DEPARTMENT OF COMMUNITY.&DEVELOPMENT SER ICES ��.e. ' ' ' �1,�� �C . 21660 E.Copley Dnve Swte 190 �� . (909)860-3195 Fax(909)861-3117 . RE$S A�� ' �BUII.DING PERMTT APPLICATION � FIRMLY N JOBSITE ' z(`O� � APPLICATION 1� PERMIT I, P!C o ADDRESS � d r�✓ DATE �'"� 1"�' NUMBER �• " N QI' �� I � APN LOT T CT ISSUE - - . �, TYPE �`1 "_ OCC p OWNER � C� v -��' ��( �,�-T � DATE r CONST. GROUP p ADDRE S � �'/�U . C- ' f ZONING SETBACKS r ..��'' S�`L�'`-�i � CITY ZIP TEL. ^ �-1'1 �FRONT-".__-- 1,. RW ❑ APPLICANT TEL. - 2 - REAR p � SIDEJSIDE STREEf RW O CONTRACTOR SIDE ❑ Q ADDRESS PROPOSED USE""' '�"-, • � � ' � CfTY ZIP TEL �J.. , �~ � ARCH/ENG/ .. pE51GNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES ' BEDROOMS � CITY ZIP TEL N DESCRIPTION S .FT. ' CTOR PSF ADJ.AREANAL TION � OWNER-BUILDER DECLAMTION SFRIADD/REM •' � O p � I NEREBYAFFtlW UNDER VEN+LLTY OF VEiWRY 7W\T I AM E%E1APT i110M THE GO�+TMCi'ONS L4 Garape/Carport � lll CENSEUWiORiMEFOIlONnNONFJ150N(SEG7a71.6BI15INE3SANDVf10FES5lON9CO0E:ANYdTYOH (n �.7 COUHiYWF11CHI1F0UIRESAPERAIRTOCCN^uTAUCT,/1TERMPROVE,DEMOL15ttOflREPNRANYSTfiUC� W Patio/Deck • � TUHE VRIOR TO R4 5511ANCE,ALSO REOUIRES TME AFPLICMlT FOR SUCH PERMR TD FllE A SIGNED w "�l 4 , . ETATEMEM TWIi HE OR SHE IS 4CENSED PURSUMR TO 711E VROVISIONS OF TNE CONiMCf01tS U• � LENSEUN�(QIAPTENi1COA1MENGN6WIYT15ECf10N70o0)OFOMSIONiOFTHEBU51NE93ANOPRO� LL P�VSpB � ^��'-='` FESSIONS OODE)OR TWR IIE OR SHE IS EXE�PTTHEPEFROMMID THE BASIS FOR iHE AILEOEO E)fE4P. T�DN.NfYViOLA710NOF6ECTIONi071.6BY11N'fA7PLICANiFORAPEM11T8UBJECT47HEAPPLICl�NTTO Z Re-Roof � �CMLPENALT/OFNOTAIOPETHANFNEHUNDREDDOLIARSIf5o01.h _. . . � . � OI�OM'NEROFTHEPROPERTY,ORMVEMROYEESWRHWAOESASiHEIRSOIECOMPfNSAT10N, � �mmercial .' �,. '.� - YALL 00 TME WOfLC AND TXE SiHUCNRE IS NOT INTENDW OR OFFERED FOR SALE(SEC.10ar.BU51• J � NE55 M1D PROFESSION9 COOE 7NE CONiMCTOR5l10EN5E LAW DOES NOT AVPLY i0 AN OWNER Of = �,.�-���'�..,;.� •�.,,� - �y•�� PROPEHfY N11D BUILDS OR NIPROVES THEREON,AND MA10 DOES SUpi WOqK HIMSEIF OR HERSELF Oq � 1NRIXJOMWSORHEROYMEY7LOYEEAO��DE07MAi6UCNIMPRDYEMEMSMENOTM7ENDEDOR m , t OFFERED Fi�H SALE F,HOWEVEF.TME BMDR7a OR IMPROVEMENf 6 SOLD VA7111N ONE YEAROF COMPLE- Z T10N.TME ON/NEN-0UIILER WILL NAVE THE BUPDEN OF PRCMN(3 TMAT HE OR SHE Om NOT BURD qt . � MPNOVEFOaTNEPURPOSEOFSAIEI ' ' . O 1,AS OVMER OF THE PipPERfY,AM EXCLUSIVELY COHiMCTNO M'ITH IICENSED CONTMCfOR3 Q TO CONSTRUCiT11E VRQ1ECf(SEG 70N.BVS�NESS/VA iROFE5510NS COOE iNE GONTRIICTOR5l4 VflW960f1 A0.1.AREA .W CENSEUWDOESNOiMPLYTOMIOW�JEROFAGROPERTYW/1O8U1LD50RM1PpOVESTNEREON.AND � YAIDCONTMCTSFOR6UG1iROJEGf3WfTNACONTMCTOA(S)UCENSED%1RSUANTTOTHEWNTMC QUAN'i17Y DESCRIPTION • ' FEE � TORSIICENSEUWy � � 0 ❑IAMEXEYPTUNDER9EC B.lV.C.FOqTHISREASOfI U 3 � ,S. Z DA7E ONMER ^ . 1 W 1'+ F � LICENSEDCONTRACTOHSDEGLAHATION W . _ •�,�' � IHEREBYAFiCWUNDEiiPEtULTYOFVEiWRYiHAT1AAILICENSEDUNDEHCFlOVI510NSOFCHAVTEH � , , , p. ��WMYENCNOVAT115ECTqN70ao)OFDMSiON70F1MEBU5iNE5SANDPROFESSiONSCO�E,/UJD Z LL� W UCENSE�N FiJLL FORCE AND EFiECT. � �E��s ��.No. � r� 5 � �� ����a � . W � WORKERS'COMPENSATIONDECLARATION 4 " � � ; , ;�; .- • � _ . ... V - - . yI NERE8Y�1FilAM UNDEH VENALTY OF iEM1RV ONEOFTHE FOIlAWP1G DECLARATqNS: Z J ]� � a v • � _IIIAVEMIDWiLIMANTNNACE1tTIF1UITEOFCONSENTTOSEIF•WSUREFORWONfERS• $ '.` COMPENSATI0N.A30ROVIDEDBYSECTIONafOOOFTMEIABOqO00E,FORTHEPERiOPAUNCE W v OFTHE WORK FOfI WHICN iXLS GEHMIT 19155UE0. � i Q _I IIAYE AND VALL MAMAIN M/ORKERS'COMPENSATpN INSUFiANCE,AS REOUIRED BY 9ECTiON �Q� O f70oOFME LABOR COOE,FOR THE VERFORM.WCE OF T11E WOPoC iOH YMtd17H15 DERMT IS � �`� , , � ) � � 65UEC.MTWORKEH5001APENSATqNIN5URMICEGARWERANDiOIICYNUMBERARE: CONSTFIUCTION ? CMRIER ruw aE�Ew Z Pax.'vMnaeEn � ELECTRIC � ¢ �� �nassEcnoNr+FmwreEan.�mocnfpEaartswaa+e�n[a1u�sR�rolar�tEss1 PLUMBING 3 � ICER7IFYTHATININEOFAFORIAANCEOFINEVXIRKFOHWHI[51THISOERA/RLSlSSUED,I MECHANICAL ` � O - /� SFwL NOT EMPLOY MIY PEIi50N N M!Y Miw1:ER 50 AS TO BECONE SUBJECT 70 THE � �� � � WOPI(ERS[OMPENSATIONUW30FGLLIFORNIANI�AGliEETNl1T6151qULDBELOME INSPECTIONFEE � 6U0.1ECTTOTHEWOf�%ERS'COMPENSATqNPROVI510NSOF5ECTION77000iT1EUBOR � cooE.�s�u co�rrrv�n�co�r�r�nn+nasE P�o�nsa�+s. ISSUANCE n � SMIP �~ p OATE: 11PPLICAM: . � WAPNINO:FAILURETOSECUHEYAfIKER3'OOr.�PENSATqNOOVER�0E15UNU1WFUl.ANOSNALLBE ENERGYP/C 6UBJECT/JJEMPLOYER�CRI/AINALPEtU1TIE5ANDCMLFINESUPTOONEXUNOREDTNWSAND ENERGYPERMIT � pOILAFtS({IOo.Ooo).N ADDITION TO iME COST OF COMPENSATqN,D/A1AOE4 AS 7ROVWEO FOfi IN � 6ECT10Na7oeOc1f1EUBOitU00E,INTEREST,ANOATTOHNEY'SFEES � RETENTIONFEE: � d CONSTRUCTION LENDING AGENCY PRE•ALT FEE O � �F1ERf8YAFiIN11UN0ER0ENALTVOF0E0.A1RVTHATTMEREIS�CONSTRUCTIONLFND�NOA6ENCY FOR 7HE VEA�Oi1MANCE OF iNE WaF1N W P WNIp1 TMIS VERMIT IS ISSUED(SEC.70G7,CIV.C.x � _��. / � LENDER'SNAYE _.�� � - 'S � IENDEH4A0ORES5 , � ICERTIFYTNATIIUVEREAOTHISAPPLICATIDNANDSTATEiHATTMEABOVENFORMATIONISCORRECT. TOTAL F ES�AY- � (1 ZQ�� i p� I/WREETOCOMPLI'WITNAlLC7TYMl�CWNTYORDIWWCESIWOSiATEU�MSNEUT�NOTOBUL01N0 � . , CONSTRUCTION.AND HEREBV AtRMORRE PEPRESEMATIVES OF iH15 COlHI7Y TO EHfER UPON 1HE Z ABOVE•MEHf1d1EDiROVEH7YFORWSPECT10NPURPO5E5. COMMENTS � 9 A) — w �l {GNG - `' � m OE(iMI7TEENAME�PP1 I ¢ .S s� v � Uj SNiIUTUREOFi� I EE OAif � HECPT.N PAID BY AUUATION WHITE—Depertment Copy,YELLOW--Fhence Copy,PINK—Assessor Copy.GOLDENROD--Fila Coq.GflEEN—Appiicem'a Copy .�.. . �.R:� . . . .4'f. .� �-��,r �u.. 1. '.°l.' ';Yf.5'. r �� . :y� .1> .. :y�. . . ' � , , - � o� . , .. ... . .. , . . ... • .. . .. . . . . . � _ . .. . �. . ., �i.. . . �• ' . . �t �,1'`�1�! � � '',';��� � '��i CITY OF DIAMOND�BAR \ \ — r� � � . `i � ' - ��� `� .� :��. t� � �•��`r�� . ' .. - � _� ; , , . z, ��-;,: ^.:IPlSPECTION'RECORD !r � :r ��t ,, 1 i, ;,• � ` ✓ . .��. . J'!:. �L� � �. .. .I_. : .7� F` , "!~ " •�'���, �� `. � `�, '% �<. ���s�.1��...�1�iB'T�� . ° ; , 1�� ` ����►,� :'- * _'��'_ �:1�1.�,��„��� ......ru...+,r..�.+�.W.u+w...w..r.4 - �it'p...r.�..:�+...�.mrn..�.e,arwm+n��� lSET;BACK, �. I-`'.I '� f I � , �� n FLOOR JOIST ' ; � i r r• ,1 r �:^�;;� i :� EFTGSlFORMS/STEEL_s. `, �_ _�c• _.__ FHA REQMTS ..' ' , _ .. �. _ _ ____ _ _,. �=� � _ _ ,. f ELECTRlC GROUND__ _ _ '�" � UNDER FLOOR DtJCT 1 ' • �'; �• �-_- '` - � '�� =- �..:�_ _- --- _ _.. _ , . . � ... � „� � : , , �GROUND PLUMBING /'xr� ,�.� ;- UNDER FLOOR CUMDUIT .,- . ,� � T.. �. r�rz _ ; . . . ... _ ' �SLAB GRADE ----- -` ' � __ - ` . FIREPLRCE FOUNDATION 1: ` . !:! i ' , , � ` .,�� , . __ . _ _.._._ __. ..-J :, ;, FIREPL'ACE BOND BEAM . ' , ITEMP POWER __ .- --_ _ . __ . ... I WATER SERVICE -- _ __ ___ . . . _ � � MID HT.BON�BEAM _ _ �+--,,��,;:� , ( : I , ROQF SHEATHING h 2f"�� -.. '. �8 FL BOND BEAM __.,____ --. -- -- _- .__. ____ ' � " ;FRAMINGNEtdTILIATION �- 2f� .� - -` NAL'BOND BEAM - --_ .__ __._ _,`�y, . _, _: ROOF�COVER ..� i . ,., r. PRE-GRADING -._. -- ---- ` ;: - _ ___ _ . _- - --- . _-- _. . ROUGH HEATING' --- --- - -_- - 'eENCHING --- � ; �•: ,; ;; ' ' ' - -- --- ---__ ---------_ . . ._-� , ROUGH.ELECTRIC ._.!__ � _�� ° _' ._ '-_. ' -�.' � '' � ROUGH GRADWG ROUGH•RlUM61NG �-!- ' ��-' -�- ` FINISH GRADING I _ SHOWERIFUB�fEST-%-- • .,{ ` __ � POOL ELECTRIC , : � �° �� � -. . . ::: . , EX7:-LATH/SIDING---- ��p - -- -- POOLFENCING ' ,� _ . , . , :, .: , CEILING I�JSULATION `�� .- �- - _- OFF SITE IMPS. , . . . .- ; � I • WALL tNSUL•ATION 3 ) - --- POOL FINAL � �, � _ DRl'WACCNAILliJG ... =� _ __ _ ._ �EDICATI�NS ' , , : ' , ; . , ';:. `,. SEWER - __ _ __- -- . . .i _ _ --- - FINAL ENG. ;: :, , ,_ ' ' SEP7ICTANK LANOSCAPE/IRRIG. ' , . , ' . ' SEEF..PITILL_ -.- - - •' „.,. - ;. � _ . ' .J. �)c; i � ON SITE IMPS. , _ _ GP,S AIFi TEST-' ------ lfQ2 ' � FINAL ZONIl�dG � ' , . • ' .. FINAL CO.IVST,.: � . ,� .:__ _ _ FIRE DE�T.FINAL.; . , , _ _.__.__ Z- 6l- FINALHEATING_. _____. � d � = I _ -•.� . . HEALTH DEPT. FINAL _ �..-- _ ... ,. �=3vF�L-ELECTRIC__ ______�- �j. � . � • .1_ - � J DEV. 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