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HomeMy WebLinkAboutNo Permit Number (29) J� _ CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �` > 21660E.CopleyIhiveSuitc190 � (909)860-3195Fax(909)861-3117 . PRE$$ �''^�'� BUII.DING PERMIT APPLICAT[ON • � FIRMLY o DDRESS c`�� /S 7 ✓'t"e �"Ur� APPLICATION PERMR 1�� M/C DATE NUMBER � � APN LOT Z TRACT .S�Z�'3 p ISSUE�V���/�J TYPE OCC DATE_ �� CONST. GROUP � OWNER � ' LL ADORESS • � 1 + ZONING SETBACKS ' � CITY p�5,"y ZIP�L/.•�� .TEL. / FRONT RW O APPLICANT TEL. REAR p � SIDE/SIDE STREEf RW ❑ CON7RACTOR ' C. SIOE p � ADDRESS PROPOSED USE CITY �_V • ZIP.�� TEL � �d D o ARCH/ENG/ • � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N v� DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION SFRlADDlREM O p I HEREBY AFFlIM�UOER PEN�LLTY OF iEfWRY TH�T IIUA EXEMPT FHOM THE CONTMCTOAS ll• GarOpe/CerpoR W CENSEUWFOi17HEfOLLOWN�REA50N�5EG7071.6BU5NE5SAN�VROiESS10NSCO0E:ANYCI7YOR (n C� COU1(TYMMICNREOUIqESAPENMRTOCONSTAUCT,/1TE0.�P��.DEUOL15N,ORREOURANYSiRUC- Z TURE.PNqt TO RS 156UANCE,h150 REDUtRES 7HF APPLICANT FOR SULH PERIAR TO FILE A SICNED W PatiolDeck LL� iTATEMEM TFfAT HE OR SHE IS UCENSED PURSUNR TO THE PROVISIONS OF TME CONTMCTOflS U• W � CENSEUN��QNDiENY(COWMENCPlOWI7MSECTION7000)OFDIVISION]OFTNEBUSINESSANDPRO- � PooVSpa fES5qN5 GO�E)OR TYU17 ME OH SME IS E%CUPT 7HEREFROM ANO THE BA515 FOR Tl1E ALLEGED E%EMP• TqH.ANYV10LATpNOFSECT10N7071.6BYANYAPPLICAIITFORAYERMITSUBJECTSTHEl�7PLIGNTTO Z Re-Rool �„� ACML iENAL7Y OF NOT MOF[T)iAN FNE HUMORED DOILAft5It50Dl.k � O1�SOWNEROFTHE7ROVERTY.ORIAYEYDLOVEESwIT11N'.1GESASTMEIRSOLEO�MDENSATIDN, � (`,pTmB(Cl,ll ' � YALl007HE WOi11C,►ND TH[STAUCiURE IS NOT WTENDfO OR OFFEREO FOR SALE(SfC 7a1,BU51- J N NESS AND PiqFE551ON5 COOE:T7E CONiMCTOR3l10ENSL UW DOES NOT 11➢PLY TO AN O`M�ER OF j . PHOGEflTY NRq BURDS OR IMPROVES TMEREON.NA MMO DOES SUq1 WORK HIMSEIF OR NERSELP OR - � TNROUCHNSd1MERONTIEYPLO7EE5,iR0VIDEDTUTSU(]1WPROVEMENTSMENOTNTENOEDOR m , ,� 0 OfFERFDFORSALEG,HOWEVER��14.D�NOORMV1iOVEYIENTISSIXDWITHINONEYEIIROFCOMRE• Z 'TqN.iHE OWNERbURDER VALL HAYE TT�E BURDEN OF GROVWO THAT NE OR SHE DiD NOT BUILD OH = M7ROVE FOHTNE RIRPOSE OF S/�LE). W O�ti^+OM�NEROFiHEPROPERTtl.JWE%CLUSIVEI.YCON7RACTNOYrtMl10EtA'EDCOMMCTORS � TO CONSTRl1CT T)rt Pi10JECT(SEG foa1,BUSINESS AND PROGESSIONS CODL THE CONTRACTOHS 4- VBIU31iOf1 ADJ.AFiEA CEH9E UW DOE9 NOTMPLY TO AN OYMER OF APROPERTY WF10 BULOS OR IMPROYES TMEREON,AND � W1pCOHfMCT9FOq5UCMVROUECT5M7T/ACpf7RA,.^TOR(5)LICET15EDiURSJ/wTTOT1ECONTMG OWUVTITY DESCRIPTIOU FEE � 70R5 UCENSE UW.�. O I AM IXEMPT UNOEH SE4 fl�PG FOR iH15 FE1LSdJ 4 3 � � � ' DATE ONR:FN V . � LICENSED COPlTRACTORS DECLARATION -� � w I IIEREBV AFMY UNOER iENALTY OF VENURY TUT I lUl LICENSED UNO[R CHOVISIONS OF CHAPiER V, � �(COMMENCN6 YATM SEC1qN 7oao)OF DIVISqN�OF THE BU51Nf55 AND VROFE55iON5 C00E,AND Z � � X W LICENSE G IN FULL FOIiCE AND EFFECT. m �yr Y2 LLl 0 LICENSE CUSS LIC.NO."",�E�j�-� � � DATE � � CONTRACTJR p��1{t�.� d w / � WORKERS'COMPENSATION DECLAHATION -� a � INEREBVAFFIRIAUNDERPEWLLTYOFiEfWRYONEOFTHEFOLLOWRIG�ECLAMTqNS: V y Z Q � � _IHAVEMJDYfLLEWMAR/ACERTIfIG1TEOFCONSEMTOSELF�INSUREFOi1WORKERS' _ COYGENSATION,h5 PROVIDED BY SECT70N 77ua OF THE UB01i CODE.FOR 7NE PEHFOPAIMICE U � OF THE WOR7C FOFi WHICH 7H19 VENM7715155UCD. W � � �IHAVEANDMALLMARfTA1NWO�i1fFR5'COA�PENSATIONINSVMNCE,ASREW�REDBYSfCT10N O 7700 OF THE IABON OODE,FOR ME PERFORMANCE OF ME W Wuc FOII Yhnd17Ht5 PEN.aT IS ._ ISSUED.MYYARO 'C MqENSATIONINSURANCE��r+oPa�crr+uraoeniwE: CONSTRUCTION � CAARIER C.1� �f... PLAN REVIEW . ... .. -- � -- -—.....- -- --�-� � POLICYMIMBER � � EL 1C � p (M55[CiIONNEmHOTBEOOAi�E'1EDOFTEPER.f�6PoFtONCFu�OAED00t1/RS(i+�)CA1F551 UM91NG � Z I CENf�FYTHAT N iHE GERFdUMNCE OF iHE WORK FOF1 WHipI THIS VEHMIT i5IS5UED.l NICAI �'} SMALIHOTEIAPLOVANYVER50NINANYYAN4ER50A5T08ECOUE5461ECTTOiNE '� '��,", N WORKEFSCOMVENSATI0NUW50FCALIFOiWI�iUlDAGREEtMATiF1511IX1L�BECOME INSPEC FEE _____ !'�', _ S SUB.IECTTO THE WORKERS'COAIPENSATION PilOY1510N50F SECTION])0o Of THL UBOR UANCE /��7 C�_ COOE,I SNALL FOqTNW RH COA�PLY WIiH TM05E GROVi510N5. � � r p DATE:� APPLIGM: �r GI��T'(�� • mQ.I e� SM �1 rU � WAqNIN�:FMURCTOSEWRENONCERS'COMPENSA7qNCOVEMGEISUNUVhULilNDSHALLOE ENERGYP/C �'�" I �" I�J � SUBJECTANEMPIOYERIOCRIMiNALPENALTIESANOCIVILFINESL'7700NEM1NDR[DTI1WSMID ENERGYPER,iI T't� ^r� �� '('. .�'.� s=��T� DOLUflS(5700,000�.N ADDITION TO THE COST OF COMPENSATqN,ONa�CES�5 GfiOY�ED FOR IN i�. J SEC710N77mOFTHEtABOHCODE.INTEREST,ANDATiOiWEYSfEES. RETENTION • , '!1 i`"T"'�' � r= ��JILr�_:'�: " �.�t �� I a CONSTRUCTION LENDING AGENCY pRE•ALT FEE: ✓ O Q IHEREBYAFi1RYUN0ERPENALNOFPEfWRVTMATTHEHEISACONSTRUCTONIENDIN�AGENCY n- FONTHEPERFORMIWCEOFiHEWORKfORNT1ICMTH15VE(WITISISSl1EDISEG7o�7,CIV.G). C,1� ^�O LL1 � LENOEH'S NMIE � IENDER'S AODRESS ¢ ICEiiTIFVTIUTIHAVEREADTHISAPPLICATIONANOSTATETUTTHEIIBOVENFORMATION�500RRECT. TOTAL FEES � W IAGREETOCOMPLYWITMALLCT'ANDCOVNTYORDINANCESINDSTATEUNSFEUTINOTOBU<OiNO � CANSTRUCTION,ANDNEREBYAURqR12EREPRESEMATNESOFTWSCOUNTYTOEMERU70NiHE ' � zABOVE#�ENiqNEDVR07ER7YfORwSPECf10NiURv0.5E5. COMMC-rITS � �Lc.Fta� A��p �l�n � PEW.�ITiEENAM (V - � ��-�Il/� .�^l/ -��j y SqNATURE OF PE ITTEE OATE �- � RECPT.NO. PAIO BY VALiDAT10N WHITE--Depertment Copy,YELLOW—Finance Copy,PINK—Asseswr Copy.GOIDE-NROD—File Copy,GREEN—ApplicanCs Copy . . .... . ' . . �� . . , .�t � . r.. . .,.. �':� . '�" i . . . . . � , '.i; .r . ..\'a'y.�P: . I'VJ �.�:'��'N':�:'n..�:r. , . .. �. , . .• . CITY OF DIAMOND,BAR ,, ;:,;; ,. � ... :::�.•,:� :��:: It'JSPECTION RECORD '� � .� : � - ' - °x.I.l"►.+.��"''c�,�;j�`�.�.b �.ol";.�!'~ '.L�.�� Q��o1 +.s.l.�.�:�;��,c�.p'.Is� �k� � .w'r '�t= (�' aJ�;�:z;�;���X �.1 �J �•�..J'.�+./.���__- _ �.��1. � �w�.. �.m...��W.v�.r �.�.�..� •SET BACK _ , � T. • � . .. FLOOR J�IST ; • � ..,� . ;FTGS/FORP�",SJSTEEL - - • , � : � _ - - - _ FNA REQP�ITS 1 .. : ... � 'ELECTRIC GROUND_ _. _ _. 1�"' � j ' '- l -� � UNDER FLObR`DUCT ' �� " � ` ' ' ^• GRDUND PLU��IBING UNDER FLOOR COP�iDUiT � � � " � - ' ., , : ,. , � � • � - ' _ . ...� �,. . �SLAB GRADE---- -- ._. '^' -. -- --- -- � . : FIREP.LACE:FOUNDATION . ;, • . , :TEFAP POWER __....-- - _ .. .- FIREPLACE BOUD BEAM - ' � . '.�;-���_. ;WATER SERVICE - - -- - MID HT.BOND BEAM • '• . ' ' � � � ` ;ROOF SHEATHING �� • , 8 FT. BOND BEAM ' � - ' � - " . _. . . _. . _. . . . . ... - ,-� !FRA�AIMG�I,�ENTILIATION �-� - --- ---- - - FIPJI,L•BOND BEAM ( • - - �ROOF COVER �:.' � � '- PRE-GRADING � _ _ _. .. �. , ... ;RO'JGN HcATING - :. -- _` � - BENCHING �ROJGH ELECTRIC _�__..: ' ' ' �'- : '. . �' ROUGH GRADING 'RO11GH PLUMBING ` - - - � -� � FINISH GRADING � -• 'SHObVEA1TUB TEST-� - - ---- -� - -----' POOL�ELECTRIC ' ` EXT. Lt,TH/SIDING -- . . . -- - _� _ --� POOL FENCING ' t^JALL-tNSULATION �- — - - POOL'FINAL , iCriLlPlu IP:�ULATION; - -- - �- " OFF SITE IMPS. ••�' � -- cF A^"��LLNAILING ; ;" - DEDICATIONS ' � ' , � ��4,'� . . _ .._ ... .; - ��p'� _"� . FINAL'ENG. � ; .. I�oci�rl�.TANK 1 LANDSCAPE/IRRIG. � - �i6Ec?.�fT(L.L... ON SITE IMPS. �• - . '�z`���Irs �cST ' � FINAL ZOPJING , r,=:;:--- � - �__. - - -- . _._---- '�t=?i�'^�,i_;:rJNST....,..-.---- ..__..�_. . FIRE DEPT. FINAL . . I ; _.------ , . '.l�.li�;-:_t-IEATING---.. ...... . .... -- - .. _.. .. _ .. HEALTH DEPT. FINAL --- - - DEV. FEES PAID -' ' � '._:.:c,:_E�ECTRIC. ...... __ �.! . _.... .. . --=''•. PLUM8ING - -- --- - ENERGY � . . :'. .__.._ . - - . ... i . � y , l.:.._. ---, . ._. .. -----. . �. E,:;,CE U1:il;7C f� :._.__... ' _ ..]4s'.�F_�G'_'�:rs.TS's'.:� � �� . . _ . . .. . . ... . . . ._�. . ._ . �.-+� .-.��\r�`'_ � .. • . �- � � . . . . � ' ' ' . �`CG�J�PJIENTS. . _. . - ; ; , .� i � � ' ' ; � , ; ,\ _ �. . . . . . - � • � . , . ' ; ' !:_ '_. , - _-. . __ C � ' . . � . - - '- , . , ,. . ;, . . � . . . . . _ . -- - - . ; . _ ; : �SEPTIC TANK SfZE � . . . . ; -; ;SEEP PIT/U SIZE -- _. . . _.._ _ ' '���-_____..�....�,__.. . . . ; . ; . . . _ - - - �: : � � ; -- - .._ ; _ ; . . . _ , -._ _ . _ _ . _. � � . . j''•��� .Iri �..... � ., . _ _ _ . .. . _. _. _.__.. . __' ` '.�... �I. - , , i , _ ...., .. � __ . _ _ . f 1 ', f' � - . . � _ . . , _. . : .. . . .. . . ..... . .. .... i . . l ` ` ( , .\ � ;�\ i : . . . ,��'.'- � �i � - . .. `. c ��� .. . . � � • � � ' . - - i — —_.:Y..'..��........._ � - ....__