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HomeMy WebLinkAbout13583 _�,� _ CITY OF DIAMOND BAR r� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 PRESS �`'TM'�� BUII.DING P 1T APPLICATION FIRMLY } JOBSITE �j APPLICATION PERMtT q-��P!C o ADDRESS '" � OATE NUMBER� M c� ISSUE �,.�!�,_n� TYPE OCC APN T TR CT DATE ` ll[� "I CONST. GROUP � �OWNER �O,DDRESS S - ZONING SEfBACKS � CITY �' 'y ZIP TEL — FRONT RW ❑ APPLICANT L. REAR ❑ � SIDEJStDE STREET RW ❑ CONTRACT ( SIDE ❑ � ADDRE PROPOSED USE CITY TEL � ARCWENG/ DESIGNER �/ • � N0.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � C(TY ZIP TEL c�n DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECURATION SFWADD/REM O � - p I NEREBV AFFlW.1 UNDER OENALT/OF OEPJUi1V 7HAT I A1A EXEMPT ipOM THf COffTRACTORS L4 Garage/Carport L4J CENSEUWFORINEFOILOWWOREA50N(SEC.7W1.68USWESSANDPROFFSSiONSCODE:ANVqTYOR (n ZCOUHTYriHNx1RE0UIRE411FERAIRTOCONSTRUCi,ALTEFLMPROVE,DEMOLISH,ORREPNRANY5IRUC- W patiolDeck �V NHE,►R10R TO ITS ISSUMICE.ILLSO REOUIRES THE AOP�ICMT FOR SUC11 7ERMIT TO FlLE A SIGNEO w STATEMENT TW1T NE OR SME IS IJCEN5E0 PURSUANT i0 THE VROV�SIONS OF TME CONiMC70R3 LF � CEHSE UW(�PT�R i(�MENCNU WITH SECf10N 70001 OFDMSION!OF THE BUSINESSAND PR6 � PooVSpa � FESSIONS OOOE)ai 11UT ME OR SHE IS Elf EYPT MEREFROAI M!0 THE BA515 FOR THE ALLEGED EXEMP• TqN.ANYV10lAT10NOFSECT10N7m1.6BYANYAPPLICANTFO(iAPEfYMITSUBlELTSMEMPIIGNiTO z R6•ROOf �,_, ACMIDENALTY OF NOT►IORE T11M1 FNE HUNDREO DOlUNS(f5oo).): � 04��1M�EROFTHEPROPERTY,OHMVEMPLOYEf5VnT1WAOESASMEIRSOLECOMPENSA7qN, 0 �mmercial - WILL DO iHE WORI(AND TME STiil/CiURE IS NOT INTENDfD OR OFFERED FOR SILE(SEC.7at,BU51� J N NE53 ANO VROFESSIONS OODE:THE CONTMC70R3 UCENSE UW DOES NOT APPLY i0 AN ON'NER Of � � iROFERTYWMOBUM1DSORMPROVESTHEREON.ANDWNODOE55UCHWORKMlMSEIFORHERSEIFOR � 7NROlAMMISOqHERQVYNEMPLOYEES,iROVI0EDT1UT5UQ/IAIPROVEMENTSARENOTNTENDEDOR m OfFERE�iOfl SILE IF,IpVhYER 1ME BUlDM00R MViqVEMENT LS SOID WITIM ONEYFAROF COMPLE� Z •TiON.THE OWNER�BU�IDER WILL HAVE TME BURDEN OF PROVINa TIUT NE OR SlIE DID NOT BUIID ON = MPNOVEFORTIEPURPOSEOFSALE� W OIIISONNEAOFiMEVROPfRi'I,M/OICLUSNEIYCONiRACTN6VrtTMLICEN5E000NTRACfOR! ¢ TO CONSTRVCT TiE PR0.IECT(SEG 70ar.BUSINF45 AND PROFESSIONS CODE T11E CONTfuCTORS LI- Ve�U3tI0n A0.1.AREA W CENSEUWDOESNOTMPLYTOANOWNEROFAVROPERTVWHOBU0.DSORIIAPROVESTHEREON,ANO � vnacor+�rucrsransucnvnaecrswm+�cartn�cronts�t�c¢r+seovuasuurrTon�ecorrrrua pUANTITY DESCRIPTION FEE � TORSLICENSEUW.)' . . . O IAM E%EMGTUNOER SEG B.t G.G FOfi THIS REASON � li. ¢ OATE OWNER V � W LICENSED COMRACTORS OECLARAT�ON -' � w IHEREBYAFFIFMIUNDER N�LTYOFPERIURYTHATIAA1lICENSEOUN�ERPFiOVI510N50FpuPTEq � �r � �(COM/AENCINO C 1000)OFOMSqN70FTNE SIN SAN PROFESSIONSCOD,AND Z W UCENSE LS Pl R/L F CEAND EFFECT. 111 � � � UCENSE CLASS LIC.N0. J � MrE ' corirrucroa a � WORKERS'COMPENSATION OECLARATION � _ ¢ � IHEREH�AFFlR1dUN0ERPENAL7VOFPERNRVONEOFTHEFOLLAMnNGDECLAiLlT10N5: V � Z Q O _IIUVEANDMALLMAAfrM1ACENTIFlCATEOFCONSENTTOSELF-INSUPEfORNORKERS' 2 � CdAPEHSATqN.ASPROVIDEDBVSECTION�7000FTHEUBOHCODE,FORiHEPERFORMMlCE W Of THF WOR1C FOiINMIqIT/IS 7ERMITtS ISSUEO. � � �IlNVE ANO WILL YAMNN WORKERS GUMPENSATION INSURANCE,AS PEWIRED BY SECTION Q �7000FiHEUBORCOOE,FORTNEVERFORMMlCEOFTMEWONKWRNTUAfiNRVEFWITIS . ' O LSSIlED.W WON)(EAS'COLIPENSATqN WSUAANCE CAHNEHAND POLICY NUAIBERME: CONSTRUCTION � �iEp PLAN REVIEW � POLICYMIMBER 7�_�-.-....J ELECTRIC � I�s[cronr�mr�oreem.s�r[DocnErEw.�rsroaor+e�oawis�s+m�oa�ss} PLUMBING Z I CERTIFV iHAT NTHE VE0.FORMANCE OF THE N�OfiK fOR WHICHTHIS VERAIIT L515511E0,l MECHANICAL (7 SMALINOT EAIPLOVANY PERSON�N MIY MANNER SOAS TO BEC0IAE SU&IECT TO iHE ,1 f�/ ('� i��f.)l, � WOPo(ERSCOMVENSATqNUWSOFCN.IFpqtJItiM1DACREETMA71FI5NOUlDBECOME INSPECTIONFEE ' • S SUBIEGT TO THE WORKERS'Gp.��ENSATqN FflOVI5qN5OF SECTION 77000FTNE tABOR cooE.�swui coanravrtr cour�r wm�rnose aarnis�ons. ISSUANCE �'�� . �f �T� n 0 .. SMIP �IT;. Vi' r�:�,_,.__...,.-'-��eT . �V p MTE: ' APPLICANT: .. .. .. ,. ._- . w ENERGYPlC 1'LIL]Ji:'.l: : � WMNINO:FAM1URE TO SE WRE WOIiKERS'COMPENSATION COVEMGE IS UNLAWFUL.AND 6w�1L BE SUBJECTANEMPLOYERTOCPw!NAIYENALTIESANOCMLFNESUVTOONEHUNDREDTqVS!1N0 ENEHGYPERMIT DOLLAFIS(f 100.000).N ADDITION TO THE CAST OF GOM7ENSATqN,DMIAOES AS iROV WED fOH IN � SECTION�70lOFiHELA80RCO0E,INTEREST,IW0A7TORNEYSFEES RETENTIONFEE: pw. ', CONSTRUCTION IENDINGAGENCY PRE-ALT FEE: `• � I MEREBYAGFlFtM UNOEH PENALTY OF FE0.M1IRY THATTNERE IS ACONSTRUCTION LENOw6 AGENCY 0Z- FON ME VERFORMANCE OF iHE WOHK FOR WM1CM 7MIS GEHMiTIS ISSUEO(SEC.�041,CN.CJ. , � �LI � LEFIDEqS HNAE ' � _ � LENDER'SAJDRESS' W ICERTIfYiHATI PE TMSAPPLIGTIONANUS7ATET1NTT11 E ORIAATIONISCORRECT. TOTAL FEES � . �/'3 � I ADREE TO Y N7 �cm u+o camn oaoiwu+cEs T�E Uw5 RELAi1N0 TO BVM1DiN6 � r CONSTRLICT .AND EBV AUfHORIZE REPR[SENTAi 5 iH COUNTYTO ENTEg�yRHE � � � /�BOyE.Y ERTYFORINSPECTIONVUR C�/ / . Q J�� COMMENTS J � � � m PERMITTEENAM � 4 i N y SIONANflE FVERMITfEE DA7E � RECFT.NO. PAIO BY � VAUDATION , WHITE—DepaRment Gopy,YELLOW�inence Copy.PINK—Assessa Copy,GOLOENRO ile Copy,GREEN—ApplicanYs Copy • .. ,. , , � .. . . , �•. �.,.-. �� ,,., , � . �w�. . , . . . �,r . ,., - .�r,,, . ., . , CITY OF DIAMOhlD.BAR � :, � -� 1��SPECTIO��l�RECORD � �� � . !Iv�:t•a�G�CI�'J►�1� '�r�'F� �1�k����R'���I4�!-�ia,��l�lo,�►�E� � _ '�'�F' 1���-���3�.������ , _..n�_..,,.�_...�,^.__.�.x..,�.,�.:.....�.�... ..�,�....�...,,�:._,�..,.,,_...�...�.... . _. ,.....�..__..._ ��.. , �. _. .., �. . ... . ,.�� _ . :_. t SET E3ACK �� � , • � � I FLO�R�O1ST'� • ��, 'f , 1 �., r-; 1 I ',� � t� , FiGS/FORr,AS;STEEL- . � FHA RE(]iVlTS � , . � . .. ' _� '' � . _: . ELECTRlC GROUND : � -- . �. � Ut•dDER FLOOR D�ICT �„ .', , - . ,GRGUND PLUMBING UNDER FL�e?R`,CUP�ID(Jl�'.-�•'.,' ; r='' �' - • r `- � ' 'SLAB GRADE - -- FIpEPLACE FOUf4L�ATION `�--� --� � TEMF POWER FIREPLAEE`BOND�BEAM� `' ' ` ''' ' ` NIATER SERVICE - - MID�H7'!�BOND-BENM':� i.`-i •;'.1::-:;,; ;1-:_ ;. , 1 � : : ;_ � .:: ;. . , �-'�_7. _ ROOF SHEATHItJG, , , � -;�f�,_'- .�, _ 8 FL BOPJD BEAM � . .' , � ,� ., , FRAh11NG,NENTILIA�ION� � � ` ' ,�I` `' � FINAL BOND BEAR4 � ` � � r 1 � 'RObF COVFR � PRE-GRADING ,• • t .::�;,' � ., `� �•' , .' •� �; FiOUGH HEATING� BENCHING ROUGN ELECTRIC ' � ROUGH GRADING RDUGH PLU��IBING - - FINISH GRADING SHOV'JERRUB TEST POOL'ELECTRIC � E'/,T. U1TH/SIDI�lG POOL FENCING � V1,'ALL tr:SULATtON PaOL FINAL � CEILING 1�JSULATION �FF SITE IMPS. DRYINAL.L NAfLING DEDICATIONS SEVVER FINAL ENG. SEPTICTANh �.-.� _ ,� �� LANDSCAPE/IRRIG. SEEP P1T/LL .�-���:`"t�. �" ON SITE IMPS: �G��S AIR TEST ' FINAL ZONING �IP1F,L COt�lST, . __ . ����D� � FIRE DEPT. FINAL FiNAL HEATlNG _ _ _ HEALTH DEPT. FINAL i �Fi"rJAL ELECTRIC DEV. FEES PAID ,�=1"dr,L PLUti1B1NG ENERGY 1" _ � ,` ( � - — --- . ,, � . �F �r�r�-+i. ,^f t�. � . e..." _. . . . �, "I �'F�w . ��' �',;� .. �. .w�.i.�raa: ..v,_..._... .:. .. �_ ' .. • � corv�rf�r�Ts . ��; � ; _ _ _ � . ,� sE�Tic T�,r�►; siz� ' �. SEEP PfTlU SIZE : }...-- . .y���, ..�_ . _..? , I __ . , � ; , _ ���� _ �:� , _ , , ' , _�� ,:= _ � � � �') a � ,�� _ -, . c-j, � � ,. ; �:�•.�r1•, ���-_ , � 1 \�� . 4 > .. , _ ,.� �. . � ` . � .�. , �,� �,._. ''�,.a..... . . :.� _ _