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HomeMy WebLinkAbout16039 (22) ,� _�� CITY OF DIAMOND BAR " ' f � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES t1 � , 21660 E.Copley Drivc Suite 190 y t��s6o-3i9sF���>s6i-3ii� , PRESS '�'� BUILDING PERMIT APPLICATION FIRMLY � JOBSITE J�/ I /�.,� ����ZE�S �2 . APPLICATION ��,.v�PERMR I _�\� P/C o ADDRESS_J «' L.�i L,� DATE NUMBER �(1��r� � g ISSUE TYPE OCC . APN LOT TRACT DATE CONST. GROUP p OWNER f Sc'7 ' p ADDRESS � ' I�lL � � ZONING SETBACKS � CITY zIP� TEL �� � FRON7 RW ❑ APPUCANT • TEL.'� " + " REAR ❑ � SIDE/SIDE STREET RW p ' CONTRACTOR �' .IG' l/}/j SIDE ❑ g ADDRESS � ' _ � � pROPOSED USE CfTY �/''�Ej c' ZIP��1 TEL ARCH/ENG/ OESlGNER NO.DWEL NO. NO. = CrDnDrRESS ZIP TEL UNITS STORIES BEDROOMS � u� DESCRIPTION SO.FT. FACTpR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLAFiATION SFR/ADDiAEM O Q 1 HEREBV AFFlP►1 UNDER FEN�LTY OF PEM1AIRY T/AT 1 Ahl EXEMPT iFqM THE COHTMCTOFt:L4 G01898IC81pOA �}J CENSEUWfONiHEFOLLOWINORER50N(SEC.7W1.6BUSMESSINODROFESSqN5CO0E:ANYpiVOR (n 5� COUHT'lW1aCMflEONRE411PERMRTOCONSTFiUCT.�L7ERMPROVE.DEMOU5ILORPEPIURANYSTRUC. W Pe11dD0dc - �� 7URE.VRiDR TO R9 S9UANCE./L50 REGUIRES 7HE MPLICAtrt FOR SUCH PER41R TO Fl�E A SIGNEO W � LTATEMENT THAT HE OR SHE IS UCENSED PURSW WT TO THE PROVISIONS OF T1E CONTMCfOR3 lF � � CRISE UW(CHAPTER Y(CDMMENCNA3 WIT/SEGTION 7W0)OF DMSqN]OF TME BUSINESSANO PHU POOVSPO � FESSqN300DE�qiTUTHEORSNEISEXEMVTTHEqEFROMAN0THE8ti513FORTHEALLEO[DbfElAP• (� TION.ANYV10lATqNOFSECTION7W1.6BYNA'APPLIGNTi01tApENATSUBJECTSTHEAPPLIGNTTO Z Re-Root �,_, A CfVIL FRIAL7Y OF NOT MORE INAN FNE HUFURED DOLUlR51i6aa).): O ❑IASOYMEROFTM[PROPERTY,OPMYEMPLOYEESWITHWAOESA57HEIPSOLECOAIPENSATION, 0 �mmarcial - ' � WILL DO TIE WOHK,ANO THE 6TRUCTURE IS NOT INTENOED Oil OFFERED fOq SALE(SEC.701�,BUSt� J � NE58 AMD VROFESS�ONS COOE:iHE CONTMCTORS LICEHSE UW DOES NOT A07LV TO AN OwNER OF ? - , VROPEHTYMRID BURI79 OR Mv110VE3 TMENEON,/ND W110 OOES SUCM NORN NIIASELF DR HERSELF Oq � THRUIOHNSORFIEROYMEMPLOYEEAiROVIDEDT/NTSUp11A1PROVEMEMSARENOlINfENOEDOR � m ., � , . _� OOFFEREDWR3ALE.F.fiOM�EVER1NEBlAINN00RIMPROVEM@7TI950lDWITHNONEYEAROFCOMPLE. �..•�.�. � TION,TXE QANER�&l�OER VALL MAVE TNE BUimEN OF PqOVPIa 7NAT HE Oq SHE OIU NOT BUttD Ofi , , MAiROVE FOR TNE PURPOSE OF SAL�. � 04�SOM0lEROFiHEP110PEiiT`/,AMIXCLUSNEIYCONiMCTINOW1THlICENS[OCOHiMCTOR9 TO CONSTRUGT THE PR0.IECT(SEG Ta4.BUSME55 ANO i(qFES510NS COOE:TNE CONiRACTOR4 tl. .VOIUBIIOf1 ADJ.AREA � CBISEUWDOESNOTAFPLYTOANOYMEROFAPROPERTVMnqBULDSOHIMPpOVESTMEFlEON.INO W1qCONTMCT9iOFi5Up1PPWECTSNnT1ACONTMCTOR(57LICCNSEDNRSU.W7TOTHECONfMC pUANTITY DESCRIpTION FEE ' � TORs uceusE uw�. �J ❑IAM EXE11PilN0ER SEC. 8.�P.C.fOR THIS REASON . Q U t�. � - Z DATE OWNER V F UCENSED CONTMCTORS DECIAFlATION W � IHEREBYAFFGiNUPIDEHiENILTYOFiER1UH'/THATIIU1lICENSEDUNDEHPROVISIONSOFCHAP7EF � . /,\ (� �fQOMYENCNOVAi1V5ECTIOH70ooIOFDM5qN70FTMEBU5ME35�NDPROFE4510N5CODE,ANO Z V � W UGENSE i5 IN FUl1 fORCE M70 EFFECf. m � u��E��s C'—3<�_��.No. ��' - � V DATE �'�a�S-t�/ corrrancTon ' / a � WORKERS COMPENSATION DECLAF7ATION ¢ , � IHENEBV/FFlpAUNDERVEN.LLNOFVE0.AIRYONEOF7HEFOLLOWIN6OECLAfUTIDHS�. Z � _�I/W�ENIDWILLAWNTAMIICERTIFICATEOFCONSEMTOSElFaNSUREFOfiY10R10ER3' _ � � . ., � OdAFEN4AT10N.ASFitWDEDBYSECTIONJToaOFTHEU00RCO�E,FORTHEPERFpqM,tNCE W Q pf 1T1E WORN iOil WNIp1 TN74 VERMIT IS ISSUEO. � �. � �1 NAVE�ND YALL M.1INTAIN WOpKERS'COIdPENSAT�ON NSUiUNCE,AS REQUIREO BV SECTION J/OOOF i11EUBOR CODE.WR THE PERWRMANCE OFTHE WORK FOR WHIO1 THIs PERMIT IS � � lSSUED.M�YVyN-R,K�ER3,'-COMP HSATqNINSUMNCELARWERANDPOLILYNUM9E E: CONSTRUCTION �j CMRIEN 2���Mt�.AOSff`T7L�/� �� (�/ . �N� PLAN REVIEW � VOLIC'lNWBER_ �►—}�a n�� E�('i�lCi � a �s[cmnramwreEcn.aF�ucFnEv[w�rsPonar��ua�oau.us�s+m�oa�� PLUMBING �9�5,1 •� Z ICERTIFYTMATINT{iEPERFOHMMlCEOFTHEWOPKFOqVMIp17M137ERMRIS�SSUED,I MECHANICAL (7 SHALLNOTEMPLOYNtYPER50N1NMlvMANNERSOASTOBECOMESUBJECTTO7HE N WORKERSCLWVENSATIONUW50�'CAUFORN11iWU/�GqEETUTIFISNOULOBEC04E INSPECTIONFEE S SUBJECTTO7MEWJRKERS'COAIPENSATqNPPOV151DN50F5ECTqN]'/OOOfTHEUBOR l ry\ GOOE.1 SHALL FO�iTHVA7N COMPLY WIh1 THOSE PROVI510NS. ISSUANCE V �W � DATE: �aPIIC�NT: SMIP —C�I-T1'-A���A�'��ATL�RAR ENERGY P/C ni�n j�[�A�'!{!�J � WARNIN��FI1Rl1RETO5ELl1REVlORKEflS'COIJPENSATIDNCOVEMCEISUNLAVlFLLMlDSMALLBE —D�u—B�F���r�7l1{'i�L 1 � StRJECTANEMPLOYERTOCRWW�LiENALTIESMIDCMLi1NESUPTOONEFNNDREDtM0U3rN0 ENERGYPERMIT OOIUAS�f700.000),W MDITIONTOIHE C0.ST OF WIADENSATpN,�NMQES AS VROVDED iOR N � SECT%k1�70lOFTHEUBORCODE,NTEHEST,ANDATTORNEYSFEES. RETENTIONFEE_ OGONSTRUCTION LENDIN6 AGENCY PqE-ALT FEE: � IHEREBVAGFIRAIUNDERPENA�TVOFPERJURYTHATTNEREISACONSTRUCTION�ENDiN(SACENCV � iOR THE PEP W RMAIKE OF iHE WORK FOR WNlp/TMIS VERAIIT IS ISSUED�SEG 70Y7.pY.G). � � LENDERSNMaE � � LENDER'SMONE53 � i GR[Ero�r""ivmTM�u uiv'u�+o�`COUMYORDINANCE4ANDSTA�TEUN'Sq�nr1O"�a o�,o TOTAL FEES �Sa 4 CONSTRUCTION.ANDHFREBYAUTIqR12EREPRESEMATNE50FTHI5COUNTVTOENTERUDONIME ���� � Z �9OVEalENT10NEOGfOPERttFOHMSPECTIONWIRPo5E5. . � � � ^ • COMMENTS ' � L - � � vEwai���E�P ` m �I UEd,�• t - �� N SI�NANFEOFDERA4TTEE DAiE � RECPT.NO. PAID BY VALIDATION WHITE-0epaRment Copy,YELLOW—Finence Copy,pINK—,Assessa Copy,GOLDENROO—File Copy,GREEN—Appl' Ps Copy ClTY OF DIAMOND,BAR , , , .. :-�. �.-;:, • ..:It�SPECT10fU�RECOR� ��;. ,. ~ • � �. . ' ' ', _ ._ .. ��.. ;_. . .. _ .,, - - �-�����.�g��.����'� � � • _1►��- '� M��_k�. __.__. �„����� �� a��.�' ���,���� � - - ��.:.. _...-- ;SET BACK ., . ; 7. �, , -� , FLOOR J01$ �� -- , � , __ iF7GS/FORMS/STEEL_.: � , FHA REQMT _- `.. '• - .• - � . • . � _ . , ;ELECTRIC GROUND ____ _ _! -'; , _ _ _ UNDER FLOOR DUCT � ' ' ` �- ' ' - - _.�; , , - - - __ . , . . , . , - GROUND PLUMBING : � - �. UNDER FLOOR CO(�!DUIT , ' ' ' '`� � ` 'SLABGRADE- - •''� _ __ „ � FIREPLACE•�O1INDATION�: � -" ' , . ;._, ;_I ;T�h1P P01�ti�ER ___ - - --- - - . ;. . ; FIREPLAC��OND BEAM _ •� �..: . ,� , . . � . �WATER SEAVICE -- - - � MID HT.BOND•,6EAM'; : ' ; ' ,=1 . �:. I ROOF SHEATHING � � $FT:BQND BEAM. - - � • �� ' � ' !FRAMiNG/VENTILIATION - " FINAL�BOND'BEAM � � � � � -- '� `^ lRO�F COVER � .. PRE-GRADING - _ _ _ _ �ROUGH HEATING - _ _ , ,:. - - BENCHING - - - . _. . ROUGH.ELECTRIC -=- ' : � , -' '_ � +_ R�UGH GRADiNG -�_�._ --- _._.._-- ._'. � :ROUGH PLUMBING : - ' -- - ' �INISH GRADING � ; �.;� iSH01'VERlfU6 TEST •-- ----- __ _�._.• _ ..- POOL ELECTRIC , , �EXT.U',TH/SIDING ---.. _. . ---__ � .. __ . POOL FENCING . iWALL-INStJLATION-_,___ �___. _ _ POOL FINAL , ;CE1LtNG INSULATIOtJ; -- - � OFFSITE IMPS. ' -: ; . . :DRYWACL NtiILING - _. - - CIEDICATIONS ; iSEWcR_ _ _- _ _, �3^�I -- FINAL'ENG. SEPTIC TANK � LANDSCAPE/IRRIG. 'SEEP.PIT/LL. ON SITE IMPS. i ; GAS AIR TEST � FINA�ZONING , -- -- ,r.INAL CONST. -'___ -. __ ._. _ _. _ FIRE DEFT.F1NAL , - :FI^!AL HEATWG__ __ _ HEALTH DEPi. FINAL � - f , FiyF.t ELECTFiIC -.-.__ _I � � DEV. FE�S FAID _-; ;^i'.�i1`,LPLUMSING ---- . __ _ . ENERGY _ , I `; �; -- . _. - . , . _ . _ F��u ��� xl^�^i."".r".^^--^.-^-f- ,� ' '_ . ....� ,�.�c� .__�. ,. _i i - -- _ _ - . , �:.-3�..��, t� � � , , . ,� \ _ . _ . - �COP�;MENTS , � ' , ,.. - ---- --_I-_____. _ ' , . --__ - ---. __. _ � $ ' � � ' � � ' � : � � � ..1 � .. . __ ._ -- _ ._ . . . �1\'��) � ...'.' � . ' . .�.i ( ( ; _ , , • , ` - - - _ , � . i ; . . . , � . ._ . . . _ . __ _ .. . � � � . . i �, ; .. _ . _ . ._, . , . . . � . . . � � . ._ � . . . ' ' jSEPTIC TANK SIZE � � • _ - �SE�P PIT/U SIZE , ' _ _ -- i ,i� ��'e� _, -. _ _ i i ,. . , � '; ; _:. : _ �. :: a _ - �..: �. ,.-� - _ - i < <. - __ _ --- 'i���;� ��r _ _' , ' _ i • i . � , _ � , i � . , . . ! ��• -... . ,� � _ .•,..: ...:" -. .,��. i , . , ., , • ,: .,,_.. ._ .. ...,..._f__ ' ... . .. _. . __.. . ... , . . , � . , . .. .. ._ . . .. � � , .., . � . . _ . � . �.�. . ._.. . . � . . � . .... .'j . .. . , . __.. . .._.��_...._..-.. _,.._..�I . . �. , � � l�\ ' . _ ; • ' .