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HomeMy WebLinkAbout15640 __` . i _. ..------- -... .._--- -.. _._� _... __. _ , _.... � CITY OF DIAMOND BAR ��� . r.�;+- J� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES (� � 21660 E.Copley Drive Suite 190 \ . (909)86a3195 Fax(909)8613117 PR ESS ����+ BiJQ.DING PERMIT APPLICATION FIRMLY o ADDRESS � O ` �� DATE CATION /� � �. NUMBER �� �v N,C� V g �ssuE TYPE. . OCC APN LOT TR DATE CONST. GROUP p OWNER � �CJ.S�? LL' ADDRESS ZONING SETBACKS ' W cmr �-rv+��a��n R,�-r ZIP TELy ? ,�L� R�RT RW OO � APPUCANT L�TS' /)G�gYL- TEL. �� •� � � SIOE/SIDE STREET RW ❑ CONTAACTOR �� � UG SIOE O ADDRE S PROPOSED USE g CfTY - ZIP,�.(�(�EL. � ARCWENG/ DESIGNER ��� NO.DWEL NO. NO. ADDRESS UNRS STORIES BEDROOMS � CITIf ZIP TEL N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECUIRATION SFRlADD/REM O I HEREBV AFFlRM UNDER VENALTY OF PEiWRY T1A71IUA EXEMPT FFOM TNE CONiMCTOHS LI- GdfHAB/C81pOfI � CEHSEUWFORTHEFOLLOWIHOREASON(SEG70.71.SBUSINESSM7DPROFESSIONSCODE:ANYq7VOR (� � WUHTYMTWIREOUIfiESAVEWARTOCON57RUC'LALTER�PFIOVE.DCVOUSItORREPtiRANVSIAIK• w patblDeck � � TUR�VRIDR TO ITS ISSUANCE,/1k50 REWIRES TME APPUCAPfi FOR SUCH PERYIT TO FlLE A SIGNE� STATEMEHT THAT HE OR 6HE 6 LICENSED PURSUANT TO THE FROYISIONS OF THE CONiMCTOR9 LI•� � CEMSE UW(QUPTER 0 lCOMMENdNO VrtTH SECTION 7000)OF DMSION 7 OFTHE BUSINESS AND VRO- � PooVSpa � � iE55�ONS COOE)OR TUT HE Oq SHE IS EXE4PT TNEREFpOY AND TNE BA515 FOR T11E ALLEOED El1Eu0- TION.ANYVIIXATIONOFSEGTION7031.6BVANYMPLIGN7FORAPENMITSUB1ECi5THEMPLICANTTO Z pe-Rool � 11CIVR VENALiY OFNOT 40RE T11AN F1VE MX+DRED DOUARS lfsao).1: � Ot��WNEROF7MEiROPERTY.0111AYEMVLOYEE9WIiHWA0E3A3THEtRSOLECOMGENSATqN, 0 �mmerclal - WLL DO TME WORK AIO THE STRUCTUFE IS NOT INTEnOED OH OFFERED fOR SALE(SEG 7a1r.BUSI• J NE83 NA PROFE5510H8 COOE THE CONTMCTORS LICENSE UW DOES NOT APPLY TO AN OWNER OF � VqOVEATYYV/10BULO50RMPR0YESTHEREON.ANDYAIODOESSUCHWORKNIMSELFORHERSEIFOR = "�� iHROUOMMSIXtHEPO�VNf4PlOYEES,ORON�EOTNATSI/CMWPROVEMEMSMENOTNTENOEDOR � � ,OFFEAEDPORSKE61qWEVER7ME8ULdNOOHIMPROKMENTI55dDWffMNONEYEAROFCOMOLE• Z �i10N,TME ONNEftBNIDER YALL H�VE TtE BURDEN OF PROV WO THAT HE OH 6HE DIO NOT BURD OR = MPpOYE FOR iHE►URPoSE OF SN.E� W OL�OWNEHOFTHEVROVERiI:AMEXCLUSNELYCAMMCTWOYAiHLIG£NSEDCON7RACTOR3 . � ro coHSTrjucr�ne rHo.iecr�sea�w�,auswEss am vao�ssion;cooE:rne ca+Tw�crau u• Valuation ADJ.AREA CENSEUWDOE9NOTMPLYTOANO'WNEROFAVROFERTYNT108URDSORMVROVESTHCRCON.AND � MAqCOMMCT3iORSUGIVROJECf5WI7HAWNTMCTOR(S)IICENSfDWRSUANiTOTMECONTMC pUANTITY DESCRIPTION FEE � iOHSIJCENSEUWJ. . O I AM EXEMPT UNDER SEG B.�P.G FOR THIS REASON Q � ��' U � � DATE OY.TlER � UCENSED CONTRACTORS DECLARATION -� � w ` IXEREBYAFFlRYUNDERPEWLLT/OFPERAIRYTNAi1NAlICENSED OERPROVISqNSOFCHAPTER Z . t , s Y(CpwAENpNOYYfTHSECT10N7000)OfOM510N70FTHEBUSIN IWJPROFESSIONSCODE,AND X 1AYLICENSEISNfUILFORCEANDEFfECT. .. \= � , � LICENSEQA55 � LI�:NO. � I� J ,. , • .. � . .._V DATE CONTFUCTO `- / t O. . . . . . • W /-- � WORNERS'COMPENSATION DECLARA r1( � �, r�r �� N IHEAEBY/�FFIRMUNDERPENALTYOFVERNNYONEOFTNEFOLLOVnNCDEC T . �' � _IHAVEANDVYILLWMTIUNACENTIFlCATEOFCONSEN7iOSELF�INSUiIEFONWOF1KEi4' Z • COYPENSATK7N,ASVROVIDEDBYSECTION7)OOOFiNEUBORC00E,FORiHEiERFO ANCE U �� OFiHEYt'O�iNFORwHIp7TMiSiERA1ITtSI55UED. � C IHAVENON^LLI.WMAPIYYOflKERS'GOMPENSATIOHWSURANCE,ASREOUIR BYSECf /1� 0 �]7000F1HELABOflO00EFORiHEPERFORMM7CEOFTHEWORKiORWHIt iN15VER1AIT (/�y // ISSUEQWNON(ERS'COYPENSATqNINSURANCECARRIENANOPOLICYN' . RE: CVFS RUC N � v V � CMRIF.R�1`r �� � P R W �_;��_ � POLIC`INUMBER �-� RIC T � (ISaSSECInNr�wi[iEK�.s1F�IDOF7TEPEpATBfafiOVEHIH%YDDOU�RSIS' ; . PLUMBING Z I CEHTtFY T1M7 W TME iERfOHMANCE OF THE WORK iOR WHIq1 THIS PERMIT I51 'UED,I A4ECHANICAL (') SFULLNOTEMPLOYANYiER50NNl1NYMANNER501ST0lECOMESUBJECTT HE r a�,. � WORI(ERiWMVENSATqNUN50FCN.IFORNItiiWOAGREE ISNOUI� cOOML INSPECTIONFEE ` S SUB.IECTTOTHEWdiKERS'COMPENSATpNPfiOV15�ONSOFS . OG 1E BON " 4hL�;y" eme i FOiiTMATH C06�PLY WITH TIK)SE iROVI510N ISSUANCE ��-7�( O '/(/ p DATE:�_ APPLICANT: ( _� SMIP � W ENEFiGYP/C ��� � �j ���� WARNINdFI1LURETOSECUREYlOFiKER5COMVENSA �1AGEISU ANDSN�ILBE � � SUBJECTANEIAPLOYER70CiiluwALPEwLLT�ESANOCMLiN LIPTOONEHUNCREDTHOUSAND ENERGYPERMIT OOLtAFiS(5100,000).W ADDIT1dJ TO iHE COST OF CAMPENSATION,OAYACES AS VROVIDED FOR IN >- l 7 C L1t11�'1iJi� +�[ � � J BECTIONTOlOFTHEtABORO00E.INTEREST,lWDA77URN[YSFEES. RETENTIONFEE: d > CONSTRUCTION LENDING AGENCY PRE-ALT FEE: �T1L1�I1�J���J�i1'L�l� O � � INEREBYAFFlRMUNDERPENALTYOFPEiWqYTNA7TMEREISACONSTRUM10NLfNDINC�GFNCV FOR TNE pEfl W RMNICE OF iH[WORK FOR WHCH TMIS VERA11i IS ISSUfD�SEC.1aY'�.CIV.C). � LENDER'S NAME � ' � IENDER'SAODRESS � W ICERTIFYTMATIF4�YEREADTHISAPPLILATIONPNDSTATE7HATTHE FORMATqNISCOMECL TOTAL FEES ' � � IAGREET000IAPL�WITIIILLLCITY/NOCOVNTYORDWANCESANDSiAT WSREUTINOTOBUM1DING � � CONSiRUCTIOH.MIDMEREBVAUf1qRIZEREVRESEMATNE50FTH15 N7YTOEMERUPON7ME ' QABOVE•MENTqN[OVRO�ER��RINSiECT VUR��� CO MS 1. -� 7�a�� 1 � � m VERIA�T7EENAME� n ' �- Q � N y SIGM7�TUHEOFP MI � OATE � RECPT.NO. PAID BY VALIDATION WHITE-0Bpartment Gopy.YELLOW—Finente Copy,PINK—Assessot Gopy.GOLDENRO ila Copy,GflEEN—/1pplicanTs Copy .. ...� . .. . . _. .� ...., ... .�- ,-. . �. . ., .-,�,:,,�- _ __ .. . . ... , . . . '.r � - CITY OF DIAR70ND_BAR . . . . " , ,. . .. �:;•, •��INSPECTION�RECORD : . . . ..,. � . ; -.;_ �, . . . • . . . _ . ,_ I�'��:��c��l���`� � �.�����? �_.Ii!.E�������a i��.-..��'m1��� � ::� v �.�c�'�'o ;,`i;: �..�.._..... - __ - __ __ �' �.,.�.�.�:._���.� �' !� __ I.�„►.�=.r.�:.-:�:.._.. � - ..._..__.... � - — - _ - �SET BAC�. . . `�•. � •1 T� :�'I � ' ` I , �/� ; . FLOOE�JOl$T�;I��� , � � • I �%� _ . � � �.. .. : c.. . . , � , . � . jFfGS/FORP�15/STEEL.. . . - ,:` :. � — ,. : . , ,.._ ._.. FHA R�Qf�ATS. . ' - . . . .. ._.:_ ..,_ . --.- ..: .. . ! "_ O^"i-� _'. - - - --- -- �ELECTRIC GROUND._._ _.. . • . _. .. . �' � '� ! . UNDER FLOOR DUCT, - � -- - • , _..•.--- �GR�UND PLUMBING � •` -• - UNDER FLOOR CUi�IJUIT --, ��"" ' ` �" `_,'- " , , , � �..��:...,.----- _. , - �SLABGRADE -------- ':�! ------ -- _. .____. • � FIREPL`AEEFOUNDATION -. r �� ' , . _. . . ' ' — . ;TEMP POWER � �i�:., � = - .: �; � : � ;�. : FIREPLACE BbND BEAM � 'WATER'SERVICE-- ---. .. : ...... .. .:. ... ._ .._ . . . . ,. PJIIDHT.BOND Et,P,A '.'... •:r i, 1�� 1 j•'�) ;:; �� ,. :., ...,.,. -:. : � : �.:�: , .... 1 ::�� _�.1�' � .., ;ROOF SH�ATHING � ' ,. , �_. . � 8 FT. B ND.,BEAhA- . ''• � � - ' r. ' _. .. , . . . , . . ;Ff�Ah11NGNENTILIATION - � ' :- �- - FINAL'BON�BEA�1� ` � �� � .� y � �� '. � .• I ' � iROOF COVER .'; ; • c..• PRE-GRADING - - � '.' --' . . . �ROUGH HEATING -. ._ .... . • . ,. - .._. . BENCHING,`.:;,�. , . _. . . 1. ;- - ... :. . , �l � ,:. • :ROUG}� ELECTRIC... .' ._ " '�;:�. I---: ,�, ` • - . �ROUGH GRADING- _.... _. _. .._ . . __ ._ ._ ... _ . .. ... :RD'JGN Pl_UMBING�-' -- - � - - - � FINISH GRADING i .. �SHOWER/TUB�TEST-; -. . � - -- - , , � --- PObL ELEGTRI.0 ' ' � �EXT.L4TH/SIDIN�-'- ;--- ' �-'�� �� � •='•.j � -- POOL"FENCING it,"JALL-iNSUL-ATION ..; _ _ _.. ... . _ _ .. .--. -- ..... . . _ POOL�FINAL � ' !CEILiNG i�•:SULATION -- -'-- "-- - -�� '- .- OFF SITE IMPS... '� ; = �DRYVVA(:L PJAILING -; - -- "�- -,. � " �- � DEDICATIONS :. " '� . , ;SE�'�'ER. .------ --- ; ._.. - - �;. ; - - FINAL ENG. . , _ �SE�TI�TANK � ,', ��', • ' LANDSCAPE/IRRIG. ' � ;SEE?FiT/L.L ' • � � ' ti ON SITE IMPS. .�. _._ -- GAS f;IR TEST ` FINAL'ZOPJING � -.. ...__:. . � FI '+'!.C;ONST, _____.____._ :.. _. FIRE DEPT. FINAL : ' - �._f�,, jp-Z,�..� _ �f=1;•:r'�.�_HFATING __ _ _ i HEALTH DEPT. FINAL "�' DEV. FE..S PAID ' - i"�:�;C,:_ELECTRIC. . . F ._ ... _ .. - -._---- ! ;--:;!•.L PLU�A8ING- __) _. � ___ ENERGY ,;..-•- -- - ,.- - - - --..._�. -- - �—/� ..... :_ . , :�!� ��- - � . -- - •C :E�-o �'�l�".� � • 1 i•; , I - i sli-�. _ ��-���U� — :.,,�.:.n:_. ._ �:�:,_�:-- �---•--- t�_.. _ ... �. .. , .. _.: -.' . , _ . ...__.__----___ _ 1_ _ _ _ ' � t . . _.... - -- — •---- - -- - - - - — --�--- ------ —.. ___ _ .. � _ _ .-- �-.. _ .. . . ._1, , , , , , . 'iCU�MENTS , , ..�,,�< < ., �� : , _ . _. . ,� . . . ;. � ,. .. ..._ . --- .._.. ... . __ _ i � , . � ; � ; 1 , ` , , ., . � . j ; 1 � ... '`, � 1 � - �� � __. .. . .. - - - (^ .� � �-, i ' . 1 � (�1 '�,�,`y; i r . � +t-�-, - ,i \ ; . . .. . 1� � i . . � , , . . � �-- �-----'.,-� � i : I ..._ _. ___ . _ . _ . .'� . - � � . •� .. , , . �. 1 : � _ � . � _. . . . . _ . . , � � ' ' t \ �. . � ,.` . . _ I _.. � _ .� ... � -- .... _. ... . . . � , .. _ �, `��� \ •\� . , . . ' . '�t l�; .. ' r � \ � ;SEPTICTANK,SIZE ' ; i .. � �SEEP PITIU SIZE � � -- � � � � �� �►�� � _ . . � ' . , i . , , _ ; .: _. � , . _ . . � _ _�� ' . . � . . * �.a; ..._ - � . - . . . , ; , . .. •� - � . . • -. . � �� . ... .. . •, i � �\ • . • � �. . • • � •- ' � ��� �� � .i i ' � Y • i �!I -. . i '', , � . , � . — � 1� • ,, � ,. ` , . � � .�,t , .�t � ,� , .� , - . ,� - I � �_ '�_..�..��_ . . _. . . ..— ' � . �j�; , � . - U" ,1` . � ��. • � ; � ,,, ,. .,/� ' __ . . .. �. , . , . , . � . J