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HomeMy WebLinkAbout15125 ,... . CITY OF DIAMOND BAR `. -- ' -i DEPARTMENT OF COMMiJI1ITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 • (909)8G0-3195 Faa(909)861-3117 PRE$$ � , ����^�� BUQ.DING PERMIT APPLICATION FIRMLY o ADDRESS �� / 3 d�O��/NG' �/�� DATEICATION� q �NUMB R J`� �� � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER �- " ADD ESS ZONING SETBACKS � CITY ZIP � ^ TEL� �^�/� REART RW p APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTO � SIDE ❑ g ADDR�SS PROPOSED USE CITY.l1 ! ZIP TEL. � ARCH/ENG/ • DESIGNER NO.DWEL NO. NO. ADORESS UNRS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OVYNER-BUIIDER DECUIRATION SFR/AD0IREM O p 1 HEREB'�AFFIRM UNDER PENALTY OF VE0.URY T/U71 AFI EXEIAPT iRdA THE CONiMCTOi1S LI• GflfH00/CetpOR 4J CENSEUWFORTHEFOLLO'MNOREA4�N(SEG70.t1.68V5WE55ANOVROFE5510N5CODE:ANVdTYOR (n � COIMIYWFCCIPEOlMESAPEAMRTOCONSTRUCCALTER�PROVE.DElA0U5FLORRfPNRANY57RUC• W PgtIOlDOCk NRE.VRIDR TO RS tSSLANCE./150 REWIRES TNE A7PlltlJff FOR SUdi iERA11T 70 flLE A 61ONE0 w .� STATEMENT iHAT ME ON 6NE 6 LICENSEO PUNSUANT TD TME FROV1510N5 OF i11E CONTMCfOR3 U• � CFlISE UW KlUCTER i(COMMENqNO VrtTH SECT%N17000)OF DMSIDN J OFTME 6USiNE55 AND VR0. u- P��Pe FESSIONS COD�ON 1}UT ME OR SHE IS EXEIAPT THEREiHOAA IJJD THE BA513 FOR THE ALLEUED EXEMP• ��y� TqN.AHYVIOIAT�DMOF8ECT10N7m1.68YANVADPIICMlTFORAiERYITSUBIECTSTHEAPPLICANTTO Z Re-Poof S�J V `„� 11CIV4iENALTYOFNOTMOi7EiHANFIVEHUNO(7EDDOLUR51f5o0).1: � pL�.70N'NEROFTIEPROPEN7Y,OR4YEMPLAVEESNAiHWAOESASTHEIRSOLECOIAPENSATION, O Cpmmerciat - WILL DO TFIE NNNC MA THE STRUCTURE i5 NOT IMENDED OR OFFERED fOR SAIE�SEG 70u.W51• J NESS NO iROiE5510N3 CODE 7ME COMTMC70R5l�CENSE UW DOES NO7 AVPLY TO AN OWNER OF N VROPEflTYW/pBUlD9WiMVROVESTHEREON.ANDMM1IODOESSUp1N'ORKHIMSEIfORHE115ElFOR = � iHA0U6HHISORMEHOWNEMPLOYEES,iRONDEDTNATSUGIMPROVEMEMSARENOTNTENDEDOi1 m L.�1 ,OFFEi1EDPOH5ALE1F,IqV/EVERTMEBUlfI1HaORMJPROVEYEMI45dDWffHNONEYEAROFCOMRE- � �T10N,THE OWNER-BUILDER VALL W1VE THE BURDEN OF VROVIN�THAi HE OR SME DD NOT BUIID OR MPIqYE FOH THE PUNPOSE OF SALk7. ' O l AS OWNER OF THE GPOPERN M/EXGLUSNEIYCOMMCTNM WITTI L�CENSED CONTMCTORS � TO CONS7PIUCT T1E PRO.IECi�SEG 7oH,BUSINE59 M1D PROFESSIONS GOOE:TME GONTAACTOHS U• VHIUeIlOf1 ADJ.AREA CENSE UW DOE9 NOTMPLY TO AN WVIJER OFA PROPER7Y YYHD BUILDS OR MPFlpVES THEREON,AND � WFpCpHTMCT$ipRSUdiPR0.1ECTSVATHACONTRACTOF(5)IICENSEDPURSUNITTOTMECONTiUG ou,uNnTr DESCRIPTION FEE � � TOR:UCEHSEUWJ. . . . . , _ O I NA O(EIdPT UNDE(1 SEC. B.1 P.C.FOR THIS REASON Q E=fLo a �- FF 3 ¢ � 1c \ WTE OWNER U � QS � �4 UCENSED CONTRACTORS DECLARATION W � � � 2 IHEREBYAFflRMUNDERPENALttOFpERIURYM�TIAMIICENSEDUNDERGROVISIONSOFCHAPTER V. ��COAMENGk10WIMSECTI0N1000)Of01VI510NJOFTHE8U5WE53AN0VROFES510NSCO0E,AN0 Z MY LICFNSE IS N F1AL FORCE AND EFFECT. m / �`� .f�C. L V � � IICENSE C/�5 5 ��y �� IIC.NO. � � �.� �j OATE !n^I�1 ^ �I'� CONTMCTO � = WORKERS'COMPENSATIONDECUIRATION �`i � tp .. . . . U , � ,� IHEREHVAFFIRMUNDERPENALTYOFVERIURYONEOFTHEFOLLAMANOOECLARATIONS: Z ,, , , � . 1 "� � _IHAVEAhOW�LL1ANNTlIR1ACEiifIFlGREOFCONSENTTOSElFaNSUREFORYNPICER51� ��. . _ - . .. . � , , , ,. __ COMPENSATqN.ASCROVDED0Y8ECT10N97000FTNELABOitCOOE,iOR7HEPERFORMANCE� W . OF TiIE WORK iOR Wwd/TKS GERMIT IS�SSUED.� � � _i NAVEAND WRL►URlTAW WORKERS'COMPENSA7qN INSUMNCE,AS PEOUIRED BY SECTION r1 � �70DOFTHEUBORCODE.FOflTHEVERFORAIANCEOFTHEWOFiKFOR'NHICHTMISPEFMITIS � . _ � q 11 l/ ISSUEO.MYWOPKERS,'�COM,,O�EN�SA�TK�NWS CEGRR;E�°POLICYNUMBEHAAE: CONSTRUCTION � CAIWER�'y.,�'T�'I'7r—N ���IJ���J—rY��7_ PLANFEVIEW - - �. . -� � POLILWNUMBER � ��OI C� 1 ` ^r ELECTRIC � � � (nlSSEeroNNEIDraieEmFlEfEDachiaEA.iisPORdaEM�iFiEOWUAFSIS�o�ORtF5S1 PLUMBING Z IGERTIFYTU7NRiEPERfOAMANCEOfiNEMCRKiORWHICHTHISPEM.uTI51S5UE0.1 MECHANICAL (,'J SYi�LLNOTEMPLOVAHYVER50NMANVMANNERSOASTOBECOMESV&IECT70THE � WORKERS'GOMPENSATIONIAWSOfCALIFORNII�ANDAGREETMATff15/10ULD8ECOME INSPECTIONFEE SUBJECT TO THE VIORKERS'COMFENSATION PFDVISIONS OF SECTION�700 OG THE U�BOR CDOE,IS�u11FORTIfiVITHCOYPLYWfiHTHOSEPROVI510NS. ISSUANCE 1�„ R e -� � � . p OA7E: APPIICANf: SMIP '4'���+•�� . W ENERGY P/C WAiWINa:FAWRE TO SECURE NfOHKERS'COA/PENSATqN COVEMGE IS UNUWFUI.AND SHALL BE �y SUB.IECTANEMPLOYERTOCRIHiNAIPENALTtESANDCMLFINESUPTOCNEHUNDREDiH0U5AND ENERGYPERMIT IIIEI 'I_..C�_`�II�I -_ DOLIARS(t100,ODo1.IN ADD�TION TO THE CAST OF COMVENSATIDN,OAMA6E5 AS PRONDEO FOR W �J � SEGf1ONi7olOFTHELABOHCODE.MERES7,AND111'fORNEY'SFEES RETENTIONFEE: �� a CONSTRUCTIONLENDINGAGENCY pqE•ALTFEE 1I Y OF n�I�+T.�ONDRAR � IMEREBYAFFlNIAUNOERVENALTYOFPERNRVTHATiHERE1SACONSTRUCTIONLFNDINOAGENCY BIITi,T�t1�Tr �,�,�1 cA_�Tv Z FOR THE PENFORMANCE OFTYIE WOPoC FOq VMip/THiS PERIAIT IS ISSUED(SEC.1av7,CN.C�. W � LENDER'S W�ME � LENOER'SADDRESS � ICEIRiFYTHATIMAVEREADT1i5MPLIGlT10NMD5TATETM7TMEABOVEMfWWATqNISWHRECT. TOTAL FEES � IACREETOCOMPLYWfTMALLC�T�'Iu+DCOlM770f�DiwwCE5AND5T�7EUN5REUTw6TOBULDINO , �� CONSTRUGTION.AND HEREBY AUi}10fiIZE REPRESENTA71VE5 OF TMtS COUNTY TO EMER UPON 7HE � � ABOYE�YEMIONEDGIbGERTVFORINSPECTIONWRPOSES. COMMENTS -� 9 _ m PERM E N (PRINn /�^� N 1 ( .. ✓/� ( � �/ � � i � t' � (A SIGNATU O V ITfEE D�TE � RECPT.NO. PAID BY V/LLIDATION VYHITE—Departmenl Copy.YELLOW—Finence COPy,PINK—Asseuor Copy,GOLDENROD—File Copy,GREEN—ApplicanCa Copy l ' �,,.+,,. . . .., , , . �ti,• ...r:.i. ,�qv�., � .s . . , . � � .� , ' . . � ,.�. r , . �N' ,�'�a ..'r....o�a,.w..�„a_ .,� „ . .. . . . - 'r:� , >� . . . �7 . ?`_ . . ; CITY OF DIAMOND,BAR . . ,. . _, .. �. : .. „-�:.�... it�SPECTION�RECt�RD : , , . . :: . ' �:,� ._.. , -. ' . , i . � �1 . � ., r _ . . t:�.�r�'��ch�;����1���`�i� �J�.F�:;��:F�� �. "i�rk-����`'!�ir.��►�8� � � k � i � • e . . . _ . �._.�,. ,.�.��....... ..�....,�...p�i�,�...,� �SET BACF: . � � � �, ' �� ' ti� ?FLOOR JOIST, ..� _� „�.� �' �-�'.(��� - � ' i ;FTGS/FORr�15/STEEL--- � � - - , ' � 1; - FHA REQMTS.. ,�- ,. -. - -- - -._-- - -.-- t . :ELECTRIC GROUND__ -__ ��" ' _ __ __ _ UNDER FLOOR DUCT - � ' � ' r - -- + �GRQUND PLUMBING UNDER FLOOR CUrIDUIT - • ' �` - ' ' - ' ` ' , , �,� � :< �SLAB GRADE-- - - - �� ` - - -- - - - ' � FIREPL`ACE FOU.NDATION ; ,`:;. : �,' . ,';;,, ` .'•, • , , l :. , .. �TEMP POWER � . � ,� .. ; � FIREPLACE BOND BEAM � � 1 � iWATER SERVICE--- -- - - - ' MID HT.BON0�8EAM ';`:,�,1-� , (1��� �, .i- � �. ,�'.�;.-: : � � i ,RG�OF SHEATHWG _ �I���� _��p ; � 8 F7.BOND BEAM-- �� ''`= �� � ' '• - � + - �FRAMINGNENTILIATIUiv --- - - FINAL'BOND BEAM ' V � i ; �ROOF COVF_R .c ,; -. � PRE-GRADING - - - ---- '' ' " _ . _. ; lROUGH HEATING -.-- - - - - ' - BENCHING 'AOUGH ELECTAIC � _ "• - ' _ ' � ' ' ' AOUGH GRADING- , 'ROUGH PLUMBING- -- - - - -- �' FINISH GRADING � :, 'SHOWER.rfUB TEST �� - - - - - - - • --- � -POOL ELECTRIC ' � !EXT:L-ATHlSIDWG--' - - -- - -- - --- POOL.FENCING , !WALL-ItJ5ULf1TION-_;-- --- --- ; . ,-,_, -- --- POOL FINAL -� ;CE1LiNG INSULATION- -- - -- - , - - _ OFF 51TE IMPS. , .. `:, ,DRYWALL NAILING- - - � - DEDICiaTIONS ' ' � - SEWER �- -- - - - - - - FINAL ENG. ;SEPTIC TANK LANDSCAPElIRRIG. 'SEEP PIT/LL. _.. � '� �,� �' ON SITE IMPS. IGAS AIR TEST ! FINAL ZONING ' - - -- -- — --- --- FINAL CONST._.� -�'i �j ' FIRE DEPT. FINAL . '—?-�----�, � IFINAL NEATING _ _ • � '� '.,.._� = 1, •` a. . HEALTH DEPT. FINAL - - " !F�FJAL ELECTRIC.- '•. ; ':, ',•. ? ` - �� ';.'- DEV. FEES PA1D - � i�i�lAL-PLUh",BtNG' ' ,' " ' �- `- ' � � • " ENERGY � --- --- -- -- � - - , � � . _ _ � . .. . , . _,� ---- ---- - - - ""'' • , � _ -__ - ,���-�E �� -� 4'�, �' � y , . ,��=.�,��.,, ':,,�:��� _. '' ..:.:��-, �� , �COMF��fENTS -- _ . -r , -- -----1 -- ';yf�.�'._ . . .;� � __ - ,, -_ , - ... � - - , �-----�I p,J (o-�..oD��� ���-2..�-�� � � �-. C�-���+C �(� t�tv�-�1 � {- ( - P2i�,.. ?ce�as; ,h ;r � • , t , ' f��� �o,z,'��hC.eJ� , , . j - - � • � . �, .. . � `_. "� � � _ � - - - ! i -- - i , . . �. - - - � . I - , I � � � �SEPTfC TANK SIZE - � � ! � � ; SEEP PIT/tJ SIZE � .�._ �......�,,��p-..�....._._...f.�.� - _ � i ' - - - - - -�I .. .. . ._. .._ : : i . . � . : , .._ _ . - - _ _ .. ! . _ , ,,y�p� ,!;I : . ' ., � ; i . . . - - - - �, i . , i . ... ... .. . _ .. ._ . . - - - -- . , �. ' ' � ' , _ , _ , . , :. . .. _ . . - .. -- '���'' � � - � �' / 1;1�. . _ .._ . _. ; .. ,. , , � ' _.- 1 1 - .,, _ ...�,� �. .. . , ' ; - • - , .. . . .i __.1 , . - - _. _.�,. ..............__:� ��