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HomeMy WebLinkAbout16399 -- CITY OF DIAMOND BAR � . .,h � „ -- - DEPARTMENT OF COMMt�1ITY.&DEVELOPMBNT SERVICES � � 21660 E.Coplcy Drive Suite 190 (909)860-3195 Faa(909)861-3117 PRES$ ����^� BUII.DING PERMIT APPLICATION FI Y JOBSffE �Q� � � APPL�CATION PERMR P/C o ADDRESS �"�J"�� L l DATE � � �NUMBER � i ISSUE �'� ��ONST. GROUP � APN LOT T T DATE � OWNER ' p AODRESS � ZONING SETBACKS � CITY ZIP TEL.' REAA RW D APP�A TEL. SIDE/SIDESTREET RW O � CONTRACTOR �� • t SIDE ❑ ,� ADDRESS ` �. 7 S . CITY ZIP TEL PROPOSED USE- _. . � ARC NG! • � DESIGNER NO.DWEL N0. NO. ADDRE55 UNITS STORIES BEDROOMS � CITY ZIP TEL. � OESCRIPTION Sa.Ff. FACTOR PSF ADJ.AREANALUATION N Q 04VNER-BUILDER DECLARATION SFR/ADDlREM O p I HEREBY AFFlRM UNDER VENN.TY OF VERR7RY THAi�AM E%EMPT FRdI THE CONTMCN(35 L4 � G8fag9/C81pOR W CENSEIAWFOfiTHEFOLLOWINOREIISONREG70.77.68U5P1ES5ANDVROFE5510NSC00EANYGRYOF (n . � COUNTYIMIICHREOIMESAVERMRTOCON9TRUCT,ALTE0.�MPiiOVE.DEMOUSH,ORflEOAIRANYSiRUG W Patlo/Deck � - - TURE,PRIOR TO RS ISSUANCE,ALSO REWIqE3 TNE AYPLIC�NT FOR SU01 PERMIT TO FILE A SIONE� W � ETATEMENT THAT NE OR SHE 6 LICENSEO VU0.5UANT TO THE PROVISIONS OF T11E G�0/fiMCTOR3 L4 C@!S[UW(CH4VTER 0(CdAN[NCINO VAiH SECTqN 7000)OF DMSION 7 OF THE BUSINESS AND PR6 LL' POOVSpB FESSIONS OOOEI DR 71iA7HE OR SME IS El(EMPT TTIEREFRpA ANDTME BA515 FOR iME ILLLEOED E7(EMP• TqN.ANYVqLATqNOFSECTI0NTm1.6BYANYAPPIICANTfOR�VEiWIT54B1ECTSTHEADVIIGWTIO Z Re-Raot � A CIVq.►ENALTY OF N07 MOHE THAN FNE M1N�RE0 DOl1AR5(f5oo).): I � O��MMlEROFTHEDROPERTY,OR4YEMPLAYEESWITHW�QESASTNEIRSOLEC�MPEHSATION. 0 COrt7rt10fCldl � VALL p0 i}IE WO{K AND THE 6TRUCNRE IS NOT IMFNDEO OR OFFERED FOR SALE(SEG]ou.&156 NESg MID PiqfE5S10N3 COOE T1�E CONTMGTORS LILENSE Uw DOES NOTAPPLY TO AN OWNEq OF N VROPERiYMA10BUlD40RIlADibVESTHEREON.ANOW110DDE55UCHWORKHIMSEIFORHERSELFOR m � 7iW0U6HHISORHEROM'NEMfl.OYEES,PR�WDEDTHATSUCMIMPROVENEMSMENOTINTENDE00R OFFfRED FOR SALE IF.FqWEYERiNE BU�DINOORMPf1OVEMENi IS SOLD WITTIIN ONE YFAROF COMPLE• TION.THE OWNEH-BUILDER MALL NAVE TME BUROEN OF iqOVMlO TiAT HE Oft SME O�D N�T BURD Oit W PIqVE FOfiTNE PUN705E OF SAIE). w pI�O�MIEROFTHEPR�PERTY.AMEXCIUSNELYCONTMCTNQWRNLICENSEDCONiMCTOIiS J � TO OMISTRUCT h1E PROJECT(SEC.7aa1,BUSINE55 ANO PPOFESSIONS COOE THE CONiMCTORS l4 V81U0f10�1 ADJ.AREA CENSE UW DOES NDTMPLY TOAN OWNER OFA PROPERTY WMO BULDS OR IV PROVES 1MEREON.AN� W/qCOMRACT3FORSUCNV0.0JECiSWrt11ACONTMCTOR(SJLICENSEDVU0..UINTTOhIECOHTMG pUANTITY DESCRiPT10N FEE � TOq3L10EN5EUW.} i O��IXEMPT UNDEH SEC. B.l P.G FOA THIS REASON � �� � � � 3 � � u.. � DATE OYMER V . � LICENSED CANTFlACTOfiS DECLAAATION W � INEREBYAFFIRIAUNDERPENALTYOFDERIUMTMAT�AMLICENSEDUNOERPROVISIONSOFdUPTEA Vr . Y(COMAENpNO WIM SECTqN 7000lOf'Drv�SiON 10F THE BUSINESS ANO PROFE5510N5000E,MlD Z W UCENSE IS N FUU FOqCE AN�EFFECL ^ m � �/�V � p.., UCENSE CUSS UC.NO. � J pATE� CONTMCTOR a � WORKERS'COMPENSATION DECU1FiATION �� 4 � U � IH�REBYAFFlRMUNOER7ENII.TYOfVERIVMONEOF7HEFOLLOWWGDECUMTIONS Z a � __INAVEANOW�LLMAMLA7IAGEHTIFlCATEOFCONSENTTOSELFdNSUREFORWORKERS' _ C01.1PDlSATqN,ASPROMDEDPVSECT10N�7000FiHELABORGODEFOR7NE�ERFORUANCE `U OF 1NE WOPoC FOR WMIp17N15 PEiiMli IS ISSUED. � O IMAVEAN�WR11MRf1A1NM�ORXERS'COMPENSATIONMSUMNCE.ASREWIREDBYSECTqN y�1 4 87ooOFiHELA90RCQ�E.FORTIEGERFORAIANCEOFiHEWOPo(FORWHItl/iHISGEM11T15 i�V�� � ISSUED.M'fWOfiK PSCO�A SATIONWSUiUN GUiR1ERANOPOLIGYMIMBERME CONSTRUCTION '� �Eq PLAN REVIEW � va�cYnuasER — � � ELECTRIC � (iSs,SECTrilr�wrBEou.r3ErEpOFnfpFAM7swaaNE R�W1onLEss1 PLUMBING Z I CERTFY THAT N THE VE�CRMMICE OF THE WORK FOR WMICIi THIS PERMIT b ISSUED.I MECHANICAL C7 SHALL NOT EMPLOY ANY PERSON IN ANY IMNNER SO AS TO BECOME SUBJEM TO THE � WORKEti'COAIPENSATIONUWSOFCALIFORNI/�JWD�Dii[ETHATIFISMOIA.DBECOME INSPECTIONFEE S SU0.JECTTOTMEWORKENS'C0IAPENSATIDNDRONSIONS EECTIi�yt00pFtNEIABOR �SSUANCE � cooe.i sw�u Fonnm�rH eour�v w�n� rw�ns s. O , DATE: �J APPLIGWT: SMIP � WMNINQ iAILURE TO SEGUREN'DNKERS'CAMPENSA7qN COVEMaE�5 UNUYIFLA.,AND SHALLBE ENERGY P!C �y SU6IECi1�NEYPLOYERTOCRIIUWALPENALTIESANOCMLFMESUP700NEHUNDRE�TqU5AN0 ENERGYPERMIT } pOLUFi5pt0o,0ao),INADDITIONTOTHECOSTOFCOMPENSATION,DMUOE5/50ROVIOEDFORW ,J SECTpN]70AOFiHEUBORCODE,NTEHEST,ANDATTOfWEY5FEE5. qE7ENTI0NFEE ¢ a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � INERE9YAFFIRMUNDERVENKTYOFGEfWRYTHATTHERE�SACONSTHUCT10NlENOIN(3AGENCY ' FOR TNE PERFORMANCE OF 7HE WORK FOR WHICH 1H15 iENdIT IS ISSUEO(SEC.70v7,G�Y CJ. � � LENDER'SNAME C �ENOER9/DORESS . � icexnvrnutiwivEa�tws�avuuna+umsT�retw�tnie�eov¢wFaw�rion�scoAr+ecr. TOTAL FEES f 1 � � W 111GREET0001.1PLVWIT7ALLGTVAN�COUNTYORDaUNCESANOSUTEUIMSREUTNO70BURDIN(i � CONSTNUCiION,ANDHEREBYAUT110FYZEREFRESENTATIYE50FTHISCOUNTYTOEMERUPONTHE � � . z ABOVEJdENTIONEOP�EKTVFORINSPECTqNVURPOSES. � COMMENTS � ��,�-�1 Gj �S'�df� d � b' � �i' �/. � (n GNANREO iWITTE OAT � RECPT.N0. PAID BY VALIDATION WH17E—Department Copy,YELLOW—finance Copy.P�NK—Assesear Copy,GOLDENROD—File Copy,GflEEN—ApplicenCs Copy , , . . - - .. . _ . . . . . ,. - . . � . . , . .. . . . , .. � � ... , . . . , ,,,.. . . , , ., .. , , � . ';�. CITY OF DIAMOND,BAR ,, ,., _;,.,..f�,,, , . , - �i� __ !v�; �. :.INSPECT101r! RECORC� , �<.,.�, .. �: , � � ,-^ , , . . . _, �. , ,_ .r v'.. +�-� �_�ij�1���'�i�1�►!�� I�:,`��: �I��-�.��C..��,�:�I.� ;►� �!��!.������i��`�d;. :. .:���;��� _ ;(�+�.��!�:�'�.���:,� ISET BACK �; ��-i:�. � i- - � I ;� I - � I} ��: �FLOOR JOIST, .~ �� �. .��., .., �` �� ' _.;,��„ _ .-'.._. ' " •• � -, . _ - �FTGS/FORMSlSTEEL-- '• ' -�.... ..., _ __, � � _ � �i ;- - FHA REQMTS .� '. : :._- - - - - - ---- - ---i�-. I ELECTRIC GROUND-- — -- �r: �- . .-- ; ''.-'�.1 � I i -- -- UNDER FLOOR DUCT- - -.-. '. �.�' . .- � , . -- - "� i�: iGROUND PLUMBING UNDER FLOORCO��lOUIT. � ��'.- ' "�'' ' '��� � '' ! .�_i.`-�_ - - - .. .._, .� :. , _ � � -- -- -- - '' � ' � FIREPLACE�FOUNDATION � • �` ''�_` `; .. ,• �_ � , r ,SIAB GRADE----- -- ` I-- � . .� . , . ,.�. ' -- iTEMP POWER - : I ' - �'-' � I FIREPLACE BOND BEAM - � ' ' ' ` ' , � � -- �WA3Efl SERVICE---- -- -- --- - .. .� MID HT.BOND'BEATd •.;��,:,:� ����y'":� �'.. : ;� �- ' ' IROO�`:SHEATHING� � � �'�!( � _ �8 FTB�ND�B'EAM•.,.'=�•-_.a�.���: '.. ; ,-.\'.• ' , . �FRAMING.NEN IL•IATIOf� � . . _ _ :'""�•-=��. . FINALtBQND B�,AM��, , - .--� --- -`�.. ` .JJ� . , , �. - - - - . IROOF COVER .: � �"' � • PRE-GRADING - - ' --.. __ _ -- - - - �ROUGH HEATING' --- - - - - - '• ' _ . --- - - BENCHING � ,, . � . ' : ' lROUGH'ELEGTRIC--� - - : ,..-. � '"' 'ROUGH GRADING -- -- - - — ---- � - - - . - -� . �ROUGH PLUM8ING--�---- - -- - -- ----- ' FiN1SH GRADING i .. ;SHO�JER,'TUB TEST -- - - ---- ------ � -- POOL�ELECTRIC ' : ,'' � ; ;EXT. LATHlSIDING --, -- _ � --- � - - POOL FEhCING : ` � --, �. � ; . ' }WALI iNSULATION -- - --- - -- - -- POOL'FINAL , ; � ; !CE1LTNu iNSULAT(ON - •,..- �.^ � - - - OFF SITE IMPS. � � � " � �.; �d�YWAL:L NAICItJG - '-- -- � ` - -- - ,-- - DEDICA710NS ' (SEPJER - -- ----; - - - - ; - --- FINAL ENG. � : � -:. ;SEFTICTANK LANDSCAPE/IRRIG. ' ` ' ' '` ISEEP P1T/l..L. _ _ —". �'., :�_���= � ON SITE IMPS. �. - , ! ' : �GASAIRTEST � ' FINAL'ZONI�dG . � j - � � - --- - - �1^1�.L HF�TlNG - -—- ���•a - � FIRE DEPT.FINAL -- ' . ' � , i . ._._ _ _. HEALTH DFPT.FINAL - - - - - ! ' DEV. FE�S PA!D - -- -- - - --- - - ------' . !-i:vi-.L ELECTRIG - -- ---- - � -. . _ _ ..-- - � _. � ---- .;�=�:sn.t-PI.UP.��1�vG ---- - --- -- . 1_._.. . - - - - + ENERGY i _-_-- � - - — - _ ----- - -- _ -- - - - - - i. ,i �_,.�.�,.,�.-�.,..,... , . ._..__ . •---�-...'..-- � :�----- � -- —�---- --- -� �- - -- -- �-�� — 'c`,+) J1�"�'�.� - ' � '�, , ` � . iy. ;I N� C "�y��.,��v:�-�,.���:.�,._-,���..Y�.:__i ��, ` � , ". � -. ..---- � __. , - --- - - 1,-� ...� `: �,, �-: ,,�•: :` t,_ . � ; . t' � ` . � ,... -- -- - -- �- - -- - , .• . ��co�;�r��rvTs- - ,; -�; 1 �� � ; - - , . . ,. � , , , � . i ;--- - --- -- - - ___. .._ ... . - - � i . , ;---- --- - -- -- - -- - - - - : . , •: . � ' •� � it' ' ' . , _ , , . , � � � . � - , - , ' � i .` �1 1 . .l. ' � . � "_" .._. . ._... . ._ _ . . . , �, . �, . •v ' ' � ._ . \ . :�`•�\�'"" . . _.__ _.'__-_ _- i i � ___ . - �- - - -- -- -- �—' -- - - - � -� , � , '. . . " _ • • � . . f � „ � � � ,,. ,. . • -- - � i -- - - - - - -- - , . ' � ; ` ---`''-•'r� . - - - - - � ;_`\ • f � -- -• . - - -- - - � ; . i . .;" • . � ..�'.:� . , . , i � - �SEPi'IC TANK SI2� -- - - - - T . , � ; �; : , .--, . , . � =:� , , jSEEP PIT/U SIZE _--- - -- --- �. - - - --------- .. � - - - , , . .�...-.,, -- - , ; : . ; - ,�:� �y��i�. �.._ .:�.- - -- --- - -. . . � � . .. . ' i -;. , . . '�' , -.. -- - . . , � t ... ... - __ �._ .,.. .... __ - - - - .. , :.: ...... _ .._ _..... . ---�� - --- - • - - � . . - ._ , - � ' _� . , I _ J. _ , i .' " _' _' "_"'__' _ ._ . . . . _'"__" _"—'_ _ _"__ '� � '1���r . .. , I�:, , , - .. _ , , , -� , , , . , ' :- -- - - ... - � �_ ,. � . � : . � _ _ __ � .:; - - - � � . � . , ••�, . r _. .. - --- -- � - -' �r C .i �: ' :.��i �, '.�.. � J ��� , __. ._.... .... _. . ... "---'. ... � . _ �. , I i � � .. . ` ..._ . .. 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