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HomeMy WebLinkAbout13406 (16) CITY OF DIAMOND BAR � �----�� ��-- DEPARTMENT OF COMMUNTTY dc DEVELOPMENT SERVICES 21660 E.Capley Drive Suite 190 - (909)860-3195Fax(909)861-3117 PRESS ���'��� BUQ.DING PERMIT APPLICATION FIRMLY } JOBSITE �A,wA v i(/L t/i�,� D 2 � DA�CATION� � �� NUMB R / � N� o A�DRESS rl��/ rl r �••��•— � APN LOT � TRACT ¢ ISSUE TYPE OCC DATE CONST. GROUP g OWNER � ADDRESS ✓ [�� ' ZONING SETBACKS � CfTY � IP TEL. ♦ r J�� FRONT RW ❑ APPUCANT TEL REAR Q � SIDE/SIDE STREET RW ❑ CONTAACTOR s/vC� SIDE p g ADDRESS CITY ZI TEL/ PROPOSED USE L � ARCFUENG/ DESIGNEfi NO.DWEL NO. NO. ADDRESS UNRS STORIES BEDROOMS � CITY ZIP TEL. DESCRIPTION SQ.FY. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECLARATION SFR/ADD/HEM O � I HEREBY hFFlIW UDER FENALTY Of PERRINYTM�T I AM IXEMPT FROM TXE OOflTMGTONS LF Garepa/Cerport C£MSEUWfORiHEFOLLGW�JOREA50N(SEG70]t.6BU5iNE53AN�CROFE5510N5CO0E:ANVGRYOR (f� COI.MTI'YY1#WREOUIRE8AVEIWR7000NSiPUCi,ALTERMPiqVE,OElAOL15H2OHREMIRANYSTAU6 W patiol0ack TURE iRqR i0 R9 RSUANGE.AL50 REOUIRES i11E MPl1CM1T FOR SUCH PERMIT TD FLE J1 SiGNED tTATFVEHf 7HA7 NE ql SHE 6 UCENSED CUNSUMfT TO TME VROVISION4 OF 7HE Cd�TMCTON9l4 � CFNSE UW(PUPTER�(COMMENGNO WITM SECTpH t000)OF OIVISqN]OF THE BV91NE55�ND PRO- �- PooVSpa FESSOM4 fbOE)ORTFUT ME Oi15HE 19 EIIEMVT iHEREFROM ANO lHE BilSiS FOH THE ALLEOED EXEMP• TIDN.AHYV�OLATqNOF6ECiqN7W1.68YANYMPLICJWTFONAPEHURSUBJECTSTHEADPLKANTTO Z Re-Rppl � ACML iEHhlTI'OL NOT MOHE TW�N FIVE MJNDRED DOUARS(tbool.): � OL�OWNEROFiHEPROPEHTV,ORWE�vLOYEE4NA7HwAGESLSiHEIRSOLECOMDEN5AT10N. O Commereial . - WM1 DO THE WORK.MrD TFIE STNUCIURE 44 NGT MRENDfD OR OFiERED FOR S/LLE(5EG)Ou,BU51� J NESS A!U VROFESS�ONS COOE:iME WHTMCTORS UCENSE Uw DOES NOT APPLY TO AN OwNER OF � �iqPEiRYMFiDWM.D90RYGROVESTMfREON.A1WVA/ODOE95UCHVARKH1Y5E1FORHERSEIFOR = � T1qOUGHIM70RMEROVMEMVLOYEES,iROV�DEDTIATBUCHIMFROVENEM511REHOTNTEtmEDOR m OFFERED fOR 9ALE F HOWEVE0.7NE BULOMIOON MYROVEMEM 6 SOL�W17HN ONEYFJIR OF pOMPIF• �TqN,TME OWNER-BULDER NnLL MM�E 7ME BURDEN OF PROV WO THA7 HE OR 6HE Di0 MOT BUM1D Oi1 MPqOVE iOR 7HE PURPOSE OF SALEl � ❑lASONNEROFTHEVi10PERTY,AYE7IClUSNELYC�ONTMCTNaWfTMIICENSEDCO/.7MCTORS . TO OONSTRUCT T1E PiIOJECT(SE4 7041,BUSN�E34 M1D PROFESSIONS CODE TME COHTRACTOFS U- VelUet10f1 ADJ.AREA � CFlREUWDOESNOTAPPLT70ANOMINEROfAPROPERTYMNO&1lDSOHWVPOVEgTNEREON,ANO wwocann�crs�onsua�vao.�crsvnnucartw�cTon�siucewsEn�+suu+rroni¢oorrrruG QUANTiTY DESCRIPTION FEE � Tdt9l10ENSE UW.). ��/ O I AA1 EXE4PT UNDER 6EC. B.l O.C.FOR TNiS REISON U �'l/� � � � v � u' DATE OWNER � W ` LICENSEO CONTHACTORS DECLARATION W ¢ IHEREBYAFFUWlIH0ER0FNALTYOFPE0.A/RYlHAT1AFILICENSEDUNDERVRONSION40FCHAPiEH � � f(CA1I�ENCHOWRI�SECT�O11700o)OfDMS10N70FTHE0U5�NE55M10PFqFESSpNSCO�E,AN� Z �� W LICENSE L4 IN NLL FORCE ANO EFFECf. __) � o '-� �'3�i�� � �� LICENSE CIASS LIC.NO. - - - J z' DATE CONTRACTOR 3 WORKERS'COMPENSATION DECLARATION ('�/ 4 � IMER£BYAFFWAUNDERPENALNDFPERA)iiYONEOFTHEiOLLAWINa�ECLAMT10N5V ��•� V y Z 4 � �IHAVEANDWILLMAINiAWACERTIFlCATEOFCONSENTTOSELFaNSUREFORNOii1<ERS' _ COYIENB�TION,A4VROV�EDBYSECTpNJ/000FTNElIHORCOOE,FORTHEPERFORMANCE 'U OF T1E WORK iOR YMIp1 iM4 PERMIT IS ISSUED. � � I MAVE AND M7LL MAIMAIN M/ORKEPS'COMPENSATION INSURANCE.AS RE WIRED BV SECf10N 0 ]7ooOFi/1EUBORO00EFORTHEiERfORMANCEOFIHEWORKfORYVMICMTH15PEiW1T15 ISSUm.WYNDiL(ER5 PE i NSURANC NWERANOVOLICYNUTABERARE: CONSTRUCTION � CARRIER '«n PLAN REYIEW � POIICYNUMBER RI � � �n�ss�cr�o�rEmnrngeow��p awqor+E��pou�uis�sioa)ant�ssl PLUMBING Z I CfRTIFYTNAT N TNE iEAFORMANCE OF THE WORK FOi1 WHIpi THIS PERMR IS ISSUEO,l MECHANICAL T•�+C'r (�' SH�t1NOfEMPLOYANVVERSONNANYYANNERSDASTOBECOMESUBJECTTOTNE '�j+J � VARKERSCOMPEHSATqNUW50FClLIFORNI,�AND�CREFTM�TIF151qllDBECOUE INSPECTIONFEE SUBJECT i0 THE WOi1KER5'001APENSATqN PROYISiONS OF bECT10N 770a OF TNE UBOR caoe,� ut co n�couv�r xnn�na E vaansar+s. ISSUANCE /� p DATE: �� AVPLICANT. � �SMIP _�TAV 1_1 r_'�.QQQ . �z��Q TaI d WARNiNafA0.URETOSECUREWORKERS'COMPENSATIONCOVERAOEISU WFUL.ANOSMALLBE ENERGYP/C � ` `') �y SUBIECTANEMP�OYERTOCRIMINALPENhLTIESNdICMLFNESUPTOONEHUJDRCDTMOUSIIND ENERGYPERMIT��(• 1 y��l\U1S�(` � DOL1J�i51it00,00D1.NAD01710NTO7HEGO5TOFCOMPEN5A710N,DAAIAGESASiROV10EDFORW ' ll\'Li_� L)�� [ t J� SfCTIDN770eOFTHELJ80RCODE,NlEREST,ANO�TTORNEY5FEE5. RETENTIONFEE: `�[�L',�,� a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � 1/1EREBVAFi1R11lNDERVENALfYOFDERNRYTHATTMEREISACONSTRUCTIONIENOW(iAGENCY Z FORTH[PEHiORAUNCE OF iHE WORK FOR WMICH TM�S VERMIT IS ISSUCD(SEC.]OY1,CN.C.). W � LENDEi15 NAA1E � LENDERSADDRE55 . � I CERTIFY TMAT I MA�E RE11D TIIS AVPUCATION�1ND STATE 1NAT T1E ABOVE WFdiMATqN IS CORRECT. TOTAL FEES � p_, IAGREETOOOAIPLYYATHALLpYYANDCOVNTV�RD�NANCESANDSTATEUWSREUTYKITOBU0.DIN0 CONSTRUCTIOH,MA MCREBYAUTMORIIE REPRESENTATIVES OF TNIS COUNTY TO ENTENUPON TNE S�, ABGVE�MENTIONED PAOPEqTY FOR wSPECfqN VURVOSES. COMMENTS � --��wt�Yf .�. c.✓�1 m PEfiMIT7EE NAME(PW ' � !�t/� �� cn � 1/1/f. (/� SIGNAIURE O R DATE � RECPT.NO. PAID BY VALIDATION WHITE—Departmont Copy,YELLOW—Fln+nw Copy.PINK—AsaNsu Copy,GOLDENRO�File Copy.GREEI�F—ApplicanPs Copy ...:i... .�... ..., .vr� .•.:ir:'.:'.i\:�• ',_ ♦ .. . ,i , � .. .:T.". .. .. .. . �_ ( • :� CITY OF DIA�JfOND.BAR. , T;,:.;:�-y;.l�� ' �' .-- , . . � _If�SPECTtOA �RECORD . �!�°;• .. .-... .... . , c . . .-��- .. . .... ' . ;.:; ..'...v.,._._._...��. _. . --- _ � . ..� : ,�:t�.-r;�;:; ��_�_::...,.:�:..:�,.-:..--.-:--�---- � T�f���'i;��3�;��I^a►`I ��t;l'- -_���-��,�."��r�� I��!-'�y'��;E�t�J�'k�^ . _' � ;ny.�Ce= _.�(RE�:��fw��'��� .,.. �SETSACY. : ' ' ' �:,�� t � � � I I FLO�RJOIST 1�W�\�.•.�;r���� `�, _', �.. � : ��TGS!FOR�.��i57EEL - .. • �- - - • -- - - � FHA REQUITS"._.,. _.,_ - I - 1 '. . . _ . � ,`. = ��,_ . ':FLECTAIC'GF;OUND-- -- - -',; : . -- - ---. ..---._._.. . � UNDER FIOOR � UL'1'��'' t: , . .}:j _-;,,\'` •_..� I.'. , �. f . �.._ _ ' �; � , .. . _ _ . �--=� __ .. . , .... GF�OUND Pi_U��iBING I •�. � -: � .��UNDER FLOOR CUh,I��IT. �. : � . , '..:.•.' �;�� _ � , �SLABGRADE- - - �' -------... __ . .. . - � FIR�:��eQC. �l�t�f��lOf�! I :r a�1:j.�, ,.1}ti�:`i. :. j �, --- .. :7EP��P FO'NER -- -- - -,;, .. .._ ... .. .;:_ -: .::.-. � _ FIR[PLk`;ZS�. ,�6 tik D S4A��1 �'��\�� •.ti�:�- ,.. . . . ; �,., ,� .�.;. ���v';rr�TEFi SFRVICE ...- --- - - • - h1lD I+7:�?9A'D a �'4+•.�� �� t�,+.�1:•=. �:�.:, ,�: •� I �4—�.�_�� . ��{o�-�,�i��C;c�Nc��G�:�; ;�� <�.'r 1 L� ..,i.+�i ' f3 FT.60Pd 'F����:t � � ;� �;• •� ;,; _��:• } _�'�='�� , --- - ' ; .. -- ' . , . . �—:�L•'�� `� Z�1:�y y. :.. ., 7-.�. � . .�. ,FRAPAi�lGNEI�:TILIATION� _ .- - - - . FINP�L�'J��E Ah'� � ����� ,��• . . ' . ROC)F COVF_R .c. . : , PRE-GRADING - - -- _ _ � . — . , _ . .. .-- -. . ..._, ... --- . .. R^'1:H HEATING _ _ . _... BENCHING ' �,, - ;_.. i , .,, .__.. �ROUGFi ELECTRIC . .. �. ,'' ; ;._-.-.� � • _ ROUGH GRADiNG �---- :._...-_- ---.--_-- -- -- .- .-- - .---.-•-.-. - ' : ,. . ,... , 'R�UG!-I PLU"J�BING .. --� - ---._.. . _ . . •. :-. 1 -FINISH GRADING — . � . � , .. ;{..:' � � ..� - ;�F�Ob"JER:rfUBTEST � � - � - ' �POOL=E!_ECTRIC � � ---- �E?,�f:!_ATH?jIDINa. . . ... ... ...._ ,...... - - - - - POOL�FENCIfdu.. . � .. .: .. � .. ....'.. .�. : . . • .: . � ;:°:F�LL ItiSULATION-. . _. -�-- --- , . ---. : .. ._.. . ._ POOUFINAL. ,. . :.. . . . ._— ;G�tL�iJu 1NSULr'iT101J -- ..... _. ... . _ _..... ..-- ---- --.. OFF S�TE ID.4PS. ., .. ,. ....: , .; ..' : : . . . - � ':. � iDRYI�"l:�L.L-NA(L(PJG-..., ...__ .._. _ - - ; - DcDICF,71dNS. -r-�---. . -- , ---- �� ��` � • � : ; �S���"1rR. -.. ...... .. ___ _. I _._ ._ I.. . . FINAL•'ENG. . .: : . � . . . . . i_ ---- S�PTIC'1Af`JK � LAPJDSCAPE/IRRIG. ' � � � �. ; :�_ --- , ,i . . _ :_.. � _,_�, ,;.,,..�. . ,.Ec _F1T/L•L• l � • *; CN SITE iMPS. • � . . t :. c . .. � �(-��,�� �J�.-�� :..: U;_AIR TEST • FWAL'ZOPJING� • • � � :: ��'�I YP,f.G.O�ST.. I ' ,� I • ' FfF.E DEPT. F1NAL, 5.` ," � . ' __ i'"�„ —1 � •. - ---.1�'�z.. --� i ___ . . _. � �,'"-,' t-iEnT1NG � '"J�,� .__. _.� l-�S.: _ V . HFI�LTH DEPT:FINAL . _ . .. _ .-. . _. ..� � .': ::. .... � _.. , i. �.r- . . � � . _ "'_. '�L.CLEGTRiC..... .,,......�-- --. ... .-� - -- - ._._ . .. _ - DEV. FEES PAI.. -- --- - —_—�-' - ,� :;. � - --- -- - i-..-:-- , _,. _..�� — ;�c:;�.�nLPLU""5�hJ� -� - -- -- -- _. .... ........ --- -- Ei�ERGY � . i, . ,:.,. _-- �.._ , t =-- � - ------ ---- --T • --� -- -- -- .._ , . _._. . . - _ , •_ .. . . , ; '— . . 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