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HomeMy WebLinkAbout12229 (13) �„� CITY OF DIAMOND BAR ` � � / DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES -�-' '✓. 21660 E.Copley Drive Suite 190 . . (909)860-3195 Fax(909)861-3117 PRES$ ~'��'� ' , BUQ.DING PERMIT APPLICATION . FIRMLY 4 ADDR SS����['l�� /'C�JQ I/ I�j'1. APPLICATION .�/ �J PERMIT ZZ P/C . o DATE � NUMBER N OCC ' � APN LOT TRACT - ' DATE CONST. � GROUP � p OWNER �- G - p ADDRESS o�5�a'D 20NING SETBACKS • �w CRY7�s7Z'AdICt> ZIP <�,TEL.,?IC��D 3SS1� FRONT RW p APPLICANT TEL. FEAR p � _ SIDFJSIDESTAEET RW p CONTRACTOR � SIDE � � ADDRESS � , ,, PROPOSED USE o crrr�'i r,vo ziP9r i� re�5or Lz7�.zz - o ARChUENG/ • �z,, OESIGNER N0.DWEL NO. NO. N CnDRESS Z�P TEL UNITS STORIES BEDROOMS � � '� , DESCRIPTION SO.Fi. FACTOR PSF ADJ.AREANALUATION O . OWNEF-BUILDER D�CLARATION SFR/ADD/REM p I MEREHY AFFlWd UNDER VEWILTY OF PEfWRY THAi I MI EXEYPT iH01d THE CdtTtUCTOiLt L4 Gara � W CENSELAWfOR7HEFOl10N'IIJaREA50N�5EG70a1.68U5w[SSANDVROFESSIONSCOOEANYCIiYOR ' (� ���R � COINTYNRIICHREOUNESAPERA1Ri000NSTRUCT,ALTE0.MGROYE,DEMOLISM,ORREPA1RhNYS7AUG W patio/Dedc TUHE,PWOq TO RS ISSUANCE AL50 fiEOUIRES THE MPLKJfIT FOq SUCN PERMIT TO flLE A SiGNED W � STAiF1AEHT TT1AT NE OFi SHE IS LICENSEO PURSUAN7 TO TNE PROVISKKIS OF TME CONiMGTORS l4 � CENSE UW(p1AP7ER t�COMMENGWO 1v1TM SECTqN 7000)OF DM510N 7 OF THE BUSINESS IINO PilO� PooVSpa FESSqNSCODE�OFiITUTHE0R5ME1SOfEMPTTMEREFROMANDTNEBAS15FORiMEAlLE0E0EXEMP. (� TION.ANYVIOlAT10HDFSECT10N7071.6BYAHVAGPLICANTiORl1VERMITSUfl1EC?STMEAPPIICAN7T0 Z Re-Rool F A C111d VENALTY OF NOT YORE THAN fNE HUNDHED DOLURS q5oo7J: ' � � OI,/SOYVNEROFTHEPROPERTV,ORYYE�PLOYEESWITHWACESASiHE1RSOLECOMPEN5A7qN,� CORIRI6fCl01 . � - WR1 DO ME WOFiK M10 THE SiHUCTUftE IS NOT IMENOED OR OFFERED FOR SALE(SEG 70u,BU56 � � � HESSAND iROFE5510N5 CODE ME CONTMGTORS LICENSE UW DOES NOTAPPLY TO AN OWNER OF - _ VHO�EHHTYYM�OBUlD50RMFRDVESTMEREON,MIOWHODOE55UCHYNDRKHIYSELFORHERSELFOR � �• . � [L T16i0U0HWSORMER0VME1APlOYEES.GRON�mTHATSUCNM1GpOVEMENTSMENOTINTENDEDOR m �Q OFFEREDFOFSALEGHOWEVER7MFBLAdlWORWPROVEIAFMISSOLDWRHNONEYFAROFC0IAPLE. Z •Tdl.TNE OM7�ER�BU0.DER 1NLL NAVE THE BURDEN OF PRONNO 1HAT HE OR 611E 00 NOT BU�LD OR � MVfWVFFONiNEPURPOSEOFS11E7. . W OLASONMEROFTIEPROVERTV,MIEXCLUSNELYCONTRACTNOYRTf1ULEN5EDCONTRACTOPS � TO CONSTitUCT TME VNOJECT(SEG.)oa1.BUSINE55 MJD PROFESSIONS COOE:TME WNiMC70R5 U• V0W81b11 ADJ.AREA � CEIiSE lAW OOE3 NOTMPLt TOIW OWNEfl OF A YROPERTY WHO BULDS ON IMPROVES TMENEON,AND � 1YMDWHiMCf9FOti5UCFIPROJECTSVrtTHACOHTRACTOR(5)LICENSEDPURSVIMTOTHECONiMG QUANTiTY �ESCRIPTION � - " FE � TORS UCENSE U1W} �. O I MI IXEMPT UNDf R SEG &i C.0 FOp MIS REASON U � � 1�.. . - � � '! DATE ONMER � U 1, L � LICENSED CONTRACTORS DECLAAATION W - U � s J `�� � IXEREBYAFTIMIUNDERiENALTYOFPERIURYTHATIMILICEN5E0UN0ERPROV1510NSOFCHAPTER � �(C04MENdNOYrtTHSECTqNJ000�OFOM5qN70FMEBUSINESSI�NOGRDFE55qN5000E,AN� z �� Sf�: pZ Y �l� I.fl'UCENSE IS N FULL FOfICF AND EFiECT, m � '- 5 77 - . � o � � 10 uce+se cuss uc.No. ,T+ � � V WTE � CONTMCTOR • /' ✓ tL rr^^�� f, ' S � WORKERS'COMPENSATION DECLAH.47ION V/��3�'� a ' � � � � IHEREBVAFiIRA1UNDERDENALTVOFOERM1litYONEOF7HEFOLLOWWODECIAiLRIDNS: � Z '� / � � ` Q � � � _INAVEANDWILLWNTIUNACERi1FIGATEOFCON5EN7iO5ELFdNSUR[FORWORI(ERS' COMGENSATpN.lISCROVIDEDBYSECT10Nfl000FTHElABCNICODEFOR7HEPFRFOPIAANCE U � ��•J � �� � � �D Q OF TIEKURK i0i1 WHICH THIS VERUIT IS ISSUED. � I l /� � L � _IHAVEANDWILLYARfTNNWORI(EItS'COM7ENSATIONINSUR/WCE,ASREOUIREDBYSEGTION" � � � �70D OF TFIE IABOR CODE FOR 111E PERFORMANCE OF iHE WONK FOR VMICH THIS VEHMIT IS ISSUEO.WWORKER'OW7 SA710NWSURANCE qANDPOLIC`/NUAIBERARE: CONSTRUCTION jCMNER 4' L �� � PUW REVIEW � � � va�craun�eEa ' ELE� 0 (11GSECIIOHN�NO70EOCM�E7FDOFTEPEfi.fisiLlNOhEHtli7R[n K�m10RtFs�. �lUMBING 1' Z ICEHTIFYTUTNiHEPERFORMIWCEOFTMEWORKFORwHICNiHiSPEPMITiSI55UED,1 MECFUINICAL ('} SMALL NOT EMGLOY AN'!CERSON N ANY MANNER 50 AS TO BEC061E SUBJECT TO THE (/� MORKERSCpAVEN5AT10NUN50FCALIFORMtilWD11GREEiHATIF15HOUlDBECDME INSPECTIONFEE S . SUBJECTTOTHEWOiU(ERS'CdACENSAi70NPRON510N50F5ECTqN�7000FiHEUBOR � ' � CODE,ISHMLFOHTM71HG04DLYWIiHTNDSE ONSIONS. ISSUANCE �' � , p DATE: APPtICANE � �L SMIP � ENERGY P!C WMNINO:FAILV(YC TO SECURE WORKE0.S'COMPENSATION COVERAGE IS UNLIWFUL ANU SHAIL BE ��y &A�ECTANEYVLOVERTOCRIA1RULiENALTiESANDdNLFINESUPTOONEHUNOREDTNOUSANO ENERGYPERMIT DOLLARS�f t00,000�,NI 11DO171ON TO THE CAST OF CpAPENSA710N,DIW AGES Il5 PROViDED FOR M ¢ SECTION770/OFTHELABOHCODE,NTEREST.ANDATTORNEYSFEEA qETENTIONFEE: � OCONSTRUCTI�N LENDING AGENCY PHE-ALT FEE: � IHEREBVAFFIRAIUNDERGENALIYDFPEFLRIRYTHATiHEREISACONSTRUCT10NLENDINOAGENCY / '� Z FOR THE VERWiuvW cE OF THE WORI(FOR wMldi TH�S CERIAIT IS ISSUED(SEG�oc7,qK G). W � LENDEiM4NAAlE . . .. � � LENDEfi'SADORE55 � . w ICERTIF^/THATIlUVEREhDTtl511PPLICAT10N�lA5TA7ETNATiHEABOVENFORM�710NI5CORRECT. TOTAL FEES � � � IAaREE70C01AVLYN1iH/�LLCfTYANOWUNTYORDRUNCF5ANU5TATEUWSREUi1NOTOBVM1DING � � � CONSTRUCf10N,ANONEREBYAUTFqRIZEpEVRESENTATNESOFiH15QDUNTYTOENTERUPONiNE . . . _ ABOVE�EHTIONE�PROPERTY fOR INSPECTION PURPDSES. COMMENTS ' 9 ����V ����v� . � PERMRTE .wE�owrrt� 4 N _ � . �/* , �� ��„� � ` TUfiEOFP E � O�TE ��� � RECPT.N0. PF�1D BY VALIDATION 4VHITE-0epaRment Copy.YELLOW—Fhence Capy,PINK—�IUeesaOr Copy.GOIDENROD--File C:opy.GREEN—,ApqicanPs Copy -� , , . . , : ..,. .. _ . .. .. . . .. , , . . .. .. .. , , . . � , ... . .. .. . .. .� . .. , . , .. : , . , � . . .. , . . . . .. CITY OF DIAMOND BAR�- •;, �. :; : , ,,; �.:� .,r.� :: '� .. INSPECTION'RECOF�D .�..;. :'. .. ^ ,'��:-, ... . . . . ' . . , �C, ., .r . . . . � 0 � + i � � � � ' • ' SEf BACK ' ,'1 � ' -` '� ` � - ' FLOOR JOIST.\ '�\ •., � ; •,,: . ,. ' ' . FTGS/FORMS/STEEL '. "� .FHA REQMTS •,. - -- - - - - - - - EL:ECTRIC GROUND �' " --�� � - � � UNDER FLOORbUCT� ' � � GROUND PLUMBING �UNDER FLOOR CO�IDUIT.•,r. � - � ' • � SLAB GRADE� " - - - - � - FIREPLACE FOUNDATION -'- �`�� • __ . _:`V._,.�_,_`. •' . _ TEMP POWER �` --� -- �� �' � � ' FIREPLACE BONp BEAM_ - � ' WA7ER SEAVICE--:_:t ; . _ , .• _:. . ..::-- - " . MID HT.BOND B�AM.;.;,�.��. :. �:.`. „' .�.� '�_.. : :. ROOF SHEATHING, .'. .� . , ` • i . ,- 8 FL BOND BEAh1.• :': .: - �.� ':--., . ` , . , • . FRAMINGNENTILIATION FINAL BOND BEAM � • ROOF COVER .` : 'PRE-GRADING� � - "- " ' ROUGH HEATING - ��- BENCHING -- - - ' ` ' ` ' ROUGH ELECTRIC - - - ROUGH GRADING • -• ROUGH PLUMBING 1 - /a�i - < � - -" FINISH GRADING . SHOWER(TUBTEST i -- � ' � � P,OOL ELECTRIC . . EXT.LATH/SIDING I + PDOL FENCING ,. . • � ' � WALL INSULATION POOL FINAL � ' ' CEILING INSULATION OFF SITE IMPS. • � �� DRYWALL NAILING i D�DICATIONS , SEWER ...- ---... .'---. . FINALENG. - . �- • ' : � SEPTIC.TANK ... ..: ..... .... . _ _ � _ ... . .LANDSCAPE/IRRIG. � ' • SEEP PIT/L.L. . ..--_=- .-- --'. -.. . .. ON SITE IMPS. • , ' GASAIRTE$T��- - ��-- � , -, , �- -. ___. - FINALZONING - _. FINAL CONST. : - --�-- � ' ` '�- -• ` FIRE DEPT. FINAL FINAL HEATING � - � - '- ' •' • ' . -- HEALTH DEPT.FINAL � _ _ FINAL ELFCTRIC� � - " - - ,-=-.' r •�' DEV.FEES PAID - " — - -- F.INAL PLUMBING � ENERGY � • • � '. �. ,. , i � _� � • �. • � '.. � . . . `\ '�R � �he'i � - _ . � �:, ,, _ � . ' ----- �- - - _ _ . ,_ . .•, . . -- - -_. c�_----...._ .,,.. .... COMMENTS - . __ „ - _ - -- _�-_ `- . -\_-- - .,_�.{. .� . _ ;. ------ _ - ---+._- . , �, . - - ,. . � .� � • �i,, \'� _' .; _ � _ ' ' � \\ . , . . ; - -- .. .. . � � . . ; . • �' ^ `� - -`. - • • • . . � . . �. �,i. , �. _\,_ ..\ `;: - . , , , . • .:1 : .. ' . I - i ' ' . , ' __.. .\ •,\ ..\ � - � .. • � � . , � i ' SEPTIC TANK SIZE �-�" �''� ...' . _ ' ' .. . . --- _. ,.� .-. : �:;i _ . ., ; �i-1 ' ' SEEP PIT/U SIZE�'---=�--�-- � :--, � - � , � � - - � . , � , ;�. �.� � . ._ , . , .. _ .. r----�-- , .. _ . .. _..... i - - -:- _-_ � . - :. � _ . _. . , . , ') ; �. _.. . _. .. , . � • � . . � . . � _ . . -- ; i . . . . .. _ . ` .'�i .- -.� ` _ , , . , . . � . -- . �...... --( � '- � •- � -- � - . � Y � i i _ ... . . � ,'� . - , . .' _ .,