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HomeMy WebLinkAbout16059 (22) CITY OF DIAMOND BAR � ; -�� DEPARTMENT OF COMMiT1vITY&DEVELOPMENT SERVICES ' 21660 E.Copley Drive Suiu 190 � ~ (909)860-3195 Fax(909)861-3117 PRESS '��^' BUQ.DING PERMiT APPLICATION FIRMLY o ADDRESS_,7ID - ,7'GAO.�(�(.GtIF`O Or. DATECATION I'�1 � 1��� PEFMfT I���/C ��' 1 NUMBER U c� ISSUE TYPE OCC APN LOT RACT DATE CONST. GROUP g OWNER f � " ADDRES ZONING SEfBACKS a � . � CITY � t� ZIP TEL � " REAR Rw p APPLICANT TEL SIDE/SIOE STREET RW ❑ � CONTRACT 'l 51DE � p ADDR SS ' � � CffY � �'<' � ZIP TE ' � " PROPOSED USE ..i o ARCH/ENG! � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. en DESCRIPTION Sa.FT: FACTOR PSF ADJ.AREANALUATION � � OWNER•BUILDERDECUIRATION SFR/ADOrHEM O p 1 HEREBY i1FFVW UNDER►ENALTY OF PERlU11Y THA71 AM EXEMPT FROM 7HE CONTRACTORS l4 GdNA9/C31pOR W CENSELAWFOHiMEFOLLOW�NORF.ISON�5EC.7o]7.68USINESSANDVROFFSS�ONSCOOE:ANVd7YOR (n �� C� GOIM�'lMnLHREOlnRE7AVERMITTOCONS7RUCf.ILLTERNGROV�OEMOlI5H.0itHEPAIRuf/SiiIUC• ' W PatlaDack � 6 TV11E,PfWH TO RS ISSVANCE,ILL50 REOUIPES 7HE A�ttM,/Ni FOR SUC11 PEHAIIT TO FILE A SICNED W STATEMEM iH1R NE OR SME IS LICEHSED PU1i5UAN7 TO THE PAOVISIONS OF TXE CONTMCTORS LI• � CENSEUW(GiAPTERO(CAMYENCNOVATHSECTION7000)OFDIVISION70FTHEBUSINE55/NUPRO- LL' POOUSP3 FESS�ONS COOE)OR THAT NE OR SHE IS IXEI.1Pi MEREFROM ANO TNE BASiS FOR THE Al1ECED E%EMa• TqN.AMYVIOLATpNDFSECTION7W1.6BYANYAPV�ICANTFORAPERM175UBJECT57NEAPP�IGANTTO Z Re-Rool � ACNiVENALTYOFNOTYOitET1/NiNEM1NDREDWLUR51f5oo).1: � OlA3DWNEROF7HEVROPER7Y,ORMYEMWAYEE5WI7MWAGE5A5TMEIR50LECOMPENSATqH, � COmR1erCWl - WILL DO iHE WOWf,AND iHE STitUC7URL IS NO7INTENOED OR OFFENFO FOH SAIE(SEG 7W�.W54 J NE53IUO VROFESSION9 CODE 7NE CONTRACTORS LICENSE LAW OOES NOT APPLY TO AN OWNFR OF � PROPENIYYMiOBUA-0SORMPROVESiNERE�N.AN�MAMDOE55UCHN+DRKNtuSELFORHERSEIFOR � 2 TNROUGH WS OR HER OMRJ E4GLOVEES.VROhDE01HAT S1/U1IYVROVEYENT51U1E NOT NTENOED OR Cn � OFFEREOPoR4ALEIF.NOWEYERTMEBl1lDIN(iOF1MPfqVEMCMI550lDM'�TMNONEYEAROFO�MPLE- Z TION.TNE OWNER�BUIIDER N�LL HAVE TME BURDEN OF VROVWO THAT HE OR SHE DID NO7 BU�ID OR = NVfqYE FOR TIE YtIRPOSE�F S�LE1 � OI,ASOWNEHOFiHEPRDPERT1:AlAE7�CLU5NELYCONTMCTRKIW:MIICENSEDCONTRACTOR3 TO CONSTRUGi TME YROUEGT ISEG 7M4.BUSINESS AND iROFE5510N5 LOOE:THE CONTMCTORS{J• VelUet10f1 ADJ.AREA CEKSE UW DOES NOTMPLY TOAN OKNER OFA PROPERTY WHO BURDS Ofl R�PRp,lE9 THEREq7.N:D � MH�CONiRACiSFO{ISUC}1VR61ECiSYV1i11ADONTiUCTOR(5)LKENSEDPURSUNi'TDTMECONfMG pUANTITY DESCRIPTIOY FEE � � rau uc�r+se uw.� � 0 UUA IXENR UNDER SEG B.t O.C.FORTHIS REASON d 3 � LL. � Z DATE OWNER V F LICENSE�CONTRACTORS DECLARATION w . � INEREBVAFF1R17UNOERPENALTYOFPEiWR'ITNATIAIJLICENSEDUI�W[RCROVISIONSOFCHAP7ER � 1 � � ��;, � . � •[COMMENCNOYATHSECTqN7oo010FOM5iONJOFTHEBUStNESS�NDPROfES5lON5CODE,MPJ � �� - !C W UCENSE IS N FUL FOFiCE AMJ FFFER. �I � �� !��} /Y � LICENSE S � LIC.NO. � ��^� � � P -• � oah����_cortraacroa n- . �10 ` N � WORKER;i COMPENSATION DECLARATION d EPEBYAFfWMUNDE11iENA1TVOFiER1UN1'ONEOFTMEFOILOYnNOOECUMT10N5: V N � O IHAVEANDWILL►UCITAIHA�EITFICATEOfCONSEMiOSELf�NSUREFORMURKERS' _ . �i OpMPENSA710N,�5PROVIDED8V5ELTON]7ooOF7MEU00HCODE,FOHTNEPE�tORMANCE W OF THE N9AK FOR VrtUp1 T45 PEiFAIT 6155UED. � 0 I NAYE/NO WILL IMPlTNN WONI(ERS'CW�PENSATqN MSUMNCE.AS RCWIRED BY SECTION Q �7000FTIELA80RCOOE,FORiHEiERFORAIiUlCEOFTHEYlO�iKFCRN�iICHTHISPERM1715 0 15GUE�.AfVwo�`CRS' EkSATqNINSURAIKEGRRIERAND00lICYNUTABERME: CONSTFiUGTION jGRPoER �1 -���� PLA.N REVIEW � iOIICYM1YtlEH ��W_ Q_� ,� ELECTRIC 0 (na55ECIbr+NCmraiBEOOM1PIEfEDOF'7V[PEfiw�Sf�ONE1�DDOlWi;R��l��ss1 PLUMBING ♦ IC[RTIFVMATNTHEPERFOfUUNCEOFTMEWOPo(FORWHIf11iHI5PEpMIiL5455UED,l MECHANICAL \ SlIKLNOTEMPLOYM(YPEIt50NNAHYMANNERSOASTOBECOlAESU&1ECTTO7HE Vj �� WORxERS'Cp.�PENSATpNU�OFGWFORNIAM�'JAGREE7MA71F1 �BECOUE INSPECTIONFEE SU&IEGiTOTMEYqRKERS'COMiEN5A7 F VISIONSOFSE-7qN r FiHELMOR ,��,op � roRnnHn,eour�r vnrN rra+nsio.: � ISSl1ANCE �- O O a • SMIP p OATE:���i� APPLIGANT. � ENERGY P/C C(��1 �1 1 �n n a WMNINo:FAR [TO SECURE W�DqNERS'GOMPENSATION :RAGE IS UNU �D SN�i19E ��^J �r—� � SU6.�ECT+WEMPLOYERTOCHIMiNALiENALTIESIWDGVLLfw SUPTOONEHJNDREDTIKW"�ND ENERGYPERMIT DOlLARS(S 100,000�,IN ADDIiION i0 TNE CASi OF CqAGEN5AT10N,OAAIACES AS VROVIDED iOR M1 v ��( � SECTION]70lOFh1EUlBOIiCWE.MTEREST,MlOATTORNEI'SFEES. R�ENT�ONFEE: ��+ OF�IAIYIOND pW.. CONSTRUCTION LEND!NG AGENCY PRE-ALT FEE: �I.IILDINC�AND SAFETY O Q INEFEBYAFFIRMLNDERPEN�LTVOFPEiUURYTHATTNEREISACONiTRUC710NLENOWCAGENCY �Z Fdi TNE PERFOF4ANCE OF TME WORK FOR WMICH TMIS PERMITIS ISSUEO(SEG 70W,CIV.G} . W � LENOER'S NAME � IENDER'SADORE33 � � ICERTIFYTHAi1HAVEREADTMISAVVlICA710NANDSTATETHATTIEABOVENCONLAT10NI5GORitECT. TOTAL FEES �' �\J � IAGREETOCOMVLYYATHILLLCRYNNCOIMTYORDNMlLES/�NDSTA7EU1w5REUTNOTOBVWtNG � CONSTilUCT10N.M1DHEREBYAUfFIOR1ZEREPRESENTATIVESOLh115COVNT'TOENTEPUPONiNE � � ' Z •MEMTIONEUPROP RTYi RIH P¢craqvunaoses. COMMENTS � 9 Z� � Otn� m o u EE N e�vw. � 1. Z ' �!_ � y � It I TEE OATE � � � RECPT.NO. PAID BY VAIJDATION WHITE—OepaRment COpy,YELLOW—Finante Copy,PINK—Aisessar Copy.GOIDENROD—File Copy,GREEN—ApplitanCs Copy . ._ _. . � ... ,.... .. .. ,..-r- . . . � . . _ ... � � . .� .. •- y. , � . . . � ,. .. �r•� , � _�.. 1,.�,,_. :�, .. � . , . / ._ � _ _,�'�, CITY OF DIAMOND.BAR: .... .. . . ..... . � � : . : ;:�. �:�:It�1SPEC�ION:RECORa �,;. .. . . � , i � �. � - , ;. . . , . . , ., . \ . , :_. :. �� ..:-=.- (►.��-y? . . �.m�_4� �''���i' '� �'�'.lJ.).k , ,.a�'�,)'.� �,1�-��3°��'.�;o,��"}��s�v'��4-'1;�_,o- M��►`:��+��'��.�����' ' � ��� .0.. _.:.� (...�`1r,z..r� ....,.., a. �.. i j`! ��...,� ....,.....�� M __...... ..,....� . . ,�j� :,�•__ --- - _ .,..,.. �. " - �5ET BAGY. �, � :..� ,. , , ; I........: _ I � � . .�,� ' FLOOR JOIST-�� ••,,� �� �, � - . i , �� ( " • � �- , �`., - . , . ' ._ � � �FTGS,�FORP�IS;S7EEL.. . T__' .— - . ----. . ._�_ . __. ... FHI�RE4?dTS� �-+-- -. - ~ ' - ----- .�... . ` - --....._ -' ;ELECTRICGROUN� ..._ _. � ' "' UNDER FLOOR DUCT- - � ' �---- " � ! 'GROUfvD PLUtABING • UNDER FLOOR COP�IDUIT ` ' ' -" ' ' " ' - — • ___..— . .. . . . 'SLABGRA�E-- - -- '� � -- -- �-- - . _ .., FIREPL`ACE�GUtvDATIO�J :• '� : , ;�•. : • ;: ! ;• ' ;TEMP POWER-..._ .__._ _ ,.. ,, - FIREPLACE BOND BEAM' - � ..: ,- . ... ,-:- �LVATER SERVICE- -- -- - - ; - `• �MID HL BOND BEAh� ' ' .' '����� - , , I , i� . . , •.: ,=�.: ,. � � -- !R�OF SHEAi HING � ' i � I.S FT.B.OPJD•BEQh1... ..: : i : , , . . � . . . {FRAP�AIMGNENTILIATION • - - - � - FINAL�BOND�BEAM ' ' � � � ` � •� ' � �ROOF COVFR : :• PRE-GRADING ` � ' ' - - . . IR7:JGH HEATING - �-�. - � .- -- - - BENCHING • . � :, ' � 'ROUGF[EL[CTRIC..- -I- _..-. : ' ` - •- ...�'. . _ AOUGH GRAD�NG _. . - -- __ _---... � IROUGH PIUMBING. :.- - ----. _ - .- ' _ FINISH GRADING i �..: `SHOV'JER!TUB TEST -� • - - - - - --- , . POOL'ELECTFiIC � � . . . , 'EXT.LF,TH/SIDWG - -- -- -- ..__.. _._._. P��L FENCING , I ; . • � i ,- ; ;�"JALL-WSUtATION --; -- _. - . . POOL FINAL . tCcIL1NG iT•ISULATIpN: � - . _ . OFF SITE IMPS. ;� '' ! _ �DRYIPJALL NAILING - ; "� � ` - - -�� - DEDICA710NS � : : �SEI�"JcR .._ .. _ _ .... . _. _. . . FINAL'ENG. , .... ;SEPTICTANK � LANDSCAPEIIRRIG. 'SEEP PIT/L.L.. . • . `J � '"_�`. ON SITE IMPS: +G:,S AIR TEST . , ." FINAL ZO"dIPJG . . '. -', ,F�;.�A�.CONST. ' .. ._._... FIRE DEPT. F1NAL � , .._. . --. .. -- ---... __. . . i . . rlNr,L.HFF.TI^dG -. -- ---- -- HEALTH DEPT_FINAL � .- : . _ . . �:��,1�EI.ECTRIC . .._ .. �. . _., .� ,.. .__ .. ._. DEV. FEES pA1�J - _. _. .. - - ..: -. ._._.—_ , � ':�=!'•1,`•'-PLUMBING - �►..!L-�� . , '- ENCP.GY ; . �--=---= , ..� - .. J_ .... .. ._ , i.. . .. . I _ . . � i" . . __ ' � I ��� _ � I; _. . . . . _ _ . . . . . .. _. . _.Y''�t::'r�'Y�^�C:i��.'a- 4; - ';--_-•, . .. ' , •- � _ � � '; ;f' '_ 1. ; .` ,� �'COlfPJfER!i S _ • _ . � .. '� . ' ; ; ' - . ..: _ _. _ -- . _ - � ��,��� � -�J-�1. _ _ _ � �. _ . _..._ . `. .. . ..._ _.. . . . . . ... . . . . . ... , ... . . . . . . i .� ��'R�' ' . . . � . ' . I . 'I .. ' ' . � ' . � . . I _ _ .._ _. _ __. _ _. _ _ I ' . . . .. _ . . ,_ 1 . . , ' Ii � .' J . . . . _. . . . . . . .. , , � ' � ._ . . ... .... . . .. �' . ' . ' . � - ' . ; 1, . , . � , . . �� .. I , ' . . . ' . . 1. . /��. _ i _ ._. . .. . _. . . �1 . . j _ I _ .. . . . . . -. . . "�� . . . ..'I . . . _�� �''._. � � f � � ' . �SEPTIC TANK S!ZE . i ` - .. �SEEP Pi i/U SiZE— �� � . .. . ' ' - . ` - _ � , � ; ' . ,. __; I�_ " �-�-.!.�y.� ... . . . . - .__ _ '. .. . _ . " . . .. - . , ��� _ . . . . , � .. _ � � I � . . . '� . ., . ' _. . . . . . .. . 1 . . .. . . . . . . _ I i.��l '' . , i�.� i. . . , .. . i . , . .. . ' -- � � .. � . . . � .,� . .-�..�'. . . _ ' _ � ' . . . .'. � . � � .. � � , . . . . . ., : '� ' . .. . �. . . , : , . . . . � .. •'. ' . , " .' '; . _. _.. ,... .. _ . .. .. . .. . . . ... � � I �• � .�; ....' . ' '...._.. '.. .. .. ._ _._ '_ . ._ .. ..... ... . . . . .. . , _� .. . . . 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