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HomeMy WebLinkAbout15236 (17) CITY OF DIAMOND BAR � � ---�� 1 DEPARTMENT OF COMMllNITY 8c DEYELOPMENT SERVICES - �� zi�o�.c���yn�;��s�ui90 PRESS � (909)86Q3195 Fax(909)861-3117 ����� BUQ.DING PERMIT APPLICATION FIRMLY y JOBSITE �7 2 �/ � APPLICATION �ERMfT ��� P/C o ADDRESS � 4`J �• PQ-1 O C'EGi r0 t>2 - DATE NUMBER A c� ISSUE rn, TYPE OCC APN LOT TRACT � DATE !/ lJ CONST. GROUP p OWNER G C P� " ADDR� 'Z�-3 S• U.I(� G (`fl t7n ZONING SETBACKS � FRONT RW ❑ ' C�y !� ZIP � TEL. 3��rJ� � APPLICANT TEL S 4 3-S`j/Dn REAR ❑ � - SIDE/SIDE STREET' RW ❑ CONTRACTOR 'r SIDE ❑ � ADDRESS • PROPOSED USE � � �� ` CIN��r�. �-�'` ZIP�� TEL S � � o ARCHIENG/ � � DESIGNER NO.DWEL. �JO. NO. y CrDnD�RESS Z�P TEL UNITS STORIES � BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OYYNER-BUILDER DECLARATION SFR/ADD/REM O Q 1 NfREBV AFi1RM UNDER CENALTY OF VERAIRY 7M�T�MI E%EA1PT FROII THE CONTMCiDiIS LL Gyrgp�(`,g�OR W CENSEUWFORTNEFOl10WN6REA50NI5EG70.71.68U5ME5SAN00ROFES510N5CO0EANYdTVOR (f) � COUHTYNhap111E0UIfiESAPERMITTOCONSTiK1CT.ALTEN,MPflOVE,DEMOLISH,ORREPAIRANYSTRUG � W PaiiW�eck � � 7UpE,iilqfi N RS ISSUANGE.AL50 REOUI11E5 T/7E APPLICMlT FOR SUCM VERMiTTO FILE A SIGNED W .� ETATEMENT 7HJU NE OH SHE 6 UCENSED VUR:UANT TO TME PROVI90N5 OF THE COHiRAGTORS L4 � CENSEUW(CIiAMERO(COMMENCN�IN�THSECTION700010FOMSION70FTMEBUSINESSIWDPHO• LL' POOUSpB fESSqNS COOE)OR TUT NE OH SHE IS El(EYPT iMEREFHOM AND TME BASiS FOR TNE ALIEOED EXEA17• TqN.ANVVqU1TqNOFSECTiON7wt.6BVI�NYACttICANTF0f1APERMiT5U6JECT5THEMPLICAHTTO Z Re-Roaf � r F A CMl FEN�LTY OF NOT Md3E THAN fNE HUNDRED DOLUAS 1f5oo)1' _ � Ol�OWNEROFTMEPROOERTY,ORMYEMPLOYEESMnTHWA0ESA5TMEIRSOLECOMPENSATqN, � (`,pmrt101Cl�1 WIL100 TME WORK ANO TH[STNUGTURE�5 NO7 NTENOED OR OFiERED FOR S/lE(SEC.TON,BU51- J NESS Ah9 GROFESSIONS CO�E:ME CONTRACTORS LICENSE UW DOES NO7 APPIY TO AN OtYNEH OF N PROPERTTNMDBULD30RIMPROVES7HEREON.IW�YAIODOESSIJCMYIORKHIMSEIFORNERSELFOR = - ([ TNROUf,NM40RHEROWNElAOLOYEES.VROV10EDiMATSUQ/1YPROVEMENTSARENOTN7ENDEDDII m ✓ . �1 OFFEREO WRSILEIF,IqWEVE0.iME BUROP100Rld7i10VE►1ENTl5 SOLD WITNMONE YEAR OF COMPIE- Z T10N,if1E OWNER-OULDEF WILL HAVE TNE BURDEN OF VROVPJO TIUT HE OR SME DiD NOT BUIID OR � MPRWE FORTHE FVRFOSE OF SALE1. w OL��MMEROFTIEPROPERiI:A►�EXCUISNELYCONTMCTMGNIfIHUCENSEDCONfMGTORS [[ TO CONSTRUCT THE iHOJECT(SEG 7a�.BUSINE55 AND PfqFES510N5 CODE:THE COfliMCTORS LI• Velu3fi ADJ.AREA LLl CENSEUWDOE4NOTMPLYTOANOWNEROFAVROPERTlYrtqBURD50qFtFROVE57NEREON,NID � NTIOCOHiMCTS�OASUpIFROJECiSW1T1ACONTMCTORI3ILICENSED►URSUANTTOTMECONiRAP ,QUANTITY DESCRIPTION FEE � � TD0.4 LICETISE UW.} � O IAM EXEMPT UNDER SEG B.t V.C.FORTHIS REASON Q L� � � � 3 � ��,`,i: �- o�� �Ea ~ �xg f_(1C c0�-LwY� � � W LICENSED CONTRACTORS DECLARATION w � IHEREBYAFFlRYUNOERPEWLLTYOFPE0.AIFT'TNATIMILICENSEDUAERPROVISIONSOFCIUPTER Vr . . . � Y�COwAENGY+UYATISECiqNT000l�DrvlSqN]OFTHEBUSINESSANDPHOFE5510NSCOOE.IWD Z � MY 110ENSE IS N FULL FORCE AND EiFECT. m ��E��S �3`7 ��.No. �o g 3 3 0 � � w� 7—/3 0 o cor+rAacTOA - Wf e.n['t� a w // � WORKERS'COMPENSATION CLARATIOdy/ i � IHEREBYAiFINAUNDERPENAL7VOFiE0.A1RVONEOF7H fOLLOWwG�E � �5:5 O _INAVEAND1MLlMAINi�INACEHf7FIUTEOFCONSE 'iOSELFdNSUAEFORMANCEPS' � a � � 6 CpAVENSATqN,ASiROVIDEDBYSECTION]7o00FTH ABOFlCOOE.FOHTMEVERFOHIMN E �YYTHE MIOPoC FOq WHIGI TH!5 PENAT 6155UE�. _ � �/ I HAYE AND w�LL MAINTAN WORK[R5 COMVENSATION INSUitANCE,AS REW iRED BY SE � Q �7000FTMEUBORCODE.FORTMEGERFORMANCEOFTMEWORKFORMm1CN7HISP RI O ISSUED.WWl7 ERS'COYGENSATIONINSURANCECAHNERANDVOLICYNUMCE PE: C�CTION � GqPoEq •� r PLAN REVIE � POLICYMIA�BER�JW r�- �O LECTR .. � (nKSEcroNtdIDNO78E0CM�£IIDOFhE�E1iMTBFdtONEIUFDnm a1/3�iR�oo�oq 61NG Z 1 CEATFY THAT N THE PERFORMANCE OF iME WORK fOR W111CN 7HI5 F.WAIT IS ISSUEO.I h7ECHANICAL (J SF1,W.NOTEMPLOYANYYERSONNANYMANNERSOASTOBECO�AcS ECTTOTHE N WORKERSCOMPENSATIONUINSOFULIFORN�AµDAGREETHATIFI DBECMI INSPECTIONFEE S SUB.IECTTOiMEYIORKERS'COMPENSA7qNPROVI5qN50F5EGT10N]7 �R ISSUANCE S ��. � ��' CADE.I SHILLL FORTM/ITH COMPLY WIiH 1N05[PROVISIONS. �■ � O �� p DA7E:�EfL_ APPLICAN7: _��'�' . �_�� SMIP r" —� � ENERGY P/C WARNMU:FNWRE TO SECI:RE WOPJ(ERS'COMPENSATION COVERAGE IS UNLAwNI.ANO SMALL BE �y SUBJECTA.^1EUPlOYERTOGHiY1NALPENALilE5M1DCNILFWESUPTOdJEMUNDREDTlqUSANO ENERGYPERMIT L GOLIARS p 10o,00al.IN ADDI7qN TO T11E COST OF COUPEN5AT10N,DAMAGES AS PROVIDEO FOH M �H C- . , ¢ SECTIDN77oeOFTHEUDORCOOE.INTEFESLµD11TTWWEv'SFEES. RETE�`ITIONFEE: V� e a CONSTRUCTION LENDING AGENCY PFlE•ALT FEE: 1 O /� � INEREBVAFFliWIRAERiENALTVOFPE0.NRVTNATTHEpEISACONSTRUCTIONLENO4W�CENCV �\7 iOR TM[PEN WRMANCE OF iHE WOFlK FOR WMiCM TNIS OENAIii IS ISSUED(SEC.7007,CN.C.F � � lE'IDEHS NAME � IFNDER511JORE55 � �� . WICERTIFtlTMAT1IMVEREADiM15AGPLICATqNANDSTATETHAiTHEABOVENFO�AiqNISCORRER. TOTAL FEES p. I AGREE TO COMVLY 1MIN ALLCtTY AND ODUNtt ORDwANCE4 AND STA7E Uw5 HEUTINO TO BUILD�NO . CONSTRUCiION,/WD HEREBY AUTYIORRE REPflESENTATNES OF TNIS COIMTV TO ENTER UPON TME S� ABOYE�MENf10NEDVROFERTYFORINSPECTIONPUHP06E5. COMMENTS 0 � � r 1 C�.�� ��P rSf�r�. � DERAIRTEE RiNA, � ���,w..CGr�t��( - (p SIGNANNEO��ERIAITIEE DATE � RECPT.N0. FAID BY VALIDATION WHITE-0epenment Copy,YELLOW--FinetKe Copy,PINK—Assassa Copy.GOLDENROD—File Capy,GREEN—Applicant'a Capy . . . . . �r.. . , . ., .. -.. . .. , •• .., , . . . .. . �' , . . • . . . . , . .._._�\ ���`�,`� CITY OF DIAMOND,BAR , r;. ::;,.:.:, . / �' - - -- : :-.�i�; ,.� •::. INSPECTION��ECORD .,. �:. .:_,: . '� •-.. �: r_ .. _�.�� - • ,. �.N►�K��:��e�`.�'.[m�►r,�. �.P.y�� `.L�.��r�.��F'�. +�'f►��. ;.!:�er='�� ��e,. +��sir �+k � ���' �o`�o� r' — '` - 'r �: ---- =� .,�,�,,,�r��.�� - - �".k�, '.�1 �-, .„��i. jSET BACK • ? ' � , • ' : ' � � _ �, FLOOR JOIST �� _�J ;y� 1 i. ; : , . .•. � z, . ... , . , � . lFTGS/FORP�1S,'STEEL. • - _ .. , • -- .-- : �— ' . _ . _. - ,. . � �, r _ : FHA REQMTS. :_..... . _._ . , . � -- - -• UNDER FLOOR DUCT ' '-' iELECTRIC GROUND .. '-" ` •• � ` � � ` IGROUND PLUP�IBING • � UtJDER FLOOR Cdi�DUIT.. =. � ;;'..�_''� ` ' � �" ` ' � ! '. • . , , �.. • . - - ---_.. . �.._ 'SLAB GRADE-- . •:. - - - --- - �.: ' � FIREPL'f�CE�FOt1NJATION'.� �:t�� � �,•. ,,.;,;:,_,i,c.i" ,: , ; �TEMPPOWER —,.- - .. . . ' FIREPLRGE�$bNQ�EAM`�; �,,_,.. ._.., _-�._u . .. ,. _ .,. -- iWATEFi SERVICE - -- ._ - � - .: � MID HT.��ND BEAM1,1 -�.��� ' .�..,. � - �... _ r:,;, 1`�! 1 i . . ..� 'ROOF SHEATHING � _��L�1 - - - _ — 8 Fi'. BOIVD.B�l1Pd,,- ,-;• .="�'. + • . Y 5'� _.: .� ' �,. � - � - - � . ; . _ .. . _ .FRAMING,NENTILIATION - - - -- - - --- • FINAL�BOND BEAM � �� � � � •;,. � �_ :ROOF C�VER �: � , � ' - PRE-GRADING. .. ._ F: • ��, ., ; . . _ .._ __... . .. . sROUGH HEATING. - - - -._._. �- _. .. . . BENCHING .• ti•,;:, ; ; . �ROUGH ELECTRIC ! . � ' � _ �' � ROUGH GRADWG --- , - - �-- -- � -- -� --- -----., � • IROUGH PLUMBING ;- --- -- --- - ------ �'- - ' FINISH GRADING ; -_; !SHOWER,�U6 TEST�-' --- ��--- - --- • -- � POOL ELECTRIC "- � . , . ,:� iEXT. LkTH/SIDING - - -- ---- . - POOL FENCING . •. ' .. �, , I ,. ��"lALL-I,NSUTATION --; : , , , � - .�. ,. --- POOL�FINAL I ; ;CEILtNu'If•:SULATION,"� - - ,�' � ' � " � OFF SITE IMPS. � ' • �� ! '_ ;dRYWAL.CNAILING - ; ,• . .;. . DEDICATIONS . ' ; .. �SEb'JER _ __._... -- . :.. . ---- � � FINAL'E�JG. � . � '.SEPTIC 7ANK - '�. 1�• LANDSCAPElIRRIG. ' , � °.: �SEEP_P1TlLL . � "' � '�--,� ON SITE IMPS. � � IGAc kliy.TrST : '•' • ` FINAL'ZONING ----. . . �Ft�;�.t.CONST. __,-��` �:� "� —.` �;,. ,}\I . FIRE DEPT, FINAL � _._ .... _ . ;FIA:i:�t-t�TING-._, '.�.`.` 11 ��� , ' � ...__._ HEALTH DEPT. FINAL - - --- -- � �--- , _'. �--;���; ELECTRI� • ' " �:� _�.... ��� `:, _,t� �..,, -.._. DEV. FEES PAID. .. - --.. ---....._..-- �-- --- . . ,-'.,.�„•-. , :•.---- - ; ,_-..:r G._.. .. _. ._.. --- - -. . . . _. .-. ENERGY. ._. ;..��.�:�:_ _ . . . . . .---� _ r. . . _ . --- -. . , : _ . ...._ _ . - - _ ... ...._ , , , .__. - -- ---- --,_. - - . ._._ _.. _ _ _ . `�-_....-----.. .. _..',.._. .. ..... ... . ... . . . ...:'. ..�. . 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( ; . . ... .. . . _. . _. . -- --- _.__._ t-�:, • :l„I:;: r- ... . I � , � . � -. (..i". ; f � 1 ; , - -._ . . ;p��.. .. .... _ i ',�- ='ri�'. ...�7�;. _ ; � i � : . _ . .. _ I ; _ _ . _. , .. _ ._ _., . _. _ . . I . . . . . .... . . .. i .. .. . ...._. __ .. . i . - � �,��r� � . . .,�i ,.:.: _; _, _. � i - .. . _ .. _. . _ _. 1 . . _._: �� _..__ . , , . � � _ _ . .i ... . . _ . . . - .. .. . J •.^.>'_.- '-i;'- �I-� .j���i—;%j � , ; . _. '� _........ .: , _.. . . .0 � 1 _ -_.J • . ;';�;:� �,-. _.•,�,Vc__\ � �