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HomeMy WebLinkAbout12218 ' — - ---------- _ ------ � ------ _..._ -- - ----_---i-- --_ — J� CITY OF DIAMOND BAR � - � � • � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICBS 21660 E.Copley Ihivc Suite 190 " . ' (909)86Q3195 Fax(909)861-3117 PRESS �"�"'`�. .$UILDING PERMIT APPLICATION - ' .. FIRMLY � JOBSITE . ' / ,�1 APPLtCATtON--- �/� q d ADDRESS Z� 9✓�� /�/I%��.f�.�ltJC. rv DATE � lJ � 1 PERMR � p�P/C rZ, � NUMBER Z-ZI O k Y Z , � APN LO7 ' _ TRACT ISSUE 1� I[J_�O TYPE , . OCC , DATE_ 7 CONST. GROUP c� OWNER CNAt� /N/��f/ ,Q'i¢-�,/ - � ADDRESS TONING SETBACKS . � CITY ZIP TEL FRONT - RW p . APPLICANT TEL , SIDE/SIDESTREET � � - . RW �. . CONTRACTOR -GL%t �E'' �p' 7d� SIbE � _ ADDRES � �' � CITY I' - ZIP 9z'�oR.TEL. / � PROPOSED USE � � � G EyL �ii ARCH/ENG/ . Z 'jS�/ .� DESIGNER ' ` b ' - --- . . _.__ . _ ADDRESS NO.DWEL NO. NO., N CITY Z�p ��„ UNITS STORIES BEDROOMS � y DESCRIPTION SQ.FT. FACTOR PSF A�J.AREANAlUATION � . _ _.OWNER-BUILDER D�CLARATION ` • � , p SFRIADD/REM � 8 I HEREBY IIiFlRM UNDER VENALTY OG 0E0.11rt1Y iWU l AM E%EMVT FfWM T11E CtiNfMCTDRS�4 Ga� � . � CENSEUWFORIHEFC40WNOREASON(SEG7W1.68USWESSANDVpOFESS10N5CODE:MIYCITVOR� . (n � �n� ' — ' __ ' J. CbtMYriMK7tAE0UWESAPERYRTOWNSTRUCT,AL7FR0APIqVE.DE►pUSH.ORREPAiRMlYSiRUC• [1J Pe�b/DBd( TUP.E PRIDFI TO RS IBSUANCE ALSO REGIJIi1E5 THE A7PLICANT FOH SUC11 VERAdt TO FlLE I SIONED W ETA7EMENT iW�T ME OR 8ME 6 LICENSEO VURSUMlT 70 iHE PqOVL510N3 OF TNE CCNTMCTORS U- � GEH6EUM�KS/ACTFAO(CaA/MEHCDJOM/R)fSfC710H7000jOFOMSION�OFThiE8U51NE55ANaGRO. �- PoaUSpa ` , , . _ ,, . FESbqNSCnDE)OqT1ATHEORSHEI9EXEMPTTHEREFROMANDTIEBJV519fOHiHE11LLEGEDF7(FMP•� (!y iION.ANYVIOLATqNOFSECTON7071.66YM1Y/U+pLKJWTFORAVERMRSU&1ECTSTMEMPLICNIiTO Z R9�R00� � A C7VIL VENAL7Y OF NOT MORE 711AN FNE HIMDREO OaLLARS(f6oD).�: . . . .. . . O ❑lAYONMEROFTNEPfiOPERTY,ORMYEMP�pYEESYVI7HWAGESASTHEIASOIECOMFENSATqN, � 0 �mmercial , � _ , Z WILt DO TNE M�0/4(A10 THE 57AUCNRE b N�T 11[TENDED DR OFiEREO FOA S.VF(SEG)OU.BU51. J � � NE&4NID VROFESSION9 COOE:TNE COHT{iACT01t5 LICENSE lAW OOES NOTAPPLY TO AN OMRIER OF - ? OR07EifT`/1Mq9U4.p$pp4VRDVESiNEREON,MIpri}pppESSUCNWORI(HIM50.FOqMEXSEIFOR � ' ' � TFFfOUOF1H190RMEROWf7EYPWYFES,PROVIDEDiF1.l76UWMPROYEMENiSAAENOTMENDEDOR m OFFEAEUR'7H3ALE6.HOWEVEi�7ME9lADIN(10RMPROyEMENi155q,pWlMrypryEYFAROFCO,MPLE• . , ' �'T�ON,7HE OWNER6URDER VALL NJNE 7NE BURDEN OF PRONN6 THAT HE Oq 6NE 010 NOT BUILD Oq ' MP110VE FOH RE PUFP0.5£OF SALkj, . . � - - . . . . . OI,A4 OWNEq OF THE iROPERfY,AM E%CLIISNELYCONTpACTNO YrtiH UCENSm OCMMCTORg TO WM3Tltt1LT TME PIi�hCt(SEC.70H.BUSINESS MA P0.0KESSIq�S CO()E TNE CONTMCTORS U• VelU0S1W1 � /�p,J,qqEq - - ' � � CENSE UN�OOES NOTAVPLY TOAN OVMER OF A PqOFERTY Wlq BUSpS Oq W PRpYE3 TFIEREON,AND � wN000irtw�crsFonwaivnaEcrswmi�cartrucroa�s���caseoPunswwrron�eca,r�ua OUANTITY DESCRIPTION � ta�aucFr+seuw.l _ FEE O I AM IXEMPT UNDER SEG� B.t P.C.fOR THIS RFASON 4 U — _.. _. . ._ .. ... . . - 7�� DA7E OV/NER � ... . !¢— � . . . ._ ., � ..Mq— ._ � . . _ . . . . U .. , ' UCENSED CONTRACTORS DECLMATION W , 2 IHEiFBYAFFYWUNDEHiENAL7YOFiEiWltYTIM7IAMLILENSEDUNDERPROVISIONSOFCHAPTER � �� �(COMIIENCMCiN7{NSECf10N7o0o)OFOMSIOM70f'71�EBUSINESS/N�➢AOFESSIpYS WOE,AND � z ✓� �:`+ �l�j� S '' O O ���!� MY UCENSE IS W FULL FpRCE ANO EFFEG7. m � 0 LICENSECUSS �I� -- LIC.NO. �� . � . �'j �� ��w corrrnncroR EL CG- a � WOAKERS'COMPENSATION DECUIRAT�ON /•� � � INEHEB'/IIFFIRIAUNOENiENALTYOGPEMIRYONEOFTHEFOtlA1MN�DECLAMTru�S2��1 L V �� -- � � - N t 4 - . . . . . . , � __�NAVEAWYVILLMAINTANACERfa7CJ1TEOFCONSENTT034F�N5UREFORM1di1(ER5 � � COMPEHSA7IOH,ASPpOWEDBYSECTIONJ7ooOF7NEUBOACODE,FOATMEPEFWAUANCE � U �� - �� Q OFTHE WORK FO{i WMp1 TH$pEfiM1T IS ISSUW. � . p _IFUVEINOWM1L►1ARRMiW0fi1(ENSCOMPENSIITPDNWSURANCE.�SREWIREDBYEECTICN� 91a00FMElABORCOOE.FOqTHEPERiOpMANCEOFTHEWOqKFORNMK�ITHI50ER4R15 .. . . ��. � ... �' -�- � - � � ��'�O = 155UED.WM�DRKFRS'COIAVEN3ATqHINSVRWCEGNWERANDPOLICYNUMBERAflE: CONSTRUCTION j c�wniea - PLAN PEVIEW .� POI,ICV MNBER . . e�ecraic . ^ (R6sEcroNNFIDwTBE001.i�E1EDOFTEVEa1RilSibaOr+E�+t:rDREOD�L1Aas6�roJ02Cf5S} PLUMBING �j� �1]� � Z ILERTIFY THAT N THE PEAfORAfANCE OF iNENGRN FOF WHiCFf THIS VERMRIS ISSIlEO.I ��� - -MEC1'4ANICAL " - � - � - (7 SHALL NOT EMPIOY M!Y 7ERSON N MI'I MMMER SO AS TO BECOME SUBJECT TO THE (n 1M1OPo(ERS'COr.�PEN5A7qNlAWSOFCALIFpRN11ANpA�pEE7MAiIFIS1IDULDBECOME INSPECTIONFEE S SUBhGJT07HEYNfi(FASCOI.IPENSAiIONiAOYf51p150FSEC7KN�A TH�GI@pp ' . coo�,isruu�omx�n�coua�rwm�nnsFv�ao s�. ISSUANCE _ 2 �OO � �`-_L � �Sv �p �DATE � O� �APPI�CaNF. � � L6�R C� SMfP l t u_-� . � WAfiMNO:FALURE 70 SECURE WOHKERS'CWPENS.l7K7N COVEM �s�i�uwcut p srut�ae ENERGY P!C � � �y SU6IECTANEMPLDYERTOCRIAI1NALpENALTIESMIDdVILF1HESUPTO0Nt1UNOqE�TFqUSAND ��ENERGYPERMIT - . r D�L1AR31=�7�.00D).WADDRIONTOTHEC06TOFCqAPENSATqN,DM1/�ESASGqOVIDEOFORIN -� - � SECfqN 77oe OF 7HE UBOR CODE,RfTEHE9T,I1N0 ATTOiW EYS FEES oJC RETENTION FEE: � OCONSTAUCTION LENDING AGENCY PRE- LT FEE�� � � � IHEREBYAKFliWU1OERVENALTYOFpEfU1RYTUiTXEREI3ACONSTRUCTIONLENDINpACENCY. � • � FORTHEGERFORUMICEOFTMEYNRKfOqWH�CHTH6pE1W�TI5155U[D(SEG]ov7,pV.C,). � � � � � LENDER5NAYE . ._ . . . . . . . C IENDER'SADORESS � TOTAL FEES � . W ICER71FVT1MTINAVEREADTIaSAP%JCATqNANpSTATETIUTTIEA80YENFORlA�TqN15CORRECT. .. . 1 .1 . � .� D . a IABREETOCOM9�YWITNALLCT'ANOCOVHTI'OqDauNCESANDSTA7'EUwSREUnNdfOBUSDM6 - � 1 1 / � CONSTPUCf10N,M10HEREHYAUTIqPoZERE�RESENiATNE50FTMISCOIMttTOEMERUPONiHE . - f � �ewe�wrurrw vrorErm wa iNsvEcrior�puarosEs. COMMENTS � � � , � . /�I/.�E' l✓./�� s . . Q ��, , E� � - 9_�0-y� � _ . y 6Ki� PEOFPEiWITTFE DATE � - � �� _. . . . .. . RECP7 NO. PA1D BY VALlDAT1pN � '��WHITE—Departrnen[Copy,YELL01N—Finance Copy,PINK—Asaeesa Copy,GOLDENROD—File Copy,GREEN—App�ieanCe Cr�py.. . . . . � . . . ,. .. ;;..,,:.;,,..,.. t , >�.� , �� .. . ����,r.- . , . � . . ., , . , , �.; ' CITY OF DIAMOND BAR .�:. .:..: .:.::.. . � � �::,:�,.:,:.;;��: _•INSPECTION�RECORD�.. . : . �..-., , „- �---� , , ,.. , . ,. <...`:'; _ -- - , .. , . , - � � , . � . . � � , . � - S�T BACK•� , .., � �. �l , _ j - -°�.. � �FLOORVOIST�. .v� .`��.�a ,_.`� � r . ; , , ,_. . ,, , .. FTGS/FORMS/STEEL _ ..�; ::�'�'-- �` i ._-�� �HA REQMTS - -.. - - -._ . _._._ _____-- - - -- ------ ----; s. l --- - -- -- , _, ELECTRIC'GAOUND--- -- ---- - -- - �- � __--._•- UNDER FIOOF�DUCT�� _���:�. , c.r � - . .t,ti; -�. „ . . , , , GROUND PLUMBING �� � 'T= ` � llNDER FLOOR CO�IDUIT - - ' . .. - ---- --- --- . , ' : �SLAB GRADE �- - - � � . � FIREPLACE FOUNDATION --- --- ` '" •�' ' = _ _. ... _ . TEMP POWER.. _ .. - - .. .— - �:•: n- :,:��. - ! FIREPL CE BOND BEAM ---- - - - -- -. --- �. . .. -.� `-_--...__.,_ .. _ �.._::--__ - - . .. . . . ',:.,. . ...J '�` . ." .' WATER SERVICE=-=__-__.- --__-____: ..--- __ _ MID HT.'�BOND�BEAM' - 1 _:•;�.'',. �� ;- _: : . . ,,. ..,. � ; .ROOF`SHEATHING ' ,� _• t_ _ .�_ � �__, _ . � B�FT.BOND BEAM' _ .� ,�, _ i•_ - :;��;`.'. i �- FRAMING/VENTICIATION .:� � '�'•.. ..�,+ FINAL BOND�B�AM`�'- � ` �• �- ' � ` ' , .__ , ., . ROOFCOVER.�� ` . � _i. 'PRE-GRADING- -. _ ..---- - -- _---- --.._ - ; -= r .: .. �. -ROUGH HEATING-- -_ --- -- --- _.. . _. BENCHING --: -- - '_;: .:,.. ; • ` �� " ROUGH GRADING -ROt1GH'ELECTRIC-�- - - - --_'_..�_ :._ _.__ . -: "ROUGHPLUMBING-;�-- "-"-- - -�-�-- . ,_. • FINISH GRADING , , . ' �• -SHOWEWTUBTEST; -- - ---- - -- -- - - �-- ---.. . .. _ POOL'E�ECTRIC .: , _. --- - - - . .. -- .- -,, POOL FENCING � ., . ; . „,• i _ EXT.-LATH/SIDING- -I WALL INSULATION � I POOL FINAL - " = , - � •. CEILING INSULATION ; - OFF SITE IMPS. � DRYWALL NAILING I DEDICATIONS; . - `'.; ; �° SEWER_ - ----- ' -- - --- - - -- . ' ..__ . _ FINAL ENG. . .. .. . ,. SEPTIC TANK-----.-!---- --------- ` - --- . - -LANDSCAPE/IRRIG. ,. ' ` " -SEEP PIT/L..L.- .._ . _=- � - -- -- ---- -"-`�..� :_ _ :ON SITE IMPS. ,. . . .. , , ., .GASAIRTEST;--- _-_ _ ._-- _ _ _ _ .__ ..-.:. . _ FINALZONING :._ • -: -FINAL-CONST .---- -- - - ----.... _. .__. . .FIRE'DEPT.;FINAL".,. . . . . ._.. _ __ ,.. . ,:,, ,, � ^ FINAL HEATING----._--- ----------- - ------ - ___ HEALTH DEPT. FINAL ___ _ - _. ------- ,;�• i _. _ . --- ------------- - FfNACELECTRIC----- -- -- -- - _ -- - DEV. FEES PAID , ,, . .., . .- --,,- ,. �,:: ,_,�: t =- FINAL,PLUMBING �` ' r-' ENERGY �� , , � ,, ,- • - , � �.: , , �, . �_ . . ,.. � I �• '� �r . --- =,�. - ``. . . ' -• ' ..,�. .S _. - .- . --- . - -- _ .. I ; , - . ' � - , ------- - ._ --- --- . _ _ ___-. ____.__. _...� -�: _. , - _ , . _ .�* - . , � -, • '� :; .:- ... ,. :;,. -COMMENTS-------- -- - - -_ � ;? '� ,_ �• � ; _� _..--- - . .., ------ - --!-- --- _- -.._ __ __ - -- ----' _�.__.. . : . . . , .,, . . - - i • ' � ���J, . , ,� , - _ . _ _-- - -1 -------- - - - - -- ----� . ._ -- , � , . ' . •. , - . _ ' :� ------ - -- ..� - ----- _.. _.. _ ._ _ . _.__._... _ .... _.._ � i ��., 1� , -- �v l`.��_ \ ,. -- - -- - - !' . � . . I i i " 1 , . , � . . .. _ ��5. ' ... ..� .. . . � � -----_. _ ------ --.. . . 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