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HomeMy WebLinkAbout12218 (6) ' — - ---------- _ ------ � ------ _..._ -- - --------d-- J� CITY OF DIAMOND BAR � - � � • � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICBS 21660 E.Copley Drivc Suite 190 " . . ' (909)86Q3195 Fax(909)861-3117 PRESS '•;'�"'`'- .$UILDING PERMIT APPLICATION - • .. FIRMLY � JOBSITE . ' / ,�1 APPLtCATtON--- �/� q d ADDRESS Z� 9-�� /�/I%��.f�/ItJC. �v DATE � lJ � 1 PERMR � p�P/C �Z, � NUMBER Z-ZI O k Y Z , � APN LO7 ' _ TRACT ISSUE 1� I[J_�O TYPH , . OCC , � DATE_ 7 CONST. GROUP OWNER CNAt�' /N/��/J//,Q'i¢-r/ � ADDRESS TONING SETBACKS . � CITY ZIP TEL FRONT - RW p . APPLICANT TEL , SIDE/SIDESTREET � � - . RW �. . CONTRACTOR -LL%C. �E'' �p' 'd� SIDE � _ ADDRES � � � CITY I' - ZIP 9z'�oR.TEL. J � PROPOSEDUSE � � � GpL �ii ARCH/ENG/ . Z 'jS�/ .� , o DESIGNER - --_ _ . _ _.__ . _ • ADDRESS NO.DWEL NO. NO., � CITY Z�p ��„ UNITS STORIES BEDROOMS � � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANAlUATION CC . _ _.OWNER-BUILDER D�CLARATION ` • � , p SFRIADD/REM � 8 1 HEREBY IIiFlRY UNDER VENALTY OG OE0.1lIifY iWU T AM E%EMVT FftOM THE 0017fMCTORS�4 Ge� � , . . � CENSEUWFORIHEFOLLOWNORF.ISON(SEG7oJ1.68U5WE5SANDVpOFESS10N5CODf:M1YCITVOR� . (n � �n� ' — ' __ ' J. CatlulYWMK7fAE0URESAPFRAIlfTOfs7N57iUCT,AL1FRpAPIqVE.DE►pUSH.ORREPAiRMlYSTRUC• [1J Pe�b/DBd( TUP.E PRIDFl TO RS IBSUANCE ALSO REGIJIi1E5 THE A7oL1CANT FOH SUC11 VERAdt TO FlLE I SIONED W aTA7EMENT iW�T ME OR 8ME 6 LK:ENSEO PURSUMlT 70 iHE PqOVI510N3 OF TME CCNTMCTORS U- � GEH6E UM�(CNAPTFA 0(CaA/MEHCs/0 M/R)1 SECTIOH 7000)OF�MSION�OF ThiE 6US1NE55 ANa iHO. �- PoaUSpa ` , , . _ ,, . FESSqNSCnDE)OqTINTHEORSHEI9EXEMPTTHEREFROMANDTIEBJV519fOHiHElLL1EGEDF7(FMP•� (!y iION.ANYVIOLATqNOFSECTON7071.66YM1YA7+pLKJWTFORAVERMRSU&1ECTSTMEMVLICNIiTO Z R9�R00� � AC7VILVENKTYOFNOTMORE7IWlFtYEHUNDRE00�WRSIf6oDI.1: . . . .. . . ❑lAYOM1EROFTNEPfiOPERTY,ORMYEMP�pYEESYVI7HWAGE5AST11ElASOIECOMFENSATqN, � 0 (',pmmBfClfll � I � g W�LL DO TNE W0/4(AIO THE 57RUC7URE 6 NOT 11[TENDED DR OfiEREO FOR S.VF(SEG)OU.BU51� J ' � ' � NE&4NID VROFESSION9 CODE:TNE COHT{iACTOi{5 LICENSE UW OOES NOTAPPLY TO AN OMNER OF - ? OR07EifT`/1Mq9U4.p$pp4VRDVESiNEREON,MIpri}pppES5UC1iWOR1(HIM50.FOqMEXSEIFOR � ' ' � � TFifOUOF1H190RMEA0WMEYPWYFES,PROVIDE0iF1.t76UWMPROVEFtENiSAAENOTMEHDEDOR m OFFEqEU R'7H 3ALE6,HOWEVEFl7ME 9U0.DNI(lOR MPROVEMIN115 SoID 1NfMN ONE YFAROF00.MPLE• ' �'T�ON,7HE OM'NER BURDER VALL NlIVE 7NE BURDEN OF PROVN6 THAT HE Oq 6NE 010 NOT BUILD Oq ' MPHWE FOH T1f PUHP0.5E OF SALEJ. . . � - - . . , OI,A40WNEqOF7HEiROPERfY,AME%CLIISNELYCONTpACTNOYrtiHUCENSmOCMMCTORg TO COHSTltt1CT TME PAqhCt(SEC.7u�.BUSiNESS MA PRDFESSiONS COpE TME CONTMCTORS U. VelUO}1d1 � ADJ.AREA - - � � � CENSE UN�OOES NOTAVPLY TOAN OVMER OF A PqOFERTY Wlq BUSpS Oq W PiqYE3 TNEREON,AND � wN000irtn�crsronwaivnaEcrswm��cartrucroa�s���caseoPunswwrron�eca,r�ua OUANTITY DESCRIPiION � tatsucFr+seuw.l _ FEE O I AM IXEMPT UNDER SEG� B.t P.C.fOq THIS RFASON 4 U — _.. _. . ._ .. ... . . - 7�� DA7E OV/NER � ... . . ¢ � . . . ._ ., � ..Fq— ._ � . . _ . . . . U .. , ' UCENSED CONTRACTORS DECLMATION W , 2 IHEi�BYAFFYWUNDEHiENAL7YOFiEM11tYTIM7IAMLILENSEDUNDERPROVISIONSOFGUPTER � �ZC �(COMIIENCMCiN7{NSECf10N7o0o)OFOMSIOM70F'71iEBUS1NES5AN�➢AOFESSIONSCOOE,AND � Z ✓� �<�+ �l�j� S '' O O �L MY UCENSE 6 W FULL FONCE ANO EFFEG7. m � 0 LICENSECUSS �/6 �-- �,�.Na. �..7 . � . �'j �� ��w corrrnncroR FL E'G- a � WOFiKERS'COMPENSATIONDECUIRAT�ON • � INEflEB'/AFFIR/AUNOENiENALTYOGPEMIRYONEOFTHEFOtlA1MN�DECLAMT�S2��1� V �� -- " � - N 4 _ � __�NAVEAWYVILLMAINTANACERfa7CATEOFCONSENTT034F�N5Ui1EFORM1di1(ER5 � � COMPEHSA7IOH,ASPpOVDEDBYSECTIONl7o00F7NEUBOACODE,FOA7HEDERWA4ANCE � U �� - �� Q OFTHE WORK FO{i WMp1 TH$pEfiM1T IS ISSUW. � Q _IFUVEINOWM1L►1ARRMiWOfa(ENSCOMPENSATpNWSURANCE.�SREWIREDBYEECTICN� 91a00F7MElABORCOOE.FOqTHEPERWpMIWCEOFTHEWOqKFORWHK�ITHI50ER4R15 .. . . ��. � ... �' -�- � - � � u�'�O 155UED.WN�OHKFAS'COYVEN3ATIpHINSVRWCECANWERANDPOUCYNUMBERAflE: CONSTRUCTION / � cuwea - PLAN FEVIEW .� POI,ICV NUYBER . . e�ecraic . p (R6sEcroNNFIDwTBE001.i�ElEDOFTEVEa1Ri1SiL{IOr+E�+t:rDREoroUAas6�roJ02LE5S} PLUMBING �j� W � Z ILERTIFYTHATNTHEPEAfORA/ANCEOFiNENGRNFOHWHitl1THISVERMRISI5511E0.1 ��� -- -MECHANiCAL " - "'� " - � � - - (7 SHALL NOT EMPIOY M!Y 7ERSON N MI'/MMMER SO AS TO BECOME SUBJECT TO THE (n W01W(ERS'CO�APENSA7qNlAW$OF�A{,IFpRN11ANpA�pEETMAiIFIS1IDULDBECOME INSPECTIONFEE S SUBJEGTT07HEYNfi(EASCOAIPENSA770NiA0Yf510H50FSECT4�A TM�Gl9pp - � ' - -- .. ..... . .. . . . coo�,isruuwmx�n�coua�rwm�nnsEv�ao s�. ISSUANCE _ 2 �OO � �`-_L � �Sv �p �DATE � O� �APPLICAFR: � � L6�j C� SMfP / t u_� � WAfiMNO:FALURE 70 SECURE WI�RKERS'CWPENSA7K7N COVEM tS�MAwFUL D SHAilBE ENERGY P/C � �y SU6tECTANEMPLDYERTOCRIAI1NALpEN/J.TIESMIDdVILF1HESUPTO0NE1UNbqE�TFqUSAND ��ENERGYPERMIT - . r D�L1AR31=�7�.CDD).WADDRIONTOTHEC06TOFCqAPENSATqN,DM1/�ESASVqOVIDEOFORIN -� - � SECTqN 77oe OF 7HE UBOR CODE,lrtEHE9T,IWO ATTOiW EYS FEES oJC RETENTION FEE: � OCONSTAUCTION LENDING AGENCY PRE- LT FEE�� � � � IHEREBYAFFliWU1OERVENALTYOFpEfU1RYTUiTXEREI3ACONSTRUCTIONLENDINpACENCY. � • � FORTMEGERFORltMlCEOFTMEYNRKfOq1{M�CFITH6pERYR15ISSU[O(SEG]Ov7,pV.G). � � � � � LENDER5NAYE . ._ . . . . . . . C IFNDER'SADOHESS � TOTAL FEES � . W ICER71FVi1MTINAVEREADTaSAP%JCAiIONANpSTATETIUTTIEA80YENFOWA�TqN15CORRECT. .. . 1 .1 • � .� D , a IAOREETOpOMV�YWIMALLCfiYANOCOVHTI'OqONM/CESANDSTA7'EUwSHEUTNQiOBUSDM6 - � J J 1 � CONSTPUCf10N,M10HEREHYAUTIqPoZERE�RESENiATNE50FTMISCOIMttTOEMERUPONiHE . - f � �ewe�wrurrw vrorErm wa iNsvEcrior�puarosEs. COMMENTS � � � , � . /�I/.�E' l✓./�� s . . Q �� , E� � - 9_�o-y� N . . N 6Ki� PEOFPEiWITTFE DATE � - � �_ _. . . . .. . RECP7 NO. PA1D BY VALlDAnpN � '��WHITE—Departrnen[Copy,YELL01N—Finama Copy,PINK—Asaeesa Copy,GOLDENROD—File Copy,GREEN—App�ieanCe Copy.. . . . . � . . . ,. .. ;;..,,:.;,,..,.. 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. ' ... ..� .. . . � � -----_. _ ------ --.. . . ' ' � i _ _ _ -__ __ _- - �J ' � , � . . � c�� �� - i i . . � . - , a � � - -. �, � , i , . _ _ _ - ---- -- - __ _ _ _- -- . , . ,. , -_...,.. , � � , � � i �,. , , . � � , , , , i , — - -- --- - _ - - _ � - ''��<. . ..__ _ _ - --- -- -. . .__.._ ' • ,. , � - � � ��C. � � � ` , �'\\ � � '..\�. �. .� _\l � -- � , , } . ; •,, • - . ._._< _ _ _. , . . . . - . .- � � - �, o��•�"• �� ��� _ ; SEPTIC TANK SIZE-- -- - - . .; �, . , ._,: ,. � , - ' , ; , . ... . . ._ , � •,.., ;;, .- . --- -- — -- � . , , � � SEEP PIT/U SIZE - --- ., � „- � � I ., , ,. „. .. ,.r.., . ..�-, i . - 1� _. — �,1�I '', \ J, ;� � i � . .. , � . �, „ . � . � � '�1`,-J�rf i � -•- - - . _ ,. _ � ._ . _. -- -- _.. . . . . � � E - t.:=i='i-��,�? _. i � � . � , . . . �. . .� -r . � ^ . . .. .. ' c' J�• , � ' .+\' t � 1. _.. .. ' ,. � . i i ' 1�` � ,`,, � _ (':� �t.. "_'__.'_' '. . . . � ...... ... .. . . . . .. 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