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HomeMy WebLinkAbout16528 (17) ' fl�r �i �....( L ,� .r��� .. : . , ... .:"1.,. , � ...�..1 . ---�� --- CITY OF DIAMOND BAR •. . DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley I1rive Suite 190 � .. •.(909)860-3195 Fax(909)861-3117 PRE$S ;'��^'' z (o�'� ;BUQ.DING PERMIT APPLICATION C�-' : �,FIRMLY: N JOBSITE � ' APPIJCATION �, �l (� PERMR � Q P/C o ADORESS r : DATE' ( 1 O�`� I 'NUMBER d"" y OI'' I g ' ISSUE s' � �__ _ iTYPE � -= ' OCC .- APN LOT TF7ACT DATE CONST. ' GROUP'' - p OWNER .. , " ADDRESS ZONING SETHACKS'--"' _ t �'�'=` ; i � CfTY. ZIP TEL. FflONT - . . . RW O . APPUCANT TEL: REAR ❑ � SIDFJSIDE STREEf RW O CONTRACTOR SIDE p � ADDHESS -� - CITY Z�p T PROPOSED USE'�� ` � ARCH/ENG! _ :, � � DESIGNER �' NO.OWEL NO. . r NO. n ' ADDRE ' UNITS STORIES BEDROOMS � CITY ZIP TEL. � �n DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECUIRATION SFR/ADDlREM S o i U . .p - 1 NEREBV AFFpid UNDER PEWLTY OF VEiWRY 7HAT I AM EXEIIPT iROAI iME LONTMCTORS L4 .GO�eQB/CBtpOA � �O . � COISEIAWFdiTNEFOILONAN6REA50N(SEG7wt.6BUSWES4ANDVROfES5qN4C00E:ANYdTVOR � (n ♦� ODLMYNRIIpINEOURESAPERMRTOCONSTRUCT,ALTE0.MPHOVE,DEMOL15µORREPNHANVS7RUG W patiol�eck� U� � a � TUi1E,PiUOR TO fT3ISSUANCE.KSO REOUMES THE MPL�CMfi iOR SUC1/vERMR TO Fllf A SIGNEG , W � � STATFMEHT i1iAT HE OR SHE IS LiGENSED PURSUAHf TO iHE iFqVI51ON4 OF TME CONTMCTOFS U• CENSE UW(GIitPTTEAY�COMMQKRlO WRM SECTIDN TOao)OF ONISION O OF THE BUSINESS AND PRO V" POOVSpfi -� �� � ��� ,�,�.,�� .,` - - FE9SIONSCODEI�RiT1ATHEOR511E19EXEMPTTHENEFROMANOTME&1513FOFiTHEALLEOEDEI(EIAP• • 'y:r` �TIDN.ANYVqLATqNOFSECT10NT071.68YANVADPLICMfTGORAiERAIIiSUBJECT3TNEMPLICJ�NTTO ., Z �-RAR001^"' �..5.. r� A CIVIL PENAIiY OF NOT E1011E TNAN fiVE NUNOiIED OOIlARS(t5aa).y. . r~i OI,IL40�M�EROFTHEPROVERTY,OR►IYEMVLOVEESYATNWAGESAS7NEIqSOLECOMPENSATION, (`,pmmOfCla1 .. . a�. ` ,'"' � � � WRL DO THE YlOitK AND THE STRUC'IURE IS NOT IMENDED OR OfFEREO FOR SAIE(SEC.70t�,BUSb � '�,�" '-� � ' � ' � NESSAND PROFESS�ONS CCOE:TfE CdliMCTORS LICENSE LAW DOES NOT AFPLV TO AN Ovrt1ER OF /L, � �,.� . iROGEHi\YAqBU0.OSORMPROVESMEREON.ANDMAqDOE58UCHWORKHIMSELFORMEqSELFOR � ��` ��`�� � TIYIOUGIINISOFiNEROMMEMPLOYEES,VHOYIDEDTHAT5UCF11M�NOVEMEMSARENOTINTENDEDOH m . /� � Y . � ,OFiEAEDFORSALF.IFHOWEVERT1EBlAINNOORWPROVEMENTI550lDWTTHNONEYEAROFWMPIE D �� �S•� •. r TION.7HE OWNERBUIIDEH WILL MAVE 111E BUfiDEN OF►fiOVltq TIAT NG OR SFIE DID NOT BVttD OR = IIAPiqVEFdITMEHIHPO5EOF6ALEy ��� � _ . � . W �LA90VMEROFTHEPROPEiRY,ALEXCLUSNELYCDMRACTW�VA1XlICENSEDCDNtRACTOfiS � TO CONSTRUCT THE PROJECT(SEC 70N.BUSINESS AND PROiES510NS CODE THE CONTMCTOfI3ll- VelU0fI0f1 � AQI.AREA ' CENSE UW DOES NOTMPLY TOM!OM/NER OF A PROPERTY NTIO BUMD9 OR IMPROYE9 TMEREON.AND N4qWMRACTSfOFtBUCHVRQ1ECfSWIT1ACANiMCTOii(S)IICENSEDPUHSUMlTTOTYIECONiMG ounranrr �DESCRIPTION�., , ;d\ ����'���,� FEE � � TWLSLJCENSEI�WJ. . . . . OIAAIfXEY7TUNDERSEG B.iP.C.FORTHISREASON � �`� ' � ... _ . . . . . . � . . l _ .., . '�74 Z DAlE OWNER U � ..— . 1, , '. dd� UCENSED CONTRACTORS DECUIRATION W F� _ O � IHEREBYAFFIRI/UNDEAiEN/iTYOFPE0.IURYTHATIAMLICENSEDUPDERPpOVI5qN5OFCHAPTER �(COYYEHClI�WITH SECTIDN 70001�OIVISION]OF THE BUSINE55 AND PHOFESSIDNS COOE,ANO � v�t ✓� W UCENSE IS N FULI FORCE AN�EFFECL m � ~� LICENSE CLASS LIC.N0. � . . � . G�l/ I �1-�►'�'//y✓• , a q�JL�—/�� corirancroA �' n � �x�� WORKERS'COMPENSATION DECLARATION U rY�r` � ,r � INEREO� PMIMDER►ENALTYOFPEiW11YONEOFTHEfOUAWINGDECLAMT10N3: Z S � � VEANDWRLMMITAINACENTIFICATEOFCONSENTTOSEIFdNSUREFORMNRI(ERS' _ �� . . ... 1l " PENSATION,ASVRfNDEDBVSECT10N7fa00FTHfLABORCODE,FOiiTNEiERFORI.UNCE� W �� � • �/ Q , TF1E WOi1K FOiI VM�Cl/TF11S PERAl1T IS ISSVEQ ,� 7"� G � 1 MAVE ANO WILL YAIHTAIN WORKEPS'COMPENSATION INSUMNCE.AS HEOUIRED BY SECTqN � 4Q �7o00F THE LABOR GOOE,FOR iHE PER�ORYANCE OP THE WORK FOR WHIf71 T/n5 CERMR IS � � ISSUED.AIY KEiL PENSAT II�NSUNWC�GIRRIERANDPOLICYNUMBERM�: CONSTRUCTION . I�q� .� � �1 L.�1/1/1 7 GMRIER V\!1 � PLAN REVIEW I Z .rraicr eea Z ELECTRIC �. .—f d �..���SEG� ND o r�[n re�m.rt�IDocnEVEwarswAor�w��noauuu�s+m�oa�ss} PUIMOING ' ` Z ICEATIFY 7MnT N THE PEHFORMANCE OFTME WORK FOR WH1qiTNtS PERMIT IS ISSUED,1 MECHANICAL �� SWLLL NOT EMROY MIY VERSON W ANY MIImER SOAS TO BECOM`c SU&1FCT i0 TME � NpRKFR5COMCEN4ATIDNUW30FG11FORl:IA,ANDAOREETH�7IFISH0ULD8ECOME �� INSPECTIONFEE . SUBJECTTOTME WORKERSCOMVENSATION PPAVISIONS OF SECTION 17000F TME U80R s e.isNuironn�vnn�caunirvnr�H�sEnAansnus. ISSUANCE �. (1 � _L_Y Ll���-e�S SMIP � - - � p DATE: �J�'-Z�J�-01 APPLICANF. . . � ENERGY P�C � WAFUUNO:FARUR[TO SE WRE NiORKEHS'COMPENSATqN COVERAOE IS UNLAWFt1L,M1D SHALL BE � EUBJECTMlEMPLOVERTOCR14WALVENALTESANDCMLFMESUPTOONENl1NOHEOTNOUSAPIO ENERGYPERMIT � DOlLMS(i100,000),H ADDITION TO TME fA3T OF COMVENSATIDN,DAMA(iES AS PROVIDED FOR IN `l � SEC710N170eOFT1EUBORCOOE,INTEREST,ANDATfOqNEY'SFEES. RETENTIONFEE' � � S V cW1., CONSTRUCTION LENDINGAGENCY PRE-ALT FEE: � O � IMEREBYAFFlRMUNDERVENALiYOFDERAIRVTHATTHEi1EISAGONSTqUCTIONLENDIN0A0ENCY ' - � -� � F01iTMEPERWHA/ANCEOFTHEWOWCFORWHICHMIS,VE�R^MITISI55UED(SEC.loG7,pV.G�. . , , . � LENDERS NM1E�l l�Jy�l V\ I 1 I ) '�7 /a b��� 1 L�. '__.' ' '_"" . . � � LENDERSADORESS � ICEHTiYTHATIHAVEREAOhnSAPPLICATIONANDSiA7ETiATT/EABOVEINFORA1A7qNI5CORREtt TOTALFEES ; ��'1I�,��� ' ., � IA6REEMCOMFLYNI7H/LLLCT'ANDCOUNTYOflDWMICESANDSTATEUN/SHEUiINOTOBUILDINQ J� . � CONSTRUCTqf{ANDNEflEBYAUTYqRIZEREPRESEMATNE50FT/N5C0UNTYTOENTERUPONiME - - ' ' , ' . ' Z ABOYE�ENTIONEDiROVERTYFORINSPECTIONPURPOSES. COMMENTS �� � � O . , � ' . m VERMtT7EE NM1E(PRINry f� , . . • .. . � �y ` / � i�, .- ! i� ' . � 6 NRE OF PERM� 0 T� � RECPT.NO. PAID BY VALIDATION WHITE—DeDanmant Copy.YELLOW—Finance Co{ry,PINK--Assessa Copy,GOLDENRO�Ie Copy,GHEEN--Applicant's Copy , • ..� � . .� f ' _ ' . , "' . � . .. ' . . . .. � . . . . i, . , ",�:. � . ' � � CITY OF DIAMOND,BAR; ._ \ -•. � �� ,� t.���_�. . �z ,t.. �'. � .�;. , _� �.:T�r,v>::��:T���INSPECTiON�RECORD ;.�.�... : ��... . � ;�;'�,� - � _,�„ � ` �� +`. .�ir..v. ..(; ', ;.'�.;�. ``; -- - - �q ��� �, G .._.., , ..... .. ....... . ,. ,.... _ .. � • s ` � � � .�. � a a� � 1 ;� �'' ,�".��" ;. .,�. � �� �SET..BACK��� ��:,, i . � � �i..,,;� � � � � • ,�t� FLOORJQIST. - - -f .� ;i= -+. -•�; _. ., ' , . . . , , , FfGS)FORMSlSTEEL-,,:- : - -,., ..l, ---- -- --- .__- FH�F�EQMTS ...�., » , _ . : _..-: .- ----I ;� �ELECTRIC GROUND __ -__' -� "'"' --- . -------- UNDER FLOOR DUCT -'•�' ' ' � � -'= - -' �� � , _ ,,,,�.� . ;��,'_��:,a ,._ .. ., ��. GROUND PLUMBING -Z , UNDER FLOOR CUNDU T I�;� �, ,. � ; .: , • • I SLAB GRADE - - `' --- - - - -- - . , �' FIREFLACEiF�UNDATION �,� '` �' :`��; :( ,i.( �i ��.� '•�' -- - ---- --- - . . � „ , l I � I 1---- �... , ' ;. ITEMP POWER��- � ;� � � �• r;-, . °-.::: FIREPLACE BOfVD�BEAM' - � , { .' � IWATERSERVICE-- - --- .-_ -- - --- '`'' _ � - MIDNT BONDBEAMi ` �' . �`, _ _ �' _ �� ,;�• �r��� � ( i'� IROOFSHEATHING - :l ' �,=- ' • -�. `- `!- -- / _`� -- �'--------- � , . _���: .� 8 FT.BOND BEAM - ., , . ' ',' I i: I FRAMINGNEtdTILiATION $^I�-r��, -���— FINAL BOND BE/iMJ .. � . � •, , _ ,_ . . . :�� ;�� �-. I �G I ROOF COVER �-'%� �, .-� PRE-GRADING�� �� _ i c;.,_1 ,' _ !;_.��': , . .,, � � � .r �ROUGH HEATING -- -- --- - ---- ------- --- 'BENCHING�� �.� :'. -�,, _ .,, ._,J"�, ��•� 'r: , ;�•, - - - - - - -- . .. ROUGH_ELECTRIC__:_ �''1' _"_ /J'� '�; _'•,_'�:'�r`� ;`'� ROUGH GRADING - - --- - - I RO�1GN PLUMBING- I-- � � -%�� .�' :,Y�- -'� '�%'" FINISH GRADING I �-' I SHOW Fi�fUB.TEST-I . , j-.� +�_ ' � - �-- - POOL!ELECTRIC , . � ., ,r:>>.� ,. ,,,�.,�+ � � �, �EXT:'L�4�HY�IDING--{-- ' .i. ���- � `�" �, — --= POOL FENCING . . , . . ., , � „ _ _'.- ' -� ��n� ��-. i i �WALLINSULATION --i-- - ----- - POOL�FIN L , ,°„ , � , : •�� ;,� I ;..: �CEICiNG"1�1SUL"ATION--� - -" -i-`- ------- � ,�FF SITE IMPS. , ' '' - ,. __ . ,. - �DRY1lVALl;NAIUNG_ .-�-- - - '�` � � �-- � DEDICATIONS ' � I � . � � � ! " ; ��,1v- .FINALENG. • � . . I ; �SEW�R � ,i � -- �, SEPTIC ANK� ' � ,: � �LANDSCAPE/IRRIG. � ,;;:. �. ' ' I = SEEP.PITIL.L.. . - - ' '►"',�+ : '. ,�'t'�: ONjSITEIMPS. , - - • �GAS A(R_TEST_i __ f� . ��' FINAL�ZONING ' ` ' ' � � �FINAL�CONST..-,---• ,t�;. _ - � ', ` � � ` '. FIRE DEPT. FINAL _.. -� 1Fj.N�1L HEATING�` .- --_ _ � _"�. .= _...._......-' .,-,LTH DEPT. FINAL -- -- - - - - - - - - -- FINF,I.EtEiC7RIC�-- - - ' � -' • '• _ - ' �� �' - '• . DEV. FEES PAID _. ` - --_ . __ { E�f^1AL Pl:UMBING:--. .. . : . . . _\ ; ', ENERGY. . , . ,. ,. � , . v ,,. ,:,, _ ._- - --- - -__. _ . . .. . . . __\ � , . ;,' _ I _. ._ - - -- -- - --- -- - _ _._.. , . � ' \ �� T�,,S°r�i $-�4T c rrr:•� ��.ti�.'�,�; `,� - - �� ' i�':.a;r��'• — _.._ '.__ "_ _ .... .____' _ •' ; r,' i . , -� -- --� t ' ' `. �i� l'-1 1 Cr' i � ,. .. . . . - - . � . .. . , _ . ' ` � ` ` � -}- - � - - -- > �: � ' � � �' COtVIMENTS__ - - , ., - : , � , . � . . �' , - '—,,- - — — — -------- ' .- -', , .' .,. --.C:.� I . .. . . . , �, ., ,� . �\, \ ` , , r . . _ ,_ , . _ . � - -- -- � -�-- --- -- - _... _ . , , .. .-- - -�--_---- - - ---- - ---- ,. . - - . . . , .., . . .._ . �� . , _ ','�� I-� � � (, � '.` .. �_._� . . . , . � �.� „ .,;� ' .',�. . ��'_ , . �� ) J ��(', , . �} !' IE , � + . ,I ;, � �� --;^� ;:. - - - r�- ti)r• r • � �. , � � � . . r �� , �t ' - - ti . .. i , . - � . . � c �: � . _ ,;,,. i ( � � . i ' - —_. _ _.i -� ,., , . „ ., -, ,. . .,, . . � � ... .. . . . . . . . � _ i , . ;G. __ _'_ _ . . _. ___ f �I • --- ;. l L_ .I f -- - v l='� ._ . 1; . . . ,� � � � . � , � . � , � � � �- . . _I,l � _.�..'L' �- - - - - - ..:i � . � -�---- ` � - -- ---- • - ' c_ � ., �J . .L.., � � i � � ,. i .� 1 ., �- ' _. .`,._�,� (� i, �._i . . . SEPTI�CTANK SIZEJ. _.... __. , �-., ; ,��r, . , , , . . � ':' � . ` � .. .. �;, , , , . SEEP PIT/U'SIZE - "'��..__ _'_ . _ `�� " �:, . , - - - . ,: ,� . - - - --- -— �; _ ���, � r��. <� , ,�, � ''�"}• `Y01� "''�� - —. . _ . i ..i I! _'�`,-- - - " , � ., . _ �.. . ' . ., .. ". � , ., • . . . ;i , � "'� �� __ .�_i_ _�^ � _. . . .. .. _.t�..—. .. .I _l�I . f� ,r.� `:t 1 ,J��i , " � ���: _ . , . _ . � �� ". � . .�" . 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