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HomeMy WebLinkAbout16513 J� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Ihive Suite 190 (909)860-3195 Fax(909)861-3117 PRE$$ ����+�'�� BUII.DING PERMTT APPLICATION FIRMLY � JOBSITE APPUCATION �—1 �j—�I NUMB q �J�� 11� o ADDRESS DATE � APN LOT,,...�I.� TRACT .�i,���7 DA EE ONST. GROUP � OWNER p��"F��1.F,� p ADORESS f�Q y(Z1 U.�n f��"�m P� S'f B_ D/1 ZONING SETBACKS �"' CITY �'r v l»Q_ ZIP� TEL9�9'��•�� REAR Rw p APPUCANT TEL. SIDE/SIDE STREET RW O � CONTRACTOR SIDE � ADDRESS 1'Vl � � CfTY ZIP TEL PROPOSED USE ✓ � ARCH/ENGI � S � /� DESIGNER �2r� �CL-`�'t7�S�C� NO.DWEL. NO. NO. ADDRESS ' �, UNRS STORIES BEDROOMS � CITY ZIP Ra?n� TEL��J�n-�777 N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER•BUILDER DECLAiiAtION SFR/ADD/REM O I NERE87 AFFlRM UNOER VETLKTY OF iEHR1RV TMAT 1 M1 EYEMPT iROM THE CONfMCTORS l4 Garaga/Carport � 8 CFlISEUWFORT11EfOLLOWMOREASON(SEG70.t1.69U5INES5AN0iHOFES510N5CO0E:ANYC17`/OR (n � COUNTYNRIICHREOURESAPERMRTOCONSTRUCT,ALTEFIIMPFIOVE,O[A10USH.ORREO,URANYSTRUG W P0t101D6Ck - TURE.PRIOH TO ITB ISSUANCE,/150 REWIRES Tl7E APPIICANT fOR SUCH FERM�T TO FlLE A SIGNED W � SUTEMENT THAT HE OR SHE 6 110EN5E0 VURSUANi TO TNE DROVISIONS OF iHE CONTRACTON9 L4 � CB18E U�M(QIMTER 0(COMMENCINf1 VATH SECTION 7o00)OF DNISION 7 OF TNE BUSINESS ANO PRO- � PooUSpa FE.SBIONS COOE)Oli 1HAT HE OR SHE IS IXEMPT THEREFqOM AND iME BA515 FOR THE I1LLE�ED E7(FMP- TION.ANYVIOIATqNOFSECTiON70�1.S8YANYM7LICANiFORAPERMITSUB.JECiSTNEAPPLICANTTO Z RaRoof � A CN0.ifNALTY OF NOT MOfiE iHAN FNE MINDRED DOLURS(f5oo).1: � OLASOWNEHOFTMEPROVERTY,ORMYEMPLOYEE51HT71WA�ESA57MEIRSOLECOMVENSATOq, 0 �mmercial - YVILL DO ME ri(%1K,MA TME STRUGTUFE IS NOT INTENOED OR OFFERED FOR SAlE(SEG.70N,BU54 J NESS�/IO PROFESSIONS CODE:T11E CONTMCTORS LICENSE UW OOES N0T ADPLY TO IW OWNEH OF = � VROPERTYMIFiOBULD90RMPROVESiMEREON.AND1N10DOE55Ud1WORNHIMSELFOHHE0.5ELFOR � � THNOIKWHISORHEROWNEYPLOYEES,DROVDEDTNATSUpiMPROVEAIENTSARENOTMENDEDOR m � -- � � , .�_,� � OFFERED�OqSALEIF,lIOMIEVERT1EBUtDUJ�ORIMPROVEUENTISSOIDYrtfMNONEYEAROFCOMCLE. '—__..•.... .. ._._ . . . . , � �TION,iHE OWNEI4BUM1DER YAIL f�NVE THE BUROEN OF PpOVIN�THAT HE OR SHE DID NOT BUIID OR MPIiOVE FOR TME VURPOSE OF 8MF► 01,AS OWNER OF THE PFiOi£fTTY,AM E%CLUSNELY COMMCTWO N1iH LICENSED COH7RACTOR3 � TO CONSTiA7CT T/1E VRQIEGT(SEG 7oN.BUSiNE55 AND iROFE5510N5 CODE:TME GONTMGTORS U• V91118I1Of1 ADJ.AREA GFNSE UW DOE9 NOTMVLY TOIW OVYNER OF A PROFERTY W1q BURDS OR MFFiOVE3 T1�EREON,ANO � WFqCOHfMCT5FO115Up1VFWECf5VA7HACONTMCfOFi(S)UCENSEDPURSU1WT70�NECONTMG pUANTIN OESCRIPTION FEE � � TORSLICENSEUW.1. O I MI IXEMPT UNDER SEC. B.1 V.0 GORTHIS PE�ISON 4 U W � DATE OWNER V � UCENSED CONTRACTORS DECLAAATION � � w � 1 NEREBYAFFIiW UVOER PENALTV Of VE0.NR7 T/AT I AM LICENSED UNOER VROVISiONS OF CHAGTER Ur ��COWENdNOWfiN5ECT10N7o0o)OFDMSION70FTHEBUSWESSANOVROFESSIONSCOOE,AND Z A(V IICENSE IS N FUl FOHCE AND EFFECT. / � � � UCENSE CLASS LIC.NO. � J � W `- CONTMCTOR a W � WORKERS'COMPENSATION DECIARATION � � IHEREBY/`-CFIiWUNDERPENALiVOFPEFWRYONEOFTXEFOLLOVAN60ECLARATIONS: U � � /1,[ Q � �1TfHAVEAIOYNLLWUNTAMIICENTIFlCATEOFCONSEMTOSELFJNSUREFONWOPICERS' _ � �i �!�COMPENSATqN.ASFfiOVIDEOBYSECT10N77000FTHE1IBORCWE,FORTHEPERFORAIANCE W THE WORK FOfi WHIf?i TM4 7ERNIT IS ISSUED. � � VE ANU WILL MM17AW WORKERS'COAIVENSAT�ON INSUfUNCE,AS REOVIRED BY SECTION ���� Q �7000FiHElABORCOOE,PoII7NE7ERFORMANCEOFTMEYVORKiORWNIp17HISPEW.�iTIS � ISSUED.I.fY KERL:+COYPENSATIDNWSUMNCE R:ERMlDVOLICVNUMB E CONSTRUCTION �, ww�Ea • • PLAN REVIEW Q �/o��'N�R -g-������ ELECTRIC � ")^/��crnr��r��rxrrgeca.�iFrmpFnep�r+�isror�onE�oCatusa�wfoqiFss} PLUMBING Z ICERTIFYTUTNTHEPERFOfiMMlCEOFTHENOiiKFORWMId/1H15PERA11TI5155UED,1 MECHANICAL (;� 511ALL NOt E►�7LOV ANY PE0.50N N ANY MANNER 50 AS TO BECOME SUBJECT 10 THE � WORKERSCOMVENSATIONUWSOfCK�FORNI�ANOAGREETMATIFISNOULDBECOME INSPECTIONFEE S SUBJECTTOTHEWONKFR+'COAIPENSATqNDROVISIONSOF5ECT10N77000FTNEUBOH Ca0E,I5HALLF0 7HCOMPLYWITHTMOSEPROVISIONS. ISSUANCE o ��r� SMIP p DATE: APRICANT. . � ' ENERGY P/C WMNINU:F/uLUttE M SECURE M/ORKERS'CONPENSATION COVERAOE IS U�1/�wFUL,AND SHAl1 BE LL SUB.IECfM1EMPLOYERTOCRIMItULPENALTESANDCNILFWESUOTOONEHUNDREOTNOUSAND ENERGYPERMIT OOLURS(f 7oa,00a�.IN ADDITION TO TME COST OF COMPENSATqN,DMAACES AS PROVIDED FOR IN � SECTIONJ7oeOfTMEUBOftCODE,IMEREST,AND�TTOfWEY5FEE5. RE,7FJ�f7�ONFEE: d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBYAFFlRIAUNDEROENKNOFPE0.NRVTWtTTMEREISACONSTRUCTIONLENDMQAOENCY �z FOR THE PERFORMINGE OFTHE WORIC fOH WHICHTHIS VERu1T IS i55UED�SEC.7oY7,dV.G). W � LENDER'S NA1AE .� LENDERSADORE55 SIAGREETOCpAPLYWITM/LLLTMGTYMIDCOUNTYORDNANCESAND57AAB EUWSREUTINOTOBL14AW0 TOTAL FEES CONSTRUCTION,ANOHEREBYAUi/q0.REREPRESFMATNE50FTW5COUNTYTOEMERUVON7HE � � uwv¢.uwraneovraveamFOAwsvE �a+ruArosEs. COMM[hlTS O J � m PERMIiT E NAAIE(PRIN� a -- o_v � y 5 OF PERMIT7 O�TE � flECPT.NO. � PAID BY S VALIDATION WHITE-0epartment Copy,YELLOW—Fnence Copy.PINK—Assessw Copy,GOLDENRO�Fi1e Capy,GREEN—ApplicanCa Copy , ..� .. .. . .. . . . .. - . .. .-. ..., -.-. . , ..._. , . . . .. . . � ,. . � . . . .. . � , . . .. .. i ., � , . . � . ' . . :l; �. . , . r_�. \ . , ,_�, CITY OF DIANIOND,BAR , ._ ' -,;'-- �_: . . , i�. irdSPECTlON RECORD � �. , , � . --' � , : _�1��,a_r��'G��,�l���' _ ���������.�..."a�.'a,�� � l�.�-��'���`�...y.._�.� - �.�.C'����� .�. I���.�` r`�1�R��.� � I . �,.� .. ... . ., .. .�,�.,.. w ...�.. . _ ;SET BACK �� � � . • � - ' . . . ;FLOOR JOIST - ' ' ;FTGS/FORMSlSTEEL__-_ - .�.. -: _ FHA REQMTS :. , - . - , . .. ; _ IELECTRIC GROUND_ _ __ .. ._ � _ _ _ ___ . _ UNDER FLOOR DUCT�-�`= ,�-�� ` � � _ _. , IGROUND PLUh4BING - UNDER FLOOR COMDUIT �' ' ' " " " ' � _ _ — . - ',SLAB GRADE-- - ,. - - __ _ � � ' ' FIREPLACE FOUNDATION .�. .' .. . iTEMP POWER-- - ;. -- __ --- .-,-. _ FIREPLACE BOND BEAM - - -- - - ' � ` �WATER SERVICE : • - - ' MID HL BOND BEAM � ,�:' � ' � iROOF SHEATHIPJG `' � , , $ FL BOND BEAP�I _ . `� _ � ;. _ _. ... -- !FRAF�!ING,NENTILIATION -- - - - - - FINAL BOND BEAM . � . � ' ` !ROOF COVF_R .�= � ' PRE-GRADING • -' ��• - - � " ' � �ROUGH HEATING _ r _ _ BENCHI�V� �,,..; ,� , . • -, - ,. � �ROUGH ELECTRIC___. '�: _.` . ' _ _ '. ROUGH GRADING 1 -- �ROUGH PLUMBING ' - --- - - FINISH GRADING ' � 'SHOV'JERn'UB 7EST -- ' - ' POOL ELECTRIC ; � � ,^ _i_ ---_ ____ __ _ , _ , ' cXT.LATH/SfDING- POOL FENCING i ,: ;VlALL INSULATION POOLfINAL �CEILiPJG1ivSULATION " � "-- " ' - ' - -- OFF SITE IMPS. ' -_ ;DRYVVALL NAfLING -- _ _ DEDICATIONS . - `SEWER - .�L-13--"°� FINAL EtJG. : SEPTIC TANK LANDSCAPE/IRRIG. � ;SEEP PI7/LL. ON SITE IMPS. �GAS AIR TES i � � FINAL ZONI�JG ' � . _ - - -- _ !FI'JAL CO"dST.-' ----- . . _ _ _ FiRE DEPT. F1NAL � ;F.INAL HcATlNG _ ___. _ _ _ ____ HEALTH DEPT. FINAL - � " ;�iyALE�EGTRi:, __ __ _ ____. .._.. ._- - DEV. 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