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HomeMy WebLinkAbout16506 (65) J - -- -. • ---- ----------^.__..___.. _ .. ... �_-.�--._---_..._____� _ �� CITY OF DIAMOND BAR� � ' � � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . � 21660 E.Copley Drive Suiu 190 , (909)860-3195 Faa(909)861-3117, . . ;� . PH ESS � � M"�� ` !' BUILDING PERMITAPPLICATION .,�cS%� . � : FIRMLY y� JOBSITE �I nnc /y� APPUCATION Q�("� PERMff P/C o ADDRESS������IG!�IZ�N�LS� (�/� DATE r� v v NUMBER " � O � � U �� � APN LOT TRACT S�L�-j�e`f ISSUE._-`. : ___,_;TYPE ' � OCC . DATE CONST. GROUP p OWNER I ' " ADDRESS D • ZONING SETBACKS � � � �' ' �� '•�`� ' � FRONT�-.,_..:;-..- '� ' . t` RW ❑ CffY ZIP�-TEL. REAR ❑ APPU ANT TEL. SIDFJSIDE STREEf RW ❑ � CONTFIACTOR � SIDE ❑ � AODRESS CITY ZIP TEL PROPOSEDUSE �� ' 4 `�' � � ARCH/€NG/ d � DESIGNER L- Sf �/!sSDG ` ADORESS NO.DWEL NO. NO. � CfTY ZIP EL. UMTS �'-�STORIES BEDAOOMS �. c�_n ' DESCRIPTION �SQ.FL CTOR PSF ADJ.AREANALUATION OWNER-BUtLDER DECLARATION SFR/ADD/RE�A 'L Q O � p I MEREBY AFFlRM 111�0ER PENALN Oi VERAIRY THAi I MI DIEMPT FPOM T1E CQfiMCTORS�F GAf000/C8fp0A � CkTSEUWFORTHEFOILOWN�REASON(SEC.70.71.68USWESS/NOpROFE5510NSCODEANYCT'OR' (n fDl1NT`/MMI(]IREOUWESAVEIWRiDO0N5TRUCT,ALTER�PR�•OEYOLISH.ORREPAIRANYSTRUG W PetlO/DBCk /� IURE.PRIOR TO IT9 ISSUM�CQ ILL.50 REd11RE3 7HE APFLIGWf FOR SUCM PERMIT TO FIIE A SIGNED• W ��� �> ,r � V U ,STATE�IEHT 7HAT NE OR 9HE IS LICENSED M10.5UANf TO 7HE VROY�SIONS OF THE CONTMCTORS L4� 7C iE5510NS�ORTWttt�ORSHE 9IXfMPiTHEREFROA/ANDTIEBA44FORTHEALLEOEDEXfNP-� � PooVSpa � - � . V 710N.AHVVIOIAiIOHOF5ECT10N10.11.6BYM1YAPfLICMliFOR�PERMITSUB.lECT57HEAPPLICAHTTO Z R8-RQOI_.�__'_ ' � �� �. A CML VENALTY OC NOT MORE Tl/lW FNE MUNOqED DOL1J1F3(1500).�: � OI.ASOMMEROFTMEPROPEFtTY,ORMYEMPL�YEE5VAi11WA0E5A5THEIR50LECOMPENSAiqN, 0 �mmercial . '' ` �� - M7100 THE WOqK M1D TIiE STRUCNRE�S NDT IHTENDED OR OGiERED fOR SALE(SEC.70N,BU51- J � �NESSANO iROFES510NS COOE:THE WrlTMCTORS UCENSE Uw pOES NQTMPLY TO M!OWNER OF � _ PROPERTY MAiO BUtD4 OR N.IPRGVES THEPEON.AND VAfO OOES SUCM YVORK HIYSELFOR HFPSELF Oq � T}ii0U0MMiSORHEHOVRIEMPL01'EES.PROVIOEDTNATSUGIIMPROVEMENfSMENOTNiENOEDOR m ` _ -.- -_. . . OFFEREDFORSALEIF,FpWEVERTIEBU0..DW00RMDf1OVEAlEMI350LDWRH�NONEYEAROFCOMPIE- •j 1_� .'��: �TION.7ME ON?IER�BUILDEH YALL MAVE T1E BURUEN OF PfqVpq THAT ME OR SME OD NOT BUILD OR � MPHOVEFOR7MEPURPOSEOFBALE). O IIIS ONMER OF ME PR07ERTY.AM E%QUSIVEL�CONTiLlCTNO WITH LICENSED CONTMICTORS TO CONSTiIUCT THE PRQlECT(SEC.70��.B�1S�NE35 AND PROFESSIONS CODE:iHE CONTMCTORS ll- Y0IU8GOf1 AOJ.AREA CENSE UW OOES NOTMPLYTOAN OWNER OFAYROPEHTYNT9B�ttD50H MPROVES TMEREON./J1U WT/OCOMMCTSFOR8UCNPRQIECTSNAT/ACONTRACfOR�S)LICENSECPURSUAHfTOTHECONTMP QUANTITY DESCRIPTION FEE � � 1O1i5t10EN5EUW.4 ❑IMI EIfEYFT UNDER SEG B.►P.0 FIXi THIS REASON Q �� 3 � � �,. LL' DATE ONNER U r . , � W LICENSED CONTRACTORS DECLARATION W � I HEREBYAFiI�UI UNDER PRIALTY OF VE0.IUMTNAT IAIA UCENSED UNDER PROVISbNS OF CNADTER � ' ' "��/_ •(COMMENCNl3 WIT1 SECT�ON 7ooD1 OF DiNSqN 1 OF THE BUSiNE53 NiD PROFESSIONS CODE,AND Z ' �/f�-rL W LKENSE GS N FlAL FOqCE ANO E�FER 1 ` � � V� � LICENSECU�SS����y �� LIC.NO. /n� -��-� � V DATE��(d'��Z�CONiMCTOR—/L1J1J'^ a � . W ' + ' ���� � WORKERS'COMPENSATION�ECURAT�ON ¢ � IHEA `/AFF6WUNDERDENALNOFVE0.UMONEOFiHEFOIIOW�N6DECIARAT10NS Z � IIUVE/NDWiLIMANTNNACERTIFIGTEOFCONSEMTOSElFNSUNEFORWOiUCERS' 2 - �lD C�D1/7ENSAtIDN,ASPROVIDEOBYSECTONl70GOFTHEIABORCODE,FOq1HEFERCORMANCE U tJ OF iHE WOW(FOR YMIC11 T/G5 GERM?IS ISSUED. � t! O V ' IMAVEANOWILLMAIMAM1WOFiKERS'COMPENSATIONINSU{UNCE,ASREWIflEOBYSECTION � ��� �^/� � J7o00F7T1ElA90RCODE,F0itT1EPERFORMNICEOFTHEWORKFORYMId1TMI5PERMITIS - 1L i � ISSUED.WWO ERS'COMFENSlT10NW5URANCECARiUERANDPOLICYN RME: CONSTRUCTION .. -'�_ � � CMRIER � � ` _,� �� PLAN REVIEW � � � POLICYMIMBER�Q . �/�.,�� ELECTRIC � � d �� � �4 0 (n�Ss[ct�oNME�nrneEap.rtErFDocnEr[�v.Rswna+EluDtimoottNiS�S+aIoaLFS51 PLUMBING U � ❑ � � ICER7IFYTNATPITHEFERFORMANCEOFTHEM�OR�CFORNM�QiTFnSiEfWITISI55UE0.1 MECHANICAL � 6MALL NOT EMPLOY ANV PENSON M!ANY 4ANNER SO AS TO BECOME SU8.7ECT TO THE � � NORKERS'L9MVEN5ATpNLAW50iGWFORNI�ANDAGqEET1uTIFISNDULDBECOME INSPECTIONFEE 5 6UBJECTiOTHEWOR1cERS'COMPENSATIONPAONSbNSOFSECTqN17000FT1EUBOR e.�srw.t rortnrvnn�wr�a�r win+ vaovisro�5. ISSUANCE .p -• r p DATE:�AVPI.ICNlT:�I �� . SMIP � W -�Z�"/ 1-nf . � WAANMO:FAILUfIETOSEWREWORKERS'COIAPENS�TIONCOVERAGEISUNLAWFUL,�NDS/ULLBE ENERCiYP/C � SUBIECfANEMP�O'/ENTOCPoYWALGENALTIESANOCMLFINESUPi00NEHUNOREDiHOUSAND ENERGYPERMIT OOIUHS(f t0o,000}N ADDRWN TO TNE GOST OF CdJPENSA7qN.pMU0E3IlS PROVIOED FOR IN ¢ BECilONf70lOF7NEUBORCOOE,INTEREST,ANDATTOiWEYSiEES RETENTIONFEE: a CONSTRUCTION LENOING AGENCY PRE•ALT FEE: � IHEpEBYAFFIRMUNOER►ENALiYOFPEitttlMTHAT7HEREISACONS7RUCT10NLENDINOAOENCV � � � FOq TME VEPFORUANCE O/FTNE WORK FOR NMK7/1�1 I/S p�ERAIIT IS ISSUEO(9I�C.9oY1,CIV.G�. � LENOER'SlIAtIE---j-f�L=F / ! ��/%/ • . . C LENDERSADDRE55 � �;�E o�,,;����R,",°,�G�o��+w,TM DSTA�WSH�EUTINOfTOBULDNO TOTAL FEES �, a, � � CONSTNUCTION,MDHEREBVAUf}q1iIZEREPRESENTAiIVESOFIHISCOUNTYTDEMERUPONTHE ' � /�BOYE•MEMf1d�EDPROPERTYFOIi SPECTION7URPOSES. COMMENTS � � �/_ �� � m GERMi7TEE WWE fF T) ' � � �� . Q � y SIDNA eOFPERA4TTE DAfE � RECPT.N0. ' PAIU BY- VALIDATION VYHITE—Depehment Copy.YELLOW-finante Copy.PINK—Aesessw Copy,GOLDENROD—File Copy,GREEN—Applicant's Copy ., ..... . ,. :. . .. ,., . � � � . � • , ,.:.,�. . ,. . . � � � ..... .; � T\��' `�`� CITY OF DIAMOND BAR � � , � �,I��ir, ) �":11 �1Y":IJ , ' ! ::.:jzv;��t��r:,,!«Sf��CTiOI�d�RECORD !r.; r� ':_i I � ^ ` � _ � • ' t. �1.`�i. ' �'^wt:' \'\ '� I.G��.,t�O.O'/rY��..� .,"�_..`G�..'� . i`.�, r U.. �� (. 11T � �''�����, �-��' ��' '�'� � n '� � � �� ��� '�.,�! ^���.� ���� M�t '1�� � 7 � ir�����.��,! !SETiBACK � :r.a I ll�i /��I ��`i:,t�',- j i '���� -� �tc� ;, , •FL•QORJ015T - � �� � , � ��� � .C.� c._ i �, ��, � �, ;FTGS/FORMSIS7E�L` '-- � _ � � FHq R,EQMTS-'__ _- -� � ' �_. � �� (�K.•�L_ _ - ... . , ,, �ELECTRIC GROUND — '_-'_��.:':a'� _ __ _ UNDER FLOOR'DUCT-..'_-. '� _ - \�� ' _`�--''.' , '. - _ _ __ ..� =- ... . _ ��_ GROUND PWMBING 3(-� . •���-= :. ,UNDER FLOOR COrIOUi * i •`. .,,.:�, ;•; ' , ; . � - - ,- _.� SIAB GRADE-_ __ ___ ti�1��( __ � � FIREPGACE FOUNbATiON � ::� ,. � _;�r. �:�-t .� � , �,, _. _.._-----. . .-_- - - ITEMP P�WER-- ---�.., T , -.: ; . > FIREPLACE BOND BEAM -- -._ - -- --- . . �;, � �-•. �WATER SERVICE--- --- ---- - -- - - , ., _ ,- M{D HT.BOND BEAM � � i. � � �;�-, ; �..., � :.; 'ROOF SHEATHING 5'� v��1' . ,��:�,.: � �8 FT.BOND BEAM -- -• ' �� "� �-- -- ` ' `, -; — _ ' - _ . `,FRAMINGNENTILIATION �[`'%Z --- FINAL BOND BEAM , �. _ � , ,:, ,s ,,:;, ; , _ _ .� � r � ,�, �; ;i �, :. � ROOF COVFR �.i -. ._ �.,., �,, � PRE-GRAa1NG,`'`..:.�' •:--.--_` � . : �•- �. , �� - . .. ... ' , , . _ ._. _ _ ----- �--- -_ � - - .. . IROUGH HEA7ING — .__. ._� . .,� -_ -- � •`_BE 6}iW s -> ��,�,c•.. , �, ,,.�.�,, - � ` � -� , . , x�_., : ROUGH:EL[CTR(C_ ._ - �.1.' � -I.._� a\i 1 - �� - 'ROU H GRADING-' - -- . __,. ._-` __- - -- -- . , ,,, ,.. `ROUGN P�UP�IBING=-�--' ' � i• FINISH GRADING : SHOVV�R,'T11B7E'ST-! t',,9 _-; _ . __�: �_ _ _ , POOL ELECTRIC� . • ..; � ;� � , , - -., . . _ . ., — „ , ,- . . , . , ,.� . �XL I:ATHlSIDING --i =' /1��-` .. -- ` ' —_-- -PDOL FENCING , . ;.. .. , ',:� �.� ; •WALL-iNSULATIOfl----- -- - - -- .. -- -- --_ POOLFINAL �: ' ; - . -3� • CEtL1NG ii4SUlAT10N= �3v{- - �OFF SITE IMPS. , , �� ti•. ' aF�'l�NALC NAICING _ -- - -� ��-- --;: � - - -- -;,... � .,DEDICATiONS, . : . ' .. . ,,, .-. , ,� . -• -' �_ '_ -=:i �- -�INAL ENG. • , SEWER`--- , �--- --t�(-I,,,�L- -- �_ _ , � r� � ; �SEPTICTANK LANDSCAPEARRIG: ";:,',,..;.'` SEEPPITLLL . ._ . ::; L",�. 1 ' ' i_'c.. � ON SITE IMPS: . GAS AI9 i EST__I_ ._ �_.'..�. :="-! ' � � .,: '' � FINAL ZONIPJG ' � ' -� FIiJAt._�.Oi1ST.-�--'•`�' -- -_. - - --- _ ',�_�• �" iRE DEPT. FINAL • .__ _. -_ --_ - - _... - ��� ., • . ; I r!^1!l!_HF;ATIN�---r�_ --. +_�� �'�' � :'. ..._` . HEALTH DEPT. FINAL - - i i --- __.- --- - J; ' � �i;vi:!CLEGTRIG---- -- :�G • 1 .� --- - DEV. 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