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HomeMy WebLinkAbout16065 (17) --- „�__ -- --- ---- ----- .. - -- — - --- _— --- � �� CITY OF DIAMOND BAR i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �J � 21660 E.Coplcy Drive Suite 190 �� ~ (909)86a3195Fax(909)861-3117 . PRESS � ��'�^'� BUILDINGPERMITAPPLICATTON � FIRMLY � JOBSITE p p APPLICATION PERMR I p/C o ADDRESS�3��1 S��lQ C-(Q((,� �Q_ DATE a� "� �� NUMeER_� �l x � APN LOT TRACT ISSUE TYPE OCC -t�� DATE CONST. GROUP p OWNER r�NCfC 3'1 r"� " ADDRF„�SS �3 ��i �i� � G�. ZONING SETBACKS 0 � cITY ��� ZIP � TEL. 3 • 3 R�R R1N ❑ APPLICANT a J�TJ TEL._!� SIDE/SIDE STREET RW ❑ CONTRACTOB T�"`�+�- p �� ��`+V SIDE p ADDR S ti IJI C w -J � CITY �����vT•,/F ZIP �-' TEL. � 't Y PROPOSED USE C� A t:/°2..� • t3 A L OS tA?il lti � DESIGNER L��y G'��'R/Lj�' 1C��OS ' � AG�, tc. -d !p(,o ADDRESS V M �L� NO.DWEL � NO. i.��'.� NO. � CITY $'7Y��1TiOv� ZIP " TEL, ' U/-d'JS UNITS � ���������,STORIES Cj� BEDROOMS � y cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDEF DECLARATION SFR/ADDlFlEM O p t MEREBY AFFlRM VIaEA OENAITY OF iEfWRY TH�T I AM EXEMPT FRdA TNE COHTMCTORS LI• GefeQB/C81pOR lL CENSEUWFORTMEFOILOWPl�REASONf5EC.70]t.6W5P1E551V:DiROiE5510N500�E:ANVCITYOR (f� �.�� COUIlT7YN/101REOUWESAPERMRTOCONSiRUCT,/�LTERMPROVE,pFJA0U5H.OflNEPNflANYSTRUG W V TIJRE YRqil TO R9 ISSUANCE.ALSO REOUIRES THE AP�IILANT FOR SUCM PERMIT TO FR.E A SIGNED w PatidDetk .� ETATEMENT TI4lT NE OR SHE IS 110EN5ED VURSUANT TO THE PRONSIONS OF THE CONTMCTOitS LI• � � CENSE UW(CHAVTER Y(COMAIFNCRNi VrtTH SECTION 7000)OF DIVISION 70F iHE BUSINESS M1D PRO• POOVSpB FE5510N9000E�OR711ATHEd15HE15E%EAAPTTIEREFpOMAND7HEBASISFOR7MEALLECEDE7fEM�• C7 TION.ANYVIDLATqNOF8ELT10N70.71.6BYANYAVDLICANTFORADEfWITSUB.IECTSTHEAPPLICANTM Z Ra-Roaf � AGIVIIPENALTIOFN07►qRETMANFNEMINDREDDOLLARS(fsao).�: � 04��NEROF1HEFfqVERTY.OfiMYEMPLOVEE5VA7HWA0E5A.'.7HEIRSOLECOMPENSA710N, � COrtIrtIBtCL31 - WILL 00 THE WOFK/ND iNE STHUCTURE IS HOT IMENDEO OR OFFEnEO FOR SAIE�SEG 7oa/,BU54 J � NE55 AND iROFE5510NS COOE 7NE CONTMCTOHS LICENSE Uw DOES NOi APPLY TO AN DWNER OF = PqOVEHiT MR70 BUlD4OR MPROVES THERCON,A.VD YMO DOES SUp/Mr7HK HIMSEIF OR HERSELF pR Q TUi0U0HHISORHEHOMMEYttOYEES,VROVIDEDTUTSUdIMPROVEMEMS�RFNO7IHTENDWOR m �1 .OFFEFm PoH SALE IF M04IEVER iME BU4DINOOR IMPROVEMENT IS SqD WffHNdJE YEMOF COMRE- Z TION.THE OM'NER�BULLDER WILL HAVE THE BURDEN OF VROVWO TNAi ME OA SME DID NOT BUttD OFi � �I7ROVE fORTHE VURPO..E OF SALE� W 04ASONR/EROFTHEPROPEHfV,AME%CLUSNELYCOMRACTIN�WITl/LICCNSEDCONTMCTORS � TO CONSTFY1Cf THE iRQlECT(SEC.7w1,BUSMESS AND iROFE5510NS OODE:THE C017TiUCTOR9 U• VHIU31ipf1 . ��v{) qp,�,qqEq � CENSEUWDOE9NOTMVLYTOANOwNEROFAPROPEIITYNM110BUttDSORMFFiDVESiNENEON,NaD W/qCONTMCTSFOqSUpIPRDJECT5NnT1�CONiMCTOR(S�LICE�SEDPURSUANT70TMECOffiMG pUANTITY DESCRIPTION �E � T01i.UCEf/5E UW.} O 1/W E%EA17T UNDER SEC. 8.i P.C.FON THIS RCASON Q 3 � � ¢ DATE OvmER V ..W.1 � UCENSED CONTRACTORS DECLAFlATION W OC IMEREBYAFFIfaAUHDENiENALTYOFiER1URYTMATIAMIIGENSEDUNDCRFROYISIONSOFCNMTER � p, �(COYYENCMlOVRTHSECTqN7o00)OFDMSqN70FTHEBUSINE55AN0VROFE55iON5C00E,MlD Z � MY UCENSE IS Pl FULL FORCE AND EFFECT. m �� LICENSE CUSS�%�7�1 LIC.NO.�7� j i' DATE �'a��� CONTRACTOR d Sl (� ' � `���J WO KERS'COMPENSATION DECLAFiAT10N ¢ � �HERfBYAFFIRUUMOENPENiLLTYOFPE0.IUMONEOFT+.EFOLLAIMNGDEdJ.MTqNS: Z � _INAVEINDWILLMIMfNNACERT�FICAiEOFCONSEHTTOSELFaNSUREFORWORKERS' _ OOAtPEN5AT10N,A5 iR�VIDED BY SECTON 77dJ OF TME 11DOR CODC.FOR T1E PERFORMANCE W Q Of T11E WORK FOR WFud11NIS 1'ERMIT IS ISSUED. � � �IMAYEMqWILLAWNTANWON(ERS'tOMPCNSATpNINSUMNCE,ASREW6IEDBYSECTION 4 ]'7000FTHELABORCOOE.FORTMEFERFORGANLEOFTHEWORKFOfiWHiCHTHISPEtW1715 0= ISSUL7.MY1WF1KER5'C04PENSA'IONINSURANCECARRICRAh9POLIGYNUMOENARE: GONSTRUGTION � j cu�vEn ���. "�� PLAN f1EVIEW o voucrNuusEa o1�5—�U Va►T �— ELECTRIC o A�p�scefaHr�mr+oreem.s�Frmanevew.�rsrona+e�ara�moowvua+oo�oa�ss� PLUMBING �lF,1� �T�� /" � 1 ICERTIFYTWITNTH[PERFORMANCEOFTMEWORKFORWHidITH15GERYIT6155UED,1 MEGHANICAL 1� SHALI NOf EMP�OY ANY PEitSON W ANY MANNER SOAS TO BECOM[SU0.7ECTT0 THE � �WOPoCE0.5COMPEN5A7iONLAW50FCALIFOfIN1A,ANDIIGREETHATIFI5F10ULDB[COME INSPECTIONFEE S .l 6V&IECfT07MEWORNERS'COuvEN5AT10NDq0���,,,,,,,,,�OVS SECTqNl70oOFTHElA90R (� F� cooe,isiwtaattNvnn�caav�rwm��e�� ISSUANCE � �� SMIP � o �„�:a-a-a� APPLIGIMT. � I' v 1 � ENERGY P!C WMNI40�FMURE TO SEWRE WOR�cER4'CdIPENUTION COVEMGE IS UtdAN'Flri,AND SMAIl BE �y SUBJECTANE4PLOVEHTOCRivaIALDENALTiESANDCMLFiNESUPTOONEMIHDREDTMOU51�N0 ENERGYPERMIT DOIURS(fta0,00o),IN ADOITION TO TME CAST OF LOMPENSATION,O�AQES AS PROVIDED FOq IN `` � SECTIDN77DOOFTMEUBOfiCOOE,INTEREST.ANOATTORNEY5FEE5. RETENTIONFEE: •vJ OCONSTRUCTION LENDING AGENCY pRE•ALT FEE: � INEREBVAFFIRNUH�ERVENAITVOFDEMIRYT/uTTNEREISACONSTRUCTIONLEND�NQACENCV FOR iHE PERFONAANGE OF iME WORN FOR NM111pi iMIS PERMIT IS ISSUED(SFC.7Do7,pv.C�. � � LENDER'S NAl1E C IENDERSADORE55 � ICERTIiYTHATIHAVEPEADhuSAPPLICATIONANDSTATETHATTMEMO`�ENFORMAT%NJISCORRECL TOTAL FEES I ���� � IAGREETOCOMPLYMATNALLC7IYMl�COUNTYOflOMANLE5�N�5TATEUW5REU71NOTOBULLDING � � CONSTRUCTWN.M�DHEREBYAU7110aREPEFRESENTATIVE50FiHISCOUNTYTOEHTEflUPONTME AWV[�MENTIONEDP ERiYFq11N5PECTqNVURPO5E5. � Q�� COMMENTS � .T__�l7I� '��� m 7TEEWWE Nn - � � �Anv a�-�o t � y SIC EOFVEHWTTEE DATE � RECPT.NO. PAID BY VALIDATION WHITE-0epartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applieantb Capy . .. _� , . .. . , � - , � CITY OF DIAMOND BAR,; , .. , :; , '�., . �, , . '�� ; '.I , ;.:..,; ... . . .. tt�!SPEC'TION �ECORQ �. �� :...� . .�� . - � '. , , _,_,� , . _ . •�.. . _� '��t�+�����{��.9���� � ��.�:�.�.� �.(��-�1��;,.�.?�l�, ��r(����.�y��i�:ts�i,��•�.��,�.��.� . _'.��`�-�a�.d����R�� '_r, �.�w..:.. � -- _ __ ... . �SET BACK ..��� , _. , I "'` _ �. �: ,�� FLOJR JOIST~ t,,. �-,..,,' '� _ ^ - �i„�� .. ' '. , . , ,., .. ,. . ; � � � .. . ; . . . j �,� I FfGS/FORP•.1S/STEEL � � : - - - FH/�REQ^AT5-- � - � - --.-- - -- . . ---- . �-. I ELECTRIC GROUND _ _ �.__ i � - - --- . ( UNDER FLOOR DUCT -- � -- :�-�- ;. '.,' -.�,� - '__' iGROUnD PLUt�1BiNG - � UNDER FLOOR.CUP�IDUIT �, ,. :) ��;,,t;� `:I ��i,�t• � - �•__ ISLA6 GRADE -- ' I-- - " FIREPLALEcFOI'lNDATION ' � _ �� --�1:c�: (.f . -�^ . . �J.,_•..� , i, �� • ;. • ' � iTEh9P POWER � � � - � FIREPLACEBOND`BEAh1• ( '� '' � . � !bVATER SERVICE - - -- - - MID HT.BOND BEAM� ��'^•�'# �'�=: <i � •%�i � ' - . ; �ROOF•SHEArtHIPIG �;: �2�+g-v�i % .^ '`�i i' £Z FT.BONQ,BEAh9'.;. ` , �: '_: `" '�• ��� "r•�� : s.�t. ' �•e..�! • ; :FRAMING Errtt'IF�T,iON - . ; ' ":'- °1 �t- FINAL�BOND BEAM _ � � , -� ' ' � � �ROOF COVF_R ' ci t�ot �1y� PRE-GRADING - � J _ J ' _��:��� ` ' " ' . . , � iROJGH H�ATING -_ •-. � � - BENCNi�tG -��i\ •�:. � <�.. �l c-.,.�:�,r:c� • r .� ` iROU�H ELECTRtC _� " � � 'ROUGH GRADING - -. _.. . . _ ._.. -�-- -- ;ROUGFi PLUMBING- - � - - - � FINISFi GRADING �SHOVVER.rTUBTEST �-- - - - � � - • POOL�ELECTRIC � ' '��XT.LATH/SIDiNG --- - - � - ; � - POOL FENCING , : �,: ;WALL INSULATION- ; _ - - -- -- - . � POOL FINAL � . I :: ;CciLING Ii�lSUTATION - OFF SITE IMPS. ' ' ( � ' � � •: �DRY'vJRLLNF,fLIP3G -" _ . . ..._ ._ , .. __. _. . DEDICATfONS . . ., ! �,. iScVVER� - : FINAL�EP.G. � . . � -� �SEPTIC TANK , LANDSCAPE/IRRIG. � . ' �SEEF PIT/L.L... • • ��•' �"-�� OPJ SITE IMPS. ! •G�,SAIRTEST • • � FINAL'ZOfJI�dG ' - - -- - . , _. _ _ ;FI�:?,l.C�"JST. ' ....__._ . _. .. . � FIRE DEPT. FI�JAL . . I : . :Flh.!r,i HE/',TING .. .. . . . ... ... . .. . . . . NEAL7H DEPT. FINAL � . . ;;'i�dr`•l_[LECTRIC-- - - - - : - DEV.FEES PAID • - - � =--- :•.._��.;n� P�U",�91NG- - -- - -. _._ . . GY � - ;;._�._ � ENER --�— � . ,,..,� ,. _.._. . - -- - �. _ . . - � , f..---- �-�-�--,�^-� ----^m----� - --.... . _._ . _.... _. �. _ ..i; . - � _`�_�'.",=J'�':��'�:.�_ _._ '� f:.;� � ��� �� " 1 `__ I� . "'_. _ __ - _ _ _ -__ _ }jw%., i '��' �•��� ;, �;CC;fMENTS - - - -- . .. �: - , ,.. � I ! � � � � . , .. + _ ... . . . - Q�.t,� ::�1•►c- �• (i?1 .�• '�,� , . _ � . � . . . � 1 . � .. _ _ � . , ��. •; � , ' , �. � •' . , . _. . �`� � '� �Y , , _ .. . . . . . . . � . . `�- . 1 :!'\"1� - I :'; �SEPTIC;TANK SIZ� , - ' -� �SEEP PIilU SIZE _ - , - - . . : - - I , ��.,�` ._ ". :_l��._...., • ...�. , �- j i ,. . :. i - � � ��� ' - � ' . . . :- , � - -- . � _ i ,��i'� . _ � _= . � � . " . . . . ; _ . , . 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