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HomeMy WebLinkAbout13038 (29) J� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . L- T� . 21660 E.Coplcy Drive Suitc 190 j � (909)860-3195 Faa(909)861-3117 PR ESS ���� BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE � APPLICATION PERMff 1�.('1 P/C(}� (� �'12� a ADDRESS �-�g�� S`�`�a''t �`��� DATE _NUMBER -��� O x ..�..�J � ISSUE �1 �, � ^('1� TYPE OCC APN LOTT TRACT DATE nL `-'1 CONST. GROUP � OWNER M iALL��1l-�t "" ADDRESS 'ZS 1'Z- S��'t-� Ctv� ZONING SETBACKS Z CITY p��`^ni`� IN��L 21P TEL.b��-'�� b FROPlT RW ❑ g APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET _ RW ❑ CONTRACTOR `'� U�� '�''` SIDE ❑ � ADDRESS �� vS ����'-�t''� "•J . CI7Y L-�+ v�-�-�� ZIP `l�Y TEL. 6� �-l`l PROPOSEDUSE_��'"'-- v^0`� ' �.-'�4 �.All t�.1�7L8 Ci{�C �' /� Z4_y��l-1 p`^J ll�c�.�41. � ARCH/ENGJ • v1� Z �h-l.e.--i? 3 d rh S�4•� DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES � BEDROOMS � CITY ZIP TEL. y DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUIl.DER DECLAHATION SFR/ADD/REM O p I MEHEBY AFFlRM UNOER PENALTY OF PERAIRY TMT 1 AM EllEMPT FRpA T1E GONTRACTORS L4 Garage/CarpoA W CENSEUWFOfITHEFOILOWN(7REASON(SEG70.71.6BUSMESSMIOVROFESSIONSCDOEANYCITYDR (n �7 COUlTYN4AOIREOUIRESAFEtWRTOCaNSTRUCi,ILTER�P�E.DEM0U5M.0i111EPMRANVSTRUG W P0tiolDeCk � 7LRE PRqR TO 1T9 158UNlCE.AL50 REWINES 7ME MPLICANT FOR SUCM PEIIMIT TO FiLE A SIONED W ETATEYENT THAT HE OR SHE 6 110ENSEU PU0.5UAHT TO THE PROVISIONS OF 7HE CONTRACTORS l4 � CENSE UW(CHAPTER 0(COAIYENCNO WIiH SECTION 7000)OF DMSION 70F iHE BUSME55 AI�ID PR6 � POOUSpO FE65qNSO�DE)ORTMTHEdI5NE19E%EA�PTiNEREFAOMFHDTHEBA515FORiMEALLEGEDE%E1AP- (' � TION.AHYVplAT10NOFSECTION7W1.6BYANVAPPLMAHTFOflAPERMIT6UBJEGTSTH[MPIIGWTTO Z Re-Root Z7 V L �,,,� A C7VIL iENALT'OF NOT MORE THAN FNE HUNDRED OOLURS(f5ao).): o OlA50WMEROFTHEPRO�ERTY,ORMYEMttOYEESYAMWAGES/STMEIRSOLECOMDENSA7qN, � Commerci�l - Z WILL DO THE WOfY(MID THE S71R1CTUFE IS NOT IMENOEO OFi OFFENED FOR SAIE(SEG 70a1,BU54 J IIESS Alb PROFESSIONS COOE:il1E CONTMCfORS LICENSE UW DOES NOi APPLY 70 AN OWNER OF N PROVEfiiYMMOBULDSOqIMPROVESTHEREON.ANDYAI0D0055UCHYlOHKHIMSEIFORNEf15ELFOR = 2 TINOUGHH140RNEROwNEYPLOYEES,V110V�DEDIWITSUGiMVROVEMENTS�RENOTINTENDFDOR m � OiFEREDfOR3N.E1F.IqPlEVE0.7NEBULqIJ�ORIYPpOVEYENTI55dDvrtTMNONEYEAROFCOM7LE� Z �TION,THE OMMEReUttDER YnLLlUVE TXE BURDEN OF VROVINO TNAT NE OR SME DD WT BUILD OR � M7iqVEFORTHEPURPOSEOFSALEI � OI�dMNEROFTHEFROPERTY,AMEXCLVSNELYCOHTMCTINON'RHIICENSEDCONTMCTORS Grr(', (J' " ADJ.AREA TO CONSTRUGT THE PROJECf(SEG 70N.BUSINE33 AND PROFESSKKi3 CODE:TNE CONTMCTOft3 U• Vd�U8110f1 CENSE Uw OOE'J NOTMPLY TO AN ONNEH OFAVROPERTI'Mrtp BUIlDS OR MVRDVES TMEREON,IdlD � MAqCONiRACTSFOR5UQIPROJECTSK17MA00NTMLTOR(S�LICENSEDPURSWWT70iMECOHTM4 OUANTITY DESCRIPTtON FEE � Tqi3 LICENSE UW.I. .. - ` . . O I/u1 E%EYPT UNDER SEG B.i V.G FOR THIS REASON J Q U LL � DATE ONMER V � W UCENSED CONTRACTORS DECLARATION W � IIEREBYIIFFUWUN�ERPENALTYOFiERAIRVMATIM1lICENSEDUNDEHPROVI5i0NSOFCHAPTER V. � �(C�D1YENdN0YAT115ECT10N7DOD1�DM51DN70FTXEBIISIHESSANDGROFE5510N5CO�E,AND Z ��� MY LICENSE IS H M.L iONCE AND EFFECL m e � 0 LICENSE CLASS �-� ` IIC.N0. S3�{q N� � ~ �" ��l—`1`� corrraacroa }C �Oc�i.`n4 a � w� � , WORKERS'COMPENSATION DECLARATION Q � U � IHEREBYAFFIRMUNDERVEWLLTYOFOERNRYONEOFTHEiq10YNNG0ECWUTqNS: Z Q 0 _INAVEAHDW�LLIWNTAINACERTIFICATEOFCONSENTTOSELFaNSUREFORNORKERS' 2 � COYPENSATION,ASPi1DVIDED9Y5ECTION]700OF7HELABONCWE.FORTHEVERFONAiV10E W OF TNE WORK fOR NM1IICH TMS DERYIT IS ISSUEO. � 0 �I NAVE IJO W�LL LWNTACI WORKEN5 COMPENSATION INSUqANCE,AS REOUIRED BY SECTION QQ �7000f THE IABOR CODC.FOfl THE VERFORMANLE OF 7NE WORK iOH WHICH TMI3 VERMIT 15 �j(� LSSUED.WWORKERS'COMPENSATIONINSURANCECARRIERAh970l1CYNUM6ERARE: CONSTRUCTION I ��I V � CARPoER �'���� rv K J PLAN REVIEW � I._ � 0 POLICYMJMBER Zt Z- ELECTRIC 0 �nssEcr�rhmNoteecat�ooFnEP[wrrtsxaor+e�u�r+m R+�Ia+�Ess} PLUMBING Z ICERTIFY7HATNTHEPERFOPMANCEOFTNEWORKFORWHItlITHISPEPA11Ti5155UED,1 MECHANICAL l� .LR �j 6WLLLNOTEIAVLOYANNPERSONNAN'lMMINERSOASTOBECOMESUBJECTTOh1E �J `S� � YJORKERS'COA�PENSATIDH UWS OF GILIFORN�A/�M1 ACREE 7MAT IF I SHOUL BECOIAE INSPECTION FEE S SUB.IECTTOTHEWORKERS'COAIPENSATqNPRO qN50F5ECT A000 ELABOR coo¢,i sN,uL wannnrn couv�r wm�n+os sar+s. ISSUANCE � � L SM�P �� +l� � , DATE: Z-�( �'� 1 APPLICPNT: � � WARNIHaiMURETOSECUREWORKERS'COMPENSATIONCOVEMGEISUNUWFUI.ANDSHALLBE ENERGYP/C �` l � SU&IECiANEMPLOYEflTOCR1MPlAl.iENALTIESMUCMLiNESUPTOONENUNDRCOT10U5.WD ENERGYPERMIT �� DOl1AR5(i100.000).N 11DOI110N TO TME COSTOF WGPENSATION,DN.uCES AS PROV10ED FOH IN �('�� � J SECiqN770lOFTHELABOROODE,NTEREST,IWDAT70RNEYSFEES. (�E7ENTIONFEE: t/"� � pW., CONSTRUCTION LENDING AGENCY ppE-ALT FEE: � O � INEREBYAFF1PlAUNDERGENALTYOFiER1UMTHAThIENEISAGONSTFtUCTIDNIENDWOAGENCY � dZ' Fqi THE VERFOHYANCE OF iNE WORK iOR WMICH TMIS YERMiT I5155UED(SEC.]Oo�,GY.C.). - W � 1E10ER'S NAME � C LENOEH'SAODRESS � TOTAL FEES � ICER71F1'THNTINAVEREADTMISMMICATIONANDSTAiETHATTHEABOVEINFOfWATqNI4CORRECT. � IIWREETOG9�IPLTWITM/LLCRYMlDCOIMTYORDWANGE51WD57�TEUWSRMTINaTOBV4DR1� � CONSTRUCTION.ANDHEREBY/U7T/qRIZEREPRESENTAT1YE50FTl1IS�TTOEMERUPONTHE /�BOVE•AIENTIONED PROPERTY FOR INSPECTION PURPOSES. COMMENTS O _ �.�� � m PERMITTEE PWIlry . . Q � �'. � I^ � S�G VERMITTEE DA7E � FiECPT.NO. PAID B VIWDATION WHITE—Depertment Copy,YELLOW—Financo Copy,PINK—Asaessa Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy .. . . • .. ... . �, .n -.. �,�._ . ... �. - .-..,. . . ....._...... ..... .r.. �.W��.:l�•r ` . 'S'l. ... � � ..'-•. . '-t.. .h�Y'. � .. � .�n��..c �. r.a . . � CITY OF DIAMOND BAR � . .. . . • _ It�lSPECTION REC�f�D �: . -- . .....___ _. . � _ _. �� . . . ..;�--r* � o � �o � a: � =I�'c� o � • aR c� � .+ •�.ac o � c�r c�. , �h: � I ' � ir ► �,�.�.l ►k �'= � �1 ..��. . ..z� _-,..��'l.�►..� �..�-_�'_. 1�. a_ �� .�. ,� '� �r� _� ,y��_ �� ��;-a _..F.. .r� �'•' .....__,....._ - --_�..�._.._...ar.._�_.. _ . _ _ __ _ �.._..._..:. ..._,... ......,� ....,..,_........ ....,,,..... _� 'SET Bfi,CY ` . ,,f � � �� FLOOR JOIST .. � � :F1G��FORt�15�'STEEL �� ' -' , � -, � FNA REQMTS . - -- .' . � � • 'ELECTRiC GROUND.. ' " ' • !' � UNDER FLOOR DUCT ! -� GROUND PLUM6I�JG I � I UNDER FLOOR CO"�IDUIT ' ' SLAB GRADE - � FIREPLACE:FOUNDATION - - • �TEPAP POWER � ' I FIREPLACE BOND BEAM � I 'VdATER SER\�ICE �-- - MID HT. BOND BEAh1 � • • � � • 1 i �RflOFSHEATHlNG•-• • -a�-Q� _pv��. 8 Ff. BOND BEAh9 . , ' ; = FRAMi�JG,NENTILfAT)d�! - '- • " FINF,L BOND BEAP.1 ! ' ' ROUF COVER • /�J � '�.�-� - PRE-GRADING - � � . ROUGH HcATiNG - - � - - � BENCHING ' " ROUGH ELCCTRIC I - • ' ROUGH GRADING - -- - - _ 'ROUGFI PLU��"BING -- - - - -- • - I FINISH GRADING •SHOb'VER/TUB TEST - --- - - - POOL ELECTRIC • � E�T. LEITH/SIDING - - - - POOL FENCING - 1h'ALL tNSULATION - - --. 1;=., . . POOL FINAL CEILING iNSULF,T(ON -- -- - OFF SITE IMPS. 'DRYVJ:,LL NAILING � ' � DEDICATIONS SE�'UER FINAL EfdG. ' SEPTIC TAPJK LANDSCAPE/IRRIG. I I SEEP PIT/L.L. � - -`;' ON SITE It�,1PS. , GAS AIR TEST I � � FINAL Z�PdING � � :�i`!AL CONST. _ _ �� fi -. � �=IRE DEPT. FINAL • Fir•JAL HEf',T1HG .. .. HEALTH DEPT. FIr�AL � - - ' 'FfNAL[LECTRIC - - - � - • DEV. FGtS FAID � - - ,rl^ll�,L PLUMBINa � ENERGY � ---- - � � - - - � - i i;�c�.n��.�;-'�c�:•'•,�_._._._,,;• I ' , , -- .. _�:_._�.��-::.,.:.: • -- - ----- -- •---- --- ' ','�`i -- -- �-�-- '-'.: ... - ' ' - co�LrrrEr�-rs - � ,- ; ' j . I ' ' � �I,il�� � � � . ! i r . . ' ' _ ' � i,� 1 I ! � . � . . J�..•FI , . .. �- i " :i �,t�:5 .� . ��'. . � . �,. �. � \ ,` i " _ i%4 , \ . .' 1 � � .. . ' . ', '" , � .,. � , i � � . � I ., , � i, I SEPTIC TAtJK SIZE - � � . ,�. , ,, SEEP PIT/U SIZE � " � � ,�...... _ _.`V�_..__�- r._._., . - ;�_t� � , ; ( . . . .. . ' i _ t' ,�� . _ . f ` ' , ^i _i ; ���; , � � ,y��� � . :. _ _ +. . . . • • ; _ _ _ _ .. � � ..•. , . , ...._ _ _ �'_..:.....�. .:_; :. ; �, r � ,,,�. . , . -• -. . - . . - ,