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HomeMy WebLinkAbout13678 (22) _:: J� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES 21660 E.Copley Drive S uite 190 . (909)860-3195 Faa(909)861-3117 PRESS ���^'� BUQ.DING PERMIT APPLICATTON FIRMLY a A DRES�7 ' ��:� � APPLICATION PERM(T ��� P _a� L o DATE NUMBEfl x � APN LOT TRACT �j ISSUE TYPE OCC � DATE CONST. GROUP p OWNER (.�C11��Cj - � ADDRES (�C ���,(L,�� ZONING SETBACKS . � "' CfTY d IP�� TEL.���7�1�lGLSQ� FRONT ' ' RW O � APPUCANT � �.�� �,,�,/�TEL.��Q�}�(�D_� REAR • ' ❑ -- "t"�+'f�"'� SIDE/SIDE STREET � RW' ❑- - � CONTAACT �•b �_ SIDE' � ' ❑ o CRY G ZIP�1� TEL ^�O PROPOSED USE � �A o ARCFUENG/ ' ` C � DESIGNER 4•-f� NO.DWEL NO. NO. ADDRES UNITS STORIES BE�Fi00MS � CITY ZIP TEL. cyi� DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION Q OYVNER•BUILDEq DECLARATION SFR/ADDlREM O 1 NEREBY AFFlRM UNDER tENALTY OF iEiWRY TUT 1 AA1 E%EYPT FRdA THE CONTMCTORS lJ• G8f800/CBfpOR 8 CENSEUWFORT}/EfOLLOM7iORFASqV(SEG7�]1.68USINESSANDVRCiE55qN5CO0E:ANYCI7YOR (n ZCaIAlTI'YMIUIREOUWESAVE(iMRTO00NSTRUCL/LL.TERMPROVE,DEMOLISH.ORREVNRANYSTRUC• W PBIIOJDBCIC u� Tl1i1E,VRqR TD R9 ISSUMICE KSO REQUIRES THE AP7LICANT FOFI SUCH PERMIT 70 FILE A SIGNED W ST�iEMEHT TTUR ME OR SHE 6 LICENSED WfiSVANT TO iHE PFqVI51ON5 OF TNE CONTiUCTORS U• � CENSE UW(CHAOTEH 0(�YENCWO N77H SECTION 7ao01 OF OIVISION]OF THE BUSINESS AN'J PRO• � POOIISp2 ' FESSqNSCOOE)OitiluTHEOR5HEI5E%EMPiiNEREFqqAANUTMEBAS15FOq7ME1LL1E0EDExEYP• T10N.ANVVqLA1qNOFSEC710N7W1.68YANYAPV�KANTFOqAGEM1ITSUBJECTSTXEAPVl�M7TT0 z RB-ROOI � A UVIL OENALTY OF NOT MORE 7/W1 FNE FM1JkDRED DOlLARS(f50D).): � � OL��N'NEROFTHEPROPEH7Y,ONMYEMPLOVEESWITHWAGES/u^TNEIq50LECOM7EN5ATqN, � CpmmBfCldl � MIM1L DO THE WOFL(AND TNE 5TRUCTURE IS NOT INiENDED OR OFFERED FOR SALE(SEG 7oN,BU51- J N NE55 AND PROFESSIONS OOOE:TME ODN7MCTONS LICENSE Uw DOES NOT JIVPLY TO AN O'WNER OF = VR07ERTY 1M�0 BULDS ON�M VRDYES MEREON,IWD W/10 DOES SWI WORK HIIASELF OR HERSELF OR Q iMR0U6HNISORHEHONNEMPLOYEES.VROVIDED7HATSUCHMVROVEMENTSMENOTNTENDEDOR m l�1 OiFFAEO iORSALE IF,IIOWEVER7NE Bt1RDNOOR MIPROVCMENIS SOID N1THW ONL YFAR OFCOGPLE• Z 'i1ON.TME OWNER�BUILDER Y/1LL NAYE 7HE BUHDEN OF VROVINO iIUT HE OR SNE DID NOT BUqp OR = MCfqVE FOR 711E R1R('OSE OF SALE� � Ol1lSMNNEROFTHEFROPERTY,AME%ClUSNELY00NTRACTPlOWITHL1tEN5EDCONTMCTOR3 i0 CONSiRt1CT TfE VRO.1[CT(SEG 7os..BUSINE55 A4D PROFESSIONS CD�E TME CMfTRACTOAS LL V�Iu9110f1 ADJ.AREA CENSE UW DOES NOTAPPLY TO AN OVMEfl OF APROGEflT'W1q BULDS OR IMPROVE9 THERCON.IINO � WHOCOHfRACTSfORSUp1VRQIECTSYnTHACONiAACTOR(5)LICENSEDPURSUNrtTOiMECOHTRAP pUANTI7Y DESCAIPTIOy FEE � iORS LICENSE UW�. �t� ! OIAAIE1fEMPTUPO[RSEG B,iF.QFORTHISRrA50N Q V C/ %' ' � � L DATE OWNEH V � LICENSEO CONTRACTORS DECLARATION � � w IHEREBYIIFFYWlM/�ERPENAL7YOFiE0.1URYTHATI/WLICENSEDUNOFRCROVI5lON50FCHAPiER Vr � � �(QDMAIENCWO NIITFI SECTqN 7D001 OF DMSION]OF THE BUSINE55 AND�ROFESSiONS COOE.AND Z X W UCENSE 6 W M^l fORCE AND EFFECT. m � 110EN5E CLAS `�^�� LIC.NO.__(p(�,_�Q_t � � 7 ` J � wTE_(,R_ � corrrrucTon�,�,/�� 1 a � WORKERS'COMPENSATION DECLAAATION -r 4 � INFRCOVI�iFIRLUMJERVfwLLTVOFpERA1RYONEOFTHEFO`10WING�E0.ARATi0N5: z �'Q ` Q � �INAVE/WDMALLLWNTIIRIACERT�FlCATEOFCONSENTTOSElFiNSUREFORMIJiiKERS' _ '� � . ' � -. CdAFENSAiqN,AS PiO�YIDED BY SECTION]7000F THE VDOR CODE,FOR THE PERFOPA/NlCE U OFTNEWORKFORWHICHTHISPEI7A11TISLSSUED. � , � . � � �1 HME AND WILL NAMNN YIOiiKERS'COIA7ENSA7qN INSUitANCE,llS REOUINED BY SECTION � J � � �]��^ - 4 ]7o0OF THE UBOR CDDE.FOH T11E PERFORAIM+CE OF TH[WORK FOR WH�p1 TMIS PEilA11T IS , H 1 /1 ISSVEO.IAYY/ORKERSCWPENSA WStXUNCEUMIERANDPOIICYhVMOENME: CONSTRUCTION �/lj�dj�� � < <—LJ � GRRIEN G PUW REVIEW " "� � � � � vacvwui.+eEa _ ELECTFiIC r� � U � (MssccZv+MIDNoreEoa.rtt�IDOFnEvc%rrsi0aor[r�►aHCUoatMs(f�mlattEssl PLUMBING L"!` ��e-n Z ICERTIFYiHATNTHECERFOfU1ANCEOF7NEWORKFORWHICHiMISPEfW1T6BSUED,I MECHANICAL � � N{/ (y}' SHALLNOTEMvIDYANYVE0.50NN�NYMANNER50ASTOBECOMESU&ICCTTOTNE N WORICERS'COMVEN5ATi0NUW50FGLIFORNI.�/WDAGREE711ATIFISHOIAOBECOME INSPECTIONFEE S SUBJEttTOTNEwOR%ERSCpAPENSATIONVROVI5qN50iSECTqN]7ooOF7MEUBOR COOE,I SHNl FORiM41T7 CpAPLV N7iH iHOSE PRONSKINS. �SSUANCE _j�,,f�/ � pDATE:� /. I� APRICANT:=j'Y3�v�lY SMIP LV t � ! � ENERGY P/C WAqNINO:FMUHETO SEdlRE WORKERS'COtiPENSATION tDVERAGE IS UNUwFU�AMJ SHALl BE LL SUOJECTAN EMPIOYER 70 CRM:NAL PENALT�ES AND CNII iNCS UP TOONE MUNDf1ED TNOUSAND ENERGY PERMIT DOLUflS(itoo,000l.�b01T10N TO iHE COST OF CqAPEN5A7qN.DAAIAGES AS PROwDfD FOR IN ¢ SECTIONl7DeOFTMELADORCODE,INTEREST,ANDATTOfWEY9FEE5. RETENT�ONFEE: � o �� a CONSTRUCTION LENOING AGENCY PRE•ALT FEE: f ' O � IHEREBVAFLIRMUNOERPENALTlOFPERNRVTHATTMCREISACONSTRUCTIONLEND:NGACENCV Z FOR THE PCRFORMANCE OF iHE WORK fOR NT1Ip1 THIS GEiW IT IS ISSUED(SEC.70i7,GK C). W � LENOER'S N�VAE � IENDER'SAOORE55 Q n W ICERTIFYTUTI/UVERFJ�DTHISAPPLICATqN/WDSTATETNATT1EA80VENFORMATIONISWRqECL TOTAL FEES (� � �� -1 �-+��� � I�CREE TO CpAPLY WITM ALL CITY M1�COUNTI'MDINANGES AND ST�TE UWS REUTINO TO BV4DIN0 � fANSTRUCTION.MIDNEREBYAUI}qR12EREVRESEMAi1YE50FTWSCOVNTYTOENTERUI'ONlHE Z /BOVEd.IENTqNED GROPERTY fOR WSPECTION PURPO5E5. COMMENTS - �y O �. —I m 1 Q PERM�TfEE NAME(PRiM � � � � SICNATUREOFPERMiTfEE OAfE � RECPT.N0.�PAID�Y VALIDATION WHITE—Oepartment Copy.YELLOW�nance Copy,PINK—Aesessor Copy,GOLDENROD—File Copy.GREEN�ApplicanYs Copy ... � . � . . , .� ' � ' . � � . . , . � � . .'1% • . '..b'� . . '.� . . � .. . . . CITY OF DIAMOh1D.BAR , - �IfJSPECTiOt�I REC�RD ' : �.__. _�... _�..�,. �. ... �------ . .• . --�r=,-----•��----^� � . �ie1�i;�=�E.�.�.[�,�� �.�:.�.�'�� 'l�`.�';���'1�"�t.;� I.i'.���� �.�►�. ���.��: �L��E-"1.��3�`.fa.:.��.i _:.. _ .,�__.�.,._ � ._...... ....._....�.:�.�►.. _ .t y._ .�......��.._ ....,. ......�....�...�....._,....�.n....�e.,:..__._... _.,._... !SE1� E3<♦CfC � : . ,, - , � ; ;, i .�� � FLOOR JOIST '"i~ ,�< <yi _• .-� :�. ' t ��'= ' -�----t-�� I � .;�- •-}���____ . �FTGS.'F�F;P✓1S;5TEEL' ,,�!�y� ' ` FHA REQM7� '"J � - � . � � _i ' _. ..' 'FLECTRIC GROUND .. _ ,V' ' � _ UNDER FLOOR D11Gi_'' '• `�'•' ' ' ' - `�-- cI}.—�.—.:�, ..a'p—�a__. �T}�R.r�� I �"'..... :GRC�UNDPLU��ABING �I UNDE FE.OQR�1�'7U(T,��1 ;i_i,.,!�-• i���,.� _ - --- ,--r . �SLAE GRADE - �� - -- � ' FIREPLI�C:�'f:t�tl1`;��1TION '-;4',•;r y1�'� _�l�;��.t>\�: •� �T_ 3JJ� ;T.�"�=���--:-�R C1 lc��L. �S �`,`_f�,I _ FIREPL�C�'�iv'�Jf�AM L��`t iru�=1�- '►1:.ti!�J i il^.lAi Et�i- SERVICE MID HT.BONfl�3E�+�4 (�`�- ��) • 1'1 +` ��, �� ' - �=;:�----�-�--T•.=�-_;-.:: _ _ROOF S"��1��HIiJ�i�ti� �'a 1�:`l' �,��'i�'t).��..� 8 FT.BO�V'a BF�h7yi7���,��;�+�-- �.�',_'�rl� -, � _ ;FR.�1h.1!�lG,NENTILIATION - - ' '- FINAL BOND�EAM , - �:- �-�;-� ,-,__, ;'riOUFCOVF_R PRE-GRADING �,;�'�':� —�d�...;�J..�_ �L,.;i �Rn'JGH HEF,TIP�u BENCHI�JG���•��. � \;�';,;,1%`' � '' ;�-�.^,��r . .__ � - 'RQUGi-!ELECTRIC .. I ROUGH GRADING - - � - - ROJGH PLUt�"QlUG FINISH GRADING • SFIO�"JER�UB TEST- POOL ELECTRIC FXT:LkTHlSIDIUG _ _. � POOL FENCING � ,1�'JALL INSULATtON - '"� ��` POQ�FINAL CciLIi:G 1�dSULATION OFF SITE IMPS. � ;DFiY�"JAL.L PdAILItJG' DEDICF�TIONS • 5E1�^.'CR FINAL E�JG. . !S�PTIC TANK _ LANDSCAPE/IRRIG. � : , ���c? PlT/L.L. ' 1 ON SITE Ib1PS. � G�".�r^,)Ft TEST � FIhAL ZONiP�G � , ,-_:----•-=� — 'F�;;�.►��0?lS���vvl- � �� , FIRE DEPT. FIN�L � ;: Fl�JA!f;E.471P�a . ' � i •- . ) HEALTH DEPT. FINAL F:i•�.�;�GLECTRIC � ' DEV. FEES PAID j _ _' - F!;V�.L'f'LU'`,'B!Na - ENERGY I _ I. . ` � . • . ^� i - ---• �.a..r���.sq r..�..�^-i^(�'t•R^-^�t 3. -- • - � � ��xL"�:..^.'i(:`,��,��.v'�`'y �: J i..� ,, ��' '•—'� --- ''�'- � :.`��t�no;:��JZi�ti�SJJ ;•: �� �•� , .. --- -- -.._..-- --- � ---------- • ---• _.._ _ � , � i C��;��ii�#IEiJTS. - . _ �=?'zl"�-GG"-'-- �- - � , / ' • l(�,���<�.�J _ . . - . :; � � �j• �_ ,:. �` .-� �; � 'l�/y���—=-�--:�—c--� < < �. , ��►,-,�:•—� .�-�.� . : ` r � � � , _�� i -1 1 � �_ '^��r�—�-L-��l�t1�:. �« j` , i � ' ' j I �---�-4, 1 i . �.: i � i----- � ', I _ , I.' � . � ' � �.�