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HomeMy WebLinkAbout16344 —\ � CITY OF DIAMOND BAR • `� - -�� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Ihive Suite 190 � (909)860-3195 Faz(909)861-3117 PRESS ^y�^ BLJII.DING PERMTI'APPLICATION FIRMLY y JOBSITE APPLICATION � PERMR r^) /C o ADDRESS � S DATE � � NUMBER�,v X ` ISSUE TYPE OCC � APN LOT TRACT DATE CONST. GROUP g OWNER ' ` '•- ZONING SETBACKS � CITY Esd v O ZIP TE � r _ -c�� FRONT RW ❑ APPUCANT � TE ��1��� SI�SIDE STREEf RW ❑ � CONTAACT � �! SIDE ❑ ¢ ADDRESS ° PROPOSED USE �(. '. rc- E� o CITY�JA!l n/Ur1-- ZIP TE - �) � ARCWENG/ DESIGNER NO.DWEL NO. NO. = CIDnDrpESS Z�P TEL. UNITS � STORIES � BEDROOMS,� N DESCRIPTION SQ.Fi. FACTOR PSF ADJ.AREANALUATION N • � OWNER-BUtLDER DECLAAATION SFRlADD/REM O ' � JHER�VAGFIRMINDERPEN4LTYOFVER7.IRVTY7ATI/WIXEEIPTFiYOM7HECONTRACiOPSLI. Gareg���h CFNSELAN�FORIHEFOLLUWIHQNEA90N(SEC.70.71.68USINESSANDiflOFESSIONSC00E:ANVCITYDR (/� COUHIYWNItlINEIX11RE5ADEiMIRTDGDNSTPUCT,AITER�DROVE.OEYOLI5H.011REVNRANYSTRUC• W patblDeck lURE,i1WH TD R5 65UANCE.A150 NEOU6iE4 THE AVPLIWtT FOii SUp1 iERMIT TO FlLE A SIGNED w � QTA7EMEM 7W.T HE OR SHE IS UCENSEO PU0.5UANT TO T11E if10VI510N5 OF THE LOHTMCiOFS ll• , CEN6ELAW(dUPTER i(COMMENCW4 YAiH SECiION 7W0)OF DINSION]Of THE BV51NE5S M10 PR0• LL" P��SPa FESSqNSWOE�OfITHATHEORSHEISE%EYPTTMEREfR011AN0THEBA515FORTNEAlLEOEDEXEMP•� iqN.A4YVI0L�TI0NOFSECT10N7071.6BYANYAPPLICAMTFOHAPERM175U81EGT57HEAPPLICMlTTO Z Re-Rool � A CML PENALTY OF NOT A10RE TMMI FNE HUNORED DOLURS(f5001.Y � � OI.�SOMHEROfTMEPROPENiY,OHMYEMOLOVEESWITHWAGESASTHEIRSOIECOMVENSATqN, 0 CpmrtlOfCle1 ' 1NLL DO THE NGHK AND iHE STRUCTURE tS NOT MlTENOED OR OFFENEO FOR SALE ISEC.)DN,B1151• J NE51 NID VROFESS�ONS COOE:THE OONTMCTOft3 UCENSE UW OOES NOT APPIY 10 AN OWNER OF N PROPEHTYNR10BUlDSORMIPROVESTHEREON,IIWWNO00ES5Uf]/WOFlKWAISELFORMERSELFOq = (� iNR(XXIMMISORMEHONNEMPLOYEES,VItO�^AEDTHAtSUCHM�ROYEMENTSARENOTNfENOE00R m � L1J pFFpiEpFpqgN,E,�F,11pwEYERT/1EBULDUX30RIMPROVEMB7TIS50lDWITWNONEYEAROFCOMPLE• � ��T10N.TFIE dWNER�M11lDEP YALL INNE THE BURDEN OF VFIOVINO TMAT HE OR SHE OID NOT BUILD OR W 7ROVE FOR THE VURP0.5E OF SAL�. .fllA50YMFFOFTIIEPROPERiI:AMEXCLUSNEIYCWRMCTWOWiTHLICENSEDCONTMCTOfi3 � 1bCON5TRUCT T1E VRO.IECT(SEC.70U.Bt15ME55 ANO PROFE5510N5 ODDE:THE GONTRAC10R5 11• V81U811 Q�_(]� ADJ.AREA CENSE NW DOES NOTAPPIY TO AN ONMEfl OFA PROPER7Y WFiO BURDS OR MPfqVES THEREON,M!D � 1NqCpNfMCT$FORSUpiPRR1ECTSWITIACONTRACTOR(5)LICENSEDPUfLSUAN(TOTMECOHTMG QUANTITY DESCRIPTION FEE � 7Nt3 UCENSE UW.} . . � O IAM OfEMPf UNOEA SEC. 8.t P.G FOR TNIS REASdJ Q U � LL OATE OYMER �' - � U � LICENSED CONTRACTOFS DECLAAATION � � W INEREBY�FtIRA1LNUERPENALTYDFPERAJMTN�TIIMI�CFNSEDUNDERPROVIS10N50FCHAPTER Z ` '� '� Y(COMIAENCH(3WITHSECTION7000)OfOM510N70Fi}tE8U51NE55ANDPROFE5510N5CODE./W� X W UGENSE IS N FUIL PofiCE AND EFFECt � . , . � � . _ . i..�.. ..", ' LL - � ucENsE cuss(J��_uc.No. D _ � v L�_l{� O a DATE � CODRMCTOH r� WORKERS'COMPENSATIONDE A ION ��- -� = a � IMEREBVAGiIR1AUNDER�ENALTYOFDE0.IURYONEOF1HEfOUDWIN6�EClARATION.r U � z � ,�,11uVEIlOWiLLMAM7AM�CEaTIFlCATEOFCONSFMTOSELFaNSUREFORWDRKEaS = � COYPENSATqN,ASOqOV�DEDBVSECi10N71oDOFTMEUBOHCOOEFORTMEVERFOiWANCE W OF Tf1E MIORK FOR YMlp/TM13 VERIAIT IS�SSUEO. � � Q _I NAVE/NO WILLMAfNfAM WORICERS'COMPENSATION MSUMNGE.AS REU1fflE0 BY SEL'iION •� i7ao0FTfElABOqCODF FOATHEDERFOfiMANCEOFTHEWORKFORWMICHTHISPERMRIS �/� n// �� SUfD.WWCRICFAS'COY�NS IONINSURANCEGRWERANDPOLICYNUMOERARE: CONSTHUCTION ly �� "`� Q � 1 cu�aEA,Q "O � PUINREVIEW � ►0.1CYNtMBER � � ELECtRIC 1 � �Sscc�r�rkm�rneEoon�t�EpCcnfr[awrswr�a+[�unr�[� �S,00�a+tEssl PLUMBING Z ' I CERi1FY iHAT IN THf PERFORMANCE OF tHE WONC FOR WHICH THIS PEiUAIT IS LSSUEO,1 MECHANICAL (;} SW�LLHOTEMPLOVANVPERSONW/M'M�WNERSOASTOBECOMESUBJECTTOTIE � WONCERSCOMPEN5AT10NUM/SOfGAIIFORNtA,ANO�GRfETMA71FI5MIX1LD8ECOME INSPECTIONFEE SUBIEC7 TD THE WORKERS'COIAPENSATqN PROVISIONS OF SECTION 17ao OF TNE UBOR Ocoo�,i uwt roanr,Hni couc�rwmr nas arnn s. ISSUANCE 0 p�;���_ APPLIGM: � SMIP _ `— W ENERGY P/C � W INO:FALURE TO SECURE WORKERS S�T flAGE IS UNUN'FUL,AND SHALLOE SU6IECTMIEIIPLOYERTOCRMAPVLPEN1LLTl ANOC FWESUPTOd1EMUNDRE0TF�0U5AN0 ENERGYPERMIT Op1AR5lt10D.OW).N 11b01T10N TO THE COST OF CpMGEN5AT10N,DNAAGES AS PROViDED FOR IN ¢ SECT%X1770lOFT1ELABORCODE,INTEREST,ANDATTORNEY'SFEES ` RETEN'fIONFEE: � cwi. CONSTRUCTION LEN�ING AGENCY PRE-ALT FEE: O � IMEREBVAFFIRNUNOERiENKTYOFVERh1RYTHATTHEREISACONSTPUCI�W7LEND�NOA6ENC1' FOR TNE iER W RMANCE Oi TIE WOW(fOH WMIGf iHIS VEi1MR IS ISSUED(SEG 70vi.QV.GI. � � LENDEN'S N41E � L[NDER'SADDRE53 � ICENTIiTTNATINAVEREADTHISAPPLICA710NM'OSTATETWITTHEABOVERiFORMATqNISCORRECT. TOTAL FEES � , � IAGREEiOCOMPLYWITHALLCITYANDOOUHT'ORDINANCESAN�STAlELAWSREUTN0T09UilDIN� CONSTRUGiqN,AND NEREBY I1UT110HISE REPiiESENiATNES OF THIS WUNTY TO ENTER UPON TME � ABOVE�MEMIONEDPROPERTYFORINSiECT10NVURPO5E5. COMMENTS � 0 ^ . = T m GERURiE E( �Nn � y-y-o I � � � Sq R o v ITTEE DA7E � RECPT.NO. '� PAID BY VALIDATION WHITE-Departmant Copy.YELLOW-Finenoe Copy,PINK-AssessaCopy,GOLDENROD-File Copy,GREEN-Appiicant's Copy . . . _.__,,. .....:. . ..... ,�. - .,,:. -.... � , , , . :t. . , , . . .., .. � , i -.1' % CITY OF DIAMOND BAR , _ ; . ,:�: ?�: INSPECT10t�1� RECORD � . - . I�E�7.���i�.C��li!� �.�r��T� i ►�=��� � ,o� ����F-��ac�Kc�`:��- ...:.,��"_��� iL���-� -��E��ic��� , ;SET BACK . �� . . FLOOR JOI�T, ��, _.._�.....� �,.�._ ,..�.�.._ _. _� , .� i �. �FTGS/FORfAS/STEEL - - ,FHA REQMTS � ' "' ' " � ' � ' {ELECTRIC GROUND. _ _. _. . �< __ __ UNDER FLOOR DUCT �"�' ; ' _...—: !GROUND PLUMBING UNDER FLOOR Cdf,iDUtT "�' ' -' ' " .. � �• ' : : . . .-, �.�— !SLAB GRADE - - '° `' _ __.._ ._. _ _ FIREPLACE� LiNDATION':! � _ , � , • - _. i . -�-- �TEMP POWER " , FIREPL�IC��BbND SEAM '.` >-, : .,. ; _ ; i WATER SERVICE _. _ _ _.. . - - _. MID HT.E30ND,H_AM. - - '• � ;, � � � � '.ROOF.SHEA7HING ' + • ' s+ . • : 8 FT.BOND,BEAM : . - _ .. . , -. . ' ' • c FRAMtNG,NENTILtATION '--• - � � ,i; . �.•,� :.� FINAL'Bb�ID ��AM ; ; _ _ � � . � ; ' ;Fi00FCOVER � PRE-GRADING - _ IROUGH HEATING - ' BENCHING ' � !ROUGHELEGTAIC ..� - - .- - '_ : �., , ROUGH GRADING - _ .. _ _ _.� . .� ;. 'ROUGH PLUMBING - '-- - - ' = � ; - � FINISH GRADING ; (SHOV'JER.rfUB TEST '-- - - - POOLELECTRIC i " ;EXT.-LATH?SIDING__.._i_. _ ----- -- . .__ . POOLFEPJCING iWRLLfNSULATiON— - - - - _ POOLFINAL , - , . ; `, iGE1LirJG"Ih:SULATION �- � --" " � � ! OFF SITE IMPS. : , ;DRYWALL P1AI�ING- _ _ ' . _ _ - DEDICATIONS 't ;.' iSEWEFi- ---- - -- _ _ _ _ FINALENG. � �SEPTICTANK � ; LANDSCAPEIIRRIG: !SEEP_PfT/L.L ,- . ': ` �"a ,c-�;. ON SITE IMPS. ; �GAS E�IR TEST � FINAL ZONING � , __ _- _._ .. �.FIPdA�.CONST. . - -- _ _ _. _ . FIRE DEPT. FINAL •. ; �FI��fA.L HEATING - . _____ _ __. . _ _ . . HEALTH DEPT. FINAL ' 'rt^JC.L.ELECTRIC - - - - - - - DEV. FEES PAID ' �__. '�"Ih.L PLUMBING - - ENERGY , � �t,'�_. _ �S. • �� �v� 1 - . - _- __ . �.---�� - , ,- -. , , - ���,�� c1i �lc,e` ,... t `� -- - - _ _ _ `,,3 .. i _ . ___------ _ -- _ - -- - •��, -• � , �COfJIM�NTS :-, ; �� . � _ __ _ , . , , _ ----� - _ _ __ __ _ ; ,�. � , � -__ __ � ; � � _ _ _ . _ _ I, 'i �` , .. , . . _ ____�__��.-, , , � � . _ , . _ _._-._ � � ; �,-----. ---- � � - - ___ . ;:� • _ ; . � . _ �!' ; ._ _ , _ . ..i, _ �- - �` �.s�,�.,�s. :. r'; , i !' , 'i - -- -- , �SEPTiCTANK SIZE��.�-'�. , • . ! 1 ;SEEP PiT/U SIZE _ - � __��____..�.,...._.-.�,., _ _ , . +.� �� _. - , .,, � _ ; . #' ''. -. . _ - , ; . ���,�j�;� i�; - . . ; ; - "� ; , �� � � � ; . - _ _. _ ___ . . - _ �.. , .. , , . . . . , , ___ _:. _ : � , � �.,- �• - •,� _ � ; . , .� , :.�. . __. � � , --� . . , _ �