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HomeMy WebLinkAbout16272 (446) .. _ _ - - _ . _. _ __ .. ,_ . . . ���� � J� CITY OF DIAMOND BAR (� Z O � DEPARTMENT OF COMMUMTY,&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 � (909)860-3195 Faa(909)861.3 i n . .. _ PRESS ^"� � BUII.DIIVG PERMITAPPLICATION. �: ;, ��IRMLY � JOBSITE G. '��• ��.,� �+ ' APPUCATION " :, o ADDRESS��`�a ,2��1Q��\ \ � DATE � 1��\ NUMB R � �P� (�L . � APN LO TRACT ISSUE TYPE OCC ' DATE CONST. GROUP p OWNER�� �Il C� �n � . � p ADDRESS- �1�°�c�-r�' 'j��r�� 'ZONING SETBACKS ' � "' CITY - ZIP ' TEL: LO l�.-C�i fS_ FRONT RW ❑ � APPLICANT�'' �_����� TEL C„7�4�/'7��, REAR � ❑ � � �"��'� SIDE/SIDE STREET RW O CONTRACTOR '�1G �o`� Ca ! SIDE ❑ ADDR p CITY � Z�P��TEL � _ � + PROPOSED USE ` S ARCH/ENG/ ' � ADDRESSp �a���i.�n���x� NO.DWEL N NO. � CITY ac�,�.,r.n ZIP� TE4 3 - UNITS STO S BEDROOMS � rn I DESCRIPTION SQ. . FACTOR PSF ADJ.AREANALUATION OWNER-BUILDER DECLARATION SFR1AD01REM O i 8 I IiEREBY/FFprA UNCER iEWLLTY OF PERAIRY THAT IAM E%EMPf Fi10M TF1E CONiRACTORS U• ` Gef8Q9/CAlp01S � � � CENSEUM�FDRTHE�ILO�M�N�NFA.90N(SEG7m1.6BUSINESSANOPNOFE5510NSCO0E:ANYLITYOR (n CAUHiYWHICNAEOUYiESAVERMRTOCON5T141CT.ALTE0.�P�,DEMOUS�tOHREPAIRANYSTHUC• W �P8110/DOCk � TURE,PRqR TO RS ISSUMICE,ALSO REqUWE4 THE IIPFLIGVIi FOR SW1 VERMIT70 FILE A 51(iNED W � STATEMENT TNAT HE OR SHE IS UCENSEO PURSUINT TO THE ppOVlS10N3 OF TNE CONTRACTORS U� LL � COISE UW(CF4AiTER i(COMMENGWO W1iH SECTION 7000)OF DMSION]OFTHE BUSINE35 ANO PNO� P��$P FESSIDNS COOE)�R iM�T NE Oil SHE IS 0(EMVTTHEREGi00Y/NO THE BASIS FOR THE ALLEOED EXE4P• TION.MIYVIOLATqNOFSECf10N70J1,68Y/VIYAVPUGWiFONAPERMRSUOJECTSTHEAP7UCANiTO Z Re-R � AGVILVENhLiYOFNOTMOREtMANFIYEHUI�DREDDOLLARS(i5oo).Y. � OI.ASOM'NEROFTNEGROPERiY,ORMVEMPLOYEE3MnTNWA(SES�STMEIRSOLECOMPENSATION, '.(`,pmm I � WILL DO TNE WORK,AND iHE 6TRUCNRE IS NOT IMENDEO OR OFFERED FOR SALE(SEG 70M,BUSF� �J N NE59 AN�VROFESSIONS OO�E:7NE CONiRACTOi13 L10ElLSE LAW OOES NOT APRV TO AN OWNER OF j . PN07ERTY W1�0 BU0.D90R MPf10VE37HENEON.AND WMO DOES 9UCH YVDRN HIMSELF OR HERSELF OR (� TMROU011MI90RNEROWNFIIROYEE9.VR0'V�OEDTIIATSUC7INIFROVEMENTSARENOTNTEHOEOOR m , 0 OFFERmWHSALEIF.HOWEYERiMEBU1LdNUONIMPROVEMIXTAS50LDM1TIMONEYEIIROF00A1PLE ' Z. t1ON,THE ONR�ER8U0.DER YALL 14�VE TY1E BURDEN OF►fiOYW�iHAT HE OR SHE DID NOT BUqD qi i = WVpDYEFOHiHEPUHPOSEOFlALEJ. � � W 04ti7CN�NEROFiHEOfiOPERTY,AMDfp.USNAYCOHTMCfIN�N77HLICENSEDOWlfMCTORS � �¢ TD CONSTfiUCTTME PiqJECT(SEG 7oa�,BUSIHESS ANO iROFE5310N5 CODE:7ME CONfMC70R3 L4 � V81u81i0f1 � ' ADJ.AREA CENSEUWDOE3NOTMGIYTOANONMEpOFAVROPERTVWHO&1p.OSONMPROYE47HEREON.M/D 1NqCOHTRACTSFORSUpIFRWECTSWI7HACOfliMCTDR(S�LICENSEOPURSUANT70THECONiMG pUANTITY DESCRIPTION FEE � . � iqtSIICENSEUW.} � O IAM IXEMPT UNDER SEC. B.i P.C.F06iTMt5 REASON U . LL � WiE O�MTIER U . . �' , W � , LICENSED CANTRACTORS DECLARATION W . I NERE8YI1FFtlW UNOER VENALTI OF PERIURY T11AT IAM UCENSED UNDER PROVISIONS OF CNAPTER s �(COIAUENGHO WITH SECTqN 7000�OF DMSqN!OF iHE BUSINESSAND PROFESS10N5 CODE.AND Z � � 7 . � ��� � � �X IAYtICEN5El4NFlJlLFORCEANDEFFECt m . � UCENSE C S � IIC.NO. ,�� �.. � . j �, ~ WTE COMTMC'fOR '� � a � WORKERS'COMPENSATION DECUIRATION a yINEREOYAFFlPoAUNpERiENAIiYOFPERNRYONEOFT1/EF04LOWW00ECtAMT10NS: Z � �_IItAVEANDVnLLMARJTAINACEIRIFlCATEOFtONSEHTTOSELF•INSUREFORWOPo(ER5 = - r COMCENSATION.ASOROVIDEDeVSECTIONa7000FTHEUBORC00E.FORTHEPERFORYANCE U d OFh1E WORK FORVNIICH THIS GEHMIT IS ISSUEO. � � HAVEMIDVALLMAMAWWORKEi4S'COM7ENSATqNWSUFLl4LE,ASREOUIREDBYSECTION �^' •^ � � ^�� �� Q ' 77ooOFTHELA80RCODE,FOqTNEPERFOWAANCEOFTHEWONICFORNNId1iMI5PERMRIS � V - 1� \ 4�SUED.MY WOR RS'COMPE�HSAtT�-IO^N IN E GRijIER vaxr r+u�seR�qe: . CONSTRUCTION ��r �T c��• � G�HRiER � ,Ci �Lti������� PLANREVIEW � . ..POLICY NUMBER_�S` i A (�A. 1'�,��1 - � ELECTRIC � 0 (n�ssEcm+rF�rnreem,s�hnoFn�vw.�rswAoneNtr��axlRats�mlortt&u1 PLUMBING �S ,� G Z ICERTILYTIIATWTHEVERFd11IANCEOF7NEWOR1iFORW111CHTHISVERMR665UED.l MECHANICAL ('} SwtL1 NOT EMPLOY ANY VEHSON N ANY MMlNER SO AS TO BEC0IAE SUOJfCT TO TNE N WORKERSCOMVENSATpNUW50FGWFOfWiAANOAGREETHATIFISNWlDBECOAAE INSPECTIONFEE.. . SUBJECTTO THE WOqKERS'COMPENSATqN VROVISIONS OF SECT�ON]70o Oi 7HE UBOR f O e.i sN somimmn cor�v�r w����� ^ ISSUANCE ` f � SMIP 1p DATE: APPLICAKS �Cl� � —� . 11 ENERGY P/C � WAHNINO:i�LURETOSECUREWOPXERS'COMPENSATIONCOVEMOEISVNUWFUL,AND&1ALLBE ' �y SUBJECTANEUPLOVERTOCRINNAlOENALTIE41W�CMLFWESUP100NEHLfIDREDTHOUSAND ENERGYPEFiMiT �- OOlURS(310o.000).NADDf110NTOTFfEC0.STOFCOMPENSATqN.DAMA0E5llSPROVDFDFOR�N �' � ¢ SECf10N]70lOF7TIEUBORCOOE.NTEREST.MlOATiORNEY'SFEES. RETEI'lT�ONFEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � .0 O . � IHEREBYAFFIiiAIUNDERiENAITYOFPERNRYTNIITTHEREIS�CONSTPUCTIONIENDINOAOENCY ' ' FOfi iME ifiRW RMNICE OF ME WOAK GOP WNICH THIS VERMIi IS ISSUEO(SEC.�Oa7.CIV.C). . . . � � . � LENDER'S NAME � I..� � ' � � lEP0ER5ADDRES3 , ' 1 ICERTIFYTWITIMAVEREADT1115APPLICA710NANOSIATETHATT1EAeOVEUJFOR1AAYlONI3COPREtt T�TALFEES �� • . �-1 '3�l � pW., 1 AOREE TO COMPLY YRT11 AILCT'ANO COUITY ORO WANCES AND STATE UN5 REUTWIO TO BULDINO y � . Q CONSTRUCiION,AN�HERE8VAU7HORREREPRFSENiA7NE50FiHI5COUNTYRIENTERUPONME � �—r'n"����//'�y/ ^\(�\ - . , . ' � S� ABOVEJAENTqNEDiROPERttFOPWSPEC��ONPUfiPOSES. COMMENTS �\ i\ \ r�t��=J��� � . . ♦ J � � , . NM1E�PW n, � tn � E ' ��E . . , I � RECPT.N0. PAID BY �VAUDAT�ON WHITE—Depertment Copy,YELLOW—Finence Capy,PINIC—AssesswCopy,GOLDENROD—FileCopy,GREEN—Applirant's Copy . C ! r�{ ���� t- �1 .. . r.- : . ,.� �..:;•: ��r �4 - � . ... . . , , � �� s �. ;i CITY OF DIAMON,D,BAR :� � j�,Y ,i:} , J!"T -�. .�i�,�r �:.�r�^:lNSPECTION�RECORD j'. . , :�� ��a ,.; ...,,•,- . � ,, ..._ � ::�;, ,_ a: %� � �%� (.�.�'r�.�.�� � �� �� '��. �l�- 0 a '�':1i��ra"� ,",R�� - �c,' � !�►.�.�'�,.� �:n , . .._. ,�,. ...�,. �SET,BACK (,l�'" (�(�(� 1� 1,:.°'�..� i{ �_,- ; c- � ��rA rFL'OORJOIST % _1 _ ) -,. - '� :'�:; f _., � �._, _.. . , _ _1 __, ,: . ., . �FTGS/FORMS/STEEL'-:`. -.:� --_ ___-- -- _ _ ,'FHA REQMTS - --- -- -- •_ ,_ _ .._ �_, ._. ._ - -- _ - -- . _.._.. �ELECTRIC GROUND__�. . _ ''-�'�' _ _ _-____- __- _- UNDER FLOOR DUCT � �`"" , . , . �-;, � .. _ _.. _ _ . , - _.r. IGROUND PLUMBING `•1 ; •„,� � -.- :, UNDER FLOOR CO�IDUIT •- � ,'`'' '" `' "� � `- "' i �� � J ' � ' � . � .�� �. �_ � , , , ' . '_, .' ,' . " � .._ _ ISLAB GRADE- --- _ .� ,---r- --_ _____---. .� . ' FIREP.LACE.FOUNDATION - .:' : ;;1 r:i� '� �" _ .. ..._ __._ ,,._ :, : FIREP�ACE�BOND BEAM' ITEMP POWER__ ,. �y . � •,�1_, �__._, �-,' ' ' _ , . � ,— WATER SERVICE---- - -' �..`,_ _ --� -� " MID HT. BOND BEAM . . � ; .. ,<; �:�: , ,�";'; r ;,:� •.,,� � ; ; IROOFSHEATHING i ; _ :: ,, . ��� , 8i'f. BQND:BEAM, -�' : _:.. ,l ..� ,...�-- ;_� _ :. r_ �_,., � „ _ , , ._ , , . IFRAMINGNENTf�.IATION --- � `;� - -- FINAL BOND BEAM r � - Y.� • ::r. I ;� R ROOF C�VFR ��.• I •F,;., �. . PRE-GRADING _ � ,••-. .�:_= ��,:s? r _..---T : :. - ' .-',' � ;; 'ROt1GH HEATWG" .-_ _ _ .__`. :, �` .,,_ ._ :- ----- - - B�NCHING:,;. ;�,. ,� � r - _ _ . . ._ ; i ;'> ��•i ��i:� � ROUGH ECECTRIC ';._- - '`�" ' i_�:•�, :.,� � �,ir,. ,_ ` �FIOUGH�GRADiNG , , _ _ _- --- --- _ .____` ROUGH PLUMBING-I-- --•-- - --. ----'- "-, _= FINISH GRADING i _. SHOWERrFUB-TEST-; - --/_._ .__ 1'j._'/ ,-; -- " -. ' . POOL ELECTRIC .; ,;-<< ,,.•�; I �.. _ , ,, - ' �: '.. �EXT:I:ATH/Si�{NG_ _� __ --�r-t� ,-r-._� /_-��-�.. ,.__. .POOL FENCING ; ,' , •. -, ,: �.',' , , '•> � : WALL-INSUtATfON_�. _. ..... .;--__ ', u-/ - ,�,.,-_, _._ _ - -POOL FINAL . . : „_,,,. . . . , :.��, > ;-: . . :OFF SITE IMPS. ... ,. ; , � ,� ., � - CEILING INSULATtONl-- - ' � " :' ; I' - r ` DRYWALC'NAtLING__,__._ ._ . _.. __ . , _...,_� ---- � DEDICATIONS . ' , 1 , ;' . _ .. �EWER- -- --- _- -_ . ___-.--_ __ _ ----- --- -- FINALENG. ,., . . ,: . � . ,. . . _ � � SEPTICTANK LANDSCAPE/IRRIG. ' SEEP.PITILL.___. _ ;,,�.� . _ •. ,u � ON SITE IMPS. �� GAS_AIR,TEST_i _ _._. ___ _. _ �. .:'�. .,. . �. FINALZONING . . . _ ._ _ . FJPJAL�ONST:"_I_._---- -- �_i._�- i_�:----- _' __ __ FIRE DEPT. FINAL.; . _. : F1NAL.HEATING_. .___.__., _HEALTH DEPT. FINAL - _. . _ __ _ _ _ _ ..� . �__ . _ ;=lNAI.-ELECTRIC—____ _.__�_.- - -----. ----_____ ___ . DEV.FEES PAID - - --. . _.__ __ __._ _.. _ __ :<� . . _ _ . . _,_ „ � � ,;.,h.t PLUMBtNG ------ - _- - --�,. _. --r,._-- . .- j ENERGY _ , .. . , , _ _� ., , ----- , __ ._ � --+. _.., ____ ___. _.._:. _.,: �._ _ __ : : ..._ ..._ _ __ ,.. , . _ �� "�� � ��: �� _ ---- ------.,, . --- -- .,-� •- ---- ; " . - i _� __. ---- � I_ i� E';G .,�iD C'� ��;,;, � ? ' —`-----�-- --...----------- --� ---- ._.. _ . . _ _ , � L, .,- .� t � . _. / . . . .. ..._-- - . - ' --.. , _. , . ti, _ �_- . _. ___ � �� �.•. r � � .,l 1 .J ; � � - -- . __----'--- -------- - -��� -•� � __j COMMENTS � - ._._ _ ;_. __._ . _ , ,,. , . ,,. . � , ,, , . ., .� - -- ---- --- ---__ ___ _ _ _ __ _ . . , , � ,. f • , .. , . , ;. „ . . , , _ . F � � � ,. \ , . , , , . 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