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HomeMy WebLinkAbout16485 CITY OF DIAMOND BAR ' J� --� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVI ES� 21660 E.Copiey Drivc Suite 190 ' (909)860-3195 Faa(909)861-3117 �l� P R ESS �'��"� BUILDING PERMTI'APPLICATION ,l� FlRMLY o DD Ess�3�� Val Y� P�' ��I DATECATION J �� I�/I NUMB R��_�� �f/C � APN LOT TRACT DATE • ( `J v CONST. Y � GROUP rJ p OWNER LL ADDRESS� V�h� -� ZONING SETBACKS w CfTY� -a(' ZIP��epOTE .� ^I^ FRONT q�ry ❑❑ � APPLICANT I i�/1 �i�`-fln TE �.) S DAE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ ADDRESS � CITY ZIP TEL PROPOSED USE� O � `Cf1� ' Pu ARCFUENG/ " n ��,, DESIGNER NO.DWEL NO. INO. . N C�DRESS Z�P TEL. UNITS STORIES BEDROOMS � v� DESCRIPTION"' SQ.FT. ' FACTOR PSF ADJ.AREANAIUATION p� OWNER-BUILDER DECLARATION SFRlADDlREM O 1 NEHEHY AFF6W UNDER OEWLLTY OF VE0.AIRY THAT I M1 ExEMVT fROM 711E CON7MCTDRS LF Ga2ge1CfllpOR W CENSEUWFORiNEFOLLOWwORE�l50N(SEG70.71.68USNFSSANOVFOFESSIONSCOOE:ANYCITYOR (n � L�� COUMYMR#p1RE0UIRE5AVER4RTOCONSTAUCf.ALTER�.I7RDVE.DCM0U5�tORRFPAIRANYSTAUG W Patlo/Deck �y TURE.iRqR TO R9 ISSUANCE ALSO REWIRES THE lICGLICMfT FOH SUCH PEN.�IT TO fllE A SIGNCD W BTATfYEM 7HAT HE OR SNE IS LICFNSED R10.SUANT TO THE PROVISIONS OF TM[LOHiRACT00.S L4 � CFN6E UM�(dUVTER 0(CdAMENdN�WITH SECTIDN 7000)OF DMSION]OF THE BUSINESS ANO Pf10- � POOUSp3 � FESBqNSWOk�ORTHATHEOFiSHE13EXEMMTHEREFROMANDTHEBA515FORTHEA:LECEDEXFMP- (� iqN.ANYV10lATqNOFSECT10N7071.6BY/ViYMPLICANTiORAVERMITBU&1ECi51MEAPP�ICANTiO Z ite•Roof � AGVIL►EHALTTOFNO7MOFETWNi1VEMUNDREDDOLLAXS�fsao�.�: O 04���EROFiHEPRO�ERT/,ORMYE�PLOYEESWITMWAGESASTHEINSOIECOYPENSATlq1, 0 Canmercial _--.-.�.... .. � - Z YNLL DO THE WORK ANO TME STI3UCTURE IS NOT IMENOED OR OffCRE�FOR SAIE(SEC 70u.BU54 _1 N NESS ANO FROFESSIONS COOE:7HE COHiR11CT00.5 LICENSE UW�OES NOTAPPLY TO AN OWNER OF iROOERTYMIIqBUIDSORYPROV[STHEREpJ.ANDM/11000ES5UpIWORKHIYSELFORNERSELfOR � � Q T11ROU0111NSORMEROMNEAIPLOYEES.PRONDEDTHATSUCMMPROVEMENTSARENOTMRENDEOOR m � OFFEHEUPoRSALEF,NGWEVER�bULD�NQORIGPROVEl/ENTIS50lDWITMNONEYEAROFCOMRE Z TqN,THE OWHEN-0NtDER W7LL NAYE TiE BURDEN OF PRONf10 h1ATlIE OR 6HE DID NOT BVIID OR � MPROVE Fqi TIE PURPOS[OF S�LE} f � ❑I,ASOMMEROFTMEPROPERTY.MIEXQUSNELtCOHTFALTINOYYITHI�CENSEOCDNTMCTOFt3 . TO CONSTRUCT TME VRd1ECT(5[C.)OM,BUSINCSS/N�PFqFESSIONS COOE:iHE CONTRACTORS ll- 'e � � ADJ.AR[A CEHSE U1W DOES NOT MPIY TD IW OVMER OF A iROPERTY YA100UttD5 DN MPf10VE5 TMEREON.Atm 1M�OCONfRACTSFORSUCHVRO.IECTSWITMACOHTRACTOR(5)UCF.NSED%1RSUANiTOT11ECdITRAG pUANTITY D[SCRIPTION FEE Y ioas uc¢r+sE uw�. _ � O I Il.l EXEA1Pi UNDER SEC. B�V.G FOR THIS REASON Q y � 3 � 1 � r� ,. � OA7E OwNEH U � W L.�C �. / LICENS[D CO�ITRAC70RS DECLARATION W � I XEREBYAFiIRN UNDER PENALTV OF iE0.ttJM T1NT 1A/A LKCNSED UfYJER GROVi3qNs OF CMAPTER Ur � •(WAWENCVqWITM5ECT10N70o0)OFDMSIDN70FiMC8USINE55ANDPROFE55'Oh5CO0E,AND Z ' X W LICENSE IS N FULL FORCE A7m EFFECL m � � �j, S � UCENSE CLASS LIC.NO. j ' � U w� cor+rancTon a — - ra WORKERS'COMPENSATION DECLAFATION 4 = U NINEAEBVAFFIiMAUNDERCENALTYOFPERRIRYONEOFTHEFOLLDw!NODECLARATIONi Z � �INAVEANDVYILLWMTAtt1ACERTIFIUTEOFCONSEN'!TOSElF�NSUREFO{1YI0(iKERS' _ � .. WMPENSATqN,ASPFOVD[OBYSECiqN77ooOFTHELA[fORCWE,FORTME7EitiORM.1NCE W OF iHE WORN FOR WNICH iH15 VEfiMiT IS ISSUED. � � _I MAVE AND N7LL M.VMAN MIORNERS'C04PE'�SA7qN INSUMNCE,AS RE WiRED BY SECTION I\ Q77000F111EUBORCOOE,fORiMEPERFORMiWCEOFTMEwOf3KFORWH�p1TMI5PEHMiT15 ( ( r � ISSUE0.MYWORKEf35'Cp/PENSATILWNSUFLWLECARR;ERMAPOIICYNUMBERME: CONSTRUCTION �� � �\` W � CAAPoER PLAN R[VIEW { � VOLIC`/MrirOEN � \ ( ' . ELECTRIC � 0 (trss[Citc�lrLEONo7eEm.stE�e)oFMVCH.�tswna.Ew1�DR[DOatutsR'a,70RlFss) PLUMBING � '� ��„ W � r�l/`�� /ll�, Z ICERTIFYTMA7WTHEVERFOFlI/ANCEOFiHEWOaKiORYMiCN7H15DEfWrtI5155uED.1 MEGHANICAL,, i ]v� Ui � (,�J SFULLNOTE�uPLOYANYPER57NNANYMANNER50A5TOBECOIAESUfllECT70THE � WOPo(ERS'C04PENSATIDNUWSOFCALIFORNV�ANDAGR[ETHATIF15110UlOBECOME INSPECTIONFEE � � SU6JERTOiNEWOnKERS'quV[KSATqN7ROV�5qNSOFSECTqN97ooOfTHEUBOfl 000�,is+uuFair�n+courirmn�nasErrohsar+s. ISSUANCE � � � SMIP p GATE: APPIICANT: � ENEFGY P!C WARNINO:FALURE TO SE W RE WORKERS'LO6�VENSA7qN COVERAGE IS UNUwiUL,ANO SH11.1 BE � SVBJECTANEMPLOVERTOCNIMiNAIPEN�LTIESMIOCMLiWE5UP700NEMUNDREDTHWSAND ENERGYPERMIT OOLLA�tS(f 100,000�,!!ADORION TO TNE COST OF COMPEN4ATION,DNMGES AS PFOYICEO FOR IN ¢ SECTqN970lOFiHElA80RCO0E.MERE5T.M9ATTOFNCY'SFEES. R[TENTIONFEE: • ow.. CONSTRUCTION LENDIN�AGENCY PRE-ALT FEE: � O � IHERCBVAFFIMIUNDERPENALTYOFDERIUMT/UTTHER[ISAOONS7RUC7IONLENDWCACENCY d FOR THE GERFONr.uNCE OF TN[WORK FOR WHICH TXIS VERMIT IS ISSUED ISEC.7oa7.GV.C.�. Z W � lEN0ER5 NI1dE � LENOERSADDRE55 ¢ ICERTIFYTMATIHAYEREAD7HISMPLIGITIONANDSTATETI/ATTNE/�BOVEWFONAATqNISCORRCCT. TOTAL FEES � /� ' W IAGREE TO COMPIV WITM hLL CITY IND COUNTY ORDINANCES INO 57ATE LAWS REUTINO i0 BUILDING '/n� '-/(,)(� ZCANSTRVCTION,ANOMERE6VAUTFIOHRERCVRCSENTATNFSOFT1115CIX1HTVTOEMERU�ONTNE COMMENTS��� / ��� �� ��� �^� `-�' �l ABOVE�MENTqNED V1ROPENTY iOR WSPECTION PVRPOSES. /� �/ 0 1 ^^/` ��� - . J 1 VYJ�} � {.�.+v/ m ���n �P, DI � 3- z- � (n S1GNAUREoiYLNA17 E DATE � RECPT.NO. ^ PAID BY _VALIDATION WHITE—Oopertment Copy,YELLOW—Finence Copy.PINK—AssossorCopy,GOLDENRO�FileCopy.GREEN—ApplicanPsCopy _ .iY'��. �� • . _ :`--�; CITY OF DIAtJiOND BAR , , , , ---- - �- .��=� -- . .; INSPECTION'RECORD ' � . � _ , •._-�---, ' f � � • + S � '.��.i� 1`. _ .r):a(`'['O�i�; ' . .-......�-..�:�.�'..-._,:_._,._._..... �SEf BACK �.,' ' �� FLOORJ015Ti•�. i ' • ,� � �FTGSJFORMS/STEEL; ' � � ; . 1 � . FHA REQ",ATS • � ;ELECTRiC GROUND ' "� " � ' '' __ UNDER FLOOR DUCT • � •GROUND PLU��IBING • UNDER FLOOR CUPdDUIT .• �. . ,� ' '�� � ' '� r:" T,__ SLAB GRADE -• FIREP..LACE FOUNDATIOt•� •. '. � 'TEMP POWER FIREPLAGE BOND BEAM •� • �`: ' i �WATER SERV{CE MID HT.BOPJD BEAM ' �ROOF SHEATHING•�-�-� '� •• `' ': ' � ' ' 8 FT. BOND BEAM � - � FRAMINGNENTILIATION �2�� — FINAL 80ND BEAM 'ROOF COVER . ' • � PRE-GRADING ' 'ROUGH H�ATING - '� ENCHING � ' 'ROUGH ELECTRIC . �' � ROUGH GRADING - •ROUGH PLUMBING • � FINISH GRADING SHOb'VER.RUB TEST - - � POOL'ELECTRIC • :FXT. IATN/SIDING - -- - POOL FENCING ��"JALL INSULATION - � - - POOL FINAL 'CEILiNG INSULATiON. ��" OFF SITE IA4PS. � � !DRYWALL NAILIt:G -2�.�� :-. �� �EDICATIOT�S � 'SEWER - - � � FINAL E�JG. 'ScPTiC TANK L!>NDSCAPE/IRRIG. � •SEEP P1T/L.L. 1 i ON SITE IPJIPS. :GF,S/11R TEST � �� FIPJAL ZONIPdG �FIPJAL COfdST. '� • ! ' FIRE DEPT. FINAL ,Fl!VAL HEATING _ _� :• ;� HEALTH DEPT. FINAL � `FiN�,L ELECTRIC ' � � � f � � DEV. FEFS PAID ��!_��f.t_PLUt�181NG - EfVERGY _��__ �. /I.lr��- - ____ � I'�--���� �f_ '�i' ' �• � ,a� "�:F :i1� 4.+s� •.. ._.�..�.. - � . . . . .. _ I . . _.. . . _;.�_iz.:. . ..r=�__ -G- _.._._... . .. ..__ . . 1 �;CO�JiMENTS � � � ., , ��. :' � _; ,, , -r .;-.-__..�_. �- � �, , .�. -�--- 'SEPTIC TANK SIZE 'SEEP PIT/U SIZE - � ' ��Y � �.ww�.r� � � . . . . I _ ' _ � I1, �� . . . • • . . . . ... . ' • . 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