Loading...
HomeMy WebLinkAbout13682 (861) ������i�Q CITY OF DIAMOND BAR -�� -- DSPARTMENT OF COMMUNITY&DEVELOPMENT SBRVICES S C P 1 CI L�C� � 21660 E.Copley Drive Suite 190 - t�)�-atssF�{�a>ssz-3ii� PRESS �`'��'�� BUII.DING PERMIT APPLICATION FIRMLY 4 AUDRESS •�� � Z� ��"" o' � �1 I—� r APPLICATlON ��NUMB R /C c DATE � AP OT RACT �SSu� �`PE 4CG DATE CONST. GROUP � OWNER L.., p ADDR S �Lr ZONING SETBACKS �"'� CITY ZIP TEL. _��„�D �� RW ❑ APPUCANT 'TE{.. — � C] � SIpFJSIDE STREET qVy p CONTRACTOR SiDE p ADDflES5 � CITY 21P TEL. ,PftOFOSED C1SE !-+�tG3t,'.A"PYi..-�'���"'�? Yi4e�++.�r4Tt B ARCWENGI • DESIGNER N0.OWEL NQ. NO, ADDRESS UNITS STORIES BEDROOMS N CtTY ZIP 7EL � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNEA-SllItDEfi DECLARAStON SFR/ADp1REM p i N£tffBYAFFSKi INDEA R6N.iLTY OF pERRlGIY THA?i Ai.t EXEliPT FAOM THE CONTfUC7pq5 G!� �etAgel(,•atpOn l� CENSE4AWFORTHEFOLLC1WIHqpEAS4N(SEC.7W1,6BUSIHESBANDPqOFE55lONSCOOE;/,NYqTYOR (n COUMYWMq1REGJtRESA➢ERA/RTOCONSTRUCT,ALTER�FFWVE,DEMOLISH,ORREOt1RANY9TRUC. W p�tiotDeok NRE.PRpR TO RS t55UANCE.ALSD REW�AES THE APPLrC+W t FOA SUQt VEAAiR 70 Fl�E A S�CTtED � ETATENENT THAT HE OR SI/E IS L10EN3ED WIiSUAM TO TNE PROW810N3 OF iHE CONTMCTqRS U� � C£HSE tAW(CHAPTEA i(COMidENCMXi WIM SECTlC1N 70]0}Oi QMSpN�OF hfE 8U51NESg Fh0 Pfia � PooUSpa iE3510NSCO0E}OqTHATHEd1SHE�SEXEMPTTHEREFqOAtAND1HE8A515FORTHEKlEOEDE%EMP• (� 7K7N.MtYVIG{ATIONOFSECTiONfo]1.4BYM1'IAGPLICANTFORAPEf1MITSUFLIECi$THEAVVLICANTTO Z Re�Fioof r ACINCPEHJ�1.ttOFNOTfAORETHANFIYEM)NOREOOOItARSR`+dDl.h � O4ASOWNEROFTIEPROPERTY,OqNYEM�40YEE5WITHWAGESASTHEIRSOLECqMPENSATpN, � Commercial - MA110K/THE'YfORK,ANO TNE STRVCTURE 1S NOT WTEN0E00F10FfEREO FqR SILE(SEC.7W�,BU54 _.1 � pF53 ANE7 VAOFESSK3HS COdE:TH£CONTMCTORS'ttC£NSE tAW DQES NQT APPtY TO tN O4VHER OF PROVERTYWFqBU0.DSORMPFKyVE51NEREON,MlDN'FKIDOESSIK/{ypqKHiMSELFORHEfiSELFOp � � T14i0U0MMS4RF�A4MdiEMR.QYEES.PtqV70FD7MATSUG/UAPROYEMEHTSMENOTl7TENDED9R m flffEAEb�ORSACEIF FIDWEYEp,THE9ULDiN�OR IIAVNOYEMEM i550tDYrtiMINQYE YEAA OF�YPLF• �1'MJN.THE OAMNER�&nlLEp WILL HAVE TNE BURDRI OF hqOVWf3 TMAT ME C7R SNE DID Nt]T BUILD OR MPHQVE EOi1THL PUflPQ3£�F S+�L£}. F� Q4��'M�EROFTH6Vi80PER'TY,AMEXCLUSNELVCOMMCTINQWfiHUCENSEDCOMMCTOR3 "` TOCaN.STiri1CTTNEii1WEGTlSEC.704l.BUSiNESS1W0iROFESSION50DDE:TNECONTMCTOR5L4 �Valuation ADJ.AAEA 4��41 GfMSEtJIWDOfSNOTAFP�YTOAN4VStER6FAVROPERSYYh108t7ttb50AMPAOVESTNEfi£ON.JNCt G WY10WHfMCTSFQHSUd1FRp,lECTSWITFIACONTRACTOii(S�UGENSEDOURSUANT70TMECplTMG pUANTITY DESCRIPTION �E � iC}4i3 LlCEN5E UW.�. O I AM E}fEA1PT UNDER SEC, B.�G.C.FOR 7HIS P[ASON a .x U W PATE OWNER U � 410ENSED CONTRACTORS OECLARATION W � 1 HEREBYIIFFIPoI UNpER PENM.TY OF PERAIRV TUT IMI UCENSED UNpEp PHONSIONS OF CNAPTER � •(Cp.MENGiN(iXR1N5£CTqNTOWjCiDNlSION�OfTl1EBUSINESSANOPROFE55qNSCQDE,ANO Z `,� �� MYUCENSERHFN.LFORC£ANDEfFECT. m � UCEFISE�/�/g 5 � �IC.NO. _/� � � WTE!'f/,�I�1 i� CpNTFlA,CTOR � d � WORKERS'COMPEN3A710N OECLAFiATIC7N a NIHERE9Y/�FFUWl1NpERPENAI.TVOFPEMIRYON60FTHEFOLLOWWCDECLARATprlS: Z � �._,,,IMAVEANOVALLMAINTNNACEFfTiflCATEOFCON5EMTOSE4F.INSUREGpRNOFU(ERS' _ . ODI/PENSATpN,(SPf1QY1QE06YSECTldid7400FTME�I90ACO0E.FORTHEV6RFORMANCE �U � OF E WORrC FQP WN�p1TH1S VEstMiT iS tSSUED, � 1Ii�lVE AMD Witl WIIMAUi WOttKERS'CaiApENSAtKK{INSt1f WiCf,AS REQUIR£D 8Y SECIION Q�„ A7oopFTHE6ABOqCOpE,FORTHEPERFCIRIAANCEOFMEWORKFdqWHICH7HISPERMRlS � bSUEQ.MYWORKERSCOMPEN3ATKNif�I �SUMNCECARRiERANOPOI.ICYM,IMBERARE CONSTF�UC7ION ��. }. uaaEa �T,r� ,p ��h PLAN qEV1EW � �"�f�� L`2- "f j EtECTRIC � R�SEctx'X1NEEbuot6E�X�ET�OCStfvEroX[SPoRatiEilt�Df'7EDOIXSJJiStts00}aitE55} ?1.UMHING }y�-1y�}9 � tGERT1iYiNATLYTNEPERfORMANCEOFlHEWf�FUSFORWHICHTNISPERIA1TI51S5UED,f MECHANICAI. ���"L SiUtt N6T EMVLOYN7Y oERSON N ANY MMVVEA SOAS TO @ECOAiE SualECTTO TttE (/) N'ONKERS'COMPENSATqH�/,V!$OFCALIFpRNI�,/S!p/.GREETi�TIFISFKKADDECOME INSPEC7�ONFEE SU9JECTTpTHEWOf1KER5'CQMPENSATpNPFlOViSpNSOFSEC7��CX7Nt)7ooOFTN/EU§�SR � COOE 6 �pii7HWITHt()M%.YWRH EP qF�/i�/.r".s%f ISSUANCE --�I^�rI_I.__�. � t 4n ♦ �L:/� � DATE:������!���� APALIC+INT: IG�!����1/ �t�� SMIP ��V{� y t�-;i J J ^� � w,�nwau:v�a.0 tasEcuaswaauEas•coe.svENsmaricrne�aweuunuv.Fu�,uaoswu�.sE ENERGYP/C �a�'�'!')'i'T'.;� !> ,r`�' �er, � SUB.IECTANEYPLOYERTqCHIM7IALPENALT1E511M)CMtFWESUPTOONEFiUNOREDTr1W5M7� ENERGYPERMIT f��-i"j °"��" ' � � � -��;�;�ft pOL1AFlS If IOo,DOo),N AdpI710N TO THE COST OF CpMPENSATIpN,D/JAAOES AS VROVIDEO FOR IN ,A � 8FC716NYr4a�2HElA86RCbDE.N7ER£ST,aMOATtOtiNFf$FEES. RETENTIONFEE; .V � CQNSTRUCT{flN tENOftJG AGENGY PRE-ALT FE /'� T � IMERC9Y/�F'FIqMUNOERVENA6,TYOFPE0.IURYTHATTMEREISACONSTRUCiIONLENDINOACENCY �Y��/ FOR7FtEPERFOPAI1NCEpfTHEWOH%FOf1WNIGtTMSPENWT1SiS5UED�SEG�OGr,Ctv.C,}. �� 16 � � tEFXJERS tUME 1 � 4EHOEFYSADpRE55 W ICERTIFYTHATIW,VEPEADTHISAPPl.IG7qNANpSTATETNAtiMEABOVEINFORMATqNISCORFECt TOTAL FEES ��� ( /y�. � p� IAGR[ETdCOMP4YWliFtALtCIlYANOCOUMTY4flD1WNCE5MIO5TATEU4W5REt.�TW4TOBUlDiN6 ��� '���\_Y � CONS7f1lICT/ON.ANONEREBVA{JTFqpIZEREPRESENTAT1VE50iTH�SCOVN'IY70EHTERUPONTHE ,,.� ABOUIEJ.�EN710NEp iROPE fdi INSPECTION PURPOSES. ��M� S � � �'g�.- . m PERM AME(pRiNT) � � � �� � (/� TUREO PEqM pATE � . RECPT.NO. PAID BY YAUOATION �TE--Depertment Copy,YELLOW-�inance Copy,PINK—Assessar Copy,GO ENROD—File Gopy,GR N—Applicant's Oopy � �. , ' � � " . . . �i , . . ... . � � .. . . . . , _ . ... . . . . . . � . . _. . , . _ . . CITY OF DIAMOND BAR .� - 1NSPECTiOh! RECORQ _.�.� .._...� � ..� :, ..,_..�...�... _ ��- _. al���������,iF�I�►�6 ��,:'�h"�r '�iri.l.4k- ' c� � - j►'�-'�' �� �.��►�.I��Y`qb!=� T��E-7���.'`��•� _�.,.,.��__.._�,.�..�,.�..r..�,.. _..-� .:,,.��.....�� ,... . _._..�. ._.. � �__ •--.,� .._ . w,_.___ __u_. _.,___....,__ i �SET BACK � • . , . � � t . . � �', ,; FLOOR JOIST�-_ ,. .. ,`, � •-. , i� �.I'-�r , 'r-`.'r-:z. __..z --�—'�-s-� F?GS/FOR�,rtSlSTEEL � FHA REQMT ' �'�� •�� �_`��,� ELECTRIC GROUND - � UNDER FLOORDUCT , J � � ' �" ` !GROUND PLUMBING UNDEf�}� QQ.,CC}T,TDU T � `i ��S r�'�.�j•_;�,��� 'SLABGRADE - FIREPL'AG��.��'Vp.AYTON�:. :: � ,,�,<,�,,.�,,_9�1 . ; �TEh4P POWER FIRcPL�CG�$bNI)' �AM �:_,��»�'':1•�,�� -";,�! 'ti� thlATER SERVICE MID HT. BOND BEAM ���•+►-: >-:�•'�•�": ` �-� FiOC}ri I�i�TFli!JG'=�_•,:i� �,`'r',r� '.�::�.a..�.h. 9 Ff. ON�BEA(y1, ,�__ •+ i `��_."��I'—r��,1:a'._;:� FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER PRE-GRADING �ROUGH NEATiNG BENCHING ROUGH ELECTRIC . ROUGH GRADING ROUGH PLUMBING FINISH GRADING iSHOWERlTUB TEST POOL ELECTRIC EXT.LATH�SIDING - - POOL FENCINCa � Iti'ALL INSt1LATION POOL FINAL CE(UfvG INSULATION OFF SITE IMPS. � DRYWAC.L NA(LtNG DEDICATIONS SEVJER FINAL ENG. ", ScPTIC TANK LANDSCAPE/IRRIG. .SEEP P1TlL.L. � ' %� ON SITE IMPS. GAS AIR TEST FINAL ZOPJING , . FINF�.L CONST. FIRE DEPT.FINAL � � F1NAL HEATING HEALTH DEPT. FINAL FItJAL ELCCTRfC DEV. FEES 4'AID Ff'�11�,L F'LU?�1BIt�G ENERGY - ;� � �� . �w y��-a %S�2J�^�-��.Y.��.a � '.. • - '.\ \ �ti.��^ . -�� . __ � _- .\�' ' \\ , ': - C0;��3MENTS • ,: �� . , _ .� . :.-:, �`\ � - '� � _ . �(` �;;i �,� . . �. ��` .,`'—:"~, � ., � .� �,. � ��� � \ �� ' - ;:_.,_, , —� �. ,�. SEPTIC TANK SiZE ;SEEP PIT/U SIZE _, _ .�y�_._..,..__ ,_....� , j ��_ j' � . � _ � L � � � � � �� � � � �_ __� � <r�Y,� . _ , � i _, , . _ i . , .'` ._1\J`` \ ;.� ;\\ i �� . � � � . ... ` ' ..':: ^►••�,n i�. ' � � � � \~\•��\� � ..\ �`� �"f� .�,� _._.� _. ,..,.,......_ ,._.1 �