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HomeMy WebLinkAbout16425 (17) , � ' CITY OF DIAMOND BAR� " � -� -- DEPARTMENT OF COMMiIHITY&DEVELOPMENT SERVICES ' ' . � si�o�.c��eynr;��s�c�i90 PRESS J , - (909)860-3195 Fex(909)861-3117 • . �.y, '�BUQ.DING PERMIT APPLICATION; FIRMLY o� llOBSRE p� � / _ ` 'APPUCATIaN L�_�D l NUMBER � 1� •/C ADDRESS�Z31�U �_6�7�+d�R� DATE - � ISSUE 'TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER � 4' ADDRESS ' � ZONING SEBACKS � CITY iL►rv Pj�y ZI TEL. � RE�RT _ RW O� APPUCANT TEL. SIDFJSIDE STREET RW O � CONTRACTO SIDE ❑ � ADDRESS PROPOSED US C 21P TEL 7 � ARCFVENG/ -�__ ' - . DESIGNER NO.DWEL :.- _N0.i ". N . ADDRESS UNITS �STORIES�'. BEDR MS � � CITY ZIP TEL y DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATIQN � OVIMER•BU�LDER DECLARATION SFR/ADp/REM O 1 HEREBY AFFlfM UNDEA PENALTY OF VERAIRY TWT I AM E%fA1PT fROM TNE OONTMCTOAS U� GefepBlCefpaft� e CD75EU'Ni�RTHEFOLLOYYIN�RF.A40N(SEG70.]1.68USWESSANDVROFESS�ONSOODE:ANYpTYOR� (n . � COUNiYN?YG/REOUYiESAiER/ARTOCONSTRUCi.ALTERMP{WVE,DEMOUSM.ORREPNRANYSTRUC� w patio/Deck � TURE,VRtlR TO R4lSSUANCE IL50 REWIHES TME APPLIGWT iOR SUCH VERMIT TO FILE A SIGNED � ETATEMENT 1HAT HE OR SHE 13 UCENSEO PURSUANT TO TME iROV4510N3 OF THE COHTMCTOR3 LI- CENSE UW(�P7ER 0(COMIIENCWQ YATN SECTIOH 1000)OF UMSION]OF 7HE BUSINESSANO GR0. LL' P��GB� fE5510N5 COO�OR iHATME OR SHE IS IXEMPT THEREFfiOM AND iNE BASIS fOA THE ALLE6ED EXEMP• TION./UJVVIOLATIONOF6ECTION7071.68YAHYAVPLICANTFORAVENAIRbUBJECTSTHEAPPLIGNTTO Z Re-Rool � �cm�rEw�Trarar►anenw+rrvE�+unoneeoaunspsaoyi � J . .. _ � OI.ASOWNEROFTHEPi10PER71!ONNYVEM�LOYEESWI7HwA6E5A$7HEIRSOLECOMPENSATION, ' � (�'pTffloltlal � � - WILL DO'ME WORK,AND TME ETPA/LTURE IS NOT INTENDED OR OFFERED FOiI SALE(SEQ 70H,&154 J HE53 AND iPOFESSqN3 OODE:THE CONTRACTORS UCEN4E UW DOES NOT AOVIV TO AN OWNER OF � � VROVERTYN110BU0.DSORMPROVE9iF�EHEON,M�DVA1000E55UCHN'ORKMiMSELFORHERSELFOq = - . THqOUGHN140qMEROWNFIADLOVEE4.PROVICIEDTNATSUd/11JVNDVEMEMSMENOTMENDE00R m . OfiEREDiORSKEF,/10WEVE0.7MEDUlDIN�ORiMPROVEYINTI3� WITNNONEYEAROFCOMVLE ��TqN,TNE OWNER-BULDER NALL HAVE TNE BUROEN OF PROYWO T/uT HE OF SHE D�D NO7 BURD OR . . �AiNOVEFORil1EPURP06EOF8ALE1. � . . O 1.A4 ONNEq OF THE PROVERfY,AA1 EXCIUSNE1.tCOMMCTWO WITH UCENSED COMPACTORS TO CONSTAIX.T TME iROJECT ISEG 70�1.BUSINE55�ND PROFESSION4 COOE THE CONiMCTOR3 Lb VdlUeti A0.1.AREA CEHSE UW DDE9 NOTAPPIY 70 AN OWNEH OFA VHOVERTY WFIO BUlD4 OR W OqOVEg T11EpEON,AN� W/qCOHfRACTSiOH5UG1PROlECT5WI7HAGplTPACfOP(S)LICENSEDiURSUMITTOTHEWNTMC pUANT1IY DESCRIPTION FEE - � TOfiSL10EN5ELAVl4 . _ � O I M�EXEYPiUNDEH 6[C. 8.t P.C.fON TH�S PEASON � - �� � LL' DATE OWNER � . .. . Z W � � UCENSED CONTRACTOFiS DECLARATION w � � IHEREBY�FFIPoJlX10ERPEN.LLTYOF0ER1UqYTFUTIAMUCENSEDUNOERPROVIS10N90FCMMTER U. �(COEWENC7lONAiNSECfION70W)OFDM510N70FTMEBUSINESSANOPRO�ESSIONSCOUE.AND Z W UCENSE 6 N Flhl iORCE AND EFFECT. m � LICENSE CLASS LIC.NO.���,����_ . � . i�--, o�� corrra�croa�IY1�j�C�' a � WORKERS'COMPENSATION DECIARATION � = U N I HEREBV uFlRM UNDER PENAL7V OF GERIUM ONE OF TNE FOLLAYANC OECUMTIONS: CA Q � _IW�`/EMIO�ICMANTAtNACERTIFICATEOFCONSEMTOSEIF�NSUREFOi1N'OPXERS' � S - �i GCAAPENSA'iION,A4P�DEDBVSECT10N�70oOFTMEtAe�RCaOE.FOf1TNECERFORAIANCE W OFTME WOfIK FOfi WHIC/1TMIS VENMR 19155UED. .Lr � Q _�NAVE ANp WILI,WMNN WORNERS'CdIPENSATqN MSURANCE.11S REOUIRED BV SECTION � �700 OF iHE U1BOR CODE FOR 7HC FERFONIAANCE OF THE WORK FOH MMICM TMIS iERMR IS � � ISSVEO.►f�Yy�o�/K�ER5COM7EHSATIONPlSUNANCECARiUER�NOPOI�CYNUMBBNME: . CONSTRUCTION � tMruEN.//`QT�^ �� f n^'O/� ___ PUW REVIEW � pouCrNuuBER� 0�,��rL'�� ELECTRIC � " � � � p �Ss�c�pN�HpreEon,nEreppcnep�+r.rtsroqon[Fu,or�poat�sR+aqa�tEss� PLUMBING Z ICERTIFY7MATW/HEVERFORMAHCEOFTHEMUWCFORWNIp1TMISPERYITI5153UED,1 MECHANICAL � (,�' SIWINOTEMPLOYN�YPERSONNANYMANNERSOASTOBECpAESU9lfCTTOTHE y WORKERSCdAVENS�TIDNUW50FCAL�FORNIA,/fDAGREETNAiIFIS�KK1lD9ECOME INSPECTIONFEE . S ' SUBIEGT TO THE W01IXER5 Cd.�PENSA7qN PRONSICNS OF SECTION 770a pC TNE UBOR COOE,I SMALL F01i7NMTN Cd.17LY WITI iMOSE Pf10VISI0N5. ISSUANCE O SMIP p DA1E: APPLICANT. . W ENERGY P/C WAiWING:fiUlUliE TO SECURE WOflKEA9'COMPENSATqN COVERA6E IS UNtAwFUL,ANO�.�LL BE r"'y 6UBJECiANEMPLOVEATOCRIYINALCENALTIESANDCMLFINESUPTOONENUNOREDTMWSAND ENERGYPERMIT DOLUIRS(1t OO,Ooo),IN ADDITION TO iHE COSTOF COMPENSATpN,OM�l6ES AS PROVIDED FOR IN J SECTION]70�OCTIEUBORCOOE.INIEREST,/NDATfCkWEYSFEES. - RETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � INEREBVAiFIiWUNDERPEN�LTYOFVERJUitYTFL1TTMEREISACONSTRUCTIONLENDWaA6ENCY - � FOR TNE iERW RMANCE OF TNE WORK PoR WNICH TMIS PEHMR IS ISSUEO(SEC.70W,qV.G} � � IENDER'S NAA1E . . � .. . . . � LEHOERSADORE55 . � ICENTIFVTHATINAVENE/1�TM�SAVPUCATIDNANDSUTETMATTIIEABOVENFOpMA710NI5WRRECT. TOTAL FEES � � � � IA�qEETOCOMVLVMATHALLCRYMIUCOlMT1'CHD�NANCESMlDBTATEUWSRELAi1NOTOBV4AiNO � CONSIRUCTION.IWDNEREBVAUfHOIiIZEREGRESENTATIVE50FTH15CalMTYMENTERUPON7HE � , ZABOVE�MENIIONEO GROFERTV FOFl WSPECiqN PUR COMMENTS � � 1��� 0 � � ' ,/ � ,�•��� , � GERMtTTEE NA4E(P � � ' � �, �--,G� �S�'�- vj SKINATUNE OF PE 0�T ' i. � , RECPT:NO.� PA1D BY � � �VALIOATION WHITE-0epartmenl Copy,YELLOW—Fnence Copy,PINK�Aaseasa Copy,GOLDENROD—Fiie Copy,GREEN--Applicant's Copy .. T . . , .... - �.�.... .. ..f. . _..,. ......., . �..� . . . . . .. . , � � .. .. .. _ , . .... . .. .. .... ... . ... . . _ . , � . .. . ��� . . . �._. � CITY OF DIAMO DtBAR , ti ���,,;�;�,`; •.r�.�c��...;��•.�- �,::�iv;,�:�;:;'-INSPECTION�RECORD 7": . :':.i ;--,; • ;:�>t-r�� ,:.�;�: � •-a .'/c,;;,t, �T `� >, � �;` �� .... �t �C�' '��+� :;; � T�� �'��'►.�.���`�� s�.����� � ►�� - ���� � _ �.����,,,;,,,.^� ;SETBACK _ �rU I ;� �.��•;� � _.}.r' _�.! �:o.r; �FLOORJOIST ,. �, �; s�� :;;,.,. � �`; FTGS/FORMSISTEEL:'-`' '_. ,.- ._-- =" --- _ . _ FHAREQMTS--- -- --- ., . . _ ._ '_�;� `- .. -�-- �- - . � �� jELECTRICGROUND----_ ---'":;»� --------- - --- 'UNDERFLOORDUCT •", -- - '"' -�.-�;�---'•�``. ! �.: . � _ - _ __ _ _ + ,-1.,....><..` , IGROUND PLUMBING :,, c-�� : UNDER FLOOR COPIDUIT �,� - ,� ���• � . ,�• - •- . ' ISLABGRADE ------ ti :; ------ -- -- -- - r�: :-�! � FIREPL'�i FQt�N '�1 ION''�> •.;.<<--`-�-,i,,,-f.:, �� � ( �� - ----— -- ___ ; . _ ,, - — �TEMP P�WER- ---- �. �� , ; -{ , , �- FIREPLACE BON�BEAM' _ - - - __ ,� �,,� VJATER SERVICE - - ----__--- - -- '" -- - MID HT.BOND BEAM�\��;:- 3=� :��Ya1 '��^`,�; r:�� :: ,7�;-=�.? �` ;:, i �- �::.�.�'t \= �:•,��� .� , � , ;ROOF S� `LbU Gr ,:� :a ,_.., 8 F,-.BoNa:� .. ,,;. .,:. .:. � � r _ _ , - FRAWtth C� �`IUAT� " ��.�.' ..:"�� ,��t.:���= FINAL B'OND BEAM • � ' . �` � ; ROQF�OV f� :- ;__ � ',Z�o � ' : ' PRE-GRADING _ _ . ._.__ . .--- - _ -- - , ; I . 'ROUGH fiEATING --- _ __ �: , , . - - - BENCHING _ __ _ - - -;-- . .,:-_ -------- .;.,:, I • ; BOUCaH_ELECTRIC—!._. ;�r_,,-� '_- -' --i_-:'� ;.. ; ROUGH GRADING--- -._-- --- - -----_ ---� --_ . ___ i ROUGH PLUPJIBING--�-- -------- _.. __t _-'--�.' . FINISH GRADING � SHOWERIfUB TEST-i - --- - --- -----, POOL'EL.ECTRIC ` . �: �- EXT-L4TH/SIDING- ---- --_- - __ _ _- _.____ ... . . POOLFENCING ' ' ,_ •.. , ,�, ,. �: WALL-iNSUL-ATiON _^_ _._. --- - __.^_'_�_ -_ PO�L FINAL : � . � CEtLiNGi�:StJLATION -- . __ _. _ - -- :... � --.-___ _ OFF SITE IMPS. _ , ,_ , � -' � : , ' DAY4VACt NAIUNG -- - - _ _ ----- �EDICATIONS., _ ; � � 'SEWER -- ----- -- -- --- ---- --- - -- ---- - FINAL ENG. . , , . , , '.: , ;;. SEPTICTANK LANDSCAPE/IRRIG. ' ' • SEEP FIT/L.L._ _. � . -°---;,•-G'1���'i.. ,ON SITE IMPS... ,. � „ ,� ,; G.AS AIR TEST_; _ ' °, ';' FINAL ZONING " , ' ' _. T FIRE DEPT.FINAL . : � • FIFJAL_GONST.. _--_ _---- $'2.d�_ __ _. .. �_- F1N.ALHEATING ___---_- _.._.__ _ . __. _ ._--. HEALTH DEPT. FINAL --- --_ ' � -�----- ;'� .�INF,I-ELECTRIC_---___ - - DEV. FEESPAID - ---•- -_ _ . --_.--- ---- ------ - 3 .f:;.}p.t PLUMBING. __ _- _--_ _ � - -__ . _ ENERGY . . , .. . , . .. , ,,,.,.. , , ._ ____. _... --- -- � _ _ --- - ___- --- _ _ _ � :._.__ . - ._ _---- - _ . _- -- _._ ------ - - - . ___ .___ _ Ic ,;�)�,a� :�er c�" .� , . >.-�� � - - �- . . .... _ . . . ... . - � - .-7 �� a�lL.t1�K ti,.� � � . L -` � _ - ., �._._ .-----...---- -- ---- - -___ _ _ .. _ ._ ..... .. a � . . ... •,' _{'t� , .. \ �:�G \ `'`'.\ 1 --. _ „ 1 `.\ =Z . ` ' COMMENTS --- - __ .. _ .. . . — -_ — .- . , . , � . , . � �.,, _ ; �_� .. . _, , , - - , �; , .,`�� _ �. , ,. , ,. . , , , `�7-�'-`--;; �--�. ,,-� �.. ,.{�\�:` - _. y . , ----. _ _ - - _ � � I _ _ __ _ ,_,_� , _ _ _.. . ._._ <<<=_ � ��-.M=;.l_.i --. _ ~ . , . _ _ . _ _ .j. � ���� >, ;;�, ; ,. . � . . , . . , , _ ,. ,. ,,,,. . , , , ��r-, ;. , , , . , - ---��..t�,�. -- - — - � � , . . ____ _ _ -- _ . _,� _ -,s z i _ _ _ _ _ „ :-. ---. _.__ -- ._ ___� . _._ ._.__�__. - -- - ., , ;, , . . _ . , „ . , T�.;, . , _ ._, . SEPTIC TANK SIZE - , ' .. „ :': , - , . . n . : _ ,__. . . „ . ,, ,� , . _.„ SEEP PIT/U SIZE - -- - ---_ _-- - _.___ _ - _.... -- - - ., � _ . - - __- ---- _-. ,,. .. .. � _ _- . �;.. w__.: :_� �._.: . ...,_ __._._ . . _ - - _ � . � . . ... _„-.;._ ___ � .. - -- -- - - - r.,.�.� ..F..�..�. ....____......_ .�r:��.;.�..., . __ . . _ ._ .. . . _.. ... . __.. . . . ._. ___. ._._ _...___.._.__._ ._ . 1. i ,,. ' _ .� . . i�-���.� •�. _..__ . . ___. ._ ... . _. ._ _ "_" �f�. � �5 C. ' �-�1�.l I '.- . . . _'. ._.__"' . .____ _.1 '� �. r .rJ'- �-.. _� . . .'.; j,� ., '.��'.. .. ,., �� .:1� " t ' :I� . ... . ,- , .', �� r , _ . . :; . ;: _.... ._ . ..`.;._ _;._ :.�i- _ _._. � . . . . . . - - - -- .. . l\�, ' • - � .__.._ � � , . _ .. _. _.__ ---_ _ _ __ _. . �� ... , _..,__ _ -_ v'�� �.S -� - � � � ` _ ,:.-, -' ,; �� ` , ._ �_ .' p +��'/_ .. _. _ �1 C' - _ .._ . . �� ��'��ZC 'l�_. ._ ��`:1. "'_", _ .r�� _:. .� . . . �- ., ..... ,.�„��� .. .C.I�.,.,��.c. . .. , ,. , i. ; ., . ,-, . i . 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