Loading...
HomeMy WebLinkAbout13371 J� _ 1 CITY OF DIAMOND BAR � � DEPARTMENTAF COMMUNITY&DEVELOPMENT SERVICES � . 21660 E.Coplcy Drive Suitc 190 (909)860-3195 Fau(909)861-3117 PRES$ ���'� BUILDING PERMIT APPLICATION FIRMLY o DDRIESS �Z U"'f'C�'N �� � DATE CATION a� f(�,,,g� NUMB R / ✓ �+�I �� ! �r�� D I � � . issuE Q TYPE OCC APN LOT TRACT DATE �^ 3 � { � CONSL GROUP °C OWNER • A 0 o ADDRESS O �T '�(�{ {.�.' ' '�ZONING SETBACKS "' CITY QIAM'bNO ,.L ZIP�'J(� TEI. FRONT RW ❑ � APPUCANT J.YY1. '(�LI�N TE FiEAR ❑ � SIDE/SIDE STREEf RW O � CONTRACTOR SIDE ❑ ADDRESS ,�1,,�,,.� � CJT'Y ZIP TEL PROPOSED USE��' � G�C�T7.FLJ1'S�(N�_ 1�11�J�O9[u� w ARCWENG/ �-�iTC`+.'�L-.�A` F►RG 4� � DESIGNER J •M �j �' NO.bWEL � NO. t.� NO. n. ADDRESS � CfTY Z�p�p�, TE � UNITS STORIES BEDROOMS � u� DESCRIPTION Sa:FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION . SFFiIADDlREM O � 8 1 NEREBV AFFliW UNOER VENALTY OF OE0.A1M THAT I IJA E%EMCT FRdA THE COATMCTORS lL Gefe901CetpOR ' CENSEUWFORTHEFOItOVIW�REA,.CN(SFC.70.71.68USwESSANDPROFE5510NSCO0E:ANYCrtYOR � (f� C� COIMT'fWHICHRE0UIRESAPERMRTOWNSTNUCT.ALTER�PROVE.DEMOlISH.ORREDAIPMIYSTAUG .. W PatldDedc � . b 7UHE.ORION TO ITS ISSUANCE�LSO REWIRES iNE APtt�CANT FOH fiUGI iER1AlT TO FILE A SiONED � STATFMEM T1UT HE OF1 SNE IS UCENSED PURSUANT i0 iHE PiaOV151pN5 OF THE CONTMCTORS LF . . � CENSE UW(GIMTEN Y(COb�MENCWO W7iH SECiqN JOW�OF DIVISqN]OF iME BU51NE55 M7D YRO� � PooVSpa � � fES5qN4 CODE)OH TM.�T NE ON SHE IS O(EMPTT/EREFR04/JJO TME BASIS FOR TIEALLEOED EXEMv- TION.NIYVIOLATIONOiSECT10N70]7.69YANY�PVLIGNTFOqAPER1AiTSV&IECTSiHEMPLIC}NTTO Z qa.pop� �„_, A GVIL iENIY.iY OF NOT MORE 7Ww FNE MUNDRED DOLURS(SSUOI.Y• � � . � O�A9dVMEROFiHEPROVER7Y,ORMVEMDLOYEESWITHWAGESASTHEli150LECOMFENSATqN, � L`pmmefCl31 . � YA1100 iHE WOitlC,AND THE STRUCTURE IS NOT MENDW OR OFFERED FOR SµE(SEL.7W�,BU56 . J N NE53 A!ID VROFESSKNS COOE:THE Cd1TMCTORS UCENSE UW DOES NOTA7PLY TO 11N ONMEN OF = ' PROPERTYVM1108URDSORMPROVESTMEREOf{AHDWFIODOESSVCNMNRKHIMS�FORHERSELFOR� � i/aid/OMM30AMEROYMEMPIDVEES,GROYl0E0THAT5UCHMPROVEMEMSMENOTMENDEDOH m �FFFAID FORB�LE-�F.Fq4YEVER7ME BUM1DIN�OH IGFROVELIENTIS SOLD WITIYN ONE YEAR OFCOMPLE• : Z �TICN,THE ONMEh8U0.DER WILL IUVE THE BURDEN OF PROVINO 1HAT HE OR SHE OID HOT BUIID OR . . . . . = MPf10YEFORTNEPURVOSEOF3AlE} � . . W 04�OM�NENOFTHEVROPELRY,A/AE%CIUSNELVCD/1TRACTINUWRIILICENSEOCON7RACTORS (= TO CONSTFiUf,T iNE PROJECT(SEC.7DN,BUSINESS AND PROFESSIONS COOE:THE CONTMCTORS LF V8IU8SIIX7 ADJ.AREA � �' � ' ' ll� CENSEUWDOE3NOTAPPITTOM70YlNEROFAVROPERT7WHOBUILDSORMPROVESTMEREON,AND l• MINOCOMMCTSiORSUCHCPWECTSYATHACONfMCTOR�S�UCEN5E0iURSUANTTOTME00NTRAG qUANTITY � DESCRIPTION � FEE j�•• TOR9 LJCENSE UWJ. J 0 O IAM EXEMMUNDER SE0. B.t V.C.�OR h115 REASON Q . . .. . . . . . . 3 c.� . . u.. ¢ OATE OWNEq � U , � LICENSEDCONTRACTORS�ECLARATION W x�>----� � IHEREBYAFFUWIMDERPENALiYOFVEIWMTHATIAAILICENSE0UN0ERGROVISIONSOFdiAFTER �, , � Y(CpAMENCINONrtTlISECf10N7000JOFDMS10NiOFh1E8U5ME5SAN07ROFESSiONSCOOE,AND MY UCENSE IS N FULL ipqCE AND EFFECT. Z ♦ () . {� � ��r�v � UCENSE CLASS UC.NO. . .. . � •• • J ��i�%.111 1? V MTE CONTRACTOR 6. , _ j . �. . � W _... '., vr �T � WOFiKERS'COMPENSATIONDECLARATION a +��+• ' •-- , = U � IHERFBVAFFIfU1UfAERPENAITYOFDEfWMONEOFTHEFOl.lO'MN(70ECLAM?IONS: - ' Z � - - � �� 0 ��INAVEANOWILLAWMAMACERTIL7CATEOFCONSENTTOSELFaNSUREFORWOfiKERS' Z � COMPENSATION,/�SPROVIDEOBYSECTION37o00FTHEl►BORLODE,FOR7HEPERFORMANCE U Q OFINEWORKiOqNMiCNTMSVEiWITISI55UFA. � C Q ��HAVE M'D WILL MRRlTA1N VJOi1KER5'CdADENS11TIpN MSURANCE,AS REOUIRED BY SECTION 770o OF TME L/�EOR CODE FOR THE PERFORMMICE OF 1ME WORN FOHYMId1 TNIS PERMIT IS Q�] � tS5Uf0.MYN�ORICERS'COYPENSATIONINSURANCECARRIERANDVOLICYMIYBERARE CONSTAUCTION v + � �O ?. CARPoER PLAN REVIEYY � � VOLIC`/NU118ER ELECTRIC � (M1cSSECIUNtE�N(7fBENAs�ETmOFTlEPEPMTISFi7ii0NEV4l,ORFD00liK6R+�lORtEs51 PLUMBING Z ICERTIFYTMATMTNEDERFOIWANCEOf1HEWORKiORWNIbiT11SVEPMRI5155UED.l MECMANICAL � (,'} 5/NLLNOTEMVLOYANYPERSONNMlYMANNER30ASTOBECOMESVBJECTTOTME (n YARKERSCOAIPENSATqNUM50FCALIFORNUIINOAGREE7NATIF15MOULOBECOq�E INSPECTIONFEE � � SUBJECTTOTHEWOpKERS•CpAVENSI.TIONPRON510NSOFSECT�ONf7UOOfTMEU80R - � COOE,1 SMALL FORMW�7M COM7LY WITH TF105E PqOYIS10NS. ISSUANCE I OQ � SMIP ��p p OATE: APPLICAM: - � � � ENERGY P/C WMNINO:fAILURE TO 9E WRE WOi1KER5'COMPENSATION COVERAOE IS UNUWFUL,AND SNALL B[ (�y SUBJECTANEMPLDYERTOGRMINA{,iENALT1E51wDCMLFwESUPTOONEMUNDREDTHWSMD - ' ENERGYPERMIT DOLURS(ftoo,o00),N ADDITION TO THE COST OF C0IACENSA7qN.DM/AGES AS VROYIDEO FOq IN � SECilON�7o00FTHElABORCODE,WTEREST.ANOATTOiWEYSFEES. RETENT�ONFEE: y� �Op �� p CONSTRUCTION LENDING AGENCY P LT FE��^E///:�����,��n� � � .� I HEREBYAiFIPoA UNOER PENALTYOF OERNR'/1N�TTMERE IS A CONSTHULTION IENDW(I AOENCV ��G� ' FOH TME PFRWRMANCE OF THE WOFK PoR WHICM TNIS VERMIT IS ISSUED(SEG.]�Yl,GN.CJ, � IENOERSNAME � � ' � r � � LENDEH'SADORE55 � 1 CERTIFY 1HAT I HAVE READ 1HI5 AOPUC�TION M!D STATE TU�TIE ABOYE NFORMATION IS COPAECT. TOTAL FE ES W IA6REcTOCOMVLYWITHIILLGT`fANOCOVNTYOROwANCE5AND5TATEUWSRELATINOTO&lilDIN6 ' � CON57RUCTIDN,ANONEREBVAl7T)qRREREPRESENTATNE50FTWSCDVNNiOEMENUPONTHE � � S� �BOYE•MENTqHEOPROFERTfFORW3PECT10HWRP�[S. COMMENTS - � � U�� . _ ¢ iERM EENA4 � � / U� V � S16NATUR OF OATE , � _ . RECPT.NO. PAID BY VAL�DATION �WHITE—DepartrnentCopy,YELLOW—FinenceCopy,PINK—Assassar Copy,GOLDENROD--File Copy,GREEN—ApplicanCe Copy � - � � � � � CITY OF DIAMOND BAR � . , ., . .. ... . . � " ' ' � INSPECTION RECORD� .' _. . . � . , . _ . . ; � . e a F � • ' � � . . � . SEf BACK 1 i ,- �- . � : .- ''� �;'.. FLOOR J015T � ,��.� ;i j:, -,1'�� t � �� � _ . . _ . . .. . � . FTGS/FORMS/STEEL � ;,•,�.. �_ _ �;, FHA REQMTS � � � - - ELECTRIC GROUND -- __ -__::.' � _ UNDER FLOOR DUCT .; ,. ; � ,"..1 , GROUND PLUMBING UNDER FLOOR CONDLJI�' ✓�!f� i•-•'';" ._`.' `!'^;:'` SLAB GRA�E _ FIR lA E OUNDATION ,-' ;';j ._.i!•� ;-``,.' ,'';� . , . . . TEMP POWEfl _ _.. FIRE' ..�4C�'� IVD 6`EAM • �. - _ . .. ... WATER SERVICE - - - - . - MID HT. BOND BEAM - - - ' RO�SF SHFf�Tyi7d6�; . _ �.�--; t, s .� _.� _ 8 FT.BOND BEAM � ' FRAMINGNENTILIATION _ � �� FINAL B�A1.D EAM._.��„ , , ,._� , � ' ' ROOFCOVER -- ` �'� PRE-GRAEJIN�� V , �i=i ���%�: f�-t:�I:y�'' �t�.. , ... . .... , ROUGHHEAi'ING . _ _. _ _. BENC�tE�JC�'=t•1=C•a;-ti �r �� :•��• c 1'e,'.i�•_1;1_':1'� -ROUGH ELECTRIC -: ,- ROUGH GRADING AOUGH PLUMBING i - "" FINISH GRADING . - . ; SHOWERITUB TEST � � POOL ELECTRIC EXT.LATH/SIDING � POOL FENCING ' WALL INSULATION � POOL FINAL CEILING INSULATION OFF SITE IMPS. � � DRYWALL NAILING ' DEDICATIONS ' SEWER FINAL ENG. - __ . . __ ._ . . ' _ BEPTIC TANK _ _ _ _ _ �� . ., ,� LANDSCAPEJIRRIG. SEEP PIT/L..L. --- • ' �;� ' ON SITE IMPS. � GAS AIR TEST - - - - - - FINAL ZONING � FINAL CONST.' - � �� - - - FIRE DEPT.FINAL F�NAL HEATING - � - - - HEALTH DEPT.FINAL F1NAC ELECTRIC- DEV.,FEES PAID FINAL PLUMBING ENERGY � ; ; e� �r • � , _ - --- • - - - ._ _ COMMENTS _ _ - , . � _ _ __--_ _ _ _ _ _ . . _ _ _ , _�.ti� , � �., �, :` , . � ,c, __ _ '� l, ; , : SEPTIG TANK SIZE � - , , SEEP PIT/U SIZE . � , , i . . . _.._..... _ . � 1 �t� ,I . � . . . . . � ' . . . . .. , . . . 1 . . _. __ ._ . . . . � i ' /,I . _� ('�_1 . . , f, ., _ � ; , � , .� _ ,:', .�. �,,j _ `'`�\`'�, �� : ,� . , ��.� ��.