Loading...
HomeMy WebLinkAbout11915 CITY OF DIAMOND BAR � � �� � � -- �� -- DEPARTMENT OF COMMUNITY 8c DEVEL�PM�NT S VICES � �� 21660 E.Copley Drive Suite 190 � ' . (909)860-3195 Faz(909)861-3117 PR ESS � �`'�'�. BUII.DING PERMTT APPLICATION ' . FIRMLY � JOBSITE _` APPUCATION �� �L PERMIT �� P!C o ADDRESS �LZ�n�-� �. �O�St�11.i[7S DATE NUMBER N � � ISSUE TYPE , aCC APN OT TRACT - DATE CONST. GROUP p OWNER � ' �` ADDRESS T � ZONING SETBACKS � � CIN ZIP��TE FFONT RW ❑ - APPLICANT TEL. REAR ❑ � SIDElSIDE STRE RW ❑ CONTRACT (S t� SIDE ❑ ! � C�E S � Z�P TE PROPOSED 11SE �f'T n � ��tn � ARCHlENG/ ` �� • , � DESIGNER : ' ' ' N0.OWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SO.FT. FACTOR PSF' ADJ.AREANALUATION N . Q ,, . OWNER-BUILDER OECLARATION I SFR/ADDlREM '`- ' O , . p I HEREBV AFi1PY U1DER FENAL7Y OF VEiWiiY THAT I MI E%EMPT FRdA TNE CONTMCTORS L4 G8fep0/C8ry0fl � � Ll.i �CENSEUWFO{I7HEidlOWN�REASdJ(SEG70.ti.lBUSWESSANDDROFFSSIONSOODE:ANYCITYOR ! (� -� COUHTI'N411CHREWIRES�PERA/RTOCOf15iRUCT,ALTE0.MPROVE.DE1aOLI5H.ORRE7AIRANYSTRUG . W P3110IDBCk . -.. .. _. ...-....i. .. ... ..,._............, . TURE,iNqR TO R9195UAHCE,AL50 REOUIRES THE APPLICANT FOR SUpI PEFUAIT TO FILE A 61GNE� � � � ����� � BTATEMEHf T7AT HE OR SME t5 110EN5ED VURSUMff TO hIE FROVtSiONS OF THE CONiIiACTOR9 L4 W , � � CENSE UW�QIAPTERI(COGMEHCNO YYITM SECTION 70D0�Of DMS�ON 7 OF THE BUS�NE55 ANO PFO� u- PaoVSpa FESSIONS COOEIORTHAT HE Ofi SHE IS EXEMPT iHEREFROM AN�iHE BASIS F011 THE Al1EGE0 EXEMP• TION.AN'/�/IOLATIONOFSECTION1071.68YANYAPPLICINiFORAPERMITSU&IECTSTHEMPLICANTTO Z qe.qool F �ACIVILiD1ALTYOFNO'TMORET1UWiNEHU�DRE�DOL1AR51t5oo).} ' . . , . , � 04�^dYM�EROFiHEPROPERTY,ORMVF1A7lOYEESWITHWAGESASTHEIRSOLECOAIPEN5AT10N, � 0 COf11rt1BfCL71 ' YALLDO iHE WORK.AND THE STRUCTURE IS NOT RlTENDED OFi OFFEIiED FOR SALE(SEC.7G�,BU51� . J N NE53 A11D VPOFESSIONS CDOE:TIE CONTMCTORS UCENSE lAW DOES NOT APPLV TO IW OWNER OF = � , � PROPERiI'YM1q BUIIDS OR M7ROVES TFIEREON,l1NU N1�O DOES SUp1 WORK HIMSEIFOR HCRSELF OR Q THROUGHHSORNEROWNEIAPLOYEES.PPAVIDEDTHATSUCHIAIPROVEMENTSMENOTMErIDE00fi m � t�l OFFEREUfORSl1E6,H01VEVERTI1EBUlDPlOORMPROVEMEMiS50lDWfTMMONEYEAROFCOMRE� � �'TqN,111E OWNER�BUILDER NALL HAVE iHE BURDEN OF PROVWO THAT ME OR SHE DID NO7 BUIID OR . IMPFiOVE FOFi iHE PURPOSE OF SALE�. W 04�70WNEROFTIEPROVERTY,IWEJICLUSNELYCOMMCTNOVrtTHLICENSEDCONTPACTORS ¢ TO CONSTRUCi iHF PR0.IECT(SEG lOM.BUSINESS IWO CROFESSIONS CODE THE CONTMCTORS U• V01UflIlOf1 AQI.AREA " LLJ GENSEUWDOE9NOTAPRYTOIWOMNEROF�VROVEHTYWHOW4DSORIUPROYESTNEREON.AND 1 � � W1qCONiMCf$F01iSUCHVHOJECfSWIlHAWHfRACTOR�S�LICENSEDPURSUAHTTOTMECONTMG QUANTITY DESCRIPTION � - - FEE " �� � �oavucexsEuw.� � T OIAIAE7(EAIPTUNDERSEG B.tG.C.FOR1HiSREASON � �I II � � G � 1 � � � ' I ' f DATE ' OWNER ' � ..� . � LICENSEDCONTRACTORSDECLARATION � �j �— • � � INEREBYAFFIRMUNDERPENALTYOFPEM1AIM7}UTIAMLICENSEDUNOERVROVISIONSOFCHAPiER �. Vr . ; � .� i(COMMENGWOYAMSECTION7000)DFOM510NJOFTHEBUSINESSANDPROFESS�OHSCO�E,IWD Z TC IAY{JCENSE IS N FlA1 FORCE AND EFFEG7. Lil m �� � UCENSE CUSS ' UC.NO.� �� ' .�� � . � 2 � ���,, � � �V OATE �y�I ' Q� 'CONTMCTOR ��A D �NS 1� a . W ��� � WOfiKERS'COMPENSATION DECLAMTION a = U �� � IHEREBVAFFGUAUNDERPEN.LLTYOFOE0.NRYdJ[OFTHEiOLLOWIN�OECLARATION � � � ' � � � � �� � � Z . Q � _IHAYEAND'MLLIAIUNTAINACERTIfIGTEOFCONSENTTOSELFaNSUREFORWOPKERS' S COAIPENSATION.ASVROVOEDBYSEC710N�7000FTNEUBORCOOE,FOHTHEGERFORAUNCE `U OFTHEWORKFORWHIp17HISPERIARISI55UE0. , . � 0 Q =1 HAVE IND 1"/ILL MAINTAP�W�DPICEI'S'COAIPENSATION MSURANCE.AS RCOUIRED BY SECfqN 97000FTHEUIBORCOOE.FORTHEDERFORA4WCEOFiHEYYOPXiORWMICHiHISVERMRIS � ISSUED.AfYN�ORKERS'C04PENSATIONWSl1RANC CARRIERMIDPOLICYNUM6£RME: CONSTFlUCTION . - - .._...ST"4'f� ...r'ti�� ' P�aN aev�euv . . . _ . .. ..._. _ . ._ --- — - �, CMPoER . � POLICV NU�IOER��Cis���— S �Q? , � �LECTRI , � - 0 (TVG55EciICNNEIDN0TBE0ChitETEDOFT1EPEii��tisfORONEFLf�DI�EDDolllfs6�ro)aRtE5S1 PLUMBING W � �.�1ECHANICAL � � Z 1 CERTIFYTHAT N TME PERFORMANCE OF T1E WORK FOR WHICH 1HI5 PENAIT IS ISSUED.I (,'J 6HIILLNOTEMPLOY/NYPERSONMANYMANNENSOASTOBECOME"tRJECTTOTHE � WORKERSGOMPENSATIONUWSOFG1LIiOfW1ti11NDAGREETIIATIF19FKK1LDBECOME INSPECTIONFEE , � SUBJECTTOTHEN'ORKER5COM7ENS�TqNVROVI510NSOF5ECilON77000FTH[IABOR - � �� ' �� � �� CdDE,I SNALL FORiHWIM OOMPLY WITH iMOSE PROVISIONS. ISSUANCE � � J-�App�ICANT;_Iy51,4'h1D c�.lsr� SMIP . WTF: . WAqNINO:iMI1RETOSECUREWORKER3'CdAPENSATIONWVERA0E15UNLAWFULAh95HALLBE ENERGYPIC � SLIBJECTANEYVLOVERTOCRIMIWLLGENALTESANDCNILFPlESUPTOONEHUNDPCDTHIX15AN0 � ��ENERGYPERMIT pq,URS(f l00,000�,IN I�DOITION TO THE COST OF COAIPENSA7IDN,DAYAGES AS PHONOED FO(i IN . � � SECf10N170eOFT}IELABORCODE,MTEREST,ANDATTORNEY'SFEES. ' � " ' - REfENTION FEE: a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � O � IHEREBVAFFliiMUNOERPENALTVOFPERJURYTHATTHEREISAGONSTRUCT10NlENDINOACENCY 2 FOR THE PERPORMANCE OF THE WOFK fOR NMItl/THIS OEIW IT IS ISSUED(SEG JOY7,dY.G). W � � �� ' � LENDER'SHAME . . .. . � � � LENDER'SADDR[55 � W �CEq71Fy7W�TIHAVEpEAp7HISMPl1CATqNANDS7A7EiHATiHEABOVEINFOWAAiIONISCORRECT. TOTAL FEES � � �✓ � �� p� IIIOREETOCOMVLYWIiMI�LLCITYANDCOUNiYORDININCESANOSTA7EUW9RElATINOTOBULDINO , � CONSTRUCTION,ANDHEREBYAUiFqRREREPRESENTATIYE50FT115GOUNTYTOffRERUPONiHE . .. . , S� ABOVE�YEHTIOHEDVflOPERTYFORWSPECfIONPURPOSES. . COMMENTS � � ��STII�� lA�—�—E.Y .. : ' m VERMIITEE NAME(PRI� Q� �JQ.� . ¢ � � �C��7C/. � . . . N ' � R�O MITiEE ATE; � . RECPT.N0. PAID 6Y VALIDATION _ WHITE—Oepartment Copy.YELLOW--Finance Copy,PINK—Assessor Copy,GOLDENROD—Fib Copy,GREEN—Applicant's Copy . ly♦ �C:"a�i���� Yi .t�.,f�rl•��'.�M1... . .' 1.. � . 1. .y_'� � � � �y�'• , ��t� . v: ���;..,.�:r •!': Y�.;�•. �'I� . . ��' , .. `r.ra,�� •.r,�_ .�-�!�•vi�.l��. . a.,rM�1:R� � .��'IL` '` � � :Y. ��..,�. �� .. ,�� � �I ,� .,� OF DIAMOND.BAR ,.; , _ :, ..�� x. ,� �, . . � , . IN ECTION RECORD . . � . .. �. . .. , .. i ,.; . , . . � � � � • ' • � � • - 5ET BACK . ; c 1 �� � , �� • �� . FLOOR JOIST : . � . . .. ; , FTGS/FORMS/STEEL = � FHA REQMTS - �� - ��- - -------- ---- - -� -- ELECTRIC GROUND . : .: . � -. UNDER FLOOR DUCT " �-- - " � '. GROUNO PLUMBING � ' UNDER CO�IDUIT �' :�, ,'� _ : -; �. � " SLAB GRADE -�- � � I FIREPLAGE FOUNDATION '- � ' ` � •' ' , ...._ _ - -•-- --• � . TEMP POWER :" -+� C?; =�` `; =.' '" I FIREPLACE BOND BEAM . - ., . ..-� 1NATER SERVICE. -_ _ _ --: ... ..__. . . _.. �.: - MID HT.BOND BEAM - • - ' . ,. ,: ,. ,., . , � . --- '`.,. „ �. ,, . . . _ .. ' __ . . . .. . ' _ I . RQOF SHEATHING !+ �,-r•i: t.'� - � '' '"� `' 8 FT.�BOND BEAM • � ' ' � FRAMINGNENTILIATION _ FINAL BOND BEAM ' ! '. � ROOF C�VER. " � :,:: PRE-GRADING � � - � -- - � , _ , � � - ROUGH HEATING - .,. _ _...- � ------� -- .. .._. . BENCHING. .. . . . �� ` -- _.... Y�..; ! � ROUGH ELECTAIC -' -- �� -'-' ` ` ROUGH GRADING • '• ROUGH PLUMBING . -- - -�� '1 - . FINISH GRADING ' ' � -SHOWER/TUBTEST� �� -- '- - - POOLELECTRIC ' . . � -. EXT.LATH/SIDING ` ' � POOL FENCING ' ' ' .: . ; ... WALL INSULATION ; � POOL FINAL ' CEILING INSULATION �- • �FF SITE IMPS. ' � �= DRYWALL NAILING ' DEDICATIONS ' � � 8EWER --- _ ' ' FINALENG. ., , , , i . - -.. _ .. __. .. -- _SEPTIC TANK_._..__.. '..._ ..__ . .. .. . .. . ! --. -- - LANDSCAPE/1RRIG.. � , SEEP PIT/L.L.-.-_-- .. - . . :..- . .. . ... ON SITE IMPS. . � � GAS AIR TEST'' - - - -- • - • FINAL ZONING + FINAL CDNST.� ; ' - • � - � - FIRE DEPT. FINAL' � - ; FINAL'HERTWG' - ' -" ' • • - HEALTH DEPT.FINAL � �-! FINAL'ELECTRIC _..--- _ _ . ._. DEV.FEES PAID . _ I:.. -. ...... . ..-, ;, FINAL PLUMBING ENERGY ' � , , _ , . . * �e � •._ . . i — �__ .. . .. . . _ , . . _ __ . _ ._ _ _ � •_ •- . - . . I ,. �COMMENTS .� � , ` ?- � . _ _ � , _ ._ .. _ _ . ., , ; , _ ._ ,.. .. . . ,.. ; . �, , � _ . - -- - -- - �� ,, , ; � ; ; ., . _. ... , . , � . . , . ,; , .. , , _ �. . � ; i�� , � . ; . . .. . , " i' , , . � ; , ._.. _. _ ; ; � . -- . _. . � ,. � ' , i �. � � .. . . . . _. . . � � , , , _ _ _. - _ _ . _ , , ; SEPTIC TANK SIZE . ... . , ' ; ' ' " ` . ' ., , . SEEP PIT/U SIZE �*-* � ; �..., „? .. k�t . ,� i . .. , .. � ; ,, _; . ' , , , . •-- .. � ; . „__..r.� '' . � � . . . _ . ' i � � . ' I i ' . • , ,. ' -, , , • +.,. _... _ . . � ; � i • _. � -- _ . . - . , .. '._� _ _ , �� . . .. '�' s .. . _ , � ' . i , '� � � , ` - - _ —•-•- - � �.