Loading...
HomeMy WebLinkAbout13967 (7) _ I . . _ . . , _ . . _ -- �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 2i�oE.c�i�y���s�c�i90 PRESS � (909)860-3195 Fax(909)861-3117 , . �'�TM�� BUILDING PERMTT APPLICATION . FIRMLY � JOBSITE � r � � �(/L (� APPUCATION �'�` t'r- PERMtT �'J� � P/!��� o ADDRESS � � � � 1 DATE I 7 NUMBER� M 7 � ) ISSUE '�. �------IYPE OCC � APN LOT TRACT DATE r- � � � '' CONST.�� �` -��� GROUP g OWNER M A2'<<��2 � - . p ADDRESS V '�V �� ZONING SETBACKS ' W C�Ty U ZI TEL. FROPlT RW ❑ APPLICANT TEL. REAR � SIDE/SIDE STREEi RW ❑ CONTRACTO .1�d G - SIDE O � ADDRE�S � "" PROPOSED USE o CITY ,1J ZIP TE � � � aRcweNc� �L ��1.vo1� . DESIGNER NO.DWEL NO. NO. ADDR�SS UNITS STORIES BEDROOMS � CITY `� Z TEL. � � DESCRIPTION S�.Ff. FACTOR PSF AOJ.AREANALUATION tn Q OWNER-BUIIDER DECLARATION SFR/ADD/REM O I HERE9Y AFFlRY LNDE0.PENALTY OF PERAIRY TlUT 1 JUA IXEIAM FROM iHE CONTMCTORS Ll- Gefege/CefpOfl B CEHSEUWFORiHEFOLLUNRKiHEA40N(3EC.7071.68USWE3311NOPROFESSIONSCODE:ANYpTYOR (n (� COIMTyWMCHRE0URE5AVEAMRTOWNSTRUCT,ALTER�MP��.DEM0U5M,ORREPAlRM1Y5TRUG `W patio/Deck - � TURE PRIDR TO R9 139UANCE.ALSO REW�RES THE AFPIICANT FOR SUpI PEfUAIT TO FILE A SIONED ETATE4ENT THAT NE 00.SME IS IICENSED WRSUANT TO THE PRWISIONS OF 1HE CONTMLTOR9 L4 � C015E LAW(CIUPiER 0(COMMENCwO NTTN SECTION 70Do)OF DMSION�OF THE BUSINESS AND CRO� � P�VSpa FESSqN3 000�OR TMAT NE OR SHE IS EI(EMPT T//EREFROM AND 7NE BA5�5 FOR THE AI.LEOED EI�MP• TION.ANYVIOlAT10NOFSECT10N7W1.6BYANYMPLKJWTFORAPER/ARSUBJECTSTHEMVLICANTTO Z Ro-Root �,_, ACryq,pEryAL7ypFNpTl,qqETHANFNEHUNDNED00LLAR5(SSoo).1: . ' . � 04���EROFTHEPROCEHTY,ORMYEI.IPLOYEESYATMWAGESA.THEIRSOIE�MVEN5AT10N, 0 Canmercial _ MALL DO THE M/ORK.AND TNE STRUCTURE IS NOT IMENDEO OR OFFEREO FOR SALE(SEC.70a1,BUSF J NE53 ANO OROFESSbN3 CODE ME CONTMCTORS 110ENSE UW DOES NOT AGPLY TO AN OWNER OF .__. - -.. . � � 4 ,',\�' � PROCERTYWNOBUtD3MWPROVESTHEREON.ANOVMODOESSl/f]IW�RNHIAISELFOfiNERSEIFOq = .. , . Q hIRO{/0NN180RHEHON?lEMPLO PROVIDEDTNATSUGIMVROVEAIENTSARENOTMENDEOOR m � OFFEREDFORS�LEIF.HON'EVE ILDNOOR9.IOROVEMENTISSOIDVATHQJONEYEAROFCOMPLf- 'TqH,THE OWNER�UILDER Yn HA THE BlA10EN OF FpOYINO TNAT HE OR SHE DiD NOT BNID OR = MVROVE FOR7TIE VUFiPOSE OF S W OlA30WNEROFi11EP�P AMOI0.USiVELYCONTRACTWOWffHLICENSEDCOHTMCTOP4 . � TO CONSTRUCT iNE PROJfGT I G fOH.BUSINES M1D PROFFSSIONS CODE:THE CONTMCTORS LI- V01U3I10t1 ADJ.AREA � CEMSEUWDOESNOTAVFLY ANOWNENOFAC ERiYMTfOBUIDSORWPHOVE9THEREON.AND rnqcarrrucrsroHsucN ECTSWIINA RACTOR(5)LICENSEDMJHSUANTtOTNECONTMG OUANTfTY DESCRIPTION FEE � 70R4 LICENSE UW.). . . "' ' ' . .' _ O I AM EXEMPT H SE B.i P.G FOFi THIS PEI40N � _ � u" DATE OWNER V - ' � � J LICENSED CONTRACTORS OECLARATION W � IHEREBYAiFWMUNDENPENALTYOFPERIURYTHAi1M1LICEN5E0UNDERPHOVI5lON50FCHAPTER � , k' 0(C/JAWENCNU N'ITN SECTION 70001�DM510N�OFTN[BUSINESS AND PROFESS�ONS GOOE.IWO Z W 110ENSE IS N FULL FOfiCE AND EfFECT. m � � ucvase cuss uc.No. J ' �n� ----� ��h - � - - corrtw�cToa a .,„.. = WORKERS'COMPENSATION DECLAF'WTION � ��Y1 V:`U�j� Z NU . .�n•--.'.� , N IHEREBYAFFIRMUNDERFENALTYOFPERIURYONEOFiHEFOILOYANOD[CUMTIONS: _. Z � ` ��1!`y;r . C] �I VIAVE IUAIMLL WUMAN ACERTIFlCATE OF CONSENTiO SEIFJNSURE FOR WdUCERS' -.. ' _ ..' ' ..� � . �` ' ' . ...- .. � . • ' - ' 4 COMPENgA7pN,ASPROVIDEDBVSECT10NTooOFTNELABORCO�E.FOHTIEVERFOHMANCE W � pFTHEWORKFORWH�diTNISGERMRISISSUED. _ � � �,- �', � ,� , '. _IHAVEMIDWILLIUMANM'OFiKERS'CO►�PENSATqNINSURANGE.A5FE0U1RE�BYSECTION � -/ � 07o00FTHEL/BORC00[,FORTHEVERFOiWANCEOFTHEYlORKFORWHILHiHISPERMITIS �� • �yb 153UEO.UYWORKE3iS'C01A�ENSATIONINSUNANCECARR�GRANDCOIICYNUMBEAARE: CONSTRUCTION . �a-�. V� � � �Ep PLAN REVIEW � �� � POLICYMIMBFA ELECTHIC � (nessECtICNrCmt+oiBEmAs1F(EDOFnEPERMfsiaiia+E�il�[7REDOotURSRtOc10RLF551 PLUMBING W MECHANICAL Z ICEiR1FYiW1TINTHEVERFORMANCEOiTHEWOfiKFaRMMIp11NI5PERMRL5135UE0.1 (.� SHAILNOTEMPlAYM1YPER50NNANYMANNER50A5TOBECOMESUeJECTTOTME Vj WOPo(E0.5'CdAPENSATIDNUW50FC/�LIFORNU�ANDAGHEETNATIFISHOULUBECOME INSPECTIONFEE � S SUBJECTTOME1MDpKERS'COMPENSATIDNVHOVISIONSOFSECTIDN�7000Fh1ElABOR ISSUANCE CODE,1 SFULL FOi1h11NTH COMPLY WITH TIOSE GROVIS�ONS. /, 0 SMIP '1�- p DATE: APPLICANT: � � WAiWItJa:fA1LUHETOSECURENORKERSCOAI�ENSATIONCOVERADE45UNUWM.ANDSWLLLBE ENERGYP/C SUBJECTMIEMPLOYERTOCWA1wN.PEWLLTIESANOCMLFWESUPTOONENUNDREDTHOU5�w0 ENERGYPERMIT pOl1AR5(f 7oa.00o),N►DDITION TO THE C0.S7OF COMPENSA770N.DMb�GES AS PROVIDFD FOR IN . ¢ BECTION�70lOF1HELABORCODE,INTEREST,IWOATfORNEY'SFEES. F�ETENTIONFEE: ' � ^ � L � OCON RUCTION LENDINQ AGENCY PRE•ALT FEE: ',/�lI/ � IHEREHYAFFIRMUNOERCEN OFFEiLM1lRYTMA7iHEitESACONSTRUCTIONLENOIN�AOENCY y L' ^ FORTHEVEHWRMNICEOF PKFORWMIp1TMISiERMITISI55UED(SEG]o6'I,CiV.C.�. � LEN�EfiSNAME C ,� � . � LfNDER9ADORE55 o�c ���Fy r�r i vE �nu �v ION D SUTE TNT T1E ABOVE INFONMATqN i5 WFRECT. TOTAL FE ES �y W IAfiREETOCOM Y THALL AND ONDINANCESANDSTATEUN�SRELATRIDTOBU0.AIN� n' CONSTRUCiION MEREB EHF RESENTATNESOFTWSCOUNiYTOEMERUPONTHE � - � ABOVE-MENT O iqVE ORI �E CURPOSES. COMMENTS � J � m pE i77EEN E(PRINn Q � � vJ SIG EOFVERIIITTEE ATE ' � RECPT.NO. PAID BY VALIDATION - WFIITE—Depsrtment Copy.YELLOW—Finance Copy.PINK—Assessor Copy,GOLDENROO—Flle Copy,GREEN—ApplicanYs Copy i �:. i.i4" . 'Y'.� � .i�•.. . ''l�� j l ii,l'�.;.4 y' rr�r'.;. . � )� 4A ...y�.. .i��'! 1� i'. �. :R;�,i'1:{�'T'...�..n..'a.ti4i� . ..�.....• �-....�._ ..i...�... «., _.. ��' - _t CITY OF DIAMOND BAR . '� ,. ._. . .. . . �R�SPECTION RECORD -? ,:� . p-�� �` . 1" t y�""""", �.e•. .��F � n � ��`- ,8 ,� � � ��� i��� �r".'.��,"���10,�. i �SET SACK �: �. . _ - L - � � � ':",:��1_ r� •''�� ' FLOOR O,IrS�,T:: .' ..:_.r. � �, �� „ � . , ; . � . ;Fi'GS/FORMSlSTEEL ' ' ' -� FHA REQMTS ' _ _ - - _.__. i `' ;ELECTRIC GROUND � '/� . —� t . UNDER FLOOR DUCT ' .- -- - ._. ' . GROUND PLUMBING y / UNDER FLOOR COMDUIT ' - ' `' '�`' i . .. . SLAB GRADE - '� - — � FIREPLACE FOUNDATION �', ��� '` � �� i.��i �' `i �TEMP POWER � . - � ; - FIREPLiACE BOND BEAM ' ' ! WATER SERVICE---_ ____. `; '.MID HTa BOND�EAM ;.:� :,� �, �_,. :' _;. � ' ' � � , ROOFSHEATHING � � 8 FT.BOND'BEAM ,. �_ ,�.: '� S .; -- , , ; ''FRAMINGNENTILIATION -- FINAL B ND BEAM - '' " - ;ROOF COVER PRE-GRADING - � ` 1 �' ' `' ' " � ROUGH HEATING _ , _ BENCHIN� ��}•.�-,\ '� .,�` ;. � j i .� ,, �, i , i • ROUGH ELECTRIC . � . ROUGH GRADING r -- , ROUGH PLUMBING - �%" � }'' FINISH GRADING !SHOWEFUTUBTEST POOL ELECTRIC EXT.LATH/SIDING -- • - - • POOL FENCING WAL:L INSULATION - POOL FINAL _. �CEILING INSUL:ATION - � �FF SITE IMPS. ' DRYWALL PdAILING � ��' EDICATIONS ,SEWER FINAL ENG. � � �SEPT(CTANK ,�' �,,� LANDSCAPE/IRRIG. � � iSEEP_PtT/LL. ON SITE IMPS. � :GAS AIR TEST FlNAL ZONING 'FlNAL CONST. U � FIRE DEPT. FINAL � � � ; �F1PlAL NEATING . __ HEALTH DEPT. FINAL � �, � _ , jFiN�L ELECTRIC - -- � DEV. FEES PAID -- __ ' ;f=;!�1At_PLUMBING- - - ENERGY ; ._- -- - __ . � .. • -, - ---- - �� . . . . '1'''TJl..s��.�irtw�.�1n�'.1..^S"� ....J _u ✓_� � . ICOMMENTS - . - --------- �, __ _ ___ -_ -- � I __'' .__ . ' _ . . . . , " _' ' _ ' ".—_ _" I _. � ��c��_�3_�E%1 �C�_ _ ��..� v - .����—�—.L�w�c�����j�y�. �� �',�- .�; - � j � ,' ' ' ,� . . ' ! � � , _ � � --�'� ' `.1 t,-. � i -� ,. � - v (; � SEPTlC TANK SIZE , 'SEEP�PIT/U SIZE , .� . — . �.,���--�--�------� . t , �^,� >. � d — .. i �—' i ( � ' ,� • ,..'�' _ _. . , �� � - �� � � �'�i' ..T. �,� , .. _ �, ' . . .. ._. . . , . _ . _ . - . � � . . , . . ` . .` ' . ., � ' ��1� '.. � � f 1 `1,' � / i I t�.. .:� i .. _. . . 1 . ` 1 � ..a %+.�r �l..i �\ • � i f i , � i -:� ��r .)�' ` i_1 ) 1 i . �