Loading...
HomeMy WebLinkAbout12521 (11) J� CITY OF DIAIvIOND BAR • � � EAP I R�D DEPARTMENT OF COMMUTIITY&DEVELOPMENT SERVICES ait�oE.c�i�Y�;��s�c��go SEP 10 2G02 pRESS (909)860-3195 Faz(909)861-3117 ''^��. BUII.DING PF.�tMTT APPLICATION � , FIRMLY o ADD ESS I��� 'e' I� �I�S DATE CATION I a� f Si NU 8 R S` p/C � c� ISSUE � /1 NPE OCC APN LOT TRACT DATE � CONST. GROUP p OWNER L ADDRESS.,,(��V(/�C�i�/�1ZE [�LV.D � �R, ' ZONING SETBACKS � CITY �,/4 ZIP�,�TELSlD- �Z� FAONT RW O APPUCANT TEL:�L�Q�I7'�/7 A�R � � SIDE/SIDESTREET RW ❑ CONTRACTOR SIDE ❑ Q ADDRESS � PROPOSED USE_ 'n . � . . .11 � CRY ZIP TEL � ARCH/ENG! • � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION � Q OWNER-BUILDER DECLARATION _ SFR/ADD/REM O p 1 HEREBYAFFlRM UNDER FENALTY OF VEiWRY TWQ 1 AM E%EMPT FROM THE COMTRJICTORS L6 GflfBQB/CeryOf1 � � W CENSEUWfORTHEFOLLOWMOREIISLWI5EG70.7t.6BU51NE55ANDGHOFE55lON50ODEANYCfiYON (n C� COUHTYWHIpIREWIRESAPEHMRTOCONSTRUCT.ALTERMPHOVEDEMOLISM.OHREPURAN'fSTRUG . W patiolDeck.. � V� NNE.PPoOR 70 RS ISSUANCE AL50IIEOU�RES THE AiPLICWT FOR SUCN PERMIT TO FlLE A SIONE� w � � 9TATFMENf THAT HE Ofi SHE IS UCENSED PURSUINT TO TIE VROVISIONS OF THE CONTRACfORS LF .� CENSE UW(dUPTFH Y(�MENCNO MATH SECTIDN 70o010F OMS�ON�OF THE BUSIHESS MA VRO� LL' POOVSpe fE55iON5 OOOE)OR TFUT HE OR SHE IS EXEYPT THEPEFROM AND 1HE BASIS FOR THE ALLE6E0 E%EMP• 7qN.M1YVKKATqNOFSECT10N7M1.6BVANYIPCUCANTfORAVEIW�TSU61ECT5TMEMPLICANTTO � z R6-ROOI �,,,, A CML PE W�LiY OF NOT MORE 1H/�N FNE MUNORED DOLUAs(=600).). y . . � OI.ASON71EROfTHEVROPERTY,Oi1MYEMROYEESWiTMWAGESA57NEIRSOLECOIAPENSATqN,� 0 COrtIRIBfCl2I ' YALL DO THE WORK AND THE STRUCiURE�S NOT ItlTENDED OR OFFERED FOR SILE(SEC.701�,BU51� J 1$55 MA PROiE5510N3 GODE:THE CONTN�CTORS 110EN5E UW DOES NOT APPLV 70 M/OWNEfl OF - � PFlOPEHTYNTIDBUM1DSORMVROVESTNEREON.IWUW110DOESSUC/IWORKHIMSELFORHEHSELiOR m � � � . (L hYid10F1HSORHEROMMEUGLOYEES,PHOYiDEOTHAT5UG7/IMPROVEMENTSARENOTMENOEDOR W ,OFFEREUFORSALEi.HOV/EVE0.7ME8UIlDIN00N16�PROVEMEMI550lDWfTMINONEYEAROFCOMPIE� � i10N.THE ONMEM19l1RDER WILL MAVE THE BURDEN OF PROVNU THAT HE OR SME 010 NOT BUIID OR MIPROVE iORTHE PURPQSE OF SALEI- . . W D4�OwNEROFT/1EGi10VEHTY,WEXCLUSNEIYCOMRACTWOWRHLICENSEDCONTMCiORS � lO COI�TFR/CT THE GRQIECT(SEG TOM.BUSINESS IWO VROFESSIONS COUE:THE CONTRACT00.5 L4 - VZIU8lI0f1 U� ADJ.AREA CEtGE UW OOES NOTMPLY TO N10NMER OFA PROPERTY WI10 BUMDS OR IMPROVES 7HEHEON.AND . �Z W/qtOHTRACTSfOqSUd1PRQ1ECT5MATMACONfMC70Fi�5)LICENSEDPURSUANTTOTNEC01fTM0 OUANTITY O[SCRIPTION- � - FEE � r' TOR.^s UCENSE UW.). � � OIAAIEXEMPTUNDERSEC. B.iP.C.FORTMISREASON � � � ¢ . _ . . �. . . .. LL' DATE ONmER �� � � � � W � LICENSED CONTRACTORS DECLARAT�ON -� � W IHEREBYAFFYWUNDERPENr1T70FCEiL1UR'ITMATIA1AlICENSEDUNDERVRO'AS�ONSOFCHAPTER Vr d ��COAIYEHCINOVATHSECf10N700C)OfDM510N70FiHE8USINE55ANDGHOFE5510NSLODE,IWD Z W IICENSE IS IN FULL iORCE ANO EFFECT. m `� � � � UCENSE CLA55 �b_�LIC•N0.' `�' J U OATE /Q��T R CONTRACTOR �- LL � WORKERS'COMPENSATION DECLAAATION Q � � IMEREBVAiFlRAlUNOERGENALTYOFGEFWfiYONEOFhIEFOLLON�N(SDECLAM710N5: � � �� U � � � 4 � �IHAVEANDINLLIM�NTAINACEiRIF1GTEOFCONSENTTOSEIF•INSUREFORWORNEi13' _ COMPEN5J1TqN.ASVROY�DEDBYSECTION]7000FTHEl/DORCODGFORIHEPERFORMANCE W OF7HE WOW(FOR WMIRI iMIS VERMIT IS ISSUED. � 0 _I HAVE AND NnLL MARfTAIN WOi1KE0.5'COAIPENSATIDN INSURANCE.AS REWIRED BY SECTION OOToO OF THE LABOR COOE,FOfi THE PERFORAUNCE OF iHE WORK FOR NMICHTHIS DERMIi IS �D 9��� ^ ISSUm.MYWOPoCERS'CAMPENSATIONINSURANCECARRIERANDPOLICVNUMBERME: CONSTHUCTION 6 � S'�`��'� �V w,1� PLAN REVIEW � CAiIAtER �r � FOLICYMIMBER y.�nY4- `j 'Q ELECTRIC � (f1�SEyTddt�HpTBEtp.stETFnoPnEafiw�tsa7Ra+E�un(aEDoal�wSR+oMaiLESS1 PLUMBING Z ICENTIFVTW�TNiHEiERFOfWM10EOFTHENORKFORWNIpITHISPERAIITISI55UE0,1- MECHANICAL � SNALLNOTEMPL0IANYYER50NIVM7YMANNERSOASTOBECdAE9UBJECTTOTHE � WORKERSCOM7ENSATIONUWSOFC/LLIFORNIh�A6REETHATIFISHOUIDBECOME INSPECTIONFEE . S SUBJECTTO THE WORKERS'COMPENSATqN GRONSION F SECTION�70o F 7ME lAeOfl �SSUANCE O COOE.ISHALLFORTHWI7HCOMVLYWITN PRO 5. I � SMIP PAiD p OATE:�_,�' APPLICANT: � �� WARNINQ:FAiLURETOSEWREWOfiKERS' NENS�TIONCOVERAGEISUNUWNI.N�OSM�LLBE ENERGYPlC SUBJECTANEMPLOVFRNCNMINALVENALTIESANDCNILFPlESUPi00NEMlNOREDiMOUSAND ENERGYPERMiT � DOlURS(3toa,000l.�N ADDITION TO THE COST OF COMPENSATION,OAM�GES AS PROYIOEO FOR IN �-'(�( ¢ SECT10N37oeOFTNEUBORC�DE,wTEHEST,ANDATTORNEY5FEE5. P,ETENTIONFEE: � � � � CONSTRUCTION IENDING AGENCY PFE-ALT FEE: � � � I HEREBYAFFlRM UNDER PENAL?1'OF PERIURY T1UU TFIERE IS A CONSTRUCTION LENDiNCi A6ENGV 0Z- GOR TME GERFONMANCE OF TME WORK FOR WNip/THIS PERMI715 ISSUEO(SEC.JOY7,GiV.GJ. � W . �Z LElOERS NM�E � � � r � LENDERSAODRESS ^ )) �� W ICERTIFYTHATIHAVERFIDTMISAPPL�CATqN/JIDSTATEiMATTHEABOVEINFORAIATqNISCdiRECT. TOTALFEES . � / (�'�D . � IA(SRE^iOCOMPLYN1iH11LCRYANDCOUNTYORDINANCE5INO5TATEUwSREUTN6708UL01N0 � —] OONSTRUCTION.AND HEREBYAUi1qNIZE REPRESENTATIYES OF iH15 COUIfTY TO ENiEH UPON TME I . S� ABOVE•MEHTIONEDPROVERiYfORINSPECTIONYURVO5E5. COMMEMTS � � LC/C'+'y /�✓�i'ZT - � m vEwa� wwE � 4 .. �� _ . . .. .. . . � . � EOFPERMI EE DATE � . RECPT.NO. PAID BY VALIDATION WHITE--Departrnent Copy,YELLOW�inanee Copy,PINK—Asxssa Copy,GOLDENROD--File Copy,GREEN—ApplicsnCs Copy . ..,....,. - •, ,.,.,. .,;, ... „ ... ;_. .,. . . , �- , �, . . , . � . � . . , .. „ � , , , . , , ,� a . .. .. . , , CITY OF DIAMOND BAR.� , :�:-�, . � . �� '� INSPECTION'RECORD.' ,. . , � m � • ' • � + i - SET BACK � � _ �I '�J FLOOR.dO�i�T ���;> 1' 1 ; �.i!� 'i, � `�\ , - - • • , .. . . �. FfGS/FORMS/STEEL �, • ' ; . � .,; FHA REQMTS - - � - - - ELECTRIC GROUND - - � � ' UNDER FLOOR DUCT,--; �� ��� ;:, - -� � ; � GROUND PLUMBING ' UNDER�lOOrtl'�O�IDUR�:•:, ==.••:,`•',;• \ `.i�;� . , SCAB GRADE - -- -- - - - - FIREP �'C. ��tlUNCJATION`�y- �. '�' - .��_l TEMP P�WER - `' ' - - � "' ` ' FIREPLACE B ND�B�AM --- - - - ._- -- WATER SERVICE - - - - MID HT.BOND BEAM ROOF SHEATHING- - - - •. � � - ;� ' 8 FT. BOND BEAM FRAMINGNENTILIATION _ ' � �� �' ; FINAL BOND BEAM ' ROOF COVER - ' PRE-GRADING - ROUGH HEATING--- - - - � BENCHING - ROUGH ELECTRIC � - - � - ROUGH GRADING - ' -ROUGH PLUMBING : - - - - � FINISH GRADING , , SHOWERlfU6 TEST� - - - - �- � POOL ELECTRlC . EXT.LATH/SIDING . POOL FENCING ' ' WALL INSULATION POOL FINAL . � � . CEILING INSULATION C'�,(''�' ( ' FFSITE IMPS. • � - DRYWALL NAILING - ' � 'DEDICATIONS ' � SEWER_ ' FINAL ENG. ' SEPTICTANK - _. - ! _ LANDSCAPE/IRRIG. ' . SEEP PIT/L.L.- - = " " • "' ON SITE IMPS. GAS AIR TEST. - - - - - - FINAL ZONING . FiNAL CONST. - - - - - - - FIRE DEPT.FINAL FINAL HEATING - HEALTH DEPT. FINAL FINAC ELECTFiIC - - DEV. FEES PAID FINAL PLUMBING ENERGY �=�m �` w - -- `�- .� _�.,� -. � . ., .� , � _ � __ - - COMMENTS - ' � � ���`,1���.�'_� , . . � .:-, �a-; "i __ , ��' ., . c'. "i: I - � 1 �-- — ; �\�. A_ '��• ��_ " " I , , ' � _ .,�� ��_�i` _' • � • � SEPTICTANKSIZE ,�Qj� �' ;�;�(� _ , I , , ' , SEEP PITN SIZE . , , • � U v:tAlQ�tC?�t"i'i.�. , . irj ?� :,. � ..� � _ , � �►ar �:�',' - ,, � , . , . - - - , _ , . . ,-. :=. �_ :,.�- -�_� '- ,� � - - _ �, _ -., . � � �: : . ,>.�.. l ,__ ,� . —.__ .. ,-�� , . _ �, _ �. ._ . � � i � � i