Loading...
HomeMy WebLinkAbout15514 I ! � ' EXPIRED � �''' CITY OF DIAMOND BAR ' ��1� -- DEPARTMENT OF COMMi1NITY&DEVELOPMENT SERVICES 2i�oE.c�t�YnriY�s��i90 JUN 171002 � (909)860-3195 Faz(909)861-3117 PRE$$_ ��%�� BUII.DING PERMIT APPLICATION FIRMLY a DDRESS � { � �I�-�'r' � ' � �. pA�ICATlO � 0� NUMB R��/ N'C � APN LOT TRACT DATEE v J� V v CONST. GROUP p O'NNER --L- �'` ADDRESS ' ' ZONING SEfBACKS � CITY IP 'TEL. REAR RW � APPLICANT SIDE/SIDESTREET RW ❑ � CONTRACTOR O � SIDE O ,� ADDRE S � _ CITY IP EL � PROPOSED USE G � � ARCFUEN : •, DESIGNER NO.DWEL. NO. O. N C�ESS ZIP T�� UNITS � STORIES � BEDROOMS � DESCRIPTION S�.F7 FACTOR PSF ADJ.AREIWALUATION � OYVNER•BUItDER DECURATION SFWADDIREM O p I HEREBV AfFlRM UHDER FENALTY OF PEfWRV THAT I MI EXEYPT GPOM TNE CONTR�CTORS L4 Garape/Caiport - � CEMSEUWiOliTF1EfQLOWNOREA5p1(9EG70]I.60USWESSANDiROFE55KK1500DEPM'CRYOfl (n ZOOtMiYNMIp1RE0UIRESAiERMRTOCONSTAUCT,ALTER�Pf10VE.DEMOLISM.ORRECAIRANY5IAUG IW P6t10/DBd( �� 7Vi�.PRIOR TO R9 ISSUANCE 1LL50 REQIIFES T11E MPLICANT FOR SUCM PERMIT TO FILEA SIONED BTATEMIXT TtA?HE OR SHE 6 LICENSED iURSUNlT TO THE PNOVISIONS OF TNE CON7MGTORB L4 � CENSE UW(QU7TER Y(COMMENqIVO Yn7H SELTx7N 7oDo)OF DIYISIaN�OF ME BUSiNE55 AND PRR � PooVSpe fE88�ON8 CAOk�OR TWIT HE OR SME IS EXEMPT iMEREFiWM AND THE 8ASI5 FOR iHE ALLEOEO EXEAIP- 7pN.MPIVI0LAT10NOF6ECTION70.t1.6BYANVAVDLMXfTiORAPERM1i5U91ECT57NEMPLIClWTTO Z Re•Roof � r ACMLiENALTY OF NOTMORE TMIN FIVE HUNDRED DOUAitS(i5oo1.): , , � 04�aM1EROFTHE7RO0ERTY,ORWEYDLOYEESNniNWAGES�lS7MEIR50LECOMPENSATION, O (',pmmglClel WILL DD TME WORIC AND TME STRUCTUHE IS NOT MENDED OH OFFERED FOH SALE(SEC.7Mt,BU51• J NE&8 AHD PROFESSIONS OOOE:TME OOflTMCTOHS UCENSE UW DOES NOT/.PPIY TO AN ONMEq OF � � � ►HDPEqT'lMFqBUtDSORMPipVESTHEREON.A/DW170DOE55UCMWufiKNIMSELFORHERSELFOR � THROUGHHISORHEHOSVHENPL01'FES.DROWEDTNATSUpIMPROVEMENiSARENOTMEN�EDOiI m � ,OFF6iEOiORSALE1F,11DN'tYER7MEBUtDW(i0RM1PROVEYENT445qDM7THINONEYEAilOiC041PLE �TtON,TIE OWNER6UGDER NMl HAVE TME BUROEN Of PROVWO iHAY HE OR 6NE DID NOT BUILD O{I MPROVE FOR 71�VURPOSE OF 8+1LE1 O 1,AS OWNEROF iHE PFqPEHiY,NA EXCLUSNELY CONrMCTINO Nrt11i IICENSEO CONTMCTORS � TO CONSiRUCT TNE iRO.IECT(SEC.TOt�,BUSINE55 MD GIOFESSIIXJS CODE:THE CONTMCTOHS LF Valuation AQI.AREA CENSE UW OOES NDiMPLY TO AN OWNEH OFA PflOPERN Mrt10 BUILDS OR MPipYE4 THEREdI.AND � yY11000NTRACTSfORSUClIPR61ECfSVATHACONfRACTOi1(S�LICENSmVUR5U11MTOTHECONiMG Q�J/U.JT�n' DESCRIPTION FEE � 10n8 LICENSE LAW.F . . O I AM IXEMFTUNOEN SEG B.l P.G FOR THIS REASON � U �=" DATE OWNER � � W UCENSED CONTFiACTORS OECLARATION W � IMEREBYAFF6WUNDEHPEtLLLTYOFPEMIRI'iHA71AMUCEN5E0UN0ERPRONSiONSOFCNMTER Vr . �(COMMENCNO WI7H SECTIDN 10Do)Of OMSION 7 OF THE BUSINESS AND PROFESSqNS CODE.MA Z W UCENSE l5 H ML FOACEMI�EFFECr. m 0 LICENSE ClAS LIC.NO. ��� �• � � �j pATE COItTMCTOR W � WORKERS'COMPENSATION DECLARATIO N ��N IHEREBYAFFUWUNDERGENALTYOFVE0.ri1RVONEOFTIIEFO110N7 OE RAT . G ��IHAVEAHDWILLMAMTNNACERTIFIGTEOFOONSEM SELFaNSUR N+DRKE ' d � COMPEN511TION,ASPpONDEDBVSECTIONn00OFiN CODE, RTHEPERfO C THEWOPo(FORN711R1iMISFERMiTI5I55UED. „ � - � � , q�xa �a?-� IHAVEM/DYALLWMiA�NWONKERS'Cd.�PENSAT10Ni RANCE./l5 BYSE ' N i� N dO 77000FiHEUBOflCODEiORTMEPERfORMM10EOFTHE RYA1IpITHIS EEIMITIS� � ISSUED.MYWORKEF45'CdJ HSATIONWS CECAR �ERANOPOIICV MG RUCTION („� � y CMNEfl �EVIEW FOIICY NUYBER O � E C �Q�J (fY�65EGIqN�EIDNJiBEC�FfEDOFiVEPEAM6FMONE � � CA�ESS? LUMBING Z �(£qTIFY7NATpl7NEVERFORMANCEOFTMEW�RKFOPWHICMT ,1 MECHANICAL (� SYIALLNOTEMPLOYNiYPER50NN�M'M/�NNERSOASTOBECO�ESUBJECTTOTHE �fj Nq�(ERSCdAPEN5AT10NUWSOFCAUFORNIA.ANDAGREETHATIFISMIXADBECOME INSPECTIONFEE S EU&IECTTOTHEWORKER5COM7ENSATIONPROVIS10N50FSEMqN770oOF7HElABOR ISSUANCE E,I S�LI.�R7MN�TN COMPLY WiIH 11KISE VROVISIONS. `p DATE: � � � APPLICANT:��`��I)� N SMIP � � � ENERGY P/C WAfWIN0;fA0.URETOSEWHEWORKERSCOMPE SATIONCOVEMGEISUNUWM,ANOSNAILBE �" ("y SUBJECfMIEMPLOYERiOCRIMINALPENALTIESMIOCMLFWESUPTOONEMl1NDREDiNa15ANo ENEHGYPERMIT U DOLUIfiS(f 700.000).N W DfTION TO iHE CQST OF COYPENS�TION,OAMFOES IlS iROV�OED FOR IN � SECTiON77oeOFTMELA00RCODE,MITEAEST,ANDATTORNEYSFEES. � RETENTIONFEE: TT� TR�� ANT�S _ B iru.—n� d CONSTRUCT�ON LENDING AGENCY pRE-ALT FEE: � IMEPEBVAFFWAIIRIDERPENALTYOFPERRlMTNATTHEHEISACONSTRIJCTIONIENDW6AGENCY Z FOR 7NE PERlOiUAANCE OF TME M/ORK FOF WHK.�TMS�ERMIT IS ISSUED(SEQ]OW,CN.4} W � LENOER'S NAME � C LEN�ERS�DONE55 WICERTIFYIHATIHAVEREADTN15APPl�C+UqNM1DST�TETHATTHEABOVENFONYATqNISCORRECi. TOTAL FEES . � ��3� � , d IADFEETOCOMPLYWIiHALLClTY�MDGOUNTYORDININCESAN�STATEUWSREU7WOfOBUIIDtNO pONSTPUCTION,AND HEREBY AUTNORIZE FE70.ESEN7ATNE5 OG 1HI5[�JIfiV Ttl ENTEH UPON THE � ABOVE-MENT EDVROPERT7FOIi1NSPECTION%1RPOSE3. COMMENTS � � �- V , � (�Ci . � QvEaumE wwe� � '� �, �-- o—�� N spw� ov nee DA7E RECPT.NO. PNDBY VALIDATION ' � WHITE—Departmant Capy,YELLOW�nenco Copy,PINK—�Asseasor Capy,GOLOENHO�Ie Gopy.GREEN—ApplicanPs Copy — � t �-' . ��, .. �. � •� ,:..:�.�.., , .,,.. �� , . . .... . .. . . .. . . .. .. .. . .- . . .N 1:J....� �.: . ..�..:.. .. �. ...,;... . �... . . . .. . . . . ,. . . . . ,, . = CITY OF DIAMOND BAR . . . _ .. ., : • • . . � - { �� Ih1SPECTlO(�E RECORD � �. � ''; � � _ _ . - � � � � ��}'��d�� � ,'�. I�. � ,e '� - - ��y C ` �!V �,�1��-�""�=�`�i'��.An� .--, 1 SET BACK .�� �� - ' - FLOOR JOIST`i(� � .��.�yV=.�. ��• ---- iFTGSIFORMSISTEEL _ . : - . � .. ,;, �. �. FHA REQMTS. _ � ' sELECTRIC GROUND_ _ _ �° `' ' . ` I `' UNDER FLOOR DUGT -- • , GROUND PLUMBING UNDER FLOOR CU�!DUIT -" � ' --- ISLAB GRA�E-- --- " FIREPtA'CE FOUNDATION " • ' 'TEPJIP POWER FIREPL'ACE BOND BEAM ' ' !WATER SERVICE--- - MID HT.BdND SEAM � !ROOF SNEATHING �_I� 8 FC BOND BEAM . {FRAMINGNENTILIATION � ' FINAL BOND�BEAM � � !ROOF COVER .� . • PRE-GRADING - - - ' _ ROUGH HEATING � ' BENCHING R�UGH ELECTRIC_ ' ' • ROUGH GRADiNG --- - - - ROUGH PLUMBING -' - FINISH GRADING SHOWERfTUB TEST . -- POQL ELECTRIC ' ;EXT: LATH/SI�ING _ . . POOL FENCING ; ' VVALL fNSULATION - POOL FiNAL CEILiNG 1i�SULATION - - " OFF SITE IMPS. = DRYWALL"NAILING ' DEDICATIONS � ';SEWER __ _ _ FINAL ENG: :SEPTIC TANK . r�• , LANDSCAPE/IRRIG. :SEEP PIT/LL ' ON SITE IMPS. ;GAS AIR i EST FINAL ZONING 'FINAL CONST. ' FIRE DEPi.FINAL iF1NAL HEATlNG _ __ _ _ _. HEALTH DEPT. FINAL - ;F(�tAL ELECTRIC - - --- - DEV.FEES PAID ------ �'=t^!AL PLUh1BING - - - ENERGY - —__ __ _ _ _ . , - , - __ __ _ _ ..�,,..,.,.,�,�:�.�...,,,._......,.., � ::�+' �• ��; c,,��,.�t' • _.�1 ,�,..: � -�: �_ . ::a � - . •: � - _ ,cor,�n�ENTs _. _ _ , � , ` ;. _, _ - - _ . �., � . , ; . , , � .. ,�, _ ; _ _ _ � �: ' - , _' � . . , , . : SEPTiC TANK SIZE, ` — —— ;SEEP PIT/U SiZE . � . � �a�y�..; — ;� ' �; � _ ..�� :� ` i � ., : i _ ,;��.� �;,! ' - _. , ' .�.� -r+r`'.;: - � "i �� ���+ . ��. � �� ..y._. _.._._� .. �