HomeMy WebLinkAbout12564 (14) s
CITY OF DIAMOND BAR
-- DEPARTMENT OF COMMUNITY&DEV E
� 21660 E.Copley Drive Suite 190
(909)860-3195 Fax(909)861-3117 PRESS
�'^�' BUILDING PERMIT APPLICATION - FIRMLY
o� JOBSRE d d s , APPLICATION PERMIT �/� `If� P!C
ADDRESS ' h DATE /� �? NUMBER -LSv I 1
� APN T TRACT DATE 0 27 ONST. GROUP
°G OWNER I/.�t
o ADD S * 4. ZONING SETBACKS
w CITY IP TEL FRONT RW O
� APP CANT TEL REAR ❑
� SIDEJSIDE STREET RW ❑
CONTAACTOR � SIDE
ADD S ��
� C ZIP EL 0 PROPOSED USE
►��.+ ARC NG/
�,-� DESIGNER N0.DWEL NO. NO.
N CrtDRESS �P � UNRS STORIES BEDROOMS
N
�n DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION
� OWNER-BUILDER DECLARATION SFR/ADD/REM
O
I HEREDY/fFlRM UNDER PENKtt OF PEiWRY iH�i l AM E%EMPT FROM THE CONTMCTORS 4 Ga�g�d�rt__
W CF715EUWFORTHEfOl10WNOREA50N(SEG7IXft.SBUSMESSANODRDFES510N4CO0EANYdTYOR (n
S�Z �1YMT/101NC-0U�RESAPERMRTOCONSTRUCT.KTER�PFIOVE,pEMOl1g{pRREPAtRANYSTitt1G W Patio/Deck
� TURE PRiOR TO R9 R9UANCE,KSO REWiRES iNE Mil1CAMf FOR Stlpl PERMIT TO iriE A 51(7NEp
�UJ STATEGElR T11AT ME OFI SHE IS LICENSED PURSUAHT TO THE PROVISIONS OF TME CONiMCTORS ll. . W
tENSE UW(QUPTEH�(��ENCrtx1 M�1N SECTqH 7000)Df DM51DN]OF THE BUSiNE55 AND PRO- u' POOVS 2 � � '
� FE45qNSCOOE)ORTi1ATMEORSHEISEXEMMTHEREFtiOMI�N�iNEBASISFORTI7EALLEaEDE%EMv.
��1 TION.AN'/VIOIAiIONOF5ECf10N7071.6BYANYMPLICANTFOHAPERutT3U8JECTSiHEAV7lICANiTO _ Z R�ROOf
� A CIVIL iENAL7YOF NOT A10itE T11AN FIVE HUrR1RED DOLLARS�SSm).r
� Otti70wNEROFTHEPROVERTY,q1MVEMVLOVEESwiT�iwAQE3A37HEIR3IXEtOMaEN3A7qN, O CommBrCial -
M�LL DO 7HE WOFO(IVA THE STRUCRIRE IS N�T INTENO�OR OFFERED iOq SALE(SEC.70M,BU56 J
� NE33 A!A DROFESSIONS COOE T/E CDNTRACTOiiS LICENSE UW OOES NOT ACPLY TO IN dNNER OF �
PHDOER7Y NTq B114D30R MGROVES iHEREON,AND VAqDDE9 SUdI WO/iK HIMSELF OR HERSELF Oq
[L TMROUOMMSOflMEROWNETAPLOTEES,PROVIDEDTMATSUCHNPPOVEMENTSMENOTMTE*AEOOR m
W� OFFEAEDPORSKE�F.�qM/EVE0.n+EBULdNGoair.�vlavENwi155d.�wiiMNd+EVFJ�ROFmIME.
Z i�ON.iME ONNENBVILDER WM1L HAVE iHE BUHDEN OF PROVWO iHAT HE OR SHE DiD NO7 BUqD OR
� IMPHOVEFOR7TIEPVRPOSEOFSi1LE} ,
. W ❑LIl40WNEROFTHEVROPEHfMIWEJIQUSNELYCOHTMCTINOMATNIlCENSEDCOHiRACTOR4
� TOCONSTiiUCT7HE ORO.IECT(SEG)01�,BUSME55 ANO PROFE5510N5 COOE iNE CONTPACTORS ll- Va�uetion ADJ.AAEA -
CENSE UW DOE!NOTAPPLY TO MI OMMER OFAPflOPERTV MT10 BURDS OR IMPROVES 7HEREON,AND
� w+ncartw�crsFonwcHvaaEcrsMnn�acartiurro�ts�t�ceuseoPUAsu�wrron�Ecaara�a pUAN71TY D SCRiPTION FEE
Y masuc�+sEuw.�.
� ❑1M1 E7fEA1PTUNOER SEG B.A F.C.FORTHIS REASON Q
3 �
LL' DATE OWNEq �
�Q IJCENSED CONTRACTORS DECLARATION W
J
/r IHEREBYAFFrtM1UNOERPENKTYOFPEMJMTMAT1AIJl10EN5EOUN0ERPROVI5lON50FCHAPTER V,
� Y(COI��IENCHON7THSECTION)000)OFOM510N70FTNEBVS�NESSNIOGROFESSIONSCO�EAND Z
W LICENSE�S N FFECT. _ / �
.�� [�
� LICENSE SS IIC.N0. �� j
V DATE 1 CONTRACTOR d
W
. __._.._. .� _._--.----..___ YVORKERSCOMPENSATIONOECLARATION,-__._. ___..---- - Q -__._--
... ------ --------- ----� ---------_....--- ---- --- �-- -- -- .'. -
� I HEREBY AFFlNI UNDER GENALTY OF PEM1UM ONE OF tHE FOl10WIN0 DECtARATION4: Z
� _IHINEMAWILlMAR1TAMACERRFlGTEOFCOfVSENTTOSELF-INSUREFORMAPKERS 2 .
COMPEN5�110N,AS PROVmm BY SFC7)ON�700 Of THE UBOR CODE,iOR THE PERPoRMANCE W
Q OF iM£YK)H1C FOR WHMl17HIS VERMR�9�55UED. � �
Q �I/uVEMAWRLUAIHfAaiw'OPoCERS'[DMPfN4AT/JN 4URANC£�A3R£OUIRED8Y3ECTION ��I ZO
�7o00FTHElABORO00EGORTiE� iURMANCE h1EWOR1CiOHNT11CH7M5VEFlMRIS .
� asum.nn s er+s� wsuriwce�A.Equmraicrr+uue�q�we: CONSTRUCTION i _
>
CMRIER . I� PLAN REVIEW
Z ��"�"'BEp ELECTRiC
d
o (nrssccrwr�IDtureE�FDOFnfa�xr.�tewna+Ew�nOatuns6+aqoni� PWMBING
Z ICERTIfY7TUTNTHEPER�OtM1ANCEOF7HEWlKIKF iMSVEiWR131SSUED,I MECHAMICAL
('} SFIALL NOT EMROV ANY PERSON PI�1N A1/�MiEA 50 o BE E SU4JECT TO THE
(n WOPo(E 5 ENSATIONUWSOFCAIIFORM DACR TIF151101ILO8ECOME iNSPECTONFEE
S1�8,1 10 �K ENSC/JUCENSATION VISION C710N]1a00FiMEU80R
O C�10E. SMNi �{iM1THCp.�RYVnTH SEP 5. ISSUANCE D
V �� SMIP
p OATE:/ 1/ 11PCLICANT: _ . .
� wARN!N?FAIIURETOSEWRENORNER50d.t0ENSI.TqNCOVERAGEI4UNUWFU�IWDSHALLBE ENERGYP(C
� $UBIEGT AN EMPtOVER TD CNIMMIL GENI171E5 M7�CML FWES UP TO ONE IMIDREO Tli0U5AND 'ENERGY PERMIT
OOLLARS�S10D.000�.N AD��i10N TO iHE COST OF CqAPEN5AT10N,�AMAGES A5 PflOVID W FOfl IN
J SECT10N770tOFT11EUeORCODE,MlTEREST.MlOATTORNEYSFEEA RETENTIONFEE:
� CONSTRUCTION LENDING AGENCY PRE-ALT FEE: _�1 i11
� IHEREBYAFFlR4UNOERFENALTYOfPERA1RYTHATTVIEREISACONSTRUCTIONLFNDMOACENCV
FORiHE PERiOiWMlCE OF TME MARK FON M/N1CM iMl4 PER4R IS ISSVED(SEG 7097,CN.C.} .
�
� IENDER'SNIVAE
� IENUER'SAOORE55
� ILERTIFYTXFTIiUYERE11D7Ti19A7PUGT10NMA5TATETHATTT1E1180VEB�FOfU7l1TqN1500fiRECL TOTAL FE�y OF DIAMOND��E�:17C/ -/9 l� O
� I AOREETO Cd.IPLY w17H ILLl CT'/�NO OOUNTY ORDiNANCE3 AND STATE UMf4 RELATM!(i TO BUlDINO
� CONSTFiUCTqN,ANDHER 2ER[PRESEMATNESOFTUSCOIMTYTOEMERl1PONTME BIJII.DING AND S `
Z N�v�+rpNEDVROP INSP wRaoses. COMMENTS
9 G�,�,
_
m PEPoAfTTE E � �
� d '
� SqNATUFEOGPERAU DAiE
� RECPT.N0. PAID BY VAL��AT10N
WHIT E—�Department CoOy,YELLOW--Fnnnce Copy,PINK—Asaessa Copy,GOLDENROD—File Copy,GFiEEN—Appi�canYs Copy
.
_..__ _.._..---...... ----- --_..
DIAMOND BAR •
ECTION RECORD _.
• � � � - • � � � -
SET BACK - ;a•'t..} `j `. . ;� FLOOR JOIST�' �'1 !.;���J : :-y�� . .-' 1 '.'';��'
FTGS/FORMS/STEEL FHA REQMTS -• - - , -
, ELEGTRIC GROUND ' ' ' �' UNDER FLOOR DUCT•,��-, , ;,, �, ,a•�; ,;: ,,.__
GROUND P�UMBING UNDER FLOOF3�Of� �11�' �� �„�:;? ,� .'� , ��; � ." ,,
SLAB GRADE FIREP�ACE'FQUIU7JATION�",. ..=�, _'`=�`;.".•;•;.:•i-�
TEMP POWER • ' FIREPLAC 60Nt�_BEAM, � •"�""' --� �'�'�-�
;WATEA SERVICE .� -� Mlt�HT.'�OPfdBEAM-' �•`� • ,'- . . ••
� i
.�ROOFS EATHING.j` � ' - j - 8 FT.BO�VD-BEAM i�t • S ' ',t`• ' � 'ti;;
'�.FRAMI�fGNENTIL(AYI(1 � � ;'� � '1`��'�' '•-% 7���' FINAL BOND BEAM • �'`
RQOF COVER � PRE-GRADING
ROUGH HEATING - - BENCHING � '
ROUGH ELECTRIC ROUGH GRADING
ROUGH PLUMBING - FINISH GRADING `
SHOWEF�UBTEST � � - - POOL' ELECTRIC • ' �
. ;
EXT.LATH/SIDING � ', POOL FENCING '
WALL INSULATION �.'��'��, ' POOL F1NAL
CEILING INSULATION OFF SITE IMPS.
DRYWALL NAILING DEDICATIONS •
SEWER FINA�ENG. �
SEPTIC 7ANK . LANDSCAPE/IRRIG.
SEEP PIT/L.L. � " ' ;`'�' ON SITE IMPS..
GAS AIR TEST - FINAL ZONING �
FINAL CONSL FIRE DEPT.FWAL
FINAL HEATING � - HEALTH DEPT.FINAL
FINAL ELECTRIC - DEV.FEES PAID �
FINAL PLUMB(NG ENERGY
� _ i___� '�C• ��
� • • _ � � ' -\ .�
-___... � , � , • .�. .
�, _� ,
- �� --_..-.. . �_ _.._ _.. __ �
COMMENTS
- .. , .
�i,Y �ci✓ �c /� . ' ;
��' . ,� . . � '
-i _. , . _1
- , • � � . �.
, j..f..�.�- `rN .�- �A. .
�\
(} . - '- , � ' �+'i;� i ,��� ��.��
w__� �- „1 .
SEPTIC TANK SIZE
SEEP PIT/U SIZE ���,3
f'�L; 1 �. , .r'.:- {
ta:li/i!?t�il.I�l'i�.)'t'i�l:; ' � �
'{'�:�i' '� r ,•�`.•�.r �
. . . .. .. \ ..,, t1-'_ ,, _ ,
- . . . ' � �ti � 1� � ' l . '`� .
, .,t , �, �� �.`.. � �,