Loading...
HomeMy WebLinkAbout12735 J� CITY OF DIAMOND BAR ` ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 PRESS �'�^' BUILDING PERMIT APPLICATION FIRMLY � d�BSITE � APPLICATION PERMff �C o ADDRESS 675 Brea CAnyon Road � OATE ///3a P�NUMBEflI�7�k c� ISSUE TYPE OCC � APN LOT TRACT DATE CONST. GROUP o OWNER Shea Pro erties LL ADDRESS 667 Brea Canyon Road 30 zoNtN� SETBACKS w CITY Diamond Bar ZIP_9 789 TEL9 — QO R�R RW O❑ � � APPLICANT Z�itl S Htg. & A/C TE — � SIDE/SIDESTREEf RW O � CONTRACTOA im's Hte. & A/C SIDE p oADDHESS 14�7-�la�ne ,� PROPOSED USE ' � Cny B0 lOWer ZIP 9 �0 TEl..S 2 $ —1 � o ARCH/ENG/ � DESIGNER Davar & AS SOC. NO.OWEL. NO. NO. � a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREM�ALUATION Q OWNER-BUILDER DECLARATION , SFR/AODJHEM O Q 1 HEREBY AFFliqA tM�ER VENALTY OF GERIUHV THAT 1 AM E%EAIPT FROM THE CDNfMCTORS L4 Ga�a���R � W CENSEUWfOR711EFdlOweJCREA50N�5EG7ao1.68U51NE5SANDDROFE5510NSCO0E:ANVCRYOR (n U COIMTYW{/IpIREdUIqESAVERA1R1000N51TM1IRILLTE0.MVROVE,DEAlOI1SH,ORREVAIqAN`/STRUC- W PalI0/DOCK - � 7VRE,Vf1qR TD RS ISSVMlCE,AL50 ACWIRLS THE/NPLICAM FOH SUp/PERMIT TO FILE A SI�NFD w ' '� ' '- -' .� 8TATEMENT THAT HE OR SHE IS LICENSE�W0.SUANT TO THE VROVISIONS OF THE CONfMCTOR9 LF LL , � CENSE UW(CHAVTER Y�COA/YENCWO WITH SECTqN 7ao0)OF DMSION i OF THE BUSINESSMi�PRO� PaoVSpa . fE5510N5000E)OFiT/U7NEOR5HEISE%EMPTTMEREFROMI�NOTMEBASISFORiHEALLEOEDE%EMP• (� TqN.ANYVqLATqNOF5ECT10N7W1.6BYANYAVVLMJNTFORA7ERMITSUBJECi5h1EAVPUCMRTO Z Fle-Rool �„_, A CML VENALTY OF NOT MORE THAN FIVE MlNDREO DOlUR51l50o).Y. � ❑1A50NMEROFTHEPROVERtY.ORYYEMOLOVEfSYn1NWAGESASiHEIRSOLECOMGENSATbN. ❑ CommerGial - YALL DO THE Y70RK,AND TME STAUCTURE 4S NOT IMENOE�OR OFFEFED FOR SALE(SEC.70U,91151- ,_I � NESS AND FROFESSIONS COOE:TNE CONTRACTOR4 UCENSE UW DOES NOT AP7LY TO AN OWNER OF ? . , , . PROPEFTV N7/0 BUIIDS Oi1 N.IPROVESTHEREON.AND 1M/0 DOES SUCH WO�1K M4SElF OR MERSELF OR � THf10UGNH140AH[ROYMEMVLOVEES,DitOVIDEUTUT5Up11MPROVEMENTSARENOT!lTENDEDO(i Cn Q OFFERmFORSALE1F,110NhVERT1EBUlDINGORWVROVEMCNTi550lDYAT}�NONEYEAROFCOM7�E• z 710N,THE OWNERBUIIDER WiLL/UVE TI/E BURDEN OF iROVINO TUT XE ON SNE DID NOT BUIID OR � MPRWEFORTHERIPPOSEOFSALE} � W Ot/501M�EROFTMEiROPEHTY.AMEI(CLUSNELYCOHfRACTINON7THLICENSEDCONTMCTORS � TO CONSTAUCT TME PRO.IECT(SEC.7oN.BUSiNE55 ANO VROFESSIONS COOE:7HE CONiMCtORS U• V81u91idt AQI.AREA ' ' CENSE UW DOES NOTMFLY TOAN 0'WNER OF A VROPERT'WF�O BUILDS OR IMPROVES MEREON.ANO � N?qCOHTRACT5iOR5Uf]IVPOJECTSWITNACONTRACTDR(S)LICENSEDPl1RSUANTTOtMECDNTMG pUANTITY DESCRIPTION � FEE rau uc�sF uw.�. � OIAMIXEMPTUNDERSEG B.IP.C.FORTHISRfASON U � �S�-C}ICJIUc.:�-.7 - LL .� ¢ - .. , ' ' OATE OWNER V , . Z W FQ UCENSED CONTFiACTORS DECLARATION W _ CC �HEPEBYAFFliWUNOERDEWI7YOFifiWRViHATI/IIILICEN5E0UN0EROROVISIONSOFCHAPTER Z G� _ /�, �/1/� � ,� - � Y(OO/.o.,1ENCW0 WiM SEC710N 7oDo)OF OM510N]OF h1E BUSINESSAND PfiOFFSS10N5 COOE,AND �� �-�J �� IAY�JCENSEISNFULLFORCEIWOEFFECL m � uceNsecu C— uc.ero. 4f371002 � v o�� � d �coraraacroa 2 m�S a w � WORKERS'COMPENSATION DECLARATION � � �7 � � N IMEREBV/�FFIRMUNDEHPENALTYOFVEMlR'IONEOFTXEFOLLONANGDECUMTqNS: Z �� Q � _IMAVEANDWRLMANTAINACEHiIFICATE0F00N5EMTOSELF�IHSUREFORWORKERS' 2 CdAPENSATqN,A57ROVIDE08YSEC71QVf7WOFTNELABORCOOE,FORTHE7ERFORIAANCE �U OFTME WOiiK FOR VMICMIHI3 PERMIT IS ISSUED. � � X 1 HAYE AND N7LL LWMAW N'ORKERS CQI7ENSATqN INSURANCE,AS flEOUIflED BY SECTpN Q J7o00F THE LABOR OOOE FOH THE VERPDRAIANCE OF THE WORK iOHNMICH THIS VEIiMIi IS ' 0 ISSUED.W NKINKERS'C04PENSATION INSURANCE GRPIER Ml�OOIICV M11A0£R ME' CON$TRUCTION � GARIER RE ublic Indemnit Co. - ��"� " Pv,rvaEviEw� � � �- -� � - � - ���- - - � oa�crnu�eE��— ELECTRIC �IIT] 1 t7�111 � �nuu5ccivrr�mr+oTeEms�rmoFnE�a.�rs�o�Mras���sim�oa�ss� PLUMBING � Z ICERTIFYIHATNTHEGERFORMANCEOFTMEVIORKFORWHIp/TN150ERMITISLSSl1E�,1 MECHANICAL � (} SMAILNOTEMCLOVANVVERSONINANYMPNNERSOASTOBECOA/ESUBIECTTOTHE ���^ vj WORKERS COMPENSATION UWS OF CALIFORNI/�ANO�CREE TMAT IF 15110U1D BECOME INSPECTION FEE � � - SVBJECTTOTHEWOPoCEPS'CdnPEN5A71ONPFOVI510N50F5ECTION77000FTHEUBOR - � �� CODE, SNALLiO rncoma�rvnrnnaserHo�nsar+s. ISSUANCE � p DATE: /��� �APPLICANT: Z�IIl�S sM�P. C����nIAMQND BAR W ENERGYP/C B��p�r ATJn�AFETY WARNINO;FNLURE TO SECURE V�WIKERS'COMPENSATION COVERAGE IS UNLAWFUL,11N0 SHAII BE �y SUBJECTANEMP�OYERTOCRIMINALPENALTIESANDCNILFWESUPTOONEHUNDRCDTHOUSANO ENERGYPERMIT � DOlURS(f t00,W0�,W/�DDITION TOTHE COST OF COMVENSATION,DAMACESAS FflOVIDED FOR IN � SECTIDNY)0lDiTHEL�BORCOOE,INTERE57,M10ATTORNEY5FEE5. RETENTIONFEE: d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBYAFFIRMUNDERVENALTYOFPEiINRVTHATTHERESACONSTAUCTIONLEND�NOl1OfNCY FOR TME PERfORMMlCE OF THE WOPX FOR WHIdi THIS PERMIT IS ISSUED(SEC.]OV�,pY.CJ. � IENDEF'SNAME N/A . � � IENDEHSADORE55 � � ICERTFViHATIHAVEREMTWSMPLICATIONANDSTATETIATTH[ABOVENFOPlAATqNISCONRECT. TOTAL FEES , w IAGREETOCOGVLYM77NALLC7TYANDCOVNTYOROMANCESANOSTATEUN/SREUTINOT08URDINf3 � � CONSTRUCiION,ANDHEREBVAUTFIORIZEREPRESEMAT1YE50FTNI5COUNTYTOENTERUPONTME � S� A6WE�MEMIONEDVROPEflTVFORINSPECTIDNPURPO5E5. COMMENTS 0 — nneth Z erman m E E�aw � f�l` �/�j�' � � S NREOFVEiWIT7EE �A7E �I � iiECPT.NO. PAID BY ' VALIDATION ITE—Department Copy.YELLOW—Finan�e Copy.PINK—Asseasa Copy.GOLDENROD—File Copy,GREEN—Applicant's Copy . - � , . . . � �... � ..� . . , .,i' �, . ., . � , ... • . . . , . . . ' . ,ti:r � .r� r . . - . � �. . � - CITY OF DIAMOND BAR � � . _ _, ., . _, . ,.•-. : .. ..: . �'INSPECTION RECORD,:' ; „ . . � . . :. � , . �. . , • r � • - • � � p - SET BACK ' ' - '1 y ' - �;� ' ' FLOOR JOIST � � - ' FTGS/FORMS/STEEL -"' � FHA REQMTS - ELECTRIC GROUND__-_ _ .____. � UNDER FLOOR DUCT GROUND PLUMBING ' UNDER FLOOR CUPIDUIT - ' � ! SLABGRADE � FIREPLACEFOUNDATION - ' TEMP POWER- - � - ' � i FIREPLACE BOND BEAM WATER SERVICE - - - --- - MID HT.BOND BEAM -' • ' Fi00F SHEATHING -- - 8 FT.BOND BEAM , - i - FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER " PRE-GRADING - • ROUGH HEATING - BENCHING ROUGH ELECTRIC ' ROUGH GRADING ROUGH PLUMBING - - � " FINISH GRADING . SHOWEF�lTUB TEST �: POOL ELEC7RlC , " EXT.LATH/SIDING POOL FENCING " i ' . WALL INSULATION POOL FINAL , CEILING INSULATION OFF SITE IMPS. �RYWALL NAILING DEDICATIONS ' . � SEWER__ FINAL ENG. SEPTICTANK - -- LANDSCAPE/IRRIG. SEEP PIT/�.L. - - - ON SITE IMPS. GAS AIR TEST - FINAL ZONING , • FINAL•CONST. ---� " - ` FIRE DEPT. FINAL FINAL HEATING - - - � HEALTH DEPT. FINAL FINAL ELECTRIC DEV.FEES PAID • FINAL�PLUMBING. .• , :,� L - ' � ENERGY ' `i ��t" � �e . ._., COMMENTS . � , . .. _ _., . , - , - , ..;�� , � . . . � . ; _ . u��` �il ;� -'fj . , ! , . . _ ;�!`:" C'I/')�i!. ! . r �� � .. . . � )'j;�ii`: �iNj:, t.3�il��. .i<1,1`_. ' . � , ' , . - - • ' � . SEPTIC TANK SIZE �'��. - ' SEEP PITJU 81ZE ' � , , ;� , � � . , , � � . . .1 ; � ; i . . . , . . . _ . .