Loading...
HomeMy WebLinkAbout15606 �, �� CITY OF DIAMOND BAR � . ,.,i -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ' 2i�o s.copi�y nti�e s�u i90 PRESS ���^�` BUII,DING PERMIT APPLICATION FIRMLY � JOBSITE � APPLICATION (� D� PERMfT j r' P/C o ADDRESS DATE � � NUMBER I W M � APN lOT CT DA EE � ��y� Q� NPE OCC CONST. GROUP g OWNER � "� ADDRESS ! ZONING SETBACKS Z CITY ` P q���TEL FHONT RW ❑ � APPLICANT A ��, ' REAR O SIDFISIDESTREET RW ❑ CONTRACTOR SIDE � CIDTMDRESS ZIP � pROPOSED USE '`' � ` � ARCHiENG/ DES�GNER •� w` ADDFESS NO.DWEL NO. NO. � CITY ZIP TEL UNITS ST�RIES BEDROOMS N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION y � _�.OWNER-BUILDER DECIARATION SFRlADD/REM � O p 1 HEREBY AiFlHM UNDER iEN�1LiY OF iEFWRY THAT I W.t E%EMVT Ff10�17NE CONTMC70R4 LF GaregalCarport U,! CEM'EUWFOR1MEFd1fNPr1ARFASON(SEG7m1.S�J5alESSANDVROFESSiMISCODEI�NYCRYOR (n � WIMitYYFiIQIRE0Uf1ESA7EPo.IRTOCONSTRUGLALTER�PROVEDEMOUS�IOflP.EPNPM7V5TNUG W patb/Dedc 1V11E,VRpA TO RS RSUANCE,OLSO REW IRES THE APPLICANT fOR SUCFI VERAIIT TO FiLE A SIGNED w � $TITEYEHf THAT HE di SME 19 L�CENSEO Pi10.5UMfT 70 iNE PHOVISIpiS Oi 1ME CONTRACTOR4 LL � CENSE UW(Q�T�ER 0(W�.�MENCRlO MR11 SECfqN 7oao)OF DNISION�Oi 7NE BUStt�rE54 ANO PHO- � PooUSpa GESSIONS OOD�OR iHAT HE OR SNE IS E%EYVTTHENEFROAI AND 7NE BASIS fOR THEALtE�EU EJ(EMF TION.M/YVqlAT10NOF5ECT10N�G1.68YAMYACiLICMRFORA7ERM1T5U9JECT97HEMPLM.IWTTO Z B�ROp� '�-` � A GY4 VEN�LTY OF NOT MONE THAN FIVE MINDRED DOLUR4(SSoo).k — � O1h401N1EROFIHEPROFER7Y,ORY'fE�dPLOYEE5VA7MWAGE3ASTHEIRSOLECOMPEN5AT10N, Q COrtlmert�fli WRL DO TNE WOHK NA TF1E STRUCTURE IS NOT INTENOED OR OFFERED FOR SALE(SEG 7M�,BU51- J NE55 AAD GROFESSIONS COOE TME COHfMCTOR4 L�CEHSE UW OOES NOT MPLY 70 1W 01VNER OF � � PROPEHTYYA10BUlD90RMPi1OVESTNEPEd1,ANDMMODOE55UGINORKHi1A$�FORHERSELFOq � 7HFOlXy1MSORNEROWNFYROYEES.VliDVDm7FUT5UOIMPHOVEMENfSMENOTNTENDEDOq m OFFEHED FOR SALE IF,/q�lEVERTHE BtRDm00R IMPIIOVEIAEM IS SOID NTfMN ONE VfAR OFCOM0.E- � TION.TME OWNENBUM1DEN w�LL H11VE T1iE BUROEN OF OROV7J0 7HRT HE Ofi SME OID NOT BUM1D Oli MpRDVE fON 117E PURPOSE Of SPLE�, � OlA80WNEROFTHEiROPERfY,AMEXClUSNELYCONTRACTNOWRHLICETISEDCONTRACfORS i0 CONSTRUGf THE PRO.IECT ISEG 7D41.BVS�NE55 NA PiqfE55lON5 COOE:THE CONTHIICTOR$LL Valuatbn A�J.AREA GEkSE UW OOES NOT MPIY TO N1 ONMER OF A PROPENi7 WNO BViD4 OR AIPiqVES TNEREOI�AND Z� wHomertw�erswnsuarAaecrswinumnrrucron(s1tKn+senPunswwrrornecartiuo OUANTI7Y DESCRIPTION FEE � TOq4I10EN5E UW� O 1 AM E%E►�PT UNDEH 3E4 B.t G.G FOR TNIS REASON Q 3 � , u' OA R �w Z � J �` LICENSEO COHTRACTORS DECLARATION W ¢ �HEqEBVAfFtPLlX1DERVENALTYOFGEIWifITHAYIMILICEN5E0lN�ERPHOVISiOrI50FCHAi7ER �yr p� t(OOYMENC4�0 N1TH SECTION 7000�Oi OMSiON]OF 7ME BUSMESS ANO PROFESSIONS COOE,Mt� Z LL W UCENSE t9 N FUl FOaCE uaD EFFECf. m � � � LICENSE ClASS LIC.NO. J �j 011TE CONTMCTOR a W � WORKERS'COMPENSATION DECURATION Q � U � IHEREBYAFFrtWUNDERGENALTYOFPE0.AIRYONfOFTNEFIX10Yf.NGOECUN�.TIONS: Z � __IXAVEIWDWILLIMMTAMI10Efii1FlCATE�CON5ENT705ELFanSUREFORNORKERS S OOMPENSATqN,A9PROVIDEDBVSECT10N77000FiHEUIBORCODE.FORTMEVER�ORMNJCE w pF TNE WOPoC FOq NM1IICH iH14 VERMR 19155UF0. � O __�HAVE AND WILLMAINTAM WORKER5 CdA7EN5ATION MSUMNCE,AS FlC-0U�REO BY SEGTION jf� Q4 7T00 OF TME l/BOit C�DE.FOA 7NE 7ER�OFW�flCE OF TNE WOR1(FON WHICH THIS PERMR IS �� /() 153UED.WWONCEA3COAIPENS�TIONINSUFi1tNCECARFtEHAMJPOLICYt�M11M9ERARE CANSTRUCTION --'--E•• � CANR�ER PLAN REVIEW � POUCYMlMBEH ELECTRiC '�� �'rk ��s 0 ��trc�r�rqTpeoor.n�pocnev�n.�rsxaa+eN.�ormmurasR+mla+iEss1 PLUMBING Z I CftITIiV TU1T N THE VERFORMM7CE OF THE WONt►OA wHidl THiS PEFMR I5155UED,1 MECHANICAL (�j y1A(1.NOTEMPLOYANYPERSONNANVMIVMEHSOASiOBEG�E5�1B1EL7TOTHE INSPECTIONFEE � /� N WOPo(ENSLOMPENSATqNUW30FCKIFOiiN�A,INOAGREETFM7IFISMOUIOBECOME S SUBJECTTOTMEx'�F�KERSCd.��ENSATIONPROV�510NSOFSECTIONl7ooOF7MEl/90A �� cao�,�sr+Ati�or+nnnn�eaeA.rvnn�niosernowsans. ISSUANCE � ,rrwmT�R CIT�Ti�T�•.••,r` 51� O SM�P �(7-��7�� �aa- - �`p DATE: APFi1CAM: �LJ 11�SJ11`�V f�=�' �� . ENERC,Y P!C WMMNO�f�lURE TO SEq1RE N'ORicERS COMPENSATqN COVEfUOE IS UNLAWF111..�11D uHi1LL BE � SUBlECTNIEMPIOYERTOCNuwALFENAL7iE3/�NDCNiIiNESUPTOONEMIN�RE0T110U51WD ENER�YPERMIT pOLLM4(S1oo.000).M!/iDD�T10N TO iME COST OF�OMPENSATIDN.CN.UGES A9 PROVIOED FOR IN � sccrionaioeocn�eueoa000Ewr¢nEsr,u+o�rrawersaEcs. RETENTIONFEE: ¢ W CONSTRUCTION LENDIN6 AGENCY PRE•ALT FEE: [L � IHEREBYAFFlRMUPDERPENKiVOFPE0.)URYTHAITMERER1lCON57AUCTI�NLENDN0A0ENCY GOR TNE CERfOiWANCE OF TME YfORK FOR WMICM TM�S PERMIT IS ISSUED(SEC.30Y7.C1V.C.). Z W � LE*IDER'3 W�ME 1--' LENDER'SMOAESS � ICEt7TIFYTMATIHAVEPEADiNISACOLIC�TIONANDSTATETUTTIEPBOVEMFORMATpNISCORRECT. TOTAL FEES ����� � IAGREETOCOMPLYN7THI11GTYNdOCaM1YOPAMANCESANDStATEUNSREUi9W108URDINO CONSTRUCT WN.N�D HEREBV AUfNORIIE REORESEMATNES OG 7HI5 COUNTY TO EH7EH UPON TliE S� ABdVE-MENTqNEo PROVERTI'FOR INSPEC710N PUHPOSES. COMMENTS O �� � -� � m PE WWEI�a�) N ' > LC %�' N qINTUAEOFCEfUI� � RECPT.NO. PAIDBY VALJDATION � WHITE—Oepartment Copy,YELLOW—Finenee Copy,PINK—Assessor CopY.GOLDENRO�File Copy,GREEN—ApplitanYs Copy ... . .__. , .,n,��,"'. ,. ,,...y �. . ...-„ ..�,r,.". ._".'•"._-.._.�.-,..._ .,� .. .. _. . .. . . _ CITY OF DIAMOND BAR . , • , � ���� � •. �.��INSP-ECTION RECORD � � - .: . r• --- _.---�---.... ..... -_____._...__- -----= - ------=---------�_r . - .T� _ - - � 1j�+�`�:�.�,t,(9� 1��= )���F .o. : '�►+�C�'�[�`f.. ����i� ;���l�.c e��, 'SETBACK _ . ; � =� � ' i, .� �•!,: . � FLOORJ015T _ ,�`. . , ,. �Fi"G5lFORMS/STEEL'. . - ,. - � ti •� . � FHA REQMTS ---- ' -- . . , ` , -. , . . ELECTRIC GROUND_. __.� • •' �; �.' ___ UN�ER FLODR DUCT ' --- - - � � � - — . . --: �GROUND PLUMBING UNDER FLOOR CUPiDU(T " � -' ' ` � ' ` . . _ r -J-- SLAB GRADE - -- �'� -- - -- � '� FIREPLACE FOUNDATION ' �TEMP POWER :• FIREPLACE BOND BEAM - � �WATER SERVICE, - ' MID HL BOND BEAP�I ' 'ROOFSH�A:HING Ib•l'1- 8 FT. BOND BEAM -- - - ` ' � : iFflAMItJG/VENTIUATION - - .-� FINAL BOND BEAM - - � -�- � -� -� ..-,.. - -_ IROOF COVER I - ` PRE-GRADING- - - � :ROUGH HEATWG' - BENCHING �ROUGH ELECTflIC_- . � � � _. ROUGH GRADING - - - - - - -- ----� �. !ROUGH PLUPJIBING -- - FINISH GRADING � . SNCWEFITUBTEST - - POOLELECTRIC . ,EXT:L4THiSIDING - - - - POOL FENCING �VUALL-1NSt1LATfON - - , _.. - - POOL FINAL , ;CEiLlNG IP:SULATION "' ` � - ' OFF SITE IMPS. !DRY4'VALC NAILING DEDICATIONS �SEL'VER----- -- ---- FINAL ENG. - ISEPTICTANK LANDSCAPE/IRRIG. ' � ' SEEP PiTILL.. ��Ji)., � ON SITE IWIPS. '• � 'GAS AIR TEST ; � � � F1NAL ZONING � 'r1�1�+t,._,ONST._: a.2 FIRE DEPT.FINAL ' , r r F1i�.E��1-{EATJNG. -__- - _ HEALTH DEPT.FINAL. ,:.L- �, _. :.�, ' :�fN�iL ELECTRIC- _ _ _ DEV.�FFES•PAID ` - . . i. ;` - +�=�:�'«.L PLUh1BiNG- - ENERGY • , ; __- -- --- - . - , , � � • . ,.� .- -.�1.� -__ -. ---, -- '"'" � .- � ----- -- - -- ---- - -�� -- - +Gi�..,o��-6i��Ci)i�G T - .. � . . . - -- . , -, ��. � -- --- - --- -- -� -�- ---�- -— -' -- ---. . _ _ . - ' _ .i : . _ __ . ._ _ _--- . . . . ' ,�OIv1MENTS_ - - - . -. , . -- - - - - -- , - -- - ! r)1 1 C` ` _. -- -.. . - -- . I - � - - -� - � --- - - - � �. _, . . � -- �c__ti . . _ ; ----• - - - , ; � �SEPTIC TANK SIZE . ' iSEEP PiT/U SiZE � �- ; r...__ . . � , � :�� - a ., . � j E _ � - - - �;�;r� . . ,�� .. . , -- - � � 3 - - � � i - --- . _ , _ . � . , . , .i i� _ �r �; � r-:_ - .- • - - ' - --- � � � � . , _•i