Loading...
HomeMy WebLinkAbout13854 (14) 5�13 4 G.►7- i� �—^ �,� _ CITY OF DIAMOND BAR /-� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES / � . 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 PRES$ ����� BUII.DING PERMTT APPLICATION FiRMLY o �DRESS ISZd S, pI�J1�4� bA'7�! �/� DATEiCATIOK �O NUMBER� � p� � ISSUE TYPE OCC APN LOT � TRACT DATE CONST. GROUP p� OWNER OF�L� �S"Z "' ADDRESS � ZONING SEfBACKS � CITY ZIP TEL R�R RW � 'APPLICANT TEL. SIDEISIDE STREET RW ❑ � CONTRACTOR � " SIDE ❑ � ADDRESS S�' - CfTY �r'c�—,E ZIP�TEL � PROPOSEDUSE � ARCFUENG/ � ADD E SR NO.DWE � �� • O. NO. = CITY 21P TEL UNITS TORIES BEDROOMS N pESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION N Q ONRJER-BUILDER DECLARATION 5FR/ADDIREM O Q 1 MEiIEBY AFFIRM UN�Efl OENALTY OF iE(W�V TFIAi I M1 EXEMPT FROA1 TME CONTMCi0ii3 LF Garage/Carport W CEHSEUWWR7HEFOLLON7NaPEA50!!(SEG70.71.SBUSMESSANOVROFESSIONSCODE.ANYqiVOH (n � COVMYNMICNREOUIRESAVERMRTOCONSTRUCT.ILLIERMPROVE,O[MOl15F{ORHEPNRAHYS7RUC- W PaI10/DOCk TUAE,VRIDR TO RS ISSUANCE.AL50 REOUIRLS THE APPLICANT FOR SUCM PERAIIT TO illE A SIGNED � � 8TATENEM iW�T HE OR SHE IS LICENSE�PUqSUANT TO THE DROV�SIONS OF TME CONTRACTORS ll- � CENSE UW�GUPTER Y(C�IAMENCWO NTTH SECTION 70001 OF DmSWN D OF TME BUSINE55 AND PR? � PooVSpa FE5510N5 CODE)OR THAT HE OR SHE IS E%E�1PT TNEREFRd/1w0 TNE BASIS FOR 7HE ALLEGED FxE1AP• 710N.AIV1'VqLAT10NOF5EGTION70.11.68YANYAPPLIGNTFORAOERMITSUBJECTSTHEMPUCAHTTO Z Re-Roo1 � AGVIL iENALTY OF NOT IAORE THAN FNE HUNORED DOILARS(t500)Y• � 04�d�'NEROFTHEPROPER7Y.ORMVEMPLOVEESwITHWACE5A57HEiqSOIEtOMPEN5AT10N, O QpmmBfGlal � WILL 00 THE H'OfiK ANO THE STPUCfUHE�5 NOT INTENOED OR OFFERED FOR SALE(SEG 7W1,BUSI- J NESS AHD ifCFf5510N3 COOE:ME COf/TMCT00.i LICENSE LAW DOES NOT APVIY TO AN OWNER OF � iROPEHTYVM10BU1LD50RN/VROYESTMEREON,MJDVMO00E53UpiWORNNiMSELFqiHERSELFOR � � i}/ROUGIIHISOHHEROVMEYPLDYEES,iROVUEOlHATSIICNrA7ROVEMEMSARENOTMENOWOR m OFF9iED FOi15ALE�F,F10N�/ER1NE BULOINC OR MPHOVEMEN715 SOLD WfiF11N ONE VEAR OF COMP�.E- � �TION.THE OWNEREUILDER WILL MAVE TME 6UHOEN OF VROYINa THAT ME OR SME CID!qT BUILD OH �.1Pi10VE FOiI THE PUHPOSE OF SALFI �y,� ❑4ti'VWNEROFTNEPROPERTl;M/EX0.U5�VELYCOHfMC71NONTTI!IICENSEDCAMiMCTOP3 � TO CONS7TIUCT TNE VRO.IECT(SEC.7au,BUsiNESS Iw0 PiqGE5510N5 CJOt:TNE CONiiUCTORS U- VBWatiOn A0.1.AREA CENSE U1'I OOES NOT AFPLY iO/W OVRIER OF A PROPERTY V.?f0 BUILDS OR MIPROVES MEREON,ANO �.�C wHomHrn�crsronsuo�vaaecTSMnn��oorrrrucroA;s�uceHsenauqswwrron,econTrUc pUAN717Y DESCRiP110N FEE � TOiiSUCENSEUW.j. .,,) O IMI E%EYOT UNDER SEC. 0.t RG FOR T1115 REASON Q 3 � , � �'=" DATE OWNEN V � �� . � UCENSED CONTRACTORS DGCLARATION –� � W 1 NEAEBYAFFIRN UNOER VENALN OF PENURY 7NAT 1 AM LICENSED UNDE�PROVISYJNS OF CIUPTE S Y(COMMENCINOYlfTNSECTqN700D10FDM510N�OFiMEBU51NE55ANDPflOF'c55�ON5CaJE,A. >G 1,fY LIGENSE IS N FLtL FOACE ANO EFFECT. 11J m � IICENSE CUSS���L�C.N0. p � V DATE �•�'� ',�_ CONTMCTOR W � WORKERS'COMPENSATION DEC �J ^ 1 �SLc�. � 2 a�aoNo..�ws z a►o�,� � IHEREDYAFFlAMUNDERPEflALTYOFVERtt1RVONEOFTNEFOUAWMGDECUMT N Z Q�l� OD � _IHAVEIW�WiLlG1AWiNNACERTIFICATEOFCONSEMTOSELF-WSURGFORWORKERS' 2 / ��� A,V J CqAPENSATqN,ASPFpNDED9YSECTION]70oOFTMEU��WDEFOitTMEiERFORMANLE W Of h1E WORK FOR WNICN TM�S VERMiT W ISSUED. � f � _�HAYEANDWILLMAMNNWORKER".+'CO�.�PENSATUHINSURANCF,ASRiOUTAEDBVSECTION s SMa�-f �� �JA��� � 7(J . . Q l7ooOFTHEUbORCOOE,FORh+[PEHFORMANGEOFTNEWORKFOHWNIp1THI5PEW.11Ti � ISSUEO.WWONKERS'COMPENSATIOHWSUMNCECARNERANOPOLICYNUMBERAR�, CONSTRUCTION � CAqNER �n� �-rY�'�/�-��—�� PLAN REVIEW � po�qrrrurwEa (LL�� ' EIECTRIC � �srcrr��mr�ote[ar.n�oFnfaEra.ns�cnavE��n , . ..t PLUM Z 1 CERitFYTUT N THE pEFFORMMiCE OF THE VKIRK FOit WNIqiTHI as .i ECHAP�ICAL (J SFIAI.L NOT EMPLOYANY PERSON M ANY MANNEk 50 AS TD BECA� _ (:T TO - Vj WORNE0.4'f.O4AVEN5AT10NUWSOFCAUFORNIAANOl16AEE S1KK1t0 ,�6 INSPECTIONFEE S SUBIEGTTOTHEIWRNERS'C0IAPENSATIONCROVIS ]70oOF i�EU�BOP J �� �� aooe.�sr�w.Fom�rrnrn ca�r�r w,m nror O p �ATE:'7.30�� APPLICANT: SMIP W ENERGY P!C WARNM�:FNIURE T0 SECURE W'ORl(EPS WMPENSA7KKJ CCVENAGE IS UNUWFUI,�ND SMALL BE (—y SVBJECTANEMPLOYERTOCRIMINALPENALTIESMIDCMLFWESUPTOONENUNORC0711011SAN0 �NERGYPERMIT �III���� DOLIARS�t100.0001.N IDDI710N TOTHE COST OF C061PENSATION.O�CE5114 PROVIOEO FOq IN _ aSECTpN]7olOFMEUBORWDE.INTEREST,ANDIITfORNEYSFEES. RETENTIONFEE: � �-� �� �`� oCONSTRUCTION IENDING AGENCY pRE-ALT FEE �7sa U CG IHEREBYAFFINAUNDERPENALiYOFPERJURYTNATTMEREISACONSTAUCTIONIfNOWOAGENCY ��vll� '" �'A nz- FOflTMEPERFO(iMNICEOFTM[WORKFORWMId1THISVERMITISI55UED(SEQJOo�.GV.C.). W � LENOER'SNM�E C LENDEH4AWNESS //j�J � ILERTIFYTHATIlNVEREADiHISMPLICA7K1f1ANDSTATETHATTHE E FORM iON�SCORftECL TOTAL FEES �� � �/ w I�GR[ETOCW.�PlVN1TMALLCITYANOCOVtJTYOADINAMCES ATE WS PNOTOBURDINO � CONSTRUCT�ON.ANDMEREBVAUiFIORIZEREFRESFNTA7NE50 HIS ENTERUMNTNE ZABOVE-MEMIONEDPROPERTYiORINSPECTIONPUR705[5 COMMENTS � -� �' 'v m PEPMITTEEN/WE(PW1lT) 4 �.3a, � � � �S�GNANREOFPERMITTEE OATE � . RECPL NO. PfJD BY VALIDATION 1YF11TE—Depertmenl Copy,YELLOW�inanee Copy.PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—Applieant's Copy ' ' '_ . , .� .. .. . . �. ' . . . ' ' . . .. . • , f . �.. . . . , ... .. .. ! . ' .. . ' - `� ���\ C`TY��bF DIAMOf�lD,BAR , . , ', ; - , -- : '. .,.INSPECTiOh! RECORD . ... �#�.►�'.�-�����;'�[!1�;�,��E - - ��"��= 4�I�►��-����'�_k��_.,�.,,�.."r-1►��-�ir���:�'lc;1►�l�A_y� ��'��=: ��[��_�.y����'P��_._ , SETBACK � Li ; I . .FLOOR�OIST. '. �.. .� r _ �,. �--;� i - �FTGS/FORMS(STEEL � 1 FHA RE�MTS �=_ • • __ . - �ELECTRIC GROUN� - ` • � � - UNDER FLOOR DUCT ` ` � ? �' `GR�UND PWPJIBING UNDER FLOOR CUi,idUlT ' -" ^ _ 'SLAB GRAQE- - - - - " � FIREPLACE FOUNDATION �TEMP POWER � � FIREPLACE BOND BEAM ' �VJATER SERVICE � P�IID HT. BOND BEAM� -", :. : ,�: �--, � -- ` � IROOF SHEATHiNG ' .' ' ' � £i FT.BOND BEAM.'�` � ' '�- ' � ;FRAMING,NEN7'ILIATION ' FINAL BOND BEAM �� � �I ! ` .ROOF COVER � ' PRE-GRADING iROtJGH HEATING � BENCHING - ;ROUGN ELECTRIC _ `� ` ; ' , '. ' . ROUGH GRAD�NG � _ _ _. _ 'ROUGH PLUMBING ! -- - -- - - -- � FINISH GRADING � � �SNOWERlTUB TEST-: - - - - POOL ELECTRIC " � iEXT. LATN.,�SIDING - POQL'FENCING ' i�"JALL WSUL.ATION '" POOL FINAL ;CEiLING I�:SULATI�N " � - OFF SITE IMPS. ' DRYL'JACL�NA(LIP�G � DEDICATIONS SEbNER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. ' SEEP PlT/LL ON SITE IMPS. 'Gi�S F,I�TEST FINAL ZONING 'Fli�'t?_CONST. FIRE DEPT. FINAL � �F1;�1'•.LHEF�TING �p,C1� " HEALTH DEPT. FINAL - - � : : !':::_ELECTRIC - DEV. FEES PAID --- ` � .'�.t_PLUMBING 'ENERGY ... . :- _ ..- .. �' ._._ -,�------- ; !- -- -- �i�� e�� fi1 tC't _..._.l ! \'•_i,, i ..._i:_> x :.:s__.�.__. _ j - -- ---- ---_ -- —' - - _ __ - -- � ---- --; - - --- --- , .- � . - -- -- - ��,-------__--� --. .. - -----------. _._._. . CQI�rMENTS +- ^r' i �.:. `ri..i :•i t, ' ' �\.� -- _ . -,,:; ;`:; �., ;,,�. ._ ._,_,:��;;:; � .. -�. ' ' � -.�.�/ 1.. • �� �_� �.. . � � . \.fi/ `^ . `�'1'�:;�Af•,`� `_1J',I.. � _I.+��� . .�' . ' � . � � _ . I ' ... . ` � , i ' ,. _ _ _. . . \ . . ' ._' . \ . . . _. ' _ _ �� . � ' � � . . - .. -.'"_...... . . . _ \ . .. . ' _ "- _ �` . . . I 1 iSEPTICTANKSIZE' ''��' ° ' .��.'�. � ,SEEP PIT/U SIZE . �r� � .. � a , � ':�.4�� �, _ . . . . .. . . . .. . . . . . .. . , . . . r . . . . . . . . -� . � , `� -,._ ` � . � . . � . � .. . ' .�_._.___'�:........... :� : ,• , `__ ' ' •� _ , �