HomeMy WebLinkAbout15069 (20)CITY OF DIAMOND BAR
DEPARTMENT OF COMMUNITY & DEVELOPMENT SERVICES
21660 E. Coplcy Drive Suite 190
(909)560-3195 Fax(909)861-3117
BUILDING PERNIIT APPLICATION /
JOBSITE
APN LOT TRACT
OWNER Jlk _
ADDRESS_'-4tj.3
CZIPS TEL
APPLICANT TEL:
CONTRACTORADDR�fi� E
CITY ESS �D 3� IP z _TE L. �1�j p�d7j
ARCFi!ENG/
DESIGNER
ADDRESS
CITY AZ_iP TEL,
OW�NER'"ILDER DZCLAHATION -
I IfE RERY A}F:FN LTNJFR PFNA:.TY O CAk-gr TMJ: I AM EX<MPT F -3M TIHI X N1HACTJR.i LI
I:Ehi_L4Vi F(1Ni THc FQ LGW.",.G F:Aa�.`i (' C.: i::I.6 NJSLVESSA40 FFYFE:5 +.5CA,'IE. ANY CI.YOH
G:;iarrWl,crir'�^.L;u,�SArw;,IrTOLArJ T- AST ,.FrNI:'r=r_\w;;li.cnF AS:D
7VHE, FPIM .O fT5 P.'SLAt;CE. A:SJ P.�(:UihL.. ThE A r.1µ:7 FCH SJCH PcRM,T rU } tE A SCI
ED
STATEIJENY IHAT HE OR SHE IS LICENSED PUF.iUANr TO THE 'Rcv:. oNs of THE CO.TFACTCFS LI-
CENSc LAW (CHAPTER GICC»dAIEN:ANU WITH SECTION Top)) OF ONISF)N 7 CF THE B::S:NESS A -'DC O.
FESCIONS COO,) OR TI1AT HE OR S',E i5 EXEMPT THERE FPC:" A` IT TNF NA S;S Ff f! THC A LEG:G EXELIP-
7AAV. A.Vf VK&A-.kA'C)r SEZTCN T.M1521 ( APPLECA.J FOR AP=RMT WLOI S ThE APFLLN,I lO
A C;'YK. FiNALTY Or NGT M THAN E VE UNC EU DC UFS (FS.Ci ).
04AS U"NERJ: Th,'-PkOPLHTY,0 I.YEA'LOY WITH ViA "T iR 501C0M, E'3A'GN.
WIIL W THE WORT A:.J The STFL'C7uAE IS M)T Ih'TEH[;CU Oi O: FC ,, D FO -1 5A -fS.0 7J.s. G.:SF
NE55 FhD PIKM'<SSIQ.S CCC E TI.E CLN -PAC1OJ.5 L.�EN:E 1AW OCES 1, ]T A°PLV TJ AN O',VN=R CF
PrKJPERTY NRI[, 3, KD5 OR W PRJYcS ThENcOV, AIJ) W rMi fjl� a cI rCH KU• n- hIYSr,LF OfT HEH�ELF Gi
GHFOUf111 HIS 0r1 HFH 011, E—LONE-S G I O1 A JUi WrI CJ 4 T AH Nt;. INT LhJLJ 1A
OFfENE]FUF: SALEP,MOWcYFRTHE idJ ('R M. R^ M JTis i.AtJn1"Nc.r ErfA"OF p;1.'iE•
Tk^ IHC OWNFq ELLAER W,.L HA'I� T' E FC)uN O P 0Y4'.J TI Af N i ',F .0 1• T ILLI CH
PAPFIOVE 10A SH, PUHT05' OF SALEI
E`I. AS UJMEFi OF TiIc PFOPFRry AM F..4... IVLLY ^.FYrTRA%:TN Y.1N. __.S J v. J.ACTC.tiS
TO0C•IS7RJCTTH, M+:.LC. (�C07 , ,:; AY.J-Fa sS ,Fs c�Lr TF• c -L.c.0 1.
CLkSk LAW DOF3 NOT A.7PLY TO AY(JWA-ii OF A PNLPFI1.71Y1 v:i favi CR,XIPrw L .F .. PAFvh. A.I
WHIOCONTRAr7 SF C RSLIC fPfCJFCTS'NITHACCYJTFACTJFIS):ICENGEOFURSJANTTv THU
Eci'1UG
TOR3 Or
ENsc uW)
U I AM EAEUPT UNL'"r, Si C. ___D & PO u)i TH-=nE-A-CN
DATE -
L EN�CD GCN7RACTORS G-CIApAT.;JT:
IHEREBV AFF IILIA INUERf[.NtiTY CIF GE 1 ii(TN\'IAMI(. Y„EC tJ'r: LN VHU: U -S CF LIL.'r iEH
F(CJI/MENC WG VJITHS T'ON 7. :)C CV'.SII.(:3 DF .hE FJv::iNEaS At;J rPOFf AN+l.ui.E. A'JD
YY MENSE 15 IN FULL FC C: ANU EFFECT.
LICENSZCLASS _ c U�: NO.
DATE_. _ -_ 1vI TFL1CTCri
Wv�R;<ERi OU:'JI'Ei'JSATION DGCLf.riAROT:
1 riERE6Y AFf IHAI 11iiFH FE!.A..TY OF Pc JURY CM1� CF TriE FCLEOW NC LELtA rn! kdh S.
__—IK IE A!fl- LLKA VT AIA EH 'F Ai (T GAN -FTIO ;.t F h h OR rd. EF'
V.JN•' AIG'1 AS F Ih V LJ b 5 G I.XJ 3 G C F /1' LAf,GR CGJ , FJrJ T F NIU J.:a'GC
Or THr W `rK FOR WH V THIS Pr PWITZ IJSL J. -
HAY" ANJ IA
VV.L AArTu-\ ORKE 9i (.L PEN A IOJJ INS-1UIE AS '1,3U0 LlSY SECT ION
A'PI Or iR to rC iOLJ(r-,FvR.nE FET.FON.ANCE OF 7. rt IVO. IK FUR V,, M iTFf3 FEF"!, IS
LED. M.l WLAKERZ C..I.:IO
Eh;:Sh;NS.- ti-CAFA- AtZl'CLICYNLMv`RINEE
(i-'S;;E.:.YYJ`F.EU IA:T 5E CtM:',.EiF-'•GT1r:PJtr'G FPi:J'.:F JU4U U:X:?tL`pIWjLY: LE>iF
I CERTIFY THAT W THE PLRFOFrAA;V:E OF ihF. I.CNK FGF YInIC1, i Tr: S rEW.!:T M ISSUE:, I
ShA,L 1.0 T F MPLOY AN (PERI QN WA.NY MANNL,1'0 AS TO SE" ME Sl.u,LLT 7 J THE
WOhKEIT F(I ELN:.AI KXY LAVJS OF CALIForl.A, -J A'JiEE T+ 7 IF I SHOUL C K c:,Mc:
SLID: ECr TD TI:: KgRK FRS' iACY.!GENSATKAJ P.O':ISY�J i�F cc�E�CTIOI�J 31.}1 OF THE EAcUR
C
COIi , l 5H.4L Foil'
; ti.VI TH CO!drly W T!I 1 NCSE P—`y/
'
LATE: �'PL ICANT:
V/A1V4'NG: FAIUFE TO SECUI:E V. "ERS' CGUPEN3ATrA CUYERASE IS UNLAWF L'L, ANJ SHALL U
SULIJECT AY ELIPLOYER TO CRIM AAL PENAL TICS WID C:V L FLK€S UP TO Cx;E NL%NUKED TIO?,$XND
OCCLAHS IF 10o.o(Ki). IN UJ"_""
10 THE COST OF Or MPENSA`KXN, OANAGE 5 AS PROVIDED FUA W
SkCT1ON 3703 OF THE LAUJ.i CODE. W TEHEST, AND ATTORNEYS FEES
CONSTRUOTION LEN'D:NG AGENCY
I HERERY AFFIFAI UNDER PENALTY v Fc FUUHY THAT. HERE iS A CONSTPOCT't,N LEND;Nu AGENCY
Fon THE. FEN.ORALAN:SE OF THE VICE' FOR WHICH THIS PPF MAI IS ISSUED ISSSEC. 30.7. GV. C.).
1 CERTIFY THAT 1 H*JE N(X) TH13 APPLICATICNI ANO STATE THAT THE ABOVE INFORMATION 15 WEIRCCT.
IAt.N:F 'U L:C.MPLY W1T11 Ul fr1Y AND UA:N TY OHDIVANGLS A.0 STA'E UWS RELALVJ . TO DULLD:NG
C(AYSI RUCTKAI. Aho HEREBY A'JTIVJHIiE hUFESENTATIVES CF THIS COUNTY TO ENTER UPON THE
AIiC7VC-MENTIJVEDrFrN'EH TY FO�i INSF ECTKAY PUrl.•OS�ES��`l`},
PFP.M,T1 Et NN'
S:Gh'AI ukSC OF PE; M'I`[� DATE
PRESS
FIRWILY
APPLICATIOt' PERMIT %� PiC
DATE _ NUMBER
ISSUE ` TYPE OCC
DATE N _ CONST. GROUP
ZONING SE BACKS
FRONT RW ❑ _
REAR U
SIDE/SIDE STREET RW 11
SIDE/ I•i!
'//
PROPOSED USE7�t0r__" f� _ �t4VA_ti/azu ylo-
Si1LL-/1lOU�Y�r��
P164JT
-�Plb— —
NO. D1VEL NO. NO. SD
-BEDROOM,
UtBTS STORIES
DESCRIPTION
SO. FT.
FACTOR PSF
ADJ, AREAlVAI LICTin::
SFRACD.AEM
Uj
LS.I
Pa{n�JDaa
V-
POOVSFa
'; H;uatlGn �fjs —� ADJ.AFn.A
i
Gt:FPIT 1TY UcSCH'PTION
FEE
cJ
F— -- 1
�
14
J
i
0[—
UJ
U4
r.
G0N51iSUGT!GI.1 V V
PL -AN REVIEW
ELECTRIC
MECHANICAL F,
INSPECTION FEEj -yyJ.. -^— -
13SUANCE LL--
SMIP nnn
ENERGY F,C-
ENERGY FERMI r nyD(''
RETENTIONFEE: _Sci_` �..cz!T 7 _—
PREALTFCE: R�JW✓� ------ -- -'-__`-_
TOTAL FEES
COMMENTS
REi•PT. NG...__./ DATION
'JVFiI i E--0F„ahmJ;.'TT Copy, YELLOW--Fowroa Copy. PINK-A5S3s: OF Copi, GOUJEN11013-Edo Copy, GREEN-Appi.cWt's Copy
CITY OF DIAMOND BAR
INSPECTION RECORD -•-I .. ,
', il_► �MbRltf&t Ott
� 7 -� i tvdtz
.'
, .t.
SETBACK
FLOOR JOIST c _
FTGS/FORMS/STEEL
FNA REOMTS `
ELECTRIC GROUND
UNDER FLOOR DUCT ,
GROUND PLUMBING
UNDER FLOOR CU•.?UIT.. - , i j t ;-.
SLAB GRADE
FIREPLACE FOUNMAON i\\ , ' --- :\t-.. ';.,,;, ,: ;•1 ,
TEMP POWER
_
FIREF'IACE E bWeEAM
WATER SERVICE
MID HT. BOND BEAN,; :;`. :.;-=, c�. ; �1t ;':• :1 -,`
R90F SHEATHING ,; '. –!9d' .-' 'ZCe!
8 F(. BOND BEAM \.k. ,>' ' •'� .4
Ff�Al.?iNdGNE�NTILIRT! N :' �' '' :'_T - ""
:SINAL 80ND BEAM
Efit✓&'COVER
PRE -GRADING
ROUGH HEATING
BENCHING
ROUGH ELECTRIC
ROUGH GRADING
RCIji`,!� PLUMBING
FINISH GRADING
SHCWER/T UB TEST
POOL ELECTRIC
XT. L1THrSIDING
POOL FENCING
VIALL INSULATION -
POOL FINAL
I CEILING IPISULATION '
OFF SITE IMPS.
DRYWALL NA!LING
DEDICATIONS
I SEVA IER
FINAL ENG.
SE!'TIC TANK
LANJDSCAPElIRRIG.
SEEP -7 L.L.-= `15,�
ON SITE IMPS.
TEST
FINAL ZONING
:ONST. �L�Z.p�� —
FIRE DEPT. FINAL
4EATING
HEALTH DEPT. FINAL
ELECTRIC
DEV. FEES PAID
PLUMBING
ENERGY
';"__:;,lMENTS
-
( i � C2
NO 7 � 2 /1— a-- A- r c. 6 0
.
1
SEPTIC TANK SI'
SEEP PIT/IJ SIZE
r