HomeMy WebLinkAbout15670 (23) � �� CITY OF DIAMOND BAR
�.,., DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
' _ � 21660 E.Copley Drive Suite 190
� (909)860-3195Fax(909)861-3117 PRESS
����� BUII..DING PERMIT APPLICATION ' FIRMLY
� JOHSITE APPLICATION PERMR �°/C
o ADDRESS DATE //�--/�-C�I_ NUMBE���v!�
� .. ISSUE TYPE OCC
APN LOT TRACT DATE CONST. GROUP
� WNE��"n-,!)-'T�
AODR SS � u _G/y ZONING SETHACKS
�"' CITY��tZl �i�L,(�L. 7 REAR RW ❑
APPUCANTI/R.�t ,�:,Cl�� ".� 'fEL +�`
� SIDFJSIOE STREET RW �
CONTAACTOR SIDE d
Q ADDRESS PROPOSED USE
� CITY ZIP TEL
ARCFVENGJ
�ESiGNEA NO.DWEL NO. NO,
� CIDnDrRESS ZIP �� UNITS STORIES BEDflOOMS
rn DESCRIPTION Sa.FT. FACTOR PSF ADJ.AREANALUATION
� OWNER-BUILDER DECLARATION SFRlADD/REM
O
p i�rrter�rFlw+u.on+vww�b►+ertunrn«� cxEuvrsnounrtccwrucrrn+su- GarsgeiCarport
lll CENSEUIWPoWTTIEPOLLOWRI�REASON(SE47M1.68VSRlESSAN�FROFESSIONSCOOE:ItNYC17VOq (n
CJ QOIMYYAACNREOUIRFSAPWARIOCONSTRUCf,KTEiZUdVflOVE,DEAlOU41,OqREVAIqANY$TRUC- w
V� 7URE,iRqq TO RS SSUMiCf,AL50 REIX11RE4 iME APPIIC/M FOR SUCM PEM.11T TO FKE A S�GNED w PatiolDeck
STATE4EHf iFUT HE OR SHE 13 UCENSED W FSVANf TO iHE PHOVISION4 OF THE CONTRACTORS lF
� CdSE LAW(CHAPTFN��COAIMENCPW MIIiH SECTtlN 7ooc)�DMSION!OF THE BUS�NE59 ANO PRO- �' POoV$pd
FEBBqNB pOp�Oq THA7HE Oi16HE IS IXEMPi T/1EREFROM/�ND hlE BAStS FOq iNE/d1ECED EXEFIP-
TUH.MIIV101A770NOFSECT10N7071.68YANYMPLIGt7TFORAPERMRSUBJECTSTNEMPLICMITTO Z Re-Fiool
r A CIY4 PENALiY OF NOt MOi1E TUN FNE MINDREO DOLW�S(fROC).k
� O��eO�M7EROfiHEPROPERTY,OqMYEMPLOYEESVATHWAGESA3THEIR50lECOMPENSATqN, 0 CpmmOfCle1 '
W1LL DO TfE VAAK MA iHE STRUCTVRE�S NOi MITENDEO OR OFFERED FOR S.LLE(5EG 7M1,BUSF J
� NE69 NO PiqFE55qN9 COOE TNE COHTMC7WI5 LICENSE IAw DOES NOT AOPLY TO AN O'm�ER OF ?
PROPERTY 1N/0 BU(M OR NVHOYf3 iNEREON,NAN1q DOES SUdI riORKHIMSflFOR HERSEIf Oq
� TNOUGHINSp4MfNONMOiiIOYEEAVROVIDEOT}UTSUd1YPROVEMENTSMENOTrt7TEN0EDOR �
.OFF6IED FDR 5KE ff,FqWEVER 7HE9N.D�Nf70i1 MMiWEMENil3 SOLDwRH910NE YEMOFCpARE
�TION,THE dwNER�BUMER WILL FNVE THE BURDEN Of VR4YIIq TMIT HE OR SNE OW NOT BUIID OR
� NPq7VE FOR THE PUflFOSE OF SM.E► '
0 t/S ONMEPOf THE PROPERfY.AY EXCLUSNEtY COMTMCTlb WRH LICEHSEO COMTRACTORS
a N OONSTRVCT THE Pt1WECT(9E4 7oN.BUSINE59IV10 PibiESSqNS CODE THE CONTMCiOR3 L4 V011181bn ADJ.AREA
L�1 CENSEUWDOESNOTMPIYTOANOWMEROiAPROPEffTYVMO8U0.DSOqMPFq1457HERE0ry.AND
s wv�ocavrrucrswnsua�vnnffaswmumr+rrucroacs���o+s�wrtsu�wrrorneoartrue pUANTiTY DESCRIPTION FEE
� TqitSL10EN5ElaW.� . �J .
E%EYPT UnOEN SEG 9.t P.G FOR THIS REASON q
� �' -��-L .� - s
u' DATE �D-'�/�I.-ffl OWNER V
� UCENSED CONTFiACTORS DECVtRATION � �. . .
� �
IiFAEEYAFFiq4UOERVENKTYOFPFRUftY7MATIWUCENSEDUNDEHVRONS10N50Fp1AGTER �
�(WIMENCMOWfiN5ER10N)omJOF�MS10NJOF7NE8u5MESSANDPROFE55i0NSCO0E,/ND Z
W LICENSE b N FW.FOFCE MA EfFECT. m
� LICENSE MSS IIC.NO. j
v ox� eam+�eroA a
w
� WOR!(ERS'COMPENSAT10NpECLARATION �
N I HEREBYA�FiPL UAER VENAtTY OF GE0.AIRY ONE OF1HE iOLLOWINtl DECLAMTI0N9: V
`=' a
� _,i wwE�tro wu wnnuw�cEmMchh oF oa+s[r,rt ro s�c�sunE wn�KEns s
COMPEH9ATICN.A9P110ViDEDBYSECTI0N77oo0FTlEUBOACOOEfORTHEPERFORMANCE W
n oF TeE NroaC iORwMICH Tn4 FEmAfT IS i55uED. �
'�F7 ��I Hl�VE NO WRL MARJTAH NRKIKERY OWOENSA71dJ INSiMAHCE I9 NEL%11RE0 8T SECTICN
QJ1W OF TME UBOR OOOE FDN iNE PERFORAIANLE OF TNE WORK FOR WNKH TYi15 CERAIR IS
� t55UEp.WµqpKEAS OqAPENSATIpN MSURANCE GARtEq NW POIICY M/MBER ME CONSTiiUCT10N
� unmcn PLAN REVIEW
�I � POUCTMJYBEH
ELECTRiC
p (M55E�fONlE"�NOTgE�OAilFl�pflrEPEiMfgFoqpl£H.K7rEDpqlIASR+oqoqlF� PIUMBING
Z I CERTIFY TFUT N THE PERFORUMiCE OF 7NE WORK FON wHiCF171n5 CERUIT IS 4SUED,1 MECNANICAI �
(� SFUI!lqTE/APLOYM/ViER50NNIlN'IYANNERSO/.ST08EOWESUBJECTTOTHE 4 ,
� YIOPo(ERS'CdAPENSATqNUW30FCALIFONNLIANO�GREETNAiF151AUL08EW�AE INSPECTIONFEE
S SIRJFCTTOTHEWOHNERSCOMPEN5AT17NGROVISqN50F5ECTqN77ooOFiNEUBOR
COOE,I S/WL FORM1M'ITH CdAPLY WITH THOSE P1qVISIONS. ISSU/.1JCE
� SM�P
Q pATE APRICAM:
� WAPlAND:FALURE T0 6FCUNE NtlHKER4COMPEN5A7qN COVERAOE I4 uNUWFtA,IND SMALL BE ENERGY P/C
�y SU81ECf/W EMPLOVERTOCAIMNAL PEN1171ESMt0 CMLiNES UP TOONE IMlDREO TKUSUA ENERGY PERMIT ^n
pqJAR$�{ta0,000�,Rl ADd710N TO THE COST OF COMCENSATqN,OMIAGES A4 PROYIDEU iOq IN }}ry-�
J SEC110N]tOeOFTHEUBOHCODE.MTENEST,hND1UTONNEY'SFEEA � vu
RETENTION FEE:
� CONSTRUCTIONLENDINGAGENCY PR6ALTFEE: ITY OF DIAMOND BAR
� INEREBYAFFlIWUNOERPENKTYOFVERNRYTH�TTNEFEISACONSTNUCf1�NLENOWOAGENC7 BIIII.nTN(;ANl�SAFF'j'Y .
FOR TNE PERFORM/WCE OF TME wOFK FOR wMICM THis VEfwR IS ISSUED(SEG�sl.pV.Gj.
�
� LEN�EitSNAME
� �E1AE74ADDRE55
� ICEq7M1YTWiTIHAVEHFf�D7M19AVPUCAiIDNANDSTATETUT711EAB0YENfdWATpNI500RRECT. TOTAL FEES �
� IA6REETOCOM0.YN7TNlLL1CT'MAOOIMTI'ORDINiWCE5AND5TATEUWSREtATWOTOBVtlDiNO . '
C(XISTRUCTId1,AfA NFREBY AUfIqRRE REPRESEN1AiNE5 OF TMIS CIXM7Y TO EHfER IIPoN iME
�. /�BOVE�MEMqNED FR07EHT7 FOR MSFECf10N PUNVO5E9. COMMENTS
� � _ �-.'i°Tv
m � N�we roruKn 1;,�
¢ i ��
�
� SKi. TUNEO�PEiU11TTEE DATE
� RECPT.NO. PA1D BY VAllDATION
WHITE—Department CoDy,YELLOW—fhnrxe Copy.PINK—Aasessa Copy,GOLDENROP—Fite Copy,GREEN—ApWicenfs Copy
. . , . . :. . . , •r.•., ..,._4..,.,. .-..-.,�. ... . , _. ..._ . ._.. ..
I ,
CITY OF DIAMOND BAR
- ' , . ItJSPECTiON_REC�RD . �;�.. .
_,_� ,�� _...F ;�..-. __ . '- ----
4 c•,��i�l ��� �_..._�]i+�;��-:o Rr '��'���?=7d(��f =���, +�i��'�'��'�.7 _;
SET BACK � � FLOOR JOIST � _ . .
FTGS/FORM5/STEEL ' " '� FNA REQMT5 - - � ' ' ' ' � ' �
'ELECTRIC GROUND UNDER FLOOR DUCT • � -
'GROUND PIUMBING UNDER FLOOR CUPIDUIT ' ' ' � ' .".
SLAB GRADE FIREPLACE FOUNDATION . � . -
iTEMP POVVER FIREPLACE BOND BEAM � - -- — � �
WATER SERVICE - MID HL BQND BEAM
�ROOF SHEATHING � 8 F7.BOND BEAM ��``
�FRAMINGNENTILIATION FINAL BOND BEAM �
ROOF COVFR - ` PRE-GRA�ING - • �
ROtJGH HEATING BENCHING '
'ROUGH ELEGTRIC _�_ ROUGH GRADING � �
ROUGH PLUMBING- - -- � FINISH GRADING
SHOWER(fUB TEST - POOL ELECTRIC
EXL LATHISIDING - POOL FENCING , ' j
;WALL tNSULATiON � POOL FINAL
,CEiLING WSULA710N O�F SITE IMPS. I =.
DRYWALL NAILING DEDICATIONS ` i :
SEWER FINAL ENG.
SEP71C TANK LANDSCAPE/IRR{G. '
SEEP PITlL.L. ON SITE IMPS.
'GAS AIR TEST FINAL ZONING -
FINAL CONST._ D F1F�E DEPT.FINAL r.
F1NAL HEATING �� HEALTH DEPT. FINAL �� ~= � '= --' ' -�. i
riN�L ELECTRIC-- - DEV.FEES PAID ' ��- -
� �=1tJAL PLUMBING - ENERGY
- wm,�.�..- .n�z- ._ -=--�T. ' '_ '—__
-_ _ _ '��t � s:�ctt�c.; . � ,
COMMENTS
1
� ,
,
; - , , � �
� � ,
SEPTlC TANf�;�IZE: : � _ ,, •
'SEEP P!T/U S1ZE � � _ _ - - --
i� t�. �-,.–==<—,--��. �� � �
�� Y�� !�`� l`r' , . . ' _ .
� +
���( .� , .. ,� . . . ' . . , r
� �i
;r,r� :j�� ,
�,'",�: . i _ _ , , , —
� - � - - -
{ - � , - -
��� ,.'.; � ,. . _ . - . . � :
-,,...�.�..:�..: :.