Loading...
HomeMy WebLinkAbout12914 (14) _ _i �' CITY OF DIAMOND BAR' � � / - �� --' DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRE$$ �'*"� BiJ�.DING 1'ERMIT APPLICATION � ` FIRMLY � JOBSITE .�868 ��yN ���� �,�. __ i Z , APPLICATI N PERMIT /C a ADDRESS o OATE -�L! NUMBER $ �,�, ISSUE TYPE ' , OCC APN LOT�_ THACT ��� - DATE CONST. GROUP p OWNER �„[��/�I ' ' ' p ADDRESS,��_����p�� • 20NING SETBACKS � CITY ZIP TEL FRONT RW ❑ APPLICANT �TEL /7-,/ . REAR p � ,1 � SIDE/SIDE STAEET RW O CONTRACTOR G . SIDE p o ADDRESS . CfTY ZIP TEL d PROPOSED USE o ARC NG/ � � z� DESIGNER NO.DWEL. � N0. NO. n. ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER•BUIIDER DECLARATION . SFRIADD/REM O p I NEREBY AFFlRM UNDER VENALTY OF CEiWRV THAT I WA IXEMPf FR041 TNE CDNTMCTORS LI� GerBQa/CaipOR � L1J CENSEUWFOf1THEFOl10WNOR[ASON�SEGt0.11.6BU5WESSAN�VROFE5510NSCO0E:ANYCITYOR (n C� COUHTYWNIdIREQIVI[SAVERYRTOCONSTRUCT,ALTERM�RWE,pE�Ip�JSH,pRREV�IRANYSTRUC- , W �P0110/DBCK Z TUNE PRIOR TO R8 IS6UM7CE�L..O REOUIRES TME MM1GNf FOR 6UCH VERMrt TO FIIE�StGNED ��l� STA7EMENT fYIAT HE OR SHE 6 LIC£NSE�VURSUANT TO TME PPOYISiCNS OF THE Cd�ITRACTOR9 U- - W CENSE LAW(CHAPTFR 9(COMMENCmO WfTll SECTION N00)OF DMSION i OF TME BUSME54 nND PRO u- PooVSpa � FESSUNSCOOE�DRTl1A7HEOR5MEI5EXEMPTiHEREFROMANDTHEB/SISFORTHEAILEGEDEIfEMP• TION.ANYVIOLATIOHOFSECTION70J1.68YANYM7lICANTFOR�VERAIITSUBJECTSTHEAVPLICAN7Tp Z Re-Roof � A CIVR PENALTY Of NOT YORE THMI FNE MINDRED OOlLARS�f50D�.�: � O�ASOhN�EROFTNEVROPERTY,ORYYE�PLOVEESWI7MWACESASiHEIRSOLECOAIPENSATqN, (�qmfifBfCl01 W�LL DO iHE NOF1K MA ME S7AUCTURE IS NO7INTENDED OR OFFERCO FOR SALE(SEG 701�,BU51- O � NESSAND iROFE55tONS CODE:TNE CONTMCTORS LICEHSE LAW DOES NOTAPPLY TO AN OWnER OF ? . FIiOPER7Y YN10 BURDS Oii MVROVES THEREON,AND MMO DOES SUCM M'ORK HIuSELF OR HERSELF Ofl � Ti6i0U0HMISOFiNEHOWNEMPLOYEES,GROVIDEOiTURSWIMPROVElAEMSMENOTIHTENDEDOR m � OfFEAEDFORSAIE�F,FqN'EVERTIEBULdN00RIYPROVEAI[NTISSOIDWIfHNONEYEAROFCOMOLE• � , Z ��710N,7HE OVRIER�BU0.DEH WILL HAYE THE BURDEN OF VROVW6 THAT NE Oii 511E OD NOT BUILD OR - , _ � IuiROVE FOR T11E 7URVOSE OF SILE). � - W OI.ASOwN[ROFTHEPROPERIY,AME%ftUSNEIYCONTMCTPJOWfT51LICENSEDCONTRACTOttS [[ TO GDNSTFNICT 7HE PROJECT(SEC.7os1,BUSINE55 AND P110FESSIONS CODE:TH[001lTMCiORS ll-� ValU81lOf1 � ADJ.AREJ1 W CEHSEUWOOE9HOTAPVLYTOIWONMEROFAPROPERTYWMOBU0.DSOflMPROVESMEREON,AND � MMDCONTRAGf5FOH5UCMPR0.1ECfSW1iNACONTMC70R(5)IICEN5E0PUR5UMITTOTMECON�MG . QUANTITY �ESCRIPTION � TOftS UCENSE UW.} FEE� � O IAAA E7(E►IOT UNDfR SEG B.t V.C.iORTN15 REASON Q � � � � � U � ¢ . DATE OVVNER � �4 LICENSED CONTRACTORS DECLARATION W J CL INEREBYAFFGOAUNOEHPfNhLT/OFVERJUiiYTHAT11u1lICENSEDUNOERPROVISiONSOFCHAPTER � Ur � d 0(COMIIENCNG VIRII SECTqN 7000)OF DMSqN]OF TME BUSINESSAN�CROFESSIONS CODE,ANO . Z MY LICENSE IS W FULL FORCE AND EFFECT. m � LICENSE SS LIC.NO. � � J � �G2. I v/�,L ` �j DATE — � COFITRACTOR���J.A a �� �� �- _.... _.yA . _' _' T7 - � � WORKERS'COMPENSATION DECLAMTION � Q 3 TO A G rT � IHEREBYAFFIRYUNDERDEWILTYOFVE0.IUMONEOFTHEFOILOYf,NGDECLARATIONS: "" Z . /� r_ ' c � �I HAVE MO WILLMAINTIIN 110ERfIFlU7E OF CONSEN7T0 SElF�NSUNE FOR WOFNERS' _ � , /'� /1/1I, . • COMVENSATIDN,ASCqOYDEDBYSECTI0NTI000FTHEUeORCOOE,FOflTHEPERFORMANLE U • � w+� , � � Q OF THE WORK FOR WHIfSI TlI1S DERMIT IS ISSUED. , � ) / � � �IMAVEANDYYILLMAR7TAPlWORNER+fAMPENSATIONMSUfiANCE,ASREOUIREDBYSECTICN - - -� � Q � ]7000FTMEUBORLOOE,FOHTHEVERFORMnNC£OFTHEVYORKFORNR11CHiM15PERMITIS � •ISSUED.UYWORK S'COMPFHSAiqNINSUiUNCECARRIENANDPOLICYNUTABERARE: CONSTRUCTION , .. . .. .. _ . . . � _' _ _._ . _ . . ... _ _____. _._._ __....___ . ._._._..__. . . � CARRIER /V PLAN REVIEY! / � Z paicrruue[n _ELECTRIC ¢ � (IYiSSCC110NN�NOTBGL01.ftElIDOF71EPEPoATBPotiONEHUI%im 6100�0(1LF551 'I2L iN � Z I CERTIFY TUT N THE PERFORMANCE OF THE WORN FORMMiC11 TMS PEN.iiT IS ISSUED,I� M HANI ' C'� S�LLLLNOTEMPlOYN1YGER50NNAM'MMMERSOASTOBELOMESIAJECTTOTHE � � (/� WOPo(ERS'Gp.�PEN5AT10NUN50FCALIFOiWU�ANOAGRCETMATIFISMOUIDBECOM[ INSPECTtONFEE� S SUBJECTTOTHEYI'OfLCERS'C0IAPENSATIONPROVISIONSOFSECT�ON77000FTHELPBOR � - . CODEISFIALLFORiMMITHCOMPIYWITMTHOSEPROVISIOHS. �SSUAPICE � . � SMIP - 'p DATE: APP�ICANT: . . � ENERGY P/C WARNIHO:FALURE TO SECURE WORICERS'COMiENSATION COVERAGE I.S UNUWFUI.AND SHALL BE ��I��� �y SIAIECTIWEMPLOYE0.TOGRIMINALVENALTIE5MIDCMLiIhESUPTO0NEFIUNDNCDT/qU5AN0 ENERGYPERMIT DOLURS(St00,000),W ADDRION TO TME C06T OF CpAPEN5A71ON,DAUACE5115 VROVIDED FOR IN J SECTqN970eOFT/EIABORCODE,INTEREST,ANDATTORNEYSFEES. . . ����I Q RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE•ALT FEE: �j;��i � ' � IXENEBVAFFlRAIUNOEFPEN�LT/OFPE0.URYT1UiTNEREISALONSTRUCTIONLENDINUAGEHCV �� ' Z FOR iME PER W RMANCE OF TME WOWC FOR WMldl iH15 VERMiT i5155Uf:D�SEC 70TI,CIK G). W � �lEN0Eit5 N�IAE -. . � � LEHDER'SAODRESS w 1 GE NT I HAVE READ Tu5 A7PlICAT10N�HD 57ATE TUT iH vE NFORMATION IS CORRECi. TOTAL FEES � .� � � � ETOCOA�PLVWITM�LLGfiYANDCOUNTYORD�NANyGs+�� STATEUWSRElATN6TOBl1RDIN0 . - GONSTRUCTION,ANDHEREBY�UT1qWIEREF ERt`IVESOFTN15COUN7YTOEMERUPONi11E._ . . . _ ... . � Q ABOVE#�ENTIONEDVROPERTYiO ' 'vos[s• COMMENTS � � _ ¢ PE ITfEE NAME(FR:HiI. .. . .. .— . . . . � --�n_ _ __/�r1 1 � � (� &GNATUREOFPENYiTTEE �ATE , . � RECPT.NO. � PAID BY VALIDATION_ � � WHITE—Department Copy.YELLOW—finance Copy,PtNK—Assesea Copy,GOLDENROD—FileCopy,GREEN—ApplicanCs Gopy � � CITY OF DIAMOND BAR _ :; ��� : . `.� ' �� � '`� INSPECTION RECORD '` �.. : `�� " . f � , s - • � � � ' SET BACK �' j � �. �` c �'_.� ,FLOOR JOIST-' • `' �_ ,�' �• ' __ _ =� •-- �`, FTGS/FORMS/STEEL = •�� ` � FHA REQMTS ;; �,-__ - ELECTRiC GROUND= __� . �.. . : - - UNDER FLOOR'DUCT -`" ' �` ' ,r,� �'� GROUND PLUMBING • ' UNDER FLOOR CU�ID{�tT�•.�`;�., - ' ��. = _ � � � - SLAB GRADE- - \ ��FIREPLACE FOUNDATION - -- � ' ' ' � FIREPLACE BOND BEAM � � � TEMP POWER � --- ' ' ..----. � -•. �...;� � � � � . ; . WATER SERVICE ----..---- --. :,_ . . .._ . .. �MID HT.BOND BEAM` �. ,..: . v;_-�� •; :.. + ; . ^, . R�OF SHEATHING - .. '. ' .: '8 FT.�OND g��M=;\' . �`<:�; �::.'�' '•,.•,.'�`• '"� � .. .�= FRAMINGNENTILIATION FINAL BOND BEAM � " � ' Fi00F COVER '.PRE-GRADING � R�UGH HEATING - -- - -- � - - - BENCHING -- - � ROUGH ELECTRIC `� -- - - ROUGH GRADING ROUGH PLUFlIBING ' - - -� ��- - FINISH GRADING • . , �. SHOWER/TUB TEST POOL ELECTRIC • � EXT.LATH/SIDING � POOL FENCING . WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. - � DRYWALL NAILING DEDICATIONS ' ' SEWER. . _ ... _ . _ .. ... _ FINAL ENG. • ' . SEPTICTANK -- -.-.. - - ` - LANDSCAPE/IRRIG. SEEP PIT/L.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 � ENERGY ' � - � -.- ,) 1� ` '-�4.� � _1�'�i':�,• \ �� � `�. . '� i. - , ... � � ---. - , �: � .. � ' - -- • �----- . . __ ... . . _.. ,__r . � . _ .__..._. ... .i. ..,. - -_- -- • - . COM�ENTS '.;�:r-�. �_�:, ,;;�,� =�= v I_� � ��.� � �. � 1 � 1 .-l� . � r� . .'2' v � , � '�.. .!\ '' '� .`. _. .... �l�V�w, `,, '/_-`, r,, _ S-6'`-�-�`'-� -�� . - . ! 1 •�` �, .i".•� . • ,�.. � ' „ � � � L,�, •.\...•. \',--.'� . -' �. . . _.. .. � � . . � ,� ,i i . . .- � (�, � - - . � - . y,,J_; _ . ;3�i ..'1 � ' . - . ;-;r;�• c� 1 f r, . , . . SEPTICTANK SIZE= .'. , .. .� , , , ; : SEEP P.ITlU SIZE.%I;'�.., �?�:C�:.. .'�• .,. .�.., .. , ..,. . . � . - . ...'.,'. �:�:':;`_.�;',T�: ;� ; • ; ; i ... . , � __. --- - ---- � --- - . ; . - - - � — -- - .+I ...... i - ' , .�, -- __ . _ ._ ', �,-------- -__- -�-�'._` - _�_ , :. . - �� _ - _. -� .. � ; - . . � . .. .. �,� � - . _. , . �� .