Loading...
HomeMy WebLinkAbout16229 (31) CITY OF DIAMOND BAR J� - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� � 216b0 E.Coplcy Drive Suiu 190 � �y (909)860-3195 Faa(909)861-3117 /e ► PR ESS ?��^' BUQ.DING PERMIT APPLICATION (.r� FIRMLY o� JOBSRE � �t-� �, �/'�.A DATECATION� ����1 . NUMB R ��� il� ADDRESS J �/ � APN LOT TRACT �Z2-�� ISSUE _ TYPE OCC 7 DATE CONST. GAOUP � OWNER IdG�Ff p ADDRESS I�� ZONING SETBACKS � CITY�j�-!///V� ZIP9 -7G/�—TEL. FRONT RW ❑ APPLICANT TEL. REAR ❑ � 51DE/SIDE STREET RW p CONTRACTOR SIDE p � ADDRESS__ - � .� C�TM Z�P �� PROPOSED USE � ARCH/ENG/ DESIGNER NO.DWEL NO. NO. � CnDRESS 1 Z� �Q�� TEL����� UNITS STORIES BEDROOMS cn QQ/� DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION SFR/ADD/REM O p 1 NEF�Y 11FFIRM UNOER PEN/LTY OF VERAIRY MHT IAM EXEMVT FROM THE CONTMCTORS U� Ga�g�.a�R - � - W CENSEUWFORiNEFOILOM'�NGNEASON(SEC.7071.6BUSINESSANDPROFESSIONSCODE:ANYdTYOH (n �� COIMTYNTIKHREOUIRESAVERMRTOCONSTRUCT,ALTER�P��F.OEMOUSH,ORREPNRMNSTAUG W �patialDeck Z 7URE.iN10R TO RS ISSWINCE,ALSO REOUIRES TME APPIICMIT FOR SUW PER4R TO iILE A SICNE� � ETATEMFNT T1AT HE OA SME IS LICEHSED PURSUANi TO THE PFlOVISIONS OF THE CONTMCiOqS U• LL . . � CENSEUW(QUi'TERY�CpAMENCMOWfTH5ECf10N7000)OFDMSION]OFTHE9USINESSANDFR0. � POOUSp3 ' � � - � FESSIONS COOEJ ORT}/AT ME OR SHE IS E%EMPTTHEREFHOM MID T11E BASIS FOR THE ALLEQEO EXE1.1P� TION./NYYIOI.AiqNOFSELT10NT0]I.6B7ANYAGPLICANTFOR�iERMIT5U8JEGT5TIEAVVLILANTTO Z Re-Root �,,,, AGVIL VENALTY OF NOT IAOHE7HAN iNE IUNDRED DOLURS(i5oo�.1: � � OLA40NRIEROFhiEPROOERTY,Oi14YEA1PLOYEE55MTNWACfSASTHEIRSOIECOMCENSATqN, � C,pmmefCl9i _ � � ' WRLOD TME WOFiK.ANO THE STF0.ICTURE IS NOT INTENOEO OR OFiEFEO FOR SALE(5EC 70u,BUSL . J N NE53 AND PROFESSIONS CODE THE CONTMCTORS IICENSE UW OOES NOT APPLY TO AN OWHER OF ? � VROVEqTYYApBURDSORIMPROY[STMEREON,MIOW�pDOE55UCl1WOFiKMIMSEtFOHMERSELFOR �� � � THNOUd/H190RHERCM1N�EMFLOYEES.GROVIDEDTHAT5Ud1M7ROVEMENTSARENOTINTENDWOR m ..._.,,,... ....._ . _ ' ... ;..,� : . . OFFERED fOR SKE IF,iqN�EVER 7ME BULDINQ OR IMPROVEMEHT IS SOID YATIAN ONEVEAROFCOMPLE• � �-T10N,THE OWNEREUttDER WILL NAVE THE 6URDEN OF PRONNO 1HA7 HE OR SNE�IO NOT BUILD Oq MFiIOVE FOR 1ME GURPOSE OF BALE} W ❑4ASOW�iEROFTHEYFqPER!1',AME7f0.U51VELYLONTR11CiWOWffHIICEN5E000NTNACTOR3 � TO CON57RUCT THE PHOJECT(SEC.7ou,BUSINFSS AND VPOFESSIONS CODE:THE CONTRACTORS LI. 'VelUet10�1 AQI.AREA CFri3[LAW DOES NOTMPLY TO/W OYMER OF A PfiOPERT/WTq BU0.D5 OR IMPROYES MEREON,Nrt7 � W1qCONfTUCTSFOqSUd1Cp6)ECTSVAiHA�HTRACTOR�S)LICENSEDVURSUM7TOTMECONTMG pUANTITY DESCRIPTION . FEE, � TOfiS UCENSE UW.). O IAM EXEMPTUNDER SEC. B.l P.C,FORTHIS P[ASON Q U � � OATE OWNEH V . . � UCENSED CONTF2ACTORS DECLAFlATION � � w 1 HEPEBY AGFIRM UNDER PENALTY OF PEM1M TNAT�AM IICEN5E0 UNDCR PR01n510NS OF CIUPTEq � �(COMNENCHfi VJfTH SEC710N 7000)Of DMSIDN 7 OF TIIE 6USME55 ANO PROFESSIONS COOE.AND Z � - �� W UCENSE IS N FULL FORCE ANO fKFEM. � � LIC[NSECUSS UC.NO. � j OATE �_CONTRACTOR d � «'�%��ERS'COMPENSATION DEC� a � IHEREB� FlPo.IUNCERFENAL7YOFPEM1IUR"/ON[OFtHEFOLLAWW6DECUMTIONS: Z � IHAVEIWDWILLL/AMTNNACERTIflCATEDFCONSENTTOSELF-INSUREFOR'AVqKERS' _ COYPENSAiION,ASiROVIDE�8V4ECTIbN77000F7HEUBORCODE.FORTMEDERFOFiA1ANCE w OF TIE WORK FOR WNK�H Mi5 CEHMIT IS ISSUEO. � � �/� O :,(/ji��MAV�AND VALL MAIHTAM WORKEi�'COMPENSATqN IHSUMNCE,AS PEOUIflED BY SECTION ��� f7ooOFTNElM0f7CO0E,FORTHEVERFORMINCEOFTHEWORKFONWHICFITHISPERIJITIS � ISSUEC.MY EFiS'C0�7�1PENSATpNINS�UAFUNCECARFiIERAVD/�ICl'NUMBERARE: CONSTRUCTION � CARRIER��I L �1•� � �=1�� pLAN REV�EW � C_����R��G�G������-y7�-- ELECTRIC 1` E���� � � � o �n,�ssEcna�r� NOTBEOOI.itEfmOFhEPERlfT6iY7HONEFAR�l7�001U11SR1001�NLF551 PWMBING .�_V z ICERTiFYTHATINIHEPEFFORIIANCEOFTHEWORKFORWHKfITHISVERYRISISSIlE�,1 MECHANICAL SIULL NOT EMPLOY ANY VEfi50N IJ J1NY M'1lNLR 50 AS i0 BECM�E SUBJECT TO THE (�q YKIFKERS'COMPENSATIONUWSOFGILIFOflN�.tANOAOREEll1�TIFISHOULDBECOME INSPECTIONFEE S 6UBJECTT0111EN'OHKERS'CdIDENSATqNPROyISIONSOFSECT10N�7000FTXEUDOH cooe.is�uu.warnvnrNcouv�rmTnn/a�eaip.o�wsaNs. ISSVANCE .�.� � (/ (J[��Gt+�� SMIP � p OATE: Z 2"'2-0� APP�ICMIT: �/ W � WARNINO:fAIIURETOSECUREM'ORKERSGOMVENSATqNCOVERAGEISUNUWFU�,AND5F1ALlBE ENERGYP/C SUOJECTANEMPLOVERTOCW111N/yVENALTIESMIOCMLFINESUPTOONENUNDNE0TMIX15AND ENERGYPEFMIT OOLUHS(i1oo.000),IN ADOIiION TO TME COST OF WIAPENSATION,DMUGES AS PROVIDED FOq IN ¢ SEC7ION]ToeOFTHEUBOitCODE,NtEHEST,/NOATTORNEY'SFEE4. .RETENTIONFEE: nW., CONSTRUCTION LENDIN6 AGENCY PRE-ALT FEE: O . � INEREBVAFFIR4UNOERVEN/LTVOFOE0.NRYTMATTNEREBACONSTRUCTIONIENDWOAGENCY ' - � PoRMEPERWRMMICEOFTHEWORKiOR/yM ICnHMISPERMITIS k)SUEO(SEC.7w�.p'/.C.). . � LENOER'SNAME ,�L�/�/�� lr/ vI�//_ � . . � �s IEN�ER'SADDNE55 w ICERTIiYTH�TIHAVEREADTHISAPPLICATIONANDSTATETHATTMEABOVENFORAIATIDNISCORRECL TOTAL FEES , ^4 .SO . p_, IACREETOCpA7LYWITH/�LLC1T'/ANOCOVNIYORDWANCESANDSTATEUWSRELATIN6TOBUILpINO �..Y � � CONSTRUC'TION,MI�ME(IEBVAUTFiORIZEREVRESEMATNE50FTHISCWNTYTOENTENUPONTHE ' /�BOVE�YEMIONF.D VROVERTY FOil W SPECTpN PUROOSES. COMMENTS � J � m PERMRTEE NM1[(PRIHTI N i ��� (n SIGNATU F RM�7 EE OATE � RECPT.N0. PAID UY �/ ' VALIDATION WHITE-0epaAment Copy,YELLOW—Ffnenoe Co{ry,PINK—ASsessor Copy,GOLDENROD—File Copy,GREEN—ApplicanYs Copy , , . . .... ..,,, ,.. ..,.. . ., .,. . , CITY OF DIANfOND BpR . , . , . � : . , '�; ' , - .. �,.�lNSPECTiON�REC�RD �.°: . _ . _.c� �.�. e ,�- e-. lr s � e ` 1'-�' '..►����:J����i�)�i . _. _ _ _ �_ _ . e _.. - - � �..::,�t.-��...�:� .. ;SET BACK . ; 'I � I I � _ �, . FLQOQ.�OI$T_- - C- �, �� �'. _ . _. . , ., � .�..' . . , � -. FTGS/FORMS/STEEC " " ".; ' �' ' FHA REQMTS ' " ' ' •ELECTRIC GROUND ___. . . _ r, ".^, -- . - --___ . _ UNDER FLOOR'DUCT ��• .', � - � ;-- • _:� I GROUND PLUMBING UNDER FLOaR COP,IDUIT �,. ' ., ' ' . � !SLAB GRADE- - - �"' -- --- _ _- - . ' FIREP.LACE FOUNDATION . . --^ - - � � TEt�1P POWER - - �, - - �, ;, : � �� FIREPLACE SOND BEAM _ ._ � ; . . !WATER SERVICE �- - - - - - - -�� MID HT. BOND BEAM � � ' _. . �ROOF SHEATHING� . •' . , . , � '• �. %� 8 FC.BOND BEAM - -� . ; ___ _ , i FRAMINGNENTILIATION -- - - FINAL BOND BEAM ,- , � � • : 'ROOFCOVFR ,_;:� :,., _ . PRE-GRADING . � . , �. �. ; . , , . ; , _ r, �ROUGH HEATING' - _ ._ _ ,. _ .. _ _. . BENCHING.,�,l-• �:. .• ' ' . ', - ; _ _. ` i -. `:_. , , .. lROUGH.ELECTAIC � , � , , � ROUGH GRADING _ _• __ . _ . .,�.•. . _. IROUGH PLUMBING- =-- -- -- -- -- -- - FINISH GRADING i : �SHOWERFTUB TEST _ -- --- - - - POOL�ELEGTRIC . ' ';EXi:-LATH/SIDING -- --.._.._ _ __ . ..___ _ POOL FENCING - �WALL-INSULATION - - _ _ __ _ _ POOL FINAL , : ! - , � , jCEILINGINSULATfON - - - - ; ""- , OFF SfTE IMPS. `DRYWALCNAIUNG" �' �- - � ' ❑EDICATIONS _ _ _ ._ , SEWER �Z,OL FINAL'ENG. ' ' { ' ;SEPTICTANK LANDSCAPE/1RRIG. ' ± iSEEP PlT/L.L. ON SITE IMPS. � iGC,S�IR7EST__' _ _ __ _ . , ' FINALZONI�dG ; . �FI�!AL.COPdST....' _ __ ._ . _ __ . __ _ FIRE DEPT. FINAL - - ; ; {F1NF:L HEATING_..___ ___ __ _ _ HEALTH DEPT. FINAL - - � �FINAL�LECTRIC ---_ _ DEV. FEES PAID _ _ _ __....------ = -- ,f�tiiAL PLUMB!NG ._ _ _ �. < . . .. . ENERGY � ;i_- _ -- - - - - - - , , � � "_ _ � � -- --- • - - _ _ _ „=.,-R-,,...�-----� _ _ .. .,����c � ��� r . 1, _ _ ��_ .�:�z �:�. . ._.. , _ . _ �_ � ._. COPJIM_NTS -- - — --- - � . �� � �• , r � _ , , ; ; -- _ ...__ --- ---- .. ;--- _ -- _ -- _ - , . � i � . . , i . _. _ __ _ , . � , . : . _ -- - , - . . .. , ___ � , ' __ _ i .'ti.\. _ , . , , , , , � - --. _ _ . ; , .� _ � , � , � _ _ � _ _ . . , , . , _ - � ._._ _. _ ;SEPTIC TANK SI�E __ -- - - ' ' ; ; : '� j �SEEP PIT/U SIZE � , ; �,� . , . _ _ � � ., � � ;���� � . ""_"'-.� , • , ; � � ��� ��� � � - - � � ,; . _ _ ' , � _ _ _ �� , � '"� - � � i ' 1�y�b i•' :�. " . .. , , ; _. - - _ i�' ` ' � ���� * '�...-� : `� i � � ':. e .:� . _ _ . _ I , i , � � o-- _. -- -- - . I � , � i .:�# � Y.I i _ i I . ...�...'���......,._....._...�+...� . .. . . . . %I�'.i . . . � ; .. .. . 1�'��� • • . , - , . , . ' . .. . f i `