Loading...
HomeMy WebLinkAbout17079 �\ , CITY OF DIAMOND BAR DEPARTMENT OF COMMUMTY�.DEVELOPMENT SERVICES 2��o E.c���y nr;��s��i90 PRESS (909)860-3195 Fax(909)861-3117 ����'�� BUQ.DING PERMIT APPLICATION FIRMLY � JOBSITE I/� /� L 1 �1 �,( APPLICATION PERMff P/C o ADDRESS 1"1�� li��iST�IU'f' IlY�P1CJ� 1=U DATE��'l�OI NUMBER� r � ISSUE -7 TYPE OCC APN L THACT DATE � � CONST. GROUP � OWNER 11►1� "' ADDRESS Z 4 N Q ZONING SEfBACKS � CITY ►� Z TEL. FRONT RW ❑ APPLICANT TEL. I'1 1 REAR O � SIDE/51DE STREET RW O CONTAACTOR F � L 1 SIDE ❑ ADDRESS G � � CITY G � S 21P G�r3TEL. (01 � PROPOSEDUSE � ARCH/ENG/ DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION N p� OWNER•BUILDEFi DECLARATION SFR/ADDIREM O p 1 HER�Y AFFRtl1 UNDER VEWLLTY OF PEiWRY TUT 1 M1 E7(EMPT FFOM TME CONTMCTORS U• GB�egBlCO�pOR lll C£NSEUWFONiXEFOLLOMNCiREASON(SEG70.71.6BUSINESSANDDROFESSIONSCODEANYqTYOR (n (..) COUNiYVRAtl/REOIAfiESAPEiWRTOCONSTRUCT.ALTERIlA7ROVE.DEA101ISH.ORREPIURMlYSTAUC- W Pgib/DBCk � NRE.CRiOR TO RS ISSUANCE ALSO NEOUWES T11E APVIN'JiM FOR Sllpl VERMIT TO FlLE A SIGNED W 6TATFAIIXT TNAT NE OR SNE IS LICENSEO iURSUANT TO TNE OR01/ISIONS OF TNE tONTMCiOR9 U• � CFHSE UW(diAPTE0.Y(COMMENCNW WITH SECiION 7000)OF DIVISION 7 0F THE BUSMESS AND VR0- � PooVSpa FESSqNSCOD�ORTHATHEORSNEISE%EMPTTHEREFiqMMIDTHEBASISFORTHEALLE4EDEXEIAP• (� TION.M/Y ViOLAT70N OF BEGTION TW 1.6 8Y AHY AFPLICAIIT FOR�PEfW R 5U&lECT51HE APOLICANI T0 Z Re-Roo1 � AGfVkPEN�1LTIOFHOT►qHETMANFlYEMINDREODOLURSlfSoo).): � OI��MMEHOFTHEPROPEHiY,ORMYEMVIOYEESWITMWA(3ESASTNEIRSOLECOMPENSA710N, O COTrtf0fd21 . ' WILL DO THE WOWC ANO THE STRUCTURE IS NOT IMENDED OR OFFERED FOR SALE(SEG 70N,BUS6 J NESS AIO YROFESSION8 COOE TME COHTMCTORS LICENSE UW OOES NOTAPPLY TO AN OWNER OF = � P110PENiVNk10BUILDSOFMVROVE4THEREON.ANDWNODOE45UG1YV0fiKHIMSELFORHERSELFOR (� THROUOMHISORIffNOVINEMVLOVEES,GRONDWTHATSUCNMPROVEMENT3ARENOTIMENOEDOR m � OFFENEOFORSALE.�FIqWEVERTMEBULdIWORILICROVEMENTI450LDWRMNONEYFAROFCOMRE- � ��710N,7HE ONT/E11�BURDER 1NLL HAVE 111E BUFiDEN OF PROVINO THAT HE pi 6HE�IO NOT BUItD OR IMPROVE FOR TME PURPOSE OF StLE� � 04�aNNEHOFTHEVROPERiI',NAE%LLUSIVELYCOHTMCTWOWfR1LICENSEOCONTMCTORS , TO COIRTRUCT 7NE VHD.IECT(SEC.7DN.BUS�NESS Nq PROFESSiONS OODE:TNE CONTRACTOfiS U• V81t181i0f1 ADJ.AREA CENSE UW DOES NOTAVVLY TOIW ONT�ER OF A PROPEflTY N17D BURUS Ofl MPROVES THEREON.ANO � MAqCOqTMCfSiONSUQIVR0.JECf5WITHA00f1TMCTOR(5)LILENSEDPURSUANTTOTHECOHfMG QUANTITY DESCRIPTION FEE � � TWiSIJCEN6EUW.). OtFL1E%EYPTUNDERSEC. B.lO.C.FORTHI5NEA50N U I YV� I I^ �=' WiE OWNER � . � W LICENSED CONTRACTORS DECLARATION w � IHEREBYAFFlPMUNDERVENALTYOFPERIURY7HATIAMLICENSEOUNDERPROVISiON50FCHAPTE V. . � 0(COw/ENCWOYVIiH5ECT10N70oo�OFOMSION]OFTHE&1SINESSANDPROfE55pN Z W LICENSE 6 N FLLL FORCE AND EFFECL m � UCENSE L O LIC.N0. ���I� � � �j pATE OO CONTRACTOR a W � WOFiKERS'COMPENSATION DECLARATION a � INEREBYAF�IRMUHDERPENAL7YOFPERIUMONEOFTHEFOLLOWiNOOEClAMT10NS: V CA a O _IHAVEANDVlILLAWNTAINACERTIFlCATEOFCONSEMTOSElF�NSUREFORYIORKER5 2 � { [ONPfNSATI0N.A3PROVDE�BYSECTION77000FTNEVBORC00E,FOR7HEPERFORAIANCE tJ � / OFTHEWORKFORWNIOITMISCEiWITI5155UED. � C ,/ V IMAVE11IiDM1LL►WNTA71WOR7CER4'COMPENSATIONINSUMNCE,ASREGUIflEDBYSECTION O ]7000FTMELA80RCOOE.FORTHEGERfORMANCEOFTHEWORKFORWh11C11THI5VERMRiS � ISSUED.MY PENSA W.S,,UJyw CECAIIWERMIDPOLICYNUAIBERARE CONSTRUCTION � cuuuEq ��� �UYY1 PLANREVIEW Z va�'auusEA �= � ELECTRIC ' L 0 �ssEcrcNr�[m�qreEcp,�repoFt�p�r.rrswrta��damod��s�oo�a�t� PLUMBING Z ICERTIFYTHATNiHEPERFORM�WCEOFTHEYfOPKFORWM �VII PE iTISISSUED,1 MECHANICAL (� 51NtLNOTEMCLOYANYOERSONHFNYMANNER501l5TOBE M U CTTO7HE N WORKER50ddvENSATqNUN50FCALIFORNUTANDAORE FI BECOME INSPECTIONFEE S SUBJECTTOTFIEWORKERS'COMVENSATIDNOROVISIONS OFTNElA90R 1 FORTMWITHCOMPLYVnT/THOSEPROVI ISSUANCE � 0 SMIP `p DATE: �OO APPLICANi: . � WAANINQFAILURETOSECUREYVDRKfRS'COIAPENSATIONCOV WFUL.ANOSNAILBE ENEFiGYP/C SUBJECT/WEMPIOYERTOCRIMIIULPENALTESANDGVILFWESUP EMUNDREDTHOUSAND ENERGYPERMIT � DOLLARS(floo.o0o),INADDITIONiOTHECOSTOFOp.1PEN5ATIDN, AGESASPROVIpFOFORIN � SECTION 710e Of T1E UBOH COOE.IHTEREST,ANOATfORNEY3 FEES. RETENTION FEE: � pW_, CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � INEREBVAFFIMIUNDERPENKTYOCPERJURYTHATTMEREIS�CONSTRUCTIONLENDIN��QENCY iOR TNE PERFORMhNCE OF THE WORK FOR WNiCM TMIS PEPMIT IS ISSUED(SEC.�oa�,C�Y.G). � � LENDER'SNAUE � � LENUERSI�DORE55 w �CERTIFYTUTINAVEREADT/ISAVGLICATIONANDSTATE7HATTIEABOVEf1iORMATIDNISCOFRECT. TOTAL FEES � . ��p /� Q, IACiREETOCOI.�PLVWfTMALLCRYANDCOUNTYOR0INANCESANDSTATEUWSREUTNOTOBUIDIN� CONSTRUCTION,AND HEREBV AUTHORRE REPRESENTATNES OF ilNS COUNTV TO ENTER UPON THE � S� E�IAENTIONWVROVERTYFORWSFECTIONPURPOSES. COMMENTS 9 W�.�erbur �(-c(�crlG �vcU m PEfU1rT7EE WVAE fCFUNn � Q I . . Q N � SIGNANPEOFPERMiTTEE A7E � RECPT.NO. PAID BY VAll0AT10N '- WHITE-0epaRment Copy.YELLOW—Fnance Copy,PINK—Aaseesot Copy,GOLDENROD--File Copy,GREEN—Applicant's Copy .r .:�x �.e •q ��,.�°p. . - •�, � , . .,�a>�^;r��r. .r.7•v..d.� . . ,. �- ....� _.a ,.. . !,, , �. 'G•.. ... _ , . ,. � . CITY OF DIAMUh1D BAR . . EXPIRED . . ;�:�IWSPECTIOM.RECOR� � . ,IUN 18 1001 ' �.���mj��: _ E�+V — � ' s �� � e '�.� �_l►�`.. ' ����'��� SET BACK j' I ;`,.'_{ � • � . ', ���1 � FLOOR JOIST S � , .: ,, , . � FTGS/FORMS/STEEL -- _ - ' � __�i';:., FHA REQMTS _ . ' . . . • _ _ ELECTRIC GROUND �' `�I � I UNDER FLOOR pUCT . GROUND PWMBWG UNDER FLOOR CU�IDUIT; ' • - . .. —�---__ I SLAB GRADE--- � - - FIREPLAOE'�FC]WNDATION ' ; !. '.� .� : '. . . , ': iTEMP POWER FIREPLAe�BOND'B�AM ' ' ' '� •-• °WATER SERVICE - - MID HT. B�ND BEAM � .'�� �ROOF SHEATHING 8 FT. BOND SEAM , :. •, ' �' ' ' - ' ; FRAMINGNENTILIATION - - FINAL BOND BEANI �� � � � �� • �ROOF COVER PRE-GRADING - ' '.ROUGH HEATING ` ' BENCHING �ROUGH ELECTRIC I '. ' ' ROUGH GRADING - ;ROUGN PLUMBWG - -- FINISH GRADING ; . SHOWERITUB TEST - POOL ELEGTRIC �EXT.I�rTN/SIDING POOL FENCING '.WALL INSULATION ' - - POOL FINAL� � ;CEiLtNG INSULATIOfJ - - - OFF SITE IMPS. �DRYWALL NAILING - � �EDICATIONS 'SEWER � FINAL ENG. 'SEPTIC TANK LANDSCAPE/IRRIG. i ScEP PITI[..L. � . � ' ON SITE IMPS. :GAS AIR TEST FINAL ZCINING �FIWAL CONST. • ! ,�•�' ' � I FIRE DEPT.FINAL � 'FII�:AL HEATING _ _ HEALTH DEPT. FINAL �FiNAL ELECTRIC DEV, FEES PAID ;FI"JAL PLUMBINu ENERGY _ _ � .\ ;��;..,.'," ��1��t,.;. _��._ _:,:, � ; '. • ____ � . . .. . _ �`l'� �T- ,� ' ---- - -- - .. . iCOfJIMENTS - - -- - - . •� ! � � � ; ' _ _ � . Y _ . � ;�', . . .. . � . .. • " � � . ' ,� , _. _. (.. _ � . _ \ �- . .. . . . _. . . . . ,. � .,• .� ` ,1 �SEPTIGTANK SlZE - , - SEEP PITIU�SIZE , , ��� _ , . ■r -',�'�� . . �� . . . � y:�r-��r+ - .,�--; ' ,��r, �.� � r�� . __ _. � �� . -i , '�,.. � , , . �, .- � . . � _ � ;. . . _ +� r* ...._�..,.,L`._.....� } ..�� `�{ �t� . ... - r ti ',1 i � - � �� , . ' � ; �`' , I ,