Loading...
HomeMy WebLinkAbout13474 . f� ' CITY OF DIAMOND BAR . � � DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES � �w , zi�oE.copieyna��s�ic�i90 PRESS . � (909)860-3195 Farz(909)861-3117 `'*�'� BUII.DING PERMTT APPLICATION FIRMLY o DDRESS �I�Pi/�� C' C.vPI�I/ /J� OATECATION�J�_�� NUMBER "� `� �/C r r _��� . � ISSUE TYPE � ,/ OCC APN LOT �- TRACT DATE CONST. 1V GROUP � OWNER � • ` p ADDRESS " � �- ZONING SEfBACKS f � u' CITY '- - � � ZIP -TEL. - �- FRONT �R O � APPUCANT � . TEL.�Q�1-b2v�R3 REAR � � ❑ � SIDE/SIDE STREET RW ❑ CONTRACTOR SIDE ❑ � ADDRESS PROPOSED USE C - � S ". CITY =P1�kE ZIP TEL ��oZ7�' � ARCH/ENG/ �� DESIGNER � NO.DWEL. NO. O. ADDRESS ` •" UNITS STORIES Z BEDROOAAS �N CfTY A' +�.� ZIP �r � TEL 1-'� � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � ONMER•BUILDER DECLARATION SFRlADD1REM O p I MEREBV AFFlirI UHOER PENAITY Oi 7E0.R1RY THAT I AM E%EMCT ii10M iHE COMfRACTOpS L4 Garage/Carport � COiSEIFWFORTHEfOl10Wli�REAAN(SEG70J1.6BUSINESSANOiROFESSIONSCODE:ANYCITYOR (n OOl1lIYM7YCYIREOIMESAPEIWRTOfbNST%KT,ALTE0.MPRWE,OEYOt191.ORREPAiRANV57Al1G W PatldDeck TURE PIWR TO RS I68UANCE,KSO REWIRE6 THE AP�UCNIT FOR SUCH PEfU11T TO FILE A SiONED w STATEYEHT THAT HE OR SHE IS LICENSEO PU0.5UufT TO TNE PfWV1510N5 OF iHE WNTRACfOHS L4 � GEM6E LAW(dY1ViER i(COAIYENCSKi WIT17 SECTION 7000)OF DMSIOH]OF T1E BUSiNE34 AND PR6 u" POOUSpa FE6510NSCOOE)OR7w�THEOR5HEI50lEMPTTMEREFf10M/NDTMEBASISFON7HEILLLEOEDE%EMP• (� TION.ANYVIIXATqHOFSECT10H7071.S8YANYAV7LICANTFORAiERMIT5U8JECfSTHEAPPUGN7T0 Z pe-qoo� � A CML 7EHALTY OF NOT MORE iHAN FNE HUNDRED DOlUR5It6007.1: � � � OLASdN/EROFTIEGROPEN7V.ORYYE1APlOYEESWITV1wAGE5/�SiHEIR50LECOMPENSATION, O (`,pnmefC�l ' YVILL 00 THE N�Oi1K,AND THE STRUCTURE IS NOT IHTENOED OR OFFEAFO i0�S1J.E(SEC.7ou,BU54 J NE65 N1D PROFE6910NS 07OE:iME CONiMC70R3lICENSE LAw OOES NOT APPLY TO AN OwNER OF � N VNOPERTYMFIOBUlD50RIYPROVE57HEREOH,AMDNMO00ES5UplYqiiKHIM5ELFORHERSELFOR � Q TMROVOMM190Rh1EROwNEMPLOYEES.PHOVDE0TMl1T5UGMMVROYEMEMSARENOTMENDE00R m � .OFFEREDFONSALEIF.iIOMIEVER7MEBUlDN(lORIMPROVEMEHTIS50lDWffMNONE'lEAROFCOM0.E• � �TqN.THE OWNER�UNDER Wtt.L HAVE THE BUR�EN OF PROVINO THAT HE OR SHE DID NOT BUIID OR / �•� Y0f1DVE FOR ME PUHPOSE OF SALE) �J � OI���OFTNEPROCEHTY,MIIX0.U'IVELYCOHTRACTINOVA7HLICENSEDCONTMCTOR3 TO OONSTfiUCT T1E PROJECT(SEG 7oa�,BUSINESS AND PROFESSIONS CO�E:THE CONTMCTORS U- V81U0�i0f1 ADJ.ARE/1 CENSE Uw DOE9 NOT APPLV TO/W OVMER OF A PROPEHiY NM1fO BURDS OR MPi10VES iHEREON.MID W/IOCOMMGiSFORSUCMGHOJECT5N7h1ACONTMCfON(S)UCENSEDPURSUIMTOTHECONTAAG pUANTiTY OESCRIPTION FEE � 70RSLIGENSEUW.�. O I►A�E%EYPT UADER SEG B.i P.C.FON THIS RLA50N Q U � ¢ DATE OWNER V � J . t<_ LICENSED CONTRACTORS DECLARATION w ¢ INEREBYAFiIRAIUNDERPENALTIOFVE0.1URYi11AT1AAILICENSEDUN�ERPROVI5lON50FCNAPTER Ur s ��COWFNC4qYATMSECTqN7000)OFDMSIONlOFTNEBUSWESSANOOROFESSIONSCOOE,A4D Z MY UGENSE IS N FUl FORCEAND EFFECT. m � LICENSE CUSS +� LIC.NO. J���-�1��. � �^f F';:F} � pATE ��_ COtlTRACTOR�WF��tNS�. d i . WORKERS'COMPENSATION DECLARATION Q e,`���y = U � IMEREBYAFF6iMUNDERPEWLLTYOFPERRIRYON[OFTHEFOLL01NiNODECUMTIONS: ' cn Z � r!,���Y �� �1�.� .• � �IHAVEANDN9LLI.WNiANACfRT�FIC+ITEOFCONSENTT05[LFJNSUREFORWOPI(ERS' _ � +.,`•'�.�J \, ' � C01wENSATqN,AS iROVIDED BY SECiqN 77ooOF iHE LIBOR COOE,FORTHE FERFORMANCE W — ��'�� ' OFTME WORK FORMlHIQ1 T1n5 PERMiT IS ISSUED. � `�} �1 �-" • �1�^ � .. � � . �IHAVEANDVNLLIMIHTAWM�ORKERS'C04PENSATqNINSURANCE,ISREONREDBY5ECT10N �,,�•�(^/�.� � •L O i7000FT1ElABORCODE.FORiHEPERFORMANCEOFTHEWORKWRWHICHiMISPEfVAlT15 t�� / i �' � ISSUEO.MYWORKE0.5'�A17ENSATqNW5UR/WCECARRi/ER�"ANUDOLiCYNUMBERME CONSTAUCTION � GARIER Cl(rNl�c�1 SV�A�G�Wn��L� PLAN REVIEW i 'f' I • A Cl� ON 0 POLICYMJAIBER 1 M P3o 1381 Z�o�-Ol ELECTRIC ��,�'Ll� � ��or�r�c�r�ote�op.�a�t�r�r5fottor�M��mOaW�R+oc�Oa�ss} PLUMBING � t� •�N � Z ICERTIFYlF4lTNTT/EPERFOMIANCEOFiHEY19fIKiORWNICHTHISiEM�RI5155VED.l MECHANICAL ���•L,•I � (, SWLLLNOTEI.�FLOVANYVERSONNANYWWNERSO�ISTOBECOAIESU[iIECTiOTHE � WORKER5C01dPEN5AT1ONU1N50FCALIFORN1IANDIIGREETMAT615HIXJLDBECOAIE INSPECTIONFEE _ S SUAIECTTOTH[YfORKERS'COMPENSATqNPRONSqN ,SECTION77000FTMElABOR cooe i sNUL Foamm�rn eanr�r vnn+ se n ISSUANCE � SWrF�I�}$� SMIP �• DATE:�� APPLICAM`. G �. � WNWNMFAIIURETOSECUREWON(ERS'CAMPENSAT70NCAVEMGEISUIdAwiUl,M105HAtLBE ENERGYP/C T�fy. � �y SUBJECiANEMPLOYERTOCFUNIN�LPEN+LLTiES/NDCMLiNESUPTOONEMUNDR[DTHOUSAND ENERGYPEFiM1T � OOl1AR5(f 100.000).M AODITION TD iHE COST OF COMPENSATION,OMIAGES I15 PROYIDED FOfi 1N � SECTION]7oeOF7NELABOfiCOOE.WTEREST./WDI1TTOfWEY5FEE5. RETENTIONFEE: a CONSTFUCTION LENDING AGENCY PRE-AL/T�F�E/E: � IHERC9YIFFIRMUNDERPENALTYOFPERNRYTHFTTHEREISACONS7RUCT10NlENDIN0A0ENC`/ ifC�(��LY✓L}� FORTHEPENFOHM�NCEOFTHEWORKFORWKCMTNISiERMRI5155UED�5EC70v7,QY.C.). � ��i� �r �� /-,�� „� Z '�7 " i � IENDER'S NAME � �`TI W�AC-+�l'cnL� �j v S�(� �1��S � LENDER'SADOHE55 �S�/���S-1��r � �'"'4�.,MZ1�0 2l Oq /�^ /� W ICERTFYTMAT11uVEREADTHISAVPl1GT10NANO5TATETHATTHEABOVENFORMATDNISCORRECT. TOTAL FEES 1�r� J / .7��� �� I � d IAGREETOCCMPLYNATNALLCITVMACOUNTVOPDWANCESANDSTATEIAWSRELATIfJ�TO&hOINC � CONSTRUCTION,MIDHEREBVAUfFqR12EREVPESEMATNE50FiiU5COUNTVTOEMERUPON7NE n_•� � _ � S� ABOVE�MEMqNED GiIOPEF7Y FOR MSPECTION PURPOSES. COM NTS � r�% O � � ��� lZ�/�. � T-�-�LQ � "'� m PEPoAITiEE E '� � � 3 , �J _ � � �z. � / l0 2, y SICNATVHE FPENMiTTEE �•E . ��••N��� '27/� PMR�Y VALIDATIO � WHITE-0epertment Cop�,YELLOW—Fneno�Copy,PINK—Asaessor Copy.GOLDENROD--File Copy,GFEEN—Aqplicant's Copy �.. . . . . _ . ' . ._•. . _. . . .. . , .. .. .. ., . .. .r . . `���F r CITY UF DIAMOND BAR . . . � y � �IPvSPECTIOP� RECORD �2 �` . ----�.._.--_-:� _..., _ �.._..�..... , . ,._... _ . . . _ - - - .. __: , __ .. �� , .i���,.'7:a�c I'1'��1'f ���'�E'= �R�-��.��:�'��lr".�.�..��A 1���.'��►_K�a Flsl►�11M.+��cyrhC�� IR��- ''��,'.i .._ .. _ ��.a�.CJ. . ........_-..-_..-��._...�_-,_� __ ...�. ...._.......�.._.__�.. _..._.....___._,r>�_...___.....�___-.._.... _�._- .._s_. .r_..� ..,t.. ....— ,'.,': _.. �SET BACK~ � �^� f.0�T • �� •� FLOOR JOIST � , . _�_ �T,• ,�_ � .. . � FHA REQP�ITS I_ . _ . FTGS,�FORP,"5!STE�L - _ . ELECTRIC GROUNQ ... E_. �._�T�. ' ��� _ � UNDER FLOOR DUCT � j � �GRQUND PLUP�151NCa • I �' ��`�5 �l UNDER FLOOR COP,IDUiT .. �� 1 . � - SLF�[3 GRAD� I�._ZISS � FIREPLr1C.�'-1FOUNDATION :` • ' 1� — TEt:1P POVJER � r � • � FIREPLl1GE BOND•BEAh'I • - • •-- --�• • � ' VdP,i FFi SERVIC� -- _� MID H7. BOND BEF.��1 � FiQOF SHEATHING ' '• � ' � • •` �� 8 FT. B�ND BEAM `,. '- - �, � .:; . ,, .,• , • _` -. — FRl1F,11NG�'ENTILIATION I • •� FIPJI',L E30N�D E3EAM� � � � � ROUF COVFR . � -- PRE-GRADING ':� • • I � � I- �• ' ROUGH HEA7ING L� -- �_ 6ENCHIN6. ,, ` �—`�. . � ��OUGH ELEC7RIC I ROUGH Gi�I��DING� � - -- ~F70UGH PLU��BI��G � FINISH GRADING � � �SF�O�VER,�TUB TEST POOL ELECTRIC � FXT.LATH!SIDIN^u � POOL FENCItJG � �:'l1LL tfd5tlLATl��d � POOL FRvAL CEILING li•1SULATION • ;- . OFF SIT�ID�1PS. = DRY"v"JALL iJAfUNG " �. - , •, i :. . � �DEDlCATIONS � SC�NER . _ . . � y,�I'� FINAL ENG. � . � �S�PTIC TANK�— ' ' - UINDSCAPEJIRRlG. � ; . S�EP PIT/L.L. � • � - ON SITE IP�1PS. G.AS F,IR TEST � F(hF.L'Z�hJING ( - FI'�14L CONST..... _ 1 FIRE DEPT. FINl�L Fi,'vP�!HEAi ING . _. � . _ �� HEALTH QEPT;�FIPJAL � � , _. F�,.A1.ELECTRIC ' - DEV. FEES PAID �- ' = I'G�r.e^�� PLU!'ABIP�I.ra I EhJERGY — . �-- ` — �---�—�--- --- � � � _ _� � �;- � ( . '�_ -'j c`�� _',c�e:. , . . — _:�:,. �-..�.v... , �• i • . _�• -_'--...._ • . . , . '- ; � -,: . —�- �--- -.._._... -. C:t..�i;�Id1EN I S . � E �, y , _ '�. , , � _ �, . ' . . � ., , . .. _ -, , �,, `, .. . 1-`�;,-:-_-.;.�--�-����:. -.�.�.. -- ��-- . . . -- . , . . , .�� •, , . ._ ,- , '-----3;':c-�- -_-- _.. ._, . � � �. SEPTIC TF,tJK SIZE � SEEP PIT/J SIZE -- ;�....._._.. ..._------._�_._,._ -- . . � , �7�. _ — . E , . . , c . .. . .. , : �. � � . ... . �, �1q�, ^,I . , I �, I. �1 � � •��i . — — ------- — ;E .. . _ . � • _+ � . • . . 1 _ . . . .. . . .._ . -- . -' " . . . ' . . �.. , ._ C. . _ : .� S.'.'\"1 '. � ' •�..��' :�1.\ i;� . ,�%, 1,,..��, �,�,\,!`;:�'.�`.__. . '_w , . • ' . ' . • ' ' � - . , . .. ._.__ � . �. _ ... . �_ ..,_�......._...,..... _ '� l _ .