Loading...
HomeMy WebLinkAbout14833 (30) � .« �� CITY OF DIAMOND BAR � � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SEfiVICES �� , 21660 E.Coplcy Drivc Suitc 190 � (909)860-3195 Fax(909)861-3117 PRE$$ '^�'. BUQ.DING PERMIT APPLICATION FIRMLY QJOBSITE 1 �,V � DATEICATION3 a� � NUMBER/ C �� #/C W� a ADDRESS � APN• LOT � T CT ISSUE TYPE OCC . DATE CONST. GFOUP p OWNE�l�S �T_ Cr�O ' o ADDRESS 1 1 S� v , 20NING SETBACKS � CITY / ZIP Z TELy' _L•ZL- R�RT RW ❑ APPLICANT _ �� ��,)�'S?- TEL .��'Z SIDFJSIDESTREET RW O � CONTRACTOR DPr�S L[/E�s' SIDE o � CITI'fit°l�/��.�- ZIP9�� TEL. ,��- PROPOSED USE � - o ARCH/ENG/ � z DESIGNER _ SP S Sk' ADDRESS NO.DWEL NO. NO. � UNITS STORIES BEDROOMS � CITY �� �Y ZIP TEL. � y cn OESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER OECLARATION SFWADD/REM ' O p 1 HEREBY IFFIiW UNDER FENALTY OF PEMJRV THAT 1 AA1 EXEIAPT FHOA1 THE CONTMCTORS L4 Garaga/Carport - � L1J CENSEUWiORiHEfOLIOWiNOHEASCN(SEG7001.68USNESSANDVROFESSIQVSCODE:ANYCITYOR (n C� COIMiYNMICNREOUNESADEfUARTOCONSTRUCi,ALTERMPpOV�DEUOLISH,ORREVA1qANy57AUG W P8Ii01DBCk Z TIME.GR10R TO rtS ISSUANCE,ALSO REWIR[S THE APVLICM7T fOR SUC11 PEPMiT TO FILF A SiGNE� LL� STATEYENT iHAT HE OR SHE IS UCEHSED iURSUANT f0 T7E PROVISIpNS OF THE COfdTMCiORS lb W ' C CEHSE UW�Cl1APTER�(COA/YENCP/O NATH SECTqN 7000�OF DMS�ON 7 0F T1E BVSINESS MrD VRP � PooVSpa - � . 7F FESSqN5CO0E�ORTHATMEOR5MEI5E%EMPTiMEREFROMANDiHEBA515FqiTHEALlEGE0E7tEMP• (� � iION.ANYV10lAT10NOFSECTION70J1.6BYMlYAPPIICANiFOitA7ER1AITSU6)ECTSTHEAPPLICANTTO � Z Re-Roo1 F AGVIIiENALTYOFNOTMOHETHANitYEM1NOREDDOIURSIt5o0).1: /�r � OI�d�MiEROFTHEOROPERTY,OH1AVEUGLOYEESMnTHWAGESASTHE6i50LECOlAPENSATION, ❑ CW�ImefLlal VUa - YALL DO THE WOfiK,AND THE STAUCTURE IS NOT MENDED OR OFFENED FOH SALE(SEC 7oal,BU56 J � NE54/ND PHOFESSION9 COOE TIIE CONfMCTORS IICENSE Uw DOES NOT APPIY Rl Ml OWNER OF ? ` PROVEifTY NT1D BULDS Oq NVROVES THENEON,ANO WHO DOES SUp7 Y.'Of1K MIMSEIF OR MERSELF OR " � TXROU(YI MIS OR MERO'NH EMVLOYEES,VROVDEDTHATSUGI MPROVEMINTS ARL NOT NTENDED OR m -\ , OFFERm FOR SKE IF,Y/ON�EVER7I�E BULDIN(i OR W PpOYEMENTIS SOLD WfTF�N ONE VEAFiOF COMPIE � Z �710N.7HE OWNERBUILDER 1NLL HAVE iME BUROEN OF VROVWU 7HAT NE OR SHE DID NOT BULLD Ofi = MFRDVEFORiHEDURPO5EOF5AlE� ..W OI��MMEROfiHEVROPERTY,AMEXCLUSNELYCONTRACTNOWfTHLICENSEDCOHTRACTORS . g M COHSTFiIK.T T11E PROJECT(SEQ 70u,BUSINESS ANO PROiESSIONS CODE:1ME COHTMCiORS L4 Valuation ADJ.AREA � CENSEUWDOESHOTAPPLYTOANOYMEROFAPROPERTYNTIOBUILDSORw1PROVESIHER[ON,AND YAIOCONTMCTSFOqSUp/PRQIEGTSWITHA00fliMCiOR(5)LICENSEOPURSUANTTOTMECONTMG pU TY DESCRIPTION FEE � TOfi5ucBlsEuw.G — O IAY EXEYDT UNDER SEG B.t P.C.iOR TNIS REASON Q - 3 c� _. .. - . • u. � DATE OWNER V � LICENSED CONTRACTORS DECLARATION W J � W IHEREBYAFFIRAIIMDERPENALTYOFPE0.1UqYTUT1AA/IICEN5E0Uh9ENPROVI5lON50FduPTER � � �(COMIIENClIOVYITMSECTIONTODC)OfDM510N�OF7HEBU51NES5ANDPROFE5510NSCA0E.AN� Z �j� WUC£NSEISNFUIIFORCEurOEFiECT. m � LICENSECL,(Aj$S LIC.NO.�(/���7� � V DATE ! �-SU��. . CONTiUCTOR �I!- J a W 'S�r n�� � WOAKERS'COMPENSATION DECLAFiATION a IZZ7I�7L � IH[REBYAFFlRlAUNDER�ENAITYOFPE0.NRYONEOFh1EfOLLOWWCDECLARAT10N5: � Z � �IIUNEAHDYALLMAMAINACEIRIFIGTEOFCONSEMTOSELF•INSUREFOAWOHKEFIS' _ _ - , � CpAPENSATqN,ASPROVIDED8Y5EG710N77ooOFTMEUeORLODE.FORTHEPERFORMANCE w Q OF7HEWORKiORWHIpITHiSPERMITI5155UE0. � ns/f �i��� � �1lUVE/�NDM'ILLMAMNNWONCERS'OOIAi'ENSATIONPlSVAFNCE,ASREOVIREDBYSECTION ' ' QQ �7o0pFTXEUBORCOO�FORTNEPERFORMANCEOFiHEWORKFORWNIp1TH15PERMITIS , • t55UEJ.►('f WORKERS'COAIPENSATION WSUFiANLE GARIER AND/VOL�I�C,Y MJMB£RAAE: CONSTRUCTION j y� �p � �{�1D.l�l PLAN REVIEW _,� e � Z raicrEwtm�e ��F-1�— ��3�jf 7 E '�'�� ELECTRIC �� � � ¢ � (Tl65CciloNHEmrqiBEm�RE7IDOFnEv6b.TtsFORp�E�a.roRm00.1Ms(f�ao)ori�ESS� PLUMBING W ��j� Z ICERTIFYTHATNTNEVERFpRAIINCEOFTHEWORKfORWHICHTHISVfR/IITI5155UfD,1 MECHANICAL �uCJ C,�J SWtLLNOT EAIPLOYANY PERSON N ANY MANNER SOAS TO BEfAlAE SUBJFCf TO THE � WOflKEHS'CdaPENSATqNUN50FCALIFORNiAµOACREETUTK15HOULDBECOME INSPECTIONFEE S SU6.IECTTOTHEYIORKE0.5'COMPENSATIONPROVISqN50F5ECilON77Da0fTMEU R - _ � coo i H � RnnHn�wuv�rwin+ EPROVIS s. ISSUANCE O p D�7E: � �� �o���:��u�� . . sM�P _ •3 r � WARNiN4:iAllURETOSEWREYVORKERSCOMVENSATIONCOVEHAGEISUNUwFUL,ANDSMALLBE ENERGYP/C � SUBJECTANEMPLOYERTOCHIMPIALGENAITIESANDCMLFWESUPTOONEHUNDREDTFIOUS.ANO � ENERGYPEFlMIT DOLU�RS ff 700.000),N ADDIiION TO THE C0.5T OF COMPENSATqN.DMUGES AS VROVDED FOR W ��1 ¢ SCCTqN770eOFTMEUBONCOOE,NTfP[ST,ANDATTORNEY'SFEES RETENTIONFEE: - � 3 .vV �w.. CONSTRUCTIONLENDINGAGENCY P _-AL F E: � 3 - � INEREBYAFFlRAIUNOERCENALTVOFDERNRYTHATTMEREC'iACONSTRUCTIONLENDWOAGENCY , FORTHE OENfORMANCE OF ME WOWC FON MM1CH 1H15 DEN.�IT IS ISSUED(SEC.]OY7,CN.G� � . � LE1DEiYSNUAE��/�'���/v//�L C/�� � � LFNDERS/W�RE55�� � � T_ �✓ � ICERi1FYTMATINAVER AD I A PLICATqNANU AT /UTIHEABOVEWFORMATqNILCOqRECT. TOTAL FEES � �� " I � � IAGREETOCOMPLVVVTIN1CfTYANOCqMTYORDiNANCE5AND5TAT[UwSREUTI1qTOBULDIN� � LONSTWGiqN,ANDMEHEBYAUf11ORREPEPRESENTATIVE50FTW5GOVNttTOEMERUPONTME . _ � ABOVE�MENTIDNEDYROPENTYFOR WSVECfION RIHPOSES. COMMENTS 0 � / ,l J m PE iEENUIE i 4 / /,�, [n !/rl ' (n 6 TUR F PE ITTE ATE � RECPT.NO. _PA1D BY VALIDATION INFIITE-Department Capy,YELLOW-Flnance Copy,PINK-AssassaCapy,GOLDENROD-FileCopy,GREEN-Appicm�Ya Gopy � - •�- , .. ., . . :i. . . . � , . .. � . , � .. , .... . . . � ,. '�i" _ . , ..- .� . .. . � , .. ..� . ' . ..i. - , � . . , . . . . , . - . CITY OF DIAMOND BAR � � � w � — � ' ` INSPECTION RECOFiD' � , ' �- . . . - s � � � - � � + . � . SET�BACK ' ' � ' � FLOOR.JOIST� � ��� � - FTGS/FORMS/STEEL - FHA REQMTS � - - . ELECTRIC GROUND=-_ _ . ' - � ' UNDER FLOOR DUCT �. �. • � - - . • GROUND PLUMBING ' � UNDER FLOOR CU�IDUIT'�� � -� '�•;�''• � .";.. • - SLAB GRADE - - � • � ' FIREPLACE"FOt1NDATION��: '�'• '�� ` `�=•'�`• TEMP POWER - - =� FIREPLACE BOND 6EAM � � ' WATER SERVICE - - - -� MID HL BOND BEAM . ' ' ' ` ` ��� ROpF SHEATHING S Fi'.BOND'.BEAM�•' � � �� � �� � � � �, � _ FRAMINGNENTILIATION ' / F� � ---'�--��.� FINAL BOND BEAM _ - ROOF COVER ., / PRE=GFfADING':'. '�, :::- - ' - ; � ROUGH HEATING �I ''3 -�' ' "'�-� BENCH�ING•';-=.;'-•''. : - •; ,. . , - - ROUGH ELECTRIC 6 / „x,:• � � ROUGH GRADING ROUGN PLUMBING � - �� FINISH GRADING. , . � , .. SHOWER/TUB TEST " �� � � POOL ELECTRIC • EXT.IATH/SIDING � � POOL FENCING ' �' '' � '� " �` ' ' ' i �WALL INSl1LATION � POOL FINAL ' � CEILING INSUTATION '.. ' - �� ' � c' ( �j' OFF SITE IMPS. DRYWALL NAILING E. "��/ � ��.._..0,_ _ . / DEDICA710NS � • SEWER._ . � � � _. .1 l .�� FINAL ENG. SEPTIC TANK . . . .. . . .. ... ; .� : _: .., , ,•�-. LAN�SCAPE/IRRIG, ' SEEP PIT/LL - � -.. . 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 � ; '. �� �� ,. ,;� �_ � - != -, s � - �. . .,`; .. _.-_.�i:'�.' . . _ • , _ . ._..__ . - . COMMENTS� =�= �'� � �.-� � �� c; _� 1-�.i.,�.,...:' • � ' • �. 1 -- , - --- - � - _ . ;+ .� , � , • . ' - T_ . , _ , " ' . . ' . 1' . •'1. . . . . 1'w\'. .� . . • .. . . , 1 • •,\ \ (:.�. _ ;;` ` f , � - � , � ' � � ��.\_ _ . . .., � r �•� , . . . . . , . � .. . ._ , • "- .\. . _ . . . 1 SEPTIC TANK SIZE i ' . , SEEP PIT/U_SIZE _ _ , - - � ' j . � . . - -� : ,, ,,, . .. . , :, , � . . . � � ,-.s- __ -- - ; -_.•. -- � - � . . ._ . _ ,,. . .';. � - ' , , ,; . . . , • � _ — , _ , - • -\ . - .�, . . .' .`_ ``, - ' ; . _ , � .. . - . . � ._ . .�. , �.: - . . , . �\ . . . . ._ , . - CRY OF DIAMOND BAR ' . • � COMMUNrI'Y DEVELOPMFM DEPAR'iMEM' _ 21660 E Copley Drive Suite 190 (909)E643195Fu(909jl61a�i� • , �. � PRESS `'"' BUILDWG PERMTT APPLICA'I10N FI R M LY. } JOBSRE f I�C�' � • APPUCASiON r�PEAMfT 'P!C �1 p ADDRE • DA7E � v v hUMBEA 1 l�lJ � APN LOT,.,l 7- TRACT ISSUE . TyPE p�C DATE CBNST. �GROUP p OWNE C�.�� " ADDRESS 20NING SETBACKS � CRY ►�4 21P �TEL R� RW p APPUCAMT T� SIDEISIDE STREET � � CONTRACTOF SIDE �W � � � Q ADDRE55 PROPOSED USE � C17Y '71P TEL w ARCH/ENGI ' . � z DESIGNER NO.DWEL a ADDRESS � UN(TS N�' NO. � CfiY 21P 7EL 570RIL-S BEDROOMS w �n . OESCFIIPTION SO.FT. FACTOR PSF ADJ.ARENVAIUATION Q OWNER-Bl.'ILDEA DECIARATION �q/�ppy�aEM O IMEPE�Y.�:�liOER►k7�LLTY0i�FIWRY7fut16YEYfY1Ti110YlNftdrt0.�Gf01qLL �n��,�� W CENSELAWFOMMfAtOwN611f1L�d1I3iCM71lM/S�+fSSJUO�110![SS�MSOOOElMC}1/p11 (n U COUMSYW1+O111F4ME3A►Ew1TtOCd+firRJC�.�LTfRW�WCGLYO1J91M11E►�WIM/'/fiRJf W P�IiO/��( Z tLME���O�t TO rt3 6.A7M10E AUO 11fOUMES TME A►1L1CJw�!WI iU0/IENxT M fR.f�3�6rqp W SUT[YfM 7M�T h(dl fHE lS UCFxSED/VR7t7�M TO i�K I�f�S Di M ODNTMCTpIt LL W � cFMsc uw�owr[a�im+uvui.c vnn�stcrcn rea�os pvucr��oo twa wswcss un r�a � PooVSpa • , /Es.:iC++SOOOflaT�THFMS�tE130cEu�ilf�f�E�Mu4�OMFKs�iidllMf►11F040i]t[w- (� � iCN.AN'/VCtATCNDFSFCTqN)mi��1ANYA1KIGr�Tf0�1A�fIWiSUlJfRfTKNPUC.�M�TO Z RrAool � ACML►dKTTO�MOT1W11fiN/wFMeMU.011EDOd1MfIfSm)t . . � OII�SUw+rFAO�IN[►MWfRT70MVYfuRD7fEfMMwK.ESATiMfNSOIiCOw�EMfaTri1, Q CWnT�rCi�l MlL DO T)If wMiC 1vO iMC STRUCiUNE K MOT YRF/AC0 011 Oi�ERFO iON SKE(SEG 7oal�Uf� _1 N MESSa/A1nOifisb+f00�[G7MEOOMiMRO1�SUCE/d[4wDOEfhOiA/R►MINOwr(11Ot � /NW(NT/MO W tDi tll W�I�Wf S TM[AEWI M�O vA000f S A101 WO�K Mu�SlL�dIMERfl1F WI CC 7�u�0ur��CS OA M[7 GVM EurlOrf f S.�1iOwOfO TUT 3uW wl10VEwFlRs IUE MOT NTLr4iD pl m �porifAEDfMS.LLLi.�owEY:RT+E��4W+GM1w►�ovFuMRsatDwmwOwfTFMOSOWRi- � . Z TDM.TME O�'MG�1.zDE�1'KL N�v[7ME W�DfM Of►1R7yn0 iluf ME G4 3NE 00 MOT RJRD pl = IUPf10YEfORiWNM6SfOFLLE► • W Ol,ltO�wpEllOfiNF�110►FAI'/,AYEXQUSNELTCdrTMCTf+GMfI11LICEMSfD[LMTMCTW ¢ TO ODKS�I4l[t thE��FR(SEG 7a+.WSwESS Y.0►�OR33�d+f COOE TME CdfTMCTp1!LL ���lp� ' ��� . � CENSfV.WpOEiMOT�V►lti0AM0�'MFROFA�Iq►E�TYIN,OWIDfO�wI110VEtTME�EON,A10 N+qCOrrtMGisfOrtSUO��ROiER3vn7„�CONfMCMryS�UCDtSEDRJ0.tWufTMMFOMf14G p��Ty DESCAlPTION Y ionsuct�sEuw� , FEE pO I W ptFv7l I,iiCF�SFG \.l�.G iOR TLLS RG1,fON < . . � U �= OAi[ oWNf11 U . Z ' � LtCENSED CONTR/1CTOF5 OECLAFiAT1�N W . � INEFE!►afiuwtM�fJ�►[�uLTTD�►ErlJUi1'ITNrt1AUUCEnSEOM+DE11►RO�nSqdSOFCwVTEA V. . �x Y�'L1C[HSE6M1ll1sfOFCFMAfF�G�SOr�70fiwEW3wEs3�wO/NOiESiOr�fO00E,Mq z W , m � LKENSECUl55 UC.NO. j V OATE COHTMCTOR � W � WORKERS COMPENSATION DECLAfiAT10N a � IMEAEl�AiMUU�fER/CN�IttDf►f/UW1'/OMfOt7ME�OLLOwwGDEGLl14ATONi; z � � �I/uvEFNOMLLLUWTA➢1AUIIK1�aTfO�CON3ilR70fflfO,A111Eid1Nd1K[RS' a . . CO��f�Tri1./�f�NO'nOED�T3ECT10Nl7oeOfiMLIl�Y.1XO00EiWITH[►E11P011Yw+Cf U O OFTMEMWRiORwM01MLt►EM�IT663uFD. � . W �IwvElwOw�LLY.�alT�MwONt[RrGM+�EMIATCMwfuRwCL/LL11fOUMFD�YfFCTON Q a�mCtif�Ell�DMOODE.Fd1fNE►E1lFOww+GEO�TN(WOWtfORwMO+TW►FMwTO " , C7VFO.W NtAKF11S�Y7ENSA7ON WSUIINK[CJU1W[II/WO POIICTNLY�ENME CONSTRUGTIDN J j tuatn PLAN REVIEW Z ' ►OIC�MI.v�fp ELEGTHIC , . 4 � m�skc-cHrE��OTeEar.�te�oanEro�rswnortw�+caoou►afn+m�ontf.ssl PLUMB�NG � Z �CE�T�eYTUTliTNf►C�FONw41C[Os}NEWONtFO�vnuWTfeS►EWiYtfiUf0.) MECHANICA� ' (7 YutLNOTW7iO�M+T►E0.KNNnr`YY/++'fM30AfT0�[GD�EiN.iFCfTOTMf N wowc[nr¢u.E�s�,t�o.�uwsoscuso�wwrv�oac�[ct�urvisHou�ecoout WSPECTIONFEE S SULlECTTOIYfNOW(fRS'CO��[MS�TION�POHSONSOFlECTGN�la0iiY1EW011 ' 000E�s�ucL raRnnv�n�co�Kr vnnr n.osE rrwisd.s. ISSUANCE O p DATF: AVRIUVlT: ' SMIP � Wuw�NGiaLU�fTOStO�EwMKfRSCOUK�+SATDr�[OVIMC4�3lMAwslll,I�OSN/LL�f �ERGYPIC LL Sv6�ERN�E�vIOYiRTOU�wLtEwLTKSiu+OCNIMffW100uEMwOnEOT�Ou]µ0 ENEAGYPERMIT C011ARS(71W,oao�,N�OWilOMTO Mf CA3T Of OOrIfhSAICv,D�1uGES Ilf 1110vCED iplM ¢ �ECiON17G0ii1.ENWNOD0EMT4FESL�M7ATTOME77f[Ll • RETENTIONFEE nW. CONSTRUCTION L£NDING AGENCY PRE•ALT FEE: O ' � IN[NClY�ifiRYl►Of�►ENKTYOf►f0.RJRYT/uTTMf�E�t�ODM1T141CT10MLFNprqAGENCY iOR Tf�E/EPiOMW.Ct Oi TNE WOWf fOR Yn+�CJI Mf�(WT If tSiUEO RFG io�7.QV,C} Z W �Z LFMO[RS WWf t F— LENOER3I�DO�C2f W �aaru^rtw�r�H..�t�uonasrrnraT�w�++osr.rtnurn�c�sovcwew,u,o„i:co��Fct TOTAL FEES � IAGREETOCG��LT1MtA/�ILCT'NWCOIlMTYOIIOWMCEfNAfT►TC4�'�SREU7lIGTOWIDWG . � Cp/STRUCT�MDM(Rf�1lAtlTNONiICP[IRffEM�7NEiO�iW3COVNiY70[NTFRYIONTMi z �lWELGrtGNED►�ERiYFGIW51[CiIONRlMIOfEf. • � . COMMENTS J � _ � �ENWTTCIM.tLFp�M� y �(n S�GNANM[O�IENL'TTLF DAfL � � RECPT.NO. PAID BY VALIDATtON . NMI7E-0�partm�nt Copy,YELLOW—Fn�nd Copy,DINK—l�sa�tsa Copy,GOIDENROD—�F'�NCopy,GFEEN—Appkanfs Copy