Loading...
HomeMy WebLinkAbout11131 (5) - � CiTY OF DIAMOND BAR " ' ' COMMUNITY DEVELOPMENT DEPARTMENT 2l660 E.Copley Drive Suite 190' PRESS � (909)860-3195 Fax(909)86l•311T '��', BUILDING PERMIT APPLICATION � FIRMLY � J06SITE /;,, APPLICATION G� PERMIT ' � I 3 � P/C C o ADDRESS �'�8b� ��W P�� ��y� DATE I ` NUMBER M � I � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER S�UTN C01�'ST fl-trL Q�huA M�+-MY.Dlf�(. . ADDRESS Z ZONING SETBACKS "-' C�7y rh�ri�NO A'M� ZIP�jI 'lbf Te�q� b'228 FRONT RW ❑ � APPLICANT I�T�22iYZJYS TEL. fi �- 0-2 � REAR ❑ SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE O o ADDRESS PROPOSED USE ��hN� �tit�r�V�-��t��� ra�v Q CIN ZIP TEL l.uG1 RR'.SE` i''''- N On w ARCFVENG/ r.�i I/S�lc=- � �n�rt' z �ESIGNER TE/�R.hZI�-S /�S�bC//1- L�! "�1�5 �'d--� a ADDRE S I N. SRN - C'l- LYI7 J �. NO.DWEL - � ' NO. . . . i NO. � CITY S6�Y1tfAY� f . ZIP�l�']7D TEL.� �I��'73�� UNITS STORIES ' BEDROOMS � DESCRIPTION SQ.Ff: FACTOR PSF ADJ.ARE/WALUATION � OWNER-BL'ILDER DECLARATION SFR/ADDlREM O p 1 NENEBY AFFIHM UN�ER PENAL7Y OF�ERNAY THAT I AM EMEuvT Fi10M iNE CONTMCTOqS U• G9fH eK:81pOR W CENSEUwFORTMEFd.LOwwGRE/�50N(SEG7a71.66U5W[SSANOPIiOFESSIONSGOOE:ANYG7YOH (n U NIMTYYYHIpIREWIR[SAOERYITTOCONSTRUCT.ALTERMPROVE,DEIAOl15H.ORREPAIR�M'STNUC• W patio/Deek WTURE.PRIDN TO ITS ISSUANCE.IL�NEOU�qES TNE APVl1LhNT FOii SUL/I VERAUT TO FILE A SIGNED W � 67A7EMfHT T11AT ME OR SHE IS UCENSEO PURSUANT TO THE 70.Wi5tON5 OF THE CONTMCTORS l4 � GENSEUW�CMAPTEH�IC�MENGNOWIiMSECTWNf0o0)OFDMSqNlOFTN[BUSINESSANDPRO- u' POOVSp2 FESSiONS[DDE)OR TIMT HE OR SNE IS E%EMP7 TMEREFHOM AND 711E BASIS FOH T11E ALLEGED EXENP• TqN.N�YV�OUTWNOFSECT10N7071.6BYANYAPPLICANiFORADERYITSUBJECTSTMEAPVIICAHTTO z qB.poo1 � ACML PEN�lL7Y DF NOT MORE TWw GNE NL'NOPEO DOLURS(SSoo�.): 0 ❑I,ASOwNEROFiMEOROPENTV,ORAdVEYPLOYEESWITMWACESASTNEIR50LECAAIPEN5A71CN, 0 L`pmmBIC181 • . 1NLL 00 iNE wORK,�ND THE STRUCiURE IS NOT INTENDED OR OFFERED FOR SALE(SEC.7a�,BU54 J 1 Z HE55 ANO GHOFESSiONS OOOE:THE CONTNACi0N5 LIGENSE Uw DOES NOT APPLY TO AN OwNER OF • - � PaOVERTVNnqBULDSOR�uvqOVESTHER[ODI,INOWNODOE55UCHWORNHIIASELFORHERSELFOR = Q TNq0UG11HI50RMENOWNEMPLOYEESPRON�EDMATSUd1WPROVEMEMS�RENOTWTENDEDOR m . Lt1 OFiEPEDFORSALE1F,110WEVERi1�EBUIIDWGOR61PppVFYEHTI550lDWI7MNONEYEAROFCOMPLE• - ' -�•� Z TION,TNE OwNER�BUILDER MnLL NAVE 7ME BUiiDEN OF VRONN6 T�uT HE OR SHE D�O NOT BtIILD Oq . IMPROYE fOR TH[PURPOSE OF SALE} � _ w ❑I,ASOwNEROFTHEVROPEHTI:AME7fLLU51VELYCONTMGfN�N7THLICENSEOCOHfMCTORS � � W GEN�SENlAWOOESNOTAPP�YTOANOWqEROFAPROPER7YWMOBURDSOR�IM ROVE�ER ONRAND V8IU8GOf1 AQI.AREA � WIqCONTMCTSFORSUd/ORp�ECT3WITHACONTMCTOR(5)LICENSEOVURSUANfNTHECDNTMG OU.�WTITY DES HIPTION FEE � � TOHSLiCENSEUw.). � OIAME%EAIPTUNDERSEC. B-1PGFORTHISRE0.50N U � � u" DATE OWNEH V Z W � LICENSED CONTRACTORS DECLARATION W � I HfREBY AFFIF4 UNOER VENALTY OF PE0.)URv THAT IAu LICENSED UNDER PRDY1510NS OF d/MiER � � , � a •(COMMENCwON7TH5ECTqNTOW10FDIV15qN]DFTNEBUS�NESSANOPROFESSiONSCO�E,AND Z IAY IICENSE IS N FLLL FORCEAND EFfECT. / m � LICENSE CUS � J �,IC.NO. CL���`S� � . V DATE / � !� GONTRACTOR �`(r-'it�-✓ C'.'�.�i�cC-! a � � WORKEFIS'COMPENSATION DECLAFiAT10N -� '� � 1 HEREBY/�FFIRM UNOER PENALTY OF GE0.NRY ONE OFTHE FqAOWINC DECU�TiDNS: U I � Q � � _IMAVEANDWILLMAMTAINACERTIFICATEOFCONSEMiOSELF�NSUREFORWORKERS' S ' COuvENS�TqN.�S PROVDEO BY SECTION 7700 OF THE UIBOR CODE.FOR 7HE PERFOPAIANCE �U OF T11E WORK fOR WNICN iM15 OERMIT IS ISSUED. � � W �I IIAVE AND WILL MAMTA:N WORKERS'COMPENSATqN INSURIW CE,AS RE WIAED BY$EGTION I Q �70o OF iHE LA[iOR CODE.FOi1 THE DERFORAIANCE DF iHE WOW(fOH WNICH 7HI5 PERIAIT IS /� • 0 ISSUED.MYNORKERS'COM�PEN�SATpNINSURANCEGRRIERANDPOLICYNU.IBERME: CONSTRUCTION �!�a 1 1 ��_.. � � Q �.� . � . CARfLER •?// /�' �(/•C��-7 PLANREVIEW �'i�: 1�� --- �i , ZpoucvNuunen e "' ELECTRIC ¢ � (i1�S$[�ip�NCmFqTgEppAPlE7EppF7lEVErMfSFDqaNEHf�OFQDDotWls{stao�ORtE55� PLUMBING Z I CERTIFY TMAT W THE PERFORYMlCE OF TME WOflN iOR M�NICM TM15 PERMIT I5 155UED.l MECHANiCAL (,�} SNALL NOT fMPLOY ANV VERSON M ANv Y�NNER SO AS TO BECDM[SU&IELT TO TNE N wOR1cER5G0/dPEN5A7KKdLAwSOFCAL�FORNUTANDAGREETNA71iI5HOULOB[CA4E INSPECTIONFEE SUOJELTTOTHEWORKERS'COMPENS�t10NPNOViSpNSOFSECTqN77 OFTNElA80R �—r , S , O s7 cooE,i �u vonna+nn�canv�r wmi r s ISSUANCE • _ p DATE: / �� APPLICANT:� �fZ✓ SMIP , r✓ � ENERGY P/C 7 _ � WARNINO:iA0.UR[TO SECURE WORKER5 COMPfNSATqN COVEMGE I5 UNUWFUL.AND SHALLBE �f .` �y SUBJEGTANEMP�OYEflTOCRIMW/�LPENAL71ESM1DCNILFWESUPTDONEINNDNEDTIK%15AND ENERGYPERMIT OOLLARS(ftoo.000).W ADDITION TO TME COSTOF LOMPENSATION.DAM�GES AS PROVIDED FOa W • � SECTqN77DeOF7T1EUBONWDE.NTEREST,ANDA7TORNEY'SFEES. qETENTIONFEE: � �' •�� d CONSTFUCTION LENDING AGENCY pRE-ALT FEE: ' � O � IHERCBYAFitRA1�1H0ERPENALTYOFPERAIRYT/UTTHEpE15ACONSTRUCTIONLENDINGACENCY n- iDH THE PEHFORMANCE OF T11E WONK FOR wMiCN TMIS VERMIT i5155UED(SEC.]ou7.CtV.4). � IEHDER5NAAIE ^' �� �� � � IENDEir9 PDDRE55 W ICERTIFYTUTIMAYEREADTHISMPLIGTIONANDSTATET1ATiHEABOVEWFORUATIONISCORRECL TOTAL FEES � � �� T�•� � IACREETOCOYPLYWITHULC7iVANDCOUNTYONDPUNCE5ANO5TATEUNSREUTw4TOBU1LDiNC pON5TirilCfqN,Mlp MEREBY AUiHORRE R[PRESENTATNES Oi THIS CWNTV TO ENTER UDON THE � ABOVE�MEHTIONEDPHOVERT'FON WSPEGTqN GUR705E5._ COMMENTS � � ,��v�J .�v,Js�° - �«,� ���u v�� m v¢ EE n. n_ 4 3�TT " .' /� S�- u� l"� � %�', � � SIGN�7ufiEOF VEroniTTEE, , C�tiE � '. RECPT.N0. PAID BY VALIDATION . WHITE--0eDartment Copy,YELLOW—Finance Copy.PINK—AsaessaCopy.GOLOENROD--FIIe Copy.GREEN—Appllcant'a Copy -�. .. -- .. • .'..,;....e.:.�..,r,y¢ . .._ ' . - — � .. . ;i,.�l..z�. ��rT .�� . . . ,�ro�.. — ....... •t• �.. . ._., . . �.�:... .�...� . . .. • , , � , : . .. �.,;..�,... . ,• ..�c.y . . ........ , . : . , , . , . , .':�, • . . cirv oF oir�r�tor�o o�a� � �� - �. . .. ir�sPEc�-ior� RCCOF�D . � . .' ' .. .: . � . . . �,� � . � !I►!�-����c;��lo��;�.. . ���aF=� �1����=�a''Jr.�:�" ���'f���.'f.(J►�. � . ,.°�:.V;r�= . ,l�`E-;:�=�i'�r'r;y�f _��------.�_.,�--_____.,_._._...__._._..�__ _.._____�_ .�_�.�._._.._._----_._.._�_._..� ____�.._�..... -- --..._.__-- -----......... _... SET BACK . - : ; FLOOR JOIST . _. _.. - - .. ._ .. FTGS/FORMS/STEEL - FHA REQNITS • ' " ' , i ELECTRIC GROUND UNDER FLOOR DUCT . • - - -� ; - GROUND PLUMBING - UNDER FLOOR CUPdDUIT • • ' '`'�� ' SLAB GRADE � - FIREPLACE FOUNDATION - . � ' ' ' � � TEh"P POWER - - - - " - -� FIREPLACE BOND BEAM VYATER SERViCE ' - - �= -� ' � P.41D HT. BOND BEAh1 � ` ROOFSfiEATH1NG '' � - 8 FT.:BOND BEAP�1 . FRAMINGNENTILIATION �1� ' ` `v� FINAL BOND BEADA . - � . � • ; _ _ PRE-GRAQIP�G .�• ; . . . ' :. ':. , ,: i ROOFCOVER - - ROUGH HEATING - - - BENCHING � ROUGH ELECTRIC - - - - � - `�- � ROUGH GRADING , .. ` ROUGH PLU�Y1E31NG ' - - -- FINISH GRADING . � SHOWERITUB TEST " - POOL ELECTRIC _ . �. , , . ._. EXT.LATH/SIDING � -- � � P.00L FENCING � � WALL INSULATION ; , POOL FINAL � CEILING INSULATION OFF SITE I�.�PS. ' . . • DRYb'VALL NAILING 1 iJ �Y �� DEDICATIOPdS SEWER FIPJAL ENG. SEPTIC TANK_ - LANDSCAPE/IRRIG. SEEP_P1TIL.L. _. -- '.-- -. -. - .'. - ON SITE IMPS. GAS AIR TEST �- -- - FI�JAL ZONING � ' ; � FINAL CONST. -- � -- - - -- FIRE DEPT. FINAL ' � FINAL HEATING - - HEALTN DEPT. FI;dAL � , - FINAL ELECTRIC -- DEV.FEES PAID ; FINAL PLUMBING Er�ERGY • r[;=:^'jr C): C�C;C; - - . _�,.e._........_._..�r:.•=.:._._____._.._._.��..----- ------------- — - -. _ COMMENTS. � _ _ . . , . , ; , i- : ' � . „ , ; . . . . . � ���` - � - - � +� �?br�� � � �t�;+: - . .. - . SEPTIC'TANK SIZE - _ ' i ' ---..... __ _ _ . _ — - : SEEP PIT/U SIZE , , , _..._�, � � .���a�■,� r� � . . . . . _ .. - — - ' — . ; , , ; �'/��'� �?�' � �I�,�zI� � - , i . .� �� � y�G'��_ '��1��..� � . '` . . ' — — � — ��.� . . � : _. . � _ st��> �'''zt' `�'j� ��� �.. .�...... . . , . . �"��'/� ����C1��. . .; � . ,. . .. ` r� ��� ! . �• .�� . , . .� , - ._ _.. , . _ , . . �. � . . . . �� . . _ _. ... _�/. ._.. �. — �� � ' z-- - --