Loading...
HomeMy WebLinkAbout16634 (32) � _ � . � � . � �� CITY OF DIAMOND BAR ;i DEPARTMENT OF COMMUNITY 8r.DEVELOPMENT SERVICES 21660 E.Copley Drive suite 190 (909)860-3195 Fax(909)861-3117 PRESS ^'��'� BUILDING PERMIT APPLICATION FIRMLY � JOBSITE APPLICATION J� � PERMR P/C ,� o ADDRESS 27865 Copley �Y . DATE V NUMBER r_���� $ ISSUE ' TYPE OC� -- APN LOT TRACT DATE CONST. ' GROUP � OWNER AQMD "" ADDRESS ZONING SEiBACKS � CI7Y Diamond BaYZIP TEL. R�R RW � APPLICANT TEL. SIDEISIDE STAEET RW ❑ � CONTRACT R� � CL t!C SIDE p ADDRE S � � PROPOSED USE r � � CfTY �n/ �1 ^� /F ZIP �1�/6 TEL7_ '7� � — - � ARCH/ENG/ DESiGNER NO.DWEL. NO. NO. ADDFiESS UNITS STORIES BEDROOMS � CITY 21P TEL � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER�BUIIDER OECLAFiATION �FR/ADOlREM O ' p 1 H[REBY AGFlRAI UNDER VENALTV OF OE0.A1pY THAT I IJ./E%E47T Fp�A1 TME��UCTO0.S lb G8fdfl0/C8fp0A W CENSEUWFORT/EFOLLOWNORFASq1�5EG)OJ1.68USWESSANOPROFESSqN5CO0EANYCITVOR (n ZOOUNTYMMIGIREW4IESAPERMRiOCONSTRUf.'T,ALTEf�7APFpVE,pEMOl15M.ONREPNRANYSTRUF W PBIIpJDBCI( � lURE,PAIOp TO RS ISSUANCE,/LL50 ilEOUIRE5IHE AVDLIC/�IfT FOR SUCN DEN.11T TO RlE A SICNE� W ST�7EMEM iHAT ME OR SNE IS UCENSED VURSU�WT TO THE PnOYiS�ONs OF THE CONTMCTOiiS LI• CENSE UN��L7UPTER Y(C17MM[NCWO MATN SCCf10N 7000)OF DIVISION 70F THE 9USiNE5511ND YR0• LL" PoaVSpa iE55qNSCOOE)ORT}UTMEOHSHEISE%EMP7INERE�PAMANOTMEBASISFORMEALIEG[OExE�P• � TION.NfIVqLATIONOFSECTqH70]i.6BYANYMPLIGMfiFOR�GENMITSU0.1ECT5THEAPVIICANTTO Z f10•Fjpp� � A CML PENALTY Oi NOT GDRE 71/AN FNE MUNOREO DOLURS�t50C�1: � O�hS01N1EROFiHEPROPERTY,OHMYEUV�pyEESYAMWACESAiTNEiRSOIECO�uPENSATION, � COmmBfC181 ' WLL DO THE WORK AND TN[STRUCTURE IS NDT IH7ENOED OR OFfERE�FOR SALE(SEG.7ou,BU54 J HE55 MD GNOFESSqNS WOE 711E CONIMCT00.5 LIC[NSE UW DOFS NOT MPLY TD/N OWNER OF N PiqPEFiTYWNOBU4L'90RMvf10VESTHEREON.ANDYAIODOESSUCHWORKNIMSELFORMERSELFOR � [[ T14iIX1(iMHI50FiMEqOMMEMPLOTEES,VROYiD[DTIATSUGI�APROVEMEMSARENOTMEIlOEDOR m IJ�J piFF3iEpiOqSAtE.IF,/qNIEVFRiMEBUtDN�ORIYPROVFYENTLSSIXDMAT111NONEYEAROFCOMPLE� � T10N.THE OWNER�BU0.DEii NALL MAVE h1E BURDEN OF VHOVINO TMT HE Oq SHE D��NOT BUiLD OR MPROYE FORTM[PURPOSE OF S�IE). O 1,AS dMJEiI OF TME PRD7EHT1;MI EXClUSNELY ODHTRACTN4 YrtTll IICENSED C�ffTR11CTOR5 � TO LONSTAUCT 7TiE FROJECT(SEG 70s1.0USME5S ANO Pi10FE5510NS COOE:iHE CONTMCT00.5 L4 Valuation ADJ.AR[A CENSEUW DOES NOTMVl1TO/W OWNEROFAPROPERTY1Mq&1RD5OR WPROVESTIIERCON.AND � YNqCONTiiACT5FO1�5UCNDR0.1ECT5W1TNA00NTMCTOR(S)�ICENSEDPUNSUUR70iHECONTRAG QUANTITY DESCRIPTION FEE � TOfYSt10EN5EUW.} OI/WIXEAIPTUNDERSEG B.IP.C.fORTH4R[ASON Q O 3 � u. F Z o�re OWNER v F LICENSED CONTRACTORS DECLARATION W � IMEfKBYAFFlPoJUNDERVENAITYOFiERNMTN�TIAMLICEN5E0UNDERVRONSqN50FCHAPTER � (� �(OOA�MENCWOWIMSECf10N70oo�OFD�NSWN]OFTHEBUSWESSAN'JPPDFESSYJISCOOE,/�4D Z X MY UCENSE b N FULL FORCE/WD E�FEGT. m L1J r' � LICENSE CUSS ` D ' LIC.N0. �" j � p�7E 1/ L � CONTMCTOR '1 Es f IC a W � WORKERS'COMPENSAT104 DECLARATION �`, � ¢ � � N IHEFEBYAFFlPAIUN�ERVENALTVOfVE0.1URYONEOFTHEFOLL0IMNCDECIARAi1ONi U . � Z G � �_IHAVEANDWILLMAMTAIN�GEi1TIFIGTEOFCONSENTTOSElFaNSUR[FORWOfiKERS' S � COMPENSATqN,AS PROVIDED BYSECTION]700 Of THE UBOR CO�E,iOR tM[PER�ORAIANCE w OF TNE WORK iOR WNICH THIS VERMIT IS ISSUED. � .. ._ � , . � _�I NRJE AN[)MALL WVMMI Wdil(ERS'OOMPENSAT'AN PlSUfLW CE,AS RE WIRED BY SECTION O 770o OF THE L/�BOR CODC.FOR THE VERFORMMCE OF TRE MIONf iOFN'FIICH iHiS PEWAiT IS %�- ISSUED.IAYN'ORKERSLOMPCNSA710NWSUfU�C£G�NR�ERAn�POIICYMJM3ERML: CONSTRUCTION . j CARRIER �-�f 1�� ✓ 1� Pu�r,�e�Ew � 3 hrs @ 85.= 255. � — � POIICYMIAIBER �_[L ELECTRIC ' � �nr;sEcna�rcm'nre[�ermo�ncv[�rswr��on�rua�[nawisR�co�rn�sy PLUM�iNG w MECHANICAL Z I CEp:IFY i11A7 W hIE iERFORMMICE DF THE N'OPN fOR VMICH T1n5 VE W.a715 ISSUED.I _ () SFIALL NO7 EMPLOY M!Y PERSON N M1Y IAMIf:CR SO AS TO BECOUE SU&iECi 70 THE � N NORKERS'Cp.��ENS�TqNU1M50FCA�IFOPNIIAN AGREETMATIFISiiOULDBECOME INSPECTIONFEE , � 1 '__ `� S SUBJECT 70 TNE wOpnERS'COMPENSATION P�q V� S OF SEp�ON 770o OF 7NE IABOR L . � �/ � � � � f coov.ISNnuFoan+vnnicaa�vwin�t�p4c,r� snsWr+s.{ �SSUANCE p i_1 V /(/ SMIP p OATF:�l�z�u/ APPLICAMi: / .. . J ENERGY P/C WAANINO:FA1lURE TO SE W RE WOqKERS'CO�APENSATqN COVERAGE IS L'NUKFUL AND SNALL BE � SUJJECTANEMPLOYERTOCRiMWALPENALTtESANDCINIFINE5UP7�ONEHJNDREDT110U511ND ENERGYPERMIT DOLLARS�f I OO.00D).IN ADOIiION TO TNE C0.5T OF COMVEHSATION,�MUGE5Il5 YNOVDED FOIi M r� � SECTqN710eOFiHEIABORCOOE.NTEREST,�NDATfORNEV'SFfES. RETENTIONFEE: ___ _- W CONSTRUCTION LENDING AGENCY PRE-ALT FEE: a O CC IMERfeVAiflR1AUN0ERVENILLTVOL7E0.aJNYTXATTHEREIS�CONSTRUCTIONLEN�iNGAGENCY Zd fORiNEPERfOfU1NICEOFTHEWORKfORWHId/TH15PfRMITISISSUED�5EC.7o97.QV.C.). W � LEUDEaSN�u[ � IENDEii'SADORESS ^('� !�l � ICEATIFYhUTIMAVERE/�DT11�5IPVUCA710NANO57ATETHATIHEA00VEINiONA�TIONISCORRECL TOTAL FEES �(�/'���� `���v D W IAGREETOCWPLYYATHALLCT'NIDOOUNTYOFlDIwWCf5INO5T�TfUWSPCIATINQiOBU1LDiN0 �� � CONSTRUC�ION.AND N[REBY AUhqRIZE RECRESENTATNES OF 7M15 COIMTY TO EMEH UPON THE v✓ . � �BOVE.IIENTIONED VR07ERTV FORINSPECTION PIIRPOSES. COMMENTS � � - � 1��5 m reru.uTr - 1PaHr� �v V Q �, �����. .�� / b / SIGNATU CF YEflMI17EE� DATE �/ = RECPT.NO. � •PAID BY • VALIDATION . �' WHITE-0o0anment Copy.YELLOW—Finanee Capy.PINK--Assessor Copy, OLDENROD--Fib Capy.GREEN--ApplicanCs Copy . . .- . . . .. . . �, .. . . , . - .-. . .. , . ,, . ... , ...... . . , ,- �- - • �. � CITY OF Dl/�hfO(�[D BAR � � , � . . Ih1SPECTIOt�! RECORQ � Y`. . . . .. .. . , ' ��,e,1►� o 'b — � �f� g ' (``�-i.' ;,.�.�-.�,�'_�'. .. _.. ... � . _ ._�� _ '���c.��rf_.,--��-�. __... _..._ . . . ._ . . _ -, ► • I�,�7� . ... R._a:� _. ._..�- . 5ET BACY;: 1� . ; � _ p� � I .� � � ' � FIOOR JOIST �I. . •' FTGS/FORM�/STEEL � ' ' FH.A REaMTS j • ' ,ELECTRIC GROUND .. 1/Ip� � UNDER FLOOR DUCT I `_� � :GROUND PLU«IBING ! � UNDER FLOOR COPdDUIT : SLAB GRADE � FIREPLACE FOUNDATIOPJ � ��+ :TEMP POV1lER FIRFPLACE 60ND BEAF�1 WATER SERVICE MID HT. BOVD BEAM I _ ROOF.SHEATHING il •� • � � '� � 8 FT. 60ND BEAM . �_ . ^ : •FRAMING.NENTILIATION • � 1 � FINALBOND�BEAM ' ,ROOF COVER � � PRE-GRF�DING RUUGH HEATING ' BENCHING � ^ ,ROUGH ELECTRIC (,-2'�-0l ROUGH GRADING , ROUGH PLUP,�BING � � FIPJISH GRADING � SHOVVERlTUF3 TEST POOL ELECTRIC EXT:LATH/SIDING PaOL FENCING � � ' , V'lALL IPJSULATION � POOL FINAL I , --------- ' CEILING INSUL.ATION _ OFF SITE Ih1PS. Dn'�ti';'kLLNAfLING � � . D�DICATIdNS ---------.---,-- �l=`,�d�R FIPJAL ENG. � -----------� SEPTlC TANK Lf1NDSCAPEJIRRIG. I I� SEEP PITlLL. . : . � '� • ' �' •,• � OFJ SITE IP�1PS. ^`� ' � G.AS AIR TEST � FINAL ZOP�lP1G FI�JAL C���ST, FIRE DEPT. FINP,L � �---- � Ffh'AL HEATING � /� HEALTH DEPT. FI��.",L � ' FINfiI.ELECTRIC �/y��� DEV. FEES PAID � ` ______ � FIN/1L PLUh181"JG � � EtJERGY _ .~ � --- ! , . � -f ---�----_------------------� � . � ---. - --- '---- . ��f� � �'__ . ___` -�---_-�__:_�-i q�:�_,-��: �::���:�- � _ .,,. _ __ . _ CO ti4 M E NTS�(t Z�Q(.—/V�.—S'1? �rL�� � 0� ���� --------- � � � ! -- --------...__--- . _.i � 3 ��. � , ��-,.;�J� t � 1�..... ��,-- -- ---------_-..._� ' . . ' -------- -----I iSEPTiC TANK SIZE 'SEEP PIT/U StZE --------- .� . :;�� w. --- -------------- - _ _ i �, _ j ------ �� � � ."� � - --- •�,,�� 1f' �:i • /'� . . , �"r , . ------ --------- � � - j � . . .. � + • - ----------� s�li �"4rf. � � .� . � -------- ._. ._�._:�_�,_.....,_._. _.._. , — � — ----------