Loading...
HomeMy WebLinkAbout13776 (14) CITY OF DIAMOND BAR � J� -� DEPARTMENT OF COMMUNITY dc DEVELOPMENT SERVICES � �� , 21660 E.Copley Drive Suite 190 (909)860-3195 Pax(909)861-3117 PR E SS �'^^� BUILDING ERMIT APPLICATION FIRMLY � JOBSITE ! ri �i'�� � APPLICATION � �J PERMIT � �1�P/C o ADDRESS � ��� DATE � NUMBER I p � ISSUE . TYPE OCC APN LOT��� TRA� DATE CONST. GROUP g OWNER �!/S /i(IE�Sr(/i� o ADDRESS ZONING SETBACKS � CITY ZIP TEL. R�RT RW ❑� APPLICANT TEL. SIDEJSIDE STREEf RW ❑ � CONTRACTOR f � L I SIDE � ADDRESS / t' I CITY - ZIP,1�► TELQ D PROPOSED USE . • P� ARCH/ENG! • � DESIGNER NO.DWEL. ��0. NO. CDDRESS ZIP TEL UNITS STORIES _,�_BEDROOMS � tn DESCRIPTION SO.FT. FACTOR PSF ADJ.ARE�INALUATION p� OWNER-BUILD[R DECLARATION SFR/ADDhiEA1 O p 1 HEREHY AFFliW WDER iENALTV OF VE0.RIRY THAT 1 M1 EXEUPT FR01.I 7ME CONTMC70�L^.l4 Garage/Carport 11J C£NSEUWFORiHEFOILd�M:NGREA50N(SEC.70]1.66USINESSANDPROFESSIONSCOO[:ANVCINOR (f� �.7 COUHiYYNYCIRE0URE5AFEMIRTOCONSTRUCi,ALTfRMPpOVE,DEU0U5F1.OFlFlEPAiq1lNY5TRUC (L LL� IURE.VRiOR TO R9155VANCE,ALSO REW W[5 i1tE APPUCANT FOR SUp/PERAIIT TO FILE A SIGNED w PatiolDeck � ETATEMENT iT1AT NE OR SME IS ll(�NSEU RIRSUAN7 TO iME PROYISIONS OF iHE CONTMCTORS LI� � � CENSE UW(dUPTFR Y(COMMCNpN(i WfTH SECTION 7000)OF DMSION]Of THE BUS:NE55 AW PRP POOUSpB FESSqNSCOD�OflTHATHEOHSHEISEXEMPTiHEREFRpAAND7MEBA515FORTHEALLEG[DE](E4P• (� TtlN.ANVVIOLATqNOFSECTION70]1.lBY�NVA➢PLICANTFORADERYITSU0.JECf5THEA70LIC/JJTTO Z Re-Roof � ACIVILPFNALTYOFNOTMOiiETLWFIVENUHOREDDOUANS(lsool.): � Ot�OVfNEROFTHLPROPER7Y,0itA1vE4PLOYEESYlITNwAGESASTHEIR50lECOMPENSATqN, � Commereial - MML DO THC WOfiK,MA iME STi1UCiURE IS HOT IN7ENDED OR OFFERED FOR S/�lE(SEG 7oN,BU56 J N NES$MD iROFE5510NS COOE:THE GONTMGTOi45 UCENSE UW�OES hOi A7PLY TO AN OMMER OF � � iROVERTYYRiOBVIID40RIlAPROVE57MEREON,ANDIMiOD0ES5UCHWORKHIMSELFORHERSELFON Q T�WOUQMWSORHEROMMOAPlOYEES.PROV10EDTHATSUCHWPROVEAIENTSARENOTMTENOEDOR m � OiFEREDiORSFLEG,/10V�EVE0.7HEBULDiNOORIM�ROVEMEMIS" WITIENONEYEAROfCO1AVLE Z TION,TM[VhNER�BUILDER WILL MAVE T11E BURDEN OF PROVNO iHAT HE OR SHE DO N07 BUiID OR = W OR7VE fOR iNE Vl1qPO5E OF SALE� w Olti70M�MEROFiHEPi10GEHiY.IUAE%CLUSNELYCOMMCENQVlfTHUCEN5ED00NiMCTORS ¢ TO CONSTRUGT THE PRD,IECT(SEG 70N.BUSMESS/WO PRDFESSIONS 0l�E:iME CONTRACTOFiS L1- V8I118�I0f1 AQI.AREA LU CENSEUM�DOESNOTMPLYTOMIdMNEROFAVHOPERiYWHOBUILD50NIK7iqVESTH[R[ON,AHD F� WIUCDHiMCT5FOR5UCHPR4)ECTSWITHACONfRACTOR(S�LICENSEDVURSUANTTOTNECOHTRAG QUANTIN DC-SCRIFTION FEE � 70RSUCENS[LAW.} M�� OIAMIXEMVTUHDERSEG B.IP.C.FORiHISP.EISON � � �'�/�J 3 � / � � t LL" DA7E OWNER U � �47t.�'/-`� •h .?-1� UCENSED CONTRACTOAS DECLARATION �j �,s NOL�% � INEREBYAFFlMIUNDERVENALttOfVERIURYTHATIMIUCENSEDUNDERPROViS1oN50FCHAPTER (� ��COYYENCINCN'fiMSECTiON7000)OFDIVi510N]OFTHEBWInE55/V�DPROFESS�ONSCACC.lWD �� X MY LIGENSE IS N iULL�O CE AND EFFEGi. � � Z o Z otS �' � IICENSE CU 5 ��b LIC.NO. � � w� � � corrrrucron �_ a S� ' � � ' � WOFiKERS'COMPENSATION CECLARATI04 �[-z�� ��� � Q cJ � IHEREBYAFFIRMUNUERPEI:�LLTYOFPE0.JUMONGOFTHEFOLLOW:NCDCCLAM?ION:: _ 0 �IHAVEANDWILLMA:NTANACERT:FlCATEOFCONSE4TTOSELF-INSUREFORNOFKEAS' � � � ' • • . ' � � '� CpA�EN5AT10N.ASPROVID[DBYSECT:ON]70oOFTHELA'WRLOOE.FOqTHEPEfifCfWANCE � OF iME WORK FOR WHlp/THIS PERAIIT IS ISSUED. - � 1--� �� �_� IHAVEANUMALLMAIMAWWORKERS'WMPENSATANkISURANCE,AaREOUIFEDBYSECTION Qn f7000FTl�EUDORCLDE,iORTHEPERiORUM10E0FTHEN'OfKFOflYMiCHTM15PERM1715 � LSSUED.A/YW�Rll�A�-UMN[ C .l�xYlf�M�ERARC CONSTRUCTION J/ � CARWEN �r"�_ �, ♦��Lr� PLAN� � � POLICYMIIABER��i�� �����_l ��� 1 � (nessECInNNE^�NoisEfl]MLfimaFMPEFi1Rt5iCfiaN[HUDfimDCx.WtSR�ac)OH1E551 PLUMI3ING Z I CFRitFY7HAT Nh1E iERFOiUAANCE OF THE NmRK fOH WHiCH THIS VEW.�iT I i LSSUED.I MECHANICAL (,�J SIW.�NOTEM?LOY/WYPERSCNPIMlYMANI:ERSOASTOBCCOMESUBJECTTOTM[ � WORKERSCOMFENSATqNUWiOFCALIFppN1A AGREETIATIF15110ULDBCCOME INSPECTIONFEE �_ S Su6.1ECTTO7MEWORNERS'COMPENSATqNP +i5'.NS SECT 1o00FTMEU90R ���.�_i ' ISHA�.�FORTIWIMCOIAPLYWIMTMO�0 �v ISSUAYCE i � � SMIP p DATE:_�f� APPUCANT: w ENCRGY P!C ^ �'��'� � WARNIN�:iAWA[TOSECUf1ENOANERSC E•..ATIONCOVER .ISUNLAWFUL�WOSHALLB[ �`" � �y 6lA1ECTANE4PLOYEFTOCRIYPIA�PENI1 � CMLFWES 700NEHUNOREDiNOUS�ND ENERGYPERUIT ��U� I :.I �-�� DOIUAS�iloO,000),NADOITIONTOi11EC0 OFCOI�APENSATION,DAAIAGESAS�NOV!DEDiORIN � SECTIDN�70eOFTNELMORCO0E,W7ERE5T,M1D11TTORNEYuFEES. � ' � RETENTION fEEc !'"� �� a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: �� ' � � � � O ---� � IHEREUYAFFIRMUN�ERPENALTYOFPERIURVTHATtH[REISACONSTRUCTIOHLENDINGACENCY ' FOR TIE PERFORMANCE OF iHE WORK W fl WMICN 7HIS PEiiM�TI5155UE�(SEC.�OY'!,CIV.C.). � � IENDERS WwE � �w LENDERSADDRE54 03� r ICEHTIfYTHATIIUVEREADT115APVLICATqN�N�STATETHATTIEADOVEINFORMATqNISCARiiCCT. TOTAL FEES ' I O p_, IAGFCETOCOMPL�N7THALLCRYIWDOIX1nTYDRDiNANCE5M105TATEUM/SREUTWOTOBU0.DING � CONSTRUCTION,ANDNEREBYAUff10RIZEHE7RE5EN7A71VE50FiF1I5COUN7YTOENTEHUPONTME Z /DOVE�YEHTIONE�VROPERiYFORINSPECTIONPURPO5E5. (',QMMC-NTS � O .�_ � � m DfiWITiEEN �E(G ¢ G�3a�19 � (n SIGNATURE Y MIT7EE DATE � R[CPT.NO. PAID BY VALIDATION WHITE-0oDartment Copy,YELLOW�inence Copy,PINK—Assessa Copy,GOLDENROD—File Copy,GREEN—Appl�cant's Copy _,�, CITY OF DIA�JlOND BAR . INSPECTfOt�! REC�RD ' ' �. �,,=i �I►,E- �����CC'L.li�.# •�:�.1'= • ;l.i�����`LC��� +��li'F-��j�r;�P(�;li�l�e+ �*��,"�!'..�. ...�R��'y7�;c`��'�. SET BACK .. . � .� � - . - FLOOR JOIST'•• � _..,i:.,._,_. , ....,._..,` .. ... ._ - FTGS/FORAAS/STEEL � � � FHA REQP,ATS � +� 'ELECTRIC GROUND . UfvDER FLOOR DUCT • . - GROUND PLUPr1BING UNDER FLOOR CUi•!DUIT, � - '� t � ._ : SLAB GRAQE - FIREPLACE FOUNDATION __ TEF�1P POVVER I FIREPLACE BOPJD BEAh4 ' �WATER SERVICE ' � MID F T. B�ND BEA��4�� • • � ROOF SFiEATHING ' I • --` ��' t3 Fr. BQND BEAM�� ',.., .' . I ,. �.'_ . FRAMINGNENTILIATION FINAL BOND BEAP�I � ROOF COVF_R�� PRE-GRF�DING :ROUGfi HEATING ' BENCHING 'ROUGH E�ECTRIC ROUGH GRADING � ROUGH PLUPJIBING I FINISH GRADING • �SHO'JJ[R/TUB TEST POOL ELECTRIC EXT.LtiTN�SIDING POOL FENCING � ' bti'ALL INSULATION � POOL FINAL CEIL1Nu Ii�:jULATION OFF SITE IMPS. � � DqY1r'dAL.L NAILING DEDICATIONS , SEV'!ER FINAL ENG. ' . SE?TIC TANK LAPdDSCAPE/IRRIG. � ' SEEP PIT/L.L. ON SITE IP�1P5. ' �G�,S r,I!-?TcST � _ FINAL ZONING _. ___— ' Fi>•��'.!.CO�JST., • '� �. FIRE DEPT. FINAL ; ., F1i:�.�1-�EF;TING / `'• •� ' • `� HEALTH DEPT. FINAL ,':t,'_L=LECT�;';`' ' ' �'-(31��?P�.` DEV. FEFS PAID :_i-.:.•:^t:PLUDJIBINu �_�, -- ��, ENERGY _I . _ . , . ,l . ` . , . � . ,.:....�._ . . . . . . -. ' . �++.e..m.^'+ � • • . . . . . . • �- " .n . . - � ..�� \ ,'ttT.�r�t L'��r.r�i:•:..��, �." `+-' �� .:Jila.. �_... .:��.�:�_:i..L:_......�_._�a�.._...��t. ._�. .. , t - -- =----�--. • -- _ . _ -_ __-___ , . .:� _. _ , - . . . --- --- - ' , • � . . : � COF�l1��1ENTS _ � � ,'• , � . ,; ,� –� � ^ � �=z�_5'� � 2_-���fi�� � ►-cap � _ __. . . _ _ � . - � _ . . . . -. - ��, . . . ���. _ , . , . , . .., . 'SEPTIC TANK SIZE SEEP PIT/U SIZE .�.�.�r�v��__.._._...__., , ,,���� ;� . . . . •.. �:_ ' _ .;, . . \�'.- __ _ - . .