Loading...
HomeMy WebLinkAbout15761 - ------ . --- ---. ____ _ . _ _ -- -------- ------_ __ �� _ CITY OF DIAMOND BAR ` . DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Coplcy Drivc Suitc 190 � (909)860-3195 Fau(909)861-3117 PRE$$ '^�', BUII.DING PERMTT APPLICATION FIRMLY oN JOBSITE / ^7� DA�CATION II�I�� NUMB R ���IQI �/C ADDRESS Z�5 C�Y '�� T�1 1 . $ ISSUE TYPE OCC APN LOT �3 TRA T �{�g�O DATE CONST. GROUP � OWNER T�X�MG`+�� `L'�,'r�r �t � �— - p ADDRESS 3��'L�rfOFh'1��C� �' �: ZONING SETBACKS "' CITY %nfZ�C A/�� ZIP`7DS�STEL 310� `(o�f-F-(� FRONT RW ❑ APPUCANT TEL R�R O SIDE/SIDE STREET RW ❑ CONTAACTOR LF� — lL. SIDE ❑ g ADDRESS S CfTY ZIP�� TEL°ILX ,Z �l PROPOSED USE � DESIGNER �� /�OV L�� ���G ADDRESS '=`FfC� ^f'fi NO.DWEL. NO. NO. N UNITS STORIES BEDROOMS � CfTY T'���U3rt= ZIP�f 177� TEL rn DESCRIPTION Sa.Ff. FACTOR PSF AOJ.AREANALUATION p� OWNER•BUILDER DECLAF�ATION .,i 0 SFR/ADD/REM 7- 8 I HERE9Y AFFdW UNDEN PENALTY OF PEFWRV TH.IT 1 AA1 EXEIAPT FROM iHE CONTMCTOFIS ll- ('j8f8gB/(�,81p011 CENSEUWFORTHEFOLLOM'INOREASpJ(SEC.7W1.6BUSWESSIWDGROFESSIONSCODE:ANYqNOR (n � Cd4MTYNMGHRE0U1FiESAPEWARTOCONSTRUCT,ALTE0.IMPROVE.OENOUSN,ORREPNRANYSTRUC• W PBIIOJDOCk � TURE,YR1011 TO RS ISSUANCE,AL50 RE W IRES TME APPLICANT FOR SUCM VEHAIIT TO FCE A SICNEO W � STAiEMENi TNAT HE OR SME IS UCENSED PUfI5UM1T TO iHE VROVISIONS OF THE CONTMCTORS U• � CENSE UW�QUPTER Y(COA1MENdNf1 N7TH SECf10N 7000)OF DINSION�OF THE BUSINESS�flD PRO• POOUSpB iE55qN5CO0E10RTHATHEORSHEISE%EIAPTiNEREFR0AAIWDTHEBA51SFOftiHEALLEOEDE%EMP• (� 710N.ANYYK)LATIONOFSECTION70.'l1.66YMlVAPPLIGHTFORAPERMITSUaIECTSTMEAPVLIGWTTp Z 'Re-Roaf F, A GVIL VENALTY OF NOT A.10RE T11/J!FNE MIM�REO DOLLARS�f Soo).k � OI.ASOWNEROFiHEPROPfRTY,ORMVEMFLDYEESMATNWAOESASiHEIR30LECOI.IPENSATION, � COfIIR18fCI8I . � MAIL D07HE WORK AND TH[STNUCTURE IS NOT INTENOED OR OFiERED FOR ShLE(SEC.TW�,BUSI• J N NE54 AMD FROFESSIONS COOE:iME CONTMCTORS LICENSE LAri DOES NOT APPLY TO AN OWNER OF � ►POPERiY YIND BUMDS OR IMPIiOVES TNEREON,►N�VAq DOES S11G1 WORK MIMSELFOR MERSELF OR fL TMROUGHWSORHERONNEIAPL01'EES,VROVIDED7NAi5UO1W7ROVEMEMSARENOTNTENOE�qi m � .OFFEREDWRSILEIF,YIDWEVER7HEBUILONOOfiMPf10VEMEHTI550LDWfTHMONEYEAROfCOIAPIE• � 'TqH,THE OWNER�BVIIDER VALL IUVE TME BURDEN OF GROVWO THAT ME OR SHE DID NOT BUIID OR MPROVE FORTHE PURPOSE OF SALEL W Olti:d�MlEROFTHEVROPEIRY,AME)(CLUSIVE�YCONTPACTNOWITHIiCENSEUCONTMCTOR3 � TO GONSTRUCTTHE ONO.IEtt{SEC 70u.BUSINESS ANO VROFESSIONS CODE THE CWJTMCTORS U- V01Ueti0fl ADJ.AREA CEl15E UW DOES NOTADPLY TO AN ONMER OF A PROPERT/YV1q BUILDS OR NIPqOVES TNEREON,AND � w�+ocorrrru�ers�suwvnaeerswm��eartn�cro�s���cens�ruRsuurrrorxeeorrta�c pUANTITY DESCRIPTION FEE � lORS UCENSE UW.j. ❑1 MI E%EMPT UI�DER SEC. B.8 P.C.FOR iM15 REASON � � VO V,C�_ � � / 2ov S�b, �u" MTE OWNER W � G� , (,' UCENSED CONTRACTORS DECLARATION �j L� Ct 1 ' � N'� � INEREBYAFFIRMUNDERVENALTYOFPEfWRYTFUTIMILICENSEDUNDEHiROVI5iOH30FCHMTER � (� �(COAWENCNON7MSECilON7000�OfDM510N]OFTHEBUSINESSANDGiWFE55lON5CODE,IWD Z W UCENSE IS N ML FOfiCE AND EFFECL /� � � , � UCENSE CLASS G��D UC.NO. �I`!Z�i Z� � . . �j atE�R B�corrtFucroe_�t-3 �-t> � L a 3 `,`/l +(/ 'MI' � WORKERS'COMPENSATION DECLARATION 4 � �� i N IHER£BYAFFIRAIVIAERPENALTYOFOEfWMONEOF7HEfOUAYNNGDECLARAT10N5: Z � _IMAVE/UJOWILLAWNTANAGERiIFlCATEOFCONSENTTOSELFaNSUFEFORNORKEHS' _ Cp.IPEN5A710N,/L4CROVIDEDBYSECTI0N�T000FTHEUBORCOOE,FORTHEGERFORMANCE w Q Of iNE YIORK FOR WMIp/T//IS PERMIT IS ISSUEO. � � �IIIAVEJUAYVILLMAIMAWWOfiKERS'CWIPENSATIONWSUMNCE.ASFEOUIREOBYSECTION Q ]7oo0FiHEUBOHCOOEGORTHEiERFORUINCEOFTHEWORKFOFNM1tlCHTHISDEiWITIS � ISSUEO.IAYW�RKE CpAP SATIOPIJpISUMNCE aiEaumvaucrr�u�+oEnuiE: CONSTRUCTION � GARRIER S�� rU✓L� PLANREVIEW �Z POIICYNUMBER •LZ(7^OO 00I3�I'lo—J -ELECTRIC �'�'�A �"'1s'r `� � Q •+1 y1�.:1► � (m55ccin�rfIDrio7eeoo�t�rIDOFir�asa,�rsrona�MrnnEnod.ursato�oat�ss� PLUMDING Z ICENi1FYTNTINTHEVERFORYANCEOFTMEWDf4KFOHwHICHTHISPERIAITI5ISSUED,1 MECHANICAL (,�' SHALLNOTEYPLOYANYiER50NNANYMANNERSOASTO6ECOMESUBJECTTOTHE ^ (/j WORKERS'COIaPEN5A7qNUWSOFCALIfoRM/�M1D�OREETFUTIFISNOULDBECOME INSPECTIONFEE '� � (1- S 6UBJECTTOTHEWOPoCERS'COAIPENSATIONPROVIS�ONSOFSECTION]7aoOFTHEUBOR CWE,I SFULL iOFiM�'ITH COIAPLY YAhI TFIOSE PROVISIONS. ISSUANCE - /"L�^^-- .�.. ._. `�1 y.�r.-t� -�,�� �� - SMIP �' f J t 11.i.Ji v✓L.1�� � DA� ��I�� ENERGYP/C � 11VVtit`: Jt�:'L'11 WAANIN6:FA0.URE TO SEGURE WORNERS'COMPENSA710N COYEMGE IS UNLAWFUL MIO SHALLBE � SU9JECTANEYPLOYEHTOCAIMVULPENALTIESMIOGVILFINE5UP700NEM1NDRE�TMW5AN0 ENERCaYPERMIT DOLURS(f 100.000).W ADORION TO THE CAST OF COMPENSATqN,DAMAOES AS PNOVIDED FOR IN • ¢ SECT10NJ70lOF7HEUBORCOOE.YREREST.ANDATTORNEY'SFEES. RETENTIONFEE: OCONSTRUCTION LEND�NGAGENCY PRE-ALT FEE: � � IMEREBYAFGIRYUNOERVENILLTYOFYERAIRYTHATTHEHEISACONSTRUCTpNLENWNOA6ENCY z FOR TME VERFOFUAANCE OF 7HE WORK FOP WMIQI TMIS VERMIT IS ISSVED(SEG 70W.CIV.G�. . , W � LENOER'S NM�E � � LENDEf#SADORESS � ICERTIFVTNATIMAVEREADT45MPLICATIONIUUOSTATETUTMEABOVENFOR1AATqNISCORFiECT. TOTAL FEES � IACREETOCOMPLYYATMALLQTI'IwOCOVNTYW10urIwCE5ANO5TATEUW5REU7WOTOBVRDINO � . � CONSTRUCTqN,ANDHEREBYAUTFIORIZEREVRESENTATNE50FTHI5WUliTYiOENTENUPONTHE � /�BOVE�MENTId1ED PROFERTYFOfi INSPECTION GURPOSES. COMMENTS � v ANn.th L� []YOD�'S m v¢nMirre .wEtvwr+n c�n UA � Uj 81C R OFPERIAITTEE DAT �' � � RECPT.NO.__ PAIDBY I _(C WWDATION� WHITE—Oepartment Copy,YELLOW�inanee Copy.PINK—Assessor Capy,GOIDENROD—File Copy,GREEN—ApplicanCa Copy _. .- , .. ..... _. _ ' .'�'�. .. �...r.� � � . . �. . , . . . . . . .5. CITY OF DIAMOND BAR , ,_ ' . : .... Ih1SPECTION RECORD ; � �.� ' " .i�l�.��� a}� .i ; _ e [� ' =t �1� a ' �C� ���,����� $• � . _._ 'SET BACK , � ' FLOOR JOIST..• � . 'FTGS/FORM57STEEL � ,- FHA REQNITS ' `- . ` � � -_ _. . • ELECTRIC GROUND UNDERFLOOR DUCT ' � GROUND PLUMBING UNDER FLOOR CU�dDUIT" . � SLAB GRADE ' - FIREPI:AC .FOUNDATION ' , .. • .� , ' TEMPPOWER • FIREPLACE BOND BEAM ' WATER SERVICE - - MID HT. BOND BEAPl1 -� ��' -'- � ' IROOF SHEATHING S FT.BO�1Q 6EAM , , - ' � ' • 'FRAMINGNENTILIATION -- - FINAL BOND BEAM . ` . - ROOF COVER PRE-Gl�ADING ", � ' ' ' iROUGH HEATING - ' BENCHING , . , ROUGH ELECTRIC ' f I—L _ ' ROUGH GRADiNG - - ROUGH PLUMHiNG. :' - -- • � � FINISH GRADING SHOWERlTUB TEST ' POOL ELECTRIC EXT:LATHlSIDING �- POOL FEPJCING VVALL INSULATION -- - - POOL FINAL � CEILING 1NSULATtON - OFF 51T�IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL EPJG: ' ' SEPTIC TANK LANDSCAPE/IRRIG. SEEP PITlLL. ��SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CaNST. - FIRE DEPT.FINAL F1NAL HEATING' _ .' ' • HEA�TH REPT. FINAL - F(N�L ELECTRIC - r3 -D ' ' ' DEV. FEES PAID . - FI`!AL PLUMBING '� ' -` ' " - ' • - E��IERGY _ _ --- , _ � , __ 'v�:Mi!J ��'�,,��::��.. : � _ -- ..,�� �:,:- � ri:._.�,.•:� .._. ,�'��r�, �+ : --. , � i , . - _ COMMENTS _ �� �. - �j . � � ^ , . . , . �,. , ; , . � SEPTIC TANK SIZE ' SEEP PIT/U SIZE . - �r� ���� �f :�� , .;`.�►t �1�� '� ' ;�.I _ ��� , i :�� ' .r ._ . ..� . . � � . . � � . , . . �. � . ' . .' � �,�.�_.....:...�....... ..... j `.� I ( � . \.. ,` , . . ' . . . , . , .