Loading...
HomeMy WebLinkAbout13056 (27) CITY OF DIAMOND BAR ` J� DEPARTMENT OF COMMUNTfY dt DEVELOPMENT SERVICES . a 21660 E.Copley Drive Suite 190 ' (909)860-3195 Fax(909)861-3117 PRESS �'A�'� BLJILD[NG PERMIT APPLICATION FIRMLY � JOBSRE J�' 1? APPLICATION , PERMR P/C o ADDRESS d��i J� �IFkM[�wj��Rr�T3L O DATE NUMBER 1� A $ ISSUE � , ` TYPE OCC APN LOT TRACT DATE ���'t"`��. CONST. GROUP p OWNER "" ADDRESS �r L� Ih ZONING SETBACKS �"' CITY �lethDp�—L� ZIP� TEL. REAR RW ❑ APPUCANT At�C�w E�raSo TEL.�3i0�2S3S:�� SIDFJSIDESTREET RW ❑ � CONTAACTOR SIDE p � ADDRESS PROPOSED USE CfTY ZIP TEL'btd1�1S3.� � ARCH/ENGI • DESIGNER NO.DWEL. NO. N0. ADDRESS UNfTS STORIES BEDROOMS � CITY ZIP TEL y v� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION ' Q OWNER•BUILDER DECLARATI0�7 SFRlADD/REM O ppp 1 HER�Y AFFriW UNDEII PENALTY OF PERRIRY THAT I AA1 IXEMPT FROM THE CONTMCTORS L6 GdfF1g0/CetpOR � _ � CENSEUWFOHTHEFOLLO'WWOREASON(SEC.70.]1.6BUSWESSANDPf10FESSIONSCODE:ANYC1iYOR (n i COIMTYW19fJ1pCryuu9AYEAM?TOCOMSiRUC},AL7ER�7ROVE,DEMOLISH.OflNEPA1RINYSTRUC. W PBtI0/D6CIC NRE.WMOR TO RS R9UANCE.AL50 PEWIRES THE AVPLICAM FOR SUpi VERMIT TO FILE A SICNED W � � 6TATEl1ENT THAT HE OR SME IS LICENSED PURSUAHT TO TME PROYISIONS OF THE CONTMCfORS lJ- COJSE UW(OfAPTFR 0(COIAMENqNO WITH SECTION 7000)OF DIVISqN�OF iHE BUSINE55 AND PRO- � PooVSpa FE65iO1V5COD�ORiHA7MEOR5ME15EXEMPTTIEREFROIA/WDTIEEA515FOflTMEAILE�EDE%EMP• (� TqN.ANYVqIATpNOFSECT10N7071.68�ANYMVLIGWTFOflAPERMITSU&IECTSTHEAVPLICIWTTO Z Re-Roof �„_, A CML VEIULTY OF IqT MOHE TW W FNE MUNDRED DOIURS(t5001.Y . � OLASOYMEROFTHEPROPERTY,ON►fYEYPLOYEESWITHWAGESASTHEIR50LfCOMPENSATION, ❑ (',pTm0�C191 . - WLL 00 TNE WOPI(AND THE STRUCTUHE IS NOT IHfENDED OR OFiEREO FOR SALE(SEG 7aa,BUSi- J NFSS A10 iROFE5510N4 COOE TME COMMCfORS UCENSE Uw DOES NO7 AVP�V 70 AN OYMER OF � OROPEHiYNMOBURDSORMPRpVESTMEREON.NANTI0DOE55Ud1Wl7fL(HIMSELFORMERSELFOR � � iHlqlpHH50RMEHOlM/EA1PlOYEES,VROV10EDi/uTSUtHYPROyEMEHTSMENOTWTENDEDOR m �1 OFFEREDPoRSALEIF,NOWEYER��QORMPf10VE1AENTISSOLD WfTMNONEYEAROFC0IAPLE- , � 'TqN.T!ff OWHER�BUILDER YVILL NAVE 7HE BURD@I OF iROVN6 iHAi NE OR SNE DID NOT BUiID Ofl 61PROVE FORTNE PUHPOSE OF SJLLE7. w OlA4DNMEROFTHEDROVERiY.AIIEXCLUSNELYCONTMCTN�WRHIICENSmQONTMCTOR3 �L TO Cd�STRUCT THE iRO.IECT(SEC.70a�,BUSINESS ANO OROFESSIONS COOE:TNE COHTRACTORS U- V0N8110f1 ADJ.AREA � CEH6EUWDOESIqTMRVTO/W01M�EROFAPPOPER7YWHOWILC50RpAPPAVE3THEREON,AND 1H7000NTMCfSFOFSUCHPR0.1ECT9WIT//ACONiMCTOR(SjLICENS[DPVRSWWTTOTHECONTMG QUANTITY DESCRIPTION FEE � TOf15 UCENSE UW.} �IIU.1 IXEIIGT LNDER SEC B.l O.G FOR TMIS RGSON Q U � � . DAiE OwNER U � UCENSED CONTRACTORS OECIAFiATION -� _ � W _. . I HEREBYAFFIWA UNDER PENALTY OF VER1UiiY THATIAId 110EN5ED UNJER VitOV1510NS OF CHAPTER V. s ��0011uENCNONrtTMSECTION7000)OFDMSION7OFTMEBu51NE55AVOPROFESSIONSCODE.AY� Z X A/Y LICENSE IS RJ FU1 FORCE MA EFFECT. Q , .-. � � LLJ 0 LICENSE C S LIC.NO. _ � � �j DATE CONTiUCTOR � a ._. .. . ..W . ., . . ' '.' . � WORKERS'COMPENSATION DECLARATION ¢ � NIHEREBYAFFIR4UNOERPENALTYOFPERR11iY0NEOFiHEFOIlAw:1x:DECUMT10N5: . Z � , �• , . � �IHAVEANDWILLI.WNTAR7AtERTIFlCATEOFCUN5E1RTO6ELF.WSUREFORWORKERS• _ � • .. - . _ � . ' .. Cd�PEN9ATqN,ASPMNDEDBY5ECT10Ni70oOFTHELMORCODE.FORTHEPERFORAIANCE W OF TME YIORK FOR M/111df 7TqS PEHMIT IS ISSUED. � 0 � _I NAVE IND YnLL WRRAW MbIL(ERS'COYPENSATION W SURANCE,AS REOUIRED BY SECTION Q77oo0FTHfUBOi1CODLFORTHEPFRiOR1AANCEOFTHEWOPICFORVIHICHTHISVEWAIiIS � 65Um.MYWORNERS'OOMPENSATqNW5URMIGECARRiERAtOPOIICYNUMOERARE: '1 1 CONSTFIUCTION > LARPoER PLANREVIEW i'.�.�,�• 3 ' � POLICYNUMBER ^ ELECTRIC �" o (MSSECIpnr�r+o7eEm�.aFTe10FTeaaxriCratowE��uar�oDauf+sR+mlOa PLUMBING • �� I�o Z ICERTFYTHATINTHEPERFORAAANCEOFiHEWORKFDRWMICMTM15PERGITI565UED,1 M IICAL � (� SNILL.LNOTEMPLOYANYPERSONNMIYMIWNERSOASTOBECOMESUBJEGTTOTNE N VpRNERS'COMPENSA7tlNLAN50FGLIFORMAANDIIGREEiW1TFI5H0UlDBECOAAE INSPECTIONFEE , O SUB.IECT i0 T11E NGRUERS'COUPENSATqN PROVIS�ONS OF SGLTqN]70o OF THE UBOR Ocoo�,isruucoRnrvnn�ca�a�rmn�n�oserrwwsar+s. SUANCE �g � �. p DATE:��l�j�C� APRMJWT:� _ . . � . � � ENERGY P/C �U W�RNtNO:FALURE O SECURE WORKERS'COMPENSA710N COVEMGE IS UMAwFUL AND 511ALlBE �y SV6IECT/JIEMPLOYERTOCN4PlALPEWLLTIESANDCMLFWESUPTOONEMUNOREDTIOUSAND ENERGYPERMIT pOlLAfiS({t 00,Uao}N 11DOrt10N TO 7ME C0.5T OF GOM7EN511TION,DMUGES AS VROVIOE�FOR R1 ¢ SECTION]70!OF7NE UBOR COOE.NTEREST,AND ATTORNEYS FEES. - � RETENTION FEE: a CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O � IHEREBYAGFlRMUNDEHGENALTYOFCERNRYiMATiMER[ISACONSTRUCiIONtENDWOAGENCY FOH iME PERFORMMlCE OF THE WOfiN FOR WMICH 7HI5 GERMIT IS ISSUEO(SEC.70W,CIV.CJ. . � LENDER'S NAME � � LENDEHSADDRE55 � ICERiiFYTHATIHAVEREADTMISAP%JCATIONANDSTAIETUTiHEABOVEINFORA1�TqNISCORilCCT. TOTAL FEES d IAQREET0001IVLY1Nn1ALLCrtYANOCOUNiYORDIWWCESANDSTATEUWSREUTINOTOBULDINO COHSTRUCTqN,AND NEREBY A11i110F¢E REVRESENiATIVES OF TMIS COUNiV TO EMER UPON THE S� ABOVEMEHTIONEO PROPERTY FOR INSPECiION PURPOSES. COMMENTS � 9 _ m P�ENAYE(PWMf� ' - � �,� � � SK)lUTURE oF FEH4i EE DAT � � RECPL N0. PAID BY VALJDATION WHITE—flepartmant Copy.YELLOW—Financa Copy,PINK—Assessa Copy,GOLDENROD—File Capy.GREEN—ApplicanPs Copy ... ._... ... .,.. _.- -., ..,, _ ._.. . . ... ...., .. .z-....-,: - .. .,. ,. . ... . . . . ... . �...� ., ,._,�., ..: . .. . . .�+.. � .-- '' �� CITY OF DIAMOND BAR . , � �� '. : It�lSPECTION RECORD �� �:� � : � 'I ��E:j�a�c�+..i! ^��� 'o��.!".=i i�!� �.��'�d� .� �' 1�,�-��?��:�.�?', ��' '����`��'.� �.�►'.�y;l cr � j...._:Y..,:,.-�'�.��.....� � � .,,_� .� _.._ ��.-�..._ ..... - .... .��+�.�.a.� _ ^.. ;SET BACK , - � . . FLOOR�70ES7, . � �; - � - �, :� - .. . �.. 'FTGSIFORPlS/ST EEL I - . _ . FHA REQMTS'.` '. `.'_ . . . , , ;EL�CTRIC GROUND __ " _.. : • ; - ""��;-' UNDER FLOOR DUCT � ' ' _ .� . . _..... . , GR�UND PLU��IBING I � UNDER FLQOR CU���DI'J�T•��� ' ""' `" �' •�"'`"-'` - � --r— .. �. . _ _ . ' � � �SLAB GRADE - - � � - ' � 'I FIREPLACE FOUNDATION ; • ' •�� - � ., �TEMP POVVER � _ FIREPLACE`BONfl�EAM .-�- :�.•..-� �•_,_.':�. .. . , . . VJATER SERVICE - _� - � � � P�11D HT.BOND BEAM �; � , �" ` �� � ' .�,. . :,.'.� ROOF SHEATHING 8 FL BOND.BEAM. . ' ~ -• --�{=-� � -•-- - - �FRAMING.NENTILlATION - -- - - FINAL Bt7ND BEAM� ' -� � �ROOF COVER. �� • I � PRE-GRADING - � � . 'ROUGH HEATING � -� - - - 6ENCHING � -� '. ' �ROUGFi ELECTRIC �" ' _ ROUGH GRADING - �� - - ---- -� ROUGH PLUP�1BINa� - � FINISH GRADING ' Sf-�OWER/TUEi TEST- - - --- -- -� POOL-ELECTRIC : � EXF. LATH/SIDING � POOL FENCING , . .�°JALL IhdSULATION- - - - POOL FINAL • CEILING ii4SULATI�N - -� � OFF SITE IMPS. � ' DRYI�^lALL NAILING DEDICATIONS � ,SEVVER _- . FINAL E�dG. ;SEPTICTANK LANDSCAPE/IRRIG. ; S�EP PIT/L.L. , � ' ON SITE Iti1PS. � j G.4S F,IR TEST : � FINAL ZONING .FIiJF,L COh45T. ' � FIRE DEPT. FIPdAL I ,. ' FihF,L HE/',TING _. _ . HEALTH DEPT. FItJAL � • � - F�i^JAL�LECTRIC -- � DEV. FFES PkID ''rl.'•."�PL.UD�IBING � - �/-'�Q ENERGY .�?Q � � ����. . � .--�- j �-� --- - -.- - . _ --�`� , . . _ . { 1 _ . . .��, .�� � - . � .A+ J'��. 74..c:)e{C.::,..... .. . ...,,. � 'll• C4'. R-..1'KS/':� �Y�� . . �; . .. . . . . � , , ; . . , � , ,.-- ---- .:...... :- ------�-=:_ . ° . . . �CO�fUIENTS � � . - . � � ___3=���°I__:__.,�'��—�Js� o�C�ri_u�c�9—�'�c��Q.1�. ��' , - , , . . . ' . � . . . . .. .!� _�� � �. . � � ..J . i . � , �- . - ���-I. . . _ _.._ , i"�'��i ! .. ' . �.. - � ' ' . (�� . 1 ' � . � ' � ... ' \ /' _ ' .. �.._._, � . ' " ' " , . . "' I, � . . , ;SEPTIC TANK SIZE � ' � SEEP PIT/tJ SIZE . �_..____._._�i����, ^�..._.._., _ ; — � .. _ . . .. . 1 _ ' _ . _. . _ � 1��1 . '_�:; ' .. .: . .. � _ � _ _ _ . ' ' � . . . _ _ . ....... � , --......�.:_.__.:�... . ._.::_:_:.. '. ` I I ' �11'� �'•' .� � �' - , ,' . . .. _ . . �