Loading...
HomeMy WebLinkAbout10979 (5) . •--... . . ... . _ . . -- . . _ , .. _.. _ __._ \ , ----/��---. C1TY OF DIAMOND BAR � COMMUNITY DBVELOPMENT DEPARTh1ENT� Z,,.w 21660 E.Copley Drive Suite 190 PRESS (909)860.3I95 Fax(909)861•3117 BUILDING PERh11T APPLICATIO�] FIRMLY � JOBSITE r-r / APPIICATION I� o ADDRESS J �� � �/�J�'1�1l�A/f✓ ��,� �! DATE /���NUMB R"`� � k,C � ISSUE TYPE OCC . APN LOT TRACT DATE CONST. GROUP � °C OWNER �0���// �On����� 0 p ADDRESS ���_ �Oi�v�CrG� �✓.:� ./�L:%�_ ZONING SETBACKS z CITY��/y�:.�L,�� ZIP�EL. .REART RW ❑ o APPLICANT TEL.='Q� � - SIDE/SIDE STREET RW ❑ � CONTRACTOR�+-�- �y/� SIDE ❑ ADDRESS i'?`i•i �"'L�1���—,�yl��*- �-- �, , pROPOSED USE o CITY �`�..�-o �//[� ZIP�� TEL.r�J'F.i , i w ARCI-UENGI • ' -QzW DESIGNER ' � , NO.DWEL. NO. � NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � _ DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � . OWNER•BCIL�ER DECLARATION �-- � SFR/ADDlREM � � O p I HEREBV AFFIRM UNOER PENALTY O�PEfLVRY THAT I AM EXEMPT FROA1 THE CANTMCTOAS LI- Gaf2gB/CafpOrt W CENSEUWFORTHEFOLLOWINGREASON(SEC.70.71.SB1151NE55ANOPROFE5510NSLO0E:ANYCITYOR (n U �p{Jry{YWHICHflE�UIFlESAPEHMITTOCONSTRUCT,ALTER,IMPROVE,DEMOU$H2ORREPAIRANYSTFUC- W P3t10/DCCI( � TURE,PRIOR TO ITS ISSWNCE,AL50 REdJIRES iNE APPLICA4T FOR SUCH PENMIT TO FILE A SIGNED W � STATEMENT THPT MIE OR SHE IS UCENSED PUPSU�NT TO THE PROVISIONS OF THE CONTMCTORS ll- . . ` CENSE LAW(CHAPTER Y(CdAIAENCWC WITH SECTION 1000)OF DIVISKKJ�OF THE E1151N[SS AN'�PRO- V" PooVSv� FESSqNSCODElOR7HATHEOR5NEI5EXEMPTTHEAEFROh1AND7H[BASISFOATHEALLEGCDEXEMv V7pN.M1VY101AT10NOFSECTION70J1.58YANVAPPIICANTFORAP[NIA�TSUBJECTSTMEAPPLICRNTiO Z qe•Hoof l/p .� � ACMLPENALTYOFNOTMORETHANFIVEHUNOFEDCOLURS(5500�.): � � OlASOwNEROFTHEPROPERiY.ORMYEUPLOVEESW11HYUGESASTNEIFSOLECA�A�ENSATION. � � , � . W:LL DO THE WORK,ANO THE STRUCTUFE IS NOT INTENDED OR OFFERcO FOq SAIE(SEC.70M,BU51- J �mmorcial Z NC55/UMD PROFESSIONS COOE:iHE CONTPAMORS UCENSE UW DOES NOT ADFLY TO AN OWYEN OF N PHOVENT'WNOBUILDSORIMVROYESMEAEON,MlOWMODO[SS11L/1WONKHiMSEIFONH[RS[LFOfl � � . � THROUCHHISORHEROWNE1A7lOYEES,VROVIDEDTNATSUCHIMPHOVEAIENTS�AENOTWTENDEDON C� , W OFFEREOFORSPLE.IF,IpWEVERiMEBUILDINGORIMPROVEMEMI550LDWITHINONEYEAROFWMPLE- 0 TqN,TNE OYMEH-BURDER W:LL HMYE TME BURDEN OF pRONNG TNA7 ME OR SHE DID NO7 BUILU OR Z IMPROVEFORTHEPURPOSEOFSALE) = 04ASONTEROFTHEPROPERTY,NAE%CLUSNfLVCOMMCTIACWITHLICENSEDCONTMCTORS � TO CANSTRUCT iHE PR0.IECT(SEG 70N,BUSINESS AND PROFESSIqJS COOE:TNE GOIaTRACTDAS LI- Vr]IU3110f1 �����• ADJ.AREA W CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPEHTYWNOBUMDSORIIAORO`lESTHENCON,MIO � WHOCOMRACi5FOfl5UG17RQlECTSWITMACONTMCNR(S�LICENSED7URSUANTTOTMECONTMC- QUANTITY DESCRIPTION � FEE . � Y TqiSUCENSEUY/.), . . � J 0 O��EXE�PTUNDERSEC. B.1P.C.FORTMISqEASOf7 U � � . . , . ' '. . LL DA7E � OWNLR U , • Z W ' � LICENSED CONTRACTORS DECLARATION _ W � INEREBYAFFIRAIUNDERPENALTYOFFERIURVTH�TIAMIICENSEDUNOERPROV1510N50FCHAPTER � d 9(C0IAMENCINC WITH SECTION 700C�OF DIVISION]OF TME BI151NE55 AN�VROFESS�ONS COOE.MA Z X MY IICCNSE IS N FULL FOACE AND EFFECT. m lll /� �J` 0 LICENSE CUSS �' UC.NO. � 7/���r%�T j V Da7E �//!,'����CONTRACTOR_J.=l���+ . Il . d . W /;�( � WORKERS'COMPENSATION DECLARATION ���2J1 U V a `� J N IMEFiEBYAFFIRMUNDERiENALTYOFPEiWRYONEOFTHEFOLLOWWCDECLAM N5:~ 1 Z _ Q � IHAVEANDWILLEIAINTAINAGERTIFICATEOFGONSENTTOSELFdNSURLFORNt�RKERS' _ � COMPENSATION,ASPROV�DEDBYSECTION�10oOFTHELABOqCODE.FORTHEPEAFORMANCE �U OF THE WONK FOA�NM�CH T11S CERMITIS ISSUED. � O . �t HAVE AND W�LL MAIMNN W WiKERS'CO�.�PENSATqN INSUFANCE,AS R[WIRED BY SEC710N / / /// Q 37DOOF TNE U�OA CODE,FOR THE VERFORAIMlCE OF TME WORK FOR WHICNTNIS PCMIIi IS l.J� ISSUE�.MYWOfINERS'GOMPENSATIONINSUMNCECARflIERA4DPOLILYNUV.OEflARE' CONSTRUCTION ��� J - � �pq�Ep PU1N REVIEW Z ra�crr+u�.+o[n ELECTRIC ¢ 0 (I1lS5EC�CNNEmNO78E0C1�4iE7EDOFTKPEWATISFORONEMX�OqmO�lL�ftS(S��C)ORLE551 PLUMBING Z ICERTiFVTHAT N THE PERFORMANCE OF TNE WOFK FOR NM1aCH 7H15 CENAIR IS ISSUED.1 MC-CHANICAL (:) SNPLLNOTEMPLOYANYPERSONWIWYMANNERSO�STOBECOMLSU0.1EC7TOTME , . � � WORNERS'COMPENSATqNUW50FCAUFORNIqANO�CREETHATIFISLKKILDBECOIAE INSPECTIONFEE S SU&IECT TO TME WORKERS'COMPENSATqN PROYISqNS OF SECTiON J70oOFTHE LAbOR CODE,I SMML FDiiT/M'ITH COMPLY NA7M 1HOSE PROVISiONS. ISSUANCE r'-` pDATE: APPLIGANT. SMIP n ��� �v W ENERGY P/C �yu �%—"Ti�' J WARN�NG�FARUR[TOSECUREWORKERS'COMPENSATqNCOVERAG[ISUNLAWF1Jl,M'OSMALLBE *�— ��i'� � SU&IECTANEMMOVERTOCR:MINPLPENALTIESANDCIVIli1NESUPTOONEHUNORFDTMOUSAND ENERGYPERMIT DOLUNS(5100,000),W�DDI710f!TO THE COST OF COAIPENSATION.OAMAGES AS PflOYl0E0 FOR IN J SECTION 770e OF THE UBOR CODE.�NTEREST,hND ATTORNEYS fEES. ' F{E7ENTION FEE: p�{4 � - d CONSTRUC110N LENDING AGENCY pRE•ALT FEE: ���+� •+�• � O � IHEREDYA�FIRMUNDERPENALTYOFPERNRYTMATiHENEIS�CON57(7UCilONLEN�INGAGCNCY n- iORTNEiERFOW.�MlCEOFTIIEWORKFORYrt11CNTHISFERMIT15155UEU(SEGlOVI.CIY.CJ. W Kl�l � LEND[R'SNAME ' � F-- LENDERSADDRE55 � � �� � � ICERTIFYTNATIHAYERE�OTT115APPLIWTqNM1DSTAlETHA1THEABOVE1NFOfVAATIONISCORRECT. TOTAL FEES � � � W IAGREETOCOMVLYWITHALLCITYANDCOUNiVOiiDINANCESANDSTATEUIWSRELATINCTOBUtLDIKG � � GONSTRUCTION,ANDMEREBVAUT110RIZEREPRESENiA7!VESOFTHISCWNTYiOENTERUPONTM[ z ABOVE-MENTIONEOpPOPERTYFONINSPECTIONPURPO5E5. . . COMMENTS � -�?�� L /',�'-1�/S m PERMITTEENAME(PpINT� ' � � ��.���� //- /��g� (] _ � 5!GN flEOFPERMIifEE DATE �f�y� �rt � RECPT.NO. }�U!=V PAID 6Y `� VALIDA � _ � WHITE—Oepartment Copy,YELLOW—Finance Copy,PINK—Assessor Copy.GOL�ENROD—File Copy,GREEN—ApplicanYs Copy • . .. _ .. ._. . ,. . .. . � . , _ .. � . . y., . , r �.+- ...... �...�� , .a_..�:. . .. .,... . '^- . .. �' .'iL�., 'r;• '.r`. , ,. ,: . -•. • . CITY OF DIAMOND BAR : ,. � INSPECTION RECORD a � . � e - • � � �—�-�'o '_..' .��►�.� +�� SET BACK .� � '\ FLOOR JOIST - ' FTGS/FORMS/STEEL " FHA REQMTS • ' -• ,� ELECTRIC GROUND UNDER FLO.OF�._DUCT: �,-. •- � • • , GROUND PLUMBING UNDER FLO�R CON�UIT = � � � -- • SLAB GRADE - FIREPLACE FOUNDATION - " � - TEMP POWER - FIREPLACE BOND BEAM. •` �� - -� - � WATER SERVICE MID HT.'BOND•BEAM � ' ` � � ROOF SHEATHING . � 8 FT.BOND BEAM • ' FRAMINGNENTILIATION FINA�BOND BEAA.7 � ROOF COVER PRE-GRADING ROUGH HEATING BENCHING � ROUGH ELECTRIC - ROUGH GRADING � ROUGH PLUMBING FINISH GRADING � SHOWER/TU8 TEST POOL ELECTRIC - ' EXT.LATH/SIDING .- �.'. •.-, POOL FENCING � WALL INSULATION PO�L FINAL , CEILING INSULATION OFF SITE IMPS. .. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. �SEPTICTANK � . _ � - ' — LANDSCAPE/IRRIG. . � SEEP PIT/L.L. ON SITE IMPS. . - GA5 AIR TEST - � FINAL ZONING • ' ! FINAL CONST. - .� , ) FIRE DEPT.FINAL . � .. FINAL HEATING � HEALTH DEPT:"FINAL - . - . - --- -- FINAL ELECTRIC - - - DEV.FEES PAID FINAL PLUMBING ENERGY ` - _ , _ , i • • , . . . - . - . " ' \JI�..'•- � i . . .. -; . . ; , COMMENTS �i � _ - -- . ,. . � �. . ';�� -. _ . - � ; � . i � . ,.. `. ,' . -� - , . ;��� .'.: _ - . . . � .. � �: SEPTICTANKSIZE � ,:': ., . S:; . . - -_ -- _ __ SEEP PIT/U SIZE � . : , , ' " . • . � �; . ._ . - . . �!` �. - . �