Loading...
HomeMy WebLinkAbout12830 (17) CITY OF DIAMOND BAR • ���LW�.� �� - J� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES i �c . 21660 E.Coplcy Drive Suite 190 . . " � _ (909)860-3195 Fax(909)661-3117 � PRESS �h^'� BUILDING PERMIT APPLICATION . FIRMLY o'� JOBSffE ) J � �7� /� /� APPLICATION. 'Z_ �� PERMIT� �� p/C ADDRESS �F. L �Amn � t'� Js--�_�� DATE _NUMBE p � APN LOT TR ISSUE TYpE pCC DATE CONST. GROUP p OWNER ' p ADDR S ZONING SETBACKS � �"' CITY� ' ZI ., IEL��.( FRONT _ RW ❑ APPLICANT ����T S DAFJSIDE STREET RW O � CONTRACTO ' ' SIDE p ADDFiES � � CfTY ZI TEL. - PROPOSED USE —' o ARCH/E • ;g� � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � �n DESCRIPTION '� SQ.FT. ' FACTOR PSF ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION � SFR/ADDIREM • �� - � ' O p 1 HEREBY AFFlRM UNOER FENAITY OF VERRIRY THAT I M1 E%EMPT FRD4 iH[CONTRACTOpS LF Ga18p01C3fpOR LL COISEUWFORTF1EfIX10wINOREA50N(SEG70.77.6BUSiNE55ANDPROFES5qN5CO0E:AN1'GTYOR . (n C_�� COUNfYNR1CMRE0UHESAPERAIRTOCONSTRUCT,ALTEfZIMPHOVE,OENOLISH,OqREPAIRMlYS7RUC• W u� TURE Piiqp 10 RS RSUANCE,ILL50 REOUIRES THE APPUCMR FOR SUp1 PERMIT TO FILE A SICNCD W P0ti0/DBCk � STATEMENT THAT ME OR SNE IS IICEN5E0 PURSUANT TO THE FROVISIOHS OF TH[CONiMCTOR9 LI• CENSE UW(QWTEN Y(CdAIIENCINO YrtT1/SECTION 70D0)OF OMS�DN]OFTHE BUSINESS A.W PRO- � PooVSpa . . . FESSpNSCO0E�01iT1A7MEORSHEISE%EMaTTHEREFROMAND7f1EBA515FORTHElLLlEOEDE%EUP• , (� TION.ANVVIOLATIOHOf5ECT10N707f.68vANVMPLICANTFOAAVEAwi75UBJEGTSTHEMPUCMITTO Z Re-Roof �,,,� !1 CML OENALTY OF ND7 MOIiE iHAN i1VE MINDRED DOLIAR4 Ii5oo1,1: - O 04A'+�EROF7HEiROPEH7Y.ORMYEMPLOYEESWIiNw�OESASiNEIR50LEGOMFENSATION, O CpTmBfC181 ' - �� � � YALL DO TME WOfB(ANO THE STRUCTUFiL IS NOT INTEPDE�OR OFFERED FOR SALE(SEG 7W�.BUSb ,,,� N NE55 AIO GROiE5SI0N3 CODE:THE COHTRACfORS LICENSE UW DOES NOT APVLY TO AN ONTIER OF ? , i110PERiY YVIIO BU1.09 OR Y7ibVE5 TMEREON.AND YAIO DOES SUC/I Wl7R1C MINSELF Oq NERSEIF OR � TIWOUONWSORHEROKTIEI,IPLOYEES.CHOViDEDTUITSUCHIIAVROVFMENTSMENOTNTENUEDOR m . OfFEREO pDR SKE 6,FqNIEVER7HE BULdNO OH MP110VEM[M IS SdD WITHN ONE YEAfl OFCOAIP�- Z �TqN.THE CNMER�BULLDER WILL/UVE TME BURDEN OF VROVPIO THAT NE OR SHE DIO NOT BURD OR . . , = WPfqVEFOfiT1fEPURPOSEOfSALE). . � . w 04�SOwNEROFiNEVROPERiY.AMEXCLUSNEIYCONTMCTWUWIiNUCENSEDCONTMCTORS � TO CONSTRUCT iHE PRO.IECT(SEC.70N.BUSINE55 AND VROFFSSiONS CODE TH[CONTRACTOAS LI• V31�Uti0r1 � ADJ.AREA � � � CENSE UW DOE9 NOTAPPLY TO M!OWN[R OF A PROPERiY WMO BULDS OR IAIPROVES iHEREdL ANO � MM1tlOOHfRACT3FOR5UC1/PROlECTSWfMACONTMCTOR(5)LICENSEDDUHSUMITiOTMECONTMG OUANTITY DESCfiIPTION FEE � TORS UCENSE IAW.�. . . .. , . . � O I AM OCEAIPT UNDER SEG - B.i V.G FOR THL;REA50N J Q 3 � LL � � �- �� DATE 01YNEq U � � F LlCENSEDCONTAACTOFISDECLAAA710N - W <. �..\., �.���, �• � IMEREBYAFFlRMUNOERPEWLLTYOFiEFWRYTHATIMILILENSEDUNOEHPROV15iONSOFCMAPTER � - S Y�CpWENL71qW1T115ECT10N70o0�OFDM5iON70FTMEBU51NE55MIDPROFE5510NSCODE,MID Z X MY UCENSE IS N F17LL F M1D EFFEGT. m LtJ r � UCENSE SS r I L1C.N0. � j �'j wte - � ^ corrrw�cror� : a w � WOHKERS'COMPENSATtON OECLARATION -� NIHEREBVAFFIPoAUHOERPENALTYOFOEiWRY0NE0FTHEFOLLOWWCDECLAFiA7qN5: �' � Z � "' � � � _INAVEANDWILLWNTNNACERT1FIGiEOFOONSENiTOSElFdNSUREFORWORKERS' _ LOYPENSA7qN,A9PROVIDmBYSECT10N77ooOFiHELABORCOOEFORiMEPERiOiuUWCE W Q OF THE YV01Lf FOR NMICII TIIS PERIAIT IS i55UED. � O �1 NAVE AND YVILL MAMAR!MYORKERS CO��PETI$ATION INSUMNCE,AS REOUIRED BY SECTqN �700 OFTHE UBOR tOOE FOR THE VERFORMANCE OF THE WOIiK FOH WHKH THIS PERMI715 � ISSUED.W NOR PEHSATpN IHSURANCEcL�+�cn,M1D VO�LICV NUTABER ME: CONSTAUCTION . � euaRiEa �� '��C•� l) EVIEW � POLICYNUMDER I . �- . Z . ELECTRIC ¢ ���' � fnassEcrorrN[mrote[m�erenacn[rc�►wrsroaaN[Mrd�moauasR+m)rn�ss? G Z 1 CER71FYTiAT H THE PERFORAVWCE OF T1E N911K FOR WHICH iH15 PERMIT IS ISSVED,I MECHANICAL �� ' C7 SMIVLLNOTENPLOTANYPERSONWANYAUNNEN50A5TO8ECOM[SUBJE:?TO7ME MIORKERS COMPENS�TqN UN50F CALIFORNIA ANDAGfiEE TT7AT IF I S/qUID BECOME INS FEE SUBJECT TO THE WOHNERS'COMPENSATION PROVISqNS OF SECTION]700 OF TME UBOR (� �j CODEISMALLcq n�couttvwm�nasevaoHsaus J/� SSUAN ._p..Fl � 1g p OATE: � L L APPLICANf:L��� �1 / l"/� SMIP CI� ' WARNINO:FALURETOSECURENVRKERSLOMPENSATIONCOVERAGEISUNUWFULANDSFIALLBE ENERGYPlC � �—y SU&IECTANE4PLOYERTOCRIUT1AlGE1uLTtESANDCMLFwESUPTOONEHUNDnEDTK%151WD - ENERGYPERMI$UILDIN � �� � DOLlA33S(St CO,D00�N ADDITOH TO iHE COST OF COIAPENSATICN,CAAUCES AS PROVIOED FOR w . � SECT1ON17oeOFTMELADORCOOE,MEREST,ANDA7TORNEYSFEES - RE7ENTIONFEE: ' OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � INEREBVAFFlRMUNDERPENALTVOFPERNRYTNATTHEREISACONSTRUCTIONLENDWOACENCY ' FOR iHE PER�ORA4WCE OF Tl1E WORK FOR WHICH T11S VERMIT IS ISSUED(SEG 70G7,CN G). � � IENDER'S NNAE � LENDER'SADDRESS � TOTAL FEES � ICERTIFYTHATIHAYEREADTHISMiLICATqNANDSTATE7HATTHEABOVEwFOWAATiONISCORRCCT. � IAaREETOCOMR�w1TMALLCT'MIOCOUHiTOROWANGE5AND5TATEUwSREUTINOTOBURDIN!] ' � CONS7RUCf10N,ANOMEREBYAUTlqRIZENEPRESENTA71VE50FTWSCOUN7Yi0EHTERUPONTME . - . . _ ABOVE-MENTIONED PROPERTY FOR INSPECTqN PURPOSES. �"'+� 0 ,�_ COMMC-NTS _ "1 /�� _' --�L�s��_/j(,�� � m VE E E Q y ' y 8 NNEOF HMi7TEE D�7E � . . RECPT.N0. PiJD BY VALIDATION 1 /� ( n � �WMITEp—DepaRment Copy,YELLOri—FNanee Copy,PINK—,AAssessa Copy.GOLOENROD--File Copy,GREEN—ApplicanPe � � 121����1 X l,.�ti (�L"fl,.�_ ���./ d �(lwnn�, �it/�AhlD K.P�'_ I �� .h7 \��i 2� J �7_ ..�i _��I . .. .� . ( , . . • , . . . . , � .-:,:- , . : _ .. � � - �' ' � CITY OF DIAMOND.BA � . � � ; - `,,. . . � - . , �__.. _ . � :. '� � � . �- . . �,. �INSPECTION REC�f�D `. . .. . ., . �, ... ..". �`��`'` ��. .... , ., . ...E 0 C . � - • � � • � . SET BACK . , . . • � • � FLOOR JOI$T�; ' ,. � ►, \� i. . ',' . FTGS/FORMS/STEEL ' , ,� FHA REQMTS-�; •, -. „ ,-.- - _.. ._.- . --. -- - : • . _ , . _..._ . ECECTRIC GROUND _- _.. _� .� :.. : ::: ". - UNDERrFLOOR DUCT�` . ., .. - , �, - •, •.. , GROUNDPLUMBWG • ' � UNDERFLObR.CONDUIT;•,,��. .�•>:.�\ • ;.., _ - . . .. _. . ... . - ---- -- - _.. ,,. . . • FIREPLACE`FOUNDATIQN_`.:- i�:.' i`:-. ..� n---,. • •,:.• i SL:AB GRADE-- � "' ' ` • .... _... .. _ r � �; .�: � FIREPLACE'BOND BEAM . • TEMP POWER- - � �'� . , _,..,, ::;_ � ., WATER SERVICE -- - --- --- -- � -- , . .. �MID HT.'80ND.BEAh� :=:---=- -. . , , . ', . ROOF SHEATHING': E-._' •\ '— — - :�� _ 8 FL BOND�B�AM=._ _ _�_.�_ .. . • • -.. , FRAMING/VENTILIATION FINAL BOND BEAM � ' � � � . ROOF COVER. - ' PRE-GRADING � ROUGH HEATING- - -- - - BENCHING - - - � ' � ROUGH EL:ECTRIC � Lo ' ' ROUGH GRADING ROUGH PLUMBING �-- � -- - � � � FINISH GRADING . SHOWER/TUB TEST POOL ELECTRIC � -- - - POOL FENCING EXT.LATH/SIDING ' WALL INSULATION • POOL FINAL • CEILING INSULATION OFF SITE IMPS. � � � � DRYWALL NAILING � DEDICATIONS . � ' SEWER ----. .--.-! ..- -- - -... FINAL ENG. , . SEPTIC TANK---. -'- -- -- ----.. _ _ . . .LANDSCAPE/IRRIG. .. . -SEEP PIT/l..L: -.. :_ --. .- -� _ ON SITE IMPS. - ;GASAIRTEST'--- -,--- - . - - . .. \"` ��•• FINALZONING " ' ' =' � ' ' � �', � �--- ' - =FIRE DEPT. FINAL ' ' FINAL-CONST.- -• - - ,, � . ' -FiNAt'HEATING � " ' ` ;' ' .' � .; "� �'�'i' HEALTH DEPT.FINAL. .. � FlNAL'ELECTRIC � (��� � - � DEV.FEES PAID • � FINAL PLUMBING . ENERGY • � � ' ,.�� .. . i � ' �• �°��. B � . _ ,_ . .,� _ ,. . _ . .. . .- - -• - . _ -- -- .. ._.._.. _ ._ . . COMMENTS ---- --- -- - -- - � . l . �• ._ . . , . .. .__� . �- _ , . _ 1 . � • , j.�, . ; _ _ ' -- __. __. _. , " . � � . _ , ..,. .� _ �; - ._. --' i - _._ ._ _ ._ .. Q.���1. ., . . . - . i -- .. -.. . u��:.� ,. ... - ��; _�: ; . , .. . � _ _ - - �- �_ iV: l.S�:-�;�_►•.l:_f '•;. � li_F , i , --'_ .� _ 1 - •- • . .. • . - • - i. ".. ._.. . . . . . .1. IT�- t:j Z . . . . .. . ... . . , SEPTICTANKSIZE - .' . .' ,. ; � I ' � � � SEEP..PIT/U SIZE. �. � � ; - .. - - � _ -1 . _ - - . .. . _ ; ; ; � . ._.. : . . i . �;1Y -� � . .. , _ .. � � - . ' � . . ; � � _ ' . . ... . - �.J. ..� i ti -- - .. . , _, . ... . � . i , , , --.._._ ............. ..._ .. .... .... .... _ . . . l. � � ti j ! _ ._..:._...._ . ... .._....-_.... .._ . _ .. ... . . i ; .. .._ . . _ _ - - -- _. `"'� -- � ' `�= � • .�:. . _ , . � . .