Loading...
HomeMy WebLinkAbout14583 (32) �� CITY OF DIAMOND BAR /� DEPARTMENT OF COMMUNITY 8c DEYELOPMENT SERVICES C'� 21660 E.Copley Drive Suite 190 '� (909)860-3195Faz(909)861-3117 �- PRE$$ �����. �- BUII.DING PERMIT APPLICATION ' FIRMLY � JOBSITE APPLICATIONa., rn� PERM(T / P/C o ADDRESS I �Z �(QWa�vL� (�1/�[�(I DATE v �/ NUMBER k � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER ,biCl�i. ZES(���Ct. LL ADDRESS ��D2- 1�Ic�vuo�17 I�✓+�O � ZONING SETBACKS � CITY ZIP TEL. - REAR RW ❑❑ APPLICANT TEL SIDElSIDESTREET RW ❑ � CONTRACTOR r C � SIDE ❑ g ADDRESS � PROPOSED USE CffY O ZIP ��4� TEL.��•LDS 1- o ARCFUENG/ DESIGNEFi NO.�WEL. NO. NO. ADDRESS UNITS STORIES f3EDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ ANALUATION � Q OWNER-9UILDER OECLARATION SFR/ADDlREM ' F O p 1 HEREBV AFf6W UNDER iENALTY OF VERIURY TMAT I MI EMCMVT FROM TI[CONTMCTORS LI� Gaf8Q0/C81�OR / • t� lL CENSEUWFORiHEFOLLVMNOREA�ON(SEC.70.71.68USINESS�VROFESSIONSCODE:IWYCIttOR (n (� [OUIlTYWMCMIIEOUIRESAiERMRTOCONSTRUCT,KiER�PR�VE.DEAlOL15H2OfIREPAIqANY57NUC• W PatioiDeck L 7URE.VRqR TO RS ISSt1ANCE.ALSO REd1WE9 iHE APGUCANT FOR SUq1 VEFUIT TO fILE A SIGNED w � STATEMFl1i 7HAT HE OR 511E IS LICENSED VURSUANT TO TME VRdN510N5 OF iNE CONTMCTORS Ll� � CEltSELAW�CHMTERY(COA�MENCINOMATHSECTIDN7000)OFDIVISqN]OFTMEBUSiNE55ANDPPA� LL PooVSpa FE39�ONSCODE�ORiHA7MEOHSMEISEXEA1PTiMEREFPOMANDiMEB.�5i3FOPTMEAl1ECEDEXE�P� (� TION.MIYV�OLATqHOF5ECf10NT0]1.bBYNiYAPRIGNTFORAVERNIiSU&I[CTSTNEMPIICANTTO Z Re-Roof � ACMLVENALTIOFNOT40RE7HlWiNEMVNDREDDOlURS(i5oo).1: � ��ASOVRIEROFiHEVROPFHTI:ORMYE�PLOtEESM'ITHWAGESASTHEIRSOlEC04PEN5ATqN, � �mmercial ylRL p0 THE WOiYC AND THE STRUCTURE 5 NOT IMEI�OEO OR OFFERE�FON SILE(SEG 7011&151� _1 NESS AND CROFESS�OHS COOE:TME CDNiRACT00.5 LICEHSE UW DOES NOT APVIY TO IN OW!!CR OF f � pROPFHf`/W110BV1D30RIlAPROVESTNER[ON.�NOWIqDOE55Up/VaDiiNH1Y5ElFORHERSCLFOR = • f � 7HROUGHHISDRNEROWNEYDLAYEE5,0{40VDECTFIATSUpIMPROVE1.lENTSAFENOTMTENCED011 m � OfFEAmfORSALEIF,l/OMIEVERTMEBUID�NOORMPMVEUENT15501�W�TF�NON[YFAROFCOMPLE- � TION,iHE CJNNEfiBULLDEH N'iLL/NYE iME BViiOEN OF iROVINO MAT NE OR SI+E DtD/AT BUILD OR � MiROVEiORTHEPURPOSEOF9ALE} � , � OLIISOM'NEROF7HEVROPEHT`/.IIME7(QUSNELYCONTMCTWOYrtTNLICENSEDCONTMCTOftS TO CONSTRUCT TT1E DR6IECT(SEG 70N.BUSINESS AND iROFE5510N5 CODE:IHE CONTMLTORS U• V81Ueti0fl A0.1.AREP. � CENSEUWDOESNOTAPVLYNANOWNEROFAVROPENTVYV110BUILDSORMPROVESil1[REON.MA W/qCOMRACT9FOqSUCMPPO.lECT51MT7ACONTMCTOR�S)LICENSEDiURSUANTTOTNECOHTRAG QUANTITY DESCRI TI04 FEE � taas ucer+sE uw.�. , J O IM1 EXEMPT NAEP SEC. B.t V.C.FOR THIS REASON U 3 � u' DATE MMNER � � W ` �` UCENSED CONTRACTORS DECLARATION W _. ¢ I MEREBY AFFIRM 1M�ER PEIULT(OF FERM1IRY TW�T 1 A!A UCENSED UNDER FROVISqNS OF CfUCTER � � � d �(Cp1YENCHOWITMSECTqN7000)OfOM510N70FTMEBU5MC55ANDPROFE55iON5CODE,AN� Z X W ULENSE t5 N FIAl fORCE M1D EiFECL / � LICENSE LUISS�4� LIC.NO. S • � � v ` ~ DATE 2•$'00 cor+rrucron L�! � � — _ w � WORKERS'COMAENSATION DECLAMTIO � 1 HCREBV IIFFWAI UNDER PENAL7Y OF DERAIRY ONE OF TNE FOLIDN"NG 0[ .AHATqNS. � � � �INAVEANDW!ILMMfTAWACERTIFlCATEOFCONS[NTTOSELFaNSU �iORY/O'.KF 5' COAIPENSATION.ASFROV�OEDBYSEGTION77a00FTHEU00RCWE. TME . NCF OF T11E WORN iOR WHIC11 TMIS VERUIT 19ISSUED. � � 1 NAVE INO YA4 MA.'NT�R7 WORKERS COMPEhSATqN MSViiANCE.AS REOUIRED BY SF ' Q 97000F TME UBOR CODE,FOit THE PERFORN�NCE OF iHE WORK(-0fl WMICHTH15 P 5 ISSUED.A(Y�NORK�RS'C�d�.1V_Ery/,S_ATIONINSURANCECMHiERMAPOUCYNUMBE RE: CONSTRUCTION jCMRIER�.,]j,SL�Y S �\ PLANREVIEW _ ___p,_� � rakrau�u3EA — � - ELECTRIC � ��'b � (MSSECi�oNlLmra7fIC001.�lEfmoFncPEiMrsfuia+E1411Xii� s{t�a1a+ ^ PLUM�ING w MECHANICAL - � ICERTIFYTUTNTMEPEAFqUUtiCfOFiMEKtIRKfORYM101TH!SVERAIRLSISS�cU,I SH�LL NOT EMPLOY AN'f pERSON W 11NY 1AANNER 50 AS TO BECOA�E StAJECT TO THE � VYOPo(ERS'COMPENSATqNUW40FCAUFORNIIAHDACIIEETMATIFISHOULDBECOME INSPECTIONFEE ' �' � �� /�(—/�- � ��- _.n w , { "�Y SUWERTOTNEWOfiI(ERSCpAPENSATIONPROVI5�ON50F5ECT�ON]7o00FMEUBOQ �SSUANCE CDOE.1 WLLLiORTIM9TMCddPLYWI7MTHO5EVR 5 5. /_ o wre:2'�•�� �P��wJr. L�u! � � 1�r . LlG� SMIP ^ � ENEFGY P/C - �� WMMHG:iA0.URE TD SECURE NOPxERS COMVENSATpN COVEH�GE IS UNUwNL.l1N0 Sw�LI BE T �y SU9IECTANEM7LOYERTOCWMINAlPE1ULTIC5MIDCMLFWESUVTOONENUNDRE0T110U5AND ENERGYPERMIT ' �rssl_�,�'���r•1 V --�'•^-� pOLUfiS�f 1 m,000).N ADDIiION TO iHE COST OF CDMPENSATION.DhMl10E5 AS PROVtOED FOR IN -•S'L � 6ECTqN�70lOFTHELMORCODL.NTEPEST,MI�ATTORNEYSFEES. RETENTIONFEE: 1�-+�TT�.r ttaD�_ � W CONSTRUCTION LENDING AGENCY �S U�3�u•TT � PRE•ALT FEE: � IHfR[BYAFFInuUNDERCENUTYOFPEfLR1RYTW�TTHER[ISALONSTRUCTIONLENDiNGAGENC'I �- FORTNEDERFOpuANCEOFTIIEWOR1fFONW�11U1TMI5iEHM1T6155UED(SEC.7077,CIV.G). � . . . � LEHDEaS NA1JE C IENOER'SADDRE55 , � ICEqTiFYT1ulTIMAVEqEADTN�SI.DPUGR10r�AraoSTATEiWITTHEABDVEiNFDIWAiqNISCO�RECT. TOTAL FEES � � 7 t W IACREETOCd.1PLYNRh1ALLCRYAI�DCOlMTYOADI/UNCE5ANO5TATElANSREUTNCTOBUL0ING � � CONSTRUCT�ON.AM1D HEREBYAlfi110(72E PEPRCSFNTATNES OF iH�S COUNTY TO ENTER 11VON 1HE , I S� ABOVE�MEMTION N .RTYFOR�NSPECTIONPURPOSES. COMUIENTS _ � � m PEHAAfiTE �(PFU ) . d �O � � sioeu7u�+E PEW.a c � PAIDBY VALIDATION � RECPT.NO. � WHiTE—Oepertment Copy.YELLOW—Finence Copy.PINK—Asssssor Copy.GOIDENR ile Copy.GREEN�ApWicanfs Copy ~ CITY OF DIAhFOND BAR � � � � INSPECTi ION RECORD � � � • - • � � • - SET BACK i`;.�— �'1 ' (; �� -; I —' FLOOR JOIST �. _ � � FTGS/FORMS/STEEL � FHA REQ!r1TS - ELECTRIC GROUND UPdDER FLOOR DUCT , � • . • - • GROUND PLUMBING UNDER FLOORCO�IDUIT :. -, . , !•.; .`'`.� • SLAB GRADE FIREPLF�CE FOUNDATION =� � � � - TEMP POWER FIREPLA�E B�ND BEAM — ' �` ' WATER SERVICE � MID HT. BOND BEAMl�- �--' '. � � � ' '-' ROOF SHEATHING 8 FT.BO D BEAh1 :,. �,-, -. � FRAP�IINGNENTILIATION FINAL BOND BEAM ROOF COVER � PRE-GRADING ROUGH HEATING � BENCHING ROUC�H�ELE�TRIC ►��'p• � ROUGH GRADING ROU� .P�[�b,ILBING ;��•, FINISH GRADING SHO �R�TUB YEST � POOL ELECTRIC EXT. LATH/SIDING POOL FENCIPJG WALL INSUL�ITION POOL FINAL CEILING INSULATION OFF SITE IMPS. � , D YW�1LL';I�JAILING `i_) � 1��= 1-' �� _�-\,:.�t_QEDICATIONS SEWER FINAL ENG. SEPTIC TANK LAN�SCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GASAlR�TEST,• __. - - , FINALZONING FINAL'CONST , ,.�';�',: ; ' .,, 9, FIRE DEPT. FINAL FINAI.HEATING ` � �";', HEALTH DEPT. FINAL . FINAL ELECTR�C •-jkfl ' ',,,�, ;:� D V. FEES PAID FIWAGPl.UMBIt�G �; •; `;-•`—+ ENERGY � }� =—%` _ �:,. � ''. ')' l I _1 ,l �; i`\_ _ f�„�\', _ ��. c� ni i 4 —•—�I_ —• . i�.? '' e - ',. . ...__._ ... , . ..� ...• ..• . _ .. . . . . . ._. � ...—.—�— _.--".-- . . �. ` . ''\r *.; :• ` ,��r . ��CSN��nENTS� .� _ .��. �,;.'..: - ::•�-�' � c .� ,: , ',';. , `:�;.. � � ��. .. �-- . _.` ,�.•,` `:, � � . , '�, '"- _ :� ,.- .�:� , ';' ._.. ..-, �;= , �. ----_,;�_, .. .,r- . �`i� � c-�ti�:l , � � 1 t, ,,\� �. _ � � '.,: . ;� i; :,r � �� � � - �'�.�.�_ i �� . `-' v' L_'.}` . ' � � � SEPTIC TANK SIZE SEEP PIT/U SIZE ,�� � � i _ �i ' . , ,. � r� . - ' � -e._. ,� . .. , . \ ��l(� \ �1�,`•,� -' -, , 1�� .. ... , .�..` ,