Loading...
HomeMy WebLinkAbout13187 �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SEF;VICES j 21660 E.Copley Drive Suite 190 (909)860-3195 Fea(909)861-3117 PRESS '�'TM' BUILDING PERMIT APPLICATION FIRMLY � JOBSITE p� APPLICATION LI, ���C{ PERMIT � � P/C o ADDRESS � aZ� ����� KNa L-� DATE I NUMBER � � APN LOT ZZ- TRACT 7 2'C_ �SSUE TYPE OCC DATE CONST. GR�UP p OWNER�� Y M RS • Q 1�-14- � ADDRESS . V 20NING SETBACKS � CITY �• Q � ZIP � S TEL. � REAR Rw ❑ APPLICANT TEL SIDElSIDESTREET RW ❑ � CONTRACTOR U'N _ TV�& IN � SIDE ❑ � ADDRESS L PROPOSED USE CITY_S9�I l N„�i ZIP TEL� P+� ARCFVENG/ • ��(p DESIGNER NO.DW�L. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREA/VALUATION � Q OWNER•BUIIDER DECLARATION SFWA�DlREM O p 1 NEREBI AFFIfW UIDEH PEWLLTY OF iEM7RY THAT I AM E%EMPi FfiJM THE CONTMCTOHS LI• Gefege/C81pOR � CENSEUWFONiHEFO[10WiNORFASdJ�SEC.70]1.68USWESSANDPROFESSIONSCODE:ANYCT'OR (n WUlTYYM101REOJWE9AiEN.IR7O00N5TRUGf.ALTERMPROYE,DEA10U5H.ORREPAIRANYSTRUG W Patiolpeck 7URE.GNOq TO RS ISSVAHCE,PL50 REIX11RE5 THE APPUCAN7 FOR SUpi PERMIf TO F0.E A SiCNED W .� QiATfYENi 1HAT ME OR SHE�S UCENSED R10.5UANT TO iME FPDYLSIONS OF 1HE COHiRACfOR4 L4 s GENSE Uw IpUPTER Y(COMMENCNO MIIiH SECTION 7000)OF DMSqN�OF THE BUS:NE55 AND PRO� � PDOUSp8 l FESSIONSGOOE)OIYTW�THEdtSNE�f%EMPTiHEREFPOUANDiHEBA515FORTHEALIECEDEUEUP• v iqN.N1YYqU710NOF6ECTqN7afi.68YJ1NYMPLK�Af1TFORA7ERUIT5U0JEGT57HEMPLIfNfTN Z Rg-RDOf r ACMLPFNALTYOFNOTMOHEi/VNFNEMUNDRED00lLAiiS(iSo�I.1: � ❑I,ASOWNEROFTHEiROPERTI;ORMYEMVLO7FE5MnTlIW�GESASMEIR50LECOMPENSATqN, 0 �mmercial - WIl1 DO TF1E NfORK AND TNE 6TRUCNRE IS NOT INTENDED OR OFFERED FOfi SAIE�SEG 70��.BUSI• J � NE55 MA VIIOFESSIONS COOE:TME CONTMCTOpS LICENSE l�w DOES NO7 AV7Lv i0 AN O'NNER OF � ifiDiERTY W�p BUILDS OR IMPIi0VE5 TMERfON.AND MM1�O DOES SUL7i WORK NIMSEIF OR HERSELFOq � THROUCHMSORHERONTIEYPLOYFEAPROVWEDTHA75Up/MCROVE1AENfSARENOTMENDEDOR m , , . LJJ .OfFERE0FOR5ALEIF,NOWEYERiNEBURDWOORlA7ROVEMENT650lDWRH�NONETEAROFOOMPLE• .. .. 2 �7fON,1HE OWNER-0ULLDEii YALL HAVE TME BURDEN OF PROVWO 7HAT HE OR SHE DD HOT BUIlD OR = M7iqYEFOqTHEPURPOSEOFBAIF� W 04��EROFiHEiPOiEHT1:AMEXCLUSNELYCOMMCTINf3WIT/1LICENSEDCOHTMCTWi9 � TO CCNSTRUCT 7NE PRQIGR(SEC,7M�,BUS�NE55 AND VROFESS�ONS COOE:THE CONTRACTCRS LL VflIU2(iM AQI.AREA CENSE Uw DOES NOTMPLY TO AN ON'NEH OF A PROPEHTY M�O BULDS OR MPFqVES TMEREON,AN� WFfOCdtTMCfSFORSUCMGFlOJECTSWrtHACOf.7RACTOR(S�IICENSFDWR5UM1TT07HECOHiMG OUANTITY OESCRIPTIOW FEE � 7Df14 t1LEME UN�). ❑I MI IXF►1DT UNOfR SEG 8.t V.4 FOR iM15 REAiON U 3 � � OATE ONTIER V � LICENSED CONTRACTORS DECLARATION W • ' �[ w 2 IHEREBYAFFWMUNDERPENALTYOFVEiWRYTW�TIANLICENSEDUNDEHiROYIS10N50FCHAPTER � C�..r C \,�' � fICOMMENCNOW(TNSECT10N7ooa)OFDMSION�OFiNEBUSiNESSANOPROFESS�ONSCOCE,A4D Z `�•� X ►1Y UCENSE IS N iULL FORCE M1�EFFECT. r� m � UCEKSE CU S��"� LIC.NO. � `` � � ��a.t w��_.� -�9�_.carrrucron� t - J a6 WORKERS'COMPENSATIONDECUIRATION j��3) Z U �J � l N IMEREBYAFFlRMUNDERPENtiTYOFPERIUMONEOF7NEFOLLO�'nN00ECLAMTI0H5: `!� a O �I/WVEANDIMLLI.WMAP/AtEi1TIFIGiEOccoNSENTToSELNNSUREFIXiWONKEFS' 2 � � COY7ENSATpN,ASPROVIDEDBVSELTIONYlooOFTHELABORCODE,FORTHEPEAF'OHNANCE W pf 1NE WORK FOR VM�CH THS PERMIi IS ISSUED. � � � �_IH�YEAN�IM�LL►IAlN7ANWOFY(ERS'WAA7ENSATqNINSUMNCE,ASREWIRE7BY5ELT10N OFDIAMONDBAR 4 37o00FT1ELAB0it�0E,fOftiMEPERFORMANCEOFTHEWORKiORNMICM7NISPERM1715 � ISSUEO.WIMORKERS'COIdPFN5A710NINSUMNCEGIRRIERAHUVCLICYNUTADERAR[: CONSTRUCTION�I��� � � M� � 1 � �. WiPoER _ .f_�� PLANFEVIEW � POIICYM/MBER Q� � ELECTRIC Z � (fSasEGivrl�mrareCmMtEimCFnEv6x+rt{Sipia+[MRD�imDJtWt51t�OC1oRtEss} PLUMBING ` Z ICF.RT6YTFNiNTHEPEBFOM�ANCEOFTHEWOHNFORVIaICHN�SDEfWi7151SSUED,I MECHANICAL (} SM11LL IIOT EMGLOYANY PERSON N M!V MM1NE AS TO BE SUBJECT 70 THE � WORKERS'COMPENSAT�ONU�'r50FCALIFOPNI A'JACREE �15110VLDBECOME INSPECTIONFEE SUBJECTiOTN[WWiKERS'COE�vENSA710N 'lon.,ON50F5EL7 N77000FTNEULIOP �SSUANCE � s E I SFL41 f TH GO�.�P�Y W�7H p VISIONS. O ` i Q DATE: �` � APPLIG.NL SMIP �1e��� . I W ENERGYPlC — —��ii � WAANINO:fA1LURETOSEWREWOFiKENS'COMPENS�T E GEISU I�WNL.�NDSMALLBE v �T�t 6UBJFCfANEUPLOYERTOCRN!NALPENAL7IESM10 .viL ES 70 1nJNDHEDiMOUSAN� ENERGYPERMI � ,1 Ul'1JI�1rJ��ZyL I��� I OOlLARSffioo.oaol.NAD0ITIONT07HECO5tOFC0 aEN ..ESASPROVIDEDFOri1N 1 � � 9ECTION�7oeOFTHELABORCODE,WTEREST,ANDAT ceEs. p�M�ONFEE. 11.�DmI�i AT�.T�C�.t�T:,TtI a CONSTHUCTION LENDING AGENCY pRE-ALT FEE: O � INEREBV�FflRMl,NOEPCENAI.TVOFGERNRYTNATT/ERE151CONSTRUGTIONIENOWOACENCY ' 0' FOR711EPERFOHWWCEOFTHEW0�IKFORYRItCH1HI5VENMITI5155UED(SEC.MOT.CN.C.). � � � IENDERSN�W[ C IENDER'SIDORE55 / � ICfRTIFVTUTIHAVEREIDM�5AV7LICATqNIiNDSTA7ETHATTXEABOVENFORM�TpN�SWRRECT. TOTAL FEES �,/J•�� ' p� IAGREET0001A7LYN7THALLGRYANDCOlM7V�NDRWICC5AND5TATEUWSREUTWOTOBU4DINO w COHSTRUCTION,N:D HGREBY AUTNORRE REDRESEN7ATNE5 OF ri115 COUHTY TD FNiER UPON iME ZABOYE�4EHTqNEDVROPERTYFORINSPECTIONVUHPO5E5. COMMENTS '� Q � I I � m OfW.aTTEE �Oqn(n N �� ��� NS�GNATU D iE � � RECPT.NO. P/VU BY . __ VALIOATION WHITE-0epeRment Copy,YELLOW—Finence CoPy.PINK—,AssessorCopy.GOLDENROD—File Ccpy,GREEN—Applicanl's Capy , � . . • ,. . . .. .�.., , . .. . . . � �. . .. -. ... , . �— .... ,. _ ;!i'',. .. , .�f��. .. ��:n - 7. .vr ,,. 't,� . - . .. � . CITY OF DIAMOND.BAR . � - ` INSPECTION RECORD ' � - � �;� �������-�_��"����'f. '�''Y�.���1i���.;a�?�� �lt.�y;�.�a'A.�e��.�e�i4�.�j'����=� :I�' '�r� �d� :�� . ��..:.��._.:._�_---- , -w- , -- - ''�- �.�...�.�..._.,.._....�..._.�,.��...� ....,.,.�._�..��;.�; �,�...,. j SFT 6ACf: `. ,..__ f ._.......I i � FLOOr'�JOIST � , i1 �� ., .� . \ �.: �i ���="fG�-fOR��1S'STEEL ' FHA REaMTS ������ f. _� !,ELECTRIC GRCUND ` UNDER FLOOR� LJQT� �;", • � .� . ;,J. ���.. G�iOUND PLUtABING UNDER FLOOR_Gpf•(•U1f.T.� I. ; _ -�•_���" S!�B GRAD�. . FIREPIl�.6�6C�1�►F#D9Ti'ION .�,, f ��:,� ' . � , r- . � !TFP�1P POVVER FIREPLACE BOND BEAh4 i �iV'dr"�,TER SERVICE MID F-LTe 00NCIBEiL"r�'t�_-;`� '�; '-t (:;���;1". , !ROOF SHEATHING 8 F7.BOND•,�EAM-';��' F'`� ' =' '� ���� " ' 1FR.A"�tlf•:G.NEM1lTI'�1A1"10;+1 FINALBONp.�F.AM �� ,� �T—� �"� ;F3C!C�P COVER . PRE-GRADING - ,r,O.1GH H�ATING BENCHING - .�iOJGN ECECTRIC _ ROUGH GRADING - � ROUGfi PLUV8ING- - FINISH GRADING � S�;OVJER,�TUB TEST POOL�,ELECTRIC 1 : �EX?�. 4�7H.��IDIN� POOL FENCING ' �, --- :^:r,l�l�iSULATION POOL FINAL ' �C�IL1idG 1NSULF,TION " - ' OFF SITE IMPS. D�1'�'JALL PJ�,iL1NG - � DEDICATI�NS � SEV�lcR C/�yy FINAL ENG. �� ��Pi�IC'fANP; LANDSCAPE/IRRlG. � ' �.�Sc�P.Pli/L.L. � ON 51TE It�1PS. � �;i:%,S,'11R TES i FIPJAL ZONING � , } '"'� FIRE DEPT. FINAL �;�-i�;�,l CO,1ST. ' �--- '�-l:�'��FIGATI�V�3 _ HEALTH DEPT. FINAL I '' L CLEC"fRIC � DEV. FEES PAID ' i-�-,�.�,� � ,� , ' —�—_ i:�f..�„_f-L•U�,�BI�vG - - ENERGY � ..___ ,. , .. —'-+=r�.��� �'' '.- .-- �� - - 1:--.— _ _ ':�%'::"a;�,c4'���.�a,'��� F" :s� , I,----. JJ i Li•_'.`;�-,�:..: � t -^;�.:. - ' (',;;;�:���iE��TS -� -- .`__ �� . `.�.. ' ; I; �� . _ . � _ _ . , � I; � I i � . ; • , r'���` -'; '.J;��;-'� �;-- . ; �; . _—+���4��� 1�"'____.___ ^ I �-_ —"_.. .. - , . � . . �—_""'� 1,/ 'T��r�� . . ` .. � .; `,y . f'--- - ',SFP i IC TAhK SlzE . � � , . , iSEEP PIT/U SIZE - _ ..... ;�ij _ �.. ! , �:. ... . . ... - . : - - . . . �,i , . :._ . - . .. ; , � �if . � •.� . _ iS 7 . . . . I ' . . � .. . � .4.._ . . ._ � . �_. . . . � �� ', � ��!��.�%^. ' ., � �•� . j r - ,. ./-i. 1�L/ . .._. ,.._.....�{..�. .. .��,_.�_... � ' '�� � , { r : ! «_.. . �� :�+• . .