HomeMy WebLinkAbout15275 (34) -` i�.
� ,
�� CITY OF DIAMOND BAR �' i '
DEPARTMENT OF COMMUNITY&D VELOPMENT SER E
�,` . 21660 E.Copley Drive Suite 190
(909)SGb-3195 Fax(909)861-3117 PRESS
~'��'� BUILDING PERMiT APPLICATION FIRMLY
o� J08SfTE v � APPLICATION � � �� PERMIT ,�]�]�/C
ADDRESS ! n'� DATE NUMBER� x
$ ISSUE .�f TYPE OCC
APN LOT TRACT DATE [ � I �CO CONST. GROUP
p OWNER
p ADDFi ZONING SETF3ACKS
w CITY � ZI � TEL. REAR RW p
APPLICANT TEL. SIDE/SIDE STREEf RW O
CONTAACTOR SIDE ❑
ADDRESS �
� CIN ZIP TEL PROPOSED USE �� - % L 1� •� .�S. t
P�+ ARCWENG/
� DESIGNER NO.OWEL. NO. NO.
ADDRESS UNITS STORIES BEDROOMS
� CITY 21P TEL.
y
cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION
� OWNER•BUILDER DECLARATION SFR/ADD/REM
O
p I NEREBY AFFliM1 UNDER OENALT'OF iEiWiiY THA71 AM EXE�PT fROM THE CONTMCTORS L4 Garage/Carport
11J GENSEUWFOflT1EWlLOWNOREA50N(SEG7Wt.SBUSPlESSANDPROFESSIOnSCOOE:ANYCITYOH (n
GJ LOIMiTWHIQ7RE0UWE5AVEfWR7000N5TRUCi,KTERM7RDYE,OEMOLI5M,0�iREPAIRAYYSTiIUG W
LL� NRE VNOfi TO RS ISSUANCC/�LSO RCWIRES THE A➢VI�CANT FOR SUCN PERMIT TO illE A SIGNED W Patio/peck
.� STATfMENT i/UT XE OR SHE IS 110EN5ED PURSUANT TO iHE VROVISIONS OF TNE CONTMCTO0.5 l4 LL .
� CENSE Uw(CHAVTER Y�CDUYENCNU WRH SECT�ON 7000)OF DNISION!OF TME BUSiNE55 MID OqO POOVSpd
iE5510N5CODE)ORTIATNEORSNEISEXEAIPTTHEHEiR01AANDiHE8A5iSiOR711E/�LECEDE%F�P- (�
TION.ANYVIOlAT10NOFSECT10N7Wt.S8YANYJVPLICANfFO(1AVERMITSU&1ECTSTIEAVF�IC/�MTO Z �B-Fjppf
� A�FENKTYOFNOtMORETWIFNEMUNDREDDOLUR5�i500�.):
� �ASOVYNEROFTMEPROFERTY,ORMYEMP�O�EE51MiiNWAG[SI15T1EiRSOIELOMPENSATION, COTTBfCi01 -
Yn1100 TMf MOFiK,MA T11E STfNCTURE IS NOT INTENOE�OR OFfERE�FOR SALE(SEC.7Mt.BU51• O
y NESSIVOPROFESSIOHSCODGTN[CONTMCTOfLSIICENSELAwDOESNOTAPPLYTOANOWNEHOF ? `�
FR07E1tiY MAq BUlD3 OR MVROVES TMEREON.ANU MA10 DOES SUCH WO(iK NIuSELF OR HE0.5ElF OR
� TIWOIX`JIHISORNEROMMEYVLOYEES,OROVIOEDTUTSUCMMPROVEMEMS�RENOTMTENDEDOR m
� OFiERmFORSALE6,IqWEVERiMEBUl.D11JQORWPROVEYENTI550lDMrtMNONEYEAROFCO�APLE-
z TION.TME OVINER-BURDCR WILL W1VE h1E BVRD[N OF FROVINO MAT HE OR SME OiD fqT BUIID O(1
� IMFROyE FOfI TF1E VURVOSG OF SALE�
2)l�OWNER OF iHE iROPERfY,AA1 E%CLUSNELY COMMCi1N�WfTH LICENSEO COfliMCTORS
TO CI01�SiRUCT TME PRWECT(SEC.7DM,BUSIkE55 MA VROFE5510N5 COOE:THE CONTMCTORS LF Valuatim _.e/`%F C/ AQI.AREA
CEN6E UW DOES HOTMRY TOAN OWNER OF A DROPERTY WFID BUMS OR MPppVES THE REON,�ND �
� N7qCOHTRACTSFORSUG1VR0.1ECT5W1iHACONTMCTOP(S)IICEN5EDR1R5UAHTTOTHEtONiRAG pU DESCRiPT10N FEE �
� 701LS L10EN5E UW).
O IAN EXEUPT UNDER SEC. B.{P.C.FOR THIS REASON Q
U
� �
DATE u OWNER U .
� J
�_ LICENSED COMMCT S DECLARATION W
� IHEqEBVAFiIRM�1NDERPENALNOFPERIURVTHATIAMLICENSEDUNOERPROVISKKJSOFC7IAPTER �
� �(COMNEHCHOVrtTH5EGT10NTooc�OFDIVI510N]OFiHEBU5�NE55ANDiROFE55tOrvSCODE,AND Z �
�� W UCEHSE IS N FUII FORCE AND EfiECT. m
a
0 LICENSE CU55 LIC.NO. �
� wrE corrtancron a
� WOF7KERS'COMPENSATION DECLARATION ¢
� IHEREBYAFFIRMUNDERPENALIYOFFERRIRYONEOfTNEFOIIOW:NGDECLAMT10N5: Z
� �IIuvEANDYV�LLMI�MTwNACERTiFlCATEOFCONSEMTOSELFaNSUNEFOiiWWucERS' a
S
� C�OHPENSATpN,�SYROVDE�BYSECTON7�D00FTMEU00RCODE.fORTHEGERFpRYM1GE w
OFT11E WOillf FOH W�IId1THI5 GERAIIT IS ISSUED. �
0
Q �I HAVE N+O YALL MAINTAN WOPo(ERS'COMPENSAiION INSUMNC[,AS REWIRED BV bECTION �
]700 Df T¢L/,DOq OOOE,FOR ME 7ERFORMANCE OF TME WORK fOR V/MICM TNIS VEflMR15
ISSUED.WNqPo(ENS'COMPENSATpNINSUMNCECANtiERANDPOLiCYNUGBERIIHE'. CONSTRUCTION '
� UARIER PUW R[VIEW 4
� POLICYMIIJBER [LECTRIC
� (iFt55E4�17�NCIDNdiCE00�.i1E�0ihEPEiawT6PoF10t�E/ll�OfiE�COLLt7taisim�on�[ssl PLUMBING
Z ILERTIFYTUTNTHEPENFORAUNLEOF �EWORKFO WHIpiTN15-I RMITISLSSUE�.1 MECHANICAL
(y 6MAt1NOTEYVLOYAN'/DERSONWANYI� NERSOAST BE 'SWJECTTOTVIC /
N WORKERS PENSATqNlAW50FGLIF N1IANDAG IUTIFISNOULDBEC0IAE tNSPECTIONFEE // /�
S St16.lECT NE WO RSOJ�A7ENSATION V1510N SECTION]�OOOF iHE UBOR
.is� co iTHea.�v�vwin+r�ase s. 1SSUANCE n
pDATE. � P ICA!!� ' SMIP �� ` .
� WAHNINO: WRET SECUFEWOiiKERS'Cd1PEN5 iON MCEIS NUWFULANDSHALLBE ENERGYP/C �
� SUBJECT E4P10 ERTOCHIMINA�PENAlT1E4 CNIL :ESUPTOONEMUNDREDTMOViMD ENERGYPERMIT � �A � / _1
} OOl1AR5(f 1 W,Ooa�,IN ADDITpN TOTME COST OF P SATqN,DAMAGESAS iROV10ED FOR M �—mJ—
J 9ECTIONTMOFTHELA90HCODE.INTEREST, ORN[YSFEES.
¢ RETENTION FEE: _$i11T_'��N�A- � , ��-
aW.. CONSTRUCTION LENDING AGENCY L��
PRE•ALT FEE:
O
� INEREOY/FFIRMUNDERPENAITYOFPEPJURYTw1TTMEREISACON^uiRUCTONIENDW(iACENCY
FOR TME PERFORMANCE OF 7NE WO WC FOR riHlp1 TMIS YER41T IS ISSUED�SEC.ioY7,CIV.G.�.
Z
lL
� LENDEftS WWE
� LENDER'SA�ORE55
W ILEHTIFYTHA711uVEREADTHISAPVLK:ATIC7NAND5TATETUTTMEAeOVENFORMATUNISCORR[CI TOTAL FEES � �
p_ I AGREE f0 COIAPLV MATM iLLLCT'ANO COVNTY ORDINANCES AND 6TATE Uw5 REU711W TO BU0.DtN0
CU�57RUCT10N.ANO NENEBV/�UTHOR�ZE REPiiESENTATNES OF iHIS C1IUNTY TO ENTER UPOH 7HE �N
� A00VE-MENTION OROVfRTYFORINSPECTqNPU sts. COMMENTS � J /\
� G�� �v ' `�
� m RAIRTEEN '�p1U .
� � � Z� a
N TUR lEE � D E �rj
� R[CPT.NO._ PAID BY _VALIDATION
WHITE—DeDartment Copy.YELLOW—Finance Copy,PINK—Aswssa Copy.GOLDENROD--Filo Capy.GREEN pl' nYs py
- � ., .- , •��:. , . �.� .. . -. . . �. ':i• �.ft - . P . ....- .�_ .. . . ., .r •`� �. �. . .-s... �... . ^• .•� .' :. � . . •
'` , . �I.- -�`
! � %% CITY OF DlAPJfO�lD BAR
j i
� � If�lSPECTIO�! RCCOR[)
(►F-����`'rX�.R.�����1i�=-- �►�.E-�' c:�:e ' � .(►������i.X.l.�t�i!._,..�. �-��_-=��"�I'���E,��`'.!��)�� '
- -- — - - .. ..�.,�- - ...w...�� . ... ._�..�-...�. __....�...._. ..�_ ._.-.._..__.
SET BACK � • ' • � " FLOOR JOIST
FTGS.�FORP.1S/STEEL ' � � �• � FHA REQDJITS � . ' �
ELECTAIC GROUND " ' �• ' � UNDER FLOOR DUCT
GROUND PLU4ABING I UNDER FLOOR CUP,!D111T
SLAB GRADE FIREPLACE FOUNDATION �
TEPJIP POWER I FiREPLACE BOND BEAh1
WATER SERVICE MID HT. BOND BEAt•,� �
ROOF SHEATHING � ` • fl FT. 60ND 6Ef1"A - �
FRAP�I�JG.NENTILIATION I � ' ' FIfdAL BOND BEAD.4 �
ROOF COVFR . � I PRE-GRADING
ROUGH HEATING BENCHING
ROUGH ELECTRIC � I ROUGH GRADING
ROUGH PLUMBING . � FINISH GRADING
SHObVER.rfU6 TEST I POOL ELECTRIC
EXT.LATH/SIDING POOL FEPdCItJG
VVALL lPdSULATiON POOL FINAL � I
C�ILtfdG Ih:SULF,TiON OFF SITE IMPS. _,! _
DRYL°✓AL.L NAILIPJG DEDICATIO��S �;
SEVr`JcR � FINAL ENG.
SEPTIC TANK LANDSCAPclIRRIG. � (
�.SEEP PIT/LL I � O:�SITE IP.4PS. _
GAS AIR TEST FINAL ZO"dl�lG i I S
'FIP•lt�L CON�T. I FIRE DEPT. FIPdAL � •
:Flid�L HEATlNG HEALTH D�PT. FINAL �
Fi�•.,=:�ELECTAIC � DEV. FEES FAID �J—� •
.E_'._:^+PLUhA�IN� � EtvERGY —�J �
..�_ . . . I ^..:�..x.v^+e-•�•rr.�cRw'^�".�. �.....�. ------i _�_�-1
II s=�'`�'�.��i. ,.�i, 1
�_ . . . .. . - ._. � . . . _..._..... ......_^.rrt:.___..... ..... .... .
',cor�,rr,��►vTs
_ -- --J
._, --
� ;�;,�� _
, �,;;, ;�: ---
, _. _ ,.;,:
.'.'�=�=, —
SEPTICT�',NK�SIZE:- :." . . ._ _ — --
SEEP PIT/U SIZE �� � •�•— •
';. ;•l��. ."-- — -
"� �.
_ �' • •
�',�.1ik�. ,1.=II — -
�.�- '�i ' . .
,
� . . i , . . ,
�,; .
�._....�.�____:.__''�'�.�..--------�� . .