Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
15441
g -� . �� CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �V 21660 E.Copley Drive Suite 190 � (909)860-3195 Fax(909)861-3117 PRE$$ ����� BUQ.DING PERMIT APPLICATION FIRMLY y JOBSITE 2Q APPLICATION Q PERMIT��L�-�� P/C/Tf�� o ADDRESS ��,Jv E•�QL�7Dt'T� �• DATE • ' " DO'` NUMBE t � r v� � issue nrPe occ APN LOT TRACT DATE CONST. GROUP � OWNER 0 A S C "' ADDRESS E ZONING SETBACKS Z CITYA QZIP EL " � REAR Rw ❑ g APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE ❑ ADDR S PROPOSED USE ZD lU V g CITY ZI a(TEL��RT{���+�, � �� Z � ARCH/ENG! • • DESIGNER NO.OWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � ¢ OWNER-BUILDER DECLARATION SFR/ADO/REM O Q 1 HEREBV/IFFII�A UTAER iENFLTY OF PEfWNY iMAT I AA1 EXEYPT FROM THE CONTMCTORS ll• G�rdg0/CB�pOh W CEHSEIAWiORiHEFOl10W�N�RFASdJ(SEC.7o�1.68U5WF5S/�NDPROfE5510NSCODE:ANYdT/OH (n � CQIMYMMIC3IREOUIRESADERMRTOCONSTiiLKi.ALTER�PROVE,DEMOl151iORNEVAIRANYSTAUC• W PatiolDeck t TURE,FRIOR TO I7S ISSUANCE.AL90 REWIRES THE APPUCANT FOH fiUCH PERMIT TO FLLE A SIGNCD W STA7EMEM TNT ME Oq SHE IS IJCENSED PU0.5UAN7 TO iHE PROV�SIONS OF TNE CONTMCTORS U• � CENSE UW�[7UV7EF Y(C04�MENqNO W17M SECTION 70001 OF DIVISqN�OF TME BUSINE55 AND PRb �- P��Pa FESSqNS COOE)OR THAT ME OR SHE IS EXEMPT iHEREF110M ANO THE B�515 FOH TME ALLEGEU E%EMP• TqN.ANYVK)LAiqNOF5ECT10N707�.68VANYA7PLICANTFORAVERMITSU&IECTSTIIEMVLIGWTTO Z Re•Root � R CML VEN/L7Y OF NOT YORE TNAN i'NE HIINDRED DOLURS(f 5001.1: � 041�+"OWNEROFTHEPROPERTY.ORrAYEMVWYEESMnT11wAGE5ASTMEIqSOIECOMCEN5A710N. 0 COmTetCl�l ' WKl DO THE WOW(AND iHE STRUGTURE IS NOT IMENDfD OR OfFEREO FOR SALE(SEG 7oN,BUS� J NE55 MO iHOFESS10N3 COOE:TNE COHTMCfORS LICENSE LAY/DOES NO7 APPLY TO AN OWNER OF N PHOPEHf71M10BULD90RMPROVE57HEREp1.ANDYlF10DOE55UCMV/ONKXIMSEIFORHERSELFOR � Q T}IfqUGHWSORHEROYMEMVLOYEES,GROVIDEDi/Y175UC11YAVROVEMENTSMENOTPRENDmOR LN OfFEREDPORSILEFFIONiEVER1HEBUlDINOORIMPROVEMINTIS50LDWRHNONEYEIWOFCOMRE ZTtlN.T11E OWHER�BUIIDER YY1LL MAVE THE 8UFCIEN OF VROVWO THAT ME ON SNE OD NOT BUIID OR � IIdP{qVE iOqT1/E VURPQSE OF SALE� W OL�OwNEROFTHEPROPER'TY.AME%CLUSNEIVCONTRACTIIWWRHLICENSmCONTMCTORS �� � 10 CdiSTRUCi THE►fiOJECT(SEG 70a1.BUSME54 AtA PROFESSqNS WOE:THE CONiMCTORS LI- V0IU8ll ADJ.AREJ4 CEN6E UW DOE9 NOTAPFIY TO AN OriNEH OFA PHOPER'fY Y+HO 0U11D4 0R MVRDVES iH[R[ON,M7D WMDCONTMCiSFON5UQIVHR�R�ECf51M�iM�CONTMCfOR(MS)LICENSEDPURSUANTTOTNECONTMG pUANTITY DESCRIP110N FEE- � 70iLS LICENSE UW.1. J OIAIJEXEYPTUNDERSEC. B.tV.C.FORTHISPEASON U � u' DATE OWNER V . � LICENSED CONTF7ACTORS DECLAAATION � � w IM[RfBYAFFIRMUN�ERPENAL7VOFPE0.AIMTMAT1AULICENSEDUN�[RPROVISqNSOFCHAPTER V. s O�CdM1ENCYqYAMSECT10N7000)OFDNISION70FTHEBUSIN[SSMIDPROFESSIONSCOOE,AND Z YC IAY tICENSE 6 N NL1 FOi10E/ND E�FECT. Lll m � LICENSE S LIC.NO.� J V pA7E CONTRAC70 . W � WORKERS'COMPENSATION DECLAFiATION �I.��D Q ti �� v � IMEREBVIIGFIRMUMJERiENALTYOFiEiWRY0r1EOFTHEFOLIAWWC�ECUMT . Z Q � _INAVEMOMnLLAWNT�NACERTiFlUTEOFCONSEMTOSELF-INSUREFORYARNERS' 2 � CONPENSATqN,/ISPRDVIDEDBYSECiION]7ouOF7MELhBORCOOE,FOqTMEPEHFOM�PNCE `U O�E WORK FOR WHILH THIS PEIiMiT IS ISSVED. � � �HAVEANDVA:LWMNNWORKFRS'COMPENSATIONINSUtLWCE,A5RE0UIREDBYSEC710N / � Q ]7o00F 1NE LABOR LODE,FOR iHE PERFORM+WCE OF THE WORN FOR MMILH iHIS PERMITIS / n ISSVED.W(y���'�KERS D�E'N(S�AT INSURANCE R�ERANUPOLICTNUMBEflARE: 1 CONSTRUCTION �L� � '--'� GARIER �'`L ,w� n � PLAN REVIEW � � POLICYMIIABER �'` . � � � ELECTRIC � (IF�SSECRXirEmNDTBEOCMiEIEDOF7/EPERMT6iOROHEFl1�DFiCDDCtURS6�0e1«11FS5} PLUMBING Z IGERTIFYTNATNIHEGERFORUANCEOFi11EWORKFORNMICHTFOSPEHA1iTI5155UE0.1 MECHANICAL (,�J SHALLNOTEMPLOYAN'/GERSONWIINYYANNER50A3TOBECOAIESUBJECTTOTNE N NVPo(ERS'COMPENSATqNUW50FCALIFOR4IA,ANDAOREETXATIFISHOUlDBECONE INSPECTIONFEE S SUBJ Gi THEWORKERS'COMPEHSATI NPROV15�0 50FSK qN�7aoOF7HELIBO ISSUANCE � CW I S FOfRMY1THCOM7LY Wl H SE PROV iONS � SMIP p DATE: APPLICANT. . W If � WMNINO:FA0.URETOSECUREIWRKERS'OGAVENSATIONCOVERA0E15UNUWFl141W�5FULLBE ENERGYP/C v1' SU6IECTANEMPLOYERTOGfiIMaIALPENAL71E5M9GMLFINESUiTOONEMUWFEDiHOUSAND ENEiiGYPERMiT DOl1AFi51f100.000I.Nl�DDITIONTO7HEC0570FCOMPENSA710N,DNMGESASPROYIDEDFOR ,T � SECilONf7oeOFiMELABORWOE,NTEREST,ANOATTOqNEY'SFEES. ' RETENTIONFEE: �j''`�77� 1 4�t� i' oCONSTRUCTION LENDINOAGENCY pqE•qL7FEE����"�`'+� G aTID SAFETY � IHEREBYhFF1RMUNDERGENQTYOFVERIUMTHATTHERE15A00NSTRUCTqNLENDWOACENCY jV�(%1� � FORTI�[PERFOiWANCEOFTHEWOf1KFORWMICHTMISFERAlITI5155UED(SEG1oY1.pV.C.1. L/�`� �.��r I( I� � LENOERS NAME � { " " .. C LENUER'SAODRE55 � i�cAEEro�r.ir""ir�MmNK C'T'ANOWl1NTYORDTWANCESANOSTA�EUN/SA unr10finro�e�m�o�iNa TOTAL FEES • Z� C0r14TRUCTION,AND EREBYAUTMOAREREVRESENTATNESOFTHISCOl1NiVTOEMERUVOHiHE � ^, ` �'�f /�7/��/7� � �,JJ�.ww�,//yy��/J�� �UEMIONEDi ERiYFOi11N5aECT10M7URPO5E5. COMMEMS,,,ti�� / •�V`� � `'� �� O � m P i EE Ri �y Q T � V � IGNAiVfl OF DERM� E 0 E � � RECPT.N0. PAID BY VALIDATION WHITE panment Copy,YELLOW—Fnence Copy,PINK—AsseasorCopy,GOLDENROD—File Copy.GREEN—Applicant'aCopy :. ;, _ ,,,.:. .. ........:... ....... , . - ...:.:.... .:.... . . ..�Y .� �...:✓ . ,�.,..��:����.:�-�xS.,.;,.:��.:;-.:.!:��.�.. �-•t:•:::"'.�. . , ,:5,* �.+ev. ..�..._ . � .. ,.,;�. ; .• ..�t-.. ...:;�...•._....� .....•� .,M �'1 .. • . • .. . ... .. � . . . . ... - . '.�:nr.tv;w'�-n;•^.!i;. .. �:�ti',v.tr.R:_�. . . CITY OF DIAMOND BAR , . ,. ' . � : ::�.�::=� ��:' 1111SPECTION RECORD . .� -� . � : :�d� ��.I��. 'o •�� y. �, � fv � 5 e ' _� ' ��f''�-�� .. " -, .��._..._.,_..._ : SET,BACK ' ;: , . � • 'I I FLOORJOIST -� . _ -.- r . � �, _ r,c; -,�,`; ! � �FTGS/FORMS;STEEL :�� .. , - FHA REQ^JfTS`�. � . � . . �.. . . . _ . .. . _ � �- 'ELECTRIC GROUND... . � • . UNDER FLOOR DUCT ,_. , _ , , 'GROUND PLUP:IBING UNDER FL �C3R CO.�•{DlJJT:�.- r, _:� : �• :•� --.�i '- • • 'SLAB GRADE -— � FIREP GEi�FOUf�RATJOf�1==-''i ' •J'��,:1'-��.f;�',� ' '' ' � .�•' ;TEMP POWER - � ---�-,. � •;� - FIREPLACE BON�BEAM - - r - - •` i WATER SERVICE- -.- MID H.T.=BOFJD EEAM-�!'i:.:_•_1.. '�':!';')-�-! ' =,',,!. � �ROOFSHE/�TNIN�:`..�1 ,� ;;':.--� .�i, �:A •�^,,�J 8 FT. BE3ND-B�AM. • �: �-,�-,-r � . �:� ;:'„};f r.1 � . 'FRAMINGNENl'ILIATION �� � '- -'" T FINAL OND EAM � ' '� ' ' � ROOF COVER _'. PRE-GRADING -- � �ROl1GH HEATING BENCHING ROUGH ELECTRIC. ; � � � ! ` ROUGH GRADING - � - - - iROUGH PLUMBING FINISH GRADING • . SH04VER/TUB TEST i • �r; � - POOL ELECTRIC � � � 'EXT. LATH!SIDING - - �'J ' POOL FENCING ;V'JALL lNSULATION - POOL FINAL , ;CEiLING INSULATION OFF SITE IMPS. ' - �DRYWALLNAILfNG I � DEDICATIONS ;SEVVER � FINAL ENG. � :SEPTIC TANK � i LANDSCAPE/IRRIG. ' •SEEP P1TlL.L � � •� �--`�' ON SITE IP•�1PS. . • �Gt,SAiRTEST , FINAL'ZONiNG , FINAL CaNST. ' ._ .. .. _ . ��. . FIRE DEPT. FINAL � :Fl�AL NEATING HEALTH DEPT. FINAL �Fi�JAL ELECTRIC � - DEV.FEeS PAID --- 'f't":I1L PLU^ABING � ENERGY � �- .. .. . . ._....--- _. �..:_ ......._.,.:-,� __. ' � 'r ���t� c. f�. ..; i � - - �'�.�...,�:.����R:�-'._'_a.t.,�.e._ _ - l,_ _. ,�..,�.:, ..'�__�,,.� , ;. :� � .. _ . ' ` ; � . `COMNENTS . � , �- .. _. . ---- - . _. . , i � ---- -. _ _ _1\ i � � ` • ' ' . .� � . . 1 1 . '' . ' . . .. . . . i ' C:`� '..i A 1 /1�! i h._., . •_ " ' _". _. . . . . , � � . ' '1 1�i"1•. •.� . . _ ..__. .. . . . , , —• , ...� � � . �'� . , '�`,+..`.��;:�:.,\�\ `..�:\,.`� �l i��T`� � ,, �;�i: I 1 :SEPTICTANKSIZE,. .. - . . ' , . � . iSEEP PIT/U SIZE.: . . J . . . . . , i. -•��'.:�►�'ik ' - :� . , ,,; . . � , +� ; . . ,. .1 � - .. , , . � . - ;�,� . _ . . , `���� � j .y.. •,�I � � : _. .�:�..�'� , - � i , r = � � �� �. 1� � "�=� �/i''�'1 . ,�, ,, 'F � - ... . �.. .�� . . . ' . t'. .. . . ` 1 �/1/ J�� �l`'I \�`� I .�"�' .{ � � _��".�. � . �, � ' ---�LI� ...._a._..__�..�._.._...�__.---� �f � .i i . . . . � ``.. ,,.a:._�.,`.�•�t;,\`:�f .J'yl.:�.\; � .i � . . . � .. . . . ` .