Loading...
HomeMy WebLinkAbout12220 CITY OF DIAMOND BAR ' ��� �`.� '�• ' f�i ��-��-��� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES .�" .�� . 21660 E.Copley Drive Suite 190� . � • (909)860-3195 Fax(909)861-3117 PRESS � � �^^�'�. BUII.DINGPERMTf APPLICATION � ' ' FIRMLY ` yN, JOBSITE ��49� l�T�,�� (, . . . APPLICATIO�,t y`y`l NUMBER v �� o ADDRESS �� DATE a � APN �LO 'N� TRAC�v DATE �'��� I Y CONST, GROUP � OWNER ~'< < " "' ADDRES �l F'r7��N<<C. �L ZONING SETBACKS 8 CITYV HIJ ZIP l7fJ'S-TEL.��o` REAR RW O❑ APPLICANT TEI.- SIDE/SIDE STREET RW O CONTRACTOR �u'�'IJ�h, SIDE ❑ ADDRESS PROPOSED USE ��T�`'�C/t � � __ . � CITY ZIP TEL. � o ARCFUENG/ • ., . _ .� � DESIGNER NO.DWEL/� NO. NO. ADDRESS UN{TS v STORIES BEDROOMS � CRY ZIP TEL N 'DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q .. OWNER-BUILDER DECLARATION _ SFRIADD/REM . O � p I HEREBY AFFIRM UNDER PENALTV OF PE0.A1ilY THAT 1 AM EXENDT FROY THE ODI�TRIICTOAS LL GAf8gB10E1pOR � ' ' ill CENSEUWFOH7MEfOLLOWINOREASOH�SEG7W1.6BU5NE55ANDPROFE55�ON5C00EANYCITYOR (� �7 CQIIRYNRiKyfREOUIRE3AVEfU1RTOCON57RUCiALTERMPROYE.DEMOlJSH.ORRE�NqANY5TFNP ' W PatidDeck . Z 7lNiE,VfW�i TO IT8165UANCE.PLSO REOU�FES iNE AOPLMANT FOR 6UG1 VEMUT TO F0.E�SIGNED �L BTATEMEHf TNA7 HE OR SME IS L�GENSED PURSUANT TO T7E PROVISqNS OF TME COHTMCTORS L4 � W � CENSE LAMi{pUDTER 0(COMMENCPV�N7TH SECTION 7000)OF DMSiON]OF TME BUSINESS I�NJ GR0. � PooUSpa � � FESSqNS CODE1 ORTNT ME OR SME IS EXEMPT h1EfiEFROM M1D iHE BA513 FOR 1T1E ALIEOED E%EMP• iqN.IINYVIOLATqNOFSECfI0N70]1.66YN�YMPUCMfiFOqAPEHMiTSUBJEGiSTHEMVLICJWiiO . z F1g-qppl f„� ACMLPENKTI'OFNOT40i1ETUWFIYEIM�DREDDOU.ARS(f5ool�k � . . � OL+�aM�EROFhIEPROPEHTV,ORMYEMVLDYEESWIiHW�GE5A5T11EIRSOLECOMPENSATqN, � � �mmerclat • � YALL DO iHE NqfYC MD TNE STRUC7UiE IS NOT IME/8ED OR OFFERED FOR S�IE(SEG 70Y,BUSI• . J N NESSAND GROFESS�ONS CGDE:T1E COHTRACT00.9 LICENSE Uw DOES NOT AV7LY TO IW OWNER OF ? � , : • , iROPEHTY NRIO BULDS OR IMVRDVES THEREON.M1D MMO DOES SUGN WOfIK HIYSELF OR NERSELF OR' " ¢ 7HqDUGHW40RHEROMME�PLOYEES,P110VIDED7YUi5UCHMPROVEIAENTSARENOTplTE�mOR m «� OFFEREDfORSALEIF,110vvEVE0.7NEBULDNOOqYPRDVEUINT650LDWfTMNONEYEAROFCOMPLE Z �TION.THE OWNE0.BULDER WN.L HAYE iHE BUROQI OF VNOViN�THAT ME OR SME DID ND7 BUIID OR � MPPOVEFOR7HEPURPOSEOF9ALE} " � . ' . . . . . . O lAS OMMER OF THE Pfl07EfiTY.NA E%QUSNELY CONTMGTPI�YrtiH UCENSE�COrlTMCTORS TO CONSTRt1Ci 7NE PROJECT(SEC 7ou.BUSiNESS AND PROFE5510N4 CODE THE CONTMCTORS U-. VelUelidl A0.1.AfiEA CENSE UM�DOES tqT APPLY TOAN OWNEH OF A PROPERTY W/q BUIDS OR IMPpOVES THEHEON,AND � N1qO0HTAACfSiORSUCHVPO.IECfSWTTHA[ONfRACTOR�S�UCENSEDVURSUAHfTOT7ECOHTMG QUANTITY DESCRIPTICN � � FEE . - � 70it4UCENSEUW.). ,. � O IIUA D(EYPTUNOERSEC. �B.t O,G FORTMIS REASON a �� � � � � � � � � � � � . . . . . . . u" MTE �� OKNER � � . . . • .. . . W _ LICENSEDCONTRACTORSDEC ATION W � a � IHEREBYAFFIHNIMDERPENALTYOFVEMIRITHATIAAILIGENSEDUNDERPROViSqN50FCV1APiER � U. - " . . ; p.. �ICOMMENCN�MAT/15ECTUN7o00IOFOMSqNiOFTMEBUSINE55/J1�DROFESSi0ti5CO0EAN0 Z � ' - ' X W LICENSE IS H FUL.I FORCE MD EFFECT. � LLI � � UCENSE CLASS LIC.NO. ' �,,.1 � �j DATE � CONTRACTOR� . . . a W � WORKERS'COMPENSATION DECLAHATION a � INEREBYAFFIRMUNDEqPENALTYOF0E0.1URYdJEOFTHE�OILOWINODECIAMT10N5�. � -"- Z " - -"� � � Q . � _INAVEMID'MLLAWNiAN0.CERTiFlGTEOFO�NSEMTOSELFJNSUREFORYARKERS' S COMDENSAl10N,A5 GROVIDED BY SECTION 770o OF THE UBOR CODE,FORTH[PERFORMANCE U � OFtHEWOR1CiOqWHIp11WSPER1AR13155UE�. � , p' O �1 HAVE IiND V'ALL WMTNN M'OFKE0.5'O�AIPENSIRIDN PlSU0.WCE.AS REOUIRED BY SECTION J7000FTXELABORCOOE.iORTMEPERiOPMANCEOFTHEWOHKFORNrt11p1TN15PERMITIS . . . . ... . � ISSVm.A1YWOPKERS'C04PENSAiIONIN5Ui1ANCECAPRIERANDPOLICYNUAI9ERARE: CONSTAUCTION � c,waER PLAN REVIEW � POLICY1N1r9ER EL IC �f� � 0 IT�SECTqNNEIDNOT8E0CAilETFJOFMPEMR6Wfi0NE/1U�1CD00IWL9R�m10RtE55� I`t"CJ Z I CERTIFY iHAT N iNE PERFORAIMlGE OF TME WORK FOFi WNiCM iHiS PEM11T I5155UED.1 � MECHANICAL (7 SH/�LL NOT EUPIOY INV GERSON IN�NY YANNER 50 AS TO BECOME SUBJECT TO THE � WORKER5COMPENSATqNUW50FCM1FORNiA�NOAGREEiHATIFISHOUIDBECOME INSPECTIONFEE ' `- - SUBJECiTOTMEWONIERSCQIPEN5A7X1NPRON510N50FSECT10N77000FTHElABOR .. .-.. . . . .. �S.00 �j COOE,ISIULLiORTHN7THCW.�PL�W�IHTNOSEPROVIS10N5. ISSU/WCE � SMIP . p DATE: APFLICANT: .. . . . . � ENERGY P/C WARNIPq:FALURE TO SECUFtE WORKERS'COMPENSATION COV[MGE IS UNUWRri,AND SHALL BE ; � SUBJECfIW EMPLOYERTOGRIMPIALPEN.LLTIESANDCM�FINESUPiOCNE1UNORE�TFqUSMD� ENERGYPERMIT ' OOl1MS qt0o,00D),N/�DDITION TO 1HE CO57 OF COAI7ENSA710N,OAAUGES AS PROViOED FOR IN J SEGT10ND70eOFi11EU�BORCODE,NTEREST,lWDATTOfLVEY'SiEE3. RETENTIONFEE: . � CONSTRUGTIONLENOINGAGENCY PRE-ALTFEE: , � INEREBYA�i1flMUNDEflPENKTYOFPEFiR1NYTIMi7HEi1E15ACONSTRUCTIONLENDIN�AOENCY � 1 � FOR THE PERFORMANCE OF iHE VlORN fOH WNIp1 THIS PENAI�T IS ISSUED(SEG 70P7,qV.C.). � � LENDER'S NM1E . . .. . ,� . . C lENOEH'9AD�RE55 , � ICEN71FVhUTINAVEREAD7HI5APPlKATIDNANDSTATEiMAT7MEAUOVEWFOMAATqNISCWWECT. TOTAL FEES � l � IAOt1EETOCOIAPLYN7TF/ALLCRYANDCOUNT'ORDINANCESANDSTATEUNSREUTNOTO&1LDIN0 OONS7RUCTION,ANDMEFEBYNJi1qWiEREPRESENTATIYESGFTWSCOUtfiYTOEMERUPONiHE . . . . � S� /B'JVE•YENTIONE�VROPERTIfOqINSVECiIONPURGO5E5. COMMENTS � � ,�p G,9nL G�j c,t . r' .. _ _ ' ¢ pEPoAITTEENMIE(PWI� ' . . Gfivf— ��Y� , � , � (/) SIDNANREOFPEWM E DATE � . . . . . . . RECPT.NO. PAID BY � � VALIDATION WHITE—Department Copy,YELLOW—Flnente Copy,PINK—Assessor Copy,GOLDENROD—Fila Copy.GREEN—Npplicent's Cop�r � �• � . CITY OF DIAMOND,BAR ;,��--;-;�;�-i;; . . _ _ .,.�r .�INSPECTION�RECOF�D� . ..4-r..,.. ._, - . �;� ' ; .. ...:��' . , , , , .,. `f ... .:: ...... .. _ . � e � • s - � • � � . � . SET BACK ` -- = ;.'. ' '�`�:_ ,,�_i�• ,'FLOOR J015T ' � , � . _ - , �, ;. . , FTGSIFORMS/STEEL _, , ; '..� • -- � ._c- . FHA REQMTS- -� ---� --� - . ..---- -- --•�--- -�---._. _.. - . _ . .:... _. :,. : .. ..._ _, . i ELECTRIC GROUND`---_ - -.,`:._` - - - - . _ _ :. . - UNDER FLOOR DUCT_i. �-' ,.;.; -, • „ , , GROUND PLUMBING �-" � ' �UNDER FLOOR CU�IDUIT .� ••. i • ..: , `•• , �: • . • • SLAB GRADE ----- .. ' _ _ _..._ ___ �,; FIREPLACE`FOU�IDATION ' � '.' '. � � , " - �` ' ,� ' ` : _. . .. TEMP POWER ------ `• • -._... - - - ;. .. ,�.. ��. FIREPLACE BOND BEAM ----... �,.. � _._: . , , WATER SERVICE_-_. -_- _-_. ..:-._ - - _:. . : . ...-._ _ . ._ ..:. . - 'MID HT.BOND BEAM ..,.... ..� • - ._. _. . ,.:-•. :� . ; � �.._. .._ .. . . . - . ... .' _ '_ ' '"" "' '' _'_ RO�F SHEATHING - - -� � �f � ='- ' -� ' - 8 FT.BOND BEAM • �.� ' .,...�.. , . FRAMINGNENTILIATION FINAL BOND BEAM ` �'- ' � �• '' ROOF COVER � ••, � . 'PRE-GRADING� -- - --- -. _ ---- - ' '. , ROUGH HEATING---: - - - -- --. . . --....-- ---.._. .. - BENCHING.. � �. •.T., ; ; ROtJGH ELECTRIC - . - '` - - �' ��` '-- ;- �- ` ROUGHGRADING � ROUGH PLUMBING- �-�- - - _ . --- -- -� . - . " FINISH GRADING - •,.. . . ; ; `. SHOWER/TUB TEST : - za--�� � - � - POOL ELECTRIC � � . EXT.LATH/SIDING� ' � , POOL FENCING • . ' ' WALL INSULATION ; POOL FINAL " �. • � , • . CEILING INSULATION � , OFF SITE IMPS. • � � _ .� � ' - DRYWALL NAILING i DEDICATIONS ' . .. -- -. . . . . FINAL ENG. . ' � : SEWER-------. . . ° . . .. .. _. _. . - - --._..__ . SEFTIC.TANK. ....--.- . - ---. . _ . ... - -.-- - LANDSCAPE/IRRIG. ; -� ' ` . . � SEEP.PITlL.L: -.,.:..- = = _ , - - . ON SITE IMPS. " ' ' _ . . . __ . • •, . GAS AIR TEST-'----- ---- - -•- - - FINAL ZONING �• ; : FINAL-CONST.-.---- ---- - - ------ .. _ - .. FIRE DEPT. FINAL �.� j , FINAL HEATtNG - - '��- - ` -- -�; HEALTH DEPT,;FINAL ::_ : ' : �'- �•�- � • � F1NAL ELECTRIC -- - .: _ � - DEV. FEES PAID . � ' - - - - -- -- _ _ ` �, FINAL PLUMBING ' z ENERGY � � .. _ .. . . .. . iu ' �L 6 � . � _ . � . . .. . . ._.. . ._.. . .. . . • ' _ i .. --..._..--- ----; ---- - --- . . . ..-- - . . _. . ._ � . � : :.. . . , ._ . � , COMMENTS -- -- . __. . . --- __ .. . --.- :-. ; : ; , . . ----�----- • --._......------ --.. .. _ -- ---. ... � ;. _ . � , � , . , . - - - �- - .. .- ---- -- -- - -- ..._ _.. � I . _ ; ; ; �- ---. . .- -- -._ .._. .. -- ------ - --- .._ . � . . .. . . . . . � � , .. . . . ;. - - .,. , . .. . , : . . � - - - .. � _ _ ...... .. . _ _. __ ..___ , , i . _. . , . �� ; � � •� ; � , , . _. __ .. .. ---- _ , . _.. � -- - - - ��� . � . - . - . .. . _. .. ; , . . . �,. ,.. , . . � ; - ----- .. ; . .. � SEPTIC TANK SIZE - - - � �' .. . . , � ; . . �` i , SEEP PIT/U SIZE -- - , � . . . . . . r (T --l.� ,�;,,,,, , ; .. ... . , � . ' �: -� .. i � I - r - i .. � . .. � ... .. . , . I - ,, . � _,. , , , : . , . ' , . . ,_ . . . � ; .. .. _ _.. . _ � i _ . . . (. , . . , _ i , , . . . , . , .. _.. _ . . , ' � � - � -- - ----.. _ . _ .. . . _ � ' .. . . .. _ .. _ � i.� � . , , � • ' ""__ . _ .. . _ , , �. ..._ � '. - ,.�: :. i .`�.(. ' __ . .,•. . _.;_... ' ... ._ ! � .1 . . . . . .. �. . . , ` �,1 , \• f �II . ' . . ... _ . I f