HomeMy WebLinkAbout14850 (20)L
CITY OF DIAMOND BAR '' ' '" '' ` '• ' '
DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
2166U E.Copley Drive Suiu 190
909)860-3195 Fax(909)861-3117 PRESS
SUQ.DING PERMIT APPLICATION FIRMLY
f
J085fiE APPLICATION~ /'/' PERMIT [('iCj P!CoADDRES53730,4'L qN/6'U P Qr DATE u NUMBER o-
APN LOT S TRACT 3 0 S7 7
SSUE TYPE OCC..
OwNE/a G I{!E ff 4 (-t
DATE " CONST.GROUP
ADDRESS 3 n "v E'—w 1 •• ' ; '; 'ZONING SEfBACKS
w FRONT _ _RWC(TY 1.7 ri-z oN (3ni?ZIP .. TEL le4- f 7dr3
APPUCAM ''«o /7't"'e4TEL P `"''/3"&/2g REAR O
SIDFJSIDESTREEf RW O
CONTRACTOR /v p '- nf v SIDE
ADDRESS/ . ocl0 ffk°tl>6 2 E L7
O PROPOSED USECfTY.Cf c—R C/G-- ZIP'i75aTELCto9".5 s/''
1 :•_ .._ _. _. . .
r S-
8 ARCWENG/ , •
d lhr.TL TJVG
t ''
DESIGNER-Si9- YI-
ADDRESS `t`+2T
NO.OWEL. NO. .
y CITY'L+f-u t i ZIP/ts?4 TEL
UNITS STORIES BEDROOMS
DESCRIPTION SQ.FT. ' ' FACTOR PSF ADJ.AREANALUATION
O ..OWNER-BUILDERDECIARATION - - -SFRUDWAEM
I MEREBY AfFIRM MDER VENALTY OF FERRlHY T1AT 1 AM E%EM7T iROIA TNE CONTMCiORS L4 G8t899/CetpOA . .
CENSE UW iORTNE FOLLOWNO REASON(SEG 7m7.6 Bt15NESSAND VNOfE5510N5 CODE ANY CRY OR
ODIMTYYAIICMRE0UWE9A7ERAIRTOCONSiTiVCi.ALTER.15H.ORREPAtRANYSTAUO W P8If0/DBGk.._. . i11RE.PWOf170 RS IS9UNICE AL.A REOUIIIES THE AVPL lT FOfi SUCM PERMiT TO F0.E A SIONED
STA7EMEHT 1HAT HE OH SME 5 LICENSEO OV0.SUANT T0 7HE PROVISIONS OF 1NE CONTRACTORB LL
CEHSE UW(GNAVTER Y(COMMEI C NO WI7H SECTION 7000)Of DMSiON OF iHE BUSiNESS AND VRO PooVSpa
FE5910NS COOE)OIIIHATHE OR SNE IS El(EAIPTTMEREFROMAND 7HE&1513 FOH iMEALLEOE E%EMV•
TION.ANYVIOLAT70NOFSECTION7IX71.6BYANYMPLIGWTFORAPERMITSU&JECTSTHEIIPPL CAAfTTO Z Re-Roof
11CfVll iEW1lTt OF NOT MOHE THAN FIYE MUNDRED DOIURS fi5ool.): - -
Ol 4UN1EROF7HEPROPERTY.ORYVEYPIOYEESYA7HWA(lESASiHE1R50LECOMPEN5AT10N. mmerolal
ylll DO 1HE 1MOf11(,MO 7HE 6TRUCiURE IS pOT IMENOEC OR OFFEAED FOR SALE(SEG 70N,BU51-_ !
NESS A1 PNOFESSIONS COOE:iME CONTRACTORS LICENSE UW DOES NOTAVPLY TO/iN OMNEH OF
Mi0PER7YYN10BUILDSORMVROVEBTNEREON,ANOW11000E55UCHWORKHIMSELFORNERSELFOR =
Z ilfidlOMNSORIIEROMNF.MPLOYEE9,PRDYIDEDTHAT9UCHWPROVE4EMSMENOTMENDEDOR - m
L l pFTEAEpiOqSALEtF,IqriEYERiHEBIMD N00RMPROVEMENTIS50lDWITHINONEYEAROFCOMPLE•
Z 'TpH,TNE OVMEfI-BULDER WILL NAVE iHE BURD@!OF PROVPIO iHAT NE OR SNE DID NOT BU LD ORrAPIqVEFOfliHEPVRPOeEOFSALE}
OI MEROFTHEVNOPERR:AMIXCU15NElYCONTMCTNOWfi11LICEN5E0LONTRACTORS
i . ..'.,
TO COHBTRUCTTHE PiWJECT(9E0.7oN.BUSINESS AND PROFESSIONS CO E:THE CONTMCiOFS U-VeIUlUOf1 1, 1 . '-ADJ.AREA.. _ . ....
CETlSE UW DOES NOTMPLT TO AN OWNER OF A PROPEHTY WHO BUSD9 OR W PROVES iHEREON.AND
WIIOCqlTMCT9FOR$Ud1VR0UECf3WT1ACONfMCfOR 31 N5E0PUR5l1ANTTOTXECdRMG pUANTIN DESCRIPTION FEE
TONS LIGEHSE UW.
O I M1 EXE1/PTUNDER SEC. B.l i.G FOR THIS REASON -,
U
2 ' -
u" MTE OWNER U .
LICENSEDCONTRACTORSDECLARA710N : ' ` w
INEREBYAFGWAUNDERVEW LTYOFPE0.RlR'/THATIWLICENSEOUNOERGAOVISIONSOFCFUPTER
Z 'COMMENCNO WfTH SECTiON i0oo1 OF DMSION]OF TIE BUSINE55 AND PROFESSWNS COOE.AN
YY UCENSE R N FlAL FOFCEIVAEFFEGT.
7 m
0 UCENSE IASS ` . ..- LIC.N0. " (
J
j w —S p corrrAncroR N /Vlr-/L a
WORKERS'COMPENSATION ECLARATION
N
iHEREBYAFF IUNDEHPEWLLttOFiEM1RY0NEOFTHEFOl10`MNaDECLMAT10N5: U
N
IHAVEAN0IN LLWMTAtt1ACERTIFlGtEOFCONSEMMSELFJNSUREFORN9RKER5
COYPENSATION,A4Gi10VIDmBYSECTION77000F7HEUBOFlC OEFOfITNEPERfORMINCE WOFTNEWORKiORYMICH7NI5GERAIRISISSUED.
IFUVEANOWILLIAA:HTAINWOi1KER500MPEN5 T10NpJ5UMNCE.ASREQVIRE08VSECTqN
700 0F THE LABOR LOOE FOF1 TME PERFORMANCE Of THE WW K WR YMiCM THIS VE iT 13
UW.W'fWORKEFiS'COMPFNSATpNWSURANCECARRIERANDPOLICYM1 AB5RAAE CONSTRUCTION . _ .. .. .
CARRIER STI'`r- I LCN.. ...._. . PLANREVIEW .
oaarriu.eEnZ 7 / ELECTRIC .. ._
M55fG f1l NDTgEppl.plFTEppfT4EpFSi,ffBiUqONEHu iiEnpplulSataqaatFss}PLUMBING
Z ICERtiFYTWRNTHEiERFORMANCEOF7MEV10RKFORVmN:HTHiSPEiWITISISSUED,1 MECHANICAL - - "
SHALLNOTEM%.DYIINYPERSONNIINVWwNER50A5708ECOMESUBJECfTOTME
WOIbfERS'COIAPENSATIONUWSOFCALIFORN /NDACREETMATIFISMOlIlI18ECOME INSPECTIONFEE
S
SUBJECiTOTHEW01MfER5'COYPENSA OVIStON50F5E ION OFTNEUBOR
ISSUANCEcoo.is uuFo r+
Sr
rvnn+tour rwrn vaows
r
7 c
7
p pp7E 'lS`vd
APPL cnM:.Y ' SMIP . ._... .. v71/
ENERGY P/C
WARNINa:FALURE TO SE WRE Y/Oi1KERS'COMPENSA7qN COYEMGE IS UNUWFU4IND SM/LL BE
y SU&IECTANEMPLOYERTOCRMNALPENALTIESANDCMLflNESUPTOONEHUNDRE0TN0USAN0 ENERGYPERMIT - 7 nnn
ilaD.aOo).W 11DDiTION TO TME GOST OF COMPENSATqN,DAMAOES A9 PROVIOED FOH N
J SECTaNf7oeOFTIEIAeORCO0E.M7TERESLANDATTORNEYSFEES A 7 ONFEE:
CONSTRUCTION LENDING AGENCY PRE•ALT FEE:MOND IIAR
DING ND S FR'ryINENEBYAifWYIINDEHOENALTYOFiER1URVTHATTHERE1511CON57RUCf10NlFNOIN6AOENCY
Z FOR THE iERPoR1A.WCE OF THE WOPx fOF WM CN TM S CENu 715155UED(SEC.9ao7.dY.GF
W LEN EH'SNAAIE
LENDERSAODRESS
ICERTIF7TUTIHAVEREAD7HI5AFPUGTIONANOSTATEi1NTT1EABOVEWFOiWAT10NISWNFIECT. TOTAL FEES
IMiYEETOCOMPLYWRHALLCRYANDCOUNTVORDIWWCES/NDSTATEUWSAEUTNf]TOBUILDIN
CONSTRUCfION,ANDHEREUYMlT/IOHREREPRESENTA7IYESOFTwSLOUNTYTOENTERUPONiNE _ . .. ... . . . ._ . .
IBOVE-MENTIONEDOROPE0.TYFOqtllSPECfIONPU^POSES.
COMMENTS
nN•a.tip I 1 f N'2
s
1 .a
VEWA WWEW t/ .
UJ W _.-
N 7UREOFYEfMNTTEE OA7E
RECPT.NO.PAID BY VALIDATION
NMITE—aepartmant Copy.YELLOW—Finanee Copy,PINK—Aemsor Copy.GOLDENROD—Fib Copy,GREEN--Appli anYa Copy
i
ti. .. ... ......
CITY OF DIAMOND,BAR,,...tr;:;`;_ }
r '`INSPECTION RECORD . , ,`'.:
e._.,_... , S'f .1 - .. . ;^ ,F.
r!i. .-a . . .
SET BACK ' l',,, ,._ ,.. _ ,1 I ` . ;• ,LOOR JOIST ` . ' _`_' _.,.: - 1, -I -
FTGS/FORMS/STEEL r i-•,, , _,. 1 1 = 'FHA REQMTS:-:--_-.----- -------..::_.: ---------- ----I ;
ELECTRIC GROUND-- --- .._' .,., -::----'. _: :_=-,_--- UNOER FL OR DUCT -` :. .. -- --.. . _ .. . .-- --_ •._. I :;,
GROUND PLUMBING UNDER FLOOR CO IDUIT' °- ' =•' _`t`: f ;.'
SLAB GRADE - -- ,., _------ ._---- 'r':-;, I FIREPLACE OU DATION
TEMP POWER --- '.':r -------- -- r;-, u:- --c; i FIREPLACE BOND BEAM-.--_ ------- - : ----.-----.----1 `_''
WATER SERVIGE-'__-- --=:--- _- -- -------- - ----__._ : -MID HT.BOND BEAM -_- - - .__ .__._._ • .::; ., .
ROOF SHEATHING,..- - - i ;8 FT,BdNd BEAM. \,_..;:;, c:
FRAMINGNENTILIATION __ . _ -- FINAL BOND BEAM . ;--_ - . ' . I ,'!
ROOFCOVER:':.: PRE-GRADfNG _ r. t :
I': __ : ,. .. _ , '..,,c:, ;_-ROUGH HEATWG----; -. _ -- -- --- ----;._---.,--- - -BENCHING-----_ ... , , _
ROUGH ELECTAIC---i -' --- -_ __. =---';__- __ : • ROUGH GRADING . . :, ,
ROUGH PLUMBING-;-- — ---- ; --,-- ---.- FINISH GRADING - , . ,. . . .. . i : -
I SHOWERTTUBTEST--- --- - ------ _ -_- ,---. POOI:ELECTRIC •._ "
EXT.LATH/SIDING-- ----- - ------ ,-- _ -- - - ---- -POOL' FENCING . ,..: ` E `:
WALL INSULATION i POOL FINAL .
CEIUNG INSULATION OFF SITE IMPS.•'
DRYI!'JALL NAILING i DEDICATIONS . -
SEWER-- ------..-- - ----_- '--- ------ - FINAL ENG._ , .,,
SEP.TIC TANK____.1_._ _ -a LANDSCAPE/IRRIG. ,
SEEP PIT/LL.._- __ --_J-Z = .ON SITE IMPS. , C ;.
GAS AIR TEST-'--------- ---- - -- - - - ._.FINAL ZONING 9 .'.
FINAL-CONST.-; FIREDEPT.FINAL ''
FINAL HEATING - ----- ---------- - --- ---- -------' . HEALTH DEP_T. FINAL.
jFtNAL"ELECTRIC------ --- - - -- ----- .- -_ _ DEV.FEES PAID_ _.: _- _ . --.:. : :_,__"- - - ---- , ,
FINALP,LUM8ING•- i r % t ENERGY
t i
i _
COMMENTS-- --- - --- - ---- - - -- - - -
i
l r,' ,i -."., i1
v t, •.. 1, ' . _— "__.... _.... .. .' ' s'1
i.,,., . ,
i 1 '.( I c'
i
i SL' ..1'. • ,:" -r .. ._ _ - .. . . . ._ . _ . ,. j-
i .
1 r
i, . . . . _ . 1'
a 'L' !.._' _"" _p , 4 ,
5. '- 'i:i
1. _ . ,
r
n;y L d . '
SEPTIC TANK SIZE -_u .,, , . ,> ,-, -
SEEP PITIIJ SiZE t.r f t,. .. . i I
rrr`r ;" rE(`!t1i. J i (
i
1. .. . , . ., . . , - . ., . ,
i
i r
i--'- ---...._. . . _.9.
i I "_ ., , _ 1- ., . i ? \ i .
r-i t