Loading...
HomeMy WebLinkAbout16573 (23) ._._._ . ,._ . • " - "_- _ ( - - - ' " --- = . �- r�+... � . -- ---' � �. .. •-- , � , �� CITY OF DIAMOND BAR ` --� DEPARTMENT OF COMMUrTITY&DEVELOPMENT SERVICES � ��; 21660 E.Copley Drive Suite 190 , (909)860-3195 Fax(909)861-3117 . . � PRESS '���� � BUILDING PERMIT APPLICATION FIRMLY 4 DD ESS/DU� ����/ ��`�� DATE CATION�r,� �l�U� NUMB R I��� 71,C $ ISSUE TYPE OCC � APN LOT TRACT DATE CONST. GROUP p OWNER '�O�( ' �N�C� ADDRESS ZONING SEfBACKS �W CITY ZIP TEL � REART RW ❑ APPLICANT (`�-"✓ TEL SIDE/SIDESTREET RW O � CONTRACTOR_(�jZNO lZ1s'fl=�/��7 SIDE ❑ � ADDRESS '� � � . ;��v � ,7���y Y CITY ZIP TEL PROPOSED USE +^ •�NlT. � ! � ARCH/ENG/ � DESIGNER NO.DWEL. ,�.�__.- „NO. !`:.� . ...• NO. ADDRESS UNITS " �J� STORIES � BEDROOMS � CITY ZIP TEL N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � O OV'MER-BVILDER DECLARATION SFFUADDlREM p 1 MEREBY AFFW1/IINDEH iEN�LLT'/OF iERA1RY THAT 1�EXE4PT iPOM iHE CONTMCTOfiS U• ,Gaf8g6/C81pOR Ill CEHSEUWFCAiMEFOl1OWwOREASON�5EG7071.6BU5WE55INDPROFE5510N5000E:1WYCITYOR (� �� CaIAlfYNk11C1/RE0U1RE8APERMITTOCONS7RUCf,ALTE0.MVROVE,pEMOlJSH,ORREWVRANYSTAUG �jJ pat10/DBCk ' Z IURE,VIiiOR TO ITS 6SUANCE.AL50 REOUIR[5 THE MPLILANT FOiI SUCM PERMiT TO i0.E A SiGNEO �L QTATEVEM iHAT HE OR SNE IS LICEHSED Pu0.5l1ANT TO THE Vf10VI510N5 OF 7HE CONiMCfORS U� W � CENSE LAW�CHAPiER 0(COMMENCCJO WITH SECTqN TODO)OF DIVISqN]OF 1HE BUSINESS AND PRO� � PooVSpa � fE55qN5 COOE7 OR THA7ME OR Sr7E IS EXEMPT 7NEREFROM AND ME BASiS FOR 7MEALLEGED EXEMP• 7pN.,1NYVqU7qNOFSECTqN70.]t.68YANVAP�LICANTfO(i�VEiU11TSU8JECT5THEAF7LICANTTO Z q�p�t 2 � ApNLPENALTYOFNOTAqAEhWIFNEMUNOREDDOLlAR5175o0).): � ❑L�O�MIEROFTHEGROPERiY.ORYYEMPLOVEE51NiHWAGESA57HEiN50lEC01IPENSA710N. 0 COmmBfCl01 ' YALL 00 TNE WOAK AND iHE STRUCTURE IS NOT MRENDED OR OFFERED FOR SI�LE(SEC 7oN,BU54 J � NESS AND YfqiE55�ONS CODE:T11E COHiMGTG15 I�CENSE UW DOES NOT AGPLY TO�H OWNER OF ? iR07E�'/1M10 BUlDBOR W DROVES TNEREON.AND WHOOOES SUCH WORK HIMSEIF OH MERSEIF OR (� 7N110UONHISORHERONMEMPLAYEES,Di1WCEDT11AT51lGIMPROVEMENTSAflENOTIIRENOEDWI m «� OFFEi1E0Wfi5ALE1F,FIOMEVER7HEBUlDVXiORIMPROVEMOff1550LDWITMNONEYFIAOFCOMPLE Z 710N,TME OWNER-BUttDER NnLL HAVE THE BURDEN OF PqOVW�THAi HE OR SME OU NDi BUIID OR � MifqVEFORTHEVUHPO5EOF5�LE� w OL1lSOWNENOFiMEPROPERfY./WE%0.US�VEL1CDNiMCTNOMrtTMUCENSFACONTMCTORS � TO CONSTIri1CT 7HE PRD.IER(SEC 7ou,BUSMESS/�NO VROFESSIONS OODE:TME CON7AAC70R5 LI• V01U8ti0n ADJ.AREA � GENSEUWDOE9NOTMPLYTOANCMMEROFAPPOPERTYIMHO&1IlDSORw1PROYESINEAEON,M7D • 1MqCONTRAGT4FOR5UCHiN61ECfSVAiHACONTfUCTOR(5)LICENSEDPURSWNiTOTF1ECON7MG pUANTITY DESCRIPTION FEE � TORS LICENSE UW.} ' _ ... - __. - _ OINAIXEMPTUNDERSEG B.IP.GFONTMSRU50N 4 � U � H DA7E OWNER U . � LICENSED CONTRACTORS DECLAHATION w J � W IHEREBVAFFUiYINDERPENAL7YOFCE0.NRVT1ATIlU1LICENSEDUN�ERVROVI510N50FCHAPTER Vr S 0(COM/ENCuqW17HSECTqN7oao)OFONISWN70F7HEBUSINESSANDPROFESSqN5000E,M1� Z X MY L)f,ENSE IS N FU.I FORCEAND EfFEC7. m LLJ /' 4 9 ry � � UCENSE CLASS C UC.NO. �Q �/ �n�. _/ v J ��uj OATE CONTRACTOR�� a = WORKERS'COMPENSATION DECLAAATION Q N IHER[BYAFFWAIVNDERPENA�TYOFPERIUMONEOF7HEFOUOWWGDECUMTpNS: U `—" a � ��I HAVE AND WiLL IMMTAM A CENTIFIGTE OF CONSENi TO SELFJNSURE FOR M/O�NERS' _ � COM7ENSATqN.ASPFqViDED8Y5ECilON77ooOFTNELAB01iCODEFORTNEiERFOi1MANCE W OF TiE WORK FOR V'IHIp�TMIS PEPMIT IS ISSUED. � 0 ��I HAYE AND N'iLL AUMTIIN WORKERS'fAIAPEN5AT10N WSURANCE,AS REWIREU BV SECTqN /���,�� O 97000FT1EUIHOAOOOE.FORiNEPERFON/.UNCEOFTHEWORI(FORVMid/TNi3PEfVAtT15 �� ISSUEO.MYMC7WCERS'Od.�PENSAT10Nw5UfLWCEC�AAiEFIwDiOIICYM/uDEAARE: CONSTRUCTION f � �Eq ti PLAN REVIEW - O PpUCyµMBER �� ELECTRIC Q � (IV�SEGTp11EmNDTBEGd.itETmOFhEGETiMT6iOFip.EVIH%�EDDttUi5R��1�LES5F PLUMBING ' Z 1 CERTIFY iTNT W THE PENFORMANCE OF THE WORK FOR wHiq1 THiS PEFlUR IS ISSUED,1 MECHANICAL U' S1WINOTEMi'LOYMlYPERSONNANYMNINEHSOASTOBECOMESU&IECTTOTHE � WORKERS'COAIPENSATIONUWSOCGL�FORM�ANDAGREETMATIFISMOULDBECOIIE INSPECTIONFEE S BU&lECTTOTHEWORKEi15'COMVENSATqNPA0V�5iON50F5ECT1DN770oOF7NEU80R �SSUANCE COD I SHAIL RTMNA771COMPLY W1TH THOSE VROVISIONS. � �t SMIP p DATF: APPLICANT: W ENERGY P/C n- � WARNINO: AILURETOSECUREWORKEflS'COM7ENSA710N fUGESUNUNIFUI.ANDSHALLBE � SUBJEL'��NEMPLOVERTOCR:uIN�1VENALTIESANDCMLfMESUPTOONEF4JNDRE�THOl15AN0 ENERGYPERMIT DOliMS(tl W.000).W/�DDITION i0 THE CASTOFCqAPEN3ATqN,DAAIAGES AS GROVIDED FOR IN ¢ SECTION f7oe OF TNE UBOR COOE,NITEREST,MNATfOHNEV'S FEES. RETENTION FEE: a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � � IHEREBVAFFlRIAUNDERGENALTYOFpE0.JURYTXATiHERE1511CONSTRUCT�ONIFN�WOAOENCY - ' FOR TMF PEFFORMANCE OF iME WORK FOR NNICH iM15 DEiWR�5 ISSUED�SEG]OY7,CIV.C.). � �C:�~- . � LENDERSNMIE C LFNOERSAODRESS � ICERT�FYT/UTIHAVEREADTHISAPPL1GTiONANDSTAiETUTTHEABOVEINFORMATqNISWfiHECL TOTAL FEES � . � W I�OREETOCOAIRYWRFI/iLLCT'ANDCOIRlTYOR0IN.WCESANOSTATElA�NSFELATHOTO8U0.DIN6 ' � ' � CONSTRUCfION,ANDMEREBYAlJf110HREHEPPESENT�T1VE50F1)45COVNfYTOEMEflUPON7ME � � S� ABpVE.uEM�ONE07ROCERTYFORwSPECT1oNPURPOSES. COMMENTS � 1/ C� � � m PERM�7TEEWWE(PRI a 3 a � - � SIGNANREOFPE �n E DATE � RECPT.NO. PAID BY VALIDATION WHITE-0epertment Copy.YELLOW—Finence Coq�,PINK�14swssor COpy.GOLDENROD—File Copy.GREEN—Applicant's Copy .... �-4._...-w:�.. .,, ,�r� . .._..., rv,e..�-��, . . ��1:..e•w•; � . . ':,='1-f,.y'r1uK i 1 /f.� ,5..., ... r.r�,rr•r „ :,h�:',1............ _..�__,,.,_.,................... .. •.. , . . � , CITY„OF DIAMOND._BAR , � . _ _..i � , . . . . R�ESPECTlON�REC�RQ _ -- . . . ' �-; , - : . . �������`►' ��� �.:s 1� � � ��►4=�1' . �;`'...�..., � ' _ . �i.�`��:���._. �' , � ,SET BACK :. . '�, . j :: - ,; I '= , ,S FLOOR JOIST : _ : FTGS/FORMSISTEEL ` � -' � �" FH�REQMTS :'� .. ' - � ' ELECTRIC GROUND._ _ � -. UNDER FLOOR DUCT -- 'GROUND PLUMBING • UNDER�LOOR CO�IDUIT � ' � SLAB GRADE � -- � ` � FIREPLACE FOUNDATION 1 � � TEMP POWER - . : . - , - � FIREPLACE BOND BEAM . . , i , , 'WATER SERVICE - -- MID HT.BOND BEAP�t� `� ' � i \ �ROOF SHEATHING • '',� '� � - 'U ,. '- ''' 8 FT.BOND BEAM' ' � • - • ' 'FRAMINGNENTILIATION - FINAL�BbND�B�AM � ROOF COVER �: . �'-OL PRE-GRADING - ROUGH HEATING - - BENCHING � ROUGH ELECTRiC ..� - ' • ROUGH GRADING -- - - 'ROUGH PLUMBING - - - - FINISH GRADING �SHOWERFTUBTEST ' - - - � - • • POOL�ELECTRIC I EXT:UITH/SIDING - • - - • POOL FENCING ' ;VVALLINSULATION - - - - - � POOL�FINAL �CEILING INSUtl�TiON - � - � OFF SITE IMPS. ' ;DRYVVALL1v'AIUNG DEDICATIONS : ' ' SEWER � FINAL�ENG. � - ISEPTIC TANK LANDSCAPE/IRRIG. ;SEE?PI7/l..L. ;��\'� . ON SITE IMPS. " -• ' ` i GAS AIR TEST � FINAL ZONING � '.FItJAL CON�T. . _ -�c�t FIRE DEPT.FiNAL • 'F1NAL HEATING _ . . HEALTH DEPT. FINAL � - � FiN�L ELECTRIC - -- DEV. FEES PAID � - i=11dA�PLUMBING - ENERGY _ . _ F �F � ��•,,'�""."' _:��:--�.��';'_'�,1� �._..__.__ - - �•-� �.�� . �_�_ . . � , . � _.... � � , . �cor�nr�ENrs - � 1, , -- . . - — _. :��— . . . . SEPTIC TANK SIZE - � . . �SEEP PIT/U SIZE �,, - ..t: . ,_��� � '�� - � . .:y. -- . . ' _ ' . . .F.'� � _ � . "_ . . .. . . . ' � . . . � . � •:,r1.� , r��" • , iy;' ' .. ' � . . . . . . _;. _ ... . '.T�' . '. . �� . . '� ' � . .�� . � . ... . . � ..r.q' ' " _ ' _J . .. . , , ��� � - � . .. �.� . _ . _ . - • � ' . .. \ . . " � . ' �, ' � . . ,. .. ... .: . . . .._.,. . .. �•f ' . . . ,..... . . .. . .. . ... _ � ... ...,_...�.�.�.���..,�...,......_...._._J . �. . .��_ . . . . .1'� . --_ . , ' _.. . -