Loading...
HomeMy WebLinkAbout11049 (5) --��--, CITY OF DIAMOND BAR - • � � / � COMMUNITY DEVELOPMENT DEPARTMENT �/ ,'�.,,,� 2I660 E.Copley Drive Suite 190 . I PRESS (909)86a3195 F�x(909)861-3117 BUILDINGPERh1l APPLICATION FIRMLY � JOBSITE , ` APPLICATION ' PERMIT P/C o ADDRESS" DATE NUMBER ll q� ISSUE �� TYPE OCC APN T TRACT DATE CONST. GROUP � OWNER O o ADD SS ZONING SETBACKS � � CITY ZIP /� TEL. - FRONT RW ❑ APPLICANT TEL. REAR ❑ o SIDElSIDE STREEf RW ❑ ¢ CONTRACTOR SIDE �— � � ADDRESS ' - PROPOSED USE� � CITY ZIP TEL �w ARCH/ENG/ • w DESIGNER NO.DWEL. ��0. NO. a ADDRESS UNITS >TORIES E3EDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BI:IIDER DECLARATION SFR/ADD�REM � O ' p I HEREBY AFFIfUA UNDER PENALTV OF PEfWRY THAT I AM EXEMPT FROM iHE CONTNACiORS LI� � Garage/Carport �� � W CENSEUwFORTHEFOLLOwiNCREASON(SEG7o7t.68U51NE55ANDPROFE5510N5LODE:IWYdTYOR � COUNTYWHIpiREWIRES�PERMITTOCONSTRUCT,ALTER,MPROVE.DEIAOLJSH,ORREPAIRANYSTRUC•� W PatlolDeck � LL� NRE.PRIOR TO RS ISSUANCE,AL50 REW�RES THE APPL�CANT FOR SUp1 PERMIT TO FlLE A SiGNED w � � STATEMCMT 7HNT ME OR SHE IS UCEHSED FUFSUANT TO iHC PROVISiONS OF 7HE CONTRACTORS LI• � CENSE UW(CMAPTER Y�COMMENCING WITH SECTqN 7000)OF DINSqN]OF THE BUSINE55 ANO PRO•� � LL P�US�3 Q FESSIONSCODE)ORTHATHEOflSHE1SEXEMPT7HEFEFROMANDTHEBA5i5FORTFIEALLEGEDE%EMP• V TION.ANVVIOUI7IONOFSECTION7071.SBYANYAPPLICAMFORAGEN.��TSU0.IECTSTHEAPPL�CANTTO Z Re-Roof r A CNILDENALTV OF NOT MORE iHAN FIYE HUNDRED DOLLARS(f500)): - , Q O�ASOWNEHOFTHEDROPERTV.OR4VEM�LOYEESWITHWACESASTHEIRSOLECOMPENS�TION, O COII1RIBfCI�I � Z WILL DO THE WORK ANO THE STRUCTURE S NOT IN7ENDED OR OfFERED fOR S/LE(SEC.7ot�,BUSI� J NESS IWD PROFESSIONS CADE:TF1E CON7MCTOfiS LICENSE UW DOES NOT AVPLY TO AN OwN[R OF � � PFOPERTYMTIOBUI�DSORIMPROVESTHEREON,ANDNMODOESSUCHWORKHIMSElFOR11ERSELFOq � (L THf10UGHHISOHHEROMMEMPLOYEES,PROYIDE0THA75UCMIMVROVEMEN75AR[NOTPITENOEDOR � m W OiFEREOFORSALE.IF.HOWEVERTHEBNIDINGOR�MDROVEME?lTISSOIDWITHINDNEYFAROFCO/APLE• ' � TION.T11E OWNER�BUILDER NALL HAVE THE BUROEN OF VROVING TMAT XE OR SHE D�D NOT BUILp OR Z 11APROVEFOR7MEPURPOSEOFSALE7. = 04�SOYMEflOFiHEPROPERTY,M7E%CLUSIVCLYCONTMCTWGYATHLICENSfDCONTFACTORS W - � TO CONSTRUCT THE PROJECT(SEC.Ta�.BUSiNESS/J�D PROFESSIONS CODE THE CONTMCTORS LI� VelUBti0f1 ADJ.AREA W CENSElAW00E5NOTAPPLYTOANOMMEROFIIPROPERTVWMOBUILD50RIMPROVESTHEREON.AND � VAIOCONTRACTSfORSUCHPROJELTSWITHAGONTMCiOR(S)UCENSEDPURSUANTTO7HECONTMG ou�wnrr �o�scRiPriora FEE Y TORSLICENSEUW.), J � � �(DIAAIE%E�AP7UNDERSEC. B.iV.C.FORTHISREASON U � / � ` — fL , LL' OAtE � _O V . . , � Z • W � UCENSEDCONTRA ORSOECLAFiATION W • � IHEREBV4FFIRMUNDERPENALTYOFPERJURVTHATIAAILICENS[DUNOERPROVISqNSOFCFUPTER Vr � p_ !(COMMENCMG WRH SECTqN 7000)OF OMSION 70F THE BUSINE55�7JD PROFE5510N5 CODE.AYD Z � X uYIiCEN5EI5MFULLFONCEMl�EFFECT. • m Ltl � � LICENSECLASS LIC.NO. J � V DATE CONTFiACTOR � a W � ' WORKERS'COMPENSATION DECU+RATION Q � U N IHEREBYAFFIRUUNDERGENALTVOFPE0.IIIRYONEOFTHEFOLLOWINODECUMTqNS: - N Z Q � �INIIVEANOMALLMAMTAINACER7iFICATEOFCONSENTTOSELFaNSUREFORNpRKERS' _ � COMPENSATION,ASPROVIDEDBVSEC710N77000FTHEUBORCODE,FORTHEPERFOHMANCE W OF h1E WORK FOR NMICH THIS PERMIT IS ISSUEO. � � _ O w �IHAYEANDWILLMNNTAINWORKERS'COM7ENSATqNINSUiUNCE.ASREWIRE00YSECTION Q 77000FTHEUIBORCWE.FOR7HEPERFORMANCEOFTHEWORKFORWHIq17HI5PEHMlT15 lSSUED.MYWORKERS'COMPENSATIONINSURNICECARRIERAND70LICYNUM6ERARE CONSTRUCTION � CARRIER PLAN REVIEW � ��`a Z vacvuue,�Ea � ELECTRIC ¢ -- ( ' { R 0 - (f}CSSECTi7NNEmNOTBEODhPlE7EDOF1/EPERMT6faliWEHIIDDRm00lWlSR�W1��4 PLUM6ING. --�}{�'�r{��-}• L�, u Z ICER7IFVTHATNTHEPERFOR1AUJCfOFTNEWOw(FORWHiCHTHiSPERUITt5155UED,1 MECHANICAL V�'` „ t�� ' ('} SHALLNOTEMPLOYANYPERSONINANYMANNERSOASTOBECW.IESU0.;ECTT07NE _ . _ ,. . . ._. . , N YYORKERS'COMPENS�TIONUWSOFCALIFORMA,ANDAGREETINTIFISHOULDBECOME INSPECTIONFEE S SUBJECTiOTMEWOfiKERS'Cp.�PENSATIONPROVI510N50F5ECTpN37000FiH[UBOR �SSUANCE � CODE.1 SHALl FOflTHW17H COMPLY WI7H TlIOSE VROVISIONS. � SMIP p OATE: � APPLICANT: w ENERGY P/C J WARNINO:FARURETOSECUREWOAKERS'COIAPENSATIONCOVEFAGEISUNUwFUL.ANDSNALLBE �y SU8.IEGTANEMPLOVERTOCRIMINALPENALTCSIWDCINLFWESUPTOONEHUNDREDiHWSAND ENERGYPERM.IT pO1.LM5(t10o,o00),W AODITION TO TME COST OF COM�ENSATION.DAMAGES AS PflOVIDED FOR IN � SECTON�7080FTMELABOfiCOOE,WTEpEST,ANDATTORNEY5FEE5. �� ��ENTION FEE: � a CONSTRUCTION LENDING AGENCY pRE•ALT FEE: � O - � IHEREBYAFFIRMUNDERPENALTYOFPE0.IUNYTHATTNfREISACONSTPUCTIONLEN0INCAGCNCV ' n- FORTHEOERLORMANCEOFTHEWORKFOHWHiCHTMISPERMITI5i55VEO�SEC.�oY7,CIV.G�. , Z W � IENDERSNAME ' � � IENDEfYS�U0RE55 L ICEflTI%THATIMAVEREADTHISAVPLiLATqN/�NOSTATETFUTTHEABOVEIM1FORMATqN15CARRECL TOTAL FEES � IAGHEETOCOMPLYWITMAL�QTYANDCOVN7YOROINANCESN+DSTA7EUYYSREU7WG708UILDING �, CONSTHUCTION,ANDHEREBYAUTHORIZEREPqESENTATNE50FTH15CWNTYTDEHTEHUPONTNE , Z ABOVE�MEN7IDNE PROP�RIN ECTIONPURPOSES. _ . COMMENTS 0 J � � � ¢ PERMiTTEENAIA � . . . � N , � � Si TUREOFPERA11T7EE DATE � RECPT.N0. _ _PND BY VALIDATION WHITE—Departrnent Copy.YELLOW—Finance Capy.PINK—Assessor CopY.G l EN O ile Copy,GR — pDlicant's Copy J'� ' ��.' . _y, •.. . .�• .�.'.r. .. .1.... � a�t'su����..�,�' :♦ Ir ttY 'Knry'o�..W` �..� ' " � � A. � . . • .�.?:���. �:���.r��...w.iv"K'�: .y,�-w..P.J�ii'f..�,�r-:"v... .,...�. .. n�.w s� j . CITY.OF DIAMOND.BAR ' � . ' . .. . , . , �. � � � � INSPECTION RECORD .' , , . � � � . � . . � � , . � . SET BACK , � �� � • FLOOR JOIST ' - FTGS/FORMS/STEEL - FHA REQMTS - • ' . ' • , ELECTRIC GROUND UNDER FLOOR DUCT , - ' . - - - ' •• GROUND PLUMBING � UNDER,kLOOR;CO�IDUIT �' _ • �-' � ' SLAB GRADE � FIREPLACE FOUNDATION -'- ` ' ' " TEMP POWER � FIREPLACE BOND BEAM ' -� �--'•- - � � WATER SERVICE - - - •� - � MID HT. BOND BEAM ROOF SHEATHING � ' 8 Ff.BOND BEAM � FRAMINGNENTILIATION FINAL BOND BEAM • . ROOF COVER - - - PRE-GRADING • ROUGH HEATING � � BENCHING � � ROUGH ELECTRIC - � ROUGH GRADING ROUGH PLUMBING '� - FINISH GRADING . SHOWERlTUB TEST POOL ELECTRIC ' EXT.LATH/SIDING POOL FENCING � � WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK _ �. _ ' LANDSCAPE/IRRIG. , SEEP PIT/L.L. ON SITE IMPS. � FINAL:ZONING ' � ' ' GAS AIR TEST • � ; ti�,, . , • ,- •• � •• , F,INAL CONST.� ;- �-��- --• • �- =� ' -- FIRE DEPT.�FINAL, , � '. - � �'. j , , j � , FINAL HEATiNG " „ �- --- HEALTH DEPT.'FINAL' � ' .' ' . - � FINAL ELECTRIC ' . ' ° � 'ti DEV. FEES PAID ' FINAL PLUMBING � �' ,� • ' ENERGY • • -- - - - - --- - . .. ; . COMMENTS - ' � � � � �� . ._. _ : __ _ . _T� . . . .- 4:.r ..i� `--^ , _ . . � . I i ti'�� � • -. ._ �. .. ' "' ", ' , �'.' l. .. � • ' � _( ` _,.` . . . . . . 1 . . i . i SEPTIC TANK SIZE - ' . . � - - - - - -- -. , SEEP PIT/U SIZE - . i - ' . � ; . � . , - _ , ,i� . • i 1 � ' ' �. , . , - . � , � � . � . �� - -•- -- -- - . .. . .•; . . .. .. ... .. . . . . . . - ---- - - -