Loading...
HomeMy WebLinkAbout11487 � " '�'__'�._'"'"���""����"�__"��""��"_.������..__.�;"."�"_' "�' � '.�"" '_ "_" �._ j� � �'---�-•�"_�"�_ , . . � .�������� • ��__ . �.. ---��--- CITY OF DIAMOND BAR � � • � ' - • � • ^ � I I �� COA9MUNITY DEVELOPMENT DEPARTMENT ' " ' <' ,�,,,� 21660E.CopleyDriveSuite190 t • - •� ' � pRESS (909)8643195 Fax(909)861-3117"' , ' ' • � ' • • t '�^" BUILDING PERMITAPPLICATION � FIRMLY � '� JOBSffE ' / ' � 1 ,' � . APPLICATION • r i 9 PERMIT' � P/C ' o ADDRESS b -�C �/ ' DATE ' �r IJUMBER N ' � _ � ISSUE TYPE OCC' , , ' APN LOT TRACT DATE CONST. ' - GROUP,�' � p OWNER :��� / � . ADDR�SS ..ZONING SETBACKS � '� c�Tv�� ZIP TEL. FRONT � �RW ❑ o - -- - REAR ❑ ; o APPLICANT TEL: " . - . SIDE/SIDE STREET RW ❑ ..z — - - -SIDE - -- - G � - Q CONTRACTOR , - -o ADDRE,SSs ` � - - . . , . _ CITY`�j ! .ZIP T . - 'PROPOSED USE , . _. . . ---... _ . � w ARCH/ENG/ . ' ' - . � z DESIGNER,.�/�IG-fj�C�/�/�r-_' . ... _ _ NO.DWEL ,., NO. . � ��, NO. . ; a ADDRESS UNITS � � STORIES - ' " BEDROOMS ' ' ' � � CITY� ZIP T . ^ , ' u' � � � � � � - OESCRIPTION SO.'FT. � FACTOR PSF' ADJ.AREANALUATION � — OWNER�BCIL�ERDECLAFIATION. _.... ' ' ' • . --[t - -- -. .._ .SFFi/ADDlREM - -_ _. . , . , • • - . O p _1 HEFlEBY AFFIRM 11NDER PENALTY OF PERJURY THAT 1 AA1 EXEMPT FROM THE CON7RACTORS LI-' -Ga2gB/C0fp01t -� � � � ' " . W CENSEUWFORTHEFOILOWINGREA50NI5EG7o]t.SBU5INE55ANDPROFE5S10NSCO0E:ANYCITVOR . (n U COUNTYWHICHREWIRESAFERMITTOCONSTRUCT,ILTER.IIA7ROVE,OE,AOUSH,ORRE7AIR�NYS7RUC. W Pa:10/D6CK __ . � � 'w TURE.PRIOR TO R<ISSUANCE,1LL50 RCOUIRES THE APPLICAM FOR SUCH PENMIT TO Fl�E A SICNED w - - - - - - � � � . .. .... . ... . . . � � ST�TEMENT THAY ME OR SHE IS UCENSED PURSUANT TO THE PROVISIONS OF THE CDNTMCTORS LI� � � . - CENSEUW(CHAPTERY(COMM[NLWGWITHSECTION7000)OFDIVISION70FiMEBU51NE55ANDPXO• ,POOVSPB � . FESSIONS ODDE)OR iHA7 HE OH SME IS E%EMPT TMEREFROM AKD THE Bti5i5 FOR 7ME ALLEGED E%EA1P- . V TqN.ANYNOLATIONOFSECTION707t.5BVANVAPPUCANTFORAPERMITSUBJECT57HEAPPLICMfTTO ' Z Re-Roof ��'' � • -� �� • • - � � � ACN:L PENALTV OF NOT MORE THAN FIVE HU�DfiED DOlUR5135001.1: Q 0 04�OWNEROF7HEPilOVERtt.OR4VElA7LOVEESVATHWAGE5AS7HEIR5OLECOMPENSATION, 'COrtImBfCial � � � -Z WILL DO THE WORK AND TME STRUCTUiiE IS NOT INTENDE�Ofi OFFERED FOR SALE(SEC.7a�,BU51- J � NE55 AND PROFESSIONS COOE:THE CONTMCTORS LICENSE UW DOES NOT�PPLY TO AN O'NNiR OF ? � .PROPERTYMRiOBU.LD50RIMPROVESTHEREON,ANDWMODOESSVdiWORNNiMSELFORHERSELFOR ' , Q THFiOUGHHISORHCROWMEu7LOYECS,PROVIDED7TNT5UCHMPROVEMENTS�RENOTINTENOEDOR � QOFFEREDiORSALEIF,FIOWEVERIMEBUILDINGORIMPROVEMENTI550lDWITHINONEYEAROFCOMPLE• ' " ' Z TIDN.THE QNNEF�BtnLD[H WRL HAVE THE BURDEN OF PROYINO THAT HE OR SHE DiD NOT BUIID OR� . ' = W PROVE FOA TME PURVOSE OF SALE� ' �' ' �-- w ----OI.ASOWYEROFTHEPROPERTY.AME%CLUSNELYCOMMCTWCWITHLICENSEDCONTMCTORS. __ .. . . , _ . ._„ _ � W CEN ENUN�DOESWJTA�PJPLYTOANOWNEROFAPRO ERNYYliO UIID90DIM ROVE�STH REON.AND � Valuation ADJ.AREA� � � WIqCAN7RACT5FOR5UCHPRQIECf5W1TM�CONTfUCNR�S�LICENSEDPURSUANTTOTNECONiRRG - QUANTITY � DESCRIPTION ' ""� 'FEE " TORS LICENSE UW). i . ' �� ' I .� .." ' "_... . ._ . . . ..__ '_. . .. . _.. ._. . . J .. . . .. _ . _ _ , � O UM EXEMPT UNDEF SEC. B.d P.Q FOR THIS REASON U ' ! ' .� ' _' '..._._.._ . '.. .... . . . . . .. ._ ._. . . . . . _. . ' I LL � � DATE ON?!ER V - - • Z .� . _ O W � ___. . _ .LICENSED CONTRACTORS DECLARATION ":;.' .' . .' w / � ' " ' � ' ' ' , Q CL I HEREOY AFFIRAI UNDER PENALTY OF PE0.IURY THAi IAM LICENSE�Uu�Eq PROVISIONSOF CXAPTER � V. • � � , . • � � 9I�'AMENCINCYlfTF15ECT10N7000)OFDINSIpJ70FTHE8U51NES5ANDVROFE5S10NSCODE,MlD Z - - 1� `X MY UCENSE IS W NL4FOFiCE�D EFFECT. ' . � � � _ ` � LICENS�E C 55/��`• LIC.NO.� � . -' . � . i � V DATE�y��O .... "CONTRACTOR •�. d lL • � � WORKERS'COMPENSATION D[CLARATION` �O'q U � � ' � � I HEREBYAFFIRM UNDER PENALTY OF VE0.NRY ONE OF iHE FOLLAW:NG DELlAMT10N5� � z , � �IHAVEANDWILIMAINTAiNACER7IFlCATEOFCANSEMTOSELF-INSUREFOi1WORNERS' $ � ' -'� ' '�d- COMPENSATqN,ASPROYlOE�BYSECTION37000FiMEUBORCOOE,FON7MEPERFORMMICE 1U ' OF THE WORK FOR WHICH THIS 7ERMI(IS ISSUED. � . _p' _ _ . __ .._" ." ' ' _ � . - '.' - -" -.. . _ ... • w _IHAVEAYOWILLMIUNTAINWOFIKERS'CAMVENSATIDNINSURANCE,ASREOVIREDBVSECTION � 31000FTHElAt30RCODE,FORiNEPERFORMANCEOFTHEWORKFORWHIp1TN15PERM1T15 � ISSUED.MYMAOfU(ERS'COAIPENSA7qNINSURANCECARRIERM10POlICYNUMBERME: - - CONSTRUCTION-�-'-� -��'� '- -� ' � � J ' _'_ � CARRIER ' __ " " ' - _- . PLA�EW Zna�crNuneoEa ELECTRI � ; Q o. .�rwssEcrnr+NEmnoTeeo��ooFnevewwrsroaonE�unoaiu�sR+oma+�ss1 _ _PLUMBING .. w ��� � Z I CER71cYTHA7 W THE 7ERFOfUAANCE OF iME WORN FOR WHIdt711i�5 7EM�1T IS ISSUED,1 M A�M N�C�M1L '..._(} . ...511ALL NOT EMPLOY ANY PEFi50N W ANY M.wNER SO AS TO BECOAlSUBJECT TO T11E _ � � WONKERS'COMPENS�TqNUWSOFCALIFORNI0.ANDAGREETMATIFISNOULDBECOME INSPECTIONFEE ' � � �� �� - ' " SUNEGT TO THE WORNEfiS'COMPENSATION VRONy' 'S OF SECTION�70o OF TNE IADOR � o 000E,i sNnu voar�nn�cor�a�r win�rH CFr i Hs. ISSUANCE . - -/.� y . .- - -. ... . -�--- • - -- -- -- DATE:��y/ _SO APPLICA . Lt- � SMIP "��. � � WARNING:FAtiUREiOSEWFLWORNENS'CO ENS�TpNCOVERAGEISUNUWF ANDSWLLlBE ENERGYP/C- -----���=�'"� � i �y SUBJECTANEMPLOVERTOCRIMINALPENALTIESANDCMIFINESUPTOONEHUNDREDT110U5AND ENERGYPERMIT DOlU0.5(S�m.000),W ADDITION TO THE COST OF COMPENSATqN.OAMAGES AS PROVIDED FOR IN � � J SECTION770lOFTHELABOROODE.PITEREST,MI�ATTORNEY'SFEES."" -' ' "'-� ' -- �•� �� -� . - . Q RETENTION FEE: � � -"'"-- - " i a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � ' � ' " � ' ' � INCREBYAFFIRMUNOERFENALTYOFPERIURY7MATTNEREISACONSTRUCTIONIENDINCACENCY • - � ' a- FOR THE PERFORMA4CE OF iHE WOAK FOR WNlpi TMIS�ERAIITIS ISSUEO(SEC.]091,CN.C.). �, , �__ Z _ ."_ ' _' ' _. . _ _ . ..._ . . . . _._. _ _ � � . W f � LENDEA'SNMtE ' f ' ' � F- LENDERSMORE55'_ ' ...._. ... ..._. ...._ "" ._'_ . _..... 1 � ICERTIFYTMATIHAVEREADTIISAPPLIGTqNAhDSTATETHATTHEIIBOVEWFORMATqNISCORflECT. TOTAL FEES � ' w IAGREETOCOMPLI'WITNALLqTYANOCOUNiYOf101NANCE5�ND5TATEU'�NSR[UTINGTOBUILDING� - �"- ' "" " � " - ' f d . , . CONSTP.UCTION.AN'J HEREBY AUiV10RIZE REVf7E5EN711iNE5 OF THIS LOUNTY i0 ENTER UPON TME i Z �BOVE�MEN iONEDVROPEHTYFORINSPECTIONVU ES. _ _ _ . ' � ' - i o COMYIENTS ; �9�..^- � tl m ' - - -.. _ . _._ . .. _ . �.. . � 4 PE0.MITT 'M1EI�RIUT)O . . . 'r- �� I. � �� ' ��MITiEE ` t �OAiE.: � „ , .. `.� � ' !� �• � � RECPT.NO � PAID BY VALIDATIO� � i ��� --� -- - - � � - WHITE—Depanment Copy,YELLOW—Finante Copy,PINK—Assessor Copy,GOLDENROD—File Copy.GREEN—ApplicanCs CoOY-' • • �� � - � .�. . ., . . . . . ,• • . ..-. _;',:-, . , -, ',,; .. _ _„ � .. . a , , ., ; , . ... , . CITY OF DIAMOND BAR ;. .�' . � � � - . INSPECTION RECORD ; ,,' � � � � � � , . � . . � � , � . SET BACK - FLOOR JOIST --- FTGS/FORMS/STEEL - .FHA REQMTS - • ' ELECTRIC GROUND 'UNDER FLOOR DUCT . - � � 'GROUND PLUMBING - UNDER FLOOR CO�IDUIT� - —' SLABGRADE - - ' � � � - �IREPLACE FOUNDATION . :•� � _ _ : _' TEMP POWER� � - - • — FIREPLACE BOND BEAM -- �'!'• ' ' '� = WATER SERVICE - � • - �� - MID HT.•80ND BEAM :� � � �- `'` ` "• ' ROOF SHEATHING . � 8 Fi:BOND BEAM � FRAMINGNENTILIATI�N `{ I� � " /3�'� �FINAL BOND BEAM `J ' " ~' � � ' �' ' � ROOF COVER •- - PRE-GRADING�=-� ' ��� � �•'�_ ��. •,��. ROUGH HEATING - �' - - � BENCHING � ROUGH ELECTRIC �.- ROUGH GRADING ROUGH PLUMBING � FINISH GRADING SHOWER/TUB TEST . � � POOL ELECTRIC EXT.LATH/SIDING � POOL FENCING - WALL INSULATION POOL FINAL • CEILING INSULATION OFF SITE IMPS. " • DRYWALL NAILING , DEDICATIONS SEWER . . -- - -. . .... . -- -- --- - . FINAL ENG. SEPTICTANK -. -LANDSCAPE/IRRIG. SEEP PIT/L.L. -'- - - - -• - -- ON SITE IMPS. GAS AIR-l'EST ---- - � • ' � �• FINAL'ZONING - FINAL CONST.-, � --� - •� ' FIRE pEPT.FINAL FINAL:HEATING: ' .� '� '�` ��' HEALTH DEPT. FINAL - -.- - FINAL ELECTRIC -- DEV.FEES PAID ' FINAL PLUMBING � • ENERGY • . '.P' .�, `� �'• �; i �. � • • -� � � �' � . � -- - - � -.'i.�. . -� \. _ "{.1 1 - " .. . _. . COMMENTS � �'� '-' - .. _. -._ _.. _ . .. . � . _ _ , . - � ,, . . � , _ . . . _ , . . , , . .. .. . ,,- ��1 �� ` -. � � � ---�.�.\..� _ . . . _ _ �. ,T: .- ��`,-.•: , r � ' - • ' � . SEPTICTANKSIZE `�:': �'. •• G::r ' . .. - - -. _ . SEEP PIT/U SIZE � � - . . •. . < � f � . . . � j I � ..7� . . . • __`, � r.\ ` .. , ; -� � - - �. ' '. . -. - ��'� �'-y ---- S �-ZI-4 ..__ . '�.