Loading...
HomeMy WebLinkAbout12893 CITY OF DIAMOND BAR ' - � , � �� --� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 , ` (909)8603195 Fax(909)661-3117 PRESS ��'�^' �. BUII.DING PERMIT APPLICATION � FIRMLY oN JOBSITE �/, U 7 -7 .����+g��d - APPLICATION ,� PERMff C ADDRESS �� / �`� / � // %7 DATE NUMBER � ISSUE TYPE OCC • APN-� LO ��- TRACT DATE CONST. - GROUP p OWNER 6l ��l�'�s p ADDRESS �V ZONING SEfBACKS • �W CfTY ZIP TEL. REAR Rw ❑ APPLICANT " �• 51DFJSIDESTREET RW p � CONTRACTOR �"" 51DE ❑ � CITY ES V!� ZI TEL PROPOSED USE � �. � : w L Um �`�`I � o ARCFUENG/ • � � DESIGNER NO.DWEL ,NO. . . . / � O. a ADDRESS � - .� • � CITY ZIP TEL. UNITS STORIES ' BEDROOMS � �n DESCRIPTION SO.Ff. FACTOR PSF AOJ.AREANALUATION Q OWNER-BUIIDER DECLARATION SFWADD�AEM O p I MEREBY I�FFlPoA UNDER iENALTY OF FERIURV T}IAi I/VA E%EA1PT FROM TNE CONTMCTORS LI- GefeflO/CeIpOR LLl CQISEUWFOR7T1EF011ON'w�REA50H�5EG703t.68U5P1E55ANDPROFE5510N5C00[:ANYC1170R - (n U COINiYNMIpIqEOUIRESAiERMRTOCON57AUCT,ALiERMFROVE,DEMOl15H2OHREPAIRANYSTRUG W P8110/DBtk ' � TL1RE ViUOR TO RS ISSUANCE ALSO REOUIRES THE MPLM1Ni FOfi SUdi VERMIT TO FILE A SIGNED W - STAiE4ENT TMAT HE OR SNE LS UCEfJ5E0%10.5UANT T07NE OROVLSIONS OF THE CONTRACTORS LI. � CENSE UW(QiAViER Y(COA1uENCNO WfTH SECTqN 7000)OF DM510N 7 OF THE BUSINESS uJD PRO- � PooVSpa ' ' . fESS10N5CODE�G17TU7HEOR5HE15FXEMPT7HEREFROMANDiHEBA5i5iORTHEALlEOEDE%EMP• (� TION.ANYVIOLATIONOFSECTON70J7.68YANVAPiLICANTiOl1�VEWATSUBJEGt5T1EAGPLICANTTO Z Re-Root �,,,, AGML YENILL7Y OF NOT MORETWN FNE IM�DNEDDOlLARS�i5oo7.1: ' � O�ASONMEROFTNEPROPERT/,ORMYEMPLOYEESWITHWAGESASTHEIRSOLEWM7ENSATpN, 0 COmm6fCl31 - M'1LL DO iHE W(NiK AND TME 57AUCiURE IS NOT IMENOED OR OFFERED FOR SALF(SEG 70u.OUSi- ...I � NESSANo VROFESSIONS OOOE TME CON�iUCTORS LICENSE Uw DOES NOTAPPLY TO AN ONmER OF � . GROPENTY YVIIO BUlDS Oil MVRDVES iHEREON,AND YYIIO DOCS SUCH WOf{K HIMSELF OR MERSELF OR Q 7HROUCHHISORHENOWNEMPLOVEES.PROYIDE97HATSUd1MPROVEMENTSMENOTIMENOEDOR m �1 OFFERED FOH SNE IF,ipN'EVER7I�E BULdNO ORIMPROVEAIENT I9 SdD WRHN ONE YEAR OF COMPLE- Z 770N,7HE OWNER�BURDEH MALL H+�VE TME BUROEN OF VROVM70 iNAT ME OR 6ME OID NOT BUItD OR _ MPROVE FOH THE RIRPOSE OF SALF)• � TO CONST?AKT THE Ppn1E R EG 7DY,BI151NESS�AN��PROFESSIONS LODE:TH'E CONTRACTORS L4 ��� CENSELAWDOESNOTADVLYTOANOWNEROFAPROVERTYN'HDBUIlDSORMCi10VE5TNEREON,AhU V0IU8SiOf1 d ADJ.AREA � YAfOCONiMCT4FOHStX7/PRWECTSWITNAC�OMMCTOq(5)I�CENSfDWRSUMRTO7f1ECONfRAG OUANTITY DESCRIPTION � FEE � TO(YS 110EN5E LAW). O I AM EXEYPf UNDER SEC. B.�F.C.FORTHIS NEASON - Q 3 � . � x DA7E OriNER U . � UCENSED CONTRACTOAS OECLARATION W , • � INEREBYAFFGWIROERVENAL7YOFVEfWMTWRIMIUCENSEDUNDER7ROVI510NSOFCHAPTER �r d i(�OM4ENCN�YVfTM SECTqN 70007 0F DMSqN 70F 7HE BUSINESSAND PROFE55iONS LODE,AND Z X W LICENSE lS N fULL FORCE uJD EFFECL � m L1J a 0 LICENSE SS� ( LIC.NO. �� � �J �'j DATE � COMRACTOR a W - � WORKERS'COMPENSATIONDEC � N a NINEREBYAFFliWUNDERPENALTYOFPERNRYdJEOfTXEFOLLOWNODELUMTIONS: Z ' ' ' � IHAVEINDWILLI.WMANACEHfIFIGTEOFCONSEMTOSElFaNSUREFORWOpKERS' _ � ENSATION,ASVROVIDEDBYSECTION77ooOFiHEW30pCOOE,iORTHEGERFORUANCE U � �E WORK FOH WHICH iNiS VERMIT IS ISSUED. � � � � _I HAVE FND 1NLL AURlTAW MA7FiKERS'COMPENSATqN INSURANCE.AS REOVIFED BY SECTqN� Q TOOOFTIIEUD COOE,FOR7HEVERFOWAANCEOFTHEWORKFORWHId17H�5VEPlAIT15 65UEO.MYWO ER9r�'�a,PENSA'TI2O_NWSUFiIWCECARH,ERM1DPOlICYNUM�ERARE: CONSTRUCTION ► � CMRIER / �"'� � _ _ �_ PLAN REVIEW � - � POLICYNUMDER � ELECTRIC � (�f�5[crcNNCIDNoieEtd.T�lEiIDaFl1EPFA.'RBFOROhEHu�fiCD00liJFLSR+�IORLFss} PLUMBING Z IGERTIFYIW�TNTHEPEPFORMANC[OFTMEN9fiKfORWNiCNT11I5PEFW171515SUED,I MECHANICAL C7 SHl1LLNOTEMPLOYANYPERSONNANYMIWNER50 BECOIAESUOJECTTOTME ���� � YARKE0.S'COMGENSATIDNLAWSOiGWFORMI� 1 iEETHATIFISNOUIDBECOME INSPECTIONFEE S 18JELTTOTMEWORKERS'C01APfNSATqNCRON OFSECT10N37000F7MEUBOR �oe,i�FPrmrvnn�cour�rvnnrtHosE � rous. ISSUANCE ' � OATE� , APRICANT: SMIP � ENERGY P/C I� � 1 w WARMNO:FNLUR[TOSECUREWVRKERSCOA1vfNSAT RAGEISUNUwM..AN�51uLLBE -`�� y V .999 � SU&IECTANEMP�OVERTOCRIMPlALPENALTIESANDC � NEsurtoarvEHuoruntNous�wo. ENERGYPERMIT DOL1I25�S700,000),N/�DOITIONTOiHECOSTOFGO E .iATION,DA/MCES/LYPROYIDEOFONM � SECiqN770lOfiHEIABORCO�E,NTEHEST,ANDA �FEES. R��,,7,oNFEE: C1TY OF DIAMOND�3AI2 a CONSTFlUCTIONLENDINGAGENCY PRE-ALTFEE: BUILDING AND SAi���,'' ' O � INERE9YAFFlflM UNDERVENALiI'OFVERNRYiHA7TMERE15ACON5TRULTIONIENOWGIIGENCY " - Z FOR iME DEflFORMANGE OF TME WORK FORYMKJI TN6 iERMiT IS ISSUED(SEC.]OYl,CIV.CJ. W � LEN�ERS WIAE � lEN0ER5ADDRf55 W� TOTAL FEES � ICERTIFYTNATI VERE/�DTHISAPPLICATqNANDSTATETHATTHEABOVEINFORMATIONISOORRECT. 1 p_ IAGREETO WRHALLCIfYANDCOUNTYORDININ ES/�NDS7ATEUWSREUTINaTOBUL01N0 � fDNSTPUCT , DHERE6YAUf1qRQEHE SEMAT SOFTlU9COUNiYTOEMERUPONiME •ABOVEJAE JVROVERTYiORMSPECf HDOS�. �: � �COMMENTS ; � a� � � � - Q veru�m e f . . �•.. �� . �•y Eq U OF PERMITTEE . 0 E � RECPT.N0. �PAID BY VALIDATION WHITE—Dopartment Copy,YELLOW—Finance Copy,PINK—Aseessor Copy, OLDENROD--File Copy,GREEN�Appicant's Copy• � . �. , , , , . � . . . .. r. . . , . . . .. .. . . .., . �. ., . . ; . . • . , . . , .. _ .,. , • ,. . . , � , . `, CITY OF DIAMOND.BAR .�-� � � �. ;�_.. �- �� ' ��' INSPECTION RECORD '. - � �' . ... .'� :�� . � � � • • - � • � � � o - SET BACK '; i � ,i - � � .`,. .•� , FLOOR JOIST`�-., •;. : :� �� � �_ •�, ,�.� . � • �- FTGS/FORMS/STEEL � FHA REQMTS ELECTRiC GROUND ' �- UNDER FLOOR DUCT � _. ..\ •;�'? GROUND PLUMBING ' � � • UNDER FLOOR CU�IDUIT --J`: �c��� • • SLAB GRADE - ' FIREPLACE FOUNDATION � - - TEMP POWER-� - �'� FIREPLACE BOND BEAM��. � ;;. ;=� � � WATER SERVICE : -: =t- - - �. ; MID HT. BOND BEAM._, � �c � :;.:�� " ROOF SHEATHING � 1- '3•�l � �' " �_� S FL BOND��EAM`.` � �:���. �'�l� ����� �'�`; •. � FRAMINGNENTJLIATION -; _- _{ FINAL B�ND BEAM � ' • � ROOF COVER:- ��i� � PRE-GRADING ROUGH HEATING -� � - BENCHING � ROUGH ELECTRIC -� -- R011GH GRADING • ROUGH PLUMBING � FINISH GRADING ' SHOWER/TUB TEST: - � POOL ELECTRlC EKT.LATH/SIDING � POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION ' OFF SITE IMPS. DRYWALL NAILING � DEDICATIONS � SEWER FINAL ENG. . � - SEPTICTANK _. _..'-.. -- . � LAN�SCAPE/IRRIG. SEEP PIT/L.L. � � --- ON SITE IMPS. ' GAS AiR TEST �- -- - �• FINAL ZONING FINAI CONST. - FIRE DEPT.FINAL - • FINAL HEATING -�- - 1—1 -�Th �vr.�D- HEALTH DEPT. FINAL FINAL ELECTRIC-- DEV.FEES PAID • - FINAL PLUMBING ENERGY C '.� . �" \ • � � W�R A s ,., • � t-� • - . - - ' - � . - -- � - - -- • � ' ----- ' , , COMMENTS - - �" - . � - '.. ' '. � . ''.� .. ' ' ��, f \ ' - ' " "" . . . . � � 1 % r .� � '����\ � .f .i � . � . ►F.SfS; • ' - • G ,` . . . �- - 41 `� / i' '� 1� � � . !i,�, , t� '�, ,, � ' � � — � -- . ,, �. SEPTICTANK SIZE., ' :,',.}:' . ., ','i'''` . � : � . � �•;• � SEEP PIT/U SIZE � • - ' •�`� _ . _... .„ � , ; , � � � w , • � : _ , � ; . .. . . . . , . , .. ' ' - . ,� ��,� � _,�.,�v� `'`''''''"�'"f�►�� '� 2��C I .—/ ; - -, � .� -�+ —�! . , y'. ,, ` � ,; ; '., i � i;� i ! ` J ��l _� �� �. .� 'GQ