No preview available
HomeMy WebLinkAbout15269 (30) .r CITY OF DIAMOND BAR � : ' ' � -�� -- DEPARTMENT OF COMMLJWITY&DEVELOPMENT SERVICES ' 21660 H.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRE$S '��^� BUQ.DING PERMIT APPLICATTON � ' .FIRMLY JOBSffE APPLICATION PEFiMIT P/C o ADDRESS �2�6 g� GQ-r�W� � ��D n DATE ZD O0 NUMBER t SZ�o) � � APN LOT TRACT DA EE ? �2 G"!7�_ONST. GROUP OWNER �• p ADDRESS � Ac ZONING SETBACKS � CITY - ZIP G TEL. ' R�RT RW ❑ APPUCAM CA TEL SIDE/SIDE STREET RW ❑ � CONTRACTO M- CF1� AGT SIDE O ADDFiESS � �-U " PROPOSED USE ��s-r�i c���.> ;�n� f.�I 3��S"`'� g CITY A1�16 - ZIP TEL. �y_������..6�,���/-` � ARCWENG/ DESIGNER S l,S NO.D�YEL NO. NO. ADDRESS � � UNITS STORIES BEDROOMS � CITY V1N� ZIP 9 TEL ` N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION N � OWNER-BUILDER DECUIRATION SFRlADDfAEM O � 1 MER�V AFFlNM UHDER VFNILLTV OF CERAINY 71/AT 1 AIA EXEMPT FROIA THE CONTMCTOHS L4 Garege/Carport � CENSEUWfOR7HEFd.LOWNORE4S�N(SEC.7a'It.68U5?IESS1w0VROGE5510N5CD0[:ANYCRVOR (J� COU1(TYNRiItl1RE0U1f1E5APERMRTOCONSTRUCT.ILTERMPROVE.DEIAOLISM.ORREVA:RANYSTRUG � W patio/Deck� TUf1E,iR1Oq TO R9 ISSUANCE,ALSO REWIRES THE hPPLIGWT PoR SUCH PEMIIT TO FILE A SiONED W � S7ATEMEM TNT ME OR SHE 6 11C£NSED VUM1SUANT TO iME PioOV15lON5 OF THE CONTMCTOHS l4 � CENSE UW�CHIIVTER Y(COMMENCNO WITf SEGfiON 7000)OF DMSION]OF iNE BUSINE55 MlJ GRO- u- PooVSpa FESSIONS COOE)pi iHAT NE OR SME IS EXEMPT TMEHEFHOM ANO TIE BASIS FOH 7ME AllEOE�EXEMP• TqN.ANY1/IOLAi1DHOFSECilON7m1.68YANYAiPl1CAHiFORAVEfW�TSUBJECTSTNEAVPUCANTTO Z RaRoo1 � AdVILVENALTYOFNOTMORETIIANFNEWNOREDDOLU0.SIf5oD).)� , � Ol�5d�M7EROF7HEPROPER7Y,ORYVEIAPLOVFESWIiHWAGfSASTHEIRSOLECdAPENSATION, Q COrt1rt10(CI31 - WILL DO TFIE riOi1K AND THE STRUCTURE IS NOi INTENDE�OR OFFERED FOR SAIE�SEG.7os1.BU51- J NESS AND VROFESSIONS CODE:THE CONTMCTORS LICENSE UW DOES NOT lIVPLY TO AN OWNER OF � pROPEfiTY�N10BU0.DSONIM7RWE5THEREON,ANONMO00ESSUf]IVIORKNIMSELFORHCRSELFOR = � THROUGHWSORHERONTIEIWLDYEES,V110VIDEDIX�TSUQIMVROVEM[MSMENO7NTENOEDOR m ' lll OLFFRE�iORSALE1F.110WEVE0.7MEBULDR100RMVf10VEMCNTI550lDWITHMONEYEAROFCOMRE• Z �TION.THE OWNEREULDER WILL H�VE TME BUfi�EN OF DROVWO TWR HE ON SHE DID NOT BNLD OR = MPiqVE FWiTHE PURVOSE OF SPLE). W OLASOMk7EROFTHEFFIOPERTV.AYE%CLUSNELYCONTMCiNOWRMUCENSEDCONTMCTOR3 CC TO CONSTPUGT 7HE PROJECT(SE4 7aa�,BU9IhE55 ANO VPAFESSIONS CODC:THE CONTMC701tS U- Valuation ADJ.ARE/1 111 �N$EUWDOESlqiAVPItTOANOWNEROfAPROPEfl7YYA108UlDSORIMPROYE9Tf1EREON.FND � YVIpCONiMCTSFOHSUCMVRO.lECTSWfTHACONTRAGTOR(5)LICENSEDPURSUMliTOTXECOHTMG QUANTI7Y DESCRIPTIOV FEE � 70RS IICENSE UW.). O IM1 EXFMRT UNDER SEC. B.t V.G FOR iN15 REASdJ U 3 � �=" D�TE OWtiER V � J L►CENSED COPlTRACTORS DECLARATION w � INEREBVAFFWIlUNDERVEWtLTYOFCE0.RIRYTUi11U1UCEN5EDUNDERVpOV1510NSOFCHAPTER Z ' '��`C � �V � �(COMMENCPM WITII SECTION 7000)OF DNISION 7 OFTHE BUSINESS AND VROFESSIONS COOE,MA F— W UGENSE IS N FULL FOqCE AND EfiECL m �r�1 � � C� � t1J Q 2 —ii� � LICENSE CUSS �3� LIC.NO. O �/ J - � wh corrra�cToa � a � WORKERS'COMPENSATION DECLARATION � C N IHEPEBYAFFIPoAUNDERPENALTYDFPERNRYd�EOFTHEFOLIDWINCDECU1MT10NS. Z \ N 4 � �IHAVEANDW�LLMNNTAWACERfIFICATEOFCONSENTTOSEtF�NSUREFORWOPxERS' S ' CpaPENSATqN,�SVROVDEDBVSEC710N770oOFTMEtABONCOOE.FORT7IEVERFORMANCE IU �WORK FOR WMCH TFIIS iERM�T IS ISSUE�. � � 1 HAVE AND Wtt11.lANTlUN MA7RNER5'COUPENSATION INSURANCE,AS REOUIpED BY SEC710N Q Too OFTME UBON CGDE,FOi17HE PERfOM1ANCE OF THE WOF1K FOR'NMCFI iH15 PERMiT IS � i55UED.MYWOFIKERS'COAI7ENSATIDNNSUFlFt10ECARRiERMiDPOIICYhVMBENME CONSTRUCTION � auw�ca ��\1G1:� ��S1�12A1�� __ PLANREVIEW � POLICY NU�18ER�,,1�J C.�� nZ�O�q . . . ELECTRIC . � (n�55ECIlor+NE�No78EooAPIF�IDOFiFEPEiMiBFd+OhEFIH�E�DJl1Aii5R+�lORLFSsI PLUMBING ,� � � w M[CHANICAL Z 1 CERTIGV 7N�T N TH[PERFORAIANCE OF iHE WOfiK FOR YYFIICH THIS PENIAR 6 ISSUED.1 (J SHALLNO7EMPlOVAN'lGERSONINANYYANNERSOASTOBECOMESl1BJECTTOTHE � WOfL(ERSCDM7ENSATqNIAN�SOFCALIFOPNI�ANDACREET/1AT615HOULOBECOYE INSPECTIONFEE SUOJELTTOTNEYlORKERS'COMVENSATIONPROViSqNSOFSECT�ON7 ooOF1HElABOR �SSUANCE s CL7DE,ISHNL ORTMVITMCWPLYWITp'If1QSEVi10V KK1 � D APP�ICANT:V� , SMIP , p DATE: 7 W ENERGY P/C WMNINO�FAILURE705EWREWORKERS'QOMPENSA710N VERAGEISUNUA'NI.ANDSHILLBE �y SU6�ECTµEMPLOYERTOCPnAitUlPENk71E5ANDGMLFINESUPTOONEMUNDNEDTHOUSwD ENERGYPERMIT DOLLMS(f 100.00%.N ADDITION TO THE WST Of COMFENSA7IDN,D��GES AS PROVIDEO FOR N � ¢ SECT70Nl1oe OF 1HE LABON CODE,N7ERESL AND�TTORNEYS FEES. RETENTION FEE: OCONSTRUCTION LENDING AGENCY pRE•ALT FEE: �`7��D�AdiaiZA� CL IHEREBVAFFlRMUNDENFENALTVOFPE0.IUH`/THATiHEAEIS�CON57RUCilONLENDNO�CENCY 1�'�1��VIYL L�f� nZ- fOHTNEPERFORMANCEOFTMEWORNFORWHK)1THISPEWAiTI5i55UEU(SEC.�oY7,pV.G4 W � IEPIDERS NAME ' � LENDER'S�DDRESS �'Q^ � 1 CERTIFY TNAT I HAVE REAO TMIS I1DPL1CA710N ANO STA7E THAT TNE ABOVE NFORMATqN IS COIiRECT. TOTAL FE ES v`� . � IAGREETOCOMPLYK77MALLCITYANOCOlR7NOROw�wCESANDSTATEUWSREUTW(iTOBU¢DINO Cd�STRUCTION,M1D HEREBv AUTIqRIZF REPNfSEMATNES OF TMIS CIXINTV TO ENTER UpON THE ZABOVE-MEMIONEDPAOPENTYFORINSVECTiONPURPO5E5. COMMENTS � l��l'121 �ti�£ Vl1� /1n m PEWAi EryRt � � � SK, �OFPEW.a EE OATE � RECPT.NO.',�2T/4_FAIDB � VAL10AT10N WHITE-0epertment Copy,YELLOW—Finence Copy.PINK—Aaseasor Copy.GOLDENROD—File Capy.GFlEEN—Applicants Copy .. �. . .. , . �:1�,�;)�._� , •.i'.. ... .'j' "il,��:'.�' ..9.�.r� . •� . .a�,•�.. . . , -..,'<t'.'=`'. ... +Y:'. .�. .. ",r•l;a�r",•.�•ae•• y. , ..�.. .:i v . ... ... ...�. . � .., ..�.•. ,. .. � ,. .. . � . ...� ....:.a�.- . . . . . . � . ..v�... ,... , .. •.4�'�r... . . . . ' ' CITY OF DIAi11iOND BAR . - . :. . , .: :It�SPECTION RECORD � . � _ , .",�.!'yr'��1�.��". ./�J1�1�� I��, • �� •Ji r�,���+ '� . �.I#, � 1��x�.T�a'SLwaX• ✓'.l1.�.�.` �.I ...�._..�.�.:- - �. �l '� _.., � . _ .�_��... 'SET BACK .. : �. `, � : FLOOR JOIST, . . 'FTGS.�FORMSlSTEEL-��' ���' - - FHA REQMTS" � . - ' _ .._. ;ELECTRIC GROUND . _ ' - ; .... '�,��:..-•_�`- - � UNDER FLOOR DUCT ' ' 'GROUND PLUMBING UNDER FLOOR Cb�,!DUIT . - - ' I _` 'SLAB GRADE- -- - � - FIREPLACE FOUNDATION � , : �� � � r iTEFJIP POWER — . - -- , , FIREPLACE BOND BEAM ' . _ , �•. �WATER SERVICE- � - - MID HT.BOND SEAPA � ' � ' �' - :�• ; 'ROOF:SHEATHItJG�,-�; • - � . : - ._ �..-�� 8 F7.BOND BEAti1 � ' " FRAh71NGNENT1�lATION• � '' �� � � •''�� �• •�' a FINAL BOND BEAM 'ROOF COVER • . ' ' PRE-GRADING � ROUGH HEATING BENCHING�, �, • 'ROUGH EL•ECTRIC ROUGN GRADING � - - -- � ; - �ROUGH PLU{VIBING 7725�(�D - - FINISH GRADING . SHOVVER:'TU8 TEST � - - POOLELECTRIC EXT.IATH/SIDING - - � POOL FENCING , INALL-lNSULATION � POOL FINAL � ,: � : . :CEIIING IPJSULATION, - � OFF SITE IMPS. ' .. ; ' � -•, ±DRYWALL NAILING -- DEDICATfONS . ..;., : � ;,•; , SEVdcR FINAL EfJG. ; ,;; :SEPTIC TANK LANDSCAPE/IRRIG. jSEEP PIT/l..L. ON SITE IMPS. ;GASAIRTEST , FINAL'ZONI"JG 'FI;vAL CONST. _ FIRE DEPT. FINAL ;FINAL HEATING _. _ _ . HEALTH DEPT. FINAL ;F(;JhL ELECTRIC ("� DEV. FEES FAID ---- -- ;F!?dC,�PLUhJI81Nu Y/���� , EhERGY . , - — . � - ,.. • -- . �;�.ti����"?��r?'x:._.;.:.:�.:.....�; � . _. . � � . .. , . . -- �COP�IMENTS � , ; . . I _ . ' " `. I � .. . : _� , . _ _ •C.._.- . . _ . . . '... S F . . . .. _' _ . iSEPTIC TpNK SIZE .:, ..,. � • . � ` ii;� �SEEP PIT/U SIZE "' " � �� �� , . -.�-...,.-...:.;-r;-.;�r+i����•':��,i�,i :' �!� _ , � ' _ '�'V�.. . .. ..:i�', I i.� ?, „�";�'.': . �� . . -wq.. .: , . .. .. -. .. . '�II^'•� ' '.N. � '. ' 1 _ ..• � � . . . . , . . . ���- ! �. � . .' '.� . . . ... � . . . . �'...• - . . : . "..:". . " ' __". ........ ,. . '! . . • ' i . .. ' " ' ' ! ' � ' ' • '�.r...�,��w.r.�.,._i.. '� � � . . � . . ' .. - � 1� � ��