Loading...
HomeMy WebLinkAbout12154 (14) .. , ` J� CITY OF DIAMOND BAR " DEPART?4ENT OF COMMUNITY&DEVE S ' �� 21660 E.Copley Drivc Suite 190 _ (909)860-3195 Fax(909)861-3117_ PR E$S .��'M'. BUILDING PERMIT APPLICATION . FIRMLY o ADDRESS�1��S G� ��w�G�lUT�1Ie�L�, DATECATION Z�' ,p NUMBER 12!� .,��9 8-�� � APN LOT TRACT DA EE � OCC p OWNER �g• GROUP WADDRESS'�fZ � D� ' ZONING FRONTCKS nrT (�.� ��lO RW ❑ ' � CITY ZIP��TEL. �. � � REAR APPLI ANT TEL. p �� �/��,, � � �F6`s�'f+' SIDElSIDE STREET RW ❑ CONTRACTOR S"'��� '�JICw/l� �h�G• SIDE p ADDRESS� �- S- 57'• � CfTY_D�.7 T'�4-/ttu Z�p l Z V � PROPOSED USE I�•.I S'T'�Y«- �vlf 14-t�C..� TEL 4�l�• Z 3 d � � o ARCWENG/ • � DESIGNER NO.OWEL NO. NO. • _ _C�ESS Z�P TEL UNITS STORIES BEDROOMS ' � �n DESCRIPTION SQ.FT. - FACTOR PSF ADJ.AREANALUATION p� _ _ OWNER-BUILDER�ECLARATION , SFWADD/REM O Bi He�sr�uw unoea venKttoc r¢rwm nur i ua¢x�rr Fnan rne carr�ucroAs u. Garafla/Carport ' CENSELAWFORiHEfIX10YVINOREA50N(SEG70.71.6BUSMESS/WOPROFESSIONSODDE:ANYCITYOR . (n " ' - � WUHitNR9GHREOURESAPERMRiOCONSTRUCLALTEi�MPPAVE.DEl10L19{OHREPNRM7YSTRUC• ._ �J,J PeliO/DBtk .. �•. 1VNE.PAIOR TO RS 69VANCE.ALSO REWIRES 1HE�PPLIGNT FOR SU(]I PERMIT TO iILE A SICNED ��' ' '" � � � BTATEMENi THAT ME OR SHE LS IICENSED VUfiSUANT TO THE PROVISIOHS OF TNE CClRMCTOFiS U• � � CENSE U1w(OiAP7ER 0(C�0IAMENCINO WIiN 5ECT10N 70007 0F DINSION 10F TF1E BUSME55AND PR0- POOVS�3 - � iES4iDN5CODE)ORTHATHEOR511EISEXEYPTTHEREFRDMANp7HE8A513FORiHEALlEOmEXEA1P• (� TION.AHY1r10LA71ONOFSECT10NT0.11.6BVANYMPL1UNifOiIAPEiWiTSU&IEGTS7HEMPLIGN7T0 Z Re-Roat �„� ACMLPENKTYOFNOTMOfiET11ANFIVEHUNOREDpOLWi5p50o�.} . . - O OL�SOYMIEROFTHEPROPERiY,ORMYEIAPLOYEESVAhIWAGESA57HEIRSOIECOMPENSATqN, ❑ �mmercial - .� • � WRL DO 7NE YY011K 1WD THE STRUCiUNf IS NOT WTEl�m OH OFFERED FOR SAIE ISEG 7ou,BUSI• J � N 1ESSAND VROFESSqNS OOOE�TNE CONTRACT00.4 LICENSE Uw pOES NOT�PDLY TO AN dNNER OF ? . VROPERTY W/q BU0.D3 OR IMPRDVESTIIERCON,AND YIVp DOES SUCH WORKHIM£(LF OR HER50.F OR ' � 711AOlN3HHBORNEROMMEYPLOYEES,VROV�EDiHAiSUCHWPROVEUEMSARENOTMENDE00q � m OfFERED FOq SALE IF,HOwEYER 7HE BULDWOOR MRWVEMEHf IS SOLD WrtMR10NEYEAR OF COMPLE• 'TqN,h1E OWNEHdU�LDER NnLL MAYE TME BURDEN OF FROVRq T1U7 ME OR SNE OiD NOT BNID OR �aPROYE FOR 7HE PURPOSE OF SALEl W 04ASOMMENOFTHEPRDPFHf`/.AMEJ(CLUSNELYCONiMCTNOWIiH�ICENSEDCONTMCfORS 2 TO CONSTAUCT THE Cf161ECT�SEG 7ou.BUSINE55 AND VROFESS�ONS CO�E:THE CONTMCTORS U• V81ueliOR �� �ADJ.AREA � � � � ' � , lll CENSEUWOOESN0T11PPLVTOANWlNERDFAVROVEHfYYYMOBu0.D50RbAVROVE57HEREON,AND �T- 1MqCdlTMCTSFOqSUG1PfiQ1ECfSWITHACOHTRACTOR(S�LICENSEDPURSUANTTOTHECONTMG pUANT1TY- DE RIPTCN � � - � � �� FEE � � TOR4 LIGENSE UW.1' ` / /- 1� � O 1AM EXEMPT UNOEH SEG 6.l V.C.FORTHIS REASON Q ��^-� (�1 rG��TS �b 3 6 D 3 ' , � . 2 O E LL DAiE OWNER � � UCENSEDCONTRACTORSDECLARATION � W � IXER[BYAFFGWUNDERPENALTYOFPERRIRYTHATIAMIICENSEDUNDERPNOV15lONSOFCHMTER . V. � � �S �(COM4ENClMYMfTMSECT10N7000)OFDMSION�OFTHEWS7NESSANDPROFESSIONS[O�E,MN Z X W UCENSE LS N FUIl FORCE ANO EFFECT. m tL u [ � UCENSEQC�,A�SS G LJC.NO. � L �D� � V DATE [J - �CONiAACTOR . 6J. W � WORKERS'COMPENSATION DECLARATION ¢ � � INEREBYAFflPMUNDERiENKTYOFPERIURYONEOFTMEFOLLONnNGDECUMTiONS' �� � Z � � � _IMAVEAlDWILL►WNTAHACERTIFlGTEOFCONSENTTOSELFaNSUREfORMARKERS' _ COMPENSATION,ASPROVDEDBYSfCT10N7fooOFTHELABORCOOE,FORhIEPEHFOFMANCE �U � Q OFTHEWORKFORVAnCHTw3iE1WrtISISSVEO. � Q �1 HAVE ANO N1LL►IARIUD!Wi7fiKERS'WAIPENSATION INSIIAANCE,AS REONRED BY SECTION 97ooOFiHEUBOi1CODE,FORiHEPERFOFIAANCEOFTHEWON(FORWMICHiHISPEP/AITtS /„� �f � ISSUED.MV�W,C,,K,i�KERS'COMPENSATIONWSUMNCECAHRIEflAhDPOUCYNUMB£RARE: CONSTRUCTION �O /�^O . � 'CMRiERSc�1Z��CnI YN'L 'Gf��U 4rI -C�r�.�... . PUW REVIEW . . .. . __�_ . . _ 2�_ 2 � POLICYNUMBER ��— �OSS D/'� (F ELECTRIC `O��6 f���+���������T�����R+�l��ss7 PLUMBING . 8 ICEHTIFYTNJRIN7HEGERFORAIANCEOFTHENOf7NFORMMIL�ITHISPERMiTI5155UED,l �MECHANICAL (7 SMALLNOTEIIPLOYANY7ERSONNM7YMIVAIERSOASTOBECOMESUB.IECTTOTME � y WOPo(ERS'C04VENSATIDNUWSOFCALIWRNI�IANDAGREETHATIFISHOULDBECDME INSPECTIONFEE S � � SUBJECTTOiHEWORKERS'Cd1PENSATqNVROVISqNSOF 0T a00FTHEUBOR � � ��� cooE.isw�uFonrmvm�caao�rwin� s¢vAowsarr . � ISSUANCE Ur�d � 8-Z5�1�, '�O p DATE: PPIICAN7: _ SMIP . . .. i � WAANINQ:FMUR[TOSEWREWORKEPS'CdAP SATqNCOVEMCEISUNUWFUL.FNOSHALLB[ ENERGYP/C � SU&IECfANEMPLOYERTOCRlAIWY.VENKTIES DCNILi1NESUPi00NEHUND1iEDT110U3MID ENERGYPERMIT ' DOU.AHS p10o,000�,IN ADDIiION TO TH[COST OF COMPENSATqN,DIIA�AGES AS PROYiDED FOfi IN � SECiqN 97oe Of 7ME UBOH COOE.INTERESi,ANDA7TOPNEYS FEES. RETENTION FEE: OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � INEREBYAFFtR1AUN0ERiENnLTYOFPEiWtiYT11ATTHEREISACONSTRUCTIONLFNOtNOAGENCY � Z FOR TNE iERFOMIANCE OF TME WORK FOR WHIOI THIS VERMR IS ISSUEO�SEG�C97,QV.G). W � LETYIER'S NAME . . . � � LENDER'SADDRE55 � ICEPTIFYhUTIHAVEREAD7NI5AYPLIGT10N�lASTATETHATTHEABOVENFORMATIONISWHRECT. TOTAL FEES � � � �� , p. IMPEETOWYDLYWRHALLCrtYANDCOUNTYORDWANCES�flDST�TEUWSREUTWOTOBUILDiNO � � � CONSTRUC'iION,AND HEREBY AIRHORIZE 1iEPRE5EN7ATNE5 OF 73/15 COIMTY TO EMER UPON THE ABOVE� EMION�D OROPERTV INSVECTION 7URPOSES. COMMENTS J ����.J �f�� . . _ . ��f`��D � m GEM1 EENAA1EryHINT) - � a _25�,g� � � y SK3 OFPERMIiTEE DAiE . � RECPL NO. PND BY VALIDATION � � WHITE—Dapettmant Copy,YELLOW—Flnenea Copy,PINK—A�sessa Copy,GOLDENROD—File Copy,GREEN—ApplicanPs Copy - - -- - , 't � . . . 't•. . . .. .. .�...._.. . . • • ,� '�I� . . • " .. ..�. . .. ;; ' ..� .. . t. '.. :. .i. . �' ,. � . . . �. C�� Y OF DIAMOND BAR : :. :�;, ���.� .; , . .. _ . . . . - -- . .. _ . . . .,. . ,, .; . . � � ECTION RECORD` , : .- ', :�: ' �:. ; . . . . . . . . . . . .. . • : • � � � - • • � � � a - SET,BACK t: { � ' �:' �\���:`�` ' FLOOR J015T: - � �,�,�� i��.; - c'. ��,{. ; - FiGS/FORMSlSTEEL ` '" V �?—,•.��:�..� � FHA REQMTS _... _ _..... . . _ _.. - .--. --,r.�;-� _.._ .._ ELECTRIC GROUND=.:_ _�'.`'` ' "`'�`� �\ ' -. ' UNDER FLOOR,DUCT:;- - - "- " ' � - - - � GROUND PLUMBING -• r. � ��:r• '' - - UNDER'FLOOR COMDUIT ', - - �,. ' � ` �� � ' " . . ,....... . _ ,. ... ..� . . , ... .�.'c , � ,, ..... . SLAB GRADE - ---- - - � �� - . . FIRE�LACE�FOUNDATION ='� -: . .� -, _-. - : • •- ' ; TEMP POWER � � ' �'�' : ---- � ._: . _ , �� = �• � - FIREPLA EBOND'BEAM - - - . � ,.�,_,,�... �. ......,._: . -. -- -- , .�.: � WATER SERVICE � -- -- - -,--- - - - -- - . MID HT.BOND BEAM '� ' ' _ . , �: , � _ ROOF�SH�dTHiNC;-.,:� � �'.:-_ • _,I.� ` i , �- 8 FL 80ND:BEAM�>• � :.�' -,i '�.:' ��(j v': % •_ FRAMING/1/ENTILIATION . � �. FINAL BOND BEAM ,. � �.: ROOF COVER "'_ " ` PRE•GRADING � - - � ` ROUGH HEATING --- ---- - ------ -- - BENCHING � ` ROUGN ELECTRIC - ;-'� = --`� -� � � '��- ` ' � ROUGH GRADING , - • � � -ROUGH PLUMBING i- - --- --- � -- - . - ---:-- . FINISH GRADING , . . . . ,. ... - ., , , � - SHOWERITUB TEST� � �� POOL ELECTRIC• ' EXT.LATHISIDING , i POOL FENCING ' ' WALL INSULATION � ' � • POOL FINAL - � . • CEILING INSULATION OFF SITE IMPS. ; --: DRYWALL NAILING : • DEDICATIONS _ , . � SEWER-- - - -..-. `. ' .. FINAL ENG.. . , � � . . _ _ . SEPTICTANK -------.-' --.--. . ..__....., .. -..:, -. -' . LANDSCAPEJIRRIG. . ' ;- � _. , .. .. . . - '. •'-.-: __�''._ �N SITE IMPS. ; . -SEEP PIT/L:L. ..._:. ..._.:..- _-... _. _ ... . GA$AIR TEST'---- ---� -- � -- -- , �, � FINAL ZONING � � • ,. . FINAL�CONST.:.. ._:_�:-���. ;=. .� „�--. .•.. __�• .. .. . _._� FIRE,DEPT.FINAL -. _ . _ . . � _ �FINAL HEATING ��' ' " '� -�� � - � HEALTH DEPT.FINAL . - j • ... FINA[:EL:ECTRIC - --- - --'- "- - - � DEV.�FEES PAID - '- � , � . FINAL PLUMBING ENERGY � - � � �. � �s�, "o • - _- . ._ � , _� . _ - � ---- ---. _ _ _..... . � � �;: -- -------- _- �• - - - COMMENTS - , ,. , ; . �., .. � : - - - _ __ . . ' ; , . . � - ----. _._ .. . .... .. _. -- .... _.. ..._._ . _ ' � f� ... �. �. � � �` .. . � . �� ,� . . . . . . .. . . ._ . , " . - , j ' . . .. .. . . . .. i . _ .. , . ,_ ...i - '.:- . .! ._.. . .. . ... . ..... � �. � , �.._� t'i � - .� _ ti . .. ,i.., i r , �`,r' c" '1`, ' ; � !- � •,�� �` :i,� _.��,,� V I , , , , . . , � 1 :: - -. _. .._. _ _. . , . . . _ . -- , , . . � .. - . � � J � .. , . . .. � V - ... . � ., - , 1 . . . . ... '. ��.. . , �11�� r,� _ . . . ..._ . . . -. I -��.0 '�.._.7 � � � :�:-e:-.�C' • . �. . , - _. ,., . ... ._ -- -----� --- --- --- - .��.., , .�. , . �-- � � � . . , . . . \ . . � . . � � • -- SEPTIC TANK SIZE - - . , � � , . ; � ,. �. ._ . � , . � -. . .. , . � • SEEP PIT/U SIZE - - ---- _ � . , . . . ,. ; � .. .... , . . i I . . _ . I . �- : ---— . , ,. _ . • i � � ' _ � -- --- . . _ . .....--- - - , � : . .._ . -- ._. __. . . � .. _ . _ ._ - _" ..: .' .._--.':. . - ... " _. . _. . ..._ . . . .. . . . . ' ' I . .t ' .,. :'1."1 .. . ' . ; . ' . ... I' , , , � �� ' -i �'I . _ . j . �.. . ... r _ ._..._�._r...... _ ___. . �� ��� .� �• t �� _ �; - - � � - . - ' � , - . � . ! _ C :, - �_ '� ! - ` ,!� _... . _ . .. - --- . . - � `--� .. . -- � -- -- ��: l � -T.. , . . _