Loading...
HomeMy WebLinkAbout12635 (14) ' . ' ' - `�- - .. . . . � . . . _ ..-... . . . . , . __.' _. .. . " 1 . � / � ' ; ..., . '1 / i .- ' �� CITY OF DIAMOND BAR � � ' • � ' , � '' � --1 DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES '. � . � 21660 E.Copley Drive Suito 190 �� � _ � � (909)86Q3195 Faa(909)861-3117 PRE$$ �� ...'��'. BUO.DING PERMIT APPLICATION __ FIRMLY � JOBSITE n � ` APPLICATION �I D=Gj PERMR '7 1.,� P/C � o AD�RESS �I l� DATE � NUMBER li 4�� M c� ISSUE TYPE : OCC - APN LOT TRAC DATE CONST. GFOUP p OWNER �- AODRE 'ZONING SETBACKS ' � CITY ' ��C ZI . — FRONT - . Rw � ' APPUCANT TEL. REAR ❑ � _ � SIDE/SIDESTREET RW O CON TOR SIDE p ; g ADDR � PROPOSED USE CITY ZIP �-- TEL o ARCH/ENG/ . � � DESIGNER N0.DWEL NO. , NO. ADDRESS UNITS STORIES BE�ROOMS � CITY ZIP TEL u�i DESCRIPTION ' S�.FT. FACTOR PSF ' ADJ.AREANALUATION p� OWNER-BUILDEA DECUIRATION SFR/ADDIREM � O ppp I HEREBY AFflRM UNDER iENlLLTY OF PEiWRY 7HAi I AA7 EXEYPT FR01A iHE COMMCTORS lF ,GetOAB/C0190R . � _ � CENSEUWFOf1TT1EFOLL0'WP70REASON(SEC.7071.6BUSPIESSAN�PROFESSiONSCODEANYGITYOR . (n CWMYWV/IdIREQURESAGERMRiOCONSTRUCT,ALTERMPtqVE.DEMOl15N,ORRECAIRANYSTRUG W Patio/Deck TURE.►WOH TO RS ISSUINCE.ILLSO REWIPES THE MPLICANT FOfi SUCII PEHMIT TO FILE A SiONED W STATEMEM THAT HE OR SME IS UCENSED PURSUANT TO TME Pf1OY1510N3 OF THE CONTMCiOFi3 L4 '� � CENSE UW(QUYTEH C(COA1M[NCMd WITH SECTION 7000)Of DIVISION 7 OF ME BUSIN[SS IND CRO- u' POOUSp9 � FESSqN3 COO�OR THAT HE OR SHE IS EXEMPT 7HEREFROM h11D 7HE Bti515 fOii iHE ALLEOED E%EMP• TqN.ANYVI0lAT10HOFSECTI0N7W1.6BYANYAPPIM.ANTFORAPERMITbUBJECTSiMEMPl1GNTT0 Z Re-Root �„�, A CML PENALT/OF NDT MOiif THAN FNE 11UNDRED Dd.URS(f5o01.} ' O 01ASON�NEROfTHEPRDVERTY,qiMYEMPLOYEE4WITiWAGESA97HEIR$OLECOMPENSATqN, � 0 C,pmTBfCi81 . ' Z WLL DO iNE WORK AND iHE STRUCTURE IS NOT MTENOED OF OFfERED FOfi SALE ISEG 7D/�.BU51• J N NE54 MO VROFESSIONS COOE lHE CONTRACTORS UCENSE UW 00E5 NOTfCGLY TO AN OWNER OF ? . . . .. VIiOPERTYVAIOBURD50iiMPFiOVESTNEREON,MlDN'MODOE95UGIWORKHIMSELFOi1HERSELFOR � � Q TMfY.%16HHISORHEROWNFM7LOYEES,iROYIDEDTiIATSWIWPROVEIAENT9ARENOTMENOEDOq m � OFFEAEDiOR4ALEG,{qWfVER1ME8U0.DM�ORlA7ROVEMENTISSOLDIMTIANpNEYEAROFCOMPLE-. . � ��T10N,7HE OWNEH-BUIDER N7LL/Y1vE THE BUROEN OF VFOVWO iHAT HE OR SHE OD HOT BVILD OR . . MPROVE FqlTHE 7URP0.5E OF SALE7. ' W OI.A.40WNEROFTHEVROPERT`/,M/EXCLUSNELVCONfRACTMOWITHLICENSE�COHTRACTOR3 � 10 CONSTRUCT THE iRO.IECT(9EC.7a�,BUSINE59IWD PROfE5510N5 COOE:7HE GVNTMCi0ii5 LI- � VdIU8lI0f1 ADJ.AREA � � � ' CENSE UW DOES NOTMPLY TO AN OriNER OF APROPERTY YRq BUM1DS OR MPRDVES THENEON,AND � 1MqCOHTRACI3F00.5UpIVR0.1ECfSWITNA00NTMCTOR(5)LICENSEDPURSUAN770THEOONTRAO OUANTITY DESCRIPTION FE ,�r� � Toas uc�+se uw.y ' ' fi- OIAIAE%EMPTUNDERSE0. B.lP.0.FORTHISREA50N U D � G'Y` � � � � ¢ �d, r DATE OWNER V �y� / , W " / J � � UCENSED CONTRACTOFS OECIAHATION � W � -- . " ��� � , � � . . � IHEREBYAFFYWUlIDERiENALTYOFiEfUURYTNATIWIICENSEDUN�ERGRONSION50FCNMiER � � V. � � �(L ��COM4IENCNOWRNS CTiON)W7)OFpMSqN�OFTMEBUSINESSANOGNOFES510NSCO0E;AND Z - X NY UCENSE IS IN FULL AND EFFEGT. � UCENSE CU55 �• LIC.NO. �� ����� ` '� j .. ' . ' �j DATE CONTRACTOR a ' W � � WORKERS'COMPENSATION DECLARATION � � ,, , � IHEREOYAFFlRMUNDERVENAITYOFPER1UfIY0NEOFTNEfOLLOWWGOECURA710N5:� Z � Q � _IMAVEANDWRLMANiNNACEHi1FICATEOF00N5ENTTOSEIF•INSUH[FORWORKERS' _ � COMPENSATqN,ASPROVIDEOBYSECTION77ooOFTHEUBdiCOOE,FORTHEDERFORMANCE 'U OFTHEWORKFORNMIGITHISiERMRI5I55UED. '�� � �VEANDYALLMAIMARINVAKFT'.3'CqAVENS�TI0NIN5UMNC SHEOUIREDBY9ECTION � ]7DOOfTHELAeOii .FOi17HEVERFORMANG TH OR ORWHICHTHISDERMITIS i55VED.MYWOfLCER N ` ARiU AN�OL VNUMDERARE: CONSTRUCTION � - -� P�� � .. .. � GRRIER � 7 _ � � POLIC`lNUM6ER �- - . . t 0 �nass[cr�r+��npre[oo�rmoFi�par.nsraaatruonm0au�sa+arqon� PLUMBING �Z ICERTIFYIWVNTHEPERFWIMANCEOfTMEWORKFOqWHICHTH15VEfWITtSI55UED,1 MECHANICAL (� SIUl1NOTEMPLOYANYFER50NWANYMMINER50A5TOBECOMESU&)EGTTOTHE � � WORKERSCOMCENSATIONUWSOFGAL1FOfiNIA.ANDAGREETNATIFISHOUIDBECOME INSPECTIONFEE S Si1BJECTTOTHE VIORKERS'COMPENSATION PROVISIONS OF SECT�ON 770o OF iHE LABOR � � • CDOE,I S WLLL iOfiTMW�7M COMPLY WITM i1105E PflOV1510N5. ISSUANCE � � SMIP . � p OATE: . - . . . APPLICAHf. ' � , � WARNINO:FAILURE705ELUREWO(iNERS'COMPENSATIONCOVEMOE4SUNUWFV4µ05HALLBE ENERGYPlC ���r��ggg � � 6U61ECTANEMPLOYERTOCRIMINALPENALTIESANOpVILFMESUPTOONEMINDREDTIqUSAND ENERGYPERMIT� � � �� DOLLARS�f10o,o00�,N/�DDrt10N TO THE COST OF COMDENSATION.DAIAA6ES AS DROVIDED FOR IN ( 7����7 t � SECT10N�7oeOFTMELAeORCODE,WTEREST,ANDATTOFiN[YSFEES. � RETENTIONFE�'„jJr.��k�1-6+-i)Ai� . o CONSTRUCTIONLENDINOAGENCY PRE-ALTFEE:Bj]TT.nTNC; �ANiI CA,�'TY > � INEREBVAFFlPI.IUNDERPENALTYOFPEIWRYIIUTTHEREM'ACON5IRUCTIONLENOW(]A6ENCY � � � ' � fOH TME PERFOR4ANCE OF iHE WORK FORMMICH iNIS PERAIIT IS ISSUED(SEC,Oov7,CIV.Ca. � IENDERSWWE � . . . .. . . . . � IEN�ER'SADDRE54 ' •� � �� TOTAL FEES ICERTIFVTHATIIUVEREADi1tlSAVGlIGT10NAN�5TA7E11uiTXEABOVEMIFORMATIONISCORiiECT. ' p� IAaREETOCAMPLYWITIALLCRYANOCOUNTYG7DiN�NCESANDSTATEUWSTpREUyHTEN6TO0UILDINO . � �n C[w+STRUCTION,IWD EREBYAIT�ORREREFRESENTATIYES��S -� El�� . . . ... ., . _.•.rE11ENT10P1EDD�OCER F INSGE PU�. � COMMENTS � � .�---' L, s TEE NAM[(PRIHn ' � . . f �p �.... StEOFVEPo.uTTFf o�T , RECPT.N0. PA10 BY _ VALIDATON � WHITE—Dapertment Copy,YELLOW—FlnatxeCopy.PINK—AeseasaCopy.GOLDENROD—Fla Copy,GREEN—Apd��fa Copy � ���� - � �1 � ~_'� CITY OF DIAMOND.BAR � : .;; . ;;., ! ,�;'�'>�:�.�`�:'INSPECTION�REC,ORD.�.` ..; �,. . �::..�.. , . . .i+ i • � c. � m + i ' • � + • ' SET BACK '�' c 1 � � a 1 ' � 1 �, FLOOR JOIST , �� - i j• ; `; f �" ,;t_ - FTGS/FORMS/STEEL � FHA REQMTS ' .- ,_ . - , -. � -- _ .�.._. __. _ i �, ELECTRIC GRdUND -�� � '`_ � � - -� -- - UNDER FLOOR DUCT , ` � �' - �' _ _ . � GROUND PLUMBING `��� '' UNDER FLOOR'CO�IDUIT ' '� � � � � . , . SL:AB GRADE_ ..... .... _ _ __ _._..._ �•,..'. , FIREPLACE'FOUNDATION - - - - ��� , �� '. ���:� � TEMP POWER " ' . . . ` . �` ' � i FIREPLACE BOND BEAM _ - - - ., ' , WATER SERVICE .. _: -_-..-...: : .. .. .--... .-. -_. . .. MID HT.BOND BEAM --, � • - ' __ . ,. _ •; . , _ . , , ROOF SHEATHING - _ _ ,�. . 8 Ff.BOND BEAM � � , ._ . _. _. . .t , :� �� ; , FRAMINGNENTILIATION � � . . FINAL BOND BEAM '• ' � i ` ROOF COVER . . '. ' PRE-GRADING �� - ' � ,� ! c -ROUGH HEATING -- -- �- -- , - BENCHING ' _. _. . . - _. . � . . , ROUGH ELECTRIC-i � � - � � --'--' ROUGH GRADING ; : ' -ROUGH PLUMBING . -- - ... - FINISH GRADING .. ,., '. SHOWERITUB TEST �� � ` � - - � POOL ELECTRlC ' EXT:LATH/SIDING _ : _ POOL FENCING � � , '. WALL INSULATION POOL FINAL ' � � ; � CEILING INSULATION - OFF SITE IMPS. DRYWALL NAILING ' DEDICATIONS', ' . - ' SEWER_ .__ ' � _ � FINAL ENG. ,. , ' . ; , , SEP7ICTANK_.. .... ..1.. . . . . . _. . LANDSCAPE/IRRIG. . , ; SEEP PIT/L.L. --- - - - _' ON 51TE IMPS. � ' ! ;', GAS AIR TEST;- , - ,, • FINAL ZONING ; � -� fINAI:`CONST.' � --' •- - ; ' , FIRE DEPT. FINAL ' � ' FINAL�HEATING -; �- � � ' HEALTH DEPT. FINAL . . , _ . . DEV. FEES PAID - . . - FINAL ELECTRIC - ': Z f � , FINAL PLUMBING ENERGY � � • ; , . , � i �'+�lrim i •� � :: . . _ ._.. � , ... . . . .. , . . .. . . .. __. , .:- .. , ._. _._.. _ _. ._ _. _ ... .. __._--•�-•--•--•--------._. . . . ._..._ ..... _. . . . . . COMMENTS - -- _. . . _ .:. :, � �. . , 4 .. _... _ ... . .. . :, �l � .. .. . � . _. , .. .... , _ _ =----- - . . . . _ . . , _ . . . , ; :. - - - _ � �,�.�. . . ; . . , _ , � -- � , � - � . , , .. ; �, �C�; " .� u�y; ' , . . ' SEPTIC TANK SIZE�' ' '�,)�.71�.'i:?=i!� `.I'I'E'�' ; , ' , . :;� . . , � ' SEEP PIT/U SIZE � ,,�� � _'�+==-�T' � • �t i.'ri t�i.!; �� , � ' � r ' � .� , , .. _ . � , � ; . . .. ; � -. _ , � : -- - - = � - , . , :; , _ . .: .��. , � . , . , ; .. . _ � �; _���' ;.\ ,• _ � . � . , � . . , , , . . ... . ; ' , . . �� � , . - _ _ . _. . . , � ' . ., . . - - _ i �� _ , . _.. '/ • _. ._ _._.._... . . _. . . _ ._. ,