Loading...
HomeMy WebLinkAbout14321 (19) '1 Y ��� CITY OF DIAMOND BAR � ` ' � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Coplcy Drive Suite 190 , � (909)860-3195 Fax(909)861-3117 PR ESS . �'*"�, � ` BUII.DING PERMIT APPLICATION FIRMLY ' oy JOBSRE � � „ APPLICATION. /-�-� PERMIT / P/C ADDRESS r�OC1Oc� ��jL�PJV rSPQ-lNE,S ' DATE I�'� "1-T NUMBER___� p I � APN LOT TRACT ISSUE T TYPE . OCC ^ �.4N0 ilPN �- DATE - CONST. GROUP g OWNER A�rE% � "' ADDRESS R M i ZONING SETBACKS ; � CITY LA �,4 �rJ'LIP L,� TE . FRONT RW . p APPLICANT TEL. � REAR p � SIDE/SIDE STREET RW ❑ CONTRACTOR 7`f G���'y� '�I� SIDE ❑ p� ADDRESS � CfTY�A-fh4B.¢�d-'f T3ZIP � �3fTELS�v� ' .PFOPOSEDUSE '. . _. , _ �� . Pu ARCWENG/ • 6%�/p1aP� � DESIC,NER � ADDRESS NO.DWEL. NO. NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS y OESCRIPTION "SO.'F7. FACTOR PSF ' ADJ.AREANALUATION p� OWNER-BUILDERDECLARATION , ' . SFWADDlREM � ' � �• . O � ' p 1 HEREBY AFFWM UNDER PENALTV OF PERIURY THiIT 1�1A E7�MPT FRdA TIE CONTRACfORS ll� ' Garaqe/Carport . ....... , . . • . .. . � CEHSEUWFORiMEFOLLO'NiNORU50N(SEC.7a71.lBUSINESSMIDVROFESSIONSCOOE:ANYGTYOR (n � ' ����' � ' '�• CIXMTYMMICfIREOUIRE9ADEWARN�UNSTRUCf,�lLTE0.�P�E.DEAA0U5H2ORPEVAIRM/Y57RUG NF1E.PR�OH TO RS 69UANCE,AL90 NEOUIHES THE APPLICANT iOR SUCM VERMIT TO FlLE A SIGN[0 W Patfo/Deck �� � "'� � STAiEMENi hL1T NE OR SHE IS UCENSED PIMSUANf TD THE PfpVISI0N9 OF THE CONTMCfOftS lL CENSEUW(Q�'TERO(COMMFNCWOMAiH5ECT10N7oo0�OFD1VISqN70FTHEBUSWESSANDCR6 � PooVSpa � . ' FESSiONSCODE)ORi1NTMEORSME�SE%EMPTT7EREFROAIMAMEBASISFORiHEALLEOEDEXEMP• (� 71OH.ANNYIOlAT10NOF8ECT10H1m1.6BYANYAPPLM.MRFOqAPERA.11TSlA1ECTSiHEAPPLIC.ANTTO Z Re-Roof � ACMLiENALTYOFNOTMORETUNfIVEHVNORE000l1Afu^(i5oo).): �, � � OlA90WNEROFTHEVROPERTY,ORMYQIPLOYEE5MA7HWAG[SASiHE1RSOLECOIIPEN5AT10N, 0 Commerelal - ' � Y/81.DO iHE WORIC AN�TNE STi1UCiURE i5 NOT IHTENDED OR OFFERED FOR SALE(SEG 70u,BU56 J . N NESS AHD Pi10FE5510N9 LOOE:THE CONTMCTORS UCENSE LAW DOES NO7 APPLV TO/W OW NER OF ? , � � VRDPEHi`/IM/O BUtDS di W VROVES iNEREON.MD MMO DOES Sl1tlV YXNU(NIMSELF OR NERSELF OR ' T/ROUGHHISORHERO'M1EY�LOYEES.ViWV10EDTHAT6UCHMPROVEMENTSARENDiM7ENDEDOR m , � OFFFA�FOR$ALEFIq1VLYERIHEBUIDINQON�MCitOVEMENTISSOIDWITIENONEYEAROfCOM7LE• � . ��TION.TNE dAMER8U0.DEF WILL HAVE T1E BURDEN OF PROVINU THA7 NE OA 6HE OD NOT BUiID OR . . . . rI7FiOVEFOFiTF1EPURPO5EOF8ALE1. � . . - . . O L A4 01MIFN OF iNE PROPERTY.AM El(CLUSNELY CONTMCfP10 WITH LICENSED CONTMC70RS TO CONSiM1G'TTHE PRO.IECT(SE4 7u�.BUSINE53 MA PROFESSIONS CODE:TME CONiMCTORS U- V01i181bf1 ADJ.AREA � � � CENSE UW DOE9 NOTMGLYTOAN OWNER OFA VROPERTI WHO WILD30q MPROVES7TIEREON./JID , 1M�OCdITRACi9FORSUf:NVR4IECTSWIiHACINfTRACfOR�41lICENSEDPURSUANTTOTHECONTRAG qUANTITY � DESCRIPTION - ,FEE - � TORS LICENSE UW.} ' . . . ' . : : .. . OIAMO(OAPTUrDfRSE0. B.1P.QFORTHiSREASON a .. /�O � � 7� O 3 � <.�..-.. . , - � , . , . . �=" OATE OWNER U SL�U ��N.�F—.'.LS �./ � � . . . . ' . J . � . � � . �� /� UCENSEDCONTRACTORSDECIAMTION W ' � ,,. � �EREBYAFFGUAUNOEi1PENALTYOFPEiWM1HATIAMUCENSEDUNDENPHOVIS10N50FCMMTER • � . , �� i(COMNENClIa MlfTH SEGTION IOa01 Of DMSION 70F THE BUS�NESSAND GROFESSIQVS GOOE,M1D Z �• �� ��•���� �• ' c W UCENSE IS IN ML FORCE M1D EiFECi. �J [1� 3 �n Q �I N E � -/ O �S ' / � � � UCENSE CLASS__(.�_=�_LIC.N0.' �j DATE . . . .. � .. . CONTRACTOR , �( . [6 WORKERS'COMPENSATIONOECLARAT ` a � - N IHEREBYAFFGtl.lUNOERPENA1.ryOFPE0.RIRYONEOFTHEFOILOYAN6DE TIONS ' �� � � " " ' N Q , � _IHAVEANDVALLWM�INACERTIFICATEOFCONSENTTOSELF•INSt1REF0 S COYPENSATION.ASPHOVIDEDBYSECTfON�7ooOFTHEUBOHCODEFORTHEPERiO W OFTHE M'ORI(FOR NM111ClI7N�S VEiU1tT 5155UED. � 0 I �_I HAVE AND WILL 4AM,UN WO{iKERS OdA7ENSAT10N MSURANCE,16 REOl11RED BY BECfid1 Q J70oOF7MELA80RCODE,FOfilNEFERFOpMANGEOFTNEWqiKFORWMICHTF113iERMITIS � ISSUED.MYNq1iNER5'CO/AOENSATIONtlJSUMNCECARR�ER+1NbPOL�CYNUMIlERARE CONSTRUCTION � uaaiEa ' PLNJ REVIEW �L, POIICNM1A�eER , 1' (1��� � ELECTRIC �� +-� p (nass[cnor+r+�wisem.s�moFT+erFra.�rsro�a+e�nwnE�oai�sR+�Ia��ssi PLUMBING I�)' �� Z ICERTIFY THAi W iHE PERFOHMANCE OFTHE YARK FOA WHICHiHIS PEiiMR IS ISSUED,1 MECHANICAL � � (.�} SHALLNOTEMPLOYANYPERSONINANVM ERSOASTOBECOMESUBJECTTOTNE „^1, ^ l I � WOPo(ERS'COAIPENSATpNUMI50FCAL�F NIA,ANDA6REETW.TIF151KK1lDBECOME INSPECTIONFEE _11J1_�j�j_Z ' SUBIECTTOTMEVNORKERSCOMPENSAT 110NSION3 TION�7000fTHEU80R ' ' - —��� � 1 s E,�sw.u.roanMnn�caaa�rvnn� a Ecn c.,s. ISSUANCE CrI oh:�,d�APPLICANP. �� sM�a ��ll1Al� � ENEHGYP/C UII��Ci AT��T)C A�T'�'�^'.� WMNIHO:F/uLURETOSEWREWOi7KER5'CdAGENS�TNNICOVERA�EISUNUWFl4.ANO5HALLBE �• 1' � �� � SUtlJECfANEMPLOYERTOCRIMMALPENALTIESM70CMLFNESUPTOONENUNDREDi/KK1SWD �ENERGYPERMIT � � DOlURS(f t0o.0oaj.N ADOITION TO7HE C05T OF COMPENSATION,pAMAJES AS PROVIDEO FIXi IN ¢ SECTIONi7oeOF1HElA00BCO0E,NTEHEST,IfAA7TOFNEYSFEE3. � '� RE7ENTIONFEE: � � � a CONSTRUCTION LENDING AGENCY � PRE-ALT FEE: ' � O � IHERfBYAFFlRAlUNOERPENALTYDFPEM1MTUTiHEREISACONSTFUCTIONLENDDX]�6ENCY ' Z FOH 7ME iERiORMANCE OF iME NK)RK FOR NMIG17NI5 PEtiM1T IS ISSUED(SEG]097,CIV.G). , W � LENDEq'SNAME � - � C IENOER'311DDRESS � ICERTIFVMAT114WEREADTCSMPL�GTIONIND3TATEi/1/.TTHEFBOVENFORMAT10N5CORRECT. TOTAL FEES � �� , � � � � � d IMREETOCdAO�YVATHAIICffYANDOOUNTYORDRUNCESANOSTATEUWSRELATINOTO8U0.01NC , . � � � CONSTNICTION,ANDHEIiEBYAUT4qRl2EREPRESENiATNE50F7HISLOUNTYTOENTERUPONTHE . . . , ABOYE•MEIRIONEDPROPERTYFOHINSPEGTqNPURPOSES. COMMCNTS � J ,. . . . . . . . , ' ' � � m PE REE E(OWMT) Q _ . . / ..c'' . . � — � WINPEOFPEN.YTT - WTE — � _. RECPT.NO. PAID BY V/WDATION YVHITE—Department Capy,YELLOVIF-finenca Copy,PINK—Aseessa Copy,GOLDENROD—File Copy,GREEN—Applicant'a Copp �� ��- � . . . '� .ti„, •y... N.� .�3, Y' n���'l• , �.�.. � , . . ... � . , . � . , • , . �. ..i. ��.. � .. . .. i� ..� . ' ���' ' �+�' � ,� , . . �. . /."���� /; � � CITY OF DIA'MOND BAR ;,,s -:, �. :;. � ,..,. .,. .:... . _ . , :. . ., ` ,`�-... '" � INSPECTION''RECORD�' ' � ` .'.. � .. . . . 6 ,. .. .'1 ".i . . � .. ' • • 1 � � � � • . , � � , � SET BACK . 1,' '`� � -- � . , FLOOR JOIST,c,� � �:�, � �� ����;�t:_ , � FTGSlFORMS/STEEL =• • ' ' FHA REQMTS � - -- �� ELECTRIC GROUND � ,.: _: - - -� - UNDER FLOOR DUCT .t •., t,,,-;. -; �,• ,';.{� . � ::, GROUND PLUMBING � ' �'-. 'UNDER FLOOR�CUNDUIT,:�. •��:� �.�.t_:• ' -- � !; �� ; ', �.._. . " ' .�..%��••�, ....� �; :• i _.: _. ...__ .. .. . .. ,,�- i FIREPLACE FOUNDATION`,<• . :..". SLAB GRADE"__._... _ _,, ,.• � .FIREPLACE'BdND BEAM � � � � TEMP POWER _. - -- � _. � �: : . . i . .. ._ .... _,. _ � WATER SERVICE - . . :. _._� -.. .. --- .--. .__ - --' - MID HT.BOND BEAM ',._ �.,.ti , ..,. _-- � ,..�•�. • , . . ��� „ � , . . . . .. _ _. - - - ROOF SHEATHING-..:... ...-� - - --- .. . . _.. "• S FT.BOND BEAM 5•. , �:,�� ,`' �' i, ,;�, .i�.•:• ;_�. :.` - : . i FRAMINGNENTILIATION � FINALBbND.�EANI:� '' I ;'� ROOF COVER';'_'' PRE-GRADING - -- -, . , � • ROUGH HEATWG.. ... _.. BENCHING . __. . .�� .. ' _ .. _. . .. ...... �, ,-, ; . � ROUGH ELECTRIC: "�� G� � ROUGH GRADING -,- , ; - ROUGH PLUMBING -; t+ 7 --� "�` " FINISH GRADING i �: SHOWERlTUB7EST' -- �� - � � POOLELECTRIC _ _ , , EXT.LATH/SIDING � P�OL FENCING � ' �` ,' ' � ' WALL INSULATION i ; � POOL FINAL , • f , CEILING INSULATION • OFF SITE IMPS. � � i < DRYWALL NAILING • i DEDICATIONS � - ' BEWER .. ...... .._ �. . .._ . J . FINAL ENG. ,. . , ; . , , � , SEPTICTANK - - -_ .. ._ . __.... --.. _ . LAN�SCAPE/IRRIG. .�' , SEEP PITJL:L. ,-_. -.___..- _ ._ _. .. -. _..:_ . . ON SITE IMPS. : : GAS AIR,TEST - - - - . � , - � FINAL ZONING • • � : FINALCONST.' - . _ - _� . _ ,: � FIRE'DEPT. FINAL - ' ' _ FINAI:HEATiNG`� -�--' _, ; ,, , ,, . '••':� -, ; ;-' HEALTH DEPT.FINAL , � � DEV.'FEES PAID FINAL ELECTRIC..._.._ �� _ _.. -- .. . _. .. .__.... ( -CA , , , , FINAL PLUMBING _�1;SJp �:=.•. ENERGY � � j ; - .:, �., ; ; . . � , �j,� o s _ .. - ---- -• . __ . � . ._.. _ ,_. . . . � -.�_`_____ . . . � , .... . _ _ _ _ _ _ - - .� ,, �_; , � COMMENTS - — • , � � . , ' � � , � . , . , _ . __._ . . ... __. . . . .. . � _._ , v _ ' - _ ._.. . _ .. �.. - , ; ._ _. . _ , ; . , , .. _ .. _. , _ . , , ... . � .'. _. _ . , ' , . . , � . . _ ' i � ' ' � � , ;. _ , _._ ( , _ - . \ � . , l .�.. :' .� . . , c —`� � � • _ _ . .. � ; _T -�_. . . _ .. . i ; SEPTIC TANK SIZE ' � ; , : .. . ; . ' _ � � � ' � ,. SEEP.PIT/U SIZE . . � f . , . , . ; , � � : � - - . � � . _ -- -.. . . � _:. . ,. - ... � ,, 1 . . „ � ,,, � , ., ,. ' � , . , , . •___ . . . .. .. ... ...�.. .. . . , . � ' ^ I .._ . .. . ... .. . I _ � ; _ . : _ _ � _ ..r •; . ; ,.. ; � , _ _ .:.. _�, ;_ �_ � .i , ,� ���'� - - i ..- . f . . , .