Loading...
HomeMy WebLinkAbout13970 (17) r i , � ' CITY OF DIAMOND BAR J� -- �� DEPARTMEN'T OF COMMUNITY&DEVELOPMENT SERVICES / 21660�.Copley Drivc Suiu 190 • (909)860-3195 Fa�c(909)861-3117 , , Pf�ESS ���"� BUII.DING PERMIT APPLICATION � FIRMLY � JOBSITE C o � ` � 3 {� 1 APPLICATION � q PERMIT � 1 O P/C o ADDRESS� O K��� OATE � NUMBE # � APN LOT��� 7RACT ISSUE TYPE OCC � DATE CONST. GROUP p OWNEFI ���('A�J C�O r.�S�-h�[`_�-��/J " ADDR S �-1- ZONING SETBACKS. , C � CI1Y . � ZIP�2L/y TEL - FRONT - � - RW ❑ APPLICAr1T TEL. � �REAR ❑ � -SIDE/SIDESTREET'-' � ` '� � ' '�RW � CONTRACTOR �c o S SIOE ❑ � ADDRESS � �' L' PROPOSED USE CITYQ�J�GT-� ZIP TEL. � -_��3�G�3� ARCFUENG/ � � DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS S70RIES BEDROOMS � CITY ZIP TEL cNi� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OOWNEFi•BUILDER DECLARATION j SFR/ADb/REM p � 1 HEREBY AFFlR►1 WOEP VENALTY OF VERA/RY THAT I N.1 E%EAIPT FSKMI THE CONTMCTOqS LL Gd(690/CB�OM1 IL CENSEUWLOi1T1EFq1VNINOREA50N(SCC.70.71.6BUSPIESSANOVROFE5510NSCODE:ANYqTYOR (J� 5.7 COIMT'lYINICMREOUpESAVERAARTOCONSTRULT,ALTER�P�E,DEMOUSM,OPRLPNRrNYSTFlUG W LL� 1VRE,VRIOR TO RS ISSUANCE,ALSO REOUIRES TNE AVVUCAM FOR SUCM GE0.ulT TO FiLE A SIGNED W PBib/DBGk 6TATEMEM 7HAT HE OR SHE I i LIGENSED WRSUANT TO TME hROV15lON5 OF THE GONTMCTORS L4 � CENSEGAM�(QUPTERO(CCYIMENdNOWIiHS[CTION7000)OFDINSION]OFTHEBUSINESSANUPRO- � PooVSpa FESSqNS COOE)ORi}iAT HE OR SHE IS IXEMPT iHEREiROM ANO 1HE BAStS FOA iHE KLEOED E%EMP• TION.ANYVqUTqNOF5ECT10N7W1.68YANYAGVLICMl�FOR�PEFA1Ii$IAJECTSTMEAPPUCMITTO z Re-Raol � A CIYtL OENAL7Y OF NOT MORL THN/FNE IUNDRED DOIURS(SSoo).$ . � 04�ONMEROF7HEVROVE�iY,OR1IYEMGLOYEESWiTMWAGE5A5THEIR50LECOMP[NSATION, O C�mercla� . - YV1LL DO THE WORY`AND THE STRUCiUH[IS NOT INTENDED OR OFFEFEO FOR SALE(SEC.704,BUSb J y NESS ANO Oi10FES510NS CODE:711E CONTRACTOR9 UCENSE lAW DOES NO7�vPLY TO AN OWNER OF ? VROPEHTY WV/O BUM1DS OR NPROV[S iHEREON,MA W/i0 DOES SUCH WDRK HIMSELF OR HEFSELF OR � TIROUGHMSORMER0�5MEMP�OVEES,GfqVIDEDTHATSUCHINPPOVEAICN7SARENOiNTENOEDOR m . � ,OFFEHEDFORS/�LEF,1qWEVERiNE8�0.D�Na�RMPROVEMEMI550lDWITHINONEYFMOFGp1APLE• iqN,TME OWNER�BUILDER WILLHIIVE THE BURDEN OF PNOVMU THAT HE OR SHE D�D NOT BUttD ON = IMPROVEFORTNE7UHPOSEOFGALE} � �y,� ❑4A40NMFHOFiNEPNOPERfY.I�ME%CIUSNELVCOMRAL'TiNONRTlIL10EtiSEDOJHTMCTORS � TO GONSTRUCT THE PRO.IECT(SEC.701�1.BUSINCSS AND PFtOFE5510N5 CODE:TNE CONTMCTORS lF V8�U2110f1 AQI.AREA � CENSEUWDOESNOTAFPL�TOANOWHEROFAiROPERTYWTtOBURDSORMPROYE57MLRCON,i1ND � Nr+ocarra�crscoaSUCNVROJECT5MATIACONTMCiOR(5)LICENSEDDURSU�NiTOTHECOHfMC- OUANTITY D[SCRIPTION FEE . � TORS UGENSE UW.). � . .: . �J O I AM EXEMPTUNDEfl SEC. 8.i P.C.FORTHIS'R[ASON a� M �GM ♦ 3 � LL , � -��' � DATE OWNER V � LICENSEDCONTRACTORSDECLARATION • W . � IHEREBYAFFGIUUNDERPENALTYOFPER.IURYi11A71MIlICENS[DUNOEqPROViS:ON50fCHAVTEN Vr �y �(COMMENCINOWRHSECT�ON7000lOFDM510N70FT11E8UStN[SS/iHDPROFESSiONSCOCE,MR1 Z �L W LICENSE IS N FULL FORCE AND EFFECT. � � UCENS CUSS�D LIC.NO.__Ca�p� G 1-�- v o�re ;j,d ^4� corrrrucTon �--•- .-- a W � WORKERS'COMPENSATION DECLAFWTION A r/f,.,1.� a NIMFREBYAFfIRMUNDERPENKTYOFPEFWRYONEOFh1EFOLlOM7iNG0ECLAMTqNS� O Z Q � _IFIAVEANDWILLMAMTAtt/ACEIt71FiCATEOFQWISENtTO9ElFdNSUREFOqWORNERS' S � Cd.1PEN5ATqN,ASVROVIOEDBYSECTON�70oOFTHEW30RLODE.FMtHEPEHFOI1AlANCE �U OF7MEN'ORKFORWMIGI7HISiEFlMITISt9SUED. � � O 1 N�VE AND WILL MAINTAW M'OPoCERS'COMPENSAT7CN WSUMNCE,AS REOUIRED BY SECTION Q J1000FTHEL\BORCWE.FORh1EFERiORMANCEOFTHEVJORKFORWHICHiNiSPEIUAITIS iSSUED.MY WOFU( 5' PENSAT/JN URANCE CARF :R/�NO POLICY NUAIBERARf: CONSTRUCTION jc�nnieA ' S �^/'�� PLAN REVIEW Z ra�crnur.�sEn l =/. � � ELECTFIIC_ . �. � '.. 4 � � p (MssEcr�oNUEmrareEm,aE7EDOFiKVEwArSFn(1oNEHLrcr�moau3tsR'm�alLEss1 PLUM�ING z ICERT7iY7HATINTH[P[RFOiWANCEOFTHEWORICFORWHiCNTHISPERMIT6155UED,l MECHANICAL (�' SMALLNOTEMPLOYM7YPERSONINANYIMNNERSOASTOBECOMGSUBJECiTOiME N WOPo(ENS'COUPEH5A7qNUwSOCCALIFOFNIn,ANDA6REETNAiIFISMOUlDBECOA7E INSPECTIONFEE SUOJECiTOTHEWOR1cER5CO�.�VENSA710NVROV1510N50F EC1qN�7ooOfTH[LABOR s coo�,i sruu FOA�nTM co�+P�r vnn�+/i1�f5�E i�R,OYlsioas. ISSUANCE ,�� � p DATE:t� 3�' APPLICMlT. // (/ (i{z_vf _ SMIP � � � ENERGY P/C WARNiNQ FIJLURE TO 5[CUHE WOIiKERS'CO/APENSATION COVEMOE IS UNUWFUI,AND SHALL BE �y„ SUBJECTANEMGLDVERTOCRIMWALPENALTES/WDCMLFWESUPTOONENUN'JREDTHWSAND ENEFiGYPERMIT t DOIURS(f IOO.ODO),IN hDDITqN TO iME COST OF COMPENSATION,OAMAC[51�5 FROVIDED FOR IN � SECTI�N]7oeOFTHLlA00RCODE.INTEREST,/JJDAT70iWEY'SFEES. q�ry7�ONFEE: G�g • O CONSTRUCTIONLENDINGAGENCY ; ,� - �r } � PRE-ALT FEE: B�J� � INEREBY�1Fi1RMlNAERPENALiYOFPEiWRYTHATTHERE15ACONSTPUCTIONLENDW�AG�NCV ' ' � ,�f� L, i ' az' FOH THE i[RiORMANCE OF iNE WORK iOR WMIGI THIS VERIAIT IS ISSUED(SEG]Oi7,LIY.C.). � W . � � IENDERSNUAE � lENOER'SADDRES$ � � ILERTIFYiHATIl/�VEREADTHISA7DlICATIONANOSTATETM�TTXEA80VENFONAA7qNI5COMECL TOTAL FEES Q�'� w IAOFfETOCOMPLYWITHALLCrtYANDCOVNTYOfiDINANCE5AND51ATEUWSNEUTNOTOBUILOMO � �� �/ � CON57Po1CfiON,ANDHEREBYAUTMOFI2EREGRESEHTATIVE90F7W5COVN7YTOENTERUPONiNE � � � � Z ADOYE-L/ENTIONEDViIOPERIYFORR150ECTI0NPURPOSES. I r� COMMENTS � � � lit-.���1� � �w�a CO� v � - —� —��— m PE�EEN/JAE(PRI1lT) ' � ///!�"•� ��it__� �—��'- _ n n _- - — � - � SIONATUREOFVERMI EE OATE � � � � '� � RECPT.NO. �PAID BY ,_ VAt ioaT�pN VJF11TE—Depanmant Copy,YELLOW—Fnance Copy,PINK—Aasessa Copy.GOLDENROD--Fite Copy,GREEN—Applicant'a Copy , ... , . � � ,,. . , ..,. �r. , , . .. " , . . .. � . . .. � �,, .v,. .� 1pr. . ,r•..J .. .� y.�. ���. � , .. . ,� , . CITY OF DIAMOPdD BAR . . � . . . � . . . .•�.' RdSPECTION RECORD ';�,. : . , �. . . „ , � . � � �1�.�'r��.6�.��A�.� ��,��.� .�.� ♦ � �.���..l.�_!.__ ��1���. �' ��� �.�►r�- ��w7��.r� ; ..,,,._.'.. ..,..,�,. ..�..�.. �SET E3ACK . ', ( i !. I :�' ,� � j � . FLOOR JO)ST. / t - _ ,..,.'.... , , . . , . -:��--� � . .�. " � �:' . !FTGS/FORMSISTEEL - •` ' • : ' FHA REQMTS�.. .. / , ;__ .- . � , _ . . ... 1ELECTRIC GROUND __..... UNDER FLOOR DUCT , T-' � V - IGROUND PLUMBING UNDER FLOOR CUND�IIT �� � ;,_',,��, ., i,.'"`�'r;' I r_ . l.. ' '.. ..._ �SLAB GRAQE -�- �' - - ' � ' FIREPLACE:FOUNDATION �� ,i` .�� � :,� � , ;• - ---- �TEMP POWER , �/,�! FIREPLACE BOND BEAM �.• ' '• ' ; 'WATER SERVIC� MID HT.BOND BEAM ' � � •`/ •; ' � ���; : ! •' .. .1•.. �;_ ..._� . ; , ,, ; �,� IROOF.SH�ATHING 8 F7.BOND BEAM : -.,.. iFRAMiNGNENTILIATION � � - -- FINAL BOND BEAM � � � �� �i-: /� � : � �` . !ROOF COVFR PRE-GRADING '' '� � �ROtJGH HEATING � ` � BENCHING �ROUGH ELECTRIC ' ' ' ROUGH GRADING - _._ . _. ... .._._. � -; ;ROUGH PLUMBING FINISH GRADING :SHOWEFi/TUB TEST � � P,OOL ELECTRIC ;EXT.LATH/SIDING POOL`FENCING � � i � � ;WALL fNSULATION - • POOL FINAL � � ; ( ; : CEiCRJG If•:SULATION OFF SITE IMPS. ' i --� �DRY4VAL:L NAILING DEDICATIONS I ;, iSEWER FINAL ENG. - ` j ;'• �SEP i IC TANK LANDSCAPE/IRRIG, ',. ` . j � SEEP PIUL.L . � ON S17E IMPS. - ; ' 'G�1S AI�TEST FINAL ZONING � ; . FI+�P,L• C;ONST. .'�' 'J �,�. �J :;�, •� �;r.:f-' : �';J I FIRE DEPT.FINAL , f Fli�%�.L HEATING ._.j i � 'r •, �;-•�•r �G I f HEALTH DEPT. FINAL --- i . ..._�_ ._ : I'=1NC.i_ELECTRIC-. _.. �EV. FEES PAID - - - -- , �li" •'�.L PLUMBING ENERGY � . ,.,_._...... , .. _ . . . ..__ ( ... ... . . . . ... ._. .,. .. .. . . . . . . ...:�.xf4.�,.f_�r� -a�.sY'i�! .. . � --- _.. - --. '��i.:�k� G' � '�"�i`�'�. . . �� . (1 \ \' ' ' —' . r= `� \ � C' r��OMMENTS . �;,� ,. � � _ - j . � . . � _. . . . � . . ; . — _ , �� ; / ;� . ., -� .� ' ! _ � _ , . . � . � ._ � _ _ . - � � � . � . . . , . . . � � ,, , �.: � , I ., . ., .. , � .. . -., ��_ �' :�.�; . :� ;.1 . , .. . � � � 'SEPTIC TANK SIZE - . � �� , ! � 'SEEP PIT/U SIZE -, . . " ' '. ' ; . � - . ._ . ��.� . , . , .. . _ . . _ ��V��. � . ; , . , � , • ; , .', , ; . _ . , . . . :,� � . _ . _ _ � � , f ,1���. � � .. � . , � ' _ . _ _. . . t . .. . .. , .. I i I . i 1I � . ,.. . ' ... . . � � _ _. .. . .. . ' I J _ . . i-.1 • ,. _:�.I. ��/. . � I fl. J t � � .. �`�, q � . .. .. ' . ' ( . , 1 `� �'- _ . .._.: _ . _ � _ ..\ _... ......_.._..�.....�. �1 ��'. � _