Loading...
HomeMy WebLinkAbout12547 (13) . . . „ . , , — _.. I \ \.: , . �:. ��� DE ARTMENT OF COMMUI�II " -- TY&DEVELOPMENT SERVICES � � ' ` . ;..e 21660E.CoplcyDriveSmu190 , `�,.. ,...� (909)8603195 Fax(909)861-3117 `<,,.. ..'^�': BUII.DING PERMIT APPLICATION ;i.' N JOBSITE � ,l APPLICATION L� PERMff /C ' o ADDRESS � .s� �K� L�r ppTE �D Z� NUMBER � N g . ISSUE TYPE . OCC. APN T TRACT DATE � CONST. GROUP � OWNER � R 1 k " ADDRESS �3 ie ZONING SETBACKS � : W CITYD , 21P , TELjOr- - FRONT ; pyy p , APPUCANT TEL REAR ❑ SIDE/SIDE STREET RW O CONTRACTOR SIDE ❑ g ADDRESS ) CITY ZIP TEL PROPOSED USE o ARCWENG/ • � DESIGNER NO.DWEL. NO. ADDFiESS UNITS STORIES BEDROOM � CITY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECUIRATION SFRIADD/REM O . e1 HEREBY AFFlRM UNDER VENALTY OF VERIURY iHAi l MI E%EMPT FROA/THE CONTMCiORSIF " _G818gB/C81pOR. _ � � CENSEUWFORiMEiOLLOVlNOREASON�SEG7W7.68USP1E55M1DPPOFESSIONSCOOE/�N/C(TYOR - (n U COUNryWFi1CHpE0U1HESAVERMITTOCONSTRUCT,AIiERMPROYE,DCMOl15H2ORREiA1qANY5THUC• ' W P8t10/DBd( ' ' � '� TURE PRIOFi TO RS ISBUANCE ALSO REOUIRE9 iME 11PGLICMIT FOR SUCH PERMIT TO FILEl1510NED W �� � STATEYENT THAT HE OR SHE 15 LICENSEO VURSUANT TO T11E PROVISIONS OF TME CONiRACTOR3 U• ,� CENSE UW(p�TER Y(COMMENCWO N7TN SECTpN 7000)OF DMS�OH]OF THE BUSME55 N!D PRO- V" POOVSpO ' � � � fE55qN5000EJORTHATHEOR5HEISFXEMPTTHEREFqOMANDTIIEBA515FORTHEALLEOEDEXEMP• (� TqN,AMlVIOLAiIONOFSECTON70J1.68Y/W1'APP�IGANTfORAiERM1T6U0JECT3iHEAPPLICANT70 �. Z Re-Raot � A CIVIL YEN/LLTl'OF NOT IAOHE THAN FNE HUNDRED DOlURS(7500).): � � � OI.ASONMEROFiHEPROPER7Y,OR4YF�PlOYEESWITHWA0E5ASTHEIR50LECOMPENSATION, � � COrt1m0fClel . - � � � 1MILL 001HE WORKliND THE STRUCTUflE IS HOT IMENDED WI OFFERED FOH SALE(SEC.7Cw.BUSI- J � NESS AND VROFESSIONS OOOE:TNE CONTRACTOR9 LICENSE Uw DOES NOTAPPLY TO AN OwNER OF � . iROPERiY YNp BUIl.D3 OR 14FROVES iH[REON,/VA WNO DOES SUp/WOpK HIMSELF OR HERSELF CA • '� � T/RIXIOMHISORHEROWNEMPLOYEES,GMVIDEDTHAi6UCHMPROVEMEMSARENOTINiCNDEDOR m OFFFAED PoR 9KE If,FIOWEYER 7ME BUtDPI�OR IMPROVEMENT I9 SOID WIT/EN ONE YEAROF COMPIE- 'iION,THE OWNEN�BUILDER YALL MI1VE TME BUROEN OF PROVINO iHAT ME OR SNE 010 NO7 BUILD Oq lAVF10VEFOfiTMER1RPO5EOFSALF} ' ' � . W OIASOWHEROFiHEiROPERTY,MIE%CLUSNE�YCDMTMCTINONTTHLICENSFDCONTMCTOi43 . � TO CONSiRl1CT 7l/E VR�IELT(SEC.7M�,BUSINE53 AN�PRDFESSIONS LODE:THE CONTMC70R5 U• V01U81I0f1 AQ�.AREA � � � CENSEUWDOESNOTADPLYTOANOWNEROFAPROPERTYVeFIOBUMD50RM7i10VE5THEREON.MID Y1/1000HTMCfSFORSUCHPR0.IECTSWITNACONTMCTOR(S)LICENSEDPURSUAHTTOTM[CONTMF qUANTITY- DESCRIPTICN FEE � TORSLICENSEUri.). ` � 0 OIAAIEXEMPTUNDEHSE0. B.iP.C.FORTW5REA50N � U C.4 1 G• 1 !' 1 S� ( 3 � � K � u' DATE OWNER ' V W ,� / 'Q. P. L � UCENSED CONTRACTORS DECLARATION W I V i' � � � I HEREBV AFflR1A UNDER PE W1LTY OF PEf W RY TFUT IAM IICENSED UNDER VROVISIONS OF CHMTER � i(Op.WENC4/0 WfTH SECTpN 700010F DMS10N]OF THE BUSWESSAND PROFESSIONS CWE.M1D . � Z O 197 G� �� (� 11Y LICENSE IS N ML iOFCE ANO EFGECL — C n ` C � O� � UCENSECIASS LIC.NO. � � �1 1 , V DATE � CONTRACTOR � � a W � WORKERS'COMPENSATION DECLARATION -r _ . N IMER[BYAFFlRMINDERPENALiYOFPEitNRYONEOF7HEFOLLOWINODECUMTIONS: ' � " " �" ' -� � � _IHAVEANDWILL►UMAIN�CERTIFIGTEOFOONSEMTOSELF�WSUREFORWORNERS' COMPENSATIDN,AS PROVIDED BV SfCT10N f7oo OF iHE LABOR OOOE,FOR TXE VERFOiWANCE � OFh1EWORKFORN111p1THISiERMITI5IS5UED. G Q _I HAYE/WD VlILL MAMT1lM WORI(ERS COMPENS�TqN INSURANCE.AS REOVIRED BY SECiION �7ooOFiHEVD00.COOEFORTI[PERFORMMlCEOFiHEWORKFORNMiCH7HI5OEiiMIT15 � ISSUED.WWORKER5COAIPEHSATIONINSURANCECARRIERAND70LICVNUMDERME: CONSTRUCTION � cNwica PUW FEVIEW � va�'Nu.�aER _ELECTRIC - � p (MSSECIqNNEmrqiBEOor.i;E7EoaFnEPEPI.�tsFOapdH.KH[UDxUJsaim)OatFss) PLUMBING �� Z ICERTIFYTUTNTFIEVERFOfiMANCEOFiNEWONCFORWHICH7HI5PERAlITI5155UED,1 MECHANICAL � �� (7 5141LLNOTEMPIOYANVPERSONINANYMANNERSOA5TO0ECOMESUBIECT70THE �• � WORKERSCOMPENSATIONUIWSOFCAI.IFORNItiANDAGREETMATiFIS110ULD8[COME INSPECTIONFEE S "' SUOJEC7TOTHEWORKERS'L�OM7ENSATIONDROVISIaN50FSECTION]7ooOFTMElA90R . CODE,I SHML FORTIWITH CdAPLY WITH 7MOSE PRONSIONS. ISSUANCE � � SMIP . . . W DATE: � � APPLICANP. . . . ..... � WARNINQFAILURETOSECUREMAfY(ERS'COAIPENSATIONCOVERAOEISUNUWFU..,MIOSHALLBE ENERGYP/C _ yJ � SUBJECTANEMPLOYERTOCRIYc1ALPEWLLTtESM1OCMliWESUPTOONEHUNDREDTM0U5AND 'ENERGYPER � ' �/�• ' DOlUR3(itDo,o00),INADDITIONTDiHECOSTOFCOMPEN5AT10N,DMV�OESASPROVIDEDFOR�N �YO�'� B!]R ¢ 9ECTqN]7oeDf1HEUBORCO0E.W7ENE5T,urorrrow+ersFe¢s. RETENTION � � nW.. CONSTRUCTIONLENDINGAGENCY PRE-ALTFE �'-+�'��'��,y ' O � IMEREBYPFFIRMUNDERPENILTYOFiERIURVt1Ul7T11ERE15ACONSTRUCTIONLENDWOAGENCY �� FOR THE f ERFOMIANCE OF TME WORK FOR WMIq1 TMIS VERMIT IS ISSUED(SEG 1oD7,GV.C.�. . � �LENDER'S NAA1E .. _ . . . . . � � IENDER'SADDRE55 � TOTALFEES 3D. �� W ICEHTIFYI}UTINAVEREADiHISAPPLIGTIONANDSTATETMATTHE/BOVENFONMA710NISCORRECi. • p. IAGREETOCOMPIYWfTHJLLLCITYANDCOIR�TYOPDRUNCES/NOSiATEUWSRELATWOTOBUILDINO . . CONSiRUCT10N,ANDHEREBY/lUTF10RIZERE7RESENTATNESOFTH15WlMTYTOENTFRUPONiHE . . . . � � S� ABOVE•UENTqNEDVROPERTYfORINSPELT10NR1RVO5E5. COMMC-NTS �� � ,Oe. �Q l �. � m c xun�{vwr+n � �a3--� . � URE - I EE DATE � RECPT.ND. _P,�ID BY VALIDATION � WHITE—Dapartment C.opy,YELLOW—Financa Copy,PINK—Aesessor Copy,GOLDENHOD—File Copy,GREElJ—Jlpplicant's Copy � ._ , � .r' ' ,� , '-'� . , t . . . � . _ . . • . • , ' � '� CITY OF DIAMOND BAR • - � � - . . : . , ' '��' �' '' ��'INSPECTION RECORD`,' �� . �- • ;: � . � ' s s r + � ' • • � � • - SETBACK � ,.. , ,ti , �: ��i�".)) FLOORJOIST •i:'� '<" .i ,-. � . I '� _ FTGS/FORMS/S , � 1 . . � � , . . . , . . __ TEEL _ i � FHA REQMTS _ , . . _ . __.. EL.ECTRIC GflOUND `�.�:� -_ _ _ - - -_- - � UNDER FLOOR DUCT ,. . , � ' t ' , - GROUND PLUMBING ' UNDER FLOORCUI�IDUIT �- .•; r �'� • ' t ;`, • " SLABGRADE- ��- � � - - � � �� � FIREP�ACE�FOUNOATION '' ' •�'• . � _ . , .4i.,r. . TEMP POWER - - � - -- . ' ' �, � , , , , FIREPLACE BOND BEAM- - _ . , . .. ... WATER SERbICE ..- - ._ i . - . ._ MID HT.BOND BEAM .. ' i ROOF SHEATHING' ;' �� ' ,-_ ` t _ .. ' S FT.BOND BEAM � , . , � • FRAMINGNEN`TILIATI�N ` ' FINAL BOND BEAM ' ROOF COVER , ' I , � � FRE-GRADING � � ROUGH HEATING ...: ._ _ . .. .. .. ...._ _ . ..__ BENCHING - .. , ROUGH ELECTRIC �, ��� "-` � - � ,- ' ROUGH GRADING ROUGH PLUMBING ,- � " " - . " � FINISH GRADING , , . , . SHOWEFt/TUB TEST i - � ; - POOL ELECTRlC ; EXT.LATH/SIDING POOL FENCING � ' WALL INSULATION ; , POOL FINAL CEILING INSULATION ' OFF SITE IMPS. • DRYWALL NAILING DEDICA710NS ' ' • SEWER__.._ ' FINAL ENG. � SEPTIC TANK _- _... _ . _.. _ LANDSCAPE/IRRIG. . ! SEEP-PIT/L.L -=-. - - ON SITE IMPS. ; ' . � ' � GAS,AIF�TEST; ___ : � - � . ,. - �,, �, FINAL ZONING � : FINAL'GONST.,- _' ,',' � � ':, �; � ' . .� � ;.` . ' ` � FIRE DEPT. FINAL' � FINAt HEATING ' ` ' j'! ' � '�! ' , , i HEALTH DEPT. FINAL FINAL ELECTRIC . 11 IS��� ' . : � " � DEV.fEES PAID - • - � �FINAL�PLUMBING. ,, .,i j .i � . �,. ,. • ��. ENERGY • � i - �y.� ,..,,i 1 1. ' �• ' � � , ' � � � � . _ _ . _ _,. .. . , , COMMENTS-- ..._.... . . _ . . _. �. . , ; , ; � : ._.. ..... .... _ . . _._ . .. �: . , . � _ _ . ; �. , _. .. ._� _ . _ . � , , _ , � , , �l� ,\ _ ; _ _._.._ _... . . � I - ' �- - . _ . � €�i;���g . .. , -- ' • � . . .. • . ; , , , , � 1,:� ��, i. : _._ _._. _ .�C..+.".'• l., � �L). , ; ,, , , . . , SEPTICTANKSIZE���'''�£:'!'f�-f,i�ri��iO;�J::).Y.1't.•�� � , . � � . � � SEEP PIT/U SIZE '�"" � . • �•�• ,. �` ,, � i .. , � � .. ' ; � � .. ; , � . _... . '. , . . .. , �. . . . � � . , i � . . , � -- _ , , .._. . �.,,_.,, -_ -• ..... .. _. . .. _ i :.... `, .,... .. . j �. � �� ` - j i ` f I .. . -_. _. .._ _ ;` . _ • _ � ; �,