Loading...
HomeMy WebLinkAbout13812 J� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES l �� 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3(17 PRESS ��� BUILDINGPERMITAPPLICATION FIRMLY } JOBSITE ��3 J/ '����� ��. APPUCATION �'1 1_ � PERMIT\� '�/C o ADDRESS DATE y� NUMBER� A $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER ' �-���' " ADDR S J I �=D��T t7� - ZONING SETBACKS � CITY�I t7yn /_3�ZIP�I��rTE ,, J� ���� FRONT RW ❑ APPLICAPlT TEL. REAR O SIDE/SIDE STREET RW ❑ � CONTRACTO [�U �` j /d�(r SIDE O � ADDRESS E= �� � = �ROPOSED USE CITY a�0 ZIP J TE . � ARCHlENG/ • DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SQ.Fi. FACTOR PSF ADJ.AREANALUATION N p� OWNER-BUILDER DECLAAATION SFR/ADDlREM O Q I HEREBv AFF7RM UHDER PENALtt OF PE0.4RV TUT I Ax/E%EYVT FAOu THE COHTMCTORS lb Garege/CefpOft W CENSEUIWFORINEFOLLOWNOREASON(SEC.707f.6BU5P1E55U1DiROFE55lONSCOOE:ANYpTYOR (n C� CpUMyMM101REOUYiESAVENNRIOCONSTRUCLKTE0.0APROYE.OEMOl15H.ORREPAIRANYSTRUG• W Patio/Deck ZilJRE VP�OR TO ITS ISSUAHCE AL30 REOUiRES THE IDPLMHR FOR SUCH PERMiT TO F0.E A SiCNE� W � ETATEMEHT 7HAT HE OR SHE IS LICENSED PURSUANT TO THE PROVISIONS OF iHC CO�fiMCTOp3 t4 � CENSE UW(CIIMTER i(COMMENQNO VA7H SERpN 7000)OF DMS10N!OF THE BUS:NESS IWO vR0. LL' POOVSp3 FESS�ONSCOOE)ONTIuiHEO(i5HE15EkEYPiTMEREFNOMANOiMEBA515FOflTMEl.LlEGE�E%EMP• (�} TION.WJYVIOLA710NOFSECTION7071.6BYANYAGP4IUNTFOq�PERMIT9UBJECTSTHEAVVLICANTTO Z Re•Root � ACMLPENALTYOFNOTMOfiETYWfNEHUhVREDOOIIMSItso04k Q � 01,0.S01NIEROFTHEPA07ERiY.OFMYEMGLOVFE5WITIWACFSASTHEIR50LECOMVEN5A7qN, CORITBfCIdI YALL00 iHE WOfUf.AND THE STRUCTURE IS PqT IMENOED OR OFFERED FOR 5/LE(SEG 7W1.BU51• J N NESSAN�7ROFESSIONS�DE:iMECONfMCTOR9LILEN5EUW00E5NOTAVPLYTOANOWNEROF = PROPERTY1M10BULDSORMPpOVF57MEREOH.ANOVMO�0ES5UCHNqRKNIMSELFORHERSEIFOR � 7lYIOlMF1NI50flHEROMTlEMP1.0YEES,PROVIDEDTHAiSUG1lAi�ROVE61ENT5AAENO7WT[NDFDOii m � ,OFFEREDiOH4ALEF,110N�EVERTMEBULqNUONIUVROVEI.IENTlSSOLOWilMNONEYEAROFCOMPLE• Z TON,T11E ONMER�BIJIIAER NnLL 11AVE ME BUfiCEN OF PROVNO TIN7 ME OR SME D�NO7 BUttD OH ' NIP FORiMEAJRPOSEOFSALFI. � LASOwNEROFh1EVROPERfY,M1E%qA15�KLYCONTMCTHOW:TNU[ENSEDCOlRMG700.S 70 TRUCT TNE PRWECT�SEC.70N,BVSIN[5411ND OROFESS�ONS CO�E TNE CONiMCTOF9 U� Va111aIIW1 A0.1.AREA E UM�DDES NOT APRt TOAN OwNEP OF A PROPER7Y Wlq BURDS Ofl M?qOYES TMEFtEON.M'0 � corrtancrsFor�sucHvt+aEcrsmn+Acorrtrr�cion(S)L�NSeovURsuu+rrOir�EcorrtruG QUANTITY DESCAIPTION FEE uco+se uw} OIWIXEMPTUNDERSEG ���y B.1V.G.FORiN15REASON � u' DATE � OYMEfl ' �J` ��L �d LICENSED CONTRACTORS DECLARATION , 2 IHENFBVIlFF6bJUNDEHPENALNOFiENURYTHATIAIILICENSEOUNDERCRDV1510N50FLNAPiER � IQ +� E / JN(� � � �(COYYENCNO WI7M SECTION 70ao)OF OMSION]OF iME BUSINE55 AND GPOFESSiON3 CODE,A�W X MTLILENSEISWFULLFOFlCEANOEFFECL m LL1 � 0 UCENSECLASS LIC.NO. J � p,�7� CONTRACTOR a W � WORKERS'LOMPENSATION DECLARATION � � � IMEREBYIIFFIWAUNOERPEN�LTYOFVERJl1RYCNEOFTIIE(OLLOWINGDCCLAMTIONS. O �IIUVE/�NOWILLMAN7AIN110EflTIFICATEOFCONSENTTOSElFdN3UREFORWORKEfiS', � ' • � � ' � _ -- � � . � � WYPENSIRpN.ASVRONOCDBYSEGTION�7ooOFiMEUBORC00E,FORTHEPEHf-0RMANCE OFTME YNflN FOH WNlp1 MIS PERMIT IS ISSUE�. C _I HAVE AN�W.LL MA�MMI WOFl1cER5'OOUPENSATION W SUIWlCE,AS RE W�RED BY SECTION 4O it0aOF711ElABORCODE.FOHiHEpERFORMrWCEOFTHEWORKiORWHIC117HISPEPAIITIS � ISSUED.YYWONCENS'OO��PENSATIONINSUNANCEC+�AN�EAFNDPOUCYNUAIOERANE: CONSTRUCTION �, CMRIER PLAN REVIEW � aaicrnur.�ecn ELECTRIC 0 (naSEcnOr+r�nwre[�rmoFnEVEa.rtsa�aonEMeon[DOal�vasR�ac)aaussl PLU ' ^ • Z ICER.•iFYTMATRITHEPEPFORAI.WCEOiTNEWOFKFORwH1CF11H:5PERM�Ti5155UED,1 MEGHAN�CAL ^��`� I �•} SYMi1NOTEM%,OYAlA'PEASONNANYMANNEfl50A5706ECOMESWJECTTOfHE � WOW(ERS'COMPENSATIONUWSOFCAUFORNIA,AN��GREET/UTIFISNOUL06ECOME INSPECTIONFEE � S SUBJECTTOTNEWOi1KERS'Cd.loEN54710NVRONSIONSOFSECTIONJ7000FTHELAHOR COOE,1 SN/LL FORTINnTN W4PLY WI7M THOSE PilOVIS�OflS. ISSU�`10E � 0 SMIP �J�J(�. fi 1Qq9 p OATE: APPLIGM`. . � ENERGY P/C�1���� W�pHINO:FA0.URE TO SECURE YNRKERS'COMPENSATqN COVEMCE IS UNLAWFUL.ANO SHALL BE SUBJECTAN EMPLOYER TO CR W1NAl PENALTIES AND CM�F W ES UP TO ONE NUNDHEO iM0U5�N0 � Wl1MS�f10o.000).�NADDITIONTOTHECOSTOFCqAPENSATION,�MIAGE5�5PflOVICEDFORIN ENERGYPEF��� � � SEM�ON 77D!OC 7HE LABC%1 CO�E.PlTEHE5T,IWDATfORNEY'S FEES. RETENTION FEE: y � a CONSTRUCTION LENOING AGENCY PRE•ALT FEE: � O � IMEREBYAFFlRMUNDERVENAL7YOFPERIURYTHATiHEREISACONSTRUCT10NlfNDPlCl10ENCV • � fORTH[FERiOfU1NlCEOFTNEWORKFORVA/IPITN67ERMIiIS155UEDf5EC.70o�.Crv.G} � � LENDEf1'S NIA�E ; C �ENDERSAODRE59 � ICERTIFYTUTIHAVERE�V7TM�SIIP7UCATqNANOSTATETNATTH[ABOVEMFORA1ATqNISW�if1CCT. TOTAL FEES � ' w �AGREETOCpAVL`/WIiHILLLCRYANDCOIMfYONDW�WGCIJWDSlATEUY/SREUTNGTO0U0.DiN0 � CONSTRUGTION.ANONEf7E0VAUTHOiL1ERfPRESENTATIVESOFiHISCOUNNTOENTERUPONTNE ' Z i�ENT�ONED P�707ERiV FOH�NSVECT�DN OUn705E5. COMMENTS ! � ..71�7i►�J� /-�. C'�-�/�- � m � � Fi( TTEE N ) y / � / 'r� % ��l/ n/� _ 1 11 /+_ y GNATUREOF FE D�TE � RECPL NO.,_ PAID 6Y VALIDATION WHITE--Depertment Copy.YELLOW—Finance Capy.PINK—AaaeseaCopy,GOLDENROD—Fila CoFy,GREEN—Appiicant's Copy ; - • .. . . . . �_ .. _ .. . .^�. . . . . . .� :.� . .. .... .. ., , � - , . , , , :r ..- .-r�� � ., , ,..,�. _...,.... ., ,;•tt�:'. , . � CITY OF DIAMOND.BAR . ' - : INSPECTION RECORD iji��:i�1�4;`�rL��l�� � � ;1.�,��.�. il.ti.��;�.�� �',Q�, �.�`�-�� �`'����Il�'�i�Y;.'��IC�:� !�.►`�y►���a„l��s.� , :_ . . .�........ � .. _..;��.. _,..:z� _.,,.�,..,., ,... ,... ....a _ .,._. ... .. . �S�T BACY.� ' � ' •� !�- �I FLOOR J015T . � ' rTGS!f"ORtfSIS7EEL ' ; � - ' FHA RE4MTS � ' � GLEC7RIC GROUND UNDER FLOOR DUCT � � . - �GRGUND PLUP,ABING UNDER FLOOR CdP,!DUIT • Sl.F:EGRADE - �• FIREPLACE�FQUNDATIOPJ" i 'TFPAP P041'ER FIREPLIICE BOND BEAPJI ��'d:7�,TER SFRVICE - � I� •MID HT.BOND.BEAM - � ' ' • �r�00F SHEATHING 8 Ff.BOND.BEAP�1 , � � •� � • ' !FRA"A!tsG�,�ENTiLIATION - FINAL BOND BEAM ' • � E�OOFCOVF_R : PRE-GRADING � � =r'OIJuH H�ATING • BENCHING i-JUGH E�ECTRIC... ROUGH GRADING -- - � �-'- �fi�Ui�H f'LUf„",BING � � - FINISH GRADING SF!O:'JER/`{-UB TEST- POOL'ELECTRIC � • . '� r_1:T.(�ITH!SID{NG - POOL'FENCWG � . �;'l�lL IPdSUU1TION POOL FINAL � Ccti.IWG ITJSULATIOtJ OFF SITE IP�IPS. • � �t;`�^�7AL.L-NFJLWG DEDICATIOWS �S�l"J:R FIN/',L ENG. ^ ! S�PTICTAfJK LAPJDSCAPE/IRRlG. • �,�FEr_PIT/L.L. � ON SITE Ib1PS. �. �'.G�S AIf1 TEST : FINAL ZOMNG ' FIRE DEPT.FINF,L � ''� ' � �itl�,� CO?�ST... , .. -i�!r.,L H�ATlNG _ � HEALTN DEPT:FINAL , �.�•. 1 , , . �..--- � � ��+L.�LECTRlC - � DEV,FEES PAID - - ;�i.'!�;L-r LU'�7'�'�JG Et�lERGY `-��- ' ' !�--- _ . . I ';'�^WF'.�.�r�_-"._f���a�.__.�.�.���,i I ~I �- ' ''-' .� . ..... .., . � . _ .. . . . . . . . . _..._..,. . . . .- - - - � �;�lo;�����1�PJTS _ � �==��23-�s'�-�e --f��� - %�..� ; _ ..� � , , I` ; �- ;; . �;- .— - I ._� � �: ;� _. . � ;-, ;� - . . . _ , . _ ��� ,�� ;; ..�... ,. .�, , ;, ,;.; F'---- -- '. f'��PTiC TAf�!�:SIZE � � : � . ,. , , i ��r_�P n,i,u s�zE . , , . . _. �;' - . _�i.�. _..�_._ � _ `i; _ .... ..� . _ _ .. ; ' . . ,, . . ..� _ : . !�� �►�� '_`i . - �,�j '. . . .... .. .I . . " . . . } . . . . . . , • •� � •. ` . ' ' - '1 ���_...,"'""'�_"'�{'..._._...._�.... _.. ,. . �')� `' � . ' �� ` , , ' 1