Loading...
HomeMy WebLinkAbout13795 (16) , _ - - - � . .. . . . .,_ � J� CITY OF DIAMOND BAR � � � � - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive 5uitc 190 � � (909)860-3195 Fax(909)861-3117 PRESS �'���^ . BUII.,DING PERM[T APPLICATION � FIRMLY o ADDR'ESS � I l�?� f�Iq/7' �L�FF �P APPLICATIO � _ ERMfT J p/C DATE NUMBER I�l c� . ISSUE 7YPE , OCC • APN LOT TRACT DATE CONST. GROUP ' p OWNER Pr�D�_T C?�A) Z/-� L�S o ADDRESS IG�2 �, �/LjN (��t7� � �f� ZONING SEf6ACKS �W CITY ZIP TEL. R�R RW � - APPLICANT � U ILt f�t TEL.1��9�G«��� SIDE/SIDE STREET RW O � CONTRACTOR�,A �tl SIDE - p O ADDRESS 1�'3 F� �� - C_T i7.!' - � �y CITY �/13 ZIP TEL. PROPOSED USE ��b UJPI()(�S�� 1/J�i�T�Lt- �Z �� � �F ' .1 � FA��t_r— rr� .� q c� o ARCH/ENG/ • • • � /c r3 o G[ DESIGNER NO.DWEL NO. NO. "� ,��, ADDRESS UNITS STORIES BEDROOMS �� � CITY ZIP TEL. N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER•BUILDER DECLAHATION ' SFRlADD/REM O p I MEREBY AFFlNM UNDEH FENALTY OF PE1U11h'7NAi 1 MI EXEMPT FROM iHE CWlTiUCTORS U� G8tHg01C8fpOR W CENSEUWiORiHEFOl10W:NOREASON(SEG70.71.6BI151NESSANDGROFE5510NSCOOE:MTGiYOR (n U CDIM�YN7ACHREOUIRESAVEi1MRTOCONSTRUCi,KTER�MP��.DEIAOLJSH,ORREPAIpANVSTFiUP W petb/Dack � � " � V� NRE,iR10(i TO R4155UM10E.AL50 PEOl1WE5 THE AVFUCJWT FOR SUCH PERMIT TO FILE A SIGNED W � STA7EMEM 7HAT HE Oq&tE 5 LICENSED GURSU/fR TO iHE GPOVISIONS OF THE COMMCTORS Ll• � CENSE UW ICl1APiEH 0(OdA1.AENdNO N�T115ECTION 70oD)OF OMSION 7 DF TME BUSINESSANO VPO� � PooUSpa FESSqN3 CODk�ON iFIAT ME OR 51iE 19 E%EMPi THEREFii�M/�ND T1E BASIS Fdl THE ALLECED E%E4P• TION.ANYNQA710NOFSECTION70]1.68YANYAVPIICANTFORAPERMIT5UB1ECT5THEMPLIGWTTO Z pe-Rool Z� � U'�— � ACMLPEwLTYOFNOTMOFETwwFrvEMUNDREDDoIW�slfsaol.}. _ . . � OIASON4�EROFiHEVPOPERTY,ORIAVEY7LOYEESWITMWl1GESA57NEINSOIEOJMPENSATpN. � COmf�10fCI0I � YALL DO iHE WORK AN�iHE STRUCIUAE IS NOT NTENOED OR OFFERED FOR SALE�SEG 7W�,BU51� J NESS WD VROFESS�ONS CDDE:71/E OONTRACTORS LICENSE UW DOES fqi A7PLY TO AN OWNER Of � • � PROCERiYN?qBU4D5diIMPROYE5IHEREDN,ANOWHODOE55UCNW011NNIMSELFOqMFRSEIFOR m Q TIHODUNICSORNEROMMEMPIOYEES.iROWEUi1UTSUCHMPRO�ENTS�REHOTMENDE00R Q OFFERECWRSALEIF,IION'EVER7MEBURDNCOR14PiqVEMENTI350LDWfTlENONEYFJNOFCOMRE• Z �TION,7HE OWNEREUILDEH WILL/NVE TME BUROEN OF PR01lINO TNAi HE Oq SNE DIO NOT BNID OR � MPf10VEFORTHEPUNPO5E0F3ALE} W D�A40NHEHOFTMEVROPERTI:/ME%QUSNELYCOMRACiINONTMLICENSEDCONTMCTORS (t TO LONSTRVCT iNE PfiO.7ECT(SEC.7Wt.8U5INE55IWD PRDFESSIONS COOE:TME CONTMCTORS L4 Valuation A0.1.AREA Lll CENSELAWDOE9NOTAiR�TOANOVMEROFAYROPERTYNTIOBUI1D50RMPROVESTHEREON.AND Z NtqCOfrtMCTSFONbUq1iRQ1ECTS1Mi7M�CONTR�CTOWS�lKENSEDPURSUANTTOME00N7MG DV/UjT�7Y DESCRIPTION FEE F�� 70fi5I10EN5E Uw.} � O 1 A/A E%EMPT UNDER SEG 8.�O.G.FOR TMIS REASOH U � _ 3 ¢ � .- .,. , , . zu" OIITE OM'NER V o UCENSED CONTRACTORS DECLAAATION —� • � W , IHEREBYAFFlFWUNDEFVEWLL71'OfVEiUURY7NATIWLILENSEDUNDERFROVISI0N50fCXMiEA � d 0(COMAIENGHOMTTHSECT10N70oo)OFOMSqN70FTME8U5wE55�N0VROFE55qNSCOOE.AND Z YY LICENSE R N fVLL FORCEANO EFFEGL �] m � UCENSE CUSS G�3� LIC.NO.�J�l�O�7 Z � � o�� ?( j 9� eourw.ero��_Lf�_ a w � WORKEFS'COMPENSATION�ECLARATION —� . � a � IHEREBYAFFliiMUNDERPENAL7YOFGERRIRYONEOFTMEFOLIDNnNCDECIAtUT�ONS: U ' � Z 4 C _IHAVEIwOWIlLM1UHTANACERTIFlCATE�FCON5EMT05[lFaNSUREFOFiYqRKERS = � OOMPENSATION,ASPROVIOEDBVSECTqN�7o00FTHEGABORCODE,FORTHEPERNNIANCE `U OF TNE N/ONK FOR WMp/TMS PERIAIT IS ISSUm. � 0 �I H�VE AND W�LL MAIN7M1 WORKERS'COE�PENSATION mSURANCE.AS REd11RE�9Y SECf10N �) 4Q 97000FiHEU80RO00E.FOq7MEVERFORMANCEOFTMEWORICFORY/M�GITM�SPERMRIS �L IG ISSUED.WWON(ERS'CO�AVENSATqNINSURANCECARRIFRAN�POLICYNUlAOER�AE: CONSTRUCTION � � � j anweA STAT �i.� 1.)� PUW HEVIEW � POUCY NUMOER�_�}^O"'���9 ELECTHIC . 0 (IFi55ECf10NALmNOTBE001.TiETEDOFhEPEHAT6R�RONE1ll1%I�DOl1ARSl2�OD1��1 PLUMBING � Z �CERTFYTTUTNTHEPERFpFUTANCEOFiHEWOMfFORWHICHTNISPENAiTI5lS5UE0,1 MECHANICAL � SHALLNOT EIAPLOV ANY VERSON IN ANY WNNER SO�IS TO BCCOME SUBlECT707NE (,/) Y/ORKERSLdAVFNSATIONUM/SOFCA�IFORNVI,AN�ACREETMATffISM�UlDBECWAE INSPECTIONFEE SUBJ[CfTOTNEWOPKERS'QOIA7ENSATIONPROVISIONSOFSECTION77000FTHEUl30R ISSUANCE / OODE,1 SMALL FORT77wRH GOMP�Y WITH T1105E PROYISIONS. 0 �� �(,(� SMIP �. o�*E:��199 11PRICANT: - a � WARMNO:fAIURETOSECURENORKE0.5CdAPENSATIONCOVERAGEISUNLAWFULANDSH/LLBE ENERGYP/C � (—y 6UBJECiiVJEMPLOYER70CNnAPULVENA�TIESMIDCMLFiNESUP700NEHUNOREDTFqU� ENLRGYPERMIT - DOIURa(f100.000).N/�DOITION TO7HE C0.STOF COMPENSATION,D/�MACE5115 PROVDEO FOR M JOC SECipN]7oeOF7MELABORCODE,INTERESLANDAiTORNEY'9FEE3. {�E'fENT10NFEE: a CONSTFUCTION LENDING AGENCY pRE•AlT FEE: � ' O � IHEREBVAFFIRAIUNDERVENAITYOFPE0.1UqVT1UTTNEREISACONSTHUCTIONLENDINOACENCY Z FORTHE PERiOWAANCE OF TME WOfiK FOR VMitl1 TNIS VENMIT IS ISSUfO(SEC.7ov�.CIY.GJ. W , � � LEHDER'3 HAYE - W LENDEIZS�DORE55 . I ��t � , � TOTAL FEES ¢ ICEpT1iYiNAi1WNEREADTMISMPLICATqNANOSTATETW�TIMEABOVEINFOFYATIONISCOiiRECT. p� 1l�GREETOCOMPLYM7THKLCRY�NDCOIMiYORDmLWCE5AN057At£UwSRELATNaTOBUILDiNO � CONSTRUCTIOM,AND HEREBY AUM1IOHIZE PEDRESENTATNES OF 7HIS COUNiY TO ENTFR UPON 7HE , � ABOVE-MENTIDNEDpNOVERTYFORINSPECT%7NPURPOSES. COMMENTS ' � � r �C�'O m verwm¢e wwe�varrt� � . N y SqNANf1EOFGERW E ��E � _ RECPT.NO. PAID BY VnLIDA7tON WHITE—Dopertment Copy.YELLOW—Fnance Copy,PINK—Aeeesaa Copy,GOLDENROD—File Copy.GREEN—ApWicant's Copy , ,n • • � ... . .... •..... ..� . , 1 ... —. . � . , . . .. . a ' .. • , � . ..� • , ^I.a. . r. ..I"•� i ').� � rr 1".. . • � -.. CITY.OF DIAMOND BAR �- . .. , . � ':.� - '` :'' 'INSPECTION RECORD��� '.. ';, , - . � • .� _. . . - . � - , � • e o � • - • � . � • - SET BACK ` ' - . .FLOOR`aO�ST �:; \':\ `' " ,;•,\1�. `.� � ,? � <.: . . FTGS/FORMS/STEEL ' ` FHA REGIMTS � -- - - - '- - �- -' ELECTR�C GAOUND,-- � �- ' _._. - _ . UNDER FLOOR DUC�. -:- , , - - � ��' ' GROUND PLUMBING • UNDER FLOOR CO�IDUIT .�� �� '+-.;.�.ti, � := `•�� - SLAB GRADE-- --- ' - - - - . FIREPLACE�FOU�1bATION � _=-� ', '� , , __ . TEMP PaWER - � '- ' - FIREPLACE bON�f BEAM - ' � � ' � ' � - ' � ' -SNATER SEAVICE - - - _ -- - - �MID HL BOND BEAIN, '�� '...,,"yt :�,•` _� ' `� R0�7FSH��1Ti�ING' '-._;..� , , . 8 FL�4NDBEAM.„-, . _ . . . ._ `,\.:, C' � _ •FRAMING%1/ENT1LfATION.� ���. �;��'.=` x.�� FINAL BOND BEAM � � ' ROOFCOVER "', - PRE-GRADING - - • . � '�: ROUGH HEATING - � - - - - BENCHING - - � • ROUGH ELECTRIC�- , � ' � - -- � - ' - ROUGH GRADING ROUGH PLUMBING : �� -- --- --� � FINISH GRADING . • ' ` � SHOWERITUB TEST - - -- - - � -- � POOL ELECTRIC " � " EXT.LATH/SIDING , POOL FENCING ' WALL INSULATION `'�= POOL FINAL � . CEILING INSULATION OFF SITE IMPS. • • DRYWALL NAILING � DEDICATIONS . SEWER __. _. ...__ _. _ _. . FINAL ENG. • -.. --- SEPTIC TANK_.._.._. � . _. _ . .._. LANDSCAPE/IRRIG. . -SEEP-P17/L.L. = -_ = � � �N 51TE IMPS, - GAS AIR TEST - -- - - - - - - - FINAL ZONING � FINAL CONST. - -- g.Z.9 - FIRE DEPT. FINAL � • FINAL HEATING - - - - HEALTH DEPT.FINAL . FINAL ELECTRIC - - - -- DEV.FEES PAID �- - � FINAL PLUMBING ENERGY • � . � �t _ e 8� \ • ' - � :� , __ . ._._. � ._, , , � .. •__ , • , .. . • . . _. CO�JIMENTS --. .. . . ..... _ . . - - • � � ' ' � . , . , � ; . . ,. . � ���, ,,-: ;-� �,;�_ , , _ . .. . � � � � , ; • , . . . � SEPTIC TANK SIZE - SEEP PIT/U SIZE '� -- - � ., . . � _.. . � \ , � .. j _ _ . _ . � �I - . , . �� �I _ . . _ . , .. . , , . , - -. .. .. . �_ _ . . . . ,\ � �- ' ',. " ,, - � ��� - � � �- .. . � . ' i . " '�� \ .�\ . �. - , ��., `;- . _. . , •