Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
14437 (20)
�� CITY OF DIAMOND BAR � � � DEPARTMENT.OF COMMUNITY 8c DEYELOPMENT SERVICES � 21660 E.Coplcy Drivc Suite 190 � (909)860-3195 Faz(909)861-3117 PRES$ ��'�_. • BUILDING PERMIT APPLICATION . . . FIRMLY o AD RIESS_�0�� ��rCaxlfr 9i�1rw.� �1Y/(/q�/I�J�S ' _ -DATEICATION � ' � NUMBER�p� c� . ISSUE _ _ TYpE . � � � OCC • APN LOT TRACT DATE ' -` - ' ' CONST.� GROUP ' � � OWNER R�ck� � .�nL ' ' o ADDRESS �-� 3 �ar�. �ZONING SETBACKS w bkwra�� �3%,Y ZIP `1/?Fr TEL. `✓ f� FRONT ' ' RW O � C� _.. _ FiEAR p. APPLICANT - TEL SIDE/SIDE STREET RW ❑ � CONTRACTOR v r Yr 1 � G le ( H .. _ SIDE _ ❑ � ADDRESS �1 W• ;� Z > � . - � CITY�� �v:e ZIP CA`I I rIL, TEL �i�' �jl'��4 PROPOSED USE o ARCH/ENG/ . , . � DESIGNER �*'^ ��Sz�^ � � ADDRESS w. � : n, � , , NO.DWEL ' NO. NO. - - UNITS - STORIES BEDROOMS N CIN h9�a�ie ZIP� TEL.�� � �� �n DESCRIPTION " SQ.FT. FACTOR PSF _.ADJ.AREANALUATION p� OWNER•BUILDER DECLARATION ' . SFR/ADO/REM - - O _ p I HEREBY AFFlRAI UNDER PENAL7Y OF PERNRY THAT 1 AM EXEMPT FRdA THE CONTMCTORS lF G rpOR ' ' W CENSEUWFORTHEFdlOWNORE/SON(SEG70.71.68USiNESSANDVHOFE5510N5CODEANYLITYOR (� � " U p�UNiyWHN]IREOUWESAVER/ARIDCOKSTHUCf.hLTERMDRDVE,0E1A0U5H.ORREDAIRANY5TRU6 � W Patio/Deck � � - � T11itE,PRIOp TO RS ISSUMICE,l�LSO REWIRES THE APPLICANT FOR SUQI PERMIT TO FILE A StGNED W � � � -"� _ STATEMENT iT1AT HE Oq SHE IS LICENSED PURSUANT TO THE P{10VISIONS OF THE CONfMCTORS L4 � CENSE UW(QIM7FR Y(COMIAENCN(1 VATH SECTpN 70DOj OF DIVISqN�OF ME BUSiNE55 MPJ PRO LL PooUSpa FESSIONS COOE�OR TXAT HE OR SHE IS E7[EMPTTHEREFROM AND iHE BASIS FOR 7T1E ALLEGED EIIEMa. TION.ANYVIOLATIONOFSECTIONTW7.68YANYAOVLMJNTFORAVERIAITSUHJECTSTIEA7VLIGUITTO Z pn-paol � A GVIL VENALTY OF NO'T MORE THAN FNE MINDREO DOLURS I=5001.1: .. . . . . � OL�GMiNEROFTHEOROPERTY,OqYYEUDLOYEE5VA7HWAG[SA57HEIRSOLEC04PENSA710N, O COmm9fCl31 - � M7LL DO THE Y10RK AND i11E STRUCTURE IS NOT YfiENOED OR OFFERED FOF SALF(SEC.70u.&156 J � NESS AND PROFESSIONS CODE iHE CDNiMCTORS LICENSE UW�OES NOT APPLY TO Ml OWNER OF ? PROGEHTY WHO BUIlDS Of114GROYES THEREON.APID Wr70 DOES SUd7 MKMN/a45ELF OR HERSEIF Oft � � THi10UG11NI50RHEROWl7EwPLOYEES,VROVIDEDTHATSUP1MaROVEMENTSARENOTW7E�E�OR m � OFFEREOFOitSALE1F,HONlEVERTIEBULDINCORI1A7iL�VE4[MISSOLDNrtTMNONEVEAROFCOMPLE• �- Z ilON.7HE OWNERbUILDER 1MLL 11�VE THE BURUEN OF PROVIN6 iMAT HE OR SHE DID!qT BUILD OR = 161PiqVEFORTHEOURPOSEOFSALE} - � �y,� OI.�lSOM7�EROfT1EPROPEqrY,AMExCLUSNELYCOMMC7INON'fTHLICENSEDCONTAACTOfiS � TO CON571iUCT THE PROJECT(SEC.7Du,BUSiNESS ANO PROFESSIONS CO�E:7HE CONtHAC70R5 LF V31U�ti0f1 ' AQI.AREA � � CENSEUWDOESNOTAPPLYTOANOYMEROFAPROVERTYN'FIDBURDSORMPflOVESTHEREON.MIO N1qCDNfMCTSfOR5Uq1PHO.1ECT5MATHACONTMCTOH(S)LICENSEDPURSUMfTTOTNECON�RAG OVANTITY D[SCRIPTION FEE , � TOiLSUCENSEUW.�. . . . . . . . .. • Q O IAY E%EYPT UND[R SEG B.6 P.C.FORTMiS REASON Q . � V—a. .' .� -� '\ . i � DATE OWNER � � V _ . � UCENSEDCONTRACTORSDECLARATION � �� � w . � � J � IMEREBYAFi1R4U1mERiENAIT/OFPER1UMiHAiIAMLICEN5E0U1J�ER7ROVI510N50FC11M7ER � � . d i(COAwEHGNONrtMSEGTqN7000)OFOMS�ON]OFTIEBUSINESSANDPROFESSqN5CO0E,MA Z ' W UCEHSE IS N ML FORCE AND EFFECT. o B c 2' C.i�3 �4 S�1�� � uc�rusE cuu uc.No. � v o�rE � 3�f 1tj� corrrw�croa �J?+9lccM tY►iya1���r W (11IIdSc•``c i��, � � WORKERS'COMPENSATION DECLARATION �`�r a . � IHEREBYAFFIRMUNDEFPENALTYOFPE0.1UqY0NE0FTHEfOLL01NNCDECLARA710N5: � Z - � � � � � � _IlUVEANDWILLMANTNNACEHTiFiCATEOFO0N5ENTiOSELF-INSUREFORWORKERS' _ W4PENSATqN,ASFHOV�DEDBYSELTON77o00FTNEUBORGODE.FORTMEPERc'ORMANCE IU Q OFTHEM/ORICFORWNICIITHISPERIURtS�SSUED. � _I HAVE AND YALL MAIMAP!N'ORKERS COMPENSATION INSUMNCE,AS REW�RED BY SECTpN Q ]7000FTMElADORCOOE,FOH'M[iERFORMANCEOFTHEWORKFORWMIp1TNI5GEflM1T15 �/� = SUED.WWDRKERS'CpIPFNSATiONINSURANCEGRFIERAN�POLICYNUAIOERARE: CONSTRUCTION l �[' � > �F✓�V��e°�1�IYri 63�'A �Cnrtlsu.St� 'tMl• . � PLANREVIEW � � � - ,.. . ........ . .. .. .... . c�na¢a � POLICY M14BER W ��}��I Z � .. ELECTRIC . . � ` � sccrqnr�r,oreE�rmoFn[vew.�rswnar+eMrnreorouu�saioe�ori�ssE PLUMBING Z ICERTFVTHATNiHEPERFORr1ANCEOFTHEWORKFORWMItl17NISVERYITLSISSl1ED,l M[CHAMCAL � ' �� � () SHALLNOTEMPLOYANYPERSONPIANYMINNFR50�STOBECOME5V8JECTTOTME N WOPo(ERS'CAAIPENSATIONUWSOFGLIFORNIqANDAGREETHATIFISMOULDBECOME INSPECTIONFEE � S SU0.IEGTN7HENKJRKER5CAMVENSATIONPROVISION90FSECiqN�TOaOFiHElA00R eooE.�swut FORr�rv+m�coMvir win�nase raov�sioxs. ISSUANCE � w�: ���''�Jza''`APa�cA„r: ��2�yt<ty ttr;�'�u.�►�(nh�k�e L�1 SMIP 0 � ENERGY P/C WAiW INO:FA0.URE TO SECVRE VNRKERS'COMFENSATION COVERAGE IS UNUwFUL.AND SNALL BE ��'C�� ' � SU61ECfANEMPWYERTOCRIMINALVENQTIESANDCIVILFINE5UP700NEHUNDRE�T/qUSAND � ENERGYPERMIT �C - - DOLIARS If 100.0001.IN/DD�iION i0 THE CAST OF COMPENSATqN,DAAIAGES AS PPOViDEO FOR IN J SERqN770lOFTIELABORCOOE.NTEREST,AND�TTORNEYSiEEi RETENTIONFEE: �����,�OfTT17AT � OCONSTRUCTION LENDING AGENCY PRE-AlT FEE: �➢'� � T�+�.. ' � � IMEHEBYAFFIRYIIN�ENVENAITYOFPERNHYTHATTHEREISACONSTRUCTIONLENDINQAGENCY , Z FORTNEGERFORIAANCEOFMEWOiLCfOHWHIfi1T11S7ERAl1TISISSUED(SEG]OY7,CIV.L.). W � IENOERSNwE �� �� � � LENDERS/�DORE55 I � ICERTIFYT14lTIHAVEREADh715APPl1CATIONANDSTATEIW�TT�EABOVEPIFORMAT10NI5CORRELT. TOTAL FEES �D�J/ �l � IAGREETOCOMPLYYrtTNA1LCRYANDCOIMTYORD�NANCESANDbTATEUwSREUTNUTOBVLDIN6 //�� ��r 1 Q Q v CONSTiY1CilOf{ANDHEREBVAUTiqRREPEPRESENTATIVE50FTH15COVNTYTOENTERUPONTME . � � i . S� ABOVEdAENTUNEOiROPEflTYFORMSPEGT10NiURP0.5E5. COMMENTS 0 . _ � . _ . _ . . . � . m ERMfTTEE NM�E(�RiHn ' D•Ynn`S �'ISN .. N 51C.NATUREOF PEPA4TfEE� � O�7E — RECP7.N0. FAID BY VAUDATION ' ` WHITE—Oepanment Capy,YELLOW—Fhence Copy.PINK—Nsessor Copy,GOLDE OD—Fi�e Copy,GREEN--�Appi�canCa Copy - � - .. .. , . . . . . � . ., . .. ..... .. .... .. .. ,, . .. . _„ • , . . . . , , ... .. , �' ._���� CITY OF DIAMOND BAR . ; , , �,.-I_ ;' �: INSPECTION�RECORD � . -. ., _ r. , , , . s o • • - • � � • • . SET BACK, „ � ,.- �, ., ':`� . � ? ..\;1. � FLOOR JOIST,•1. , . . FTGS/FORMS/STEEL a c �j� � �' - FHA REQMTS • - - - � ELECTRIC GROUND - - � - UNDER FLOOR DUCT � GROUND PLUMBING � UNDER FLOOR CONDUIT - � Sl:AB GRADE - � � FIREPLACE FOUNDATION --• � - -- � TEMP POWER - � � FIREPLACE BOND BEAM � � -WATER SERVICE - ��•- = --. � . :-: -� _ � MID HT.BOND BEAM -- � • - � . HEATHING- : : . - - ' S FC BOND BEAM• - � FRAMIN ENTILIATION -- � FINAL BOND BEAM � COVER.-... PRE-GRADING ROUGH HEATING - - BENCHING ' • ' ROUGH ELECTRIC - � ROUGH GRADING ROUGH PLUMBING , � -" � FINISH GRADING SHOWERIfUBTEST - - -� - ' = POOLELECTRIC • � EXT.LATH/SIDING ' POOL FENCING WALL INSULATION POOL FINAL • • CEILING INSULATION OFF SITE IMPS. • ' DRYWALL NAILING �EDICATIONS SEWER FINAL ENG. __ _ . . . . SEPTlC TANK_.. __ . .`_.,' . LANDSCAPE/IRRIG. SEEP PITlL.L: - �N SITE IMPS. ! GAS AIR TEST � FINAL ZONING • ' ' FINAL CONST. -- - - ' FIRE DEPT. FINAL ` FINAL HEATING - - HEALTH DEPT. FINAL , � FINAL ELECTRIC DEV. FEES PAID � . FINAL PLUMBING ENERGY ' y� e • • - - - - COMMENTS - �` %' � . ' , . . . . , , . �.. -- .__... . �� - � . SEPTIC TANK SIZE � I�S� .. . ' � ' ' i. SEEP PIT/U SIZE �'• •", :. . � � : �� ,� � - , , ... � . , � • � � �i , i - - � .. ' , ; . . -