Loading...
HomeMy WebLinkAboutNo Permit Number (45) �� CITY OF DIAMOND BAR � � � - �� � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 ` � � (909)860-3195 Faa(909)861-3117 PRESS � . ���� BUILDINGPERMITAPPLICATION . .FIRMLY � JOBSITE APPLICATION� � �/ PERMIT P/C o ADDRESS C DATE 9/� ` � NUMBER ���.x � ISSUE TYPE - OCC -- APN LOT�, T CT DATE ' CONST. ' GROUP. - p OWNE ' � ' " ADD S ZaNING SEfBACKS � . w CI � 21 TEL. FRONT - RW ❑ � � APPLICANT - TE . — � , REAR p � , SIDEISIDE STREET RW O � CONTRACT Rn I 1 / SIDE ❑ ADDR � PROPOSED USE p C�, ^� r�, � o ARCFVE G/ . ' �ij� _ � .� • . � DESIGNER N0.DWEL. NO. NO. � ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ' ADJ.AREANALUATION � • Q OWNER•BUILDER DECLARATION SFR/ADDlHEM � O p 1 HEREBY AFF7M1 UNDER PEIULTY OF PfRA1RY THAT I IUd E7fEMPT FNOM THE CONTPACTOi15 U� � Gd18g9/CetpOIS W CENSEUWFOf1iNEFOLLOYnNORU50N(SEC.70.71.6BUSiNE55ANOPROFES5lON5tO0E:ANYtliYOR (n U �OUHP/NM1Od/REOUIRESAVFW.IRTOCOnLSTRUC'T,ALTE0.WPROVE,�EIAOLISH,OFiREPA1RANYSTRUC•�SL W patlaJ�eck _ � � � � ��� �� � � 7URE,PRqp TO RS 6SVANCE.AL50 REWGIES THE�PPl1CANT FOR SUCH PERUIT TO FlLE A SICNED'� W STATEMOJT THAT NE OR SNE IS LICENSED iVRSUANT 7D iHE VRW�SIONS OF TME CON7RACTORS l4 � CENSE UW(�PTER 0(OOMMENCINO WI7H SECTION 70001 OF DIVISION!OF THE BUSIN[55 M!D VRO- ` � P�VSpa FESSUNS GOOE)OR TINT NE OH SME 15 E%EMPT iNEREFROM ANO TME BA515 FOFi TME ALLEGED E%EMP- 7�ON.11M'YIOLA71f7NOiSECTICN7o71.68V�MlAPPLIGNTFORAVERMITStAlECTSTHEAPPLIGNTTO � Z R6-R001 � ACML7EWLTYOFNOtl10RETVwFIVEMUNDREDDOlIJ1R5ff5oo)1: � ❑LA401N�EROFTHEiHOPERTCORMYEMROYEESWIiT1WAGESASTHEIR50LECOMPENSATqN. �� � (`,pmm0tCI31 � YALL DO iHE WONC AND THE STRUCTURL IS N�T�NTENDED Op OFGERED fOR S�LLE(SEC.7D1�.BU51- .. J N NE53 ANO VROFESSIONS COOE:1HE CONTMCTORS 110EN5E LAW DOCS NOT A7PLY TO AN OWNER OF ? • , � , � OAOOENiYVAlOBU0.D50HYVRdJES1HCRCON,IWDNAIOD�ESSUCHMI01iKHIMSEIFORHERSEIFOR Q }M1IX10HHI90fiHEROWNEMVLOYEES,PROVIDECTUiSUCNMPROVEMENTSARENOTRlfEN0E00Fi m W pFFERmFOitSALEIF,HdWEVERTMEBU0.DR:40R�A7H7VF4ENTR50tDYV1THNONE�EMOFCOMPLE• -Z '110N,T1E ON/NERbUtIDER K'ILL H��E TNE BURDEN OF PRONNO iHAT NE OR SNE DID NOT BUILD Oq � = MVf10VE fOR iME PURPOSE OF SALE). �� ' W OlASONMEROFTXEPiIOPEHfY,AME%f1U5NELYLOMMCTIN4N77HLICENSEDWNTNACTOitS , � 70 CCfGTRUCT TIE PRNECT(SEC.7oN.BUSiNE55 ANO PROFESSiONS GOOE:TMf COMRACTOH>l4 V91U2�1Of1 ADJ.AREA CENSE UW DOES NQT MRY TO 1W ONNEN OF A PROPERtt M?IO BUttD50R MVFlOYES iT1EREON,AND . � YIMOCONTPACTSFORSUCMPROIECTSN7TMACONTiUCTOR(5)LICENSEDWRSU�TTOTMECOHTMG �UANTITY DESCRIPTION FEE. ' � TORiUCENSEUW.). .. . . . . . , . � 0 O 1 W EXEMPT UNDERSEC. 8.t P.C.FOR THIS REASON , Q _ 1 J � ¢ /: � J LL" DATE ON7�ER _ Z W �. G FQ LICENSED CONTRACTORS DECLARATION �j , •� �� ' . Cr INEREBYAFFYWUN�ERPENALTYOFVER1UiKTMATIAYLICENSEDUNDERVFiOVI5qN50FCNAVTER Ur , , d �(COuuENdNO YVfT11 SECTION 7ooa)OF DMSION]OF THE BUSINESSANJ FNOFESSIONS CODE.IWO Z x NYUCENSEtSNFULLF CEAhDEFFECL . .' m u., � UCENS�1 � LIC.N0.� � f— 1� V p�hS�"] � � � COMMCTOR � � n- W � WORKERS'COMPENSATIONDECLARATION d . ., = U � IHEREBY►fFIRMUNDEROENALTYOFPERNiiYONEOFiHEFOLLWMNQDEttMAT�ONS: �� � � � � � -- y Z Q G �IHAVEANDWM1L►IANTNNACERTIFICATEOFCONSFMTOSELF�NSUREFORN9RKER5' _ � COYFENS�TION.ASPRDVDEOBYSEC7�ONJ7WOFTMEUBDRCOOE.FORTMEPERi'OM1nNCE W OF TIf WORK FOR WHICH MIS PERMIT IS ISSUED. � � IHAVEANDYIILLMARRlUNYJOAKERS'COrAPENSAiIONINSURANCE,/15RE0VIRE0BVSECTqN ' Q 77000FiMELABOROODE.FOFi7HEPERWRFIANGEOFTHEYdORKFONWMiCHiMISPER�1lT15 '��� - . . . . _.� ISSUED.MVWOR PENSATqNWS . �ERANDPOIICYMIMBERME: CONSTRUCTION _. _. . .. ._ .._.._ .. . _....._ y CAARIER �.� rrr P� EVIEW . . —. _ . � po��cYNur.wEn '�,�, ELEC _ � W (TMSSEcrc1JrSIDNafeem.REfIDCFt1ErEA.tisroaon[HlrDn[�Oott�v5�tioo)OnlESs} LUMBING T •....� . Z ICERTIFYTW�TNiHEPERFOPIAANCEOFTHEWONKFORwMK]ITMISPE�I715155UEql MECHANICAL i�•""� (•} SHALLNOT EMPLOV ANY PERSON N ANY M�NNER 50 AS TO BECOAIE SUBJECT 701HE N MqRKERSCOMPENSATqNlAN50FCAlffORNiA�AGREEiM�TIFISNOULDBECOAI[ INSP FEE ' � Sl9JECT TO THE WJRICERS CM�DENSATIDN VRONSqNS OF SECTqN 77000F THE U80R SUANC �r 1 � f^n� COOE I SHALL FORTT7VATN CdAPLY YA p5E PROVIS�OHS. . . � � ����— v�, � `p OAtE:� APPtIcnNT. - MIP. . - � - � ENERGYPIC C'1TY()?�r>>;•. (:,� � • - WARNINO;FAIURETO SEWRE YpRKERS'COIA7ENS�TqN COVERA6E IS UNUYJFUL ANU SWLLL BE T � SUBJECTANE4P�OYEPTOCRIYINALVENALTIESAN�CMLFINESUPTOONEMINOREDTlqUSIVC] � ENERGYPERMIT '�;ITP.r)fll�i l,'.�.i�.•:'k� �. � pOL1AR5(it0o,0ao),IN ADDiT10N TO THE COST OF CpAPENSATION,DNAAGES AS PROVnED fOR IN ' ¢ SECTION]7aeOFTHELA0d1CO0E�NTFRESLANDATTOWaET5FEE5. RETENTIONFEE: pW,. CONSTAUCTION LENDING AGENCY PRE•ALT FEE: � O � IHEREBYAFFIRMUNDENPENALiYOFPEfWRYTHATTMENEISACONSTPUCTICNLENDiNOAGENCY . Z FOH TME PERFORMANCE OF THE WORK FOR NA/idI 1M15 OEHuIT IS ISSUED�SEG�D97.GY G). W ,� LEMDEH'S NAME '' ' ' ' " ' S � LENDEFtSADDRE55 WIGERTIFVTHATIINVEREADTHISMPL�CA710NMUSTA7ETUTiMEA�OVE�NFORMATIONISCDRRECi TOTAL FEES �� � � ' � � IIIOREETOCOM7LYWITHN.LCfT`/ANDCOVf�TYORDINANLE51WD5tATEUWSREUTWOTOBVILD�NG � Cp1STRUCT�ON.MIDHEPEBYAUiHORIZE1tEPRE5EN7ATNE50�7HiSCOUNTTTDEMERUPON7HE .. . . ABOVE•YEMIONEDVROPERTYFOFlINSPE RPOSES. COMMENTS � � �� J � _ _ � ¢ oE� "" P 9 g? � Uj S�ONANRE EwA�TEE ATE � . RECPT.NO. � PND BY VALIDATION WHI7E—DepanmeN Copy.YELLOW—Fnence Capy,PINK—Assessor Copy.GOLOENROD—File Copy.GREEN—AppicanYs Copy . i . ' . � � . . . . .�r •. . ' � .♦ . . . . :�� , �r.�.5.��..n� . . . i , . ..5.':� ' �'t . ! . ' ' �,,,,\', `� .'.�� • . .. . . . . . . . ��� . i . • . . •' . � ' .. r ....\. .. . .. .� :r��. .��.�.. �� \ .� � ����ti�� CITY OF DIAMOND.BAR -�. , :;-; �: . ._. ........�., ;...... ... . .. . .•- �, . . . INSPECTION RECORD� �,--��: �.,, ,; - . , �,�� 0 ! ,.. � e ' � � � ! - 5ET BACK ' �. . : : ' �•,' FLOOR JOIST;r,��,�� \ . ., -;�.� ; ? ';:;.-��_ .. . F—fGS/FORMSlSTEEL FHA REQN�T,S �:�-�. .�,,;_ - -- --- ' .\ . _. . ELECTRIC GROUND � -"_ . : _ -- -' UNDER FLl70R DUCT„''=i.�. �� r r,„ -�,1„� ;. . GROUNDPLUMBING � - • �- � UNDERFLODR..CU�1RUfT�I` � ��'��.� ���` .���;1j, `, �• •• SLAB GRADE._ _ .� • - -- - - - - � . FIREPLACE F��NDATION `•1 =::-:`O I�c::.;;.`,� . ft�';.?,-� ' TEMP POWER- � ' � '" � � �'' FIREPLACE�BOND B�AM �= =: -- WATER SERVICE._- . _..-- _. . . :_:_—.: . ::-. ----. MID HT.BOND�BEAM� � .; ;':. �:-,, ��,-;fi•;' '�� ' ' . - ROOF SHEATHING-•,►� ��_:,� t :a ��--':_... ._. . .. 8 FT.BOND BEAM,.. _ _;_, -r`:.;,.. .' , ... r�_1,� ! �.. J� . . . FRAMINGNENTILIATION FINAL BOND BEAM,`c�s��. ` •" ' ; . ' ROOF COVER ' `PRE-GRADING - , i ` � -ROUGH HEATING - - - - -- - - � BENCHING - - - ' ' � - �ROUGH ELECTRIC - - � ROUGH GRADING "ROUGH PLUMBfNG � --- �' '- " - FINISH GRADING ' - SHOWEHITUB TEST' -- - - �- - � � POOL ELECTRIC ' � EXT.LATH/SIDING � � POC�_FENCING ' � WALL INSULATION POGL FINAL • CEILING INSULATION OFF SITE IMPS. � ' DRYWALL NAILING DEDICATIONS • � SEWER_ FINAL ENG. SEPTICTANK_ . _. .. . _.. . ... . . __.. LANDSCAPEIIRRIG. -SEEP PITlL.L. .- - -�= � - - - � ON 51TE IMPS. - • GAS AIR,TEST -- �; \,, �, , � ;FINAL ZONING _ , - .._. . •F�NAL CONST. _ - - — `� •,.� ,` • '' ; ��� ;;� . .FIRE DEPT.FINAL F � ''" G - - ''� " `� �'` ,;.. �; � � � HEALTH DEPT.FINAL -FINAL' ECECTRI � � " '' - DEV. FEES PAID - . FINAL BING ENERGY ,• • � ' � ' �_ � �.� 1\ , .�.� �� �e • ;�� � . a � ., . � �.. ., ' . _a �. • .. � ' ' _ . . .. ... . . _. .. _ ._ . . . . .. COMMENTS - � � _ _ . .... .. _ _ , . . ..... _. � - - -... ; , , � , - , . ;\ ': c\ .. . ..��i�_t_ r, �1��` ('•. �� r" 1� �. `:. •� ---- ' ' �• - . . . _ _ .. ���,�.� -- - . �--�+ ,(,�•�i � i _. . . _.. , _ � � . SEPTIC TANK SIZE . . . � � ' ' , . � SEEP.PITlU_SIZE _ . _ � � _.., . ;�' _.. _ i , , i _.. ... ... .._ , _. . _. .. ; . � _ . , �� ..._ . , _�, . _ „ . � . '� i ; � . . ; . , _ - - - � � ; � � . .`; . ^ _ __. _ .JI�-�'. J1'11 - ...-�'_'\ . .U.l�l .1�,.. . _ i :. \ .-..� _ ,� ' , .,. ;I - � i . ., +-, ._ y_ _.�`