No preview available
HomeMy WebLinkAbout11647 (5) ' CITY OF DIAMOND BAR � �� �� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES Cl/ �� 216b0 E.Copley Drive Suite 190 . , • (909)860-3195 Faz(909)661-3117 PRESS " ��'�' � BUQ.DING PERMIT APPLICATION � FIRMLY o DDR SS ZL v I S ��k�(, �Q(,� � DA�ICATI� NUMBER � p`C� '�`'! � APN LOT TRACT S Z,- ISSUE /����� � _" TYPE � pCC ' . DATE CONST GROUP p OWNER F "' ADDRESS ZONING SETBACKS � CfTY 21P�TEL7 , FRONT RW . O APPLICANT TEL REAR p � SIDE/SIDE STREET RW ❑ CONTRACTOR �-Q �CJ SIDE - ❑ g ADDRESS PROPOSED USE D�Ie�G � CfTY ZIP TEL - . _ ARCFVENGI , ...>'. ., . •. , .. •_.. � DESIGNER . NO.DWEL NO. NO. ADDRESS UNITS STOfiIES BEDROOMS � CfTY ZIP TEL - � . DESCRIPTION'• .SQ.FT'. .FACTORPSF ADJ.AREANALUATION � OWNER-BUILDERD�CLARATION . SFR/ADD/REM �• ' " ' � O �ppp I HEAEBV AFFIiMI UNDER PENALTY OF VE0.IURY 7HA71 A/A E%E1A7T FRdI iHE CONTRACTORS L4 Garape/Carport ' CENSEUwiORiHEFOILOWNGRG50NI5EG7m1.68V5WESSANDPPOFES510N50DDE:MIYCITYOR (n COUMYNMIC/IREOUIRE4AVERAIRTOCONSTRUCT,AITEi�►1PRDVE,pEMOLISH,ORREGAIqANYSTRUG W P8110/DBCIf TURE.PNOR TO R9 IS6UANCE,AL90 REOUiRE9 THE MPLICANT FOR SUCH VERMIT TO FILE A SIOHED W STA7EYEM THAT HE Oq SHE LS UC£NSED RIiLSUAM TO THE VRONSIONS OF THE OONiMCTOflS L4 � CENSE UW(CHA7TER Y(COMMENCNO M1iH SEGTqN 70D0)Of DMSION i OF TME BUSME55 MA PR6 � � PooUSpa � � � FESSqNS COO�Oq 7HAT HE OR SHE IS EX£IAGTTHEREfRdA AND 7HE BIl5I5 FOR 7HEALLEOEO EXEA�• T10H.AHYVIOlAi1DNOF5ECT10N7W1.69VANVA➢PLICANTfORAPERMRSUBJECTSTHEAPP�ICANTTO Z Re•Roof � AC7V[PENALTYOFNOTMORE7HANiIVEHUNDREDDOlLANS(f5oo1.1: � Ol/���NEROFTHEPilOPERTY,Of14YEMPLOVEE5N77HWACES�STMEIRSOLECOMPEN5ATI0N. � r,pmmBfCIIII - . WLLL DO TT�WOi1K AND THE 57W.1Cil1RE IS NOT IHTEHOE�OR OFfENEO FOR SAIE ISEG 7aN.BU51• J N NE53 AND PiqFE4510NS CODE TNE CONTMCTORS IICENSE UW DOES NOT APPLY 70 AN OWNER OF ? . , iHOPERiYYY1q BULDS OR MPiqVE3 TMEREON.MIU 1M1M170 DOES SUCH WORI(MIMSEIF OR MERSELF OR - (L THROU011HISORHEIiOVMEMPLOYFES.VRONDEDhNTSUCHMPROVEAIEMSMENOTINTENDEDOR ' m . � L�J OFFEREDFORSALE�F7DwEYER7MEBULpNaOflWPROVEMENTISSq,DWRHINONEYFAROFCIJMPLE• � � � z �TqN,THE 01N1EN-BUIIDER W1LL NRVE iNf BUROEN OF VROVNO iNAt ME OR SME DO NOT BUitD OR . = MPFqVE FOR iHE PURPOSE OF 5ALE4 � W 011�40WMEROFiMEGROPEHTY,AME%ttU5NE1VCONTRACTNOWITHLICENSEDCONfMCTORS OC TO COHSiRUCT TME YRQIEGT(SEG 7oH.BUSINE55 MA PROFESSIONS CODE THE CONiMCTOR3 LI• V81UdtlOfl � AAI.AREA � CENSEUM�DOEBNOT/iPGLYTOANONRIEROFAVR07ENTYYMOBUIDSORIY�ROVESTHEREON,AN� F• 1MqCOHTMCTlFOfiSUCMiN0.�ECfSN7T1ACONTMGTOR�4�LICETISEDPURSUNRTOTMEtONTMG QUANTITY DESCRIPTION FEE . .� ldi4 LJCENSE UW} ' . ... . . � . . .. . . . . . . . . . . OIAME%61�PTUlDERSEG B.iV.GfOR1MI5HEA50N U IA_ � OATE OWNER � V � UCENSED CONTRACTORS DECLAHATION W (� . . " lil e. IMEREBYAFFlNYUN�ERYEW4T1'OfVENURYiNAT1AMLICENSEDUNDERiROVISqNSOFCMADTEH ' � --s 0(OOI.w/ENGMO MAiH SEttqN 7o0a�OF DMSION]OFTHE BUSINESS AND DNOFESSqf:S CODE,hN� Z X W LICENSE IS H ML FORCE AND EFFECL m tll � UCENSE SS LIC.NO. � J V DATE � CONTRACTOR� _ a � WORKERS'GOMPENSATION DECLARATION ¢ � U � IHEREBYAFFlRMWDEHPENALIYOFPE0.IUR/ONEOFTNEFOLLOWWGDECLAMTIONS: Z G � _IIIAYEANDVALLM��NNACEFff1FlCATEOFOOr+°EMTOSELHNSUREFORWORKERS' 2 COUPEN5AT10N,/SDROVIDEDBYSECilONf7ooOFiHELABORCOOEFOHTHE�ERFOHUANCE W � OFTMEN'OFKFORWM�d1TH�SFERMifISI55UED. � � �IHAVEANOWRLWINTNNWORNERS'ODA�PENSATpNMSUfiANCE,ASR[OVIREOBYSECTqN- - � -- �� - - - - � —^ Q ]'/oo OF THE IABOR OODE,PoR THE PERFORAIANCE OF THE YVONC FOR WMCH TH�S PEPMIT IS ISSUED.MYWOANE0.5'tDYP SATIONWSl1RANCECAARIERANUPOLIC'lNUMB�RARE CONSTRUCTION � - .�_v � � CARRIER �C � PLAN REVIEW - � raarriur�eEn ..c_ 3,����, ELECTRIC . � �nssEcnwr�[tDwreem�stErmoFnErE%rrswna.rtMx�oat�cspiao�a+�ssl PLUMBING � Z I CFRTIFY THAT N iHE 7EHFORA/ANCE OF THE WORK iON W1/N77THI5 VERAIIT IS I55UED.l MECHANICAL � � - ('} S�WINOTEMPLOVANYPERSONNANYMIINNERSOASTOBECOMESIAJECTfOTHE N WORI(ERS'Cd1VENSATIDNLAWSOFCALffOFNIA.Ml��CREETM\TIFISMOUlUBECOME INSPECTIONFEE � � SUBJECTTOTTIEN'OfY(ERS'COMPENSA710NPROVISIONSOFSECTiON�MOOFTMEUI[iOR � � �p�f � c�i rwtc n�coe�a�rvhn�na�r is s , ISSUANCE �O f� .SMIP � - � p DATE:� APPLIGNT. � , , w ENERGY P/C 2�N� WARNINO: A�UR[TOSECUF3EWOFYKERS'CdAFEN5A71DNCOVE EGSUNLAwf �MI�SMALLBE !. I '� SUBJ[GTANEMPLOYER70CRAIiNM.PENALTIE5NIDCMLFWESUPTOONEMUNDREOiFpUSM�D ENERGYPEFMIT I�f •Y � DOLURS(f t0o,0o0�,IN ADOITION TO THE CAST OF COAIPENSATION,DAMAGES AS iROViDED Fqi RI QSECilON976eOFTHEUBOF�COOE.INTEREST,ANDATfOiWEY'SFEES. FIETENTIONFEE: �'�0 - pW,., CONSTRUCTION LENDING AGENCY pHE•ALT FEE: - .� INCREBVAFFIHAIUNOEROENALTYOFPE��TN�TTHERElSA00N5TfiUCT10NLEN0INOACENCY . FORi1rtiERFORMANCE�TMEWORK ORM/H1d/THISGERMITISI55UE0�5EC.109�,GV.C.). � LEIIDERS NAME � . . � IENDER'SADDNE55 / . � ICERTIFVTUTIIUVEPEADiHSA➢VLiCATIONANDSTATE7MAT7HE/DOVEINFORMATIDNISW(iRECT. TOTAL FEES � � IAOREETOCOIAPIYWfRfALLCT'IWDOOIMTYORDINAHCESANDSTATEUNSREUTNOTOBULDINO ' - CONSTRUCfION,ANDFIERE6YAUiHORQEREPRESENTATIYE50FiM15GOUNi7TOENfERUPONTME . . . � S� /BOYE-4ENTIDNED VROPERTY FOR p15PECTION VURPOSES. COMMEr(TS � � 9 O � lrl P � � CERNRTEE NAY a1HT) �� /y Q T . _ � � N 8q� FPENWTTE D�TE S . . . _ . . RECPT.NO. PND BY VALIDATION F WHITE—DepeRment Copy.YELLOW—Finance Capy,PINK—Aaxssor C - opy.GOIDENRO�Ie Copy,GREEN—ApplicanYs Copy CITY OF DIAMOND-BAR; ;- :,.•�;,;,: � � ' `�': .�;� '=��'' :�INSPECTION RECORD . : '. `: �� � . � .. .._ . . , �.. . - . o � � . � . . � � , . � . SET_BACK � • ;, , . � FLOOR JOIST•i _�,• �,•� 1 i :e`�'�. � ` �;i i..� - =-r: ;' , ,, ;--- FHA REQMTS � �� . . -�. FTGS/FORMS/STEEL - --- - - - ELECTRIC GROUND' . �-. ." .- ` -- -- UNDER FLQQR,DUCT "..�:-.;, �,, i; ;, �> ; ,, ., _ _ . , GROUND PLUMBING • � UNDER FLOOR GOM1IDUIT 1�;^ �+i�i:J-► . �. �; -.'•- !"�.. . .; . � SLAB GRADE - -- -- -• - --- _ .. , FIREPLACE KOUNDATION%�•!=i° . r+� � _�._ -__. , TEMP POWER - - '•� ' - - - ' -;• = .. . FIREPLACE BOND BEAM . : . , -•"•�-�'' �' '�''}�� :. ; ` ._,��l\'.J.� _.: 1:.{ : ,.. .., . WATER SERVICE --- � --_ �_ -- -�.:-- - -- - MID HT.BOND BEAM --- ' ' • - �i «-.. .. .. _ ' - .. ......_ ._ , ROOF SHEATHING � - -' - '8 FL BOND.BEAM;., . � ; - � • ; FRAMINGNENTILIATION 7� $' ,� FINAL BOND BEAM � ROOFCOVER . 'PRE-GRADING �- - - ' -� � ROUGH HEATING -: —�i^ E'� - - - BENCHING ROUGH ELECTRIC ' 7.G— 8' � ROUGH GRADING • � ROUGHFLUMBING ; - �" ` --- -- • . .�::�� FINISH GRADING , ; `. SHOWEFilTUB TEST - — ; - POOL ELECTRIC ' EXT.LATH!SIDING � ; ��� - � �; �� : . POOL FENCING • WALL INSULATION i POOL FINAL • ' CEILING INSULATION OFF SITE IMPS. � �� ' DR`NJALL NAILING � ►': -;. ^i,-= _a)=;}!�; . �, UEDICATIONS . - � SEWER. .._. _ � ;. ._ . FINAL ENG. � ' � - - ._.. SEPTIC'iANK _. ..__.. .. _.. ._ _. .. __ ._.... _. , .., � _ .. LANDSCAPE/IRRIG. : -SEEP PIT/L.L.. ,. . __... -.• . _ `" ; ON SITE IMPS. . ; , , , . i : . GAS AIR TEST: -- --� - � ---- - �- ' FIPJAL ZONING ' `� FINAL CONST.;- - ----- - --- - _ - , FIRE DEPT.FINAL ' FINAIHEATWG - --- - -- ' HEALTH DEPT.FINAL - _ _. . _ .... FINAL ELECTRIC --- _-,. - - -. . ... . _.._ •DEV.FEES PAID . ... �.. . -� --- - -; • FINAL PLUMBWG � ENERGY • • � • . �� • . :�. ^'S� ,1 : � i �� �? o� -\i ; ' .. � � �� � ! ��1� � . -v:_,..r�.'. � � ♦:.� ' - -. .. �=.1 �-+`� ' . ' _....__._'.. . . . _ ._ __ _._. _ . ;__',. _. __. . _ t • . - - . j� COMMENTS �--- - � � � ' . , , - _-- - -- _ ..... , _. . .... ., cf. c �1\ __ . . - '� - ' ' r ..�i . . ' -• .l!.!� J . . . .... ._.. _. .. . _ � t y i .... . — \'.S � �'.\ .i :) . . . . -- � � � � ' . . . . . � ' . . . . ;1~' 1 L . . .. ... .... . _ , . � . f l �� �` �� \' F,`all\ rr+ � .. _... .�.. _ cl'. �_� . .. , . ,,.�._._� _� . -`, :. � i SEP_TIC�ANK SIZE . . ; SEEP_PIT/U SIZE , , , ... , . . ' _ i ;� _.. � ..._.._... _. , . - ' • ' �ili. i .. ....�..,.-- _ .. -_ , , � � i .... . . . .. _ � �.` _ .. � . � l ,,��. �� ' . �� � � . ,. . .. .. ' . .. . , i �: � _ ; ... .: . . . _ _ _ .• . . ; r. ' � � _ \ _.. _ ' ; �_•_ . �.,,, � C � _ .. . •.,�:� � ,.•, - � . • ; i>. . `� , - -- - -=- . ��— -� • '-�