Loading...
HomeMy WebLinkAbout14515 (17) f� CITY OF DIAMOND BAR DEPART?,4ENT OF COMMUNITY&DEVELOPMENT SERVICES .. � .> 2166o E.coploy ucive s ui te 190 (909)860-3195 Fax(909)861-3117 PRESS ��+f�� BUILDING PERMIT APPLICATTON FIRMLY � JOBSITE � � APPLICATION� / � PERMR � P!C o ADDRESS^ DATE ��S D O NUMBER 1t � ISSUE NPE OCC APN LOT TRACT �bATE CONST. GROUP p OWNER ��hJ '�i1Tu ADDRESS / tONING SETBACKS Z CITY ZIP TEL REAfl Rw D 4 APPLICANT TEL � SIDE/SIDE STREET RW O � CONTRACTOR 'e- �L� SIDE p � AD�RESS CITY 21P TEL. PROPOSED USE � ARCH/ENG/ • � DESIGNER NO.DWEL. NO. NO. ADDRESS UNRS STORIES BEDROOMS � C(TY ZIP TEL y �ESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � � OVYNER-BUILDER DECLARATION g�qpp/pEM � O I NEqEBYAfFlRM UNDER PENALTY OF CEiWqY THAT I MI fXE/APT fIiOAI THE CONTMCTOpS LL Ga�Bga�CflryoR 8 CENSEUWFqiTNEFOILOWWONEI�SONI5EG70]f.68U5T/ESSINDPROFE55lON5000EAM'CT'aR (n . � (SRMTYMIO/XC4IFESAVEflMRTO00N5TiU1CT.K7ERMPROVE,DEYOLISH.ORREVNRANYSTRUG W PatiolDeck NRE,FHIOA i0 R9 R9UAHCE,ALSO RCOUIRES THE APVLIGWT FOF SUCN PERMIT i0 FILE A SiONE� W � $TATFMEHT 7W�T NE OR SME IS LIC£NSED PURSU�M 7D TNE VNOVI510N5 OF 1ME COHTRACTOqS LI• � CENSELAW(OU7TERY(COMIAENCINOWITNSECTION70o0)OFDMSION�OFTHEBUSINESSAN�PRO- u' P���Da FESSION9 ODDEIOR 1MATHE OH SME S E%EMPT TNEREFRqA Mi0 iNE BASIS FOR TNE�I.LECfD E%EMP• T�ON.MlYVlaA7qNOF5ECTqN7W1.68YANVAPRIGWTWNAPEPNIiSUBIECTSTHE�7PUCANT70 Z qe-Rao1 F ACMLi TYOFNOTGqFlEiHIWFIVEM1.T10RE0DOl1Af451i50D).Y• � ASO'ANEROfMEPROPERTY,ORNYEMPIOYEE9INTHWAOE5A5iHEIRSOIECDMPENSATION, O COmmBfGltll � YALL DO TME WOAK.IWD THE STRUCit1RE I3 NOT R1TEN0ED OR OFFERED FOR SALE(SEC.7W.8t154 J NESSAND VROFESSION9 COOE 711E CONTMCTORS IICENSE UW DOES lpTAPPLY TO IW OIVNER OF N i1qPEHfYYApBU{DSORWPROVESTFIEREON.ANOMmODOE5SUd7wOqKHIYSELFORMERSEIFOR = � �! TIul0U0HHISORNERONMEYPLOYEES,PHOVIDEDiFIA75UC114VROVEIAEMSMENO7WTENDEDOR m OOFFEpmWFSALE6,NOWEVEit7HE9ulIMNnOfiWVROVEMEMISSOIDWfTMINONEYFAROiCOMPIE• Z �TIbN,TME UVpEM1BULDEH WILL FIAVE i1�E BUHDEN OF PROVNO T/1AT HE OR SHE DID NOT BURD OA � INPRDVE FOR T/1E MiPOSE OF 6.4LE4 � W O�ASOWNEROFIME7NOPEfcII;IWE7c0.U5NELYCONTRACTlMM7TMLICENSEDCONfMLTORS ¢ TO CONS7AU(.T TME PNOJEGT ISEG 7W1,DU9ME53 AND PROFESSIOHS CODE:iHE CIXfiMCTG1S LF VelUe;lOfl ADJ.AREA 41 CFNSELAWOOESNOTMPLVTOANOY.NEROFAPROFENT'�N�OBUMSORMVROVE87HEREON,ANO � YAqCOHfiUCT9WH5UC/1VR0.1ECT5WITNAOONTMCTOR(S)LIGENSEDVURSUANi70TMECONTMG pUANTITY DESCRIP7ION , � FEE � TOHSUCENSELAW.1. r.' • � .... . � . ... � � ,,,� 1� ( .a': : / Ii61AYE7fEAAPTIMOERSEC. &�P.C.FORTNISRFASON Q � 3 � . . - .�� t. . . V" DATE ON'NER _ V �. � W UCENSE�CONTAACTORS DECLAHATION W � IHEREBYAFi1HYUOERPENAliYOFFEiWM7/N71M1LICENSEDUNDERPROVI5i0N50FCHAPTEH U. / L N � s O�OOIAMENGMUN7TMSECTION7000�OFDMSION70FTNE9USINESSAN�PiqFESSION5CO0E.AN0 Z X W LICENSE IS N FULL FOFLE ANO EFFECT. � 0 � F LICENSE CUSS �IC.NO. J � pA7E CONTMCTOR� a � W � WORKERS'COMPENSATION DECLAfUTION —r 1� . a - N <"1 y IHEHEBYAFi1RAAUJDERVENALTYOFVE0.R1HY0HEOFTMEFOLLDN^JK1�EO./�MTIONS: Z � _IMAVEANDWILLWUMAN�CEHT1flUTE0FCON5EHiTOBELFaNSUREFORW�7fiKEF1S' 2 V�., COMPENSATqN.A9PROVCEDBVSECT10N�7no0F1HELA30RCO0E,FORfHEPERFORA/ANCf U OFTNEWORKFORMlM�CNTf119PE1WITISI55UED. � � �( �:� O ��I NAVE ANO WILL IMIHUW M�ONKER4 COu7EN5A7GN INSUMNCE,AS REOUIRED BY SEGTIDN /,� O O 77000FTNEUHOqCOO�WRTHEFERFORM/NLEOFh1EWORKfOPWMId1TMISPERMRIS /� v; t55UED.NYMN�7CEA5CdAPENSATIONP15UfLWCECMN�ERMIDPOL�CYMIMBERME CONSTFiUCTION �•���`�:�ll - - - � c�awea PLANREVIEW "y(���� -- — ' � POLICYNUMBEfl ELECTRIC � � (nssEciqHNEIDrai8E0p.stEiEDCFTEVEVMf6R7RatEMU�MD0aL1iYuR�m�OtiLESS? PLUMBING ��7 Z ICEpT7FYT/WTNTHEPERFOMIANCEOFTIENOFI(fONMM1llpliM15PERURlSISSl1ED,I MECHANICAL (�} SM/LLI.NOiE�ttOVANVPER50NWINYYANNER5aA5TO8EOD1AE5U0JECTi07ME � N NOPoCERS'COMPENSA7qNUW50FCALIFOiWI�AN�ACREETINitFISiqULDBECOME INSPECTIONFEE �., S SUBJECTTOTN[1N�RKERS'Op.�pENSATqNPROV1510NSOFSECiqN970o0FTNEUHOH �SSUANCE e � CODE,1 SHALL FORTHVIfTN CO�APLY VATHTIqSE OfID�A510N5. � SMIP � � �ATE: APPLICANT: � WAiUtINGFAIUR[TOSECUREWOflKERS'CCA�PENSATbNCOVERAGEISUNUWFUI.�NOSMALLBE ENERGYP/G � Sl.B1ECTANEMPLOVERTOCPMNALPENALTIESANOCMLFINE51R700NEMUNDREDTHOUSAND ENERGYPEAMIT OOLIARS(f 10o.aool.IN WDIl10N TO TNE COST OF WMPENSA710N,OMUOES AS PROV:DED FW71N � ¢ SECilON770lOF7}�ELIBCNiCUDE.MfTEREST,ANDATTORNEY6FEE5. RETENTIONFEE: ' W CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � ' O � IMERCBYAFFlRMUNOERPENALiYOFPER7URYiMAT7/1EREl5ACON5TRULT10NlEN�WOACENGY nZ- FORiNEPERFORMANCEOFTMEWORKiORWHIC7ITMSDEiWITISi55UE0(SEG]OGI,CIKG} W � LFImER'S WWE � LEN�EiCSADORE55 � W '��E�;;;��,�a;,,���T,;;„�o;,'�"u�HElAA WOTOBUILDINO TOTAL FEES � STPUCfION.IWDNEAEBYAUi170RQEREPRESENiATNE50FiHISCOUNiYTOENTFRUPON7HE - � � ABOVE-MfHT10NED7 ERiYFORBISPEGTIONDUAPO5E5. COMMENTS � � ~�,�_ � � VERIAITTFE E(PW /, ' .C� , /^ � X Cn ! V (n &ONA7UPEOFFFRYITiEE D�7E � RECPT.NO. PAID BY VALIDATION 1NFiITE—Depertrnent COpy.YELLOW—FNanc9 Copy.PINK—AssessorCop71.GOLDEhROD—File Co{ty.GREEN—Applicent's Cop/ • . . . . .. • . . . r . . .. �. .. . •,�f -_-.' . � . ..... ... . . .1 . '1 ��.4' . .:l:f.f.. �t.(. �. . .. . . ' . . ..�. . ... . .. ... . .... ._ .. .. '"'" .. . . .� "�_". .. .. -� CITY OF DIAfJ10ND BAi� ;• �. :. , ; ,: ; ,. �_, � 1 ,;....., . ... ... . . . -, . � �._._ ... .: 1�•'11�15P�ECT101v RECORD �:��.: . "• _ � . . .. . ... ._:: . `� � � , . . _ . .. . ,, � �- . . ,..., .- . _._ _ _ _ .. �(�'E-y.�-f_�L�'�►�- �=lC=; - :1►�y:���.�.�.�'� . � 1�E-�.��i' �.�.��t .� - 'r � . ! c�" -] -_ --- .__. _---_ __:. .---- --- ��_ ,�__._.___ - '.�':��.. . . I���'��.3._.� !� � )SET BACK " ' :�1��y,�:�"- --�� — � ' FLOOR J015T �,- ; ;• � -4 >FTGS/FOR,�1S/S , , ,,I ' •: , . -• " TEEL� � :. .• ;� : :�NA REQPATS. .. .. ....... .... ___ ... .. ...-- ------... ; ."� L ' .. �. . � � . I Et_ECTFi►C G1�OUND_.'�_:.�:-� . _..... -------_.. .. _._ .. � �__._- - UNDER FLOOR DUCT _ ` ... ; ....':�. ! : , +GROUND PLUMBING • • � - UNDER FLOOR CU�IDUIT � �; ; . 'tSLAB GRADE-- -- -- .� � --- _.- - --.._..__ .... .- ",: . FIREPLACE FOUNDATIDN " ' • - � � � i �_;_ ,�::.. _ ,.. . . , � , �TEMP POVtiER- ..-._._._ '�. _.._ ..._ __ �� =:'- FIREPLACE BOND BEAPJI_ _ : -- - .__... -- ... ._ ---- ...__._. . . . . .: .. , ,. -,�:. ,.; � , 41'JATER SERVICE --- --- .-_-... -.-:. ._--- ._ ::��_ --= MID HT..BOND BEAhM1' � -: ... • �. ::.._ ... _. , ... ,, . i ROOF SHEATHff�G _ •'._ '_ _.--� - . �. 8 FT.BOND BEAM _ .._ _. . .. - -- - .-- - - .- .- • - , 'FAAFAINGNENTILIATI�N. � FIN{1L BOND BEAPJI ' •• �'�` � ip00FCOVER ,� ,� , _-. - ._ . ' _. . _ . . PRE-GRADING- - - -- _ .....-- - --� . _. ,,, ;ROUGHHEkTING -----�- --....- ---.. ._. __._. ._. .. --� - BENCHING. _.._... .-- .. - - - - �- ---- ';��:� � �.: � _ . _ . . . 'I�OUGH ELEC7RfC -;�- - ._� - .. . _ _'_ ROUGH GRADING „ .. . __ . . _ `ROUGHPLU�fBiP�G -. - --- --�-"- � i--- i " fiINISHGRADING , • " ISHOVJERITUBTEST j - - - . - - - POOL'ELECTRIC ' , ,' ' IEX1`.U;TH�SIDING _...' ... ._ ._ ._ .. _ .......__..._ . ..... POOL'FENCIPJG _ . „ �VVALLINSULAT10�1 � � I POOL'FINAL - ' � : C�ILING INSULATION OFF SITE IMPS. . � • ' ' ; ;bRY1.b'AILNAILING ! i D[DICATIQPJS ` : .. :� ,, S��yER ---...__.� ._ ' ' FIfJAL'ENG. . ' - 'SEpTIC 1'ANK- --- ---. -..- -------. ---- - . -- - - - ---.---.. _ LANDSCAPEJIRRIG. , . � ! ; . ' . , • ON SITE IP�1PS. .. ' . , ;S�EP.P!TlL:L:_ :.-..:.... -- _ -- . _ :...: ;.. .... ' • . , .� . .. . , . , �' FIPJAL ZONING FIh.A�COiJST: �.......�'� �t�t- - -���y.(p_�o GAS AIR TEST- _.. ._ � � � ..---- -�--- - -' FIRE DEPT.FItdF'�L - -. .. , , � 3=z$-�._ –. , 'FINALHEP�TiNG ---- ----- -�-- . . . -- - � - HcP,LTH DEF7;. INAL. ,�� � ,.., � � � ' - .... . �,. . FINAI:ELE�RiC------� _. .---._._ ..._ ._... ..._ . DEV. FEES PAID - - . . , , � .. 'RN?�L PI�UtJ�BING � , .,� : _.i ._. .1._. EN�RGY . . -. . , � i . . . � ,.. . , I '.���.c� i�j�.c:;r.;�`.,__..�:.----• � .�.� ._-��- � - --- -�- -. . .. .. - - _.. . -- .. _ . ,,... . - ------ - - �oc�,��,�r.���----� _ . .. _ . ; , . , . .. .----- --- -- -�--; �-�- - - . � � � � . ,.. - - - -- , - --- - - --__ -- -- -- -.._ .. , .. .. ._.. . . ;� . - � � � '.•_'.__...__. . .. . ' _ • �� . . ' � � . . . . . . . . . . . ' ... .... ...... . .. .. :. . ... ' i, . . . f . . . . � .�� , : + _ . . .._ .. ...._ . . . �\i�•. . , . . . " . I � � �\ \ . . . . . � . ( � - - . . - � ' , . . . . - .• . . . .� . �.. , , • . � _ . - -^ --.. . _ . . ' , . j ... _ .. .._ ... .. --- ' � : - --- , i . SEPTIC TANf:SIZE .. _.. _. .._.... ._ i .. _ • , • . - , : • � :.' - -- -- ,. , � : - - - .. .. .. . �. . . �SEEP PIT/U SIZE -,-. , .. ._ ,. __. _. _. _. , . _--. ._._..�;_.__. . .. . _ � . . � , ,. � _ �..'.�. _._..._ , , � - - - ... .. ... . � ; 'l; , ,.. . - ; . ._. _ . _ . . . . ; - — -- ---- _ _. .. i ' � _ . _ _ .. . _.. ..- - �- -.. _ . - __ .. . _... . ... - -� � � - - -- - - . . . . . .. .... _. , . i " , _ _ , _ , i� i i . ,. . , - � .�p}� ' _ ; . � . • _ - , ,._ , , � , , . , -- .._ _. . � . . _ . _ _ _ ._.. _. i � - -- .... . _ .. . __....-- - - -----. .. _.. __ , , , , , . ... .. ... .. . .. � .... _ � . ... . . � , . , , .._ . _. ._. _ .... , . . . _.__. _ ._._. .. . .. ..... , , .._. _....� .'. �• -_ - - =�. .. ._.. . . i i ��� . . . �. .. - - ` - < <,