The URL can be used to link to this page

Home My WebLink About12961 i . . . . . .. -. . CITY OF DIAMOND BAR ' ' '"� �� --�� -- DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES � �� 21660 E.Copley Drive Suite 190 ' ' � - ' � PRESS (909)860-3195 Fax(909)861-3117 ,.�a�'.. BUILDING PERMIT APPLICATTON � �. . . � • FIRMLY � � JOBSffE 1� �1O�� G', O_�- � AP�,�LICATION'��.i�1� NUMB R� k/C o ADDRESS I � r'�� f c� ISSUE TYPE ' '' OCC APN LOT` TRACT DATE CONST. ' GROUP p OWNER "' ADDRESS � ZONING SETBACKS � CITY � IP EL FRONT RW ❑ APPLI ANT � E�„ REAR ❑ • SIDEJSIDE STREET RW O � CONTRACTOR - � SIDE ❑ � ADDRESS - � CI7Y ZIP TEL. PROPOSED USE o ARCHIENGI • . ' � DESIGNER - N0.DWEL NO. N0.. ADDRESS UNITS STORIES- BEDROOMS CITY ZIP TEL. � ��ESCRIPTION .SO.FT. FACTOR PSF ADJ.AREANALUATI�N N Q . , OWNER•BUIIDER DECIARATION . ' ' SFR/ADD/REM � � � � • • - � O p I MEREBY AFFiRM IM�ER VENALTY OF PERAJRY THAT I AM ExEMPT FNOM TNE CONTMCTDRS Lb Gdf8g9/CBryOR ' W CFNSEUWFORTHEFOILOW�NOREA50N(SEC.7o]t.6BUSINESSANDVP.OFE5510NSCODE:AM'CITYOR (J� ' _ � CIRMiYNT9pIRE0UIRE5AVEflA1RiOtONSTRUCi,1LLTEi�IYPRpVE.DEVOLISH,OFiflEVA�RMfYSTfiVC• W patb/Dadc ' 7URE,P11qR TO RS 64UM10E.AL50 REOUWE9 ME AVVLICANT FOR Sl'CN PENMIT TO i1LE A SIONED� W � STATEMENT THAT HE Ofl SHE R LICENSEO PURSU�NT TO iME PROVISIONS OF THE CONTMGTOitS LI- . � � CENSE UW(QU7TER Y(CdAMENpNO VATM 5ECf10M 7000)OF DIVISqN 10F TNE BUSINESS A40 VR0. �' PooUSpa fE5510R1i COOE)OR M�T HE OR SME IS EXEMPT THEREFRpA AND TME BA515 FOR TME ALLEGED E%EMP- 710N.ANYVICl�T10NOFSECTqN7W1.OBYANYA7PLICA!lTFdIAPEW.��TbUaIECTSTIIEMPLICMlfTU Z R9-ROO� F ACMlOENALiYOFNOTMOR[TUUIiNEHl1NOREODaLtAR51t5o01.Y- . � Ol�`�MNEROF7HEPfiOFERTY,ORMYEM7LOYEESWiTHWl1GESA^.7HEIRSOLECOMPENSA710N, 0 COmmefLL71 ' � WILL DO THE WORK,IWO TH[STRUCiURE IS NOT N7ENOED OH OiFERED FOR SALE(SEC.7oa1,91J56 J NE53 ANO PROFESSIONS CCOE:TME CONTiULTORS UCENSE Uw DOES NO7 APPLY TD AN OWNEH OF � N Pi10PERTV�NIDBUlDSON�MPROVE5IHEREON.�fDVMOD0E55UpIW�RNN145ELFOi1HERSEIFOq� �� T1il0UCMM15IX1HEROYRIEMPLOYEES,VROV7DE�iHAT5Up1MPROVEIAEHTSARENOTRRENDE00R m QOiFERWFOilSKEIF,IIUYEVE0.TMEBU6DwGOR147ROVEYEMIS50LDwITNNONEYFJ�ROFCpAPLE• � ' Z TION,THE OWNER-BUILDEN W41 FNYE TME BUROEN OF pRpYINO Tl1AT/IE Oii SME DIO NOi BUItD OR � MPROVEFORTHEPURGOSEOFSALE). � � � W ❑4�4��EHOFTH[PF007Efii1:AMEXQUSNELYCONTRACTINONTiMLIC[NSEDCONTMCTORS � TO CONSTRUCT 1T1E PRQIECT(SEC.7a1.BU5iNE55 ANO FR�FES5WN5 CODE:THE CONTMCIORS Ll- �ValuOtiDn ADJ.AREA CENSE UW OOE9 NOTA➢VLY TO AN ONNER OFA iROPERTY WMD BURDS OR L1PiqVES TH[REON.AND 'L N4q�01lfRACT5FOR5Up1iRQ1ECf5M7TMACONTMCTOR�S�LICENSFDPURSUANTTOTMECONTMb pVANTITY DESCRIPTION FEE � TOaSUCEHSEUw.} ' � DIMIIXE►�7TUJDERSEC B. GFORTNISNEASaN Q ' � � � 3 �' � ¢ ' � DA7E OwNER _ � V W � LICENSED CONTRACTORS DEC ATIO � � W � � - . ' � IHEREBYAFFlPoAUNDERGENALTVOFPEiWR/7NAilA1ALKENSEDUNDFRVRONSIOHSOFCHAPTER V, , . p� O�C01Y1ENCWOWI7HSECfqN7000)OFOMSION70FTHEBUSINESSM�OVHOFESSIONSCODE,MJO Z X W�ICENSE IS N FUIl FOACE�lID EFFEGT. m ' LLJ � � L�CENSE CIASS UC.NO. � - J � �j DATE CONTRACTOR � a W � WORKERS'CAMPENSATION DECLARATION —� . . U � INERFBYAFFIRMUNDERVENALTY�FOERIURYONEOFTHEFO�IANnNC�ECUMT10N5: � � � � �� [/� Z a O �iNAVE�NDNALLWINTAP1ACEqTIFlG7EDFODNSEMTUSElFaMSUREFOF7N'OHKEfl5 2 � COMPENSA710N,ASiROYIDEDBY5EC710NJ7o00FTNEUBORIX7DE,FOR7HEPERFOqMANCE `U OFTi:WORK FORMAACHTM�S PERMITIS ISSUED. � � _I MAVElVA YALL M�IHTAN MKNL(ERS'GOMPENSAT1IXi ttiSURAHCE.AS RE WR1E�BY SECTqN 4 970oOF7HEtABORCWE,FORlHEPERFORMANCEOFiNEWORKFORWHiCN7Hi5FENu�T15 � ISSUm.W WORKERS'Cd�PEHSATDN INSUf1ANGE GRIUER AND YOLICY NUMBERANE: CONSTRUCTION jdpwEn PLAN REVIEW - - � POLICYNUMDER EL ' � � (nsscerr7r�n[tnwreeoxaFrIDanfvEw.�'svrna+ENu�monl/as(s+mloalFssl PLUM�ING ' Z IGERTIFYTUTNTHEPENFOfUMNCEOFTHEIMDRKFOqWHICHTHISPEN.n715155UE0.1 MECHANICAL �� (�} SNALLNOTEMPLOYAN`/PERSONINANVYANNERSOASTOBECOAIESU&7ECTTOTME � Y/ORNEF5COMVENSATpNUW50FCALIFORNLIAN�ACREETMATIFISHOlA08ECOME INSPECTIONFEE �._1_ SUBlFCTTOTH[W'DRNERSCd.�7EN51lTqNGPON510N50FSEC:lON�7000FiMEU9aR �SSUANCE u V S COOE.ISM.LLLFONTMw�7NCOMPLYMnMTqSEPfiO`ASqNS. � SMIP —LAAL�_dr}p p DATE: APRM,ANT: � — .lf•IIY �� 7 - W ENERGY P/C `�'� � � WMMNO:F�LURE TO SECURL VANCER5 COMPENSATION COVER�CE IS UNUwFUI...AND 5/W.LBE J`� SUB.IECTANEM7LOVERTOCRIIAWALVENALTIESANDGMLFINESUPTOOMEMUhUREDiH�USAND 'ENERGYPERMII�I�-0r�TA71��1�L DCLLA1i51f i ao,OD�).N ADDfTiON TO 7H[COST OF COMPENSATIDN,ONAACES AS PROVIpED FOR M I7-iZTjpJy JpC £ECT10N]70lOFTHELA00RCODE,MiEREST,ANO�TTORNEYSFEES RETENTION FEEBU��/'= A ATh [+�s�r•m pw_, CONSTRUCTION LENDING AGENCY PRE•AlT FEE: • � ' O � .INEREHYAfFIRMUNDERPENALTYOFPER7UM'M1I�TTMEFEIS�CONSiRUCTqNtENDINOAGENCY , � FOR iHE OERFOF4.W�CE OF TNE WOpK FOR WHlpl TMIS GEN4IT IS ISSUED�SEC.7097,CIV.G�. � �Zti LENDEN'S NA1AE S ' C LENOER'SADDRE59 ¢ ICER7IFYT4ITIHAVEREIIDTHISMPLIUTIONANDSTATETIUTT�E/DOVEwFO�AT%7N�SCOi1RECT. TOTAL FEES - � � . W IAGREEiDC04R�N7THILlCfiYANDCOUNf�ORDiN�1�CE5N�D5TATElAWSREUTNGTO8U0.DING • � � � CDNSTRUCTION.ANDHEPEBYAlJf1WHiZERE0RE5ENTATNESOFTH15CaMTYTOElRERIIPONTHE . . , � ABOVE�MEMIDNEOiROVERTYFORINSVECf10NWFPO5E5. COMMENTS � �� . ' m GEqA1RTEE oai ' � . Q _ � � BIONANREO TTEE , A E • � RECP7N0. PAIDBY WWDATION � WHITE—Departmern Copy.YELLOW—Finance Copy.PiNK—Aasessa Copy,GOLDENFOD—Fib Copy,GREEIJ—ApplieanCa Copy � ..., .. .... .�.�• .., � ...,, ..,,.r .. . . � ... ., � � w s.' .. -. . ��. . . . , � . .. . �r t; ... ' . .. " • i � . C. .. . .,. . . . ., .. .. . . . . . . . . . .. . CITY OF DIAMOND BAR �.; - -;�,�1�;, • ,. ., ... . .... .. . . ,, �„; � �� ' ' ��INSPECTION RECORD , � � � . , . � ;.,,, �. . , • o � • - • � � � � - SET BACK •. " �. . ' . - i. .FLOOR JOIST •, �! ; -i , ' �•;, ' -. FTGS/FORMS/STEEL `� � FHA FIEQMTS � --� � --� � - - - - - _ELECTRIC GROUND. -:_ _ ."_ --_ _ -- UNDER FLOOR DUCT ' ' ' �� ` --- , GROUND PLUMBING � �� ` � UNDER F,LOOR CO�IDUIT • • ; � - ' • " SLAB GRADE-�- � � • FIREPLACE FOUNDATION-• ' � < "' ' ; TEMP POVUER- - - �� - ` � =. . FIREPLACE BOND BEAM �. . . - .. . . . . '� . , WATER SERVICE - � � - � --- � - --- MID HT.BOND BEAM ` � ` ROOF SHEATHING -- � - - ---- - 8 FT.BOND BEAM FRAMINGNENTILIATION � � FINAL BOND BEAM ' " ROOF COVER:' . � � �PRE-GRADING � � ROUGH HEATING --. � - - -- - - - _ BENCHING � . . . . --- ':� . , � . ROUGH ELECTRIC ; � - �-` - ROUGH GRADING • - ROUGH PLUMBING -" - - : �. FINISH GRADING . , ; . . SHOWER/7UB TEST� � � POOL ELECTRIC - - EXT.LATH/SIDING POOL FENCING ' WALL INSULATION POOL FINAL CEILING INSULATION � OFF SI7E IMPS. � - ' DRYWALL NAILING � DEDICATIONS . ' SEWER._..._ FINAL ENG. � - - - - . _. _ SEPTICTANK___ _ __. _ ._. LANDSCAPEJIRRIG. = � , . ' - . ' ON SITE IMPS. , . SEEP PITlL.L. . ::.._. _ _.. ... _. .. ... GAS AIR TEST - -- - - - _ : FINAL ZONING FINAL,CONST,•- - -- -,-;- • • -.• - �- '-- '• FIRE DEPT.FINAL • - ; � FINAL HEATING -- - ; - � HEAI:TH DEPL,FINAL'' --• ; ` :.� ' FiNAL ELECTRIC _ � � DEV.FEES PAID �. � �• � " FINAL PLUMBING ENERGY • � � i � ; �_ � ..�. - - - - - ,. ._ . . COMMENTS � � .__ . _ _ . .. . - - . . - - � - - � , - - i . . ,� . - � . . . ; � . � - . {-t �l='�' . � , .� • .., - � , - - - . � � SEPTIC TANK SIZE:_r`';,:. ,. . , �.:��.:; . . ; . • , • , . SEEP PIT/U.SIZE ' ' . , _ � .. + � i ; . . . --. _ � � � - - � 1. . � � : , �; I , � .; + . . . . , . . r . . . . . � . . . . � I `' . / . ' ., , ' � j� . . . . �.. . , ' / ' . '._. .