HomeMy WebLinkAbout12544 (14) �� CITY OF DIAMOND BAR ' � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �,c , 21660 E.Copley Drive 5uite 190 �. �J (909)860-3195 Fax(909)961-3117 PR ESS �''�'� � ,BUILDINGPERMITAPPLICATTON � �FIRMLY o� JOBSITE i�Z� �`p�� �� � APPUCATION (� PERMIT '� /C ADDRESS DATE �C ZZ Q 6 NUMBER N � ISSUE TYPE OCC .- APN LOT TRACT_ DATE ' CONST. ' GROUP " p .OWNER ? S/�� /7/ e/ � AD ESS �'2- /OW cS � 20NING SETBACKS � z C r �v7o n� ZIP TEL. - � REAR RW ❑O . � APPLICANT r � TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR 'y''� �-( �'� n� SIDE - ❑ ADDR SS ; 3 ` � /l+i i- � CITY Y � ZIP TEL. 17 G PROPOSED US � ��� c 40l�C S '�L�. a'� o ARCFUENG/ • 4� 1 : ~� _ _ � DESIGNEFi N0.DWEL. . . NO. ,. . NO. CD�DYRESS Z�P TEL UNITS STORIES BEDROOMS ty» DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION ' Q . . OWNER-BUILDER DECLARATION � SFR/ADDlREM � �� ' ' O . p I MEREBY AFFlRM U�DER PEN.LLTY OF PEiWRY THAT I AA1 E%EIAPT fP01.1 THE CONTMCTOHS ll- G0f8�C81pOR _ � 11J CENSEUWFORiMEFOLLOwINOREA50N(SEGTm1.SBU5PlESSANDiROFESSiON5C00E:ANYCITI'OR . (n U COl1RYYN71d1pE0UYlESAVEiWRTOCONSTHUCf,/LL.TE0.MPpOVE.DEMOl15H2ORREVAIRANYSTRUC. . W patio/Deck � - � TURE,GRqR TO R9 ISSUANCE .�.�NEOU�RES THE APOLICANT FOR SIKM PERMIT TO FILE A SICNED � � STATEMENT THAT ME OR SHE LS IICENSED VURSUM7T TO THE PROVISIONS OF TME COHTMC70R5 LF . S CENSE UW(CNAPTER 0(CdAMENCNO WITH SECTqN 7000)Of DN�S�ON7 0F TME BUSINE55 MlJ Pq0- � ooVSpa ' T FESSqNSCaDEI��TNEORSM[ISExEMfT717EREFROMANDiNEBA515FOR7MEALlEGEDE%CMP- V ?�ON.ANVNCY�TIDNOFSECTION700t.6BVAHYAPPLICANTFORAPER4ITSUBJECTSTHEAPP�MINTTO RB.Roo} 2jTJd � ACMLiE1UlTYOFNOTMORETUWFIVEINNDREDDOlUN5�f50o1.1: � O ❑1�.40WNEROFTHEVROPERTY,OfiYYEMPLOVEESVATHWAGE5A5THEIRSOLECOMPENSATIDN. CpmTBfClal - . � WILL DO THE N'OfV(AND THE STRUCTURE 6 NOT INTENDEO OR OFFERED FOA SALE(SEG 7ou,BU51- J � NE55 A!O iROFE5510NS CDOE:TME CON�MCTORS LICENSE Uw DOES NOTAPP�Y 70 1W ONNEROF ? , PROVERTY YV/IO BUM1D9 OR MVqOVES iNER£ON.AND WNO DOES SUCH WOFK MIIASFLF OR HERSELF OR � THROUGHNSOftHEROwNEL1PLOYEES,iRONOEDiNATSUCHIMPROVEMENTSARENOTNTENDEDOR m LLl O�FEaED iOR S�LE 6,HowEVER THE eu0.0w00H uvliOVEUEMT t5501D wtiMN d�E vFAROc COURE� Z 'T�ON,TME OVMER�BUILDER WILL HAVE 1HE BURDEN OF VROVWO iFu7 HE OR SHE DID NO7 BUIID OR � = MVfqVE FOR TT1E PUHPOSE OF S�LE7. . W OLti+�M'NEROfTMEVRDPEHIY,/JAIXCLUSNELYCON7qACiNOWITfILICEN5E000NTiUCTORS � ¢ TO CONSiHUCT TME PROUEC7(SEC.7oaa,BUSINC55 AND VRDFESSIONS CO�E:iHE CON7MCTOAS U• elU0ti0f1 �d O � qp,�.ppEp � - LLl CENSEUWDDESNOTA➢PLYTOANOWNEROFADROPERttWFfOBU[DSOHMPROVESTHEpEON.AIm � N?qCONfMCT5FOq5UpfVRWECfSMATHl100NiMCTOFl(S)LICENSEDPV0.5UAHTTOTHECONiRAG Quarmrr DESCFIPTIOtJ � � FEE . � TOHSUCFNSEUW.1 ' . . . . _ . . . . .. O IA41 E%EA1PT UNDER SEC B.t P.G FOA TMIS REASON Q 3 - � • ti ¢ DATE OWNER V z w F UCENSED CONTRACTORS DECLARATION W � IMEREBYI�Fi1HYUJDERPEWLLTYOFVEiWRYiHA71N.�L�CENS[DUNDERPROVISIONSOFCMMTEA Vr . , d O�CCM�dfNGNOWR115ECTqN700010FDMSqN�OFTHEBUSMESSANOPAOFE55lON5CODE,AND Z IN'ILICENSE b H FVLLFOpRCE AND EFFECT. �/ � LICENS[CUSS C�3/�L1C.N0. "/� 0 � ' � . � V DA7E CONTR0.CTOR � a W � �,WORKERS'COMPENSATION DECLAfiATION `� , : ¢ , _ �.,� s•� . � - ' • - , �, .` ' •. , .: ••:., � . .l U , � . ' � IMERFBYAfi1RMUN0ERPENAITYOFPERIVAYONEOFTHEiOILOwiNGCEGLAMT10N5: Z • �. • � _INAVEANOMALL4MlTAWAGERTIFICATEOFC�NSEMTOSELFaNSUREFOflriVRKERS.!i :: = j- .. , �t..l;s_',.- . i . - . ' ._ .. OpMPEN5AT10N,A5PiiOVDEDBYSECT10N77WOFTMfUF10RtODE.FOqTHEDERFOqA1M'CE U . � � OF 711E M�(MK FON WMICFI iNi3 PERMIT 6155UED. � • 0 IHAVEINlDWILLYAIHTARlWORKERSCOM7ENSATIONINSUMNCEASpEOVIqE0BY5ECfION /� � /� , O 770oOFTHE LABOR COOE,FOi1 TH[VERFORAIANCE OF iHE WORN FOR WMtp1 iNiS PE1WlT 15 �l �� lS5UE4MY RKE0.5'CWPENSATIONWSUMNC£CMRIERANDPOLICYNUMOERME: CANSTRUCTION /J1 � GUiHIER �R20wW^� ��� t-L� fi'C� PLANREVIEW� � � . � OOLICY NII1APFt7 l..rY�Q 3 !\/. ELECTRIC � 0 �ssEcrowN[mwre[m.s��naFnevcro.�rsrcaaE�ximoaursp+oo�m�s} PLUMBING Z ICEATIFYTW�TMTHEPENFORAIMlCEOFT1EWOpKFORNTIM.f1THISPFFMIT4SI55UED,1 MECHANICAL � C7 SHALLNOTEMPLOYANYPERSONNANYMANNER50115TOBECOMESUDJECTTOTH[ � N'OPoCERSCOMPENSAT10NUw50F IFONMA.ANDAGNEETXIITIFIS �1LDBECOME INSPECTIONFEE SUBJECTTOTMErvOPo(ERSCOMPENS qNGRON5iON50F CTqN77 o FiMEU80R - ' � s utig(rt�nv�nrcoua�rwi T}105EPROVIS � ISSUANCE � (/ � � p DATE:�� �`D APPLICA . O^'�� SMIP _ .��_I[_i� � ENERGY P/C � WAPoJINa FMURE TO SEW RE WORKERS'CO�PENSAT�ON COVEMGE IS lllMwFUL.AND SHALL BE � � SU&IECTANEMPLOVEN70CWYwALPEw�LT1E5ANDGNiLFINESUPTOONEMUNDREDTHOU5u10 ENERGYPERMIT �ITtl_L1rr�*�;�q�� WWLLARS(f700.0001.N�D0ITONTOTXEC0.570FC011PEN5AT10N.DAMACE5A5PROYIDEDFORIN vZl-� 1J►•�.�1ru��iV SECfqN770eOFTNEL�bOFiCOOE,NTEHEST,ANDATTORNEYSFEES qETEtJTIONFEE: 8���;� II O CONSTRUCTION LENDING AGENCY PiiE-ALT FEE: I � INEREBYAFflFiA1�MlpfRVENALTYOFpER1URY7HATTNEREI9ACON5TRUCTIONLENDINOAOENCY, � Z FORTHE PERiORMANCE DF iHE WORK FOH NM1itp1 iHIS PER1Ali IS ISSUED(SEG]Oi7.Glv,G). . . W �Z LENDER'SNAME � � � i � IENDER'SADORE55 f � ICERTIFYhiA71HAVEREADiHIS�PPLiUT10NAtA5TATEiHATTNEABOYEWiOR1IAT10NISCONRECi. TOTAL FEES � W IAOR[ETOLdA0�YN1THKLCITYANDCOUNTYORDINANCESANDSTATEUWSREUikIGTOBVILDINC � G9NSTRUCf10N.IWDNEREOYAUiT1ONIZEREVR iENTAilYE50FiT115COUNTYTOEMERUPONTNE . I S� ABOVE�uErrt10NEDGROPER7YFOR vECT10N URPOSES. COMMENTS � i � l r �/ I _ ��N _v � i ¢ iE iTE`NAME(��M) � .u...� �• L � .. � / &ONATURE OF VEIWITfEE DATE ' � . . _ , RECPT.NO. PAID BY ,�, _VALIDATION� WHITE-0epertment Copy,YELL05N—Finante Copy,PINK—Assessor Copy,GOLDENROD—File Ccyy.GREEN—lWWicanCs Copy � - � - � �.- •• � • ��� - , � - .. , . � . , „_ ., ,. � .. . . • . , • .. • � � . .. � • . . i'',.. . , ;f ,.. „ —,r�. . � '. �. .. . . � . .. . ---- .. ...._'- - - . .._ __ . CITY OF DIAMOND BAR � -_ . , ; . . . .. ,..,.._:; ':�. ::INSPECTION RECOFiD . , ..-:• ,:. .: : � •�.. e ,e � • - • � � • � SET BACK ' 'i�' �� ;:S- �,� ; � •\,,� . .� FLOOR JOIST �., . .� ...- i, •.�� S .S'. . : � . FTGS/FORMS/STEEL � " FHA REQMTS -- - - - - -- ELECTRIC GROUND - - UNDER FLOOR DUCT . '�. �� - ;� �•--� .t,�, GROUND PLUMBING � • UNDER FLOOF3'.COf�IDUIT � - • ' �� "n• - � �.�. = SLAB GRADE- - `� - � FIREPLACE�FOUNDATION �. `• �,c .• ' ' '`' ' ' TEMP POWER - �� � - - �` � FIREPLACE BONDBEAM .`..� - '' ' -"'`�"- :WATEf�SERVICE -_- -- _ . _ °. � .- - - MID HT.BOND BEAM '. ' . : •; , •_ . , , ROOF SHEATI�ING •- - - ';� �' " ' 8 FL BOND_�EAM� � � �+�•.•� � � FAAMINGNENTILIATION � ' � � FINAL BOND BEAM - ' ROOF COVER : .' p 30 fi .y�+ ~ PRE-GRADING - ROUGH HEATING— : - - - - - BENCHING - � - � ROUGH ELECTRIC ` - - - - ROUGH GRADING ROUGH PLUMBING - - "" " - -�' - -FINISH GRADING � . � SHOWER/TUB TEST - � ---� - �-� - . . " POOL ELECTRIC � • • � EXT.LATH/SIDING POOL FENCING � WALL INSULATION •. -� � POOL FINAL . , CEIUNG INSULATION �OFF SI7E IMPS. • • � - DRYWALL NAILING DEDICATIONS SEWER.. _.. __ ' _. FINAL ENG. � • �- __ _ _ SEPTICTANK .. - . ' ._ -. -. .... _. -.-__, .. LANDSCAPE/IRRIG. . , -' . ., . SEEP PIT/L.L. --- : - " " '. -� �' _ .:aN SITE IMPS. ,:: � GAS AIR TEST - -- -- - - - - FINAL ZONING - � FINAL CONST.-; �- p�G - FIRE DEPT.FINAL ' • FINAL HEATING � - � � - - HEALTH DEPT.FINAL . I • FINAL ELECTRIC -- " - - DEV.FEES PAID - FINAL PLUMBING EPdERGY • ; � - i e���� s s e� � � - � � �. � . . ..�.... _ . ' --- ._.. ... . . . . . . . . . :. COMMENTS jo -�3-RS ._�'�v C��.�z.da. --�c �... � n, � �. _ �a�}J 16.,�.6..-48 o�ct.�r,�, ��e�� D K �"o �t�e�. 9 a ` . � ��� � , r'��'-., �' -; . . � ., , �_..- - - . .. _ , j ,ff _.1._ c � ,�' . .'� �� _ ti����y i , . I �' f : I ( ' 1 I . �,� � . . . .. . . . .. 1♦ �� / ' \� 'l � I�1 f 1 � �i�. �1 ..� �. .i al Ls. .. . . . . . SEPTIC TANK SIZI�it?CfY,;C)i,I..:, t;.. ._i , .;�.: - , � ,. ,_. SEEP P.IT/U SIZE'����::•` ; ,'` : r � �, . , . , ...�"'"_'._....: - ,�� �� c:.. _.-. .,..� .. � � � - . .. '. . , :�� i _ . � � - .. . , . � ; - -._._ .. __.. _._. _ .. _ . ' I I ' ,! . r --,-- _ .._. . .. . . .. _ . ; ' i i _ , .. . „ . - .. I -...__ ._._.. . . , - ` -- --_ I � � _ � , .... . � �:. . . . _i 1_ . , .. . . ... � - --- ' ._ '� '. , . . . .