Loading...
HomeMy WebLinkAbout11005 /"' '".. . . .' . . � " ' _ ' _ ' ' " " . -.., . . _ . . . . . ___' . .. . . _._, � --���—� CiTY OF DIAMOND BAR EXPI RED � COMMUNITY DEVELOPMENT DEPARTMENT � < ,x:,.� 21660E.CopleyDrivcSuitc190 ° -' OCT 051p00 PRESS (909)860-3195 Fax(909)861-31 U "A BUILDING PERh1IT APPLICATION FI R M LY N JOBSITE D APPLICATION�`�f •-��C�� pERMIT� ��? P/C o ADDRESS DATE � � NUMBE V # $ ISSUE TYPE OCC APN LOT TRACT DA7E CONST. GROUP p OWNER "" ADDR SS � ' 'ZONING SET�ACKS Z CITY�j ZIP� TEL. � FRONT RW ❑ o APPLICANT TEL. S DE/SIOE STREET RW ❑ mCONTRACTOR SIDE ❑ o CDDRE S�� � ZI TEL � PROPOSE USE i� w ARCHfENG/ �� _,J � . . �[� w DESIGNER � NO.DWEL. - NO. `. NO. �'Vv n. ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION S4.FT. FACTOR PSF ADJ.AREANALUATION Q . OWNER-BI:ILDEF DECLAHATION � SFR/ADDlREM ' O � p I HEREBV AFFIWA UNDER�ENALTY OF OEiWRY THAT 1 AM E%Eti!Pi FpOM THE CONTMCTOFS Lb GefegB/C2�pOfl � � W CENSEUWFORiHEfOLLOWINGREA50NI5EC.70.7t.S8U51NE55ANOPROFE55�ON5CO�E:ANYGIiYOR (n U COUNTYWHiCHqEOURESAPERAAI7TOCON57RUR,ALTER.RAPqOVE.DEIAOLISH,ORREPNRANVSTRUC- W pd�ip/pOtk 7URE.FFiOR TO RS ISSUANCE.AL50 flEWIRES TME AiPLICANT FOR SUCM PERMIT TO FlLE A SIGNCD � STATEMENi THAT HE OR SME IS LICENSEO WRSUANT TO THE PROVISIONS OF TNE COMMCTDRS l4 � , �� CENSE UW ICNAPTER i(COMMENCING W17H SECiION 700a)OF DIVISqN 7 0F THE 8U51NE5S AN�PR0 � POOVSD2. � FESSiONSCO�E)ORTHATNEORSHEISEXEIAPTTMEREFqOMANUiHE8A515fORTHEALLEGEDEXEMP- VTION.RNYVIOLATIDNOFSECTION7WI.SBVANYA�CLICANTFORIIVERMITSU0.IECTSTHE�PPLICANTiO Z pB.qop� O ' A CIVIL 7ENALTY OF NOT MORE THAN FIVE HUNONED OMURS(SSoa).�: � 04��'�EROFiHEPROPERTY,ORMYEN7LOYEE5WITHWAGE5A5THEIfl50LECOMPENSATION, ❑ GORIRIBfCiBI Z WiLL DO TME WORI(ANO THE STqUCTURE IS NOT INTENDED OR OFfERED FOR SALE�SEG 7a�,BUSi• J N NE55 ANO VROFESSIONS CO�E:THE CONTMCTORS IICENSE LAW DOES NOT AP7lY TO AN ONMER OF ? PROOERiY WFiO BUIlD4 OH MPROVES THEREON,MiD WHO DOES SUCH WOflK H�MSELF OR HERSEIf OR ' � THROUCHHISORHEROWNEMPLOVEES,OROVIDEOTNATSUCNIIAPROYEMENTSAR[NO7NTENOEDOR m � OFFERE�FOR3�lE.IF,HOWEVERTI'IEBUILpNGOHIMPROVEMENTIS50LDW1THINONEYEAROFCOMPLE• Z TqN,TME OWNER�BULDER WILL NAVE TME BUROEN OF DFOVINC THAT HE Oi1 SHE DI�NOT BUI{D OF � MPROYE FOR 1HE PURPOSE OF S1LLE). ' O�AS OKTlER OL 7HE ViD��FRTV,AM EXCLUSNELY CONTRACTwG NA7H UCENSED CONTMCTORS Q TO CONSTRUCT THE PHOJEGT(SEG 70H,BUSINE55 AND PROFESSIONS COOE:THE CONfMCTORSII• V81t13Iiq1 � ADJ.AREA W CENSEU�NDOESNOTAOPLYTOANOVMEROFAOROPERTYW110BURDSORIIAPROYESiHEREON.AND z YAqCAN7MCTSFORSUCH�ROJECTSWITH�CONTMCTORIS)IICENSEDPURSUANTT07MECON7MG ouewmv DESCHIPTION FEE Y MRS LICENSE UW.). . � OIAMEXEMMUND[RSEC. B.dP.0.FORTHISPEA50N Q � � - V ti. F �ATE OWNEH V ZW . . . . . ... � LICENSED CONTRACTORS DECLARATION ' W , ¢ • . � INER[BYAFFiW.1UN0ERGENALTYOFVERNRYTHA7IAML�CENSE�UNOERPROVISION50FCMAP7ER Vr , d 0(COMMCNCINCVnTMSECTION7000)OFDM510N]OfTHEBUSINE55AnOGROFESSqNSCODE,AND Z X MY�ILENSE IS W FULI FORCE�NO EFFECT. A . . � UCENSE CUSS(!_y,��UC.NO.� �+ ��� j V DATE������ CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION a NIHEREBYAFFIRMUNOERVENILLTYOFPERNRYONEOFTMEFOLLAWINGDE0.AF1ATqNS Z . � O �IHAVEANOWRLIApINTA:NACERTiFICAiEOFCONSENTTOSELF.INSUREF00.WOHKERS' _ '�d- COMPENSATION,ASPRO1nDEDBYSECTION770DOFTHEU80RCODE.GORTMEPERFORMMlCE W . � OFTHE WORK FOR WH�CH THIS PERMIT IS ISSUED. _ _ � W INAYEANOWILLIMINTNNWORIfERS'LOA�PENSATIONINSUNANCE.ASREWIREDBt5EGT10N Q 7ooOFiMEIABORCODE,FORiHEPERFOHMANCEOF7HEWORKFORWHICHTHISVERUITIS //�� 7 r ISSUED.MYWORKEAS�PENSA7qNIN fUN CMRIERANDPOIICYNUTAOENARf: � CONSTAUCTION � �1l Q �!� � PIAN REVIEW __ _� '.._ .CARRIER�Q � POLICYNUMOER �� ELECTRIC . .� .�� ' � (n+ssEcna+r�mrareEoon+R.FrmcFnfaEar.rrs�a+Eµrnr�ooaiuisa�m�oa�Ess7 PLUMOING . Z 1 GERTIFY THAi IN TME PEHFORMANCE OF TNE WORK FOq WHIp1 TNIS PERMIT IS ISSUED.1 MECHANICAL (,�} SNALLNOTEMPLOYANVVEfl50Nw/W'lMPNNERSOASTOBECAMESU&IECTiOTHE (n WORKEHS'GOMPENSATqNLAW50FCµ1FORNI�M1Dl1GREETHATIFISHOULDBECOME INSPECTIO4FEE� ��.} l.��j � - S SU&IECTTOTHEWORKERS'CAMPENSATIONFROVIS�ONSOFSECTION77000FTHEUBOR UM� 11 ' � . ^� ' E.isw�uFoan/wm�ca.�a�rwin� EPROVISIONS. ISSUANCE �� v v W ��97 /i�d�� SMI P �.i'� p DATE� APPLICAM: .�L�� J wARNINO:FAILURETOSECUREWORKERS'COMPENSA710NCOVERAGEISUNUN'FULANDSMILLLBE ENERGYP/C� � �y SUBIECTANE�IPLOYERTOCR�AIMALOENILLTIESMIDCMLFwf5UPi00NEHUNOR[D7110USAHD ENERGYPERMIT OOLURS(f t o0,0001,�ADDITION TD TME GOSi OF COM7ENSA710N,DAMACES AS iROViDEO FOR IN � SECilON37080FTHELABORCODE,IMEF7E5T,IwDATTORN[Y5FEE5. � RETENTIONFEE: � a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: - O � �NE0.EBV/.LGIRIAUNOERPENLL7YOFDERIURVTFIATTMEREISACANSTRUCTidJIENDINCACENCV � - � FORTMEPERFORMANCEOFTNEWOFKFORWHICHTHISPERMITISISSUED(SEC.7oW,CIV.C.�. , , Z .. w � 4ENDEFY3 NAME H LEN�ER'S�V7ORE55 � � TOTAL FEES /3/�r � ICEflTIFYTHATIHAVEREADTHISAPPLIUTqNANOSTATETFIATTHE �EINFORMATIONISCORRECT. W IAGREETOf:[NACLVWIrr1ALLLITYANOLOUNTVOf7DINANCESAND pTEUWSFELATINGiOBUR.DINC � CONSTqUCiION,ANpFiEREBYAUTMDRIZEREPRESENTA7!VESOF �ISCOUNTYTOEMERUI'ONTNE �-��D Z /�BOVE. iIONED7ROPERTVFORINSPE IONPURPOSES. 1 �,�� 0 � � � COMME-NTS � J � . � ... m PE c ME IPPI � � . Q � � i N /_ (n S�GNA N OF�ERMITTEE DATE ��j3Y� � � RECPT.N0. PAID BY VALIDA71 � � J �E—Department Copy,YELLOW—Financa Copy.PINK—Assessw Copy,GOLDENROD—Fite Ccpy,GREEN—ApplicanYs Copy � .. . .......... . ... . . �.._.... ' w ... ... ..+...�....�• • .I.•.•.:.y.,..� . � ....�ki`Y' ;Y:. .. � , 1f..�D�_.�.' .�.�..�. .. . . � ' . . . �i"- ..a . n . , , � . '{� �i����f`3 CITY OF.DIAMOND BAR ::,': '' � . . ' . (j�1;;'i GO j�� INSPECTION RECORD " " .' � � . a � � � - � � + � . i - SET BACK:• • � � FLOOR JOIST � � -= ' -- • - FTGSIFORMS/STEEL - FHA REQMTS � �- ' + . ; .. ELECTRIC GROUND � UNDER FLOOR DUCT. > ,� � _,„ �, ; - " = GROUND PLUMBING UNDER F1:00Fi CO�IDUIT �. � ''... - � SLAB GRADE � FIREPLACE FOUNDATION _ - ' _ TEMP POWER � - . - . : . .. FIREPLACE BOND BEAM' '� � `'�` ' � '" `" _ : .. WATER S�RVICE '••� � `� .,� �,�� •. =: � :;, • . MID HT:BOND'�BEAM . � . - . .- -• •_ - � :. ROOF SHEATHING"`• � 7i Z � ' � `' '�- 8 F1'.BOND BEAM � � , . - ' � FRAMINGNENTILIATION FINAL BOND BEAM '. ROOF COVER � - � � - PRE•GRADING � ' ROUGH HEATING - ' BENCHING � ROUGH ELECTRIC ' ROUGH GRADING ROUGH PLUMBING FINISH GRADING ' SHOWER/TUB TEST - POOL'ELECTRIC EXT.L'ATH/SIDING, � � , �� POOL FENCING � WALL INSULATION' � POOL FINAL CEILING INSULATION OFF SITE IMPS. ' DRYWALL NAILING DEDICATIONS • ' ,. SEWER . _. .. .. � , , FINAL ENG. � � . SEPTIC TANK _ ' ' . ' � �.. LANDSCAPE/IRRIG. SEEP PIT/LL:. . _. _ ' ON SI7E IMPS. •. � ' I� GAS AIR TEST -.. � FINAL:ZONING • FINAL CONST: - -� - � FIRE DEPT.FINAL FINAL HEATING - HEALTH DEPT. FINAL - - --- FINAL ELECTRIC � DEV.FEES PAID FINAL PLUMBING � - ENERGY, . � , ,_,�� --- . , - , • • • , �, - _ . , COMMENTS � ' _ _._ _ ., --. . . � ' .. . ' ' ,. � •. ' 1. , , _ ,`L.f���=���J. _ - � r. _ , -. _ _. •. .-. , . , . ; •� _ ••"'. - ; . �1=� - . . • ; . , - �. , -. �.. . ---- � , , . . . � • . . . ,- SEPTIC TANK SIZE ' ' SEEP PIT/U SIZE ; , - � ; .. ... . ',. - �� ,. : � .\ . . �_�. `� . . . . , , . .. . . .. �• i. , .�r- �, � I _ � ..�. �. � \ `+ � '--�'',- - � . = ` �� . � �-• . �\ ` .. . . ..._ . .._ . . . __ ....:... _ . ... ._ . � ' � �-�...... . .. ... . . _. . ' •.� �^ .