Loading...
HomeMy WebLinkAbout13581 (27) / I I�. '� �,� CITY OF DIAMOND BAR � � � � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES Zi�o e.copioy nn��s�c�i�o PRESS (909)864-3195 Faz(909)861-31 t7 ^`'^�'� BLIII.DING PERMIT APPLICATION FIRMLY y�, JOBSl7 ' APPLICATION PERMIT P/C o ADDRES DATE NUMBER �� N � APN OT T T D TEE : , �� ^�� ONST. GROUP p OWNER "' ADDR� ZONING SETBACKS � CITY TEL. � FRONT qy�l ❑ APPLICANT TEL REAR ❑ � SIDFJSIDESTREET RW ❑ CONTRACT R SIDE p ADDR S � C PROPOSED USE 1 l � ARCH/ENG/ � DESIGNER a o �OLAN� NO.DWEL NO. NO. N ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL N cn DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� ! ONMER-BUILDER DECLAFiAT10N � SFR/ADD/HEM O p I NERFBY AFF6►A IHDER VENALiY OF VEFll1qY THA71 M/E%EMPT FROM THE CON�MCTORS L4 Gflf998/CefyOA lL CENSEUWFON7MEFOl10'MN[7REASON(SEC.7o]t.SBU51NES5ANODPAFESSiONSCODE:ANYdTYOq (n y CDUN7YWF11CF1REQURESAFERMR7000NSTiri/Cf.KTER�MPROYE,DEM0U5FLORHEPNRAHVSTRUC• W �?� NRE,VRION 70 RS RSUANCE.ALSO REOUIRES T11E�VPLICANT FOR SUCM VERMIT TO fILE A SICNEO W PatialDeck STA7FMENT THAT HE Mi SHE IS UCENSED DU0.SUAHT TO iME VRDYi510NS OF TNE CONTMCT00.S U• � CENSE UW(dUVTER 0(COMMENCWO WIiH SECiION 7000)OF DIVIS�ON 7 0F T1E BUSINE5SA4D PR0. � PooVSpa FESSIONS CODk�OR TMAT HE OR SHE IS EXEMPT TNEREFROM M!�TNE BA515 FOR TME 11LLEGED EXEMP• TtlN.ANYYK7LAT10NOfSECT10N70]1.6BYANVMPl1CJNiFORApERMITSUAIECTSTXEAPPLICAN7T0 Z Re•Raol F,., AGMLPEWLLTYOFNOTMOHETHN7FNEHUNOREDDOUARS(isoo�.): O OI.ASOMMEROFTHEPROPERT/,ORM`/EMPIOYEESVnTHWM]ESIISiMEIRSptECOMGEN5�7qN, � �mmarcial - � WILL DO iHE WOPof,AND THE STRUCTURE LS NOT IMENDEO OR OFFERED FOR SALE(SEG 70u,BUSI. NE53 ND PROFESSIONS COOE 7NE CONTpACTORS UCENSE Uw GOES NOT APPLV TO AN OwNER OF � iROiERTYN4108URD50RMPROVESTHEREON,ANDN4qDOE55UCN1MDflNHIM50.FOflMERSELFOR � ' � � " Q T}1ROUfiHHI50RHEROMMEIAPLOVEES,iH0V10EDTHAT6UR11MPROVEMEMSMENOTINTENDEDOH m � OFFFREDWRSALEF,//01VEVE0.7MEBUIl01N�ORM/7ROVEMEN1145dDWRMMONEYEAROFCOMPLE- Z TpN.TF1E ONR/ERAUM1DER N1LL F1AVE TME BUROEN OF PROVMO THAT ME OR SNE 0�0 NOT BULLD OR = IMPROVE FORTME PURPOSE OF StLE1 � 04A4DWNEHOFiHEPROPERfI:MAE%CLUSIVELYCDNTRACiINON7TFlLICENSEDG�ONTMCTOR$ TO[ON`TM/CT 7HE PRWECT(SEC.7W4,BUSINESS AMJ VROFESSIONS CODE THE CONiMCTORS L4 Valuatl v AQI.AREA � CENSEUWDOESNOTMPLYTOANOM'NEROFAPROPERttYY/qBUIlD50PMPROVE3THEREON,ANO MAqCONTMCTSFORSUCHVPWECT5W17HA00NTRACTOH(SJLICENSEDDURSUANTTOTNECONTMG QUANTITY DESCRIPTION �E � TORSUCENSEUWJ.� . .... _ _ _ ❑IIW EXEYPT UNDER SEC. B.lO.C.fORTHIS REASON Q � s. , S- U u' DATE OWNEA � � W UCENSED CONTRAGTORS DECLARATION w � IHER�YAFFUWU1mEHPENAITYOFPEtWMT/UTIAMLICENSEDUNOERPROV15iONSOFCHAPTEp � � �(WAMENCYiOYATHSECTION7000)OFCMSKK7]OFTHEBUStNESS/�N07ROFE551IX�15CODE,ANO Z `L W LICENSE IS H Ft1LL i AND EFFECT. ���� m � UCENSE CUSS � UC.N0. � � J v o�re coHrrwcroa a w � , I WORKERS'COMPENSATIONDECLARATION a ` � • � _ _ ., . . V . NIHFREBYAFFIRIAUNOERPENKTVOFDEPJURYONEOFTHEiOILOWIN6DECLAHNTI0N5: Z Q � �IHAVEANOVALLWUMAW�CER7IFlCATEOFCONSEMTOSElFaNSURECOqWOR1(ERS' _ COMPENSATION,ASFROVIDEDBYSEGTIOH�7o00FTHEU80RCODE,FORIHEPERFORAI�WCE W Of 7HE WORK iOR WHId1 iTpS VERMIT IS ISSUED. � 0 Q _I HAVE ANQ N7LL WIHTA�N WO�tKER5 OOMPENSATqN INSU(3ANCE,RS REOUIRED BY SEGTION 87000F1HE LABOR COOE,iOR THE PERFORMMICE OFTHE WOHK GOR WHIpI7H15 FERMIT IS __ C�2•q� � t55UED.WWORKERS'COMVEHSATqNWSUFUNCEGWfUERANDPOLIGYM1MeERME CONSTFlUCTION ,JJ CARRIER PLAN REVIEW ''� `.'� � 7 _ � ��YM�EA ELECTRIC :' � (I1s55EC1fONt+E�NOTBE00wRETFDOFhEFEp.�TSFORWEtllraf4D00U1iLSRiroIORt£SS} PLUMBING � .. „ ��lu,_ I w _ Z ICERTIFYI)UTNTHEPERFONMANCEOFTHEWOFKFORYMICHTHISPERMrt5t55UfD,1 MECHANICAL t•?�� �' `� J •�,,,�`�- (7 SWLLLNOTEM7LOYANYPEFlSONWANYMANNCRSOASTOBE001AESUBJECTTOTHE �T'•.tl�,�,,',-��•v✓ -:".�.`/ � � NfORKERS[dJPENSAT10NlAW50FGLLIFORMA,AND�GREETHATIFISHOUIDBEC0IAE INSPECTIONFEE��.7� S SU&IECTTOh1E WONKERSCOMPENS/�iION PPOVFSqNSOi SECTIDN 770o OF THE LA800. L�l = ` �,�l) �,:�• ' t� caoe�i swuiFor�r�mn�couvtr mn+nase vaovisrons. ISSUANCE ..7--- -.'�, c� : : J.GC�/ j '� ' SMIP LJ1=.-:" ' _Jl� p pATE: APPLICANi , � ENERGY P/C WARMNO:FA�URG TO SECURE VIORKERS'COMPENSATION CAVERAGE IS UNUWFUL,lWD SHALL BE � SUBJECfANE4PLOYERTOCRIMMALPENALTIESM�OLMLFWESUVTOONEMUNOREDTqUSAND EWERGYPERMIT OOLURS(f1oo.000).IN ADOITONTO THE C0.5T OF COMVENSATION.DAMACES AS PROVIDED FOFi W I J SECT10N�7oeOFT1EUBOfiCODE.INTEAEST,ANOATTORNEY'SFEES RETENTIONFEE: � � I o ! CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEPEBYAFFlRIIUN�E0.VENALTYOFCE0.ri1RVTHATiNERE15ACON5TRUCTIONLEN�IN6�GENCY � �•_L-� fOq THE PERFOMI/NGE OF TIE WORK FOR WHlpl TNIS GEPAIR IS ISSUEO(SEG 7oY7,dV.C.�. � LENDERSNAME _ � IENDER9ADORE55 � �CEflTIFYMATIIUVE T1 A�7UCATIONANDSIATETHATiNEABOVEWF ISWRRECT. TOTAL FEES p� IA6R[ETOLOMPL TH TYMIOCOUNTYORDINMICESAND57AtE � EUITNOT�DINO CONSTRUCT ME VAUTIIDRRENfDFESENTATNE50FTHIS OEMF E / ^ f /� ` Q ABOVE�IE RTYFO WSPECTIONPURP0.SE5 j �� ,./t� �-���3�2 � ✓��� t �j � COMMENT�� st I � � Q PEiWRTEENMIE(PP ) � � (n S1cNANREOFiERMITTEE DA7E � � RECFT.NO. PAIO BY VAtJDATION WHITE—Department Copy.YELLOW—Finenee Copy.PINK—Assessor Copy,GOLDENRO�IeCopy,GREEN—ApplieanYs Copy ,. , . , . � . .... � i ., , ��- . . . - ro.,.. ,.r^-e,' .Nr: ,SNa.. .v� - . ,. . ., ,M�� . . . . � � ... „ . � � � r"• ' . c • . . � . w. w r CITY OF DIAfI�OtVD.BAR � ) ' • ' .. - '• . iNSPECTiON�RECORD ��1►`'! �:����`'CK�)�`� ���':�D�� '1���!�.�,^�o��'.1�������`,�����'1���6�a�w�c,q��jt'� IC►`�-�:��eF�d� �_�..'� , ... , .,.._. ,.,.�., _.,.�. .. �R _....,�..,r . . ,� . .. , ... ,. � �._.� .- ... . ,_'. ;SET BACK� � � FLOOR JOIS�'�,��1 i �� �-t , �� j, - 'FTGS/FORP�ISJSTEEL - - ' � - FHA REQMTS` ` � � � - � " ' `_ -' ELECTRIC GROUND - • � _ UNDER FLOOR DU�T ; __ GROUND PLU6.QSING I UNDER FLOOq.�U�U[JfJ�IT�'.'' �,.` ; ��-' -` ^ ' SLAB GRADE FIREPLACE'FOUf�lDATION ';�'. . �r�� = ' ` �TEh�1P POWER FIREPLACE B�ND SEAM - "-'-' `'' '� 'WATER SERVICE MID H7�BDND BEAM:._ ;:_�_: �' � ` - ;;: � ; � ROOF SHEATHICd�'-,] �1.'G_T�.r�� �i_- v,� 8 FT.BOND BEAM<�' \ ._ _: �-_ �;.�:' _� ,� . . . FRA�.IING,NENTILIATION FINAL BOND BEAM • �ROUF COVF_R PRE=GRADING' ` -�_- �'' ` ' ' -" ' ` '`, �'' _ ROt1GH HEATING BENCHING ROtJGFj ELECTRIC ROUGH GRADING ROUGH PLUh1BiNG FINISH GRADING S�IOWCR,ri'UB TEST POOL ELECTRIC �XT. l�1THlSIDING POOL FENCING t'�'ALL INSULATiON POOL FINAL � GEILING iNSULATIOtV OFF SITE IMPS. DRYV'JAL.L NAIL(NG �=�. � • �_ f DEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPE/IRRIG. S�EP P!T/L.L. � �� �.'�" `�: ON SITE IMPS. G.AS AIR TEST FINAL ZOMNG j Fit�.AL CatiST. , � •01— . . FIRE DEPT. FINAL FI1AL H�ATING HEALTN DEPT. FINAL � FiN.AI.ELECTRIC DEV. F�ES PAID 1_ F"th:�`,L PLUF�181NG ENERGY � i , ��.�-.�,.......-.�.,=-:---�-:-:.....-. ' � � _'� .`.�"'.�'�,�C�': � "';4�:._..._ ... _.--- ~; r^!-^' �a�z��rt ,�1 I • , � C O Pti�1�E E N i S �.c_r�a.Q,-^.���1.i�c��,� oZ.��_.�r�a,�4.f�_�:te�.t,�. � �'1,'-C T_a�_� D� � � , , � ,SEPTIC iANK SfZE SEEP PITItJ SIZE . _ s_.,__ __ �,._,���__�_.__� �,y�i� � � � � - ` ` ' � 4/ ^T� ��,� - , . .- ��;� \ �\`� . . . ' � �� �� � . � ' � -- - - •• `. . ., . � ,. . 1' �fi � , • � b - � - � ; , ,_4. , , . __.... _.._.._�:�..... ..........�,_.�