HomeMy WebLinkAbout13586 (17) - _ _-..,,�-... —
�,� CITY OF DIAMOND BAR F
i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES
21660 E.Coplcy Drive Suitc 190
� (909)860-3195 Fax(909)86t-3117 PRES$
''�^'� BUII.DING TI'APPLICATION FIRMLY
� JOBSIT APPLICATION PERMfT 2� I _P/C
o ADDRES � � � � DATE NUMBER J��v'q
g ISSUE 5_��,�rj,(�, NPE OCC
APN T " DATE � � CONST. GROUP
p OWNER
LL ADDRE ZONING SETBACKS
0
� CITY ZIP TEL. _ — REAR RW p
APPLICANT EL. SIDFJSIDE STREET RW ❑
� CONTRACT - SIDE ❑
g C D S TEL. PROPOSED USE
� ARCH/ENG/ �10�..�.� " �0t�
DESIGNER 1� NO.DWEL NO. NO.
= CnDRESS Z�P TEL. UNRS STORIES BEDROOMS
�
tn DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATIDN
p� OWNER-BUILDER DECLARATION SFR/ADD/REM
O
B1 HEREBY AFFlFiRI UNDER PENKTY OF PERRlHY THAT 1 MA EXEMPT FACMA THE CONTMCTORS U• Gafe90/C0(p01t
� CENSEUWFORTHEFd10WIf10REASONISEG)071.60USWESSANDiROFESSIONSCODE:ANYqTYOR (n
OOUNi7WHId1RE0UIRESAiERMRTOCONSTHUCf.ALTERMFROVE,DEMOLISH,ONREPAIRANYSTRIIG W Pd110/DBCk
TURE.VPoOR TO RS 65UANCE.ALSO REWIRES THE APPIICANT FOR SUC11 VEWAIT TO FILE A SIGNED w
6TATEMEHT THAT HE OR SHE IS LICENSED WRSUANT TO TNE VRONSIONS OF TME CONTiUCTOR9 U-
� GENSEUW�CNAPTEqO�COMUENLWOWITHSECipN7000)OFDIVISION70FTXEBUSINESSANDPRO- u' POOUSpa
fE55qN5O00E)ORTIMTMEORSMEISfXEMPTiHEREFROMANDTHEBA515FOR7NEMLE6EDE%EMP• (�
TqN.l�M/VqIATIONOFSECT10N70.t1.68YANYAPil1LANTFOq�PERMIT5U8JECT5iHEMPLICANTTO Z Re-Rool
�„� A CML iENALTY OF NOT MORE THAN FNE MUNDRED DOlUAS(i5C0).):
� O�ASOMIEROFTTIEVROPERTY,ORNYEMROYEESWITHWACESASiHEIR50LECOMPENSATqN, ❑ (`,pmTBfCIBI -
YALL DO THE WOftK,AN�THE STRUCTURE i5 NOT IMENDED Ofi OFFERED i0R SALE�SEC.70u,BUSb J
� NESSANOiROfESSIONSO00E:THECOf7TMCTORSUCEN5EUW00E5NOTAVPLYTO/NOWNEROF �
PROPEHTY 1N10 BVlDS OR IMPiqVE3 TNEREON.AND VAIO�OES SUp1 WORN MMSELF OR MERSELf OR
� T/ROUGHN190RHERdNNEMPLOVEES,VROVOED7HATSUGIMPROVEIAENTSARENOTMENDE00R CO
L�.1 OFFERm fOR SALE 6,/10N�EVER7NE BULDMQ OR I4PROVEYEM 6 SIXD WffFIIN ONE YFAR OFCOMPLE•
Z TIDN,TNE OM'NER�BUftDER WILLHAVE TNE BVRDEN OF VROVINO THAT HE OR SHE DIO NOT BU�ID OR �
� MPROVE FON TFIE PURPOSE OF SALF� �
W O1�.40NMEROFTHEpROPERT'l,M/IXCLUSNELYCOMMCTIN6WITIIIICENSEDCOMMCTOR3
(C TO CONSTRUCT THE iRO.1ECT(SEC.�DN.BUSINE39 AND PROFES910N4 CODE:TNE LQYTMCTOR9 L4 V0I112I !ADJ.AREA
41� CENSEUWDOE9NOTMYLYTONVOWNEROFAYROPERTfYrttOBUI1DSORMPHOVESTXEREON,AND
Z YM�OLONTMCTSFORSUq1VRQIECTSWITHA00NiMCTOH(5)UCENSEDPURSU/�MTOTMECONTMG QUANTIN OESCFjIPTION �E
� iqflillCENSEUW.�.
O I MI EXEAIFT UNDEH SEC. 8.i P.G FOR TNiS REASON Q
3 �
� ¢
DATE OwNER V
� J .
�.� LICENSED CONTflACTORS DECLARATION w
� INEREBYI1iFIRMUNDERYENALTYOfiEfWNYiMAT1llMUCENSEDUNDERPROV15lON50FCMAVTER �
i(COMMENCWUWITHS �OFDMSqN70FTHE SM�SSANDV FESSqNSWOE, '0 Z
W LICEHSE IS N iULL CE D EFFECT. m
� UCENSE CU55 UC.NO. j
U DATE CONTMGTOR a
LL
� WORKEFlS'COMPENSATION OECLARATION a -
yIXER�YAFFlRAIVNDERVENALTYOFVERIURYOHEOF7NEFOLLOYlMGCECIARATIONS: Z
� �IHAVEANDIMLLMAINTMIACERTIFlGTEOFCONSEMiiOSELF-INSUREFORWOFiKERS' _
�Q WMPQISATqN,�SPRDVID[DBYSECTIONn000FT{1EUBORCODE,FORhIEPERPoiW�NCE w
OF TME WO WC FOR WMIG71 TNIS VERMIT IS ISSUED. �
0
_I HAVE AND WtLLWRfTM!MK?RKERS'C0IAPENSATION INSl1RANCE,AS REOUIREU BY SECTION
dQ �7oDOFT1ElABORCODE,FORTIIEPERFORMANCEOF7NEWOiiKWRVY11id1TMISPERMITIS
� ISSUED.MYWORKERSCOMPENSATIONWSUFIANCECMRIERANDPOLICYNUMDERAAE: CONSTRUCT�ON O�� � _
� CARRIER PLAN REVIEW _ �
Z va�cYr�uneER ELECTRIC � " __�-
¢
� �sEcnor�t�rareEmr.at�IDaFn��rsroaa+E�oaluis6+m)on�s51 PLUMBING
� ICERTIFYTMATNTHEPERFONAAHCEOFh1EWOnKFORWHICNTH15PERMtTI5155UED,l MECHANICAL a
SMALLNOTEMGLOYANYiER50NNANYMANMER50A3T08ECOMESUeJECTTOTHE �-� �;,-.�� �,, �,
(n WORKERSCOMPENSATIONUWSOFCAIIFORNitiMlDAGREETIUTIFIS/IOUI�BECOA/E INSPECTIONFEE^� ^^
SUBJECTTOTMEYIORKERS'CDAIPENSATqNYROYI5iON50F5ECT10N37000FiHELABOR �' � `);'��� �/ Iy�� .--
Fj COOE,ISHALLFOHTNYA7HCOMVLYWITH71105EVRONSIONS. ISSUANCE J �
pDATE: APPLICMlT: SMIP �'11�i�� , ' � �
��" ENERGY P!C "� �' _
WAANifq:iAILURE TO SECURE N'OHKERS Cd.�PEN5AT10N COVERAGE IS UNUWFUL,AND SHAIL BE
�y SU&lECTANEIAPLOYERTOCRwv1ALiEN.LLTIESANOCMtFWESUPTOONENUNOREOTMOuSANU ENEFiGYPERMIT �
UOlUFtS(510o.0D0).N ADDrt10N TO TME COS70F WGGENSA7qN,OMUGES AS PROVIDED FOR W
¢ SECTION]70lOFTHEIABORCOOE,NTEREST,hNDATTORNEY'SFEES. PETENTIONFEE:
a CONSTRUCTION LENDING AC,ENCY PRE•ALT FEE:
� INEREBYAFFIW.IUNDERCENALT'OFPEfUURYTXATTHEREISACONSTRUCTIONLEN�WOAGENCY
Z FOR 7HE PERFORMANCE OF TNE 1HORK fOR WMIGH THIS PERMIT IS ISSUED(SEC.ioY'/,CIY.C.�. �r��
W
� LEN�ER'S NAME
� LENDER'SADDRESS
�w ICERTIFYhNTIHAVE tSAPVL1WTqNAND37ATE7HATT1EAeOVEI O ATqNISCORRECT. T�TAL FEES A
� IAOREETOCOMVLY TH CT'ANDCOUI�TYORDINNICESANDSTAT UTINOTOBV4AIN0 r �w��^ V�
CONSTRUCTIDN ME YIIUTHORRERE7flE5ENTA71YE5� iYYOE� E '-�ti l
Z �eovE uErrt ean w sv c7arr vuavos . COMMENTS � v J
a / � .
_
Q0 RTEE NM1E�7 T)
�
y SICNATUREOFPERMITiEE OATE
� RECFT.NO. • PA1D BY VAUDATION
WHITE—Dapertment Copy,YELLOW—Finence Copy,PINK—Assessor Copy,GOLDENROD--File Copy,GREEN—ApplicanCs Copy
. , . , . ,. . . , .� , � .. .� .. -« . . ,�' ti . .. . . . � ..,. . . � . , , , r ... . ,.�... .�. .... .. � t,: � � , . r
CITY OF DIAMOt�D BAR
� It�SPECTION RECORD
�1►'�'�:����rt.��l � ���r�:�� ����►����� ily�ycl���iJ'`.��. �����'��_: �I`f-'����'^,�'p�����''�,
y SET�BACK..P...�.�,..,_....... :_` ,.�.. _FLOORJ01��'��,C)�'.j,:,<,�.t�. �,+.�.\�` ,`�;�•�:.i-- .�\. _ `.�_�. .�<,._�_.
FTGS/FORMSISTEEL � FHA REQMTS', � '"
ELECTRIC GROUND � � UNDER FLOOR DUCX , -. ? _; - - --� ; �
GROUND PWMBING UNDER FLOQEl-GOidDUIT ' -'%_��; 1. ; _- ;�+ `
SLABGRADE - FIREPLACEFQUNDATION - .�'.� �: �
TEFJIP POWER FIREPLAGE'BOND�EAM � `=J--�� �'-' '
WATER SERVICE MID HT:BQND_BEAM�__1 !i �'; .�,�, i 1 f' ,' �
P,OOF SH�ATHI�JG `� � 8�i'. BOND BEAM �� ' ` ''' r ' � _ �' �� ' '
FRAP�IIN�V�Nrt L�ATI01�1'�'+— -J ` •` , _.: --.� FINAL BOND BEAM r' , � �
'ROUF COVFR � ` PRE=GEiAUfNG � � - " � ' � "`' � • � t'�`�•� ,
ROUGH HEATING BENCHING
ROUGH ELECTAIC ROUGH GRADING
ROUGH PLUP�iBiNG - - FINISH GRADING
�SHOWER,rfUB TEST POOL ELECTRIC
EXT.L.f�TH/SIDING - POOL FENCING
lh'ALL INSULATION POOL FINAL
CEILfNG IrJSULATION OFF SITE IMPS. `
DRYWALL NAILING DEDICATIONS
SEWcR FINAL ENG.
SEPTIC TPiNK � � _� � , , -�--` LANDSCAPE/IRR;G.
SEEP PIT/L.L. �' ''��J<; � ��- ON SITE IMPS.
GAS AIR TEST ' FINAL ZONING
FIN�,L CONST. _ dC�sv _� FIRE DEPT. FINAL ,
F;NAL HEATlNG HEALTH DEPT. FINAL '
� ;,NAL ELECTRIG DEV. FEES PAID - �
E �IM^,t PLUt�1BING - - ENERGY ---��
-. -- '�—.. _ r - i � '�'� � `-. _
�,�,�.�..w_..-,.A.:-....-
- - :.�"n:'_"s{��?.�_-�.'��-��'-.,`_.. .._. __._.... ` '`
�; �
l,�OIY'{h��l� �S -. ". - - -- ' . - - '� - ---' '-__...."-'_..
SEPTIC TANK SiZE
SEEP PITIU SIZE
�..�_ _..._._...,__.,
k ' �.. .Ar� ;
r - ; _
, ,
, . , ,
� r t� . . . :�� i',_ I � '
`',.� ; , � -�� : - _�.- -.. � _ � � -�- .� ..
� ' . ,.- � - - �_ ' _ •. ;
il + �``\1\, ,\ `J.
�� �� � ,} _ .. . . - � ,
�..__ . .�-._,_......_.�....,..__....�� , _