HomeMy WebLinkAbout18297 (37) CITY OF DIAMOND BAR COMMUNITY DEVELOPMENT DEPARTMENT _,,. 21660 E.Copley Drive Suite 190 ' PRESS (909)860-3195 Fax(909)861•3117 ' '^�'` BUILDING PERM[TAPPLICATION FIRMLY � JOBSITE 'p I� L�r� 'v� �� ��� �✓� DATEICATION �. �`�{��UMBER 1�2q1 #��O '- o ADDRESS a ISSUE � �O � TYPE OCC � APN QOT�.�_ TRACT �C'Olo� DATE CONST. GROUP � OWNER O "' ADD SS � ZONING SETEiACKS z CITY ZIP TEL. FRONT RW O g APPLICANT TEL. REAR � � SIDE/SIDE STREET RW ❑ � CONTRACTOR SIDE O � ADDRESS � PROPOSEDUSE 'J�� ~P��" � CIN ZIP TEL. � -r . w ARCH/ENG/ �z D[SIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDRQOMS � CITY ZIP TEL. c�i� DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-B�ILDER DECLARATION SFR/ADD/REM O p I HEREBV AiFIRM UNDER PENALTV OF PERIURV THAT 1lJ.1 p(EMPT FROM THE CONiRACTORS l4 Garage/Carport � W CENSEUWFORTMEFOLLON'INOREASON(SEC.7oJ1.60U51NE55MlOPilOFE5510NSOODE:�NYGI7YOR (n U COUNTYYMICHRE�UIRESAGERMRTOCONSTPUC7,AlTEF�IMPROVE,DEMOt13H2ORREVAIRANY3TRUG W P8ti0/DOCk � TURE,PRIOR TO RS ISSUANCE.ALSO REWIRES iHE MPLICANT FOR SUCH PERMIT TO FILE A SiGNEO W STATEIAENT THAT HE OR S/iE IS UCENSE�PUHSUANT TO THE PROVISIONS OF THE CONTMCTORS L4 � CENSE UW fOUPTER 9(COIAMENdN�WITH SECTION 70o0I OFDIVISION�OF TIE BUSINESSANO FRD � POOVSpe FESSIONS LOOE)Ofl THAT HE OR SHE IS E%EAIPT THEREFROM AND THE BASIS FOH THE ALLEOE�EJ(EMP• � TION.ANVVIClAT10NOF5ECTION7071.6BVANYAPPLM.ANTFORACERMITSl18JECT5THEA7PLICANTTO Z pa-Roo1 ACML PENALTV OF NOT MOHE THAN FNE NUNDRED DOLURS(S5oo1.): � OI,ASONMEROFTHEPROPERTV,ORMVEIAPLOVEESN'ITHWAGESASTHEIRSOLECOMPENSATION, � COR1rtI6fGI8I Z WILL DO THE WORK N4D THE STRUCTURE 1S NOT INTEN�ED Oii OFFEREO FOF SALE(SEC.70U.&156 J NE55 AND PROFESSIONS CODE:TME CONTMCTORS ULENSE UW OOES NOT AiFLY TO Ml OWNEN OF N PROPEflTYWHOBU0.D50flIMFROVESTHEREIXyANDMAfO00ES5UCHWORI(MIMSEIFORHEFISELFOR = CL THROUGHHISORHEROVINEMPLOVEES,VROVIDEDTHATSUCHIMPROVEMENTSMENOTIN7ENDEOOR m � OFFEREDFORSILLEIF,HOM'EYERTMEBULDINOORMPROVEMEMISSOIDWRHINONEYEAROFCOMPLE Z TION,7HF�OWNER�Bl11LDER WILL HAYE THE BUHDEN OF VROVWO 7W�T HE Oii 5NE DID NOT BUIID OR � pAPROVyF00.THEGURCO5EOF5ALE} . w fy(ASONMEHOFTHEPROPERTV,AME%ClU51VELVCONTMCTpIONATHUCENSEOCONTMCTqiS [L TO CONSTRUCT THE PRQIECT(SEF 70��.BUSINE55 AND PROFESSIONS CODE THE CONTMCTOqS LI- VdIU8Il0f1 AQI.AREA W CENSEUWDOESNOTAPPLYTOANOWNEROFAPROPERTYYMOBUIL�SORIMPROVESIHEFEON,M+D � Yrt�OCOMMCT5FOR5UCHVR0.1ECT5WITMACONTMCTOR(S�LICENSEDPURSUANTTOMECONfRAG QUANTITY ESCRIPTION FEE TORS UCENSE U1W.). 0 O IAM E%EIAPi UNDER SEC. 8.8 F.C.iORTHIS REASON � C � U LL. � DA7E OWNER U Z w � LICENSED CONTRACTORS DECLAAATION W � 1 NEREBYAFFIRM UNDER PEN/LLTY DF PERRIRY TMAT IAM LICENSED UNOER FROVI510NS OF quPTER Vr p., 9I�MENCWOWRHSECTION7000�OFDMSION]OFTHEBUSINESSNI�VRDFE5510NSCOOE,AND Z X UY LICENSE IS IN FULL FORCE AND EFFEGL m � LICENSECLASS LIC.NO. J V DATE GONTRACTOR a W - –---�� —� - � -WORKERS'COMPENSAT�ON OECLAFlATION � �- � � - � - � U � IHEREBVAFFIiUAUNDEHGEN.SLTYOFPERJURYONEOFTHEFOLLOWWdDECURATIONS: Z � _IHAYEANDVYILLMAINTAM�CERiIFlCA7EOFCONSEMTOSELHNSUREFORMNRKERS 2 � O�AIPENSATION,AS VROVIDED BY SECTION 77000F iHELA00R ODDE.FOR THE VERFORMANCE U Q OFiHEV�'OfiKiORWMId1iHISVERMITI5155UED. � � _I HAVE AND WILL MNNTAM WORKERS'COMPENSATqN INSURANCE,AS R[WIfiED BV$ECTIDN r` Q J7o00FTHELABORCOOE.fOH7HEPERFORMANCEOFTMEWOfiKFORYR1idITHISPERA11T15 U ISSUE0.1AY1MORKERS'COMPENSATqNINSUfUWCECMRIEHMJOPOIICYNUMeERARE: CONSTRUCTION d ] GRRIER PLAN REVIEW � poucvNUMeER ELECTRIC z ¢ � �n�qssEerarir��rroteeoor.a�poFnfaeai.rr�swr�aveturnaEooatu�aiao�oa�ss} PLUMBING Z ICERTIFYTMATNTHEFERFOFUAANLEOFTHEWORNFORMMICNTHISPERMITISISSUED,I MECHANICAL � U' SHALLNOTEMPLOYANYVEPSONINIINYMANNERSOASTOBECAMESUBJECTTOTHE y WORKERSCOMPENSATIONUWSOFCALIFOHNIA,ANOA�REETHATIFISHOUL�BECOME INSPECTIONFEE S SUBJECTTOTHEWORKERS'COMPENSATIONPROVISIONSOFSECTION37000FTHEUBOR cooe,i sr+ui FOArr�win�eaa�r�+nn+rr+osE aaowsar�s. ISSUANCE O � SMIP p DATE: APPLICANT: J WARNING:fAILURETOSEWREWORKfFS'CdIPEN5AT10NCOVEMGEISUNUwFIA,ANOSHALLBE ENERGYP/C � SUBJECTANEMPLOVEflTOLfUMINALVENALTIESANDdVILFINESUPTOONENUNDR[DTNOUSAND ENERGYPERMIT DOLURS(it o0,0001.N ADDITION TO THE COST OF COMPENSATqN,DNdACES AS PROVIDED FOq IN � SECTION77ooOFTNELABOR000E,WTEREST,ANDATfOPNEY5FEE5. R�EFITIONFEE: ��(�� a CONSTRUCTION LENDING AGENCY pRE-ALT FEE: � O � INEREBVAFFlFMUiDERPENALiYOFPERNRYTNATTHEREISACONSTRUCTIONLENDWQAGENCY FOR h1E VERFORMANCE OF THE WORK fOR WHICN THIS PERMIT IS ISSUED(SEC.70G7,C�V.C.). ��� � LENDER'3NM�E � � � IENDERS/DDRESS ' ^ ICERTIFYTHATIHAVEREADTNISMPLICATIONANDSTATETIIATTIEABOYEC:FOflMATpNISCORRECT. TOTAL FEES y J� � .�( �� � IAGREETOCOMPLYWITFIALLGTYANDCOIXiTYORDiNMICESANDSTATEUWSREUTWOTOBUIL01N0 ��O(� V � CONSTRUCTION,ANONEREBYAlJT1pRIZEREPRESENTATIVE50FTHI5CWNTYTOENTERUPONME �� Z ABOVE�MENTqNEO FR07ERTY FOR INSPEC�ION PURPOSES. COMMENTS • � �i�STi�1�(/D� ¢ PEqMI � � !U O� I • � 1� y SIG NREOFPEHMITTEE ATE � RECPT.NO. P/UD BY VAUDATION WHITE—Departmant Copy,YELLOW—Finance Copy,PINK—AssessaCopy,GOLDENROD--File Copy,GREEN—Applicant's Copy 14V�•DV • . .. •' ^ . . ' � � . - � '� � .. � , ' . . i. ' . , ' . ,. �� ' ' i . . .. .. .. . �. . . .. .. CITY OF DIAMOND BAR INSPECTION RECORD •,.11►��-����`7.����`._,b�'�':.��ii �+��[��-���a�a�r�+�f�.�;I�I��'����1 e ' • ' SET BACK ' ' FLOOR JbIST - � - - - FTGS/FORMS/STEEL -) �caz • " FHA REQMTS�- - -- ELECTRIC GROUND - K.t� UNDER FLOOR DUCT _ ' -- � '" -- ` - GROUND PLUMBING �T� UNDER FLOOR CU�IDUIT • SLAB GRADE FIREPLACE FOUNDATION - - - - - - TEMP POWER FIREPLACE BOND BEAM WATERSERVIGE-_ .._ : � 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/TUB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING � //;� -O - VVALL INSULATION POOL FINAL •-[: � � CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK _ _ LANDSCAPEJIRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FINAL FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC DEV.FEES PAID F�NAL PLUMBING - ' " ENERGY ``c �l�r.n�o ;�aIc�c;.�� COMMENTS P�G.. � 5�',�4-- R���'�'.�I�l�i «J ���PA- �.T �oT �u�e - PR.��.f� - _—p�►°��`tc-� P�2 D�ta.�c. Z �f—�-S��Z SEPTIC TANK SIZE � SEEP PIT/U SIZE l�l� . 1 �I 1 ' �I � � � i.�I � �' , . , . � - - ,