Loading...
HomeMy WebLinkAbout15567 (22) G. �� , - " . . , � �� C[TY OF DIAMOND BAR , , , DEPARTMENT OF COMMLJNITY 8c DEVELOPMENT SERVICES y 21660 E.Copley Drivc Suitc 190 � (909)860-3195 Faz(909)861-3117 PRE$$ "'^'� BUII.DING PERMIT APPLICATION " FIRMLY oy JOBSRE � E� � APPLICATI PEflMiT J C^"^/ P/C ADDRESS Y' DATE_ - ^� NUMBER r J� Lj � � APN LOT TRACT �SSUE 7YPE OCC �--- CONST. GROUP p OWNER ��OD�✓ /VIVl7fc/l,t'bn/ DATE - .-d `p ADDRESSIS'L_7 LF1du1.� /..�Q �' • ZONING SETBACKS � CITY D/�,a,�i,. �j�l� ZIP J7C�S TEL. FRONT RW APPLICANT TEL REAR � a � SIDFJSIDE STREET RW p CONTRACTO � -�� �C�ON1) i ✓.G_ SIDE � t� ADDA S /'� /��- C. o C� ZIP?/'7C"1 TEL O�l • PROPOSED USE �1K.0� M Pu ARCFUENG/ . � ' ' � DESIGNER NO.DWEL. ,Np, • - ADORESS NO. y Cm• Z�P TEL UNITS STORIES BEDROOMS � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION ¢ OWNER-BUILDER DECLARATION O SFR/App/REM p 1 MER�Y AfFIpY WOEiI PENAL7Y OF pERlURY TM7 I AA�E%EMPi FROM ME COHTqACTpqS Lb G018 BICB LU CENSEUWfORTNEFd10WNCREAuON(SEC.76f1.68U51NE5SANDPIqFE55qN9CODE:AHVpiYOq (n 9 �rt Z COUNIY�MOpIREONRE3�VEPMRTOWN5TRUCf.ALTERINPRpVE.DEA10L15M,OqqEPNRANYSTRUG !il Patia/Dack � 7UHE PFION TO ITS ISSUM1Cf.I1L50 REOUIRES TME APVUCAHT FOR SUCH PERMiT TO FlLE A SIGNEO W ETATEMENT TMA7 ME OR SNE 6 LIGENSEU WfiSUANT TO iHE FHOVISIONS OF THE CONTMCiOR9 L4 � CFNSEUW(d4\PTFRY(CpMMENQN0N17NSECTiON7D70)OFDMSION]OFTHEBUS�NE55A.YppPD. �- PooVSpa .. FESSIDNS OOOE�OR iW1T NE OR SNE IS EXEMPT iNEREF110Y/ND THE BASt9 FOR iNE ALLEOED E%EMP• TbN_�NYVIp.A77�NOF5fCT10N7o�1_68YANVADVLIGNTFORAPER411TSUBIECTSTHEAVPIICANTTO Z Re-Roof f_, �� � AGMLVENK7YOFIq7►qfiET14wi1VEMUNDAED00L1FA5�f5a0).g o O111.40M�NENOFiNEPROVERT',ORMVEMPLOYEESYA7HWIIGESIISTNEIRSOLECOMPEN5AT10N, 0 Commerciat . _ Z Wll DO THE WOW(AND T1iE STRUCIURE lS NOT INTENDEC ON OiGERE�iOR SALE(SEG 7ou,BUS� ,,,� � NESSMD PROFE5510N9 CUDE THE CONTA�IL'{OilSIICENSE UW�O[5 NOTAPPLI'TO AN OWryEfl OF PROPERiYMRiOBU6D50RMPqWESTNEREON.�.NDNM1qpOESSUCH1MDiU(HI415ELFOqNERSEIFOq � f� 7HROUGHHSONMEROMMEIJPLOYEE9.VROVIDED7/1.ttSUq11MVROYEMEMfSMEMOTMFNDE�Oq m �4�� OFFEHEDPDRSALEi,F10WEVER7MEBULpN00HSA0iqVE1AENfISSOLpyJt}}dNONEYEAROFtqAPLF. � TqH.THE ONNER�BInLpER YALL MAVE 7i1E BUPCEN OF PROYNO TT1AT ME OR SME DD NOT BURD OR W PHDtlE FOR TME PURPOSE OF S�LE7. W O4�OMMEROF7NEiROVERfl;AA1EXCLUSNEIYCWRMCTHOri1THUCENSEDCONiRACTWiy (t TO CONSTRUCT 7ME VRQIECT ISEC.ha�,BUSINESS MD iROFE5510N5 OOpE:iME CONTiUCTORS LF V01U0tiq1 AQI.AREA � CENSEUN'DOE9NOTMPLYiOANONTfCRpFAiAOCERTYN4qBUILD50RMPROV£SRIEACON,AND NM1IDODHTMCT9FORSUCNCPO.IECTSWI7HACONiRACTOP(S)LICENSEDPURSUANTTOtHECONT{tAG QUANTITY DESCRIPTION �E � �00.SUCENSEUW� . , . , . OI/JI IXEl1PT UNOEq gEF B.t P.CFOH TNiS REASON Q � U DA7E OYN�ER � � U � UCENSED COtJiRACTORS DECLARATION W � IHEilEBVAFFaiF/UNpERPEW�LTYOFVE0.M1IRVTHATIAA1lICENSEDUN�ERPRONSpN50FCN�PTER � �(OCW/ENGHOWI7HSECTqN7o0o)OFDMSiON�OFTHE0U5iNE5S�N�PqpFESSiONSC00E.AN0 Z W IICENSE IS N FILL FORCE AN�EFFECi. � UCEKSE CLASS ��% • /�r� LIC.NO. � � V DATE '- • COPIiSiA Otl - ` '- pJ. y '1� �� Q . • . � K O PENSATION DECLARATION � IHEREBVA�FIfWUNDEHFEWLTVOFpEiWRVONEOF7HEFOUAW:NGDECIAqATqNS. V y Z � „��IYUVEAN[7WILLMNMANACEHTIFlUtEOFCONSEM705ELF-INSUREFORWOiU(ERS' a . Q COYVENSATqN,AgppWpEDBVSECTICNSrooOFTHEIABORCODE.FOPiHEVERFORMANCE U �6F THE WORK FOq WMCM TH;S PERMIT IS ISSUED. W � � �1 HAVE AND WILL RlApfiluN WON(FR5'CW.IPENSATqN INSURWCE,AS REOViRED BY 3ECTqN Q 77o00fiHEUBONCOOE,iMTHEPEHFOWAANCEOFTHEWORNfORWHiCHT11LSpERMITIS � � 2Q � ISSVEO.WNOW[EAS'COAAPENSATID .SURANCE H�ERIWOPOLICYNUMOEqME: CONSTI�UCTION � ��� � > ��EA_S�TArT �4�� .: PL4NREVIEW � POLICY NU.�ER�d S�I !� 77 ELECTRIC 0 (nascc'IA�r�EFAr+oTeem.slE7E�oFMvcr�.rr6rOnor.fHu�F�oatksK�acyoat[ssl PLUMBING - r U � ICERTIFYiHATNiHEPERFOpAw10EOF qK RMMICMTM�SPEPMIT15455UED,1 MECHANICAL lYC)��j}i�RF(�'.�TT1F2n1? SFULLNOTEMPLpYANVVER50N NIWY RSOAS OBECOMESUBJECTTOTHE y WOFlKERSCOMGENSATpNUW50FCAl' 1ANDAG ETHATIF�5110UlOBECOME INSPECTIONFEE �i111,niNr. nri�cnTrc-�, SUBJECTTOTIEWOR�fERSt01APfN AT P N510N5 SECTI�N]7000FTNElABOR b S COOE.ISNALLFOqTHmTHCpAPLY in�na attovisor+ ISSUANCE Z� O 'a¢ APRICANT. �--� SMIP ' � S�(, p DATE� W � WARNiNQi�RURETOSECUpENORKERS'COMPENSATIONCOVERACEISUNIAWFU41wD5HAL�BE ENENGYP/C (—y SU8IECTANEMPLOYEflTOCNMPIALOEtLLLTIESANDCNILFNESUP700NEMRJOitEDTNOUSAND ENERGYPEflM1T JD�L1MS(!�On.Ooo),N ADDITON TO THE COST OF WMPENSATqN,DMUGES AS PROVIDED FOR IN SECTqN]10lOfiNELABORWOE,NTEREST,ANDATTORNEYSiFFS. ' RETEHr�ONFEE: , � 0 CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � IHEREBYPFFIRMUNDERFENALTYOFPE0.1Ui1V7HATTHEREISAGONSTi7UCTpHLENDM0A0ENCV FOQi11EVERFOHIA.V�CEOFTNEWORKFONWMI(]I7HISiERAlITI515SUEDI5EG90Y7,qV.G). — � � •�� � LEPIDERS NMI[ C LENDER'SADORE53 � W ICERTIFY7NATINAVEREA�THISAGP�ILATqNANOSTATETHATiNEA80VFNFOPI.1ATqNISCOqRECL TOTAL FEES � d IAOREETOCOYPLYN7M11LLCRYANDCOUN7YORDWy YCESANDSU7EUWSRELAT7NaTOBUM1DIHO � CONSTRUCTION,ANp HERCBYAlfTF10NRE PEPFCSFNTI�TNES Oc T11S COWTy TO FHiEH UPON THE ' - z /�fiOVE�YEMqNE� ROPE wsvecrar+ruAvoses. COMMENTS � J ! � m PERA1 EE 'NAEW Ns� N G--_ 9'l�`00 � SIGNATVREOFPERYITTEE DIUE ' / � HECPT.NO. � PAID BY � VALIDATION . � WHITE-0epartment Capy,YELLOW—Financ9 Cop�,PINK—Assesaa Copy,GOLDENRO�FiloCopy,GRC-EN—ApplieanYs Copy .r .,.r:.� ,.d,.s�� � .. ,. ,�:"„ ."�4i. . .� .. ,.� ....}.-'L:.., .Y,� i ::iF:7''.:�:'. n? °n,. ��4��:.�:��1:a.Y•:': .,. .., � ... .� r �1. ;2:, .. - .. � f5•.._.' ,�.. .. ., CITY OF DIAMOND BAR . . . � . � ': . lNSPECTI�N�REC�RD �� � . • . ' ��,.. , ,. �_ ��:������� �:��.�p.. '�� E� a���� .�r��' .... � ���'����� ���`���.�Rt�. �SET BACK .:'y� �-, .. -, , ,. FLOOR JOIST, - -.v _ . . FTGS/FORMS/STE�L � ' ' FHA RE�MTS � ' ` • lELECTRIC GROUND - ' - � 1 --I UNDER FLOOR DUCT - • � i :. :GROUND PLUMSING - UNDER FLOOR COP�!DUIT iSlAB GRADE - - �� - - � ' FIREPLACE FOUNDATION � ' �TEP�IP POWER��� � � � I � � FIREPLACE BOND BEAFJI �� i WATER SEAVICE � � ' PJIID HT.BOND BEAFJI � ' ' � - ' �ROOF SHEATHING • ��D G'�, '- 8 FT.BOND BEAM - � - ' i� iFRAMiNGNENTiLIATION FINAL BOND BEAM i ROOF COVER � Z PRE-GRADING ;ROUGH HEATING BENCHING � • :ROUGH ELECTRIC ' � ROUGH GRADING - - - ;ROUGH PLUMBING - FINISH GRADING . SHOWER/TUB TEST � - POOL ELECTRIC �EXT.LATH!SIDING --- - POOL FENCING � IUJALL iNSULATION• • - • POOL FINAL �CEIUNG INSULATION - - � � OFF S1TE IMPS. iDRY4VALL NA(LING � � DEDICATIONS � ;SEVVER FINAL�ENG. . " ;SEPTiCTANK � � �� LANDSCAPE/IRRIG. . iSEEP PIT(L.L. �,,=' ' ON SITE IMPS. � ;GF,S AIR TEST � FINAL ZONING ;FIPlAL CONST. � FIRE DEPT. FINAL iF1P1.0.L HEATIiVG � HEALTH DEPT. FINAL � 'FINAL ELECTRIC - - � DEV. FEES PAID � ;;=thJAt-PLU'J;9iNG- - " ENERGY ' }-- .. _ _ ; _. ��"�E_�ir'e���.r,:.._�.:__.__�: � - . - -- ----�--- ----- — - --...--�- -�� - •- . _ . :cor���n�rv7s �. .... ; � . ; , ; � . . ; � . . ; ; - � . ; _ , ; . . ; . , -- , - ;SEPTICTANKSIZE ; � ! - SEEP PiT/U SIZE .+: ;;���, --��----�---� - � ; -�'. +# � - - �. :.. . . :;,�Y�;�,: .. ',, : � � :�; ' : . _ - , , . ,..�. :� � . , ; . �.. V . . .: .. . � .� ,.... .._. . �I .. . . _ . . . . . : ' . , .. � . �.... . , � . . .. �. . . . . , , _ . . ....`V . .: ': : .�•5� .. . '.l 1 ' . ... . . �,,..-__-- .YSTp�..�...,.�..........�:�J �