Loading...
HomeMy WebLinkAbout12342 � � � .� CITY OF DIAMOND BAR' ' -� � - �-' ' � EXPIRED ��—�� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � , ' 21660 E.Coplcy Drivc Suite 190� O CT 1 H ZOOO (909)860-3195 Fax(909)861-3117 PR E$S . ...�TM�.� . BUILDING PERMIT APPLICATION , --� . FIRMLY } JOBSITE �/ /��n ,/ //`J APPLICATION � �� � PERMIT! � P!C - o ADORESS��� /Y `1 v � �'7 (� DATE NUMBER� �1 ISSUE NPE OCC - � jAPN TRACT - OATE CONST. GROUP p OWNER u" ADDRESS ` � ' ZONING SETBACKS � � _ . . � CtTY ZIP ;TEL FRONT RW ❑ � � PPUCANT - - TEL � REAR ❑ � SIDFJSIDESTREET RW ❑ CONTRACTOR U� I� G U SIDE - ❑ o ADDRESS e PROPOSED USE. ALbuG►.C(7 CITY ZIP�fd'.Q1_TEL��/�7�, ' o ARCH/ENG/ � �. .. ,- • : ;- . - . . ._ DESIGNER � � � NO.DWEL. NO. NO. a ADDRESS ' UNITS STORIES BEDROOMS � CITY ZIP TEL. ' vNi DESCRIPTION ' SO.Fl: FACTOR PSF ADJ.AFEANALUATION � . OWNER-BUILOER DECLARATION SFFVADD/REM O - 8 i�REer�Flwn ameR vEx,an oF vEaamr n��r i�u.�Exeuvr Froa.�rNE corrrrucroas�F Garage/CaryoA - , � CENSEUWFORiHEFOILOWWaREA50NISEG7W1.68USWESSANDPFlOfE5510N5000EANYCRYOR , (n Cd1RYW11K71RE0U�RESAVERMRTOCOHSTRUCf.ILLTE0.MPROVEDEMOlISH.ORREDAIRANYSTRUG W Patb/Deck 7URE.VR10R TO RS ISSUANCE.AL50 REOUIPES THE AOPLCANT FOq SUC/I VERMiT TO fILE A SiGNED w STATEYENT TMAT HE OR SHE IS LICENSED PURSUANT TO T1E PROVISIONS OF T1E OONTMCTORS LF � CENSEUW(CINFTFR9(CAYMENCPl�WITHSECTION7000)OFDMSIONiOFTNE8U5ME53ANDGRO� u' POO�PB . - '� . ' .. FESSIONSCOOE�ORiHATHEOR57fElSE%EMPTTHEREFROM/J:OTMEBASISFORTMEALLEQEDE%EMP• � (� 710N.INYVIOLATIONOFSECf10N7071.6BYN1Y�7PUGNfFOFiAPEW.�ITSUBJEGTSTHEMCLIWNTTO. Z RB-ROOI � F ACMLGENAITYOiNOTMORETH.WFIVEHUNDRE000lLARSIS500).Y . . . . . . , .. � OlA50WNEHOFTHEPROPEi1TY.0i1MYEMPLOYEESWIiHWAGESA57HEIRSOLECOMPENSATION, O �mmereiat - . ' �� INLL DO i11E WORIC ANO iHE STRUCTURE IS NOT IHTQIDED OR OFFEHED iOR SALE(SEC.7a�.BU51-. J N NESS NIU Pi10FESSqN3 CODE:THE CONiMCTOR3 UCENSE UW DOES NOT MPLY TO AN OWNER OF- � � � . . � . - GiqVEftTYWVqBVRDSORMGROVESTHEREON.ANDVAWDOESSUd1WORNMMSEIFORHERSEL�OR (= 7HROU6MMSORHEROWNEMPLOVEES,iRONDEDTTUTbUG1GIPROVEMENTSARENOTIN7ENOEDOR Cfl � ,OFFEREDiORSALEIFIQWEVERTIEBUILDNUORMRi0YE1AENTISSOIDWfT1aNONEYEAROFCOMPLE- . _ �TIOH,iNE OWNER�BUIIDER WILL NAVE THE BUHDEN OF PRONN6 TIMT HE OR SHE OID NOT BUILD OFi � MPROVEPoRTIEVURP06EOFSIlE1 � � � " � ❑l IlS OMTIER OF TIE GROPEHf`/.AIA btClUSNELY CONTRACTW6 WfM LiCENSED COMTRACTdiS � TO CONSTItUCf THE PROJECT(SEC 70ar,BUSINESS AND PROFESSIONS COOE:7NE CONTMCTORS L4� VdIUeIICf1 ADJ.AREA � CE}1SE UW DOES NOTAPPLY TO/�N OWNER OF A PROPERTY W/iOBUILO50R IMPROVES TMEREON,ANO � wrawrrnucrs�sun+vnaecrswiTr.�cartrucron�s�ucer+seevuAsuurrron+ecorrta�c pUANTIiY DESCRIPTION - FEE - � TOHSUCENSEUW.). . . . . . . ... . .. . . , 0 O IAM EXEM7TUNDER SEG B.t P.G.FORTHIS pEA50N � � 3 �' � , ¢ OATE OWNER ' U . �.q UCENSED CONTAACTORS DECLAAATION W , 2 IHENEOYAFFlRIAUNDERPENALTYOFPEiWRYiHAiIAMLICENSEDUNDERVRON510NSOFCNMTER . ,- � ! � � •(LOMMENC7NOWITNSECTION7000�OfOM510N70FTMEBUS�NE55/JJOVROFESSIDNSCOOE,AND �. Z 11J W LICENSE S W Ft1L1 FORCEAND EFFECT. m � ►��E�ss G'3 e ���.�.� � v onrE corarrucroa' � a w � WORKERS'COMPENSATION DECLARATION a = U - �� IHENEBYA �11MUWERPENAlTYOfiEiWRYONEOFTHEFOLLO'MNODECLAAATIONS:� ��- Z � " � - - � �� - � IHAVEANDWILLAWNTAMACEICfIF1G1TEOFCONSENTTOSELF�NSUR[FORNqRNERS' 2 COMPENSA710N,A9PROVDEDBYSECTIONAOOOFTHEUBORCOOE,FORTHEPEHFORMANCE W - OF THE WOflK FOR WMAi THIS 7ERMR IS ISSUED. � � � �VEANOWILLI.W1lTAP1WOi7KER5'COMPENSATIONINSURANCE.�SREWIREDBVSECTqN - ' � - - - - � - �- � � � � Q ]7ooOFiHELAeORC00E,FORiMEVERFORMANCEOFTN ORKGORWH1d1THI5PERMrt15 � ISSUm.MYMVfU(E S P TIONIN CECAR RANOPOLICYNVMBERME: CONSTRUCTION �� � cuwiEa PLAN REVIEW Z ���BER � ELECTRIC ¢ 0 (f}�SSEcnpNr�IDrqtBEOOAREiEnOFn£PEFiMrtaPonONE/Af�OfiEDWttutS(itoqan1.E55) PLUMBING Z ICERTIFYTHATNTHEFERiOR/AANCEOFiHEWORKFORMMIG1T115PER1A1TI51S5UED.l MECHANICAL � � � � - (} SwLLLHOTFMPLOYANYiER50NNANYMANNEPSOA5TO8ECdAESUBJECTTOTHE � WOi1KER5'Cq.1PEN5ATIONLAN50FGWFORNVlANOAOREE7HAi1FISNOUtDBECOIAE INSPECTIONFEE ' ' SUBJEGTTOiHEWORKER3'COMPENSATIONPRONSqN50f5ECTpN77DOOFTMELIBOR ' ' ' ' - -' ' -�� �j cooEisw�uFom�rrnrnca.��rwinr»asevRrnnsarrs. ISSUANCE � O _...p DAtE: -AVPLICAMT. - SMIP.... _ . � ENERGY P/C WAANINti:FA0.URE TO SECURE MOPoCER5 COMPENSATIONCOVERA�E IS UNUWFII�ANO SH/LLLBE � SUB1ECf/NEMPLOYEFTOCRIMMALPENALTIESANOCMLFwESUPTOONEHUNDRE0iH0USW0 � ENERGYPERMIT- - DOL1NiS(f 100,000),N IDDITION TO TME COST OF COMPENSATpN.DAMAOES AS PROVmEO FOR M � JCL SECT�ON]70sOF THE LA00R CODE.NTEREST,ANDATTORNEYS FEES. ' RETENTION FEE: - a CONSTRUCT�ON LENDINGAGENCY PRE•ALT FEE: - � " � v � � IHEREBYAFFIRMUN�EflPENALTYOFVERNRYTHATTHEREISACONSTHUCTIONLENDiNCiAGENCY � � Z iORiME iERFORAlA1�E OF iHE WORK FOR M/111G1 THIS GERMIT IS ISSUEO(SEC.�ovt,CN.C.). . . W � LENDERSNMIE �-� � � � C LEN�ERSADORE55 ' � ICERTIF/THATIHAVEREADhI15A➢PUCATIONANOSTATETUTTIEABOVEWFORMATIONISCORRECT. TOTAL FEES � . _� , p� IMREET000IAPLVN7THALLCfT'/ANDCOUNTYOROIWWCESINDSTATEUWSPEUTNUTOBULDINO _ � CONSTRUCTION,ANDHEREBVAIlf110RIZEREVR[SEMATNESOFTHISCOUNTYTOENTEflUPON7HE . . .. . . � . .. ABOYE•MENfqNEDiPOPER7YFORINSPECTIONPURPO5E3. COMMEFITS � � .��- � `�`.° _ o� . � . m PEHAA1ITEENAIAEIPRIHf) �� - . . � . � . . , - ���. 6�6HANREOFPE EE � - �j1�TE._ � � -• ��(,a� RECPT.N0. PAID BY VALIDATION WHITE—Oapartm Copy,YELLOW—Finanee Copy,PINK—Aaseasor Copy,GOLDENROD—File Copy,GREEN--ApplicanYs Coq � -� ��- � � ' - ` ' , .. • . ., .. . ... . , -,•.s•, . � •..i��. .,_n. � ,.� ..^:1: .r,.., i.. � .�.^�i,,ry�,dr. Pc.•�.; .r . ,, , •r ... . .� . �3�ISa;� CITY OF DIAMOND BAR •,;-� � , . , ._ . . � '����" s' � 1a(I �.r;,'...: _ �^' �INSPECTION RECORD'_� `:` ,�; :� � �.� .,. . , �' ' �� � ; .. , . e @ , • - • � � � - S ET BACK � .__ . , ,. . .. � � � , FLOO :� � �,��C.,V �j�` ` �)�-i �- `.J \•' :. � : FTGS/FORMS/STEEL .' FHA REQMTS - �-- -� - - - ------ -- , ' . , . , ELECTRICGROUND _ -''_.___ - '-" - —_ UNDERFLOORDUCT �.�� r-- � ,- << , , -- GROUND PLUMBING �• ' •' UNDER FLOOR CO�IDUIT - i '.. SLAB GRADE --- � - -- �- �� � ; FIREPLACE FOUNDATION `� - - - • ' ' � ` TEMP POWER --- ' � - ----- - - . � �. � FIREPLACE BQND BEAM.. �:, . :". � . - . _..- . .'.-� WATER SERVICE_-��,-_ _ _ __ :-. . ._ �_ _:. - - - MID HT.BOND EAM�'',��:-���• ,.^_ ._ � ; �. ,� . ,. ._ . .- R O� HEATHING� �\ ,D'=?�' d' � S FT.\BO D�EAM. "r. ' � �. ���i• _J� _ ,��r�..,'i.)i � � YAAMIN %VEN�'IL'�AT10N' -f-9����:� r,' �-r:�'•;; ;� FINAL BOND BEAM � � ' ROOF COVER ,' �' y�� � PRE-GRADING � �- • , . •ROUGH HEATING - - - - BENCHING -- - -' - - ' - - - �� ROUGH ELECTRIC ' -' `�- - "� -`- ROUGH GRADING . � � � ROUGH PLUMBING-' - — - - ' � : FINISH GRADING ,.,, • � ' SHOWER/TUB TEST�-- ' i � POOL ELECTRIC � � EXT.LATH/SIDING , POOL FENCING ' '. . ' ' [ . WALL INSULATION �- _�• � � `, POOL FINAL - CEILING INSULATION OFF SITE IMPS. ' DRYWALL NAILING � DEDICATIONS ' SEWER- - .- - ': - -- - - - -. _ _. . FINAL ENG. � _SEPTIC TANK _ _ -- - _ - '- - _. LANDSCAPE/IRRIG. . ' SEEP PIT/L.L-. -_--.�:- = - - - - --- -- ON 51TE IMPS. � • � GAS AIR TEST; -- - - - - -- -- -- - FINAL.ZONING � FINAL-CONST.; -- - - - -- - � - FIRE DEPT. FINAL ' ' FINAL HEATING - � - - - � HEALTH DEPT. FINAI --• ; FINAL ELECTRIC - -- � DEV.�FEES PAID . • - FINAL PLUMBING ENERGY � • , ; :, < < ' � �, g . �' �i �i � . ,� - - - - -- �- - __ , . : . COMMENTS--- - — - � � , , . , -- --�-- ---- - - -- ___ . ; . , . '� - - -- - - - - � - - .- .. , , � , . _ .. , � .. .� _` - , ' � i �` , ~ - - - � . � . . • �• �. -, .���.>:, , ; j,; , _�_� ._ t�' �,:�� ; _ �, . . -- _ _ . . .. � ' . . - J ' . �_. -- � ,. . . SEPTIC TANK SIZE - - , . . � : ' , j r: SEEP_PIT/U SIZE . , i � . , ��i , . � _ �` _ -- - �- � j i - . . _. . , � `' •1 �.� •,.�_- - _ . ... __ -- - � ��� � , , ... , .��„ , .. � ' '� ,.� � , , � '_..._ . ' .. -- "., � ; � � I' �'� I l�.. I -- - --'-- - � � . . ... .—- ' - l '— ., .�\', � ; . ,, � � �� U ,, �, � � _._ - r\ � ' ',�br �J�J � .. . .- _ . .