Loading...
HomeMy WebLinkAbout12535 (6) _ i ._ . �� CITY OF DIAMOND BAR' ' �• � �� ' • ' ' i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ;:.� 21660 E.Coploy Drivo Suite 190 � (909)860-3195 Faz(909)661-3117 PRESS •�.�^�.+. .BUII,DING PERMIT APPLICATION . � FIRMLY o ADDRESS �G et/A V 5(`? S AlelYt/�'S R� DATE CATION �(� '�1 � � NUMBEf��� A� c� ISSUE TYPE , OCC APN LOT - TRACT DATE CONST. GROUP p OWNER C � ADDRE S �ZONW� SETBACKS � cmr � ziP 9i �r TEL. REAR Rw ❑ APPLICANT ' TEL: SIDE131DE STREET RW ❑ � CONTRACTO C!-i�f1 i SIDE ❑ � ADDRE S � CITY 21P TEL. C�' PROPOSED USE o ARCFUENG/ � DESIGNER NO.'DWEL NO. NO.. � ADORESS UNITS STORIES BEDROOMS CfTY ZIP TEL. N DESCRIPTION SQ.Fl: FACTOR PSF ADJ.AREANALUATION � Q _ _OVYNER-BUILDER OECLARATION „ � ' _ �. SFR/ADD/REM - O 1 HEREBV AFF6W UNDEH VEN/LTY OF VEfWNY 7HAT 1 M/E7fEMPT FPAA1 TME COFlfRAC70R5 LL � Ga�O�e�M " • � � � 8 CEMSEIAWiOR1HEfDUOWINOREA50N(SEG1m1.6BUSWESSANDDROFES510NS�DEANYCRYOR (n C� pOUHT�WF/1pIRE0UIRESAVERMIT7000N5TAUCi.ALTERMPROVE,DEMOUSH,OflREiAIRANY$TIiUG � W patb/Deck � - � �7UiE,pqqq TO fT4ISSUANCE,,LLSO IIEWIRES THE ADPLIGWT FOR 6UCH PEMIIT TO GILE A 610NE� W � STATEMENT i}fAT HE Ofi SHE IS UCENSED VURSUANT TO iNE PFlOVISIONS OF THE CONTMCTOi15 LI• � CENSE U�Y ICfUPTEF a(CdA4ENCPX3 N71H SECTiAi 70001�DMSION]OF iME BUSINE55 AND PRO� � PooUSpa FESSqNSCOOEJORTHATHEWiSHEISE1tEMPTTHEREFRdAANDTHEBAS�SF00.TNE1LLLE0EDE7(E/IP• C7 TION,11N1'VIOUTIONOFSECf10N1W1.6BYANYAPiLK.ANiFORAPERMITSUBJECT57NEAPPIICANTTO � Z Re•Raot �„� -ACINLVEN�L7VOFNdTYORE111ANFIVENUNDREDDOlUt1S(f50o�.): � � 0111SOMMEROFTHEGfiOPEHTY.ORMYEMPLOYEESVAiHWACE50.SiF�EIRSOIECOMPENSATqN, � � (`,pmmBftl81 � � 1NLL DO iHE YlORK.MID TME STRUCiUFE IS N�T MENDED OR OiFENED FOR SALE 15EG)0��.BU51• . J NESS ANO Pi10fESS10N5 CODE 1HE CONTRAMORS LICENSE UW DOES NOTAGPLY TO IW OWNER OF � Vf10PEHTYN'/106U1lDSORlAPROVESiMEREON.N101MHOD�E53tKMWORKHIMSElFORHERSELFOR � � � "Q THROU4HMSORNEAOYMEMFLOYEES.VROYIOEDTHATSUf]fMPROVEAlENTSMENOTMENDEDOR � m . _ � OFFEHmiOR9ALEF,NaYEVERTIEBULD1NfiORWPROVEMENTIS50LDWI7HMONEYEAqOFCOMPIE- ..._. . . TION,T1E OWNERBUILDER WILL NAVE iME BURDEN OF VROVINO iNAi ME OR S11E DID NOT BURD OR MPIpVE fOA THEPURP0.5E OF&LLEG - w 04A40wNEHDFTMEYROPEHTY.MID(d.USNELYCOMMCTNOMrtTHLICENSEUCOMMCTOR3 . STO CONSTRUCT THE VR6IECT(SEC.7oa1.BUSINE55 A�O DROFESSIONS CDOE iHE CONTRACiOR3ll• VflIUeG0�1 ADJ.AREA � � CENSELAWDOE9NOTMPLYTOANO'M1EilOFAPROPERTYVA�OeU0.DSORIIAPROVESTHEREON.MID WIqCOHTRACfSFOfI5W1VHOJECTSYn7HACONfRACTOR(S�LICENSEDiURSUNlfTOTNECONTMG pUANTITY�- ��DESCRIPTION - � FEE � TORSUCENSEUW.} , .. _ J . ... ._ . .. .3 �IAA/O(EYPTUNOERSEC. . . .. - B.LBGFORIHISREASDN� U .. . . . `.'. '�\ .;... _..1\ . ,. . t�. , .. . � f�„ . OATE OVrtJER � V _ � . .. . W ._ .. . • � LICENSED CONTAACTORS DECLAHATION W ' � IHEREBVAFFliWUNDERVENAI.TYOFPERIURYTHATIMIUCENSEOUNDERDROV1510N50FCHAPiER�� V. � � ��COMMENdN01MTHSECTIONT0001OFDMSKKI70FiHE&15MESSANDPHOFESSIONSCO�E.AN� Z ` 11Y UCENSE 6 N Ml.iORCE AND EFFECL m \ .;� � uco+se cuss C—-3 - uc:No. �g l 3 C � . ' t,' �- v o��1C)�2/^S�}' -corrraacroA �G--- a w � NfORKERS'COMPENSATION DECLAFiAT10N a � IHEiiEBYAFFlRMUNDEFVENA1NOFiERR1RYONEOFTMEFOLLDWIN6DECIAMTGiS: . .. . U .. -. . . . . . .. . N ¢ _ � �_IHAYEMIDWtt1MAMTAIHACEHfiFlWTEOFCONSENTTOSELf�NSUREFORWORKERS S COAIPENSI1TqN.ASPROYIDEDBVSECT10Na7WOFTHELABORCODE.FORiHEVERFORMANCE W .. - .- . . . . .. OF THE NfORK�OR WHICHTMIS PERMITI9�SSUE�. � � ��1UVEANp WILLYAIMIIW VlORNE0.5'COMPENSATION MSUMNCE.l14 REOUIRED BV SECTIJN � O �7000FTHEU80RCODE,fORT1EPEPFORMANCEOFiNEWORKFORYAIICHTHISOEA/AR15 � 65UED.MVNORI(ERSCOMPENSATIONIHSUMNCEGRRIERANDPOIICYNUMBfRARE CANSTRUCTION � cuwiER V P � PIAN REVIEW _ > ^ Z va�aYNuueER � � �( /�3 I A^�' O ELECTAIC �¢ (�F�SCCfqN1€IDNpTgEppMLETFppFnEpfpMiStY�poNEF1.Dp7Eo00LLMs�S1m�ORlas} PLUMBING O Z 10ERTIFYTIUTINTF�EGEIIFORA/ANCEOFTHEN�ORNFORwHICHTHISGERIARISISSUEO,I - MECHANICAL - (7 SHALLHOTEMPIAYANYPERSONNANYMANNERSOASTOBEGOMESUBJEGTiOiME � WOPo(ERS'COMPENSATIDNI.AWSOFGL�FORN11�!lDACREETMAi1FIS1iOl�OBECOME INSPECTIONFEE � ✓ /n — � - � - "� SUBJECTTOTMEWONKER5COMVEN5A770HPROV15lONSOfSECTIONf7o00FTHEUBOF � � �- � -� " � �- - - ! cooE,i swui coan�vnrn coe�v�rwm�nasE vno�nsor+s. ISSUANCE _- —fl n� C)'>L���'j�' SMIP —U[i O � .. p WTE:� APPLICANt �---. . - - - - � � WARNINO:FA0.URETOSEWRENK)FKERS'C011PENSATIONCOVERAOE�SUNUWiUL./�NOSMN.IBE ENERGYP/C ���;'.717 A1l(a�f - � SU&IECTANEYPLOYERTOCRIGINALCENALTIESANDCMLFM�ESUPTOONEMUJDPEDTMOUSMID ENERGYPERMIT Tm ��11�I1Y1V1�1 pO1.LARS(S f00,000�,IN/DDITqN TO iME COST OF COMPENSATKKi,D/wACES AS iROYIDED FOR IN �VtJ1DIt�( � SECTIDN�)oeOFTHELABOqCOOE,�NTERESi,ANDATTORfJEY'SFEES. RETENTIONFEE: � a CONSTRUCTION LENDING AGENCY pRE-ALT FEE: O � IHERE9YAFFIRMUNDERPEN�LTVOFPERIURVTFIATTMEREISACONSTPUCT�ONI.fN�WCAGENCY ' � Z iORTHEVENFONMNCEOFTHEWORKFORWH�CMTH�SPERMITI5155UED(SEC.30Y7,CN.C.� W .. � LENDER'S NAME . - .. . - . � LENDERSADCRE53 . W �CEpTIFY7WITIMAVEPEADTHISMPLKATIONAND9TATETM�TTNEPBOVENFORMATIONiSWRRECT. TOTAL FEES " v p� IAOHEETOCOM�LYWITHALLt7TYANDCOUNiYORDINANCE5ANO5TATEUNSRELA7NOTOW4DING �I CONSTRUCTqN,/WOHEAEBV/UlTl/DRQENEVRESFN7ATIVESOFTMSCOUN7YTOEMERUVONTHE . _ . . _ - � , S� IBOVE�MEHfIONEUPRO�ERTtFORNSPECTIONYURPO5E5. COMMENTS 9 �� r Glio� � m PEiWrtTEENMIE�PRIqn � / � L,1 S� .::., ., �. �� r,l � o � (/� S�OMANREOFPERMITfEE �� DATE . , ' � _ _. RECPT.NO. � PAID BY VALJDATION ""WHITE—Depertment COpy.YELLOW—Finance Copy.PtNK—Assessot Copy.GOLDENROD—File Capy,GREEN—Applicant's Copy , . , ... ���.•'r . '1� ., , �^�..,.�.M', ' . ' . . ,`4r-'' 'i� � ... .�•,� ., . ..� � i, �` 'it.. , '�'. . ' ' . • � �. ,. • � . . , . •+`:'.r�-. , . x/ \\ i � � ~ �� CITY OF DIAMOND_BAR r.� ., :� . ;_� `. , �` I ' . . . �:, .,.. INSPECTION RECOfiD ` '" ' _ � _ � �..... � . � ' `, , ,,� . . e • � � • - � � � • � SETBACK . �_ � '� 1 _ ' ; � . ` ' FLOOR:J.QIST�� �: , '� - ;, .� . ; - FTGS/FORMS/STEEL � � FHA REQMTS � � � - � --�-- -� � �i ; ELECTRIC GROUND--- _ - �' _ _ -- --�-. - :�_�-': � UNDER FLOOR DUCT � - "- " - _ ti._ ... .. � GROUND PLUMBING � �- - �UNDER FLOOR COt�DUIT �; <<,< _,.-' . i , __ � -. , ! FIREPLACE�FOUNDATION `'= '' SLAB GRADE ---- - , ,� � ,•_. TEMP POWER _ - -- '`, � - -- ------ � � „ ;. � . ` ���. FIREPLACE BOND BEAM..--- - __ _ ^.__ �. , WATER SERVICE ___- ---:-_--_-: _-_-.--_:- ._-_ __'-__ . ,MID HT.BOND BEAM' •�' � - � , .,,_, . „ ,,._ . . , ; . ,. . ROOF SHEATHING , - -- - _. ._.._ _° ,;;; . S FT.�BOND'BEAM, •:, � . � -.,. .<'• - .. i� . �-.'`, ;,,,--._;,:\ ,- - ; ;-. FRAMINGNENTILIATION FINAL BOND BEAM �� ' - ROOF COVER - . ., :., ' . � 'PRE-GRADING - -- �- -- - ` � ROUGH HEATING---- - _ - - .---•--- BENCHING '� "�" -- � ' ' ' ;- ROUGH ELECTRIC- � - -"� � ' -- '_ - ' - ROUGH GRADING , � � . . ' ' ROUGHPLUMBING I - "� �" '----- ' �- FINISHGRADING . SHOWER/TUB TEST� - � - � � � i � ,. f?OOL ELECTRIC ' • ` EXT:LATH/SIDING ; ' POOL FENCING WALL INSULATION ; ' - � POOL FINAC . •" . ' ; �: CEILING INSULATION �FF SITE IMPS. • DRYWALL NAILING ; __ DEDICATIONS SEWER --_--- - ' -._ , ._---. -FINAL ENG. . , � . , SEPTIC.TANK ____._' __ . . _. ___ _ LAN�SCAPE/IRRIG. � ' --- --- - � SEEP P1T/L.L. - _: .-.__:-- � -= �N 51TE IMPS.. . �. ., � ;.. GA5 AIR TEST; -- -- - - - � - - - ---,- -- - FINAL ZONING FINAL-CONST:! --- - _/Q - ~ -- -FIREDEPT. FINAL - FWAL-HEATING- � - �� - � - ' - ' HEAI:TH DEPT.FINAL. - � FINAL ELECTflIC � --- - ---� -"�� - � DEV.FEES PAID -- " -' FINAL PLUMBING , �, -• �.- ,-, .;�. •,t ? ENERGY � � � , � � g � � - �� . . . _ � � - . - - - � - -�-- - -- - - •- -- - - � COMMENT � S -.. _. — - ....— -- -. .._ .. . , ._ _ ._ _ - -- _ ._� . ._ __-- . �.. _ ,_ _.—_----- - , � . _ . -�� ------ - - . � < < , . - - � - — ' . \ _ .- � :�. - , ., ; . - _'_ . -`' ' -- . _ _ . � , . . . . , ; � ; - , - - - - - - - , • ' � - .;-.•,��. �. .. � - - — — — ��T�'► •� (:: t.��s�� . � ; , , . v Y,t ,1 •.> .� _- - --- :111£1��C}f,i`1�I:1 i;�Y'f i" . � . , - � � , , .._- _ - ' . I - �1�'{A2 c .{::.+::►���,.. SEPTIC TANK SI���. :. . . . � I j . . . . �' � . , I I : - . . �. , SEEP PITN SIZE ' _. _. ,, , � , �l _ �. . �t . . _ , . — --- , ; . � ��; . , - -- - - --- • --_ � � .:,�� _:� � , � , - � � .. . � - . . ..' . - -�• � � ; , � . _ . _ . . - - --- .--, _ - - - ' i - __ . �-- - i .,, , - r ; ;; ;;- ;`; . . I ; . . � - � _. • - - -- _ -: � ,