Loading...
HomeMy WebLinkAbout11153 f - - - - - ' -. . � - - --.......------- -�—-----------_.-- _ __ f - -- -- —, .---�_ _ . . i ---J��-- • CITY OF DIAMOND BAR ' � � ' EXP�RED COMh1UNITY DEVELOPb1ENT DEPARTMENT •^ �' '��,.: 21660 E.Copley Drive Suite 190 . • - (909)860-3195 Fax(909)861-3117 O C T 1 8 ,On�j PRESS ""' B UILDI NG PERh11T APPLICATION FI R M LY � DDRESS � g OV �GC f�, k V1,C� ( 1, • APPLICATION (:21�.� PERMIT �� �' /C p DATE I NUMBER tr $ ISSUE TfPE aCC . APN OT TR�A/CT DATE CONST. GROUP p OWNER � � p ADDRESS_� �/'• ZONING SETBACKS ���� �_ FRONT ' RW ❑ z CITY710. ZIP TEL. g APPLICANT TEL. R�� O SIDE/SIDE STREET RW ❑ � CONTRACTOR � � SIDE - ❑ a ADDRESS C, � � CITY S/►.v�n e w1a'L.ZIP TEL. PROPOSED USE o ARCFUENG/ -- - �z DESIGNER NO.DWEL N0. NO. n. ADDRESS � CITY ZIP TEL. UNITS STORIES BEDROOMS � cn DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION � . OWNER•BI:ILDER DECLARATION SFR/ADD/R[M O ' ' I HEREBV AFFIRM UNDER PENALiY OF PEFWHY 1Fui 1 MI E%EMPT FROM THE CONTRIICTORS LI- GafBge/C9fpOR W CENSELI.WFORTNEFOLLOW�NGREASON(SEC.70]I.SBUSINESSMlOOROFESSIpNSCODE:ANVCRYOH (f� U CpUNTYWHICHflEOl.1qE5AGERMITTOCONSiRUCT,ALTER�MPROVE,DEMOUSH.ORREPA7RANV$fRUG W w NHE.PpIOR TO I75 65UANGE.AL50 REOUIRES 7NE APPLiGWT FOR SUCN PERMIT TO FILE 11 SIGYED w P31i0/DBCk . � STATEMEM THA7 HE OR SHE IS LICENSED OURSUANT TO THE PROVISIONS OF TiIE CONTiUCTOR3 L4 � ` CENSE UW(d1A7TEfl Y�COMMENCING W1TH SECTION 7000�OF DIYISION 1 OF i11E BUSINE55l1N0 PRO• POOVSpB � . FESSIONSfADE�OHTHATHEORSHEISEXENPTTNEHEFROMMl�THEBASISFOi1TNEALLEGEbE%ENP• C7 V TON.ANVVKKATIONOFSECTIdJ7031.58YANV�PPLICANTFORAPERMITSUBJECTSTHEMPLICANTTO Z Re•Roo1 � • � A GML PENAL7Y OF NOTMORE THAN FIVE NUNDRED DOLLAflS(f500).): 0 ❑41SONRJEROFiHEOROPERTY,ORMYEMPLOYEESWIiMWAGESASTNEIRSOLECOMPEN5AT10N, 0 Commercia� � � � z W:tL DO THE WOFK,AND 7HE STRUCTURE IS NOT INTENDED OR OFFERED FOR SAIE(SEC.7oN,BUSI• J � NE55 AND PFOFESSIONS COOE:iHE GONTRACTORS LICENSE UW OOES NOT APPLY TO Ml OWNER OF ? . OROPf RTY W1q BU�LDS OR IM7ROVE5 THEREON.AN�NM1/O DOES SUCH WORK HIAISEI,F OR NE0.5ELF OR C[ THROUCHHISORHEROWNEMPLOYEES.PROVIOEDTHATSUCHIMVROYEMENTSARENOTIN7ENDEDOq m � 0 OFFEREDFORSILE.IF,HOWEVEiITHEBU1l01NGORIMPROVEMEN71550LDW1THINONEYEAROFCOM7LE- � Z TqN,THE O�MIER�BUIIDER 1MLL HAVE TNE BURDEN OF PROV�NG THAT HE OR SNE DID NOT BUIID OR � IMPHOVE FORTHE VURPOSEOF SALE�. W ❑�ASOVMEROFTHEPflOPERTY,AMEXCLUSNELYCONTMCTINOX7THLICE45E�CONTMCTORS (Y TO CONSTRUGi TH[PRQIECT(SEC.70H,BUSINESS AND PROFESSKKJS CODE:TME CONTHACTOHS ll- V8�119I1Of1 ppJ,ApEA W CEHSEUWDOESNOTAP7lYTOAfiONMEROFAPROPERiYriMOBURDSORIMPROVESTHEREON,AND � VMOCONTf3AC75FORSUCHvqdIECTSVn7H�CONTRACTOp(S�IICENSEDPU0.5UAYTTOhIECONTMC• QUANTIN DESCRIPTIOY � FEE Y TWiSUCENSEuw.�. � � OIAME7(EIAPTUN�ERSEC. B.lO.C.FORiHISNEASON a q � L� � � 0 w � 5 � � DATE OWNER ' F- � LICENSED CONTRACTORS DECIARATION ' W ` � ¢ � � I HEREBV�FFIM1 UNDER DENALTY OF VE0.IURY TNAT I AM IICENSED UNDER PPOVISiONS OF CHAPTER � (i Y�COM!AENCINGWRHSECTION70a0)OFDMSION70FTH[BUS�NESSIV+DPROFESSqNSCODE,MlD � MYLICENSE IS W fULL FORCE AND EFFECf. � m � LICENSE CLASS L� � LIC.NO.�' r q z�z � ~ DATE�� CONTMCTOR�v� � d W � WOiiKERS'COMPENSATION DECLANATION 4 � I HER[BYIIFFIRM UNOER PENALT!OF PEfWRY ONE OFTHE FOLLOWiNC DECUM7qN5: Z � _IHAVEANDWILLMAINTAINACERTIFlCATEOFCONSENTTOSELFdNSUREFOflWOflKERS' _ ' COMPENSATION.IISPRONDEDBVSECTION77000FTHElABOAC00E.FORTHEPERFORMANCE W . Q OF THE WORK FOR WHIpI TNIS GEFMiT IS ISSUED. . � W �INAVEANDWILLAUINTNNWORKERS'CUdPENSATIONINSURANCE,ASREWiRE�BYSECTION . � J70D OF THE LABOR CODE.FOR TNE VERFOpMM10E DF THE WORK FORYMICH 7HI5 PERMITIS ISSUEO.MVWORKERS'C�MP ATIONINSUWWCECAR EPMIDPOLICYNUMOERARE: CONSTRUCTION J j C�RF:ER PLAN REVIEW . . � . . POIILVNUMOER��� � . � E� . . . . . � . Q �'-T_"_ o (I}165ECf17HNEmNOTBE00M'LEiE00FMPEPo.R6FOli0NElM�ORED00.LVYS�SiO�ORLF55} PLUMBING � Z I CERTIFY THA7 W TNE PERFORMANCE OF THE WORK FOR WNipi iN15 iEHM�T IS ISSUED.1 MECHANICAL . (} SHALLNOTEMPLOYMIYPERSONINMlYMANNERSOASi08EOJAIESUBJECTiOiHE N NqRKEAS'COMPENSATIONUWSOFCAl1FORN10.ANOAGREETMATIFISHOUIDBECOME INSPECTIONFEE �' �� � � � S SU0.)EGTTOTMEWORKERS'COMPENSn7qNPROVi5iON50F5ECTqN37ooOFTMEUBOR cooE,i sHat coan+win�Ca+a�r wirH rHosE vaovisior�s. ISSUANCE O ` "^� •, p �ATE: APPLICANT: SMIP �� WARNING:iALURE TO SECURE W'ORNERS'COMPENSATION COVERAGE IS UNUWFUI.AND SHk�OE ENERGY P!C J• � SU&IEMANEMPLOVEHTOCRIMINALPENILLTIESAN�CMIFIN[SUPTOONEHUNDREDiTiWSAND ENERGYPERMI7 DOlLAR513100.000).W WOITION TO TME COST OF COMPENS�TqN,DIIMAGES AS PROViDEO FOR IN � SECTION77oeOFTHELA(lORCOOE,NTERES7,ANOATTORNEYSFFES. � ' qE7ENTIONFEE: ��� OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � - � INEpEBYALFlPAIUNOERPENALTVOFVE0.IURYTNATTNEREISA('ANSTRUCTION�END�NCACENCY ' � FOR TNE PERFORMANCE OF iHE WORK FOR WHICN THIS PEAMIT IS ISSUED(SEC.7097,CIV.CJ. Z W � LENOER'SNAME . �-- LENOEq'Si470RESS �� � � - � �� TOTAL FEES , � � 1 CERTIFY TNAT I HAVE PEAD THIS MPLICATION ANO STATE TNATTHE ABOVE INFORMATION IS CARpECT. � IAGHEETOCOMPLYYATHALLLRYIINDCOUNTYORDPiANCE5AND5TATEUWSRELATINGTOBUILD�NG ' � CONSTRUCTION.ANDHEREBVAUTHORIZEREOR[SENTATIVESOFTHISCWNTYTOEMERl1PONTME � Z ABOVE-MENTqNEDPR07ERTYfORINSVEGTIONPURPO5E5. . COMMENTS � ��G rw,�s L ,�3�- o�-�.S m PENAiTiE AIAE(PRiN7) . . .. . ', � SI , q pFPERMITTEE � UAT ` ' � N ' �� RECP�� PAID BY � ' VALIDATION J � � WHITE—DeDartment Copy.YELLOW—Finance Copy.PINK—Assessor Copy.GOLD[NROD—File Copy.GREEN—Applicant's Copy � , � - . r-� ... ... , . ., . . . .. .. . .. . . .: . . .. ... . .. �t".. ,.� ..�r. ' • . i � .. , . . . . .. . , , ... .,.. , . � . �1�Fi1�'n'^ . . , CITY OF DIAMOND.BAR � � • , - �.. . . . _ ,. - - �,����. �, i. i�G INSPECTION RECORD '.. � " .. _. � � � . . _� ��� o ;. I �:' _� � �'� � � � • - r SET BACK � � FLOOR JOIST , _... . � -- - -- - ' FTGS/FORMS/STEEL : ' � FHA REQMTS� � � " ' • ;� , ,• ' ' � ELECTRIC GROUND '� � UNDER FLOOR DUCT� � � �" .':'- -� • GROUND PLUMBING UNDER FLOOFi CO�IDUIT � �' :+ ! SLAB GRADE - - • � FIREPLACE FOUNDATION. TEMP POWER = _.. .: . . _:: ._ . -- -.. - .- . FIREPLACE BOND BEAM: , . , = = , .. ' � WATER SERVICE -- - ' MID HT'SOND 6EAM � �•.. '` � — ' - � ROOF SHEATHING 8 Ff.BOND BEAM ; FRAMINGNENTILIATION FINAL BOND BEAM - � ROOF COVER- - -- - - - - - PRE-GRADING ti- >- ROUGH HEATING - ' � ' � BENCHING - ROUGH ELECTRIC - -- - ROUGH GRADING , . ROUGH PLUMBING ' - � --- FINISH GRADING . SHOWERRUB TEST " � � POOL ELECTRIC �. EXT.LATH/SIDING � POOL FENCING " WALL INSULATION POOL�FINAL � CEILING INSULATION OFF SITE IMPS. • -' DRYWALL NAILING DEDICATIONS , SEWER.. . __ :. _ . FINAL'ENG. • SEPTICTANK � - : _ _ LANDSCAPE/IRRIG. SEER PITlL.L.- •----. . - - - - - ON SITE IMPS. ' ' GAS AIR TEST! - � ' = ' " �• ' ' ' � ' •� FINAL'ZONING , FINALCONST:`,---- - -- ` , ' ' � �-�- - � FIRE DEPT. FINAL FINAL HEATING � ; - ..-- ` ' , � ' �; �. �-' HEALTH DEPT. FINAL. .. . - � FINAL"ELECTRIC -- - " - "" " ' � ' OEV. FEES PAID . . . FINAL PLUMBING ENERGY . � - ' � -- .�. .. � '; � - , __._ e -+,;,�►r e . � ��. , .. _. . . , COMMENTS -- ' . � , ; . r_ - � . , . _ _ . , , , . . , _ , - - . , � . . . - . . .. . �r� �. . .. . - 'j. *�l "'t i _ . . . � . � ' SEPTIC TANK SIZE ;�u�4 � t� �;Q � ' ' � , � . , SEEP PIT/U SIZE . , . , , , , � . � � ; .: r..__ . 1 , ' `. - ' � ;\�\ \ < < , , � ��- - - ti . . , �. • � � � • �' .. 1 _ � ,� 2, /