Loading...
HomeMy WebLinkAbout14952 (20) _- .__.------^..__�.- - -- -- .._ _ . . --- - - - -- - _. . � CITY OF DIAMOND BAR � -�� - � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � _ � 21660 E.Copley Dcive Suite 190 . � (909)B60-3195 Fa�c(909)861-3117 PRE$$ ��'�'. BUO.DING PERMIT APPLICATION FIRMLY Q D�RESS Zd �'y D�r �'" a�L P a'" • , APPLICATION a. C� PERMR I��/C i't'v�O o DATE NUMBER V � ISSUE ,;TYPE ' ��: OCC APN LO y TRACT ' DATE - �`"CONST. GROUP p OWNER l� M� �'� � p ADDRESS 3� �- ZONING SEBACKS � CITY ZIP ( SEL. � REAR . RW ❑ APPUCANT TEL SIDE/SIDE STREEf RW O � CONTRACTOR T•sC.L: - SIDE p � CfTY ESD ,t/ 2f ZIP / TEL � • PROPOSED USE��Z�K �' • Pou ARCH/ENG/ • . • . � DESIGNER - NO.DWEL NO. NO. ADDRESS "' UNRS STORIES BEDROOMS � C(TY ZIP TEL � �n DESCRIPTION SO.FT. FACTOR PSF A�J.AREANALUATION p� OWNER-BUILDER DECLAHATION SFRIADD/REM O p 1 MEREBY AFF6W 11NDER VENALTY OF PERIURY 7YIAT I AM IXEAAPT FROM THE CONTRACTOqS ll•� Gaf99dlCflfpOR LL CENSEUWFONTNEFd10wtNOPEASON(SEG70.tf.6BUS�NE55ANDOROFE55lON5CO0E:ANVCITYOR (n �� COUNiYWMICNREOUIRfSAPERAIRTOCONSTRUCLALTfRMPFiOVE.DEUOl191,ORRFPIURINVS7RUG W P811dD9Ck u� TIMI�PRIOR TO R9 69UANCE�L3C NECUIRES TNE APPLMXlf FOfl SUd/PERMIT TO FllE A 610NED� W � S7ATEMEHT 7HAT ME OR SME IS LICENSEO VURSUANi TO TME iROV15lON5 OF TME CONTMCiORS U• � . . CEHSE UW(QUPTER i(COMMENC7Fq WRH 5EGTIDN 7oao)OF DIYISION 7 0F TME BUSINESS IWD VR0- � P��Pa � FESSqNS CODE)OR h1AT NE OR SHE IS EXEMPT THEREFROM AND iNE&1515 FOR THE ALLEOE�EXEAIP• TIDN.IINYVIOl1�T70NOF5ECT10N70]1bBYANYMPLIGl1NTFORIIPERIJRSUBIECTSiHEAPPlICM17T0. Z Re•Raof � ACMLVFNALTYOFHOT40i1ET7UwiIVEM1NDREDDOIURs�fsoo�.): � '� � � O�A501M/EHOF7HEPROPEN7`/.ORMYEMPIAYEESWI7HWAGESASTHEIHSOLECOMPENSATpN, O �mmerclal - WLl DO 71ff WORIf.AND THE bTRUCTURE IS NOT IHTENDED OH OFFERCD FOR SALE(SEG 7a�,8U56 J � NESSMD PROFE5510N4 COOE iHE COHTRACfOR3 LIGENSE LAW DOES NOTAPPLY TO AN OWNER OF � � a' [[ . WiOPEHiY YYF10 BUL�S OR MP{qVE3 THEREON,ANO WNO OOES SUCN WORK MIMSELF OH MEHSEIF OR � � TIf10U0HMSORHEROMMEMPLOYEFS,VROYtOmiHATSUCHIMVROVEAIENTSARElqTMENDEDOR m OFFEREO FON SAIE G 110MlEVER TNE BIAD�N<1 ON r1PROVENEM LS SOLD VATNN dJE YEAR OF COAADLE• � •TqN.TME OWNERBIMDER WILL NAVE T11E BURDEH OF VROVNO THA7 IE Oq 6ME DU NO7 BUIID OR �APROVE FOq il1E PUHPOSE OF S11E7. .�y,� OI,tiROWNEROFiHEPROPERfY,/WEXC�USNELYCONTRACTNOYRfHUCEN5EDO0HTiUCTOf1S � 10 CONSTFYJGT TME FIqJECT(SEG.'loM.BUSINE55 MD P190FESSION3 CODE THE CONiiIAGTOR3 tb Vaiuetbn_�b¢v A0.1.AREA - � CENSEUWOOESNOTAPPL170IWOVMEROFAGROPERTYWFIDBUlD50NMPFlOYESTMEREON,AND MRpCONTMCTBGORSUCHGHOJECf3WITHACONiMCTOR(5)LICENSEDPURSUAMNTNECONTMG pUANTITY �ESCRIPTION FEE � T00.SL1CFNSEUW.} . .. . . . . . O IAM IXEYPT UNDER SEG B.l P.C.FOR THIS REASON a .= UQ � .� ... 1 � ' i �= DATE OMNER � � . � � LICENSEDCONTRACTORSDECLARATION ' � W J � W IHEREBVAfFiMUNOERPEWILTVOfPE0.R1HYTHATIAAILICENSEDUNDERPRONSIONSOfCHAPTEq � V, (� f(COMYEHGNO YI1TN SECTqN 7000)OF DMSqN i OF TME BU51NE931W O PROFE5510NS CAOE,AYD Z � X W UGENSE IS W fULL FORCE AND EFFECT. ^ L1J _ p . ._. �� � � 110ENSECUSS d LIC.NO. � . �j DATE�� �� CONTMCTOFI��� a � ��' 1 "�J' . = WORKERS'COMPENSATION DECLAFiATION � � IHEREBYAFFIWJUND[RVENALTVOFPE0.RIRYONEOFTHEiOLLAw:NODECtARA770N5: � Z � � � � �IIUVEMAN'ILLMAINTANIICEHTIFIGTEOFCOHSEHfTOSElFaNSUREFORMIOWCERS' $ � COMVENSATION,ASPROVIDEDBYSECTION97000FTHELABOi1C0�E,FOHTHEVERFORMANCE U " Q OFiME WORK iON WH�dI TMS FERuIT IS ISSUED. � � I MAVE AND VnLL YAPfTAP7 Y/OqKERS COMPENSA7ION INSUqANCE,/�5 REONRED BY SECTION Q 77000F7HEUBONCOOE,FOFIiHEPERFORMANCEOFTMEYVORKfORWHIp1iHI5GEfWlTtS .� = 65UEO.IAYWONKERSC�uOENSA710NN5t1iWICEGRRIERAlDPOIICYNUMOERARL CONSTRUCTION y CMRIER ��� PLAN REVIEW 7 � Z ��N�EA � ELECTRIC Q � (iH55EcnoNrSIDN7T8E0o6REimOFnEVERMiswaonEH�[%1�DauRSR+�1�LtFs9sSf PLUMBING W � ICEPTIFYIHATNTHEPERFOMWrLEOFTHEK9HKiORwHiCH7H15PER�.nTI5155UED,l MECHANICAL L r' � SFNLL HO7 EMPLOV ANY iER50N N ANY MANNER 50 AS TO BECOME SUBJECT TO THE '� (/] WORKERSQ'7��FFN511TIONlAY/SOFGMIFORNI�MlDAGREETMATIFISMOUlDBEOOM[ INSPECTIONFEE 6UBJECTTOTMEVIORKERS'COMPENSA710NPiq`n5qN50FSECf10N770oOFTHEIABOR � � � � COOE.I SHALL FORTHmTH COMPIY WIiH THOSE FRDVISIONS. ISSUANCE p �ATE:�_['= APPLICAIIT:���� .SMIP (�-1 I v L U � P � � ENERGYP/C �'i��lr n?n t rn�m n A r� WARNiNO:FARUHETOSECUREWORKERSCOMPENSATIONCOVERACEISUNUWFUI.ANUSHALLBE x ,.. "_7� � � SU61ECfANEM7LOYERiOCW4NALPEWLLTIESMIDCMLiNESUV700NEMUIDRED7110USAND � ENERGYPEFiMIT � n�T,�] �*�r'` ��✓ '^• OOLLAI3S(Stoa.00o).NADDITIONTOTNECOSTOFCOUPEN5A710N.D�1.GE5/SVROVIDE�FOHp1 �"'�� � ¢ SECT10N770eOFTNEIABOf100DE,INTERE5T,/uJDl17TORNEY'SFEES �-�•`v a.�• .u....♦ RETENTION FEE: OCONSTRUCTION LENDING AGENCY P - LT�E� � �� IHEREBY/�FFIMIUNDfRPENALTYOFPfRJURYTNATTHER[ISACONSTRUCTIONLENDWUAGENCY CI�\J FOR THE VERFORMANCE OFTME WORK FOR WMICFI iM15 FERMIT IS ISSVED(SEC.]OVI,pV.G�. . � ' � LENDER'S WwE . . C LENDER'SAOORESS � ICEHTI%iHATIWIVERE/DiHISMPLICATIONANDSiATEiW�TT1EABOVEWFOfWAT10NI5CORRECT. TOTAL FEES ' w IMaREETOCOL�PLYN7MKLCT'AN�OOUNTYORDINANCESINOSTATEUWSREUTINOTOBUL�INQ ' � Cp75TRUCTION,ANDMEREBYAlIR10RREREVRESENTA71VE50FiHlSCIXRlTYTOENfERUPONME ��, �py�/� ,`J - S� ABOVE-MEHTIONED ROPERiYfORINSPECf10NPURVOSES. COMMC-hT$� �OV 0_� o G�? . �J♦ c-✓ � � _ m veauirrcE xu�Ey wr+n � � � �i�?Ywl-r . � �� ��y�� y o rew�mee o�rE � _ RECPT.NO. P.VD BY VALIDATION WMITE—Department Copy.YELLOW--Ftiance Copy,PINK—Aesessor Gopy,GOLDENROD—File Copy,GREEN�—/�pplicanPs Copy • , CITY OF DIAMONQ.BAR. : , • . , �� . ... .. ...;. . . . _ . . . . .. , . . . . .. : . . . : . `, ". INSPECTION RECORD: . ; � � : �:, � ;..: r _ .. . . . � -�c-�—' o � e � a - � � � . Q . SET BACK ::-�'1�j� �/_� T �d •, � . FLOOR JOIST --% ti '•=�` �•'. ? =i \�� -'._:�'-.�' " . '. i =- FrGS/FORMS/STEEL ��� .• (J � ''�� ! '^. FHA REQMTS -- �- - - ,,.-�- ' .� ELECTRIC GROUND-� _. -•. � -� . UNDER FLOOR DU�T;; _, ._ � ._ ' ' ' ' ' ';_ '. �, �.� GROUND PLUMBING UNDER FLOOR COI�I[�U11� '�.°. .;`�;;.�;� . :•, :: ~ SLAB GRADE ._ .. .. _..__ . _ �; �:. ; � FIREPLA�E��OUNbA'fION c'x �,a . -•= ' � .'•�. ��.F-•:;,.� � . � .�. TEMP POWER --� �` ' - - _ .... �..:.� . - � FIREPL C��BOND, �AM ..'. ...�� ,1., `��;.;.. ., �• . . ; - .. • ,. . .. ....:. d`` . , . . .. ' � .) � .:.{�� .'.�l ��., ..�., . .. , . WATERSERVICE - f -- --- - MIDH7.�BOND��'AM:.•� . , �• � ROOF SHEATHING - -�- /?�`I o� ` ` . 8 FT. O R BEAM�;•., ...'���� �,�` . • _��•.,; �, . �. . FRAMINGNEN7ILIATION o FINAL BOND BEA 1 � � ROOFCOVER . � ' 'P,RE•GRADING � - - R�UGH HEATIPJG �- � � -- - - - 6ENCHING ' "�" ROt1GH ELECTRIC ,- - -�-! `' ROUGH GRADING . � `' ROUGH PLUMBING "- -- � — � � ' �FINISH GRADING � • , SHOWERITUB TEST �" �� � - � i -. : POOL ELECTRIC . , • , � : EXT.LATH/51DING - " POOL�ENCING - � � WALL INSULATION � PDOL FINAL . ; : CEILING INSULATION . OFF SITE IMPS. � � � DRYWALL NAILING =;}` �� ��1:';�'#'�,� DEDICATIONS � • SEWER. . .. . _ ' FINAL ENG. _ _ SEFTIC TANK_ _ _'__ _ _ __ LANDSCAPE/IRRIG. . . ,, , _ SEEP-P1T/L.L. :-: - -. . . : ..-. "•:. .. .: - _ QN SITE IMPS. GAS AIR TEST; -- - - - •=- - -� - FINAL ZONING . � FINAL-CONSF:, --- -�- - _ 3 .� - -� -� � FIRE QEPT.FI�JAL ' ` . FINAL HEATING -- -- -�-� - �- � �HcALTH DEPT.FINAL • --- - FlNA LECTRIC - "- - - DEV.FEES PAID -�.� '�. : � • -- - -- . ... FINAL PLUMBING ENERGY • � ' � �: .�• , .� � p���'6 �• . - �.."�si'.�r � , . . _ .�""�'_ .� +�J: �'�! . • - •• -- .. ` _ �, _ . - -- . . .. _.... .._ _ . . COMMENTS ' ' '' . _ _ ...__ � � -� � .. , . , ' . f� . . , . . . . ... . . . , ... , , � ,. ., ;�,,, i � ,,..: _� �: _ . ', , _ _ _ - ; . , _ _ , ; . , . . ' :. . �._ . . . . ' � . , ` r.' ' _ .. . � I :�„ ��.� `�� �.�• �. � � <'.... � (-. . . . ' . . . � ., � . . . � 1 �.. . . ., � _ . . . _. . .. . . + � . � , - . . . " " . �. ' ' SEPTIC TANK SIZE � � � � , . ; � SEEP PIT/U SIZE _ _ � . , � . , , `''�`""' I��� J._. I_..� � 1 � . . . , , ., , ; _ - - . ; a - -.- , _ . _ . , _ � ,: i '��, �� 1 .._ . . . � . •. . . � � _ ; ,. i � ,` , . .,. •, , _. '��� . . , , . — i -- _ . _. _ .. , , , � - - . , _ . � � �_ �, . .•�...:.�, . ,� , , _. __ _. . � .._ . . , . . ' � �.`.�, . . -1 1_�,\� `- - .. -'_ -� . � . . __� ., ,� :� _ ,