HomeMy WebLinkAbout11092 ----J�--, CITY OF DIAMOND BAR . . � � � CO:Nb1UNITY DEVELOPh1ENT DEPARTMENT; " n .,. 21660E.CopleyDriveSuite190' - •/ PRES•S (909)860-3195 Fax(909)861-3117 ' / ' '�"'� BUILDINGPERh11TAPPLICATION ( FIRMLY � o ADDRIESS 2'S�J2 D0.K ��.Ylfl I I �1: DATECA�� �z � NUMB R�,._ q,C $ ISSUE TYPE OCC APN LOT�� TRACT y7 R S/ DATE " CONST. GROUP p OWNER r'G- u" ADDRESS_ 3�R�0 Tnrrr�n c.� R v : ZONING SETBACKS z ciTv'IrnrYb►►1 f� ZIP 9o,se'�TEL3{�Szf034`I�O FRONT RW ❑ � APPLICANT TEL. REAR ❑ � SIDEJSIDE STREET RW ❑ � CONTRACTOR L�R SIDE ❑ o ADDRESS�,Q�3 ASLnT G-f-, - • CITY 4�N L7JWtA � ZIP.G!^7'13TEL. S�i9'-OIS�' PROPOSEDUSE o AFiCH/ENG/ , iz DESIGNER NO.DWEL. NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � �n DESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION p� . OWNER-BI;ILDER DECLARATION � � SFR/ADD/REM O I H[FEBY AFFIRM UNDER PENALTY OF D[FWRY THA71 AA1 E%EI.�PT FROA1 THE CONTRACTORS LI- G0fd90/COfpOrt -- W CENSEUWFORiHEFOLLOW�NGREASON�SEC.7077.5BUSINESSANDPROFE5510NSCO0E:ANYCITYOR (n U COUNTYWHICHREWIRESAPEMnTTOCANSTNUCT,KTER�MPROVE.DEA�OL15H2OpFEPA:RANYS7RUC- W W TURE.PRqfl TO ITS ISSUMICE.PLSO REOUIRES THE APPUCAM FOR SVCH PEflMIT TO FlLE A SIGNEO W Patio/Deck . � � ST�TEYENT TNAT HE OR SHE R UCENSED VURSUANT TO 7HE PROVISIONS OF TNE CONTNAC�DH9 U•� � CENSE UW(CHAPTER 9(CAAIMENGNO WIiM SECTION 7000)OF DIVISION 70F THE BUSINESS IJ:D PR9- � � Pool/Spa _ � � FESSIONSCOOE)ORTHATHEDRSHEISEXEMPTTHEREFROMANDTHEBASISFORTHE/iLlEOEDExEMD. (� VTION.A.WVIOLATqNOFSECT10N703I.SBVANYA7PUCANTFORAGERMITSUl3JECTSTHEAPP�ICANTTO Z RB-ROOf ACNIIPfNALTVOFNOT►1ORfTHANFNEHUNDREDDOLURS(fSOD).): � Z04��WNEROFTHEPi10PERTY,ORIAYEMPLOYEESwiTHWAGESA:THEIR50LECOMPENSATqN,� � COrt11110fCi01 � � WILL 00 TME WOPI(/w0 TME STRUGTURE IS NOT IN7ENDE�Ofi OFFERED FOR SALE(SEC.7a�,BUSi• N NESS IWO PROFESSIpJS COOE:TME CONTMCTORS LICENSE LAW DOES NOT MPLY TO AN OWNER OF: _ PROPERTY NTIO BU�LDS OR IMPROVES THEREON,AND WVIOOOES SUpI WORK HIIASELF OR HERSEIF OR � THRIXICHHISORHERONMEIAPLOYEES,PROVIDEOiHATSUCHNIPROVEM[N7S�RENOTMTENDEDOR m 0 OFFEREOiOR5I1E.1F,HOWEVERTMEBUItD�NGORIIAPROVEIAEN715501DVn771MONLYEAROFCOMPLE- � • Z TION.THE OWNEF�fiUILDER WILL FIAVE THE BUR�EN OF PROVINO THAT HE OR SME DiD NO7 BUIID OR � IMPROVE FORTNE PURPOSE OF SALE). - � , �y,� 04�lSOwNEROFTIIEFHOPERTY,AME%CLUSNELYCOMMGTINGN'1T11LICENS[DCONTMCTOHS . . . . Q TO CDNSTRUCT THE PR0.1EC��SEG 70��,BUSINE55 ANO VROFESSIONS CO�E:THE GONTRACTOflS LI• �V2�I13210f1 ADJ.AREA W CENSEUWDOESNOTAPPLVTOANOWNEROFAVROPEANWF�OBUIlD50R0A7R0YESTXEREON,M10 �� WViOCONTMCTSFOqSUCHORQIECT5WITHACON�MCTOR�S�IICENSEDPURSUANTTOTHECOMMC- OUANTITY DESCRIPTION � - �E � TORS LICENSE LAW.). .. .... .. . . . , � . Q OIAME%EMPTUNDERSEC. 8.87.C.FOflTHIS,REASON U �• � Q� �i - ' � .. .. . u" DATE OWNfR V ZW . . . .. _ . . . . . � UCENSED CONTRACTORS DECLARATION W - � IHEREBYAFFIflMUNDERPENALTYOFPERtt1RYTMATIAMULENSEDUNDEfliROV1510NSOFCHAPTER� � � � , , • ' • , � , d i�WMMENCMGYATHSECilON7000)OFOIVi510NJOFiMEBU51NE5SANOPHOFE55lON5C00E,AND Z � X MY IICENSE IS IN FULL FORCEAND EFFECT. . � .., 11J � LIGENSE CUSS ' LIC.NO.�ZZZ � � J V DATE �Z CONTRALTOR�i �, n. W �� WOFKEFiS'COMPENSATION DECLARATION ��1 -+ � INEflEBYAFFIRMUNDERPENALTYOFPEFWRYONEOF7HEFOLIOWINODECLAMTION� , J Z , V Q � _IHAYEANDWILLtAAiNTAINACERTIFlCATEOFCONSENTTOSEIF•INSUREFORWORKERS' � _ COr.IVENSATION,ASPROVIOEDBV5ECT10N77000FiHELABORCODE,FOATNfVERFORAIANCE �U Q THEWORKFORWHICHTHISPERMIiI5155UED. . 2 � _IHAVEANDWILLMAiNfA1NWOFiKERS'COMPENSATIONINSURANCE.ASREOUIREOBVSECTION Q �70o OF 7HE UBOR CODE.FOR THE 7ERiOR4ANCE OF THE WORI(FOR WV{Ip1TM15 OERAIIT IS ISSUED.MY WORKEA'COM ENSATION I�1$UMNCE CA IERAND POLICYMIM�ERARE: � CONSTRUCTION � 4 CARRIEH � ✓� PLAN REVIEW � � POIICYNUM[iER 2ZSi—�17 � ECTRI . . . ... �� ---- ¢ 0 �s[cra+n[mr�orecoor.a�r[oocn[vEw.rtSpaor�[Mrot�oauns�sioo�on� PLUMBING . � Z ICERTIFYTHATNTNEPEHFORMMICEOFTMEWOHKFORWHIpITHISPERMITI5155UED,l MECHANICAL C7 SHALLNOTEMPLOYANYPERSONINANYAIhNNERSOASTOBECOMESU&IECTTOTHL • N WORNENS'C01.17ENSATIONLAWSOFCALIFOHNIA,ANDACREETMATIFIS/IOIILDfiECOME INSPECTIONFEE � ��� � - � S SUOJECTiOTMEWORNEqS'WMPENSATIONOROVI5qN50FSECTION77o00FTN[UElOR COOE,I SHALL FORhMATH CpaPLY WITiTHOSE PROVISIONS. ISSUANCE 0 .. � p DATE: APPLICANT: SMIP � WAANINC:FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL M10 SHALLBE ENERGY P!C � SUBJECTANEMPLOYERTOCRIMWA�PENALTIESANDCMLFWESUPTOONENUNDRED7}qU5AN0 EN[RGYPERMIT DOLURS(f10D.0ao�,IN ADDIi70N iOTHE GOST OF COMPENSATIDN,O�MAGES AS Pfl01nDE0 FOR IN —}3-�}} ` J SECTqN37080FTHELABORCODE,INTEREST,ANDATTORNEY5FEE5. � � � � ' L�C�I 7 Q RETENT�ON FEE: � OCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � � IHEREBYAFFIRlAUI:DEROEN�LTYOFPERJURVTHATTHEREIS�CONSTRUC710NL£NDINGAGENCY � FOR TME PERiORA1ANCE OF THE WORK FOR NrtiICH THIS PERMIi IS ISSUED(SEC.30 W,CIV.C.). W . . . ... _ . . , . . � IENDERSNFME . � � � � LENDER5ADDRE55 � � �� �� �� W TOTAL FEES . , ¢ ICERTIFYTIUTIMAVEREADTNISROPLICATqNANDSTATETUTTHEABOVE WFORMATqNISCARRECT. � IAGREE TO COMPLY WffH ALLCRV AND COUNTV ORDINMiCES N:D S1ATE Uw5 REUTWC TO BUILDING � � CONSTRUCTON,ANDHEREBVAUiT10RREPEPRESEMATNE50FiHI5COUNTVTOEHTERUPONTHE , Z ABOVE�MENTIONEDPflOPERTYFORINSPECTIONVURPO5E5. COMMENTS � �Qw4�S L- �� �� > ¢ PERMITfEE N IPRINq . �� . . . . - . N � �� SICNAT PEr MITTEE DATE � RECP7.N0. PAID DY VALIDATIO `' � - - WHITE—Department Copy,YELLOW—Finance Copy,PINK—Assessor Capy,GOLDENROD—Filo Capy,GREEN—Applicant's Copy � . . .. ._.. • .. ... _.....,d•, :c� .. ... . ... `'�::�'7r«.. ,.,."�.`.-�....�t;�'�a�r-.s.q..i:.i+,i�Ct+.";,':r:w•py-�".r.r.{:. ...y.r.. ,.211�'-'� .�. . •�.��b'= . ���'.. . CITY OF DIAMOND BAR ; , �- � -�, � � �. INSPECTION RECORD � . . • � � • • - • � � i . � . r SET BACK.- FLOOR JOIST - ' � FTGS/FORMS/STEEL FHA REQMTS � �` ` ` ' ' - ELECTRIC GROUND ' UNDER FLQCIF3�DUGT �> > ;i , ;; �, -j ;-� � � ,��- _ - GROUNDPLUMBING UNDER-�L'OOR'CO�IDUIT �=�� =�'�+� ' '� �i�!��r���� ��' SLAB GRADE � ' FIREPLACE FOUNDATION - TEMP POWER l � 7 -- FIREPLACE BOND B�AM � ��� '••_' '�• �� �� . . " ' ' WATER SERVICE ' MIO HT.BOND.B N4 ;(� -s��' . ,.�:�,,.:� ' ;- RO�F SHEATHING � 8 Ff.BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM � ROOF COVER - - PRE-GRADING ROUGH HEATING � �-- BENCHING ROUGH ELECTRIC �- ROUGH GRADING ROUGH PLUMBING �- � FINISH GRADING . SHOWERIfUB 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, - SEEP-RIT/LL. . - , - _ ' ON SITE IMPS. GAS AIR TEST -'� ' � 1=�"= � ,y���-%l FINAL ZONING �INAL CONST. — — -- -- - FIRE DEPT.FINAL FINAL HEATING - - HEALTH DEPT. FINAL - . . - FINAL ELECTRIC Z r DEV.FEES PAID , FINAL PLUMBING ENERGY •--` -`-1:''1- , -- _ - �, _. . � � - -- _ _. . _ _ _ . . _. ._ COMMENTS � .. . ; . . � `, � . , . 1>i:ti"i _,i�- ,-�--_ ... . _ � . . . �1 :r - +�.a � t• -� . .. , . --� . . • �` j� . . . . . . � �•.i,i�L,y�� ' � _ . . ' .. _ . � �� .•riG n �. tl.,' " . . .. � .. . � � . . SEPTIC TANK SIZE -- - . .. .� •._ ... ' . SEEP PIT/U SIZE - .. • ._ ' - •t`�,.; `�1 �� .� ,�r;;,�:, . . � .`�`\�C-:\� � /'._\Jt�r)7�1�`1. t�`}K(•S,�' � .. ' . ' . . . ' � 1 � . � "i ' . __" '_"__' " . . ... _ . .._ .." " ' """". ._ .. ._.._ � _ . . . .__.. � ;