Loading...
HomeMy WebLinkAbout11670 (5) �� CITY OF DIAMOND BAR � ' ` � • i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Prive Suite 190 ' � (909)860-3195Fax(909)861-3117 PRE$$ : ' •.�'M'�. � ' BUILDING PERMIT APPLICATION FIRMLY ' . o A�D RESS DATE CATIONS/�/9� NUMBER I I b ! b g� `�1'�^I�� 2872 �1aK �nto GL � � � $ issue T p�� ..,. rrPe �, . occ . APN LOT� TRACT DATE 5" I S-�p � CONST• • ' GROUP � OWNER �OlL,d�A • ' " ' p ADDRESS2A7Z Q�SC �NOLL ' �L '••''. ' • - ZONING SETBACKS � �.. �'•.' ' . � � CITY�JL At9f�lf� �d 21P TEL�/f'j 7?45�� FRONT RW �p � APPUCANT �-• ��`q'C'� TEL.��'�J/sOl� AEAR ❑ � SIDEISIDE STREET RW - O CONTRACTOR QD SIDE ❑ q� ADDRES PROPOSEDUSE,}1��,`_��(�(N� l�t7 IS a CITY S.�F'f"/NO ZIP9�.71.2 TEL �- �' � AFiCH/EI�/ . � DESIGNER�L.O�I� � �CH� NO.DWEL. NO. NO. N A�DRESS • UNITS STOAIES BEDAOOMS � CITY�(��1Y� ZIP TEL DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER D�CLARATION SFR/ADD/REM O 8 I HEREBY AFFliW UNDEq GENlLLTY OF PEfLAIAY THAT I AlA EXEMPT Ff10M THE CONTMCTWIS L4�� G8�8gB/C9ry0R � _ � CENSEUWfOR7NEFplOWWOR[ASCN(SEG707f.68USP1E55AN0VROFE55iONSCO0E:1W'/CITYOR (n COURYYMIdINEOVMIESAPEWAR7000NSiRUCf,ALTERMiROYE,DENOl15M.OHHEGAIRAN'l97RUG W Peli0l�0Ck TURE VWOii M fT41S8UANCE�LS�NEWiNES iHE AOPLICANT FOR SUCH PERMIT TO F0.E A SICNE� � STATEMENT iMAT NE OR SME t5 LICENSED PURRUNT TO iME VROV45iON5 OF iME CONiRACTORS Ib � . � CFNSE UW(dWTFR Y(COMYENdNO WfTH SECiION 7000�OF DMSqN 9 OF ME BUSINf55�ND PRO� � PooUSpa . � . � iE551DN9COD�OH7MAiHEOq5NE19EXEMPTTMEREFR01AlW�THEB�l513FORTHEA1lE�[DEXELIP� �. (� TIDN.ANYYIOIATqNOFSECT10N7W1.6BYANYAPtt1CA17iFORAPENMiTSUBJECTS77�E11PPLMANTTO . Z Re-Roof F ACMLCENN.TYOFNOiMOFETwWFNEMUNDREDDOl1M5(75m).�� � 04N�EROFiHEPHOPEP7Y,OHMYEMPLOYEESYATHWK.E4ASTNEIq50lECOMVENSATIDN, � COmmBfClel . - � � ' WILLDO THE WORIC A!m THE STRUCNRE IS NOf pfTElIDED OH OFiERED i'OR S�LE lSEC.7Wt,BUSb J y NE55 AID Vf10FE55qN5 COOE:THE CUfTMCTORS LIGEHSE Uw DOES NOT 11PPLY TO MI OWNER OF � � • � . � , PIiOPEHTY VIliO BV0.D5 Oq NPi1WE5THEREON,AND Vllq DOES SUCII WORK HIMSEIF OR HERSEIF OR � Q THAOUGHXISORNEPOWNEMPLOYEES,VfiOV�E�iHATSUp1MPfl0YElAENTSARENOTNTENOEDIXi m . � OFFEAEDFOHSALEIF.f10WEVER7NEBU0.DR+00RMMOVEMEMSli�LlWrt1YNONEYEAROFCOMc�E� .. ; � Z �TION,iHE OWNEHbUtIDER WILL HAVE 1HE BUR;IEN OF PpOVINO iHA7 HE OH SHE OiD NOT Bl11lD Oq . . . . = MGRDVEFOR7TIEPURPOSEOFEALLj, ' • W OI,A40NMEROFTMEPRDPEHTY.�IAE%CLUSNELYCOMRARIN�NrtTV1(JCENSEDCONTRACTOR9 2 TO CONS7NlICT T}1E PHOJECT(SEC.70u.BUSiNE55 AND PFqFE5510N5 COOE:TNE LOMMCiORS L4 V01ua110� - D /1DJ,AREA� � � �� � LL CENSEUWOOESNOTMRYiOIWOwNENOFAPROPERTYW/qBURDSORMPROVESIHEREON,AND � NIFIDCOHTRACf5fOR5UpiPR�lECfSWfiHACONiMCTOR(S�IICENSEDPURSUM7TTOTHEGOHTMG pUANTITY - DESCR�PTION •��� � � FEE � TdIS UCENSE UW.} . . . /' � .. . . �/ DIMIIXEYPTUNOEFSEG B.iV.C.fORTH15REA50N Q G J Q 3 � ; ,•.,• � . � , F . DA7E OWNEH . Z W / 6 LICENSED COPfTflAGTORS DECLARATION � W � } �,' ,,. . �• . OC IHEREBVAfFCWt11IDERPENALTYOFPERAIRYTHATIMIUCEN5E0UNDERVROV15lONSOFqUP7ER � V. �T�' `'t�� ^ S � � �(COM4ENClp WIITISEGTION 70007 OF DMSqN 70F ME BUSINE55 AND PROFESS�ONS COOE,AND Z � ' �'� X W UCEHSE IS N iULL FORCE AND EFFECT, m � �` � � LICENSE CLASS��� LIC.NO.� � � l�, 0.S V MTE �CONTiUCTOR�/Q�.� O a W � WORKERS'COMPENSATION DECLARATION —� ' , . . . . ¢ � 1 HEHEBYPfFlRM UNDEH PEN/LLTY OF FEFUURY ONE OFT1E FOLLOWWG DECUMTIDNS: ¢ O D U'O� �T� ti r� 2 b � ��14NEANDINLLMAMTAMACENT7FIGTEOFODNSEMTOSEIF•14SUREFORWORNERS' _ COMPENSATION.ASPRONUED9YSECT10N77oaOFTMEUBORCODE.FON7HEPERFORMNICE W OF THE WORK FOR Ym1p1 TH�S PE W.aT i3 ISSUED. .� � �IHAVEMlD1NiLLElA.'HTARIWORKERS'Cd�7ENSATIONMSURJWCF,A4RE0URE0BY5ECT10N ' Q ]7ooOFTHEUBOHCOOE.FORTNEVER�ORM�WCEOFTMEMroR(FORWMiCNTNiSVERMRIS ISSUEO.MYWON(ERS'CdAPENS TIONWSUMNCEG�ANiERANDPOLICYNUNBERME: CONSTRUCTION ���I , � �IZS y� CJWIUER �L Q PU1N REVIEW - _ � vaicr�nnae[n,. ELECTFiIC / �/r � � (fHssEcrp�r,EmMOTs[ooAf'LETEDcfnEVEfM:sfartorlEr�t�IX1E�OCWtt56�oo1onLEssl PLUMBING 4 7�� W Z ICEATIFY7HATNTH[PERFOFLAANCEOFiHEWOPo(FOi1WHICHTHI5DER1AtT45155UED,1 MECHANICAL b � ' (•} SMALLNOTEMPLOYANYVER,iONNM1VMIWNERSOASTOBECCMESUBJEC7TOh1E � WONKERSCOAIPENSATqNtAw50FGLIFOPNiAIwDAGREE�TIF�SMDUIOBECOME INSPECTIONFEE S SUB.IECTTO7HEWO�KERS'COAIPENSATIONPRDVISIONSOFSECTION77000FMEUBOR" ' ' - �� �� � h A CODE,ISHAtLFOIiMwIMCOYPLYYnT/T�OSEFRON3iON5. ISSUANCE ✓ L•D � rA (�/� sM�P. t.�o .,p OATE:�� APPLICANT:�• 7�1�__,^�"�V�� . � WARNINO:FNLURETOSELUREWON(ERS'COMPENSATiONCOVEMGEISUNU'hFUL,ANDSMALLBE EN[RGYP/C ��y SUB.IECTANEY�LOYEHTOCRNrINALPENALTIESAN�LNGFWESUPTOONEMINDREOlMOU5M.1 ENERGYPERMIT - pOLLM3(t1 oo,aoo).IN AODI770N i0 THE CO57 OF COI.IPENSATqN.OAMAGES AS PROVIDED FOR tN J SEG710N77oeOFTHEU80i1CO0F,aTEFESLANDATTORNEY5iEE4. RETENTIONFEE: ^ (O� � � CONSTRUCTION LENDING AGENCY PRC-•ALT FEE: � d��O � ' � � � �N[REBYAGFli1MUJ�EHPENALTYOFPERNRYTMATTHEREtSACONSTRUGTONLENDWOAGENCY �� FOH 1HE iEAFORMANGE OF THE WORK FOR WH1CN TML`PEi1M�T IS ISSUE7(SEG 7ov7,CN.C.} -� LENDER'S NAME ' � I S • C IENDER9.'�D�RE55 �,•� I CERTIFY TUT I MAVE READ T95 A➢VLICATION/ND STATE THAT iNEABOVE NFORAlAT10N I5 00RRECT. TOTAL FEES � �� � �.�. � � IAGREETOCdAttYYN7NALLCfiYANOCf1UNTY0i1D�NANCES�NDS7ATEUWSREL/1TWO708U1LDINO /J� CONS7AUC710N.ANOHEREBYAUTqRIZEREPRESEHTATIYESOFTHISCOUNTYTDENTERUPONTHE . . • . ��y,�I D �� , S�. ,ABOVE-YEIRIONED►POVERTVfORINSVECfIONM1RPO5E5. COMMENTS � " � � ;� c.. j�, . � - _ � �� . ¢ ��,m � - b . . �, � �� &ONATUfiE ' TT ' . OA � RECPT.NO. P/UDBY�. IZj O VIWDATION WHITE-0epartrnent Copy.YELLOW—Flnence Copy,PINK--Asaeaeor Copy.GOLDENFOD--File Copy.GREEN—ApplicanPs Copy � - � � .. . .. .�,,, .. .. ,....,_.. .._ ._ , . , , . , . .. ... _.. .. . . ._, . . . ,... . , , , , _, , .. .... . .,. , -. . . . . . . ... , . . . . . .. , . . . . �:<. _.. . . . .. -� CITY OF DIAMOND BAR � ;,:� ,: �.� , (; �f.f',j , . :,..,.,_ : :� :.:INSPECTI�N REC�RD,� ,. .. . .. ; ', .. � ...._ . �_�. � .. � . . _ • � � • ' � � . . � . SET.BAGK• ) . , ,�.\ � i ,. . . I• .�.�, ��.\- FLOORJOIST� ,;' .,��_.; :;:� � ', � '�;-�.' . , . .. . -- - . FTGS/FORMS/STEEL Z P 9� � ,� •-, FHA REQMTS - -- -� ;, :. � -- - - - � ELECTRIC.C�j �%c � —:_-- ' . �� UNDER FLOOR DUCT - " ' , . ..- , .. �� ,.. �� + �.. GROUND PLUMBING ���� ' - • UNDER�.�GGNDUIT-',r . l�.) : � SLAB GRADE_ _ _ - .. - -- -- - � FIREPLACE1FOF7NDATtON -.�_ _.�� '_.•is.:.-`•.� . � , _ ... . . - . , _ . . . � FIREPLACE BbNb B�AM ' .` ` ; - �: TEMP POWER. ... .. . �'� _ . . _ �. :- ; , WATER SERViCE _;- -- _- _ -_.. _ : -._-- -- . .._... MID HT.BOND B�AM �,;:._,,,'..., _• ,_ :._, �_,.._, . , .. , r� « RDOF SHEA�HING + =•" ! -`1"�1 ,_ -� r- � 8 FT.BOND`BEAM' �;� �` —" •,�'�s� FRAMINGNENTlL1ATION � FINAL BOND BEAM , � -. �_ , _ „ ; . =_ - ; ROOF COVER . " � PRE-GRADING ���. �-�,� �-;� ;•� �� �,��=.;•� , � ... _ _ _ . ROUGH HEATING -- - _ _.... _-� --� - - - BENCHING 'i'"��<:; � �, , :•�-�� . � ��:� ::�',.�_, . �ROUGH ELECTRIC -- - ' - - � - --�=" ' ' ROUGH GRADING ; ROUGH PLUMBING"; -- - " " - - � - �,-- FINISH GRADING . . - , : `:. . SHOWERlTUB TEST, - � - - , - POOL ELECTRIC : • ' ' " EXT.LATH/SIDING� ! -, �i"� POOL FENCING � j ' WALL INSULATION POOL FINAL .. ' .2 � - " � -- CEfLfNG INSULATION OFF SITE IMPS. � � .-. DRYWALL NAILING � DEDICATIONS � ., • SEWEA -- -.. �. ._ . . . . . . ... . .. ... ._ FINAL ENG. ,. , .; SEPTIC TANK .__.._:...__ ......_._. _ _ _ ; ^ _. LANDSCAPFJIRRIG. � ' SEEP P!T/L.L. ._ .• __-_..:: . _ .:-_:: . .. .1 �.�� ti�4 ON SITE IMPS. ' . _ -GAS AIR TEST• -- - - L FINAL ZONING : • . . , -FINAL'CONST:;---- -— -- '''- ; � = ' FIRE DEPT. FINAL , FINAL HEATING--'-- �-- � �g - HEALTH DEPT.FINAL - - �FINALELECTRIC ;L - - DEV. FEES PAID � - FINAL PI:UMBING � -.'.i f ENERGY • • � ,� •, � � � • � � i i ` � j '�!, �� _ � .�.�^��, �. ; . _ ._ .. ,�:�. . - ; _ . . ----.�_._... __. � ` _ . . - _ .. ... _ _ . ... _ . . _. . . . - ---- __ �_ '' t - ,. . .. �COfv1MENTS - . ' , , � " , ' " . . .._.. . � _. _:�. . � _. , i..._ , - ...._� ._ . .. � _ _ . _ .. . . � --��' ' .. . 1 �� 't'�:I - " : ti - � . _ ... . . . , _ �, _ . -. _. . - ;.:. ,_ .,, .. . - � �.�._�. . _ _ �: ` ; .1.j- �` .� ,f� ,. , �,� � .. ��, �, , • - . , � ,.� "_ _ .. _ ' . .._ . . . . �. . . I � . . . . .. . � .. SEP,TIC TANK SIZE .. _.. _ ,. ; ' ' , SEEP.PIT/U SIZE _ ._,____ , , _.•i:�. :;.: �;;, .i. '. � �r� . ��. _ _. _ .... � � . . _ -- - ' i - � _ . . . i� I i � . . . ,/�'� ���> G. �{_� �ar� __ �. - , ; _ _ _ .� � g 4 � �--_ , ; - -- - .� . .. . . .. _ .... _ . � , . ,. _ r' , , . -- - - � `_ � ., � . . .<< .� -. - _. _.�,: /�/ � s �•; ;• t_ . �- . �