Loading...
HomeMy WebLinkAbout12926 (14) CITY OF DIAMOND BAR� ' " �' • J� --� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Coplcy Drive Suite 190 ' " � (909)860-3195 Faz(909)861-3117 ; PR ESS �M� BUII..DING PERMIT APPLICATION FIRMLY I. o ADDRESS,l�1 J� D V�y u C K FI 1��� '� ' ' DATEICATION � . NUMB R � �v �/C ' � . ISSUE TYPE OCC '. ., APN • LOT �� TRACT . DATE ' ' CONST. GROUP LL OWNER �b�f�.A • ' -• o ADDRESS � ZONING SETE{ACKS - � - � CITY _ ZIP TEL. .• REAR RW . po APPLICANT '� TEL. SIDEISIDE STREET RW O � CONTRACTOR al�l��� . o��[A/� . . . SIDE p Q ADDRESS - ' . � CIIY � ZIP Q�[� TEL� PROPOSED USE o � .J.�o' � _ oARC tN //�Ol • ��,, DESIGNER NO.DWEL. NO. O. _ � ADDRESS ' UNITS STORIES ' ' BEDRO MS � � ClTY ZIP TEL. � cn DESCRIPTION SQ.FT.' FACTOR PSF ADJ.AREANALUATION p� _ ,OVJNER-BUILDERDECLARATION ._ SFR/ADD/REM O � .. � p I MEREBYAFFlRM UNOER PENILL7Y OF iERA1RY THAT 1 AM EXEYPT FROM THE CONiMCTOfi5l1• GyfBgB/CBfpOR LL CENSfUWFOi1THEFOLLOWINOREA50N(SEG7Wt.6BU5MES5ANOPROFESSIONSCODE:ANYqTYOii (n � GOUNfTYMIp1REOlJ�FE3�PERM�TTOCONSTRUCf,ILLTERMPqOVEOEMOLISH,OHXEP/JRANYSTRUC• - W Patio/peck � lURE PRqR M RS ISSUANCE./L50 RECVIRES THE APPIIGWT FOR SUCH PFRMIT 70 FILE A SIGNED w S7A7E1aENT TMAT HE OR SME IS IILENSED PURSUM(T TO TME PfqN510N5 OF TF1E CONTMCTORS IJ• � � CENSE UW(CMADTER Y(CpAAIENpNCi WIiM SECT70N 7000)OF DIVISION]OF THE BUSINESS AND PPO- LL" POOVSP3 • � . FESSqN5CO0�ORTW�TMEORSMEISEXEA1PTil1EREFH011ANDTMEBti5I5iORiHE7�LLEGEOEXEMP• (� 710N.INfY101A710NOFSECT10N7o71.68YANYAOPIICANTFORAGERUITSUBJECTSTNEAPVL�CANTTO Z Ro-Roaf �„�, ACIYIL►ENALTYOFHOTMOfiET/1ANFNEMINDREODOLlRR5ff3oo).1: � Ol�^OWNENOFiHEiROVERT!ORYVEMPLOYEESNn7NWAGCSASTHEIfi50lECdAPENSA710N,. - ❑ �mmerclal - � Wtt10�TH[NGRK.MA THE STRUCTURE IS NOT IuiE1mED OR OFFEREO FOF 9ALE(SEC.70��.BU51- J � NESS A10 PROFESSIONS CODE TNE CONTMCTORS LICENSE LAW DOES NOT AP�LYTO AN OVMER OF � � i • VROPEHiY W/IO BULDS qi MFi10VESTHEREON,ANDYMO DOES SUCH WORK HIMSELF OH HERSELFOR � 7Mi0U0HHISORHENOWNEYVLOYEES.PRONOE�THATSUCHMPFOVEMENiSARENOiIMENOEDOR m Q OFFEi1WFOq5ALEtF,IqWEyE0.TME8UlDINOONIIAPROVEMENTISSOIDWRF9NONEYEAROFCOMPl6 Z TION,THE OWt1ER-BUM1DEq YYILL HANE TNE BUROEN OF PHOVINO THAT ME OH 5HE O�O NOT BUILD OR .. . . .. _ = M7ROVEFORTIEPURPOSEOFSALF} � ,• � . ' �y,� OI.ASOWNEROFiMEP1iOVEfiflf,AMEXCLU51vELYCOHTMCTINONI7HUGENSEDCONTRACTONS � M CONSTRUCT TNE GRO.IECT(SEG 7Du.BUSiNESS/WO PROFE5510N5 COOE:lHE CONTMCTORS LL VSIU2li0f1 � � ADJ.AFIEA � � � � ' � CENSELAWDOESHOTMFLYiOANOwNEROFAPROVErtiYW1108U�1.D50RWVROVESTMEREON.MA WIqC01fTMCiSidi5Up/GRQIECTSWITNACONTRACfOR(S�UCENSE�VURSUANTTOTNECONTiUG pUANTITY ESCRIPTION FEE , � IORSUCENSEUW.). . ' ' .. . . . .. . . . . .. O I AM EXEMPT UNOER 9EC. B.i P.C.FOH TH6 REASON - Q � V . � ¢ . DAiE OYMER U , ., ��[ LICENSED CONTRACTORS DECLAAATION �� �� W , . J LL IHERfBVAFFtli1,lUNDERPENILLTVOfGEHJUIiVTMAilAA1tICENSEDU1.0fRVROVISqNSOFC11AVTER , � . , � �(COMYENCNOWR115EC710N70oo)OFDMSION70FTMEBUSINESSA�OPROFESSi0N5CO0E,�ND . Z � ��� W LICEHSE IS Rl FULL FORCE M1D EFiECT. m 4 IICENSE � .. .LIC.NO.�J_'2-J ,�� ' � . � /�I �.. ' / DATE CONTR1lCTOR����, ' d w � WORK RS'COMPENSATIONDECLAAATION 4 NIMEREBYAFFlRM UNDER iEN�LTV OF VERR1Rf ONE OF iME FOLLAWING DELUM7qN4: � � " Z � ' � ' " � �- - - - - --- � �IMAYEANDWM1INAMNNI10ERi1FlCATEOFO0N5ENTTOSELF•INSU�EFORWONCERS' _ CpAPENSATqN.ASCROVIDEOBYSECilON77000FTHELABORCOOE.iOHiHEpERFORMANCE W OF Tlc'M/ORN FOq WHIG7 iM15 7ERYR lSISSIJED. � � Q �INIIVENDK'ILLMAIMARIVNORI(ERS'CdAVEN5AT1pNINSUMNCE,ASRFWIREDBVSECTION ' 77000FTMEUIBOqCOOE.FORh1EVERFORMANCEOFTN[WORKFORWMIp77MI5VERMRIS � �� � ISSUm.W WOiME�RS1'CdAPEN5AT10N INSUHANCE CARPJEF�ND POIICY NU40ER�RE: CONSTRUCTION _ > GMiER �'I �alb PLAN REVIEW . 2 PoLICY NUMBER_f�P ELECTRIC . � d - Q (M1lSSECIqNNEkDN0TBE0p.PLETEDOFMiEPo.RBii%Id�EH.JlLYiEDOtt1AR5a+o%ORLE55) GLUMBING z ICERTIFYTUTNTMEPEPFORMANCEOFTXEN'ORKFORWHICH7HISPEW.�IT15155UED,1 'MECHANICAL' �A����99 (J SWLLLNOTEMP�py/1NYYERSONCIANYMMlNERSOASTOBECOMCSU0.)EGT70TNE �p N/ORKERSCp.�7EN5�T10NUN50FCALIFORNItiµDACREEiMATIFIS��OULDBECOh1E INSPECTIONFEE S SI�BJECT TO TIIE NpRNERS'CL�.IPENSATqN PROVISIONS OF SECTION 17000F iME l.1BOR caoE,,s,�co ca.�a�rw,T„r„oscn 5i«,s. �ssunNc� ITY OF DIAMOND BAR ' D � o��:_///9 ,�}' �w►„ ' sMiP_ BUILDILY�AND SAFETY � , � _���,�: f7 � . WIUWINO:FAiLUH[TOSFWREWOHKERS'COMVEN5A710NGOVERAGEISUNUWFUI.ANOSHALLBE ENERGYP/C � � SU0.IECTANEIAttOYERTOLRMINALVENAL7IESANDCMLFINESUPTOONEHUN�REUT/qU51W0 � - -ENERGYPERMIT " OOLLARS(ilao.000�.w ADDRION TO7HE COST OF COMPENSAiqN.DAMAGES A5 7ROVIDED FOR IN � SECTION77oeOFTMEUBORCODE.MITEREST,ANDATlORNEY5iEE5. pE'�EN7�ONFEE: � a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � O � IHEAEBVAFFIRMUNDERPENALTYOFPERNMTHATTHEREISACONSTRUCTIOHIENDwCAGEHCY _ ' FOR 1HE�ERiORMANCE OF iHE WORK fOR WMIGI7HIS YERMIT IS ISSUEO(SEG 70G1,GIK C.). � � Z� IENOERS NAA1E S , � LFN�ERSAUDRE55 W� TOTAL FEES � ICERTIFYhUTIHAVEREAD7HISMPL�CATqNANDSTATETHAT7HEA80VEWFORUATIONISCORHECL � . , � IAGREETOCpdVLYMAIMNiCIf`/ANDCOUNTYORDINlWCES/N�STATEUWSREUTWOTOBU4DIN0 � CONSTRUCTqN,M1DNEREBYAUiiqRQEREPRESENTATNE50FTHI5COUlRYTOEN7ERUPONiNE •" . /�BOYE�VEMqNEDPROPERiYF wsr�cranvunroses. COMMENTS O J _ ' m VERA11 7EE _( N� Q N , y SIONATUHEOFGEPM Ai � ��� RECPT� � FAIDBY VALIDATION - � � WHITE—Oepartment Copy,YELLOW—Fnance Copy,PINK—Aseeesor Copy,GOIDENROD—Fiie Copy,GREEN—Appicant's - �- -� � � . . ., . -. , -.+ ' .. . . . . ... .. •� . ... . .�.., ,s .x.u � . ..r-...�.s�..�n,.. . �.. ., .......� . , ,,.. .. .� ....,•,:.� ...._.. . . _: . ,. .. . . .. . ���.. � . , , . . . . . .. � . . . CITY OF DIAMOND BAR •,:!-;� � . ; �� .. :. .,. .. . .. ,. , . . . .. . <.: : , : �� INSPECTION RECORD' ;.;'=.: :; :; . : ;... ,1 . _ . . ; , , . � � , . � . � � , � . SET BACK ' ' . . �; . . �, � FLOOR J015T• _, �•: .: . . � ' . _ . FTGS/FORMS/STEEL ` '� ' • ` ' FHA REQMTS - - - --- - � - - - ` • ELECTRIC GROUND � -.� " . _ " :�- : . : - :. _ UNDER FLOOR DUCT - � GROUND PLUMBING � � UNDER FLOOR COf�DUIT • •+ ' � SLAB GRADE - � � - - - -- • • FIREPLACE F�UNDATION � ' TEMP POWER - ' --- � � � FIREPLACE BOND BEAM - - - ` '' " ' WATER SERVICE . - - - _ "MID HT.BOND BEAM `, • . '' '= ; . , . , .. ROOF SHEATHING - -�. 7��`b� � 8 FT.BOND BEAM , � � ' ` � " '�• , � . . - i ... FRAMINGNENTILIATION �. ,'` �� � ' FINAL BOND BEAM � � • ROOF COVER '' � PRE-GRADING - • ; •. ROUGH HEATING - - - BENCHING - ROUGH ELECTRIC - - - '- ---� ROUGH GRADING . , ' ROUGH PLUMBING ' - - � . . FINISH GRADING _ . .. SHOWER/TUB TEST -� � - POOL ELECTRIC - EXT.LATH/SIDING ! POOL FENCING ' � • WALL INSULATION � " • � POOL FINAL , CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING f DEDICATIONS SEWER .. .. FINAL ENG. SEPTICTANK_. . ._....: _. __ • .� . . :. .._:._ LAN�SCAPE/IRRIG. ' SEEP PIT/LL..., .. - - .. -'•'.. `.' ON SITE IMPS. �... r: GAS AIR TEST, - FINAL ZONING : FINAL-CONST:, - - - �l , =- FIRE DEPT.FINAL - FINAL HEATING-- -- - - --� - � HEALTH DEPT.FINAL � .. - F�NAL ELECTRIC -- DEV. FEES PAID , - � . FINAL PLUMBING `ENERGY • • • , . . \ � • � . : - . _ . . _ _ _ . ._ _ ._ . _.__. _ . . . , _ . , - - -- - . . .... ._ . _.. . _. _. .. . _ .. _ �`; 1 COMMENTS - � � � . _ _ .- - - . .. . � � � , . . �r .,.�.°-;. . , , . . . � ,� � - � � ; . ' ' + - ��'i � r �i i i . _. . t�..�,� ., 1 ��:_ — � � i . _ .. �. � . .. .�f`��. ..r . :ie! '��..t .Ca�.;� , � ... 'j':('. •':If '.!�:`� 1TT7�' � � ' � _ ,. . ..\ ��� • SEPTIC TANK SIZE � - SEEP PIT/U SIZE . . . . , ,._. . � . ' . _ . . . . _ . . . . . � _. . _ . _ __ �; ��, � , . - ; .� � . \� „`. � .� , . _ � : - .._ � . � .