HomeMy WebLinkAbout15195 �� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNTTY 8t DEVELOPMENT SERVICES y 2t�oE.cop��yna�es�c��90 � (909)86Q3195 Fax(909)861-3117 PRE$$ � ������^ BUILDING PERMIT APPLICATION FIRMLY � JOBSITE Q�{ APPLICATION � «j) PERMIT �51 P� o ADORESS�07 J OL�CY�top1= Q�t,G-'c DATE V v NUMBER b c� ISSUE TYPE / . OCC . APN LOT TRACT DATE CONST. GROUP p OWNER f!A�" S M4 Pid�t7 " ADDR SS1Q7'7 Otic�.�00Y. e�V'6� n ' ZONING SETHACKS O ��7y ��AM.o.yo Q�l2 ZIp i4'�+f TEL90�' '��O FRONT RW ❑ � APPLICAPfT W�D E .S� �+�tP3��� TEL. SM�t REAR O � SIDFJSIDE STREET RW ❑ CONTRACTOR SIDE ❑ � ADDRESS PRaPOSED USE CITY ZIP TEL Pu ARCH/ENG/ • � � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANAIUATION y Q OWNER-BUILDER DECLARATION ' � SFR/ADDiAEM O p 1 HEREBY IIFFlRM UAER iENALTY OF PEIiIURY TUT 1 MI E%EMPT FIIOM iNE CONTRACTORS LF Garago/Carport W CEHSEUwFOi1THEiOLL05VwORE SM1(SE47001.6BUSMESSANDPHOFESSIONSOOOEANNCfi`/OR (n C� OOUIT�WV/IO/REOJWE5�7ERNR7000NSTfA1CLALiE0.YAPf10YEDEMOLlSH.ORREPAIRIWYSTRUG W Patlo/peck - LL� 7URE,iP�OR fOITS ISSUFNCE,AL50 REWI11E5 TNE APPLIGAMf FOR StKM PERMIT TO flLE A SiGNED � W � ETAiEMENf TH1R NE OR 6HE LS UCENSEO PURSUANT TO TME iROVI510N5 OF iNE CONTRACiOfl9 l4 � CEHSE UM�(GUPTEN i�Cd�MENCMO YATH SECTION 7000)OF DMSION 7 OF THE BUSINESS AND PRO- LL PooUSpa FESSIONS COOE)OR THAi NE OR SHE IS E7(EMPi TMENEFRDAIAND THE BA515 GON THE ALIEOED EJ(EMP• TqN.ANYVIOLATqNOFSEG'TWNTWI.6BYANYMPLICANTFORA7ERMiTSU&IECTSTHEAPPLIC�NTTO Z Re-Roof F ACMLPENFLTYOFNOT►10PETUN�NE/M�DREDDOLL�RSff5o0).): . � ' Ol��'NEROFTHEPAOPGRTY.ORMYEMPIAYEE5NA7HW�GESASTNEIR50LEWMPEN3ATI0N, � COR1mBfCidl . ' . WILL p0 THE NpFiK ANO THE STPUCTUR[IS NOT IMFNDfD OR OFiEREO FOR SALE�SEC.70u,BUS6 J NE55 JVA PROFESSIONS COOE:TNE GOf�lTMCT00.5liCENSE Uw DOES NOT APVLv TO AN OYM[R OF N PfqPEqTYWT10BVILDSONMPROVESTMEREpJ,ANDW1/ODOESSUCHWORKHIA4SELFORH[FSELFOR = � 7T6iUJOHW50RMEROVME/�1ROTEES,YfqVIDE0TMT5Up7WPROVEAIENTSMENOTN7EN0E00R m OFFEFIED FOH SALE�F.IqWEVER711E bULDIN00H MP{10VEMEM IS SOLD NnT1aN ONE YEAR OF CqAPLE- � iqN,TIE OWHER�BULDER YALL MAVE iHE WfiDEN OF pROVPlO iMA7 M[OR SHE DiD N0T BUltp OR MPFqVE FOR iME OURPOSC OF SALE). � OLu�MT�EROFiHEYR�PERfY.M1EX0.l�IVE:Y(%1NTMCINONTTNL�CENSEDCONiMCTORS TO OONSTRUC'T T1E VHOJECT(SE4 7oM,BUStNE55 AND PROFESSi0N5 CODE:hIE CONTMCTORS LI- Velu8liOn ADJ.AREA C@ISE UW DOES NOTAP7LY TOAN OWNEF OF A PHOPENTY YJHO&1LDS OR UAPpOVES 7T1CREp1 JWO � W/qWN7MCT5FORSUCHFR0.1ECT5YnTiACONTMCfOR�S)LICCNSEDPURSUAHTTOTIECONTMG pUANTITY DESCRIPTION FEE � TORSLICENSELAW.�. �O I IM IXEYPT UNDER SE4 B-1 P.G F0�1MI5 REASON Q 3 � � j � �.. � M7E J ' � `��Z1L� OWNER D �M Sr� U '.� . v � W LICENSED CONTRACTORS DECLARATION —� � W IHEREBYAFFYWUNOERPEWLLNOFVE0.IURYTl1A71MIl10EN5EDUNDEA7POVISION50FCHAVTEN � . � /(COMNENClKiYATMSECT10N7aao)OFOMSpNJOFTMEBU51NE55ANOPROFE55iON5G00E,AND Z X W LICENSE 6 R1 FULL FORCE AND EFGECT. m lL � � LICENSE CUSS LIC.N0. J U pn7E corrtaacion a . lL , � � WORKERS'COMPENSATION DECLARATION U ' G �C yJ7��5�� N IHEREBY�IFFdWUNDERPCNILLTYOFVE0.AIMONEOFTHEFOLLON'INCDECVlRAi10N5: . 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ISSUANC- �� � � SMIP ITl'OF DiA Mllt�m n� � °A� ���"�""�: ,7,i,�lILDIl�I�qWDzS�1FE� WAANIN�:FAILURE705ECUAEWORKERS'CdA7EN5ATpNCOVEiUGE15lINUWFIJL,AND5NA11BE ENERG � SU&IECTANEMPLO'/ERTOGiUMIIL�LPENALTIES�NDCML�WE9UPTOONEMUNDR[DTMOUSANO ENERGYPERMIT OOLLAR$(t100.0001.��DDITION TO THE CAST OF CpA7EN5ATION,O�AGES AS PROV:�ED FOFl IN ¢ SECTIDN]7UlOFTMEUBqiCO0E.W7ERE5T,MIDATTOfiNEY'SFEES. RETENTIONFEE: a • CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O ' � IHEREBVAFFIRAIUNDERPENKiYOFFER1U11YiHATTHEREISACONSTRUCTIONLENDWCAGCNCY FOq TM[PERFOHY�HCE OF TN[WOFK FOR WMICN TMIS VENAIT IS ISSUED(SEC.]OY�,CIV.C.j. � , � LENOER'S NAME ' � � IENDERSADDRE55 � ICERTIFYTXIITIXAVEflEADT/115APPUGTpNM105TATE�TTiE�DOVE1NFOfLl1�TpNISCORRECL TOTALFEES ' ���D W IAGREETOCOMPLYWITHlLLLCRVANDCOIMTYORDINNJCES��fASTATEUWSREUTWCTOBU0.0�N0 ' � WySfRUCf10N,ANDMEREBYAVTlqfiREREPRESEMATIVE50F7Y115CWNTYTOEMERUGONTHE � � Z ABpVE�IAENTIONFAFROFEH7VFORwSPECTIONPURPO5E5. COMMENTS _ /?DC �lk �lwt� m PERMI7TE E(PiUNn u¢i c'C.� iQ• �-✓�-!" �- 3'S'�� ._� - vj SiONAT�JREOFPF0.MITffE UATE � RECPT.NO. PAID BY VALIDATION VVFi1TE—Deperlment Copy,YELLOW—Finence CoDY.PINK—Asseasa Copy.GOLDENROD--Fi1e Copy,GREEN--AppliranCs Copy . . . ... _ . . ,. . . � . , .. , . . , ... . . , , . . . . ,. . . ... ..._.... , . _ . . . ;% ;-'�, CITY OF DIAMOND BAR , , � l �`" ,. ._'� INSPECTIOP+! RECORD . ,. . .� ��'�; _ . ..., . ._�.. •. . . y ., _ '�-- , �,. .. . _ �l�'.F7��.°�C�s)�'t� a�'a1[`� _�I���,��J,' 1��-��a�pl���l�+��w���T�►3� �r►�.��..�3c���°��.�,J.. jSET BACK , ;,'�,; � 1 - - � f��•, _�� I �� FLOOR JOIST � I • �� c � „, � �- , . _:. , ...... , jFTGS/FORh1S/STEEL.,. - .. ,. .:� .. ---- -- -; ,-' i ,::.; FHA PEQPATS - - - --. . - --..-. � �.. _.. , ;ELECTRlC GROUND_ ._._ .___... ���� .� -_...' . .: �;.! `, ' . U�dDER FLOOR DUCT -. • � � " ' '� iGR�UND PLUt,�BING _ UNDER FLOOR COf•t UIT,::�_� � ���� `��. . �.,���,;� -. _ ' � .�. • - _.:_,. �SLABGRADE--- ----- _ '�'•' ---_ ...__ . .._ .... . _. '+ : ; FIREPLAGE�OIiND<,�3i0tJ -' �:�•. - ,•:.c� c.�•,•,j�.f��, . , � �, ,.-;— �7EF,AP POW�R - ... .--,,;- --._.. .__._.... - _,: ;: �:.,_ : - FIREPLACE BO�Ia BEAM' -- �• ,,,: :_. . :L•.;: ,. � - ` . , iWATER SERVICE --- - :--_- -- - ---- ='` PJIID HT BOND BEAM • ' . 'ROOF SHEATHIPJG - I�e FT. BOND BEAM - - - - - -•- - � - " ! � _ IFRAMINGNENTILIATION -- --- - - ---- - --- FINAL�BOND BEAM �� IRObF COVF_R � . ��•• . PRE-GRADING - _. � ,.. iROUGH HEATING ----- - .. ` _ -- -- ` BENCHING- - _ � iROUG!-i`ECECTRIC--.-' --- ' .: . . . , ': '_ . .'.� : . ROUGH GRADING -- , iROUGHPLUMBING- ---- ---- ----� = ------- -- FINISHGRADING ; ;_, !SHOVVER,TUB TEST-� - - ---�-- - : -- - -....:-__.. _ POOUELECTRIC . � . • I ;�, 'EXT:-I.ATH!SIDING -- - - -- _ ;- POOL FENCING � , � : ; ;WALLINSEILATION---� --- ---- � .---- -- �_ _ POOL.FINAL �, �. ; : , "CEILiPJG IF:SULATION; .. --- ---- ; -- - - - -- OFF SITE IMPS. . ° , ', _ ;DRYWAL.L NAILING_ . ... .. ._._ . _... D�DICATIONS , .. . . , . �SEWER-� -- ---. ...... ;... ;--- . .FINAL EFdG. ,. SEPTIC TANK i � LANDSCAPE/IRRIG. � ,' ' � : +SEEP.PIT/LL. • ON SITE IMPS. ;GF,S kIR TEST ' �� FINAL ZONING ' ' - ; , . , . __. ,. 'Flf.vF,l.COf�ST....!. ..___..__ � .. __ FIRE DEPT.FINAL � . � ; _._.. . _.. __... .__. _ ....... . ;F1f�t1L HEATING .._. .--- _�.=�rO ; _ HEALTH p�,PT. I, AL. --;�: : .�,=.t . � _c- "' � . —._ _ _. �_ . �- � DEV. FEES PAID ��'iC1i.�ELECTRIG...... -... - . -- -- � ---- !�,_;�.�n.l.PLUMBiNG - - - _ _ . _. _ - - ENERGY � . , ,�.._..__ . ._. _._. . .-�---..... . ----- ----. .... . . ; I , •- --- � .. � --- --- - - .. .._. . - --. _._ .. . — - _._--�_���_..._._�_....__� , . - - - - - ca�'aF:c;�—.�1:+C• ' _ ..:�4:.. :�:. , iuO��MENTS - - ��-.r. .�_ � �... _... , � ,� � . I " _ '_ . . ; . , . , ---- � - --- -� - - ... ., .... ..--. ... _. ._. . ; . . i � � � , - - � .. . _ -- - --- - _._. . . , � . _ .. _.__ ._. _. _ , . _ �.., i °1.}������' I , .. � � , j -- _ . ... _.. . � t� �� I11+ i L u�.� �_�TII.. i . . �.� _ � ` .� ••. , �. . .. .. .. .- -- l4t��u .A�:�%:''�.'.`.1',�".'.'-" rr .. . . . , , - v ::• -^r,;i�� r:'`'�i�+.liC.� � " � ;SEPTIC TANK SIZE � � � ! � .. . ... ' ; .. . .. . . �SEEP PIT/U SIZE __ _-.. . . . .. . . _..._._ � ,-,..._...:T. . � ' • . . � .. .._ .. -- - , . _. . . _-.��,....� �- - - - � � , � � .....: - - - . i �.... _ _- i _ _ _ _ _ . 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