Loading...
HomeMy WebLinkAbout13608 , . • . ., . ' ' !� CITY OF DIAMOND BAR • ' " '��' ' � DEPARTMENT OF COMMUNITY&DEVELOPMENT SEF.VICES 21660 E.Copley Drive Suite 190 ' � '�� • (909)860-3195 Fex(909)861-3117 , � � PRE$$ �*���� BUQ.DIIVG PERMIT APPLICATION . ' . . � � • FIRMLY � JOBSITE ��j�� �� �' APPLICATION ',C� Q ERMIT�LzJ� P/C�a- (Q � o ADDRESS 1 m 1 n� � DATE _ UMBE JVl/ � - 1 l 1 L� $ ISSUE r , TYPE, OCC APN ' LOT T CT DATE CONST. GROUP � OWNER eZ- �` ADDRE S 1 � ' ' ZONING SETBACKS Z CITY ZIP TEL - � FRONT - RW O � APPLICANT TEL - REAR ❑ ' � SIDE/SIDE STREET RW O CONTRACT � SIDE ❑ Q ADDRESS ` - ;PROPOSED USE�(x � CIN ZIP �TEL. o AFiCFVENC/ � . . - - � � DESIGNER NO.DWEL NO. NO. - ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL N DESCRIPTION " Sa.FT. FACTOR PSF ADJ.AREA/VALUATION , N i � OWNER•BUILDER D�CLARATION. � ' SFRlADD1REM - � - O � p I HEREBV AFFlRIA UNOER PENALTY OF VERRIRY 111A7 IM1 E%EIA7T iH04 TNE CONTRACTORS L4 GaraqelCarport � - ' ' � Cfl15ELAWF01tTiEFd10VYedORFA..aNISEG7W1.6BU5PlESSANDDpOiE5510NSCO0E:/�M'CITVOR (n G.1 COI,NryMMKJIREOUWESAVEHMRiOCONSTia1CT.ALTERMPFIOVE,DEGOUSH.ORREPAtRANY5IRUP W PatialDeck. . � T11RE,PfiqA 70 R8199UANCE,A450 REW�RES TME AiPlIGM1T FOR 9lKH PERMIT TO FILE A SiONED� w � STATE4ENT THAT IE OR 9HE IS UCEN6ED WRSUMR N TME VROYISIOHS OF iNE COHiMCTORS L4 � CENSE lAW�6UP7ER�(COM4ENCllO YATH SECTIOH 7000)�DMS�DN]OF THE BUSINESS ANO VR0. u' POOUSpe FE59qN5 COOE)Oi11NAT NE OR SHE IS EJ(EYGT iHEREFROM AND iHE BA515 FOFi THE ALLEGED E%EMi• 7qN.l�M/VqLAT10NOFSER10N7o]t.68VANVAPPIIU�MFORAVEiWiiSUB1ECT57HEAPPLICANTTO Z pe-Roo1 � . F ACMIPEfMLTYOFNOTIAORETIWJfNEHUNDREODOIUPSIfSCO).z ' ' � Ot1S01M1EPOFTHEPROPERiY.ORMYEwPLOYEE9WIiHwACE5A51NEIfISOIECOMPEN5AT10N,' � (',pnmBfCl21 � MA1 p0 7!ff WOHf,MIO THE STRUCTUf1E IS NOT MENDED OR OFFERED FOH SALE(SEC 7oN,BU51- J NESS AND iROFE5510N4 COOE:THE CONTMCTORS LICENSE Uw DOES NOT APPLY TO AN OAMNER OF� N iROVErtTYYYFfOBUIDSORMPA0VE9il1EREON,/M'M10DOESSUGIWORKHIMISEIFORMERSELFOR � _ � (t TiiIOlNL1W50RHEROVMEVROYEES,PRDN�EDTHATEUdIWPROVEYENT3MENOTNTEN�EDOR m L�l p�EqEpFpq$/�E,�F,IqNlEVFi�T1EBUlDINOORMPROVENEMISSOIDMRfWNONEYEAROFCOMPLE• Z �TqH,TIE CNR�ER-BU0..DER M/ILL HAVE THE BVRDEN OF PROVHO TUT HE Oq 6ME DI�NOT BUILD OR = MPROVEFORTEVURPOSEOFSALE} � _ � O1�.70WMEROF7HEiROPERfY.IWE%0.USNELYCOHTRACTWOWfi}IUCENSmLONTMCTOR+ _ . TO CONSTRUCf THE VROJEGT(SEC.TOM.BUSINESS/fO VfqFESSiONS COOE:THE GOMMC70Ft5 t4 V01UellOfl ADJ.AREA CENSE UW OOES NOTAVRY T011N WlNER OF A PROPERTY YRq BUILDS ON MaROVE9INEREON.AND N�q00NfRACTSiONSlIC11VRdECT5W17HA00MMCTOR(5)LICENSEDPURSUANfTOiMECONTRAG OUANTITY DE RIPTI , / . , FEE � 70RSlJCEN6EUW.). . � I O 1 AM EXEMPT UNOEN SEG B.t P.0.FOR THIS REASON � U 1 CL _ � , 1 � LL' DATE OWNER � ~ . ' � . . . . . . . w ' LICENSED CONTRACTORS DECLAAATION w ��•v � IMEREBYAFFIRMUNDERPENALTYOFVEiWRYTW�TIAMLICENSEDUNDERP{qVI510NSOFCHAPTER Z � s ��COMNENCHOWRHSECfUN700olOFpm510N70FiHE8U5INE55ANDVROFE5510NSC00EAND �. X MY UCEHSE IS IN FULL fONCE AND � ' " � L1J � UCENSE S UC.NO.� J • V DATE — � ��T n' W � WORKERS'COMPENSATION DECLAFiNTION a � , N U � � . N IHEREBYAFFtlWUNDERFENALTYOFPERlUfiYONEOFTNEiOLLOtNNUDECLAMTiONS Z � Q . . O _IHAYEANDNIILLWUNTAMACERT61GiEOFCONSENTTOSEIFdNSUR[FORWORKERS' S 1_ '. . • . . � . ' Q [dIPENSATION,ASCNOVDEDBYSECTION77000F7HELABORCOOE,FORTHEPERFORMANCE �U OF THE WO�K fOR WHICN TNIS PEiW R IS ISSUED. � � �IIUVEANDWILLMAMTAPIYA�➢CERS'COMPENSATIONMSUIW�CE,ASREWIREDBYSECTION �' ' _ . � ' ' ' �' ' � /�I r�� Q �70oOFTHEIABORC00E,FORh1E0ENFONaANCEOFTHEWOPKFORKT11CH7MI5PEliMITIS �� ISSUm,�,ryNpq R Cp.��EN TIONWS CEGHNER voucrNur,+eSAuiE: CONSTRUCTION I' ' . � ��o�� r��r,� . , , , GARIER PLAN REVIEYJ � +� � . � POLICYMIAIBER �� i ELECTRIC , , • 1 �� ^J� . 0 (nassEcr�oNN[mNore[m.slEimoP7YEOEaMisFOilOrLtunpLDOCUuts(f�0%atLFssl PLUMBING �■_��j Z 1 CERTIF`f iMAT INhIE PEAfOR1AANGE OF TME YlOFiK FOR W WCNTHIS VER1Aii 5 LSSUE0,1 MECHANICAL� � e"r,• �'n '�^,�n � � U� (, SlIALLNOT EMPLOYANY PERSCN N 11N'I MAMIER SOAS TO BECOME SU&IECT TOiME I I f�I�+�) �`� � N 1MDRNER5CdAPENSATIONUWSOFGLiFORNI.�AND�GREETM�TIF1511011DBECOME INSPECTIONFEE T� A SUfi1ECTTOTIEYNDW(EH5CO►�PENSAM7NPRONSIONSOFSECTIDN77000F E OR CITY��F' 1�1 11�:��-�i�'i1J li'��� � ,c�ooE,�i,s,ww.� n�eoua�r OSEPROVISIONS ISSUANCE O ne�ld=1-� ��n(� � SMIP �iJILC}rN:i ;tr•�1::i:�l.t't:!► ��� 0 � p DA APRICANT: S `^^ • - � � � � ENERGY P/C W�RMNO:F��URE TO SECURE KOR1(ERS'COMPENSA710N COVER�GE IS UNUWFUL.IW D SHALL BE � � � StIB.IECEN1EMPLOVERTDCRWNALVENALTIE5IWOCMLFWESUV700NEHUNDREDIMOUSANO� ENERGYPERMIT ' pOl1MS�fIao,DOo),N►DOITIONTOTHECOSTOFCOAIPENSATION.DAMAGESASP0.0VIOEDL01iW ¢ SECTIDN�7osOF iME V�60R COOE.NTEREST,MIO ATiORNEYS FEES. ' RETENTION FEE: ,�.,���,, � a CONSTRUCTION LENDING AGENCY PFiE•ALT FEE: V"1 � � � O � IHEREBY/�FFIiWUNDERGENALTYOfGEM1qYiM1�T7HEREISACONSTRUMIONLEN�INOAGENCY . FOft7YIEPERFOfNWICEOFTHEWORKPoRWHId1TNISPER41TI5ISSUED(SEG7WI.CIV.C.). � � LENDER'S NAGE v � � LEWEH'4ADDN[55 \J� � �CERTIFYTHATIIUIVEREADT/15APPL1G710NAND5TAlEiW�TTNEABOVENFOiWAT10NISCOMECt TOTAL FEESQ��� �� � ��1 ' � IAONEETOCO�.�DLYWRHALLCITYANOWUNTVORDwiWCE5/�1ID5TATEUw5REU7t�OTOBUIlDMO //{{�� CONSTRUCTION.ANDH[REBYAUTFIOWZEREVRESEN7A71YESCFTwSCOUNiYTOENfERUPONTHE ���� � � . S� �BOVE�YENTIONEOVROOER7YFDItNSPECT10NPURPO5E5. COMMENTS 9 � � � m PE E WwE(PR117T) � Q "' � y 110NA EOFVERMIT7 DAIE � RECPT.N0. PAID BY VALIDATION ' �� �-� - NRi1TE-0epertment Copy.YELLOW—Ffnence CoP/�P�NK—Aseesea Copy,G LDENROD--F,Ie Copy.GREEN—Applicent'a Copy - �- - - . . . , . , , . . .. ...�_;.; _..:.:... ...... . . .... .. . ,.. . _ _ _ . . . . . . .. . . _ — _ �.� ��._ . n , . , .. . - � CITY OF DIAMOND,BAR ;; .. , , ; . ` . = ' • 'INSPECTION�RECORD. � '� .. .. � . , . . , . . . _ , ; � ., _. . . . , . . , , .,, _ . � � � � ' • � + � � - ,SET BACK, - ' ' :., ti j '' + " t ! :� ' •FLOOR JOIST ; ,, : ; ,, '; � ' ' , , ' . . ; . . , .. . ,. , _. , , .__ :.. . . FTGS/FORMS/STEEL ,q -: FHAREQMTS. _ _- -- -- , . -._.__... _. ......_ ._ -..i ELECTRIC GROUND --- 1'. � ` � -- -. UNDER FLOOR DUCT �-� - ' � - - ..� GROUND PLUMBING ��' ' '� • UNDER FLOOR CO�IDUIT'�'� � r i'�`/' :`: ; � -� �:, ; -" _.. ., . SLABGRADE_. _._.... ------ --._. . . - ,; ., FIREPLACE�F�UNDATION �'� '.� . �'_� �' `,.�. :: :-.�`. '.r:: ' '; TEMP POWER ----- _ _..__.._. .. �- . .. : '.. ' : � FIREPLAC�BOND"BEAM . :. .. ._ ' ,_.� ---_. . . . , : _-- --- . ..- - ----+ - WATER SERVICE •=_. .:.-. _.._....: . . . . :. ....... ... . '- :-. :MID HT. BOND BEAM -- -� : •_: .; r :.,_ ..•, __. ',. .. . . � ,. , ROOFSHEATHING'-' �_� : � ; ':. : :'ir:,_'_� •_ . � :. - --- • .- - �8 FT.BOND BEAM : • ;,•, i � FRAMINGNENTILIATION .__ FINAL BOND BEAM '� { �; ROOF COVER . ..; ..'. PRE-GRADING ..... ---- — -- _... .._.._ . � , . . . ROUGH HEATING •� -- - � �--- �- - ��--- •BENCHING � : � ,- . ... � �� ROUGH GRADING • . ; ' = ROUGH ELECTRIC-�....._.• .._.. . _. ....�_. . --. ;-.._, .. "ROUGH PLUhJ1BING-• - _ _ -- ------- -- :- . FINISH GRADING , . . . . .. � `: SHOWEH/TUB TEST - � -� � �-- � -: POOL ELECTRIC � � ' -� EXT:�LATH/SIDING i -- - - ' �� •;._. : � � -.• . POOLFENCING � ' WALL INSULATION ; ' � POOL FINAL . �.. ' . . • CEILING INSULATION � OFF SITE IMPS. � i :�: DRYWALL NAILING DEDICATIONS ' ' ' . ' - ' ; � : ' SEWER_. . . _ . . .'. _ . .... .FINAL ENG. . . . ,. . ; -. - � � -- SERTICTANK._. �. ....- - ----. (',:. .,..__ ,•;.._ LANDSCAPE/IRRIG. : - .: : '. ' ' SEEP PIT/L.L...= := ..=:_ ._ = - - �'t' ' ON SITE IMPS. ,. . . , ,.. - . , . � ASAIRTEST ;•' ��(5�1. ; � � �' - FINALZONING � -' ��1NAl.CONST.� �,,Q� � FIRE DEPT.FINAL - ' , . 'FINAL HEATIN - , ' � - HEALTH DEPT. FINAL -- . . _ ., : F1NAL'ELECTRIC � -� i - DEV.FEES PAID -� - ... ._..._.. -----� FINAL PL'UMBING + , . � ENERGY • • • • • • • � � ,� ; . ,�� ,4 �, , _ .. � . ; _. r -• - • � `_� _ . . . . , . .. _. _ , , �.._,._ . , .. , __ � _.....__ . .. .. ._... CQMME�JTS_ - _ _ . ... . - . ; ; , , - �' 2` y __�.S '��-�Q . , � . . . , ! 2� ���.,���,��'v� . . ' . " ' � . :. , ._ � . - ., ' . , ; ; , � --- ; - - . - � . � ,'- --.. � � . . . . f � ; � � „�+��� i _ . . . �� � _, . . . :. � r _ . ..... _ :, : ' ; _ _ . -—., ' . , .. ,_ , . . I : SEPTIC TANK SIZE -. ' SEEP PIT/U SIZE �� -� , _ _. . _, �..� . , , ; ,. . ,. , . � � , ; _ ' J , , , , . _... . _ � '.�� . _.._..._ .. . - - - . , . . , . , , �'�} ..`i -_ �� . -- -. _ ..; � . .. _ . . .� ..�� �' _ � , . : ;cc,L `.� ! ,- , � - ;, , � - ; , . ._. . _ _ _ . ... . � � ^ ` _ _ , _ : . - -� ' , - ._ . _ � ;� . �= . . - c-- 1, � . -_ ' ' -- . - - - .._ .. : . .... - - � � -,. . i .. �