Loading...
HomeMy WebLinkAbout17323 �,� CITY OF DIAMOND BAR �� DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVIC 21660 E.Copley Drive Suitc 190 C `��,f-/�S /v ,�/ (909)860-3195 Fax(909)861-3117 � ` �I Uv PRESS �'�'�� � BUILDING PERMIT APPLICATION _ � /FIRMLY oJOBSfTE �� dC�S' DATECATIO � O NUMB R �����0��� � ¢ ADDRESS $ ISSUE , '1- �Q 1 ONST.• GROUP APN LOT CT .��z-Cy'I DATE g OWNER S o ADDRESS 0 D ZO ZONING SEfBACKS " ' � CITY � ZIP�7 /7� TE � FRONT RW ❑ APPLICANT TEL REAR p � SIDFJSIDE STREEf RW p CONTRACTOR SIDE p ADDRESS � CfTY ZIP TEL PROPOSEO USE ' � ARCFVENG/ , _ DESIGNER �� �sl � NO.DWEL. NO. NO. ADDRESS � NRS STORIES BEDROOMS � CITY TE N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION O OHMER•BUILDER DECLARATION SFRIADDlREM 3 p I HEPEBY AfFUW LNpER VENALTY OF CERAIRY T11AT I AA1 E7(EIAPT iRdA THE CONTRACfORS U- G8l899/CB�pOR lll CENSEUWFdiTT1EFOLLOM�NOREASON(SEC.7oJ1.68V5INE55MlOPRDFESSIONSODOE:ANYqTYOR (n � COUNiYN74d1RE0Uli�SAPEHMITTOCONSTRUCf,ALTER�PROVE.DEMOLJSH,ORNE7NRANYSIAUG �?� TURE.FNOR TO RS ISSUMICE,KSO REWIRES TME APPLIGMIT FOR SUCM PENMR TO FlLE A SIGNED w Patio/Deck � 3TATEMEM TUT ME OR SNE IS LICENSED PUNSUANT TO THE PROYISIONS OF TME CONTFUCTORS U• � . , � CENSEUw�G1�VTERi�WMMENCWOWIiMSECTqN7000)OFDIVISpN�OFTHEBJSINE3SANDVRO- POOUSpB � - FE5910NSCOOE)ORiW1711EORSHEISIXEMPi7HEREFROMANOTHEBASI5iOR7HEAL1E0EDEXEMP• (' TION.ANYVqUiqNOFSECTION)6]1.6BYANYAPPUCAHTfORADERMiTSU61ECT5iNEAP7UGWTTO Z qa.Roo1 � A GVII iENALTY OF NOT A10RE THM!FNE HUNDRED DOLLAAS(isoo).}: � 04ASO�MIEROFTHEPROVERTY.ORYVEMVLOVEESWITNWAGESASTHEIqSOIECOIAFENSATION, COrt111191C181 - � • . � WILL DO THE YqRK/WD T11E 9TRUCTURE IS NOT IMENDED OR OFFEREO FOR S/�LE�SEC.)aN,BU51� � � NFSS AND DROFESSIONS COOE:TNE COf1TRACfORS LICENSE UW DOES NOi APPLV TO AN OWNER OF = ,_ PROPEqTYMRqBULDSOi11MPiqVESiNEREON,/J1D1N/ODOESSUp1V/OAKHIMSELFORHERSEtFOR ' ' (L TIYiOUdIHISORMEROMMEMVLOYEES.YROVIDEDTWIT3UGiMVROYEMENT3�RENOTINTENDEOOR m �l� OFFEREUFORSALEIF,IpN�EVER7I�EBULDIN60RIMPROVEMINT445qDWtTMNON[YEAROFCOMRE Z �T10N.TME OMT1ER�eUIL�ER YnLL NAVE TNE BURDEN OF PROVWO TNAi ME Ofl SHE DD NOT BUILD OR WMPROVE fORiHE iURPQSE OF SALE} 041140WNEROFTHEVROVEHfY.M1EXCl�SNE1VCOMRACTMOWITfiLICEHSEDCONiMCTOqS � TO CONSTiR/f.T TT7E Vi1WECT(SEG 7o1r,BUSINE55 AND GROFFSSIONS CODE:THE CON7RAC70R5 U- Valuatlon ADJ.AREA CENSE UW DOES NOTMPLY TO AN OWNER OFA GROCEN7V WHO BUILDS OR MIGRDVES iNERECN,AND � M�YJCONTiUCTSFORSUCHVR0.IECTSWITIACONfRACTOR(S�LICENSEDVURSUANTTO7HECONTMP OUAMITY OESCRIPTION �E TORS LICQISE UW.} � O IMI EXEMPT UNDER SEC. B.�V.C.FOR TMIS REASON U ,�, (��� �i u. 2 O U o�TE �Ea � n ' " � w �� , d LICENSED CONTRACTORS DECLARATION w � � IHEREBYAFFlFVAUNDERpENA1.TYOfFEiWRYTHATIAMUCENSEDUNDERFRONSIONSOFCHAPTER � . � S �(CO�MENCWON77HSECT10N70o0)OFDMSIONiOFiNEBUSINE35ANDPRpFE5510N500DE,/J10 Z � � � • - �� MY IICENSE IS N iUIL FORGE AND EFFECT. f � � � ' � � _ � , ' � � UCENSE CUSS UC.NO. / S/ _ ^�.. . �j DATEv��''� � d � CONTRACTOR - d � E Q'Y ` � �/'"� � ` � J � WORKERS'COMPENSATION DECLAFiATION Q NINERE AFFlRMUNDERVENALTYOFGE0.R/itYONEOF111EFOLLOWWODECUM710N5: Z 'T � IHAVEANDWILLIAAINTAMACEfiT1fIGTEOFCDNSENTTOSELF-INSUHEiORNORNERS' a � CpAPENS�TqN,A4PROV10EDBV5ECTIONa70oOFTHfLABORCODE,FORMEPERFORIAANCE U � ./ Q TNE VVORK iOR riHIp1 iH13 GERMtT 19 4YSUED. � IHAVEANDWILLWIHiA1NWORKERS'COA7PENSATIONINSURANCE,ASREOUIREDBYSECTqN �J � O ]7oaOFTHELABOiiCO�EFORTMEVERFORMANCEOFTIEWOPoCFORWHICH71115FERM1T15 ' � ssuEo.�KE�r�ws�c�wai��rtt�nna�ane CONSTRUCTION � GwraER �� .��11 PLAN REVIEW Q� Po��Cv M�ueER �(� / — ELECTRIC . w a 0 (MSS[CIIDNNEIDNOTBE001.slFfEDOFt�Ev6YKtBPoRdJElalr,Oq£'n�aLUSRtm7oHlEss} PLUMBING � I CERTIFY THAT INTNE CERFORIAANCE OF iNE WORK FOR WHICH TNIS PEM1iT IS ISSIIED,I MECHANICAL /' � S�W1 NOT EMPLOYANY VERSON N ANY MANNER SOAS TO BECOME 9UBJECT TO THE (q N'ORKENSCOMPENSATqNUW50FG11FORM�ANDAGREETINTIFISMOULDBECOME INSPECTIONFEE - '� 6UBJECTTO7HEWOfLCERS'COMPENSATIQVVROYISqN50F5ECTION77000F7NElA80R ( � COOE,1 S/ULL FORTMMIH COMPLV VA1H SE Pft,O�VI,5�10N5. ISSUANCE � �V 1 l � � � �- D�� �� \ � � p DA7E APPLICANT: I/ //r �SMIP �.- � WAANIN�:FAILURETO3ECUREWOf1KER5'COMFEN5�71ONCOVEMGEISUNLAWFUI,ANDSHALLBE ENEHGYPlC '�. 'S,! ^ � (—'y SUBJEGfANEMPLOYERTOCWAIINALPENALTESANDqVILFWESUPTOONEMUNDREDTHOUSAND ENERGYPERMIT \ DOLURS(iloo.o001,�N ADDRiON TO THE COST OF COMPENSATIDN,OAMAGES AS PNOVIDED FOR IN � J SECTION770eOFTHEUBORCOOE,WTENEST./WDATTORNEY9FEES. , � � oC RETENTION FEE: __ �-'` l� � CONSTFlUCTION LENDINO AGENCY PRE•ALT FEE: � � IMEREBVAGGIRIIUNDERPENKTYOFFERlURYTMATTNEREISACONSTRUCTqNLENDWOMENCY n 1 ^ � �� FOq TME FER W RMMICE Of 7ME/W�ORK FOfl WNICH THIS PERMIT IS ISSUED(SEC.]oW,qV.G). � IENDER'SNAAIE____ _l��'v" � � . . � LENDERSADDRESS w� TOTAL FEES '3L�L� � il� I CERTIFY TXAi I HAYE PEAD THISAPPLILATpN IJYD STATE TMAT T1E ABOVE INFORMATpN IS CORRECT, � IAGREETOLOMPLYVlfTHN.LCfiYANOCO1MTl'ORDIWWCESANOSTATEUNSRELATNOTOBUlDINO ,v I„ �TRUL710N,ANDMERE9YAUTHDHIZEREPRESFNTATIVESOFTNISCOUNTYTOENTERUPON7HE � 11BOVE�MENiqNEDYROVERTYFOHINSP qNvuaaosEs. COMMENTS _ � /'-J m GERAIRTEE NMIE(PRi � . � ,c,�..�-i� �/O—v/ � 61(1 OF PERAUTT DATF � RECPT.NO. PAID BY VAUDATION WH�TE—Oepanment Copy,YELLOW—Finance Copy,PINK—AssesaorCopy, OIDENRO�File Copy.GREEN—ApplMant's Copy CITY OF,DIAM(3ND BAR , � � �� I[vSPEGTIOh! RECORL' . � , �•tj'..����`-�� .t!� �i��4'�:���?���.�•1� � ; l���-�r���',el���°�y�.,v.�.__ .t�a.��'_ ._ `+�v�'7r1•�.a.�`'t��.,;C_ iSET BACK - . �^�v. , ` �Y�FLOORJOIST_'��_ _�1> i FTGS/FORMS/STEEL FHA REQMTS � , i ;�LECTFiIC GROUND ' UNDER FLOOR DUCT - `�.'—�_ _ GROUND PLUP�IBING UNDER FLOQR CO�IDUIT � _ ' ,SLAB GRADE FIREPLACE FOUNDATION 1 'TEMP POWER FIREPLACE BOND 6EAM � - - • �WATER SERVICE MID NT. BOND BEAM ' ROOF SHEATHING � �L ��„�- 8 Ff.BOND BEAFA `^ • !FRAMINGNENTILfAT10N �.p - FINAL BOND BEAM _ 'ROOF COVF_R PRE-GRADING • - " °ROUGH HEATING -�-�1, BENCHtNG . � - - t 'ROUGH ELECTRIC . ; ^(�'OZ ROUGH GRADiNG �ROUGH!'LUMBING'' - - ^(��t' � , FINISH GRADING SHOWERlTUB�TEST - POOL ELECTRIC ;EXT.LATH/SIDING `Z .L . _ _ �, PDOL FENCING � ' �WALL INSULATION � ;5-p'L POOL'FINAL ��_ CEILING INSULATION c� �Y>' OFF SITE IMPS. DRYWALL NAILING � �� ,.�, �d�,a.ifi� D�DICATIONS _ _ __ � SEWER � �� FINAL ENG. SEPTIC TANK L.ANDSCAPE/IRRIG. I I� ^ :SEEP PITlLL. ' �-' ON SITE IhAPS. �l-----�� __ ' 'GAS A!R TEST �� ljf� FIPJAL ZO"d!NG � i�_ _ FINAI�GON57 . •��l7/�� . ' � FIRE DEPT. FINAL j F1NA�HEATING _ 3'� �• - HFALTH DEPT. FINAL � FiNA�EUECTRIC 'w ` DEV. �EES FAID �,� � _4_=__ iFl"1ALPLUMBWG - / = EyERGY Irt ' _ � . __ -- ---- � : ���z��'��-.�. -___ , _�_------ , .�:�„��......�.�.. -� r,K �� ,,S fi a � I ' . . ; _..� _�.�_' __�.,. <_ - ------ ' �COMMENTS — ' • -- ----------- ----__. __ _ . ---- — _ - _ , . ; ,� , — .._ _ , _ �� - _� ; _�_�_��.---___ , _�. .� ;. �: . ,�... : ` ;F; J�.,,� ' _- -,------- . • , . . . .. . , , -- _ . �.�1 .C� l� : < i � �� ._ L .t - C. ,� � � (_ � — ---------- _ �� i — —•-- � � � _ , � ��r� � j — , ------- .------ � .SEPTIG TANK SIZE ! - —^ - --------- . � '�SEEP PIT%U SIZE , -- � �� ....,...,.,... � , ; �, `�1`�.��-'�- . t. ' + "'f ; ) � `' -------- — -------- .� , - � �,� -� — — --- �'-'�`� ----- � .��! � --------- ��"*� � ----- — � � �� 1 ---- _ �-__...�. l��`�*� .-., � ,- , • � � � -- -