Loading...
HomeMy WebLinkAbout17321 (26) _ _. __ . .- - , _y CITY OF DIAMOND BAR `� - J�' - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �w 'I � 21660 E.Copley Ihive Suito 190 (909)860-3195 Faa(909)861-3117 G/�s�G� �C �r��RMLY ��^�� BUQ.DING PERMIT APPLICATION JOBSITE � ��. / �t APPUCATION 2 � PERMiT P/CQ —Z < ADDRESS � �w DATE NUMBER�y�N 0 � APN LOT TRACT -1 v�c_''? DATE ✓' � ONST. � GROUP � OWNER � ZONING SETBACKS � CDDRESS � 21 TEL < < < FRONT ' '� RW O APPLICANT TEL R�A � � SIDFJSIDESTREET RW ❑ CONTRACTOR � SIDE ❑ � ADDRESS • CITY ZIP TEL PROPOSED USE ' � ARCFUENG/ w /+S, DESIGNER -� �L NO.OWEL NO. NO. ADDRESS � UNITS STORIES BEDROOMS � CITY I�TEL � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AR ANALUATION � OWNER-BVILOER DECLARATION SFR/ADDrAEM O � I NEREBY AFGIiW UNOER DENALTV OF VE0.R1f1Y 7HAi 1 M1 EXEMPf FROM iHE CONIHACTORS U. G81800/C01�0� � 1 O Q CENSELAWFONTHEFOLLOM�ttkiNE�l70N(SEC.70J1.6BUSME53ANDGROFESSIONSCODEM"lqTYOR (f� �pUNSYNF1141RE0UIRE$AVEHM?TOCONSTRUCT.ALTERNPROVE.OEUOLISH.ONREVAIRANYSTRL'G W PatiolDeck IURE,VRIOR TO RS ISSUANCE,ALSO ft[WiHE4 TME APPL�CANT iOR SUp1 FERA/1T TO FlLEA SI(3NED � � lUTFMENT 7HAT HE ON SME IS LICENSED PU0.SUANf TO THE PROYISIONS OF THE CONTMCfORS U• , � CENSE UW(CMAiTER i ICOMMENGNa YA7H SECTION 7000)OF DINSION]OF THE BUSiNESSAND PRO- � PooUSpa iE54DN5 CaO�ORT}N7 HE OR SHE IS EXEMPi TNEREFRdA AND THE 8ASi5 FOR iHEILLf6ED E%E�P• TDN.FNVVIOLATIONOFSfCTqN70.71.6BYANYAPPLIGNiFORAGERMIT5UB1EGT57MEAFPUGNiTO Z Re-Rool � A CML VENALTY OF HOT MOR[T1/AN FNE HUNOPED DOlURS(f5o0).r � ❑LA50VMEROFTHEFf10PEH7Y.ORMYEMPL0YEE5Y'/ITHWA6ESASiHE1RSOlECOMPENSATION, � COmfn6fCi81 . � WILLOOTHEWORKANDTHESiRUCTURE�NOiINiENDEDOROfFEREDfORSIlEf5EC.70��,BUSL J NESSAND VHOFESS�OMS OOOE:TNE CONTFUCTONS IICENSE UW DOES NOTMPLY TO AN OWNER OF � ' � � � /i1OPEHTYMHOBU1lDSORIMPROVESTMEAEON,ANDWHODOE55UCHWORKHIAISELFORHERSELFOR � � � 1Hq0UONHISORHEROWMEMPLOYEE3,7ROV10E0TF1AT5UC11rAPROVEAIEHTSMENOTMENOEOOR m W ,pFFEpEpiORSME.IKFqY/EVERmEBUIDINUORIMPROVFMBfTI550lDWRHNONEYEAfiOFCdAPLE- G' 110N,h1E OWNER-BUILDEP VALL FUVE TME Bl1NDFN OF VPOVNO TIUT ME OR SME DD NOT BURD Ofl , � IMOFqYE FOft i}/E PURPOSE OF SLLE) W OI/u^ON�IEPOFTHEVROVERTY.AAIE%CLUSNELYCOMMCTN4WRHL/CENSE000flTiuCfOfis [Z TO CONSTfiULT 7HE iHOJECT(SEG.7os�.BUSINE35 M�D iROfE55iON5 CODE THE CONTRACTORS U- VelU0ti0n ADJ.AREA LL CBr3EUW00ESN�TAFPLYTOAHMMUENOFAPPOVERTYWN06ULLOSOHs1PROVESMENEOf1AND � WHOCONTMCT9FqiSUCMVRO.lECfSWITHACOHTRACiOR15)LICENSEDPUN9UAMMTMECONTMP pUAMITY DESCRIPTION_ FEE � � NfiS UCENSE UW.} . O 1 AM IXEMPT Uf�E1t SEG 8.l V,C.FOR THIS PEA,40N Q n � C. I� � �r /� u' W1E OMMER U I . \1 � UCENSED CONTRACTORS OECLARATION -� � W i , � � W IHEREBY�IFFIiWUN0Ef1PEW1LTYOFPE0.1URY7MAilAMLICENSEDUNOfHVROV15�ONSOFCWIGTER � �+ � � �(L04YENClM NA7H SECTION 70a�)OF OMSqN]DF TME BUSMESSANO VROFESSiONS COOE.AND Z MY LICENSE 19 IN FUl FORCE NID EFiECL m � S!7S�3 , � UCENSE CLASS�LIC.N0. � ��L.� O V p�'TE ' CONTRACTOR�� a � � �- � � WORKERS'COMPENSATION DECIARATION U V � y1�HERE/B AFF7W UNDER iEN,LLTY OF VEiUUM ONE OF TXE FOLIOVnNO DEttAMTiONS: Z , O 6 . r (� ' � C1l�W1VEµpWR�LWMANACENTIFICATEOFCONSENTTOSELF-INSUREFORM'OIiKERS' $ + �O � , - �V � ��f COMPENSATqN,IlSPROV10E0BV9ECTIp117ooOFTMElA90RW0E,FORTHEPERNRMANCE U Y iHE WONf fOR'M�iCfI TM�S VE0.uiT 14155UED. � I IUVE AMO WILLMA�M.AN N/0N<ERS'COAIOENSATION MSUMNCE,AS NEOUIRED BY SEC710N � 97o�OFT1EU�BORCOOE,FORTIEVERFOR4ANCEOFTHEMNFKFORWMICH7HLSiER1A1715 � lSSl1E�.WNOfU(ERS'CO�IPENSAiIONiNSURANGE ARRIEN DFOUCYNVM6ER�RE: CONSTRUCTION �`�� � �, �Eq ' PLNJ REVIEW • � PqJCYHUMOER � .�_'/�� ELECTR�C ' • � � I �.� +. . ✓ o �sEcmr+�IDrareEms��nocnEa�ar.�rswAar��ooiunsmw�ar��ssi PLUMBING �--�Z� .] C-- � ICERTIFYTNATNTHEPERFOFIAIANCfOFTHEN'ORKFOHWMiCNTHI5DER4ITI5155UE0,1 MECNANICAL � ��_+�� I� � SHALL NOT EMPLOY ANY PERSGN W ANY MANNER 50 AS TO BELqAE SUBJEGT TO TNE � VIONxER5COMPENSAT�ONlAw50FGWFORNI^ANOACREETNATIFISHOULDBECOb�E INSPECTIONFEE 5 SUBIECTTOTHEWORKERS'CDMFENSATqNPqOVISiONSOFSECitON 7ooOFTMELABOR cooE i snui Form+wim coMv�r wmi nase vno.v�is�ar�s`. ISSUANCE � OAiE:�IPPLICANT: „���!o/ ��� SMIP ��/�" � O � e� WARMNO:FA�URE TOSECURE WORKERS COMVENSATION COVERAGE IS UNLAYIFIIL ANU SN/LL.LBE ENERGY P/C � � SVBJECTANEMPLOYERTOCRIMWM.VENALTIESANDCMLf1NE5UVTO0NE1R1NDREDTMOVSANO ENERCaYPERMIT OOLURS(f�aD.00o},N ADOITION TO THE COST OF COM�ENSATpN.OMIAOES AS VROYIDE�FOR Pi � � SECTqN770lOFiNELA80RCO0E.�NTEREST,ANOATTOFWEY5FEE3. RETENTIONFEE� ����� � w CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � n_ 0 � IHEREBVAiFMMUNDERPEN�LTYpFPERNAYiFUTTMEREG`i11CONSTRUCTIONLENDINOAOENCY n� � i t I � FORiMEPERFORMMIG�EWONKfOR'N�CMTH�iP�MITIS�Eq(SEC.]oV7.pV.W. �����`i UNt'G�%� 1 J � � LENDE1t5NAME - - - � LENDERSADORE55 1 I � ICERTIFYTMATIHAVEPEADhII5APV4GlTIONANDSTATETNATT1EA80VEINFGiMATqNISCORiiECL TOTA4 FEES � ��• \ [�� � ItaREETOCOM7LYWfTHALLCRYANDCOUNTYORDINANCESANUSTATEU'NSREU7MWTOBUILDING ��� CONSTRUGTION,AND HEflEBY AUTFIOR12E REFRESENTATIVES OF 7/i1S COUNTV TO ENTER UPON THE � � ABOVE�ufNTqNEDPNODENTYfORWSP CTIONPl1flPOSES COMMEI�f�S � s ��� m PEPIA�T7fE AA�EryN � � � �O��� y SIGN� F PEfIMITTEE OATE ' '.. � qECPT.NO. PAID BY VALlDATION WHI7E-Oepartment Copy.YELLOW-Ffnence CopY.PINK-Assessor Copy.GOLDENROD-File Copy.GREEN-ApplicanPs opy ,;,. _. . . . �� - , , , . . . . . , -.. -.-._ . . ,, , , �. CITY OF DIAMOND BAR �,. INSPECTION RECORD � . �j�.��l��m�►r 'e�"'��� i��k-���si�Pe�r.,.�� '.:_ 1���-��►��-f7�4�'y►'�:.,��`�.��, 1r��9�� .... ..,.�'"f� !:�c p'a��E .._ SET BACK � ' j ;�I - �.� ��FLOOR J015T�L ��„ . . FTGS/FORMS/ST�EL` ' ' FHA REQMTS ` � ' ELECTRIC GROUND _ . _ �_ . ' UNDER FLOOR DUCT � � �GROUND PLUMBING UNDER FLOOR CO�iDUIT .. _�- �i_ �SLAB GRADE -- FIREPLACE FOUNDATION � �TEMP POWER FIREPLACE BOND BEAM WATER SERVICE MID HT.BOND BEA�A --� ROOF SHEATHING � _ ��� 8 FL BOND BEAM -T- �FRAMINGNENTILIATI�N ,�_dZ�'-��� FiNAL BOND BEAM ------ - RDOF COVER PRE-GRADING. .. ,- . - � � ROtJGH HEA7ING BENCHING,�� - � � - � � � ',ROUGH ELECTRIC . g�(� ROUGH GRADING _ ' ;_ _ 'ROUGH'PLUM8ING� �(�cc, FINISH GRADING �_ �SHOWERITUB TEST ', -- POOL ELECTRIC �EXL LATH/SIDING - - POOL FENCING � � WALL iNSULATION - �p POOL FINAL `� ;CEILINGlNSULATION OFF SITE 11�1PS. ' Y DRYWALL NAILING ��� DEDICATIUNS _ _, __ _ ` � SEWER ` • FINAL EN�, SEPTIC TANK -, IANDSCAPEIIRRIG. �` � SEEP PIT/L.L. ; .' ' � i ON SITE IP11PS. -Y � .GAS AIR TEST (j � � „ � FWAL ZONIf�3G j � _�^ � �FRJAL C!JNST. :_ - � � FIRE DEPi. F(NAL ^ � FINAL HEATING i �` . �„ . HEALTH DEPT. FINF,L `-� !—i-J-- ,- -- FINAL•ELECTRIC (�_ �_ '�• � DEV. FEES PF�ID `j_ I, . , ._,____ FI^JAL PLUP,ABiNG `v,' --, `I. _` , ' ENERGY _ -- - — - - � ^-.� � - - --- - - :-�-1����a�- �-�_/L.���--.L i � . ,,�:,._.,...�._. � _ "� ----- ----- � ' '', � I �,''�; r� r'����,6 r` . _ ... . . _ ' ._ __ '� '_'_ - .,> .� ..._. �.,r.-.... .. . , ,, , , . . . . j • , -� ,. .�. ` .�L_2•�d L ,1.���.� — . . . _ . , - _ �COMMENTS _ .._ ��'.�,.� -- . . . ` 4���3���' ��� _ � _ . � ' �� _______--------- , _ � � _ _ _ , , . ; <,��:� ►rt:�r --------- - � ,r, �- t" _��:;`�_- ,,\ -- . _-------- --- _� . �_ - - .M_ . . . . � — -- .,�'r' ; ' '� (},�'�, J ` �-•_ ; _ �. i �,i ,_ i ---------- \ . ' l ' ._.-__.,------- - ` . � ' ` 'f. ` � - - -_`, ;SEPTIC;TANK SIZE � - � SEEP PIT/U SIZE --�-�- - .�.�-_,_...-.. ,..,., 4 �14���: : .'i t ; , � — ; :i ! i ; ., ' )I�� �_ � °. . .'� � _ . � - - `��.'{ _ � t ...q . _ _ { � ���� _�__�_""__.._'.-. __ .�. �.� �..... . . . ' "�__�_ _ ��' � . '} i - ' '' • ' - , ' l _-� . 1,� � _._._� - '�!;'i . . _ . . . . . . � �