Loading...
HomeMy WebLinkAbout16429 (35) �� CITY OF DIAMOND BAR � { � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERYICES ` 21660 E.Copley Lhive Suiu 190 ~ (909)860-3195 Faa(909)86131 l7 . PR E$$ ����'�~ BUQ,DING PERMIT APPLICATION • 2 FIR LY � JOBSITE Z� J7 APPLICATION PERMIT�.�y- p/C o ADDRESS DATE �`/-3�0 ^O / NUMBER `� � �- A � ISSUE '1 2n TYPE OCC APN LOT TRACT DATE `t 1"/Cl I�I CONST. GROUP � OWNER !�►^!� Y � y�ST i I'C OS'TJ G!/C ADDRESS � ZONING SEfBACKS � CIN . IP„-r�[��j'-TEL90'-� OS7I FRONT RW O APPL CANT TEL. REAR � SIDEJSIOE STREET RW ❑ � CONTRACTOR D W'�'1. 2-Q� SIDE ❑ � ADDRESS PROPOSED USE� " /� CITY ZIP TEL . � ARCFVENG/ � - -- .-.-- . DESIGNER NO.DWEL. NO. �L:' N0. ADDRESS . UNITS '�STORIES BEDROOMS � C1TY ZIP TEL. y DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION p� � OWNER-BUI[DER DECLAHATION SFR/ADD/REM O p 1 M[REBY AFFUW UNDER PENALTY OF iEiWRY T/NT 1 AM ExEMPT FROM 7HE CONTRACTGRS L4 GamgelCarport lL CENSEUWFORTNEfOLLOWiNfiNFA50N(SEC.70.71.68USPlESSIWOPROfE5510NSCO0E:ANYC1iYOR (n ZCOUMYNRAdIREOURESAVEFWRTOCLINSTFUJGi,ALTER�MPROVE.OEMOU5M,O11flEVNRANYS7RUG W PatiolDack LL� 7URE,iRqR TO R9 ISSUANCE.AL50 REWIRES THE MPIICANT FOR SUCH VERIAIT TO FILF A SIGNED W STAiEYENT THAT HE OR SHE IS 110EN5 W VU0.5UANT TO THE PRONSIONS OF THE CONTMCTORS L4 � CENSE UW(OIAPTER Y(CdAUENdN�WI7H SECTION f000)OF DMSION]OF iHE Bl15INE55 AND Clib � PooVSpa iE55�ONS COOE)OH T/ATNE OR SME IS E%EIAPT THEREFROAI AND 7H[BASIS FOH iNE ALLEGED ExEMP• TqN.ANVVqIATqNOF$ECTION7001.68VAHYMPLIGHTFORAPENAIITSU&1ECTSTH[APP�ICANTTO Z Re-Root , � ACML iEHhLTV OF NOT MOfiE 7T7AN�IVE HUNDRED DOlLARS(isoo).): O O►ASOMMEROFiNEPROPER'TY.OfiMYEA1PtAYEESMATHWAGE5A5T11EIR50lECOMPENSATqN, � CORIRIBM411 � � M/ILL DO THE WORC IWD THE STRUCTURE IS NOi IMENDEO OH OFfERE�FOR SALE�SEG�Ou,BUSF J N NESS AND VROFESSIONS CODE 7HE COHiMCiORS LICENSE UW DOES NOTAPPLY TO AN OwN'cR OF � . PROPERTY 1Mi0 BULDS OFi MPROVES 1HEREON.AND VhlO DOES SUCH WO(iK MIYSEIF OR MERSCLF OR (C TIIROUGHHISOR HER OWTI EMPLOVEES.GiqVIDED iiUT SUCH 4CROVEIAENTS ME NOT WTENDFA OR m Ll� OfF£i1miORSILE6110M1EVE0.TME8ULdNOORIYPROVEl1INTIS50LDNrtTNNONEYElU30FLd1RE• Z TION,THE C�vNER�U1tDER YVILL HAVE TME BURDEN OF VROW�G TNAt NE Oii SHE DIO NOT BUttD OR � 4Pi1WE iORTHE VURP0.5E OF BALE� � 04A7DNMEAOFTIEFROPERfY,AMEXCLUSNELYCONTfUCiIFWN7THUCEN,',EOCOHTMCTqIS TO COHSTRllCT7HE iRQ7ECT(SEG 7wL BUSINE59 MD 7ROFESSKK�S CODE:THE GOer7iuCTORS LI• YalU2ti0r1 D O y i ADJ.AREA CEHSE UW OOE9 NOTMPLY TO AN OVYNEfl OFA iROPER7Y N?q BUILDS OH 0.1iROVES 7TIEREON,N1D � reaern+�w�crsror+suaiora.�ersw�rn�ea+rruerorqs���cer+seoruwu�vrtrorneeoHrruc OUANTITY DESCRIPTION FEE � raw ucv+sE uw.�. ` _ ^ �EV Pi 11: SEC B.i P.C.FOH THIS REASON Q ti l \ U � + F ti' DATE �,9 - v OWNER V � UCENSED CONTRACTORS OECLARATION -W-' � w I HEREBYAFFIR/I UNOER VENILLTY OF VERAIRY T/UT I M1 IICENSED UhUEH PROVIS�ONS OF CNAVTER � s ��COWAENCHON7TlISEC710N70oo)OfOMS�ON]OFTHEBUSINESSANDPROFESSIONSCODE,AND Z X AIYIICENSE15NFlA1FORCEIWOEFFECT. LL � � UCENSE CUSS LIC.NO. J V DATE CONTRACTOR a W � WORKERS'COMPENSATION�ECLAHATION Q � IHEREBYAFF1iM1UNDERPENK7YOFPEiUUfiYONEOFTHEFOLLOwINGDECUMTiONS: Z Q � �INAVEANDMALLMANTAINACERT�fIC.�TEOFCAHSENTTOSELF�NSUfiEFORWORKERS' _ - CDIIPENSATIDN.AS VRONDED BY SECTION�7v0OF ME UUOR COD[.FOf1 iME iERFORMMICE W OF TIE WOii�(FOR NMIG/T115 GEP4IT IS ISSUED. � 1 �IHAVE/�N�WILLWIMAINWORKER3'CdAPENSATIONINSURANCE,ASREW�REDBYSECTKKi �Q M� Q 77000F THE LABOR COOE FOR TNE PERiORMFNCE OF iME WOi1K FOR wH1L71TH15 VERMIT IS / 1 6511ED.W NORf(EAS'COYPENSATqN INSUFM�GE GRRIER MlD VOLICY NUMBENAR[. CONSTRUCTION �.� � cu�wEa PLAN REVIEW � POLICMNUMBER ELECT � (nssct-ru+�E�rarecoo�.stEr[oovn¢rew.�r.sronor�E�poawis(Sioolrntrssl PLUMBI,� Z ICERTIFVTHATRJIHEPERFORMANCEOFTHEWORKFOfiWHICHiHISiERM:TI5IS5UED.l MECHA ICAL AP � 511ALLNOTFM�LOYAN'/VERSONINANVYANNERSOASTOBECOMESUIiIECTTOiHE Uj VlOW(ERS•COUPEN5w7qNUw50FGLLIFORruu..WDAGREETWITIFISNDUIDBECOAIE I�ISPEC ONFEE S SU0.ICCTTOTNEWORKERS'COMPEHS�'IONPRONSIONEOFSECiqN77000FMEtA[iOR COOE,I SHAIL FORfHN77H COMPLY WI7H 7/q5E PRONS70N5. �SSUAN � SMIP ��� p DATE: APPLICANT: _ � ENERGY P/C WMNING fALURETO SEWRE WGiKERS'COMPENSATqN COVEMGE IS UNLAWFUL,AND SHAI.L BE � SUBJECTANEMP�OYERTOCRIM:NALFENALTIESANDqNIfINESUPTOONEHUNDRfDTTqUS�ND ENERGYPEAMIT pOL{,l1R5 p100.000),W ADOITION i0 THE LOSTOF COAIPENSA7qN,O�L�AGES AS iROVtDED FOR IN � SECT70N 770!OFT17E LABOR OO�E,NTEREST,AND ATTORfJEYS FEES q�ENTION FEE: d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHEREBVAFFIfWUNOERVENALTYOFPERJURYTHATTHEREISACONSTFUCTIONLEN0IHOACENCY �- FORTMEPERfOFMAqCCOFTNEWORKFORriMIG17HI5iENdITI51S3UED(SEG70Y7,CtY.C.). � � LENDER'SN�WE � LENDENS/'JORESS � IGER7IFYTHATIHAYERCADTN�SAPPUCA710NANDSTATETIIATTHEABOVENFORMATqNISCORRECT. TOTAL FEES O� � w IAGREETOCOMVLVW(TMAI.{,GTTFNDCOUMYORDINMICESANDSTATEUNSREUTWOTOBUIIDINa � CONSTRUCTqN,MI�HENEBYl1UTIqHIZEREPRESENTATIVE50FTHI5COVNTYTOENTEflUPONiHE S�. /�BOYE�MENTIONEDiROPERTYFORWSDEGTIONPUHPO5E5. MC�S � /ur�� �S��l� � m ` � PE � EE N G(PHINn ��� GZ� (n SK�iNATURE IPEWAITTEE �1F -J'�"" RECPT.NO. � PAID Y VALIDATION YVFi E—Depenment Copy,YELLOW—Fnnnce Copy.PINK—A�eessw Copy,GOIOENROD—Flle Copy,GREEN—Appl�unt's Copy . ' . � . � t -'S ' � . .�_ . � H.� . . . . ' . . . ' . " . . , . . � . • ' � . ' . • . . � . .n r� .. „ • � � CITY OF DIAMOND .BAR , . ,, ,,,� .: •:. • ..�.�. , � .. INSPECTION�RECORD , � � ' " - � . ,.,; , -• • .. :�iii��7;����.C.�i�E _� ��'i�f�'- �.I�.��' �1�!'��. �I_►ti_�-�:��?-`'pC���� _ �i'�i��'�_r=�1►.��-��`=���� _ ;SET BACY. . -- - -- . ,. � FLOOR JO+ST -� �� l_ ��.� - y < <� � , v,';` � ' � '�• .., .� - . lFTGS/FORP�IS/STEEL - -- " .. ,:. _ ..., .- _ . ..i .. FHA REQti41'S'� .�: - J •.• �:`�.. . �� - '- • - � ,ELECTRIC GROUND _._ '-" , _'.'�%�:. i �� UNDEFi FLOOR DUCT � ' ' . - _ .. � - .: .... . .. .. . . I � i . �1,. ..-i i .' � � J: � • .— --- !GROUND PLUMBING • UNDER FLOOFi�Gi�ID01T._.. � '•;�� _ •'', t. , ,. . � .... � • • - .� .'• �,�.:, t.: : �,.'--I-�--- .SLAB GRADE-...----- '�'` - --- .. _ ...... _._ .. � ,.' FIREPL CE�FOU�dDf.TI,ON...t:, �, ,, . .. , --- �TEh1P POVVER - �: � ,� � � � � FIREPLACE BOND BEAM - - � �� � ; <, - ��.• � �., ,�� !WATER SERVIC�•:`�''' '�' �'`-��l �-- — _f� -._i MID HT.BOND BEAM �: '+ .:'<�i _ � i ; �ROOF SHEATHING __. : c/,� 1 �i =c�u7y 8 FT.BOND BEAP�1 . . - � : � `� - —.r �FRAMINGNcNTILIATiON - - �'-- _- � FINAL�BOND BEAM • • �� - -- .. jROOF COVER .cs'•' �f�4 PRE-GRADING - - - - - - • - - - - IROUGH HEA7ING . _ _ Bc � i� - i , � - ; ; . !ROUGN ELECTRIC__! ... ".:�_ '� ' �'..� . ROUGH GRADING �. 'ROUGH PLUMBING - - - �' � FINISH GRADING �'• - - -- - � � �SHO�"JER;TUB TEST-'• �- - -- - - - - POOL ELECTRIC �EXT:-LATH!SIDING -- - -- - - - - POOL FENCING • �.. � • : 'VNALLiNSULATION-- • - - ` " ; ��-; ,-. POOL FINAL i , , ;CE1LIiJ^u li•:SULATION, - �- ��� OFF SITE IMPS. ' ; -.T ;DRYI,:�AI.L NAILING--� - � -- - - - - -- _. DEDICATIONS ' ' , ; . jSEUVER � FINAL ENG. ' • ; , jSEPTIC TANK � LANDSCAPE/IRRIG. ' . ;SEEP FITJL.L. . • • .� •. - '�•.�_ . ON 51TE IMPS. • jGAS�,IR TEST ; i " FINAL ZDPJIPlG ' = 'FIivAL CONST. ' _ _ _C-p[ R�n °-T. FINAL . _ .�- ;FI��AL.HEATING ...... ....__ _. . , _ _ � _ _ HEALTH DEPT. FINAL ''-- � " . -t ,:'J":�.1_-F'LECTRIC - •- � - ' DEV. FEES PAID - - ' � • - � --- , .i=i',•�P.L PLUh.1BING--- - - - - - �- - ENERGY : . �---- . ---- - -—. .. . . _ . .. � • , �.�._ _ — -- - �- -- ---- - - - ..._ . ... ;£��-���--�----�_-----� . _ -• i : :COfVIMENTS - - - - . � . I � - , . . . � , ' - -- - ---. _ _.. _ � i ;- , i 1 . -. , — :���---- ---- -------- ' • � .. '-. .. • , ! , ' I ; _... . ,. , � , . , . � �. ; .; . �� . _ �.i: � � . ,, i :_ � ., . • � .-.--....___..---_- ; ; . � 'SEPTIC TANK SIZE - - • � ; ; . . ; ' �SEEP PIT/U SIZE - . . . - i � � .. . � ' . , ,. . � i ',�\l _ ._ � � . : . ' � ' i - - - . . . . _ . ! - � � � : - i I '.�1��� , �:I .. .. . . , ; .-- - ; - - .. -- . .. _. .. _. i ;' i , � . . . I n . � ' ' i I i . . " � I •--..� -�� � ���� ..+J . . �j �� �. . ��- �'�, 1 1 ).1_�. ' - � r i ' � ;' r� � , - . 1 ~�...�...._. .YI .r.'. . , � ' ' .o � � �—' �, i. i��' � �f.�•(�i'•1r� .. . � \ ->� _ . . \ .� .