Loading...
HomeMy WebLinkAbout13074 �` CITY OF DIAMOND BAR � � � DEPARTMENT OF COMML�TITY&DEVELOPMENT SERVICES � . 21660 E.Copley Drive 5uite 190 , (909)860-3195 Fex(909)561-3117 PRESS ' '�'�.� BUII.DING PERMIT APPLICATION FIRMLY o ADDRESS S SJ � O►�R"�I R� �P��� ApP��CATION PERMIT P/C Q�+� DATE NUMBER �7 IF °�q- $ ISSUE p� 7YPE:` . OCC APN LOT T C pATE � �� 1� CONST. GROUP � OWNER ��� ADDRESS ZONING SETBACKS � CITY - Z L. FRONT RW O APPLICANT _ TEL._ REAR ❑ � SIDE/SIQE STREET RW ❑ CONTRACTOR SIDE ❑ � ADDRESS PROPOSED USE � CITY ZIP TEL. � ARCH/ENG/ �w ) DESIGNER� �� N�.DWEL. NO. NO. ADDAESS UNITS STOFiIES BEDROOMS � CfTY ZIP TEI.�� N DESCRIPTIQN SQ.Fl: FACTOR PSF ADJ.AFIEANALUATION � OWNEii-BUILDER DECLARATION 8FR/ADDIREM 1 MEREBY AFFlqM UJDEN PENAL7V OF PERRIRY THAT I AA1 EXEMPT FROM 7HE CONTRIICTORS LI- GGf99���n O Z CBISEUWWR7MEWLlOVPIN�REA90NISEG7W1.6BU51NE5SANDPROFESSIONSCOOE:ANYGTYOH . (n COIMIVMMIWRE0UIHESAVERMITTOCONS7RUCT.AITER�PFOVE,DEMOlJSH.ORRE7AINANVSTRUC• . w PetiDl�6Ck. TURE.MION 70 RS BSUANCE.�L80 REOUIRES T1E APPLICAM PoR BUGM PERMIT TO Fll!A iIONED BTA76AENf TMT HE OR BHE I&UCENSW PUHSUMR TO THE PROV181LN5 OF THE CONTRACTQf1S LI- CENSE UW(�P7EA�ICOIAMENCNHi M/IT}I SECTqN 7000)OF�IVISION 3 OF hiE BU61HE3$Mp PRO• LL P��PB FESSIONS OODE�OA 7WR ME OH 6HE IB E%EMPT TlIEAEFROM AN�7liE BA515 iOH TNE ALLEOED EXEMP- TI�N.ANYVIOLATIONOFSECTION7077.6BYANYAPPLICANTFORAPEfiMRSU&IECTSTHEAPVUCIINTTO � RB-ROOf � AqNI►ENALTYOFNOTMORE1f1ANF1VEHUNOREDDOUAFlSffso0l•): . . �I,ASOWNEROF7HEPF10PERTY,ORMYEMROYEESWI7HWAQESASTHEIflSOLECOMPENSATqN. Q C01111110fC18I ( WA1.00 THE NfORI(IUm THE STRUCTLRE 16 NOT INTENDE�OH OFFERE�FOR SME(SFC.TOW,BU61- ,.,� y1�(��1 � P�pO�PEqTYMIl10EURDSORM�ROVES�E EON.AtWM�O500ESSU WONKHIIASEL ORHEo9ELFOq � 4w^'� Q TNROUGH MS di NER DN7!EA�PIOYEES,VROViOED THAi 6Ufy11MGqOVEMEMS ME NOT IMEN�EO OR m � OFFEAmPDR3ALEIFMDWEVERTMEBURDINGORIMIPROVEMEM18SOlD1NTHINONEYFANOFCOMPLE- TqN,iHE OWNEF3UILDER MALL HAVE TFIE BURDEN OF PROY1No THAT HE OR 6NE D1D ND7 Bl1RA OR MPROVE FORTHE YUHPOSEOF SMEI. � OLABOMMEROF7HEPIIOPERT/,AME%CLUSNELVCOMRACTIPKIWIIHLICENSEDCOMRACTO0.S 10 CONSTRUCf 7}IE PRO.IECT(SEC.7oM.BUSINE55 MO PROFESSIONS CO�E:YHE CONTRACTOpS LI- V91Uet1011 ADJ.AREA CEN6E lAW OOES N07APPLY TO AN ONMER Oi A PNOVERTY WF10 BUILD4 OR IMPROVES 7NENEON.AND WIiOWNTRACTeFOHSUq1PRWECT9WIhIACONTRACNR(5)LICENSEDPURSUIMTOTMFG�ONTHAG QUANTITY DESCRIPTION FEE � TOILS LIC@ISE U1W.�. . O I AM IXEMPT UND[R SEQ B.4 P.C.FOq THIS REASON ¢ � �= DATE OWNER V �` LICENSED CONTRACTORS DECUIRATION � ¢ IlEREBYAFFIRM 1M10ER PENAIttOF PERIURY THAT I MA LICENSED IMDER VROVISpNS OF CHAPTEH � S 0(OO6YAENCRIqWITN8ECT10N7D00)OFOMSION90F1HE9USINESSAI�DAOFESSIONSCODE,AND Z X NY UCEHSE IB W fiRL FOHC EFFEGf. m 0 IICENSE CLA93 LIC.NO. ��I. � F r !� o�tE � cornaacroa � a � WO KERS'COMPENSATION DECLARATION � � IXEHEBYIIFFIRMUNDERPENALTYOFiEWUMONEOFTMEFOI.LOWMGOECLAMTIONS: Z 4 � �_IXAVEMOWILLLIAMTAINACEHIIFICATEOFOONSEN7TOSELF•INSUREiORYIORKERS' 2 COMPENSATION.AS PFpY1DE�BY SECfION 3No OF iHE LABON GODE,FOA THE PERPORMANCE `U pF T11E NIOip(FOR NMICH THIS PERMIT IS ISSUED. � d 11ME MD WILL MANITAIN WOAKERS'GOMPENSATqN INSUMNCE.A9 HEOlI1RED 9Y SECTION 1'7 g 3 �� 4 0700OF TNE L�BOR CO�E.FOR TiE PERFORMMICE OFTNE WORK FOR WHICMTHIS PERMI?IS 0 ISSUED.MYWORI¢fi5' E AT�NSUfUNCECARRIERMIDPOLICYNUMBERpRE: CONSTRUCTION � a �s � �L PLANREVIEW � � CAq0.1ER �•�� � POLIGYNIJMBER��9�7 . ELECTFlIC ��LO/�-�}� 0 (TIW`6ECIlONNE�NOTBE00MFlETmOFThEPEN�Nf6Po�70NEMlf�DREDOc]lARS(ftm�ORlFSs� PLUMBING L`V Z I CERTIFY hUT N 7HE PERFORMANCEOF THE WOAK FOR WMICH THIS PENAUT IS 455UE�,I MECHANICAL �.��O � SHALL NOT EMOLOV AM'PERSON IN ANY NANNER 50�S T[1 BECOME SIA.IECT TO TME � WOqKERS'COMPFNSATIONl,AW50FCALIFORNIA,ANDRGHEETHATiFI$HOl1LOBECOME INSPECTIONFEE L_- SUBJECTTOTHENtlpKERS'OdAPENSAiIONPpOVISION50FSE ON7 o�EUBOR C OODE.1 w n�coMr�r win+n+se vno ONS. w ISSUANCE e a if p DA7E: �aL�C�wi� �j L SMIP � WARNINCi:FAILUHE TO B CURE IiKERS'COMPEN4ATION COVERAf3E IS UNLAWFUL,AND SHALLBE ENERGY P/C 6U&IECTANBAPLOYERiOCRIMINALiEN/�L7IESANDCMLFWE6UPi00NEMLNDHEDTHOUSMIO ENERGYPERMIT DOLI.AFU(tt00,000�,IN MDI710N TO THE WST OF COMPENSATpN,DAMAGES AS VHONOED FOR IN � 3ECt10N970BOf7HEU90ROWE,NfERE37,AN0ATTORNEYSFEES. RETENTIONFEE: � � L�Od 4 CONSTFiUCTION LENDINGAGENCY PRE•ALT FEE: n /7 �O IHEREBYAFFIRMUNDERiENALTYOFFERJURY7FMTTHEREISACONSTRUCTIONLENDWOAf3ENCY '[ y%�\��Y 1 FOR THE PER�OH4ANCE OF THE WORK FOR WHICJi TMIS PERMIT IS I55UE0(SEC.90i7.CIV.C.). ^TTv_�r D���.r� r � r �-L� � ��o¢as wune � LENOER'SADORESS � I CERT�FY TMA71 M�VE READ iH13 AVPLICATION AND STATE TUT iME ABOVE INFORMATqfI IS CORRECL TOTAL FE ES Z�� I '�� �O��� � I AOREE TO GOMPLY M/ITH ALL C�1Y MI�COUNTY ORDINANCES M1D STATE LAWS REUTINO i0 9URDINO � CONSTRUCTION,ANONEREBYAIJi1WRIZEREPRESENTATIYESOF7HISCOUNTYTOENTEflUPONTY7E . � � S� A90VE•MEMIOHED PROPERTY WH INSP CTIpN PURPOSES. COMMENTS � l�oc.� Dotlu,� Q PERMITTEE E(Pi11 � � � 810NATURE F P TfEE �T . � RECPT.NO. PAIO BY VALIDA170N WHITE-0epenmenl Copy,VELLOW—Flnance Copy,PINK—Assassor Copy.GOLDENRO�-File Copy,GREEN—ApplicanPs Copy CITY OF Dl�t►11SOND BAR INSPECTI011! RECORD t E � ' E ' • 0 ! + " • ' SET BACK � FLOOR JOIST'.:„'"t .' > ;: : ' i 1 F ,:' r� ,. , �j FTGS/FORMS/STEEL �. FHA REQMTS „ ;; _ � ELECTRIC GROUNO " UNDER FLO R pI�CT' . :;, r'� ; `� �', ,,,. ,- GROUND PLUMBING UNDER FL�OR CO�IDi.fIT' �r;: .i�. : !s , : � : •.�.,='! • • SLAB GRADE FIREPLACE•. 0.1.1tJ17ATIOW ''� �-�•` . ', � '.,E i : : TEMP P�WER FIREPLRC� O�VD BEAM .1": '" � }# –'S"`� '�' WATER SERV►CE Mip HT. BOND BEAM " � � ' '' ' t � ' ROOF SHEATH � ,� �`��—"' �� '� 8 FT.BOND BEAM FRAMINGNENTILIATION( 7-'3 FINAL BOND BEAM � . , ;, , <. ROOF COVER � PRE-GRAbINCy`' ' ':' � ' ROUGF-!HEATfNG BENCHIN�i"►� :•�f -� i ROUGH ELECTRIC • � •�• ROUGH GRADING � ROUGN PLUMBING ` ' ' FIfVISH GRADING SHOWERfTUB TEST POOI ELECTRlC EXT. LATH/SIDING POOL FENCING WALL INSULATION ' POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING � -Q �' � f � i.r F r pEDICATIONS SEWER FINAL ENG. SEPTIC 7ANK •,.�„_ ••-,; ; j � LANDSCAPE/IRRIG. � SEEP PIT/L.L. � ` ! -T��ON SITE IMPS. J� GAS AIR TES7 � { FINAL ZONING FINAL COIVST. , 6, { FIRE DEPT. FiNAL j FINAL HEATING HEALTH DEPT. FINAL � FINRL ELECTRIC I DEV, FEES PAID � j FINAL PLUMBiNG ( ENERGY I � ` � � -- i � j . ` -- i'g — � i. .._ � . �..s — �y , . , COMR'lENTS � �' . 1�: ,i `ti � / s . , _ ' . > > _.. � j , ...��� . •`�� ` ,... 1, �, ' ��:J '�`� L' >—l-:_i..++�._..._. ! �i � � F , � � � .. ! . 1 A .�1 i y' � � � �i . S ' : � .`, , .._,.' y .. . —5�,�.. � — � �« �� . a • __�,�_ I SERTIC,�ANK SfZE SEEP PlT/U SIZE � -- ir, o � _ 4�� �� � y ` � t — ` j•.i' �t i � . �. • � • .:, '!t.—t---i���:�-'-',—. � • ,3 — � �` � ' � r �','y �' :� � " .. � --