Loading...
HomeMy WebLinkAbout13438 (29) �� CITY OF DIAMOND BAR � � � � -�r DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Coplcy Qrivc Suite 190 � (909)860-3195 Fax(909)861-3117 PRESS �'��'� , BUILD[NG PERMIT APPLICATION FIRMLY yN, JOBSITE `-- `� ` � APPLICATION PERMIT P/C o ADDRESS � V DATE NUMBER_I 3`�38.p � ISSUE C_. I I�.(� TYPE OCC APN_r: LOT _ T � T DATE J - �' � CONST. GROUP p O�VNER � �� " ADD SS ZONING SE�F3ACKS Z C / ' ZIP • TEL. FRONT RW ❑ g APPLICANT TE REAR p � SIDE/SIDE STREET RW ❑ aa CONTRACT - � , SI�E p ADDR ' ' h � CITY � 21P TEL. PROPOSED USE � � w ARCH/ENG/ �i /J-�-�� �� DESIGNER ADDRESS NO.DWEL. NO. NO. � CITY ZIP TEL. UNITS STORIES BEDROOMS � �ESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNEFi•BUILDER DECLARATION SFR/ADDIREM � � � � O 1 HEREBY AFFIRM UNDER VEN.LLTY OF OERAIRV THAT 1 AU EXE4PT FRdA TIE CONTRACTORS U• G3f890/CBfpOfl W CENSEUWFORiHEFOLLOWINOREASON(SEC.70.7i.68U5ME55ANDGLWFE5510N5CO0E:ANYp7YOR (n U CDUIfT'lri111Ci1RE0UIRESAVEMITTOCONSTRUCT./1TER���YE,OEIAOLISH,ORAEPNIiANYSTRUC• W pa!�d�eck TURE,iR�Ofi TO RS ISSUI�NCE,IL50 REWIRES T1+E AVPL�LANT FOR SIKM PERMIT 10 FILE A SIGNED w STATEMEM THAT ME OR SHE IS UCENSED R/RSUIINT TO iHE PROVISIONS OF TNE CONTMCTORS LI• � CENSE UNi(CH�PTER i(COMMENCINO YATH SECTION 700C)OF DIYISqN�Of THE BUSINE55 AND PHO• � PooUSpa FESSqNSCOOE)ORiTU7NEORSM[ISEXEMPTTME0.EFRpAM1DTHEBA515FDqTNE1LLlEGEDE%EMP• C7 TIDN.AH'IVi0lAT10NOFSECTIONM]1.6BYANY�PPLK.AMFOqAVER1AITSUflIECTSTHEAPPLMJ�NTTO Z Rp.qpp� � A CMl VENIITY OF NOT MORG iHhV FNE MUNDRED DOl1ARS(f5ac�.): � OlA50WHEROFTH[PROPEflTV,ORMYEMP�OYEESWITHWACESASTHEIR50LECOMPENSATqN, Q �mmeiclal - WILL 00 THE YIORK,AND 7HE STRt1ClUFiE IS NOT IMENDED OR OFFEREO FOR SALE(SEG 7aa,BU51� , J � NE55 N�ID iROFE5510N5 CW E 7ME GOHTMCT00.S LICEHSL tAW DOES NOT�FPIY TO AN OwNER OF = � PROPEHfY1Y1q8URD50RIMPROVE57HEPEON,MIDWMODOE55UQ1Y/ORKHIMSELFORNERSELFOR [L TNROUGHWSORMEROWNEMPLOYEES.VROViDED7WlTSUCNIIJPROVCUCMSARENOTNTEN�EDOR ' m QOFFEREDPoRSALE6.MOWCYERTNEBULdNOORMCIWVEMEMIS50LIWITMNONEYEAROFQOMPLE• ' Z TqN,iHE OWNER�BUILDCR N^.LL HAVE TNE&1RDEN OF PqOVTq TMAT HE OR SME DID NOT BUIID OR � MPROVE FORTHE PURPOSE DF SALE). W O�IISOWNEROFTHEFROPERTY.AYEXClVSNELYCOHTMCTW6WITNLICCNSEDQON?MCTORS (t TO CONSiRUCTTHE PRQIECT(SEG 70N.BUSINE55 ANO VROFESSiONS OODE:TNE WNTMCTOflS LI• VdIUet10f1 ADJ.AR[A ' lL GENSEUriDOESNOTMPLYTOANON'NF.ROFAPROPERTYMMOBULDSORIMvqpY[gTHEHEON.AND � MR�OCONTMCTSFORSUCHVRO.IECTSWIT!ACOHTWIGTOR(S�UCENSEDVlIRSUANTTO7HECONTfUG OUANTITY DESCRIPTION FEE � � Tql4l10ENSE UW.). J � � ' 0 O IAII E%EMPT UNDER SEC. B.t PG FOR THIS RCA.SON Q � 13i. CL ` t C� � I � /� � DATE OwH[H � ' �` F4 LICENSED CONTRACTORS DECLARATION W CL INEREBYIIFFIPoAUNOEHVEN�LTYOFOE0.R1RYTUTIwUCENS[Dl1N�ER7ROVI510NSOFCHAPiER V. d ��COYYENCPqWti115ECT�ON7000)OFDMS�ON70FTHEBUSINESSAN�PROFES510NSCOCE.AND Z X YY LICENSE IS W FULL�O 'YJ EFFECT. � , ui O � � L10EN5 ASS �� LIC.NO. �. J V DATE - � � CONTRALTOR �� � a W � WORKERS'COA1P[NSATION DECLARATION Q N IXEREOYAFFIRMUNDERGENALTYOFVEIiNfi'IW:EOFTMEFOLLOwINGOEGIA��AiiOr+S: � � � - - ' � 4 � �IXAVEINDW.LLIUIMAMACEHfIFIWTEOFpONSENTTOSElFJNSUREFORWJRKERS' _ � (`q1,IPENSATqN,ASVRONDEDBVSECT10N77ooOF7NElAF30(iCODE.FORTHEPCRFORMANCE w OF TM'c WORK FOR WM:pi TMiS VERMIT IS ISSUED. � 0 1 HAVE ANDNnLL uA+tTUN NrONfERS CDUPEN5AT10N INSUMNCE.AS REOUIRED BV SECTION Q ]7000FTHElIDOROODE,iOf17MEPERFORMMlCEOFTH[WORKFORWHip/THISPERVITIS ISSUED.MYNqR�EOGiOMGENSATIONINSURAN ..!!�ERANDPOIICYMIMOERME: CONSTRUCTION . � CMRIER _ P � . . . . -... . . � ro��crNui.�oen � ELEGTRIC . � I � _ � (IFV^StCIIOr�uCmNOTBE¢7.RElEDOFT[�fRMTSPoliU+EHItLMDD0.URSft�oMC(iLE55} METtlG� W Z 1 CERTIFY TMAT N THE PENFORMMlCE OF THE WOf1i(FOR WF11CH TMS GEflMR IS ISSUED.I MECHANICAL ,�„�4{� (7 SHAl1NOTEMPLOYANYVERSONINANYAIANNER50A570BEW�.�ESUeJEGiTOTNE �,l� UJ WORKERS'COMPENSAiqNUW50FCALIFORN11AhDAGREETNATIFI5M0'JLDBECAMc IN IONFEE SV0.IECTTOTNE WORKERS'Cd.IPEN5�T10N PROVISIONS OF SECTION 77000F T11[�/IBOq � s cooc.iswuiaonrHvnn�coi,�n�rvnn� cvaovisw�+s. ISSUMJCE �n3��y�';F ` i/�r�_ O OATE:�� APRIGINT:�4`��� _ _ ••.• . . � '1•1 \ � ` ��l "'•r-t W t , `J WAFlNINC:FARURETOSECURCWOi7NER5'QDIAFENSATqNCOVEMGEISUNUWFl1L.�NDSMALLBE ENERGYP/C •�,r�, •"(�'Vlv �� � SUB.IECTANEMP�0YER70CRIMWALPENALT1E5M1DCMLiINCSUD700NFNUNDREDTK%1SAND ENERGYPERMIT ��,l �'�� } DOlURS(f100,000�.INADDITIONTOTNECOSTOFCOMPCNS�T10N.0��GESASPNOVIDEDFORIN l�.i n'�U��= J SECT10N7�oeOFTHEUBORCOOE,WTER[ST.IIND�Tf01tNEYSFEE4. RETENTIONFEE: C a CONSTRUCTION LENDING ACENCY PRE-ALT FEE: �U 1 " � IHCREBYAFGIRlALMDERGCNALTYOFPEIL1UFiYTMATTH[REISACONSTRVCTIONLFNDWG�GCNCV �- FOR THE PERFORMnNCE OF THE WORK FOR WH1CN TMIS OEAMfT IS ISSUE�(SEC.7001,CN.C.�. , Z W � � LENOERS N�ME � � lEN0ER5A0DRES5 W ICENTIFYTW�7IMAVERCADTHISAPPLK+1TqqM1D5tATETHATiHEIBOVEINFONMMqNISCOfiRECL TOTAL FEES ���I�� � IAGREETDCOIAPLYMATHh1LCRYANDWU1iTYORDINANLE51W�5TATEUv/SREU71NaTOBU4DiN� . � CONSTRUGTION.ANDHfREBYAUliqfllZEREVqESENTATIYESOFTN:SCAlMi1'TOEMERUPONiME . ABOVE�4EHTqNEDPROPEHTYFORIHSPECT vuarosEs. COMMENTS o ���� �1.'Cl��G'- ��`_ m � OERMi A N /� �l� �� N S ATUREOF �PMITfEE DATE � R[CPT.NO. _PAID BY _VALIDATION �WHITE—Oopartmen[Copy.YELLOW—FinanceCopy,PINK—Aasa�eorCopy.G LDENROD—FiieCopy.GREEN—AppicenYsCopy ,. . , . ., . . . . � .. .. ,. , , . . .. r� . - � -. � .. . , .. . . 1-'` l\..,,, ' '"". .... . . � `.;�,. ; ; CITY OF DIA�J90ND BAR . � ; � ` ' INSPECTION RECORD- . �, . � • � e f � • - • � � s ' FLOORJOIST•',. r .!_�,�; �'•�;���, SETBACK �'• - ' t.��-` .�.�` , F"TGS/FORMS/STEEL '. _I ' __ FHA REQMTS. . - • - ELECTRIC GROUND ' ' � UNDER FLOOR DUCT,: '�'" . �, �� �; -,'; . ,-; , ..-; , '• GROUND PLUMBING ' UNDER FLOOR CUf�IDUIT , • ' SLAB GRADE � FIREPLACE.FOUNDATION �=•� •`� �`,•_.�.•`. !'..�:� . ! TEMP POWER FIREPLA�EBOND B�AM WATER SERVICE MID HT. BOND BEAM , :=_�''-.`•. !`-t•' ' '` .� '� ` ° _'.i�'�1 .�� � ;_. ; B FT.BOND BEAM :; . . . . ..�..�.� - R�OF SHEATHING - ' � ��� `„', FRAMINGNENTILIATION FINAL BOND BEAW1:�;��. ROOF COVER PRE-GRADING ROUGH HEATING � BENCHING ROUGH ELECTRIC r{-6� ' �M ROUGH GRADING ROUGH PLUMBING FINISH GRADING SHOWEWTUB TEST � POOL ELECTRIC . � EXT.LATH/SIDING POOL FENCING • WALL INSULF�TION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS ' SEWER FINAL ENG. SEPTIC TANK . . LANDSCAPE/IRRIG. SEEP PIT/L.L. �N SITE IMPS. �GAS AIR TEST � � , �-,, ,. FINAL ZONING •FINAL CONST: • ' ., ',-=,�—. =. ` . ; ., .- _� ,� \,' FIRE DEPT. FINAL FINAL;HEATING " - ' `'�';' ., ;. � �' ` HEALTH DEPT. FINAL FINAL ECECTRIC 0' - ��V � ` DEV.FEES PAID . FINA�PLUMBING ENERGY �-- � � • 1 �������a e� . _ � , --a.:_ COMMENTS ..\-\ -- ,, . . � , , , a„ , . ..� ��- _ , _..__ � , � _. -- ; �- , - ,' - ` _� -- -� � . _._. ,';. . , �' . � SEPTIC TANK SIZE SEEP PIT/U SIZE � -,�... , {� ��� .... '\ � - -- - � . , , . •�,_... ;,�. , _. � . _ ��1 -_ �— - ,. • � ., . , . , - __ . � , — . .. .