Loading...
HomeMy WebLinkAbout13455 (29) J� CITY OF DIAMOND BAR � � i DEPARTMENT OF COMMUNTTY cft DEVELOPMENT SERVICES 21660 E.Coplcy Drive Suitc 190 (909)860-3195 Faic(909)861-3117 PRESS �^�'� BUQ.DIIVG PERMIT APPLICATION . FIRMLY } JOBSITE � APPLICATION /- PERMR p/C o ADDRESS �S��'S ���v� (,A7le• DATE��I Z� NUMBER �_I y55 � � issue TYPE OCC APN LOT TR T�Z�IOD DATE ��l Z'�qG CONST. GROUP p OWNER 'Sy' � �— p ADDRESS I� � j,�J�jVI.RL`,���T`7i'fUi' ��J� ZONING SETE3ACKS � cmr_C�s"i'Pr M.��,Ft ZIP�bZ(p TEL 1 ' �' FRONT Ryy p � APPLICANT TEL REAR p SIDFJSIDE STREET RW ❑ CONTRACTOR ` C• SIDE p ADDRESS � CITY �L.V�Cl t�lA-p ZIP�/Z.�3 TEL. �.y PROPOSED USE�� �i nc -�Il�fl�y oARCH/ENG! � DESIGNER N0.DWEL. NO. NO. C'DTMDRESS Z�P TEL UNITS STORIES BEDROOMS � �n DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION Q ONrtJER-6UILDER DECUIRATION ' SFR/ADDJREIA O � 1 NEREBY AFFlHM UNDER VEN.LLTY OF VERUNY THAT I1W ENEMaT FROM 7HE CONTMCTORS LI� GetepB/CdryOrt W' CENSEUWiORTNEFOl1OWINORF.A50N(SEC.70]1.68USINESSAN'JDROFESSIONSWDE:ANYdTYOH (n C7 COIMiYWMtl/REONRESAFERMRTOCONSTiMICT.ALTE0.�PROVE.DE/IOLISH,ORREP�IRANVSTRtJP W u� NRE.Pliqq TO ITS 6&JANCE.AL.A REGUIRES iME APPUCNR fOR SUqi PERu�7 TO FILE A SiCNEO W PatiaDeck � BTATE#1EM THAT HE OR SHE IS LICEHSED PU0.5UMlT TO ME PROVISIONS OF iHE CONTMCiORS LI• � � CENSE UW(CMAGTER i(CpAMCNCIH6 YVITM SEGTION 7000)OF DIV1510N]OF THE BUSINCSS AND PRO- POOI/SPa FESSONS WDk�ORTHAT ME OR SME IS EXEYPT TMEREFF101.1 ANO TME BA519 FOH THE NIEGEO E%ENP• TION.INYVIOLA7IONOFSECTION1W1.68YANYMVLIGNTFdiAPERuiTSUBJECTSTNEMPLiG1!lTTO z Re-Roof �,,,. AC7YILVENALTYOFNOTMOfiETW7FNEMUNOREOD011AR5�f5oo1.): , � OLA4OWNEROFMEPROPEHTY,OHMYEY7LOYEESWITMWAGES�ISTNEIqSOLELOUPENSATION, Q �mmerclal - YAIl DO THE WONI�AMJ TME STRUCiURE IS NOT IHTENDfD OR OFFERED FOR S�LE ISEC.7W�,BUSI- _1 � NESS IIID P110FESSqNS COOE:h1E CONTMCTORS 110EN5E UW DOES NOT APPLY TO AN OMT+ER OF j PROPERTY N11D BURDS OA YPi10VES TICREON,/J!D NTq DOES Sl)d1 ri9RK HIMSELF OR H[0.5ELF pR � 7NROUCJIMSORNEROWNEMPIOYEES,PROVIDEDiHAT5Vd71MPROVEMEM5A37ENOTMEN0E00R m OOFFERFDiORS/LEF.MOWEYER�B�DWOOqMV1iWEMEM650LOWIiMMONEYEAROFCOMPIE� Z �TIOM.TH[ONR/ER�UILDER WILL MAVE iHE BUROEN OF PROVNI6 THAT NE OR SHE D�D NOT BUIID OR = M7ROVE FOR iHE RIRPOSE OF SAlE7. . �y,� ❑L��NNEROFiFiEOROPERiY.lulEXClUSMEIY[DNTRACTwOWIT1LICENSEDCONTRAC70RS � TOCONSTiiUCT TNG VRQIECT(SEG 704a,BU51NE5S 11NO PROiE5S10NS CODE:7HE CONTMCTORS L1� VBIU0Ii0f1 AQI.ARE11 �� W CFNSEUWDOESNOTAPP�YiO�fIONMEROFAPROPERTVWFIOBUILOSORIMPROYE5TIER[ON,AND � W/1000MMCT9FdiSVCHFRQIECT9riIT1ACONfMCTOq(5)LICENSEDPURSU�NTTOTIIECONTRAG QUANTITY DESCRIPTION � . � FEE � TO/iSUCENSEUN�.). ` � OIMIIXE4PTUNDERSEC. B.dG.C.FORTHISPEA50N 4 � 3 " u. ¢ OAiE OWNER U Z W F UCENSED CONTRACTORS DECUIRATION w � IHEREBYAFFIRYIROERPENALTYOFVEKRIR/TWRIAMUCENSE�UDIDFRPROVISIONSOFCHAPTEH � (�• • � L p, i(COI.WENCINON7MSECTION700a�OiDM510N70FTHEBUS�N[SSANOPHOFESSqNSCADLAND Z '�' IJ�C � ' ' � �.l.7 �X W LILENSE IS N NLL FORCEAND EFFECG m r� r Q� � LICENSE CiAS IIC.NO.� � � � �,`D wDATE CONTMCTOR � p. �� < • / � WORKEFS'COMPENSATION DECIAAATION a � IHERFBYAFFlRMUNDEROENALTYOFPE0.NMON[OFh1EfOLLOYlINCDECLARATpNS: Z ' 0 _IIUVEANDMALLMARlTAINACERfIFIGTEOFWNSEMTOSELF•INSUREfORN9RKER5' _ Q COAAPENSATION,ASC0.0VIDEDBVSECTId13700OFTNEIMORCOOEiORTHEPERFORMANC[ W OF TME Y/OFK FOp WH1p1 T}u5 PE W.�IT IS ISSUED. � G � �INAVEANOW:LLWN(AINM'OiUCERS'COMPENSAT�ONw5Ul1ANCE,A5HE0UlAEDBY5ECf10N � � 4 J7000F iHE LAUOR COOE.FOR THE VERFORMANCE OF TME N'ORK FOR WMICH THIS VERMIT IS � ISSUm.MV YqiiNER5�iEN5AT10N MSU0.WCE CARR:ER M10 POLICY NUA/DSRARE: CONSTAUCTION � CARRiER e�L^ PLlW FlEVIEW . . _.. . _._. _ . _ . .. � PCIICY NUM6CR� ��� � ELECTRIC � (I145S[c�1pINCmHOTBEW1.i1.EfEDOFTEVETi1.R6ti7RCMHlI�nr�EDOQURS{SiaqORLE55) PLUM8ING ��Z��OD Z IC[RTIFYT/iATNT1[PERFOfU�M10EOFTHEWOAKFORWHICHTH15VERMITI5ISSUED,1 MCCHANICAL (J SF1Ah1NOTEMPLOYANYiER50NNANYMhNNER50A5TOBECOMESV&IECTTOiME » (n WORKEftS'COMPENSATIONLAWSOFGALIFpPNiI�ANDAGREElM�TIFI3NOlADBECOME INSPECTIONFEE S SUBJECTTOTHEWORKEFS'RM�PENSIITIDNPROVISIONSOFSECTION77000FMEU80R �7 CODE.ISWLLLFORTM41711COMPLVWI7HTHOSEiROVI510N5. ISSUANCE ._ lii � �ri��. pUATE: APRICJWF. SMIP . �\\� ,, .� AI�ZJ. � WARNIN6:FA0.URETOSECUREWURKERS'COI.�PENSAiIONCOVER�GEISUNUN'�UL,ANDSHKLBE ENERGYP/C ,�` �`{����- � T, �y SIAJECTANEMPLOYERTOCAIMW�LGENALTIESMUCMLFiNfSUPTO0NEMINORCDTFtlUSAND V (��' 1"���„�.t� „!� � OOLLARS�f100.000),NADDRIONiOTHELOSTOFCOMPENSATqN.DM1AGE5/SPROV9EDiORIN ENERGYPERMIT �":'�' � SECTNXl77olOF7HEUBORC9DE,WTEREST,A4DATTORNEY'SiEES. RETEN'f10NFEE: '•1 51��v`1 • a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: L y O � 1 NERCBYAiFIR11lMDER FENALTY OF OE0.R1f1V THATTNERE IS A CONSTPUCTION LENDINC 11GENCY Z FORTME FERiORUANCE OF iME MIOiUC fOR WNIpITM15 FEfWIT IS ISSUED(SEC.]oal,CIV.4). W � IENDERSNAUE . . � IENDERS�DORE55 O W� TOTAL FEES �'Z(c�� � I CERTIFV TXAT I HAVE READ 7H15�PRKATpN ANU STATE THATTH[ABOVE NFORMATqN IS C00.RECT. � IAGREETOCOMPLYM7TNALLCRVAN�COUHTYORDiNANCESANDSTATFUwSNFUTRqTOBVLLDiNd � CONSTRUCTION,/l�DHEREBYAUiIqRIZEHEPRESCNTATIVE50FTWSCOVNTYTOENTERUPONTME . ABOYE�1AEMpnED PROPEHT/FOR INSPEGTION PURPOSES. CO�.IMENTS � D� Au i 1.. �-es a�,--r � � m VERMfTTEE AME�P N� N n � �I�z l� � SWNATUREOFVERiAI OATE � . . RECP7.NO. PAID BY ALIDATION VhiITE-0eperlmenl Copy,YELLOW—Flnante Copy,PINK—AsseesorCopy,GOIDENROD—File Capy,GREEN--Applicant'a Copy � CITY OF DIA�JIOND BAR .,. �.�.�;_•: , ' �' INSPECTION RECO�iD � . . � e o � � - � � � s - SET BACK ' • `, ��,'•,-�, ' FLOOR JOIST - ; � - • ' . FTGS/FORPJISlSTEEL -� ' � FNA REQMTS , ,-. . ELECTRIC GAOUND ' ' ' � UNDER FLOOR DUCT � - GROUND PLUMBING " UNDER FLOOR COPJDl11T `.;. . ' _: • � SLAB GRADE FIREI�L'ACE FOUNDATION �� ' � '• • �'-- TEMP POWER FIREPLACE BOND BEAM WATER SERVICE =FAID HT.BOND BEAM ' '�• -- ' ' - �•-_'' = - � ROOF SHEATHING � ' � ' � ' � ` � 8 FL BOND BEAM � ; � � FRAMING/VENTILIATION FINAL BOND BEAM ' ROOF COVER PRE-GRADING � � ROUGH HEATING - BENCHING ROUGH ELECTRIC ' ROUGH GRADING � ROUGH PLUMBING � �-(•��L.� FINISH GRADING � SHOWER,rfUB TEST FOOL ELECTRIC EXT.LATH/SIDING � POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION � OFF SITE IMPS, � DRYWALL NAILING • DEDICATIONS ' SE�YER _ FINAL ENG. SEPTIC TANK _ LAN�SCAPE/IRRIG. -SEEP PITlL.L. ON 51TE IMPS. GAS AIR TEST 1� FINAL ZONING FINAL CONST. , FIRE DEPT. FINAL FINAL HEATING HEALTH�EPT. FINAL FINAL ELECTRIC - DEV. FEES PAID FINAL PLUh1BING �0`( � � � �' ENERGY ^�; — � `r _,`- , - . . . . ,$�„ ii�iD�p�, . • ' - - - ^i� ._ _ . o .- . ' . , .. . • . _� . �-- — .... . . . . � , - - . . . , . . COMMENTS _ , ,:. . _ . ,- .. � :, :; .�: ,' _�: SEPTIC TANK SIZE � � SEEP PITlU SIZE , .�i �� . ` �r _ .. ,, . __ .. � , . , j � ���. _ , . . . ., . ., . , , _ ��. • . . • _ . _ . ,� • ti , , . � • , . .. _ �'