Loading...
HomeMy WebLinkAbout17601 (19) ._� -. .. � ., �� CITY OF DIAMOND BAR DEPARTMENT OF COMMiJNITY&DEVELOPMENT SERVICES w 21660 E.Copley Drive 5uite 190 � (909)860-3195 Fax(909)861-3117 PRE$$ ���'� BUQ.DING PERMIT APPLICATION FIRMLY o� JOBSITE �� S K�) �1 A C ��- APPUCATION �I25I OZ PERMR �760� P/C ADDRESS DATE NUMBER M � APN � LOT �pq�� L ISSUE TYPE OCC � OWNER UM ° DATE CONST. GflOUP p ADDRESS 20NING SEfBACKS w �� IRVINE Z� TE , •— — 4 FRONT RW p APPUCANT TEL R�'R � SIDElSIDESTREET RW ❑ CONTRACTOR SAME SIDE p g ADDRESS CtTY ZIP TEL PAOPOSED USE � ARCH/ENG/ r� DESIGNER ���- �J '�t�}'1 NO.DWEL. NO. NO. ADDRESS �n ���v_ �n.��1�+yD��r,rAT\7a, UNITS STORIES BEDROOMS N CITY ZIP���OTEL.���__��� .� y DESCRIPTION 5a.FT. FACTOR PSF ADJ.AREANALUATION Q � OWNER-BUILDER DECURATION SFFVADDlREM O p I 11EREBY AFFlqM UNDER PQULTV OF OE0.U�i�TNAT I MI E%E4PT FROM TNE CONTMCTORS L6 G8f890/CB�pOR W CENSEUWFOIIIHEFOILOWNOPEA50N�SEC.7W1.58U51NE5SANDPROFE55lON5CODE:ANVqNOA (n � ODIMTYYMIGIREOUWESAiFAMRTOCONSTRUCT,ALTERM7ROVE,OEr.�0U5FtORREPAIRANYSTRUC• W patio/Deck � TURE,PRIOH TO RS ISSUMICE,ALSO REWIRES TH[APPIICANT FOR SUGH PERMIT TO FlLE A SIONEO 6iATEMENT TTUT HE OR SIiE IS LICENSED PURSVANT TO TME GROVISIONS OF THE CONTMCTORS U• � CENSE UW(CHAPTER�(COMMENCN(i WITH SECTION 7000�OF DIVISION 7 OF THE BUSINESSAND DRO� � PooUSpa iE5510N5 CODE)OR THAT HE OR SHE IS E7fElAPT MEREFqOA1 ANO THE BASIS FORTHE ALIECED E%EMP• TIOH.ANYVIOLATIONOFSECTION)W1.6BYANYAPVLIC1frtFORAVEiWiTSU91ECTSTNEAPPLICANiTO Z -qe�q�( F ACMLVENALTVOFlqTA10NETH/�NFNEHUNDRECCOlU1A5(is0o).): � 04ti`��EROFTHEPROPERTY,ORMVEMPLOVEESWI7NWAOESASTHEIRSOIECOMPENSATION, � (`,pmfll8fCi31 ' N7ll DO TME N'ORK AND TM[BTRUCTURE IS NOT IN7ENDED OR OFFERED iOR SALE(SEG 7Wa,BU51� J IIE55 ANU PHOFESS�ONS COOE:TME CONTfUCTORS UCENSE LAW DOES NOT ACPIY i0 AN OWNEH Of y YfqVEHiYY1110BU0.050flMPROVESTHEREON.MIDNA1000ES5UGIWONKNiMSEIFORMERSEIFOR = (� 7HROUGHHISORHEROM�NEMPLOYEES,VROVIDEDTHATSUdIWPROVEMEMSARENOTMTENDEDON m _ � _ y � OFT6i�FORS�LEIF.F10N/EVER111EBUlDIN00RIlAPROVEMEMISSOIDWITMMONEYEAROFCOMPIE• �a--' :r � ild1,7HE ONMER�BUIlOER NALL MAVE TNE BUROEN OF VROVWO TFIAT ME OR SHE 01D HOT BUILD OR MPqOVEFOR7NEVURVOSEOF811Ey O 4 M OWNER OF 1HE PROPEHiV.AM EXCLUSNELY COMRACi0�0 VATM LICENSEO CONTMCTOR9 � N CONSTRUCf TtE PR0.IECT(SEG 70I1,BUSINESS/WO PROFESSIONS CODE:THE CORTMC10R5 LL VdIUallOn AQI.AREA W CH/SEU�MDCESNOTAVPLYTOANOWNEROFAiP07ER77WF�OBUILO50RW7iqVESTNEAEON,AND �Z W11000MRACTSFORSUG1FR0.1ECTSWI7HACONTMCTOR(5)LICENSEOPURSUNiTTOTNECOHTRAG QUAN7ITY DESCRIPTION FEE � TOfiS UCENSE UW.I•,. O 1 AM E7(EMPTUNOER 9EC B.�P.C.FOR THIS REASqJ U LL � pATE OYMER V . � LICENSED CONTRACTORS DECLARATION � � w �NEREBVI�FFIFUIVNDERiENALTYOFPEMIHYTNATtM1LICENSEDUNDERPRWiSWN50FGUPTEN Ur � �(COAAAIENCNON7Tli5ECT10N700C)OfOM510N�OFTHEBU51NES5ANOPROFE5Si0MSCA0E,AND Z X W LICENSE IS W RILLFORCEANO EFFECf. ����^� m �L �.� y � � t1cEHs�XY. _ — uc.No. a U DATE CONTfUCTOR lil � WOFiKERS'COMPENSATION DECLARATION a � IHE FlRA1NlDERPENALTYOFpE0.1URYONEOFTHEFOLlO'MNODECUM110N5: U � Z � INVEIWDN'ILII.UNTAINALENTIFICATEOFOONSENTTOSEIF�INSUREFORV.9R1cER5' _ � ENSATION,/uVi10VIDEDBYSECTION]7o00FTHEU00RCODE.FORTHEiEFFOi1MANCE W E N'ORIf FOR N11�p1 T/IS PERMiT IS iSSUEO. � � MAVE AND WiLL AW NfNN VlORKERS GOMFENSATIOH INSUMNGE.AS RE W iRED BY SECTqN �? � /� Q ]7000fTNEV�BORO00E.fORTNEPERWRMMICEOFTHEWORKFORWHIQ/7H�5VERMRIS JCL��✓ ISSUED.WWORKEAS'C�YPENGTqNINSURANCEGRRIERMIDPOLICYNUAIBERARE: CONSTRUCTION � ��Eq PACIFIC EMPLOYEE INS.CO. p�pEVIEW � POLICYMIIABER jAIQRT 4�(111 R74 �F.XP �_n� ELECTRIC � (TVi55ECf1CN�FIDNOTBEC01.RE7IDOFhEP6#1T6iDROrrEMR�OF1ED00lWGIftODJORlESS} PLUMBING z ICERTIFYiHATptTHEPERFORIAANCEOFTNEVANCFORWHN]1TH157ER1ARISISSUED,1 MECHAN�CAL (�' St1ALLNOTEMPLOYANYPER50NNMlVMANNERSOII3TOBEW�.�ESUBJECTTOTHE � N'ORKE1t5'COA�PENSATIDN UM5 GF CJLIFOAN�A/N�MiREE 7HA7 ff 16HOULD BECOME INSPECTION FEE S SUBJECTTOTHEWOfiKERS'COMPENSATIONPROVISqN50F5ECTqN�7ooOFTHEUBOR �E„yy+�qpn�vnn�ca+a�r vn���,o�,�s�QysOME S ISSUANCE O s�-V I 1•r+ ri SMIP p OATE APPLICANT: . � WAqNINO:FiULURETOSEC�REWORKERS'COMVENSATIONCOYERAGEISUNLAWFVL.MIDSNALLBE ENERGYPIC LL SUBJECTANEMPLOVERTOCFUAIMALFEw4.T1E51WOCMLFINESUPTOONEMUNDREDiMWSAND ENERGYPERMIT DOLLARS(f I00,000),IN IDDITION TO iHE C0.5T Of COMPENSA710N,OAMACES AS GROVIDED FOR IN J 6ECTIONY7oeOFiNELABOfiCOOE.IVTEREST,ANDATfOtiNEYSFEES. RC-TENTIONFEE: 2 pW_, CON5TRUCTION LENDINC3 AGENCY PRE•ALT FEE: � IHEREBV/�iFIpMUNDERVENAITYOFiER1URYTiUTTHEREISACONSTRUCT10NlENDINOIIGENCf � FOH h1E PERFOFUANICE OF TNE WORK W R WHlql THiS V EPIAIT IS ISSUED�SEG 7047,QY.4). . � NONE (PULTE} LENDEfYS NIJAE � IENDER'SADDRESS � ILER7IFYTHATIHAVEREADh11SAPVLICATqNANDSTATETNATTMEA00vEMFORMATIONISCORNECT. TOTAL FEES � IAGR[ETOCOMPLVWITHALICITYAN�COIMTYORDINANGES►NOSTATEUM5REU7W(iTOBULDINO WNSTRUCTqri.1WD HERE9Y AIITHOHIZE REPRESENTATNES OF THIS CDUNTY TO EHTER UPON THE � ABOVE-IAEMIONED VROVERTV FOR WSPECTION 7UR705ES. COMMENTS � = JERRY HAINES 4 pERA1tTTEE WWE 1 -�����s _ L�� N y SK,NATURE E� � EE OATE • � RECPT.N0. PAIO BY VALIDATION , WHITE—Department Copy.YELLOW—Finance Copy,PINK—Assessa Copy,GOLOENRO�FiIa Copy,GREEN—Applicant's Copy . :�::�`—� _ . . _ / }\ .. � _1 } CITY OF DIAM�ND,BAR, .,,- .:; ,-; -- ���_�% .� t� :IPVSP�CTlOP�'RECOR� �::, � . _ :-�� .._.�. _.�._.r. ;. . y '�j►�K.�;��a=!'.��':l�'� ' 'o'y�.��.��' ������.���°,J;�.� I��k-��7-�c;��`lrY►`��M����1�� I���-�Fa�c'�da�.� ;SET BACI:_.�..,.�, ..._....,�...�,.,...... ....�..z...,.._.,.... , FLOJR JOIST....... ......,.•-�. . i..._..{�, _�.., .,. ., __ � �__ I FTGS/FORMS/STEEL -- - . '. - - - FHA REQAlITS , . �� � , • ^� _ � : - -_ - -- ,ELECTRIC GROUND �� " '' _ _ _ _ . UNDER FLOO bUCT-•� '= ; ' i� I t . _ . ; �...__ �GRQUND PLUMBING .�•• -: ,, UNDER FLOOR Cdt,�DUIT � ' `�`.`.• ' ' . � _ � ._ ..___ ';SLAB GRi,DE----___ �' . -- _ _ . _.___ " �: , FIREPLACEFOUNDATION �; r � ': -�- TEMP POWER- -- - _ -. - , '� FIREPLACE BON7 BEAM _ _ . _ . . , ; i WATER SERVICE - - - - - - ' P,AID HT. BOyD BEA�v1 ;� , ; ; , 'ROOF SHEATHING '� : £S FT.BOND BEAM - - � 'FR�MINGNENTILfATION - - - FINAL BOND BEAM , . I � �: i 'i ROOF COVF_R .�_ � PRE-GRADING t�t . ,: •- '-' . - �ROJGti H�A�'ING - _.. _ :. _ _ BENCHING - � - 'ROUGN ELECTRlC_ i._. ' _ _ '� " ._ ' ROUGH GRAD�NG �ROUGN PLUMBWG _.;__ -__ __ ._. _ _ " FINISH GRADING , '.S!-IOWER�fUBTEST-i-- -- - -- _.._ POOL'ELECTRIC ' ;E�i'.L.ATH!SIDINU - � -- - __ . __ . _. .._ - - POOL FENCING , ' � . 'WALL fNSISI:ATfON -- - -- -- -- _ POOL�FINAL � : 'CE1Lii1G iNSUL.FSION - - - OFF SITE IMPS. ` � ,=- , ... '�RYI,"JALL NA1LiNG- ; -- _ DEDICATIrJNS ' � � . . SEWER- - - -- - ,3.�1- ��.... __ FINACENG. �. . , , SEPTIC TANK LANDSCAPE/IRRIG. I 4 � 'SEEP FLTILL__ ON SITE IMPS. � �. j ' �GAS A!�;TE�T ' ' FINAL ZONIPJG ; :. _ _ _ __. ;Fi:•;A�CON�T .;-- -- - FIRE DEPT. FIPJAL : _ - - --- - , , , _, �Fl;:?`�.LH�fiTlN�_ _ --- -- _ _ .j HEALTH DEPT. FINAL _ _ _ _ _ � 4 i »:.L i1ECT�1C __� _ _ _ _ - - ' DEV. FEFS aAID _ _ _ - - - ; � --- . ,�'_„-�.1_PLU"rBfNG ---- ' . _ __ __ E��ERGY . . i . � . - ,i _-- ._ _ _ i ' j ,( --- ,.,�.�.� -...�..-�.- �, ��--_ . __ _ — -- _ __ �,, � v , �� z � � - �`; —_ _ .,.! , _�_:.�.r_ r :?�� �----�- -..,. ' . . . . . V"r �' . _. _ . _.....__"__..._. .... _ . . _ .. . .__. . - ., � , ��"OiV1�'J;EN I S ,_ - _ � , : - - _----- - -- ; ____ , ; , _ -- �` �/ . . '., .. .� . � , . � � . • _ � . __ _ . ... ._. _. ..._. ... . . _ . , ... . . . . . . . . _ . - � i . ... . . _ _..._ . . . : , . : . , - .. . . . � � .. . ; .. � ..... .._ ._.. _.... ... . . . . � . ; . , . � , .. . � . . - . .. �- � . I -- --_. . __ ...__ _.__ .. . . .. . . . . � , . . . .. � ,� , - i . . I ... . . ,. ��SEt�T�{'i TANF<SiZ� _ _ � ; . — , . j SEEP PiT/i1 SIZE_ _ .. . ; , ` , : _._..,..__ . _......, _ � • . _ _r. _.... .T. _._ Ra� . _ — — _ _ ; , i � — , . _ _ „ , . � ;����; �! � __ . _ _. . . _ �„ . , � , ; , --- ___.. � � _ � ,.. , : .._ ... _.._: : , � , � i _ . � _ � . ._ _._ — ; , _ � � _ _ � ... � __,_ --- ; , ; _ : . ..�F .__ . .__ . , . . .. ;., _ . .: � ; __.._�_. _ . .. _ �: _ � ---- ` --