Loading...
HomeMy WebLinkAbout14497 (20) - - - - -- _. . . � , . . __. CITY OF DIAMOND BAR �P� � - -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 (909)86a3195 Fax(909)861-3117 PR ESS ��_. BUD.DIIVG PERMIT APPLICATION .. FIRMLY o DD ESS��-7CJW J��✓�P�C�[Q DATECATION /,_ )��OQ NUMB R I r ` � p� / / $ ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER " ADDR � 3QS.tu.t/�vNCrrJ.� G �.Q ZONING SETBACKS W CIN IP TEL. -�I REAR RW O APPLICANT TEL. SIDE/SIDESTREET RW O CONTRACTOR f J SIDE ❑ � ADDRESS PROPOSED USE CfTY ZIP v TEL o ARCWENG/ � DESIGNER NO.DWEL. NO. NO. ADDRE55 UP�ffS STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � OWNER-BUILDER DECLARATION SFR/ADD/REM O p I MEREBY AFFlpA UNDER PENALIV OF PEiWRV THAT 1 AM FXEMPT FR01A TMC CO�RMCT00.5 L4 Garngo/Carport iV C815EUWFOR7MEFdlOwNOPEASp�(9EG7mt.68V5�NE55AND7HOFE55lON5CODEANYCT'OR (A � GDUHi7NMMJIREQ11RE5APERMRTOLVHSTAUCf./�LTERMPRDYE,DEMOLISM,ORREPAIf1ANYSTRUG . W patioJDeck - � ' ' ' 111RE,PfYOR TO RS IS6UANCE,/LL50 f1E0UIRE5 TME AVPIK.ANT FOR SUGI PERIAIT TO FILE�SiGNED W � 8TA7EMENT 711AT HE OR 9HE IS LICENSED PUiLSUANT TO 711E PROVISIONS OF THE OONTMCTOItS LF � CEMSE lAW(CHAP'TFR Y(CdANENCNO WRH SECT�WI 70oC1�DIVISiON f Of iME Bl151NE551WD VRO� u" F'OOVSPa FESS�ONS OOOE)OR TMAT NE OR SNE IS ElfEuvT Tf1EREFR0II AND TNE BASIS FOii THE ALLEGED E%EMP• 710N.ANYVqLATqNOFSECTOH7071.68YANY11DCL1UMFORADERMITSIAIECT5T11EAPPLICMffTO Z �B-ROOI � � ACrvIL VENAl7Y OF NO'T MONE T11AN FNE HUNDnEO OOLURS(isoq Y o OI�GMMEROFTNEGROPERTY,Of1MYE�PIOYEESMnTNwAGE5A5iMEiR50LECOMPENSA71pN, O COfl1IliBfCla1 ' t N711 DO TME YIORK,AND TME STRULTUH[�5 NOT MEND[D OR OFFEFED FOF SAIE(SEG 7a�.BU51- J � NE66 AND PROFES610N4 CODE.TME ODNTRIICTORS 110EN5E UW DOES NOT MRY TO AN OWNER OF = VIqPERiY NR10 BUIDS OR IMPiqVES THEREON.A1O 1M�0 DOES SUq/WORK HIMSELF Ofi NEfiSELF OR (L TIROUGHXISORHEROYMEWPLOVEES.iROVIDED7HATfiJCHWPROVEl1ENT5MENOTMENDEDOR m � OFFEREDiORSALEIF,HOWEVE0.7MEBULDNQORYDAJV[uEMLS50lDWITHMONEYEPAOFCONPLE� •TIOM,TNf OwMFRbNtDER WILL HAVE TME BURDEN OF VHOVINO T/UT NE OR SNE DID NOT BU4D OH MPiqVE FOR THE PUFIFOSE OF SN.El �y Olti`�MNEROFTHEiR07EHiY.AYE%CLUSNELYCONTMCTN�NTTIILICENSEDCOflTMCTDRS � TO CONSTAVCT TME PROUECT(SEG 7oN.BUSiNE55 AND PROFE55ION5 CODE TNE CONTFUCTCRS U• VelueliOn ADJ.AREA CENSE UW DOE7 NOTAFPI'/TO AN OMIER OF A FflOPERTY M�O BULDS OR IYPROVES iMEREON.N/O � WIqCOHTMCTSfORSUCMGR0.1ECT4WITHACONTRACTOH�S��ICENSE�PURSUlWTTOlMECONTMG pUANTITY DESCRIPTION FEE _I toas uc�+se uw.�. 3 O IM1 E7�uPTUNDER BEG B.l P.C.FOF TNIS RGSON U Q u' OATE OMMER � � W UCENSED CONTRACTORS DECLARATION W � IHEREBY IFFGw tRlDER PEW�LTV OF V[0.JUi1Y T1UT IM1 LICENSEO UNDEN PROVi5iON5 OF CMAP7ER J� . � ��CO4IIENCNOWRHSECTqNfOW)OFDMSqN70F7H[BUSINESSN:DPROFESSqNSCODF,AND Z '• a �I W UCENSE IS N ML FORCE ANO EFFECf. m 01F� IICENSE C1A55 � UC.N0.� 1 *• � J A_� � 1' 1'1 j1 F � DATE��• � CONTMCT011� a WORKERS'COMPENSATION DECLAfiATION i,"�i -� = U {... N IHEREBYAFFlIWUNDEROENALTYOFFE0.R11tYON[OFTHEiOLLOWINGDECURA710K5. 4 � —"� y 1 G �I/NVEANDWILLMAMTNNACERi1F1UTEOFWNSENTTOSELF�INSUR[FORM.ORNERS' 2 uT J t� �'��1IlJ��D�♦, COYPEN511TqN,AS PROVIpED BY OECTION 77W OF iNE LA80i7 COOE,FOHTNC PERiORMANCE U Q OFTHEWOiiKFORWM1dITMISiEfWR6155UE�. � •� �Il1�y�U�jt�j fTi'r•V �I HAVE ANO WILL EWMMJ Y/ONCERS'CO��PENSATILN INSUiLWCE.AS RE W iRE9 BY SECTIDN � �7000F T)1E LABOR OOOE idt iHE 7ERFORAIANCE OFTFIE WORIC FOR WMiCM TMIS PERMIT 15 55UED.MYWOwC5E RS'COIlPEN5AT10N1 SVRANCECARR:ERANDiOLICYNUMOERARE: CONSTRUCTION � cu+aEn r � I✓� Q/� PLAN REVIEW - - - � POLICYMIAABER � EIECTRIC 0 (}Ii�5ECi1p�1�NOTBE001�FlEfmOFMF�EFMT6PoRONCWrOFiED00l1AiLSIf�aDjORLE55} PLUMDING w M[CtIANICAI Z I CERTIF`lTNAT NTNE FERFORAIANCE OF ME WORK FOq WHICM THIS GE�IT IS ISSUEO.I (7 SWLLLNOiEMPLOYANYVE1150NNINYMANNCqSOASTOBECOMESIAJECiTOTME � WORKE0.5'GOUPENSATKNUN50FCAlIFORNItiANJ11GREETMATIFISMOULDBECOME INSPECTIONFEE S SUBJFCT TO lNE WON%E1tS Cd.�PENSATION VROVI5lON5 0F SECTION�70o OF TME U1BOR � D CWE,151 VLL FOR7IMAM CpAPLY YnTM h105E PROVISIONS. ISSUANCE � � p DATE: '� "'O APPLICUJT: SMIP � WMNIH�:FMURETOSEWRCWOiiKERS'COMOENSATIONCOVENAGEISUlUWLl1�A1�ID5HAllBC ENERGYPIC ry SUBJECTANEMPIOVERTOGWVwN.PENALT1E5N1'�CMLFNESUP700NEMLNDREDiMOU5AN0 ENERGYPERMIT pOl1AH5(ilao,000),W ADDITION TO THE COST OF COMPENSATION,O�MACES AS PRONDFD FOR IN ¢ 6ECTIDN]7DeOFiHEIABOFiWOE,MEREST,ANDAiTORNEY5FEE5. p[7ENT�QNFEE: oW., CONSTRUCTION LENDING AGENCY pRE•ALT FEE: � 1 MFRLBV ILLFIHM UNDER GENALTY OF iEFUURY TMAT TMEAE IS ACONSTRUCTION LENDINO ACENCV Z FOft iHE PER�ORAUNGE DF 7M[WOPof FOR Nrt11G1 iN15 7ERMIT IS ISSUED(SEG]097,pV.G�. W � IENDERSNAME �S LENDEiF9IDOFE55 "- ICEHfIFYTUTINAYERCADTMRIIPPL1G1T10N�1ND5TATE7MATiH[ADOV[M+FOiWA110NI5COFiRELL TOTAL FEES � IAQREETOG�OM7LYWRH/11CT'ANDCOUHIYORDIIUNCESAtAST�TEUN5REU7NOMBUILDINO ' CONSTPUCf10N.AND MEREBV AUf/qRIZE RFPRESEMATIVCS OF iHlS COUNTY i0 EN7ER UVON THE S�. ABOVE�HENTIONEDVROGEHTYFONNSPECiIONVURPO5E5. COMMENTS 9 ���.-�t�-�c.�/ m FE EE Ww[(PHIHT) � � 1�l3- o0 � lq1NTURE OF GERYI7 DAiE � RECPT.NO. PAID BY . VALIOATION YVHITE-0ePertment Copy,YELLOW—Flnance Copy,PINK—Ateetea Copy,GOLDENRO�Fde Copy,GREEN—Appl�canCs Coq . . . . . . . . � . ., . . � """"'�iT� t�����" IOND BAR . :, � � � ' ' INSPECTION RECORD� - � - . �.. .. . , . � - �e e � e � ' • - • � + • - SET BACK ' • ,.�..1 �;•., -_ - __ FLOOR JOIST � •.• . � � �. • _ I . FTGS/FORP�AS/STEEL • FHA REQMTS - � - �` - ELECTRIC GAOUND - -- � UNDER FLOOR DUCT' .-.: .; , �, , ,; • - � � GROUND PLUMBING � ' UNDER FLO�R CO�IDUIT � � : ". ' SLAB GRADE • FIREPLACE FOUNDATION • •- • ' • • � ' TEMP POWER � - � FIREPLACE BOND BEAM � _. WATER SERVICE - MID HT:B�ND BEAM � • � ROOF SHEATHING - - 8 FT. BO�dD BEAM: �� � �� FRAMINGNENTILIATION � FINAL BOND BEAPA � ROOF COVER. ; PRE-GRADING � ROUGH HEATING - BENCHING ' • ROUGH ELECTRIC - ROUGH GRADING , ROUGH PLUMBING � � FINISH GRADING - SH�WEFUTUB TEST POOL ELECTRIC EXT. LATH/SIDING POOL FENCING . WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. � SEPTIC TANK LAPdDSCAPE/IRRIG. SEEP PITlL.L. ON 51TE IMPS. ' GAS AIR TEST FINAL ZONING . ' FINAL CONST. FIRE DEPT. FINAL ' FINAL HEATING - HEALTH DEPT. FINAL FINAL ELECTRIC DEV. FEES PAID - "� FINAL'PLUh1BING• , � � � . � ENERGY , �Fi�� Br�4( - .��,,' �• _ , ' , _ _ COMMENTS ' � . � .- , - . : ; .� ._�'� , , . SEPTIC TANK SIZE , SEEP PIT/U SIZE � �` � � . � _ .� , � . , , . � �; - . _---_ �'_