Loading...
HomeMy WebLinkAbout13630 (14) �� CITY OF DIAMOND BAR l� � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES �� 216b0 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS ����� BUILDING PERMIT APPLICATION FIRMLY JOBSRE APPLICATION PERM(T P/C o ADDRESS��/3J�0�///1.ri�/��rSO !'�T' DATE �NUMBER,��_Ox � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER Ct���GL��1JJ--�D) L p ADDRESS 2�f 3 Sr>�/1j/i!�%C3�.'�/-��' ZONING SETEiACKS � CIN /J�.G. ZIP�,�'TEL.�'"�F'l�1��05� REAR Rw ❑ APPLICANT TEL: SIDE/SIDE STREET RW ❑ COtQTAACTOR � SIDE ❑ � ADDRESS � �, PROPOSED USE LU�� C CITY �/,. • ZIP,���TEL.ti?I�9'�U —�"—� w� ARCH/ENG/ � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION Sa.Ff. FACTOR PSF ADJ.AREANALUATION N � OWNER-BUILDER DECLARATION SFFL'ADO/REM O p I MEREBY IiFlRM UNDER FEWLLTY OF iE0.NtiY THAT I AA1 E7fEMM FROM THE CONTMCTORS L� Gaf8gO/CO�pOR W GENSEUWFOqTHEFOl10�M.NOHEA50N(SEC.7071.5BUSINESSANOFf10FE551CNSCODE:ANYCITYOR (n � COUHTYYMIItliREpllFlESAPERAIRTOCON6TRUCT,AL7ER����E,DEA10115H2OHREGAIqANVSTPUG �jJ �a110/�BGk 7URE,Pf1iOH TO RS ISSUANCE.AL50 PEW JiES THE MPI�CNlT FOR SUp1 GER41T TO F0.E A SiGNE� W � STATE4ENT 1HAi HE OR SME IS LICENSE'J PURSUMff TO TME VRWLSIONS OF TNE LONTMCTOHS U� � CFNSE UW(OUPTER�(CdAMENLWU WITI SECfKKJ 7000)OF DINS�ON 7 OF THE BVSiNE55 AND Oq0- u- PooVSpa FESSqNS W�E)OR TTWT ME OR SNE IS E%EGP7 TMENEFROM AND 7HE BASiS FOR TME ALLEGED EXEMP• TION.AN'/VIOLATIONOFSECT�ONM716BYANYA➢PLICAHTfORAPEHMITSU0.1ELT57NEAPGLICANTTO z FiB�R0o1 r ACMLiEW1LT/OFNOTMOfiET14NfNEHWDRE�COlURS(5500�.): � 04���CROFiMEiROPERTV,ORMYEMPLOYEESWITMWAGE5A5TNEIRSOLECOMPEHSATION, 0 CORIrt1Bf�ldl � W1LL p0 THE Y/OWC AND 711E STRUCTURL-LS NOT IN7EPAE0 OR OFfEREO fOR SALE(SCG 7ou.BUSI� J � NESg AND OfqFE4510N5 COOE:TNE CONTRACTORS UCENSE UW DOES NOT AFP�V TO!W bWNER OF ? iROVEiRT N110 BVMS OR MPROYES TMERCON.ANO MMO DOES Sl1CH MVRK MIMSELF OR MCRSCLf OR C[ }IIRpUGHMISORMEROKNE4PLOYEES.VROV1�EDiHAT5t1U1WPPOVEMCNTSMENOTNTENDE00R m � OiFEREDFDR9hLEtF.NOWEYER7M[9ULdNCORMO{IOVEMEHi65dDVATHIYONEYEAROFLI7MPLE� z TION,iNE OWNER�BUIIDER YVILL HAVE TME BUFDEN OF iROVPq TNAi 11E OR SME D�0 NOT BVItD OR � MVPOVEFORTMEOURPQ:EOFS/LEI ❑1,/�S ONTlER OF THE PROVEHfY.AM E%CUISNELYCONTMCTN01N:T1/UCENSED LON'MCTORS WTO CONSTRUCT TME GAWECT fSEG 7U4�,Bu51rvE55 ANo PROFESSIOrvS COIE:TNE CONTRAC7CR5 LI• V0N2110f1 ADJ.AREA CENSEUWDOf4NOTMVLYTO�NOVMEROFAVR07ERTYMhqBUIDSORIUPf10VE5TMERCON.MlO � W1qCOMMCTSFdi5�Q1iR0UCCT5W�TMACONTMCTOR(S�UCENSmPURSUAMT0IHECOHiN�G pUAMITY DESCRIPTION FEE � i00.SUCEHSEtAW). OIAME%EMPTUNDERS[G B.iG.GiORTMISREA50N U 3 — ¢ "-- o,�rE owr,ea �- � w F IICENSED CONTRACTORS DECLAfiATION -� � w IHEREBYIFFYWUNDERPEtUl7YOFPERRIRVTMATIAIAUCENSEDUNDERDROVI5i0450CCHA7TER � .f � /r d, ��CJ.M.�YENCNO WfTM SECTiON 7000)OF DMSqN]OF 7HE&/SiNESS N+D PROFESSKK+S COCC,�ND Z �� �� ' X W LICENSE IS N FlAL iIXiCE ANO EFFECT. m ,� 1 ' /` � IICENSE CIASS�3� LIC.NO.� J���� j v o����l(2 — 9�_CONTMGTOR T"`" ` d W � WORKERS'COMPENSATIO�J DECLARA710Y Q � IHEREBYAFFlfWUNCCRPENALTYOFPEfUURYONEOFTNCFOLLOwwGDfCUMTqNS. U � Z Q � �INR�EMAVALL�!N7AVIACE��FICATEOFCONSE�fTTOSELF.INSUfi[FOiiWORKEFS' $ CpaPENSATqN.ASPROVIDEUBYSECTION770nCFMEU80HCODC,FONTI�EGERFOMIANCE �U OF THE WORK FOR WHICH THIS PERMIT 19 ISSL)E'J. � � ��MAVE ANp VALL M�.�NN YK'1RKERi'COUPENiATION INSURANCE,AS RC WIRCO BY SECTION QQ �/o00FiHEU80A000[,fORTMEGERFORMANGCCFTMCWOflKFOHWHIp1TH15PERM:T15 _ . 455Um.WW:JRNERS' PCNSIT1dJIN5UMNCECARpIERAIIDVOLICYNUMCEHAlL_: CONSTRUCTION � �Eq_�'�I PLANREVIEW +^�,–'"^� � vouevNuueea ^OD ELECTRIC � n� ��� � �� — � (nass[cror+nE�uoTeEtan.ErEnoFncvE�a�rtsarouEia7�ntifnmu/�"(Sim)oaLEssl PLUMDING — z ICERTIFYTW�TWIHEVE0.PoPMANCEOFTHEWORNfORYMICHTH15VEliMITI5155UED.l MECHANICAL ����1`�r `y ~ ' SNALL IqT FMPLOV�11Y PERSON NANY IArM1ER SOAS TO BCC01A[SUBlECT f0 TNE � _ l . � M'OPo(ERS'Cp1PEN5ATqNUM�50FCALIFORN�A�MD�GRCETW�7IFISMOULD9ECOME INSPECTIONFEE -;,.:,��r�`�, S SUQIECTTOTNEWORKERS'COYPENSATIONVROVISiON50FSECTION]7000FTMEU�BOR �,•� �,_,'• " ���� COOE.151/ALLfORT1M9TMCp.�PlYN1MTMOSFPROV15lON5. ISSUANCE ��t 0 SMIP -.1'�i1:`.J�'' _2 � � p OATE: APPLICANT: l�� � ENERGY P/C WARNIYG:FA W RE TO SE WRE WOfiNERS'C0IAGENSATIDN COVERAGE IS UNLAIHFU..�ND SHALL BE LL SV0.IECT�NEMPLOYEFTOCHW:NN.7ENALTIESMlDLIVILFNESUPTOONEHUNDREDTIDUSANO EN[RGYPERMIT DOLLARS�f10a.0oC),IN ADOITION i0 THE COST OF CqA7EN5ATION.D�AGES�5 VHOVIOED FOR IN � SECT�ON]l0lOF1NEUBORCOO[,IMEREST,�NDAT10iWEY5FEE5. RETENTIONFEE: pw.. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O 0. 1 HEflEBY AFFIRIA UNOEp PENALTV OF PERNRV TNAT TMERE IS A CONSTi1UCTION LEN�ING ACENCV z FOR TNE FERFORMANCE OF T11E WOAK fOA wMitl1 TMIS PEIWIT IS ISSVED(SEG]007.CIV.G�. W � LENDER'SNAAIE S � LFNDERSADDRCSS � ICERTICYTHATIHAVEPEIDTNISAPPLICATqNANOST�TE71UiT+E���M�FOIiuAT10f115f�fiRECT. 70TAL FEES � IAGREETOCOMv�YYATNALLCRYANDCOVNTYORDMANCESANDSTATfUwSREUT�NCTOBV0.DwC !� • CONSTRUCTION,ANONEREBVA'Ji/10WIEREPNCSENfATIVE50FTM15COUNiYTOEN7ERUPONTHE � /�I��S � � S� ADOYE-MEHTIONCDPROPEifTYFO11w5VECTqN7VRPo5C5. COM�r1ENTS K � � .. t�n // ' ¢ PER1AtttE IwE(PWNT) ___��� / � � SIGNA �PE ��1E DA7E � RECPT.NO. PAID�Y VALDATION WHITE—Depertm Copy,YELLOW—Finance Copy,PINK—Assessa Copy.GOLDENROD—File Copy,GREEN—ApplicanCs GOpy , . , � . .. . . , « .. . . . �. .,.. .. , . . � �. ... ,.., .•.�;- . .. - • . .�.. .- ..... ,.r••. ... , s. . ... , .. .. . • �. CITY OF DIAMOND BAR INSPECTiOh RECOC�Q �--.------ _�-�---�-.�..--, E-. ��I��E-;'�t�;:r(^1`� -�Y:�9�T � � �"�`�' rt 1►�f-j;����e,�sj��tir��i�tir_�.r= ^_ il►�E-'�:.����-�e�r� . ='s: _ �. �1��-�_��.�J!�`... —_ ___ ...__._.�___..____.__ ..�..�._.�.._ _._._...,. .....�� ..._, ....,.._ _S�T f3ACK_........;:.-••_._..---.I_:� _.. � - FLOOR JOIST FTGS'FORP.!S,'STEEL'- � � ' � FHA REQMTS � � ELFCTRIC GFOUND UNDER FLOOR DUCT GRUUND PLUPABI�dG UNDER FLOOR CU�•IDUIT �— 1 — ---- SLA6 GRF�Dc FIREPLACE"FOUNDATION ! TEi:1P PO�"JER FIREPLACE BOND BEAhA I b^rr1TER SEF�VICE A�"ID HT. BOND BE.r.Pf ' I ' I ' Fi00F Sf-icATHING 8 FT. 60ND BEAhA � I • I- ' r=i�A�:^ir1u��1Cr�lTILIATION FINAL BOND BEAPA 1 �___ �i�0�COVFR PRE-GRADING � RbUGH HEATIN:� � 6ENCHING ROJGI i E�ECTRIC I ROUGH GRADIhG _ ROLIGH PLUh4E31NG • FINISH GRADING 5!�i0'�JER,TUF3 TEST POOL ELECTRIC ' EXT. !_F;Tt-i!SIDIf�1G '� POOL FEPdCING i _ V�:l,Lt li•;SJLATION j � POOL FIP�AL I I C�ttI:J3 tr�SULATIOf1 � � OFF SITE Ih1PS. ___ _ DRYI�VAL.L I�F�IL(tdG � � �EDICATIONS SE'�°l�f; I FINAL Et•1G. � S�F'TIC Tl���K L.ANDSCAPE/IRRIG. S�F? I'IT,�L.L. � ON SITE I��"PS. , � f c��,S i-lii TEST � FIhJAL 70MNG j ' i--- -- � F;�;c,l_CO"JST. FIRE DEPT.F(iJA! I �`�i�;r,� Gc� �r I I HEALTH DEPT. FIf�7AL j --- — H� ,i IC..� �_ I ^"�;^.' ELFCTRIC j DEV. FEES Pi�iD ----�— � --- �—"�= (� — � °':t�:�'.;_1 LU�.��IN.r7 � I I E�J�RGY. j ; � ��v7R-_ftj� - Gi'll-�c I �J.�.�r � — �- --,,�--- - -- _�_....�.._ � I I � �;_•L�, .,, ;,;.�,,;. _.._._...._.._._' � _ __ �------- � _�;� � _ . . .. .---- � _ ; i;o;vi�:����"i s • � �------- . --- -- I --� � -- � — � � �--- : . ----- , ---�--- �-- — -- r � . . i•---- ,— - -- ------ ! --- -- — �S�PTIC Tt,tJK S(ZE - S�E P P I i/U S I ZE __ . --- -- --------- ,. _._........._._r_._._..� _.__.� ` ��� — — ------ . . i — ----- — ,: -- � � '� _ i . 't�9�1! " id � — ---- ---- � - . . , ' = ' — — i i � - . � � - � . , , _ �.. ` ° ; : � , - •, . . . __ _... ....... ............:.......... . �