Loading...
HomeMy WebLinkAbout10855 (5) �� -- CITY OFD[An10ND BAR � � COMhtUNITY DEVELOPMENT DEPARTMGNT x-..� 2I660E.Copley Drive Suite l90 . PRESS (909)860-3195 Pax(909)861-3117 ''"' BUILDING PERhi1TAPPLICATION FIRMLY y��, JOBSITE � � � APPLICATION PERMIT P/C o ADDRESS �� l _ DATE �'}--� q NUME3ER�# � ISSUE r� ���7 TYPE OCC APN LOT ACT DATE CONST. GROUP p OWNER � � ' �` ADDRESS ZONING SETBACKS Z CITY ZIP / ,/ TEL. %1-.3�U_3 FRONT RW O d APPLICANT TEL. REAR ❑ SIDE/SIDE STREET RW p � CONTRACTOR SIDE ❑ � ADDRESSJ PROPOSED USE �� � CITY ZIP // L, �� • -�'L�.1_ � ARCHIENG �,{ ,�,e � DESIGNER NO.DWEL. /J -'�`t90. NO. a ADDRESS UN�TS �' STORIES � E3EDROOMS � .CITY ZIP TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BCIL�ER DECLARATION SFR/ADD.'R[h1 - O I NEAE�Y AFFlNA UN�ER 7ENALTY OF FEiLL'RY THAT 1 A.V E%EMP7 fROM h1E CONTRACTOf15 ll� Gdf3 JB/Ce1pOR W CENSEUWFOR7}1EFOLLOV114CR�ASON�SEC.7o]1.SBUSINESSAND7AOFESSIONSCODE:ANYCIiVOR (n U .COUNTYYI'rIICHREWIRESAPERNITTOCONSTRUCT.Al7ER.AdaHOVE,DEMOl15H2ORREVAIR�.WSTRUC� W Patio/DBCk •TURE,PR'OR TO ITS�SSUMlCE.RL50 pCOUIRCS THC 11P7LICANT f0f1 SUCH PER41:T TO FILE A SiCNED � STATEMCNT THAT HE OR SMC IS UCENSED PURSVANT TO THE FPOVISIOhS OF THE CONT WICTORS LL w � CENSE UW ICMIIPTER Y(COFIMCNCING WITN SECTION 7000)OF DIVISION]OF TME BUS:NESS ANO DRO- V' POOUSp� FESSIONS CADE)OR THAT HE OR SHE IS E%EIAPT THEREFROM AND THE OA95 FOR TME ALLECC'J E%EMP� VTION.IWYYIOLATIONOFSECTION7o]I.SBYANYA�PUGA�TFORAOERM�TSUQlECTSTHEAPP�I�ANTTO Z F{C•�pp} A CINL PEN/�LTV OF NOT MOFE THAN FIYE MUNDRED�OLURS(f5o01 k p DI.�SOWNEROFTHEPROPERTY.ORMVEMPLOYEESWITHWACESASTHEII150lECOMPENSATqN, 0 Commercial Z WILL DO THE WORK,AND TNE STR:ICTUR[IS NOT INTENDED OH OFFERED FOR S�LE�SEC.7al BUSi• � NESSAN'�PROFESSIONS CODE THE COIfTRACTO�iSIICENS'c UW DOES NOT�vVLV TO IN OWNEFOC j FROPER7Y VRIO BURDS OR IMPRpV�S THEREON,AND WHO DOE$SUCM WORK HIAffiELF OR N[RSELF OA CC THfiOUGN H60R HEHOwN EMP�OYEES,PROY:DED TMAT SVGM IM�ROVEMEYTS/.R[NOT WTEN�E�IXi m pOfFERE0iOR5ALE.IF,NOWEVERTMEBUIIDINCORIbIPROVEUCNT1550LDK'ITHiNONEVEAqOFCAAIRE• 7 TqN.THE OWNEA�BUILDER Mf.LL HAVE THE BUROCN OF PR01/iNG iN�T H[OFl SHE OiD NOT BViID Ofl IMPROVE FOH TME PURPOSE OF SALE). �L OL�ONMEROFTHE7ROPERTY.A4EXCLUSNEIYCONTRACTINGWR)ILICENSEUCONTRACTOf1S [L TO LONSIRUCT iHE PflOJECT(SEG 70N,BUSI�ES$ANO PROFESSIONS CODE-THE CON'MCT011S ll� VBIU�IlOf1 ADJ.AREA W CENSEUWDOESNOTAPPLYTOANOWNEHOF�PROPERTYWHOBU2DSORIMPROVE57}IEREON.AND � WNOCANTRACTSFORSUCHPR0.IECTSWITHACONTR�CiORIS�UCENSEDDl1R5UANTTOhIECONTMC- QUANTITY DESCRIPTION �E � TORS LiCENSE UW.J. � OIAMEXEAIPTUNDERSEC. B.dP.C.CORTNI5REA50N Q � U ti � OA7E OWNER V Z W . �d IICENSED CONTRACTORS O[CLAFiATION W 2 IHEiiCBYAFFIR4UN0ERPENALTYOFGEpJURVTHATIAMLICENSEDUN�ERPROVI510N50FCNAPTER � Q� i(COMMENCINO WTI SECTION 7000)OF DNISIpN]OF TML BUSIN[SSAND VROFE55'DNS COOC.A4D Z X MY LICENSE IS Pl FULL fORCE AND EFFECT. ., � UCENSE CLASS �� �� LIC.NO. ��7�� , j J VDATE� � cor�raacron t,d .���k n- W � f � WORKERS'COMPENSATION DECLARATION ¢ U � IMEREOVAFFIP.MUNDEPiENALTVOFVERJURYON[OFiMEiOLLON^.NGDECLARATIONS: 2�� Z ✓ Q O �IHAVEANDWiLLMAINTAINACERTIFICATEOFCONSENTTOSEIF.INSUREFORWOPXC ' '� COMPENSATION,ASVROYIDEDBYSECTION37000FTMEUOORCOOE,FOflTHEVERFORMANCE U Q aFTHEWORKFORWHIGHiHiSPfRMIT15155UED � � /� W _IHAYEANDWILLMAINTAINWOAKENS'COMDENSATqNINSUMNLE.ASREWIREDBVSCC7qIJ � 37000FTM[�A90RCOCE,FORTMEPERFORMANCEOFTHEN'ORKFORWNICMTNISPERMITIS I�� 'OQ ISSUEO.AIY WOHKERS' AIPEN i10N INSU CE CARR:EN AN�DOL�CV NUM9ER ARE CONSTRUCTION ��I. 4 "��n" � WiNI[R_q_. �Lt1�iluFie . � PIAN REVIEW Z POLICYNUlA�ER b�f �/' �rZ /�� � � -( ELECTRIC ¢ (iF6SECiCNhimNOT6ECp.lfiEfED0i7iCPEPM:6pilONCHIN%iEDDOILV'iSR�ao�OiiLF55V PWMpING � Z ICERTIFVTHA7INTHEPERFORIIMICEOFiHEWORKFORWH!d1THISVER1A�715155UED,1 MECHANICAL � — �� ('} SHALLNOTEMPLOYANYPENSONWM(YMANNERSOASTOBECOM[SUBJEC770THE � WORKERS'CAMPENS�TKKJlAW50FCALIFORN�AµDAGREETHATIFISFKK1LOBCCOM[ INSPECTIONFEE SUOJECTTOTHLWORNERS'CO�.�PENSATIO PROV1510NSOFSECTION7�OOOFTHEUBOR -rj CODE,I�IM'ITN GOMPLY WIiM p E PROVI`O i ISSUANCE 15.�� 0 �/7 p DATE: /`' APPLIGANT. SMIP ��_�_���nn� .�1,O J WARNING:FARUR TOSENREWORKERS'COMPENSATqNC �ERAGEISUNLAWFULANDSHALLBE ENERGYP/C ��T`T3 �y SUE3JECTANEA7PlOVERTOCRIMINALPENALTILSAN�CINL .ESUGTOONEMUNDREDiMOUSAND ENERGYPERNIT DOlLARS(f�00.000�.W ADDITON TO TNE COST OF COMPENSATION,OwACES AS DFOV'DED FOR IN � SECf1ON77CaOFTHELALiORCODE.PiTERCST,AN�ATTOFNEY5FEE5. RC-TENTIONFEE: a CONSTFlUCTION LENDIYG AGENCY PRE•ALT FEE: ' � O 2 •IMEREBYAFFIq4UNDEHVENALT/OFPEfiIURYTHATTNEREISACONSTRUCTiONLENDINGAGENCY d iORTMEGCNFOFM,W�EOFTMEWORKFORWHICHT715FERMITI5155UED(SEC.]ODI,CIVL.�. Z w � LENDER'S NAME S F— IEND[R5�V7DRES5 � I CERTIF17MAi I NAYE REh7 TMIS APPL�CATKKJ AND STATETUT TMEABOVE W�OPMATqN IS CAAHECL TOTAL FE ES 1O�,�D w IACREE7000IJPLYWITr1ALLGTYANDCOLINTYOR�INMlCESA405T�TElAWSRELAi�NCTOBUILDING � CONSTRUCTION,AN�HEAfBYAUT1/OARERCPPCSENTATNE50FTHI5CCl1NTYTOENTERUPOVTHE � ADOVE�MCNTpNE07ROPER7YFORINSPEGTqNVVMO5E5. L / • COMMLNTS � CJI��L �l�[;}(�N J � m ¢ iTi � [toai ) � � �,�/�-/9� N c, f � SIGNATUHE UM pEHMIT7EE OAIf� 2 RECPT.N0. ��� PAIDBY °j VALIDATION ��� WHITE-0epartment Copy.YELLOW—Fnanee Copy,PINK—Assessor Copy.GOLDENROD—FJe Copy,GREEN—Applicanfs Copy CITY OF DIAMOND BAR INSPECTIOI�! RECORD � � � , • e - e � � (►.�- '�� o ' SET BACK ' ' � �' �� .`=.�� FLOOR JOIST � FTGS/FORMS/STEEL ' FHA REQMTS ' ELECTRIC GROUND UNDER FLOOR DUCT . � �' � - GR�UND PLUMBING UNDEA FLOOR CONDUIT ' ' SLAB GFIADE FIREPLACE FOUNDATION � TEMP POWER FIREPLACE BOND BEAM -=• • -� - - ' WATER SERVICE�-� ' ' -• • MID HT.BOND BEAM � �- -� - � ' ROOF SHEATHING �� �Z�7 � � '--� S FT.BOND BEAM • FRAMINGNENTILIATION ' • • FINAL'BOND BEAM ROOF COVER � ' PRE-GRADING ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GFiADING ROUGH PLUMBING FINISH GRADING SHOWEFi/TUB TEST POOL ELECTRIC EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. • ORYWALL NAILING DEDICATIONS SEWER FINAL ENG. SEPTIC TANK � •- • � LANDSCAPE/IRRIG. SEEP PIT/L.L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. �// !/. FIRE DEPT.FINAL FINAL HEA7ING HEALTH DEPT.FINAL FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY * • . . . .,. . . , ; � COMMENTS ' • � . ,. , , � r�-� . . ,-.;, -;,� .. ;•. ,;'Li��� �: !� i'�., , , � . . . : . SEPTIC TANK SIZE SEEP PIT/U SIZE � . ,\.,` , ' . :.�•. � , �J �L