Loading...
HomeMy WebLinkAbout12033 (11) �� CITY OF DIAMOND BAR � {"w""� �� " � � DEPARTMENT OF COMMUNITY 8r.DEVELOPMENT SERVICES 21660 E.copley Drive suite 190 . . (909)860-3195 Faa(909)861-3117 PRESS ���' BUO.DIIVG PERMTT APPLICATION FIRMLY � JOBSITE a /V S 7 %OD�Z ���� APPLICATION' �GJ RMIT 7/�� /C o ADDRESS � F DATE � 1 NUMBER �"f� � APN LOT TRACT ISSUE TYPE OCC � DATE CONST. GROUP p OWNER CaL i�i C. " ADDRESS � • c� ZONING SETDACKS w Cffy LCi <i h'IP4a ZIP 92/,� TEL 9�� s -/lC� FRONT RW ❑ APPLICANT_. . A, f'M�_Ili� TEL.(��l41 �lu.P'-O/ C REAR ❑ � , R—r--^---� SIDE/SIDE STREET RW ❑ CONTRACTOR 12 M �4'N�D►'f1�:.'f: �ctt-. SIDE ❑ � ADDRESS `�—��� PROPOSEDUSE o CfTY ,���Ss�on V:cic ZIP��(,�?. TE 'ti' O w� ARCWENG! � DESIGNER N0.DWEL NO. NO. ADDftESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTION SO.FT FACTOR PSF ADJ_AREANALUATION Q OVYNER•BUILDER D�CUFiATION �� SFR/ADD/HEM O p I MEREBY AFFlRM UNDER VENALT/O�OE0.AIRV TMAT 1 A1A E%EMPT FROEI TME COMRACTIXiS l4 Garapa�Carport W CENSEUwFORMEFOLIOWwQqCA50N�5EG70.71.SBU51NE55ANDPROFE55lON5CODf:ANVGT'OR (n G� COIMiYYR11GHRE0UIRESl1VERMIRTOCONSTRUCi,lLLTERMPROVE.DEMDUSFtORREDAIRANVSTAUC• w patio/Deck 6 TUHE.PfaOR TO fTS 165UANCE./LL50 REWIRES TM[APDLICMT FOR SUCN iERA1�T TO FllE A SiGNEO � STATEYENT iTNT NE OR SHE IS LICENSED PURSUAHT TO 7ME VROYISIONS OF TME COMiMCTORS L4 � CENSEUWICHAPTERi(COMAIENCWOWITHSECTION70o0�OFDIYI510NfOFTHEBUS�NESSAWVRO� u' POOVSpa FESSIONS CODEJ OR TlUT ME OR 511E IS E%EMPT iHE REf ROA1 ANO TNE BA515 FOR iHE ALLEGED E%EMP• TION.ANYV�OLI1TId10F5ECTIONM]1.6BYANV�VVLN'JJJTFORAVERIAItSU!LIECTSTHE117VLH'.ANTTO z RB-ROOf F A GML PENALTY OF NOT MORE 11uN FrvE HUNDnEO OOLURS(1500)): O ❑L���EROFTHEVROPERTY,ORMYE�PIOVEESWIhIwACfSASTHEIRSOLECOGPENSATqN, Q �mmB�Clal ' Z YALL DO THE N'ORK,AND TFIE S7RUCTURE IS NOT MENDED Oil OFFERED FOR SAIE(SEG 7DN,BU56 J N NE55 AND VfiOFE55qN4 CODE:TNE COHTRACTORS UCENSE UW OOES NOT APP�Y TO AN OWNER OF j VROPERTY MA1D BUIDS OR YPROVES THEFtEON.IWD N?p DOES SlKlt WORI(MIMSEIF OR NERSELF OR � 7MiDUGHHS011MERONR�ENi'LOYEES,YROVIOEDTHATSUd11MPROVEWENTSMENOTMENOEDOR m WQ OFFEHEOiDNSKEF,/qYhYER7MEBULdN00f11MDRDV[MEMISSOIDVATHINONEYfAROFCLWPIE� Z TION,TME OW1IER�BUILDER WILL HAVE i1�E BURDEN OF Vi10VW0 THAT XE OR SHE DID NOT BUILD ON . = IMPROVEFORTMEPURPDSEOFSALE4 W Olti40VMEROFTIEPROPERfY.ALEXCLUSNELYCOMMCTNOWRHLICENSEDCdf7RACTORS � TO CONSTRUCT iME PRO.lECT(SEG JON.BUSINE55 ANO PROiE55lON5 LODE:THE CONTiUCTORS U- VBIU2liIX1 AQI.AREA CENSE L+IW DOES NOTMPLY TO AN O'MIER OF A VROPERTY Ynq&11LDS OR IMPROVES iHEflEON,I1N0 � � YAqCOHTiUCTSFOR5UGIPRO,lECTSWITNACONTRJICTOR(5)LICENSEOVURSU/�NTTOTIECOHTRAG QUMITITY OESCRIPTION � FEE � TdiSUCENSEUW► � O I/uA E%EUDTUNDER SEC. B.t P.C.FOR THIS RGSON U 3 � "-- o�rF om+eR v � LICENSED CONTFUICTORS DECLARATION W • � J � W IMEREBY/FFGWIRIDERVENALTYOFVENUR'/TUTIAIALICEN5EDl1NDERPPOVIS10NSOFCNAPTEH Vr ' �� d Y�COAwCNCNON'RMSECTIONMDolaOMS�ON]OFTHEBUSINESSAnDPROFE55qN5tODE.AhU Z W►10ENSE IS N ML FOiiCE/J!D EFFECT. m O /� � 1 UC.NO.�J�� � � UCENSECLASS � � V DATE � ����.CC�J COMRACTOR�JL�Rj��-1� a W � T.0 � WORKERS'COMPENSAT104 DECLAiL4TI0N ��� Q = U � IHERCBYAFFIRMUNDEN7ENALT70FVEM1iiYONEOFTMEfOLIOWiNGDECUMTqNS: ' N Z 4 � _IFUVEANDW!LIW.MTAtNACEiRIFIG7EOFCONSENTTOSELF�INSUREfORYARNERS' S � COYPENS�iION,ASPpOVDE9BYSECT10Na7ooOFTNEUDORCODE,FOi1TNEDER�ORUANCE W OF TME WORK FOR WNICH TMi9 VERMR IS ISSVED. � � `7�, L I HAVE IN'J IM�LL 1.WNTAN MKIRKERS'CDWV ENSATION MSURANCE.AS RE WIREO BY SECTION O 77DaOFTHEU180RCO0E.FORTNGPERWR4ANCEOFTNEWORKFORWHICMTHISVERMITIS � ISSUED.MY WOW( 5'COYPENSAT JMNCE CARRiER AND POLICY NUM�ERARE: CONSTRUCTION ] ClIRRIER ��>Idt.� �yUle (y�tS . PLANREVIEW ZPOIIGYNUMBER���.�e�alZ�p ��� ELECTRIC Q � 0 (Iyn�6ECT1p�N(EDNOTBECL7.i1ETIDOFMPFW/.�i6RJfi0NEHl.t�tt%im00UA715(ftO�ORL65} PLUMBING �� w MECHANICAL z I CCRTIFYTHAT N TN[FERFORAIANGE OF THE Y.'ONK FOR WHIC117H:5 PERL�IT IS ISSUED,1 C7 SNALL NOT ErAPLOV ANY VER50N N/NY MANNER 50115 TO BECOME SUBJECT 70711E � NORKERS'COAIPENSATqN UWS OF CALIFORNiA�D�GREE THA7 F HOULD BECOME INSPECTION FEE S SUBJECT TO TME Y�OAKER5 CdAPENSA710N PROVIS10N50F SECT 70a 0F THE UBOR � � COOE,ISHI11fORTMVITNCOMttVW�i !�THOSEPRONSIONS. ISSUANCE � �-�.s--srAPPLICANT: �"�� --�,� SMIP p OATE' � WMNiNG:fNLUFC TO SECUR[WDRKERS'WAApENSATION COYERAGE IS UNUWFUL AND SM�LL BE ENERGY P/C � SU6IECTANEMPIOVEFTOCRIAIWALPENALT�ESIN�CMLFNESUPTOONEMl1N�RCDiF7C%15AND ENERGYPERMIT ' ����, pplWL^(Sf OD,OOo),N IODITION TO THE COST OF COIAPENSATION,D�CES AS PROVIOED FOfi 1N ¢ SECTIDN]l0lOFiHELA00RCO0E,NtEREST,ANOATTORNEY5FEE5. RETENTIONFEE: ,�� � � � oW., CONSTRUCTION LENDING AGENCY pRE•ALT FEE: O c� � IHEREBYI1FFIi3MUNOERPEN/LLTYOFPEfWRYTlUTTHEREISACONSTRUCTIONLENDiNUAGCNCY FO/i 711C PERfORMNlCE OF TME WOIiN PoN WH�CH Mi5 PE RMIT IS ISSUED(SFC.�oV7,dV.G�. � � LENDER'S NAA�E � LENDER'SADOH[55 I� w ICERTIFYTMATIHAKREADT115APYLKAT1d�1ANU3TATETMATTHEABOVE�NFOfLAAT10NI5COMECT. TOTAL FEES / � � IAGREEiOC�OIAPLtWITHILLLCITYIWDCOIMiYORDWANCE5ANO5TATEUN5REUTwOTOBV4DIN0 � CONSTRUCfION.AND HEREBY AUT/IOW ZE REVRESEN7�TIVES OF TwS COVHtY TO ENTER UPON THE . S� IIBOVE�MENTIONEOCRODERTYFONPISPEC7IDNPUNPO5E5. COMM[NTS 9 ;G�� << A . rn�.�i.��� � m PERIAi ENM1E(PRRlT) Yr � � � ` / N C � Srt7NAT EOFPE��TiFE �OAIE � RECPT.NO. � PAID BY _VALIDATION WMITE-0epertment Copy,YELLOW--Finence Copy,PINK—Assasea Copy.GOLDENROD—Fde Copy,GREEN—,Applicant's Copy � CITY OF DIAMOND BAR � ' � � � � � INSPECTION RECOfiD � �. ': . � � . ; ._ . ,�. . P � � ' i ' ' � � , . � . SET BACK ' • FLOOR JOIST : ��• •- � ' . ' FTGS/FORMS/STEEL FHA REQMTS ; , - ELECTRiC GROUND -� � � UNDER FLOOR DUCT ' ' ' GROUND PLUMBING UNDER FLOOR CO�IDUIT ` • � • SLAB GRADE FIREPLACE'FOUNDATION � ' � TEMP POWER � FIREPLACE�BOND BEAM �" �� �' ' ' WATER SERVICE - MID HT.BOND BEAM � • • - . .. . . . .. ROOF SHEATHING - � 8 FT.BOND BEAh1 • ,, FRAMING/VENTILIATION FINAL BOND BEAM ROOF COVER " PRE-GRADING � ROUGH HEATING � BENCHING ' ROtJGH ELECTRIC ROUGH GRADING • ROUGH PLUMBING ' FINISH GRADING SHOWERITUB TEST� POOL ELECTRIC EXT.LATH/SIDING POOL FENCING • ' WALL INSULATION POOL FINAL • ' - CEILING INSULATION OFF SITE IMPS. ; DRYWALL NAILING DEDICATIONS SEWER � � FINAL ENG. � SEPTICTANK - LANDSCAPE/IRRIG. . SEEP PIT/L.L. - ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. - - FIRE DEPT. FINAL FINAL HEATING - HEALTH DEPT. FINAL , FINAL ELECTRIC DEV.FEES PAID FINAL PLUMBING 1• o �- ENERGY � i , . ' . _��p���l�_�.1�= , , - . �:,•.. COMMENTS ' .. • ! • . - . . . . SEPTIC TANK SIZE i ' ` � - .. ' �`_.;• �.' � , : SEEP PIT/U SIZE:'� ��` — -- � r �=� �-•-- , :,�. s�l � . . � , „ � , I �. . ., • . , . � � � . � . . ,