Loading...
HomeMy WebLinkAbout12881 (4) � .. . __.._.. F)CF'IF?ED �\ CITY OF DIAMOND BAR i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �,� z��o E.cop�ey nri��s�c�i90 S C P 10 20�2 • (909)860-3195 Fa�c(909)861-311? PRE$S •..��.� . BUII.DING PERMIT APPLICATTON . FIRMLY � JOf3SITE APPLICATIO � PERMIT PIC //�, o ADDRESS �'r'�Iy V���r-�/ \1;��I�Ctvt ' OATE I � NUMBEFi� M ''" � ISSUE Q (� TYPE OCC APN LOT TRACT DATE f �/.7 CONST. GROUP p OWNER G�tt=wAY Crr�(f=.Nf�R ADDRESS 1 S 1�1 VA��Ey �/:ST� O'a..v C ZONING SETBACKS � CIIY O.n.MO�+M L'�nC ZIP A� TEL � _. FRONT RW ❑ APPUCANT XL C�cc. �'Trt�rcir••� TEL. �IH 554-6132 A�R O SI�E/SIDE STAEEf RW ❑ � CONTRACTOR XL �rrCE�2c�'it.C�Sc�v SIDE p ADORESS l.v PflOPOSEDUSE ��nL�. �„1�� CHc�r J ��� ' � CITY " ZIP g G�/3 TEL � - 3 �q�vn v.vpEF c.�vn -Tn '7o_�SG��t o ARC NG/ �.v1 AKK6�J, . - - � MF-'(�iCAI. �'GF.Y� �;\�n. � DESIGNER ���{��' NO.DWEL. NO. � Hp_ = C�DRESS � � ZIP T L. " UNITS STORIES BEDROOMS � DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFHIADD�FiEM O I NENEBV AFFIIW IINDEF PENALlY OF PEiLA1RY TF1AT 1 AM IXEA�PT FHOM TNE CONTMCTORS Ll- Gaf8g0/CBtpOR. GENSEUWFORiNEFOLLGWIN(iREA50N(SEC.7oJ1.68U5WE55AN07ROFES510N5GODE:M17qTYOq (n V COUNiYWMCMREONpESAGERAIRTOCONSTRUCT,ALTE0.��PPAVE,DEMOLISH.OFREPAIRMlVSTRUP W P8t10/�OCk � � 7URE VH�DR TO RS RSUMICE AL50 REOUIRES iNE MPUGNT FOR SUG1 PERMIT TO FllE A SIONEU � STATFMENT 7HAT HE OR SHE IS UCENSE�PURSUANT TO TME PNOV6�ON5 OF TME CDNfMCTOR9 Ll, .� CENSE lAW(C}/APTER Y(CpAYENCIN(I N'ITH SECTqN 7000)OF DMS�ON 7 0F TME BUSINESS ANO PR0. u" PooVSpa - FESSqN4 COOEI��T HE OH 511E i5 E%EMVT TMEREiROM ANO TNE 611515 FDRTHE ALLEOED E%EMP• TqN.ANYYqIAiqNOF5EC770N7071.6BYANYAPVIILANTFORAPENdIT5U8JECT5TMEAPP�IC/1NTT0 z Re-Roaf . � A CML DENALT/OF!qT MORE 7NAN FIYE HUntDRED DOI_VAS(l500).): � ❑4ASW/NEROFiHEPROPER7Y,ORNVEMGIOYEESYATMWAGE51157HEIRSOIECLMPEN5AT10H,. � 0 CORIR1BfClal . - - WILLDO TIE WORN,AND THE STRUCTUHE IS NOT MENOfD Oi1 OFFERED FOR SALE ISEC.70aI,BUSI- J � NESS ANO FROFESSqNS COOE:TME CpRMCTOR3 UCENSF UW DOES NOT MPLY TO AN OWNER OF�' , _ . VROVERTY 1M/0 BUpD50R YPi10VE5TNEREON.M1D'M/O�OES SUCN WJi7K NI1.15ELF OR NERSELF Oq � Tu10116HNSORHERON?lEMPLOVEES,PFqVIDEOTUTSUCHIYPROVE4ENTSFAENOTNTENDEDOR' � , OFFEPED PDR SALE F,HOVIEVER�Bul.dN001i YPROVEMEMIS SOIU WITMM ONEVEAROF 071IP1E. TION.THf OWNERBULDER VnLL HAVE iHE&1ROEN OF PROVwO THAT NE OR SHE DW NOT BUIID OR = 14FRDVE FOR TNE PURP0.SE OF SKE). � . � W 04ti4W�NEROFTHEVROPERfY.M1EXCLUSNELYCONTflACTINOWfi11LICENSEDCOf7fMCTOq$ [[ TO CONSTRUCT7HE VROJECT(SEC.7DµBUSINE55 ANO VROFESSIIXJS CODE 7HE CONTiUCTORS LI• V9IU81IOf1 u�' ADJ.AREA ' Ll1 CENSEUWOOE9NOTAPVLYTOANOWNE110FAPROPERiYNT10BU1LD50i7MPHOYE3TH[pEON.AND � YhqCONTMCfSFOR5UQ1PR0.1ECTSWITIACDHTMCTOR(S)LICENSEOWRSUANTTOTNECONTMG pUlWTITY � DESCRIPTION FEE � TpiSl10ENSELAW.). . . . . . . . . . Q OIAMD(EIAPTUNOEIISEG B.6P.C.FORTHi5REA50N . U li. �,�„ . .. . ... DATE OWNER � . � W - � UCENSED CONTRACTORS DECLAFlATION W � I NEREBYAFFGtM UNDE(7 PENALTY OF PEMJRY TWR I IM UCENSED UNDER Pi10V151ONS OF p1APTER � . p. 0(COAIMENCTlOMRTMSECiqN7000)OfDM510N]OFTHEBUSINESSMIDVROFESSIONSCWE.ANO . z u� W UCENSE IS N F1AL FORCE ANO EFFECL � o ���� ��6 ��.No. '�1�6 b 1 � v onre I(7-?-9,�'t_corrrrucroa o—'. _ w � WORKERS'COMPENSATIONDECU1fiATION ��1� -� ¢ � IMEREHYAFFIRYl1N0ENPENALTYDFGEfWRYIXJEOFTHEFOLLOWINO0ECUIRAT 5: Z � - , . � � �INAVEINDVALLMAiMANACERTIi1CATEOFCONSEMTOSELFJNSUREFORY/OHKERS' Y � � , ♦' , . ��,'� . . , ��• ,,, , COAIPENSATION.ASPRONDEOBYSECTIONT7ooOfTHEUBORCODE,FOR7HEPERCOFMANCE W OFT1E WOiLC FOR WHIp1 THIS PERMIT IS ISSUEO. ,� � Q �1 FUVE IND VnLL MAMTAIN WORICERS WMPENSATION INSURANCE,AS RECUIRED BY SEC'T70N 77aoOFTMELABORCOOE,FORTHE7ERiOPMMICEOFTHEWORKFORWHiCHT1115CER1AR15 � � iSSUED.MYMK7PXEfl5'COMPEN511TIONINSURAHCECARRIERANDPOLICYNUMBERME: CONSTRUCTION � GRRIER �P_k=MU KJr C()�nt�ENS��1 U�l/ ��s �15, PU1N REVIEW � _f�� _ � POLICYNUTABER uJ �yU 4°/9G'� ELECTRIC Uj� �Q (fVa55ECi%YJNFFDNOT8Em1.SlFfEDOfTEPEW.R6fORONEM1�Of1ED00.L1fi51SIW)ORlESS�, PLUMBING � ICEHTIGYTHAtINTHEiERFORWNCEOFTIIEWORKiORWNICHTHiSPERMITRI55UED.1 MECHANICAL � C,'} 6HALL NOT EMPLOY M!Y VERSON H ANY MANNER SO AS TO BECO�.�E SU4IECT TO7HE y WORKERSCOA.ICENSATIONUWSOFCALIFORNIA�NDAGFEETMATFISIqlA�BECOME INSPECTIONFEE S � SUBIECTTOTHEWORKERS'COMPENSATqNDRON510N50F5ECT�ON77000FTHEUBOR - �� � v cooe.isw�uconrMnnn�cbrar�rwm+�Ao�nsa�+s�� ISSUANC _��� ponrE: 1��%�5 �vpuC.+ur. �✓nn�% .e.i+�s-e/+� SMIP � ENERGY P/C WARNiNO:FA0.URE TO SECURE WORKERS'COMPENSATION COVEMGE IS UNUWFUL,AND SH�LL BE (�y SUa1ECTANEMt+�QYFqTOCRIMPULPENALTIES/�NDCMlRNESUPTOONEMINDRE0T110USAND ENERGYPERMIT� �(�.1���Q OOUAftS(f 100,000).N ADDITION TO TNE CQST OF COMPENSATIDN.DMUOES AS PROVIOEO FOR IN � SECiION]70sOFTHELABORCODE,NTEREST,ANOATTORNEY5FEE5. RETENTIONFEE: � oCONSTRUCTIONLENDINGAGENCY pq�-n�TF E: y� DIAMOND RAR � � � IHERfBYAFFIRMUNDERPENI�LNOFPERJUqVTHATTMEFEIS�CONSTF1UCTiONIENDINOAQENCV V�� �b�� '�Ui IIVG�'�,t�T:�r,r.r.�rv � � Z FOR THE FERFORMANGE OF iME WOAK FOR WHipl TMS GERui7 iS ISSUEO(SEC,�osl,GV.�,), . . W � LENDEq'SNM/E - �- . - � C LENOERSADDRE55 ✓L�• - � TOTAL FEES � ICERTIFYTHATIIUVERFIDTHISMPLICATIONNIDSTATEiNAT111EABOVEINFOR1AAiqNI5Wf3RECT. ///�y�yy ���/// W IAC3REE TO COMPL�1MiM JLL1CfTY ANO COIXlT1'ORDIN�flCES ANO STATE UN5 PEUTIN6 TO BULOINO �� �/ / / / /� � C�ONSTRUCTION.AND MEREBY MlM�RQE REORESENTATNES OFTNIS COVNTY TO ENTER UPON7HE . . . � \/ y / / � ABOVE•MEHfqNEOPROVER7YFORINSPECTIONFUFPO5E5. COMMENTS O P �� v O � �\:� ��Qf���� , m FEPMITTEENM�E(PWtf� � � ���� �!\ �.i[/�.�1'V�i�-i �O����� . � 610NA OFPERAU fEE WTE � RECPI:NO. PA1D BY VAL�DATION VYFI�TE-0epartment Copy.YELLOW—Fhence Capy,PINK—AssessorCopy,GOLDENROD—FileCopy,GREEN—Appicant's Copy � � � � � . . . . ' .. . . . ,. � ..,. . . . . . . . , n.. .. ., .:•I`. . ' � .� . .�, nt. . � , .. . . , , � .L � . f; . , . � . . .. .. . . .. . . .... . _ ._. _ _ .. .......��.�..•��.�..+�. _.. .._.. .. ..�..- CITY OF DIAMOND BAR -� ; � INSPECTION RECORD _ • • � � • - � � � • - SET BACK " �,'� ' ' � ' % ' FLOOR JOIST _ .r FfGS/FORMSISTEEL .-� - 1 FHA REQMTS - ELECTRIC GROUND � � ' UNDER FLOOR DUCT � GROUND PLUMBING • UNDER FLOOR CO�IDUIT • SLAB GRADE -- � FIREPIACE FOUNDATION � -` '' ' • ' ` � ' ' TEMP POWER --_ . _ _ FIREPLACE BOND BEAM - -- - . � WATER SERVICE -- - � -- - MID HT.BOND BEAM ' - ' • ROOF SHERTH�NG-'- �" • -- ' - 8 FT.BONp BEAM � FRAMING/VENTILIATION FINAL BOND BEAM ROOF COVER PRE-GRADING��. ' � � ROUGH HEATING - - - BENCHING - -- ROUGH ELECTRIC -- �� - - ROUGH GRADING ROUGN PLUMBfNG "- - � FINISH GRADING SHOWER(fU8 TEST - - POOL ELECTRIC EXT.LATH/SIDING • PODL FENCING ' WALL INSULATION POOL FINAL ' CEILING INSULATION OFF SITE IMPS. , DRYWALL NAILING DEDICATIONS SEWER FINAL ENG. - - - - SEPTIC.TANK __ _ _ �. _ LANDSCAPE/IRRIG. SEEP PIT/L.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 PLUMBING ENERGY �' N • _. — ;._ __ _ _ - - — -- - _ _ _ _ _ — -- —---- • - ---------- - --------.. .—�--- — - — _ i . COMMENTS - ' ' Ca/� _ Oxu.-. r/� ����a� /l�t /r. � /�-� - �; ` � - -. __ . _ _l . � � � . . ` _ . - � , r►.�:t��r. � _; _ . - SEPTIC TANK SIZE`.` `'.. ' ..,�. / SEEP PIT/U SIZE. , . ':•^ , - _ , , � '.;_��'��'� i � � � _ j ,i_� � , � � � '�; k , �� , , � �