Loading...
HomeMy WebLinkAbout16677 (32) , . r....- -•...._ , � ' _ ` . � �O . CITY OF DIAMOND BAR ��� - DEPARTMENT OF COMMUNITY 8c DEVELOPMENT'SERVICES � 21660 E.Copley Drive Suiu 190 (909)860-3195 Fax(909)861-3117 PRESS ��� BUQ.DING PERMIT APPLICATION FIRMLY o DDR�ESSIY�r��y4Le��� DATEICATION �� �� NUMBER{ �' '" N� c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER LL ADDRESS ZONING SETBACKS � CITY , ZIP TEL� FRONT RW ❑ APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ CONTRACTO ' SIDE ❑ � A��RE S pR`�D�E CITY ZIP� TEL � � � ARCH/ENG/ DESIGNER O.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CffY ZIP TEL N DESCRIPTION S0.FT. FACTOR PSF ADJ.AREA/VALUATION N Q OWNER•BUILDEfl DECIAFiATION SFRlAD WREM O � 1 HEREBY 11FFliM UNDEH PEwV.TY Of FERRIPY T/N71/W EXEMPT iROM 7HE CON7MCTORS Lb Gfl18gB/CBfpOR W CEHSEUwFOq7NEiOLLWANCREA50N(5EC.70.7t.lBUSIHESSANOOROFESSIONSCODEWYqTYO{i (n (2 COUHryMTpCHpEpUIpESAVEflMRTOCONSTRUCT,7LLTER�MVROVE.DEMOU9lORREPNRMfVSTRUF W PgtIO/DOdc � TUFE,iAqii N RS LSSUANCE.AL50 RLWIRES 7HE AVVIIC►NT FDR SUCN 7EfW R TO FlLE A SIGNED W STATE4EM TWIT HE OA SME IS LIGENSED PURSUAM TO 7HE OpOYISiONS OF 7HE CONTqACTORS LI• � CEHSEU'N�CIUPTEfl�I��MENCINOWiT15ECT10M7000)OFDIVISiON70FTHEBU51NE55/dJDPRO• � P��Pe FESSiONS[DDE)OFriUTMEORSHEISEXEMPTTNER[FROA/ANOTMLBASISFq17MEALlEGEDExEA1P• (} iqN,AM'VqLATqNOF6ECilON7077.6BYl1NYAPPLIGWiFORAPERMITSU&IELiSTMEMDLICAN7T0 Z {ZB-ROOI F ACMLVEN�LTI'OF NOT MOqE 711AN FIVE NUNOREOOOlLMS(t5o0)t � p�A50W!�EROFTH[VROGERTI.ORAIYEIAOLOYEESWITHWAGESASTMEIRSOLECOMPENSA7ION, 0 COmmOfCidl YNLL DO TME WORK,ANO iF1[STRUCTURE IS NOT WIENDED OR OFiERED FOR SALE(SEC 7ai,BU51� J NE54 AND iROFE5510N3 CADE:THE CONTMCTORS UCENSE UW DOES NOT AGPLY TO AN OWNER OF N VROVEiRV1M�OBULD50RIY7ROVEST/EREON,/NDY//IODOESSUQIWOflKHI/ASCLFOqHERSELFOR m (C iFINOl1011NISOi1HERd.N1EYFLOVEES,Pf10VI�EDTHATSUCH�IPROVEAICNTSARENOTRlTENOEOOR � _OFfEAEDFORSKEIF,NOWEVERiT�EBUM1OP100RMPf�OVEMEML550lDMRTIPlONEYEAROFCOMVLE• TIOM,T1E OWNERbULLDER VI1LL FUYE iME BUR�EN OF GROVINO TMAT ME OF SME dD NOT BUIID Otl = MPiqVEFOiiiHEPURPOSEOFS�Lf1 �y ❑LASOWNEROFMEPROVERTI:AMEXC1U51YELYCONTA�GTiNOWRHLICENSEDCDNTMCT0�5 6 TO CONSTRUCf TME VR0.IECT(SEC.7oU.BUSINESS IW�DNOFESSIONS CODE:iHL COHTRAC70R5 L1• V31Ual10l1 _ ADJ.AREA LLl CENSE U`N WES NO7MPLY TOAN OwNER OFA CROPEH7Y WHO BURDS OR W PROVES TMERCON.M1D � WHOCONTRACTSFORSUQ/Y1IDJECTSWIMACONiMCTOR(5)UG£NSmPURSUAMTOTMECANTMG OUANTiTY DESCRiP710N FEE � TpiiSL1CLN5EUw.�. O I M7 EXEYPT UNOER SEG. B.t V.C.iOR TNtS REASON U 3 � LLz OATE Ov�INEq V O J F LICENSED CONTRACTORS DECIARATION W � INERCBYAFF6wUNOERPENA:TYDFPEiWRYTNAtIAMUCENSE�UNDERFROY�5�oN50FCIUPTER � . s •(COYM[rKNaNrtilISECT10u7000�OFOMSION�OFTHEBU5INE55�NDVROFE55qN5CO0E.IW� Z W LICENSE IS W FVLL FORCE/vrD EFFECT. m � LICENSE ClA �.__�LIC.NO.���/�� J r ���G'�. (rJ corrTa.icroq�7�1y�.�,f�l a �i � WORKERS'COMPENSATION OECLAFlATION —r 4 � U � IHEREBYAFFIIiMUMJENPEwLLT'OFPEiWMONCOF7NEFOLIOw'NGDEt1AMT�ON4: Z Q CJ _IMME/WOWILLMIVNTAMII1GEHfIFlCATEOFCONSEMTOSELHNSUREFORWOHKERS' 2 CpIPEN5AT10N.ASOROVDEDBYS[CTION77000fTHElIBORCODE,FOAT1[VERiOAAIANCE C.) 4 OFiHEYVORKFORWHIp1TNI5VERMITI5155UED. � � �I MAVE AN�N7LL MAIHTAN WORKERS'COMVENSATION INSURANCE.AS REOUIREO BV$EGTWN � Q �7ooOFTMELABORCODE.fONTHE7ERFONYANCEOFTHEWORICfORWHiCHTNISPERMiT15 � ISSVED.AfYMR%�KERS'COAIPENSATIONWSUN�MCE—C^ARRiERANDPOIICYNUMBEHARE: CONSTFiUCTION � CARPoER—��'���; �_��J PLAN REVIEW 2 voucrruuaen_(� �r ELECTRIC ¢ �naSs�cnor�NcmNoreemr.s�rooFnerer�r�sroraa.f�imocuu�sts�acloa�css� PLUMBING � Z ICEq71iYlW�YMTNEGERFO�MANCEOFTH[VlORKFORWHICHiH�5PER1dITi5155UE0.� MECHANICAL _ (,7 SHALLNO7Eu7LOY/M'GERSONNANYMANN[HSO�STOBECOMESUWECTTOTME `4� �r ��'�=��'� �� � NORNERSCOMPENSATpNU�'/50FG1LIcpRNItiAND�CPEETHAi1FI5HOULDBECd�E INSPECTIONFEE _� � SUBIECTTOTNENON(ER5GOrdFENSATqN7ROV15�ON50f5ECTION71oo0FTHEtABOR �SSUANCE � OCODE,ISWLLLroRT1NAMCOlA7LYri17HTF/05EPROVIS10N5. p DATE: APf'LICANT. SMIP I i W ENERGY P/C 1 r �( WARNiNO:fA1LUflE TO SEGURE MIOi1NER5'WMPENSATAN COYEMG[IS UNUWFI.t.AND SIuILBE � Stl[iJECTANEUPLOVFA70CA9AiNALPENALTiESMOdVILFINESUProaNE11uNDRE01F10U5AN0 ENERGYPERMIT J�lr� � DOlURS�i100.000�.W AODITION 70 TNE COST OF Cp.��ENSATION.DlJ.UG[5 AS PHOWEO FOR IN ¢ SECTION]7oeOF7HELABORCODE,INTEHEST,AND�1TOfwEY'SFEES. RETENTIONFEE: ��f=��'---� 'pw.. CONSTRUCTION LENDING AGENCY PRE•AL7 FEE: O 4C IHEREBYAFFIRAIUNOERiENILTYOFPERNRYiHATTMEREI511CON5TRIJCTIONLENDINCAGENCY 4- FORTMEPERWRIArNCEOFTMEM/OPKFORNMI(SIT1115PERA1ITISISSUEO(SEG7a9i.QV.C.�. . � � lCN0Efr5wVAE S � LEN�EflS�DORESS � 10ERTIFYTHATIHAVEREWTHISAPVLICATqNANDSTATETMTiHEABOVEINFORMATIONI'u�E�T. TOTAL FEES Z � W IACREETOCOMP�YWITHALLCITYI.NUCWHTYDFID�NANCESANUSTATEUWSREU71NGT06U0.DING 0. CONSTitt1CT10N.ANDHEHEBYAUT110R12EPEPflESEN'ATNESOFTHISCOUNTVTOENTERUPONTNE � /19pyE�MENTIONEDPROVEHTYF INSPE ionvunvoses. COMMENTS 0 1 a � � VERIAITTEE NA4E(VRINT) Q �� � � ` � y SIGNATUREOFDEi1MIT7EE DAiE � HECF'T.NO. _PAI�BY VALIDATION WMITE-0e09rtm9M Copy,YELLOW—finence Copy,PINK—Assessa Copy.GOLDENflO�File Copy,GREEN—ApplicanC6 Copy . . � . ' . • ' � � . ... J .R . .... . ' � .. . � 1 .. •� . . .. � . .. � 1.. � . :i'; �4-' . . � . 'S�.�r.� .. CITY OF DIA�ifiOND BAR �� IhlSPEC i i0f� RECORD . �`_.. ��, _..._ -- v ' - ' c�: ' � r .: ��e. ���c; - l���I:?=( `�'yl�s . _.. , ��=�C'' " �I�`.�-'i�aa�'C����._..._ . . . �._ ��� �1��� ..��;��'� �.(�� � � __ . . _. , ._... _.._.... . ... _ . . .. . . . ._ ._� �SET BACK .»u..__..._.a - _ _:�. . ,_„_ , FLOOR JOIST, --- . - µ� �,� ;FTGS/FORP."S/STEEL - FHA R�a"�1T5 3� � ' � ' '�--_ 'E!ECTRIC GFOUND UNDER FLOOR DUCT _ ,� �_ _ _ GR�UND PLU��ABING I UNDER FLOaR CUP�IDUIT �~�• �. ��; .,��..��•.`t •—.=- -•----- �SLF.BGRADE FIREPeYkCEi:F011�}'J�ATION ��•\ ; --'� :. .: '• ______ +TEMP POWER FIREPLACE BOND BEAh1 �VJATER SERVICE I P�11D HT. E30ND BEAM � --� •�•, '� .� : ROOE SHEA`�MFAI�•�.•���..�� � ", a �- . ..,. ,. .�. .,;,;,� .� �p--p�,�,. �, F FL B.Of�lD BE/1h1 ..,.�' . . �, . �.;,;.•:; - � � .; .,•,,� .:� ..�,.FINAL EOND BEF,1�? . . •; �--I. FflAr�lr"ran�c�vTiiiriTioN� . ::.1� ,, ROOF COVFR ' . �/ � � � �PRE-GRADING ',ROUGH HFATING BENCHING ROUGH ELECTRIC I ROUGH GRADING - ROJGH PLUMBING • FINISH GRADING SHOWER.rTU9 TEST POOL ELECTRIC EXT.LATH/SIDING POOL FEPJCING I 1,^JALL IPdSULATION — POOL FI�dAL � CE1LIPlG Ii�SULATION " � OFF SITE IM?S. � pr'i-Y4'VALL NAI!ING � DEDICATIONS SEVJER FINAL EfJG. �_ . SEPTIC TANlC LAPdDSCAPc/IRRIG. � SEEP PIT/L.L. ': -�.:�' :, + ON SITE Ih1?S. G�,S AIR TEST FINAL ZaPJI�JG FI�•JAL CONST. 7�Z d � FIRE D�FT. FIPJAL _ FIti.4L HEATING � NEi1LT'ra DEPT. FIfJ<�L � _, Fi�JA.t ELECTR{C DEV. FE�S ?AID � f=!"!F.�PLU?,1BING � EhlERGY � ----� �-- i.. .-�.,..... ,...-..�---:�......_.._., —� . �.�.. �.I F r I ' . Ci:: :1 L• � .. _ � :.v. 1.:c_._ .. _. _ -- _. ._ _ . - „ �'�.. _ . , . . .� . �� .'" -� . , COiJlMENTS : � ,\� — ; . � . , , SEPTIC TANK SIZE SEEP PIT/i7 SIZE --- * . . . ;b1E�' �� _ , . � ' . ' �'����. �--� . . \ ; • . , �___.. . ; , ._._.__�_z�._..:Y._._ . �,`=������ �.. -;� .__ : � , ' _