HomeMy WebLinkAbout12-0507 (2)CITY OF DIAMOND BAR
' DEPARTMENT OF COMMUNITY &DEVELOPMENT SERVICES
21810 Copley Drive, Diamond Bar, CA 91765
(904) 839-7020 Fax (909) 961-3117 Budding Inspection Hotline (909) 839-7027 PRESS
^' BUILDING PERMIT APPLICATION FIRMLY
ADD ESS a ICA A= f SSA
APN LOT TRACT
OWNER
ADDRESS
CITY XIP TEL
APPLICANT TEL
CONTRACTOR
ADDRES 2 .•��1 a.
CITY 1-W^MlL, '+ ZIP918016 TELb -27A
ARCWENG/
DESIGNER
ADDRESS
CITY ZIP TEL
OWNER BUILDER DECLARATION
INFREHYAF WA}ER PENKIO6FPFRRIRI TMH TAY E]flIPT FROY ilff Ox:FeAw ON♦U
CRa%LAW FPRTI1EFQt=%NRtl REA4pNl8EC }Far FllJ9NEESKBi PROFE55pNS CCUEM#YCSIY(W
OWNNWMOiF9APfWFTTO WNSRFICTKTEFt8FXg4E.DF1rfIU5rt011 REMWAlWETRUb
TURK PRplt TD RE TSAiN1FE ALSD REOURER MEAPPUCAM FM FUCM PEFWT TO FRE A&Ff#U
CD E LAW (OHNE I, ✓]5 B UOENSED PURSVKtF 1OTHF PgYiSpNS OF THE Oft11MNo FI LF
CENT LAW IfIUPTERi KOI.ANIR1Wl WIM BLL'fCN>FFFI OFOMFgMa� 1Nf F64tr+ESUANO PRC,
1f841 W®mOE) OA TIMT tB CR OE B F.YENPI' TNFRFFFFRI NA TFPc 8155 F4R THE 4UE6EG El■I W
TpN ANYS'AMTAINal.ECRW TO3T2BYANVAPDFCKFI FORAPEWMSRBhCTf tNEMPtMJNTTO
ACN4PENKTY ei WTYORE hwl RtE 10.KMEOOOLLFA6 NaFF)k
OFA841MifRfFi1�PRUPFRIY ORFRENII0YEE8WRNaW{:E8.v5iXElRmrEmNPUlailpN
Y.8l., Oµ Tl$' W WR HD T4 RTNCIU#E W NPf INSUbEDM tlRE#� RIR B+LE (aEC Mu.
AM bq
XFAS AIO PFFY£9NONB000E 1Mf fAtllAiCFOg4lIStiL9f UFYOFfSNOTAPPiv TO ATER w OF
PA'.WFRtY W!q■fi0]OR NPIOMEBTf{6REp1,AN]NAq OCFBSUCN WON(NWFELFORNERFFLROR
TFFMIIAYiiF&ORXEP OANNINOY6H$ PRpMBEDTIW 6UO1F@RpVBT@IiFAF£NDT NfENINRi GM
OFF£iKLRW SKE GNOWEVER11ff8ULW140RMPROrFMURBEtlDWflt�ttEYEIAOFMIRE
TqN, THE OWT91L8UH➢FA WILL MtWi at6 RtNIOa] a PMFFAS Tf1H 1B OR>5# ✓HP NOi ■ILLB OR
YPM+F. tVRTHf RWOSEaF aN. E}.
OtARQWNEROFTME P1IOPERIY FdFfY0.UFRELY WN[nacrNRwrtxa�TisFOMRRPLTMM
1Fa fAWTIFwTIi#PRPIECT (SfG IFN ANUARUFE6FAMS WOE-ai&OONIRAC[ORFU
CENREUW9OFSNOTAPPLYTOANOWNEROFAPPAIPFNTY WFDUUFySpi WPFIOVET i1@WA1KF1
WHDCQMITMCTFPoR•UW P161ELRHNfiilAf/XllgRCiUR1aiUCFN9EDRAeUHtI10TRE£dl]!UC•
TORSGCFNFF I,.Wk
OIKI E1E'a®il/■ERHEG 6aPCR'Aii6$ REA$W
OHF OWMFP
LICENSED CONTRACTORS DECLARATION
tNHBBa'MF MDER PENKTY OF RAIL) Yi T NN k"NFEO iFBF.R PW 1111 OF CJYFS�fEA
OIOa4W.X44H WIM EECIIFN SIXG}iiipMflRIa PFTNE RVSFIEnvo P( ESSA]N8 h�QE, MO
MtKF jN6E5MFULLFORC�ARU FFFEGi
UCIBIFECLASS LC NO
MI5 'Z— , CONflNCTOIN
WORKERS' COMPENSADON DECLARATION
INER/E,B/Y K:FW LIMIER PENKTY Oi PERAIFrt OtHIOf THE tHl.{AW WOOEHIAATGN4
I HAYS AMIe UWAM A CFAT6RJ.1E OF � TO Ii1Fai WWRMORtEAr
WMPENBHgN N PRVFBEO BY SECTION SIMOFTNF SAFSMI OOpE FpilM PERWiOAWCf
PFTFB WOM[itNi%a6iiTfE PF1CYl O18AlED
_INHE AAO W6YY4WTNFwDPJtEPm'OOWOkTtlATK1NNWNUJKE A5 RFY1TEO8YK4TKw
aIFFOi IHFIARHR mOE FORTME PfRPoANANGEOFTE WOW. FOR W WOI TTIB Pft•FT 6
BRIE841YNdAFR4 COfHQBHTpaFffiJRANOE CJIWERAKTPgWY NMUERN�
CAAFKA
PCUCY Wa■[R
RMBBCt,R411EEIDNUF�OO(i.E]IDtFiNEFtT8E1'BFUROREFEi01®D:flNBgtFPNA40Fa
iCGRiiFf MIT NMF PFPFOWiNNCE OF iNFXURR FORWIFCNiNB PFIRYTBB8UE0 I
BN4LlgT Ea1Pl9Y AIH PFR9pNNK1T NHNEfl$pM fPREfdM BtBtEC] RITIFi
efi I WER4 CC1 W FiRAIKM U`M OF CXIFOP#i1A N#i MNEE 11NT i I SM4p BEmNE
EtW[Ci ttsiFBYRWRE15mWEN9F.igN Pf[M.IpNROF SEGRd1 aIm OiTFgt3$M
CLOF. i f IiH1. FOR NRHIH CUIRY Nf M1i iFKFiF PMIIST.NrS.
0AT8 APFLMdNt
WNNFq FAWPF T98fOlAE WOfiiEPY m11PEN5ATpI COVERILA'B IWUWFM„AMD♦Wlt�
RBIELTAN EYPLOYFRTCt CIWiMA1PENKTrt9 AIQ CFM FIVEf OPTOOlYEN1MORfb PCIENil
OdUEB1aFF000% NA®t}IpHTOiHECO9ioFC6YPHlRiFtlM eAILK.E9A5PROMpfo FORRt
eECIION FtOSOF ME IAROR COOS AREAF9T ANO F1ICl4AiYS LEAS
CONSTRUCTION LENDING AGENCY
i HERE6k ANIfRT I FyIER PENKTY OF PERIURY MAT t1✓ERE ■ A 4apSTFNCTNaa EENONO AGENCY
FOR ME�NOWAHK.b CFTIIE WOFFt WRBRIKfi T1R9 PEPo/RIU1SWtfD t;tEC. F+mT CR' GI
FEIBOt4HA>IE
uUmFroAUPREss
rLERIUY MATTFIHEAEM IIIBiHM1.YGIiprAtOSTHFTIaAT iHfi AB,wE NFOIbNTOIBmMEC[
TAcuEf ttaCpARYWRH WICRYArq NIRRTOR}WA]IG6F+YOS SLH6 UWS fliRATtR TC ■sONa
CON9TNICMB,NUi£RfBV NlT18NFIE RVRESfNTATWE50f TIFa O%NlYmfallfR�ONTF�
AFpIERI9OpNFp PIgPER{y FOR FIFPECTIRNPURPOFEA.
PtNbtf%NW.IE IFIRIIF
APPLICATH4 PERMW2�, 5/"J.) PC
DATE iI.-AL NUMB _C;Fci
ISSUE TY -E
� iC I� 111111,1
F-1- .`F.: TREET .FRS ■
SIDE
II� �
CONSTRUCTOR + g
PLIAMBING
MECHANICAL
INSPECTION
ISSUANCE
SNIP
ENERGY
ENERGY PERMIT aq
RETENTION FEE {{ o i
.i ilei �
a AII' I
COMMENTS � I
E•*".-n.�,w,T.T'iArry'.Ti_iia' �.:.:.._J.�+W:T.i:C;<**."**.•+�*.".fiTi',l. _.. c-;.r?-!.=;:1'Sr"C!►-+.^±
4
INSPECTION RECORD
SETBACK
FTGS/FORMS/STEEL
�.. -
ELECTRIC GROUND
-------__.__T.
FLOOR JOIST
FHA REOMTS
.. ....... ... _,... .___.,..._.. __..
11 UNDER FLOOR DUCT
GROUND PLUMBING
SLAB GRADE
'UNDER FLOOR CONDUIT
FIREPLACE FOUNDATION
''. TEMP POWER
WATER SERVICE
', FIREPLACE BOND BEAM +
MID HE BOND BEAM
ROOF SHEATHING
B FT BOND BEAM
'!.FRAMING/VENTILATION
ROOF COVER
ROUGH HEATING
'.. FINAL BONDBEAM
PRE -GRADING
BENCHING
ROUGH ELECTRIC
ROUGH GRADING
ROUGH PLUMBING
FINISH GRADING
SHOWEWTUB TEST
POOL ELECTRIC
EXT LATH/SIDING
WALL INSULATION
POOL FENCING
POOL FINAL
CEILING INSULATION
OFF SITE IMPS
'.. DRYWALL NAILING
_
DEDICATIONS
''. SEWER
FINAL ENG
SEPTIC TANK
SEEP PIT/L L
GAS AIR TEST'
LANDSCAPE/IRRIG
''. '.' ON SITE BAPS
FINAL ZONING
FINAL CONST
...............
FIRE DEPT FINAL
FINAL HEATING
HEALTH DEPT FINAL
FINAL ELECTRIC
DEV FEES PAID
FINAL PLUMBING
ENERGY
FINAL PLANING
• -
FINAL ENGINEERING
COMMENTS
il
SEPTIC TANK SIZE
SEEP PIT/U 5IZE
................