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HomeMy WebLinkAbout12181 i .. . ; . --�� -- CITY OF DIAMOND BAR" =': .�: ' ' /�.� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES / � 216b0 E.Copley Drivc Suite]90 ' . . . • (909)860-3195 Faa(909)861-3117 PRESS : ��`'�'�_ . BUILDING PERMIT APPLICATION - ' FIRMLY � ,p n / , APPUCATIQN � PERMIT P/C ; o D RESS z I3 D.� /�T�IC/N�O�2 /C q•" DATE NUMBER � N " c� ISSU� TYPE OCC .- APN • LOT - TRACT DATE CONST. GROUP. p OWNER P r ' " ADDRESS � ' �20NING SETBACKS � � �' CIIY I NA ZIP 7 TEL�/7 3 y2� REAR . ._ RW �p � APPLICANT �U i/l - /3�L[. TEL �����: , , SIDE/SIDE STREET RW O � CONTRACTOR C. G r- .- SIOE - ❑-" � ADDRESS V - -' PROPOSED USE CITY/.}����t�yC,� ZIP O/ EL��C etS�9C� o ARCWENG/ • ., �� , � DESIGNER ��I � J C ks NO.DWEL. NO. NO.. ADDRESS �U �„ - UNRS STORIES BEDROOMS � CfTY .0 . . ZIP`JOpy� TEL�L _ �� � DESCAIPTION SO.FT. 'FACTOR PSF ' 'ADJ.AREANALUATION � �. .Q .. . OVYNER-BUILDEROECLARATION . . SFFVADD/REM - . O � I HFREHY AFFQ#1 LNOER PEWIIiY OF PERAIM TMAT 1 AM E%EMPT FROAI 7ME CONTMCTORS ll• ' ' G8f8Qe/CBfpOR � ' �B CEN"..EUWFOR7MEiOl1qNNOREASON(SEC.70.t1.6BU51NESSJlAPROFES510NSCODE:ANYdT`IOR . (n '� �� � � � �- � �� - . � CAMlTTMAfIGIREOUIRESAPEfiMRTOCONSTiR1GT.ALiER�PROVE,DElA0U5M.ORREPNRlWYSTRUG . W Pet10/DOCk _ _ _ _ _' ' _ _ '_ __ TUFtE,PitlOft TO fT818�lANCE,AL40 REOUIRES THE APCIICFNT Ff�ii SUCH VERMR TO FlLE A SIGNED W .�, STATFMENT T1AT ME 011 SME IS UGEN3ED iURSUMlT TO T11E iROY�510N9 OF THE COMMCTORS ll• � CENSEUW(QUPTERO(COMMENQNUVATHSfC�lON7o0o)OFDIYLSION70F7YIEBUS�NESSAND7R0. ' � POOVSpB FESSIONS COOE)diT1Ni HE OR SHE IS E%EMPT MEREFROAI AND iHE BASIS FOR ME�LLEOEO EXEYP• TqN.INVVqlATIOHOFSECT10N7m7.6BYANYAPPLICANTfOqAVERMIi6UB1ECiSTHEAPVL1CAllTTO .� Z Rg�ROOf F �ACMLPENALTYOFlqTMOitET/WIFlVEHUNDREDDOl1MSp5o0).Y � I � OlA50WNEROFTHEPqOPERTY.ON�/YEYPLOYEESYYIiHWA6E3ASiHEIR50LE00MPEN5ATIDN,. � �mmercial � M9lL 00 THE W�K AND THE SINUCTURE IS NOT NTENDm OR OFFERm FOR SALE(SEG 7as,BU51- J NE59 A!b VROFESSIONS COOE:iHE CONTMCTORS LICENSE UW DOES NO7 AVPIY TO AN OVVNER OF � - N ►ROVERfYYMOBUIIDSORYPfiOVES1HEREON,AIOWNO00E551XMWOitNHIMSELFOqHERSELFOR m . � . , � TNHOUGHMSOqHENOMTIEAWLOYEES.VROVIOEDTM�TSUq1WPHOVEMEMSAHENOTMEN�EDOH OFFERm HDR SALE IF,MOM�EVER iHE BULDW60fi MPROVEYEM 6 SOLD WITHW QVEYEAR OF C04PLE• '-TION.7HE OWHEH�UIIDER YALL NAVE TME BUiIDEN OF VROV4q iHl1T ME OR SME WD NOt BUILD OR MPHOVE FORTIE PURPOSEOF B1U.E� . W OLIl40NNEHOF7MEPRO�EHTY,AMD(CU191VE�YCONTMCINON7TILICENSEDCOHTMCiOR3 � TO CONSTRUCi T/IE iRO1ECT(SEG 7041.&151NE53 AND GROFESS�ONS CODE:T11E CONTMCTORS LI• � VelUBtIM ADJ.AREA CEHSE UW OOES NOTAPPLY iOAN OMMEfl OF A PROOERT`f YRIO BULDS OR W P130VE3 TMEREON,AND � �W/10tDMTMCTSiONSUCHDR0.1ECT3M'�THACdlfMCTOR(SI�NSWPURSUANTTOTHEDDNTMG Q�JANTITY DESCRIPTION : �- - � � FEE � � � � lons UtensE UW.j. . . .._ . . _ _. . �� .. .: . ._ . .. . . _ _ .' _ OIAME%EMPTUNDERSEG B.iP.C.fORTHiSREASON U �� . u' DATE ONRIER � .. . . . � -. . .. ._ . . .. � . . . � , . . . . . . . .. . __ ... _ .. UCENSED CONTRACTORS DECLARATION - � W + -. � � IHERFBVIIFFIRYUNOERVENALTVOFPE0.1UfY/THATIAMLICENSE�UNDEHVRDVI5qN50FCHINTER ; V. � � ' . � Y(OOMJENCY/OYA7HSECTDN7aoo)OFDMSION]OFTIEBUSRlES511NDPAOFESSIONSCOD4AND . Z . W LICENSE IS N NLL FORCE AND EFFECT. � � ucerise cuas � uc.No.' /�_ 7 d�„`j �_ � � -� o�� 9�/— �l� corrrancroa . OGS/N a w �1 �1� � � WORKERS'COMPENSATION DEC4ARATION l• `�' -� - .. ¢ �� IHEREBYAFiIRMU10ERVENALTYOFVEiUUi1YONE0FiHEFOLLOWWODECLAMTIONS: .. .. U -�� . . . ... . ... . � y Z Q G _INAVEANDWRIMAMNNACFHiIFIWTEOFCONSENTTOSEIF-INSUREFOi1NORKERS' _ � COMPEHSATION.AS PIiO'NDm BV 6ECTqN 770o OFTHE LABDR C�DE.FOi1THE VEPiORMANCE W . ..- .. . � " OF iHE WORI(iOR MMlGi 1MiS VERIAR IS ISSUED. � � _I HAVEAND Wtt1 MAMAIN WORKERS�MPENSATION INSURANCE./4Y REWIHED BY SECTION- , Q �7o0OFTNEU180HCO0E,FORiHEPERPoRM�NCEOFTHEM�ORKFORNMIdiiHISPERMRl9 � � ISSUED.MYVAORKER5 PEN3ATIONWSURANCEGIRRtERANOPOLICYNUMBERME CONSTRUCTION � CA1iWER � U /L N N/T � pLAN REVIEW � vawwr+uraeEa — '' ELECTRIC . . . i o �nSs�cm��r�orgEpp�IDpF7r�vw�rsFoqaEM�rnrteopat,vs iao�oq�ss} PLUMBING - � iccarmnuTNnreveaFnau,wceovn�exnrucFOAwnia�tNisvEwnrta�ssuEo.i ' - MECHANICAL _ - SH�LI.NOT EMGLOYANY PEHuON N INY M�NNER 50 AS TO BEC0IAE SUBJECT TO THE � WORI(ERSCdAVENSATIONUW50FCAUFORNIAlWO�GREETMATIFI5V10lhDBECOME INSPECTIONFEE i'1-}� /fL7 ' � ' SIAJECTTO THE WORKERS COM7Q15ATION OROVISIONS DF SECTIONl70o OF THE VBOR �SSUANCE `��� CODE,I SHALL FOHTHWfiH COMPIY VATII lHOSE PROVISIONS. � A . p DATE /� �vR�CANT. . SMIP . . , � WARNIH6:FAILURETOSECUREWONCER5CdAPEN5AT10NCOYEMOEISUMAWFtA..ANDSNALIBE ENERGYP/C �y SV&IEGfINE1AROYERTOCWMNALVENN.iIESANDGMLFNESUPTOONEHUNOREDTHWSAND - �ENERGYPERMIT � " - " - �`+(f 100.00D7.N ADDITON TO THE COST Of COYPENSATqN,DAAIAGES h5 DR01lmEU FOH W ' J[C SECTIONa7oeOFTNEI�BORCOOE,MERESi,ANDATTOBNEY'SFEE9. � RETENTIONFEE: a CONSTRUCTION LEND�NG AGENGY PNEALT FEE: ' � � IHEREBYAFFIRAIUNDERCFNALTYOFPEFUURYTMATTXEREISACONSTRUCTIONLENOW�AOENLY - � FOR TNE PERFORMANCE OF iHE WORK FOR WNICH TM�S VERA1t715�SSUEO(SEC.7oY7.dV.G). . � � ..� IENDERS NAME . _. ... .. ....... � LENDER'SADDiiE53 , W ��EqTIFyiHA7�N/�yEpF�lp7Ht$MPLIGTIONANDS7ATE7NAT7HEABOVE WFORMATqN19CORRECT. TOTAL FEES - , „ t, � IAOREETOCOEIGLYN7TIALLCRYANDCOIMiVORDIWWCESANOS'TATEUN5i1EU7NOTOBUIDINU NNSTWJCTION.MiD HEREBY AUhqi11ZE NEFRESENTA7IVES OF TWS COUNTY TO EMER UPON ME . . . . . . . . � S� ABOVE-AIEMIONEDVROVER7YFORP75PECfqNDUR705E5. COMMENTS � 9 /!,i�'� �vTTa� � m FENYRTEENNAE � Q _ . . .__ . . - `� , ._,:�i� ;-.: 9 f- � ,810NANREOF VERWTIEE D�7E � _- �.:. RECPT.N0. PAID BY VAUDATION WHITE—Department Copy,YELLOW—Finence Copy.PINK—Aesessar Copy.GOIDENROD—File Copy.GREE icanCa Capy � ...� ..v � . �i , r-.",• • , � .. .� i'n . ` � . �" � � .. � t. �..'.{.._ .,�..bti.:Y•..,� .l. �i�i " .q�. w. ��ri...4`+ - .r i,?. f�, . . �� , -. , .. . � , , . . _ '. . . . � . ' �, CITY OF DIAMOND BAR ��;�:;c_ �;;;-� ; '� �;". � � :., 'INSPECTION RECORD�; ... ,.; � .-, � --- ...... _, .� � ,- , . _ � � � • - • • � � � - SET BACK ., � , � - 'FLOOR,101ST � �, r• ,. .- -. ;, , <' � � _:. ': ; _ FTGS/FORMS/STEEL =' 'FHA REQMTS .- - � - - --- - - - ---' ELECTRtC GROUND.-�_- __ '_ : _ _- �-�_'�_ -� : � UNDER FLOOR DUCT " -- �' ' ' �-`-- GROUND PLUMBING �- ='"��� UNDER FLOOR COMDUIT _ � . `� � '' - - -� ..� ._. r . , . . �_ , .. .,�� � � � SCAB GRADE�--- - - --- -- - - , �- ;, ! FIREPLACE FOUNDATION.= ` . _ . ---- - • - -- -- � . - TEMP POWER- -- ��.�; --- - ' , ` . • ' FIREPLA�E BOND BEAM -- ` r ` . - �- �: - ` _ - -- - - • ,. -WATER SERVICE= _- •_ . .___. - - -- -- =-= =MID HT.BOND BEAN{�.. . --_ �,. ., ,, � ::: � ; . - - - - , _. RaOF SHEATHING-- - -- -- - - - - . , S FT BOND BEAM -.- i- ; ,.- � - _��' -- -- ,. yr,: i :. FRAMINGNENTILIATION � ' ^ � � � FINAL BOND BEAM - - � � • •"� ; -: ROOFCOVER .`'.. - . ,. - ;PRE-GRADING� - �� � ` - - -" � ' ' � � � . . . _. ._ ,.. , ,c ,, -ROUGH HEA'TING --,--- - - -- - - --- BENCHING� `.\ •• •.�_:- : : _ �. --- -- " ---• --- '�.' ' ; . �ROUGH ELECTRIC-� -� - '� '�- --'- �` - - ' -' ROUGH GRADING , • - - � ` "A�UGHPLUM8ING-�--- -�-� �- - " � - - �, FINISHGRADING ' .__ . ; SHOWER/TUBTEST r". - - - �- - -- - - � . `_. ::- POOL ELECTR[C � , . . , . :�. EXT.LATH/SIDING ;---- - - - ; - �;.�" POOL FENCING . . ,. , r,. _ , . , WALL INSULATION i I POOL FINAL � '� ' - ., ' � CEILING INSULATION ' OFF SITE IMPS. � - ! -; DRYWALL NAILING � � DEDICATIONS � ' ' ' ' i _ .SEWER--- - - ---' --- -... - FINAL ENG., ,. . , ... . ; ..:. .; , . . , - - -- - - - _SEPTIC TANK- --.-- - _ -_-_ -. -- _ . LANDSCAPE/IRRIG., - .: " j � . � �„ . ., .. _ __ ---. : ON SITE IMPS. . , , -- -SEEP PITlL.L._,- -- -- �- -- . . .. -GASAIRTEST;- -- - - - , - FINALZONING �• ; ,� �FINAL CONST:;- ---- - 3" , - -'- - - - FIRE DEPT. FINAL ' --- - - �- ; < , .. FINAL HEATING - - , �- HEALTH DEPT. FINAL ; . ,. : . _ - -- -- -- �FINAL ELECTRIC - - -- -- - DEV.FEES PAID - " _ . - - -- --k � , FINAL PLUMBING ENERGY• � . � � � _� ,. „ , _ ,�, � ; � Q e • . .�� . - - - - - - . � ... , j ��. . _ -' _'_.__ . _ -_' — ' __ - . _ _ _.,.,.�_.."'_'__ ' _ _,. . , . ....._ _ .' .__- - _ i !1 ' ' '.____- �___'_. .' . _-._"_ '._ ' ' , � i . .� . _ _ ' . ' . ' _`-_-' _`- _ _ 7 _ ___ . . " __ . . . . . , ! ; GOMMENTS - -- -- - - - - - --1--------_ . '=.� ; � ..�,. ;..� �. . . _ ., . • - : � . -- - - — _ _ --- - - - - - - -- „ , , , . . ! , - - �-- - - _ — - --- , . , - - - ,-- - , � .- � --- . , ; - ---•-- - ----- -- ; . - ---- - - - � , ; ;-. -.._-:- -�1 _ - - . ,., � � , , , �. _ . --- , , ��� � ----- - -- - - - . , � y ,�� .. ' � � - - _ .. - -- --- - - ;: :,_ ; . ; . , - - - - - --- � - - _ _ � ; , . �1 . . -.. . , , ! _ ; , - -- - - -- - - - � I � , � , . ' ; - f -- -- — , _ . � -- '- - - - , _ _ i i " i �- -- -- - -- -- - , � � _ - -- i . - ----- -- - - . � . _ .. - . ... • . � • - - - a � � : . � _. . . , , , .,. . � SEPTIC TANK SIZE , • ,., - . ,. .. t-_ , _ . .. . . i . ^ i , SEEP._PIT%U SIZE. �- __ � � , � � ! _ �� -- ,.. ' , .., . � .. . ,. ; - ,'- l . . _ f i ' - - - , � . -- � � _ - - : - --- - . . - - - ;,. - . - ._ . _ : - -.. - - - - s �-• . _. . _ .�� 4 , . . . , . . . ; , , . , - r. � I t� - ,i- � 1 :. ., � � � .. . , � ,;�-i � � '_ _- __. '__ . __ _ _' ._ '. , �., ... .. . . � ' ' �\ { �. - - . _ _. _ - i I - -- ' -. . ' �,. .. - -- � �. . f i . t�:--.. i f _.l;..\ . . -• -- --- , �- . aS ? /� i ,�