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HomeMy WebLinkAbout16271 (20) 213-1 - �1 �1 �� CITY OF DIAMOND BAR • ' DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Coplcy Drive Suiu l90 � (909)860-3195Faz(909)861-3117 . . PR�$$ �'��� BUII.DING PERMIT APPLICATTON FIRMLY � JOBSITE /� APPLICATION /_ �PEFMfT� n �f �IC o ADDRESS�� B� CAn1�/(1y(/ /C� DATE p C) NUMBE '�� � � APN LOT TRACT DATEE 6 (f TMPE OCC �CONST. GROUP g OWNER LL ADDRESS � ZONING SETBACKS � CfTY ZIP TEL. REART � ❑ APPLICANT TEL SIDE/SIDE STREET RW ❑ � CONTRACTOR �d . SIDE p g CITY E�"�/[-l-F7LTz��'� ZIP TEL.7/y,y � PROPOSEDU3`E (�vSl� fi rl�/L (/ 6 � ARCWENGJ � �l� 2,'12.� Z, y DESIGNER NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL y �n DESCRIPTION SO.FT. FACTOFi PSF ADJ.AREANALUATION Q ONRJER-BUfLDER DECLARATION SFR/ApQTiEM O p I XEREBY AFFiiM U1DER PEWLL7V OF►E1WRY TNA71 MI EXEAIPT FROM iHE tONiMCTOi15 LI• Ga29B/CaryOh � � CENSEUWFORTHEFOLLOWINOREASON�SEG10.71.6BUSINESSANOVROFESSIONSCOOE:ANYCRYOR (n COUNTYWNIG51REOlARESAVEANRTOCON57Po.1CLALTE0.�PROVE,�EMOLISN.ORREPAIRNJVlTRU6 W �PaUo/Deck-.... . TURE,PR10R TO RS ISSVANCE/�150 REOUTAES THE AYPLICAtfi FOR SUCM PERMIT TO F0.E A SiGNED W S STATEYENT THAT HE OR SHE 6 LICENSEO VUi15W1NT TO THE PROVISIONS OF 7HE COHiMCTOHS L4 S.t CE115E LAW�C1U7TFR i(Cd�YENCN6 WI7H SECTION 7000)OF DNISION]OF THE BUSINESSAND PRG V" POOUSpa f� FE5310NSOOOE)Oqi}IATMEORSHE190fElAPTTMEREfROMIWOT/EBASISfORiME�IIE�EDEXEMP- (� 73 �����TqNOFSECTION707/.6BYANYAVPLIGANTFORAVER1AtT6UBlECTSTHEAFPLIGNTTD Z RB-qoof F,�, A CMLPENhLTY OF NOT AqRf 1HN7 FNE MINORED D011ARS(t600),): O OLASd�MrEROFTHEVROPEN7Y.ORMYEMPLOVEESVA7MWAGESA51fiEWSOIECOMPEN5AT10N, 0 COmmBrtiel — Z MALL DO THE WOH�C M1D TME STRUCTUflE IS NOi INTENOED OR OFFERED FOH SALE(SEG 7W l BU54 J ,N NESSAND OROFF5510MS OOOE:T1E COMMCTORS UCENSE UW DOES NOT A7PLY T0 AN OWHER Of � PROPERTY WHO BURDS OR MPROVES TXEFEON.AND'M�O DOES SUCH WONK HIMSEIF OR HERSELF OR Q iHR0U0NHI40RHEHONMEMPLOYEE3.DiqVDEDTNATSUCMMvpOVEMENTSARENOTNTENDEDOR m � OFFEREDiORSAIEIF,FIOWFVE0.7NEBlRDP100RMMqVEMENi650lDN9THPlONEYEAROFC04PLE- � -TqN,THE OWNEH�BUIICER WILL FUVE TF1E BUADEN OF VROWq THAT ME OR 511[DiD NOT BUiID OR MPRDVE FORTME PURPOSE OF S�LEl � OI,A40wNEROFiHEVROVEHTY,AMDfCLUSNELYCONTMCTNUMATHLICENSEDCONTMCl00.5 TO CONSTRUCT TME iROJEGT(SE47oN.BUSINES9 AND PROFESSIONS CODE TME CONTRACTORS Lb VB�l18�i011 ADJ.AREA � CENSEUWDOE9NOTM7lYTOANOYMEROFAVROVEHT'W/10BULDSORIMPROVESTNEq[ON.AND 1NqCOHTpACTSFORSUCHPROJECTSWITHAtONTRACTOR(S�LICENSEDGURSUANTiOTHECONTMP QUAN�IT' . DESCRIPTION �E . � T�DIiS UCENSE Uw.} O I lUA IXEMPT UNDER SEC. B.t P.C.FOR TM�S REASON Q ` U lJ.. � D�7E OWNER U . . _ . � LICENSEDCONTRACTORSDECLARATION J � � ' � . .. . I W a IMEREBYAFFIRMUNDERPENALTYOFVEiWRYT1/ATIMIUCENSEDUND[RFROVISIONSOFCHI�PiER Vr � �(COUYEHCINa MAM SECTION 70001�'OMSION]OF T11E BUS�NESS AND VROFESSIONS CODE,APID Z ' �� W LIGENSE IS N FUI�fOiiCEIND EFFE�T, m � ucEr+se ss C^/0 uc.No. � � �j wh carrw.croa�, � � C � � WORKEflS'COMPENSATION DECLARATION Q . NIMEREBY�FFIRMUNDERPEN�LTYOF►ERIURYONEOFiHEfqlOWINODEGLARAT10N5: Z 0 �IHAYEA/AWILtMAINTAIHACERTIfICATEOFCONSEHTTOSElFaNSUflEFOHYNiL(ERS' _ . Q COMPENSA710N,/150ROVIDE06YSECTION77000FTMEUBORCOOE.FORTHEPERFORMANCE W Of TME WORI(FOR WHICH TMIS PERMIT IS ISSUED. ` � ��MA�E ANU 1M�LL 1.WMAW WOqKERS'COAIPENSATqN MSU{iANCE,AS R[W IRED BY SECTION [) y Q 77DOOFTMELA90RCO0E.FORTIEVERFORIA�NCEOFTMEWOW(FORW1nCHTHISVERMRIS MAIL 1 h /n � ISSUm.YY WORI(ERS'COMVENSATqN INSURh4CE CARR:EN ANO POL�CY NUTA6ERARE CONSTRUCTION � � cuwien ' PLAN REVIEW Z va�crr+u'aER ELECTRIC B'�� Q 0 (I5C5£L'itNNE�NOTB[OCI.i;ETIDOFTEPENdfBPDRON[HM27PEDOOIURSatO�ORLF55� PLUMBING Z I CERTIFV iHAT NTF1E PERFORIAANCE OF THE WORK FOR WHICH iHIS PERMIT IS 65UED,1 MECHANICAL (�' S11ALLiqTE�i'IOVANVPERSpNHINYAUNNER50ASTOBECOMESU&IECTTOTVIE � MNIucERSCOMPEN5�7qNUW50FCM1FOANIA,AND�GREETnATWISh�Ol1LDeECOME INSPECTIONFEE SUBIECTTOTHEWORI(ERS'COMVENSATIONiRON510NSOF ECTION17o00FiMEUBOR O �E,1 AILFORTM4T/COMPIY OSFPqO,JISION ISSUANCE � /_ p DATE: �� APVLICAMT: � SMIP � ENERGY P/C WARNM�:FJUUJRETtlSEWR[WORKERS OENSATIONCOVERAOEISUMAWFUI,ANOSH�LLBE �y SUBJECTANEMPLpYER7OC(i1AiNAlPE [SANDCMLFINESUPTOONEHUNDi1[CTHOUSANO ENERGYPERMIT DOLIARS�f1ao,0o0�,PlADDITIONTOi1�E 70FCOMPENSIITION,ONA�GESA3PROVIOEDFOHIN ;� SECTqN77DeOFTNEUBO11CO0E,WTER sr,u+o�Trow+Ersoees. RETENTIONFEE: oCONSTRUCTION LENDING AGENCY ' PRE-ALT FEE: � IFIEREBYFfFIiiYUNDERPENALTYOFPEiWRYIFUTTNEREISACONSTRUCT10NlEN01NCACENCY ' a- FOR 7ME FERFOMAu10E OF 1ME WORIc FOR Nniitll THIS iERuIT IS ISSUED(SEG 7ov7,CN.C.�. . � � IENDER5NA4E � C LENDER'9ADDRE34 W ICEHT�FYTMATIMAYEREADT115APPl1CATqNANDSTATETUTTMEABOVEINFpfi�1ATIONI5C0(iRECT. TOTAL FEES � � � p„ IAGNEETOCOMGLVW(THALLCRVINDCIXRlTYORDWANCESMlOST�TEUNSREUTINOTOBULDINO � � CONSTPUCTIOfyANDMEREBVAllRV10NqEREPRESENTATNESOFTWSCOUNTYTOEMERUPON7HE ' � IBOVE�uEMIONED PFOPERIY FOR INSPECTION PURPOSES. COMMENTS � '�+ V�//" /l � �• . � m GE TT N�ME(PRI ' � / V � (n SK) URLOFPEIWITIEE DA7E � RECPT.NO. i'AID BY ' VALtDAT10N WHITE—Department Copy,YELLOW—FNance Capy,PINK—Assee6a Copy.GOLDENROD—File Copy,GFlEEN—Applicanl'a Copy .. .... ...... . .... ... - � . . ... .. .r.�. .,.. ... . .. . . . .. . :�7. ��. �.�_ ,. . . ��..,S.,i..• . . . . ',4 �' 1,r�. . ... .. . .... � � . . . - � , - . . _ .. ` . "�.....:.�.../ .; ... .. ...,; r,. ^..Y'`•. . . . . .. i�.:i+ ` r�_`� . I ..(,. �- CITY OF DIAMOND BAR . , � ' 1' � �� ` � ` �:`� .� ; -�. ':. -INSPECTION RECORD - - �_. . , , . .. . . ��l�� E � �r � t1 �' B :�.�� I1��[��*��c1i���1_F -�, .+! �"._' ._ .. ..r�. �SET BACY. . : ; �-- ;. •, j `, ,. 1 � i t;:� ' FLOOR JOIST • - . . �-, . -. �r FTGS/FORAlIS/STEEL �� � ` • , - ' -� '. . , i ;' � FHA REQMTS. . ' ' '"" ` . .. . i " ' I `� UNDER FLOOR DUCT • � ELECTRIC'GROUND ..._ .. . :� :• l�' ' ; ... GROUND PWMBWG • UNDER FLOOR CUM�UIT SLAB GRADE--- -- - � � -- � FIREPLACE FOUNDATION •. ;� � TEMP POWER - - . � � • - - . .: - � FIREPLACE BOND BEAM �" " ' WATER SERVICE - - - _ ' MID HT.BOND BEAM • � � • � � � ROOF SHEATHING , • � 8 FT. BOND BEAM. : � FRAMING.NEPdTILiATION - -- - FINAL�BOND BEAM ;' ROOF COVER .'.' ' c PRE-GRADING - • � i ROUGH HEATING � 6ENCHING , . . ROUGH ELECTRIC � ' ' ` • ROUGH GRADWG - -- ---- :. ROUGH PLUMBING -- � � ' FINISH GRADING i :_ SHOWER/TUB TEST ' - POOL ELECTRIC • i ; E?CT. LATHISIDING � • - - --. . POOL FENCING i � WALL INSULATION - - �- POOL'FINAL CEILING INSULATION "- � OFF SIT.E IMPS. � • ; ._- DRYWALL NAILIPJG - � DEDICATIONS ' • j , - SEWER • FINAL ENG. � SEPTIC TANK LANDSCAPE/IRRIG. 'SEEP PIT/LL. ON SITE IMPS. � . ;GAS AIR TEST � • FINAL ZOC:ING -. ;FIiVAL�ONST.. : .. _ ' .. �` _ _ FIRE DEPT.FINAL • FlNAL HEATING. ___. _ 'HEALTH DEPT..FINAL � � �FINAL ELECTRIC - - - '-- �� . FEES PAID , � - ;f-IhJ�L PLUbABING - - - - • ENERGY . I . . �_`-- -. . .. . - - - . � i . - ------ — • � .._ � - -.._._...- ---. ... .... - - - _ ; .. , — �'�.,,rC;' �r �.€ r♦���. . 4���'.n't.7 :�f�C�Gi4.:...n... '.....�..�i __ . . .. ..� .. .__.. ..�'_�.""__•_. . . _. �COt�IMENTS , , _�..__ _... . - - ---- . _ ..- - _ —_�-.-; �'.:. ._.'---'...,_I - , . � --• ��r.c�c 1 'r;';' ' . • ' � � . i . . , � � .. . � ,1,' , ' . � � .. . . � ._._ ._ _. _ . . . . . . .. ����_�. . . -'— � -- -- -�----`..'-- . . , � i � _ . `. `� [' . . .. .. . � . . . . . ' � ..... . ... . . . .. . . I � SEPTIC TANK SIZE . .. ` .------ -- SEEP PIT/U SIZE � � �-.�.,r.---�•—� . � � , � �r�" � , e..�A;` . .!� . .. : _ - - � . � :; _ . . . _. .. _. -- _., � �. .�; _ , , , i' - . ... . .. . � . . � � . . . ' 1 . .i _... ._ . . . .. .. .. . � _. . . • " . ' . • ' . -` • y . ��� '.{. _ '�� � ; ' �\ �(�..-� I _ I \ . . . . � . 1 � .�... ..._. ...�.a� . .(....� �