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HomeMy WebLinkAbout12273 (19) _ _ _ _ . .-- -- --- _.� . � � _ �� _. �,� CITY OF DIAMOND BAR � ' � � DEPARTMENT OF COMMUWITY&DEVELOPMENT SERVICES �� 2��oE.Copleyvrives�icel90 ' ' - PRESS (909)860-3195 Fax(909)861-3117 . ' ��'��''. .- � BUQ.D�TG PERMIT APPLICATION . ' FIRMLY � JOBSITE APPUCATION R PERMR P� o ADDRESS �I�� ti. C�1 Afh�� �A�• � DATE � � I 6 NUMB��� N � � APN LOT T�ACT �SSUE TYPE OCC , DATE CONST. GROUP p OWNER faNWL� ''�117P1�1 . p ADDRESS - ZONING SETHACKS • "' CfTY ZIP TEL - -�I e - FRONT ' RW ❑ ' � APPL1CAMf !'� iG. 'Y.�b-C'�� TEL. . REAR ❑ • SIDFJSIDE STREET RW O � CONTRACTOR ' SIDE ❑ � CrDTDYRESS - ZIP TEL . ROPOSED USE :��1. �r41 CII��u +!L �(�,[,C�i . w ARCWENG/ � DESIGNER � E7 �-C���-�� NO.DWEL � NO. NO. AODRESS 2'1 yT v ' UNITS • STORIES BEDROOMS � � CITY� � ZIP�� TEL��-�{!��- '� ' . . . . y DESCRIPTION SQ.Ff. ' FACTOR PSF ADJ.AREANALUATION . Q ONRJER•BUILDERD�CLARATION SFR/ADD/REM (�p:U � � ' ' ' O Q 1 NEREBY AFFlqM UNDER PFNALTV OF CEiWRY TUT I IUA EXEA1vT FRd1 TME CONiRACTORSIF Garape/Carport ' . 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UCENSED CONTRACTOR ECLARATION : � W . . - � � INER[BYAFiYWUlfDERPENALiYOFPE1WittT/UT1AA1lICENSEDUNDERVROVISqNSDFCMAPTER � � ; � � � �(COYYENCNO Nrtff15ECTION 7000)OF DMSqN�OF THE BUSINESS FN�VROFES5i0N5 C00E,AN0 Z �� W LICENSE IS M FllLL FORCE ANO EFFECL � � LICENSECUl55 . . . LIC.NO. � J ..._U 'DATE .. . CONTRACTOR d . ._ W . _. _......._._ __."._'...._ .._._. . . � WORKERS'COMPENSATION DECLARATION Q N 111ENEBYAFiqWUNDEROENALTYOFiERR1MONEOFiHEFOLLOwiNGDEq.AiL1TqN5: � V � � � " N Q � _IHAVEANDWM1LMAMNNACEif�FIG7EOFCONS[NTTOSELF-INSUREFORWOqKERS' 2 CdIPENSATION,/SPHOVI�EDBVSEC710N]7DOOFTHEU1BOfICODEFOHTHEVEHFORAIMICE W OFTHE M/OR1C FOR NM1�ICM TMIS PERMIT S ISSUED. � � �I HAVE AND VVILL YAIHUUN WORKERS COMPENSATqN INSUMNCE,Il5 REOUIREO BV BECTION Q �7aoOFT11E UBOR COOE,iOq iHE VERFORAIANCE OF iHE WON{FOH WHlql THIS VERMIT IS I ISSUED.MYYKKIIlERSCdAFENSATIONINSUiLWCECAMIERANDPOLICYNUMBEFARE: CONSTRUCTION j � C�aaiEn .. . . . .. . PLAN REVIEW ��1 �— � vaicvMnaeea ELECTRIC_ . 1 p �nss[crp�rvEmw're[ox�£rencFnEv�aMrswnon�K.w�DoatMspiroloratFss). PLUMBING Z ICEqi1FYT/NTPITHEPERFORMANCEOFTHEWONKFOHNM�OITH15PER/ARI5155UED,l MECHANICAL (�} 511ALLN07EAIPLOYANYPERSdJWI1V'IMANNERSOASTOBECdAESU&IECTTOTNE (/� 1NOPoCER3'COMPENSATIDNLAWSOFCALIFORN1IAN�AOREETH4TIFISHOUIDBECOME INSPECTIONFEE S SU6IECTTOTNEWORKERSCOLIVENSAiIONPROV1510N50F5ECT1DN77000FTHEl/BOR ' ' '- � � CODE,1 SIlALL iORf1�TH COrAP�V WITI TIqSE PROVi510N5. �SSUANCE f � SMIP _b0Ir�1'ln �'1� p DATE: � APPIICANT: . � WARNiNO:FMURETOSECUAEMApIfEFS'COAIPENSA7qNCOVERAGEISUNUwFULANDSHALLBE ENERGYPIC � SUBJECfANEMPLOYERTOtRIuiNAL�ENKTESANOCMIFNESUPTOONEMUNORE0iHW5AND ENERGYPERMIT DOLLARS(f too,0o0�,N FDDIiION TO iME COST OF COMPENSATION.DAMII�ES AS iROVIDED FOFI IN ¢ SECilOND70lOFTHEUBOPCOOE,NTER[5[ANDATfORNEYSFEES. RETENTIONFEE: � a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: O � � IHEREHYAFFlRA1lNDERVENALTYOFPENUNYTMATTNEREISACONSTRUCTIONIENDPJGACENCY � � � fOP 7ME PERiORAUNCE OF TME YVORK FOR WHIGITHIS iERMIT IS ISSUED(SEC.i0Y7,CN.G} , � � LENDE115 W�AE ��� � ' � LENDER'SADDRE55 TOTAL FEES ''' � � � 1 CE�FY 7N/ii 1 HAVE REAO 71tl5 MPLIGRION MlD STATETUT iHE ABOVE 1VFOPAI�TqN IS CORAECL � pW„ IAGAEETOOOUDLYN7TMALLf7TYMI�COUNiVON�PlANCESANOSTATEUWSREUi1HOTOBUILpq1G �� ��� . `� Cp15TRUCTION,MIDMERFBVAUT1qR1ZFPEPRESEMATNE50FTMI5COUNTYTOEMERUPONTNE . .. . . . `-�f' ABOVE�lAEM10NEDVROPEHT'IFORINSPE�`�p�Jy URP05E5. COMMENTS �� Vv v ( l � � " . . � m 7EiWRTEENAYE(PqIHTj 4 . �n C :� � . �;. . ."_ •_ y SqNAN OF PE TTE ' C D� •.: AT / / � Y � RECPT.N0. PAID BY VALIDATION� YJHITE—Department Copy.YE —Fnence Capy,PINK—Asses�or Copy.GOLDENROO--Fi�e Copy,GF7EEN—App�nPn Copy � � ♦ I . .. . . , .. . . .. ... �. , � , . _ . .�. . ... .. . . .. . .... .. � . .. .. . •. , . . ,,. .: .. ...,. . . „ . .� ... „ .. . , t ' ' �� -'-�"� CITY OF DIAMOND.BAR .-_;;;� • • � ��' . , � -'`�� . . . `'INSPECTION�REC�RD„'. �... . . �:_ ' . , ; . . , � s � � • • - - • � � • - SET BACL� I . .`-. � - �_..�, ;.. . ' � :�.�•' 1 ( j � ';� ' FLOORJ015T ',���� ;,. �,._-: :. ; . ; + : ; ' _' . .. ., � FHA REQMTS _.... . . -• FTGS/FORMS/S7EEL . ELECTRIC GROUND '- .- - -. -� �- -- - . . �UNDER FLOOR DUCT- : .:. •• , .. :� - ; � GROUND PLUMBING � � �UNDER FLOOR COMDUIT .�.- - : • f '- ,,. . , SLAB GRADE� -- -- � �� - -� - � � - ; •• FIREPL7�CE�FOUf�DATION ' ' . ... _. - � . TEMP POWER- - - '� � � - ' - FIRE �ACEI3�ND BEAM �` ' ��' ' �' " WATER SERVICE ..__.:- --_ - ----- -_ ;_ - � =MID HT.BOND BEAM . _ .. ._ _ . , .� : � _ . _.. � - ROQF SHEATHING "-'-� ✓ �� � "'- ' '� ---' - ' ` ' 8;FL BOND BEAM - • � �.� � �_ FRP,MINGNENTILIATION Z . i' FINAL BOND BEAM • ; .,+ .� . '" � ROOF COVER " •- � � PRE-GRAbING ' �: ?.�'�:.�;1� . ,:�;��• -- '- ROUGH HEATING - :-- O ' , - - - BENCHING �i?: •r ) � p,-, --- ';� . �,���.; .. ; ` ROUGH ELECTRIC-'�- �1 - ---� - ROUGH GRADING ' 'R�UGFi PLUM8ING � " ' -- " -'- - FINISH GRADING . ' - -SHOWERlTUB TEST, �-�-- � -- '. - . " POOL ELECTRIC " ' EXT.IATH/SIDING � ; POOL FENCING - , ' WALL INSULATION • POOL FINAL � ' CEILING INSULATION � OFF SITE IMPS. • � DRYWALL NAILING � O 2 DEDICATIONS � _SEWER__...- - -- - - -- FINAL ENG. • . � : SEPTIC TANK... _..... _.._ .__. .. . _ . _ .__ _. . _ LANDSCAPE/1RRIG. � �SEEP PIT/�.L. .�- --. : : ..'. :. _-_. _. . .. .. . . .ON SITE IMPS. . ; . GAS AIR TEST - ---�� - - ; -- �,, • ^;; FINAL ZONING •• . , � . FfNAL-CONST. - -- •� ' �"��' •-�� FIRE DEPT.FINAL - FINAL HEATING - . I ;, '; HEALTH DEPT. FINAL � : ` - FINAL ECECTRIC -� - � , '" DEV.FEES PAID FINAL PWMBING � ENERGY ' � I -y' � � ' ' ' __.. . _ _ ... .. ._.. . . COMMENTS- - - -.. _ .. : : : - __ _ _ _ _ . __ . . � . -- - , . ; .-, . - -- _ _ _ , � :• , . �.�'.J �l:'�:1 , ; ' . . . , . .. � f 1 �i \ '�� .. . . . ( .� . . . . � _" _..._.V 1 ��.1 ` .i �. � . � ,� , ., �,� . . . ..... " "".._. . � I � . ' . . t - .l • .. . .. _. . . . .. _ ... . ._ . . ... . . . .. .'__ I . �_ . . .. . . . . , � � ,. .. . • .,1 � �r . . _ _ ' . . � ' -'.�i.F�``.� • _ - _ . . . ,. . ' SEPTIC'SANK SIZE - , . ' � . ' ' . , SEEP PIT%U SIZE , ! � , � _ . . , , -� . � . � s; . .. ��„'4_ �,���' -�.f� ..- . � . . . • � ... � ` ' - . . . _.. . . . . . . - �� I � - -. - . .. , . • � i • - ,• • , - - - � . � -: . _._. ._ . _ . � : : � , � �+� 21 �—.-V� � , . �,1.,. _. .. . �` � ' .. . . ; ,.?l, .