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HomeMy WebLinkAbout14175 (29) �� CITY OF DIAMOND BAR � ' • � DEPARTMENT OF COMMUNITY 8r.DEVELOPMENT SERVICES � �� . 21660 E.Copley Drive Suite 190 , ' (909)860-3195 Faz(909)861-3117 PRES$ � ��'� y BUQ.DING PERMIT APPLICATION . FIRMLY o ADDRESS '��I ' )� MO� 1 C�u 1 ( � �A�CATIONf D� �NUMB R� Af C � � APN�_ L T TRACT ISSUE i5 TYPE ;OCC Q�--�-�- DATE �� CONST,. GROUP � OWNER �clll(�ILA IZlif 1,�,�Q��l LL' ADDRESS jC1 rnQ1 ZONING SEfBACKS . � CfTY ZIP TEL: � REART � RW p APPUCANT TEL. SIDFJSIDE STREET RW ❑ � CON7AACT - SIDE ❑ ¢ ADDR S ROPOSED USE IY�n �' ��.[�I O CITY ZIP r7�_TEL ' T' o ARCH/ENG/ � DESIGNER � NO.DWEL. NO. NO. ADDRESS � UNRS STORIES BEDROOMS CITY ZIP TEL - �' - N DESCRIPTION SQ.FT. FACTOFi PSF " ADJ.AFiEANALUATION . y � OWNER-BUILDER DECLAAATION. SFR/ADDiAEM � O I NEREBY.4FFtlU1 WDER iEN�LL7Y Of OERURY THAT 1 AV E%EYPT iA0A17HE CONiRACTOHS l4 .Ga����rt ' 8 CENSEUWiOflT11EFIX10'MNOREASON(SE470.71.68USNESSAND►ROFESSIONSCOOE:MlYCITYOR (/� Z T�E PfYO(i TO RS I��SUMICE.�AL50IiE0USR�ES�THE APi�MILMIT fOFi SUd/FEPIAT TO i�LE A SIGN D W PaIiO/�OLk �� BTA7E4ENT THAT HE OR SNE IS LICENSED PURSUANT TO TME GipNSIONS OF 1ME COMMCTORS L4 , � CEMSEUW(QWiENY�COMMEMLNON7iMSECTDN70o0)OFOMSqN]OFIMEBUSINESSMIOPRO - � PooVSpa O FE59�ON5 COOE)OR TFNT NE OR SHE IS E%EMPT MEREFPOM AND TME BASiS iOP iHEALLEOED EXEMP• TqN.ANYVqIATIDNOFSECilON7071.69Y11NYMPLICANiFOFiAPEpMI7511[iJECiSiHEAPPL�CANTTO . Z Re-Roof F,_, ApNLPENALTYOFNOTMORETUNiNEM1NDREDDOIURslf5o0).): � p�ASOMMEAOFiHEPR07EATY.ORYYEIADLOYEESWI7HWACESASTMEIRSIXECOMPENSATqN, � (�`pTfi10lCI8I � MALLDO iXE WOq1C MID TNE STPUCTURE IS NOT IMENOED OR OFFERE�FOR SAIE�SEG.)O�s,BUSI• J � MESS NO VROFE5510NS COOE:TME CONfMCTORS LICENSE Uw DOES NOTAOttY T0 1w OWNER OF - � iROPERfI'WNOBUIDSOfiMPROVESiMEREON,ANDIM70DOE55UG71MD(1KHIMSELFORHERSCLFOR = � M1d10HHISORIIEHOMMEMPLOYFES,P1iON�mTWlTBUCMM7ROVEMEMSMENO7NTEN�EDOR m LLJ ,OFFEREDFOR9�LEIF./IDWEVER7MEBU0.LMNUORMVROVEMENTISSOI�WITNMONEYEAROF00A1VLE� Z �TION,TF�OMn�ER-BNLCER N'ILL INVE iHE BURDEN OF PpOVN�TMA7 XE OR SME DID NOT BUID OR = MPi1DYEWN711EPl1NPOSEOFSJILEI. � . . � OL1\40WNEROFTHEpROPERTY,AMIXCLUSNEIYCONTMMN�WRMLICEN5E000HTRACfORS TD COHS7PoICT iME PHOJECf(SEG 70N.BUSINE55 AND VROFESSiON3 CODE:1NE CONTMCTORS U• elUeti0fl �:� A0.1.AHEA CENSE UW DOE9 NOt MVLY TOMI OWNEiI OF A 7flOPEqTYN'��O BU4DS OR W PROVES TNEREON,AIO rnnoorrta�crsca�sua+vaaEcrsvnnumr+rrucroa�s�uc.�NSEnruAswwtrorr�ecornww�c ouaNnTr DESCRIPTION i FEE � faas uct'rsE uw.�. ,.J . O I AM E%EMPTUNOER SEG B.l P.C.FOR THIS REASON � Q 3 ¢ a � - � MTE ONMER V , � LICENSED CONTRACTORS DECLARATION W , J � Il.l IHEREBYAFF6WI11IDERVENALTYOFVE0.A1f1VT/uTIM1LICENSEDUNDERVRO�510NSOFCMAP7ER V. � �(COMYENCHp N7iT15ECT10H 70001 OF DMSION 70F iHf BUSiHESSAND PIiOFfSS10N5 COOE,M!D z W UCENSE IS IN iUl FORCE ANO EFFECT. A m � � ` � F UCENSE C SS LIC.NO. � --. . .._� DATE Y � GOHTMCTOR a . . tL � WORKERS'COMPENSATIONDECLARATION � -� • ! . �j 3��. � N �IM[REBYAiFIRMUHDERPENALTyOFPERRJRi'ONEOFTHEFOLLOWPIODECUMTIONS� � ' ' ' � � Cn Z rC __,IINVEM7DWLLLMAMAWACERTIFICATEOF�ONSEt(fTOSELf•IHSUREFORWOqi(ERS'` ' = I . � , '� COMPENSnTION,lS VRONDED BY SECTION 170o OFTNf UOCW COOE,FOR 7ME VERFOR1.1�lNCE �U . pF7HENRIRKFONNHKNTMI3VEiW1i61SSUED. � . � � ' 1 MAVEAND WILL�PlTM7 WORKERS'COAIPENSATION MSUiUNCE,AS RFOUIRED BY SECTION � Q �17000FiMELA00RCODE,FORiHEiERiORMANCEOFiHEWOPI(WRYM�CHTHISPERMI715 � � , ., 3��� = ISSUED.MY/W1OR�N/E-R�S'CO/1MiENSA W^SURANCECARRiERANOPOLICYNUMOERME: CONSTRUCTION '�f'`� . ..j uwuEn 1�Lle�� 1C�nC��O 1 1 � PLAN REVIEW � � I � , : � raicv�n»�eEa • �� '�LECTRIC _ ' rI ~I U � �nassccm+r�wrazm,a�moFnEecaMrswaar+E�+uaaooaiuisa+�ton�ssl PLUMDING •� ,.,! �-� w - �_�'•-: z ICEiRIFYTHATMiHEPEPFORIAANC[OFTMEWORKFOIINnnCMTNISGEN1RIStS5UE0,1 MECHANICAL� ' �"�-'�' �'�'��� ���� ��_�� N (,'} SHALLNOTEMPLOYANYGERSONINANYMANNERSOASTOBE�[SUBJELTTOTME - � � WORNERSCOMPENSATIONlAW50�CAl1FOiiNItiIWDACREETMATIFISMWLDBECOME INSPECTIONFEE �.�T��Q SUBJECfTOTHEMIOPo(ERSCOI.�PENSATIONPROVI510NSOFSEC'T�ON� FiMEUBOR ' COOE,IS O��wI7NCOMPLYWTI .PRO�n510NS. ISSUANCE � o � �� SMIP 1HM Nll BAR �. , �� C .. p DA7E: � APPLICMlT' ... W ENERGY P(C -��ji.D1NG ANll SF►I�:T'Y WMNc14 FMURE TO SEQIRE MOfiKERS'CddvEN5AT10N COYERAGE IS UNLAvlFUt.ANO 51iA11 BE � � � SUBJECfM1EMPLOYEq70GRlYW�LPENAlilESMDCMLFINESUPTOONEMXJO(1EDT110USWD - ENERGYPERNIT OOLURS pt0o,oao�.N AOOIiION TOTNE COST OF COA1PfN5ATI0N.DAI.UGES AS FROVIOEO fOR W ¢ SECTtlN�70eOF7NELABOflCODE.NTEHEST.ANOATTORNEYSFEE& RETENTIONFEE: � oCONSTAUCTION LENOING AGENCY PRE-A�/LT FE�: � . � IXEiiCBYAFflRMUNOERPENALTYOFPEFU1�h'iMA7THEREISACONSTRl1CT10NLENDIN�l1GENCY �JZ�f FORiHEGERfORUANCEOFTHEWORNFORNTIIG7THI5YERMITI5155UED�5EG7oW.pV.G). � �r � V � LfNDfR'SNAUE � � IENDERSADORE55 � ICERTIFYTUTIMAYENEADTiSA7PL�CAT1ONAlASTATEi1NTTXEA80VENFOHMAT10NI5LORiiEGT. TOTAL FEES , �� � ��'''�L,J w IAOREETOGOMPLYWITNKLCRYANDOOUNTYORORUNCES�NDSTATEUWSPEUTNOTOBVLDINO ./� ///��� � CONS1RlICTqN.ANDMERE9YAUT110f1RFREPRESENTATIYE50FTNI5WlRlTYTOEMERUPON7HE �1 1 n / 7 G. I �� . ' S�, ABOVE�MEHTIONEGPROVERTYFORWSPECT�ONYURPDSES. �� COMMENTS Y i v� �� � � m r r+u�e rowrrtl � Q � �� � OF TiEE MlE � _ _ _ . . RECPT.NO. _PAID BY VAUDATION WHITE—Oepanment Copy.YELLOW--Finen�e CoPy.PINK—Aseeaeor Copy,GOLDENROD--File Copy,GREEt�-ApplicanPs Capy -- . •..,: . . . .,., . . . .. .. , .. , , . . , . . . . .. . . . ,. . ...... . �.,.. .., ..e..,,,�.._ ..,c � ._..,•.::.a:.,:... .� ,-r•. . .:n�� ,r"��. . ... . �" � � CITY OF DIAMOND BAR_ �,� �,�;;-� � l}`�`'; :.�� .:1,; �: �� � INSPECTION RECORD�=��'. . .. ; , �. � 'a- e e � � - • � 1 • - �SET,BACK;� . ,� ;�•� ` . . FLOOR JOIST; ��; ' ' )�' '• • ,; � %•� • , : , . . . . , . FTGS/FORMS/STEEL � a: , L �, , , ; .'. FHA REQMTS - -- - � � - --- - ELECTRIC GROUND. : . _ t, V`,�. . �. � :"�� UNDER FLOOR DUCT �r � • - � '"� '�" ' , GROUND PLUMBING '� - UNDER FLOOR CO�IDUIT � ' - � • ' SLAB GRADE - � FIREPLACE FOUNDATION �- - - - - -- �� • TEMP POWER - �'� ' - '- ' FIREPLACE BOND BEAM -` -- -� � � . .i .� T.. _... _ ._.__ . ' � : '�i��,_�—T.�.� . �/( J�i il � -WATER SERVICE - _- :- - - �MID HT. BO.ND BEAM '-�.,%•.-t,. .,. , . _,. : : ROOF SHEATHING - - .t .. ._ _ . ._ _ .I. 8 FT.Bd D�BEA�%I�:��• •r .�,�� :�i,i � ' ' , 'i'��_-��� .. . . . FRAMINGNENTILIATION .. FINAL BOND BEAM r- --.,%) ' • ROOF COVER: - 'PRE-GRADING ' � .� =�f i��,7:' -- -ROUGH HEATING -: - - _ - - BENC,HII�Gil- � ir` � ,:. : ; ROUGH ELECTRIC �:-- `� � � ` � ; ROUGH GRADING •• , � - -ROUGH PLUMBING .� - �- �'-" FINISH GRADING SHOWERlTUB TEST � -� � � � • � . POOC�LECTRIC : EXT.LATH/SIDING � � t�. ,'���� , � POOL FENCING .. - ' WALL INSULATION POOL FINAL �j - -C'1p . - CEILING INSULATION OFF SI7E IMPS. - DRYWALL NAILING DEDICATIONS � SEWER ' FINAL ENG. { , SEFTIC TANK..--.-..'. -... . .� ., .��� . - LAN�SCAPE/1RRIG. - � ' SEEP PI7/L.L. . . ... _. _.. .. . • ., • ., •�. ON SITE IMPS. • . � : . -GASAIR TEST - -� � � �c� FINAL ZONING � �� FINAL•CONST.. - ;; ,- . ;r� ,- � `; ,. ; - ,`.. FIRE.DEPT.FINAL ` ` ' FINAL HEATING � - / - ' HEALTH DEPT. FINAL .. F1NAL ELECTRIC ,� - • DEV:�FEES PAID -� - " -`- FINAL PLUMBING � -• �. ENERGY ti , �_ �e � _�....J - . i ,� ,. � ... .. . . . .� . . . ....... ..... "__'_"_'__. .� _.. ._. . ...:� . A...,.i_'•"_' ___ —. a . _ .__ .� . _. . . . . . coMnhE'r�rs:s - . . G a . ---�. - � �°r� . �-a?sf�l'ts't-�, `•;t� - - - o � �✓e� h�� - l�-1 - .. _ ._ - � � . � � � � ti.h�• �- ;.� • • .. �'` �r! �f� C 1.j �� , � . � � -- c' 1.�. 1 I .�i 1 J �,��y . ..i � ' : - ��^`J - � �- . —._. ' � �:�`J J�.) �1�:::U � = �- (N-�� _ � � � � � . �� `� ' ' �i^-:���.`i \; �.� � .- � .I _. I . � .. . .. .. .. 1:`-, • ' " `7 - ' �— •�,. . . . __• ,. � SEPTIC TANK SIZE . _- : ,� SEEP PIT/U SIZE _. , _ , � � , - . : . ��. � _ i �� . . . '' - ; ' , . . . i _. i . . . - _ -. . , , . ._... , _ ,,. .. . . , . � ,, , , , .� � ; � , �..� , , . , _ � . . ,�� , :� r• � .i\ ..- �.r•_. --- J -- �-. . - - ' � ,;. r\..`�. ✓,� � ,�'; , � �._,•, ., - . . . . 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