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HomeMy WebLinkAbout14818 .. . .. . . . . ., � \�! •_ CITY OF DIAMOND BAR �� �i � ��--- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � I �� 21660 E.Copley Qrive Suite 190 " .. (909)860-3195 Fax(909)861-3117 PRESS • ��'��^� BUII.DING PERMTT APPLICATION � FIRMLY � � JOBSITE Q APPLICATION f�) PERMIT P/C o ADDRESS�l��-r �/�lyC1�( I�C(`D�G pA7E � �/'!NUMBER � �t � APN LOT TRACT ISSUE TYPE OCC DATE � CONST. GROUP p OWNER �.TI� 0(�//.1.�i� LlI f�0 p ADDRES S + ZONING SETBACKS � CITY • ZIP�,� TE 1L��/��7)L FFIONT pW ❑ APPLICANT TEL. REAR ❑ � , SIDE/SIDE STREE:T ' RW ❑ SIDE O AOD�ASTOR � Cf[Y ZIP TEL PROPOSED USE o ARCH/ENG/ � DESIGNER NO.DWEL NO. NO. ADDRESS CITY ZIP TEL. UNITS STORIES BEDROOMS � DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION , _ p� OWNER-BUtLDER DECUIRATION ' ' SFR/ADD/REM O � p 1 FIEREBY AFFlPoA UPOER CENALTV OF DER1UifY THAT IMI FJ(E1APf FROAA iHE CONTRACTOpS�I. Gaf9gBJC8fpOR C1J CEHSEUWFOR7HEFOLL0IYRlOREASON(SEG70.71.6BUSINESSMlOVROFESSiONSCODE:ANYdTYOR (� U Cq1MYMMICNREqIqESAPERAIRTOCONSTRUCT,KTE0.WP�E,OEMdJ9lORREVIJRANYSTRUC W PONO/DBCk . � TURE.VNiOR TO R9 ISSUN�CE,KSO RFWINES h1E AVPL�UNi fOR SUCH PE�IT TO FllE A SIGNED � - 67ATEUQfT 1HAT ME OR 511E IS LICENSED PURSU/Ni TO THE PROVISiONS OF THE CONTMCTOfiS L4 � � CENSEUW�tlil1P7ERY(OOMMFNCWOWITMSECT10N70oa1�DIY15pNlOFT1[BUSINESSAMJPHP �- PooUSpa � � . FESSIONS COO�OR TM7 HE OR SHE IS EXEMPT TNEREFRd/MD THE BASIS FOR 7ME�LlEOED EXEMP- TqN.ANYY10L�710NOFSECTqN7Wt.6BYlINYAPPLICAHfFOqAVERMITSUBJECTSTHE�PPLICANTTO Z qe-Roof - � I1pNLPENALTYOFNOTIAOREiluNFIVEIM1/NDREDDOl1AR5(SSoo)): . . � 04ASOWNEROF711EPROPERTY.OqMYEMROTEESWITHWACE5A5THEIRSOtFCDMPEN5�11ON.� ❑ �mmerclal - � � . N7LL W THE WOf1K,INp 7HE SiRUCTURE IS NOT IMENOED Oq OFiEFED FOF SALE(SEG 7ou,BU56 J � 1�54 AND PIi0FE5510N9 COOE:T}IE CANTMCTORS LICENSE LAw�OES HOTAFCIV TO 11N OWNER OF ? 7ROPEHTY YA10 BULD3 OR I4GROVES THEREON,M1D Y✓HO DOES SUCi11MORK HIMSELF OR HERSELF OR . � THROUCJiHISORNERONTIE4PLOVEE3,GHOVIDmiHAiSUCMWPROVEUENTSARENOTMENDEDOR m G OFFFFlEOFORSALEIFMOwEYER�8U4pN00RMviqVEMEMISSOLDWfTMNONEYEAROFCOMPLE• Z TION,T1E OMTIEREUM1DER M'ILL NAVE TME BURDEN OF VROVRJO THAT NE OR 511[DiD NOT BUILD OR . = NV ORTF�EPURaO6EOF5ALE1 . W .ASOWNEROFTHEVROPENTY,AMfXCLUSNELYCONTRACTWOVrtTHL10ENSEDCDNTMCTORS � TO STRUGT TME VNOJEGf(SEG 70M,BUSINESS M1D DROFESSIONS CDDE:7ME CONTMCTOG45 U• VflIUB1iIX1 ADJ.AREA � �� � � CENSEUWDOf3lpTMPLYTOANOVMEROFAPROPEHTVN7qBURDSORMPROVESiNFREON,M'D W110GOHTiUCT9FORSUCMiHO.IECTSWI7H�CONTMCTOR(9)LICENSEDYURSUNlTTOiMECONTMG pUJWi1TY DESCRtPTION � FEE� � ipiS LICENSE UW.E _. . . .. 0 O I MI EXEV GT UNOER SEC. _&�P.0 iOR TMIS REASON U W � � ¢ � � � D�7E � OwNER V � UCENSED CONT ORS DECLAHATION W • , . J INEREBYAFfliq1UN0ERVENKTYOFVEMIRYT11AT1AVLILENSEDUNDERPPON5qN50FCHAPTER � . s �(COI.oAENdN0YN7MSECT�ON700olOFOMSION�OFiMEBU5iNE55ANOPROFFSSqNSCOOE.AND Z ' ' ' X W UCENSE IS N FUIL FONCEAND EfFECf, m � LICENSE CUSS LIC.NO. � j , � J v a�re corrnucron a w � WORKEF�S'COMPENSATION pECLARATION a � IHERFBYIFFUI4UNDERiEw17YOfVEf11URYONEOFTNEFdlOwiNODEttAMTqNS-- - Z - -"�" - � _IHAVEANDWM1LMANTMIACERTIFICATEOFCONSENTTOSEIF-INSUREFORWORKEA5 2 GOUPEN5AT10N,ASPRWI�mBV5ECT10NAooOF7HELAeOiiCODE,iOR1NEDERiOqMANCE U � OFTHE�NW�KiORwMICH7M�SVERMiiISI55UE0. � C �I HIIVE AND NALL►URlTMJ WORICERS COMOENSATIDN PlSURANCE.1l5 REOUIqED BY SECf10N i QO 77oa OF TNE LABOR CODE FOFi TNE PERFORUMICE OF THE WON(FOR WMICH TMIS GERMR IS � ISSUED.MYNORKERS'CO�IPENSA110111NSUfLWCECAflFUERANDPOIICYNUMOERARE: CONSTRUCTION � awwep PLAN REVIEYJ �A�.�_ � OOLIC`INUYBER ELECTflIC �}� p (fll;5£CIIJNNCEDNOTBEOJ�.RERDOFMPEIMT6FDitWEHI.RDREDWl1Ni5(StOC�qilE55] PLUMOING �t1(� � � � 1 CERTIGY7NAT RI THE VERiOR1AANCE OFTHE VADRK fOR WHiCH 7HI5 VE�IT IS ISSUED,I MECHANICAL � SFULL NOT EMFLOY AN'f FERSG�IN ANY GNINER 50 AS TO BECOME SU&IECT TO T11E y WOR1(EPSCW7ENSATqNUWSOFCALIFORN�AANOAGREETMATKISNOIADBE00ME INSPEGTIONFEE S SUB.IECTTOTNEYIOnNER3'Ld.�PENSATqNiROV1510N50F5ECilON77000FMELA00R - �� ��S � �� coo�,i sr+ui roanNnnr ca+atr win�nase vaohsaus. ISSUANCE O t � .. p OATE: APPLICANT. .SMIP . QT�` � WARMHQ:FAWRETOSFWNEN�017KER5'OOIAPENSATIONWVEMCEISUMAWFULM105MALLBE ENERGYP/C � SUBJECTANEMPWVERTOCRIMINALVENALTIESANDCMLFWESUPTOONENUNOFEDTNOUSAND ENERGYPERMIT ' � � OOLU0.5(St00,OD0�.IN ADD�T70N TO THE COST OF CdAGEN5AT10N,OAYAGc3 AS PROVIOED F01i IN J SECTION77oeOFTMEVBOACOOE.NTERES7,AN0ATfORNEYSFEES. RETEMIONFEE: � CON57RUCTION LENDING AGENCY PRE-ALT FEE: � O � IHEREBYAFFlN.IUNDEAPENALTVOFPE0.IUMTHATTXEREISACONSTRVCTIONLENDWCACENCY � Z FOfi iME PERFORM�1NCE OF iHE M�OFlK FOR WMICM TNIS iEWA�T IS ISSUEO(SEC.]DY7,CIV.G�. W � � LENDER'S WwE . . . � � LENDEiFSMDRC55 � ICERLIFYi11ATIMMERE�DiMSA7PL1CAT10NAN�5TA7ETMATT�EABOVEwFORA1�T70NI5CORRECT. TOTAL FEES � � � � W IAGREEiOCOIAPLYWITHALICT'ANDCOIMTVOPD�N+WCFSAN05T�7FUW5REUTINOTO8U0.D�N0 � CONSTRUCTION.ANDNEREBY1WT110RIZEPEPRESENTATNES�F7NISCOIIMYTOENTFqUPONTNE � ' - � , � ABOVE�1eENT10NEDPROPERTYiORINSPECf10NPURPOSES. COMMENTS 9 E �P.a . . m v¢w.m r+ �op N �-�i�� � $qM _OFGEWAITfEE MTE - : � . . .. _ . RECP7.N0. PAIDBY VALIOATION � WHITE-0epeAment Copy,YELLOW—Flnenee Copy,PINK—Aasessor Capy,GOLDENROD—FiIBG�py,GREEN—AppicenPs Copy � �� -� � - � .. ....�-..,.. ... ; .. . _ . .. . .. . ,. ......,. ,. . . . .. • . , . �l' � � !' . �.. 't. Kt . .. � . . . . '.i... ��1 Pi'4"._57.��.' .f.'f• .. ��4� ..... .. � .,w .. - r � ��.. �• .�" Ya . . ... .. .... . .. . . `.` �- --,1 • � CITY OF DIAMOND BAR ,�, ,:�: 1 � . ... .,, , . ' '�`. „� ` .. ;'`�INSPECTION�RECORD: : . . - - , �',- . 8 s � ` � - • � � � - SET BACK ' r ,., : ' '. '. i .' ` ,_' ,� FLOOR JOIST • - .... �- • � FTGS/FORMS/STEEL •' ' � •,. r'� , ' �,', 'FHA REQMTS - - - - - - - ELECTRIC GFiOUND � � -�- � � UNDER FLOOR DUCT, . . . - -- GROUNb PLUMBING � � UNDER FLOOR'CONDUIT •. • SLAB GRADE� -- � -- � -- �- � • FIREPL•ACE•FOUNDATION ��� -. ' = ••- --•-',-•�'-- � � TEMP POWER ~ ` �l-i K'� - FIREPLACE BOND BEAM ' ' ' ' ' ' WATER SERVICE - �-- - = - - - �- ' �MID HT.BOND BEAM ROOF SHEATHING - - � ` �S Ff.BOND BEAM FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER ' PRE-GRADING - � � ROUGH HEATING - � -- - - - BENCHING � ` � ' AOUGH ELECTRIC - ' • ROUGH GRAOING ROUGH PLUM6ING�; � -�- - '� - ". - FINISH GRADING -. . . • ` SHOWER/TUB TEST � - - PDOL ELECTRIC • EXT.�LA7H/SIDING � � : - POOL FENCING ' WALL INSUTATION POOL FINAL _ . CEILING INSUlA710N • OFF SITE IMPS. • DRYWALL NAILING DEDICATIONS SEWER__, � FINAL ENG. . . . , _ _ . - -- - SEP.TICTANK .... ._.: .. ... _. . _ �.._ . LANOSCAPE/IRRIG.. • SEEP-PIT/l.L. --.- .. ..... QN SITE IMPS. • GAS AIR TEST --- -- � - - FINAL ZONING FINAL CONST. - - - - - - FIRE DEPT.FINAL . FINAL HEATING *-'"' ' '�' • � ' •� �� � � HEALTH DEPTrFINAL�. ._, _'.; - � , - �, . . FINAL ELECTRIC �(_�K^�r: DEV.FEES PAID �� FINAL PLUMBING L ENERGY ' - � , . , , YF �I��.'� �1� , COMMENTS . ..__ . . ; . � . - r�� . . i . . '�-- - f i .. � _ _ .. . 11,• , - . . � � . -ti r' ' �' 7 t: . . .._ �,. .!i:r}� i� . . � � � .. . . . _ . ' _ ``:.Clr`� . "�' :. � � "�` `- il!! ir• - , . SEPTIC TANK SIZE ,, ' - SEEP PIT/U SIZE � � � ' � . . .. , ;�.�- _ - - -- .. , � - - :. _ ._ ..... . ; ; - - _ ,y��y �; ... _ i : , . i . �• i _ _ . . . i . . , ._ .... _ . ' - - I _�. r _.� ., � i 1 ...._ . . I � � �1� . . . . . . � `':t', . . . . . _._. . . . . .�. _. - ' ' ` .J � .,