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HomeMy WebLinkAbout11669 (5) CITY OF DIAMOND BAR � --�� ---� DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES � �,c . ai�oE.c���ynti�os�c�t90 � . PRESS . (909)860-3195 Fax(909)861-3117 . . �`'�'�_ BW.DIIVG PERMIT APPLICATION . !:_,� ; . FIRMLY d DDRESS �SI \ �Me�Ln L��7"'C - APPLICATION , •.,'•� n PERMtT -�� P �,n,,,�/ p DATE _NUMBER k �`''1 � � APN - LOT - TRACT,�-Z-- . - •DATE ='S' � �� ` ' ONST� ,• GROUP � `OWNER� �� ADDRESS � 1 TF4L ZONING.•SETBACKS "'._.,.• � ��'- ` , `. � w CfTYCO ,.�5/�i ZIP • TEL t :FRONT •-• • �' �•'� - �� RW ❑ � .APPLICANT - TEL � REAR` ..• : . . p � 51DFJSIDESTREET RW O CONTRACTOH�e �w7U'�� SIDE p � ADDRESS - - PROPOSED USE — � CITY ZIP TEL. Pu ARCH/ENG/ . , . . . . . �� DESIGNER�iIJ�Sp�/�A� ��V"�� NO.DWEL • NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. . � N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q .. OWNEF-BUILDER D�CLARATION SFR/A��lREM Z,� • O eI HEREBY AFFYM UNDER PEWLLN OF PEFWRY TMAi I AA1 EXEYPT FiIOM THE CalfMCTORS LL Garaga/Carport � � L • • . 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TION,THE OWNEH�BURDEN WILL MAVE THE BURDEN OF VROVN�THAT HE OR SHE DiD NOT BNID OF � IMVROVEFORIHEVURPOSEOFSALE} :��:� . � OlA30VMFROFTHEPROPERTKAYIXCLUSNELYCONTRACTNaWITHIICENSEDCOHTRACTORS — TO CONSTRUCT iHE iHOJECT(5E4 7aI.BUSiNESS AND FROFESSIONS CODE 7ME CONfMC7'ORS U- VelUetiOfl /1DJ.AREA CENSE UW DOES NOTMPIY TOAN OYmER OF A iflOPEHTY Yn�O&1RD5 OR IMGROVES THEREON.AND � NRqCON7MCTSFORSUCNPMIIECTSMlfiHACOHTMLTON(S�LICENSEDPURSUANTT07NECONTMG QUANTITY DESCRIPiION• • • FEE � rau ucEnse uw.� . _ _ � . OIAIAE%EMPTUNDERSEQ B.1V.GFORiHISREA50N U � DATE OWNER r . . . . � � W UCENSED CONTRACTORS DECLARATION -i � w . _ IHEf�BVAFi1pJUNDERVENIU.TYOFCE0.IUHVTHAT1Aul�CENSEDUNDERVRONSqNSOFfHAD7FR � V, � . � ��COMYENCNOWRFI5ECT10N7o0D1��510N]OFTMEBUSI�ESSANDPROFE5510NSCOOE,A.VD Z ' X W LIGENSE 6 N FULL FORCE I�ND EFFECT. � LICENSE S �, ... LIC.NO.���` vv� j � wrE corarrucrow � � �CC]_2� a � WORKEHS'COMPENSATION DECLARATION a � IHEREBYAFF1fUAUNDERCENALT/OFVERIURYONEOFTHEFOLLDWPIGDECLAMTI0N5: Z a � _IIMVEIUAMALL1AiliNTANAC£fAIFlUTEOFCG+SEMTOSELF�INSUREFORWOHNEAS' 2 . . � �� � COMPENSA7pN,hSPROVIDEDBY9ECilON77DOOFTNEUBOHCOOEfORTHEVERNRIAANCE 'U OFTHE VIORK iOH VAlIq1TM3 PER/AIT 19155UED. � � �IFUVEANDVnLLM�MAINWOHICERS'C0IAPENSATIONINSUMNCE.ASREOUIREDBVSECTON 4Q ]70oOFTHELABORCOOEiOftTMEPERFORMANCEOFTHEY10fUCFORWHICHTMSPERAVTI3 � 65UED.WWORKERSCOL�P.E^HSATIONWSURANCECARRIERANOPOIICYM1uBEHME CONSTRUCTION �I� �O � G1RRiEF - C ��/1'T' PUUV REVIEW ����I S � POLICYHUMBER Z�� �?+ ELECTRIC ' . . . . . � (fTaSSECTIONNEmM7T8[Op.f;ETIDOFMPE(�.iT6f0(1R�EMJ�OHEDDOlUi5Rt0�OqLE55} PLUMBING � Z ICERTIFYIHATNTHEFENFdiMANCEOFTHEWORKFORWMIpITHISVERMITI5IS511E0,1 MECHANICAL � ' () SFVILLNOTEMPLOYNIYPERSONNANYWu�lNERSOASiO6ECOUL5UHIECTTOTNE � WORKER5COMPENSATIONUWSOFGWFOFWitiANDFGREETMATIFISHOULDBCCOM[ INSPECTIONFEE S SUB.IEGTTOTM[NrORKERS'COMVENSATqNVROV1510NSOF5ECT10N�7o00FTHEUBOR � 000e,�sruu�p m�nvrrHca.�Ptrrnn�nasEraovi s. ISSUANCE � s � � �9//��� SMIP .. a�Ay $�2.0 . p WTE:'�aZ/���X!_/�l APRICANT: � � •� —��—IJ� � � ENERGY P/C WARNIN�:FMURE 70 SECURE WOILCER5 COAIPENSATION GOVEMGE IS UNUwFUL,AND SHALL BE � SUBJECT/NEMvIOYERTOCRIMM�LPEWLLTIESANOCMIFNESUPTOONEMUNDRCDT110U5AND ENERGYPERMIT ' � DOLIARS(f 100.000).!1 ADDITION 70 THE COST OF COAIPENSATqN,DAAI�CES AS PROVIDCD FOR IN JpC SECTION]10lOFT/1EUDORCDOE,INTEREST,AN'JAi'fORNEY5iEE5. RETENTIONFEE: �,y��O� a CONSTRUCTION LENOING AGENCY PNE•ALT FEE: � O ' fL IHEIiEBVAFFUIMUNDEi1VENAlTYOFVERX1ilYTHATTNEAEB�CONSTRUCTIONLENDIN�110ENCY � �' n- FORTMEVERfORUANCEOFTIIEWOPI( ORWHId1THISPERYR�SISSUED(SEC.70v7.pY.G). � � IEHDER'SNAYE�J�/ - � � • ��� � LENDER'311DDRE55 � TOTAL FEES ��'S �•� , S�. I CEqTIFV iMAT I FI�VE REAO MS IV PUCATION AND STATE TUT TNf ABOVE NFORYATqN IS CORRECT. � IAGREETOCOIAPLYN7THALLCITYANDCOVNTVORDNANCESANDSTATEUwSREUT4qTOBUILDINa � CONSTRUCTION,MIDM[REBYAIfT�qRIZENEPHESEMATNE50FiHI5COVNTVTOEMEflVi'OHTHE . ABWEdAEMpNEDPROPEHTYFORINSP CiqNPURPO5E5. COMMENTS � � L r� L C � . Q vEwameewwe(v n ! ' S1 � � . , : • �� 6qNAtUHEOFPERMITIEE MTE � RECPT.NO. _FAlD BY VALIDATION WHITE—Depenment Copy,YELLOW—Finen�e Copy,PINK—Aasessa Copy,GOLOENROD—File Copy,GREEN--ApplicanYs Copy . CITY OF DIAMOND BAR . , ,., , � �.��.;� ;,-.,:.:.....INSPECTION-RECORD. - .. ,: .: : �; � : - - :� _.. ,� . . , . _ ... ... - _ - � s � � . - � • � � � - 5 BACK. ;...,� i` �. 11 - 0�3� . _ `�?!F.�~ . �.��.. � �F OREQMTS� -. _��� r", 1 , 1���;•.,;-,1. � i';:� . .. FTGS)FORIVISlSTE�L-.::..��Z�' `� . _... _ _. . . .i..... _...._..._; ELECTRIC GROUND. _ .._�i '�`j•= ' _aj�" �/j.� y� ►�' FLOOR�,s ' - �' , �� � �GROUND PLUMBING 'lo UNDER FLOOR CO�IDUIT, �;�,� �.,;� :,.,��:� ;,�� , _ , ; . SLAB GRADE _ _ � • �Z -` ---_�G.� FIREPLACE��FDI7NDATION-�� )<�• •,-. i_ :; «•_� �� � ', - - - _ . � � FIREPLACE BOND BEAM � � ' ' TEMP POWER , _ . ,. - - -- -- — . . WATER SERVICE ..... . S' � - : - : . MID HT.BOND BEAM � : -''..�' .-•:• :'';� • . : ROOF SHEATHING ``� Z � . _. � .. .. _...�. �.. .. _. -�� -- � .'. 8 FT.BOND BEAM . �_;;,. , <. FRAMINGNENTILIATION /Or� FINAL BOND BEAM ; , , , ,: . : � i � _ _ ; : . PRE-GRADING _ , _ ..�� : .�.�•._. ROOFCOVER ;� ��- - - - . i �: ROUGH NEATWG - / �2 y�' .;l � BENCHING '•.f:<% l'��� � . , .: , � _ - __. .._. , _. ROUGH ELECTRIC � = • •__ � '� � ROUGH GRADING -- - - - - � , . . I ROUGH PLUMBING. .._ _. . .�' '-i". — __.. . FINISH GRADING � � '.SHOWER/TUB TEST ! D�t ' 1' ' - POOL EIECTRlC ' ' , ,. , ; . EXT.LATH/SIDING --' - •/O t� - C • '- POOL�FENCING . : . ; ; I WALL�INSULATION .. -- ' - �' - -- - POOL FINAL • ' , , . , 'CEILING INSULATtON `� � . �- ��. OFF SITE IMPS. . � ' DRYWALL NAILING-- p p !� � � DEDICATIONS ;SE4VER --- - -- 9/ ��' � FINAL'ENG. ' SEPTICTANK -- - ; LANDSCAPE/IRRIG. - :SEEP PIT/L.L. _ • � . • •? ��1 ,� :�." - ON 51TE IMPS. " ', � � ;GAS AIR TEST � Z/ � � ' __ � FINAL ZONING � , � y�f . FIRE DEPT. FINAL' -•. �FINAL CONST. . _ � . , . FINAL HEATING _ :.. _. � HEALTH DEPT. FINAL FINAL ELECTRIC_. _. . /' . ... ❑EV. FEES PAID � . , .. FINALPLUMBING- --� - � - � ENERGY . � : � � , , ,. �--__ __ _-- - - _. - --- _... -- �„ � e. . ' - {.l _ ;. - -- ---.. . . ..... . ....- . .. . _ , ���,..-,. .,► t� . � .J1� II� . . ' . . . -.. .._'_'__".•'-'-'--___._._ _. ._. .._ __ . . � ' ""._._ .....__."'_'.'_" . ...._..__._'_' . ...-. .._.. .. . _ , _ :. ._ ___. _ ' ,: --.__ .. .. __.. . . . COMMENTS . . . .. - , � .. � , - - - - - - '- - � � . . .. .. ..- ---- - --- -- - - ---- . , � i �. � :� t- �;ft . . ' . . - � i .._.. . . ._. _... . .._ . ... �� 1 ,`. Cr • �. ' .. � . . .. � ' • � � , .J . - . ' C •. � �f,' - t'�� �� _ � �� . ' ' .. .. . . ' . ' . . _ i i � � ' , . - , . . . . � � , j � _ .. . _ ..- -- - ` . .. _ .. .. . . . . . . ' . . , , ' . . . . . . . - � I ��..)�� ���� � • � �: S� . . . . � - � ...� 1 �� l _._ . .. . ' � ' � � � �I I• _. . . , . . i - ` _ . f C\ .. 'j�.:.i r. 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