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HomeMy WebLinkAbout12029 _ . . . . . - . �-- . Q� 3� -- CITY OF DIAMOND BAR �� I ;J --� �� --- DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES �y . 21660 E.Copley Drive Suita 190 ' ` . j • (909)860-3195 Faz(909)861-3117 PRESS ���*"�. � BUILDING PERMIT APPLICATION FIRMLY o DD ESS ���� GIn Q YY1 I a �(l Z� DATE CATION ..�j�� NUMB�H� ✓� �/C v � ISSUE TYPE OCC APN��LOT� TRACT DATE CONST. GROUP p OWNER �-1Ar+ nr-c�- �LiLi�1t, ADDRESS ZONING SETBACKS W CITY ' � ZIP�2�+ TEL �y�)S�i�Il�r � FRONT RW ❑ , � APPUCANT �A.Y)1Q-1[,�.� • TEL�{�q���{��-t/� SIDE/SIDE STREET RW O � CONTRACTOR L�� l��o++ LC,- SIDE - - - ❑ oC A�DRESS t -- nn�`�'�n..�� . PROPOSED USE O CITY ' �o ZIP� TEL � � � ' o ARCHIENG/ • � l , � DESIGNER , NO.DWEL NO. NO. , ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL - � DESCRIPTION Sa.FT. FACTOR PSF ADJ.ARENVALUATION � Q ONMER-BUILDER DECLARATION '_ � ' SFWADDlREM O _ . _ . . p 1 NEREBY AiF�q11 UNDER VENALTV OF VE0.UM THAT 1 AA1 IXEMPT FROM 7HE CONTMCTORS LI. GBRQB/CeipOA . . . W CENSEUWFORT1EFOlLO'WINOREASOH(SEG7a11.6BU51NE55ANDVROFE5510N5CODE:ANYCT'OR (n - � pJUHiYWMtl/RE0UWE3AVERMRTOWN5TPAICLILLTERIMPRDYE.DEMOU9I.ORREPNRANY57RUC• W Patb�Deck _ � ' � � � TUf1E,PRIOR TO RS 159UANCE.AL50 REOUIHES THE MPIICAHT FOR SUCN PERMIT TO F0.F A SIONEO W � S7A7EMENT TMAT NE OR SME IS 11CFl15E�PUHSUANT TO 7NE PROVISIONS OF TNE CONT5IACTORS lF � CEN6E UW(C/MPTER Y(COAIYENCNO W1TH SECTION 7oDo)OF DNISqN!OF iME BUSiNESS AND CRO u' POOVSpfl FE5510�15 COOE)OFi iTNTME OR SME IS E]cEMPT iMEREFPOM ANO TME BASIS Fptt TME ALIEGED E%EMP• TpN.AM/VIOLATqNOfSECT10N7m1.68YAM'APPLICMfTFOi111iE1WITSUB.IECT57HEMVLIGWTTO Z qe_p�} � �„� ACMLPENN.TYOFNOTMOfiETHANFIVENUNOREODOUAK4�f5o01.k - � OI.ASO�M�EROFTMEOROPEH7Y,ORNYE4PLOVEESWI7HWAGE3/SiHEIRSOLEC0AIPENSATION,- � COrtITOfCIeI � ' � YALL00 THE WORK,AND iHE 9TRU(,'TURE IS NOT MENDED OR OFFERED FOR SALE(SEG 7W�,6U51� . J NESS M1D VNOFESSION3 COOE:iNE CONTMCTORS LICENSE UW DOES NOT Il7PLY TO IW OWNER OF � � VRDPEHfYNRiOBUlD50ftMPROYESTHEREOfLFNDWHODOESSIKHNC7RKHIMSELFORHENSELFOR � Q 'TWId10HH50RHEROIMIEMPLO'/EES,PfiDV1�EDTHAT8UQIMPROYCMENTSARENOTMEN0E00R . � ,OFfEREDFOHSPLEF,NDNh1'E0.1ME9ULDiNOOHMOROVElA0JT1950lOWRNMONEYEAROFCOIAPLE. . . . . . . �TIDN.T/ff OM'NER�8U0.DER VALL NAVE ME BURDEN OF PROVWO 7M�T ME OR SHE DID NOT BUIID Oft . � MPHOVF FOH iHE WRVOSE OF SAlE1 � : W O�I440wNEROFTIIEVROPERi'l,AME%CLUSNELYCOMMCi1N�Vrti}ILICENSEDWMMCTOM1S [t TO CONS7RUCT THE VRO.IECT(SEC.7oat,BU51NE55 AM1 VPOFES510N5 CDDE:THE LONTMCTORS L4 VelU8Si0f1 ADJ.AREA ' LL� CENSEUWDOESNOTMPLYTDANdM1EHOFAPNOPERTYNAIDBV0.D50RMP{IOVES7HEAEON.NA F NRIDCOHTRACTSiORSUdIDR�IECTSWITIACONTMCTOFi��ryLICENSEDiUHSUFNT70iNEGONTMG pUANTIN �DESCRIPTION FEE� � 70fi511CF15EUW.). . . . _ . . ... ... . . - ' O IM1 EXE�PT UNDER SEC. B,d P.C.FOR THIS REASON U LL � DATE ONMER . � . . W 6 LICENSED COFlTRACTORS DECUUiATION W OC IHEREHYlIFFIRNUNDENPENALTYOFVERMi7THAi1/1.1UCENSEOIMDERPROY1510N50FCHAGTEq � p., •(CO��ENCNa WfiT1 SECTION 7ooa)OF OMSION 7OF TNE 6USINESSAND OflOiE55iON5 COOE,AND Z l � X MY LICENSE 6 H FULL fORCE ANO Ef�ECL �J ('y�� m � LICENSE CUSS UC.NO. � FJ d �' ��l � � 1-- /� /�� /� � � �j DATE � � (�V CONTMCTOR��1—��l[t��h d . W � T._. � WORKERS'COMPENSATION DECLARATION -�"u'�' a , -� INERE9YAFFGi4UNDERVENALNOFCE0.IURVONEOFTHEiOLLD'MN6DECLARATIONS �- � -- U - � - � � ' N Z � � _INAVE�NDVNLLMAINTAINACERTiFIGTEOFCONSENTTOSELFaNSUt1EFORWORKERS � � � O7MVENS�TION.AS PROVOEb 8Y SECTION 7700 0F 7HE LABOR WOE,FORTHE iERFORUANCE W - � OFiHEWORKiORWHICHT111SPERA11TI4155UE0. � � �IHAVEANDWM1LW�HTM7WORKERS'CGIPENSATIONINSURFNCE.ASREWIREDBVSECTION . . . . . - . - . Q J7ooOFTHEL1180RCO0EFORiHEPERiOHMA1JCEOF7NEWOPICFORVlMIp1iN15VERMITIS , _ � t55UED.AfYWORKERS'CO��PENSATIONHSUMNCEUflRIERANJ70lICYNUMBERME: CONSTRUCTION � CMRI[R FNi Ir�-�� � � � • PLAN REVIEW � � vaicr nuueEA��L,� � (��c o ELECTRIC_ . . ' � (iHssECltalK�wTBGOo�.qEiEDOFT[aE�iAiBfi7iioNEHI)�riED00.WlsR�ml0alE55} PLUMBING L C Z 1 CERTIFYTHIR W 7HE PEPFOqYANCE OFTHE WJRK fOR VMiCH iNIS PEAMIT IS ISSUED,1 MECHANICAL U' S1uLLNOTEMPLOYANYiER50NN11NYWNNER50�5TOBECOMESU ECTTOTNE � WORKERS'COYPENSATIONUWSOFW.IFONNItiANDAGREETHATIF�iOtnDBECOME INSPECTIONFEE ' � SUBJECTTOTHENORKERS'WMVENSIITIDN►POVISIONSOFSECT�ryryry ooOFiNEUBOR � � - -� �- � - - - cooE,isfw�i.�warHvnn�couc�rwi sevaov�sau� ISSUANCE ' � ��� � p DATE: j _P APPIICANT: s/�� . SMIP . ' . . � ENERGY P!C WAqNiN6:FMURC TO SECUFiE YYORKERSCO�.�PENSAiqN COYERAGE IS VhUwFUI,AND SIULLBE �y S1191ECfANEMPLOYENTOCWMMAIVENKTIESNJOCMLFNE5U7TOONEMUNORED7MOU5AND � 'ENERGYPERMIT - - �`- � DOLLAAS(i 700.000),W MDITION T0 7H[COST OF COUPENSATION.DAAUGES A5 PROVIOED FOR N li!) J SECTION]TOlOFi11ElABORCOOE.MTEREST.IWO�TTORNEVRFEES. RETENTIONFEE: � � �� I �"•I ' Q -_ ' a CONSTRUC'f10N LENDING AGENCY PRE-ALT FEE: ' � � O � .� IHEREBYAFFIRMUNDERPENALTYOFOERIUFYTNAT7MEREIS�CONS7RUCTIONLENOINOAGENCY - FOR THE PERFOiLAANCE OF iHF WORK fOR NMIp1 TMiS PEIW Ii IS ISSUED�SEC.IDY7,pY.C,�. � . � � LENDEHS NM�E . ... _ . � lENOER'SADDAE55 W ICEHTIFI'iHATINAVERFJIDTIISMPLIGTIONANUST�TETNATT�EMOVEWFORYATqNISCORRECL TOTAL FEES � . � - �� � � p� IA(7NEET0004GLYWfTNlJ1CITYMIDCOUNTYDRDINANCESAN�STATEIAWSRELA7NOTOBUlDINO '^ CONSTRUCTION,ANONEREBYAUi1qRQEREPRESENlATIVE50FTHISCOUHTYTOENTERUPONTIE . . . . ' _ . . ..... . . ._ . `�L' ABOVE�YENf10NE0PROPEHTYFOftP15PECf10NYURPO5E5. �MMENTS � 9 'vl�a r _ -/�1L 1 �� � m PE E PI � . . ... .. . . . �i y SqMA �OFPERWTTEE DATE . � RECPT.N0. PAID BY � VALJDATION WHITE—Department Copy.YELLOW—Fnence Copy.PINK—AssesaaCopy.GOLDENROD—File Copy.GREEN--AppicanYs Copy �� � � . , . . . ... .. .., ..., .., , . , ... . ,.. ..... ..... ._:.. .. :.. . ....... . ,.. , . . , . , .- . . ., . ,-. . � . � . . ��,.. . ,. . •. . . , . . . . . � ,� , , " ' j � � ' � . CITY OF DIAMOND BAR, � .;; .;.;. ..: � ` � "'" � '� -'INSPECTION RECORD` ���- � � ; , . , _ ... �:. � . :. ' � - -- .. , ,. ,. , • e � � � - . . � • � - SETBACK ' ,; �� -�' . �' -. •;_ . ` ''. : ,, 1 FLOORJ015T..I�iti�.`: t;li:, . r,�� �, � �' � _- ' :. ; FTGS/FORMS/STEEL �' � �' FHA REQMTS - --� --- - - ---- - - - -- - -� - ,-. � ELECTRiC GROUND._ -. �_-___'__. ". �_ .�.:-- _� _�- ._�. �.---: ' 'UNDER FLOOR DUCT '- - ' . ' � ' �I t f r .'} ; i . . GROUND PLUMBING - - • •:UNDER FLOOR CO�IDUIT� �. :'�.i�.� .`�:: ; ,� � - -' _ , SLAB�GRADE�- � -.... � --.._._. .. _.. _.. .._ ... _.. .. .: : FIREPIACE�FOIJNDATION�-• =`, �. - "' ='�, ' '��J. • •"' ; ._ _. . TEMP POWER - _ . _ '•' . - �-� �`:.. : FIREPL:ACE B�fYD BEAM.-- , • ., _.. . ._. ._. . _ . . . , . , . �WATERSERVICE-==-..- ._ .. :.._ -_-._.-_.:_ . �.._. .._ . _. _..._. � .: -MIDHT. BONDBEAM •••, .- ,,, ;•.�... . .� � _ �_, : ..,, ,._. , . , . � ROOF SHEATHING-�- - --_ ..---. .. _.._ . .-- ----._� - e FT.BOND BEAM ; '� . .r . ' . . �„ . . , ,. .,.. FRAMINGNENTILIATION � FINAL BOND BEAM • ROOF COVER '--' ` ' ' `PRE-GRADING ROUGH HEATING-- -- --- - - - -- - . .._ .... . BENCHING .._ . . .. - ;. . _.. ". _. 1 . �ROUGH ELECTRIC �� � -�-`�- '�- - - ' ' ROUGH GRADING - • � " . .. ROUGH PLUMBING . . .----------- .. ._...._._.... . . __:. FINISH GRADING .. ..,. . . ,. ; ; SHOWER/TUB TEST -- --- -- - � - ----� : POOL ELECTRIC � ' „ � EXT.LATH/SIDING ; - _ _ ----- . POOL FENCING :. , ' . ' WALL INSULATION � POOL FINAL , - ' i CEILING INSULATION � OFF SITE IMPS. � , DRYWALL NAILING ' DEDICATIONS ; . _ � SEWER_._ _ _. .._ ,��' � --. FINAL ENG. . . � SEPTIC TANK---.----.. .. .. ._ . . .. .. _.._. . .. _ .. .. LANDSCAPE/IRRIG.. ' � . • -' ON SITE IF11PS. " � -SEEP PIT/L..L. ...::_.. _-._: :_. • ' , GAS AIR TEST ---- --� - - --- - FINAL ZONING : FINAL CONST. ----- --- --- - - - - FIRE DEPT.FINAL - - - �. FINAL HEATING-� � - - -- HEALTH DEPT. FINAL � . ._ . _. -FINAL'ELECTRIC - - . - � �- � - / DEV..FEES PAID � - FINAL PLUMBING • `� /� f ' _ ��'� ENERGY • � � . - � . . �- • • _.. , . . � .. _ _ � -•-- � ,•}� : • . . • , _.._ . _- --.- �. ......... ..... - • - - - - . . _ .. . _ .. , ., �,i� . ... . . , ,. ..-..:.. . ; . COMMENTS --.. ..----- -- -._ . _ .__.. , � ;. . ._ . . ...- ------��- -- ------ - - - - - ._.. , . � ; . _ _.._.. ..- - --- ._ ... . . ; , . .. . � - . --..._.. ._. � _ .. . . . ., ;� : � . . , . . � . � �: . . - ,, ' ���• . ��. _ . , _. ; : ,i'� :.� �.- � , . _... . ._. . _ .. _._.__._ _ . _..._ . . ,. . � . ., . . .� . ---- - . ._.._._. . .. _... -• , , � . ' . � ,. . . . . . .. . , . , j . . . - - ----- . .. . ._. .. . - -- -. . . � ' . . � _ 11 � _( ,. `.\. � "1. � �(� I c. SEPTIC TANK SIZE, : ;. ._�, . .� ,, . , ; :. . . _ . ; � , � . SEEP.PIT/U SIZE ��— . . , , , , . . ' . — � �` �� � i 4 _._._. _ .. ._.._..--. . .. , � , . . , . , . ; _. - -- . , -- - - . . - ' . ; ; :. --. _ . . _. , , ... .._. _. _ .. � .., . , ,-._ . -, ....��..�� ; • . . . . ,, _ . , ; � I , . . . �.. i - � , , . . , : , -..._._..._ . _.. . .- � _ � � ! � . rr r, � .� ,� . 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