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HomeMy WebLinkAbout12361 (14) .._.., CITY OF DIAMO � • � . �r"'� �' � ND B AR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 21660 E.Copley Drive Suite 190 ' � (909)860-3195 Faa(909)861-3117 PRESS �'^"� - _ BUILDING PERMTI'APPLICATION � �� FIRMLY � oy JOBSfTE . APPLICATION---- r� PERMR (� p/C ADDRESS 7 DATE C b I" ✓ NUMBER Z�'`� �t � APN LOT CT ISSUE � 7yPE �C DATE �' CONST. GROUP p OWNER ' p ADD S ' ZONING SETHACKS � C , • Z� - FRONT RW ❑ APPLICANT � REAR � � CONTRACT � SIDE SIDE STREET Ryy p q� ADD S � � Q C� ZI TEL PROPOSED USE - o ARCH/ENG/ /���r�� aDESIGNER ZJ�'� ADDRESS NO.DWEL Np, N� N C�T1' ZIP TEL. UNITS STORIES BEDROOMS � OESCRIPTION S�.FT. FACTOR PSF ADJ.AREANALUATION [� _ OWNEFi-BUILDER DECLARATION . SFR/ADD/REM r O �NERE9Y AFFiW UNDER PENALiY OF pER1UNV T47 I A4 E%EAIPT FROM THE CpJTMC1bqS U• G8f8 0/C0(p0A � � CENSEUN'FOqTHEFOlLOM7NUREASON(SEC.70lf.6BU51NESSANDDROFES510NSCO0E:ANYCITYOR (n 9 � � � W�1M�Y1ridCHREOURESAPERMRTOCON57RUCT,AtTER�PRDVE.DEU0U5H,diREDAfRANY57Rt1C. 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I 3 � � �` C . � DATE OW!IER " � �i . � . . U _ , .. . LICENSED CONTAACTORS DECLAAATION ; w � � IHEREBYAFttiWUlOERPEW�LTYOFPERIURYi11AT1AMLICENSEDUNDERVRONSiONSOFGHADTEN U, � �(COIrAENCYqYrtT115ERiDH700o�OFOMSqN�OFTHEeUSINE55MtDPNOFE5510f1SCA0E,ANp Z � - �� YY LICENSE 4 N FULL FO E AN�EFFEGt m . � IICENSE CUSS � LIC.NO. � � � . V DATE - ' ' CONiMC a W � WOFiKERS'COMPENSATION DECUtRAT10N�-JZ���-� Q N IM[REEYAFFlRAIUIIDEAVENALTYOFpER1URVONEOFTHEiOLLOWWGDELLARATIqJS; V - y 2 _ . � �11U1VEAHDWILLMAMTNNACEqTFIGTEOFLONSENTTOSEIF-INSUREiOpMqRKERS' a , OOMPENSATION.A4PAOVIDEOBVSECTION77000FiHEU80fiCO0E.FORTf1EiERFORMMICE W Q OFTIEWORKFORNMICNMISVEM1tTISISSUED. � �� „�INAVEANOyYILLMNNiA7NVlORKEPSCOMVENSATqNINSUiUNCE.ASREOUIREOBYSECTqN �� � � . Q 77000FTHEUIBORCOOE.fORTHEVERFORMANCEOFTHEWORKFORWHICHTFIISPERMR � � � 65UF�.MYWO AFCOMPENSAT��NSU ' !'CAqqiE NOVOIICYNUMO:�RE1��� CONSTRUCTtON � GRWER_-��� ' - �\ P W' . .. . ...... ._' ".... _ . .' '_ .'_._.._..._.. _ _ � OOLICY NU46ER -� " J ELECTAI V r r � 0 fM1OS5ECI10NN�NOT8E07MLETEDOPi1EP6#7isWRaNEM�i¢oDa.tutSR�ao�OntE5S1 PLUMDING W Z I CERTIFYTNAT NTHE PFRFOqMANCE Of T/E N'Of1K fOR WHICHTHIS PEiU1R IS LSSUED,1 MECHANtCAL C7 SHALIMOTEMPLOYANYCER..ONHANVMANNEP50/lSTOBECO�ESU0.)ECT70TNE (/j YIORKER5COAIVENS�TqNUW50FCALIFpiWU�AND�GREETMAT6154qUlDBECOME INSPECTIONFEE S SUBlECfTOTF1EWORKERSCOMPEN5AT10NPflOVI510N50F5ECT10N�7000FTNEV�BOR �� . WOE.ISIUL�ioRTMVYfT11COMPLVWi osEVRO/�n�SIONs. UANC �j'�� � p DATE: � APPLICAMT:\� � AJT ��i�1i S . . � W � WMNiNO:FAILUA[TO SECURE WOfiKERS'OOMPENSATION COVEMGE IS UNUN'FUL,ANO SHALL BE ENERGY P!C - (�y 6IA1ECT11NEMPlOYERiOCRWWAIiENALTIESANOCMLFiNESUPTOONEMUNDREOTMOUS,Wp. ENERGYPERMIT ' � DOLLAAS(!f co.0oo),N ADOITON 70 iHE CA570F COMPFNSATICN.OM7AG[S AS PROY9E0 FOR IN � SECTqN170lOfT}IELABORCODE,NTFREST,ANOITTORNEY$FEES. W RETENTION FEE: O CONSTRUCTION�ENDING AGENCY PRE•ALT FEE: i . � 1HEAEBVAFFIRMWOERVENALT/OfVE0.1URY7HATTHFREISACONSTRUC710NlFNOWOACENCY ���.f.7 �� � 1 � FOR TNE PERFORMMlCE OF TME WORN FOR WHICH TMIS VEIUAIT IS I55'JED(SEC.70V7,pV.C.). _ir\ �� ��� � LENDEitSNAUE � � tEt+OEirSAD0aE55 ' - ' ' ' �� TOTAL FEES ('/L1 1 CERTiFY i/fAT!HAYE READ TH!$A➢Pti1CAT10N/JA STATE TNAT T1IEABOVE NFOf7x/ATYk!IS tORAECi ,/(J� //]� IAUREETOCdAVIYYATH�LICRYANDCOVN7YOHUWµCESu.ID8TA7EUw5REUTINOTOW0.�tN6 �`��r•/v_�/ �� COHSTRUCTION,M:pMEREBYAUT/q1iREREGRESENUTIVESDFTWSCOVNTYTOEMEHUPONIHE „ . , � . ABOYEJAEHilONEO PHO�EHTI'FOR PISPECTK7N GUAPOSES. COMMENTS g �-�-_�'-�.c� . ��� _ � � � E EE AME� �q E OF ITIEE � (J���� ... .. � RECPT.NO. PAID BY VALIDATION � ' VYFfITE—Department Copy,YELLOW—Flnance Copy,P1NK�0.seeeea Copy,GOLDENROD--FiW Copy,GREEN--AppliranYa Copy � � � . ..__. . . .. _1``.. ,r ,•�ti,t`..:,,,, , . . .. .. . . .. . . . . , . �.,,-� . , . . . . . . , . . , . .. . . �� ,, • .}1;�` ,� CITY OF DIAMOND BAR :.; � .;.� , : ;-, :. . .� , -.. ::���INSPECTION RECORD�_�: ._.: � :;,:�, � . : , ,. . . - „ - . -- . . . • e � • ' � � + • - SET BACK " _ ,. :, . . , ; •. i , . FLOOR JOIST(1•�. !� �I� �.-. '.(�l � ��:"r;. � :.. FTGS/FORMS/STEEL - i �(� •.� i�� FHA REQMTS �- ..-;:--: - -- - . . - . ELECTRIC GROUND � _ �. . _ - �' � --. UNDER FL'QQR DUCT.:'-' ` � � - " " � -, � � -•_� GROUNDPLUMBING �� UNDERrFLOOACQI�IDUIT',i�_ `�`.�1 i,,� : ,-,: .. _ _ .•.: __. .,.. SLAB GRADE __ . - - -- -- - • - ,• . ; FIREPL4GE�FOUNDATION'=`� _--,' _ �•. -�.'�� ��::;=; ; : TEMP POWER - ` `� - - ` � � � FIREPLACE.BOND BEAM . -� . � - . _ . _ �. .. .. _ ... . WATER SERVICE:- ;..-:. . _ , _. 'MID HT. BOND BEAM ��--= > � :_ .' ; � ,._ ;, :.\ ,.. , � ROOF SHEATHING"� ' � ' • - '" ` -'• 8 FT:BO D,BEAM � - �� � ' - �„' �•,.:��,`�^� ' - FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER..: ' PRE-GRADING - - � - ROUGH HEATING- - - - - - - -• -- BENCHING ' • - ••' ; R�UGH ELECTRIC -. Q ���'' ., , - ' ROUGH GRADING � ' RDUGH PLUMBING" : ' �` -- ' "' "':� --�_ - � FINISH GRADING .. , , SHOWER/TUB TEST' - � - � � - . .. POOL ELECTRIC • •. ' ,. ; EXT.LATH/SIDING ° � � � POOL FENCING � WALL INSULATION POOL FINAL ' � • • CEILING INSULATION OFF SITE IMPS... DRYWALL NAILING ! DEDICATIONS ' SEWER _. __ , . . - _ ... : . - FINALENG. :, � - SEPTIC TANK..__ .. . _._.._ _. _._._ . ... . LANDSCAPE/IRRIG. . -SEEP PIT/L.L.-:- ---. ON SITE IMPS. . . ' . . -GAS A{R TEST , . , . ;- ,. -• _. _. . �, -.-„ FINAL ZONING ' FIt�ALCONST. ' ,_ . ",. ;'. � :': ' .,• • . =,�'..::. ' FIRE DEPT. FINAL - . fINAL HEATING � - " " ' -� ' - HEALTH DEPT.FINAL ! . _.._._ . , FINAC ELECTRIC --- � - " � � - DEV.;FEES PAID - FINAL PLUMBING � � ENERGY . — � ;: ,. , i i �. . ---- . .....--..-. � - - •-.�. _: . ., . . . _ . .—• . - .. _ .. .. . . . . _ .. _ . . .._ . :.�.� I t , . : COMMENTS -- " � ' „�. - . - ----. . � � . � , . -- - .. . . . . , - , - i _ .. .... ___. . _... . _ � -- - . . .. . . . _ _ . ......._.. .,r - - - - t' �' • ����� .\' -' _ . - - ------_� � r � � _- - -,- :;-•'�I- ; ' � - � �___ _ _. . _ , . . . < - - . . � !__ _ `.�; �. �� --- t �`,- . ... • , . , . . .. . . . . - : , ; i _ .. ..._ . -- • , . . - ... � SEPTIC TANK SIZE , ; i ' ' ' .. . . , . � .. . . • . ; - SEEP.PIT/U SIZE. - . �. � � ,. .. . , , , :.._ ' _ _ _... � , - � . - i . . __ - - ' . ' ._ . .. �� . . i . . . .,. . . ' - . . .. . •.. I I -- _ ._ ... ... 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