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HomeMy WebLinkAbout14085 (16) �� CITY OF DIAMOND BAR i DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suiu 190 (909)860-3195 Fax(909)861-3117 PRESS `'�'� BUII.DING PERMIT APPLICATION FIRMLY } J08SITE I�y� ��,��,� / w � APPLICATION `2� ' ERMIT - �P/C o ADDRESS L DATE UMBEA N � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP �j OWNER N��L �� • " ADDRESS_LC'17 �"� � •L^�• ZONING SETBACKS � CITY_ D�cwrG+.� L��Cni ZIP TEL. REAR Rw p . APPLICANT TEL. SIDE/SIDE STREET RW ❑ � CONTRACTOR n� � '✓ ti`��G ,IK �. SIDE ❑ g ADDRESS D � L CITY ZIP� TEL PROPOSED USE � ARCFVENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNRS STORIES BEDROOMS a CfTY ZIP TEL vyi DESCRIPTION SO.FT. FACTOR PSF ADJ.AHEANALUATION p� ONMER•BUILDER DECLARATION SFR/ADD/REM O p I NEREBY AFFGW UNDER VETULTY OF PEfUUNY TWt71 AM E%E/APT FROM THE CONTMCTOFLS L4 Garape/Carport � ' lll CD�SEUWfORTNEFOLLOWN(iFEI\SON(SEG70]I.SBUSWESSiUlDPROFESSbN5000E:ANYCRYOR (n ZWUMIYVMIGIREGUYIE9APERMR7pCON5TM)CT.ALTERMPROYE,DEMOLISH,ORREPAIHANYSTflUG W patlolDeck 7URE.iPqti TO R9 159UANCE I�150 PEWIRES TNE ACPLICAIlT FOR SUC11 PERMIT TO FILE 115iGNED 4J STATE4ENT iHAT ME OR SHE IS LICENSED VUiLSUANT TO iME piqV75lONS OF TXE COMMCTORS ll- W � CENSE UW(CilAP7ER Y(COMMENCMO WITH SECTqN 70ao1 OF DIVI5IDN]OF THE BUSINESS/�ND VPO- � POOVSpB FESSqNSCDO�OHifUTHEOR5HEI5EllEYVTMEREFRdAANDTNEBA515FORTNEAl1E0EDEKEMP- (� TION.AHYVIOlAT10NOFSECTqN70]1.6BYANYAPPUGWTFOiIAPERifiTSU&IECTSiHEAPPL�CINTiO Z Re-Fioo1 � ACMLPENAL770FNOTMORETNANi1VEHUNDREDDOLUR5�f5oo�.): � 04��EROFTHEPROPERTV,ORAIYEUPLDVEESWITHWACES�STHEIqSpLECD1AVEN5ATqN, O COmmOfCiel . - MLL DO THE WONK M!0 TM[SiRUC7URE IS NOT hlTENDED OR OFFERED FOR SALE(SEG 7M�,BU51• J y NESS MD GROFESSION9 COOE TNE CONTfUCTORS L�CENSE Uw DOES NOT�PPLY i0 AN OwHER OF = PpOVE1M V?IO BUILDS OR YPROVES TMEREON.ANO YA10 DOFS SUCH YNDRK HIMSEIF OR HERSFIF OR CC TlWOUNIMISORHEROYMEMPLOYEES,VHOY�DW711ATSUCNIMPROYEMEMSMENO7MENOEDOR m � ,OfiEf11mR7RSAlE1F.VqWEVE0.7MEBULDIN�ONIIAPROVEME3iTISSOIDWRHNdJEYEAFiOFCOMPLE� Z 710N.TNE OwNEhBU4DER 1MLL INVE TME BUiqEN OF PROVw�iHAT HE OR SNE OD NOT BVILD OR = MPROVE FOR THE PURPOSE OF SNF} W OI��MEROFTHEVROPEittY,M1EXCLUSNEIYCOMMCTINGW�THIICENSEDCODlTMCTORS � 10 CONSTItUCT TF1E PNWECT�SEG 70�1,BUSiNESS/JID PROFESSIONS CODE:TME CON7MCTOq5l1- V91UetiOn AD,1.ApEA � .CENSEUWDOE9NOiMPLYTOANOWNEROFIIP(10PEHT7WHOBUILDSORM7FlOYESiMEPEON,MID WIqCOHTMCTSFORSUCHiRO.1ECT5YVITIACOHfRACTOR(SIUCENSEDPURSUANTTOTHECONTRAG pUANTIN DESCRIPTION FEE � � TOfi4UCEN5EUW). . . OIM1IXfMPTUHOfRSEC B.lO.C.FORTN15R[ASON Q U � � DATE OWNER � � U IICENSEb CONTRACTORS DECLARATION W '. � � INEREBYAFFW4UNDERCENILL7YOFDE0.NMTHATIIWLICENSEDUt�AERVROVI510NSOFCHAP7ER Z VJ ✓Cyw� � �(OJ6t4ENCNG MAtt15ECT10N 7oDo)OF DMSION]OF h1E BUS�NF9S IiHD PROFESSpNS LOCE,AND �l� W LILENSE IS N NLl FOfiCE ANO EFFECT. m � 4CENSE CUSS �• G � , LIC.NO. ��I �� l � � a�� �'/—2 —?— 9�corrraacroe d INORKEFIS'COMPENSATION DECLAR.4TION a = U � IHEREBYAFFYWUhUERPENALNOFPERM1IRYONEOFTHEFOILAWNGDFLUMTIONS: C/7 a � ��FMVEANDYA��MAINT�RIACERfIFIGTEOFCONSEMTOSELF-INSUREFORN'ORKERS' _ Cq1PEN5ATION,A9PF10VIDED8Y5ECilON]7o00FTHEU80RCODEFORTHEPERFORMM'CE W OF iHE WOR1C FOH WNICN THIS PERMIT IS ISSVED. � � �I FN`/E AN�M(ILL MAMUIH WOR1(ERS'COMPENSATION INSUMNCE,A^+REOUIRED 8V SECTqN Q ]7o00F7HEl/AqHCOOE,FCAiMEVEHFOFUTANCEOFTHEWORKFORWHK?ITNISPERAITIS ISSUED.MYN'ORNEAS' 7ENSATqNINSURNJCEGAR [RA�OPOLICYNUAIUERAt1E: CONSTRUCTION � UIRRIER ��r�3-Q FL.^^'� • PL/W REVIEW y � POLIC`f MIMBER_{�J 7 D�..� EIECTRIC . � �rSSEcnor+rc�uoreEa�.s�re�aFnfv�rnrrsraa�ruronmattuis�C+mianuss? 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ISSUANCE J ) �i�Cl C� t p DA7E: APPLICAM: SMIP G+ � W ENERGYP/C 1� 1f'�1�1v.V� �1i;�� � WARNINO:FAILURE TO SECURE WORNERS'COMPENSATION COVEMGE IS UNUWFUL AY�SMN18E � � �y SU&IECTANE1APlAYERiOtRU.1wALPENAITiESANDCMLFINE5UPi00NE1NNDRGDT1qV5M�D ENEFiGYPERMIT 1t ~I�:J 'y!'LI : DOILAFt5It100.000I.N ADO(TION TO 7HE COST OF�pMVENSATqN,DAMAGES h5 PROYIDED FOR IN � SEC7qr�77oeOclf�ELADORCOOE,NTEREST,MlD�7iOnhEYSFEEi RETENTIONFEE: � a CONSTRUCTION LENDIUG AGENCY pRE-ALT FEE: O � IHEREBV1FFiR1Al1N0ER0ENALTYOFpE0.nJRYiFU7T1EREISA00N5TRUCTIONIENDWOAGENCY z FOR iME PEHFOM�Ff10E OF THE WORK FOR WMlpl iNIS GERMIT IS ISSUED�SEC.]Oa7,tIV.C.). W � LENDER'SNAME � LENDER'SADORE55 � ICERTIFYTMATINAVEREADTHISAPPUGTIONAN�STATETIIATTHEABOVEPIFOR7AATqNI500RRECL TOTRL FEES �� W IACREETOCOMPIVWRNALLCT'AN'JCWNNORDiNANCESANDSTATEUWSPEU7YM.TOBULDINO � COt�STRUCiION,ANDHEREBYAUiIqFIZEREPRESENTATIVE50FTHI5COUNTYTOEMTERUPONiHE � � � � � IE?OVE•4EMIONEDVROVENNiORPlSPECTIONDURPOSES. COMMENTS J � iERYRTEE WUAE(PRI � ��� z/ q- Z7-� � � SIONANREO EPGITf[E DATE � RECPT.NO. PAID BY VIWDATION WHITE—OepaRment Copy,YELLOYV—Fnance Copy,PINK—Aasessor Copy,GOLDENR06—Fito Copy,GREEN—AppicaM's Copy ' . . � . .. .. . . i.� . . . ,y , � ��-• .��. n . .�. 'll' •s . .. �... •. . -_ , .. . . . y''. � �~ •.. - :�. �t::�.� .� � ..I ♦"l'� . � . � ••/� CITY OF DIAMOND BAR , , ..,. , �. .- - : :�.:INSPECTIOI� RECOFtD �. . . . : � . � . , ,�- , , ., _ . ���r�-�=a�:�`��i��� ����i�= _ '[��3�:�� �R.. "�. ` �r�Q;�r� ����`������=�:I►��--�,..�=.���� �Y .��.�� �.t. _ � �al��� :1._....., -,.� �t.: �"�1=i ;SET BACI: . . � j .r+ •! � ; . ,. FLOOR JOIST �., ; ) � _ ��'~ '.'� � •1 `� �'"1 . � . ...�, . . �.� . .�. . . � �FTGS/FOR��"S.�STEEL-.._. ._, _ . _... . - - -- .. .... . FHA REQMTS . = . . _ : _._.... . — i :. ELECTRIC GROUNQ_. _._ _._. •-: .__. UNDER FLOOR DUCT - � _ _ . _ . - ' � , '. : `: , . . .. , .-;-= - `GROUNDPLUPr1BING ; „-•.- UNDERFLOORCdf�D'J1T,. , ''�;�� -,.,,'_. - ._ , ..,. : � . . � � r-...._ SLAB GRADE ---- • - -- - - - --- - -�- � FIREPLACE FOUNDATION � . �� ',� .. ;.,,;, ��. ; �TEMP PbWER - � • ��� � � FIREPLACE BOND BEA�,1 - ---� '� ' ; ,'. :WATER SERVICE. . ._ _ .._ . . . _. - . . _ MID HT:,BkJND��EAM :.'. ti._ .,, � ,� ,, : .:�u•, ..;•; �... .... , I � 'ROOF SHEATHING � £1 FT. BOND BEAM • * �' �`�" �`• - '�.'1`'� � �'�` " ' � '"' I �� i FRAMING.NENTILIATION — - -- - -- - FINAL BOND BEAM ' -• �• ' :, �ROOF COVF_R .- PRE-GRADING -- - ' � ` �'' ' ;., i ROUGH H�ATING` -..... _. - - - . . _ .. _ BENCHING....... . . ,.. - - ���. I � ' ;�.. . .. . . .. iROUGH ELECTRIC.-.�---: _. _. • �. _ .'.- _. : ROUGH GRADING ._ _.. . . . --- . .. _ .. - .------- .. :ROUGH PLUMBING,- -�- --- - _ FINISH GRADING ! �� ;SHO'JVER:TUB TEST-. - •--� --- - - � - POOL�ELECTRIC ;EXT.-LAiH1SiDINC�-- - .. . -- .._.. . __..._...- .- . POOLFENCIPJG . � �:. ��"1�!LL-INSULATtON-- -� -�---- . _. _._ .. . . ..... . .. . POOL FINAL � ' !C�iLli•JG tP.'SULATION - - '�--- " � �� - - �OFF SITE IMPS... ' � ,� : 'DRYbVAL.L NE+ILIyG : -- DEDICATIONS . . ;SEV�jcR --. ._. . ...-- - -... __ _ . _... _ FItdALENG. , , : � , ,.. � SEPTIC TANK LANDSCAPElIRRIG. ' . ' �iS�EP PiT/LL._. � ON SITE Iti1P5. ! I�::.5 f,l�i cST � - FINAL ZONING ' ; =, r_._. ,.,. ..--- ---- -- - " r.• r FIRE OEPT. FINAL - , ' ; ;�=: .,ONST....� . --...--� - --.. ..._.. '.Fl�� _�iEATING. ...... . ..... .... . . . . HEALTH DEPT. FINAL _ � , .......--- -- " ' '` t�LECTRIC ... . ... _.. . DEV.FEES PAID . ... _.... __.. .._.__ ; - . (i�..'.._`:'- - _ _ . �=:' ',;.-PL'Uh481NG .-_ � f � ENERGY . � . ,, ���_ �'� -;-;� � , � , ....�.. .� r� .. . .. � �, , .;.....- �-- ---- �� � � ; . . � . . „ � . . .,' ` ; � � . '.�.. __. ..----.'-.- '._ .... ''--- -.. ... _.. .. . _. . �a�-,.�..�..�.�.._ , •' � ' ��. 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