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HomeMy WebLinkAbout12102 (11) _-._... ... _ 2 -�� _ CITY OF DIAMOND BAR� � ` • � ',:� ' � DEPARTMENT OF COMMUNITY 8r,DEVELOPMENT SERVICES �� > 21660 E.Copley Drive 5uite 190 ' .. . . (909)860-3195 Faz(909)861-3117 PR�$$ . ..�^�.. . . BUILDING PERMIT APPLICATION � .--._i '. , � ' FIRMLY � . o ADDRESS���f/ � ' IU �I� 1-_1 � ' DATEICATION� �j' � � NL1MB R � � -Pf C � ' $ ISSUE TYPE OCC APN - LOT TRACT 2 DATE CONST. GROUP p OWNER " ADDRESS 20NING SETBACKS ' � CITY . ZIP TEL. REAR RW ❑ APPLICAM' TEL. ���� SIDEISIDE STREEi RW O � � CONTRACTOR SIDE p � ADDRE S PROPOSED USE CIT1�S�(, ZIP TE • o ARCH/ENG! • • - ; � DESIGNER NO.DWEL. NO. NO. CDDRESS ZIP �L UNITS � STORIES BEDROOMS -N DESCRIPTION ' SQ.FT. FACTOR PSF ADJ.AREANALUATION Q _. OWNER�BUILDEfl DECLAMTION . -. SFR/ADDlREM � O � Q 1 NEREBY AFF1fW UNDER PEN�LTY OF FERAIRY THAT 1 MI El(EMPT FHOM 7HE CONfMCTOfiS LI• GefB4B/(,eryOR � W CENSEUWFORiHEiOILOWNOPEA50N�5EC.70.71.6BU5iNE5SANDVROFESSqNSLODE:ANYp7Y0R� (n ' � WURYMTIKHREO4MESAGERMRiOCONSTRUCT,ALTFR�MPROVE.DEA10U5N,ORREPNRMIY9TRUC• W patblDeck T1RE.PRIOR TO RS ISBUANCE,A150 ilE0U1fiE5 THE 11PGLIUNT FOR SUCH PERMIT TO FLLE 1151GNCD � W STATEMEM THAT HE Ofi SHE IS 110ENSED PVRSUMfT TO TME PROVISIpJS OF 7HE CdfTMC70R5 L4 +++��� CENSE U�M(CMA77ER Y I�MMENCNO N1TH SECTION T000j OF DM510H]OF 7HE BUSINESS I�ND PRO- � POOUSPa � � � iESSqNSCOOE�ORTIUTNEOR5MEI5IXE4vT7HENEFROMANOTHEB/SISFORT1EAlLEOEDE%EMP. TION.ANYVIOLATqNOFSECT10N7W1.68YAHYAP7LICANTFOFiAVEflMtiSUBJECT5IHEAPPLIGNiTO Z Re-Roof F ACMlVEW1LTYOFNOTLqRETHANFNEHUNOHEDDOLURS(T5001.1: , � O1�SONMEROFiHEPROPERTY.ORMVEMPLOYEE5l4iiNWAGESASMEIFSOLECOMPENSATqN, � COrtIrtIBfCiel � � WlLpO 7HE WOFK,NIO iNE STRUCfUf1E IS NDT IIfTENDfD IX1 OFfERED FOR SALE(SEG.7W�,BU51• . J NE55 A/D OiIOFES510N5 WDE:THE COHiRACTO0.S UCENSE LAW DOES NOT AF7lY TO AN OWNEN OF � PiqPEHTYMkqBU4D90RMVi10VE5TNEREON.ANDMR�ODOESSUCHWON(HIMSELFOqNERSELFOR = � ; Q TFNd10HHI50R11EROMMELIPLOYEES.PROV�EOTHATSUOIWVROYEUENTSMENOTMEN�EDOR m � OFFpiiEUFONSKE6.HOWEVE0.7HE9UM1D�N�ORIMPROVEMFMI55OLDNn71aNONEYEAROFCOMPLE- Z �7�ON,TME OWNEii-BU0.DER MAIL IMVE 1}1E BURDEN OF VROV W O iHAT NE Ofi SHE DD NOT BUILD OR � . = YPRU/EFORiNEPURPOSEOFSAt�. ' W OG�4�`tiNEROFTHEPfqPEHfY.M1E%CLUSNELYCONTRACTiNGNrtTF1LICEN5E000N7MCTORS . .. � 70 CONS7iNf.TTF/E PRWECT(SEC.7Wl.9USINESS AND iROFE55qN5 COOE:TME CON7R�CTORSIF Valuation` � ADJ.AREA - " � CENSE UN�DOE4 NOTAPPIY TOAN OWNER OFA PROVERTV N1q BUILDS OR M7ROVE5 THEREON,/10 � WYqCONTRACTSFOR5Up1►RQ1ECi9WITHACONTMCTOR(5)UCENSEDVURSUiWTTOTMECONTMG 'QUANTITY DESCRIPTION • � �� � ��� �FEE � � � TOi1S UCENSE UW). . . . .. . . .. . . . 0 I IM EJ�AIPT U1aER SEC 8.t P.G FOR TM�S RE/SON U �' DATE OW'1ER . . � .. ... .. . . � W LICENSED CONTRACTOfiS OECLAFATION w � • � IXEREBYAFFlFWUNOERVENALTlOFPERIURYTHIITIAMUCENSEDUNDERVROVISIONSOFpuPTEN � s i(COI.�AENCYW YA7H SECTION 7000)OF DMSION 70F TXE BUSwE55 AND ViiOFES510N5 CODE,ANO Z � IAY LICENSE IS N FUL�FOflCE AND EFFECi. � � J�CENSE CLASS � LIC.NO. `� � � ` .C.i/O / �a tIIRTE �CONTMCTOR J � WORKERS'COMPENSATION DECLAFiATION 4 r (� � � INEREBYAFFlqAIUNDERPENALTYOFOERNRYONEOFiHEFOLLOWIN6DECUMTIONS; Z � • f �� a � �IHAYEIwDWILLWMNNACEHIIFICATEOFCONSEMTOSELF�INSUREFdiWOR!CER5 S. •�" COYPENSIRION./SOROVI�ED9YSECTION77o00FiHELi1BORC00E.FORTHEPERFORMANCE U � OFTHE WOiiK FOR WHICM iH�S iERMR 6 tSSUED. � T QO y � � � �IHAVE/VIDYIILLMAIHTAP7WON(ER+^GOMPENSIRIONINSUMNCE,ASREOUIREDBVSECTqN " ' " - - - - . 4Q �7000FTHELABORCOOE,FOqfHEPER�OfU1ANC£OFTMEWORKFOitWHICHiHISPERYRIS ISSUED.MYMNRKERSCOMPENSATIONINSUMNC CAqRIERANUPOLICYNUMD.RARE: CONSTRUCTION ' j cu�wErf - . . PUW REVIEW � . Z ��„�ER '� ' ELECTRIC ¢ � pp �nus[�tionr��rareeaa.stt�naFncrEa.�rsw�asrunH[ooatuts ioo> > PLUMBING Z ICENTIFY TMAT N 1HE pERFORAAANCE OF THE WORK FOR WHICH THIS VEFWIT b ISSUE�.1 MECHANICAL - (,'} SHALI NOT EMPLOY AN1'PERSON N ANY MANNER SO AS i0 BECOME SU&IEtt TO TXE (p MVRI(ERS'COA�PENSATIONUWSOFGLL�FORNIAµD�GREE ATIFISFKKILDBECOM[ INSPECTIONFEE SUBJECTTOTHENCXUCERS PROVIS IDN]7000 THEUBOR - � � � f'"j coo�,�sruurormnhn� N�vvnn� �rf �TfjS ISSUANCE � SMIP p �ATE: - AP - �� -� , � ENERGY P/C WMNINaflULUHETOSECUt1EWOAKER3'C 3A MGEtSUNUWFUL.ANDSHKLBE - �y SlIfl1ECi/NEMRdYEFTOCiUMWALVENALTIESANOC ��rrvesucioor+ENu+oaEon�wsiv+o. . ENERGYPERMIT � � pOliM+p t o0,000),IN FDDITiOH TO THE COST OF CpA1PENSATqH,ON.uGES AS VNOViOED FOH IN ' ¢ 8ECTION770lOFTHEU�OFiCO0E.PITEREST,ANDATTOiiNG75FEE5. RETENTIONFEE: -�'� � d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: CC IHEREBYAFFlfIMUNOERPENALTYOFPEFtA1RYTMATTMEREIS�CONSiRUCT10NLEN�iNOAGENCY � � - dZ FOHTNEFER�OR6IANGEOFTMEWOiiKFOnNMIO1TMI5PERGI7i5155UED�5EG70Y1.pV.G1. - � W � 1E10ER5WV.1E - � � LENDER5.10DRE55 / � ICERfIiVTUT1/uVENLADiNI4AC7LIGT10NAN�5TATETWITiHEA00VFNF01iMIR10NI5COHRECL TOTAL FEES I� /'`� ' W IAOREEiOCO1dPLYWfiHAL1.pTYANOCOUNTYOpDWNiCESANDSTATEUWSPEUTNaTOBUM1DINO � CONSTRUCTION,AN�HEREBYAUiTqRIZEREPRESENTATNE50FTMI5WUMYTOENTERUPq1THE ' � S� /�BOVEJAEMIONED GHOPERTY Fd11N57ECTIDN VURPO6E5. . � � _ � ^ COMMENTS ' � �'� O° r¢rwm N,we�vwrrt� ¢ N - y SK;NA7UNE E D E � � RECPL NO. PAID BY ' VALIDATION � WHITE—Depenment Copy,YELLOW—Finance Copy,PINK—Assasea Copy,GOLDENROD--Fila Copy,GREEN—Appl�Ce Capy - � - • -�-• . , �� . .. ;, .. .�..,._ . ., .. .. ,•�� , _,•� . .,. :y, . , .._ . .. .�r .�. .. ... . . �.•�<., t .. . , , __ CITY OF DIAMOND.BAR � , : ; , �.�,;• - . ::��::,•:-. ; ... ;. . . ... . ,_ . � ._ ' . .INSPECTiOIV RECORD�',:��: .. ;;" �� ,.. . .. �, ) �' ,. , _ . �� . � � � � - • � � • - SET BACK � � '. ' ' FLOOR JQI T » ��.:� '�� 1`_, '�'-: � ` � � FTGS/FORP�15/STEEL = �' ' :FHA REQMT .� (' ---- -----. .:: _ . .._.__.._ „ ELECTRIC GROUND . _.. _ - •...... . . .. ... . ::.:. ....._. ' - "UNDER FLO�. p �CT ..�,. C„-'� �,-.,.,, _,�- . . � : GROUND PLUMBING � � • - � :UNDEF�F,I.00R,EO � 4�IT\.' ;`--'\ .`��•: �;•,;:`.:1 ' " � :_- .. � . � .�, . - ,. c�. ,.�_; .��::��.._. . �. SLAB GRADE -- - � ; FIREPLA E`F�l1ND TION-"� '� � � �-• �..�:....• ..�:t•: . , TEMP POWER - -- '. :. .... _ _..__. . -.. . . _.:�� . � FIREPLACE� ND BEAM . : . . . .. . . . . . . . .. . .- --._. , - � ' 1( •,.-r �s;�\_��• �11��., WATER SERVICE-- -- -- .. -__ . .---- � -- MID H ..BOND B�Af�4--.�. .�,; , • � .— >.-- ._ _. -- ;-. . � �. . . . _ , ROOFSHEATHING- ......--- -- __.. ..... - ---' 8FT.�ON �BEA� .;�.::.,J �� .�, � .. _.s, ;• �' � -. FRAMINGNENTILIATION � � � FINA�'BOND BEAM � ROOF COVER:�. .: . ., `;. � 'FRE-GRADING - - � --� � - -ROUGH HEATING- �-;-- - � -- � - -BENCHING - - ' ` � ` �. ROUGH ELECTRIC -� - ' - -- - ': -- ROUGH GRADING - � �ROUGH PLUMBING :� � -�-- � � ��- - : FINISH GRADING ' SHOWEH/TUB TEST. -� - � �- � � ' � POOL ELECTRIC • � " EXT.LATH/SIDING POOL FENCING � - � ' ' WALL INSU(ATION : POOL FINAL . • ' ! - CEILING INSULATION OFF SITE IMPS. - DRYWALL NAILING - DEDICATIONS ' ' � SEWER -� - - -.__ .._. .... . .- ---- - FINAL ENG. .SEPTIC.TANK . _. . --_ -- - -•_ LANDSCAPE/IRRIG. -' ' SEEP PIT/L:L.-,...-_: .. ._.. -_:. ._..-_ .. �: . . - - -........ ON SITE IMPS. ;. � . GAS AIA TEST -- ----- -- ---� - - - - . FINAL ZONING � . . . FINALCONST: .---- --- _ . - -- - FIREDEPT. FINAL � . _ , � �FINAL�HEATING �- � / -- HEALTH DEPT.FINAL _ . . -FINAL ELECTRIC � -- " � DEV. FEES PAID � FINAL PLUM8ING ENERGY � ' � � � , � ,. � e � � .. •• , _ _. ,, _ _� -.'` . �� �•ti .. CQIYTM�F!`f�S- .-;_�_ �:�' �, :+)_�,i '�tJ �''�, . . .. .... ; . . _�_.:;___:, . . .�a.__ , _.��� .;�i `-��`'� -•�--• ; .� i_ � ::� ti, r. �- . � --_cy- •�=- _. ' �-:=-��-i r�._,�.:`�'_1_ _ `.. . . i ... ,r� . _ . .. . , . � . . i . � _ _. _ -- - -. _.. , . . r � .., :' :.� "� ';'.�.�,.•=•` �w1 � :-�:,J•���' .. ,< i s's 1 . � .� � _ ,, __..... _ .. .. .-- - - . . � ; .. . - _ - - - _ _ ; . , _.. .. _ . _ ..._ . � L�..'S'ar� ;•; - • 1 C:�i ' `a L�' . ` _ --- - i -- -- --.. .... _. . . . • , i , . . - SEPTIC TANK SIZE - � - - -, , - SEEP PIT/U.SIZE �':' -�.;,.�1�..._,�; � . : i ; i , . ,. , . . . . ; .. . � � i � . .r.�...,...... ; , . � - _ - ' � •. I � :-- _...._. ... � I i �,'�f -.--. -. _ ' � � ` , _ . . � , i . . .. � ; I . - _.._- - . � �� 1 �� 1 '-- ! � -- - . . _. _. .. - - '� `�.� �., ` ...;`y , . •� � t':� --� _ ' . . � . . . . .. . . . ... .. . . __ ._ I ��. \ . . • � � . ... _ ._. . _ _. _ . . .. : . _ . I _ . �:'- ,� .. . _ .. _ _ � . . . t , .. . . . .'. . �.