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HomeMy WebLinkAbout12288 (11) . . ' .__'_f '.` ,'; ._ _ ' . `_ _ _ .,_. _.._._ _ � . f� CITY OF DIAMOND BAR'-'• � ' • � �- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES . . 21660 E.Copley Drive Suite 190 . . � (909)860-3195 Fax(909)861-3117 � PR�$$ ���� . BUQ.DING PERMITAPPLICA'I'ION FIRMLY d ADDRIESS I'�.�// �-�Y1 �'�l�'F ( F-1 Ll��I.-�_ �'-�� �� � r o APPLICATIO PERMR P/C p DATE NUMBER ISSUE TYPE OCC � APN`„ LOT �--�'�� RAC � - DATE CONST. GROUP � OWNER � � O " ADDFE�S �C ✓ P ./ ' " y ZONING SETBACKS ' � CITY f 2 � �/� P .,� �EL..i-/ , �. FRONT RW' p APPLICANT TEL. REAR ❑ SIDE/SIDE STREET RW ❑ CONTRACTp . SIDE ❑ Q ADORE S � f n r- I' �- ' � � CffY '�l �IFG�). TEL f P PROPOSED USE o ARC NG! YYIL�-L'L 1 ., ��i�.l . . .. DESIGNER NO.DWEL ��0. NO. ADDRESS • � CITY ZIP TEL. UNITS STOflIES BEDROOMS � cn DESCFiIPTION SO.FT. ' FACTOA PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADWREM O � p I MEREBY 1FFlR►1 t1NDER DENAITV OF VERAIRV 711AT 1 MI E%EMPT FROA1 THE CONTH1lCT00.5 l4 Garage/Carport � � L1J CEHSEUwFOR1HEfOLLOWP10ilE^ 1(SEG7W1.6BUSPIESSANDPRCFESSIONSODDE/WYCRYOR � (n C7 �p()lIyMMIdIREGUqESAVERMRTOCONSTRUCf.ALTE0.�P�.DEUOL15/tORP.EO.URANY57AUG W Z TI1fiE PNON TO R91S9UMICE AL90 REOUIRES TME AViLIGVlf FOR SUCFI PERMIT TO FLE A SIONED PatiolDeck �I� STATEYENT THAT NE Oq SHE IS LICENSED OUnSUANT TO 7NE GROVISIONS OF THE CONTMCTO0.5 LI� W � GENSE Uw(CTIA7TER�ICOMMENCWO N1iM SECTpN 7000)OF DMSqN 70FiME BUSiNE551WD PRO• V" PooUSpa . FESSq135CODE)ORriNTHEORSMEISEXEMPTMEREFROMANOTHEBASISiORiHEALLECEDEXEYP• (' iION.ANYV10lAT10NOF5EGT10NN]1.6BYNIYMPLIGNTFORAPERMiTSUBIECTSTMEAPPLIGNTTO Z qe.Rool � ACMLPENALTYOFNOTFqRETWWFIVEHUNDREDDOLLMS(Y+WI.)� �� � � ❑�ASOVMEHOFTNEPRO�EHT1:IXiMVEYPLOYEESWIMWAOE51lSiNEIR50LECOM1IVEN5AT10N, � O �mmerclal - , � WRLDO THE WDRIC AND THE SiRI1CTURE IS HOT MTENDEO OR OFFERfO FOR SALE(SEG 70��,BUSI� J � NESSANDVf1OiESS10N9tODE:711ECONTMCTORSLICENSELAW�0E5NOTAPVLY701WOWNEROF � ? , . . iROPERTY WIiO BUlDS OR MPROVES TTIEREON,AND Wr10 DOES SUCH WOFiKHIYS[LF OR HERSELF OR � Q T}AOl10HHISOqHEROWNEwPWYEES,Pf10V10EDTHATSUCH�A7ROVEUENT$ARENOTINTENOEUOR m � _OFFEqmfOHSPLE1fi1qWEVEfiT7E&11LDw601iIMPiiOYEMEMIS50lDYrtfMNONEYEAHOFCOMPLE• -� � z �TION.TNE OWUER�BU4DER WiLL HAYE TNE BUROEN OF GROWNO iHAT NE OR SHE DID NOT BUILD pq . . = MVFqVEFOR7MEYURPOSEOFSAlE1 � � - �y,� OlA40NNEROFTIIEVRDPEiRY,AMO(ClUSNELYtONTFACTW(]vrtfHLICENSEDCONTMCTORS CC TO CONSTRV�T 7HE FHOJECT ISE4 7oN.BUSINE55 MID PROFESSIONS CODE THE CONiRAGTORS LI� VdlUetiOn - - ADJ.AREA � LL� CENSEUWDOESNOTMPLYTOANOVINEROFAPqOPEPTVNTqBUlD50RYPROVESTHEREON.ANO f h+�oearrtrucrsrorasua�vnaecrswmuea+rFucroWs���r+senvuRsurxrron�eeonT�uc QUMITITY OESCRIPTION FEE � ra�s ucErue uw.� . _ O I AM IXEYPT UAER SEG B.t P.C.fOp THIS REASqJ a 3 " LL ¢ . DATE OYMER V � . � . � 110ENSED CONTFlACTORS DECIAFlATION W . , J � W , 1 i1ENEB7AFFlRN UNOER PENN.tt OF PE0.1UM THAT IAM LICENSED UNDER VRONSIDNS OFCH�PTER � . , � �(COMMENdNO WITH SECTION 7000)OF DmSqN]OF THE BUSINESS AND PROFESSIONS COO[,AND Z � �� M'/LICENSEISNFULL ONCE EiFEC(. m � fJYC6t1A5E :�� LIC.NO. •�. � ; � � � V �DATH) /� /71 • �'�.1 ... CONTMCTOR " '^l : a W � WORKERS'COMPENSATIONDECLARATION a � � I NEREBY/FFlqu UNDER DENILlY OF OERIURY OHE OFTHE LOLIOWING DECUAATIONS: - � - Z . � _I/UVEMAN9LLMAINTANACERTIFIUTEOFCONSEMTOSELFaNSUREiORNqNCERS = � � COMPENSATION,ASVpOVOEDBVSECTION]7ooOFTXElA60N[ODE.iOR1HEPERFORYANCE C.� Q OFTMEVfORKiORWMC?1i/nSPERAaTI515511E0. � � �I/UVE AND MAIL MAINTNN WOHKERS OdAVENSATqN INSU�iMICE,IlS REOUREO BY SECTION 4 770a OF h1E UBOR Cq�L FOR TNE PERFORMM�CE OF iNE WORK fOR WMCH THiS iERMiT IS f55VE0.MY KEHS'COAAPENSA/710HIN5�EGfHiERAND �CYNUMBERME: CONSTRUCTION � CARNER � 1 �� h'7��1 �.�1 � ���� . PLANREVIElN .. � DOLICYNUUBER L� � ''' ' C��c C -C � ELECTRIC Wfn4ssectnr+r+�rarOEaa.saErmoanE�%rrsranor+e�uaimoa.wsR��lantessl P� �-� � ICERTIFYTHATNTVIEPERFOiWINCEOFIHEWORNfORwHICHTH:SDEiWIi15155UED,1 ECHAN�CAL- - �� � 3[J SMALI NOT EMP�OY/WY iER50N N ANY MANNER 50 AS TO BECAME 8U&IECT 70 7HE y WONfERSCOMVENSATIONU'NSOF I�ANOAG �TiF�SM01A08EWlA'e INSPECTIONFEE S SUBIECTTOTHEWORKERS' S�TqNP 5 TiON CFT E R� COOE•ISMiLL1FOHT�N/IM YW ��r��-���� ISSUANCE.� - - � , � SMIP W MTE: APPLICANT • . � WAflNINO:F ILURETOSEGUNEYVORKERS' P ., COYEMGEISUNUri'FULMIDSMILLLBE ENERGYPlC �y SU&IECiANEMPLOYERTOCRMWALOENALTI u+o LFWESUPTOONEINNOREDTqUW�D ENERGYPERMIT OOLURS�f�00,000).N AD�I7�ON TO TME CQST OF COMPENSATION,DAN 1GE5 AS PROYIDED FOR W � SEC710N]70eOF711E1/�BORCOOENTEREST,AN�ATfORNEYSFEES. RETENTIONFEE: � a CONSTRUCTIONLENDINGACENCY PRE-ALTFEE: �"�? �� ' �+ � IHEpEBYAFFIRAIUNDERPENILLTYOFPERri1MTwlTTNEREIS�CONSTRUCTIONLENDiHOACCNCV .��` FOR iF1C PERFOfi6�ANCE OF TNL wORK FOR WMiCiI T/IIS 7ERMIT IS ISSUEO(SEG]OW,pV.G�. Z / •� W � � IENDER'S NAME - � � - � � � LENDENSADDR�55 W� TOTAL FEES /�� ICERTIFY7HATIMAVEREADi/115MPUCATIONANDSTATETTIATT7E/�EOVEINFOiW�TqNISCCRpECT. • 1 AGREE TO COAAPLY NTTH IU.LCRV/WD COIMTY ORD�w�NCES AN�StATE UN5 REUTNO TO BU4DINO � GONSTfR1CilON.ANDXEHEBVAUT110flIZERE7RE5ENTATIVE$OFMtSCOUN7YTOENTEflUPONiME . . . � ABOVE�MENTIONEDPHOPERTVFOi11115PE E5. � / _ � � _ ,(� COMMENTS � J � QPEPoAi71EE E(PRi � CO :� ��'� . . .. . ._.. � 1101UTUREOFVE OAfE � _ RECPL NO. PAID BY VALJDATION NMRE-0epartment Copy,YELLOW—Finence Copy,PINK—Assesea Copy,GOLDENROD--fik�Copy,GREEIJ—ApplwanCs Copy � - � •-� � . . . . ,_ . . , .. . , � , , . . • , .... ,;. . . . . .. . . . - . . . , . . . , . ,. .. . ,,' CITY OF DIAMOND BAR �.-.,� ;;: • .��; , '� ... ,,,.,. ... .. .--- . _.... .. . .... . . , � :��_ .,._. . �..:.WSPECTION'RECORD�' '. �_;:.',.:' � ' ,. . ,, ,. .. � �� - • � � • . � • - • � � . • . SET BACK ..., \-, C, � .. �' `, , ,;�.� • • FLOOR�OIST•� ' - - �;.-- � . � ;- • . .. ' •' i .. . _. , . . , FTGS/FORMS/STEEL =.;`..' FHA REQ �S-. - --- - �-- -. ,.....__ . .._.. . -- -- ----. ._.._ � : : -. ELECTRIC GROUND - _ -- , . , -:..: _.- _ _: _. - � UNDER FLZ7 R DUCT, . ' �,. , ...,_',- ', ; ,•: :. . . 1 _. GROUND PLUMBING - � � UNDER FLOOR CO�IDUIT '_ '� _:•;`,_ •;, _ - _ . __ _ .. . , , . SLAB GRADE- . • _ _._.._ _. ... _..._. _....-.--- ;-. . , FIREPL�A�E•FO�NDATION-= -�� `.'•= ---�.. , 1 '-;'--�-= "� , � � TEMP PQWER ---- •.: _. . .. _ ;. . :. �� .: FIREPLACE BOND BEAM ._-- _: ;-- --- - ---- . , ;_. -WATER SERVICE - - -- - - - - - - - � MID HT.rB�ND BEAM � � , '_ ' � • 1 _ - _ . - .�, j . . _ . "'__' ' '' � ROOF SHEATHING------._ .. ._...--- --- - -- - -- � �S FT.BOND'BEAM i -�:'� ":,� .�.._ . ' � :ti. ; - FRAMINGNENTILIA710N .. � FINAL BOND.BEAM ' . ' �� ROOFCOVER:` .. . ..'",. " PRE-GRADING . .. . _.. ... . . . - - - -- : -. . . � ROUGH HEATING- .. • c! __ , � ............. .. BENCHING '' � . � AOUGH ELECTRIC ; --�` `�� � � �` `� '� ROUGH GRADING ROUGH PLUPJIBING '- �-�- ' �- --'- �-- -�-- -� -� - � FINISH GRADING . -. , ,. � ... SHOWER/TUB TEST; -� - - � - � —� � - � � � POOL ELECTRIC - ' � � � EXT.LATH/SIDING __.. ___ - ._. - P�OL FENCING . . .. ., . ' ' WALL INSULATION ; � � POOL FINAL . , • - ' ; , .: CEILING INSULATION OFF SITE IMPS. ; %' DRYWALL NAILING DEDICATIONS ' � �,� SEWER__._.. .._. ' _ ._. _. . .. FINALENG. --- - .. .- -- -._.. .. . _ SEP_TIC.TANK.__.__..:... _ .._. -. _._ . .. ---.- _ . - LANDSCAPE/IRRIG. . � " ' ; -' .. -- ON SITE IMPS. . , .. . .... : , , -SEEP PIT/L:L.. .. . ..:.. .. .. . -. _ ._ .. ... ._ _ .. GAS AIR TEST;--- --- --- - - - FINAL ZONING • � � • "" FINAL CONST.: - ---- --- - - - FIRE DEPT. FINAL ' FINAL-HEATING ,�—�" HEALTH DEPT.FINAL _ • � . . _. .. ... . ; FINAL ELECTAfC� � � � - DEV.FEES PAID �- - - FINAL PLUMBING ENERGY • ! '= ! - � � � �:.• � s � � -- • - , COMMENTS �� '�. � j',..;^,,' ,_ � - - .. . . . . � . �"-`�-�.�,_ _ ., '' ��'�}.,1 ,�;i��. .. �::<_ . . . , �-r..• ..• �- "� r. � _.. . . ��� . .. .. . . (` ( ` \ ; --- '��'Y� �-�_JL .. ,� �1 :� ) .1�._��.� _i � • i ,� , .. _.. . _ . _. . . � I , _` , `` � . _ _ _ . __ . . .- - _ i . . . . ... . i _. _.. . , I � . -. , . .,: . _ - . • . •, . i __.. . .._ . � i � , •� _...� � } --- - -- - - , � • � : � SEPTIC TANK SIZE� � � '" SEEP PIT/U SIZE ._ _..;,, - Y_ I � . , , _.;. r ; 1 . ... .i. I � � .. � . _. . . _ , _ . :. -. ' I . . .. .. ' .� - � �� �...._ . _ . i . .. . .` . . - - -• : ;- , , ' , .. � � . --;• , � . _ . . _ . � � � -- . . _ .. , .... l. + ; � . . - _, . 1