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HomeMy WebLinkAbout12364 (14) CITY OF DIAMOND BAR� � � w • �!^�,'� � � -�� --1 DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES 2]660 E.Coplcy Drivc Suite 190 �' (909)860-3195 Fax(909)861-3117 � PRESS . �`�'� BUILDING PERMIT APPLICATION ' � �FIRMLY N JOBSITE J,�,�� �m�����.� ��i DA�ICA7ION /� f�� NUMBER ��� M C Q ADDRESS li 1�Z C 0 g ISSUE � TYPE OCC APN LOT T T DATE � CONST. ' GROUP p OWNER p ADD S ' "20NING SETBACKS � , � C ZI .T FRONT RW ❑ APPLICANT - 7�� REAR ❑ � / � r - SIDE SIDE STREET RW ❑O CONTAACT ADDR S � � CITY ZI� TEL. PROPOSED USE C��L�—�L-- � o ARCFV�NG! . .( � - - � DESIGNER NO.DWEL. � NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � � �n , , �ESCRIPTION Q.FT. �FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADDlREM �(J O 8 I HEREBY AFFlRM 1,TlDER PENALN OF PERR7RY THAT 1 AA/E%E1APT ii10M THE CONTMCTOR9 lb Gefeg6/CefpOR � � �CENSEUWFOFiiNEFOILWAN�REA50N(SEG7071.68USaESSAND7ROFE55lON4CODE:ANYC1iYOR (/) COU1(TYWHICHRFOIJIPESAPER1ARiOCON5TRt1Cf.ALTER�PR�VE.DEMOUSH,ORREP/URANYSTFIUG- W patiolDeck TURE,PRqR TO RS SSUANCE,/�1.00 REWIRES TFIE APPUCANT FOR SUCM VERMI7 TO FlLE 1151GNED W ETA7EMEM 7fUT HE OR SNE IS LICENSED VU0.5WWT TO 7ME DNOVI510NS OF TNE CONTMCTOHS LI• � CEHSE UW(RNPTER i(COIAMENpNO WfiH SECfION 70ao)OF DMSION 7 OF THE BUS�NESS M1D PHO• � POOVSpO ' ' � FESSIONSCDDE70HTUTHEOi15HE15E%EGPTTHEREFROMANDiHEBA5ISFORTMElUlEOEDE%EMP- � () TqH.AHYV10lAT10HOF6ECT10N7W1.6BVANYAPPLICNliFORAPERNITSUBJ[CiSTHEMPIICANTTO Z Ro-Root - � AGMLYENALTYOFHOTMORE7/WIFIVEMUNDnEDDOt1ARSlisaol.l: � OLA40MMENOFTVIEPROPERTY.ORYYEMPLOYEESMI7HW�GESASTHEIRSOLECOMPENSA7qH, � 0 Commercial - . � • .SNLL DO THE WORK,AND iHE STiN1CTURE IS NOT IHTENOED OR OFFERCD FOH SALE(SEC.70N,BU54 J N NESSMID VROFESSIONS COOE:ME COHiRACTORS LILENSE UIW DOES NOT APPLY 70 AN OWNER OF � ? � . . - PROPEHfY1NqBU/..DSQ9MP{qVESiMEREON.MAW�WDOESSUCHVqi1NHIMSELFORHERSELFOR ' - ' � THRWOHNISORMEqO'MiEMPLOYEES,VROWEDiHlUSUCMMPROVEMENiS�R[NOTMENOEOOR m OFTERED WRSILE6,IIOwEVFR11�E8UIlDN00R61PpOVEMEHT650lDVATNINONEYEANOFCOMRE• Z TION,ME OwNEP-0UILDER VnLL HAYE TNE BUf1DEN OF iROYiNO T11AT ME OR SME DID NDi BUILD Ofi . = YPROVEFORTNEiURPOSEOFSILLEI ' ' W OlA30MllEROFTHEPROPErtTY,IWEXCLUSNEIYCONTMCTN6YrtTHL10EN5E0001rtMCT00.5 � TO CONSTRUCT TME VRO,IECT(SEG 70M.BUSINE55 AND PROFESSIONS COOE:7NE CONTRACTOPS U• V21U9t10f1 � ADJ.AREA � � � CENSEUWDOESNOTAiVLYTOIWOWNEROFAVqpPERTYWIqBUIDSORIMPRpYESTHEREON./WD MnqWNTRACTSFOqSUCHFROJECf4WrtT1ACOHTMCTOR(S�L�CENSEDGURSUANTTOTHECOHTMG QUANTITY DESCRIPTION .FEE � TORS UCENSE UW). 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[Sl � IICENSE CIASS � LIC.NO. �� � j � J OATE CONTRACTOR" W a� WORKEFiS'COMPENSATION DECLARATION �1�� a � IHEREBY11FiIRMUNDERPENALTYOFVEfWRYONEOFTHELOLLOWING�ECLM11T1 '' � z - " � _IHAVEANDWILLMIUNTNNACERTiFIGTEOFO0N5ENT705ELF-INSUHEFORWORKERS' _ CdIPENSATIDN,ASPROVIDEDBYSEC'f10HJ70oOFTNELABORCOOE.FORTNEPERFORMANCE W Q `/ OF THE WORK FOR WHIGI TFIIS iERMR IS ISSUED. � • O �{].��I IUVE AND YNLL GUINTAM WOi1KER5'CO►I�ENSATION INSUiUNCE,AS NEOUIilEO BY SECTqN / ]7000FiHEtABORCODE,FOHTIEPERFORYANCEOFTHEN'ORKiORYMICH7}1ISPERMITI � ISSUFD.MYYKXIN �ENSATIONNSURANCEC VOLI�YNUTA9�RM"�E:/� CONSTRl1CT10N � CMRIEH �_ Y L1— P YJ � aa�crr�u.mEa ELEC � � � � Rl65ECTRY+12�r+oiB[Cp.i�ETIDOFiFEPERrtrISroHa+EHuorcoOotWls(S+OoIonLEss1 MOING Z �CERTIFYTMnTWMEPERFORMMICEOFMEMIORKFORWHiCNTHISPERMI715IS5UED,1 MECHANICA� � � (7 SMALLN�iEYPLOYANYVERSONNANYMANNERSOASTOBECOMESU&IECTTOTNE . y WON(ERS'CONPENSATIDNUN50FC�1L�FORMtiANDACREETHATIFISMOULDBECOME INSPECTIONFEE 6UBJECf TO THE WOfU(Efl5 COMPENSATpN VROVISIONSOF 5[CTION 77UOOFTXE UBOR �'-^ rj O]OE.ISFULLFORTIfiNT11C04PLYWITH qSEVPAVISWNS�I�) . . SS. . . . . . � ! DZ� � �—'% sr%�i p DATE: �APPLIGNT. ��� � . .. . � ENERGY P/C WARNING�/LLUNE TO SECUHE WORKEAS CGaPENS�TION COVERAGE i5 UNUWNL AND SFIAIL BE � � SUOJECfANEMPLOVERTOCPotAMALVENAL7iE5dNDCmLFNESUPTOONEHUNDREDiMOU5AN0 ENERGYPERMIT �� DOLURS ptoo.000�,W IDDITqN TO T1E COST OF CqIPENSAT�ON,OAMAGES AS PROVIDED FOR IN J 6ECTION]lOEOFiHELA80RCODE,MTERE5T,MIDATTONNEYSFEE4. ' FIETENTIONFEE: ' LL n� CONSTflUCTION LENDING AGENCY pRE-ALT FEE: - � O �„ ' � IHERLBYAFFIRMUNDERPENALTYOFPE0.AIR'lTW1TTMEREISACONSTRUC'i10NlENDiNOAGENCY •�± � � �1 � - FOR 7F1E GER�OPoJANCE OF iHE WORK FOR NMMJ17H�5 VEHIAIT i5155UED�SEG]oil.CIY.C). � �: j\ 1 � � � IENDERS WU1E .. . . .. C LENDERS/�DRESS � � ICERTIFYTUTIMAVEREADTHISACPlIG7C1NANOST�TETUTT�EAeOVE1NFOW1ATqNISCORPECT. TOTAL FEES � � � r� � � IA6REE70CA�PLYWIiNALLCfTYAMDCOUNTYORDIIUNLESANO57AiELAWSREUi1NOTO0URDiNO � CONSTRUCTION.AND HERE6YAUfHONIZE PEPflESENTATIVES OF THIS COIRlTYTO ENTEfl U7p1 THE , _ . ' � ABO'/E-IAEHTIONED CROPERTY FOq MSPFRION VURPOSES. COMMENTS 9 � �l��(�c'T F�-�� �,cse: m w.�n 1����/9 � (A BqNAT OF E EE D c/ . — RECPT.NO. PA1D BY VAIJDATION � � NhiRE—Oapartment Co�ry,YELLOW—Finenca Copy,PINK—Aseessor Copy,GOLDENROD—Ffln Copy.GREEN�1lppiranfs Capy �� � . - . . . . . .-. , . . � . . � i �.�.1.�'Lf... . .. � A�... � � . . � . '7'' ... r . .y.: � . ' , � , • '�',\' - ;'` . . . . . . � . . . . . . . . , . ' . . . • �- ^-'�j� `�.�1 CITY OF DIAMOND BAR .•-:: =� 4� ; , ,... .,, ..._,.;, . . . . . . : . . .. _ .. i'.:.INSPECTION RECOfiD , '.,� � . � . s � � � - • � � • - SEf BACK � .. ,, , , ; � ,�') \_� � , _;..... FLOOR�IOIST � � �� =. i� ,._ r`;,--,, ', .,,; -.,. � ; .. FTGS/FORMS/STEEL � '; ;;�\ .\\�•� FHA REQMTS ^.�,•,� .,-_: - �.•,. � - _ . ' _ ELECTRIC GROUND - _ � - UNDER FCOOR,DUCT..�'•-; .; ; �.; , ",. �' - "" - --- ' - •'- ' - • 1. .--1 1� ;.. • GROUND PLUMBING UNDER FLOQRGOI�IDUIT.',�,i• �•�,``� � r� ':`-` -� SLAB GRADE - -- • -- - - FIREPIACE�'OU�DATION�`-_ �..:. � �,�_:.�+1� .->\:�;s-�_) �,. , �. TEMP POWER � ' - - � ' ' ; FIREPLACE BOND BEAM � � � WATER SERVICE- . _..: - __:_ .- - .:--.__ , .. _ .-. - :MID HT.-BON�'BEAM .,�;_,;• .-.:. . � �.,�..:•,1� • .- � �. .. ROOF SHEATHING--'-�� _ i - • � ,_� ��'-_ 8 FT.BOND'BEAM .- . - � -� ---- _ i • :�,�'i • FRAMINGNENTILIATION . � FINAL BOND_BEAM ' : � _ _.. . ._ ._ _ ROOF COVER ;:" ' PRE-GRADING • . � FtOUGH HEATING --- -- -- BENCHING , - ' .. ROUGH ELECTRIC �� ROUGH GRADING �ROUGH PLUMBING ��--- - �� - - ` '` -- : - ..� FINISH GRADING � '- SHOWERlTUB TEST' � - � �. �:. POOL ELECTRIC : • ; . EXT.LATH/SIDING ROOL FENCING WALL INSULATION � POOL FINAL � • " CEILING INSULATION • OFF SITE IMPS. • • • � ; DRYI�'UALL NAILING DEDICATIONS SEWER. . -- - - .. ...... .. ... .. -- - - - FINAL ENG. .__ _. SEPTIC TANK.__. _ ._ _._ _. _ _ _ . LANDSCAPE/IRRIG. '� j ; . SEEP PIT/L..L.:�-.--=-=. . - ---.. - . - . . .. . ON SITE IMPS. . � • � . � •.GAS AIR TEST _ .- r. -- . -,.�� :. FINAL ZONING � : . , FINAL�CONST.; - - ' �'' - ' '- - ' - �� `� ' ' FIRE DEPT. FINAL - ' ' ; , '� FINAL-HEATING -`-' ' ``�''- � � "�' HEALTH DEPT. FINAL - . FINAI ELECTRIC- � - / ' --�' DEV.FEES PAID - " -- � � . FINAL PLUMBING ENERGY . • ' ' � j. , • • _ � .. - _. . . -! ._ .. .,_..., ._ . .� . . _ ..._ � . .._._. _ .. ._ . . . - - _ . . . , . ...,, COMMENTS. . ___. . . . ., ,. � �f. � . . , .. .- -- _. _ _ _ . . . . . `� ; _.. , �, _ . , `, ' _ . . , ...- _ • � . `�' �, _ �, ��{ �J i i: ;i' ` , 'i - •. : , - � , � i . � - �`, � ' - • . : , • .� _ .. � . .__. _ __ _ _ ---- _ , . __•� , ' --_J �--� r.��, . ! , SEPTIC TANK SIZE - , � i :� SEEP PIT/U SIZE �:.. � _. , -: � . . � .. -- , .-.. . ; ----=-----:_.:..� ... . ' � � . . _. ..._._ _ , � � =-; . - . � _ - - - � � . ....:-ti ��, i . . , � �� .� - �-; • � - � - - - i i :� ti ��, �.�� � . \L:- . ,� ' , ' . . � "'..,,`,