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HomeMy WebLinkAbout12103 (13) . . 4 CITY OF DIAMOND BAR / -�� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� �� .> 21660 E.Copley Drive Suite 190 � ' (909)860-3195 Fax(909)861-3117 PRESS , �'%�� � - BUII.DING PERMIT APPLICATION ' � FIRMLY o� JOBSITE � I�L�� �er�� � DATECATION-- 'J N MBER �` #,C ADDRESS / J � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP - � p OWNER " ADDR SS ZONING SETBACKS • • • Z CffY ZIP TEL.-1�`��(�-//L qEAR . . RW �p g APPLICAN7 TEL. SIDFJSIDE STREET RW ❑ � CONTRACTOR Q... �r � _ SIDE -❑ � ADD PROPOSED USE � � CffY � ZIP�,��TEL o ARCH/ENGI � . . - -, � �ESIGNER NO.�DWEL. ' NO. NO. ADDRESS UNITS STORIES BEDROOMS � CIN ZIP TEL. N DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION p� . OWNER•BUILDERb�CIARATION . . . ' - SfR/ADD/REM _. O p 1 MEREBV AFF6W I.HDER PENALiY OF VEiWRY TMAT 1 AY EXE4PT FH01A THE COHTRACTORS LI• GefegeK:UfpOR � iL CEHSEUWFORiMEFOLLON�iNORF.A..ON(SEC.70.17.68US�NESSMI'JGROFESSqNSCODE:ANYqTYOq (n ZCUIHTYWMCHREOl11RE5AVFAMRTOCDHSTRUGLALTEitMPROVE.DEMOUSN.ORREDNRM1Y5iRUC• W P�tIOIDBCk �L TURE.PR�ON TU R418BUMICE,AL50 REOUWES T11E�PPUCAHf FOR SUCH PEq41T TO FlLE A SIGNED W BTATENEHT 71UT NE OR EHE IS UCENSEO PUiV`UNlT TO TME PNOVi510N5 OF TME CONTMCiOR9 ll• ; . � CENBE LAW(f51AD7Eq Y(COYYENCWO Mn7H SECTION 7000)OF ONL510N 7 OF THE BUSINESS AND PAAo- �- PoaUSpa � � T FESSqNSWOE�OR7NATHEORSNE150(EUPTTHEREFNOMhNDTHEBll515FORTHEALIEOEDE%EMP- � T10N.AN'IVIDU17qNOF6EC110N7aJ1.68YANYAPPLICANTFORAPEWAITSUBJECiSiME�PP�ICANTTO Z qg.pppf . � A pNl iENALT/OF NOT MORE TNAN FNE NUNONED DOLUAS(Koo).1: 0 01ASOWNEROFTMEVROPERTY,ORMYEMPLOYEESMnTY1WAGE5ISTHEIqSpLECOM�PENSA7qN. O COrtIR10fC181 - . Z YALL�O 7HE WOXK/JW THE STRUCNRE LS NOT IHTfHDEO OR OFFERCD FOR SALE(SEC.70M.BU51• J NESS AMO PROFESSqNS COOE:THE COHTMCTORS UCENSE LAW DOES NOT MPLY TO/iN OwNER OF � YROPERTTYIIABVIlD50RtJvqOVESTIEREON.ANDNR70O0ESSUpIWORKH�MSELFORHEPSELFOR = Q T11q0U0MHSORMEROWNEMPLOYEES,VROVIDEDTHATSUdIWPROVE4EMS11NENOTMENDEDOR m 1� OFFEPEDWRSALEF.MOWEVER711EBURDiN00RMPROVEMEMIS,ALOWfTNMONEYEAROFWAIPLE• • � Z �TION,T/ff OWNERaIADER YIILL IIAVE TME BURDEN OF PROVNO TMII7 HE OR SHE D�D NOT WILD OR . . � WPROVE FOfi Tlff PURPOSE OF 6A1�. � . . . . , W O4A+`�NEROFiMEPROPERfY,AMEXCLUSNELYGONTRACTPIOYYITHLICEN5C�00NTRAGTORS � TO CDNSTpUCT THE PR�IECT(SEC.70N,BUSIHE55 ANO iROFE55lON5 LOOE THE CONTFUCTORS L4 V8�u8110n � ADJ.AREA � CENSE UW DOE9 NOTMPLY TOAN OWNER OFA PROPER7Y Yr110 BUILDS OR MPF10YE5 7NEREON.AND � rnaca+rw�crsroasua+vr�aecrsrrmucarta+cronts���cer+scowruu�rrtrorHewr�rw�c pUANTITY DESCRIP71pN FEE � TO(i4UCFM5EUW.). . - .. . . OII/AEXEY7Tl1�IDEqSEG B.iP.C.FOHTF115PEASON � U u. .. � DATE OMIwER U 1--- . . . . . . � W ' . " LICENSED CONTRACTOFiS DECIARATION -� � W IHEIIEBVAFFIRAIl1NDENPENALTVOFPE0.1UqYTFUTIAMLIGENSEDUNDERViqVI510N50FGiAVTER V. �s ��C0IAYENCNQMI1i}ISECTION70oo)OFDMSqNaOFTME8U5INE5SANDVROFESS10NSCO0E,AN� Z X W�ICENSE�S N ML FORCE IWO EFFECT. � LiJ ^ 0 UC SE CUSS � LIC.NO. `-! J . V CONTMCTOR� � a W � WORKERS'COMPENSATON DECLARATION � —� --� N IH[11EBYAFFIRMUNDERPENALNOfOEiWH'lONEOF111EFOLWwNUDECUMTIONS�. � � � �-�� U y Z � � ��IHAYEM1DYnLLMAiMAHACERTIFlGTEOFtDN5ENT705ELFaNSUiIEFORWOFlKERS' 2 Q r`, _ CONPENSATION./SiROV�OEDBVSEC710N]7ooOFTHELABORCOD[.FORTHEPERFORMM'CE W •� •"C O OF THE WORI(FOfi MnnCH TMS PERMIT q ISSUED. � � I IUYE AND�MLL UAIHTNN WORKERS Cd.�PEN5AT10N MSURANCE,0.5 REOVIRED BY SECTION Q �7ooOFTHE LAOOR COOE iOq iNE VERinRMANCE OF TNE WOpK fOR NR/ICH THIS FERMIT IS ISSUED.MYHORKEq9'C011PENSA710NINSUqANCECMRiERANDPOIICYM1uB:RARE: CONSTRUCTION ' � c,wwEA �—� J -�� PLAN REVIEW � � poucrNuuaea WCZ-� /L-I � ELECTRIC � (tf�s[crlOnHEmNoreEmMFlfr�cPnEPEHMrsFOnauE�a1�OREDoatAR5R+mlofit.Ess1 PLUMBING Z 1 CER7IFY TMAT N 7HE PERFORIAMlCE Of iHE WONK FOR WHICN T1n5 GERMI7 t5155UED,1 MECHANICAL (' S/uLL NOT ELAPLOY ANY iER50N N M1Y MANNER SO AS TO BECOME SUBJECT TO 7NE � WORKERSCOMiEt/SATqNUW50FGLLIFOP7�I�ANDA ETHAii151q1A08ECOME INSPECTIONFEE ' `_ SUBJECTTOTHEWORKERS PROVIS FSE OFTM OR � � � - - S caoE,iswuiconnron r�r i � s.�� ISSUANCE � .�/� �. .SMIP � p DA7E: APPI � - . w ENERGY P/C � WAqNI1W:FAlIVRETOSECUREwORNFR Pf qNCOVEMGEISUNUN'FU�MIDSMALLBE ��(-y SIRJECT/WEIIPLOYFRTOCRMMALVEW�LT�ES GMIiINESUPTOONEFIUNDREOTHOUSMID ENERGYPERMIT OOIURS�f 100,000),N ADDRION TO TXE COST OF COMPENSATION,D�AGES LS VROVIOE�FOR IN �j � SECTION77oeOFTMEtA00RCODE,NTEAEST.ANDAT70RNEY5FEE5. RETENTIONFEE: ��• � aW.. CONSTRUCTION LENDINO AGENCY PRE-ALT FEE: O . � IHEREBYAFFIqMUNDERPENALTYDFPEftlURVTMATTHEpE15�CONSTRUCTqNLEN�PIOACENCY � ' FOR Tl1E PERFORM/NGE OF THE WORK FOR WHIp1 TMIS VERMIT IS ISSUED(SEG.7oV�,GIV.4�. .+�y Z ! � LENDER'S NA4E � � LENDEFCS.+DOPE53 . . . . W ICEfiTIFYiHAT11UVERFJIDTM15MPLICATIONANbSTATETf1ATT1EAFIOVEPIFONAATIONISWRFECT. TOTAL FEES I��' � � IAaHEET000IAPLYVATN�11CrtYAN�COU1rtYORD�NANCESM�STA7EtAW5RElATNOTOBULDINO _ . COHuTRUCiqN.AND NENEBYAUI110N2E REPRCSEMATIVES OF h1i5 COUNTY TO ENiER UPOH 7HE. . . . S� FBOVE�4ENT9NEUVROVER7YFOHPISPECTIONVURPOSES. COMMENTS � , P . _ m PE�wmEE varrt� 4 _ � N &011ATUREOFPERWTTE E �' � RECPT.NO. PAID BY VIWDATION WHITE--Depenment Copy,YELLOW-Fnence Copy,PINK-Aesesea Copy.GOLDENROD-File Copy.GREEN-Applicant's Copy � � ����-� .� _. . _ . _.. . . , . . ..... . ... .. . - . .. , , ,, . ;:.:�•, .. .. . • . ,. .. .. , ...- . . -, . _ . ..,.� . .. .. . . . •� . . , CITY OF DIAMOND BAR , ��::;� : ,-:_, ._.. _. . _- -- . _ _._ . . . . ,- - . _ . . � ...- ..,. � � �INSPECTION RECORD,, ' :�:� ::;�,�: . ; . . . . �. .,. � . _ .r , . . .-... . . �-„ � ; � � . � � , . � . . � � , . � . SET BACK • �. �. : . ` _.'`' . _ FLOOR(JZ]t ��.J��'J-�':�: ri_`• <. .;�. �,.�; , ..� ! - FTGS/FORMS/STEEL =`• � FHA REQ� 5 t- �• ,- �:., • - - • -. . - • ,. �� _EtECTRIC GROUND.- _ _ . . _• - � . . ._._ . ... ._ _.. _-..._ UNDER F�t�OR RUCfi"-.. . ..:_.�• . -. .` . . .•..• ,t.. - .. -, i GROUND PLUMBING ' ��UNQEFi,FLO�.A���I�U T 1 �:��� `"� ' ' ' � `+ . � -' , ..•. ---- , . SLAB GRADE � - - _ ._.._. _.._ _ . - . . '; �: FIREPtA�E-F��Nd TION'"`s. ;>.�� ��._ .,,.., ;'.,,_:":.. : ; ..:. ,_,.. ,.. �. . ... .. ` •.:.._� . , TEMP POWER....._._.. . _.. _.. _..-- - �.. .:.: , . ;•- FIREPLACE BOND BEAM_ : . . _. . -- - ---....- _ . . .. . _ ._. . r,, ^.Y.__, ; � .WATERSERVICE..:- --- -� _----_-:..--- - ... - �- --._. :.. : �MID HT.BON B�Atvt-�' '... ' �" i , -•. ,.. ;__ ., :. � . . . ._._._ . - - ROOFSHEATHING --.. ___ _.. _ . . .,. �, . : 8 FT.BO{,VR6��M��t, � ,..��. , .•;... ... r.;`��_;' � ... ; ; FRAh11NGNENTILIATiON FINAL B�ND BEAM . ROOF COVER.' •, � 'PRE-GRADING - -- - - - - y ... ... ;� . . . ... - -BENCHING -• ,' � . .. , r , ROUGH HEATING . _._ _ -- .- -�OUGH ELECTRIC-�� - � . �- - -. � - ROUGH GRADING •. , ; ROUGH 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._.... _ _ .. --- ........ . ...... .._ . ... . FINAL ENG. , . . -- . i : : SEPTICTANK____._.�...... . .._ .. - .. . .-.._ ... . . _LANDSCAPE/IRRIG. � ' -SEEP PIT/L::L. - -. — . _ ON SITE IMPS. GAS AIR TEST; --- - -- ---- - FINAL ZONING -' �` FINAL CONST. - -- � - �- � -- - - - FIRE DEPT.FINAL - " � � �F�NAL HEATING -� � - � -� HEAL:TH DEPT.FINAL , . ' . _.... FINAL ELECTRIC - -� �- - - � � -� � � DEV. FEES PAID - ----� - FINAL PLUMBING • ,� - ENERGY � � . i �� � � • � �' 8 � �..� ! � ' . � ��' ` � '� ' ��.—�"_. \•.. . CONIhIIENTS, - ,__ -��,' .J-�J!_,' , -�, ;, ; ' � � ` _.. � ...i"�1 ' — -...� ' ' ,� '_..:_.::J �a� 1 . .. _`, ;- .� :� . ;�: . , «.'.._. ....._ _._.._�.. -� • •"' . r-L�— ...a: .l... ...._ I, � � � � ._ . .._ . . . _ . . -- -- .. .. . • � . . . � �i � . � -. . . . � , � I ... ---.. ._. . . . .. . . � . . . . � � ,� •___-•;�•�a 1` �`�.�'� . 'ti� ►._ ' `�`.�--' . � . .. � i :L.l� ' �1�•� '!� . l . ��C r`•ni � .. . -. .��. '- � - ---- - -� -- -�� - . . ' . .. - � -- ' -- -- _.. - . • . . �.-..*�►� ::J 7Y:,; `,` _, .. _.. .. y,` 1 _ � �� � � , SEPTIC TANK SIZE;' '� � ("' ; " � � , SEEP.PITN SI�E`�� _f� - , ., . • ; ; . ,. �..._Ta= .� ..'.'..� �.__ , .. � _ _.._. . _ i ,� � , .. _ ... - ..-_ 't_-` � L 1 � . - - -. --- - , _. .. ' � .... i .,.._. _ •ii;� � . . � . . . . . „ �� , � . . • .. . . ' �,. . , ... , � . - � . . _.___. .. . .. ... ... . .. . . . I � � ! .} ` �,,',`Y. . . , . . . . . . , i , , , � � . _ _..... ... _ .. ti � � . . . i .. .. . . i•..__..; .. rt,. .ti _ .'.\_�✓:� � :l � . - _ - � - -.. �, . � . _ .. .. .. . _ , . . . - — . ,1-- � _. ' ..._ � --- - � • . , ; , . ; ,