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HomeMy WebLinkAbout12016 (13) J� CITY OF DIAMOND BAR� • . . . • � . ��l�v'"'"- �� ��G^��� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVIC 21660 E.Copley Ihive Suite 190 � (909)860-3195 Fax(909)861-3117 PRE$$ .,�*�� BUII.DING PERMIT APPLICATION FIRMLY a ADDRI SS I SSd �1 eY�i�� �Q�1 Q.. APPLICATION ���� �PERMIT l 24 /C , o DATE NUMBER #� � ISSUE TYPE OCC APN LOT TRACT DATE CONST. ' GROUP p OWNER �QIY�st►�r{ nLCGi �G • � "" ADDRESS • ilI' ZONING SETBACKS W CITY ' ZIP TE �� FFiONT - RW ' p � APPLICANT 1ti� TEL r REAR ❑ , � SIDE/SIDE STREET RW O CONTRACTOR � 111 C+.'f' 1 SIDE p ADDRESS � PROPOSED USE � CffY rniSs�o�� Vie�o .ZIP �>� TEL —C 0 o ARCH/ENG/ �. � DESIGNER ' NO.DWEL. NO. NO. .. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION .Q ONMER-BUILDER OECLARATION SFR/ADD/REM O p 1 MER�Y AFF'WN UNOER PENKTY OF PERIUpY THAT I AM IXEMPT FRqA THE LOMMCTOitS ll• Cie�e96/Ca�pOR ' W CE115EU1WfORTNEFOl10WNlOREASON(SEG7a71.6BU5iNES5MlOVf10FE55�ON5CODE:ANYCITYOR (n COUNTYN?11p1REOlMESAFERMRTOCONSTRUCf,ALTER�P��.OEMOUSH,OFIREPA;RM1Y57fiUC• W P91i0/DBCk TURE,PRIOF TO RS 158UMIGE 11L.A AEW IRES iHE A7PLMXf�FOR SUR1 VEHMIT TO FILE A SiGNEO W � ETATEUEM TNAT HE OR SHE IS LICENSEO PU0.5UMR 70 TML VNOVISiON3 OF 7HE CONTMCTON9 Lb N � � CENSEUWIO/AViER9(COAIMENCWOWRHSECTION7000)OFOMS�ON�OFTMEBUSNIESSANDPiq u- PooVSpa � .. . � . fES.RpNS COOE)OR iMAT NE Oq SHE 13 EXEUPT iHEHEFHOM IINO 7ME&1515 FDRTHE AlLE0E0 E%EMP• 710H.AHYV10LAilONOfSECT10N1Wt.6BY�lNVAPPLICANTFORAPEiwITSUBJECTSiHGAPPLIGWiTO z RaRoof � F, A GVIL PENALIY OF!qT MORE TUW FNE IM1INDPEO DOl1AR5(�50D).} � O1�30WNEROFiHEPROPERMORMVEMDLOYEESWiTNWAGESASTHEIRSOIECOMPENSATqN, 0 CIXnmOfCiIII � . . 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' N V N IHEREBVAFFlPMUNDERFENALTYOFPERNR'�ONEOFTHEGOLlOM11NCDECURAT10N5: Z 4 � _I/U�EIWONnLL4AR7TNNACERfIFIGiEOFCOHSEMTOSEIF�iNSUREFOiiWORKERS' _ COMPEHSA710N.ASPROYIDEDHY9ECilON77aoOF7MEU80RCODEFORTMFGENFORMMKE W OF TNE WOi1K FOq vMIG1 T1145 PEiwiT B ISSUED. � " � ��INAVEANDYALLMAtNTAP1WOFY(ERSW4PENSATIONINSURANCE,�SAEWiREDBYSEttqN � � �� � � � � � QQ ]7000FiHEU1BORCOOE.iORTNEiERFORMANCEOFTHEWORKFORWNICHjNISPERMITIS ISSUFD,MYNqNr(F RS'cr�J OENSATION UMNCECARNERANDPOLICYNUMBER�RE: CONSTRUCTION � cu+niEa W 1 ulsl �C/�L �iCs , . .. .PLAN HEVIEW . . . � � POUCYM166ER All �� �lo� ELECTRIC o �rass[crqrvraIDrcneEw,pFrmoFu[pern�r�sra�ora[ru�paiutsR�oo�aaussy PLUMBING � . 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' RETENTIONFEE: � CONSTRUGTIONLENDINGAGENCY PRE•ALTFEE: �6� ' �� ��� ' � IMEREBYAiFlFlMUNOERPENALTYOFPERIVHVTHATiHEREI3ACONSTRUCT10NlENDI1MACENCY � ' � ' d FON7HEiERFORMANCEOFi}IEN'OHKiORN'MIp17M�5YERMITI5155VEDI5EC�oY7,C1V.G4 ✓ , � . � � � LEp�ERSNAME � � LENOERS71DOnE55 W ICERTI%TiATINMERE/D7MISAPPIICATIONANUSTATETMATiNEAWVENFORM�710NI5WNRECL TOTALFEES � �� � � IA6REET0 COIdPLY M7TH ILLL CRY MID COVNTY ORDNANCESAND STATE LAMS NEUTNO TO BURDINO , •� � COHSTRUGTION,ANDNEiiEBYAUT/qRREREFRE5EN7ATNE30FTHISCOUrITlTOENTERUPONTME . . . , S� ABOVE.uEN71ONFDDR]PEHttFORINSVECTqN%1RPOSES. COMMENTS � 9 j2��har� /� • . rYl�I jQ.�� m Q PE NA4 . . . ? �^ � -Q C-- . . . cn 1 /Q y SIOIUTufiEOFYER4R7EE �TE � _ .. RECPT.NO. PAID BY VAUDATION WHITE—Oepartment Copy,YELLOW—Finence Copy,PINK—Assesaor Copy,GOLDENROD—Fila Copy,GREEN—ApplicanCs Copy� - - - .. . _ .:. .:.� • .,.......w . ,. ._ , , , � � , , . . 1': ..n. n .. +'.r: . . , , .. ..�., •w.. . .. � .: � .. i. �. . �4`, ,.C�r', , ."<! .. ..�:r , .J, . i•h��r.r•y':'�Y::,...v..y �r.. .i.._; . . , . - � ' , �. - . � CITY OF DIAMOND BAR.: �; :;;,�; .-; � ._ � �"�1`��'INSPECTf�N RECOf�D',' ,,.'•; :.. :'.�, . • .. � . .._.. � , . 'k' ' . � � � • . � . , � � • � 5ET BACK ' ' �1 ` _. '� _' � � . � ��1 ' ' FL�OR JOISTi���_ i•.1 , � 11, _. _ , , FTGS/FORMSlSTEEL �� �' ' ;FHA REQMTS--- -- ��� - - - --� - -- - - - - - ' __. , ,ELECTR�C.GROUND -.. .. .--:-._.. �.. .. ... ...... -- UNDER FLOOR DUCT -,-: : : . �,. i_;.:. . :.. GR�UND PLUMBING � UNDER FLOOR C��IDUIT�. ���. ��� •' ;� ! ' . . . .�„ , . :... ' : SLAB GRADE .- --- - --- --- _ . FIREPLACE°FOUNDATION =� ' .`• ' . � �f-,_ • ,.. � . TEMP POWER _. _ . � .. ... _.._ ..-. - •'" � .' . FIREPLAC�6�OND$EAM_ .. _ .:._. .; .__.. •:. . ; ;. WATERSERVICE=== -__ ----._-. __ __-----.. .-- - MIDHT.BOND�BEAM. '; .,:,`� �:;... �•. �. �.._.. ;,,. . .. , ::. . . . '.. '. _ . � ROOFSHEATHING-- - _ . --- " ' - S FT.BOND BEAM . - _.. .�,, , • , � � FRAMINGNENTILIATION � FINAL BOND BEAM ' • � � ROOF COVER :=' - , : ' `PRE-GRADING � • ;.•. i � ROUGH HEATING --: _ ..------._ . ._.._ ..- :--- --.. ._._ . BENCHING . . -' � -- - --- ''.,.,;, ; . . - - ---.. �iOUGH ELECTRIC� '� ` �- � - �� � - - -ROUGH GRADING .: - •• • � �ROUGH PLUMBING -� � � � --- - -- - -i-- -:.-� � FINISH GRADING �.; > . ' ': SHOWER/TUB TEST � . - ------. ---_ _� - . PO�L ELECTRlC • . :' , . ; EXf. LATH/SIDING � -- - -- -- -. � --- --: � POOL FENCING . ` , WALL INSULATIDN � POOL FINAL CEILING INSULATION OFF SITE IMPS. • DRYWALL NAILING DEDICATIONS . , ,. , . _.:.... . FINAL ENG. : . . ,. . . SEWER.-- -- "-- � - SEPTIC TANK...--.._-.-.'_.-.. " ...._. _ LANDSCAPE/IRRIG., . ' ' ON 517E IMPS. ' ' •' SEEP P1T/L':L: ..... .:.:..._: __. .._ . , GAS AIR TEST -- -- - � - '--- - FINAL ZONING ' �" FINAL CONST.- -- -� ------� -- --- - . - - FIRE DEPT.FINAL ' ' � � FINALHEATfNG � - �-' - � � `- - -- �- HEALTH DEPT. FINAL ' :_� _ .. _ FINAL'ELECTRIC� "---" - � �- - � �� ' DEV. FEES PAID � - � -" FINAL PLUMBING � y� �� ENERGY � ! ' ;, , .� , i , �• - :�- • • . _ • _ , . . . - - - - - - - _. , ..;;�; , . COMMENTS ._ . _ : . .. , .. . . _ .. .. -- - -_ . . . , , . - . ... ...- - ---- _.. ... -----. . _ _ _. _ . , -- -. _ - " , . . , . �� -,,/,.. ���,. , i , . : . � .... _ .. .. . . . . . � � . , � . _ ._. _ , - . ,. ; . , �, , , - -..._. _ . � �, . �� - . -- :� ,. �. - -- - ... - -- - , , _ i , , . , � SEPTIC TANK SIZE � . ; ; . � . . . ' . , , ; ,- SEEP PIT/U.SIZE • � _ • . . , i � . . � .. .. . ; - ; _�__ .._, � , . , i . -.. .-- •--._._...� . . . . ... � i - --- - _... _ . I _.... - . - . _ . � . . ., . . , . . ' : - , � . . - . . . _ _... _ ; � t i r� �' ' �.. - , , - . , � _ _ . , ` -- ... - - . . _.. .. - - , -,�, _ --. � . ..�.,,, .�. - ;. - . � :.� , , •. _ � _ . . - . - ' ' _