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HomeMy WebLinkAbout12368 . . . ��� �� �� CITY OF DIAMOND BAR' �� • DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICE �� , 21660 E.Copley Drive Suite 190 ' ' � (909)860-3195 Faz(909)861-3II7 PRE$$ • ''""� . .BUQ.DWG PERMIT APPLICATION ' FIRMLY o� JOBSITE APPLICATION^ / �PERMIT P/C ADDRESS �4 �C�g f ����� pA� � U NUMBEF�� � ' � APN LOT ACT pA� � �J TYPE p� p OWNER ' 7 � CONST. ' GROUP p ADD S •ZONING SE78ACKS �u' C ZI ,�L �_ _ . FflONT RW ❑ APPLICANT TE�, REAR Q � SIDEISIDE STREET qyy p CONTRACT R -� SIDE- p � CfTY S ZIP EL PROPOSED USE 1QL�, o ARCWENG/ _ •7.�� . � DESIGNER NO.OWEL. NO. �p. ADDRESS BEDROOMS � UNITS STORIES � N CIN ZIP TEL. � DESCRIPTION - Q.FT. .FACTOR PSF ' ADJ.AREANALUATION OWNER•BUILDER DECLARATION p SFp/ADDIREM ' . . p 1 HEFE9Y AFFlqA UNpER VENALTY OL OERIURY TVNT 1 AY EXENPT iROM THE OOf7TMCTOpS ll• .Gflr9Q0/Ce�pOf{ LiJ CENSEUwFOqTHEiOIidMNOpEASON(gEC.76]1.68USINESSAMJPROfE5510NSCODE:ANYpTVOq ., (n y COUNTYNHCHREOURESAOERMRTOCONS7RUCT,AITERIYDROVE,DEL10L15H,diREPA1RANVgiRUC. P2�i0ID0Ck V� 1UR�VRqq TO RS S9UANCE,ALSO REW IqE4 THE MPlIGN17 fOH SUW VERMR TO FILE A SIGNE� W � STATEMENT 7HAT ME Ofi SHE IS UCENSED iU0.5UANT TO THE PROVISIONS OF iHE�ON{W1CTpp5 lF c CFNSE UlW(CNAPTEA i(COMIYENCtNq WfiN SECTqN)000)OF OMSqH 7 OF THE BUStNE55 M9 PRO- � PooUSpa . . 7F iE55qN5CO0E1a1711AiHEOR5HEI5E7(EMPTiNEREFNO�A/NDiHEBti515FORTHEALIEGEDE%EMP• (� � TON.ANYVIOIATIDNOFSEC710NTOJ1.58YANYAPPLICANTFORAVEwAITSLBJEC'iSTMEAPVL�CANIN Z Re�Raof �,,,� ACNRiENAITYOFNOTY0i1EiT1ANFNEMINDHEDD0UAH51i5tO1.): . . � . � . � � OL�aN1EHOFiHEDROPEATY.O�IUYEMPI.OYEESMATNWAGE515iHE1RSp�ECOMPENSATIDN, � (`,pmTBfC�FII � YMLL DO iME WOi1K,AND TFiE STRUCTURE LS NOT RrtENDED OA OFFERCD FOR SALE�SEC.7D1�,BII51• J F � NE55 M7�PROFE3910NS CpDE:TIE OONTMCTORS UCENSE UW DOES NOTA7VLY TO IW dNNER OF � PIqPERiTWNOBUq.DSOqMPqOVESTMEREON,MAMI/qDOE55Up7WOqKHIMSELFORHERSELFOR � ' � . L� MAOUGHH90RNENOYMEMPLOYEES,PRDVICEDTU`SUCN4/vROVEYEMiSM[N07N7ENDEDOq Cn 0 OfFERmFOqSALEGIqM1EYEi�THEBULDIN00Fiw1PHOVEMEMI55QDVATHMONEYEAROFCpAPLE. Z TqN,THE OWNENAULDEq W;LL MAVE THE BUNDFN OF PROYHO THAT HE OR 6HE�i�NOT BUIID OR � _ �APROVE FOH iHE OURPOSE Of S/LE�. � � � �� � .W OI,ti40MMEROFTNEiROPERtt,AA1E%CLUSNELVC01fTMCTp10YYfTNLIGENSEDCONTRACiORS � ro ca+srnLcr tHe ppaEct(sEc.�a+.eusiNEw�rm vmc¢ssior�s cooE:n+e cor�rrucToas u. Valuation ADJ.AREA - GENSE Uw DpE3 NOT APRV TO MI OYMER OF A PROPERtt VA�O BUrtDS OR MPiqVES TNEREON,AND � NRqODNTRACf9FpRSUCMPRWECfSW1T1�A00N7MCTpi1(S)LICENSEDPUFlSUANT70TNECONfMF p�,qryT�Ty � DESCRIPTION �- � toasuc�+sEuw.�. _ . - . FEE , O I/JA E%EMPT UNOEN SEG B.i P.C.FOqTWS REA50N Q '�� � � � 1C �/ - t='�- . � � DATE ONMER . . F��- . 7� U F UCENSED CONTRACTORS DECLAAATION W , � IHfREBYAFflPMWDEqCENALTYOFCERri1RVTHATI/WLICENSEDUNDERVROVISIONSOFCNAVTER � -� •rCOMYEHCMI Nn7}�SFCl7dt 7oao�OG QIY1510N]Oi 7HE BU5INESSAN�CApFES570NS C00E.AND Z � . � W LICENSE IS N FlA1F ACE AND EFiECT. m / � � � IICENSE CLASS UC.NO.� � . � OATE �' Cdl7MCTOA J . � WORKERS'COMPENSATIONDECLAAA710N '1 Q N IHEREBYPFFIRAIUNDERiENI1TY0F7EiWfiYONEOFTHEFOLLOwWODEG.AMT���'`/ V � ` � � Z .. . .. . . ._ � �IHAVEANDWILLLwNTARdACEfRIFlCATEOFCONSEMTOSElFaNSUREFORWdiKER5 2 CG.�P£NSA7pN,A5ppOVIpEDBYSECTIONJ�ooOiiHEUBORCCDE,FCATHEPERCOqM,WCE �U Q OF7HEWORKFOqWMIR/TTUgpEM1ITISI55UEO. � � �1 FUVE ANO WILL AAAMIVN WOqKE0.S•COUPENSATION MSUMNCE.AS REOUIRED BY SECiION 7MOOFiHELABORCODE,FqiTHEPERFOpMANCEOFTMEYK)R.`(FORWHICHTHISVEM11T�5 . � ISSUED.MYWORf SCq1UPEN5AT70N615U�'�{GG�[AARlER DFOLlCYM1AIBERME: � CONSTRUCTION �j CAHRIEN - � Z ra�cYNuunER �� �LECTHIC _ t � � � (�T655EG71JNIt�NOT6[OOAEIEIEDOFhEFERMRCibnONC�u1�Ot[DDOUMsaiml0RtE5S} ING W Z ICERT7fYTNAiMiHEPEAfORMANCEOFiMEWORKiORWHiCHiH15PfNMRt5155UE�,i MECHANICA� � G3 SW�IINOTEUPLOYANYiER50NN/UJYMANNERSOASTOBECOME5U8JCCTTOTHC ' (n YMONKERS'COEA7ENSAT%HUV/SOF�J�(IFORN1IANO�GREETHATIFISNOULDBECOM[ INSPECTIONFEE S SUBJECTTOTHENVFiKER5WUPENSATqN7ROV15�ON50F5ECTialfl7ooOfTNEU80R � , . coo�,i si+w.connn�rn wua�r vnn+ se vrav�sior+s. ISSUANCE , J?�, �p o��: •�ar��cu�rt0��/� I � n - iP � ENEAGY P!C � WAANINci:iMAJfiE TO SECURE KOf11:Eq5 COAIPENSATION COVFqAGE IS UhUK4Ul_MA SMALL BE � 6U[i7ECTANEM7LOYERTOCWMINIIPENAlTIESANDCM�FINESUPtOONEHUNOREDi1�DUSANO ENERGYPERMiT � D�IWiS(5100.000),IN ADDiTION TO 7HL COST OF COMPENSA7qN,DA41ACE5 AS PROVIDED FOq IN SECi10N]70EOFT}IEUBOROOOE.INTERESTAN�ATTOfWEY'SFEES. F1�Nn0NFEE: FL oCONSTFUCTION LENDING AGENCY PRE•ALT FEE: � IHERCBYAFiIM1UN0EHVENALTYOFpER1URY7N�TTHERElS�CONSTRUCTIONLENDwOAOENCY j,+ � ��� . � FORiMEVEHFOfi4�NCEOFTI[WO��NFORWHIA7TMi5PEfw�T15155UE0(SEG.]oiv,ClV.0.). ' � � lEN0ER5NAME . J, / � LENDEA'SMDRE55 - W ILERTIFYMATIHAVEHEIDTMSAGPLIGTIONANDSTAiET11ATTHEA80VENFORMl1T1ONI5CORi1ECT. TOTALFEES . .� p� IAaRfETOCqAVLYMATNALLCRVANDOOUNTYOqpp1/�NCESANOSTATEUWSREUT1NaT08NIDING �j � ,^ Cd15TRUCTI0N,NIOHEREBVAUT110qIZEREDR[SENTATNESOFiWSCOUNTYTOENTERUPONTHE _ . . „ „ ' . � ABOYE#tEMqNED VROPERTV FOR WSGECT�P06[S. � COMMENTS � � � � m E E(V SKiNAT ��� �+ RECPT.N0. PAID BY , Vwo�ndr � WHITE—Depertment Copy,YELLOW—Flnance Copy,PINK—IUaeeear Copy,GOLDENROD—FiMj Copy,GREEN—ApplicanCa Copy �� - �� . � - � . - , .... ..,.., . . . • , ..•( ...... . . .. _ . . . .. � .�. .. ' . ,"'}' . ., � . t" - '? . .. . . . . ...- . . �\ - . . � � . . .�. ' '�,�%':�-'•`` CITY OF DIAMOND:BAR ; ;;;-:;� •; ; , . __ ... .: _, . ....;. . _..... . ..... .. ..... .�- -._. . ._ . .. , . . ' ' ' ' INSPECTION-RECORD `.��� ' ., ;:, , ; _. � ,�.. - .. . �� , . ,. . , � _ s � � • - • � � • - SET BACK . , l ., , _ l,�\ � ��,t � .... , FLOOR JOIST�i. .�'� ; r�� ... ,.-_.'. � � -� , i ,. ., , � :FHAREQMTS,.- - ... ._. __... ,.. - -- ._ _ _.._.....• . F7GS/FORMSlSTEEL = � , \ , ,�� ELECTRIC GROUND- - � _._. --- L� \' � ' UNDER FLpOR�DUCT„;-' :,\ - - '" ; ,-,., ;,_'• - ' , GROUND PLUMBING ' ' �- UNDER FLQQR.CO�ID�lIT;: �;•., _:.•;.\\ � - ••'�;•,� • - ' - . . ... . , . SLAB GRADE-- . _... _. ..._ . ..._. .-- -- ; ; .. ; FIREPL�IGE�FOUN�ATtON - �c._;._,: . r.• �_,�� �-� . _, ; . TEMP POWER . . .. • .. .__ _ ,::. ' _...::. ; FIREPLACE BOND BEAM .._..-. -. :.._: :::-- -— -�.__._�. ._. _'_; - . . . . ,4`, . �. ,_� . -WATER SERVICE:- . ... . . . - . _` _ _ :._: .MID HT.BONQ BE�4M=�'- •; � ,•. • - _ :;.. . ROOFSHEATHING~', ._ • �. '=,---� S FT. BOT1D'•BEAMI�' , - . '� �'- �� 'r-- � ; � . �; FRAMINGNENTILIATION FINAL BONQ'BEAM ROOF COVER . . " � PRE-GRADING � - � - - -- ' �� ROUGH HEATING - - — BENCHING • � `'• ' �ROUGH ELECTRIC � /� � � -- ROUGH GRADING - � ' AOUGH PLUMBING ` " '-- ' — -' � -. �� - . FINISH GRADING , •.. • . . I ; SHOWEF�TUB TEST. - - - - - -- - � - - � � POOL ELECTRIC • EXT.�LATH/SIDING ' PDOL FENCING ' � •' ' WALL INSULATION POOL FINAL � ,'•: .' . � CEILING INSULATION ' OFF SITE IMPS. � : DRYWALL NAILING DEDICATIONS . . . '.�, .. _SEWER._..- ---- -- - .- - _... ... _ _. FINAL ENG. . . , :. SEPTICTANK - _ ' -- _._ - LANDSCAPE/IRRIG. ' -SEEP PIT/L.L. -- --_= ` ON SITE IMPS. _. . ... _. __ .. . . „ . , ., . . . , ; GA6 AIR TEST .. .-� ,-- - :.:_ _ ,. :: -� . ;� ,, ,FINAL ZONING , , ; ; ' FlNAL-CONST:: -"� = ' - ',;•�,"�'',- - � � �' � -�,';;•� , FIRE DEPT. FINAL ' - - 'FINAL HEAT�NG '-- - �"`'-- - � ` ' � HEALTH DEPT. FINAL ! _ � -FINAC ECECTRIC - - -- � ,7 DEV. FEES PAID . . . , , FINAL PLUMBING ENERGY • � � � � ; , � � .,� � r. i . .:i� A • . .. , • .. ,.. , i _ - - _ . . __ •, - COMMENTS . , �. . . � � . .. , , � . - , -�--. _ __.. . _ .. _ ... __. � _._. . - - - - , . . , - -._. --------. _ _ ... _. . _ . , ,,r' _: L ...._..._ _ � , . _ '- .. . . �... ,t.,_ � �f t.� � � \ i� � �'.1 . : . _ . . , . • . -- - .. .._ . . --- . , --c-V-J i . . . • . , _ .. . . � . • - - �l_.__ ( • -- .. _ _ ,- � , , ------ "' � ._ _ ... .. • - ._ �`�.-_, , SEPTICTANKSIZE . . � '. - � . : SEEP.PITN SIZE � � . � _ , ; ' r - ' j i .� �_ .� _ . ._ ._ � � . � . ., - ' ' , -. . -. �-. ..., .� . . . . .. . . ; .. . .. .. .. . . i - - - - � � - � - - - � � � � \ - - i .. . . .. . _ ,_`...�., . __ .. . •-. . .. � S. . . . _ . . . . _... � �� ,� �'� ' � , , - t_ . . � :; _� `.>,. �.`:� . _. �'..\��;�.�- _ _=__�ti,� . . . � '•� � � ��