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HomeMy WebLinkAbout12023 (14) _._ i .._.....__._._...,. _... _ . CITY OF DIAMOND BAR • • ���I �� f � - J� � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� . 21660 E.Copley Drive Suite 190 � " / , (909)860-3195 Pa�c(909)861-3117 � PRE`S$ � • ��'��' . BUILDING PERMIT APPLICATION FIRMLY } JOBSITE I APPLICATION • �]� �RMIT 72 P/C o ADDRESS . l S 77 �1�iYYtld �1t e DATE �/OJ NUMBE���/ / .k . c� ISSUE TYPE �OCC , ' .- APN LOT TRACT DATE CONST. GROUP p OWNER �� G� " ADDRE S • c �h r � ZONING SEfBACKS • "' CITY l ' c ZIP,� G�:TE �F �- � FRONT - RW ' O . . � APPLICANT �-' TEL. ' �I REAR p � SIDFJSIDE STAEEf RW ❑ CON7RACTOR f��f" tt. SIDE ❑ � ADDRESS , pROPOSED USE � o CITY r1��ii:r�1 �[:eT ZIP,��� TEL. -C D . � ARCFVENGI • � , DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CfTY ZIP TEL N . DESCAIPTION SO.FT. FACTOR PSF ' 'ADJ.AREANALUATION Q _ OWNER•BUILDER DECLAFATION SFR/ADD,'FiEM - - O 1 HEREBY AFflW.I UNDER PENIITY OF pE0.A1RY T11A71 AM EXEYPi fiIOAI iHE CONTMCTORS LI� GafepB/C2fpOK " B CENSEUWFOF�THEFOLLONINOREASd7(SEC.7o7i.68t151NE55ANDVROFE5510N5CODE:ANYLITYOR (� C� COUHI'(YMIOiREOUiRESA7ENMfTTOCONSTRUCi,ALTERM�ROVEDEIAOlI5F1,OHNEPAIRANYSTiiUC• . W patio/Deck ' ' - ' Z TU1E.PRpR TO ITS 65UANCE,AL50 PEWIi1E5 THE APPLICAMi FOR SUGi PERMIT TO FlLE A SICNEO LL� 6TATE►1ENT TlUT NE OR SHE IS LICENSED VUqSUANT 7D THE PROVISIONS OF TME CONiMCTOqS Ll• w � CENSE UW(CNAPTER�(CaMMENpNO WITN SECTION 7000)OF OMSqN]OF TIIE BUSINESS AND PRO• u' PooVSpa . �� FES310N5 COOE)OR TWU HE OR SME IS E%EMPi iHEREiRdA MID TME BASIS fOti iNE ALLEOED E%EA1P• TION.ANYVIOlAT10NOFSECT10N70]1.68YANYAPPLICANTFORIIVERIIRSUBJECTSTHEIIPPLK�WTTO . Z Re-Roof F ACIVRPEWLL7YOFNOTI�IORETFUNFNEMINDREDDOLURS�fw%.1: � OI��EqOFiHEPROP£RT1:qtuYEMttOYEESWIiNW�GES/STNEIR50lECOMPEN5AT10N, 0 CpmmBMiSI � � � - WILLDO 7HE Mdi1C AND THE STRICNH[IS NOT INTENOED OR OFFER"cD FOR SAIE(SEG 7W�,BUSI• J y HE33 AW PNOFESSIONS COOE:T11E COHTMCTOPS IICENSE Uw DOES NOTMPLY TO AN OwNER Oi �- j , PROOEHTY YAfO BUlD3OR IMPf1DVE57M[f1E0N.AND YINO DOES SU01 YqRK MYSELF Oft MFitSELF OR '" (t THROUGHMISORHEHOWNEMPLOYEES,VROVDEDTHATSUd/MPROVE�ICMSARENOTNTENDEUOR m , � OFFCREDiORSKE1F,/10WEVEi�T1EBlNDP100RMPHDVE4EM63011)WrtT11NONEYFAHOFCOYPLE� � ` � � 'TION,THE OwNEq�UIIDER YALL NAVE 7NE BUi1DEN OF VROVWO iHAT XE OR SHE OIO NOT BNIt1 OH = MPROVEFORTHEPURPO'EOFSAlE1 � � � � � � TO CON�5TALKT T11E OROJE�EG�7041.BUS�INE�S AND i�ROF�E 5 ON�CDDE.THE CONTRACTORS LL . . . . . ._ . . lL CEHSEUWDOESNOTMVLYTOMIOWTIEROFAYHOFENiYW/qBUlD40RIMPROVE9THEREON,NID Va�UBIlOf1 ADJ.AREl1 'Z W/1000NTMCiSFORSUpiPq61ECf9VATHACOHTMCTORlS)LICENSE�MIRSUNlTTOIHECONTMG . OUANTITY � DESCRIPTION � � � FEE � r� TORSLJCENSEUW.� . � O IA11 O(E4PT UNDER SEC. B.�D.C.iOR THiS NEASON q � - ' 3 �' _ . . . _ � � o�rE rnneA V , �4 UCENSED CONTRACTOfiS DECLARP.TION W ¢ IHEqEBVAFiIRMUlCIERGENAITYOFVERRIRVT1A71AYLiCENSEOUN�ERGROVIS�DNSOFCHAVTER � z ' ' ,� J.� . 1 . � �(COMA1ENdNOWITHSECTqN7oD010FDM5qN70FTME8U5wE55N10FROFE55qN5CO0E,AN�.� � �� MYIILEN5EI5HFULLFOFCEAN�EFFECT. m L � IKENSE CLASS�2 ') �_��c.No. �LIt1ZG'n� I J �-j w� �7�—LvOo carnucra�' � M �bLk�1 _n a w �� � WORKERS'COMPENSATION OECLARATION a � INEREBYAFFlRMUNDERVENALttOFGENUFlY0NE0FTHEfOLLO'NWqDECUHAT10N5: � V �� ' ' � ' � � � " `� a � � ��111AVEANDYI�LL4AINTNNACERTIFILJITEOFCON3ENTTOSELFiNSUREFORWORNERS' _ COYPENSA710N,ASVROVOEDBYSECTION]7onOFiHELABORCOOE.FORTNEPERFORIMNCE U a OFTMEWORKfdiMT11d17H14iERMRISISSUEb. � 0 ' � �,1HAVEIINDWILLMNNTAA1WONfERS'COMVENSATIONwSUFLW�E,A5RE0UIREDBYSECTqN � � - - � O J70oOFTHELABOROODE.FORTHEVERFORYANCEOFTXEWORKiaRYA11CHTHISVERM1715 65UEO.LfYWO.KERS iEHSA710NW4 RIWCECAP �ERIUDPOUCYMJMDERME: CONSTRUCTION /�� . _ . . . ....... . . .. . � CARH�ER htOl�� �l�������t LS�. � � PLAN REVIEW � raxYr�m�R N Ys-s�.�.�',�� `��'�� ELECTRIC . � pt�ssccmrarcmraTeem.st�IDOFn[�h.�rs�onon[�uu€noouus�siw�antFsst PLUMBING — � Z IGERTIFYTWUp1THEPERFOPAUWCEOFTMEWORKfORWNICMTHISVERuiT tssuEo,i � MECHANICAL - (} SHALLNOTFMPLOYANVFERSON!!/Vf'/MMINERSOASTO6ECDA�ESU0.1E �OTHE � WOHIfERS'COMVENSATIONUMI40FCALIFONJII�ANDACREE711ATIF1 BECOME INSPECTIONFEE S SU81[CTTOTHEWOpKER5C0►IDENS �NPROVISIONSOFSECTION77 FiHEUBOR -- � � � coo�,�sru�uramrvnn�couv�r .n r se pnohs�ous. ISSUANCE i O p DA7E:�-�F APRICANT: � � SMIP . _ � ENERGY P!C WARNINQ FAILUR[TO SEWRE WOfiKERS'COMPENSATqN COVERAGE IS UNUWFUL.AND SNALL BE �y SWJECfMlEMROYERTOCR:YINALPEWLLTIESMIOCMLFNESUPTOONENUNOREDTHOU5MID . ENERGYPERMIT ' DOIIMS(t10o.o00�,IN AD�I710N TO TME COST OF CDUCEN51RqN.DAIAAGES AS PROVIpED iON M J SEGilONi7oeOFTHELABOHCOOE,INTERE5T,N1DATfOiiNEY5iEE5. RETENTIONFEE: � � CONSTRUCTION LENDING AGENCY pRE-ALT FEE: �, n ' .� IXEREBYAFFlRMUNOERPENAITYOFGE0.A1fiYtHATTHEREISACONSTRUCTIONIENDiNQAGENCY � ' � Z FOR iHE VERFORMANCL DF THE YYDRK FOR NM1G1 iHiS PEIW iT IS ISSUED(SEC.7 W7,GV.G). . W � IENDER'SlUVAE - ' � LENDER'S.IDORE55 � ICERT�FTiMATIMAVEREADTMISMPLILATIONANUSTATETTIATTMENfOVENFORAlAT10NI5COMEGT. TOTAL FEES � 5 �� W IAGREETOCd1VLYM7TIAlLCfT'/AN�LOUNi1'ORD�NANLESANDSTA7EUYlSREUTWOT06U0.DIN(i � COHSiRUCT10N,ANDHEREeVAUi11oR1ZEPEPRESENTATNE50FTHi5COlMTYTOENTERUPONiHE � � SL7 nsovE+aErcrionW vravERTr wn IruPEcria+PUavosES. COMMENTS - = iGIl6lyd /-� .. YYl�((�� � VERA1 E{pR 6 � ../ .. r, . � � ..._ . cn ��..�, ' y 610NANH OFPE ITTEE ATE � _ RECPT.N0. PAID BY VALIOATION WHITE-0epaNnent Cqry.YELLOW—Finance Copy,PINK—Ataessa Copy,GOLDENROD—File Copy,GREEN—Appliranfe Copy- � - . .. , ... . _.. ....... . . . _ . �, � .., , , _ ... . ... .... .. ... . . ... .. .. . . .. .. .. � - . , . , • _ . ,. .. ,. .:.. . .. -Y , � . . � --- ' .. ' 1�i � CITY OF DIAMOND_BAR.;��.:.,� �,�•,�_, .. ,... .:.,„ ,.. . . . . . . ; `, � ' .INSPECTION RECORD;:,'`. .. . .:.;' . • :. � ._.: . �_ , . . . . .. . • � � • - � • � • • - SET BACK � _ �... •. . - ; � _ .• FLOOR JOIST� ��,�: i ` ;.•�,. :,,. .. '• `,,' �: '� .: , FTGSlFORMS/STEEL � + � FHA REQMTS� � . � _._. .. ._.. ... _._. ..._ .. . . � ELECTRIC GROUND �.._. _. �_ ._...._._. : - .. _:. .. .: UNDER FLOOR DUCT _ • , ; ,, �;' ; , '-` ' � GROUND PLUMBING � _UNDER FLOOR CO�IDUIT' �i•, �'�.1 �!', ,'�`.�r� �� • � `.' . . . SLAB GRADE - - • - __ -- - - --- •. �_ . FIREPLACE:FOUNDATION"- • ' . .��` "�, ;_, •� � , . TEMP POWER__.... --��' -----.. : ,. : . _:,, : FIREPL�ACE'�ONCS BEAM..__, . . ....;:. ..," .--:. .. . . . : . . . WATER SERVICE:._: ... -.-.�- :_-.: _ . ._.__- - -MID HT.BOND BEAM .,. :, ,�. .�'= ,- '..� �� .� .. .. . ; , _ . . _. . - •-•-.- ... . _ . , ROOF SHEATHING--- � --- --- -- -� ` ` 8 FT.BOND HEAM•. '. . - •�, „• �,` , :.. ,.�,�,. : i FRAMINGNENTILIATION .. . . FINAL BOND BEAM � ' � ' ROOF COVER�. ; -- � - " ' PRE-GRADING - • •� i ROUGH HEATING - ;._._.. _._... . -- .. . ... .._---- -. . BENCHING � _ � . . . - -• � -- ' 1 � . -ROtJGH ELECTRiC- ;- � ` � �- . ROUGH GRADING � � ' ROUGH PLUMBING �� - -- " �-"��� " ---� . FINISH GRADING - . • , I .- SHOWEWTUB TEST.� �� POOL ELECTRIC - � " EXT.LATH/SIDING i � POOL FENCING ' WALL INSUWTION ! PO�L 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 - ' � ' FINAL HEATING - -� � - - � �--- HEALTH DEPT. FINAL.. , . ; :� FINAL ELECTRIC - --� - � - - - DEV. FEES PAID - -- FINAL PLUMBING. 2G' ENERGY � � • • � • . :� . . . , � �I'�i e t� ; - _._ ..... ,...._.... ... : _ ._._.. ._ _ _. ___. _ .... _ , . -- -- � . --..._. _. . _. . -- . �- . _ . , . � ��--- ..._ . ... --- - - -� - --- - - � :,. - .... . � . , �. COMMENTS ' ' `�� � � ' _. .. _. . _. _ . _ .. . -: . �. . . . � .. . .. , .._� , . . � ;' � -� ' . __ . �. _ _ _.__ __ . __ . _ _._ . � . , ,� . , . . . � . .. � f _ . _._ ._ . _ ._ _ _._._ __ _. . _ _ . ` . .. . ' _ . . . . � ' ; ; . , .` � . � � � . "._':...._� ' :`.. ._ . __. . . .. . � �� � ' ` � ` _ . . , � _ . i _ _" . : � � \ ,�� �• . , ` ' • ' i ; .. _ . . ........ .... .. ._. .. . � ' � � . . . . . .. . _ � , SEPTIC TANK SIZE � ; i . ' ' ; ,-. _. , SEEP.PIT/U SIZE ��� � �� ... .. : . ' ; - . . . � .,_,�_.' ... ...� _. . . ' ; . . . , . .. , ; ., - - - - - -- - - - - - _ � ; _- _y , . . .. ,. , � _ : , .. . � � - . _ _ � ' li i, r, . � t ; , _ - . �� � � , ,J, � ._ ... - - -- • '-" ,�' - c c�; -. � .. � • � �. � �� ' � �- ' ''�,. . . � . .. �