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HomeMy WebLinkAbout12112 (13) i ._.__._.___._ _ . � / J� CITY OF DI��MOND BAR� � ' � '� � DEPARTMEPdT OF COMMUATITY&DEVELOPMENT SERVICES E ' �,c . 2i�o E.coPioy nr;Yo swc�i90 ' PRESS � (909)860-3195 Fax(909)861-3117 � ����^'� BUII.DIIVG PERMIT APPLICATION __ ; � , ' � FIRMLY o ADDRESS I� LJ U � 1� �.�-/� �-K.1'IV DATECATION I NUMB R v If� � _ ISSUE TYPE OCC • APN LOT R CT DATE CONST. GROUP � p OWNER " ADD SS ZONING SETBACKS � CITY ZIP EL - I FRONT ' RW ❑ � , � APPLICANT �YG�/(,Z�L_ TEL. REAR p � SIDE/SIDE STREET RW O CONTRACT R SIDE ❑ , g ADDR SS S CffY ZIP EL PROPOSED USE o ARCWENG/ • - Z I , � DESIGNER � NO.OWEL NO. , NO. ADDFiESS UNITS STORIES. BEDROOMS � CITY ZIP TEL � �n OESCRIPTION SQ.FT. _ FACTOR PSF ADJ.AREANALUATION OWNER-BUILDER D�CLARATION ' � � �� � � � � SFR/ADD/REM � �� � � O p I HEflEBY AFFtttlA UNDER OENALTY OF iE/3A1FY TMAT I AM E%EMCT iROM iHE W1lTMCTORS U• Gdf8g0/C8tp0A . 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Y�COAYAENCNOWffMSECTWN)00010FDMSqN]OFTHEBVSiNE55/WDPROFESS�WiSC00E,AN� Z � � X W LIGENSE IS N FU.L FORCE AND EFFECT. �u � 0 CUSS —�O UC.NO.' � V CONTMCTOR � 4 ' W .. � WORKERS'COMPENSATIONDECLARATION � I �� . '� l NINEREBYAF'f111MUN0ERPENALTYOFPEfWRYONEOFTNEfOUDWIlx70ECLAMTIONS: Z ��Q�,` .� ' � _IMAVEANDYIILLL1AiNUNACEfiTIFlLATEOFCONSENiTOSELFaNSUREFORV�IJFiKER5 = � � O�MPENSATqN,ASORONDEDBVSECTIONS�ooOFTHEUeORCOOf,FORTHEGERFORMNMCE U d OFiHEWORKFORWWpITMSiEFlMITI5155UED. � �' � �1_I HAVEAND MlILL M�mmNN WOIiKERS COMPENSATqN RAURANCE,A5 RE0UIRED BY SECTqN - �' � � � � � - Q l7po OFTHE UBOR COOE FOit THE PERFORMANCE OF THE N'CRK FORVYHi01 THIS PENAIT IS � ISSUED.MYWOHNER COMPENS INS N CANRI R/UIDV0. NUMOERME CONSTRUCTION � GRRIER PLAN REVIEW � POLICYNUTABER � ELECTRIC . . � (rwss[cnorrnsEowrsEtan�IDacncPcp�rts�a+e«rrn�oawuR�rolari�ss} PLUMBING Z �CERTIFYTUTNTHEPERFORMM10EOfTHEWORNFORNMICNTIISVFiWIit5155UED,1 MECHANICAL- (�} SHALLNOTEMPLOYANYiER50NNANYMANNERSOASTOBECOMESUBJECTTOTME y WORKER5COAIPENSATpNLAM50F N.IFORNU�IwOAGREE GISMOULOB[GOME INSPECTIONFEE S SUBJECTTOT}IEWORKERS' EN 1 PiqY1510N - � � -. cooe s�wi.con a�rw,� s ISSUANCE O p WiE: �� APPL . I ' SMIP . _. . � ENERGY P/C WMNINp:FA0.UiiETOSECUREYpRKERS' N qN VERAGEISUNUwFl1�ANDSNALLBE � BUBJECTANEMPLOYERTOCRbAWALiENK DCMIJ WESUPTOONEIUNORED11qU5AN� ENERGYPERMIT � OOlURS ff 100.00OI.IN ADOI710N TO TNE COST OF GOMPENSATqN.DJV.uGES AS PF10vmE0 FOfl IN ¢ SECi1oN�7aeOfTHELABOFlCODE�REST,ANDATTOi7�lEYSFEES. ...r RETENTION FEE:�--�� �`�•� , a CONSTRUCTION LENDING AGENCY k' `` ' � 0 . PRE•ALTFEE: �, �^,�'• � � I�� ) . � IHEREBYAFFlRMLHDEIiPENALTyOFPERtt1FiVTHATiHEREISACONSTRUCTIONIENDWCAGENCY � ' Z FORiME VERFORMANGE OF T11E WONK FOq WM CH 7N15 VER�aT IS ISSUED(SEL.]ov7,�N.C.�. W � LENDER'S NAA1E . . . � . C LENDER'SADORE55 /'�� W ICERI7FYTNATIHAVEREADTMSAPiLICATpNMAST�TETW�T7HEN70VENFORMATqNISCOfiR[CL TOTAL FEES , � 7/1�•— p� IACREETOCpAPL1'N77MALLCT'ANDCWNNOROPIANCE5AND5TATEUwSREUTvx]TO&ADM6 , �/�L/ � CONSTRUCTIOKMlDHEREBYAUf1qA1ZEPEPRESENTAiNE50FiW5COVN7YMEMERUPONTHE . . . . . - AOOVE•YEHTqNCD i1bCERTY FOR INSPECTqN PUHPOSES. COMMENTS -- 9 _ , PERAA E N E(7W �� � � ^� cn ./+�J L (J� SNi EE! OATE x . flECPT.NO. PAI�BY VALIOATION " ~� VYHITE—Oepertrnent Copy,YELLOW—Finance Coq,PINK—Aeaeesa Copy,GOLDENROD---Fila Copy,GREEN--ApplicanCs Copy �� �� i .. .-. , .., .. . .. , . .. .�, � . . ,.-�. . ... . . . -_.. _ _ . .. . w' �+� ::i: � ;,�. .� . , •q�il':" :L. ��. ,- .__ . . . � � , .. . . � ' � . . • � . . � . CITY OF DIAMOND BAR � - . , . ��, ., _ _ . .. . � . ..�T,'-�:' ''�'=�iNSPECTION RECORD;,. - . � _ � . ; , . . �.�-. . , . ,; � � � . � . . � � , i . SET BACK �.. , , . , , . FLOO���$�.1.-1 _�>�����i.:. r�'( � .'('�' •. � I :'. FfGS/FORMS/STEEL FHA REQMT.S,,.-- . :..-•:., • i;.• -�- �-- - -I � , EL:ECTRIC GROUND -- _ -- - _ - UND�R,FL'QOR-DUCT.i�'�. '• �. ;:. � , , ;'•,' .,-•- •,�.�� _: .. ; -, GROUND PLUMBING UNDEA:Ff��OR`CAMDULT� .'�,S ;,', . ;'.. :: • ;� ; • ' . SI:AB GRADE -.._. . . -- ---- --.. _ .. _ : FIREPLAG�E'�DUNDATION•'.:.: ':.1-: .• ..�.1� �{'�': _�.s�:_�,,i_;•.. • ; . TEMP POWER __ •' .. . . . . : - , FIREPLAC� OND BEAM . - • : .- __ ...�._._... : . _, ._ .. --- _ WATER SERVICE - -. -. :- -- � :MIDNT O 6EAM. �.i�`: t�l:�� - �-. , � 1.. . • - - - • - •_.. . . __ ROOF SHEATHING .._ . . _. .. . _ . ... - 8 FT.: OND`BEQAQ•� >> • :�.2 ::_1 _�:�, a�•.'.. • „i., �� , ,-� ; . : FRAMINGNENTILIATION . ' FINAL�BO(d�BEAM � 1, ' '"� �' • ROOF COVER..'. ' PRE-GRADING -ROUGH HEATING - �- !! - - -- BENCHING - -� ' � - -- � -ROUGH ELECTRfC-:-- �- ' ' � ` ROUGH GRADING , • � , ' ROUGH PLUMBING-i - - ---" - -- ---. � FINISH GRADING . � `- SNOWERITUB TEST' --- - ���- i�-�� �- - P.00L ELECTRIC � EXT.LATHISIDING ' � • POOL FENCING . WALL INSULATION � � POOL FINAL ' CEILING INSULATION OFF SITE IMPS. • ' DRYWALL NAILING ' DEDICATIONS SEWER ..- -- --_ ' - - FINAL ENG. . . � : ' � -. -- SEPTIC TANK _ -__ _ __ _____ __ _____ LANDSCAPE/IRRIG. ' • SEEP PITIL:L.=-- --. _'.. .:- :. --.-._.. .. ON SITE IMPS. . GAS AIR TEST •- - -- � - - ��- - - FINAL ZONING � � ' -FINAL CONST: - - - -- _ .._ _.... ... ..... .. _. _._ . . FIRE DEPT.FINAL i � FINAL HEATING - - t.� f , HEALTH DEPT. FINAL ; FINAL'ELECTRIC " - -�- " �- DEV.:FEES PAID - - �— FINAL PLUMBING ENERGY � � .- c_• i�. � �:�� s ���.ti i _ .� i. �_ �. �� ..� _'\` ' - - -... ._;.r. ... . . ._ _ _ COMMENTS• :�.;- � `�.. :, � _ ;�-,; _�. . ; .. _ _ - � , � � • 1 ,, �.: - ,r•� � _ - , -- :� ,— -_ .1-�•- �,l �-�, •+��, ' ! \ ;-� . �__�C'.� _.. .;'')� - .=j]' '.��';:�� . � .._. __1� . , . : _ _._ .. . _ _ . � . , _ _ . ' � `1 � + ' ,���:�J �.� �, }::' : :�� � . �� •:7 i��.�'.�- 1 ��t' „ ..` - - - � , i . . _ , � � - . . , __.. . ` . . � � .. .• , _ �, C. � '� :i... ! � t� /�J � � .�-.�, , , . .. . . .. . _ '� _ SEPTIC TANK SIZE . � _ .. . ,,.-, . . , �. _. .. __ SEEP PIT/U_SIZE , � .— - ._ . . _ ; _ .� _ ' .�::`.. .... _ � I• . . .. ._... . . . .. 1 � __ . . — - -_... :.., � 1 -._ . —.. ' t . _ � _ _ . . . . .. . . , � � . . .. _.._ _ . . __ _.. . , � �'� '>t .��,�. � a_ ��� . r •�.� , • . --. . _.._. _ � . �_- .;, �_.,_. ; ,...,_. , ��� ,.. _ ��.� - . _ - ��.��\ �� .. , . _. , ._ . . . . . ,_.�.. • . , . i � . . . . ....... - �