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HomeMy WebLinkAbout14445 (19) � -- ____�._----.._ . .. _. .--�------------------ _. _ -� --•..,. ------ - - - . � . , / CITY OF DIAMOND BAR � � • �` • ��1�-- DEPARTMENT OFCOMMUNITY&DEVELOPMENT SERVICES � y 2]660E.Copley Drive Suite 190 . � (909)860-3195 Faa(909)861-3117 PR ESS :;�•�. BiJQ.DING PERMIT APPLICATION FIRMLY } JOBSfTE APPLICATION �J�{ PERMIT P/C o ADDRESS Z���0 F�l.�.I�n r�� U�C� � ' DATE �� o`"! NUMBER 1 y�(�-� � g issue nrPe occ APN LOT TRACT DATE ' CONST. GROUP : - � OWNER V � " ADDRESS Z ' r�l ' • ZONING SETBACKS ' � CfiY 7�FTL'lh���S ZIP�(��fEL.' � � �a . FRONT RW � ❑ . . APPUCANT TEL. - - - REAR p SIDE/SIDESTREET RW O � CONTAACTOR - !� _ C Sc.:�.c . _ • SIDE p ADDRESS .. - '. -' - PROPOSEDUSE UEMD Sf'R Si'nplt i�w.�/ ' � CITY 21P_ TEL ` ' ' ___ .. oARCH/ENG/ . , , ' , - - ( . � DESIGNER _ _ - - _. ADDRESS NO.DWEL NO. NO. � CITY ZIP TEL UNITS STORIES BEDROOMS � � DESCRIPTION " SQ.FT. FACTOR PSF ADJ.AREANALUATION tn O , , . ...p� _ .. _ . WNER-9UILDERDECLAAATION _ � . '":' . �.� � ' SFR/AD�IREM , .. . O ' . _ _.__ ; p 1 MEREBI'AFFfM UNOER PENALiY OF PEiWRY TMA71 AM E%EMGT Ffi]�I THE CONTMCTORS lF Gefeg6/C01pOR --- . 111 CENBELAWFORTHEFOl10N7NOREA50N(SEC.70.71.6&JSWESSANDVROFESSIONSCOOE:AWCfTYOR (n � COUMiTMMIpIREOUIRESAPEW.�RTOGONSTAUCT.ALTEi�OAPROVE,DEMOLISH,ORREPAfRM1Y5tttUG W P0Ii0/D6Ck _ _ _ � � � NRE,PR�OR TO ff3 6SUANCE.AL50 REd1IRE5 THE APCLICAM FON SUC11 VENAiT TO fILE A SIONED W . .� STATFMfNT TW1T NE OR SME 19 LICENSED WRSUN7T TO 7HE PRONSIONS OF T1E CONfMCTOR3 L4 _ . � CENSEUW(CHFPTFRO(COMMENCMlpN7THSECT10N70o0)OFDMSbN70FMEBUSMESSANDPR6 u' PODI�Spe FE5510NSOOOEI�TMTMEONSHEtSE%EMPTTIEREFPOMANDTMEBASiSFORiHEALLEOEDEI(EMv (ry TION.AN'/VIOLATqNOFSECTION7m1,68YANVAPPLICANTWRAPERuIiSUBJECTSTHEAVVIICANTTO. 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W 04�OWNEPOF7HEVROPEHfV.NAIXCLUSNELYCONTMCTNaV/ffHIICENSEDCONTRACTORS� CC N CONSTRUCT 1HE PROJECT�SEG 70H.BUSINE55 ANO PNOFESSIONS COOE THE CONiRACTORS U- V01UBSiIX1 C b - ' �ApJ.AREA - � CFNSEUM�DOE9NOTMVLYTOAN04N�EROFAPROPERTYMlIIOBUlD50R4PROVESTHEREON,AN� 1MqWNTMGTgFORSUGF1iROJECfSWIh1ACONTMCTOR(9jLICENSEDiVR9UNlTTOTHECON7MG - �QUANTITY DESCRtPTtON� .FEE rau uc�uw�. � a uu.�o�uvr uunEa sea e.a v.a coa rnis as.�sori U _ _ � - - . _ u' pATE OWNER � � � F � ' _� .. . .. ..._... � ..` .. . . _ ' . W ""'_ . ' ' . _ UCENSED CONTRACTORS DECLAHATION "u�j ' � IHEI�BVAFFOWlM�E1IPEN.LLTYOFVEftR1RYTUTIMIUCFNSEDUNDERiROVISqNSOFGI�VTE _ � , . , � � �(COMMENCNO NrtTTI5ECT10N 7oao)OF DMSqN�OF THE BU51NE55AND PROFES510N5 L00E, Z . X W IICENSE IS IN NLL LOiCEAND EFFECL m ,. .. .. . . ' �o -- lt�12k� _ � , � ��E«�S. 3 ��.No. �'j Da� 1'�-'�-�5�-�'t4' .CortrnncTon ✓ �Sa , � WORKERS'COMPENSATION DECLARATION )' � 1. � N IHEREBY/ffF6tlAUNDERVEWLLttOFVEfWRYONEOFTMEiOLLOWiNODEGUMTqNS: � - � - � -� �� � � � � O _IHAVEANON�RLWMAINACEHTiFlGTFOFCONSEMTOSELF•INSUREFORWORKERS '�� � COMPENSATpN,ASVROVIDEDBY5ECT10N]'7o00FTHELABOiiCOOE,FORTHEFEA�OAMMICE W � OFTHEN�OPKFORNM111CF1THI37ER�1R6i55UED. G /� 1 HAVE ANO WILL AURRNN WORKERS'COMPENSATqN INEUMNCE,AS REOUIREO 8Y BECTqN / �/ Q l70oOF1HEUBORCOOE,FORiHEVERfOiWANCEOFTHEWOPI(FORWHIp/7NI5PERMli �p� LL��: /�J � � ISSUED.MYWORKE�FENSATIONWSUMNGECARHIERMIDPOIICYNUMB.RME Q��/1���S��_R UCT10N . [ � G�nRIER K RAN F�VI ..� VOI.ICVNUMBER � - CT . .. � tn+ssEcna+r��wreeoow�rIDOFT�rewRisror�oraEiu�u p+aqantFss} , UMBING Z ICE17T1FYTMRN7HEPEfiFORAUWCEOFTHEM/ORKFONYYHICH7H15VERAIIT SISSUED,1 l MECHANICAL ��- �� - " �7 SMALLNOTEMPLAYANYPERSONNMIYMMlNERSOASTOBECOMESUBJECT N WOPo(ERS'COMPENSATIONUYlSOFGL�FORNItiMlD�OREETHATIFISMIX1lLBECOME INSPECTIONFEE S � SUBJECTTOTIEWORKERS'COUPEN5AT10flPHOVISION50F5ECT10N77000FTHEU80R - - � --�-� - ' caoE,iswutroarrnnn+cornv�rvn cno�n ISSUANCE b � 0 � p OATE:- Z-Z -APPLIG.NT. � ' -- - �SMIP . . - . r , � WAANINO:FAILURETOSECVREVNANEAS'COMPENSAT AQEISUNUWFULINDSMiW.BE ENERCaYP/C _�1-� ��� SUB.IECf/NEMPLOYERTOCNMItULLPEWILTIESANOCMLFN roorrerur+oaeon+ous.wo� �- ENERGYPERM�T L' � - -- '-� --�-� OOlLMS(i10o,000),INADDITIONTOTHECASiOFCOMPEN5AT10N. AMACESASFRO�nOEDFORIN * 7� 7� J SECTION]loe OF T1E LABOR COOE,NTERESi,ANDATTOiiNE�"5 FEES. � RETENTION FEE: �m �A 1`�011�t<A� � oCONSTRUCTION LENDINO AGENCY PRE-ALT FEE: "'v� WCi AT��}C d,�%�r� � INEREBVAFFlRMUNDERPENALTVOFPEiWf7YTNATTHEREISACONSTRUCTIONIENOW6AGENCY 2 FOR711E PER�Ofl1IANCE OF iNE Yf0t1K FOR WMIp17HI5 YER1AlT IS ISSUED ISEC.i0Y7,CIV.G�. . � LJ � lE1mER^SNM1E _ "_ ... . _. .. . ._ . . ' � LENDER'SADDRE53 . _ ... _ . . / W icermcrrnnnw�ven�or�ns�vruc�rar+u+nsurEnurn�E,�sovENrow.unai�scorwccr. TOTAL FEES �(Q . �� � IAfIREETOCOAIPLYWfiHAL1.CITYAN�COUNiYOR�PIANLE5ANO5TATElAWSREUT1NO708UIlDIN(i . . - � CON$TRl1CfqN,N.DHERE6YAUT1/DRI2FREPRESENTATNESOFTH4COUNTYTOENTERUPONTIIE _.. ._ _ . . _ _ . , � ABOVE�IEMIONEDPRDFEHTYFOi11N5PECfIONVURPO5E5. COMMENTS � • ...� 7N''6/1� CC�KS�`�� . _ __ . _ _ __ ... . . ._... . . _ ... - ', . � m venu �r , � _ . IZ-z3-rt5 __ � 61ONATURE F PE EE DATE ' : � . _ , RECPT.N0. PAID BY VALIDATION WHITE-Depertment Copy,YELLOW--Finance Copy,PINK-AssecsorCopy,GOLDENROD--FlIe Copy.CiREEN-AppicanYa Copy. . . ' �. .. • � . . _ ._ . . ,...r_��.._/... ._. ..._,J•:��Y�:_^�.-:_.... . - . - - . _- � CITY OF.DIAMOND BAR,, , :;:�, ,-_; ; ., r........... .., . . � . _. . _ . _ _ .. ,,,,_., _ .�` ' .INSPECTION RECORD`,. .' �' � .. _ � .. �� . _ . - � :�, - - • � � • � ' • � � • - SETBACK .., �•�,;'���, I ,,, . �����i � � �., .FLOORJOIST c,•, ,�.; �., � .- ' . I, 1 _ .`._ ._ FTGS/FORMS/STEEL -' ; : 1 FHA REQMTS-------- -----. .. - -f--- ---------�--�-•; , . ,_ .._ _- --- . ELECTRICGAOUND -- -- '. . �- - - --- - ' UNDER_FLfJOR DUCT ,_:� : •. - - �,.- , „ �, __ ' , , � -:: GROUND PLUMBING � UNDER FLOOR COMDUIT " •-• ! ;_; . _. � ,.`; ,. ---- ---- ----- - ,. . FIREPL•i4'CE FOUNDATION ��. ` —r- ''- • , �� , �. SLAB GRADE ----- r,.:�.; � -- TEMP POWER--- - ''" - - - _ ' :�• :' FIREPLACE BOND BEAM - - - - . ---�- �--.-- - - _---1 - WATER SERVICE _-._-- _ __ _ - _ - "_:-� � _ - 'MID HT.BOND BEAM. . . .i _' -�. .� , � ;. . �'-.-' i � : � ` }--. '�..'�'.._... .= :.� '. ,,. , --- _-: _---- ------- � �_ R�OF SHEATHING' 8 FC BOND BEAM � ,-, FRAMINGNENTILIATION � FINAL BOND BEAM ' � `_ � �' `�� i " ROOF COVER::.�. ... . . � PRE-GRADING - - --- - - - -- _ -— - ---- ,,,._...:., 1 � •ROUGH HEA7ING --;--- - - - � - - - - BENCHING---- `" � I __' _ S� ' ".. '_ . IiJ '� •�_. ROUGH ELECTRIC--'-_- -,•..�-- - =-� :_ . •. . ROUGH GRADING , ,. . .., ,. , � =:� ' ROUGH PLUMBING�! -- --- - - ---_ _ -FINISH GRADING ,. , , ; . , ', `_ SHOWERITUBTEST; -- --' � �- �- - - -- -POOLELECTRIC ' ' ' EXT.CATH/SIDINGT-�- - - _- - _ .._ - - -- POOL FENCING , � - . :• .., ; , WALL INSULATION ; I POOL FINAL . . ; ;= , CEILING INSULATION �FF SITE IMPS. � - � � ��, � DRYWALL NAILING 1 DEDICATIONS;• ` ' . . SEWER � FINAL ENG. � ; � -- __ - - _. _ . -- - -- -._ . '. - -. . .LANDSCAPE/IRRIG. , . .. _ . . ,.. ; ... � SEPTICTANK_ .---_._ _.----_. , ;... , , . ., ,.. , . . � � �. �� - � - ON SITE IMPS. . _ SEEP P1T/L.L.-;� __ . . < < .. . , ; .•. GAS AIR TEST'----_ . --- --- -.. --. -- -- ._ _ FINAL ZONING ,:, � , - -FINAL-CONST: --- - - -_ ..._.__ _-- --.. ___.... - FIRE DEPT.FINAL"" _ ___ _..._ . . � . FINAL HEATING -- - - - -- � HEALTH DEPT. FINAL___ _ ._.. � __� . -__ - --- --- --. __ : _ --- - --- ---, ;. -FINAL ELECTRIC---` � - ------ --- -- -- - - ` - DEV.:FEES PAID - . , . , FINAL PLUMBING �ENERGY � D1l � ; . „ i. , ~,�' ' • • --- - : : . f . . � .... . ' i� ': .. 1 . .. _.._ _.. _ . _.__._ ._.. .. . ,.• , . , _... � . _ . - -- -'.__ .. . � • � / i r': � � i ' '- -- - - - -. - _ . _���_. . . ' COMMENTS -- --- . - ._..----�-. -�--.-- - __ ---- . ,. , � - � , -. , ,. , . ,, � - - -_ _ � �. , - - -- - -- - - � _.. - . . , � , -� �� � � -'� � � �� � i , , „ . . , � � � � � � ' � � '' •,. , .., . . . �.: � � ,. __ , .-- - ---_ . . . .� , ,. , � . , , , � . , , „ �r' �•�,� ' - - - ' ' ` "' - - i - _ __ - - _ . . _ _ _ ., t ; , I �`- i• _ � . i �1 � �� . _ - � , � , - _ _ - - _. - - � •� � , � , .. . , .. , i __ _- - -- _ _ . , ., . ;•! - � ,. I ; . , ., . � ___ -� „ , . � , � .... . _. . i .- _. �_ . _ _ . . - - - - - - ._. _. - . ... - � �-. i l � 'i . ' - - ;.: ... . .. _ _.� -_-_, _- � � , _ ___ _ __ . . _ , . � . , . . . .. � � . . . . � �. , .,. . . . . �- • . .. 1 SEPTICTANK8IZE . -r ., . .-: .;--,;. .', ,.. , ,. . -. �. . , i _ � ' � . �. , . , SEEP PIT/U SIZE .- . _ , �:.-. � � ._ ,. . _ , - � 1 -- ---- -- .. ___ � - I ! � , , . . . , „ . ��. � _. --- __ _ _ , - - - � _ --- -- - --... � ,. .,.. . ._ ��,. � . � . �. ,. 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