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HomeMy WebLinkAbout15683 � _ CITY OF DIAMOND BAR DEPARTMENT OF COMMUNITY dz DEVELOPMENT SERVICES � . 21660 E.Copley Drive Suite 190 (909)860-3195 Faz(909)861-3117 , PRE$S • �`%��^� BUII.DING PERMIT APPLICATION FIRMLY � JOBSITE i . APPLICATION PERMIT /�-j P/C o ADDRESS ��� � t fFI�'i Lh'� V►P G✓ DATE � L NUMBER rJ , • � ISSUE 7YPE OCC APN LOT TRAC]' DATE CONST. GROUP � OWNER _V�'I!1I�1`3/I J GG�7T�i��r ADDRESS 20NING SEfBACKS � CffY I ��i ZIP TEL - % FRONT RW ❑ . APPU ANT N�tl ' G L TEL. REAR ❑ � � SIDE�IDE STREET RW Q� CONTRACTOR g ADDRESS ` � ' ' l CTI SR�=,.j��!�/'i�) ZIP lf 77(+ TEL.�L•SE 7 Z-�'!i_,�6' j PROPOSED llSE � ARCFVENG/ • DESIGNER NO.DWEL N0. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. y DESCRIPTIQN SQ.Ff. FACTOR PSF ADJ.AREANALUATION m OOWNER-BUILDER DECLAFlATION SFR/ADWHEM � i�neev�mnu uwea oa+wtr oc v¢auar nur i�u exEuvr Faou nie courrucroru u GaragelCarport CENSEUWFORTlfff011OW►IOPEA.40NpEGTQ71.6BU91NE55AH�PROFE5510NSC00EANVCITYOR (J) ODLMTYYNiIGIIREOlAREBAVERMRTOCONSTRUCi,ALiE0.MPROVE.DEYOl15H.DRRE7AIRANYS7HUG �1J P8i1C+/DBtk 7URE,P/iqR TO RS RSUMIGE.ALSO PEW IRES THE APPLIGtlT FOR SUpi PENM�T TO FILE A SIONEO w .� ETATEMENT THAT HE Oit SNE�UCENSEO i11RSUINT TO THE VNONSIONS OF iHE CONTMCfON3 LF . . � CENSE UW(QIAGTER Y(OCMMENCINO WRN SECf10H 7000)OF DMSION f OF THE BUSINESS AND MD V" POOUSpB FE8310N5 GOOk�OH 1HAi ME OR SME 13 FJ(EYPi THEREFiqM AND THE B.�5�4 FOR THE ALLE�EO EItEMP• TqN.NlYYIOLATqNOFSECT10N7o71.68YANYAPPIIGWTFORAPERMITSUBJECTSTHEAPPIM.�WTTO Z Re-Roof F ACML PENKTY OF NDT AIOHE iHAN iNE M11/DpEO DOL.tAR3(fSOD�.k , O O1A40�M'rEXOFTHEPROPERTY,ORMYEMpLOYEE9YATMWA0E5A57HEIRSOLE�MPENSATION, � �mmereial - Z WNl DO THE WORK ANO THE STRUCNRE i5 NOT INTENDE�OR OFFEREO FOR SALE�SEG 701�,BUSI• J � NE63 Mq PHOFE5910M9 COOE THE GONTMGTORS L�CENSE UW OOES NOT AGPLY TO AN OMMER OF ? � pppPEq'}y y//q 9URD3 pR IWPNOVES TIEREON,AN�VIIIOOOES St/CJI WONN NIMSELFOp HERSELF OFl � 7/1Rd1ONM30RMEROWNEMPLOVEES.VROVIDEDiNATSUCMMPROVEAIENTS�RENOTMENOEDOR m , OFFEREO WNSALEIF,NOWEVE/lT1EBUlDNOOf1YP1iOVEMFNTISSOLD WfiHN ONEYFAROF WMR6 �TqN,THE OMMERBUM1DER VALL HAYE THE BURDEN OF iqOMNO iHA7 HE OR SHE WD NOT BUIID Of1 4PROVE FOR T1E PLIRPOSE OF SALE} ' � W 04��EROFTIffFROPERTY,AMDfCLUSNEIYtONTRACTINOYHilILICENSEDCOHiMCTOR3 �� TO fYINSTiRlCf T/�VqdIECT(SEG)041.BUSINESSAND PRDFE3910N3 CODE:TME CONTMCTOR9 U• V81U8f10l1 ADJ.AREA {l1 CFJiSEUN�D�ESNOTMPIYTOANOVMEROFAVf�PERTYWMOBUMDSORMPROVESTHEREON,MD Z WIIDCOMMCTSFOfISUWVROJECf5W1iH110dlTMCTOMS)LICENSWVUHSUANTTOiME00NTMG pUANTiTY DESCRIPTION FEE � � TORSIJCENSEUW.} O 1 AM EXEMVT UNDER SEQ B.i P.C.FOR THIS REASON U u" DATE OWNER � � - � UCENSED CONTRACTORS DECLARATION -� � - � - � W 1 HEREBY AFFIRM UNDEA PEWLLTV OF PERJUM iWR I+W LICENSED UNDEq GRONSIONS OF GUPTER � �ryUMMENCM10MrtfH5ECf10N7o0o)OFDMSqN70F7MEBU51NE55ANDPROFES5i0NSC00EAND X MYLICENSE61HfVl.IFORCE�NDEFFECT. m LLJ t 6 9 0 UCENSE CUSS '� LIC.NO. � . F— . - �j DATE � •' CON'TMCTOR Ii9! �- _ . . . . _ � WORKERS'COMPENSATION DECLARATION � � — rj E TN' G � IHEREBYACFlq1AVNDENVENALTYOFVE0.IURVONEDFiHEWLLOWINODEC r�oe�� �.. �, C(il31e� H G �� 0 �INAVENAWRLMAINLWACERTIFIG?EOFCONSp7TTOSEI.F•IHSUEFORVA E0.5' S � 'L N I V `— � COMVENSA710N,ASPROVIOWBYSECfqNJ70uOFTNEIABOFiC00 FORMEiEP CE 'U � OF h1E Nqp1C FOitYhfpl iM15 PERIAIT IS t55UED. 0 6 _I MAVE NO N9LL AMIMAN M�OfiKERS COMPENSATION INSUMNCE,AS RECVIRED BY SECTqN Sl00 OF THE LA80R COOE�R 7ME IfRFORMANCE OF iHE WORIC FOR WN�d/TH15 OE S � ISSUfO.W M10H�(E0.S'001IPENSA710N WSlj87VKE IER ANO POUCY M1MBE � NST CTION M10R( ` � CANPoER � IO �� ` P E1/�� � pa�crtuuBFR �' y • EL TRIC (M1lRSEcm+lE�w76EmhpiE7IDOFTEVEa��isiaRoHE �aq BIN � ICERTIFYTU7INTMEPERFORMANCEOFTHEWORKFOFN'NICHT ISVERMR ISSUED,I MECH 1 SHALLNOTEMPLOYANYPERSONNMlYMANNERSOASTOBECqA SUBJECTTOTHE N NOPo(ENSCOMPENSATqNIAWSOFCALIFOHNI/�ANOACREETHIIT 06E INSPECTIONFEE . S SUBJEGTTOTNENqRKERSCOMVENSA7i0N7ROW5�ON50F5ECTION7 R COOE,I6HALLFORTNN�iHCOMPLY WIiHiHOSE P,}RONSIONS ISSUANCE �� �- I I APPIICANT:� , •�1����l�l'1 �� �SM�P � (� p DATE: Lt�.00iJ W ENERGY P!C WARNiNO:FA0.URE TO SEWHE MONCER5 GOMPENSATION COYERAOE IS UNJ1YhUl,/W D S���LL BE � (—y 6UBJECTNdEL�PLWERTOCR1uP1ALPENAL71E5►NOCMLCNESUPTOONENUNOREDTFqUSAND ENERGYPEHMIT pOLLNiS(it0o,000),IN ADOITION TO iHE GOST OF COMVENSATIDN.ON.UCES AS PROVIDEO FOR IN ¢ SECTIDN77aOFTHEVBORCOOE,NTERESL�ATTORNEV'SFEES � PETENTIONFEE: nW.. CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � IHEREBVAFFlRMUNDERPENALTYOFPERNRYTNATTHEREISA�NSTRUCTIONIFNONOAGENCY ' - F00.T11E CERiORUANCE OF TME WORK WH VAIN7�TMIS YE WAIT IS ISSUED(SEG�ov7,pV,G). , �Z LENDER'S HAYE � � � � LFNDER'SADORESS .. . , ^^ ' W1 CERTIFY T1NT 1 MAVE READ iM�S APPLIG�TId'7 ANO STATE TFUT TME ABOVE NFOi1MATqN IS COPRECT. TOTAL FE ES . . � tJ lJ � IAGRFETOCpAPLVYVITMAIICfTMANOCa1MT'�OADIIUNCESANOSlATElAWSflElAT1NOTO8UlOW0 - OONSTRUCf10N,M0 MEREBY AUINORIZE REPRESEMA7NES OF MS COUNTV TO EMER UPON TME . . � ABOVE-MEMqNEOPROFERTYFORINSCECTIONPURPO5E5. COMMENTS � � _ '�! / .. . , . VERIAI�E N1UAE NTj v¢i i !* '/ s � b� E OF P RMI OATE � RECPT.NO. PAID BY VALIDATION WHITE--0epartment CopY,YELLOW—Finencs Copy�P�NK—Assssaor Copy,GOLDENROD—File Copy.GREEN—ApplicanCs Copy CITY OF DIAMOND BAR . �� . . �� .c�. -;;� ,...��•-;._ .. . .:1�lSPECTION AECORD .• ,� '.. . . � . �� . �: . : � _..; . .^� . �J� D , � e . �... , �` , ; ! ���,��s� z,.t--::.,s,>_ ,SET BACK ., . � <.�, _:\ i,. .: , ! � . FLO�R J015T - _ .. �. , .., .. _ ;FTGSlFORMS/STEEL- -� . .� . --- -: :: •,. . .,. , _ FHA REQMTS _ - ---- - ,. . __ . . . ; ;-' IELECTRIC GROUN�_- .----•' •;"- - `.�. , - „ ��. UNDER FLOOR DUCT . . ____ _ '..-' ---- -_- ''' ` I I �_r t, � � i IGROUND PLUMBING � - �• � UNDER FLOOR CUMDUIT � " '- ' ':.. I `'- ISLABGRADE=-- -- `�'` - ---- --- -- - `' ` i FIREPCACEF�UNDATION �'• .: �� � i I �' =`-' _�. . ,,. , . , .. ITEMP POWER- - --- . -- ---- - � , FIREPLACE BOND BEAM' _ . _: .. �.� _. , . . ! : , IWATER SERVICE ------- -- ---- -- - - ' MID HT;BONb BEAM��',, �--,- -•-----=�-- �- _. . ... ; ; : ' IROOF SHEATHING :: �i_�`.: 8 FT.BOND BEAM . -- _ . _: : � _. _ . - . _. .. . . , i .. , • �• IFRAMINGNENTILIATION - ------ -- ---- FINAL�'BOND B�AM � � � , , �. ; � ' Ifi00F COVER .�,.� "' C�� �. PRE-GRADING - -- ` � ' _ - ------ - - ----- ' I ; .. _ _ IRqUGH HEA7ING --- - . . _ _. _ _._. BENCHING . _ _ _ ,-- - __ -- - - - - ,_ . � ; IROUGH ELECTRIC_! ._ � :; , ,-.:_ i ._ ' . ROUGH GRADWG ... - -- - -----.. _-----------� _ IROUGH PLUMBING--' --- ------ '�-- - -- - - FINISH GRADING t _: � �SHOWER/TUBTEST-; - ---- - -- '---_- � - ' POOLELECTRIC � � � ' lEXT:LATHlSIDING-- !- -- -- --- ' ---- --- __ -- POOL'FENCING . , �, � , j ; � ?WALL INSUL:RTION _ _ _ _. _---- ;-- --.-- - - ---- POOL'FINAL . . j . ; ;. ICEILING ItJSULATION --- - -- _ - ---- -- ". --- ;- OFF SITE IMPS. _. . ,, , . .. , : � lDRYWALL NAILING -,-- - -- -_._ _ --.--- - DEDICATIONS . � ` i - . - - ---- - . _ _ _ , , �SEWER--------- - - FINAL'ENG: ' : ; _A !SEPTICTANK � � I�ANDSCAPE/iRRIG.' " ' ' f ' �SEEP_PIT/LL.._ _ . , . __-- ON SITE IMPS. � ; . , . jGAS AIR_TEST-�--- -- _ .� , ,-: FINAUZONING , : , _ � -; :FINAL CONST,-'------- -- __-- - --.. . . ' FIRE DEPT:FINAL : _ - - : , , :,::� ! � �FlNALHEATING.__ _ ..._ HEALTH DEPT.FINAL -- - - - --- --- -- - - -- _ - � _,-, ; ;FINAL ELECTRIG-------- - - __ --_ -- - _ , - .DEV. FEES PAID- -- - - - -__ - --___--------; . � , iFlNAL-PLUMBING---__ ._ .. --- -- --- -- -' ENERGY . � � ,. , ,. ,. ; ,: �— --- ---'-- - .-- __ _- _ - ___. . . I. _ , t 1 ,,. ; �----- --- ---•— .._ _ -- ----- � , . i - - _.. . e^ ast a, n1a�c- ` . , r_, -� 1 , •� , � � � � �.��:_�u:�.��..�F'.��.� �.. �, _ -- -- -- _ , - . iCOMMENTS _ - -- - - __{ __ ._� —___f; <.���:�'` I\, ^\� . . _ --- ___._._._---. __._ . i _. _ , ._ . � • �� , �: i � .. . ,,. -�, � �. �, „ _� � '�,1j � �a• . � ,. . � .. . ,r.. .�i.� . ,�� i, . . i ; . �__._ '. _._. .__�_..------ ----'- . . . ..._.._ . ._ ' --'--- ' .. -' � . . . +I ` - � � � �--'._l 1_ ' , ..' , . - � __ "'_' " '__'____'__. ' . ""..: _ ,�.....� .�r V; . .. . �. . . � � , . ,. .. �.�. . ' - i - �. i . � . .. > � I ... 1 I . .� .. ... � ' ' _' _' � - � . . , � i , �\ , �,/ �' .'�� �, ; ,' ,•. ! - .I� � , � , . , ,. . . . r. •. .. , . - -------- .. ---- - .._ .- - ---� - -- � �-. .. . ��. .',� . .. . .. . . , . 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J1. . � , � :. � , .; �SEPTIC TANK:SlZE:;��,..; ,.::. .;,, .; ,.T� � � : � � ' � _� SEEP PIT/U SIZE � . .� , ., , - - - - - -- --_ _ -—� �. � f-��---�-T--.^.--�---�-.� _ - i I � i .. . _ - I �. i .:��'� ; - _ - - ' � . . ,. � , , ,,E: �. ,,� _.. __ i , , i � � . , , _ ! .::. �. „� _ _ — - --- - � . . - ---- ----- . ., � - , : � , ,_ _. . . - -�- - _ _. .. , , � ... , ; - - � + - -- -- - - - -- _ __ __ -- -- �� , �j� ' i _ i �1 - , { I � '� — -- - - _ _.. �_ J_ , , . � . , ..,�. : - - � . .-a � ' _ , . .. . ;: ir,y y , . ----- - - -- - -- -._ _. __. .. � , .• � � _ ; -- .` __ . . .. __. . _._ t. . .. . ._. . .. . .__� i _. � _ ' - , � ! �` �\ -> l � � � I , �.;,1�.�� �'.,� - _� , �., �' - -_ . , ' �'> i �.. - .._ ' �.,�. � 1 � �, �� ,. �• . .i� ( , -. . , . � , • - •