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HomeMy WebLinkAbout11545 ► ---�'�� ---�� CITY OF DIAMOND BAR � :. C01vIMUNITY DEVELOP,yIENT DEPARTMENT C ��^ 2I6b0[.Coplcy Drive Suite 190 • (909)860-3195 F�ax(909J 86l•3117 ;Y� PRESS ''"' E3UILDiNG P�RMIT APPLICATION � FIRMLY � J06SITE �t�� `,. (.��n,I Y� M APPLIC)1TION .� -�f PERMlT��� r� � p�C '� ADDRESS ��c r� l c_, p F-1 A,b �.IL. DATE i NUMBE -!.,(_ p � APN LOT TRACT �SSUE TYPE OCC DATE CONST. GROUP o OWNER • � ADDRESS / ZONING SETBACKS � z CITY c� � ('� . ZIP�1?G TEL. FRONT RW p p APPLICANT �i� '�' ' SID SIDESTREET � � CONTFiACTOR c _ L�-�/1�C�J/U� SIDE Rw �❑ � ADDRESS I_ 1 h 1 L OT ]�t/ � CITY �_� r' - ZIP�Z.� TEL. PROPOSED USE oARCFL'ENG! z DESIGNER a ADDRESS N0.DWEL. NO. N0. � C�TM Z�P TE� UNITS STORIES BEDROOMS ' � DESCRIPTION S0.FT. FACTOR PSF ADJ.AREANALUATION OWNER-BI:ILDEFi DECLARATIOM1t O , SFR/ADD�'REM 1 NEREBY AFGIRM UNDEA PENA;Ty OF PEAIVAY THAT 1 AA1 EXEIUPT FROAt ikE CON'MCTDRS l4 Garage/Carport �W CENSEUWFORTHEFOLLOWINCRE/�,SON(SEC.707i.5BU5iNE55IWDPROFES5lON5000E:ANYCI7YOR (n ' � C� COUN7YWHIpiREWIRESAPER1A1TiOCONSTRUCT,ALTE0.1A17qOVE,DElAOL15H2ORREVAIRANYSTfiUG patio/Deck w N�E.PRIOq TO ITS SSUANCE.A:50 REOUIqES THE APPLICMlT FOR SUpi PEMnT TO FlLE A SiGNEO w ' ` S7ATEMEM THAT NE OR SHE IS IICC�SED WRSUANT TO TME VHOVi510N5 OF 7HE CONTMCTONS lF , � CENSE UW(CNAF7ER 9(CpA1MENGNC WITH SECTKKJ)000}OF DIVISqN 70F THE BUSINE55 AA;�GRO. 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O � � � V DATE �' � CONTRACTOR d W � WORKERS'COMPENSATION DECLARATION a � IHEREBYAFFIRUIIND[RGENALTYOFpEFUUH'IONEOFTHEFOLLOVnNGDECUMT10N5: V � Z � _IHAVEAN�NALLAIAINTAIN�CERTIFICATEOFCONSEN7iO5ElFINSUREFOPWORKERS' ¢ . S CGAGENSATION,ASpRpVIDEDBVSECTON]7ooOFTHEUBORCOOE,fORiHEPERFOqA1ANCE U Q OF THE WORN FOq WH1CH THIS VERMIi R ISSUED. � � �IHAVE/WOWtLLAIA.'MAIVWOANFRS'CONPENSATIONINSURANCE,ASREW:REDBY5EC7qN 0 37ooDFTHELABORCO�E.FORTHEPERFOFMIWCEOFTNEWORKFORNMICHTMSDERMRIS ISSUED.MVWOHNERS'COMPE'A710N1 �URANCECARRI[RANDPOIICYNUMBERARE: CONSTRUCTION �' 60L��� �(� j CANHIER_ �S— PLAN RE�/�EW iz voucrrruMo[a � L�7 C��• I7 �C��! ELECTRIC .t -� (IslSSEcnONNEWra7BE0.Y.W.ETEDanEVE%rr6RacnElalcttmDctlutsZimlantG55G .PLUMBlNG r i , ' Z ICEqTIFYTHATINTHEPERFOqMANCEOF111EWORKFORwNICNTHISVERMITI5155UED.l MECHANICAL �� ���I C7 SHAILNOTEMPLOYANYPERSpNINANYMMINER50A$TpBECOMESUBJECTTO7HE (q MIOaKERS'COMVENSA1iONUWSOGCALIFORNIA.ANDAGREETi1sTIFISHOUL08CCOAIE �NSPECTIONFEE � � � /' � . SUBJE TTOT WOFU(ERS'COMaENSATbNPROVIS�ON50FSEC7qN070oOFTHEUDOR ' — '— — 'r�r_ SU ; � q�rc�+winicaaa�rvnn� SEPFOVISi • ISSUANCE . p oaiE: � APPLIGM. SMIP . h��,�"R___ W ENERGY P/C T —TT' � WIRNiNG:iAIIURETQSECUREWORI(ERS'COMPENSATIONCOVERAG�ISUNUWFU�,ANDSN11L8E . � SUBJECTMlEMPIOYEFTOCRIMINALPENALTIESNJDCNILFINESUPTOIXJEFNNDPEDT/qUSAND � DOLLARS�flpp,ppO�NIDDITIONTOMEGOSTOFGOMPENSATqN,DNAACE5A5PqOVtDEDFORIN ENERGYPERMIT SECT70N]70eOFTNEU80RO00E.M7EREST,ANDATTORNEY5FEE5. ' RETENTIONFEE: � � _ CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � INEPEBYAFFIRIAUNDERPENALiVOFpE0.NRVTHATTNERLISACONSTRUCT10NlEN01NG�GENCY • � FOH 7NE PEAFORNANCE OF 7HE WORN F�A WHICH TNIS PERMIT IS ISSUFD(SEC.]09�,CN C.). � LENDEA'S N0.uE S � LENDER'SADOilE55 - � C W ILEHTIFYlHATIHAVEREADTH�SAPP�ICATIONMIDSTATETMATTlILABO`/EINFOHMATqNISCDFREC7. TOTAL FECS ��� �� � IACREE7000MFLYN7Tr7/,LLGIYANOCOUN7YORDIN,WCESANDSTA7ELAw5flEU76YGiODU1lDING - �� � CONSTRUCTqN,µDHEREBYAUiMORIIEREPRESENTATiVES FTNISLCUNiYTOEN7EHUPONTHE yI yI'' rL_ ABOVE�MENTqNED GROPERTY LOfl INSPECi'�ON PURPOSES. COMAAGNTSGL '�"'� D�� DI� � IM 6 � m VERMIT7EENAUE(PpINT) � ¢ � / ( � / (,/) SICNATUREOFPERMITTEE DAiE � RECP� PAID BY VALIDAT70N WHITE—Oepartment Copy,YELLOW—FinanceCopy,PINK—Assessor Copy,GOLDENROD—File Copy,GREEN—Applicanl's Copy . . .." ,-. .. . . _ � . �:i:.-• , �, . . . .., ... ._..:t..:�'-SCi�:���nn�,^` ,.:..� � . . . •C•' '-��."'. . � .. -.. ., � r..�.r..;�s.- • ��� �TY OF DIAMOND BAR; . ": � ; : • ' . SPECTION RECORD ;�.�- , � ' � .� . � . . . . .� , . . � � . � � - o � � . � . SET BACK � , FLOOR JOIST � ���- � -- FTGS/FORMSISTEEL ' FHA REQMTS ' , .; , • . : �,�; _ , , ,• , ,'-. , ; ELECTRIC GROUND ' � UNDER FLOOR-DUCT.�,' •= :, _ :,i�•;_. . ,t �;' `� , �. • � GR�UND PLUMBING UNDER FLOOR CO�IDUIT `' •1'" � .'a � C� - -- -._. SLAB GRADE �' FIREPLACE FOUNDATION . - ` ' ' TEMP POWER --- - FIREPLACE BOND BEAN1 ", � �1_1._ _ :.�1 � - WATER SERVICE MID HT.BOND BEAM 1s� � - �� � � � '' • ! ROOF SHEATHING 8 Ff.BOND BEAM ' FRAMINGNENTILIATION FINAL BOND BEAM . ' RO�F COVER -�� • - - PRE-GRADING ROUGH HEATING ' BENCHING - - ROUGH ELECTRIC - � ROUGH GRADING ' • ROUGH PLUMBING FINISH GRADING ' SHOWERrfUB TEST POOLELECTRIC EXT.LATHlSIDING POOL FENCING . . WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. ' DRYWALL NAILING DEDICATIONS , SEWER FINAL ENG. SEPTIC 7ANK 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 ;:_, 1 ;, .- ; :,, ,,�;. : �� DEV.FEES PAID FINAL PLUMBING � ENERGY `i ,— ,_ ,_ • ` � . ,. - ; • • � � • - COMMENTS � . . . _. , , - � :�= i .,--�t�, . .. --, i . . , ,. � . � ,. , . , _..,.� ,_.', �. � ti-� , , _ -'^�� r-- i' � ��, . , � , . . , .i{1Vi � � lll� � -�, ,,, 1: , r i __ ,, , : • ... • -- •- • •- -. ...-•-------- _� SEPTIC TANK SIZE " : �. - -- - SEEP PIT/U SIZE , . . � , , ,r� -�- �. ___.. -. ,r�;�. � ' , \ �\ '_ � j� � ;ti �- �— \�';,,:\`.,��1 � , - _ �� �• , . � ,