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HomeMy WebLinkAbout12315 % . . • _1�� __ CITY OF DIAMOND BAR�. , ' . � . DEPARTMENT OF COMMUNITY&DEVELOPMENT SERYICE� ' ,�� 1 21660 E.Copley Drive Suite 190 . ' • (909)860-3195 Fax(909)861-3117 / PRESS •`•�'.•- . .BiJQ.DING PERMIT APPLICATION '� . . . ' • . FIRMLY � oN JOBSITE . 2�f� ADDRESS G C� S .' ' OATECATION �r�i'�� NUMBER l�3 I * �1/ 1C� � APN LOT � TRACT ` - ISSUE TYPE OCC DATE CONST. GROUP �j OWNER I7 _N- �vt' UM er- _ C.... .. .. , . , a ADDRESS �'t 1 q�j��� i� iZ r�_ 20NING SETBACKS . "' CIlY r ' ZIP 4) _�2 TEL - O • FRONT - . . Ryy ❑ � APPLICANT Sn�j�s n(��tjor TEL. REAR p � � � SIDE/SIDE STREET RW p C9tVTRfl6�9R �C1 ' SIDE O ADDREy�S - ' OPOSED USE T�P � � L� � � CITy C.C� f: � ZIP TEL �0-- dp- n � � ARCWENG/ . i , .= ' ; DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � � CfTY ZIP TEL i � rn DESCRIPTION SQ.FT: FACTOR PSF ADJ.AREANALUATION ' Q . , ... _ ,OWNER-6UILDER DECLARAT1pN _.. ' � SFR/ADD/REM � ' O . . p I HEREBY AFFliW UNDER PENAITV OF PE0.R1M T/UT 1 MI EXEMPT FFOM THE CIX.TMCTORS Ll- � GHfBge/CeryOfl . . LLI GIIISEU1WiORiMEfOLLOriR10REl150N(SEC.7w7.6BUSiNE53N+0VROFE5SqN50DDE:ANYpTYOq (n � WUIRYMM101REODUiE9AGERMRTOCDNSTRUCLALTE0.�P��.DEAlOL15H2ORRECIURINVSTqI�C• W PBSidDBCk 'TUiE,CRqR TO R9 ISSUN�CE,A490 REC%11iiES iHE MPLICIWT FOR SUpI PERMR TO FlLE A 61GNE0 W �� ' ' � STAiEMENT 7TUT HE OFi SNE 6 UCENSED PURSUl1NT TO THE P110VISION9 OF THE CONTMCTORS LI• CEMSE UW(GUPiER 0(COMMEN�NO NrtT}f SECT�ON)OoOj OFDMSION i OF THE BUSiNE55 AND FF10- � PoaVSpa ' ' � .. � FE&4qNSCOOE�ORiHATMEOR5ME1S0(EMPTTTIEREFf10MANOTNE&151SFORTIEALLEOLDE%EMP• (' TION.ANYVIOLATIONOFSECTION7m1.6BYANYADPLICAIITFORADERYITSUBJECT9TNEA0DLICANTTO Z Re-Rool ' F A CML VENALiY Of NOT MOFE TW!FNE MUNDRED DOLURS(l500).�: ' . . � �IASOMMEROFiHEVROPERTY.ORI.IYEMPLOYEESWITMWA0ESA5iHEIRSOLECOMPENSA710N. 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O 1,AS OYMER OF 7HE PROPERTY.AM EXCLUSNELY LOHiMCTH6 WRM LICENSED CONTMCTORS TO COHSTRUCT THE PROJECT(SEG TOa/.BUSINE53 AND PROFESSIOHS CODE THE CONTRACT0f75 LI• VelUetipl L�2 J.AREA CEN6E UW DOE9 NOTAPPLY TOAN OWNER OFA PROPERT!W/q BUILDS OR UAPRpVES THEREON,IWD � MI/b001lTRAC'ISFORSUCHPROJECT9WITHACONTR+tCTOR(S)LICFNSEDPURSUANTTO7HEWNTMG QUANTITY� '�DESCR�PTION - � FEE � T0R4 LICENSE UW.} . - . . . . . . , . , O I AY EXEYPT UNDER EEC.� B.t P.0 FOR TNIS RFASON � Q U � p� � '. � \'' � . . . DA7E OWNER U ' , r� J _ UCENSED CONTRACTORS O[CUIRATION I w � INERfBVAFFIR4UNDERPENALTYOFPfRR1MT/UTIMIIICENSEDUNOFRPROVI510NSOFCHAPTER � . . � � f(COMMENCWGNTRISECTIONTOoa�OfDMSqNiOFiHE8U51NES5AN0iROFE5510N5COpE,AND Z - � W IICENSE 6 N FULL fORCEANO EFFECL m � 110EN5E CUSS � . . . LIC.NO. .. . ... �. �. . j � w� cor+rancron a � WORKEFiS'COMPENSATION DECLARATION a �� IHEREHYAFFIRAIUNDERPEWLLTYOfVERNRYONEOFTHEFOLIOWIPqDEQ.AMT10N5: '� Z - � �' ����� � � __IIWYEANDWILLUAMTAHACEHTiFlGTEOFCONSENTTOSELFINSUREFORWORKEqS 2 COMPEN:uR10N,ASORO�AOEDBV6ECT10N77ooOF7HElABORCOOE,FORNEPERFbR1AI�NCE W Q OFMEWOfi�CFORWHIGI7HISPERMITI5155UE0. i � ' O _I HAVE ANO WILL MMlGW WORK[RS'CaMPENSATqN MSURANCE.AS REOUIRED BY 8ECTION 97000FTHE LABOR COOE,FOA THE PERPDRrdANCE OF THE WORN FOR WHlpl THIS PENAIT IS � � 55UED.W N�ORI(EAS'CdIPEN5ATI0N INSURANCE CANWER/JlD POLICY MIMBERME CONSTRUCTION / V% � awwen PLAN REVIEW , � POLICYNUA/BER ELECTRIC . �� 0 �SECTONr�rrorre[m�Ermocncc[�aRtswna�wus000tunsa�ao�ai�ss} PLUMBING Z ICfRTIFYTHATNiF1EPERFOPMM1CFOfTHEWORKFORVMK7/THISPEiWIT6155UED,1 � MECHANICAL� (7 SIWLNOTEMPLOYAN'fPER50NNANYMANNER50A9TOBEGOMESU0.IECTTOTME � MIORIfERSCdAPENSATIONUWSOFGLKORNIA��7REETUTIFISHIXriDBECOME INSPECTIONFEE � S " 6U61ECTTOTHEN�OfiKER5COAIPENSATIONPROVISqNSOFSECTqN77000FiHElABOq ��- - � crae.i sNw.corcn�wirn wren�r vmn n+ase vrio�s�s. ISSUANCE � � SMIP. �d � p OATE: APPLICAM. � ENERGY P/C WARNINO:FMLURE TO SEWRE WOIiKERS'C06�PENSA710N COVERAOE IS UNUWFUL,AND SW1LL BE � SUBJECfMIFMPLOYERTOCwMINAIVENAL7IESANDCMLFMIESUPTOONEMUNOREDT110U3M1D ENERGYPEHMIT ' DOLURS(f 100,000�,IN ADDITION TO TME COST OF COMPENSATIDN,O�AGES AS iROVIDED FOA W JpC SECTIONl7oeOFTHELIBOHCOOE,INTEREST,6NDATTORNEY'SfEE4. � RE77ENTIONFEE: � aW.. CONSTRUCTION LENDING AGENCY pdE T :� ' � � IHEqEBYAFFlqAIUN�EHVENAL7YOfPEiWMTHAiTHER[ISACONSTRUCTIONIENDINOAGENCY � � � FOR7f1EPERFORMANGEOFiNEWORKCORNMIGITHISPERMITISISSUED�5EG7oY7,pV.C). � ,^ � \ . . � LENDERS H4ME . .. . . � . . � LENDER'SADDRE55 � ICER IFY7HATIHMEREAOTHISAPWJCATqNANDSTATETHATTIEABOVEwFpR1MTqNISCOqRECL TOTAL FEES , � � � IAO ETOCOMVLYWITTI/�LLCfTYIWDCOUNTYORDINANCE9ANDSTATEUW$RELATNOTOBU�DINO i � � � TRUCTION,ANOHENEBVAUi110HIZERE7RE5ENTATIVESOFTNISCOUNfYTOENfERUPONiHE _.. _ . , �MEMqNEDPROPERTVFORINSPECTIONPUIWOSE3. , COMMENTS ' m ��M `" �IOI . , . � VE ENAME(PW . . . .. .. . ... . . N y Sb TUREOFP DATE �, � � . _. RECPT.NO. " PAID BY VALIDATION � WHITE—�Departrnent Copy.YELLOW—Flnance Capy.PINK�Aseeesw Copy,GOLDENROD--Fik�Copy,GREEN—ApplicanCa Copy � ��� - � � � . ��.. .. .. ..............,...�,� ...... Y.�...F.......�.. � �. � � , . , ' , . .i. ' . � . . .,, .. ... . r1,. r'Y��I• 'a,/� � "'t..r�'. ` Ir• �,'1' . ., .. • � . , .. .,i , i,N �'�i'•. . . , � . . ' CITY OF DIAMOND BAR,-,�,, .,,;�,�•�;-. �� - � �,��� _��v�._ .��,: :INSPECTI�N'RECORD��' . � .. ,,. . ::._�, .. , � ,_ . � . . . ._ ; , ..,_._. .-. • . .j;_� �, , � , . . . � E. � � . � - � � � . � . SET.BACK,��' • ;_:� ��. � , , � , .. -•J ; , ,.. ,,. "FLOORJ015T �., ' . - .,I•I: , ., � ,. ,; , � : " FfGSlFORMSISTEEL , � ' FHA REG�MTS- __. .. � •._...� _ .--- --.. . ... .-----.--.------; , _ELECTRIC GROUND- -�. ._-.:` -. -� _ "UNDER FLOOR DUCT �.� ; -� � ' GROUND PLUMBING ,�• "� ` �' . UNDER FLOOR CG�IDUIT' :� _ •_ _ ,- .,� �, ; ;;' ';(� : :, ; ;.: SLAB GRADE-. ----- � ---------- -- -- ._ . _ ..;,._ I FIREPLACE'FOUNDATION ��: -`' �'.• _.: _ .__:.':,,...1 •y,,- ; .. �. - . �.--- ... . TEMP POWER -- - '�.• � ----... ._.. ,. .-.,;-._: . � FIREPLACE BOND BEAM -:_: . "..."..:_ _.'; . . . -----. -. _ . ...' ' � . .._._ ._ ... . . , , . ....:_.;......, , WATER SERVICE:::.=_--=-. :-:::_.-.:�-::_: : _.__.._.. .-.--. . . . - .. :MID HT.BOND BEAM -_ .. _ -. ... . _� .. _: . , ��� � � ROOF SH�ATI-YING�-'.-_ _c.:' , � . .._..._ . _ ._. _._ -- -_,.. . . �i' .c. .. . ��. . r ' -' ' S�FL�OND BEAM : i_; FRAMINGlVENTILI�TION � . J �FINAL BOND BEAM `''� '-'�- •, ; ; ' • ROOF COVEFi.''", , _. .`. _ : 'PRE-GRADING - - _ _. . __. ._ _. , . ROUGH HEATING-�- ; ---- . - _. ... . __ ._. _..___ _. -BENCHING . .. .. ._ . ., �r .,, � � ROUGH ELECTRIC -� -' '- - � ' -' = ROUGH GRADING - . _ . , . ROUGH PLUMBING ,-- -- ---. _...._ _ . ...--- ...... .,. - - �FINISH GRADING , . . , . .<.. „ ,. . ,� ; `. SHOWER/TUB TEST i- -- --.. .--: ,-- :_: -__, ;_ _ , -POOL ELECTRlC : :- ,.: ..�.. ;. .,: ... .,,• � ; . EXT.LATH/SIDING - - - -- - . I .. - . FOOL FENCING ' : . ;, , _ � , � , WALL INSULATION � � � POOL FINAL - � . �• '. ',, . � � • CEILING INSULATION � � . . OFF SITE IMPS. ��. •� � 1� , f t DRYWALLNAIUNG i � DEDICATIONS' "' ' ' ' � :.,._„ SEWER. . -- -.. ----- _ FINAL ENG. � ' . . , , . � - --._ . _ _ .. _. 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 ENERGY � - � , � � � j � � - , , ' "a�e e . , ... _. . .... • . , _ � , , , i .. . ,. . , , _ - --� -- -- ..._ _ , _ _ _. - ___ _. _ ._ „ •--- _,. ... ,-.: . _ .. . . _ - . , COMMENTS - , ,.. : . . ,. � . . � , . - - -- -----! - . ._ - . . , . . . ., , , - - ------.. _. . ._. .... , , . . . � � . .--- --� --- -- _ . _. ... _ _. . . . _ _. . , , . . , __ -- -- . . __ , , , . ".�'`. � . .i . .._ . ._ . 1 . „ i � . , , .'. � � , - � .. - - -- . _ _ ,i. �`,`f _ ,�. , . , ; i _ _ . i • , . � � , , , , . .. . � _ . - -- -- — . _.. ... . ._ . , , . , _. . . ._ _ ..�, . . , ' ; „ � , „ . � . .. ,._ � .. . � -. . , .., - - . _..__.. ,, .. . , , _ , `, . . , . . . . I , •-- --• ,.. . �� __. _ -- -- - . , ..... . �,�', ;p -..�" � , � , , ,.„ SEPTIC TANK S127E�`"-'�`""---��� ' I ` � _ _. i ; � . . . ... . . � .- , i i , , _ � � . . � . SEEP PIT/U S17.:..�.,_,,,,. .:�.,..,,,. , , . , „. , ,.-_ , ,. ..��, _.... . _ �. �h�' r � / I � _ ., .; � , •'! .li, �I , ��, � � � . ., . .. . � . . . ., , , .� , � , , . � . ! _.. .. _ f _- ..:1 i ( ! � �� �- - - - .. _. __._ ......--- i ' _ ---. .._ --- � ' ---. _. . . , , i � ..._ . . .. _. _... .._ __ ._ _ . .... , , . . �i j ..�' .- -. • ' � � .�, .:.�. .'., .." . , � , .. � . �-., ' ��. . � � / � . • '.;. :'.'� ..i.... .. . ' l _ .. � ' y ,�, � , , � . . „ � .ir �. � .. .. I , ._. . ....__ ... _... .. ..._.. . � .. ' . I I '_'_._ ` I �. __. - . . . .. .. � � � - - -.. ....... . � , ._. . . , ..- - .. .... .\�-- .. _'_' . �. , . •-. -� �� � .-- + "� � -_.. .. _. _ ._. - . --'..._..... ..-- - ' , . . .—_., ,�� .. • , '1 ' � � . : ',_\'� �„ _. ... i . . . . .��\ �� 1 . _... ......_ _ ........,. __ ,. . ., , a . ����. ,� , , \ \ I