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HomeMy WebLinkAbout10039 (5) CITY OF DIAMOND BAR • ' '� • � COMMUNTfY DEVELOPMENT DEPARTMENT �..c zi�o�.co�i�y�RY�s��c��90 PRESS (909)860-3195 Fax(909)861-3117 ''"'� BUILDING PERMIT APPLICATION FI RM LY � JOBSITE � C{S O •i(JG +L�' DATEICATION NUMB R /� k� Q ADDRESS 1 .L � ISSUE TYpE pCC � APN L T DATE CONST. GROUP p OWNER � p ADDR SS � ZONING ACKS , � CITY ZIP TEL REART Rw p APPLICAN EL. SIDElSIDE STREET RW O � CONTRACTOR SIDE ❑ � CITY Ev ,ZI TEL. PROPOSED USE o ARCFVENG/ � DESIGNER NO.DWEL. NO. NO. = C'DTD�RESS ZIP TEL UNITS STORIES BEDROOMS � cn DESCRIPTION SO.FT. FACTOR PSF ADJ.ARElWALUATION � OWNER•E3CiLDER OECLARATION , . p SFR/A�O/REAA'. _ p I MEREBY AFFIRAI UNOER PEN�iTY OF PERIURY THAT I IW E%EMPT FROA1 THE CONTMCTORS LF G8180B/C:BtpOR �- � � " ' • W CENSEUWFORTHEFOLLOWPIOREASONISEG7Wt.5BU5WESSANDPROFES510NSCDDEANYCRYOR . 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' 0 ❑IAA1 EXEAIPT pNDER SEC. 8.l OG FOR TNIS REASON � U ��{ • ZOATE ONMER - U �¢ UCENSED CONTRACTORS DECLARATION w 2 IHEREBYAFFIR4UNOERVENALTYOFPE0.ri1MTNATIA)ALICENSEDUNOERVROVISIONS TER Vr "'���� ; '� �1- .�� � � � ��MMMENCMIO SEC qy7o0o�OFOM5qN70FTMEB INESSANDPROFES S ANO Z - - , �� MY LICEHSE IS IN i FO E1ND EFFECL +� m ��J 0 UCENSECLASS � UC.NO._I����f=)�' � V DATE� CONTMCTOR—r� 6J. W � WORKERS'COMPENSATION DECLARATION � I ¢ � IHEREBVAFFIRMIINDEHVENALTYOFPEiWMONEOFTHEFOLLAWWODEGIAHAT10N5: 7 '��/ U � _IiUVEANDNMLMNN7AMACERTIFlCATEOFCONSENTTOSELF•WSUREFORMVFKERS' � WMPENSATION,AS VROVIDED BY SECTqN I100 OF iHE UOOFi CODF,FOfi THE VERFORMANCE Q OFTHEWORKFORN711CHTHISVERMITISISSUE�. � f` �' �1 . 1 _IHAVEANDWILLMAINTAINWORKERS'COMCENSA7pNM5UMNCEASRE iiE08YSECTION � 97000F7HE CODE,fOI THEPEHfORMM10E FTHE pITHISFERMITIS � 65UED.MV ER' VIR 10 NS CA RIf Ml� YNUMBERARE: CONSTRl1CTION � CARWEF I PLAN REVIEW � OOIICYNUTABER � ELECTRIC � � " _....,. . Z . J Q / � (fHssECf101+FLmN07BC00�.slE7EDOF7�[PEaedTsit7li ` � D0.WlSRtao) �( PLUMBING. Z ICERTIFYTHATINiHEPERFORMANCEOFiHEWORI(FORWHId1 •+P IARISISSVE0.1 MECHANICAL U' SHAlLNOT EMPLOYANY FE ON N ANY MANNER SOAS TO BE E S JECT TO THE (n WORKER5COMPENSA WSOFCALIFORNI/�NJOA6REE T SHOl1LDBECOME INSPECTIONFEE SU&IEGTTOTHE ERS PENSIRqNPROVI5qN50F .. 17000FTHE f1 O .is a n� aaairwin�nasevrowsaN ISSUANCE p DA7E: A 'LICANT: SMIP � ENERGY PIC WARNINO:FARUR[TO SEGURE WORKENS COMPENSATION ODVERADE IS UNl/IYVFUL.ANO SHALL 8E �y SUBJECT/WEYDLOVERTOCRIAIPIALVENALTIESANDCMLFINE3UPTOONENUNORCDTHOUSAND ENERGYPERMIT DOUARS(ltaa,a0a),N 11DDIT10N TO THE COST OF CqAPENSATIDN,OAMAGES AS PROVi0E0 FOR IN J SECTqN]70eOFTHELA80NCO0E,NTEREST,NI�ATTORNEYSiEE3. R�ENTIONFEE: � oCONSTRUCTION LENDiNG AGENCY PRE-ALT FEE: ' � IHEREBYAFFIqMUNDERPENALTYOFVEiLNRYTHATTHERESACONSTRUCiIONIENDW6�6ENCY ' FOR iHE PERFORYANCE OFTHE M'ORK FOR VAi1CH THIS FERMIT IS ISSUED(3EG]OG7.CN.C.} � . , ' � LENDER'S NMIE , � LENDER'3AOORE54 � IGEHTIFYTIIATIHAYEREADTHISA7PLIGITIONMIDSTATEiW�TTMEA90VEPlFOR4ATqNISCORR[CL TOTAL FEES . ' � I/W REE TO COMPLY WRFI ALL CRY iUlD COUMY ORDPIANCES AND STATE UWS N W 0 TO BU MG � �. , � TRUCTION,ANOHERE9YAIfiT10HIZEREGFESL�NTATNE50FTNISCOUNTYT E ERUPON E YE ENT EDVROOERTYfORINSPfCT10N E5. COMMENTS � � m PER►uTTEE IvWHij . . 6 tA ' � BtONANREOFVERMITTEE UAT � � �. c: �..� . � ' C• .c...- t. •.: •• ;•". �' ,r. RECPT.NO.. ' PAIDBY VALIDATION WHITE—DepaRment Copy,YELLOW—Fhanee Copy.PINK—Assensa Copy.GOLDENROD—Flle Copy,ORE N—AppllcenCa Copy +ar.Y,� ,r� . .. ..•.r,�. ;�.. � ��h��7„��� J,y�,`,y, � ,.� �w..��-Mr(���+�'J: ��/�i''T7;�:�::?'laq..:. � q.N,,,v N.:-•`.t �cr•:f.'�,,,y�,.:;�.-:.a:'xr ,r,r ..^+::H,...�.,. . ,. . ... .�-...__.._ ^,7� , ti., st�`s;.��}-r'r: �d:�� , , ...� _ f' , _ ;, "'t :+���.. .rx. i` r;r�. . � CITY OF DIAM�ND E3AR ':'; :. ,., ;� r -� � , :�� . , . , , � , � . ., � �,�� i � , � � ;.:�;: . , . INSPCCTION REC�RD ;';':: : ',,. , ., ' . -. . �'�-- , , , � . �. �� , il�.k-�:�3��l�lo�i�� .', �.��� �'I�_f-����`��I�� ; �� �:i: c o '�� � e►� iG?1 �> �I'���:�c�i�a�-��. � ...�.`-.�._•___.�.�....r ,...._�.,.�:i_ __..:.y_:�.+.:$i�:�_� __ �v;,l_.!_.�.1��___,.�- `...:.:_�^ _. . SETBACKv_, - ,; ,;. .` .���,�, \��, FLOORJOISTJV - - _. ._ .. - ---- -- ��--- --- _._. . . FTGS/FORMS/STEEL-. . _ � FHA RE MT�S�.-�: _ �.���:.f� �) ��. { _... -�- �. - ; ,•: GROUND PLUMBING I � UND�R F�L�O 'C('��I UIT c1(' `��}'-, 1'��';''i'���i'� . .. ELECTRIC GROUND UND �LbOH DUCI'�, � ►� J��r;:� , TEMP POWER•-- , _ - - �FIREP�AC��Bd(�NDATJON` e •., c� -- � ' �, T�-- �� _... " : � . _ :.. . . _ . _ d'���i •;� °':�%T�`i._. �r ��. . , - t .� . �. : � /' � WATER.SERVICe.-�>>-'.� `• ---�- �_'t �-`, }1 ��� MID HT.�On?D•�iEl�P1�� '�, 9 } �� ' •, �,: � �(J .,� �, ! :.. - ROOF SHEATHING�� - �-� � � 8 Ff. BOND BEAM � � ��` ! ; FRAMINGNENTILIATION `. � FINAL BOND BEAM � � - - � ��� � •: �•, I ' : _ _ , ROOFGOVER.__ ..:..-._:. -- --. _ . .. .._ . PRE-GRADING _ . �, . _ _ , ;;,, � ROUGH HEATING ' �- � `' - ' -BENCHING , I ! ; _-�----`� , 1 , ... I : , :' . . , , ROUGH ELECTRIC i -"- �111�� �� ROUGH GRADING , ! ,. ROUGH PLUMBING-�i - " - -- FINISH GRADING SH�WER/TUBTEST � ' - �-�� ---. ,� POOLELECTRIC EXT.ZATH/SIDING -� --- -- _ - ._ _ . � - POOL FENCING ;,, . � . � WALL INSULATION � POOL FINAL � • ! -- CEILING INSULATION OFFSITE IMPS. ' ' ' ��� DRYWALL NAILING ; DEDICATIONS � SEWER_ - . ' _ . _.... ... FINAL ENG. , . SEPTIC TANK:. .... .. �` � ' . . LANDSCAPE/IRRIG. . , SEEP P1T/L:l.;:--. . �. _ � n " ON SITE IMPS. ' � GAS Alf�TE$T��i�:1:�7• ,•' � . ��1)�:� ��j�"+�—� FINAL ZONING • � - „ _ � ` •�.l}����� �" '��`n .�� FIRE DEPT. FINAL ' � FINAL'�.CONST:-'_t. ,..� . , �� .� � ' , .. ;-� -. _. . , _ . FtN/1L�HE TINCL i�`�'��! =� ��r�: '' ''�t-�—� HEALTH DEPT. FINAL - � -, ' FINAL ELECTR�C . - �J(Jr-'7 - DEV. FEE P.eID � , . • . �� ,: ; ' FINAL PLUMBING I ENERGY �� t- ��� � /� ' • i , ... —�'�t_'(,�'�(; � � � �>. � ., � ,t3 :�r'�G��,c'�+i�. . ..��� �C � ; . , � -,.., , . , ------ -- -- --- . _. _ � :'� r, .� , . . 11 � �.. . .l `, \�\�_ � .f' . �: . . I , ,�� . � ,. ' COMMENTS . � . �,: ,.• , . . , --- -. --._ _� __ --- , . _ _ . , , , , , .. � � , . _ . . _..- - - -- -... ._ ... . _ .... .. . , ,.. -- - �} .. ,.` � . �. � . � ,. . `\_, ,-,, � _ , , . � . ���4;�i-,�-��'����'� r1 .�,�G`�� : , . ' . _ ��_ .._ � :�. _ , ` _. 11'\ L ��) Y��;��f./v', , _. _..-- . ..__ ..._ _ _ . : . � . ' , ' �� ._ . . . ; '` , .. , i i� J '\ . ' � . ' . � "�.. . , � ' � - �1�` \- -._:� 1 .. . ._. �i \. ..e : � ,, _.. - �---. ' _ i < _ ..... .--- . _.. _ _. ; . .. � , �i .. . �� . � i ; � � i.. , � , , � �. . � � � � -- . . , , SEPTIC TANK SIZE _ . _.. i . _ --, , ` � .._.. .-- - - -- -._ .._ _.. ._.. . . � i . � ,. . . � SEEP PIT/U SIZE - _ . ,. � , . . „ , . . , , _ . �i , . . ..._.__._—. _. . ... _. . , , , . . , „ , i ,. . . . �. - --- � :- ' � .' 1�' . _ . . � ... ._ I -.. _ - - ,� ; . ��-�_.�. , i , ; , � _. . _ - -- -- - _ - �, i f - , , . 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