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HomeMy WebLinkAbout13697 (17) �� CITY OF DIAMOND BAR•• • � � ' Q�,�( DO� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ����` � I _,� . 2]660 E.Copley IJrive Smte 190 , (909)860-3195 Fax(909)861-3117 � PRESS ..'r^'.. . BUILDING PERMIT APPLICATION .. FIRMLY � JOBSITE /l � � � APPLICATION�n .. � PERMR J _�J� o ADDRESS �'ts' � DATE �Y � NUMBER M g ISSUE TYPE OCC APN��LOT TRACT - DATE CONST. GROUP p OWNER. p AODPESS 20NING SETBACKS . w CITY 21P TEL � FRONT p1N ❑ PPL NT - TEL REAR ❑ SIDElSIDESTREE� RW O CONTRACTOR � " - SIDE ❑ o ADDRESS S� ,,�� CITY 21P„�1��'TEL PROPOSEO USE 3�� / / o ARCH/ENG/ .;.^ � p0 ,! ks.s�l- DESIGNER - �i7 „ ,, NO.DWEL. NO. NO. , .n. ADDRESS , N CfTY ' ZIP ��, UNITS STORIES BEDROOMS v� DESCFiIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION ' p� _ OWNER•BUILDER DECLARATION � SFRlADDlREM O . . � p I HEREBY AFFIiW LNDEH PEWLLTY OF PE0.RIRY THAT 1 AM E7(EMP7 iROM iHG CONTRACTORS l4 ' Gef8A0/CEIpOR . � CENSEUWFORTHEFOLLON1NOREASON(SEC.7W1.68USINESSANDiROFE5S10N5CODE:ANYCITYOR (n COUHTYWMp1RFOUAESAVEAMRTOCaNSTRUCi,ALTEiLIA1PROVE.DEA10115H,diREPAINANVSTRUC• W P0110IDBCk TURE.VR�OR TO RS SSUANCf.ALSO REWIRES T11[APPLICANT FOR SUW PENMIT TO FlLE A SIfiNLD W � SiA7FMQfT THAT HE OR&IE IS LICEHSEO PURSUANT TO THE PROVISIONS OF THE CONTMCTOR9 Ll- CENSE UW(QUVTEH 0(COA�MENCINO VATH SECTIp�1000)OF DMSqN]OF TME BUSINE54 AND FRO- LL POOVSp3 � ' � . � , fE55qN5 CLO�O!1 TINT NE OR SHE IS EXEMPT TMEREFROM IV�D THE BASIS FOR THE N1EaED E71EMP• TION.AN1'VIOU1710NOi5ECT10N70.71.68YANYAPPtICJWTFORAPERIAITSU&1ECTSTHEAPPLIGWTTO Z Re-Root , � ACMLiENALTYOfNOTMOHETIW�FNEHUNDRE0DOl1AH3If5a01�Y. " ' ' � � � �4�dMVNEROFTHEPHOGEHTY.0111AYEMGIOYEESWI7HWA0ESISTHEIRSOLECOMDENSAiION, Cpmm0tGl31 - � �. ' �, '� YALL DO THE WORK.AND THE STRUCTURE IS NOT MTENDEO OR OFFERFn cro a.�E(SEG 70u,BUSI- O N NESS AND PROFESSIONS COOE:7MF�v+v.e....�-"'. 'M AH OWNER OF. � . . . GROPEHiY1MfOBUIL 4� LFORHERSELFOR � � � � Q 7HROU6MWSORN[I � NOTINTENOEDOq� m LL1 OfFERE�FORSKEq � , � [YFApOFOqAP�E• ' � � � �TION.TNE OWNER$l. �� � � � DID NOi BUIID OR . .. . . . ... . . F17ROVE FORTHE PU l. " ' ' � O l�dNNERC ED WNTMCfORS � ro ca+sra�cr r�i ��� courrucroas u- Vatuetbn 0�• �" ADJ.AREA ' � CENSEUWDOESNO' yw� ��� ESTHEREMI.AND . . .... . .. . . ` .. . . wNocartrucrsroA ���r �� ornecanru�o- pUANTITY DESCRIPTIOV FEE � 701i5110EN5ElAW.�.� �6' �� 'W .. ,, . . . . .. ' ' .. . . . 3 OIMIEXEYPTII `�r�l� d �RTHlSR[�150N . U . ' . . . , . . �` � I lt' DATE � � �i � L_� �' ¢ . . . F �� ������ � , � �� i,. ,. ... I HENEBYAfflRM UN�G IONS OF C/UPiER �. � � . � �� O�COWAENGNOWITM ISqN�OFTHEBU51NE45ANDOROFESS�ONSC00E,AND Z ' - �� � � �� I.fY IJCENSE�S H FULL FOHCE AND EFFECT. m J �Q' � � � UCENSE CUISS � � LIC.N0.�/ I � ` , V DA7E "�� ' CONTRACTOR W = � WORKERS'COMPENSATION DECLARATION ���`��j Q � I HEREBYAFFIRAI UNOER VENAITY Of VfRNRY ON[OF THE FOLLAWINO DECUMT 1 � Z � ' �� ' � ' ' � � �IHAVEANDNnLL►UNTNNACERT6ICATEOFCONS[MTOSEIF-INSUR[FOAWORKERS' 2 COMPENSATION,ASiROVIDEDBYSECT10N7TaoDF1HELADORCOOE,FOfl7HEVERFOfIMANCE W ' OF T/1E YVORN FOR WMKa1 TMIS PERMIT IS ISSUED. � O � �IHAVEANDWILLWIRlT+UNWORKER5Cp.1PEN5ATIONINSUMNCE.ASREOUIRE08V5ECTION - . . . .- . . . .. . 4 J7000FTNE UBOR ODOE,FOq THE VERFORMANCE OF iHE WORK FOR WHICHTHIS 7ERMR 15 � � ISSUED.IAYN9WCERSCOMPENSATIOf11N5URANCECARRIERANDP0.ICYNUMBERARE: CONSTRUCTION 1 � , _ VT y cwwea PU1N REVIEW �L� . z PaicrHUMeEn ELECTRIC d p RrassEs���r,oreecor.stFrmovnerenMrswaor+e�urorsooaunsR�m�rn� PLUMBING ' Z ICERTIFVTHATNIHEPERFORAIANCEOFTHEWORKPoHN711diiHISFERMRISISSUE0,1 MECHANICRL � C� SMALLNOTEMOLOYANYFERSONINANYMANNERSOA5T08[LUMESUBJECTTOTHE N NORKERSCOMPENSA7IONUWSOFGILIFORNIA,ANDACREET11.lTIFISNDIhDBECOIUE NSPE� IONFEE � � '"SVBJECTTOTHEVVOR1cER5'COMPEN3�710NVROV�S�ONSOFSECiqN]1 o FiHEIABOR - . - . . .. . ..� . . . cooe,i roar�nnn+con�a�r Nmm�a e n s. ISSUIWC O .<'1 - p WTE: APPLIGNi: ._ ' z JL�.1 Y � WMNIN :F ETOSECUREVAFlI(ERS'LOMPENSATIDNLOVEM NU UI,ANDSHALLBE E - GYP/C , � SU&1ECTNiEMPLOYER70CH11AINN.PENAL71E5ANDGVIlFWESU a+eMmoaEnTHous�wo. . ENERGYPERMIT DOLLARS(f f 00.0001.W bDITION TO THE COST OF COMPENSA7qN,OAMAGES AS PROVIDED FOR IN ¢ SECTIONf70eOFTHEIABOACOOE,INTERESLANDATTORNEYSFEES. RETENTIONFEE: � a CONSTRUCTION LENDING AGENCY P -•AL FEE: ' O v , � IHEREBYAFFIRMUNDERPENAiYDfPERM11RYT/UT7HERE15ACON5TRUCTIONIENDINOA(SGNCV, � ' � � FORTIIEPERWPI.IMICEOFTHEWORKiORWHIq1TH15FERA1ITISI55UEDI5EG�OV7.GV.G1. �G��` , -� LENDER'S NM1E '� ' . � LENDER'SADOHESS � ICERTIFYTIATIHAVEREADTMSMPLIGTqNANOSTAlETUTTHEABOVENFORA1�710N4StORiIECT. TOTAL FEES ' � �� W IAGREE7000UPLYMITNALLCfT`IANOCOUHTYORDMANCESANDSiA7EUwSREUTINOTOBURDIN6 � ' � � CONSTRUI.TqN,ANOHEREBVAUiFqFIZEREPRESENTATIVE50FT11SOJUNTYTOEMERUPONTME � � ' , � /1BOYE�►IEHTIONED iROPEFTY FOR WSPEGT%1N PVRPOSES. COMMENTS � � � 9 �,.�1��m D^,/�o r��n n/�f • _ QvEaume¢ � 6 y saruru c 4, �TE . � . . RECPL NO. PND B VALIDATION WHITE-0opertrnent Copy,YELLOW�inenee Copy,PINK—Asaesea Copy,GOLDENROD—File(:opy,GREEIJ—d�ppllcaM's Copy � � � � � , ., ,,, , , , , , , , ,, , � _ , ., • r, �� ., . �... .� . ,. ..,, � .. . %'� �" � �- - CITY OF DIAMOND BAR ; . - � � , ` �, ,,�. . .. INSPECTION RECORD ' ; '. ," � ' - . � . • � - • � � � � • - 5ET BACK '; . . . �'- _ ( � ��'' FLOOR JOIST�:. -.�i�• `-,�' ;'�,:�. . Ct� '� � �, � � � , . .. , , , FTGS/FORMS/STEEL `; ," ` FHA REGIMTS ___� __ . _ . ._._._. ---- .. .__ _ . . . ELECTRIC.GROUND '`.__- _ �_... -.-:.-" :--_ UNDER FLOOR DUCT � ` � . . .. � .. GROUND PLUMBING •- UNDER FL'QOR O�IDI�IT:� .�.' •�,�,=>. �. �',-� e,�, -' _'.•. ; :' . . __.. _._ . SLAB GRADE ` � • FIREPLACE FOUNDATIQN ' •��•�- �'.�:�<«t`��. •' ' � TEMP POWER - '• ' _ . .. . �. _: ��; . ; FIREPLACE BOND BEAM _ -.. - -::�1 �;..:_^,. _.�',.`' __... __.. . . . ._ ... _. �i�� Z i.`'::` '�"'�'` �`„ ,, , WATER SERVICE _ _ —; .�,. ,.; .- �MID HT.BOND BEAM- o•-, _. ".. . ' ' ... . . �. ROOF HF� biNG�.�•�- �- ,.. �:. ., -�. sFf.;BOND• EAM��. _, �t; . l,f`� ��-� .��:. �+��1�/I((�6l�E�'JL}11'�'10�1'}:-t w�•���-� �•a'.:`�. FINAL BOND BEAM � ' � ' ' _ ..._. .. _ ROOF COVER:� - ' PRE-GRADING � ' ROUGH HEATINC� . ..: _.. . .. - . - - . _. ..:......... _.. . BENCNING _ . ..._ .: � _ ._ . . . . _.._.. . , ; ,. ROUGH ELECTRIC ; � - ' � -' -��' ROUGH GRADING ` ' � . ROUGH PLUMBING"�; - � �� ' � -i - 'FINISH GRADING , � `" SHOWER/TUB TEST �, � - - i . POOL ELECTRIC � '� • � i EXT.LATH/SIDING , POOL FENCING . WALL INSULATION ! ' ; POOL FINAL � ' � - . ` `- CEILING INSULATION OFF SITE IMPS.. � � DRYWALL NAILING � I DEDICATIONS � � . � SEWER - --- --- � - -. . ._..._. _.. . __ ..'_. .. .. . FINAL ENG. , , .�,-, � . . : SEPTICTANK. .. .. ,_. _.__ �' �, _ .LANDSCAPE/IRRIG ,�.,;;.. , . , ', ; ' SEEP PIT/L.L. :: ... -- . ,,. ..: •�--xi. . ON 51TE IMPS. � �: ... ., :, GAS AIR TEST ; . -_ .. .._ _. _ . . . - FINAL ZONING � - � . ; FINAL-CONST.. _.. .. --- .... _..._ __. . FIRE DEPT.'FINAL ' ' _. _ . , i ,. , FINAL HEATING � -� � - - - - : � � HEALTH DEPT. FINAL___ _ .__ ; . _ FINAC ELECTRIC _._..... . .. __.... _ DEV.FEES PAID � ,, . _,.,; ,..... , . � . FINAL PLUMBING ENERGY ' ' ° • �• � � i . , � e� • , � � , ... . � - .; ---�� ,,�. ,,,.�..._�\ _ . '��• �.... , . .. . .. . . - . . . . ._.. .. �} �• � �'`• �. . , COMMENTS . .. ; ..: ;:�- . ,-`� , __ _ . _ _. - ; , ,i : l, , � . . � , _ � ; . . � � . . _ - - _ _, � � `;;� �. . , ; ; . , . � ' , _. . . .. . .. .. .1i .1. V. . . .. '� � • ; �' -�` \r:+;•C.=` ;�;\�.\.i� ,�.�� t ., �. . . .. _. � . � � , � ' . . , �_.��„ . .�. ,.\�\ . ~�\\\ ��\ . . - . _ . .. ... .. _ . . . _ , �. .. . , . . SEPTIC TANK SIZE , ,. .. ,� ; ! , � : , SEEP PIT/U.SIZE - . . � , ti: .- _ . � r ��> "1 1, ' � ..� �> > .�- � i' � . , � .. . �s.� .��.� 1 _ --i f - -- ' , .., , _i, � , , , � -- -- . .. . . . ' , �-l. \� �:� �� .c � .. _ . :., �. � � �:, . ��<<�.���:�.•- � � � . '� � ` , ,� , 4.��,°s�`� ..�: 1:��� ; ��� � �_ ,� �: �=-� ,�.���- . � ��,;� �. ,, , _ . `_,... . :�:. : � �_.