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HomeMy WebLinkAbout11709 (5) --�� ._ CITY OF DIAMOND BAR '� : �.:: � . ... DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES ' � �,� Zi�oE.c���y�;��s��i90 • . . . PRESS . •..�*».. . .- BUQ,DING PERMIT APPLICATION . FIRMLY N JOBSITE /�,,/ w J� APPLICATION Q PERMfT 1 /7^� P/C(�f� � ADDRESS���� CT�/L�iV S�/Q/h�C�rS !/.P r DATE 1 � NUMBER� N ` `� ' � APN LOT - TRACT O ' - �SSUE---�� //�{o TYFE , OCC � DATE CONST. -' GROUP OWNER 7 �� " ADDRESS i D ZONING SETBACKS � • "' CfiYC'LlQBE'f�ow//.� .�j EL � � p FRONT RW ❑ � APPUCANT �,/'F/31�- C1qRT/�JfEL � SIDElSIDE STREET RW O � CONTRACTOR GC. C SIDE ❑ p� ADDR SS PROPOSED USE RE � CIIY ZIP��TE � ARCWENG/ �^ . � _ � � , DESIGNER G NO.DWEL NO. NO. ADDRESS.QZ�S'c, _�:/L�(� LY�.-.. UNITS STORIES BEDROOMS �� cmr Gl�.ii,T. ,a_ ziP� � � - N DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � „ . . OWNER•BUILDER D�CLARATION ,. 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MiHOVE FOR THE PURPOSE OF SALE1. W OL�4CNMFROFIHEPROPER'TY.IWE%QUSNELVCOMRAC71N�N7TlIlICEN5E000NTMCiORS � TO C9NSTHUGT TME P�ECT(SEG 7oN.BUSiNE39 AND GROFESSiONS COOE:THE CdRMCTORSIF V01Ueti0n A0.1.AREA � CENSEUWDOElNOTAPPLYtOANONNENOFAVROPERTYMhqBUILD50R61PROVESiHEREON.AND W1qCONTMCTSFOH5UQIVHWECT5WIT1A00NfAAC7W1(S)LICENSEODURSUANTTOTXEOONiRA6 OUANTITY D CRIPTION � FEE � lOF6 UCENSE LAW.I. . . -.. . . �.J . . . . O�NA EXEYPT UNDEH SE0. B.�P.0.FOR iM15 REASON - Q �• � � . . ... ' . . u' pATE ' OYMER V ' � J LICENSED COhlTRACTORS DECLARATION W � IHEREBVAFFRWUlOERPEWIL7YOFPERRIRVTHAT�A1.�LiCENSEDUNDERPR0H510N50FCHAP7EH V. ` � � (� ��(.VWIENCNOYVfTHSECTqN70oo1�DMS�ON70FTME0u5ME55ANDPROFE55qN5CO0E.�ND Z ' X WLIC£NSEISNFUILiORCEANDEFFECL m .. . �-'�,�•�.• - _ � / � � LICENSE CUlSS�� ..... LIC.NO. • D� J v o�� S—/9— corrrrucron _IGl1 �- W � � WORKERS'COMPENSATION DECLAfiATION Q � U N IHEREBYAiflRMUNDERGENALTYOPGERNRYOPIEOFTNEFOLLOWMGDECUMTqNS. � Z � Q � _IINVEANOWM1IAUMAINACFHi1FICATEOFO0N5EMTOSEIF-INSUR[FORWOR1fER5' 2 � COYVEN5A710N.I�SVNOVIDEDBYBECTIONJ)DOOF7HEUb�1CO0E,fORTHEFEHFORM�NCE " W OF THE WOR1C FOR N'NId1 iH�4 PERMiT t3ISSVE�. � 0 �1 HI1VE AND NALL YAMA:N WORNERS OOMPENSATIDN INSURANCf,JS REOUIRED BY SECTION- ' Q f7000FTHEUBORCODE,F0ili11EPERFON.UNCEOFTNEWORKFORN1ap1THISPENAi715 7 ISSUE�.MYIYDRNERSCplPEN5A710N cec�rie���y�p�oaicr �nan¢: CONSTRUCTION �_�-_ �,_,���7 • � � GRWER � •Y`" • G.v PLAN FEYIEW , `11�1 Y � ro��crwuaeEa �' '�� ELECTRIC , � �nusccroNr�mr+�ieem.s�FrIDaFnfrarRrcroaar��urnmoou�nsR+a)a��ssl PLUM8ING _ . .. ' Z ICERTIFYTUTNTH[PERFWU.IIwCEOFTHEWORKfOi1WNICHi1115VEiWiT1565UFD,1 MECHANICAL _ - � y`"�� - - (J SFfALLNOTEMPLOYMIYPER.+ONNANYMANNER50A5tOBECOMESV&IEGTTOTHE • . � � WORKERSCd��PEN5AT10NLAW50FGLL�LORNI�ANOAGREETXATffI5/qULDBECOME INSPECTIONFEE:' S ' 6UBJECTTO TMEMlORKERS'Cd.1VENSATqN Pf10V1510N50F SECTION 770o OF TME UBOR �SSUANCE / � �p COOE,I SMILLL FOR7HWrt/1 COMPLY WtTH iMOSE VROVISbNS. pOATE: � APRICANi: SMIP . � • �0 . � ENERGY P!C WARNINQ FAIIURE TO SECURE WOflKEHS'GOMVENSATpN COVERAGE IS UNUWFl1l.l�ND SHKL BE �x LL SUBJECTANEL�PLOYERMCRIYPIALOENALTIESMIDCMIFNESUOTOONEHUK1REDiHOUSANO ENERGYPERMIT �7ii � � �`�� - DOlLAAS(f l00,000),N ADDITION TO iHE COSTOF W4APENSA7qN,D�ACES AS PROVIDED fOR IN j i� � SEttqN]7oe OF THE LABdI COOE.WTEREST.AN011TfORNEY'S FEES pE7ENTION FEE: , . pW., CONSTRUCTION LEN�ING AGENCY PHE•ALT FEE: � IHERE9VAFFIRMUHDERPEN�LiYOFVERMivTHA77HENE15�C�N5TRULi10NtEN�P10AGENCY FORTNE PERFOiVA�1NCE OF 7HE WO�K FOR WHICH TNIS DERMIi IS ISSUED(SEG 7097,qV.G� � �� � IENDERSwWE � � C IENDERSADORE55 � � ICERTIFYTIATIHAVEREADTTIISAFPLIGTIONANOSTATETW�TiM[IIBOVENFORMATIONISCORRECT. TOTAL FEES ����� • � 1 ACREE TO COUPLY x77H ALL CfTY AN�COl17iY ORD�NaNCES ANO ST�TE Ux5 REIAihI�i0 BU0.DIN0 , ppNSTRUCf10N,AhDMEREBYAUM1��ZEHE7RESENTATNE50FTH15COUNTYTOFNiFHUPONTHE . . .... . . S� �BpVE�YENTIONEDVPDVERiYFOpINSPECT10NNRPO5E5. COMMENTS ; _ � r� • /`rf��� m r�� � /} � � iFfWf7TEENA4 / _�� !=/�y�� . . . . � � � A��� � � // �_ . (n bqNAi FE TE DATE � . RECPT.NO. '� PAID BY VALIDATION WHITE—Departmenl Copy.YELLOW—FNence Copy.PINIC—A7fes5or Copy,GOLDENROO—fila Copy,GREEN—Applicant's Copy ,. . . .. ,��.a. , . � ,..n � ,a.v: +. , , • . . ' . . �. , .. . , . , . . ' , '.!" ,. . ,-. � . .. . ... . . .- . , .� � .. . � ��� CITY OF DIAMOND�BAR��_; � ,::�. -, � < �'� •..... .. INSPECTION REC�RD':�... : - , . . � _. � _ . . .. , . ..,.. . . . _ _.. . _ ; r� i -� ' • � � • - � � � � � • - SEZ"BACK' „ . ��, � =' , . �� . � .� .� , ., . FLOOR dOIST ; _ �,�.i•�' ` -\ \'•'=\� • i � , ,. , , .. . . . . . . . FTGS/FORMS/STEEL "�,. � .,\ ,�,. • FHA REQMTS--;., ...� .:;;�. ---- _. . _ . .• .- -.'- --.._..-- - ! ; . .. � _ ._. . . ELECTRIC.GROUND_-� � -�-__ -- � ��'_ � .UNDER FL,00(�'DUCT.,' � 1 '' - '� - � � � GROUND PLUMBING � UNDER FLOOR C01�DUIT��`•' ��:.•;=•_ <_ :�, ?;�::.' ' _ ., , SLAB GRADE- -�--- - ---- - - � FIREPLACE FO DATION.�� `'• `:'�)�•\��. ._ . .��.'!�� � ! . TEMP POWER-�---- ' - -- -- :. ` :: I FIREPLA�E BOfJD BEAM' ..�. : - . . -�'. .•�, _ - - --... . . .. . . . . , 1NATER SERVICE-- - - -� . � .� - - - - - • MID HT.BONp�BEAM:' - - -==�--� `• _- - ' i � ROOF SHEATHING' '�`- -- ' '- ` ' ' S FT.BO{VD 6EAM - �. - ' - . _ - .� i� FRAMINGNENTILIATION . FINAL BOND,BEAM _�, .. - . . '�•,'•. :� =:• -� ' ROOF COVER ` . " PRE-GRADING• .�.�:� � --� � :•� � . _ � -• ROUGH HEATING-- - -- - -- -- --- -. . .- - - -- BENCHING; . �. __ �� .. ;•_ �;� . t�_ .,,`,_. .. r�., ��- ROUGH ELECTRIC ,- -� - - " - � ROUGH GRADING ! �= ROUGH PLUMBING- ;---- -� � -- � � FINISH GRADING •. SHOWEWTUBTEST�- -- ---- � �� . �= POOL ELECTRIC � • • . � � ��• EXT.LATH/SIDING � : � POOL FENCING ' � ' ' WALL INSULATION • POOL FINAL - • � �� i . CEILING INSULATION , OFF SITE IMPS. • • � • ! � DFIYWALL NAILING DEDICATIONS ' '• � , ; , . . . , SEWER __ ' '- - -- FINAL ENG.• . . ..: . � .. -- --.... __.... -- - - - SEPTICTANK_.._. ! ._ _. _ _.._ ::.._... _ . �.-- - - --. LANDSCAPEIIRRIG. � ' SEEP PIT/L.L.---=-== = -------= �� .= ON SITE IMPS. . � ". . � . . GAS AIR�TEST• ---- •-� -�-�--- -- - -- � FINAL ZONING • ' ! �.' FINAI-CONST. . - - - 2� - - • - FIRE DEPT.FINAL ' - - - � FINAL HEATING � --- -�� - -- -- � - HEALTH DEPT. FINAL . : . � ' - FINACELECTRIC --- -------- - - . . DEV. FEES PAID - _ _.. .. - .-----.. FINAL PLUMBING ENERGY • - � � � =.S-z�p �z' ' _ �. .� .. . . - , � : , a: ��^ Q _ . ,_ < <;. _., ,-,-- - � . \.�• � •�.i.J -�+�-..�...r��.. . .. ._ {. . . • � .� _ _�_ _ _ .... _ _ . ._ .. . COMMENTS - - - � . � ,- ... : ,.., - - - -- -- - - - -�---. , � � .- -- - -._._ ._: ._.. _. . . _ . _ . , ! - � , � . ..--- . . .. _� - -- - --- -- - - - ' = �, _ `='.'.._��L�, .. . - � - I ; . . . � '� .` ' ` � , .......-- -- -- -• 1 � '.: _ . .. • . -��s:��� - . _ .,, ,��,.---:'-` . . .��. . � j . "�, ., �� -- -- - - - -- - ' � i _ -_ , . . � - � _. . - -. . . ... � - - . ; � � , .. ! - -- -s�- � - -- - -- - - - i . ,� , � � • c� ... • , ��� • ' � . _... _._.. . .... . __ ,< < . � SEPTIC TANK SIZE � � �~" .. j i � - , � • • ; �- SEEP PIT/U SIZE � , , . . ;. �. �l _ .. - . . �, ; . . .. . - , . . _ :.-_. : . :. . � . .- - - -; I .. .. _, � - - i �� �: . , .. , .. , � � . . , � � i - - - - .._ . _. .._._ , � -- ..,� �, � i : . , . _ . __.. _..- � .-�- . - - - • - � -� � .�; ; i . �� ��� � � � ' -- -- � . ,�l `� - -- _ - � - • - , —� -— - , ;. .- _ ; ; , r