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HomeMy WebLinkAbout12208 CITY OF DIAMOND BAR '� � � -�J� --- DEPARTMENT OF COMMUNITY dc'DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 � � (909)860-3195 Faa(909)861-3117 PRESS � ���*��� BUa.DING PERMIT APPLICATION . � � FIRMLY 4 ADDRESS a o 9 4 q �J 4 � �+ DAT�CATION �r � NUMBE���� R� � APN LOT- Z TRACT S � �SSl1E TYPE OCC DATE CONST. GROUP p OWNER � "- � ; . �• �ZONING SETBACKS � C TM ESS � GS ZIP TEL.�� 6�.H y3 - FRONT RW ❑ APPLICANT Z�Z$'TEL. REAR ❑ � SIDEJSIDE STREEf : RW ❑ CONTRACTOR E 1� SIDE p � ADDRESS PROPOSED USE CITY ZIP TEL o ARCH/ENG/ • . . � DESIGNER � NO.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS CIN ZIP TEL � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � OWNER-BUILDER DECLARATION � . SFRlADD/REM O p 1 HEREHY/FFliql UNDER FENALTY OF PEfWRY T/NT 1 AM E%EMPT FROA1 ME CONfMCTORS LI• GafBpB/C8fP0A . 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' � TO CONSTRUCTTIIE GR?1ECT(SEG 7ou.BUSINE55 AND PRDFESS10r6 CODE:THE COFliHACTOFS LL V81Ueli0n - ADJ.AREA CEHSEU{WDOE9N0'TM7LYTOANOVRJEROFAPROPERTY1NqBUILDSORMPROVE5TIEREON.MA YNIOCONTRACT9FORSUCMPRDJECfSWiMA00NfAACTOf1(5)LICENSEOPURSU�N7TOiNECOH�RAG OU ITY DESCRIPTION FEE � TWi8l10ENSEUW.J. ..... . _ . . 1�J� /� M �r1. 1w '(' OIAYExEMPTUNDERSEG � B.IV.C.fCR7NISREA50N �. � � � lV(J !'�,_•� I1 Y� (�+�1 •1 'I� u" pATE OMMER V . W , 4 410ENSED CONTRACTORS DECLAFiATION W OC IHEREBYAFFYiA/UNDERPEWLTYOLOEiWRVTMATIAYLICENSEDUNDENPROVIS10NSOFqUPTER � Vr � �(COMYENCf10YYfiNSECf10N7000)OFDMSION�OFTHEBUSINESSAN:)PROFESSIONSCODE,AW � Z W LICENSE 45IH FULL FORCEAt�D EFiEGT. _ m , � UCENSECL/�S�S GLO . � � LIC.NO. � , � ' � DATE�ilJ� � . .. CONTRACTO � WOFKERS'COMPENSATIONDECLARATION 1�I� � �� IHEREBYAFFIRAIUNDERVENALTYOFVEiWFTYONEOFTMEFOLlOWW6DEClAMi1DN5: ' � U - � N Z Q , � __IMAVEANOWILL4ARlTAINACERfIFICA7EOFCONSEMTOSELFdNSUREFORNDRKERS' 2 COYPENSATqH,ASGf10ViDEDBVSECiION]7aoOFTHELADOiiCOOEFOR7HEVERWRWwCE" U � OF7HEV/ORKFORNM1IIpI7HI5VERMITI5155UED. . � C ��I HAVE ANO H�LL MAIMAM WORKERS'CdAPENS1T10N INSUAANCE.FS REOURED BY SEGfION Q ]7ooOFh1ELABORC00QFORiHEPERPoRAIMICEOFTHEWORNFORNM11Ip1THISPERMITIS ISSUEO.WWORKER5C01ICEN IONWSURANCEV1AFIEFANOPAIICYMIMBERME: CONSTRUCT�ON . � CMRIER � ��1C 1 Ka►�, PLNJREVIEW - ___.— _ .... � � VOLICVlri11ABER���,'�[2srLl�1 D Z��`��1 E� � i7 e u v , 0 (RGSCCifO��NFIDrqiBENM;FfmOF11EPEp.lT6PoiiChL�a.lDRm00t1/ASR•�10RLESSI VLUMBING Z ICERfiFY7HATNTHEPERFOFUTANCEOf7HENVRKFORwHICHTM6VEiWITISI55UED.1 � MECHANICAL ' (7 511ALL NOT EM7LOYANY VERSON N IbYT AW7NCR 50 A5 TO BECpAE SUBJECT TO THE VJ YMDqKER5C01APEN5AT10NUN50FCJLIFOfUn�ANOnGREETUTIF15/10ULDBECOME INSPECTIONFEE SUNECTTOTMEY�ERS'OddPENSA710NPROV15�ON50FSECTiON�7ooOFTNEIABOR �� � � � � � � o wo�.� Fo�mn�n coua�vNnn� varnnsaris� ^ ISSUANCE ' l� 1M� SMIP p DATE� u APPLICAM. _ V . .. . . � W ENERGY P/C W�RNtNO:FA0.URE TO SECUFE VIOHKERS'OOA1DENSATION COVEMGE IS UNUWFUI.ANO SHALLBE � SU&IEGTANEMPLOYERTOCRIGNA�PEHALTIE5MIDCMLFINESUPTOONENJNONED7IUUSMIO ENERGYPERMIT DOl1AFLS lSIa0.000).N IIDORION TO iHE COST OF CpAVEN5�Ti0N,DAMAGES AS YROVIDED FOR IN ¢ SECTqN77000F1HElADORCODE,MEREST,ANDATTOHNEYSFEEi RETENTIONFEE: '� ' ' oCONSTRUCTION LENDING AGENCY PRE-ALT FEE: � ,"` `� . gINER�YAFF�RMUNDERGENAL7VOFPERAIRYTHAT7NEREISACONSTRUCTIONIENDINOACENCY,_ Z FOR TME PERFORAIA7iCE OF iME WOFK fOH WMldt THIS VERMI715155UED(SEG]Oi7.pV.G�. , W � � LENDEBSNAME - � C LENDER'$ADDNE55 W �LEflTIFYTW�TIWIVERE�D71Y5AVPlK+RIDNM�DSTATETHATiMEA00VE�NFORMATIONISCORF7ECL TOTAL FEES �� � � ' • p� IWREENCOVPLYWIMALItT'ANOCOIMTVORDIWINCE5/WDSTATEUWSRELATNOTOBULUINU CON.aTRUCiION,ANU NELIEBY AUT110RRE REPIiESENTATIVES OF THIS CCUNTY i0 ENTER UPON TXE . .. S� ABOYE�IAENTIONEOiROPERTYFOqINSPECTqNYURPO5E5. COMMENTS - � 9 LGs��G � 1�a1�+�n`}'1 h � � � m PENA EN/11E(PWI� �/� c¢_n �na�..�� '1 c��. . �� !..���0 � � t 1�I N pqMnT REOFPEPAYTTEE DATE �—� � _ RECPT.N0. PAID BY VALIDATION �WHITE—�partment Copy,YELLOW—Fnance Copy,PINK—Aesesea Copy,GOLDENROD—File Copy,GREEN—Applicanfa Caql •� .. .. ........ . _ .... .,... ., . . ... . . ... .. . . . , � � =� �� CITY OF DIAMOND BAR .� ;:_: ;�. �.-;: � • . -,�;, _ .. . . . . . . . . . . . . .. _._ ,... . .. •:��`�INSPECTION'RECORD�, : , .:. :'�, � • � _, : . :_. ._ :.`;. . .. . ,,: :,,., • � � . � . . � � , . � . SET BACK ' +;, J '� , .:`� '�- . "' FLOOR JOIST "�"._� ;:'�i� ! - �' '� i,':` - ' FTGS/FORMS/STEEL - " �FHA REQMTS = �; :',.,-• ' �- - c--=� - ---� ��---�- --- - _ .. _ .. ... ELECTRIC GROUND..-- �.�� - --- ..-..- . ..:--. _ .... ..._. UNDER FLOOA DUCT_."._. .�:� .. �..,-..- •�_ .... . . . ; GROUND PLUMBING ' � _UNDER FLOOR CO�IDUIT ::.-,�'��: ?;�� `: • r:;`� � � � " . , , SLAB GRADE —.. --- - - FIREPLA��FC�UN Aj"IOhf r:' ��t.; �,,; :: �,;.,1_�-,., ,�, �.... TEMP POWER -- - � " • - ' - � FIREPLACE BOND BEAM - -- -� ' •� -- - WATER SERVICE__�::-:... . -. .. �-.__. .��--� ..-. _: . ..._.:: . MID HT.BOND BE.AM','_ �.":'.��'�'. ;�.,,.� .��.=..r ..;. .. . , ; . . � ROOF SHEATHING- -. . __.... _._... .. _._._.. . . �•�� -" � 8 Ff:�80ND BE,AM �.� ,,i'_�•. ,; :; ` ' � : :��. .��� - i .. FRAMINGNENTILIATION _ ... _ . FINAL BOND BEAM ' � ' .. ROOF COVER.`- ' " �� PRE-GRADING� � � ROUGH HEATWG -: - - - -.... . .. ...- -- 6ENCHING ` ' ��� . ._ •.,,:. , .. ROUGH�ELECTRIC `-'-- - - � �- � ROUGH GRADING • ' ` ROUGH PLUMBING-�� - - � - �"- � --- - �- - -� FINISH GRADING � ' SHOWERR'UBTEST � -- . . .. -. _. .._ ._ . . �POOL ELECTRIC ' . � "- � EXT.LATH/SIDING POOL FENCING ' • ' ` � ' WALL INSULATION ' POOL FINAL , ' • : ;' ' CEILING INSULATION OFF SITE IMPS. . ' �� DRYI.NALL NAILING DEDICATIONS ' ' . SEWER.._..__.. ..... _. .:.__ FINALENG. : , _ _._ . ._ . SEPTICTANK .- : - - -- -- - - LANDSCAPEJIRRIG. . ... .. - • . . 1 .-.. SEEP PITlL.L. •:_ ---_--__: _... ._.. .-- .ON SITE Ih4PS. ' ' , , _ � . . GAS�AIR TES��-.: ., � ...-. - — ,• ., , � .,.�. , . ;",� . FINAL ZONING - FINAL� NST. =- -� � � ' " ` � FIRE DEPT.FINAL ' ' �'-'.r-r*-`x _ `` 1 _ _._. . �.. FINAL HEATING -� �-� " ' " `���" "' � '�= ' HEALTH DEPT. FINAL ' , . .... i . FWAL ELECTRIC -- _ .- DEV.FEES PAID ,_: . ....-. _._ . � ; . FINAL PLUMBING ENERGY � • � • � - - � '. ,. i : a � t -- - — �. . .\ , ,.. �. �.__. .,._,• � - • --._. ...... ._ ., , , , • i : -- .. . .... _ _ _ � COMMENTS- . ._. . . _ _. , .�� :; - ,.� . . . , � -�----._ . : _ _ ._... , ; . � . . _. _ . , . . ,; , .. . . . - ._._ .. . _ . .. __ . _ ._ ._ , � - ; .... . .. . .. • .. c_.L��. � +_,��.� ;^.; + � ; . . \ j � :. .. 1 . . i •: � j s; ,-- '�' ._.._ . . __ _. _. _ - . . , � . -- �� � ' � _...- -. . __.._ _ _ . _ . , � 1---_.:1 �^.; ' :� ' ''i ` '� .t '. .� i . , — � --._ . _ . , � . • .. . i SEPTIC TANK SIZE � _ ,.._ , . . �, . • � , '... '., � - SEEP_PIT/U.SIZE ` .�:�;~•�w� , . � . , . .. . '� ' -- � ' .., . ., + . _ --- -_ j ; i I - i - _ . . . , _. .�J.�. — ; _ . _� . . . , � ..' . . - - --- - .. ., , ,, � -- — - . _ .. � � - i I " � �, i --- r � ._ _. . �... . - - , - �, , , .,_.. �: . . � ..--- ..- -- . .. �_ .� \ ' -�-- �• i � ; __„ . _ � ' .� _1� ; ,�, _. .��... .,_�,.y. ..�,� _ , ..,�.�.. ., � i � V ' �� - , ; . i , � . .