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HomeMy WebLinkAbout12076 (11) , _. _... .- �-- . _.. . ..�-- �� - �� CITY OF DIAMOND BAR � - - ' '•= �-l� DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES ,; > 21660 E.Copley Drive Suiu 190 , . ' (909)860-3195 Fax(909)861-3117 PRESS ' '�ti�'�� � : BUQ.DING PERMIT APPLICATTON . � FIRMLY y JOBSITE T � /� � � APPLICATION � PERMR p/ o ADDRESS 2I�Ig V��C l•,T DA7E � � _NUMBER�N _� , $ ISSUE TYPE " OCC � APN LOT � TRACT_, DATE ' CONST. GROUP- . _p OWNER C "" ADDRESS ZONING SETBACKS , �"' CITY � ZIP joTEL REAR . RW p APPLICANT �sl� -TEL SIDE/SIDE S EET RW - ❑ � CONTRACTOR ��(c'L�Q�L SID ❑ � ADDRESS ' -- PROPOSED U 1 C-L� OYL � CfTY ZIP TEL o ARCHlENG/ . , . � DESIGNER NO.DWEL N . NO. ADDRESS UNITS STORIES BEDROOMS ' � CITY ZIP TEL. � . DESCRIPTION SQ.Ff. FACTOR PSF ADJ.AREANALUATION ' p� , OWNER-BUILOER DECLARATION SFR/ADD/REM ' O 8 I HENEBYlIFFllid 11ImER PENlLLTY OF PERAlf1Y THAT 1 AM E%EMPi ifiOM iHE CONTMCT00.S L4 Ga2fle/Carport � CEHSEUWFORTIEFOl10wINORE�ISON(SEG7W1.6BUSWESSAND01iOFE55WNSC00EANYCT'OFi ��, (n COUHitWMK]IREOUIflESAVEWARlO00N5TRUCT.ALTERMPROVE.DEWl15M.OflREGNRANYSTqUG W Patio/Deck 71JRE PRqR TO R4188UANCE.ALSO PEOUIRES THE AV7lICANT FOR SUC11►ERMIT TO FILE A SIGNED W BTA7EMENT TW�T NE Oq SNE IS UCENSED PUiiSUINf TO iHE PPOVISICNS OF THE R7NiRACiOqS L4 � �S CENSELAW�CFWTFRY(COAIMENCN�WrtNSECTiON7aoo)OFDM510N70FTHEBUSINESSANDPpO- � PooVSpa �- � � . . . .. � � FE59�ONSOJOE)ORTHA7NEORSMEISD(EMPTTMEHEFROM/iNOT/EBA515PoRiHEALlEOEDE%EMP• ; C7 . TqN.MMVqLAT10NOFSECT10N7071.68YANYADiLICAMiORAPERdITSU&lECTSTNEA7VLICAN7T0 � Z Re-Root � ACMLPENAL7YOFN0'TMORE711ANiNEM1NDRE000lURSfi500).): � DL�aM1EROFiNEPROPERTY,OiIYYEMPLOYEE5IMTHWAG[SASTHEIRSOLFCOMPENSATION. � (`,pm111BfC101 � �• MALL DO THE YVOiK AND THE STRUCil1RE IS NOT ItliENDE�OH OFFERED FOR SAIE(SEG 7ou,BUSI• . J � NESS MO PiqFES510N5 CODE iNE COHTRACTORS IICENSE LAW DOES NOTAPPLY TO AN OWNER OF ? . . . • - � P110PEHTYNMqBUlD50qtAP{qVEST/CREON.ANDWTVODOESbUpIMO1U(HIMSELFORHERSELFOR -Q iM10UCY1X150RHEROMME/JROYEES.PROY10mTMATSWIMIPROVEMENiSMENOTMENDEDOR m � OFFEREDFORSALEF,/qNIEVERIMEBU4DiN00R�IPROVEt�ENTI550LDWR1IMONEYEAROF00A1PLE- Z TK7N,7ME OWNERSUIL,DER WILL NAVE TXE BURDEN OF PROVNO THAT ME OR 511E DiD NOT BUIID OR _. . = MVROVFFOi1TNEVURPO5EOF8ALE} ' � . � �yj, D�IISOMMEROF7MEYROPEHTI;MIE%CLUSIVELYCON7MCTN�YATHLICENSEDCONTMGTOqS - (t TO COHSTRUCT THE iiiO.IECT(SEG 704,BUSINESS AND VHOFESSIONS CODE:7N[CONTRACTOPS U• V31uBIIW1 ADJ.AREA� � �� � ' Lll CENSEUWOOESNOTMPLY70MIdMNEROFAGROPEHTYWNOBULD50flIMPpOVE9THEREON,AND � �1M100]HTRACTSiOHSUC1/PRn1ECiSM77HACOHTMCfOR(S�LICENSE�PURSILWT70TXECqfTRAG OVANTITY � DESCRIPTION � � FEE - - � TORS LICENSE UW} , . . . . . . ... . . . .. . . OINAE%EYPTUNDERSf0. B.iP.C.iORTN15REA50N Q 3 c' � � D+�TE OMMER .� - . . . . . W . ' . UCENSED CONTRACTORS DECLARATION � W � � IHEREBYAFFIRYUNDERVENALTYOFVERl1RYi11AT1AMlICENSEDMVEHPRON510N50FCHAPiER � V. . . � �(OCAMAENCYNiN7T1i5ECilON70001�OM510N]OFTHEBUSiNESSANDPHOFES5lO1JSCOD[,AND Z � �� W UCENSE 6 N FULL F�AND EFFECT. m - � UCENSE SS LIC.NO. � `�� J . ' �j DATE� . .CONTRACTOfi�� a w �-�—r � WORKERS'COMPENSATIONDEGLAFiAT10N ¢ � , , . � IHEREBYAFFlRIAUNDERPEWLLTVOFOEiLVRYONEOFTNEFOIWNI:N6DECLAMT�ONS: Z ' � ' " ' - � Q 0 _IHAVEAWMnLLMNNiANACERfIFlGTEOFCONSEMTOSEIF-INSUt1EFORWOPXER5 $ T Cl�NOENSATION,ASVqOVDEDBYSECT%kl]70GDFiHEUfiORLOOE,FOHTMEPEFFORMANCE V d OFTNEW01iKFORWH�diiH19PEHMIi13153UE0. � 0 �I X/lVE AND WILL MAIHTAPI YK)PoCEHS'LOMPENSATION INSURIWGE,AS PE WniED BY SECTION � i7D00FTHEWBOFlCOOE,FORTMEFERWN.�ANCEOFiHEWORKFORN711GITHISPERURIS — ,� S�.�� LSSUm.WWOPo(E0.5'CO4PENSAT�NINSURANCEGNRIER/NDVOl1CYNUYDERARE: CONSTRUCTION � CARWER . - pD�NREVIEW — � O� � POUCV NUMBER ,� 2� z � . 0 (n455ECt1oN�E�Noi8E0oM�EiIDOFT[PERMTSPof10rE1t1nKDDalAiG(f+00)O(ttEssl PLUMBING Z ICEHTIFI'THA71N7F1EPERFOftWWCEOFiMEWOPo(FOi1Vn71qfTHISPERNITI5155UED,1 MECHANICAL (J 5/1ALLNOTEMPLOYAM'PEIi50NINANYUANNER50A5TOBECOAIGSU&IEC7T0T/1E � WOMEHS'GOMPENSATqNlAW50FGLIFOiWiA,ANDAGAEETMATIFIS�qUIDBECOME 1 � E '' � ECTTO THE WOqKERS Cd.APENSATION PRO�ASIONS OF SECT70N 71 Oi THE UBOR � � � ���� . E.I fOitT11WITNLOMPLYYnTHTHOSEPRO'N 5. ANCE � SMIP . S �� . .p DATE: �APPLICAM: . _ ' — . � WApNIN iAIL11 CTOSECURENORKERSCOMPENSATqNCOVER�GEISUNUWFUL.AN SHILLLBE ENERGYP/C SUBIECTANEMP�DYERTOCW�AWALPEWLTIESud1CMLiWESUPTOWEHUNDPEDT110U51WD �NERGYPERMIT ' DOIl/Ui5 p f 00.000).N AOOfIION TO iHE C0.5T OF C0IAPENSATqN.DINM3E5 AS V ROVIOED FOR W . ¢ SECT1DN77oEOFT1EUBORCODE,NTEREST,ANOATTORNEYSFEES RETENTIONFEE: � d CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � O � IHEREBYAFFlRMUNOERiENALTVOFPERRIRYTHATiMENEIS�CONSTRUC'i10NlENDINOAGENCY � iOR1HEPERFORMANCEOFTX[WORKFORriM iH15PERUITI5155UEDI5EG]0o7.C1Y.G). � � IENOER'SNAME _ J � � �- �! � LFNDER'9.100RE55 w ICERTIFYTNATIHAYE1lEADTHISAPPLICATqNl�NUSTATETUTTHEABOVENFORMATqNISCORqECT. TOTAL FEES • , � IAGREE TO COMPLY WfTN ALLUTI'�ND COUNTY OH�PIANCES ANO STATE Uw5 HELATINO TO BUILDINO CONSTRLCTION,IND HEREBV AUTI�OW 2E REPRESEMATNES OF iH15 COVNiY TO FNTER UPON THE . . , S� ABOYE#�EHT70NEDFROPEFTYFORMS�ECf10N VRPOSES. COMMENTS � � � � � � m PEiWRTEEN valHij Q N � N 61�NATUNEOFVERMf7iEE DA7 ..... .r� , .. ._. RECPT.N0. PAID BY VALIDATION � "- � ' wNITE—Department Copy,YELLOW—Fnance Copy.PINK—Aseessor Copy,G LDENROD--FIIe Copy.GREEN—AppicanCs Copy � � ���--� � -� �� � I C/�7 Cr�, .� �/1-�1 '� .._ , . .. , . .. . . , .. . . . -_ . . ,,., � . , . , , , .. .. .. ; ^ CITY OF DIAMOND BAR ,�,�::�.;, ;;:, ... . _ ...-- . ... . �- .... :.-- �:��.'::INSPECTION�RECORD. ._.,�• .. , .. . , . . ,. . .. � � . - �..., ,. . , . - . - • � � • - • � � • • • SET BACK . � , ; . , ELOOR JOIST --� t� ._:.f 1=?;.. ,� LI g,; : - _ ' � . . _.. . _...-- FTGS/FORMS/STEEL =' FHA REGIMT ���, � ,--, ��• - - --� � � —i -•, ECECTRICGAOUND.-'_= ...-. �..:'.�.� ..- . _ . -:- :- UNDER FL00�3 DUGT c; _,, i`.'..�:; �,,,:. _ . - GROUNDPLUMBING � �' ' UNDER_FLqOR�CONDULT_:�!; .'`•;=',?•�1�1�� i; `,;-�::! � ' '' ' ' ,_.. SLAB GRADE---_ ----- - - - :- . . . FIREPLkCE��FOUNDbTION��. • l. - .� �•�,;�;. ::-:'� . r: � - • � ,..:. � .. •. ._"-.:.� TEMP P�W�R - ---- " - ---... ._. . � . . . _ . FIREPLACE BOND BEAM-.:�... .... .. .. .. . ...___ . . _._. .._.: _ -�NATER SERVICE. _:: :.-_.- _--.:. ---, :, ,,:: ..:... -�; ...__ . : MID HT.BaND BEAM - '� �:�a-� .:_, ,`. .._ ., . .. , _.__ .. .. ROOF SHEATH�NG. :`'.} _. _•.�� :j?- '.'e_: � •,�,,:.:._ 8 FL BOND BEAM �-:. _. . . . - �,;.• . � ;. FRAMINGNENTILIATION ._ � � � FINAL BOND BEAM • � � ( :'. ROOF COVER:� , " PRE-GRADING �� -- - � � . , -ROUGH HEATING ...._ . . . -- - - - -..... . . _ . . BENCHING-_ __. . . ��, - - _ _. . -.. . :��� t ;. 'ROUGH ELECTRIC - ' - � � - ' � - - � � ' �ROUGH GRADING ' ' -ROUGH PLUMBING � �-"- ----�- - - " " -FINISH GRADING . . ; :�, SHOWER/TUB TEST � � - � � � - �- - - POOL ELECTRlC ` EXT.LATH/SIDING � � - - : , . . FOOL FENCING ' � WALL INSULATION POOL FINAL • ` � � ;; CEILING INSULATION OFF SITE IMPS. i �' DRYWALL NAILING : DEDICATIONS ' � � SEWER .-.-..-- ---- _... FINAL ENG. � � _ .. ._...- ---... .. ---. . __. SEPTICTANK ._---._._.. -.. .-.-. -_-. -:;: ,,. '_ .. ____. LANDSCAPE/IRRIG. ' j ;_' ... .:�.._: ._� _ .:... ON SITE IMPS. . . . � SEEP PITlL..L.-__. .. __.-. -- - __. . , . GAS AIR TEST-; --- -- ----- - - --- - FINAL ZONlNG � • • ' FINAL CONST.' ___ ---- - - FIRE DEPT. FINAL ' _ . , . . , ' FINAL HEAT�NG --- - - - -- HEALTH DEPT.FINAL...__ ., ! -FINAL'ELECTRIC� - � -- '- --- -- � - � --- �- - � DEV.�FEES PAID - -- -- - FINAL PLUMBING ENERGY � ' � ��; : ._ . . .; � ' :;� e r � ' 'r, i :_ --- ---- ---- -.._ . . _. .. -. . ... . -•- --. --•• -•• -- --- " 1 �: .. .:.. . ti : �,;' .. --- - ' . � �r . . ., . . COMMENTS ._ . _... .. .�. � .: . = _. _ _ . ; :. ; , ---- �-------._ :.. ....._. _ _. ._ ._ _. .. _. . . . , + � __.__ ,. . . ._ _ _ _ .. . . . .. , ; . ; . � , _ ..- _ -. .._. _ ._. . . __ . ._ . . �, ;, : U�_,C � � , . , . �'� . . _ 'L_ , � _. _ . , . , . . . . . . . . " . . . . . (�_ � -- - --' .. .`" `- .-'-�r"--- - . .' � ' � • ', .� . .. _ . . • /�• - '� ,j � � - , . ,.. ,1 :- �l' � . � • � �� � � � . : � � . ... .... , . . . _.-- --.. ..--'. ... _. ... .... . . . . . . . . . . . � ... � . .-::. : �;.. . ... .._......---_ _ . . . .. _ .... _ . . f , . . . . . . . ' . " . • .. •�� . .. • ; � . . . � � . .;., . i .. �- - -' !�' � � � �' l :�' r' . � �/. ,`. .. ._ . __ .. -- • - � • �'�__-. . � . �. 1 1 '.'�.,_� ,i ' �t' �j r.�(`.\'�� ' - . . � �'� - - (...r � �.� ���.TI ---- --.'_ - . .. .. . .. . . _ . . . � , , � . . . , . .. . . ( .. . SEPTIC TANK SIZE - : . ' , . . ' . � � SEEP_PIT/U_SIZE. fi; ��.��• f . . , � . • ... ; _, � - �,, _ f ' . � - -r , , . , . -- . _. ; � � � - --__ . ' .: ,.. _. . . i � ...�'�` .,,/•, ' . � . _. . . . .._ . . . .__.�� .. .. . � . . , t. . . . _. .� . I ' � ' .� . , . ... . _.... _.._ . .. . .. : .. . .. . i ... . , .:. ..._ . . , �__ � , 1 • l'. ! � ' _ . • , ; . ` �. 't_J '. �� :� J�i - - -- : . . ---. � �.. __ . ... . ..'.\ .`� ` _••.j. ''`'� �`l �. . .,., -.•- .. - , .• � ..... � � ...-�, \\ � •.�•� -� �-`i --- V1 �. ._ --_ �` � :. i