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HomeMy WebLinkAbout11649 . �� CITY OF DIAMOND BAR •• � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES f�) �� . 21660 E.Copley Drive Suite 190 • � . (909)860-3195 Faz(909)861-3117 PR ESS �'^^�'� BUII.DIIVG PERMIT APPLICATION . ' FIRMLY � JOBSITE p /1� ��� APPLICATION �PERMIT I I � P!C . Q ADDRESS�-�b�0 ��L �C�171�— o DATE NUMBER K ' $ ISSUE TYPE OCC APN LOT TRACT Z � �DATE CONST. GROUP p OWNE • .. o ADDRESS 'ZONING SETBACKS : � CfTY ZIP�TEL7 . FRONT RW ❑ APPLICANT TEL. REAR. ❑ � SIDE/SIDESTREET RW ❑ CONTRACTOR ' SIDE p ADORESS � CfTY ZIP TEL � PROPOSED USE w ARCH/ENG/ • � � � DESIGNER - • _,s_•`,,:� ' _ �. .. .. _ A�DRESS NO.DWEL NO. NO. � CITY ZIP TEL UNITS STORIES BEDROOMS � �n DESCRIPTION .• SQ.FT.' FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDERDECUIRATION . � : SFRIADD,'REM � ''" • • - ' ` . 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L YNLL DO 7HE M10fiK AND THE STRUCTURE IS NOT p1TENDED Ofi OFFERED FOR SALE(SEC.7Eu.BU54 J � NESS AND VpOFESS1di3 CODE:TIE CONTRACTORS LICENSE LAW DOES NOTAPPLY TO/N qNNER OF � , 7i10PEHTYW1qBUlD40{iIMPRDVESiMEREON,MIDNMODOE55UdINGFiNHIYSELFORHERSELFOq ' ' L� THilOUOMHi40RHERqYNEY?LOYEES,pROVIDEDiHAiSUCHMPROVEMEN75ARENOTIMENDEDOq CO O OFFEREDWH9ALEIF,FqNEVER71iE8ULDPMORIMPROVEUEMI55qDYATTENONEYFAROFCOMPLE- Z •T10N,7HE O'WNER-0URDER WILL N�VE TME BUF�EN OF VROYINO iMAT HE OR 6HE�ID NOT BUIID OR MPRpVE FOq THE pURPOSE OF SALE} W 04hROYYNEROfTHEpRpVEiRY,lU1E%CLUSNELVCOHTMCTINUNAiHLICENSEDCONTMCTORS � TO CONSTRUCf TNE Vi10.1ECT(SEG 7ou,BUSiNE55 AND VROFESSIONS COOE:THE OCN7MCTORS L4 V01Uetldl ADJ.AREA � � CENSE UW OOES NOTAPPLV TO AN ONMER O�A PRODERTY YV1q BUttDS OR MP{10VE5 THER[ON,AND � 1M�OCONfHACfSFOR5VO/PROJECTSN'ITIAQOMMCTOR(5)LICENSEDPURSUAHTTOTHECONfMG OUANTITY DESCRIPTION � � FEE � � TOfi4lJCENSEIAWJ. . O I AY EXEYPT Ul1DER SEG B.►V.C.FOR TNIS REASdJ � 3 � . . u" DATE OWNER � U . .. . � UCENSED CONTRACTORS DECLARATION W w � IMEREBYAFFIPoAUNDERVENAINOFVERR1FiYTFUTIM1l10EN5EDUN0ERiNOVi5qN50FCHAPTER � V. � ��COYYENCHOWIiM5ECT70N7oo0)OFDMSION70FTHEBUSINESSAN�PROFESSION5CA0E,AND -� � WUCENSEISHiUliO�R!C1EANDEFfECL ��� ��� m ' � LICENSECUS v LIC.NO. � �j DATE � CONTRACTOR�rD! P�_ a , w � WORKERS'COMPENSATION DECLARATION a � � IHEREBYAFFlRMUNDERGENAl7YOFPERIURYONEOFTHEFOLLAMnNODECUMT10N5: � � � Z � �� � � � _IHAVEMOWILLI.WNTANACERTIFIG7EOFCONSENTTOSELF.INSUREFORMOPI(ERS' _ CpAPENSATqN,A5Fi10VqEDBYSECTION]TooOFTHEUBORCOOE,�OflTHEOERFORMANCE W � �OF THE WORK FOR VlMq1 TTqS YERM�T 19 ISSUED. I HAVE AND W!LLLU.'MAN NVI7KER5'C04PENSA7qN P15URANCE,AS REOUtRED BY SEC710N' � � � - Q J7aoOFTHELABOilO00E.FORTHEPERFOHMANCEOFTMEWORKFORWNICHiH15PERMRIS �•/� � _ ISSUEO.MY WOPKERS'LqAPENS TqN INSURANCE CARRIER AND POLIGY NUMBEflARE: CONSTRUCTION vv � CARRIER .. � �_ PLAN REVIEW �� �1 S ' � POLICYNUMBER� ELECTRIC . .. � � (n4ssEcnor+r+[IDr+oreeoor.�imcF7tfvE�rsr�artNummoat�asR+rolan�ssl PLUMBING ' Z ICERTIFYTWRM7HEPERFORYANCEOFTHEWORNiORNMICHTMSPEfiMITI5155UED.l MECHANICAL - � � � 'U SHALLNOTEAIPIOYANYGER50NNIlNVMANNERSOASTOBECOAIESUB.IECTTOTME � WOPo(ERS'CdIGENSATI0NUW50FGLLIFORNII�ANDAGREETMATIFISHOUlD8ECO4E INSPECTIONFEE S � SUOJECTTOTHEV�Oi1KER5'GGAPENSA7IONPROVISIONSOFSECTqN770oOF7HELl30R � � � ��� caoE,� w�uc mrm�rnwur�rwi ras¢v oh Hrs. ISSUANCE • I •�0 � SMIP _�D p DATE:_���APPLICANT: � - � ENERGY P!C WMMNO:F URET SECUREW'Of1KERS'CpAPENSATqNOOVERAG ISUNUWFU�IWDSMALLBE � SIRJECTANEMPLOYERTOCRWiwY.FEN�LTIESANDdVILFINESUPTOONEIIUNDREDT/10u5AN0 ENERGYPERMIT � ' OOlL�RS(ilao,0oo1,���TION TO TME CAST OF COMPENSATqN,DIVA�GE5I�5 iROV10ED FOR IN ¢ SEC7pN]70!OF T1E LABOii CODE.MTEREST.AND ATTOPNEYS FEES. RETENTION FEE: � oCONSTRUCTION LENDING AGENCY PHE-ALT FEE: � 1 HEREBYAFFlfUA UN�ER PENALiYOF PE0.A1FiY THAT TMERE IS ACONSiRUCT10N LENDINO AGENCY ' z FORTHE PERFORAIANCE OFTHE WORK FOR YA1Id1 THIS VER41T IS ISSUED ISEC 70D7.dV.G). . U.7 � lENOER'SNM.1E -- ' � LEN�ERSADDHE55 W� TOTAL FEES ICERTIFY7MATIHAVEREIDT1tl5ADPL1CAT10NAN�5iATETHATTHEABOVENFOWAAT10NI5LORRECT. � ' � IAGREETOCdAVLYMATHALLCfTYANDCOIMfYORDPUNCESAHDSTATEUWSFEUTWOTO8UILDINO � Cd�STRUCfION,ANONFREBYAUi110RIZEREPRESENTATNE50FT/ISWIR.ITYTOENTFRUPONTME . .. ' �MErrt�o'+Enr�wvErmr irurEcrar+v�nrosEs. COMMENTS � � J _ m PERM ENAME 1 � . , Q ��— � � E16NA E OE ITT OATE� � _ RECPT.N0. PAID BY VALJDATION VVHITE—DapartmentCopy,YELLOW—FinanceCopy,PINK—AsseasorCopy,GOLDENROD—FileCopy,GREEN—ApplicanPs � � � .. . .. , , , .. , . . . . . .. � � . . .. • . � . . . , . .. ,. .. . • - ... . . . . . � . CITY OF DIAMOND.,BAR •- ;: • - . .::,.. �.�.. .. ..:-. .. . . . ... � �_ _., ''�. .. ' '... `. - �-INSPECTION�RECOFiD�'` �' , � ; . ... . .. _. _ .. .�; , . . .. . . . :,.. �. � � - . , • a o � • ' • � � • - SET BACK .. ;. , , � � � -., � FLOOR JOIST —t��',' �1 �c� ,,.,- �_{1'�f r• � :� FTGS/FORMS/STEEL •� • ' �� FHA REQMTS - _ - - - • -� -- --- = r . '._ " ELECTR.IC.GFiOUND � �- -- " �:: - UNDER FLOOR DUCT�����.;.:^ -- _ __.._ ._ . .. . �,;�� �,�.• .r. . - GROUND PLUMBING ' UNDER FLOOR�Cs0�1qt,11T%�")� j��i 1.:i'tii� ',ti �'•;:=� ;- i :.: , , , . - SIABGRADE _ • _ .._ . FIREPL'AG�FO�NDA710N -�=�� %' ^ � ��1'��:::i,�-'_)• :,_ , TEMP POWER- ----- �• :-:- - • FIREPLACE BOND BEAM.. . -_ _�`�t_`}'�-'t; "�:'�'' .� . ' WATER SERVICE_-__:.:_. ..:.. . . _.-. .._ .. MiD HT.BOND BEAM - - ��...., .�: ._, r:.�': . . .:'.. . � . ROOF SHEATHING' -- -= '��-' ' y '���'� ��� 8 FT.BOND BEAM - •_ FRAMINGNENTILIATION �J�G�98' �j FINAL BOND BEAM ' ROOF COVER.`� : . PRE-GRADING �-� ---- �- -� ROUGH HEATING - ?�6-- 8' f,3 BENCHING �' '' " � � ROUGH ELECTRIC -' -- 7(,�$ ' ' ROUGH GRADING ! ROUGH PLUMBING I -- �.G��]�' - � FINISH GRADING i SHOWERlTUB TEST � � - - � � POOL ELECTRIC � • • - � EXT.LATH/SIDING • ��• , POOL FENCING � WALL INSULATION � POOL FINAL : � CEILING INSULATION OFF SITE IMPS. ' . . DRYWALL NAILING � DEDICATIONS SEWER _. _.._ .. ' . . ._ . _ FINAL ENG. SEP_TIC TANK - - _ _.. _ _ ` _ _ �. __ LANDSCAPE/IRRIG. � � SEEP PIT/L.L.--_ __:.:_... .. .: .- _ : t '— ON SITE IMPS. - � GAS AIR TEST�---�-- - - - - - � ' FINAL ZONING � ,. FINAL CONST. - - -- 3--L��-1R n g- . . FIRE DEPT.FINAL ' �� � FINAI HEATING -�- ' � HEALTH DEPT.FINAL , � _.__ F1NAL'ELECTRIC - ' - " � � � DEV.FEES PAID � - � "-- " FINAL PLUMBING EPJERGY • •� , _. � � r� 1 � �-. 2�1�'( � • �� �� ,� � .�1J�� � 1\� � � . • ' �/� 1' � � ' . . . .. _ _._...__.__—...__ . _. _ . .__,_�__.. ._. :._._..� . ........ . . . . .._. 4 -. _ . . _. . ... _ ._ . .... . .._. _ . . ._ . � COMMENTS -. _ _ _ . . . - , . �-----._ _. . � -- - -- --� : : . _ -- - � __ . .__ . .. _ _ , . , . ... ._._.. _._ . ...._. ... -- - - - _ ; � , , , �_ -`� - � ,... . . -. ' � . �. �_ . ` :,. , , ,�, ..,, � : = - �, . '�r�.i=i � ��- � � __.. _.. , . \, • � , �� .r t _ � . . . . � , � ,i .'' �`, .1 L_ '�\. ,� -- I .i -- - ---. .. . - . . � � '�) � t — J� ��'�1 '�'_ . ' SEPTIC TANK S1ZE � ' � ' ' , . , • � , . .:w� SEEP P.IT%U SIZE � � :.�. _ ... . ; � � . , . . , , ._. . � i I i - _.. . I .._ . ... . __. _ _. .. . _ . .. .. . . . -..-. • ' I _.� _' _ ... . .. . . .._ -... 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