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HomeMy WebLinkAbout15342 (20) __.._.. ___` CITY OF DIAMOND BAR �q. ---�� ---- DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SERVICES 1 T� . 21660E.CopleyDrivcSuite190 (909)860-3195 Faz(909)861-3117 PR E$$ ����'� BUQ.DING PERMIT APPLICATION FIRMLY o ADDRESS2��- I s ZODS' � �I O W� DATE'CATION - NUMB R�s 3 ya .� � ISSUE � I TYPE OCC APN�_ LOT TRACT DATE CONST. GROUP � OWNER (�l l,Py�I�D /-�.d. ADORESS ZONING SETHACK � CITY ZIP TEL. R�RT RW p❑ APPLICANT TEL. � SIDFJSIDE STREET RW O CONTRACTOR�_L/�� [��D!✓.C��2tX�F���. � . SIDE ❑ ADDRESS ��3�/2 (h.�DFQo F' � • � CfTY MiSSion�le;o ZIP GG%/ TELG�S�-y�� PROPOSEDUSE � . NST ARCH/ENG/ DESIGNER NO.DWEL � N . NO. ADDRESS UNITS STORIES� ' BEDROOMS = CfTY ZIP TEL. � DESCRIPTION SQ.FT. FACTOFi PSF ADJ.AREANALUATION p� OWNER-BVILDER�ECLARATION SFFVADDJREM O p I MENE6Y AFFlRM UNDER VENALT/OF VERAIRY7W�T I AM E%EMPT FROM THE LONTMCTORS L4 GaragelCarpart LL C013EUWFORTHEFOLLOWNOREASON(SEG7o71.6BUSiNESSANOFROFES510NSCO0E:M1YCR1'OR (n y COUMYYAYCHREOUIFlESAVERAIRTtlCONSTRUCT,KTER7����,DCMOL191,ORREFAIRANYSTRUG W patlolDeck �L iUpE.VRqq TO RS ISSUMICE.ALSO PEOUIRES THE ACPL1CANi FOR StKH PERIAIT TO FRE A SIGNED W � BTATEMENT TUT HE Oq SHE IS UCENSEU PURSUAH7 TO THE PROVISIONS OF iNE CO�TMCTORS L4 � CEHSEUW(QNPTERY(OWMENpNciWIiN5ECT10N7000)OFDMSIOfI]OFTMEBUS�NESSMlDFNO � PooVSpa FE59qN5CO0ElOH7)U7HEORSHEISE7fF4PTTMEREFp0A1ANDTMEBA515FORiNf/1LE�EDE%fYP• (7 TqN.MNV�OLA7qNOF6ECT10Ni0.11.68YANYIPPLICAMTFOF1AiERMI75U&IECTSTHEAGFLM.dN7T0 Z po•Roof � ACMLPEWLLTYOFNOTMOAETHANFNENUNDREOOOLIARS(i50al.k � 04�OWNEROFiHEPNOPERTY,ORMYEMPL07EE5W17HW�CESASTNEiRSOIECO�.�PENSATqN, O CpmmBrCiel � WIIL DO iME WOi1K.IWD TIIE STPAICTUFtE IS NOT NTENDED OR OFFEIiED FOR SALE(SEG 70N,BU51• J HESS ANO►ROFESSIONS COOE:THE CONTFACTORS LICENSE UN1 DOES N�T AV�LY i0 AH OWNER OF � PROPEHTYW/qBUILDSORMPFOVESiNEREOf{ANDN1iODOE95UCNWORKHIMSEIFORHERSELfOR � Q THPOUONMISORHERONNEY7LOVEES,CNOV'DEDTHATSUC11W7ROVE4ENTSARENO7MENOEDOR m � OFFFREDFOHSALEIF,F�OWEVER71iEBNDNCORMPo10VFUENTI350lDW1THMONEYEMOFCqAPLE- � Z T10N.1HE OwNER-0NLDER VnLL IUYE TME BURDCN OF PROVINO iHAT XE OR SHE DiD NOT BUILD OR _ �AVROVE FOR iHE iURPOSE OF SALE) W O1A90�M�EiIOFTHEPROPEiITXM1E%CLUSNELYOOMMCiP70�577HLICENSEDCONTMC70R5 � TDCONSTAUCTTHEPRQIECT(SEG7W1.6USINESSAnDPROFESSqNSCOOE:TMECONTMCTON3l1• V01Ueti0�1 qpJ.AREA � CENSEUWOOESNOTMPLYTOANOWNEROFAPRODERiYVM1qBUItDSORMAP1iOVE5THERCON.ANO riFqCOHfRACT5FOR5UGNiRQlECTSWITHAWfRMCfOR(5)IICEN5E0PUR5UMlTTOTNECONTMG QUANTITY DESCRIPTION FEE � 1di5UC�15EUWJ. O I MI DIEMPf UNDER SEC. B.�P.C.FOR TNIS REASON U lJ- H OATE 01MIER V � J � LICENSED CONTHACTORS DECLARATION W [t I NEH[BYAFi1MA UNDER VENALTY OF VER1UqY TMni lAM LIGENSED UN�ER PROVISqNS OF GIAPTEH Vr � �(COMMFHqNQNItTHSEC710N7000lOFDNISiW170Fi71f8U5:NES5MIDPpOFE55iONSCO0E,M1D Z ��� MYUCENSE IS W FULL FORCEAND EFFEGT. o ����SS - ��.No. 50 Co CnCc�/ � v o�re �—I��DD corrrw��cror+CC/FF /��'lON�J a � WORKERS'COMPENSATION DECLARATION Q = U � INENEBYAFFlRIAUNDENGENALTYOFiER1UNY0NEOFTHEFOLLAVnNGDEMRhl�ONS: y Z 4 � ��I/NVEANDWILLMAR7TNNACEHTIFICAiEOFO0N5ENTTOSELF-INSUREFONriC1RKER5' S tn4PEN5.lTION,/SPROMIDEDBVSEC7)ON77000FTHELl.BOitCODE.FORTMEpEHfORM�NCE W �OFTHE WORK FOR WHlpl TH:S PER1.11T IS ISSUED. � � 1 YUV[AND YnLL MAMMN WWiKER3'COMVENSATqN INSUMNCE,AS REOVIRED BV SEC7ION n /1� 4� l7oo0F1HElABORCOOEfOHT1ECERFORMMCEOFTHEWO(iKFORWHICHTHISVERMITIS �/1 U�S� ISSUEO.MY WO KERS/'�COG7ENSATqN WS.U^M�NCEGRRiERMlD VOIICYNUM9ERME: CONSTRUCTION V� jcuvuER_� f'+'� �N PLAN REVIEW � POLICYNUMBER � � ELECTRIC p �nassccnon�mwreEm.s�rmoFncaEa.rrsw�a:E�.w+[000u�v�R�oolor+�ss! PLUMDING w Z ICERTIFYTHATtlJiHEPERFORMMICEOFTMEWORKFORWHILI/THISPEfWRI515SUED,1 MECHANICAL ��� --- - � WOPofERTCOMPENS�iONUW50FCALIFO NREtiANDrGR E7r�iA7CF19�110ULD8ECOAIE INSPECTIONFEE h � SUBJECTTOTHEN'O�iKERS'COUPEN5AT10NVFlOVIS10N50FSECTION77000F1MElA80R CdOE,l SiWl FORT}�MnTH GOMPLY WITH TMOSE FROVISIONS, ISSUANCE p OA7E:����OV APPLICAM:� SMIP � � w ENERGY P!C WAPNiNO:FIULURE TO SEq1RE WOFYCEHS'COMVENS�TqN COVEMGE IS UNUIWFUL,AN�bwLLl BE � SUB.IECi/NEMPLOYERTOCRIYINALPENALTIESANOCMLFPJESU7TOONEIIUNDREDTHOVSAND ENERGYPERMIT y 1 �� OOILARS(iloo,0ao),NADDITIOHTOiHfCOSTOFtOA1P[NSATION.DAAIAGESASPRONOEOFOqIN -�-��� 1 J 6EGTUN]70lOfTHELFBORCODE,NTERE5T,MIDATTOPNE75FEE5. RETENTIONFEE: Q pW_, CONSTRUCTION LENDING AGENCY pRE•ALT fEE: O � IHEAEBYAFFlRMUNOERPENALTYOFPEiWMTMATi11[AEISACONSTflUCTIONLENDWO�CENCY FON TME OERFONWNCE OF 711E WOHN FOR MMIG/7HI5 VERMIT IS ISSUED ISEC.�oY7,CN.C.). � � LENDERSWVAE � IENDERSAD�RESS . � ICE�F'�iNATINAVEPEADT115APCLIGATpNAN05T11TETHATiNEA90VEWFOFiMA7qN�5CORRECL TOTAL FEES � � I AGREE TO OOA�PLY WITH ALL CfT`//JID COUNTY ORD WANCES M1O STATE U�NELATYKI T9 BULD�NO CONSiiWCfION,M1D NEREBY AUTHOIUZE REVFESENTATfJES OF THIS COUNiY TO EHTER UPON THE ZABOVE�MEHTIONEDCRWEFiVFOi11NS0ECTIONPVRPOSES. COMMENTS � �� � ,�F I��r,c)it.7 �(.����c.�, 1`,� ¢ V¢rwiiiEe[�IM+EWw�+t) �, ��-- -]'—l�-dC� (/� SIGNA7UREOFiER1AITiEE OA7E � RECPT.NO. PAID BY VALIDATION WHITE-0epartment Copy,YELLOW-finance Copy.PINK-Aasesau Copy,GOLDENROD�ile Ccpy,GREEN-ApplicsnCs Copy �i... ..•..;,y...��:.�. :.,�•;'.;� ..' - . ! ., • � . .. , � ,.�1. .'J' . �1•r•'� 'Jv. a � Yi ..-� . �� • •,,.... �. .,�.. .. ,>. ... ............... ,,,: ,,.•. .:.� . .....:.... ....... . .- . _, . . . . . . � ,. . ',� , � .. . , . . . . _,� ,... .. . - CITY OF DIAIVrOND BAR . � .. . � �iNSPECTION RECORD . • , I � ..:,,,�� _ . ., � _ ` .���l��a..���� �� -� � 1.�� � • ��- ►.�y���-�,��i , .� - _.. �..w....� ..-- SET BACK : L C� � � . � .'� ._ FLOOR J015T, �. , . . : f'.1.. ,. _-: ,_ t . . . � _ _, _ - .. FTGS/FORMSlSTEEL� � '' � -� 1 'c,�, ', FHA REQMTS' ' . " .ELECTRIC GROUND... . ._ " � ���� ; ' � !.� UN�ER FLOOR DUCT - • • GRQUND PLUMSING UNDER FLOOR CU��IDU1T ". ' � - " � ;SLAB GRADE • -- • ' FIREPLACE FOUNDATION � ;TEh1P POWER : - - FIREPLACE BOND BEAM - � • � WATER SERVICE - - MID HT.BOND BEAPA• • ' , ROOF SHEATHIPJG `-�;.�� ' 8 FT. BOND BEAM . - ' iFRAMINGNENTILIATION. .', • � , . •� FINAL 80ND BEAM � •, : ; ' _ �� : . ;ROOF COVER .� �� O� /��� '� ' . �' �� . . PRE-GRADING � ' � _.. . .. . . �ROUGH HEATING - '—' - �� BENCHING � , , iROUGH ELECTRIC. � ' � I �.. . ROUGH GRADING -- - !ROUGH PLUMBING - FINISH GRADING �SNOWER�UB TEST - POOL ELECTRIC ! �= 'EXT.LATH/SIDING - • - - POOL FENCING . ; - ,WALL INSULATION - - • - � POOL FINAL . j CEILING RJSULATION " �FF SITE IMPS. ' ! DAYVVALL NAILING " DEDICATIONS ' 'SEWER- ,. FINAL EPJG: SEPTICTANK I " . L1',NDSCAPE/IRRIG. ;SEEP.PITlLL. ' . . ' � � �PJ SITE I�APS. :GAS AIR TEST � FINAL ZONING • • • `FINAL CONST.. ...... .. .:. ��� � FIRE DEPT. FINAL � 'FIhAL HEATlNG . . . .. � HEALTH DEPT.FINAL , FIt•dP,l.ELECTRIC - - � • DEV. FEES PAID - i-!`JAL PLU"ABiNG -- - ENERGY "�- . . . _. _ - ... . I _ .. , - - --... .__ . . .. __ _1_::'aL,�f� R �+ u --.�____..w ''" ,.��!'-���_:,• --- .... . _. .. _ . _ �,,., ;,, . , �,�". , . . i � . � �COMMENTS - - . .. - -. � � .' _ � �. � � ; - - .. _. i �, . � � , , . � _ _ .. . � �. : , . . _._ , �SEPTIC TANK SIZE-�• - ---• � � ! � ,.. . . , , ,, , , �. . � 'SEEP PIT/U SIZE ; ' ._._,._–.—..._._._..�.,..., . -i ,a� � . .._..;��� 1 . .�.• i I , ���:��� . • - - - , , . . . . :�,� � _=:: .. , ��# .. . . i _ , _i. ' �� ' , . ' . . , �. . � . _. .. .�` i . � .. . _ � �.. _ ;`� ` � � 1 . �+1��.} '{ : '.:� �_ ' , - �_—�..:.___....J.__.:�1' C_ � � �.� •