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HomeMy WebLinkAbout13365 (7) �� CITY OF DIAMOND BAR � � F DEPARTMENT OF COMMUNITY&,DEVELOPMENT SERVICES � 21660E.CopleyDriveSuitc`190 (909)860-3195 Fax(909)861-3117 PRESS ����� BUQ.DING PERMIT APPLICATION FIRMLY N JOBSITE 1 g��T" �a NUMBER I�" r�M ��� 4 ADDRESS�� � � ✓" ' APPLICATION PERMIT P/ o DATE � ISSUE �� TYPE OCC ' APN LOT T ACT DATE � �� �_CONST. GROUP � OWNER .C•a'. p ADDRESS �.A. l�N ' ZONING SETBACKS �u' CITY � ZI TEL�—��,, � REAR Rw ❑ APPLICANT TEL�-L� SIDFJSIDE STREET RW D � CONTRACTOR ` SIDE ❑ ADDRESS � CfTY ZIP TEL PROPOSEOUSE_���� �a�s .F��.�Et'J�(��s WIMWW�s� P ARCH/ENG/ "��-�� � � �'�� � DESIGNER J i�'• OU�N �' NO.�WEL. NO. ^ NO. ADDRESS • �� UNITS STORIES �� BEDROOMS CITY ZIP 'L TE 4' �n DESCRIPTION SQ.Ff: FACTOR PSF ADJ.AREANALUATION � _ OWNER•BUILOER DECURATION � . SFR/ADD/FEM O eI HENEBYAFfli91 UNDER iENALry OF PERIURY Tw1T 1 MI EXEMVT FROM hIE CONTMCTOqS U• G8t8AB/COfpOR CEHSEUWFORTMEFOl1GWMOREASON(SEG70]1.68USINESSANOPpOiE5510N5fbDEANYdT/OR (n GOUNttYMi1RIRE0UIRESAFERMRiOCONSTRUCT,ALTER�P��.���1SH,OFIREPNRANY9TRUC• � W PgtblDBtk Tl1RE�RIOR 70 RS ISSUINCE/�L50 REOUIRES THE APMIGWT FOR SUd/PEtWIT TO FILE A SIaNEO � � SiATEMEM T/MT HE OR SHE IS UCENSED PURSUMlT TO 7HE PROYISIONS OF TME CON7MCTOFlS ll• CENSEUW(CNAVTERO(COMMENCNOWIT/15ECT�ON7W0)OFDMSION]OF7HEBUSINE54M1DP{10 � POOUSp3 FESSIONSCOO�ORTHATNEOi15NEISE%EMPT7HEREFHOMMIDMEBASISiOR7T/EALlEOEDEI(EMP• (� TION.INVV�OL�TqHOFSECT10N7071.6BY/WYAPiUCANTFOitAVERMITSUBIECT9iHEAVPLICMlTTO � Z Re-Roof 1„� ALMLiENALTYOFNOTMOiIETMIWFNEMINOREDDOLUR51tSooJ.): - . � 041lSaMMEqOFTHEPR�PERTY,ORIAYEMPIOYEESHnT1WACESASTHEIRSOLECOMPEN5AT10N,' ❑ COrtlrtlBftlel - . W41D0 THE Y/OPo(,AND TME STRUCiURE i5 NOT INTENOED OR OFFEi1ED FOR SALE(SEC.7D1�,BU51• . J � NE55 MO 7ROFESSION4 CODE:iHE CONTMCTOfi9 UCENSE UW DOES NOTAOPLV TO AN GWNEROF � ? . . . . PROPE1tTY WIq BUM1D3011 MV110VE47NEREON,AND W1q DOES SUG7 N'OFK NIMSELF Oq HEHSELFOR � THROlAHM3DRNEROVMEIACLOYEE4,iR0'ADEOTIUTSUd1�YPpOVEUENTSARENOTINTENOEDOR m OFFERED fOR SALE F,F10V�E�/ERTME BtAlqN60RIM7ROVEMENi IS SOID NnTHINONE YEAR OF COMP�& TION.THE WR1ER$UILDER WILL HAVE TNE BURDEN OF GROVp10 THAT HE O{t SNE D�0 NOT BUIL,p Oq M.IPROVE FOiI TNE PUPPOSE OF SALE} W ❑4�40\N7EROFTHEVpOPEiifV,/J1E%CLUSNELYCONT(UCTINOVRf11LICENSmCONTiUCTO0.S � ro cor�rnucrt�v�cr�SEa aou,euswEss uo vm�sSwr�caoe:n�E cartsucTons tH Valualian� ADJ.AREA � � � CENSE UW DOES NOTMPLY TO AN ONTIER OF A VROPERTY Wlp 9UILDS OR MPROYES iNEREON,ANO 1N1000MMCTSFORSUp1PRQ1ECTSWIiMA00flTMCTOR(5)LICENSEDPURSUAHTTOTHEOONTiNG pUANTITY �OESCRIPTION FEE � TOft5llCEflSEUW). J . . . ❑IMIE77�MPTUNDENSEC. B.IV.C.FORTHISREASON q 3 r' _ � � � Q . . o�� awwea v �� � UCENSED CONTRACTORS DECLARAT�ON W �� � INEPEBYIVFFGWUNDERPENALTYOFVEIWHYTHIITIM1LiCEN5E0UNDERPROVI5pN50FCNAVTER � , Y(COMMENCN(iWIT}ISECTqN7o0o)OfOMS10N�OFTIEBUSINESSANDPROFESSiWISCAOE,AND Z -�R � I� �1 wr�n W LICENSE IS N FULLFOFiCEAND EFFECT. m •�•� V J J � LICENSE CU1SS L1C.NO. ' � ;'T � r � �12`�t U N ll I3 �R � a�h eourrucToa a - -.-:: v r_:•.� b .t'b''Y w � WOFKERS'COMPENSATION DECLARATION Q NIHEREBVAFfIRA1UNDEHitNALNOFVERRJR'IONEOFTHEFOUAWINaDECUMTI0N5: - � � Z � � � � �_INAVENAWILLI.WNTANACERTIFlGTEOFCONSENT705ELFaNSUREfORWORKERS' _ COM7Q79ATqN,ASPiqVIDEDBYSECilONJ7oo0FTNELABORCODE,FORTHEPERFORMANCE w OF THE WORK FOR WHICN THIS VEM11T IS lS5UE0. � 0 Q �I HAVEAND VALL MARffIUN WOii10ER5 CdAPENSATION iNSURANCE,A$REDUREO BV SECTpN 17000F711ELA90RCODEFOqiHEVERPDRMMICEOFTMEWORKFORWHIC}ITHISPENMITIS ���Jl � �SSUED.WWOPoCEHS'COMPENSATqNINSURANCEGRRIERANOPOLICYNVMBEFAAE: CONSTRUCTION l.J > CARfUER PLAN REVIEW 2 � voucvNuueEn ELECTHIC _ � (nnssEcnonr�mr+�reeoor.Ftt�IDOFnEv�r.+r�sraao�+er��oaliu�sR+omantFss? PLUMBING � Z I CERTIFYTHAT N iHE pERFORMANCE OF TNE WORK FOft WMIp/7H15 PERMiT IS ISSUED.1 � MECHANICA�� - - (7 SFL4INOTE�PLOVANYPERSONMANVWNNERSOASTOBECOMESU&IECTTO7HE y NOPxERSLOMCEN5AT10NUw50FCM.IFORN�AANDAGREEiMATIFISMWLDBECOME INSPECTIONFEE S SUBJECTTOME N'OPICERSCpAPEN$A710N PRONSIONS OF SECTqN i7oo OF TME UBOR - �� �- � � CDOE,1 SH+LLL FORTHVYIiH COIAPLY WIIH 1}IOSE PROVISIONS. ISSUANCE � p pp7E App�ICI,NT:� SMIP. . I �� � ENERGY P/C WARNINo;fAILUpETO SECURE WORKERS'C0IAPENSATqN COVEAACE IS UMAwFULAND SNALLBE ('y SU&IECTANEMP�OYERTOCRIMPULPENIITIESANDCMIiINESUVTOONEHUNDREDTHOUS/WD �ENERGYPERM�T DOLlMS(StoD.Ooo�,Ml ADOrt10NTOTHE COSTOF COMPENSATION,DAMAOES AS VNOVWED FOR W J SECTqN]7aeOF7NEUBORGODE.N7ERE5T.MlU�TfORNET5iEE5. RETENTIONFEE: �. OCONSTRUCTION LENDING AGENCY PfiE�ALT FEE: � � � IHEREBVAFFIRAIUNOERPENh1tYOFVERNMTNAT7}IEREISACCMISTRUCTIONLENDPl�A6ENCV �I� Z FOR TNE PER W RM/VJCE OF THE WOP1C iOR WHtCH THIS PERYIT IS ISSUED(SEC.7oY7,qV.C.} . W � LENDER'4 NM1E � . . . ' � � LENDER'S.�DORE55 � � W ICERTIFYTNATINAVERE/�DTItSAPPIJCATqNANUSTATETUTTIEABOVEMFOfUAATqNISOOqRECT. TOTAL FEES � d I�OREETOOD�A7LYWffMALLGfiYANOCOIR�TYORDINANLE5IWDSTATELAWSREUTWCiTOBU0.01NO � � tONSTRUCTIOH,ANDNEREBVAlfT//0�7REf7EPRESEMATNE50FTHI5tOUNTYTDEMERUPONTHE . . .. ,. �BCJE�MENTIJNED iROVERiY FOR INSPECfION PUPVOSE9. COMMENTS � -.7� • UiU/�1 m iEFWITTEENMIE v ' Q N . . . . . . . . .. � 8�6NANRE RIA EE ' 0 . RECPT.NO. PAID BY �,- VALIDATION WHITE—DepaRment Capy,YELLOW—Fnence Copy,PINK—As�essor Copy,GOLDENROD--FIIe Copy,GFEEN—Applicant's Copy -� � �� � . � � ' ... .,V �r . . . . :.�� . � [ , . ..'t •�'.. , ...h, � . ,� . . � ,- '�'. n ...1�, ;�� �.�� .�•k..•.. , .�f. .• ' � . , . , . . , . r� . . , �;�. CITY OF DIAMOND B�►R ;,; , : -- , ' � INSPECTION�RECOf3D: � • : . . . � e. o � , • • - • � � o - SETBACK ,. , � , .� �� . _��,\. _+,,• . � . FLOORJOIST • vi.� ;,,i ,%� , ' `',, _ , FTGSlFORMS/STEEL ' �J ;�.-. ��-.�t FHA REQMTS _ _. _ _ - _ ELECTRiC GROUND '_ '�� ' �` 'UNDER FLOOR DUCT .r;,� :� ,::.;ti' ��1 - � � � GROUND PLUMBING UNDER FLOOR CO�IDUIT ''� ' '-rtt �� � '` �'`' SLAB GRADE - - - -- . FIREPl�1GE FOUND 'fION � � �, . •—', .; . • ` TEMP POWER . • FIREP �� OND b�AM-_ . : , . .. . ..,:,. WATER SERVICE -- -- .-- -- - = MID HT.BOND BEAM - ' �RbO�5HE/aT �ING`,:-'`. . ,,,- •. .;. .. .^ : 8 Fi'.BOND BEAM _ _ _ FRAMING/VENTILIATION _ � � � FINAL BOND BEAM. � � �. ; , ,-,, ; • ' ' � ROOFCOVER,, . , _�;, PRE-GRA[y�UG :'�;t ;. .,�ti;t..�,.��.. �-.t.�t'., ROUGH HEATING- -. . . . __ __' . _ BENC ING .• .,.s. •<.� •' `�:i . �1�J4��•_i{'_� ROUGH ELECTRIC -= ROUGH GRADWG � ROUGH PLUMBING � - . FINISH GRADING . .. , ' SHOWER/TUB TEST; - , POOL ELECTR[C EXT.LATH/SIDING - - - _ � ` POOL FENCING ' WALL INSULATION I POOL FINAL . CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING � DEDICATIONS SEWER _ _._ _ . _ . . FINAL ENG: , _ .. _ _. .SEP.TICTANK--_ - --: _ _ _ _ ,--. __ �,i ._ LANDSCAPE/IRRIG. SEEP PITlL.L. ':- - '' .. � \.' � : ON SITE IMPS. GAS AIR TEST - -- - FINAL ZONING � : -FINAL CONST. --- p�.�, � , FIRE DEPT. FINAL ! FINAL HEATING - � HEALTH DEPT. FINAL � , FINAL ELECTRIC - � � � DEV, FEES PAID - FINAL PLUMBING ENERGY � �� s � ri � - — — COMMENTS __ _ _ � , � � _ �� �� (`� ,���_ -. . i , . . �� � , . __, , _ ._ _ _ i . "_ � _� 'i�l. . . . .. . . .. . . ' . - . . � .. .. �l �` ' SEP7'IC TANK SIZE - , ' ' ' SEEP PIT/U SIZE _ _ - , --` ` �' � _ �-- � ,,�j _ - - _ _ ; i . �• �� ,. .�_ , :� ,-,�---, _ , �_ ' . : t: -._--1-, , '��\�� �.��_. _ _.. � � ��``� ,��.-, ��-., � - -