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HomeMy WebLinkAbout15469 ��� �� CITY OF DIAMOND BAR. � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES „W . 21660 E.Copley Drive Suitc 190 ' (909)860-3195 Faz(909)861-3117 RE$$ '*"� BUII.DING PERMIT APPLICATION � FIRMLY � JOBSITE � � APPLICATIO [,� PERMR P/C o ADDRESS � DATE v NUMBER � I c� ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP p OWNER "" ADDRESS ZONING S ACKS . � CITY��7 P�'A� ZIP TEL � REAR RW p APPLICANT TE�• SIDE/SIDE STREET RW ❑ � CONTRACT � SIDE ❑ p� ADDRE$S �{/. �i,��lC1 ' PROPOSED USE 0 CIT`�I+�ihDifb PhAa. ZIP 9/ TEL � � ' jy � ARCH/ENG/ • DESIGNER NO.DWEL. NO. ' NO. G = CDDRESS Z�P TEL UNITS STORIES •� BEDROOMSS6 � DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION p� ONMER•BUILDER DECLAFiAT10N SFRJADDlREM O 8 I HEREBY AFFlfMI UNOER VENALTY OF YERAIRY THAT I AA1 EXE4PT FApA THE LONiMCTORS LI- G8�8g0/CO�pOrt � CENSEUWFORTHEFOLLOWPIORE1lSON(3EG7D71.6BUSHESSANOiROFES5i0NSC00E:ANVGTYOR . (n COUHTYWHIC/IREOUIRESAPEAMRTOCONSTRUCi,ALTERa�ROVE,DEIqLISH,ORRE7AIRANYSTRUC. W PBtb/DBCI( Tl1NE.PRIOR TO RS 6SUANCE,ILSO REW�RES TME APPLICANT FOR StKH PERYIT TO FlLE A SIGNEO W STA7EMEM TFUT NE OR SiIE IS L�CENSED PURSUAM TO 7HE PROVISIONS OF THE CONTMCfORS LI• � CENSE Uw�pNGTEq Y(COMIAENCINO YA7H SECf10N 7000)OF DIVISqN]OF TXE BUSiNE55 AND GRb �' PoellSpa � FESSqNS CDOE)Ofl iWR NE DR SHE IS E%EMPT iHEREFHO►1 N�'J 7HE BASiS Fqi THE IILLE�ED EMEMP• T10N.AN'lVIOLATqNOF5ECT10N70.71.6BYANYAPPIICANTFOIiAVERAIITSUBJECTSTHEMPIICAl7TT0 Z Re•Root .� A CML iENALTY OF NOT MORE TIUN FNE HUhURED DOLURS 1f500).Y � 04�OWNEROFiHEVROPERTY,011WEUPlOYEESWITNWAGESASTNEIRSOIECdACENSAT10N, � (`,pmmBfGldl . � YALL DO THE WOi1K AND TME STRUCTURE IS NOT IMENDEO OR OFFERED LOR SALE ISEG 7a�,BUSI- J N NE53 AND PqOFE55'ONS LOOE TF1E CONTMCTOR9 LIGENSE UW DOES NO7 APPLV TO AN OWNER OF ? ►ROVEi1TY NRq BU0.DS OR MPROVES TMEREON.AND W/10 DOES SULM YIORK MIMSELF OR MEHSEIF OR Q 1NROUGHMSORMEROWNE1APl0'IEES,VRO`/DEDiMATSUCHIMVROVEMENTSMENOTNTENOEDOR m � OFFEREDFORSKEF,{qWEVER��DW40RMPROVEMEMI550L�WITNINONEYFAROFCOMPLE- Z �iqN,iHE OWNER�BUIDER VALL IUVE THE W RDEN OF VROVNQ THAT NE OR 8ME DiD NOi BUILD OR = MVROVE FORTHE RIRPOSE OF SALE). W 04�OM'NEROFiHEVROVERTI;AME%q.USNEIYCONTRACTN�WITMLICENSEDCONTMCTOfLS [C TO CONSTRUCT TME PHOJECT(SEG)oal,BUSME55 ANO VROiE551ON5 CODE:TNE COHTMCTOR9 L4 Valuation AQI.AREA li1 CENSEUWDOESNO7APPLYTOANONNEROFAPROPERTVYA106ULDSORWPROVE9THEREON./J1D T�- hMqCOMAACTSFORSUCHVROAECfSWRMACOn'TRACf0�1(SJUCENSEDVURSUM(fTOTHECONiMG pUJWTITY DESCRIPTION FEE � TOHS LICENSE UW). O IAM E%EAWT UNDER SEG B.t P.G FOR TNIS qEA50N Q 3 � - , � � OATE ONMER V . � LICENSED COPfTRACTORS DECLAAATION W W � I MEREBV/�iF1R1I UNDER PENALTY OF 0E0.1Up'!1NAT IA/1 LICENSED UNOER DHOVISIDNS OF GHAPiER � s f(COIMIENdH6 WITH SECTION 7o0D)OF DINSqN]OF THE BUSINE55 AND VROFESSICNS COOE,AND Z LL� 4(Y UCENSE IS N FULL iORGEAYO EFFECT. m � LICENSE C IIC.NO. J �"'j on� cauranero � a W � WORKERS'COMPENSATION DECLNiAT10N Q � U � IHEREBYAFFIRIAUNDERVENALTYOfiER1URYONEOF7HEFOlIAW:NG�ECLARATI0N5: Z Q � _INAVEANDMnLLRWN7ANACER71FiCATEOFCONSEMTTOSELFaNSUREFORMNN(ERS' 2 - LOMPENSATI0N,A3 ViqVIDED BY SEGTION 97oa OF TME UBOfi CODE FOR THE GENFOPl.W10E U Q OF THE WORK iOR VMlp1 TM:9 PEiU11T IS ISSUED. � 0 _I HAVE ANDNrtLL►UMAW M�ORKERS'COUPEN5AT10N WSURANCE,AS REOUIRED BY SECTION J Q ]7o00FMELIBOHCOOE,FORiMEPERFOiWANCEOFTHEMIONCFORWHidiTHISPERMiT13 0 ISSUEO.MYYARNERS'QC�OMFENSATIONWS,U�-RyAN�CECAMIERM1DPOlICYNVAIOENME: CONSTRUCTION � � GRPoER V^O���V � PU1N FiEVIEW � POLIC7MJIABER� -- ---------- ELECTRIC � 0 �nas[ciior�rrcmrareemr.tt�oFn[�rsrrna E�uor�moauas�Siro�an�Ess� PLUMBING z ICERTIF`ITHA7NTHEPERFOtUIulCEOFTNENORNFORWHICHiHISPEH1A1T6LSSUEO.I MECNANICAL (,�} SwLLLHOTEUPLOYANYVERSONNANVMANNERSO/STOBECONESU&IECTTOTNE N Y/GiKEt35'CdaPEN5A7qNUw50FCN.IFORNU,/�NDAGREETMATIf151qULDBECAME INSPECTIONFEE S SUBJECTTOhIEriGiNER4'COMPENSATqNPROYISqNSOFSECTION]TOOOFTNEU�BOR cooe, oannnrneaea�rvnn�nasEre� ISSUANCE �� � �SMIP �1�, n � DATE APPLICAM: � WARNR1a AILU TO SECURE N9RKER5'CDMPENSATqN fAVEMGE IS UNUwFU�AND SMALL BE . ENERGY P/C � �• A � SV&IECTAN EMPLOYEN TO CfUMWAI PENAL71E5 M1D CIVII fNES UP TOONE MUNOREO TMOUSANU ENERGY PERMIT •!1C n 7�l(� T�!-\R DOUAFIS(f t00.00oL N ADDIiION TO THE COST OF COIAVENSATqN,DAAUCES A.PHOV�DED FOfi IN CI��t'.?f�e�r+�'�'�� ¢ SEC7�d�l7JoeOfTHEIABORO00E.NTEREST,MlDAt70nNEv'SFEES. RETENTIONFEE: i�rr r����r A�TT„('��i�.� a CONSTRUGTION LENDING AGENCY B���SrL���o � PRE-ALT FEE: O CL IHEREBYAGFIAAIUNDERiEN/�LiYOFPERJUMiMATTHENEISACONSTRUCTIONLENDINOAGENCY az- FOR TME VERFOMAANGE OF T E iqK FOR W iH15 FENAl1T I5 155�D EC.7oY7.qV.CJ. W � LENDERS NAME � IENDER'SAOORES � � � ICERTIFYTUTIWNEREADTHISAOMICATIONMIDSTATETHATTMEIIBOVENFOfUJAT10NI5CDRRECf. TOTAL FEES l � 1 AOREE TO COMiLV N1TH ALL CRY AND COUMY ORD WANCES ANO STATE UWS REIATIN6 TO BUILDINO � OONSTRUCTIOf1.ANDHEREBYAUT110R12ERE7RESENTATNE50FTHISCOVNTVTOEMERUPONTME Z �BOVE•MEHTIONEDPHOVERTYFOiiIN GE qNYURPOSEI���/Y/L� COMMENTS � � � m Q VERMITTEENAME � � S�CNATVREO EHMITTEE AiE r � RECPT.NO. � PAID BY LIDATION VYHITE—Departmant Copy,YELLOW�'vunce Copy,PINK—AssessaCopy,G LD NROD—Fle Copy,GREEN—App�icant's Copy ......:-5r.r ,.. ..,.�,. �..-.�;��,,:,: " , . � . . � .. � . , .r , . , � �m�.- .. ".f _ _ . ' � . ... :. ,,_ . � .�. .. . . . .. . .. . ^. �. . . .. . . .. � . . � . .. '�).! � .. . . � CITY OF DIAMOND BAR . ` - ;` '� � ,. - . I�dSPECTiOf�['RECORQ �` w � �! �.��`�N.��!'.!' -:a ���.�_ �'' � .g �.��.��_' �' � e ' .tAr.f- ?1�:���.� .�.._s .,..� i SET BACK . � . � ' ; ; , � .,'.�. FLOOR JOIST ::' ' � � , . � � �"�4- , „�.- �FTGS/FORMS/STEEL : . • ' ;.': FHA REQMTS' �. ' '� ''�-- ` • � ' ;ELECTRIC GROUNQ _ .!=��'" �_ : . ! '�: UNDER FLOOR DUCT ' - ' iGRDUND PLUh4BING UNDER FLOOR CU��DUIT -. �,�' ' � • ��'�''.`;�=•;� - • .. , . :, ., .. .. ' ' - �SLABGRADE -- - � -� - - FIREPLALE'FOUNDATION �— ����;t; _� ; ,h,\; .� , 'TEMP POWER � :�- � � - FIREPLACE BOND BEAM ' ` ' ' ' i WATER SERVICE - - _ 1�11D HT.BOND BEAM _�.•:�= •.,;= `�:�:;;:.;~., . ' �ROOF_SHEPTHIPJG-:'��� "t•�"'W�.'�, " .\ . 8 F7.BON BEAM.= �:�' ._ _ •,�:.��:'•` •- - � , , - FRAMIM /1/�N1�1L1ATlON :'� `=='" '`�'� :�. ';1 i�. 1� ;��INAL�OND BEAM�' ' ' . .- . � - ' ' ; ;RbOF�OVER .• + y M �/. � � � PRE-GRADING ' - (1.—���-� � :ROUGH HEATING BENCHING 'ROUGH ELECTRIC _ _'''_ '� " ROUGH GRADING - - � �� � - ;ROUGH PLUMBING - - - FINISH GRADING ;SHOWER,rT'UBTEST - -- - - �POOL-ELECTRIC EXT.-LATHlSIDING � - - - � POOL FENCING � :WALL-INSULATION-- � , ; � POOL FINAL CEILIf�G iNSULATION `J` ` � OFF SITE IMPS. ' = �DRYV'JAL.L NAILING ' - - DEDICATIOPdS iSEWER -- � F1NAL ENG. . , - �SEPTfC TANK LANDSCAPE/IRRIG. � � 'SEEP PIT/LL. �j`.`�_:;.�-;�\ ON SITE IMPS. +GF.S AIR TEST �� FINAL ZONING �FINAL CONST. /f�f/�� ( FIRE DEPT. FINAL ;Fl(v.4L HEATING _ 1� �� HEALTH D�PT. FINAL � - �FltdAl ELECTRIC � 4 - DEV. FEES PAID - � ; Ir1�lAL PLUh1BiNG -! - ENERGY , �i _ _ ._. ._ _ . . _ . I ��:'����.°''.�..;��a::..�__. �, `,-__ :� , i. - -- _ ..- . - . --- - -���: •� -- ., . .. , . ...1'. -`'�� ��` � �COMMENTS ` � ,� : �.... .... _ _. � _ . . I i , �4 �. . _ -. ... . . . . . . . . ... . �� ..� ... - i �� �� � • -. • - . i , � � 1. ,. � �.' , . • ` • . .. , -- ' . _, :` ., ,SEPTICTANK SIZE =� � . • . � . SEEP PITJU SIZE � �� . � � ; — �� - � . . � ,�► - . �.l�' _ . - - . - - � �c._ � � .. - , . , , ;_ . _ _ ; � :';K�: - . - . ._ : .. � � ��:;\,:�,,J. 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