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HomeMy WebLinkAbout16641 (20) Lf�d �v . C1TY OF DIAMOND BAR ' ' � COMMUNffY DEVELOPMENT DEPARThiENT � .,.� 21660 E.Copley Drive Suitc 190 �. . . . , . PRESS (909)860-3195 Fax(909)861-3117 "^" BUILDING PERMIT APPLICATION FIRMLY o AD RESS /� / � J, f�.bN�r- �//�� APPLICATIQN � b NUMB R_�f�f9'T f M� DATE � ISSUE TYPE OCC APN LOT TR�T DATE �CONST. GROUP p OWNER p ADDHESS �/'�'y D'7 ,S� lE'7'�LL � ZONING SETBACKS ._ � CRY ft/�41�t/�il T ZIP, /7:�'s 9 TEL.����,� ' -•- -'FEAR ` �___._.-�� � ._ : v RW O❑ APPLICANT TEL. SIDE/SIDESTREET ' RW ❑ � CONTRACTOR � 'SIDE ❑ � ADDRESS � i., � OPOSED USE � CITY!� �fi.�c� ZIP�/�/O TEII.! o ARCH/ENG/ , � DESIGNER NO.DWEL NO. NO. a ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.FT. 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B.IP.C.fORTMISRGSON Q 3 � ' LL' DATE OWNER � Z W � LICENSED CONTRACTORS DECLAHATION W � IHEREBVIIFFIHMUNDERPEWLLNOi0E0.A1RYTF1Ai1MIlICENSEDUN0E0.PRONSIONSOFCHAPTER `' �1 � 9(OOMMENp�M WITM SEGTION 7ooD)OF OMSION]OFTHE BUSME39 M�0 FROFESSIONS COOE,AND Z � - - ��TU�'�� %c— T V � LLL ��NSEISNMLfORCEMAEiFECT. m `,{,�+r: �i l ' ���� � UCENSE CUSS C;3�rs LIC.NO. � � � ' V DATE � CONT � , W � WORKERS'COMPENSATI N DECLAHATION � � U � IHEREBVIIFFUWUNDERPEWLLTVOFOE0.RIRYONEOFTIEFOUAW410�ECUiUTIONS: Z � _IHAVEANDYIiLLMARITNNACERiIFlUTEOFCON5ENT705ELf•WSUR[FOqMfORKERS 2 COMPENSATION,AS PFIOVDED BY SECTION 77000F TME UBOR CODE.FOR THE PERFORAIANCE W � OF�THE WOW(FOR WMICH THIS VERMIT IS ISSUfO. � G ♦/ �� IMAVEANDWILL4NNTAMNlOflKERS'COMVENSATqNINSURANCE,IISREONRE08YSELTICN Q ]700 OF TME IABOR OODE.FOR THE PERFORYANCE OF iNE WpiK FOR NMICH TNIS PERYR IS LSSUED.I.IYWOPoCERS'COMPENSATIONMSURANCECAANiERIN�GOLICYNUYBERAAE: CONSTAUCTION J j GRqIER PLIW REVIEW � voucvr+uMaEn - � _ ELECTRIC — O 0 massEcna+w[�raTSEm.stFrEoaan[vcaursxna+[Hrnamoau¢sR+mlaat�ssl PWMBING �' r1 • Z IGERTIiYTMATNTYIEPERFOHMANCEDFTHEWOHKFORWH�dITMi3FERMITI5155UE0,1 MECNANICAL � () SHILLLNOTEMPLOYANYPERSONINIu�YMANNEflS011STOBECOMESUBJECTTOME � WORKERS'COMPENSATqNLAW50FCALIfOqNIA,ANDAOREETHATIFIS1AUlD8ECOA/E INSPECTIONFEE S SUBJECTT07MEWORNERS'COM�ENSATIONPRONSIONSOFSECTpN77000FiHELABON cooE,�s�wt�oarr�vnn�caaa�rwrtHnasevnoNsia+s. ISSUANCE Z ,n� � SMIP T• p DATE: APPLICMJT: ..— _._.. � WMMNO:FNLURETOSECUREWORKERSCOuvEN5ATI0NCOVERAGEtSUNLAwFUt,ANDSNAILBE ENERGYP/C LL 6UBIECTANEMPLOYERTOCRpAlULPEWLLTIESANOCMLfP1E5UPi00NfFR1NDRED7HOU5AN0 ENERGYPERMIT DOlLMS(ttoo,oao�,W ADDITIdI TO iHE COSTOF C04PENSA7qN,OAMACES AS PROVDED FOR W � 6ECTON77oeOFiMEUBORCO0E,N7EREST,ANDATfORNEY5FEE3. � RETErIT1ONFEE: � a CONSTRUCTION LEND�NG AGENCY pRE-ALT FEE: O � INEREBY1lFFWMUNOERiENALTYO�VEiWRYi11A77HEFE15ACON5TRUGTIONLENDWOAGENCY Z FOR TME 7EHFORAUNCE OF iME WOPo(WN WMICN 1M�5 PERM�T IS ISSUED(SEG]oY7,C1Y.G� W � LEFDERS NAME � LENDERBADDRESS � � ¢ ICERTIfYT14lTINAVEREADT/pSAP7lIGTqNANDSTA7ETU1TiHEABOVENFOAMAT10NISCORA[CT. TOTAL FEES � S� d IAGREETOLOAI7LYW1711AlLUfVFHOCOUMYORDWANCESANOSTATELAWSRELATINOTOBULDINO � � � � CONSTRUCTqµM1DNEREBYAUT1qRIZEREPRE5EHT11TIVE50fTHI5COUNTYTOENTERUVOHTHE �BOVEa.1ENTqNED OROVERTY iOR INSPECTION PURPDSES. Q CO�AMENTS • sC L- S �� c � m. wa � . ai OF �FE DATE rr RECPT.NO. • P.41D BY � VALIOATtON F . . _ _WHITE-0epaRment Copy,YELLOW—Finance Copy,PINK—Asaessor Copy,GOLDENRO�FIIe Copy,GREEN—Appllc�nCa Copy i�,•.Y�•.y i,�y,L '?�.�Y'„ , .V w:.�... •j, .tr,:.,........�. �v. �. .r�,.,.-. w:..;_" � ' _ ... . , . , � . . ,� ��r1"; i.i•, .ti r. -,i., •..I` . . .. ..��'�:�' �➢ �� .�1..�:.. . ., . , a. � . . . � . . . . .�f.�'�Y� . ._. 'V` . EY.' A�� �Y�..�..:`::�.� �' .. i'. "Yj` , � (J CITY. OF DIAMOND f3AR '�' ''T�"� � ._ ;. •;�; . � • . ...... � .' i . . _ '. INSPECTIOtt1 RECQRD;;;; :, ' ,'=, -`��.. ..,.. . . � . . ,.. . :�. „ . ;� ...�-, , �1►�~i:����I�CJ�`h�. ��v�=� lla����c�.�'��� '1,►`.E-�:��e�:�Ie���r . ���;�t�=; �J��.�;t�o;;�c��--i: � _..__..._ -- --_--�— _�-- -----_.�...�._._'1� �_ .�-------._ �_.._..__._..y _.�:W__ — — -- - -. . � SET BACK ;.; ...... ,- , . .,� _... .. _ . _. FLOOR JOIST- - -- ------- --- - ---�--- -.......----.. ------ ; '. FTGS/FORPAS/STEEL. ... .__. �, .. . ._.,. ::_, . ..:.. . �FHl1 REQP,�TS - . ..- - �... . _.... ----- .. �.,. . ......... . ... , ELECTRIC GROUND . UNDER FLOOR DUCT _ V-- � � �,.- � � GROUND PLUP�161NG 6�(,� {_ -"'-UNDEF3#'�OOR CUt�IDUIT '•� = ..` ' � -.--- --_- -- . • ��= I '' SLAH GRADE -- . '' ' -- - - �- ' � =- : : FIREPLACE FOUNDATION.__ . .. .__.. _.------ ,.. ,.. . . . . ._� , TEPJIPPOWER- --:.-..:. --� - --�-- .-----. -:-.._:-_ : .. - fIREPLF.CE•BOND$EAP,A • .._... � . � ; _. ..... - = -- , i ._ _. ._. . . __.._.. ._ . YJATER SERVICE. -.. - --- --_ _ . �� �; : MID T:B�N�.BEA��1 :_ : • :. ti-, i �- ROOF SHEATHING - - - - -- �� 8 Ff.E30ND BEAM ' '=�;'� �:� :• ! ;.. FRAPAINGNENTILIATION '� -' 'FINAL BOND BEA4A -�----'��" i - -� ' �.— � .. ROOF COVER. "::.� -- - � � PRE-GR�DING - --- �`•� . . . .._. ._ . .._... ...- -- - 'r��� i .. ROt1GH HEATING -- �--� -� � - �ENCHING - __ _... .. ..... . _. .. ROUGH ELECTRIC � --- - - - - ��-- -, � -- - ROUGH GRADING ' � ROUGH PLUMBING_ . _ -.- -' - -- FINISH GRADING , ' , . ' .,�. ' , � : . SHOWER,?UBTEST;---- ......... .. .... ------ ---.._... .... POOL ELECTRIC •- •. ;.... : .:. : , . : � , . •. ,.. , EXT. LATH/SIDING , -- ---- ; -- - -- : POOL:FENCING` , . . � . WALL INSUL.ATION � POOL FINAL • • • � - �. ; � CEILING INSULATION i OFF SITE IP,4PS. ' ' ' ! � • DRYWALLNAILING i DEDICATIONS ' - . . , � .' � �-- SEWER_..- --- - ' .. .. FINAI:ENG... ...., . . ; . � ; . SEPTIC TANK. ._ ..._ ' _ .. __ -: . _LANDSCAPElIRRIG. . ' ' , .. r...:. '., ,.: i :;; SEEP_PIT/L.L--. -_ -_- _ -.-- . ON SI'TE IMPS. -.. . . � - i - . GAS AIR TEST . ..__ .. .- --..._..... . . .. . . . .. .... . . _....-- FINAI:ZONING . , . . , : �.. - •. .,� � : FINAL CONSL , - - - - ---_ FIRE DEPT. FINAL . , FINAL HEATING .-- �-- - -.�_._ __ . _ ... HEALTH DEPT. FINAL � . .__. .... --.- .- -.--.---... ----.-- ..- , .,,. .�. FINAL ELE TRIC- " " -- -. - .- ,, DEV. FEES PAID � ' �`� FINAL PLUh481NG 6-...�I,� • �. • ., �. EPlEAGY � • � i . ;._ �. ._ � . ___ _. . .-.. .. . � � Q�=��'' �.I�o�te, ��� . ; .. __._ _._. . . . � . � - .. . . . ... .: . . .. . . --- - �-, Y � .� . , — � .. ... . , . . , .... ; . - .., ;;.; ; ; .. COMMENTS .- _ _ .. .; ,., . - , , � _ _. ..... _. _ � ► � ,, . i .. - _ .. .. .. . .. . -- - - - - , , . . _ _ ; � . .. � . ._. . . . . . . . _ . _. --- _ __ . , � . . . . . _ . . _. .. _ _ .... ,. ; .. . : ; i � . .._. . � - � . , .. _ . . . .. . .. ---- -- _ _ , , _ , : .. I i i �---.. .... . � .. . � �� , � , . . � � _ _ ; ._ . . ' . ' . ' ; . � - --. . . _ ..__' -� ---.. . ._ : .�;.s: � - , � ; . � ^ � - r ; , . ..... . .. .. . . ---. . �i. • i .- •;. • ,. , . . , . ... I ,� SEPTICTANKSIZE._ - . ' � . .__.. . .._ .. - -- -- �--�- ---.... ---- __.....-- -------- , . . i , � .. . . , . . . � SEEP PIT/U SIZE . -- - .. . . _ �:.,,. . , , . ... , � . � , . • . � - ._ .. . . _. _ . .. _ ._. ._. . ._ .. , .�_� - �' , ; . . ., � ' � . , , , i • � i - -- . _.... -- . ...-- --- - .._ _ . . _ . _ _ . � , i ; T �' � ' ' • .. .. . ...' ' —._ ..._ ..___'.. ..."__"'. . .. . � . ; I , . .-., .. ..�- _'_' ' _..___..__'_' _"__"""'_—'_'_ "_" '_'_'__'_....._. .._. .._ '� • , J� � � � �r. . . .� . � � ° . ���r� `!' _ I . ,. �. ., . �. _ � , . , . ) ; .... : . .-� - - - .. . . i � V'�\ ;: �'� J'` C:- . �•t\�� \� •J�:\... .\ � .�, � . � _ ._. - l. .. ._ ....._.._..... i I1�--`i�_'\1' ,��-,,r:`� '_� ` '� : .• ��� •� �; . -� � ,. - - - - . r � ' .. .�, , � . , . _ �� .. .� . . .. _ �'..,'�� . ' . .. �, . _... _� .a . . � ._.. . _.._.. .._.._ .. . .- --.�----..-- '--- ------�-- -- --- - . J.� �. . . . . I. ' ":' '_,:.,,' __ '_.'__..-__."'_'_—_`_`—_ "'_"" _,.: