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HomeMy WebLinkAbout11281 (5) • - -- ----- - �- - ------ ----- - .____._ � - . ... _ ..--_____.._.._____..___._.._.. . ....� ._ ---��--. CITY OF DIAMOND BAR •• � CO:NMUNITY DEVELOPMENT DEPARTMENT ' 21b60 E.Copley Drive Suite 190 . (909)660-3195 Fax(909)8G1-3117 PRESS BUILDING PERhtIT APPLICATION FI RM LY � o� JOBSITE • ' APPLICATION , PERMIT p/C� � ADDRESS Z3�� M�N NEC�V A DATE � NUMBER # ` � APN LOT TR CT ISSUE TYPE OCC � DATE CONST. GROUP p OWNER .TEF�G� N �Z LL ADDRESS �3 Z( f�tNNFQUA ZONING SETBACKS z CITY �_ t�/!lt_ ZIP TEL. �SI- S FRONT RW p � APPLICANT 3lM SIKdL- TEL. `�SS-7 54.0 REAR p � �— SI�E/SIDE STREET HW ❑ ' � CONTRACTOR L� / SI�E p ADDRESS � � CIN NVN �(�N_ ZIP�,�� TEL. � S PROPOSED USE MCl.� _- � � G.v w AACH/ENG! —�5.� SaIY PR m Nc cuR z DESIGNER_��U1�c L V ANC� Z'�s a ADDRESS NO.DWEL. NO. NO. .: � cirv �Q vT ZIP TEL. T �� UNITS STORIES Z BEDROOMS u�i DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q � � � OWNER-BCILDER DECLARATION . � SFR/A�0/REM ' � O p I HEREBV AFFIHM UNDER PENALN OF PEFLIURV iHA71 AM EXEMPT FROM iHE COMiUCTORSII- G8f0g9/G71pOf1 � W CENSEUWFORiMEFOLLOWINGFEA50N(SEL.7a31.58U51NE55MlDPROFESSIONSCODE:MIYGTYOR (n � U pp1NTVWHICHREOU�RES�GEfU1ITTOCONSTRIKT,ALTER��PpOVE.DEMOLSH,ORREPA:RANVSTRUC• Z TURE,PRpR TO R:ISSU/NCE,1LL50 REOUIRES THE APPUCAM FOfi SUCH PERMIT TO FILE A SICNED � PatiolDedc 2�S� W STATEMENT iHA7 HE OR SME IS UCENSED PURSUANT TO TME VROVISiONS OF THE CONTRnCTOHS U• � � � CENSE UW(CNMTER Y(COMM[NCING YAiH SECTbN 7000)OF DIVISION]OF TXE BUSINESS M1D DHO- LL' PooVSpa. � . FESSqNS WDE)OR h1AT NE OR SNE IS E%EMPITHEHEFROM�ND THE BASiS FOR TNE ALLEGED ExEMn- U TION.ANYNOLATIONOFSECTION70�1.SBYANYAPPLICANTFONAPERMITSUBJECTSTHEAPPLICPNTTO Z Re-Root � . 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W � [L I MEREBYAFFlRM UNpER iENALTY OF PE0.Nt1Y iMAT I AM IICENSEU UNDER PROVIS�ONg OF CMAPTER�� V, a O�COMMENC�NGWITHSECTIDN7o00)OFONISION70FTN[BVS�NESS+WDVROFESSiONSCODE,/WD Z ' X MY UCENSE IS tJ FULL FORCEAND EFFECi. (�p � LICENSE CUSS � LIC.NO. = r Z �I r S � H V DATE EX� ���]—S� ___ CONTMCTOR d W C.('� � WORKERS'COMPENSATIONDEC RATION f+�'—/,j5 4 � _. ._ .. -- - - �� v� v . � I H[REOY AFFIRAI UNDER PENALTY OF PE0.IURY ONE OF iHE FOLLOW:NC DECLAMTIONS: Z . C� _IHAVEANOWRLMAIN7AINACER7IFICATEOFCONSEMfTOSfLFaNSUREFORMqRNERS' _ � '� � � � �� � Q COMaEN5A710N,AS PROYiDED BYSEC7ION 37oa OF TNE UDOR CC�E.FOR TME PERFORM�NCE W OF THE WORK FOR YMICH iMIS PERIAIT IS ISSUED. � W .. _ ,�1 HAVE AN�WiLL MAINTAIN WOHNERS'Cd.�PENSATION INSUMNCE,AS RE WIRED B�SECTION O J7o00FTMEL�00RCADE,FORTHEPERfORMANCEOFiMEWORNfORWHICHTM15PERM1T15 �� � �� > ISSVED.IAYWORKERS'COMPENSATIONINSUFANCECARF�FRMIDPOLICYNUMBERARG: CONSTRUCTION /Z1�� _�[��}�_�(]/ �� FuN D � —rl—��s GRRIER Q� PLAN REVIEW � � . 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Z _ LLl � LENDERS NA1AE �- F- LENDER'SRDDRESS � � � � w� TOTAL FEES ICERTIFVTHATIHAYERFADTHISAPPLIGITqNANDSTATETHATTHEABOVEWFORMATqNISCORRECL � ' - � � IAGREETOCOMP�YWITMAILGITYhNOCOUNT'OAOPl1WCESANDSTATEUWSREUTINCTOBUiL01NG � r • ' � GONSTRUCTION,ANDHEREBVAUTHORIZEREPRfSENTATIVE50FTHISCOUIlTMTOENTERUPONTNE Z 1100YE�MEMIQVEDGROPERTYFORINSVECTpNVURPO5E5. COMMENTS � �M s _ QPEMIITTEENAMEIP ' ` - - . . . ' � ; � 2.—�'`� � � � •SiGNAiUREOF PE Ti E, � DATE � � , i � � � ' � . ��� � � RECPT.N0. � PAID BY VAUDATION , � WHITE—Depanmen[Copy,YELLOW—Finance Copy,PINK—AssessorCapy,GOLAENROD—Fite Ccpy.GREEN—ApplicanPs Copy i: ..,_ ..ar. ,.....,. .. ... .., �,.,. ,. ». ..� ...,a'..�.. ..... . ........n...r...+«... ,.... ., - .. �, . .. '.. „ -'.. � _. . . ., �- ,. _. .. ... .. . � . _. . . . . . ,. . .. , , • � . CITY OF DIAMOND BAR ' . : ' , . . , . . . ' �l1NSPECTiON RECORD ' ' � � � � r� � � � � s - f � � • - �� � SET BACK • `• FLOOR JOIST . _ . - __.. . ' FTGS/FORMS/STEEL ' FHA REQMTS -- , _ � - . - - '' � _. ELECTRIC GROUND � UNDER FLOOR DUCT -�, , � . ' GROUND PLUMBING UNDER FLODR� �IDUIT ' - SLAB GRADE FIREPLACE�FOUNDATION ' � " ' TEMP POWER � - FIREPLACE BOND BEAM ' =' - ' . • � - - WATER SERVICE•�. ,� � � ' - MID HT.�BOND BEAM � � • • ;,._�� . ROOF SHEATHING • �- 8 FC BOND BEAM • - � . � � FRAMINGNENTILIATION � FINAL BOND BEAM � � ' ' � _. _ . , ,. ROOF COVER - - PRE-GRADING � ' "� �• ' ' : ' � •�, • ; . ROUGH HEATING � BENCHING � ' ROUGH ELECTRIC - R�UGH GRADING ROUGH PLUMBING ',� : � . FINISH GRADING SHOWER/TUB TEST, -� - POOL ELECTRIC � � EXT.LATH/SIDING POOL FENCING � - WALL INSULATION POOL FINAL ' CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEWER--- . ._.._ ' . _. FINALENG. • SEPTIC.TANK - - '�'�" LANDSCAPE/IRRIG. SEEP PIT/L.L. • ON SITE IMPS. GAS AIR TEST; ;� �- - " _. - FINAL ZONING FIt�AL� NST.,� - - . �'$ , � -' FIRE DEPT.FINAL ! . FINA�HEATING. HEALTHDEPT.FINAL - �- --- FINAL ELECTRIC DEV. FEES PAID , . FINAL PLUMBING ENERGY � • . � ` � . � . • • � - . . , , • � - - :- -- - _ ... - - - . • .._.' r _ COMMENTS . �.','� -: , ` . . . . . . �1,,s ,1��l . ::� . . ; . :, ;. �;� i :. , — . . �� . ... ;. _. i + � ' , � � �•��..__ . .. . , - _t . ....�',' ' � • � - i .� . .�.; --.. �—� � • ' � ,>.' -� ' `.,�.. , _. . . , - ' . _ . . �• . ,,, �.i � � ��� , , -.. SEPTIC TANK SIZE � - -- - - SEEP PIT/U SIZE � , r - . ' -- : _ - -.. ---� t � ,.• .: �- . i , _ . . : J-1 , . . . • � . , � �