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HomeMy WebLinkAbout11806 �� CITY OF DIAMOND BAR i DEPARTMENT OF COMMUNITY 8t DEVELOPMENT SERVICES � ��� 21660 C.Coplcy Drivc Suitc 190 �y (909)860-3195 Fax(909)861•3117 PRESS �'*�' BUILDING PF.RMIT APPLICATION � FIRMLY � JOBSITE / ry o ADDRESS �Iy /U- ,�e.vS�7C.�7(2 D-� SSUEATION� ! �d TYPE R-1�8a� A��C �ZU � APN LOT TRACT DATE CONST. GROUP p OWNER�.����ptilr2-Y�LL�SI LLO o ADDRESS �• '���'' � �- { ZOP�ING SETBACKS W CITY �3 It' ` � ` TEL. � U FRONT RVV ❑ � APPLICANT - 'TEL L/- �f/.�O REAR ❑ � SIDE/SIDE STfiEET RW ❑ CONTRACTOR SIDE ❑ O ADDRESS PROPOSED USE�e�_r�-{�- D e Q.� f!(7VC1� o CITY ZIF TEL. � o ARCFUENG/ l. � • it/C.-�J G1�W v . � DESIGNER NO.D6'JEL. . NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIF TEL. � cn DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION OWNER•BJILDER D�CLAFlATION 0 SFR�AD0.M1iEM 0 1 MEREBY AFFlpA UKJER PENA:iY OF PEM1f1Y TNAT I/V.1[%f1AM iROY TMC COHTMCTCIiS L4 G.7raga'Carpon W CCNSCUwFqiTIEfOLLOW�.GRCA50N(SCG70]158UiNf.55A��VROfE55�OHSCOCi ANYC:TYOfi (n � COUNTYN41Ki1RE0UIRESIIPER4fiTOCOfhSTAUCT,A:TER�MPiqVE.DCr.^CL':�I.OAREV�'9AtiY5Tf1�G W pa�:a�Dc�k iUi!E.PRqR iOITS 159UANCE.K50 REOI;IRES TXL MPLICANT FOR SVR1 PEFMIT TO FtIE A 5'GNCD w � STATEMENT TU7 NE OR SNE 4.LICENSC�R:RSU�fiT TO TMC if10V'.�i10�5 OF MC.CONiM^iCll i l4 LL � CE�15E LAw(ClIAViER i(COYYfNL:HO VAM SCGTION MOo!O�CMSqN]OF TXE BU5:4CSi A.1'7 Pf10� F'OC'+'Sp� FC5510NSCOCC)diT1UiME0(ISNC�SE%C4�TTML11CFi1011AN'JiNC8A5:SFORTI!Eil'LECf]E%CMo. (� T70N.MYN0.ATIDNOFSCCilONT771.S8YANYA?P�ICANTF04AVEN�iTSUfl.:CC.STMC.AV7LIGl4fT0 Z FjO.Fjpp� � A CIYt PENALTY OF Nd71/ORE iHA4 FM 11UA9�CD DOlURS(t5x;�� � OlA6OYM:EROFTHCPROVC�TY.Of1YYEMPLOYCCSN"THN'�^uCSAiTMC.fiSClEC04�[KSATqN, O CORITOf�l.71 • 1MLL DO iMC YIOfK M1D TME STRUGfUfiE IS NOT IN7CNCCD OR OFFE�ED FOfI SALE(SEC 7ou.8::5:- J y NESC MA VRDfE55�p:5 WOC TME CON�M�ORS LICENSE Uri OOES NOT 11PP:Y TO AN OY/4fA0: � ONOI+ERTY 1Mq BUl.CS OR�J•'f10VC5 THCRCON.AND 1N10 DCCS SJCM WO(U(HI4;CL F OR Hf fISCLF Oq � iTY10UCi1MISIX1MCflOWNEY7LOYCC5.VR0`lDCOTYIATSUCNM^f10FT.N'\:SA�fNOiNiEKCi�OR m � O�FEAEDFd15AlE1F,10wEVE0.T�EBULdNf10�iWOHOK4�Yri550l�Nr"M4d.EYEAROFC,1.e�LE- iION.T11E OWNE0.8URGCq WILL W1VE TME DU0.7iH OF PROVIH�TMAT I/E OIl SH[CIO NOT BJ.'J Ofi M�ROVE iOR THF.PUfli'OSE O�SA:CL W O1ti70�M�EROPTHCPf10VER1Y,AA1C%�USNCLYCOMMCTIYUYATTILICCNSCDCONTM�TOfiS �� � ro ca+stra�cr me vAoxer�sec�o..,e.n.:nr.,s ww vroress a+s coo[Tnr conrw��Toas u• Va'ualian 7�ZU ADJ.AREA �OC� CENSE UW DOE9 NOT MPLY TO AN ONT:CN OF A PROPEAiY VAfO BURDS OR V vI1C1lC5 T�CRE�H,AND � 1NlpCDMRACi5f0lISUd1Vf10:EL'fSWIMAODN7MCT ' ..E`.SEDPU0..UAYTTOiMC.001:TM4 QUA.UTITY DCSCfi�PTIO�! 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F4 LICENSED CONTRACTORS D[CLAR/ITION W J K IXERLOY1liFIHlIL7YJERPE`L1:TYOFPEM1AIRYTUTIAMULCNSC�U%D�f7Ff10V'SONSCfCMAPTE� � s i(COAM�ENCeqH7THSECTqN7�OCjOFCM.SqN�OrTHC8U5:NE55A4�PROfE55q1:3COCC,A\D 7 X W UCCNSf 4 H FLLL FpiLC AND E FFECT, � LLl � �ICEN;E QASS LIC.h'O � � J V DATL COF:TMC'TCR a � WOFiKEFlS'COMP[NSATION DCCLAFlATIO.'J -� � a � IMCREOYAFFIRAIV:'JERPE4l'ttOfGCRIUrtYONEOFT41eFClLOWNGCCCIAMTONS L C G �IMAVCANDN^ILUAN'A:NACERTIFIGITCOPOd:SCHfTOSELF•IVS;;RLF04N�J:1{cR� _ � CO��CNSATION,�.PIIOYCC7BY5EC.'TION]'900�1M[UOIXICOCE.FCRTI�CPE��DP.NJWCE W OF iNC.YNDNC Fd1 WMiL11 THi9 PERM:T 615:UCD 0 1 w �IHAVCA\nMI::LM�MA:NWWiKCR�Op.��EN$�TIDNIHSL'MYC_,ASRiCI'nCD8Y5CCTICY Q 770D OF iM[�JI:OR G9[,E,FO(1 TM[P[R�ONAll4CE CF TI•C MRXIS f0�WM.?1 TMI,S PCRMIT 15 b 65UCD.MYW'Jf1KERi'CWPENSA'IONINSL'MNCEGRHIE9AV,IPJIICYM1VV7:flA�.i CO'`1 �ON SI � � CANFIER � N�1CV� .���!_L/ L�• zPOIICVlAIUE[R ., iIC _r/:.���� a V 0 (��;;,[c�a+N[mr+cro[mYni:[�cFn[r[r�.+r��nore�4.uu�ocxw�us�aior,�c,.�•t PLUMD,N,; w � ICCfiTIIYIMATNhIC7ERF0(IW�.tiCEC�THCINCRKFdIW�n(7i1NiSP[NJITISISiUC�,I A!CCHANICAL (J Fi1L1:LNOTEM':OYAtiVPCR;Af11N/�NYY�YI:f.RSOAS700EC•OM[SUfiJC_7TO7H[ � �+vnnEA�cwmEwS�ranuwSOFe�un'or�:�ti�.��n[eTx�:iais�+anoB[�u_ IKSFECTIONFEE S S:IOJCGTTO iME YYON(ERS Op.�%'C`�SK.ION CRONSKX:S C�SCCTION]!7C OF iHE U70R coo¢,i s�u:i ronTNmTHCOMf'LY K1:N TNCSC P�lON5qN5 ISSUAVCE (O 0 � SMIP .�� p DATC. APi'LICIIM. W ENCRGY F�'C � W�RNIY(iFAL4:RCTO5CQIRCWIXiKCRS'CCN�EIiSATqNCCVCfiAGEISUhUWiU.M,511ti:Bi � SUB.ICR�NE4?LOYCRTOCRNA'NALVENA�T�[SAN�CN:LiP.FS{;PTOONCMLN�IlCDilqI;SA�� ENEFlGYPERMIT WLUR$(S 100.00C1.IN tiDii10N TO THC COS T OF CCMP[hiA'qN,DAM�GLS AS P�OY'CC7 FOfI IN � ,ecTaNaroeorn�[u�one�[.iNttn[sr,wvo�rtcrv.r:rss�[s. FlETEYTIOYFEE: �Q� n CONSTFlUCTiOv LChD71G AGEhCY PF�E•ALT FEE: � IIICRI'!fYAF�INAUrCFfiDCNALTYOFGCR1Uf1YT/U.'TMCAe15ACON5Tlf'CTIONLEN�'N:AGEhCY Z FIXi TM[OC�fOf1uAVG[OF TXE A'OHK MO�1 WH:U1 TX'S iEHN;T IS ISS:1f.D�SCG 7CV�.CIV C.�. Ul "L IErAE�i'SNu�E � _'-- C LENOCRS�C 5 � � ICERTI fIXAVERE/JT115APPUUTqNM1DST�'C1N�TTMCADOVEf:FOR//�T�ONLfAf.I1C.Ci. TOTAL FEES IAGf1C COM:'LYW:TIIA:LC.'iYN1�COlR7TY011:1:YAI:CCSAA95TFTCUWSREiA!IhCTOBU'lD'NC D� � WN KXyM'JHCRiOY i(1IIEREPRCSCNTATrvC50fTWiC(%JATYTOENfE�UPONTHC � S� /� NTIp+C�P11 RTY 11'.PCCTiONG �'OSES COMIACNTS � y o �' �,1.� �� r _ — ��` a s_��"7-� m �Pk IEC HM� N/� // � Vl L J/C�l�( � ! / � �,�_-��_ � � � � S�GNAi UCPERM:iIEC ,�fE � RECPL N0. _PND BY VALIDATION ,J WHITL-0epertmor::Ccpy,YELLOW—Fv�enco Copy,PIYK—Assxesa Copy,GOLDENROD—Fdo Copy,GRECN—ppp�cant's Copy � CITY OF DIAMOND BAR ' INSPECTION RECORD �. • � � • - � � � • - SET B�`.CK . . �'. ' � , • � FLOOR JOIST , � � '. FTGS.�FOR;.15/STEEL � � r FHA REQ"1TS � EL[CTRIC GROUND ' - � UNDER FLOOR DUCT . � � GROUND PLU�.1E31NG 'I UNDER FLOOR CU�IDUIT • SL�15 GRADE � FIREPLACE'FOUNDATION ' �- � - ' - � TE���P POtiNcR � � ' FIREPLACE BOND BEAP.� � ' � ' V•rATER S�qViCE � h11D HT. BOND BEAP.1 � ROOF SHEF�THING • - ��1 - S FT.BOND BEAb1 � . FRA�AINGNENTILIATION 7�� � FIP�AL EiOND BEAP.1 • I • • ROOF COVER ' PRE-GRADING � ROUGH HEATIPIG I BEPJCHIPJ3 ROUGH ELECTRIC � ROJGH GRF.DIPdG ROUGH PLUP.4BING � FIPJISH GRADING � SHOVJER,rfU'3 TEST � POOL ELECTRIC • EXT.LATH/SIDING � I I � POOL FENCING �"JALL INSUUITION � � POOL FIP�AL CEILING INSULATION � � OFF SITE IF,APS. • DRY1;'JALL NAILING I DEDICATIONS • SE4'JER j � I FINAL ENG. ' SEPTIC TANK � I . � � LA�dDSCF�PE/IRRIG. + . SEEP PITlL.L. � �- �' . � � OhJ SITE IP.iPS. GAS AIR TEST � FIPJAL ZOfJIhJG FINAL�CONST. .��� � FIR�DEPT.�FINAL � FINI,L H[ATING f 7 r HEALT'y DEP.T. FINAL . .j . FIPJAL ELcCTRIC � DEV. FEES PAID I I � FINAL PLUP.161NG � � ENERGY . 1 � � � � =�_ e� s �; ' � ... . -�,. . COMMENTS . � . _ . SEPTIC TANK SIZE SEEP PIT%U SIZE r � ,. ��_ ' � . . „ �.- ----- � . . , . . _�._.____._._._ . . .. . � . , , . . . , � :� � .. . . . � . . . �.���� �'��� • 5 ;