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HomeMy WebLinkAbout16505 (39) 1� CITY OF DIAMOND BAR DEPARTMENT OF COMMi1HITY&DEVELOPMENT SERVICES � 21660 E.Copley Drive Suite 190 (909)860-3195 Faa(909)861-3117 � PR ESS '�^'� BiJII.DING PERMTI'APPLICATION FlRMLY o OD Ess a37a5' �%GI�I , .�,rS��• DATEICATION �– }�-Ol NU 8ER l�lO� N/C $ V ISSUE TYPE pCC p� APN LOT Ja.� TRACT��� .7 DATE CONST. GROUP p OWNER f1�t��—r�. — o ADDRESS_�JP'�/5 f �f� Xn rm�n� ..� P�i .�iJ'�� ZONING SETBACKS �"' CITY��"v�n t 21P� /,1 TEL.`jy�797��-/NOn FRONT RW ❑ APPLICANT TEL. REAF ❑ � SIDE/51DE STREET RW ❑ CONTHACTOR SIDE p ADDRESS g C�Y Z�P TEG PROPOSED USE �� � AACH/ENG/ - � DESIGNER�Q.,� - '�SLS�� NO.DWEL NO. NO. ADDRESS �t-S � �C i cG6 � CITY,�'���� �»n. ZIP�l}� TEL.�Tly s'sn 9� UNRS STORIES BEDROOMS � �n DESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION Q OWNER•BUILDER DECLAHATION SFR/ADDlREM O p 1 HER�Y AfFlRM UNpER VENALTY OF VERR1Rv THAT t AM E1cEMPT iROA1 TME WNTMCTDRS l4 Garage/Carport � � � LU CEH5EUwFORTHEfOLLOWIH(1REASON�SEG7071.69USMESSANDiROFESSI0NSC00E:ANYCRYOR (n CJ CIXMfYW10G1qEOUWESAVERMRTOCONSTRUCLALTER,IMPROVE,0EA10U5H.ORRE7MRINV5IRUG LL� NRE,PRqR TO RS iSSUANCE AL50 REq11RES TNE AVPLKJWT FOR SUpi PERAIIT TO FILE A SI(iNED W Patlo/Deck ..� STATEMENT h1AT NE OR 6HE IS LICENSE�PU0.5UANT TO T1E�ROVISIONS OF THE LONiMCTOR9 LL LL � �ISE UW(dUVTER 0(COMMENdMO WfTH SECTqN 7000)OF DMSqN!OFTHE BUSWESS AND PRO- POOVSp2 � - . 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B.t V.C.FOH THIS REASON � U u' DATE OYMER V � J LICENSED CONTRACTORS DECLARAT�ON W � INEREBYAFFYMAUNDERPEWLLTYOFiERIUAYTMATIAMUCENSEDUNOERVROVIS10N50FCNAPTER � 1 T S �(COM4EHCN(3 WRM SECiION)000)OF DMSION�OFTNE BUSINESS AN�DROFESSiONS CODE.AND Z - V ��L W UCENSE IS tlJ FUI.L fORCE INO EFFECT. m � LICENSE CUlSS�-�LIC.N0._�,�/�,��� � �j DATE 'L''K�,��A�/ CONTRACTOR 'P U��f! d 1 � WORKERS'COMPENSATION DECLARATION � � INEREB ,tFFIRMUN0ER0EW�LTYOF0ERAIRYONEOFTHEFOLLAVANaOECLAMTqN3: Z � ��HA'�EINDWILLMAMTA�NACER7IFICATEOFCONSENTTOSELFaNSUREFORWORKENS' _ .7� CQ4PENSATION.AS�ROVIDEDBYSECiION]TooOFTHEUBORCOOE.FORTHEVERfORUANCE `U Q �,�k TNE WORIf FOR W111CH i11:5 VERAIIT 131SSUED. � � �f MAYEANDWILL4AIMAINYlOHKEPSCOMPENSATIONWSURANCE,ASREWIpEDBYSEGTIJN Q ]7000FTHEU80RODDE,FORTHEVERWRMANCEOFTMEWORKFORVMICMTHISiER1ARIS ISSUED.MYWO [AS'COYVENSATIONINSUqANCEC RRIERANDPOLICYHL11A9ERARE� CONSTRIJCTION � CAARIER ��J��h/�� ,��US- PLAN REVIEW � iriM9ER ' !/�Zn I ELECTRIC 0 �'Y (R1�sEcioOrrNEEDraiBEo�.RFfIDOFnEGEW.(isFIXta�E11L�DiiE'J[awi5(S�m�a+tEssl PLUMBING �Q Z 1 CERTIFV TNAT HTHE pERiORA/ANCE OF THE N'OPoC FOR WHtCH THIS CERIAR IS LSSl1EO,1 MECHANICAL � U' SNALL NOT EMPLOV Mf'I FERSCH IN ANY MANNER 50 AS TO BECOAIE SUBJEM TO TME (n V/ORKERSCpAPENSATIONUWSOfCAL1FORNIA,AND�CREE7MATIFI5M0UlDBECOME INSPECTIONFEE SUBJECTTOTHEWORKEf45'OOA�PENSATqNPRONSION50FSE ON97000FTNEUBOR coo�e�/S+J��t/1,�ron/tr'�wm�caa�rwin/�y�+p,sevrahsior+s. ISSUANCE � v DATE:!��APPLICANT: �I�� �� SMIP � WAqNINO:FAILURETOSEWP[N+DRI(ERSCOMPENSATKKiCOVERA6EISUNUWFVI,AND5/ULLBE ENERGYP�C � SUBJECTANEMPLOVENTOCPIMWALPEWLLTIES�NOCMLFNlESUPTOONEHUNOREDiM0U5AND ENERGYPERMIT DOlLAAS(tI0a.00D).W/�DDITION 70 7NE C0.5T OF COMPENSATION,ONMCES AS PROVIDEO iOR IN ¢ 6ECTIDN77000FTMELA[iORCODE,NlEREST,/�NOATiORNEYSFEE& RETENTIONFEE: OCONSTRUCT�ON LENDING AGENCY PRE-ALT FEE: � � IHEREBVAFFlRMUAERFENALTYOFPEFUURVTTt}}N1�ATTHEREISACONS�PUCTIONLENOWGACENCY � FORTHEGERFORMANCEOFiM��/ Wyfd���iT�y�D(SEC.ioi7,GIV.G). � IEFIDERSNAAIE •� ` � J � � IENDER'SADDRESS -[� W ICERTIFYTMATIHAVEREADTHISAPPLICATqNM1OSTATETINTTIEABOVEFlfO{LAATIONISCOMECT. TOTAL FEES ��, v . � IA6REETOCOIAPLVM7TMALLC7TYANOCOUNTYOROWANCESANDSiATEUWSXEUTNOTOBULOtNO �y' - � CONSTRUCTION,MIDHEREBYAUTHORR EPRESENTATNESOFTWSCOUNTYTOEMERUPONTME ' � �ewe�+.�ENnw+Eovr�overt7rFoni s craNvunaoses. COMMENTS � J � O° verwirr¢ wwerywrrp i � � " .c�� 7�rd� y 8iGN oF PERufTTEE OATE � RECPT.NO. PAID BY VALIDATION� WHITE-0epartment Copy,YELLOW—Finance Copy,PINK—AasessorCopy,GOLDENRO�File Copy,GREEN--ApplicanCs Copy � , . . ..� . .. � ' . . - . . l. ' .. . . " . . � ' n . . . � . .. , ... � � .. .. . . .. .. . . . r w . � � . ,-_� CITY OF DIAMOND,BAR . .. . . 1 �'; - . „ It+�SPECTIO�rI REC�RI� .. -_: � �� - � � i , _ . �1�4���-��,����k��� � ` �'����'��`�`�.1��- ',�. �. ��_.a_ 'I��-��=��'pl�.��. . .� ..c3''�'u�=, y,_�f�r_E-'�.���;'��'���__:. , �. ..,��.�.�.. :..,�. .�.- .....�. � .. s� w. �SET BACY. �� � i � , ; -� . � FLOOR JOIST . �, . . 'FTGSlFORMSlSTEEL - : . - - � FHA REQMTS. `', . . ' _ ,ELECTRIC GROUND. .__ ' ' ' __-- UNDER FLOOR�pUCT ;'GROUND PLUMBING UNDER FL;OOR CbP�IDUIT `' • ' ' " ' iSLAB GRA�JE- _ _ ---- - _' FIREPLAC�FOUt�JDATION � . . . _� '•TEMP POWER i: FIREPLACE BOND BEAM - - � � ��' �WATER SERVICE - - - - - -- - - MID HT.BOND BEAM , �:� • , ; : ROOF SHEATHING � � - 8 F'i'. BOND BEAM � - •` � �� - ,FRAh11NGNENTILIATION - -- - FINAL BOND BEAM � � �AOOF COVER .c _.. PRE-GRADING''•- ; � , ' '� ' . ;ROUGH HEATING ,_ - -- - . : .,., _ _ BENCHINd,� �. , -. . , . . __ . . , .. ., , - !ROUGH ELECTRIC_. ! _ ` � -' � 'ROUGH GRADWG iROUGH PLUM6ING ;--- -- - --- - - � -- FINISH GRADING ;SHOWER,rfUB TEST-r -- -- - --- -, -' POOL ELECTRIC � : ; iEXT:iATH/SIDING _� _. ._- _---- -:._ _ _ ' - POOL FENCING _ � i4NALL INSULATION--. _ _ _ ___ _ __ - - POOL FINAL '. ; ;CEfLtNG 1ivSULATfON` -- - OFF SITE IMPS. - ;DRYWALL NAILING- ; _ DEDICATIONS ;SEWER ;,z_(�-oL �� FINAL ENG. ' iSEPTiC TANK LANDSCAPE/IRRIG. SEEP P1TIL.L. _ ON SITE IMPS. � �GAS A1R TEST __ _ _ ' FINAL ZONI�1G ' � .- ;FIftAL GOfdS7.- : - -_. _ _ ' __ FIRE DEPT.F(NAL ! ; : FIfdP.L.H�ATING _.. -- _. ___. __ _ _ HEALTH DEPT. FIfJAL ' ,"#fJ�.L[LECTRIC_._..__ _ . DEV. FEES °AID _ _ _ ;=':.7�L PLUM81'�G_ _- - - - ._ _ ENERGY ��_ i.-__ `- - _ .. . .__ ,a;.r.i'*'�j"""��""�". -- �i....__ . ...__ .. . . .._" "__. . . .. . . . . . . _ �._..'�yS�...L �;'T�� — .....-..__...� � � _ . .. ..... . ... ...... _.. 1 � �. . ,.,`.. �or,�r�ENTs _ , ,. ; _ _ _ _ . , � ._ _-- - - _ , � ' . _ . . _ , , -�,�. . _ � 1 - - � _ - , .. _ _ _ _ _ _ . _ � i , ; _ - - _ . . - � ',sEPsic�a.r��c sizE_ _ -. , ;SEEP P1TlU SIZE -- , ,� K _.,_ :, - . . , �e� � - _ _ ,. - - f �..: , . '; - _ , _ . __. . . ; -. . .. - - , ;�:...�. . .,:.:._... ...,,. ,........,... __.i _ . _.. . .. __. : . _ . ._ . . i . . . , � � .� - . ..�1 -. .. . .. . __.. ... . . .. . . ._. ."' _. . _.. � i 1�� .. � �'� .._ i . ' � 1 ' .. . � — . . . . � . :��� _.., . :'_.I . . — �_ .-- . .- .--- . _.. . . .. . . . , .. �. � . . . . � � I � 1 � _.�_ �Yf...,. _.....�d . � . ._. _ . .. �. \�.:�� . , _. . . . � _. . ._' ' ,