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HomeMy WebLinkAbout14584 (17) � -� �'��� � . �� CITY OF DIAMOND BAR ' l .�[' � � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �J _ 21660 E.Coplcy Drive Suite 190 ' (909)86a3195 Fax(909)861-3117 PRESS ���'�. BUILDING PERMIT APPLICATION FiRMLY o ADDRESS S � ` pATE CATION F ��- � NUMBER`'� � J�1� c� ISSUE TYPE OCC . APN LOT TRACT DATE CONST. ' GROUP p OWNER � "' ADD SS � ZONING SETBACKS � CITY , ZIP Z. TEL. 2 � FRONT RW ❑ APPLICANT TEL REAR p � SIDE/SIDE STREEf RW ❑ CONTRACTOR . �S�-. SIDE ❑ p� ADDRESS � CITY O���C„j��j_ ZIP_L�a� TE "?_ � PROPOSEDUSE � ARCH/ENG/ DESIGNER N0.DWEL. NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N �ESCRIPTION SQ.FT. FACTOR PSF ADJ.AREANALUATION � � , OWNER-BUILDER DECLARATION SFWADD/REM O p 1 HEREBY AFFlR►1 UNDE0.PEN.LL7V OF VE0.A/RV TF/A7 I AM EXEMPT FPqA 1N[COMMCi'OHS Ll- Gafepa/CefpOR lL CENSEUWFORTNEFOILOWNORFASON(SEG70.7f.66U51NE5511MJVROfE5510N5CO0E:�1iYQTYOR (n CJ CqMTYWMCHR£ONRES�PERMR7000NSTRICT,AITER�PROVE,DEMOUSN.ORREPAIRMlYSTRUC• W patiolDeck � NPE.VWOf1 TO fT4 6SUANC[.ALSO REOUWES TME�PVIICANT FOR SUA1 PENUIT TO FlLE A SIGNEU W STATf#�ENT T11AT ME OH SHE IS LICENSED PUNSUANT TO TNE FROHISIONS OF THE CONTMCTORS U• � CENSE UW(CIWTER 0(COMIAENdNd W17H SECTION 7000)OF DIVLSION]OF ME B'.ISINESSAMJ PRO• u" POOVSpB FESSIONSCODE�ORTW�TMEORSMEISEXEMF77FIEREFiqMANDTHE8.�3i5FORiHEAl1ECCDE%EMP• � TpN.ANYV10lAT10NOFSECTI0NM�1.6BYANY110VlKAMiORA0EWA1TSU0JECT5TNEIPPUCMRTO z Re-Roo1 r AGVILiENALTYOFNOTMORETlUWFIVEMIM7REDDOLWiS(fSODI): ' � OIASOwNEROFTHEPpOPER7V,ORMVEMPLOYEESYnTHWACESAST�EiR50LECON�ENSAYqN, O COmmBtCWI MALL OO 7HL WORK ANO THE 57AUCiUHE IS NOT MENDED Oi1 OFFERED FOR S�LE ISEG.70a1,BU51- J HE59 AND Pi10FE551ON4 CODE:TH[ODHTMCTOHS LICENSE UW DOES NO7 APPLV TO IW OwNER OF � � VqOOEHTYW110BU�D50RIMPROVESi}IEREON.JIMIWMODOESSUCMWVRNMI45CLFORNCPSELFOR � � TNf10UGHNI50FiNEROWNE4PLOYEES,PROVDEDTIUTSUdIMPppy[AIEMS�AENOTMFNDEDOA m � ,OFGERmfOR9�LEIF,iIOVhVER7NEBUlINNOONIMPROVENENTI55QDWRHINONEYE�ROFCpAPLE- TpM,TN[d1M�ER8UILDER YALL HAVE THE BURO[N OF iROVNO iMAT HE Oq EHE OiD HOT BNIL OR _ �dPROVEFORTI/[VURPUSEOF611E} w O1�40WNEROFTHE7ROPERi7.AMEXCLUSNELYCOHTMCTWOWR11L10ENSEDCONTMCTORS a TO CONSTRUCT 7HE►N�.1EM(SEG 7W.BUSINE55 AND CROFESSIONS fl]DE TME OOH7NAGTOH5l4 V0N9�1IX1 ADJ.AREA iL CENSEUwDOE3NOTMPLYTOMIOWNEROFAPROPER7YY/NOBUlD50RIMPf-0OVESTMEREON,iIYD � N1qCOHTMCTSiORSUCHOiqJECfSWfTHACONTRACTOR�3)LICENSED7l1R5UAMTOTHECOHiMP pUANTITY DESCPoPTION � FEE � 70ftSUCENSEUWJ. _ J I � .�. Q ❑IMIQE7.IFTUNDERSEG B.IP.CfORiM15R[ASON U 3 ¢ , u' OATE OWNER V , � LICENSED CONTRACTORS DECLARATION W ' � � ' ' F J � w I HEREBV�FF1R1I UNDEp VENALTY OF PE0.A1HYTUT I AM LICENSE�UNOEit iROV�5qN5 0F CHAPTER V. p. i(CpBACNCWO N'ITM SEGTqN 7000)OF DM510N]Of TME BUS�N[55 Af:D PROFESSIONS COOE.AND Z W LICENSE IS N FULL FORCE/WD EFiECL A m /_9 � � LICENSE CIASS�+�LIC.N0. V • �� � � OATE 7^��'Cl�� CONTMCTOR , _ , _ �_ W . ^�� � WORKEFlS'COMPENSATION DECLARATION r I � a � IHEREBYA�FIRUUNDERPEN/LTYOFCE0.AIFVONEOFTMEFOILOVJiNODECURAT10N5. U • � Z Q . G _11111VEANDW�LLWMiAMACERT6lCATEOFOd�SE1RTO5ElFaN5Uf1[fORWORKEFiS' S , , , � ,. � Cp/PENSATION.ASDROVIDFOBYSECTON17000Fi11ELADORCOOE,FORTHEPEp�ONAANCE �U . � 1NE WORK FOR MMIGi THIS VERMIT IS ISSUED. � HAYE MA W:LL 4A:HTA7l WORICERS'CdACENSATION INSUiLWCE.115 REd1�RED BY SECTqN OQ 77000FTHEUBORODOEWATMEPERFDMI/NLEOFiMEWORKFORYVM�CMiH15GEPMIT�S � 65UED.AIYVNNK R5COM7FNSATpN SURANCE RIER/NDiOLICYMJ1ABCqARE CONSn1UCT1ON � C�ARtER S � PLAN REVIEW .. � ro��cv r+uMoca.�C�� � ELECTRIC 0 �s�crcwrsmwre�m.s��ma�ncpEp,t;sPoqpzrardu�powu�sR,ao�rntFssa PLUMBING � Z �CEMIFYTHATNiHEPERFON4.\NCEOFTIIEWORKFORWHICMiHISOERMITISISSUED,I MECHANICAL (•} SMIY.LNOTEMPL07ANYPERSONNIINYMMWEASOASTOBECp.�ESWJECTT07HE � WORI(Efl5'CddPENSATqNU�'/'30FGLLIFORNi�ANOAGREETNATIFISHdRDBECDME IYSPECTIONFEE ' � SUBIECTTOTHEMfOF7CERSCO�.�PENSAT�DNPROVI5lON50FSECTiO 1ouOFiH[4DOR .� coo�.isw,LLcor�nn�nn�cw�v�rwmanascrawisio�� ISSUANCE �7 ^' � nn� � ��7� SMIP �1 I �/i+�`��-- -- Gj DATE:Z^R_vs[_ APPLICANT. � � ENERGYP/C �UIT.IIT�.., D��'j? — WApNINQ:FMURE TO SECURE VK)RKENS'C04�EN51TION COVEMGE IS UNUWFUL.11ND SNILLL BE 7��) A - �y �SU&IEGTANEMP�OYERTOCNiMIN�LPENAlTESIW�CN.LFNESUPTOqJEMUNORE0T110U5AND ENERGYPERMIT � �— r1--�T�� DOLUqS(1100.000�.IN ADDITION TO THE COST OF COUCEN5AT10N.0AMAGC5115 PRO`ADEO�OH�N � SECTION7�0lOFTHEUBOflOODE,NTERE57,ANDATTOFWEYSFEES. {�E7ENTIONFEE: W CONSTRUCTION LENDING AGENCY PRE-ALT FEE: n. � IHENCBY�FFIRMlR1pERPENILLTYOFPEiWRVTMATiHEREtSACONSTRUCTIONLENDw�11GENCY z FOfi TN[VENFOHMANGE OFTME WORK fOR WHICM 7M15 iERMIT IS ISSUED(SEC.7oYl,dV.C.). W � IENDER'S HM�E � LENDER'SAD�aE55 a ICERT�NTHATIHAYENEAOlHtSAPPl1CATqN/NDST�TEi/UT7HE�BOYENCpRMATqNISCORRECT. TOTAL FEES ` w IAGHEETOCOM7l�NTfN►11CRYN�DCOUNi'�OF�DIHANCESANOSTATEUWSRCLATlqTOBU4DING �" COHSTRUCTION.IUWMEFEBVAUiIiOWZEREPRESENTATIVE50FTW5COVNTYTOEMERUPONTNE � MOYE�IAENTIOHEDPNOiERTYFORWSPECTqMVURPO5E5. t COMMENTS � v _ �«l'� r�a-e.�fl�' , m PEPA�iTTs��awrrt�/� � � d �/ -4=a6 � � UH60 PE�fF OAfE � RECPT.NO. VAJD BY VAUDATION WHITE-Department Copy,YELLOW-Finen�e Copy,PINK-AasessaCopy,GOLDENROD-File Copy.GREEN-,qppieanCs Copy ,., .., , . ,,. , .. . . � � . , ...., . ... „ . .. . , . . . _. . . .�. , . . , .. , . _ . . . _. �. � ; CITY OF DIAMOND BAR � � - ' � INSPECTION RECORD � • . . , . e � � • - � � � � s - SET BACK ` , . FLOOR,,JOIST . „�.," ,• ' :,�-�f• FTGS/FORMS/STEEL FHA RECIMTS ELECTRIC GROUND UNDER FLOOR D GT i �. _ ,� ,-; ' GROUND PLUMBING UNDER FLOOR,+�dNDUfT ,. ;.�.� � . r,� ; 1�'�.S' ' SLAB GRADE , • FIREPLi4CE'�FOIJNDAtION-`•c '- 1 ' - t= �.' .-,;__�-,`: �� TEMP POVVER ` � FIREPLACE BOND BEAM tiNATERSERVICE - 'MIDHT. BONb'BEAPA �uv_•`�, ���y�•> ,��:'� ROOF SHEATHING � 8 FT.BOND;�EA��1�_�,- '� ---'\•) 't-. -- - " . : . / FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER . . PRE-GRADING � ROUGH HEATING BENCHING ROUGH ELECTRIC ROUGH GRADING ' ROUGH PLUMBING FINISH GRADING . ' SHOWER/TUB TEST. - � � ' POOL ELECTFiIC • , EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING bEDICATIONS SEWER FINAL ENG. SEPTIC TANK LANDSCAPElIRRIG. � SEEP PIT/L.L. - ON SITE IMPS. GAS AIR TEST FINAL ZQNING FINAL CONST. -� ' �� ' � " ;' `�'� ' FIRE DEPT. FINAL ' FINAL HEATING HEALTH DEPT. FINAL FINAL ELECTRIC � DEV.FEES PAID FINAL PLUMBING ENERGY � ��- t�� , el�r; , ,_� ,1 • ' - ------------ . . .------•�, � • ... ,. .. � ... COMMENTS � � � ���` �{" � ��- ' , ,. � , . -: - I :� � ;. / i �_ .`'..;- �- ,;; 1.�.-; -" .iJ . / ! , - . , . � � , : -- _, . ) �1. , . . ` .� . . . . _ -�. _ --' SEPTIC TANK SIZE � SEEP PIT/U SIZE " . , � , ..�. � .. ... � - � :s:.�:: , . ,` ` - . ... . �'� " ' � =.� '\ - .. �