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HomeMy WebLinkAbout15451 (1971) ., _� / ,, . � ,s ; . �,�,..�r C1TY OF DIAMOND BAR , ,,._.,':.�, - " DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� , 216b0 E.Copley Drive Suiu 190 (909)860-3195 Farz(909)861-3111 �� / PRESS �'^^� BUII.DING PERMIT APPLICATION � FIRMLY o� JOBSITE (� � /� APPLICATION ( PERMff P/C j} ADDRESS pS�.f�('1�.Jt C O/(I `�R A r,�l DATE NUMBER N D" $ ISSUE f�TYPE OCC APN LOT TRACT 3 O�7 S DATE �N CONST. GROUP p OWNER LL ADDRESS-a'��� c�. L,fA�^�nit/ ^1��R� ZONING SETBACKS 3a � // �W CITY p� �A i/f�R A�ZIP���TEL REAR RW ❑ APPLICANT 7EL. SIDE/SIDE STflEET RW ❑ � CONTRACTOR—c�W AI� SIDE — � ❑ p� C�DRESS���$ (^�� ZIP TEL. PROPOSED USE � O ARCH/ENG/ t DESIGNER NO.DWEL NO. ' � �ESS zIP TEL UNITS STORIES BEDR09'I1AS � �n DESCRIPTfON SQ.FL FACTOR PSF ADJ.AREANALUATION • � • OWNER•BUILDERDECLARATION SFFi/RDD/REM O p 1 HEREBY AFFlqM UhOER VENAITY OF PEM1fiY TNAT 1 I�M EXEMPT FHOM TME CONTMCTOR�LL GefeQfl�CBfpOR � LlJ CENSEUWFOR7HfiOLLOWIN6REASON(SEC.7oJ1.SBU5MES5ANOPROFE55iON5C00E:ANVqTYOH (n S� WUNiY\NiIClIREpUWESAPERAIRTOCONSTFiUCT,ALTER��PA�'E.DEMOU9{ORPEPAIRANYSTAUC- W �Z TURE.VRiOR TO RS 155YlANCE.AL50 REWIqES THE ADPLICANT FOR SUCH VEiUAIT TO FILE A SIGNED w P81b/DOC�t .� ETAT6tEM THAT HE OR SNE LS LICENSEO RIPSUANT TO THE GROVISIpNS OF 7HE CONTiUCTOR4 L4 � � CENSEUWfQ1AiTER�(COMMENCWOWITHSECTION70o0)OFDMSKKJ]OFTHE9USINESSMI�DRO. 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O�AS OWNER OF TME PROPEHf7,AM EXCLUSNELY COMMCTW6 NrtTTI UCENSED CONTMCTORS TO COHSTRUCT T11E PRO.IECT(SEC.toa1.BUSME55 uJD PROFESSIONS CODE:iHE CONTFlACTOHS LI- Ve1U8110l1 ADJ.AiiEJI CENSE I►W OOES NOTAiPIy TO AN OVMER OF I1 VROPERTY W/q BUILDS OR MPROVES TNEREON,N�b � nHowHtvucrsFoasua�vr�crsmrn�carrw�cra�cs�ucENsmvuasuu+rrotHEc«+trua pUANTITY ESCRIPTION �� � �ons uceNse uw.�. O IM1 DtEMPT UNDER 6EG &l P.C.FORTMIS REASON a U LL OATE ��4'�O O � U � UCENSED COPITRACTORS DECLAFiATION W � INEREBV/FFYWUTAERiElULTYOFPEiWRYtHATIAMLICENSE�UNDERVRO+n510N50FCM�PTEP � � •(COAIMENCMONTiH3ECT10Ntoo01�OM5qNaOFT1E0USINE55ANDPROFE5510NSCODE,AND Z W LICENSE i5 N ML FORLE AND EiiECT. m , �F IICENSECUSS LIC.NO. � z] DATE CONTMCTOR d lTJ ' � WORKERS'COMPENSATION�ECLARATION � . _ . __... . -_ if � IXEREBY/IFFIR4UN0ERiElULTYOFVERR1fiYONEOFTHEFOUAWINQOEttAMTIONS: , Z � � �IMIOIEANpVA��IMINT1UNl1tE1lTIFICA7EOF�Y7NSENTTOSEIF-0NSUREfORWORNERS' _ COMVEN$ATqN,ASVPOYlOEOBY5EC7�ONJ�1wOFMEUBOHCODE.FOfiT1EPERFOq1AANCE `U I n. OF 7NE WOfiK FORMMICN THIS VERMIT IS ISSUED. � � �IIUVEAN�VALLLIAIMAINWOf110ER5'CO�IDENSATIONWSUMNGE,A5pE0UIHEDBV5ECT10N O �7000F1HElABORCOOE,FORiHEPERWHMANCEOFTHEWOPo(fOflWHIdITHISPERNITIS � 65UED.WNAfU(ERS'COM7ENSATIONWSURANCEGARIERANDPOLICYNU/AUERIWE: CONSTRIJCTION �, wwen PLlW REVIEW � GOLICYNUMB[R ELECTR�C ' w (n+ssEcrrr+r�IDr+oTeEmr.s�EtIDOFnE�rswr+or��oau�sR��la+tESSF PLUMBING ��' ' Z ICERTIFYTHATNiMEVERFOftMA1JCEOFTMEWORKFORWMIp1iHI5PEtiMITLSI5SUE0,1 MECHANICAL � � C!} WUIINOTEMFLOYMlYPERSONNANYMANN[RSOA9T00ECOMESU&IECTTOTME ', (n WORKERSCdAPENSATIONUWSOFGIIFORNI,�ANDACREETINTIF151KKRO0ECOAlE INSPECTIONFEE 6U91ECT TO THE YMOQICERS'COA.IDENSA7qN PHOVIS10N5 OF SECTqN Rao OF TNE UBOR , rj caoe.isHw.Foanann�couv�vvnn�nroseraovisia+s. ISSUANCE � i O � p pR7E: ' �ppUc11NY SMIP �� 1� � ENERGY P!C {.�.� O� � WA{ININO:FAWRE7D SECl1RE NORKERS GOMPENSATION COYEMGE IS UNIAN'FLI,MIO SXALL BE SUB.IECTAN EMPLOYER TO CRIM WAL PEtUL71E5 ANO CmL i W ES Uv TO ONE NUNORED TMOUSAND •/L ' 4' DOLUFiS�itoo,0oo).t1A0Drt10NTOlHEC0.5TOFCOMPENSRqN.OM1ACE5A5PROV10EDFOqM ENEFGYPERMtT �L.Tt�i S� ' � BECTIDN77oeOFTNEUBORCOOE.MTERE5T,M10ATTORNEV'SFEES. FlETENTIONFEE; " O � � CONSTRUCTION LENDING AGENCY PREA F � � � INEREBVAFFlRMtR�UERPENALTVOFGERNitYTNATMEPE�S�CONSiRUC1'IONlENOINGAGENCY 1 nZ' FORTME VERFORYMICE OF 7ME WONK FOR WHIO1 TXIS VERAI�T IS ISSUE��SEC.90Y],CIV.C.�. . W � LENDEKS NM�E � � IENDER'S1IDORE53 � ICERTIiYTUTIMAVEREAOTMI5M7LIC�TIONIW�STATET1NTiME/�HOVEWFOW/AATqNISCOHRECL TOTAL FE�S �; � IAGREETOCAMPLYNITNALLCT'ANOCOUNTYORDPlhNCE5M105T�TELAWSREUTINOTOBU1lDIN0 � CONS7RUCTION,�7WXEREBv�UhqRIZEREVNESENTATNE50FTMI5COUNTY70EMERUPONTNE !e �BWE-1AEHTqNEO CROPERTV FOR WSPECiION PUNPOSES. CO �`1'�$ .� "� � - �--{-�-.�� C�=1 l�.s-_.S� � � m PERIAI W E PPI � d 7_a�.00 �, _ � $16rLUJR�F� DATE � RECPT.NO. PlUD BY VAIJ�ATION WHITE—Oepartment Copy.YELLOW—Finance Capy,PINK--Asseasor Copy,GOLO R D—Fila Copy,6REEN—ApplicanCs Copy . . .� _- _ ' - "_ "��,r .r r , . . � • '. ,�• . .- �9^.. .. CITY ..tit:��c3�►R � , , . 3_-._ � . , � , . It�lSPECTION RECORD . � �, :� , . , . ' �'����t`,. a ' p.; � ' e ' e e '� .�` ��° '� _ *� � �S�T BACK • � - � ' ' FLOOR JOIST + • • , FTGS/FORMSISTEEL � ' ' !'"� FHA REQMTS ' ' ' ' ' ' ELECTRIC GROUNO � ' UNDER FLOOR'DUCT - - - ' � - - ' ' GROUND PLUMBING UNDER FLOOR CUMDUET ' :I '.. ' ' ' ' iSLAB GRADE- --- FIREPLACE FOUNDATION . � � • ITEMP POWER - - - FIREPLACE BOND BEAM • ' WATER SERVICE - MID HT.BOND BEAM ' • ROOF SHEATHING � '1- ' 8 FT.BOND BEAM • • - • ! : �• �FRAMINGNENTILIqT10N ' � �• FINAL BOND BEAM , ';� , �ROOF�COVER �. � ; • ' PRE-GRADING - � � ROUGH HEATING - BENCHING ;ROUGH ELECTRIC � . ". ROUGH GRADING : ROUGH PLUI�IBING. : - --- - � � '� FINISH GRADING` � � SHOWER/TUB TEST - - - • POOL'ELECTRIC � � EXT.LF+TH/SIDING - • - POOL'FENCING � � �WALL INSULATION -- - - - POOL FINAL . . �,CEII�NG ItJSULATION - - � � OFF SITE IMPS. . iDRYbVALLNAILING - �EDICATIONS ;SEWER -- -- ' FINAL�ENG. � ,�, SEPTIC TANK �� LANDSCAPE/IRRIG. ' ' SEEP P1T/LL. �� !' ' ON SITE IMPS. G.AS AIR TEST FINAL ZONING FINAL CONST. � FIRE DEPT. FINAL I ;Flh'AL HEATlNG _ _ ' . HEALTH pEPT; FINAL � , ;Ff,VF�L ELECTRIC - - • -- DEV. F�ES PAID � ' ' ;Ff^lA!PLUMBING -- ENERGY ' f�s� _e�� - �F - : � ; . ?i; ~'�t!r�i� �;�jF a? .. i �!;�-:�.��r.:�:��.�.?:t�_>�._.:........._.._ = - --- - - , j '-- :: '.COtJ;\IIENTS — - - - � � �` ���� - . , - --- - - . ; - � . , - � � ` _ , i ! , _ • , :.. ,. , � .: ' " _ " ^� ` 4 .. � , f" I � ' ' . . . � � � ' 1 /I:i��rj . ' , ' . , I , I i . .:�;,V: , ... ! ^/',f � . , � , l . . _ _ . . ' . � , ' -. , i , , ����: �.�� � �' . , , 1 SEPTIC TA�JK SIZE' ' `-',i:;;' • , ; . i _ ; SEEP PIT/U SIZE . � -- -- ; ,� ��� ...�...�....,_,..� , , � �, � i ; � � - � , � . .� ; , . .� - `-�`' ' � ' , . . . �� �� �,��` , ,��j � ' ' .. .. . -- - -- � .�l . • .�# � ��„ `. . t.. .`,� I' _ . . : � , ���r. s , � ; � , ��' - - - .- � .. � , _ , � _. , _ . . , , ._.r..�,.....:�.._::�'.....:.......__..�.w�� � �'� ��� • � �1 1 �. - � ` �� ;� � � ! , � ' ' . �, � �