HomeMy WebLinkAbout11577 CITY OF DIAMOND BAR ' ' ' ` E�P'RED �J� �-- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �,� Z��oE.c���ynri��s�u��o � �L►L 3110D2 PRESS (909)8G0-3195 Fax(909)861-3117 h�'.., BUII..DING PERMIT APPLICATTON FIRMLY a ADDR SS___}"�'� LU I JV T�/'� GU��D APPUCATIQI�1 PERMfT 7 P/C o DATE�_ NUMBER N $ ISSUE TYPE DCC : APN � LOT TRACT - DATE CONST. GROUP g OWNER K/M �' ADDRESS �e ZONING SET8ACK5 � CITY � ZIP�n�t_ TEL. R�R RW ❑O APPLICANT TEL SIDE/SIDE STREET RW ❑ � CONTRACTOR � e e SI�E ❑ � ADDRESS PROPOSEDUSE � �D � lVS CtTY �N ZIP 9/�6�- TEL 0 _ wo ARCFVENG/ ' . � DESIGNER NO.DWEL. NO.� d. ADORESS UNITS STORIES _�- BEDROOMS � CITY ZIP TEL � DESCRIPTION SO.Ff. FACTOR PSF ADJ.AREANALUATION Q OWNER-BUILDER DECUIRATION SFR/ADD/REM O BI HERE9Y AFGIRY INDER VENAL7Y OF PERAIRY THAT I AM E7(EIAOT FROLI T/E CONTRACTOiLS LF Gampe/Carport CEHSEUWFONTHEFOLLOWWf7REA5d/(SEG7o71.68U5MESSANODROFE5510NSCO0E:ANYC1iYOR ' (n ' � COUMYVRAGII�OURESAFRWRTOCOr6TRUCT�ILTERa1PROVE.0EA10USH.ORREPNRANY57RUP W P8ii0/DBC1C � �fURE iRqR TO R9 15911ANCE,AL50 REWIRES iHE APFlMJ1Ni FOR SUCH PERMIT TO FIIE A SIONED W STATp1ENT TNAT ME OR SME IS 11GEN5m PUft5UAN7 TO TME iROYI5tON5 OF TME CONTMCTOIIS LI• . .� COlSE UW(GHAPTER i(COMMENpNO YAiM SELTIDN 7000)OF DMSION 7OF THE BUS7NESS AND PRP � POOVSpd � � FESSIOHS CUD�OR iHAT ME OH SHE IS EXEMPT TMEREFHOM AND 7HE BASIS FOR THE ALLEOED EIIEMP- .TpN.ANVV10lATqNOFSECilON7W1.68YAHYAOPLICANTFORAVERAIITSUBJECiSTHEAPPLICANTTO Z Rg-Rpp} � � A CML VENFLTY OF NOT YdiE iHAN iIVE NUNDHED�OIURS fi5ool.)' . . � OLA40WNEROFTMEPROPERTY,ORMVEIAPLOVEESWITHWAGESASTNEIRSOLECOAIDENSATqN, � (`,pmm9tClel � � � � MRL 00 THE M/OfiK,MD THE STRUCTUFiE LS NOT IMENDED OR OFFERE�FOR 6ALE(SEG)Oa1,BUSI- J � NESS MD OAOFE381di3 COOE THE[ONTMCTOR9lICENSE UW DOES NOTAPPIY TO AN OWNER OF ? , . iROPEqiYW/iOBUIIDSORMGROVE57HEREON,ANDM910DOESSUp7Y10RKNIMSELFOR//ERSELFOR � � THROU(3H MS OR MER OMM BAPLOYEES,7NONI�W THAT SUCN MPROYEMENTS ARE NOT INTENDED OR m OFTEAED FORSALE6,IqN�EVEi�THE BU0.DIN�OR IMPROVEMENT IS SOLDVrtTHNONEYEAR OF COMRE- � � �TION.THE OYVNER�BUiLDER VALL HAVE THf BURDEN OF PROVINO TNAT HE OR SHE DID NOT BUILD OR - . . . . 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' a �� J . . �j DATE �/ ' P:.! � - - CONTFUCTOR� a W �i� � WORKERS'CAMPENSATION DECLARATION a � � I HEREBV AFFUW UN�ER PENALTY OF PERNRY ONE OF TiIE iOIIOW�NO DECLAfUTqNS � U � � � � � " � Z , � INAVEANDWILLWUNTAINACERi1FlGTEOFCONSENTTOSELHNSUHEFORWORKERS' _, � �COMPENSATION.ASPROVIDWBYSECilON77000FTHEUBORCOOE,FORTHEPERFORMANCE U � OF THE WORIf FOR WNIC/I TNIS CER4R IS ISSUE�. � � �I HAVE AND N1LL MAINTAN M/ORICER5 COMPENSAT70N INSURANCE,AS REOUIRED BY SECTION- �, O �7000FTHELABOfiCOOE,FOFITHEVERFORMANCEOFiHEWORKFORWMIC/7TM15GERMRIS ���Cif�l ISSUm.W WOiixEAS'COAIPENSATK)N INSUfUNCE CARRIER AND POLICY NUMBERARE: CONSTRUCTION ��' J�l/ jcuweA ' PLAN REVIEW � POLICVMIMBEH ELECTRIC _ 0 (IFiSSECfpNNEIDwTgEW1,REimOF7tEPEw.�fswRatEl4�i�0a1M5R��1��} PLUMBING z iCERTIFYTHATPlTHEVERFOPI.I/�NCEOFTIEKORKiORWHICHINISPEH/AITISI5511E0,1 MECHANICAL - � ('} SFIALLNOTEMPLOVANYFERSONNANYMANNERSOASTOBECOMESUBJECTTOi11E N YARKERS'WMPENSATpNUW50FGLLIFORNIA,ANOACREETHATIFISMWIOBEODAIE INSPECTIONFEE �SUBJECTT07HEWOHKERS'COMPENSATqNVRON5qN50FSECTqN�7ooOFTHEUBOR - � �� 0 .coo�.is�uu,FQonrnvnrnca.�v�rwirnnasevrrovisi N l ISSUANCE .. p DATE:��y.��APRICANT: . . - . SMIP .... . `��V (1 • �AAn � L L . r�li i � � ' � WAANIN0.FMUfl TOSEWREWOfiKERS'CAMFENSA COVEMOEISUNUWFl/L.�NOSFIALLBE ENERGYP/C l, bLBJECTIWEMPLO�EflTOCiUMINALPENALTIESANOCNIIFINE5UPi00NE1M1DREDTHWSAND � ENERGYPERMIT DOLLMS(f 100.00D1.N ADORION TO THE COST OF COMPENSA7qN,DAM�CES AS PRO`nDEO FOR IN ��� J� SECTION7?0lOFTHEUBORCODE.NTEREST,ANDATTORNEYSFEES. RETENTIONFEE: p�.. CONSTRUCTION LENDING AGENCY PHE•ALT FEE: O � IHENEBVAFFIR1dUNDERPENKTYOFPERIURYTHA7THEREISACONSTRUCTIONLENDiNQA6ENCV Z FOR Tr1E PERFORAIANCE OF iHE WORK FOR WHIL7/THIS VEFwIT IS ISSUED�SEG 7oV7,qv.G). - W � LENOEFTSNAME � --- � - � t LENDER'SADORE55 W ICERi1FYTHATIHAVEREADTMSAVPLICATIONIWD5TA7ETNAiTHEAeOVEWFORMA7qNI5CORRECT. TOTAL FEES �. ^ • '� � I ACREE TO WAIPLV WITH ALL CRY M1D COUHTY ORDPIANCES ANO S7ATE UW5 REUiNO iO BUL01N6 � CONSTRVCTION,ANONEREBYAUfHONZEREFRESENTATNE50FTH15COUNTYTOfMERUPONTME �( SL7 ABOVE#1E'lT�m VR07EifTY wsvEC7na PUAvosES. COMMENTS - -Jc�� � � � � 3 � � , . � . . , . .. . . . 4 . � Q E� ♦ . __ . _ . . .,'�n , r_. . �� (A 816NATUREOFPERW E " � � RECPL NO. PAID BY VALIDATION . � WMITE-0epeRment Copy,YELLOW—Finence Copy.PINK—Assessor Copy.GOLDENROD—File Copy,GREEN—ApplieanPe Copy � . . , . . . , • . . .. .... , _ .. , . . . ,,, . .,., ._ , -. . � . . . . . .,.. . ,.... CITY OF DIAMOND BAR � �-: .� � �- �� � , � ,._ . INSPECTION RECOF�b . , : . , ,, . _ _,. , . . . , . . �. : : - . �. � c e� e ' � ' • ' ' • ' SEf BACK ��� � � . , � � FLOOR JOIST � � .' �.� • � ' • FTGS/FORMS/STEEL ? ' FHA RECtMTS - - ELECTRIC GROUND - _ .. _ . - "- - _ UNDER FLOOR DUCT � ,; _, - -, ' GROUND PLUMBING � UNDER FLOOR CO�IDUIT ' `' `.- � SCAB GRADE . _ . FIREPLACE FOUNDATIQN ., ` � . .'�: , TEMP POWER --- ` ---- ` : FIREPLACE BOND BEAM � -WATER SERVICE - _ - -- -- . .MID HT.BOND BEAM '.�._ � _ :_' _- -., ROOF.SHEAFHING - - �s��� S' - -. � � 8 FT. BOND BEAM�. . : . . _ _ _ '. , . FRANIING%VENTIi�IATION� � � FINAL BOND BEAM ROOF COVER . PRE-GRADING � � - - - � ROUGH HEATING .. _. __. __ -- BENCHING- _: , , ROUGH ELECTRiC , � " " - ' ROUGH GRADING : . ROUGH PLUNIBING- - -" - � � . FINISH GRADING . � SHOWER/TUB TEST�,� - FOOL ELECTRIC . . EXL LATH/SIDING _. _ ___ . ._ P�OL FENCING WALL INSULATION • POOL FINAL , CEILING INSULATION OFF SITE IMPS. � , . DRYWALL NAILING ' DEDICATIONS _ SEWER---- - _ _ _. . FINAL ENG. . . SEPTIC TANK_ _ .___ _ __ -- . _. _ . . _ - ._ LANDSCAPE/IRRIG. SEEP PIT/L.L. --' - .:.- -== ON 51TE IMPS. GAS AIR TEST - - -- - - FINAL ZONING ' - FINAL CONST' - FIRE DEPT. FINAI. - � • FINAL HEATING �- � �- - �� - � HEALTH DEPT. FINAL FINAC ELECTRIC � DEV. FEES PAID - " - FINAL PLUMBING ENERGY � • �i' � • �i1 _ . _ , . ,. _ ,. , . .. }= � 1�. - � -- --- -.. - -- - �, . , COMMENTS- __ _ _ _ ; , - � - --- _ . ._ _ _ �����\ _ � . _ , _ _ � _ _ _ _ , , _ _ •- � :� ; r __ , _ ��,�., .�'-fi . ,. � . ., ��. ,. , - _ . , . � ' �� t� � _ , -- ' _ . , . i ' .' SEPTIC TANK SIZE . ,,,.. ; , , - SEEP_PIT/U SIZE,- - --- , _ . . _ I� ; , _. , , , � �,,��,� �;, . . _ , . '' _ , . _ , _ ; , . ; , � � _ _ - , :�. . . � _ +� I'�;} _-.. �'``:-=-i�� -�� r '.� .� Cl�"0 j � ' � •__'i _