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HomeMy WebLinkAbout13375 D PARTMENT OF COMM J� -- UNITY.&,DEVELOPMENT SERVICES � i , �� . 21660 E.Copley Ihive Suite 190 � (909)860-3195 Fax(909)661-3117 PHESS ���. BUII.DING PERMTf APPLICATION . FIRMLY y�, JOE3SITE �//�O I YVu`tTIQ'N PL . ' ' DATECATION��/U-Ag NUMB R J 7S x� !c1 � 1 o ADDFiESS ��/t % ! � APN LOT TRACT DATE �' �J "�� ONST. GROUP p OWNER ""' ADDRESS O1 • • 'ZONING SETBACKS Z CITY ZIP��TEL FRONT RW ❑ 4 APPLICANT TE�n�p ��,�� �,,� REAR O � Ro"�''T"P9- SIDEfSIDE STREEf RW O CONTAACTOR SIDE p ADDRESS , pR�POSED USE_�'t' R 1�0{'�7, �l.�{{ ,I�r��M�OW�, � CITY ZIP TEL s oARCH/ENG/ � DESIGNEFi J��� NO �`��-� N� • � ADDR SS p NO.DWEL. N0. 2_ NO.. � CITY Z�p-�3�Z7E� !j, UNITS � STORIES BEDROOMS y DESCRIPTION SQ.FI: FACTOFi PSF ADJ_AREANALUATION p� OWNER-BUILDER DECLARATION SFR/ADD/REM O . p I HEREBY AFFIibA UNDEP iENALTY OF VE0.RIRY THAT I IJA EICEAIFT iROM THE[DNTMCTOFiS Ll• G0fe09/CBfpOR - iL CENSEUWFOHTIEFOLLOwINOREA50N(SEC.70.'f1.68USINESSANOPROFESSIONSCODE:ANYGTYON ... 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B.t P.C.fOR iH15 REASON Q 3 � . . �="' OATE OWNER � z W F UCENSED CONTRACTORS OECLARATION W � IHEREBVAFFUWIMDER0ENIITYOFDE0.MiYTNATIiWLICEN5E0UN0ERVROVISqNSDFCHAVTER V, , ,,��-,J� . � �(COMMENCNOWfTM5ECi1DN70C0)OFDMSION�OF7HEBUSINESSANOPilOFE5510N5C00E,AND � Z LL� MYUCENSEISNFl1LLiORCEIWDEFfECt m + 0 LICENSE CUISS UC.NO. . J �A� n n . r V DATE CONTFUCTOR � d � .� W \ � WORKERS'COMPENSATION DECLARATION -r �r+i��-�• Q r �:. �, � � � INEHEBYAFFIWAUNOEi1PENALTVOFOERAIMONEOFTHEFOLLO'MNOOECLAMTIONS: ' Z 1 11V V �s•"' •J N d � „_IHAVEANDWILLMAIMAMACEFTIFlCATEOFCONSENTTOSEIFaNSUpEFOqWORKERS' _ COraPEN5A710N.ASVROVIDFDBYSECTK7N77ooOFTHEUB9RtODEFORTHEPERFORMMICE w Of 1HE V/ORIf FOR WH�dI Tl115 PERNIT 191SSUED. � G � 4 �11NVE AND N�LL MARlTAIN WOi1KER5'COIAVENSATIDN MSURANGE,AS REOURED BY SECTION 77o00FTHElABORCOOEFORTNEGERFOfU1M10EOFiNEYIORKiORWMIpITHISPEPAIIT�S /� � ISSUE0.MY NORKERS'COYPENSATIDN INSUiUNCE CARRIEtiAND VOL�CY NUTABER ARE CONSTRUCTION - �i/V � CARRIER PLAN REVIEW � VOLI�YMIEIBER ELECTRIC I' � Q (nussEClqNr�E'IDwiBEC01.s�EfEnOFT1EPEiMTSFORONEFI.1lI%7EDDOlUlSR��I�alFss7 PLUMBING � Z I CEqTIFY THAT IN TXE VERfOR1AMICE OF THE WOPK FOR WHICH TNIS PEPIAR�S ISSUED,1 MECHANICAL (,'J 51iKLNOTEMPLOYANYiER50NN/�N'IMANNER50ASTOBECOMESUBJECITOTHE . � NNRKER5COMPENSATIONLAWSOFGWFORNIAMI�AGREETHATG151%7ULOBECOME INSPECTIONFEE S SU9JECTTOTMEWORKERS'OOMPENSATqNPROVI510NSOF5ECT�ON�7000FTMEUBOR � WOE,I 5/Wl FORTMWI7M CQdPLY WRH 7MOSE PROVISIONS. ISSUANCE i� � SMIP i .u D p OA1E: � APPLICAN7: � ENEFGY P/C WJ�RNINfI:FAILURE TO SEWPE WORKERS'COMPENSATION COVEMOE IS UNUWFUL,AND SHALLBE �y 6UAIECTANEM�IOVERTOCRIMPULVENAlTIESANDCMLFINE5UPi00NEM1NUREDTHOU5AN0 ENERGYPERMIT � - DOUJ�FU^Ii100.000j,N ADOIiION TO THE COST OF WMPEN5�710N.DAMAGES/�S GROVWEU FOR IN J� SEG710N770lOF7HElA90RCO0E,N7ERE5i,AN0ATfORNEYSFEES. RETENTIONFEE: pW_. CONSTRUCTION LENDING AGENCY PR L!T FE/E� �� �1(� r I—�'1 1 � . � IMEREBYAFFIRMUNDERGENhLiYOFGER7URYTH�TTHEREISACONSTRUCTiONLENDWOADENCY �/ ='LJ�'1�_�Qi�l �� FORTMEPERFORM.WCEOFTHEWORKfOHWHipITMISiEHMITISISSUEU(SEG70V7,CIV.C.). �T—� . , � lENOER'SNM1E � �- � ��J . � LENDERSADORE55 � TOTAL FEES � W ICERTiYTINTIHAVENEADTNISMPl1CAT10NIWDSTATE7NATTHE�80YEINLOiVAATqNISWRRECT. p� IAQREFTOCOMCLYN7TN/J.LCRYANDCDUNT`/ORDINMlCESAN�STATEUN/SREUTN6TOBULOMO . � NN"..TRUCTION,ANDMEREBVAUTFq{iIZEREPRESEMATNESOFTHISCOUNTYTOEMERl1PON1HE . . � �1BOVE•4EMqNED iROPEN7Y FOR W 3PECf10N►UflPQ9ES. COMMENTS � N - - _ m PEIWI EWwE1P � /— Q N N sa�+aunE ov RECPT.NO.�G 7 PAID BY VALIDATION �� � YYHITE—DeDenmentCapy,YELLOW—Flnance Copy,PtNK—AssassaCopy,GOLDENROD--file Copy,GREEN—Applicanl's Copy � - CITY OF DIAMOND BAR ;�,� �.� � . .` ` ` �INSPECTION'RECORD. : - . . . � � - s � � • - • � � • - SET.BACK �� C ��� .S . <' �\:,._.��� —`,;` ' FLOOR JOIST i. _-; ���1' � ,�t.,�,� _ } .•1 ; � , FTGS/FORMS/STEEL � ,, ; �. •. FHA REQMTS - ELECTRIC GROUND - - " � � �� `� UNDER FLOOR DUCT ., ,,, + ;�.,�:: , ;� ,,,L� 1 � GROUND PLUMBING • UNDER FLOOR Cd�iRlll 'r t�i;;.�•;`.- :;'t<:` SLAB GRADE FIREP C F UNDATION '':,'! ' .�1 =1 -u•� ;"�:�.••, , TEMP POWER-- _ FIREPLA'C�$diC1D'B� M ._ ` � �_. .:,..�• WATER SERVICE :- -. .� - MID HT.BOND BEAM - RbdF'SN�ATHI(�!G""='.`-. �. � `. ; ` - :'." .;� � S Ff:BOND BEAM __ FRAMINGNENTILIATION � � � FINAL BOND, EAM.,-. . ..�. ;, :,' ; ..,, , , � .•' � - ' ROOFCOVER ,-- ��, PRE-GRf�DiNG � � .� :t.. :1•�1� ��,'��- ,: ::::,: . ROUGH HEATING -. ` . . . BENC I�a'` '�-��•�::b _^� ., .� , . , � �.i.��:t�!•r!, ROUGH ELECTRIC - ` -' ` - ROUGH GRADING ' ROUGH PLUMBING - - - FINISH GRADING SHOWER/TUB TEST� - POOL ELECTRIC • EXT.LATH/SIDING , POOL 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 SITE IMPS. GAS AIR TEST; FINAL ZONING -FINAL CONST:- - FIRE DEPT. FINAL - FINAI.HEATING HEALTH DEPT. FINAL FINAL ELECTRIC � - DEV.FEES PAID FINAL PLUMBING ENERGY �- r a _ _- _ _ _ _. COMNENTS _ __. ,� .t _\ , . _ _ . . _� . , ,� . P . � , , ; 3�: 1 SEPTIC TANK SIZE , � SEEP PIT/U SIZE � ,`� . r. . _ :: -. . , . : , . , . _. , � -�' ' ��_'~ . . ��: - ' �- � �_ � � 1� !� _) \ \ � � \� � \ 'a' �'� . _ ..� �