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HomeMy WebLinkAbout12126 (6) 1� CITY OF DIAMOND BAR � � DEPARTMENT OF COMMUNITY 8z DEVELOPMENT SERVICES � �,W Zi�oE.copi�yna��s�;c�i90 PRESS (909)860-3195 Fax(909)861-3117 •^�'_ BUII.DING PERMTT APPLICATION FIRMLY oJOBSITE DA�CATION 9$ NUMB R IZ I�L� ��� ~�!� a ADDRESS zs31 BI?1���.�D MAN� DQ• � APN LOT�� TRACT 23 4 g3 ISSUE TYPE`_ . OCC p OWNER �''�Q_ �HIZS . NOI�A/� .�/. DATE � .� , ` CONST. �-� GROUP R'I o ADDRESS �-5 3) �Ra(D�A MAiV�___P�._ ZONING SETBACKS . _ . � CITY F-to (� ZIP TELq�`I� ( �DDIB •REAR RW p APPUCANT 1� �.H� TEL1�3-3`b�-3142 SIDE/SIDESTREEf, . RW O � CONTRACTOR L'if: SIDE O � C'D�O�RESS ZIP TEL PROPOSEDUSE�DD �� D�U��lG�_Q�� I�l�DRad`� ►�' A ." . SIGNER NO.DWEL NO. NO. ADDRESS b � UNITS STORIES �L- BEDROOMS � � CITY V - ZIP TEL 1 - - � OESCRIPTION SQ.FT.' 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W ❑l AJ ONN£R Oi TME iROPERTI;AM IXCLUSNELY OOHrMCTMO WITH LICENSED CONTMCTOR9 CC T��STAIlCTTHE�RWECT(SEG7Du.8U51NES5ANDPROFE5310NSCODE:THECONTMCTON9l4 VdIU3tkff ADJ.AREA W CENSEUWDOESIqTAVPLYTOANOWHEROFAVRO�ERTYN'�qBULD40RMVRpVEgTNEHEd{MA � wn000ertq�eT�ronsualano.�erswm��eartn�eTo!i�s���r+seocuAsuurrmn+eoorrtn�c pVANT1TY DESCRIPTION � FEE � TOR`9/UCENSE UW.1. . . 1♦�/ .f ! p� ptAMEXEMPTUrAEASEG B.tP.0.FONTHISFEa.AN U �-Z �� �l I ' r' 7 �O ��� � / . CL � - ' � Vn�• ( d �V U- :' F- Z o�� �R . w . 2 s : x r► v �bo � LICENSED CONTRACTO DECLARATION W � iHEAEBYAFiIAIIIJMfEROENAT/OFPERIURYTHATIAMLICENSEDUNDERViiO�ASqNSOFp1APTEq � I G S O�'!! � •, O O S �(CO1.aAENCNOWfiMSECfIDN700%OFDMSqN70FTME8U5iNESSANDPaOFE55qN5CODE,AND Z X 1A1'UCENSERMFl1I1fOHCE►NOEFFECT. �,/rL Olrf � D CS] �i� N I a uc�se cuss uc.r+o. J Go�D CN�-G Wb(4� b O 9� U DATE CONTRACTOR °� Z. (�-( U�� �(,l�(�'� O lIJ � WORKERS COMPENSATION DECURATION U V O � � IHEHEB1PfTIRLUNDERPENAlT1'OFPERIURYONEOFT1EiOLtDYnNGDECIAMTIONS: � Z G ��INAVEMAY/ILIAUMI/JNACEHTiF1GtEOFCONSENTTOSELF-INSUREFOAWORKERS 2 - �j OdAOENSATI0N,A4Pi10VI0EDBY5ECT10NT000F1HEUBOHCODE,FOR7HEPERPoP.MIINCE W `� OF iHE vIOM FOR N�nd/tN13 PERUIT IS ISSUEO. � � O ��{UyEµp WRL tµ7NthR�WpPofEiS'CpAPENSATqN MSURrNCE,AS REOUiAED B'/SECTION /�^ 77ooOFTNEL/80HCO0E,FORTME�EHPORMANCEOFTMEWORKFORwHIpIiHiSVERMRI$ �+/ ZO � ISSUED.MY WORKER4 Cdr7EN5ATION INSUR�NCE CARRtER AN�POLICY MIMBER ARE CONSTRUCT'ION �/��. � CARPoER PLAN REVIEW _ � van'M�aeER ELECTRIC /f 0 � mssccroN�r,nge�s�E1FlpoF7rfpffx�tawqor�EMn�alEooau,Ksmaqrnt�ssl PLUNHING �,C7"L��O Z ICENTIFYTHATNTHEPERFO��CEOFTHEWORKFORWIItf]I7MISPEHMiTI5�5SUED,1 MECNANICAL - - (J SMAtL NOT E�.�ROV Mn VERSON N�NY uANNER 50�4 TO eECOA1E SUBJECTTO iliE N WOPoCERSW�APENSAT10NUw90FCAlIFOitM^MA�GREETUTffISHDULDBECOME INSPECTIONFEE S SUBJECTTOTHEWOAKERSCpAPEN5AT10NPROVI5qN50F5ECiqN�7000F7MElPBOR � - coo�.iswai�ortnrmn�ca.+r�vwin+naSEano�nsior+s. ISSUANCE � O 0 SM�P O p OATE: APPLICANE . .. . ^ • ��'W ENERGYP/C fX- • WARMNO:iARURE N SECURE NC)NKERS'COI�IPEN3�TqN COYFR�GE IS UMAV(FU.AND SHALL BE � $UB,IECi/NEMPLOYERTOCR�AMK7FNILLTIESI�M1CMlfINESUPTOONEHUNDFEDTMOl13AND ENERGYPERMIT - pOLURS(f I00,0o0),PI/D��T1�N TO iHE COST OF COMPENSATION,DAAIAOE4 AS PROVIDED FOR IN -f-- J SECTIDN�7oeOFTNELABORCODEMTENEST,/WDAT70W1EY9FEE3. RETENTIONFEE: � �OO � CONSTRUCTION LENDING AGENCY PRE-ALT FEE: � I HEREH'lFFF�WA UN�ER PENAl7Y OF PEIWRY THATTY�ERE i5 ACONSTNUCT�OH LENDRM AOENCY FORIHE FERiOR�AANCE OF 7NE WORK FOR NM11N]1 TH�S CERMITIS ISSUED(SEG 7097,CIV.C.� � � - � IENDER'S NM�E ' - . � F— IENDERSl�D�RE54 � � ., , o�wr TOTP.L FEES'�O �cear�r nur i w�v¢a�o nn.s�vx�nor+�rm sr�re nur niE�ovE Mrorw�nor��s cenaEct � �y IAOREETOCaevlvvmHN.LaiTlV+000Vr+Tronom�we¢sumsi�7EUwSnEUiKxi7oBuaDn+O � � � � � / Or �"/� CONSTHUCiION,M�DHEREBYAUT110R�ZEHEPRESEHTATIVE50FiHISCOUNTYTOEMEHUPONTME �.... �9 ' S� /�BOVE�MEMqNEDGAOPERTYFORINSPECTIONPURPOSE3. COMMENTS ' �lJ J 9 Gk�, . � . ' m PEild�T7EE (PPoHn J a .� � .. � �� '� N SKiHA REOFPENAI7TEE 0►7E � '•- RECPT.NO. d PAtDBY 2327 vrwoanori i YJFiITE--Dapartment Copy,YELLOW--Finance Copy,PINK—Asssssa Copy,GOLDENROD—Fib Copy,GREEN—ApplicanYs Copy -.-, --. - . ., ,.. � . . . , . ., . ,� . - • � . . . . . . � _ ,� ,_ . . , . . , � CITY OF D{AMOND,BAR ; : _ ; - ' `- INSPECTION�RECORD , � s � o ' • � � � - �SET BACK :' <� (��_�;'� ' ,:R,r.� .:���_ . �LOOR JOIST , �a? ��lA:�r C �.��,.��� � � r .,;,- " -_ ' FTGSlFORMS/STEE�., 8.2?�qj � FNA REQMTS � ,-, -,,: — -- - - ELECTRIC GROUND - ' " � �,�f ' -,- UNDER FLOOR DUCT• .. :�•�, �, •�� ' " , ,�;-t GROUND PLUMBING / � � -- UNDER FLOOR CU�4DU1�.�41 1 �i3�U.�:� iti '_ ' ' ' ��-� c«t.�.�:,i i SLAB GRADE--- " l'FT FIREPL'QCE C3U DATION _ , TEMP POWER `. ' - -- -- ' � �IREPLACE BOAD�BEAM J _ . � -- . ' WATER SERVICE - - - - -� - MID HT.BOND BEAM - '���' ' � � ' � , � s��,�..�..�;._ �,, �s , ��;.;� . F�(70F5HEATHiNG : � S FT:BOND BEAM �-. , ; FRAMINGNENTILIATION FINAL BOND BEAM ,.,, � ,-•' --_- . ! RO FCOVER � ' PRE-GRADING - �,`�-.:;i i �.-,{=�' ��_�.- , � ROUGH HEATING-- - . .__ . _ __ - BENCHING t';�•;�_i ' ;. ' ., . �y i . , ROUGH ELECTRIC - - ,/ ROUGH GRADING � - ROUGN PLUMBiNG - 7��K FINISH GRADING SHOWER/TU8 7EST -1 t•.: . - - POOL ELECTRIC "" ' " � EXT.LATH/SIDING , � POOL FENCING , i �.. � WALL INSULATION • POOL FINAL � CEILING INSULATION OFF SITE IMPS. � � • � DRYWALL NAILING � ••:��:. � DEDICATIONS SEWER �''_.- �.4,'=',';'_ FINALENG. .' , . - . SEPTICTANK._ ._... '-�'.•�.;'.r' :;' LANDSCAPE/iRRIG. SEEP PiT/L.L. � ... �'`_'i-'-'=� ON SITE IMPS. GAS AIR�TF,�ST - - - - FINAL ZONING - " FIN, � N T. �' ' ' , . . ', � , � ;' ; FIRE DEPT. FINAL . .'•� FiPl�tt N iNG, t.. t' - / _ HEALTH DEPT..FINAL � _ , � • FINAL EL TRIC ` ` � F DEV. FEES PAID - - " - FI�1 _PLW�IBING ,�� � ENERGY t1� n ��. �� r �;,,� �, ,a.` 41 �_..� ;: ,-,' _..<a � ;; ;f�.. _ `i^ �� ibJ�• � _ . .�`;' !.�, � % 1:�� !,11.'. _i ..1 ; �� ,. . . . ---• _`_. ._ . . . - ---�- -.. . ... .. . . . . . 1 _ _ C��ANiLNTS� � `'�- • � ,. , , , �=� } .�`.� _ : . . . . • � _ . �-v���c' � � ' �J \ . . . _ .. . � . . . . . l',�� .� .,. . . '_ � -�. �, .. . , ' � _ .. . � , n \ (� C� . , ', . . S�� C 7ANK SIZE � � SEEP PITlU SIZE _ , _ I '��' , � � , - ,�=�- � y ? � • 1 � i ,: ..._ J J� 1 � � ^' �,�f .-r c+. ,�'^ . � . } ����i 1' t.���x. . . . . . � �l��'� ,3� 1 � H r �- l� � �c; i . � - �' d S? �_�j=i:� `�1�;`:�.1� • o�'z `.�'�s�� �l �z 8 <;