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HomeMy WebLinkAbout13410 (7) 1� CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY 8t DEVELOPMENT SERVICES t > 21660 E.Coplcy Drive Suite 190 (909)860-3195 Fau(909)861-3117 PRESS ''^^'� BUILDINGPERMTTAPPLICATION FIRMLY } JOBSITE I S APPUCATION 9 PERMIT 1/� P/C o AD�RESS � � ��1' ` �r� .�✓n'� �• OATE - �/ ��NUMBER ��``�' # � APN LOT TRACT ISSUE ���(`,�G' TYPE OCC DATE ��I � CONST. GROUP g OWNER t- � � `� lL G - p ADDRESS j��� (�V/rjw �� 20NING SEfBACKS "' CITY 11��L/d l�/��K ZIP G)� TEL.���- FRONT RW ❑ � APPUCANT���.C//� �(�t�� TEL. + REAR p � SlDFJSlDESTREET AW ❑ CONTRACTOR C � �✓C 1' SIDE ❑ � C'DTMDRESS - Z�P�� TE e �i PROPOSED USE I�.I �/ � ���N�, 7�� c,�� , ����jjj- ADDR SS t NO.�WEL NO. y NO. = CITY ' / ZIP TEL -� UNITS STO�iIES BEDROOMS✓ y tn DESCRIPTION SQ.FT. 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' S �1�MMENGIHOM7MSECTiON7oaoI�0�YI5i0N]OFTMEBUSINESSN�OVHOFESSpNSGODEAND Z �� AIYLJCENSE75NFLl F(+(iCEANDEFFE � m � UCENSECVS �UC.NO. • � t��j MiE COMRACTOFi d - ad WO 9'COMPENSATION OECLARATION '� Q � IMEFiWYAFiIRMUiOERPENKTYOFPERNFYONEOFTNEFOLLOWWODECWiA7qNS /�J Z � �IHAVEANDVnLL�uwTA1NACEfRIF1CAtEOFCONSENTTOSELFaNSUREFdiVAWCERS' _ CaMVEN5ATION.ASVfiOYOEDBY5EGT10Na�oGOF7MEUBOHC00LFOliiT1EVERFOWAANCE �U OF iNE WORIC FOR WMNri TXIS PERMIT IS ISSUED. � O �I HAYE ANO M(ILL W WlUP1 WOfiKFRS'('AMPENSALpN WSUHFNGE.AS flEWfRED 8Y SEGiXXJ � 3700 OF iNE UBON COOE.FOIi TNE PERFDWtANCE OF hIE WORN fOR Wlupl TMIS PENAUT IS �2 ,O�(� � qSUEp.YYWqycFAS•ppMPQu,A7qNWSUWwCECMRIFpMIDPOLICYNUuef0.AAE CONSTRUCTION _ J � y cuawEq PLAN iiEVIEW �e �_,__�_ � ���Ep ELECTRIC �J. �-�U 0 �nssEcnor�r�raieEa�FrIDOFnEv[re�i�Poraar�H.00r+IDoatuisB��aA�Essl PLUMBING Z I CERTIFY THAL Ml h)E FERFORM/J:CE OF ME VdORK WF WH(C31 THtS VEi1u�T IS 4SSUEq 1 MECNANICAL (�' SMALI/qT EMPLOY ANY PE0.50N W ANY MANNER SO�l4 TO BECOM'c SUBJECT TO TNE y WORNERS'CWPENSATIONUWSUFW.iFORN��I��pEETNATIi15NOULDBECOYE WSPECTIONFEE �w�ECT TO7ME WOfiKERS'WMPENSATION PRO�ISIONS OF SEGTqN 77ao OF TME IABOR O CqDE,I&IALLFOHTHw17HCOMPIYVnTH7HO5EPROVI5qN5. ISSUANCE `r�}_ �, 4J�'ss' p d17E � MPL�GNJT: SMIP �—��S� f^ ��� � WAFWINO:FALURETOSECUREWOW(ERS'COAI�ENS�.TqNCOVERAGEISUNUwRA,MHI5HALL6E �1ERGYP/C Y. ��� i,y _��? ^ �y SU&JECIANfYPLOYEHTOCWMiNALPENKt1ESANOCtYiLFWESUPTOCNEFUNDRE0iMW5AN0 FNERGYPERAAIT v � ��•�' DOLLARS(f t00.00a�,W/�DDITION TO ME COST OF COAIPENSATqN.D�GES AS PHOV�DED FOR W ' r SECTI�Na)WOF7HEt/�BORCmF.N7EiiE5LAN�ATTOHNEY3FEES !�� ` RETENTIONFEE: F�� � � --'_+ Y�..., '. O CONSTRUCilON LENDING AGENCY PR T FEE� �� '�'�� LC INEREBYAFFIRMlF�OENVENALiYOF�ERRIRYTMATTMENEISACONSTRU�T10NlENOW4AGENCY a fOPTHEPEFFOMWrCEOFTFIEWORKFORWHICHTHIS7ERwTISISSUED(SEC.�7.GV.C.�. � .\`, tr�. � LENDEq'SNAME V ' � IFNDERSADDRE55 � icenric-rrw�nwwEn�nrns�rruc�ra�+u+osl�renurn+e�eovewFawaan�sconaECT. TOTAL FEES � IACiREE70WNPLYNITHAILCITYM/DIX7I.NTYORDWANCESANDSTATEII,WSREIATWO70BULDUIO � CONSTqUCT10N.ANOHEPEBYAUi1qW1EREPRESENTA71VE50FTW5C0UNTYTOENTEHUPONTME � ABOVE#IEMIONFD PROPERTY FOR INSVECT WH W ADOSES. COMMENTS 0 J � ¢ PERAuTTEEWWE(7RINn � � � 51GNA7UREOiGERMIITEE DATE � � RECPT.NO. PAID BY YAllDATiON WHITE—fleparunent Copy.YELLOW—Firwrrce Copy.PINK—Assessor Copy.GOLDENRO�FileCopy.GREEN—ApplicanCs Copy - , � ' ' .. .r. 1'� -t' _.,. �t ' .f�T _:r: �.S:r n •-. .. .. ...,. �,.. ..- � • . .�•1 � . . . , . ,i� 1' y!• .r•�.._ . '1•. . .. . y. ..�..�.F_' :1,�•�tr.� . ' � . , ''. . . . . , � CITY OF DIAMOfVD BAR . It�SPECTIO�J RECORD � ��l�ti�.-��C`�1��^jRe ��i_�,R ��,�"L"1�.��i:�!;_ ,' 5��4����A„1�!�::�►ti _. . __I.-'/`�� (l.�.� ����:1,.4 --------------_�_----- ='- - ' • - -- -- — — =- . -__ ,-.._ - -- _ ._ --- -'-- SET RAGi<:( `.. t ' y � , �,' ' , , � FLOOR JOIST • fTGS FCR`11SiSTEEL ' � -.,, � ;_ FHA REQ�-1TS _ _ � ELECTRIC GROUND ; i • . -. . UNDER FLOOR DUCT GROUND PLUh-'BING UNDER FLOOR CU�IDUIT. • ' "� , �_SLAB GRADE FIREPLACE FOUNDATIO�d I TEh"P PONlER FIREP'LACE BOND BEAft1 - •� - • V�JATER SERVICE - MID HT:�BOND BEAP.�I �. ,• � RQOF SHEATH(NG ' ' � � � , 8 FL BbND�EA!�1 ' . -• , . FR�r.11PdCn{ENTILIATIOt� •.• • � • FINAL BOND BEAM � �� - � � - P,OUF COVE=R ' � � PRE-GRADING - ROU�N HEATIPJG ' BENCNI�dG � � ' , ROUGH ELECTRIC_ ROUGH GRADING RCUGH PWMBING - FINISH GRADING � ShOWER/TUB TEST - POOLELECTRIC i �XT.Ll�TH/SIDING - POOL FENCING � � �^JALL i�15UUlTfON - POOL FINAL � CcILIfdG If1SULATION " OFF SITE IMPS. � � � DAY'�'Jr'1LL NA1L(PIG QEDICATIONS SE'iJER FINAL E�4G. SEPTIC TANK LANDSCAPE/IRRIG. ' i ��EEP PITlL.L �� _��,J � ( ! �N SI i E Ih1PS. , r � GAS AIR TEST , FINAL Z�NING ' � `1 ����r•'A;"L Oj1!ST,-` ,,, ' �S 1S��k, �•.�c�t�.��•��`'-�� �, FIRE DEPT.FINAL t � FiNAL_H�ATING _ , � HEALTH DEPT. FINAL _�_ ' FlN��FLECT.RiC'' ' - s. ` '` DEV. FEES PAID � �;S"=!�_k�f� j �=1%�:AL f'LU"f�i"JG � ! EfJERGY , ��:�4,_= _ }s_►�,4 f �• �a__!_ , ; I � � ,i� r `i` ,, ,:'4'� ,�.�: �1_ `i;`1 , !-- .. .. � _`,�I 't _ 1 '1 J 1--��rL � �.. ���`j , , ,. ` tJ(�1'Iu1!Itnl i S , � � � , � _ � . .. i , ` ,=, - . � "_. _ �\ .J� `'\_�•. . (__`y y_��__ � � � � _ _ i � —� 1 -�'� • - - . i �'SEP i!C TAi�lK SIZE � JCFP PITIU SIZE - --^ : , ` ,_.._ sa,.a '`�- �_T,,.,� -;� , _ ; _ i . _ . 1 _.. , • - ; - _ � ` � • - - —� . � � _ 3 ! .s;���; -��� . . � _ �� -- — � � 1 �' '.1�'.. ' i " • , . ; '_ . _ .._,. _. `-�' ---- -� _� � � . .