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HomeMy WebLinkAbout14617 (8) � _�� CITY OF DIAMOND BAR + � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � Z��oE.c�ioyn,�,�es�c�i90 . PRESS ���"��. BUII.DING PERMTf APPLICATION � FIRMLY � JOBSITE # APPUCATIO PERMfT ��/? P/C Q ADDRESS 7 � � � DATE NUMBER � �t � ISSUE TYPE OCC APN LOT TRACT DATE CONST. GROUP � OWNER p ADDRESS ZONING SETBACKS � � CITY ZIP TEL. R�R RW D APPLICANT TEL SIDE/SI�E STREEf RW p a� CONTRACTOR � uK7 1 SIDE ❑ � ADDRESS • - - CITY � �;C /ZiP �IL' G't! TEL���ya�'N7� PROPOSEDUSE � ARCH/EN • � DESIGNER NO.DWEL ND. NO. ADDRESS UNITS ST�RIES BEDROpMS CITY 21P TEL. � DESCRIPTION SQ.FT. 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'7qN,���Ii�IAID�E ER O��TME BURDFN OF FROV WO TNAT NE OR 6HE DID NOT B�ID OR O L��MMEROFTME iROPER7Y,AA1 IXClUSNELY CLIRMCTNO YA7N LICENSED CONfMCTOR3 � M CONSTRUCf THE PNO.IECT(4EC.7ou.BUSINESS AND 7ROFESSIONS WOE:IME CON7MCTORS Lb VelUOfiOf1 ADJ.ApEA L875E Uw DOES NO7MPLY TO AN OYMER OF A PROPERiY NTfO BUttDS OR MPFOYES 7NEREON.AfA NSfOWHTMCTSF011SUp1PRQIECTSWITHA00NTRACfOR(S)LICENSEDPURSUANTTOT/IEOONTMG pUANTITY DESCRIP710N FEE � IURe 110EN5E UWJ. . . . +�J . p IAL DfEYPT UNDEq SEG B.t P.C.FORTMIS REASCN �r �n �4/, F='" DATE OWr+ER � UCENSED COFfTRACTORS DECLARATION � W � .. � � . .., , . � IHEREBYAFFYWIM�ERPENALTYOFVEiWRY7HATIAML�CENSEOUNDERDROV15lONSOiCHADiER � /(OOLYAENqHON7TX5ECT10N7000)OFOMSION�OFiHEBU57NE55�r1DVFi�FESS�ON5CO0E.�ND Z IAY UCENSE IS N FLLL FORCE IV1D EFFECT, m � LICENSE S � . . LtC.NO. �f O'! � �7� � �j DATE G: OC CONTi1ACTOR��'�' �.'�St[� .t �'f'� �Y d —� � WORKERS'COMPENSATION OECLARATION � � - � IMERfBYAFF6WUNDER7ENAlTYOf►EIUURYONEOFTHEFOLLOwiNOD iqNS � ��IHAVEANOWILL►UHTAIHACEHi1FlCA7EOFCONSENiT05 -INSVREFORYKIH RS' _ COMPENSATION,ASiROVIDEDBYSECTION17ooOfTHE WDEFORTHEPERFOMIANCE U Q OFIHEWOPoCFORNMICHTNISPfRMRISISSUED. � 0 �IINVEANDVnLLMAPRAMY/ORKERS'COAIFENSATqNINS .ASREOVIREDBY CT . �2 07ooOFTHELABORCODE.iOR7NEPERFORMANCEOFTMEWO ' A ISSUED.W 1N�NKERS CW vEN5AT10N WSUMNCE CAARIER ANO POLICY NUMB£HARE CONSTRUCTION � �Eq PLAN REVIEW � pa�crnuMeEn ELECTRIC p (il�SSCL'fIU,IE�wT0E0d.RETEDOF7fEVEPMtBiORONE11l1L�DDd-UiLSR+�Id�lEnl PLUMBING �� '''���� ,z ICERTIFYTHAtNTMEPERFOii1AANCEOFTNEWOPoCFOHWFtlCNTHISPENAiiI5155UE�,1 MECHANICAL ��.i+"` ' (,�J EWIINOTEMPLOVANYVERSdJIN11MlI.UNNERSOASTOBECOMESU&IECT707HE � worixpasco+.�v�+s�na+UwsoPuurorwiwN+o EETrIATIFI eewrne INSPECTIONFEE O 6U&1ECT10THEVJORNERS'CdAPENSATpNPROVIS�� 7900LjNElABOR- ` ` 000E.i siuu FarrHvnn�couv�r win+nrose r s ISSUANCE �n 'I r # ) p OATE:�l(ICD APRICANT: "� � �r� . � � ENERGYP/C r I)1t`>>t`�''�.i'� WAANIN6:iALURE TO SECURE YARKERS COMPENS��qN COVEMGE IS UNUVrtI.i,AND 6HALL 6E t� {' �y SUBJECTANEMPLOYERTOCRIIAWALPENALTIESANOCMLFINESUPTOONEMINDREOTHOVSMIO ENERGYPERMIT riiSII��n�`�� OOLWiS Ifl ao.000l.�N ADOR1pi TO TME LO3T OF COMPENSATqN,DAAIAOES AS VROVIDEO FOR IN tiLi�i� JpC SECfqN�7oeDFTHELA00RCOOE,NREREST,ANDATTORNEYSFEES. RETENTION FEE: Q CONSTRUCTION 4ENDIN6 AGENCY PHE•ALT FEE: 0. 1 MEREBY AFi WA UNDER VENALTY OF VERNiIY TWIT 7HERE IS A CONSTRUCTION IEND W6 AGENCY � Z FOH THE VERFONA�rvCE OF TNE WORK FOR WMICH TMIS PERMIT IS ISSUED(SEC.30a1,dV.C.). W � � IFNDER5NMIE ' � �ENDER'SA�DRESS � �CERTIFYTMATIHAVEREADTMiSMiL�C�7qNANDSTATETUTTIEABOYENFORMATIDNISOORAEM. TOTAL FEES - � � _ d IACREET000I.�PLYWIiN�LLLIT`/AN�COUMYORDINANCESANDSTATEUWSHEUTNOTOBUttDIN6 GOI�STPUGTION.MD MEREBY�Uf1qRIZE REPRESEMATNES OF TWS COUNTV TO ENfFR UPON THE S� ABOVE-MEMIONEDVROCEHTYfORINSPECfIONVURP06E5. COMMENTS s � ,� m pER11RTEE E(PR Q � �G � . . � � VJTUREOF7ERUITT DA7E S RECPT.NO. PAID BY - VALIDATION �— WHIT[-0epartment Gopy,YELLOW—Financa Capy,PINK—AssessorCopy,GOLDENROD—File Copy,aREEN—AppllcanTs Copy ' . Y 4: ., ' - . . .. ,. . , • . . _� . . . .. _ . . .. . . , . . . � . . , _. CITY OF DIAMOND BAR : ,., . _ . � , � � �"` fNSPECTION RECORD'. • , .. : ... , , - �� �^��� o � � � � • � � o - SET BACK '� '�,�` 1 � •'� 1� • ` � '�: 'FLOOR JOIST ; � .� FTGS/FORMS/STEEL FHA REQMTS �• • ' � - ELECTRIC GFiOUND - 2.��..co UPJDER FLOOR DUCT � GROUND PLUMBING UNDER FLOOR CO�IDUIT - StAB GRADE � � - FIREPLACE FOUNDATION -- ' TEMP POWER - � - ' •• FIREPLACE BOND BEAM WATER SERVICE--- - - MID NT.BOND BEAM :._ �+' =;;%_•' ;.� . .._. ,_ � ROOF SHEATHING - - ' � 8 F1'.BOND BEAM, • � • � � ,• ' � � - � "� ..•,1 .- FRAMINGNENTILIATION � FINAL BOND BEAM ` ' ROOF COVER PRE-GRADING - -" ' ROUGH HEATING - BENCHING _ ' ROUGN ELECTRIC . - _ .Cv ROUGH GRADING ROUGH PLUMBING � - " -- � FINISH GRADING SHOWERTfUB TEST - - - - POOL ELECTRlC EXT.LATH/SIDING � - POOL FENCING ' � WALL INSULATION P�OL FiNAL • � 4 GEILING INSULATION OFF SlTE IMPS. • - DRYWALL NAILiNG DEDICATIONS SEWER FINAL ENG. SEPTIC TANK _ _. _ _ _ LANDSCAPE/IRRIG. SEEP PIT/L.L. ' - _- . _ ON 51TE IMPS: ' . , � G�4SAIR-T�ST - - - - -- - - FINALZONING � FlNAlCONST. - �' - � '' '' ' ' -� FIRE DEPT.FINAL FINA�HEATING - � H�ALTH DEPT.FINAL ; ._ F1NAL ELECTRIC -" '" D�V.FEES PAID ..�,-r��� �y _ _.. . FINAL PLUMBING ENERGY - 1 +��:C�,rn�r"�Esc; . _ �, �...�_�__ _. � _. . . ._ . . . '� . - - -- - , , _ - -_ . ., _.--.. , COMMENTS :�_ _ ; ��, - -`-,. �' , , _ ' :� -- ;;; ._ ___ ._ .. , ��j -• �� � ��) . . ' _ + �� � � c.. ". - `�. SEPTIC TANK SIZE � . , .. SEEP PIT/U SIZE . , ; � ._ � , . . �� j�; ' . , � — _ . , t��� �; � - - , i '� _ - E _ , - � ._ ,. • - - _. . ` '� I`_.t - ..- - _.. ',.��I ``�\ .. - .. � - ' . 1 �- ,1�_ _ . ._ .. `\ . . - � - � -