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HomeMy WebLinkAbout16912 (17) . � .�� CTIY OF DIAMOND BAR DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES y x�� 21825 E.Copley Drive ' (909)860-3195 Fax(909)861-3117 PRESS �`'%� BUILDING PERMIT APPLICATION FIRMLY ¢ JOBSITE �I- APPLICATION (� PERMIT I P/C o ADDRESS �iOKf7IV Z_]���0« � DATE !v NUMBER � U � ISSUE TYPE OCC APN LOT TRACT DATE CONST, GROUP p OWNER p ADDRES ZONING SETBACKS z CITY ZI TEL. + FRONT RW ❑ g APPLICANT TEL. REAR ❑ � SIDE/SIDE STREET RW ❑ � CONTRACTO � �/ � SIOE ❑ o� ADDRES � pyQ�E��E CITY ZI EL. � � �� o ARCFUENG/ � � DESIGNER NO.DWEL NO. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � � DESCRIPTION SQ.FT. 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Q W _�HAVEANDVALLMAINTAPJWORI(ERS'COAIPENSATIONINSURANCE./lSFEOUIHEDBYSECTION Q 37000FTMELABOHCOOE,FORTHEPEflFORMANCEOFTHEWOPXFORWMIp17HI5PERMITIS ISSUED.MYN�DRI( 5'COIAPENSATIONINSUR� IERANDPOUCVNUMBERARE: CONSTRUCTION � � CARRIER 1� •� PLAN REVIEW � poucrr�uueE -t/���'� ELECTRIC � �nusecnowr�mrioreeop.urmoFne�w.rrsra+u+�e�ooa�sR+ro)a�tEss} PLUMBING Z ICERTIi`/iHA7N7HEVERFORMNNCEOFTNEWORKfORNT11p17H15PEHMIT45155UED,1 MECHANICAL (,�J SHALLNOTEMPLOYANVVERSdJINANVA/ANNEH50ASTO8ECOAlE5U8JECTTOTME � WORI(ERS'CO�.�PENSATpNLAW50FCALIiORN1A.ANDAGREETHATIFISHOIILDBELOME INSPECTIONFEE SUBJECT TD TNE WORNER5 COMOENSATqN DPOVISIONS OF SECTION�700 OF iHE U80R ^�- �j COOE,ISHAl1FOHTHWITHCOIAVLYWITNTHOSEPHOYI5�ON5. �SSUANCE ��':�T��J~ � � SMIP Q DATE: APPLICANT: /� � ENERGY PIC �I Io Y � D �.a� 1 W�RNIN4 FA0.URE TO SELURE WORKERS'COMPENSATION COVERAGE IS UNUN/FUL.ANO SHNLL BE � SV&IECIANEIAPLOYENTOCPIMINALOENALTIESANDCMLFWESUPTOONEHUNOREDTNOUSAND ENERGYPERMIT OOlLAAS(f I00,000),W ADOITION TO 7ME COSi OF COMPENSATION.O�MAGES AS FROVIDED FOR IN J 6ECTION 37oe OF h1E U�BOR COOE,INTEaEST,IiND ATTORNEYS FEES. RETENTION FEE: ' a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: ���----_.._ — .^-��--y--� ' � I HEFEB�AiFlPM UNOER PENALTV OF PE(YR1M THAT THERE IS A CONSTRUCTION LENDINC AGENCY �- FOR THE FERFOqMANCE OF TNE WORK FOR WHICN THIS FEN.11T IS ISSUED(SEC.7o97,CIV.C.). Z W � LENOER'SNAME F_' IENDER'S/�DDRESS � ICERTIFYTHATIHAVEREADTHISAPVLICATIONANDSTATETHATTHEABOVEINFORMATqNISCORRECL TOTAL FEES ' 3 W IACREETOCOMPLYWITHALLCT'MIDCWNTY0�7DWANCESANDSTATEUWSNEUTINOTOBUILDW� � CANS7RUCTION.ANONEREBVAUTIIORI2 EGRESENTATNESDiTNISCOUNT'TOENTERUPDNTNE Z ABOVE�MENTIONEDPROVERTYF M :TIONVURPOSES. COMMENTS � �� m ¢ VERMITTEENNAE�PWNT� �, 1 D�-�_�'�� N 51GN�TUREOFfE�R ' �E OAiE � A[CPT.NO. PAID BY ' VALIDATION WHITE—Department Copy,YELLOW—Finance Copy.PINK—Aesesso�Capy,GOLDENROD—File Copy,GREEN—Applicant's Copy .,.... � . . ., . . . .. , �. .. .. . � . . .. riT,r o�= r���`�,�l�t�?D E�-�� If�!SF�EC?I�OP� r�CURD �'^- -•, �� E- _- _ ..._. ...___..._�.n. _ _ .. _ _ , . _ _ . :1►k=a��C''�Cloj►� ����t.- (��k-���?�`'F°^� 1► 'f�J-�c`-c(��ti�a c��4�riN il��E-�;��e,��?���� i --------_._.---___..___.___.. ..__. __ __...___.._.... ..__... _ . ._. ....____-----_.�__._..__...���._.___..____�...___r__________ _�_.._ SET BACK • ; � FLOOR JOIST - , � , FTGS/FORP�IS/STEEL � � FHA REQMTS � ELECTRIC GROUNO � UNDER FLOOR DUGT GROUND PLUMBING � UN�ER FLOOR CUP,IDUIT � SLAB GRADE FIREPLACE FOUNDATION TEMP POWER FIREPLACE BOND EiEAM WATER SERVICE � MID HT. 60ND BEAP✓1 . ROOF SHEATHING ����.��-- � 8 FT. BON�BE�P�t I FRAMINGNENT�LIATION FINAL BOND BEAP�i RO�F COVER �f/�Jv PRE-GRADING ROUGH HEATING � , BENCHING ROUGH ELECTRIC I ROUGH GRADING ROUGH PLUMBING I FINISH GRADING SHOV'✓ERIfUB TEST POOL ELECTRIG EXT.LATH/SIDING POOL FENCING WALL INSULATION POOL FINAL � CEILING INSULATION OFF SITE IMPS. DRYWALL NAILING DEDICATIONS SEVJER FINAL ENG. SEPTIC TANK LANDSCAPE/IFiRIG. SEEP PIT/L..L. ON SITE IMPS. GAS AIR TEST FINAL ZONING FINAL CONST. FIRE DEPT. FIPJAL FINAL HEATING HEALTH DEPT. FINAL FiNAL ELECTRIC � DEV. FEES PFJD FINAL PLUMBING ENERG'f � • .�-�rs c-�.��tls;c I • . _,__. _�._� �,/� � CUMMENTS �`�``�� !V�' 12e9/�� -�--- �EPTIC IANK SIZE : EEP PIT/U SIZE E�� , � � � .'�,�i� �:�,� _ ,I i � ' . '