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HomeMy WebLinkAbout11855 (5) 1 I _ CITY OF DIAMOND BAR � _ -- DEPARTMENT OF COMMUrTITY&DEVELOPMENT SERVICES /.1/ 21 C�CiO E.Copley Ihive Sui te 190 (, (909)860-3195 Fax(909)861-3117 � PR�SS , , ,`,�.. �un.�nvc r��rr AP�r.icATTON FIRMLY A ADORESS 2.. 2.0� (� IJ �T' Y DATE CATION� '2 Lt NUMB R I I a s`r� ��i $ ISSUE - TYPE ' . C APN L07 TRACT DA7E CONST. GRQUP � aWNER a ADDRESS�� 2�D l�5('V� /�-T��/�� W ZONING SETBACKS � CfTYT��/IrMexfT^T�iA�rZIP�STEL �p��- REAR - Rw ❑ APPLICANT ��- SIDFJSIDE STREET RW ❑ � CONTRACTOR -J r7`t� � 'R�lK ��c, S1DE • ❑ ADDRESS � � p CITY r!.�,�,/�In ZIPA�7i�'TEL -q' PROPOSEDUSE_�s+n1 [R//�-T �f" � w ARCFVENGI -��� ��,, DESIGNER—�i�'1N� NO.OWEL NO. � NO. � C'D�D�RESS ZIP �� UNITS STORIES BEDROOMS N �n , DESCRIPTION SQ.Fi. FACTOR PSF ADJ.AREANALUATION � OWNER-BWLDERD�CLAHATION . 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( .� I b'�� J i'� . ►- �� �2 -�l�R g cor�rt�ucroA C�I'T)'S /17�LI�V , a � WORKER5 COMPEN�TION CLAURA�TION�M �L a I l.�b.o oGa pj V (,S�rrJ � IHEREBYAFFIFWUAEROENALT'OFFERAIMONEOFTHEFOLLOw1N�DE0.AiuTI0N5�t�3I' Z 1 Q O ��IHAVFMDWILL1.4lMTAMACEHIIFICATFOFCONSENTTOSELFIMSUREiORNqRIfERS = Z QDNPENSAT�OM.ASPRONDEDBYSEC7qNT000FTMELA90RCO�EFOHTHEGERFORU.WCE U Q OF1HE YAFlK WR WHN]/lln5 PERM(f q 135VED. � � ��FUVE►fA W711AAeVtAN wOPo(ER9'COMPENSATIOH�NSV�UNCE.AS REOURED BY SECTIDN Q17000FTFfEUBORCODE,FOHiMEpERFORMMICEOFTNEWdiKPoRNM1iKS/TMISPERA1IT15 j Q� { � � RSVED.MYWOPxERSCCMPENSATlONINSURANCECAqPoER�NDPOLICYMIMBERME CONSTRUCTION ��/I�? �,J✓ •✓ � � GaPoER P�N'�A�� � � ��«��ER W I � ELECTRIC �o.e4 p �iHgS[CIIONrfIDrqfgEo�,iiE�FnOFiVfpEt�.RBWqorIEFFi�Rmn RtoqoqLESS] PLUMBING 7 y.`11 Z I CERTIFYtNAT C1iViE PERFOHMANCEOF THEMOFlK FOq WFAdITM4 PEiMT IS ISSUED,l � MECHANICAL - (7 SW41 NOT EMP�OY ANY PFRSON M FNV AtANNEH 50 AS TO BECOME SUBlER i0 THE • _ . " N MORNERYW�.�PENSATpNUW40FCAUFORNUTANDAGREETVUT615M01AUBECOME INSPECTIONFEE - "---"� SUBJEttTOTMENORKERSCOMVENSAT10NPiiOViS�'lSOFSECT�ON]IWOFTMEUBOR ' � ✓O� 000��suut Formnvm�caaa�r win+n�os6 PaohsaNs. ISSUANCE .1 (� � � SMIP �� 1 � 1g9p � •5b � p DATE: APPLICANT: - � - - `"��7�-�-� W ENERGY P/C N v„ " - WARNINO:FAIIUFlE TO SEQIRE WO�MER9'COMPENSATION COVERAGE 1511MAWFUL.ANO SMILLl BE �,�( ["y ',�1B.lECTIViEMVLOYER7OCRYJaL1lVENALTIES/NDCMLiWESUPTOONENUNOPEOT10U5AN0 �gEqGYPERMIT-�-_�_�pFniA�.aON� OOl1AA5 RIOO.Oao).M/�DDITION 70 TiE COS1 OF COMPEHSATIOM,D+�u�OESIS PROVIDED FOR IN � SEC7pN7�otOFiMEUeOH�DDE.NTEAEST.NAATTqWEY'SFEEA RETENTIONFEE: �����_ANDS .0�0 � �y CONSTRl1CTION LENDING AGENCY PRE-ALT FEE: O . � IHEREBVALFlRUUN�EN7ENPITYOFPEFWFiYTHATTHENE15A00N3TRUCT10NlEN�Rl6ACENCY � Fdl T)IE PERFORIAMlCE Oi TNE WORN FOR WNidl TMIS PERMIi IS�SSUED(SEG 30G7,CIV.C.�. . � � IEtAER'S NM+E C tENDEFY5,IDDRESS ¢ 10Eqi6YTIUTIHAVEREIDiMISAPPIIGTONANOSTATETUTTHEABOVERIFORM�TIONISCORREGT. TOTAL FEES ( � � � 1�' Z3�,�S� � IAGREE70CdaVl�MrtTHALLCRI'/J7U�UNfYORDM�NCE5N705TATEUWSRElAT9VOTOBU4DIN0 CONSTRVCiION.NAMEREBY�UTFIONZEPEPRESENTATIVE50FiH�StOtmTYNENTERUPONTHE . . � MFMIONEDiROGERTI'FOFIN57ECT10NPVRPOSE3. COMMENTS - � ��{c�E� . m PEMIR7EEWW P � I I � �. Q . - 1�..� , 'ln \'. y SIGNA EE DATE � RECP7.NO. ��' PAID BY �L VALIOATION , WHITE--�apnrtrnent Copy,YELLOW-FNence Copy,PINK-Assessa Copy,GOLDENP06-Fi�e Copy,GREEN-AppicanCs Copy � - ` CITY OF DIAMOND BAR., , . _ , '`�. . , ` . INSPECTION RECORD :' . �_ ( ., .�� _. .. __ .- � i � . . . .. . . . , 4, � � � ' . . � � . � ' SE�BACt�\ '_. Z.`,'�, � � ��, ..� . .� � . FLOOf�J;9�S . >� �-�'7'J_'� li, i"i`1 �J _ : . �, . FTGS/FORMS/STEEL ` ti FNA REQMTS �� - - - - ELECTRIC GROUND YrY --; ��"�" - UNDER FLOOR DUCT � ,f � GROUND PLUMBING � ` � -UNDER 'CO UIT=)� �'. ; � . _.. _ _ .. . . • ��:''�'�' '_rtl`; <�U.-�.�a.�.:..,, SLAB GRADE-- �� - � , FIREPL'ACE'Fb�1NbATION TEMP POWER � _ ., - - ' .' ---~�' FIREPLACE BOND BEAM _ _. --- . _. WATER SERVICE _ _ _ -- - MID NL•BOND�6QAM_''`.��'�' .� �t��' :J � . , ' . . , ._ , <, ROOF SHEATHIN �-:+_' r..��� ��,,1 ...+=:r:.t-. _ 8 FT'.BO Q�EA ��� �' �-, . . � tv�, � y ,�� .;• � � FRAMINGNENTILIATION '�{`'" FINAL BOND BEAM - � ROOF COVER PRE-GRADING �� � - ROUGH HEATING -, - - BENCHING - = ROUGH ELECTRIC � - � ` - - ROUGH GRADING , ROUGH PLUMBING - --- -FINISH GRAdING SHOWER/TUB TEST -- POOL ELECTRlC ' EXI:LATH/SIDING 1.,.::�'.. ��. POOL FENCING fl ' WALL 1N5ULATION � �\`� POOL FINAL -ry- t CEILING INSULATION OFF SITE IMPS. ' DRYWALL NAILING : DEDICATIONS - SEWER_ FfNAL ENG. SEFTIC7ANK . - - .� , .LANDSCAPE/IRRIG. SEEP-PIT/L.L. -- - - ' � �" 0�1 SITE IMPS, . GAS AIR TEST; - ,�� " ' FINAL ZONING FINdL'�ON�T. [" "' -� � " +�'"' -' -- FIRE DEPT. FINAL FINAL HEATING - 0'4 - HEALTH DEPT. FINAL - . FINAL ELECTRIC- - � � DEV.FEES PAID FINAL PLU1v1BING �.> >>�.�. �: � ),r,) ... � ENERGY: �• � � .1� •1 '� �t.1 - , .�.� ti .i ._�'.;- � ��" ��1i)�:��v,� ' G G�J - -- - . ,. -:._-- . . - - - --- - -- `;.�ZCC-._. �l�l� -. �. ... � � �, � l: ..�. ' --��. �-� � .i .��-a�k - . .. . . COMIJV E�'�I,T�=`", �I J. � J . . , . � � . � � � ��.�• ��`'.� ,. , , .; � ' 1 . ;,^� .`V.i c_11,.c� '-f.,� ,,- :�� ,,� — . � - a: 1��:-t�-L� — �Ll••1' s �U ' , '_ �.!�1�:,.:� _. . � , . Cl:,' t nt,r ___ ' . . , , �� K y�� _ - :�� r{ _ SEP.TI.C.TQi�i<7�t��r• � _:,�-• ;;., SEEP PIT/U 81ZE ��``�?��r _ � ��' -� .� �. •�`=".! i�--� . ,. ;yc)� ��, �- i fV{� ; . . , .. . , � _ � . . ' _ _ .__. _._ ._ ' _ �, � . _ � .,. � �I' � , _ . . -� , • .. , ( � � , ---�' 1,i � , - _ - , -- : • - ---- — .___. ..._ _�' _.. '