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HomeMy WebLinkAbout11492 � '=- CITY OF DIAMOND BAR ; ' .. �. ,.�'. .r , � COMMUNTI'Y DEVELOPMENT DEPARTviENT a '='��i �Y� 21660 E.Copley Drive Suite 190 . � - ; , PRESS (909)860-3195 Fax(909)861-3117 `''•"'� BUILDING PERMITAPPLICATION FIRMLY N J0651TE ' '���� ��., c`�� APPLICATION C PERMIT ' a 'ADDRESS '�� �rJ�-Ix�l�Jg' �-+` � DATE � �V � NUMBER # 0 c� ISSUE TYPE OCC : APN LOT ' TRACT DATE CONST. GROUP °C OWNER- - � "4�c_L-- �L. � 2 ZONING SETBACKS ADD�ESS , z cmr'���1�tE1�? ZIP �I[-S TEL��`� FRONT RW• - ❑ - ; o APPLICANT TEL. " S DE/SIDE STREET RW ❑ � CONTRACTOR L� -SIDE - ❑ �, � � -ADD SS i-- � .CITY�1t?7i��1 ZIP TE - � :' PROPOSED USE _. .. - - _ __ . I o ARCH/ENG/ w DES�GNER NO.DWEL N0. NO. a ADDRESS UNITS� - STORIES - BEDROOMS � CITY ZIP TEL. " - - u�i �- DESCRIPTION � S�:FT. FACTOR PSF ADJ.AREANALUATION , � _-_- ___.. . _ OWNER•BCILDER DECLARATION- ' � '-' SFFVADD/REM -- -- � , �w cENSEuwFoan+�E OLLOMlINf3REA50N(SEC.70RS USTNESSAN�VPqOFES�SIONSWDEu�ivTa�irson Garaqe/Ca�port _. 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' . _ . _ _ i_ � _ UCENSED CON7RACTORS DECLARATION _ W _ � a - ' [L IMEP.EBY/�FFIRMUNDERPEN�LTYOFPERJURYTMA7IM/LICENSEDIXJDERPROVI410N40FCW1PTER � � . . , (L 9(COMMENCiNQVATHSECT10N7000)OFDMSIDN30FTHEBUSINESSIWDPROFESSqN5C00E,AND Z - - - - - - X uY LICENSE IS IN ML fOACEAND EFFECL , � , � LICENSE CUSS �� L�C.NO. � j • . � ' d`, " ' J _ � V DATE�L��(Z -_CONTRACTOR � W_ ' /� a� WORKERS'COMPENSATION DECLARATION /� /i�' Q � N✓ � IHEREBYAFFIRAIUNDERPENIILTYOFPERAIRYONEOFTHEFOILOW�NCDECUMTqNS:✓ Z , � � _IMAVEANpWI��MAwiAR1ACEATiFICATEOiCONSFMTOSELF-INSURE�OqNtlRKEHS' _ � CDUPENS�iION,�SPROVIDEDBYSECTIONJ7o00FTXELABOqCOO�FORTHEGERFORMANCE w OF THE WOHK FOR WMICN iM15 7EFAaT IS ISSUE�. � ' p ' _ __' ' _ ' '_ ' _ W _IHAVEANDWILLMAtMAMWORKERS'CO�APENSATqNM$URANLE.ASAEONAEDBYSECTqN O ]1000fTHEUBORCODE,FORTHEPEiiFORMANCEOFiHEWORKFORWHICHIHISVERMRIS ISSUED.MYWORKERSCOMPENSAT/ro�.�INSU�RANCEC�A`f1eRI+ER�A,NDavQQ��1C1' �` BEHME: � CONSTRUCTION jCaRRiER �s-Y� ti � ��. PLAN REVIEW � va��cr r+urrsEri � �__I��'S�^ E' - '!JL_ ¢ 1 p -!�s[cror+�r+oreeox+�moFnfaEranrsa�or+eruc�o a,00�a�tFssi- LUMBI C� Z I CER7IFY TMAT MTHE PERFORMANCE OF T1E wORK FOR WHK171M5 PEinurt IS ISSVE0,1 MECHAN�CAL --U� 51/ALLNOT E�PLOYANY PERSON W ANY MANNEH SOAS TO BECOME SUBJECT TOTHE _ , f � wOHKER5COMPENSATqNUW50fCALIFORNI/�ANDACREETHATIFISWIhOBECOA�E INSPECTIONFEE " � � ' r/- �r�/ ' ? SUBIECT TO iME wORKERS COAI7ENSA710N PROV1510NS OF SELTqN 970o OF TME UBOR � �, .__ 000e,i sN�u1 FoannHn�eouvir vnn�nase v SUANC ; � /' � SMIP . . .-- . p DATE:�lO—l�L APPLICANP. ' � W ENERGY P!C � ' � WARNINO:F�RURE TO SELURE woRKERS COMPEN5A7pN COVEFAGE 15 UMAwFUI,AN�SHALL BE� � - - �—y SUBJECTANEMPLOYERTOCRIIAINALPENnLTtESnNOCMLFttJESUPTOONEMINDREDTNIXI4AND ENERGYPERMIT _� DOLURS(f 100,000),IN ADDITION TO THE COST OF COMPENSATpN,D1IMAGES AS ORDNDEO FOq IN � � sEcraNa�oeoF7Neusoncooert�Esr.um�rrowa�'sFEes. - RETENTIONFEE: � CONSTRUCTION LENDING AGENCY PRE-AlT FEE: ' ��' p — - - � - -� - --- - - �- . _.. _ - 1 � IHEREBYAFFIRMUNDERPEN�1710F7EM1RYTMI�TTHEREI3ACONSTRUCTIONIENDINOAGENCY � � FOR 7XE PERFORMANCE OF TME WORK FOR NMiCH TMIS PERMIi IS ISSUED(SFG 7097,CIV.CJ. _ . � _. . . _ __. _ . _ _ . . . . . . � W _ _ , � IENDER'SNAME � � ' � ' ___.. _ ._ . . .' __-__ __ .__ . . __'_ . F— lEN0ER5�RE55 ; . w .ICERTIFYTHATIMRVEREADTHiSAPP�ICATIONANOSTATETHATTIEABOVEIN�OAMAiqNISCOHRECT. TOTAL FEES_ _ __ _ ' . � � � IAGREETOCOMPIYYnTHALLCITYANDCOUNTYORDINANCE5ANO5TATEUNSREUTINGTOBUtLDINO . � CONSTRUCTION.ANDHEREBYAUf110RIZEREGRESENTATNE50iTHiSCOUMVTOEMERUPONTME , , , � , Z ABOVE�MENTIONEDGROPERTVFORINSGECTKKiGVRVO5E5. , ' ._ - � COMMENTS � ���.���L��� `� -� - - . . .. . . . ¢ PER ENAMEIPHI �/ �^ � ' . �n v i�v . � SIGNATUREOfDEH1AITTEE DATE _ RECPT.NO. PAID B VALIDATIO � � ~-- --- • -- � WHITE—DeDartment Copy,YELLOW—Finance Copy,PINK—A55e5swCopy,GOLDENRD�FileCopy,GREEN—ApphcanYsCopy � - . . . . .. _ .,_ . _ r _;,... _. - �- . � , � _ CITY OF DIAMONi� BAR ' . � •. INSPECTION RECORD � � � • - • � � . � . SET BACK _ �' FlOOR JOIST �FfGSlFORMS/STEEL FHA REQMTS - ' ELECTRIC GROUND - UNDER FLOOR DUCT � GROUND PLUMBING UNDER FLOOR�CONDUIT - = - � - ' � • � SLAB GRADE FIREPLACE FOUNDATION TEMP PaWER - FIREPLACE BOND BEAM-•� - - • ' � • ' ' WATER SERVICE MID HT.BOND BEAM � ' � - � '` - ' ROOF SHEATHING 8 FT.BOND BEAM FRAMINGNENTILIATION FINAL 60ND BEAM ROOF COVER PRE-GRADING ROUGH HEATING - BENCHING - = ROUGH ELECTRIC - ROUGH GRADING ROUGH PLUMBING - - FINISH GRADING SHOWER/TUB TEST POOL ELECTflIC EXT.LATWSIDING POOL FENCING WALL INSULATION POOL FINAL CEILING INSULATION OFF SITE IMPS. t DRYWALL NAILING DEDICATIONS . • SEWER _ FINAL ENG. SEPTICTANK _ � LANDSGAPE/IRRIG. SEEP-PIT/L:L. �N SITE IMPS. GAS AIR TEST - FINAL ZONING FWqLCONST. - FIRE DEPT.FINAL - FINAL HEATING -- HEALTH DEPT.FINAL FINAL ELECTRIC - DEV.FEES PAID FINAL PLUMBING ENERGY .--�r� � ` _ %� - �� �_ _ . _-- --. - - ----- • � � ._.__ .. _. _ Y �I COMMENTS � _ - , � ; ,. , , , . , , .�. � . . , � � �.., ! __�. _ � , �M � , . , r--� ::t�:i: -:1 ; ' ' � . . , SEP71C TANK SIZE � � ' SEEP PIT/U SIZE - ) • •i� , , , . � ���; � .. ,., � _ � , ; ,� , , - ' �