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HomeMy WebLinkAbout13574 1�( �� CITY OF DIAMOND BAR � E�(f� J� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �RED _ 216b0 E.Copley Drive Suite l90 1�00 '�� � (909)860-3195 Fax(909)861-3117 �C j O 3 PRESS �����^� BUQ.DING I'ERMIT APPLICATION FIR M LY } JOBSRE ��5..�G-�GL n �� APPLICATION PERMIT ' �^"7 �P/C o AD�RESS DATE NUMBER / � APN LOT TRACT D TEE�--�_�i��r� TYPE OCC I CONST. GROUP � OWNER �j-/1 G C./� C��1�iQIV� p ADDHESS � ZONING SEfBACKS � CITY ZIP�/7�S'L TEL ' �� REART RW p APPLICANT TEL. SIDFJSIDE STREET RW ❑ � CONTRACTO �� � SIDE ❑ � ADDRESS _ CfTY �► ZIP li7c�l TEL PROPOSED USE ` Pa� ARCHlENG/ • � � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL y DESCRIPTION SQ.FT. 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LICENSE CU55 `'q/ b LIC.NO. d�/� � � � DATE S�' 2+S-/ �i CONTMCTOR d WORKERS'COMPENSATION DECLARATION Q � U � IHEREBY�iFlWAUNDERPElUL7YOFPEiWR'IONEOFiHEiOLLOwWGDECLAMTiONS: y Z Q � _IMAVEMAMALLMAiNTANACERfIFlGTEOFCONSEMTOSELF•INSUREFOHwORNERS' 2 COMFENSATqN,A4PROVDEDBYSECTION]TaoOFiHEL�BOFtG00EFORTHEPE(iFORM�NCE W OF T1E WORK FOR WMdI TN�S OERl11T IS ISSUED. � � A' =7L I HAVE ANO VIILL WRRAIN MrOHKERS'C06�vEN5ATION INSURANCE.A5 PE�U!RED BY SECTION Q —� 97000FTHEUBORCOOE,FOR711EVERWR4IANC[OFTHEWOPoCFORWMiCNTMISPERMITI4 ISSUm.MY NqAI(ERS'CdAPENSATION WSUiiANCE G�RR:EA ANO POLICY hVMBERARE: CONSTRUCTION - . ., '__ __ . . .-. _—_'' '_ _ __ ...._.. . j �qryFq .. �_ PLlW REVIEW Z va�err�u�en � _l IL I�l n�_O ELECTRIC ¢ (nssEcroNu�NdrsEmi.saarmocnfxaursra�a:EMrnxnarwsa�m�ai�Essl PLUM�ING _ r.. ._ Z ICEFRiFYT1UTN1H6PERFORAIAVCEOFTHEWOP.KFORNMICHM�SPE�RISISSUED,I MECHANIGAL ��'��� [;3 SWIINOTEMPLOYANYYERSONNl1NYM1WN[RSOASTOBECCMESUBJEC7TOT1f � MqfixfRS'COAIPENSA7iONUw50FCAL�FORMI�ANO�GNEEM�TffISNOUL�BECOUE INSPECTIONFEE SUBJECT TO 7HE N�DHKERS'COYPENSA710N PROV1510N5 OF SECTION 7700 OF iHE UBOP � coo¢,isw�ucarrMmn�couv�rv�nn�n+osevnwis�or+s. ISSUANCE L,e'�� �a�e � /���r� / --- SMIP I I/-11 (,r t JJJ DATE: APPLICAM: w eNeacvPrc �1'Y nF Tl�,A:;iii•117 t�Al? . � J WARNIN�:FAILURETOSECUFiEWORUERS'OOMPENSATqNCOVERAGEISUNUWFULAND511ALLBE T 7. ` r r � SUBJECTANEIAPLOYERTOCRM?ULVENAlTIE5M1DCMlFMCSUVTOONENUNDRC07TqUSIWD ENERGYPERM.IT U��1�TIV��1 1���T! �f�l%1 � DOLLARS(Sf 00,000),W IIDDITlp1 TO THE CAST Of COhIPENSATION.O/IMA�E4/�S PROVUEO FOR IN J SECTION7701OFT1ELABORCODE,RJTEREST./WDATTORNEYSFEES RETENTIONFEE: � a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: CC IMEREBVAFiIqAIUNDERPENALTYOFPE0.NRYT/UTTMER[ISAGONSTRUCTIONLENDINOAGENCY �Z FORMEPERfORMANGEOFTNEWORKFORWNIp1TNiSPERMITI51S5UED�SEC.��7.CN.G). - W � LEHDEH'9 NA/IE � �� C LENDEH'SADDRE55 � ICERTIFYTHATIHAVERE/DiMSAPVLICATIONANDSTAiETHATTHEABOVENFONdATqNISCDRRCGL TOTAL F�ES w IAGREE TO GOAIPLY YAiH ALL CrtY ANO COUNIY ORD W+W CES AND 6iATE UwS NEUTIN�TO BUILDINO � CONSTRUCTIOfLANDHEREBVAUfMOWZEHEVRESENTATIVE50FTHI5CCUNT'ITOEMENUPONTME � S� ABOVE�MEIf�IONEDPROPERTYFOqINSPECT10NPURPO5E5. COMMENTS � �r'� f- Qv¢aurrrEs w�uE loa� �, r �--�s 9 � SIONATURE OF PERMITTEE D�TE � RECPT.N0. PAID BY VALIDATION WHITE—Departmant Capy,YELLOW—Finance Copy,PINK—Aeaeuor Copy,GOLDENRO�File Copy,GREEN—ApplicanCs Copy � . . . ' � � � w �Z I r.'�1�, . ..4 .�. .1�. .�J.1, � .�i. • � _• . � ..r1:1'.i r i .f� .k . .. . ... "'. , .. . . :,'� :;. � r�.`��a. .i..v. ., .� 'A'. . `��'. i w ��J90ND.BAR �-:tiy;!=; � • . .. . ���r- -. -,. � I�dSPECTION RECORD �---„�' � ��::s-�.�`��,c .. �c� o _ ;� . � . e�. __ �.,� u I►F;��a�r ri��� - .�:,'�C_ �l�`����.�-�..Jl���r 1►���1�.�nl���* .�� �r��= ::C��� a�..p�1 �. �.._. �_ — .. . _. _....._._.._._.� - ..._...._.__. SET BACY. . � , FLOOR JOIST � � •. � .�,, ' -. . � _ _. ., . � � -• . FTGS/FORh�1S'STEEL- ' ' � . - FHA REQP�ATS .. ' ;ELECTRIC GROUND.. _ '. -- UNDER FLOOR DUCT � � • � GROUND PLUP�181NG � UNDER FLOOR CO�IDUIT � ' `�'�"� ' J"`'` ` �' ;SLAB GRADE - -- - - ' FIREPLACE'FOUC�DATION •.� ; . � �,�� i� . . ;TEP�1P POWER -- - - � FIREPLACE BOND BEAh1 � �WATEFi SERVICE - - MIO HT. BOND BEAh4 ��?", � '��• ' •�,��. • • �ROOF SHEATHING i ', ;�`:�. - :•,',:� 8 FT. BOND BEAM•- • -: -- -. .. " �. =. �� . � - '.FRAF.IIMG•NENTILIATiON - FINAL BOND E3EAM �'� � � � � � , ; , ; :ROUF COVF_R .' � I PRE-GRADING � 'R�UGH HEATING BENCHING ;, . � '` ROUGN ELECTRIC ' . ' . ` ROUGH GRADING - - - - ' � '.ROUGH-PLUifBIf�G - - FINISH GRADING 'SHOWER/TU6 TEST . POOL ELECTRIC � ;�XT. I.ATH!SIDING - POOL FENCING . L'JALL iNSULATION - POOL FINAL . CEtU�dG INSULAT(ON ' OFF SiTE IMPS. DRYVVAL.0 PJAILING DEDICATIOPJS ;SE��,'ER FINAL ENG, SEPTIC TANK � LANDSCAPE/IRRlG. ;SEEP P1T/L.L. i ON SITE IMPS. GAS AIF�TEST � � FINAL ZONING � 't=1�JAL CONST. � . � FIRE DEFT. FIPJAL � ' F:NnL HEATING _ _ HEALTH DEPT. FINAL � . F'iiJP�L ELECTRIC - - - --•_ . DEV. FEES PAID - ---�- - ' '=1^!!\!PLUh'191NG . •-ENERGY ^ . i . �- . . I I - . _ r•,�,,,._..�.�.._..__..,.. . ._. . .. . .\ . . . . . I�i����4�:�� I!irl�L". . • I: _ ti ._'.a'.-�.� 4... �'.-.:ti:�se=.��:. .. ._ . .:i. —. . - - � � _..�--.- .. , ` ` _�� GOi�JiiJIENTS � : -- _ ; _, U � - _ . - , . . . ,�;- 1 � i .. . ; : , . � : — _. . . _ , ,.._..---- _ . �- ,_ . �SEPTIC TANK SIZE i . � . SEEP PIT/U SIZE _ -' �.. ___: �;ti� -' ' � _ . � . F .. . . . .. . . . . . . . . i � . ;��rAt .+-, _ . _� �. � . � _ , � - �-- � i � -- ; -�- .. . .__ ; ,._, - - - . � .-- --:..::. . .�'4k,_:_.:._:.:_...:.:1' �- - �� , , � . _ _ -- ------ � ;