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HomeMy WebLinkAbout13756 (17) CITY OF DIAMOND BAR � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES �� 21660 E.Copley Drive Suite 190 ' � (909)860-3195 Fax(909)861-3117 PRESS �'��� BUII.DING PERMIT APPLICATION FIRM LY o DDRESSZI'1JV L� COPLCI DATECATION � ( NUMBER �3756 #� � � APN LOT 2 ISSUE TYPE OCC �_ TRACT DATE CONST. GROUP � OWNER Gl37ElW!]Y C�"f, CTZ' "' ADDRESS ZONING SEfBACKS W CITY Z�j ' TEL. FRONT RW O PPLICANT '??'h /�-c�� TEL.SI�E�/-o9i5d REAR ❑ SIDE/SIDE STREEf RW ❑ CONTRACT R ' � - � '— i SIDE ❑ ADDRESS P'��7[ • -iC1M i PD ,p PROPOSED USE Y C'� � CITY�A �-IAGS�/L- ZIP �(_ TEL�J���jt� �, oARCH/ENG/ � (, . ' � DESIGNEF NO.DWEL O. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL � DESCRIPTION S�.FT. 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W 041180M'NENOFiHEPROPEiRY,AMF%CIUSNELYCOHTMttN�VATHUCENSEDCONTMCTORS � TO[ONSiFtt1CT THE PFqJECT(SEG 70u.BUSINE55 AND PAOFESSIONS CODE:THE WHfRACTORS ll- V2luatiOn- � ADJ.AREA CENSE UW DOES NOTAFVLY 70AN OMMER OF A VROPERTY YAIO BULDS OR IMPiqVES TIEREON.AND � yHqp01lTRACTSiDR5Up7PRQ1ECT5WITHACOHfMCTOR(5)L�LEHSEDVURSUMTTOIMECONTMG QUANTITY DESCRIPTION � � FEE � TORS UCENSE UW.I. - OIAId fXEMPTUNOERSEG B.t G.C.FORiH15 REASON U lJ.. � o�re ovmen V � LICENSED CONTRACTORS DECLARATION -r � w I NEREBV AFi1HY UNDER PEIULTI OF VERIURY THAi lAA1 IICENSEO UNDER VROVI5IONS OF LHAPTER Vr � �(CdA1ENCNqMA7H5ECTIOH7oD0�OFDM510N�OF7HEBU5:NG55MDVROFESSKKJSCODEAND Z X MY UCEt15E lS N FULL FORCE lW�EFFECL m o ����� C ��� ��.No.�59 3 � � w�'2._2 L•--�19 corrrr+,�croa a W b � WORKERS'COMPENSATION DECLARATION � a = U N IHCfiEBYAFFIRYVPDERPENALTYOFiE0.1URYONEOFTHEFOLLOWINODECUM7pN5: ~ � (/J Z 6 � _IHAYEAMDWiLLMNNTANACERfK1CATEOFCONSEMTOSELFaNSUREFORW01iKER5 2 COMMENSATION,ASPROVOEDBYSEC710NJ10oOFTHELIDORCOOE,FORTHEPERFORMANCE 1U Of THE WORK FOR WMpf TNIS iERM1T IS ISSUED. � 0 �//- �IHAVE/{ND WILLLUM/VN WO{UCERS'COMPENSATION MSUiUNCf,Il5 NEWIRED BV SECTION �( Q �7ooOF TME LA[iOR CODE FOfi TNE FERFORMANLE OFTHE WORIC FORYMIp17H15 FERMR IS � �J lSSUED.IAYWORKEASCOMPEN5AT10NW5UMNCECMR:ERANDPOLICYNUMBERM[: �TRUCTION �'� f�`�-��"�' j CARRiER - ST�TE� �L�j�l v —���� PIAN REVIEW I � ' � t �'[�„�i �V � ` � PCUCYNUTAgEA -�4^-� ELECTRIC . � � (R6S[CT1CNriEmHoi9[op�qElEpOF7fEpEix�isinHp�EHt,OnIDDaUlfYli+aolontESury PLUMBING Z I CER71iV iHAT NT11E PERFORIAANCE OF TNE WORK FOR WMICHTH15 VERAIIT I5155UED.l MECHAMCAL � - (�} SHALLNOTEMCLOYANYiERSpJINANYYANNER50A5TOBECO�ESU&1ECTTOiHE 1 N 'AVRKEfl5COMPEN5AT10NlAW50FGALIFORNIA/WDACRCETMATIFISNOltDBCCOME INSPECTIONFEE �^'E"�� S SVBIECTTOTNEWORKER5COMPENSATIONV oVI510N50F5E �ON770oOF7HElAeOR � �� cooE,i swu rora�v.nni ca+r�r wi s � s ISSUANCE � WTE:�""ZC^�I7 AaPLICANF. ' SMIP �.•• r, �•••� I • �� — W . ENERGY P/C `�U L U - !j�—� ' WMN�NO:FAM1URETOSEWREWORKERS'WMCENSATIONCOVEMGE UNLAWFU4µDSN�LLBE �.�-.,. ., i�f l � SUBJECfAHEUPIOYERTOLRN.�7NALPENAL77E51wOCMLFWE5UP700NE1uNDRLOT1qU5IWD ENERGYPERMIT � � � '� �^�'' � ' DOLUfi51f I00.0001,W�DITION TO iHE COST OF COMPENSATION,DNAAGES AS VflOV�DED FOR IN , � SECf1ON�7oeOFiHEL�BORCOOE,wTERESLANDAT70RNEYSFEES. RETENTIONFEE: f'��� ' � � ' ,� ' c�� � CONSTFiUCT10N LENDINC3 AGENCY p►{F-A� � � IHER[BVAiFIR4UN[7ERPfNAITYOFPERIURYTUTTHEREISACONSTRUCTIONLENOINOAGENCY jl � ��� iORT11E0ERFORAIANCEOF7HEMlORKiORNM1CMiHISGERMITISI55UE0(SEG]097,CN.C.). � � LEP0ER5NMIE �� I � LFNOEP'SADDRE55 . � ICERTIFYTWITINAVEREADTHI5A7ClJGT10NAND5TATETNATTHEABOVEMFORIAATIONISCORRELL TOTAL FEES ' � IAGREETOCOMPLYN7THI11LfTYANOCOU1fTVORDINANCE5M1D5TATEUWSREUTMlOTOBULDiNO - CpN" qN,Aly)NEPEBYAlff/10RIZEREPRESENTATIVESOFTH15COVNf`ITOENTERU���QQQ,,,���iHE . � - S� E�M IONE PROPERTYF N�i'ECf10NPVNPOSf����A // COMMENTS 0. � Y�. �,k � m ?�y�RTEE NAE(PRIHn • � � fie= � '�P.V �J/C-? 3'1ln'J� � . N 6KiiI/ATVREOFPERYITTEE OATE -� RECPT.NO. PAID BY VALIDATION VYFiITE—DepaRment Copy,YELLOW�Inanee Copy,PINK—Asaeesa Copy,GOLDENROD—File Copy,GREEN--ApplieanCs Copy CITY OF DIAMOND BAR ;, , , ' � � INSPECTION.RECORD ' � •� � . . • � �. • � � � - • � � • - SET BACK - � . i 1 - FLOOR JOIST . . . ,•,; ."�. - '� i FTGS/FORMS/STEEL FHA RE�MTS - �- - -- . � ELECTRIC GROUND - - UNDER FLOOR DUCT - ,, ,.� . , . ••, : : GROUND PLUMBING ' ' UNDER FLOOR COI�IDUIT � SLAB GRADE - FIREPLACE FOUNDATION - � ' TEMP P�WER - ' - ' I FIREPLACE BOND BEAM_ -.� - � _ _ _- � WATER SERVICE - MID HT.BONb`BEAM�� .�-•' . -• .�' : = �• '�•�`•� '• R00�SHEATHING;' �-, , .. ,� � :��. . , ` � 8 FT.BOND BEAM � • ��: � 1.,.�..,+:� i, . I � � FRAMINGNENTILIATION �- ' ' � FINAL BOND BEAM ' • i ' . ROOF COVER � PRE-GRADING ROUGH HEATING - - - BENCHING - - ROUGH ELECTRIC ROUGH GRADING � ROUGH PLUPABING - � FINISH GRADING . • SHOWERlTUB TEST -�-��-- - POOL ELECTRIC ; % ' EXT.LATH/SIDING POOL FENCIPdG • VVALL INSULATION POOL FfNAL CEILING INSULATION DFF SITE IMPS. ' � - • � DRYWALL NAILING � OEDICATIONS . ' SEWER FINAL ENG. � SEPTIC TANK - . LANDSCAPE/IRRIG. � SEEP PIT/L.L. . . , '/ ,• i' ' ' ON SITE IMPS. • • GAS AIR TEST; -- / , FINAL ZONING FfNAL CONST. . - �� �, ;`, FIRE DEPT. FINAL � FINAL HEATING - HEALTH DEPT. FINAL , � FINAL ELECTRIC DEV. FEES PAID ,. FINAL PLUh1BING ENERGY • � W � , .._ , ;_. _. _. ._. _. . . _ .. .. . --- ....--•-- -- ^- — -- -- -. .- - . ... -- , - --__.............�._.__...._ ._ . COMMENTS � � � �� .._. . _ ; . - , _ ; , , .. . . .. . .. . ,.,• . . , � , . ' . _� : . ` . . ,� � � SEP.TIGTANK SIZE . SEEP PIT/lJ SIZE , � � 1� . .:� .� ' ' -. � ....._. . � � , � . . , .. . ; ,., ,` , _ . `� � � i .. . . , .... � . . .�� . . . . . ' �, . • .. .. . . _ . � . . � � \ . _ .. � .� ._ . � _ � � . . J�•