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HomeMy WebLinkAbout13031 . �� CITY OF DIAMOND BAR •� DEPARTMENT OF COMMUNITY&DEV ER x�.� 2�6�oE.����y���sw��� XP�REp PRESS � (909)860-3195 Fax(909)861-3117 ���� BUILDING PERMIT APPLICATION � �rT (3,`� ^�� FIRMLY } JOBSITE APPLICATION ^ G� PERMIT P/C o ADDRESS�Z� � � DATE ��1 `- L NUMBE _ # � ISSUE TYPE OCC APN LOT ACT DATE ' CONST. GROUP o ADDR SS � , ZONING SETBACKS W _ FRONT RW ❑ � CITY �1�'lR ZI TEL. A�R ❑ APPLICANT TEL. SIDElSIDE STREET RW O � CONTA TOR SIDE ❑ q� ADDR •PROPOSEDUSE � U►"`�-L/"� � C�7'y ZIP L EL V "'�� �� o ARCH/ENGI � DESIGNER NO.DWEL NO. NO. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. � DESCRIPTION SO.FT. FACTOR PSF ' ADJ.AHEANALUATION �n Q OWNER•BUILDER DECLARATION . 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L�NO S��S • � _ 0 �(l � � LICENSE CIASS_ V DATE CONTRACTOft W � WOFKERS'COMPENSATIONDECLARA710N � �7 t�� U � IMEREBVAfi7PA1UN0ERPENALTYOFGEiLM11RYONEOFTHE��LLOWiNGOECUMTq�S�` � N Z 4 G IHAVEM1D1MiLLAWNTAWACERTIFIGTEDFODNSENTT05[LF•INSUREFORNURKEflS' _ � 7ENSATION,ASDRONDEDBYSECT�ON]70oOFTHElA00iiCO0E.FONiHEPERWMIMlCE U � �TME WONH iOR YlF11�H TMIS YERAIIi IS I33UED. � � ✓ �IIUV[ANDN'�LLMAR1fA1NWOFiNEPS'ODIAPENSATIONMS CE REOUIR[DBYSECiION ��� Q 77000FiMELABOR TNEOEAFONAANCEP F TME F �WHICHTMI+PERIA�T15 ISSUED.MYWOFKER5 SA ' 1RANCE/'J� � t NUMD£RME: CONSTFUCTION � � �L7 PLAN REVIEYl ' - � CAARIER � � `' � ' � � POIICYNUMOER � � LECTRI �..(���.�i_q.._1QQ � V 1 � IJN Q ���p��.ymryp�gEWMiFTfDOFhE76MiB�C�E�q[ppoLL�uu . �pttEss�. PLUMBING � w MECHANICAL ('ITY()F�r�__1�nt�rD��, Z I CERTIFV h1AT N THE PERFpqUANCE OFTME NORK FOR WMIpi TnIS PERMiT 45155UED,1 (J • LNO7EE�PLOVANVPERSdJNA"7YIAANN ASTOBECOMESl1BIECTTOTHE A (n WORKERSCOM�FNSATIONUWSOFCALIFO :A �GREETHATIFISHOtLOBECOME INSPECTIONFEE �'1'�T • A���1 C S SVBJECTTOTHEWORKERS'CdA7ENSAT10r 'RO .ION.OFSECT�ONJ7000FTHELABOR ISSUANCE 4 COO[,ySM FOflTIM'iTl CddPLY W11H ,JNS, � 0 J �� � � SM.IP � DATE: � _(2_ APPLICANT: � WAqNING:FARUH[TOSECUREVAfucERs'COMPENSAiiONCOYERACEISUNUwR1L,ANDSHALLB[ ENEFGYP/C � SIIBJECT/�NEMPIOYEFTOCfiIMINALPENALi1E5Ml�GNILFNESUPTOONEHUNDREDTNOUSAKD ENERGYPERMIT DOlLARS(f 100.000).N/DDITION TO TME COSY OF COYPENSATION,DAMIIGES AS PfiOYIDED FOFi IN , J SECT�DN71oeOFTMEUBORCODE,NTEREST,ANDA7TOFWEY'SFEES. RETENTIONFEE: Q � CONSTRUCTION LENDING AGENCY PFlE-AL7 FEE: O � IMEREBY�FFINAUNDERPENALTYOFPEWUMTHATTHER[ISACONiTRVCTIONLENDINGACENCY iOR iME PERFOFMANCE OF TNE N'ORK fOfl WMICH TMIS PENMR IS ISSUED(SEC.1oY1,CIV.GJ. Z W � LENDER'S NAME � " � LEN�ER'SADDFE55 � WICENTIFY7WITIHAVERE11DiHISMPL�U1T10N11MDSTATETMATTMEAl3OVEINFORMATIONISCORRECL �OTAL FEES � � IACPEE TO CdAOLY WiT11ILL CRY AND COUNTY ORDINANCESIND STATE Uw5 REUTINO TO BUILDIN� OpN$TRUCTIDN,MIDHER[BYMfT110RIZEREP{iESENTATNESOFTNIS TOEMERUOONTNE . � ABOVE�YEM�]NED� PERTTfORINSP�vuavoses. COMMENTS V � m PEIWR7EENIUAE(PiV 7 � � Q G N (� 51GN�TUF�EOFPERMITTEE OATE � � RECPT.NO. PAID BY W W DAT10N WHITE—OepartmantCopy,YELLOW—Flnanee Copy.PINK—,AssessorCopy,GOLDENROD—FileCopy,GREEN—AppiKant's Copy � , . � .. , .. , .�. . e; - . .. �. •, ,�'�� •� . . , � . . i ..�,:�.�r:�.� . � , . . .. . , •r!.. . . , . , . . , , _ , .. . . �'�i. .. , . • F DIAMOND BAR . . . . , 4��",�G.X=� �� ECTION RECORD ��� � � � . �. � � . . � o � • � � . o . SEr BACK 't �._ • '. . � + FLOOR JOIST ~ FTGS/FORMS/STEEL FHA REQMTS - - - �� - ELECTRIC GROUND - - UNDER FLOOR DUCT • " ' ''� GROUND PLUMBING ' UNDER FLOOR CO�IDUIT, •' � SLAB GRADE � s �_ FIREPLACE FOUNDATION -- - � � ' � � � TEMP POWER � � FIREPLACE BOND BEAM - �NATER SERVICE � � - MID HL BaND BEAM . , • � ' •• ROOF SHEATHiNG � ' - - • ' • � 8 FL 80ND BEAM . . � � - . ' . , _ FRAMINGNENTILIATION FINAL BOND BEAM ROOF COVER PRE-GRADING ROUGH HEATING - - � - BENCHING ROUGH ELECTRIC -' � � ROUGH GRADING . ROUGH PLUMBING � -- � - FINISH GRADING � - SHOWEFUTUB TEST - � POOL ELECTRIC - � EXT.LATH/SIDING POOL FENCING WALL INSULA710N POOL FINAL . CEILING INSULATION � OFF SITE IMPS. � � DRYWALL NAILING DEDICATIONS SEWER._. __ FINALENG. � SEPTIC TANK _.._. ... _ . LANDSCAPE/IRRIG. _ SEEP PIT/L.L. ., - - ON SITE IMPS. , • GAS AIR TEST - • FINAL ZONING � FINAL CONST. •� • •• -- �-' '• - -— ' FIRE DEPT.FINAL � FINAL HEATING ' HEALTH DEPT.FINAL - FINAL ELECTRIC DEV. FEES PAID FINAL PLUMBING ENERGY � . . • . � Q�1=1r 6 i s�. COMMENTS � � • ;i . ' .. . ..r.. r . i ';, . . ' _ • . � - _ , . . . SEPTIC TANK SIZE ' SEEP PIT/U SIZE , , ��� � . 11 �i . . . , ' ; ',�,', �• ; , , ._ • , .. . . . � �--- � . � . � . �, ---