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HomeMy WebLinkAbout11612 (5) � _ CITY OF DIAMOND BAR - • DEPARTMENT OF COMMUNTTY&DEVELOPMENT SERVICES �'� '� � 21660 B.Copley Drive Suite 190 J'� �! (909)86a3195 Fax(909)861-3117 �/ PRESS '^�'� , BUII.DING PERMIT APPLICATION �IRMLY o DDRESS / ��' DATE�TION �N MBER I f ' I Z #Pf� � ISSUE�� TYpE pCC A P N L O T T R A C T DATE CON3T. GROUP � OWNER �N ADDRE.SrS � L'W�— ZONING SETBACKS �� CITY LJ LL1�LD� ZIP TEL. REAR RW ❑ APPLICANT TEL. � g�DFJSIQE STREET RW ❑ CONTRACTOR f/ SIDE ❑ ¢ ADD 55 PROPOSED USE � � C OD�'►'I� ZIP��TEL. � , ' ` � ARCHIENG/ . DESIGNER ADDRESS NO.DWEL. � NO. UNITS STORIES BEDROOMS � CITY 21P TEL. H v� DESCRIPTIQN SO.FT, FACTOR PSF ADJ.AREANALUATION � . 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B.6 P.C,FOR TIIIS pEASpJ .� ` U LL DATE OYRJER . � . � LICENSED CONTRACTORS DECLARATION W � IFEpEBYAFFRVAUNDERPEWLTYOFVEiW11YTH11T1AYLICENSEDUNUERPROVISION50FCNAPTER � - � ��COMYENCPKi'MfiMBEC?ION7000)OFOMSION]OFT7EBIISINESSANOPROFESSIONSCOOE,Mp Z yc W LN;ENBE IB IN FULI MID EFFECT. �[ u, ucoasE s uc.No. I�7� � 0 0�� corrtaacroa � �C' � �1��Q�I`�IORKERS'COMPENSATION DECLARATIl��� U � � N I IIEREBY AFFIR4 UNOEH PEN1LLTY OF PERA1RY ONE OF THE iOLLONANO DECLARATqNS: Z � �I/UWEANOYYILLMIIMTIUNJICERTIFIGiEOFCON3EN7199ELFdNSUREFbRMIORNERS' _ Q /'OOAAPENSATION,ISPRDNOEb8V6EC710N37000FT/1ElABOHCODE,FORTMEPERFORA1MlCE 'U OFTNE WORK FOi1 WHIp17Y11S VEqMR 181S9UW. � J I MAVEAND N7LL MIUMAM YlORKERS'COMIPENSA710N Ai5URANCE,/S REOI/1RE0 BY BECTION � 9700 OF TFIE UBOR OODE.WR iME iERPoRMANCE OF TIfE WOflN f-0q 1VNICH h113 PERMIT IS �r_.�,/1 � ISSUED.MYw/��N,ER9'�A N9Ap��prt�IN,S�yppu10ECMNIERANOPOLICYNUMBENME: CONSTF�UCTION Lv v � CARRIEA _GLOILLG�` 4WJ+r -- -. - . PLAN REVIEW Q� POIICYN�II�FN , ELECTRIC Q p�yJ f��t'�����m���n�����sR��1�l.ESS1. PLUMBING � 1 CERTFY TlUT W THE PERFORMANCE OF 7HE WOPo(FOR WMCN THIS PE0.AAIT 151S9UED,1 MECHANICAL fiF1Al1 NOT EMPLOYANY PEi4sON Ml MIY MMINEFl SOI15 TO BECOME Sll&IECT TOTHE �/j NIORKERS'COMPB/9ATIONWN90FCALIFOHNIAANDA(3flEETHATIFI9NOUlDBEODME INSPECTIONFEE � SUBJECTTO iHE WORKER5 COMPENSATION PROVIS10N6 OF 6ECTION�loo OF Tlff IABOR - SH FORTIIWITHCOMPLYVATI .VISIONS. ISSUANCE � .O q M7E: I/ AvaL�cMli: SMIP � WAfWINO:fARURETOBECUREWORKEHS'CAMVENSATIONCOVE G ISUNLFWFUL,NdO8F4LLLBE ENEAQ�PIC yl�/ ,� . ' �O �� BUBJECTANEMPLOVEflTOCRIMINALPENALl1E6MI0CNILFINES OONE/IUNDREDlFI0U5lJ70 ENERGYPERMIT T'16 _��J,�fl DCLLARS(f1C0,000),XI AODRION TO THE C09T OF COMPENSATIDN,OMM�ES AS PROVIOED FOR IN --.t� � 9ECTION9ToeOFTHEV.BORCOCE,NI7ERE6T,ANDATTORNEV5FEE5. RETENTIONFEE: rf—��4t�s CONSTRUCTION LENDING AGENCY PRE-ALT FEE: gIHEqEBYAFFlMfUNDERVENALTYOFPERJURV7NATTHEREISACONSTRIJCTIONLEN�INOAOEfJGW . fOR 7NE PEfl W RMANCE OF TIE�MORK FOR Nh11qi 1MIS PERMIT IS ISSUW(SEC.9w7,pV.C.} � t � LENDER'S WUAE � LENDFR'S/DDRESS � ICERTFYTHATIWWEREADT/ISAPPI.ICATIONANU9TATE7H�iTiEABOYEINFORMATqNISCORqECT. TOTAL FEES ` �• !�' � IAUREETOOOIAPLYM/ITH,LLICRYAN000UlITYOiOWANCESAN06TATElAWSREU.TNGTOBUqAINO � CONSTRIIGTION.MIUNEREBYAUTqR12ERE7RESEMATNE50FTHI5C0UNTYTOENfERUPONTIE � . . ME IONEDPROPER'IYFORINSPECTqNWRIPo9E9. COMMENTS 9 �� m PERMI P .. � .. Q / tn � I y UpEOFPERNITtE � 7F �r RECPT.NO. PAID BY VALIDATION � WHITE--DeplRmenl COpy.YELLOW--FIn9noB � Capy,PINK—Assesear Copy,GOIDENROO—File Copy,GREEN—ApplicanPs py , .. , . ..,...,,. .,. ..... ,, , � , .. . .. . ... ... . ... ... .. . .. CITY OF DI�►MOND BAR - � ." lI�ESPECTION RECOFiD ' ` . � � , . � . . , e , . ` . SET BACK . •,� '� F.L�OR JOIST'' 1 ' ti; •�,��'�� �� �,,'r.� � FTGS/FORMS/STEEL ' , ' FHA R£QMTS -- -- ELECTRiC GROUND UNDER�LOOR DUCT GROUND PLUMBING UNbER FLOOR CUI�DUiT" � �1`•'•% ��; � 1 ,. ,,;,a SLAB GRADE FIREP £� UND��fQN ' ' , ` ,; „ ` -� TEMP POWER FIREPLA��BO �D BEAM `_.• � �� � AT�R SERVICE MIQ HT. (�NCI BEA • � ' + .,.,s, i ;•�.�.,,, . RN]OF SFfEA�'Fif1�C�-''�'� '�,�p' !� `- 8 FT.B M1(D,�EAl1JA �" ,. `. ' � •*� r , .......:. ....... , ., ,., • --�� � * -- FRAMING/V�INTIL�ATfE3N�� e '_ "�'-':; "'�•t'. ' , '_..:'•i, ,�.�INAL BOND BEAM ROOF COVER � �� � ` ''� PRE-GRADING � ROUGH HEATING BENCHING ROUGH ELECTRIC ' ROUGH GRADING RaUGH PL[Jh/IBING FINISH GRADING. ' SHOV�/ER/TU6 TEST PQOL ELEC7RIC ' EXi: LATHlSIDING POOL FENCING WALL INSULATI�N POOL FINAL • � ' � CEIL(NG iNSULATION OFF SITE IMPS. DRYWAI.L NAILING DEDICA710NS SEWER FINAL ENG. � SEPTIC TANK . LANDSCAPE/iRRIG. SEEP PITlL.L � � ON 51TE IMPS. ' GAS AIR TEST FINAL ZON{NG FIRfAL CQNST. (p L � FlRE DEPT.FINAL `� FfNAL FIEATING HEALTH DEPT. FtNAL �— �— � � FINAL ELECTRIC ( DEV. FEES PAID FINAL PLUMBING _—�—�—�_ ENERGY I � � ' , - ;� :�: • ' ...y . _'.� COMVti/{ENTS +� ; _, ,-.;�� ` •�' : .. ... - ��..,: .. -•�`.._�,, .� R +ilt'^ �. .. ,`..�. . ... .� ..��-_.."_ SEPTIC TAN` K SI�•�-�r SEEP PIT/U SlZE - �� d� _ � '�� "S�5�':7'� eD $' [�Z � -- ( _ . y i;::. �}— 1 1 t ; �,. �i� ..�/�.G, !