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HomeMy WebLinkAbout12130 (11) --. i . ---�--_.------ .�.-- . �--. ----_... . ... . . . .. . . � CITY OF DIAMOND BAR • � -��� DEPARTIvIENT OF COMMUNITY&DEVELOPMENT SER S � �� 21660 E.Copley Drive Suite 190 , . . . S ����^. BUII.DING PERMIT APPLICATION � � FIRMLY JOBSITE �' APPUCATION PERMIT P/C o ADDRESS �� �� s. ���Q�'+��'^f�"'� ����� DATE NUMBER � � N ISSUE TYPE OCC � A P t d L O T ' TRACT D A T E � P '- C ON ST. G R OUP ' . ••rg OWNER TKSG � � d �sh/� ZONING SETBACKS PIR�J . " ADDRESS / o � "' CITY � . ZIP g!��.�`TEL: � FRONT hw ❑ REAR ❑ APPLICA Ha(r <f- �j�" TEL. � °�� SIDE/SIDE STREET ❑ � CONTfiACTOR SIDE ❑ � ADDRESS - PROPOSED USE o CITY ZIP_�. TEL . . . : � ARCFVENG/ �/�J�G� • .C��' DE5IGNER C 3 NO.DWEL NO. NO. ADDRESS UNITS - STORIES BEDROOMS � CITY ZIP TEL N DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION • N , � ,. 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('C TO CONSTRUG�7HE PA0.IECT(SEC.70N.BUSINESS ANO VROFESSiONS CODE TME OONiiUCiORSIF V01UeUOf1 ADJ.AREA Ul CENSEUWDOESNOTAOPLYi0AN0`MJEROFAPROPERTYN1iDBURDSORMPfqYE57HEREON,AND 2 y�qC�TqACf4FORSUCHPROJECfSWIT7�ACONTAACTOf1(S)LICENSEDPURSUANTTOTMECONfRAG OUMlTITY DESCRIPTION FEE �� 700.4UCENSEUW.). . � O 1 AM E%EYPT UN�EH SEG B.t P.C.fOR TMIS REASON � 3 ¢ �±- o�Te ovmea ' f- � . . w LICENSED CONTAACTOHS DECLARATION W � IMEREBYAFFYiMUHOERPENPL7YOFiEMJR+'TMATIAMLICENSEDUNOERPROVIS�ONSOFCMAPTER : �yr � � . �.. �ICOMYENCNOIMR}ISECTION)00710FDMSION70FiMEBU51NE5SMDiROFE5510N5C00EAN0 . Z X W LICENSE 5 N FUl FORCE AND EFFECT. �r. m � LICENSE CU1S5 �f L1C.N0. �+ z`'.�)�v/�� � t _. . _ . _._V DATE ��O � CONTMCTOR_..�,.�iy�(��� � _ W . � WORKERS'COMPENSATION DECLAHATION 4 N _ U . y IHEREBYIFfIRMUNDEHPEHALTYOFPEMRIYONEOFiHEFOLLONnNGDECl/A�7qN5: Z � _IHAVEANDINLLMAINTIUNACERTIFlGTEOFCONSENTTOSELFdNSUREFORWONKERS' S � CCwDENSATqN,A57ROVOEDBYSEC710N77ooOFTHEIABORC00E.FORTHEPERFORMANLE W Of THE WOiiK FOR WFnCHTHiS PERUR S ISSVED. � 0 ��HAyEANp WILL►UPlfAIN WORKERS'CdAPENSATION MSURIWCE,�5 REIX1IqE�8Y5EGT10N �Q {� � 4O 770oOFiMEUBORCOOE.FORiNEPERFONAIANCEOFTHEWORKFORWHICM7HISPEHMRiS GO' J �+ t55UED.lAY WORKERS'CplPENSATION WSURANCf CARRIER ANO FOLICY NUI.�BERME: C RUCTION .� ' _ ' _ . '__ "_."' ' __ —_ ' . _ ' " � CMqIEN � POIICYNJMBER ELECTRIC . � jnusEci�oNrEmwreLooGaETIDocncrEty.nsiOnaSHI.MPLD0a1MSRiao)aitF551 PLUMBING ' Z ICEFRIFYiHATNTMEPERFORMANCEOFTMEWOFiKFOR1MHiQiTHISVEiWITI5155UED,1 MECHANICAL � � (} $lIALLNDi EM7LOY W1Y PERSON a1 AN'I MAfN[R SOM TO BECOME SU0.IECT TO iHE N WOPo(ERS'COMPENSATqNUN50FC/�L�fORNIAANDIIGREETIUTIFISNOI.IDBEGOME INSPECTIONFEE 4 S SU6�ECfTOTHEWOitl(EN5COAIPENSATIONPRONSIONSOFSEGT�DN17000FTNElIDOR UA CE v�`O� COOE I SHAtl FOHiMA9TN CW.�PLY N71H THOSE VPOVISiONS. O SMIP • � p DATE; APPLIGNT. � w E P/C � � WMNRI�:FALURE TO SECURE KORKERS'Cd.�oEN5�110N COVENAGE IS UNUIVVFUL AND SIULLL BE SVBIECTANEMPIOVERTOCRNANALPEWLTtESANOCMLFWESUPTOONENUIDRFDT10161W��� ENERGYPERMIT � pOlLAfiS p1 oo,OW�N�DDITION TO 1HE COST OF C0IAPENSATqN,DNIAGES AS PNOVIDED FOR IN J SECTIDN7IDlOFiNEU60RCO0ENTEREST.AN�ATTORNEY'SFEEA RETENTIONFEE: - pW., CONSTRUCTION LENDING AGENCY PRE-ALT FEE: �� �� T'• �T` O � IMEREBYAFFINAUNDERPENALTYOFPEiWiiYTM1Q7NERE15ACON5T11UCT10NLENOwOACENCY _ ��-+��-'�1--� '- � �� � FOR 711E PERWRMNJCE OFTIE WORK PoR WHid17M15 GERMITIS ISSUED�SEC.�OY7.CIV.C). � � IEN�ERSNAME _ _ _ . . . w.��.._�.—.. � ...�....r. , �S LENDERSADDRE55 W ICERTiFYTHATIXAVEREADIHLSAPPUG1T10NAND5TATE7NATTHEA80VENFOHMAT10N19COfiRECT. TOTAL FEES �� � �_ �r,f�� � IAOREETOCOMPLYWRH/1lCRYANDCOUHTYORDWANCESANOSTATEUwSREUTINONBU4DwG CONSTRUCTION.AND HEHEBY M1i110RRE REiRESENTA7IVES OF THIS COUNiY TO ENTER UPON THE . . . :�•�S� IbOVElAEMqHEOPROVERTYfORNSPECTIONVURPOSES. COMMENTS �� .J \ . ___ ' . . . � . ��\.� PERMR7EE WwE fPfLNfI s. . Q, . . .. . . . . . '-,��y lqNATUPEOFPEfWITiEE . OAtE � � ��' . .. , RECPT.N0. � PAID BY ` VAIJ WHITE—Department CoDy.YELLOW—Finance Copy,P�NK—Assesea Copy,OOIDENROD—File Copy.GREEN—Applicant'a . . .. .. . . .. .. , � ����. , � . ,, , . .. . ... . .. . . . . .. , . , , -; . .. : . . CITY OF DIAMOND BAR ; .,:-., ; ��; ;_; � � �. ... . . .... .. . .. � : �� ` ��INSPECTiON'RECORD; . , `� ' _�:: ' �`' , . -- �..�� �. ' , .' - ,. . . , . . • � � • ' � � � � � SET BACK ' � _• ' ,' FLOOR JOIST�'`• ;•�\,. ,-•.'`� . _ , ;� • , :. � .,. . .,. . . . ,... . . , �GS/FORMS/STEEL � : •,.- ,�\�.. FHA REQMTS . .. - -.. . . - -- -._..... _ _. ...--- -� - ELECTRIC GROUND-.--.- -:: - '" ' - ,' � '� ' UNDER FLOOF�DUCT ; :,� -;. - ' -.'.`1 GROUND PLUMBING� '-,ri •^�- • ' •UNDER FLOOR CO�IDUIT ' � ;••' �• • < - - . . . , . _... _ . . .� . . ' . ,.. ; . SLAB GRADE_ . .__. - ,... ... FIREPLACE.FOUNDATION '-��' . . ��..., �..;�.- '• � '_r TEMP POWER- - �i'u - � i)_I J u .,. . . '. • �� - � FIREPLACEBONQ�BEAM- _... -- '-:.'_. ,. .. , � . _ . -. - .. , . ----- -- ..WATER SERVICE:.:.. _:: - .__..-._ :. _ :. .... ._.`; . ... - MID HT.BOND.BEAM .:�•.�. . ' .'��.r�<' ..� . .:.. , . , , , ROOFSHEATHING --....._. . . ....•��., � �_ - �'�' 8 FT.BOND BEAM . . . .1_ � :,- '��•. c,�>;' ,:ti�.�. . •,- FRAMINGNENTILIATION � FI ,AL BOND'BEAM `i ��\` � , �� .�� •.�� � � ROOF COVER :.' ' `PRE=GRAbI�1G � ��' � "'� � � ' ' � ROUGH HEATING -. _._.. . . . -- -- - -,-- ----- BENCHING. .._. .... .. .' ... . ROUG�H ELECTRIC .--� -- - - � ' -�— ` ' ' ' ROUGH GRADING ,..• . ... ' ROUGH PLUP�IBING-� -� - - - "�" �- "-i -- FINISH GRADING , ,... . . , -SHOWERITUB TEST; � -- ' - -- - -,� --- POOL ELECTRlC ' ' � ' . . , � v EXT.IATH/SIDING : -� � ' ��� � POOL FENCING � � ' WALL INSULATION POOL FINAL ' � CEILING INSULATION � OFF SITE IMPS. • DRYWALL NAILING DEDICATIONS _ ' � . � _SEWER.. .- .-.- - - - .. _ _.._. . FINAL ENG. � , _ . .. ..-�- -- - . . , SEPTICTANK_...._.. .: _ . . . . . . .�__, LANDSCAPE/IRRIG. .. , ,• , ' SEEP PIT/L.L: � - ' " - = '.' �: ON SITE IMPS.. . , GAS AIR TEST - - - ---� - - - -FINAL ZONING - ' . FINAL CONST.; --- . - - ; - - �FIRE DEPT. FINAL - . _- . , �FINAL HEATING - -- -�- � � - - �- HEALTH DEPT. FINAL . � . _ . , F1NAL ELECTRIC- - - -- , - DEV..FEES PAID --- ' FINAL PLUMBING ENERGY • � • � � � . . . ��- R e� es � -� . . . � .. . . . -. �•� . .�a�.:.+....._�c,i.r�:,_ ... , - ... --ti.�-._..----�v� •--... . -- _ _ _. _ .. ._ . . ' COMMENTS ... . _..._ ; , .. , . - _ . -- . ___. . . - _. . . . � - , ,� -- "--' " - -. <----- ;- ; , . __... . . .. - - _ , , _ . � . - - � , _. . _ _. _ _ . , � , . ., , . . _ . - - � • ; - -- - - - _ � ; ,. _ . , , , . , , . , _ _ _� - .. : _ . _ _ _ � _�J . -, . -- . SEPTIC TANK SIZE ' � . ; , SEEP.PIT/U SIZE . -- - ; , ; . . ., , : . � , , . ,_. r � � ._.. . _. . i . ' � . . , . . .. _ _ . ; � - a��/ � . _ . . .. . .. _ ; � - . . � � , , _ . - ��,� . . __ _ - ��-�� Z ,� -