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HomeMy WebLinkAbout12301 � , . .. CITY OF DIAMOND BAR ' = - -- �� -- DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES / �� , 21660 E.Copley Drive Suiu 190 ' ' ' (909)860-3195 Fax(909)861-3117 PRESS `���� .BUQ.DINGPERMTTAPPLICATION � ` ' FIRMLY � JOBSITE " � � APPUCATION PERMIT I �1 P/C o ADDRESS o��I Z � 0�►4'iDuD �3R�'� !S'L • DATE �`� I�I�� NUMBER v L�O N ' c� ISSUE TYPE , OCC � APN LOT TRACT DATE CONST. GROUP p OWNER /''Itl-I P/LoDgic.'TY /-��NR2��.JT "" ADDRESS I?Z I �• ..i-r-/Gf-.t�rt'L_ Mzx�`�/ � ZONING SEBACKS � � CITY 1� E�AUl,fl-�1 ZIP TEL R�q RW . ❑ APPLICANT D�lu � �D 1 . �u.f TEL. ' J SIDE/SIDE STREET RW ❑ � CONTRACTOR gC.O TLr,�-�Pets�a_`� Poc�F-2: SIDE - - p � ADDRESS •o•� X PROPOSED USEC t+fc. L�Q � C(TY 5 �,1.�;_�C� ZIP 9�3s3 TEL OD - _ o ARCH/ENG/ • 54SZ� U!`9 li. - � DESIGNER N0.DWEL NO. NO. , ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION - SQ.FT.' FACTOR PSF ADJ.AREANALUATION ti � Q OWNER•BVILDER DECLAFUTION � SFRlADD/REM � O I HEREBY AFFlPoA UNDER GENALTY OF PERIURY T1iAT I AA1 EXEI�FT Fi10M THE CONTMCTORS LI•� Ga�BgB/CaryOR � � 8 CENSEUWFORTHELOl10WWOREASON(SEC.70]1.68USWESSANDDROFESSIONSCOOE:ANYC17YOR (n C,� COtMfYWHICNREOUIRESAPEMIrtTOCONSTHUCT.ALTE0.MvqOVEDENOl15H2ORREVURANYSTRUC• W pa�io/Deck . 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J ; S: pATE CONTRACTOR a � � WORKERS'COMPENSATION DECLARATION a � U -� IHEREBYAFFIRAAUNDERPENALiYOFPER1UifY0NE0FTHEFOLLOWINGDECUfU710N5: f/� Z a � _IHAVEhNDVALLMARITAINACEFTIFlCA7EOFCONSEMTOSElNNSUHEFORWOiLCEP5 S � COYPENSATqN,ASVROVDEOBYSECT10N770oOFTMEUBOitC00E.FORTi1EFENFORMANCE W Q OFTHEWOR�fFORW/11dITHISVENYRISI55UW. � _I HAVE/1tA WILL MAIMAPI YYOR7fER5'COAAPENSATION MSURIWCE,AS RE WIRED BY SECTION � O ]70oOFTHELAeOHCOOE,FORTIEVERFORMANC£OFiHEWOPJCFORWMiCM7MI5PERMRIS ISSUED.bfYNqfU(ERS'CDMPENSATIONWSUMNCECMiL'EF/u17POLICYNUM0:R11f1E: CONSTRUCTION � CARRIER PLAN REVIEW Z pa�crNuuoEA ELECTRIC � ¢ 0 (fyYSS[CfqNMEE�NOiB[OpRf1ETEDOFTEPEAMT6PoROhEMJ�Df1ED00lUfl5IS�0%Of1LE59} PLUMBING Z ICEHTIFYTHATNiHEFERFOfWANCEOFTHEWORKfORWHICHiHISiEfiMITISISSUED.1 MECHANICAL (•J SwLLLNOTEMPLOYMlYFERSONNANY1.UwNER5011STOBECOMESIIBIECTTOTHE � NqRKEi{S'COMPQlSATIONUM50FGALIFOPN1I�NDACREETHATIFISNOULDBECMIE INSPECTIONFEE SUBJECTTOTHEWORKERS'WMPENSATIONPHOVISqN50F5ECTi0N77oo iMEUBOR ' ' ' E FORrHmn+cor.�airvnn�nas v�sbr+s. ISSUANCE � O D��L� 9 A�RICANi: SMIP � p DAjE: _ � . W ENERGY P/C WARNiNO:FNIURETOSEWRLWORKEN5 C SATION VEMOEISUNUWNL.IINOSMNLBE � SUBJECiINEMPLOYERTOCRIUWALPENAI E DCMLFNESUPTOONEMUNDREDiNOU5AN0 ENERGYPEFlMIT � DOlUR5�f100.000).WAODITIONTOiHECO F0061PENSATqN,DAAUGE5A5PROVIDE�FORIN .�J SECTqN]7oeDFTHEUBOqCO0E.W7ERE57,AN0ATTORNEYSfEES. RETENTIONfEE: Q a CONSTRUCTION LENDING AGENCY PRE-ALT FEE: O � IHE1iEBVAFFIRMUNDENVENALTYOFPEFWHYTFiATTHEREBACONSTRUCTIONLENDM(iAGENCY - Z FOR TME OERFOR1AIwGE OF hIE WOPI(FOR WMICH TMIS PFRYR IS iSSUE�fSEG 70D7,qY.C.). '. W � IEN�ERSNUAE C IENDERSMDRE55 WICERTIFYiNAiIMAVERFJ�iH�SMOLICAT�ON.�NDST�TETUTT/EA80VEHFOiiMAT10NI5CORRECT. TOTAL FEES � ` � IACREETOCOMPLYN7TIALLCT'INDCOUNTYOi1Dw�NCESANDSTATEUwSREUTRXJTOBURD�Na , � CONSTRUCTION.At�OHEREBYAIlTi10RREREPRESEMATNESOFTWSCWNTYTOEMERUPONTHE . .,. � 1�80NE�1EMIONEDPiqPERTYFORINSPECTIDNPURPO3E3. COMMENTS � ,�h�i LC..1 � �n�1.�, � _ m PERMITTEENIWE(PRINn . - � �r p � `�� 6 E . O� DAW � 1� . � RECPT.NO.-�PAtD BY VALIOATION WHRE—aepanmanl Capy.YELLOW—Fnance Copy,PINK—AsxeswCopy,GOLDENROD—FileCopy.GREEN—Applicant's Copy - .. . . . . , .. �� .. .. .. .. • . . . , i `L:,•n .. ... , .. . .. ... . , • ... . � ' , .,. ' • . . . .. . .. .. .. _.- CITY �F DIAMOND BAR : .-; . �. , ,., t . � , ,._,,,,,,,, ,,,; ,_. . . . ..... .. .. ��,.:: - .. ; � ,. _^. ` :: " . INSPECTfON RECORD , - . . - . - � �' i t ' � � � • ' � i SET BACK ' .'� ._,,.> 1 � .. . :t. �.� ,; " FLOOR JOIST, ;', � � ; l . C��;,�. . ". ' , - FTGS/FORMS/STEEL �-� FHA REQMTS � � �� -- - - - • ELECTRIC GROUND. ':""._:_ - : � - - - UNDER FLOOR DUCT. � � .� � -' � ; i GROUND PLUMBING • - UNDER FLOOR CO�IDUIT..`--. • � ' � , •. . ., . ', � : .. .� �., ,-. • SLAB GRADE - - � . • FIREPLACE FOUNDATION � - . :,. _. . . .._ ..:. ,. _ ; , TEMP POWER- - �- ' - —'� � FIREPLA�CE'BbND-BEAM -. ".. _ _--- � : . . . . WATER SERVICE -- --� - �- - � - � - -� MID HT. BOND BEAM � ' � ' �` ' ' ROaF SHEATHING �='-� � ' `-� ' '--' ' '�''� ' 8 FL BOND BEAM: �' � . . . ,, � FRAMINGNEN7ILIATION _s � •� ' FINAL BOND BEAM � ' � ROOF COVER `�. . ; PRE-GRADING - - - � � - �- ROUGH HEATING -; -- -- - - - --•-- BENCHING ' ' � � �� ' ROUGH ELECTRIC -�• - - � - � - ROUGH GRADING ! ' "ROUGN PLUMBING- -" -�" - - " ---- � -�'-.. �- FINISH GRADING ,. , .. . ; SHOWERlTUB TEST; � POOL ELECTRIC ' ' EXT.LATH/SIDING � � POOL FENCING ' � ' WALL INSUtATION POOL FINAL . '. CEILING INSULATION ' � OFF SITE IMPS. - . DRYWALL NAILING DEDICATIONS ' ' • SEWER ! FINAL ENG. � � LANDSCAPE/IRRIG. ` ' SEFTICTANK ... _ _ ...... _ _..._ _•.. . ..:' ; - SEEP PIT/L.L. � - ' --- ON SITE IMPS. • % ', . ; GASAIR•TEST�-� - - - • - ' FINALZONING FINAL CONST. -- - � - - � ' ` FIRE DEPT.FINAL , FtNAL HEATING - � ' � HEALTH DEPT.FINAL� _, _ , • - , � - -- FINAC ELECTRIC -`� - DEV.'FEES PAID . FINAL PLUMBING ENERGY • i �.��� BF 6 , - � '. . _._ _ . _... —' --.. ._.... _.___ ._ .. __.._ _. . . . COMMENTS - ; . _.. .._ .. . _ . - ;. , . _ . , , _. . � . . , . . . _ . , � . � �. : - ' . . � SEPTIC TANK SIZE � ; SEEP PIT/U SIZE�'h: . . . �.,� - ; ►� �� ( � �::.....�-..�.i ; � . �.:.__.. • . .. _ . . . , , � ._ . . _., , . � ; , .. , i . . __ , _ , , .. . , . -- �, , ' . � ! . - � ' ' � - c��$F/1.� ,•� 1,�:� . _1 -