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HomeMy WebLinkAbout12827 (17) CITY OF DIAMOND BAR - � �.�� �� - �� - DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICE �c 21660 E.Copley Drive Suite 190 � ' � (909)86Q3195 Fax(909)861-3117 PRESS ��'=�'� BUII.DING PERMIT APPLICATION ' . . FIRMLY N JOBSITE . APPLICATION � PERMIT Z � P!C o ADDRESS " .DATE NUMBER #� � ISSUE TYPE OCC APN LOT RACT DATE ' CONST. GROUP g OWNER �t � " ADDR S ZONING SETBACKS u' CITY � 21 L FRONT RW ❑ � APPUCANT � � AEAA ❑ SIDE/SIDE STREET RW ❑ ' � CONTRACT R SIDE ❑ � AD�AES PROP05ED USE £[�Tle.-I�,�Q L—. CfTY ZI TEL o ARCFVEN � � DESIGNER NO.DWEL� NO. NO. n. ADDRESS UNITS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION�� SQ.FT. FACTOR PSF ADJ.AREANALUATION Q . .. OWNER-BUILDERDECLAFlATION . 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B.iP.GiOR1HI5REA5ON U / 3 � tc, �a "-- wTe owNEa �- D Z W --� . � � Q UCENSED CONTRACTORS OECLARATION W .�r'. ' •r' d _ .�..,-.`.,.,•.. OC IMEf1E8YAFF7WtM�Ef1PENALTYOFPEPJUMTHATIAMUCENSEDUNDERiROVISIONSOFCHAPTER Vr d ��C04MENCHON7IHSECf10N70o010FOM5qN]OFTHEBUSINESSANDFROFESS�ONSGOOE.�ND Z. W tICENSE 6 W FlA1 f0 E M!D EFFECT. ` m � 0 UCENSE CLASS LIC.NO. � j V pq7E coFrraacro a w � WORKERS'COMPENSATION DECLARATION � � U � I HENEBY AFFIRM UNDER GENALTY OF PEfUURY ONEOFTME FOLLOVlWG DECLAFUTqNS: � � � � �� � � � � Z Q � �IHAVE�ND4VILLYANiA1NACEHiIFIG1TEOFCONSENYiOSELFdNSUNEFOflWORKERS' _ � COMPEN511TIDN,ASPROYIOEDBYSEC710N]7DOOFTIIEVBORCODEFOATMEFERFORAIANCE �U OF 1HE WORK FORNMIq/1H15 PFiW�T IS 155UE0. � 0 111AYEM�D VnLL W�MiNN YYORKER3'COMPENSA7ION MSVi1M10E,AS REOUnEO BY SECTION �4 970o OF 7ME LABOR CaOF.FOFt THE PERFORIAANCE OF THE WORN FOR WHIq/T11I5 P[R1AI71S 55UED.M'MVRKERS' VENS�TIONPISUWWCE � 'RM�DPOLICYMJMO�RARE: CONSTRUCTION � cuu,iea '�`�T t� 1� _ W � �� � po��crHuueEn r , . ELECTRIC T=� o �rwssEcrcNrtmuarseau�noFtrECEaxirswnar+e�arnsnonu�a�m�rn�ssz BwG '�ATII Z ICERTIFYTMATNiH[PEPFORMANCEOFiHEMVi1KFORWHICHiMSPEFlMR6155UED,1 MECHANICAL (} $NAJl�JOi EY7LOY ANY VERSON W MlY YANN[R SO AS TO BECOME SUBJECf i0 TNE y WOPoCEH5COMPENSATqHUWSOfCALIFOFWItiANpACREEiMA71F151i0UlD8ECOME INSP E , � SUBJECT 70 THE WORNERY CdAVENSA7qN VRON510N5 0F SECT�ON]7W OF THE lAeoR ���^^ � � COOE.IS1Wli rnca�+�rwin� OSEPROY�SiONS. UAN u 7 � -'1�� SMIP 0 0�,�; — ` APPLICANT � C Y Or DIAMOND BAR � WAFWINO:FA0.URETOSECUAE1MORKERSC�PfNSA710NCOVERACEISUNUwFU�ANDSwLLLBE ENERGYP/C �T 7��� � �—y SIIAIECTANEl1PlOYER70CfUMPJ1ILPENN,TIESANOCMLiWESUVTOONEMUNDNE�7H0U5NiD - ENERCaYPERMIT�UILD��VG Al`IL+S�� .TY DOLU1Ro ptoa,00DJ,N/DOITON TO TME COS7 OF COAIPENSATION,DAMAGES/S PHOVDED FOR IN ¢ SECTqN]70lOF7NELAB00.CODEMlTEREST,ANDATfORNEY5FEE5. RETENT�ONFEE: � a CONSTRUCTION LENDING AGENCY PRE•ALT FEE: � O � � IMERCBYAFiIRA/UNOERPENKTI'OFPERNRYTMATTHEREISACONSTNUCTIONLEN�INOACENL'/ FOR TNE VEFFORAUNCE OF iHE WOPX FOH WN�CN TNIS VERMIT IS ISSLIED(SEG]Oi7,CIY.G�. . � � LENOER'SNAME ' � � C LENOER'SADDRE55 � ICEFT6YTUTINAVEPEADTMSADVUCATIDNIINDSTATETIUTTIEABOVENFOHAIATIONISCOflRECL TOTAL FEES � IAGREENCON7LYIMiHALLCfT'lANOCOI,NTYORDINNILESM�DSTATEUw'4REUTMlOTOBURDINO CONSTRUCTION.M:0 HERE�V AUTIqRIZE RECRESENTATNES OF TNLS COUNTY TO FN7ER UPON iHE � ABpVE•uENTqNEDPitOVER7YFORINSPECTIDN7URVO5E5. COMMENTS � � ��� J �� � m VENIAITTEE (P Q ) Cn - � I � ��_�'1 2 t � - (n NAtURE ERMIi7EE DATE � � , , . . . RECPT.NO._ PAID BY VALIDATION — � WHITE—Depen ent Copy�.�rELLOW—Financo Capy PINK�AeseesorCopy,GO DENROD--File Copy.GREEN—Appl�canl'a Copy i 2 J a r I�� (L�/ C,1,r� k4t.�_��1u'n_.� �',i�Ltn,C=C c �-c.,�-f� D I�C.. �.l I n� ,/L '1,��-I� _ .(G� . ..: .. . � -, _— .. �� .�`. �•, --• CITY OF DIAMOND BAR:,.�.� :;�• -; ;:,, _ _. , .� , ; . �-'��_�.;.•,�.:. ..��;.::INSPECTION RECOf�D� . ... �:�.� ... . � . \��.� >� . , . � .;c�f . :. . . � � � � , • - � � � • - SET BACK . ,� J . . . , .. ,FLOOR JO1ST���. -.' �� n; •.�.�:.� � ;- 1 ,.��\ , FTGS/FORMS/STEEL � FHA REQMTS „; ;; ;�� - ' ,` ELECTR�C GROUND-�� �: '`. ".' -: _ - - - " UNDER FLOOR,DUCT � ' ' ' ' _ r r GROUND PLUMBING • :.UNDER FI�DOR_COMpUIT;':•_: �_���v.\� �1� !_i_1`�-\ % :•_ ... .. ! � .. . --- -- . ._ . . _ti:;..•, , ;'�,'_ 11 i y.-.�,���. ,, SLAB GRADE - � FIAEPLACE�FOUNDATION -- TEMP POWER - - - � ` �- � ��"' " FIREPLACE BOND�BEA�,A . .. .:- . WATERSERVICE---::.-.-=- --.-_._. ...: .: ._� -MIDHT.BONDFBEAM'.�.= '--�.' _� ,� `,,.,• �,�__ . .; ., � .. : 1, ROOF SHEATHING - '' ""� •- - � -�- - '8 F7 BOfVD BEAM � � � � �� � � ' ` t �l FRAMINGNENTILIATION _ � FINAL BOND BEAM • • : ' ROOF COVER ' " `PRE-GRADING = � � � ROUGH HEATING - - -- - - BENCHING - ' ' � ROUGH ELECTRIC- ---- ,��'►_f' ` ROUGH GRADING , ROUGH PLUMBING -- " - � -�� " FINISH GRADING � �_ SHOWERRUB TEST - POOL ELECTRIC " . EXT.LATHlSIDING -� -POOL FENCING ' " ' WALL INSULATION ; POOL FINAL . , • � CEILING INSULATI�N ' OFF SITE IMPS. ' DRYWALL NAILING DEDICATIONS ' ' SEWER ._._ ____ FINAL ENG. � � � .... _ ._ . _. . - -- .SEP_TIC TANK. ___. ... . LANDSCAPE/IRRIG. SEEP PIT/LL..-- -..-.. ---._ -.. __ . __ _ �_ ON SITE.IMPS. . . � GAS AIR TEST�-- -- - ,-:- -.- : - . -, _, , , : FINAL ZONING �• � � " FINAL'CONSY __ `�•. � .' : '. • : . : . :�-' ; -'•. -'FIRE DEPT.FINAL . FINAL'HEATING - ' - - - _, ,. ' -; HEALTH DEPT. FINAL i _ . . FINAL'ELECTRIC "" r� ' " � ' DEV.FEES PAID - - � . _.... . FINAI.PLUMBING � ENERGY • •• . �-. �. . . , �I"a � 4 ' _ . . . . ... �-, ,ti r ... . _.. ._ , .. _ ..._ ....... .. .. . .. .. - - _ _ . . --- - , ,,. , . COMMENTS - �- - , � . , --- . _... _... _. _, __. . �, : . _.� - '�.:.._ - - —- U r'._`�•� ._ !\ 1 "_ � � , _�.. .. . ._ _ • i ._ , . .�- ' �`���' _ .. - , . . , , � ... . _. . , t.. - ; . .. 1 � ..._ �_; . .��Y � ,.l � �.'..�l� � -..._.'�-� � � . . ' . . . � j \ ' .f�� � , � , ,; ��i,�;�: - ir: :� , �_. _ , _.. . _._ , • • � . ,;�,,, .;,,��:;�� •. '-..l '. . _ . ._ '-......_ .. .. _.. _. ..-tti>r. !i': . i � • . � i SEPTIC TANK SIZE ._. . .'.. . - . . . _ . ; :: . . ; SEEP PIT/U SIZE _ _ .. ; � , � , . , ,�� "T"1 � , ; . . . , . {_.. � � - . . . _. . .. , , . • . :'�.1 l ; . � -- . _._ ; 1 --- . . . i .... _ _ . _ �� ,_ ... __ _ ._ . ; __. ;�, _ ; . � -- . . __. . . . . - ... _ -....._.a � " . i �. �� ;