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HomeMy WebLinkAbout12383 (24) �� CITY OF DIAMOND BAR � ' � � DEPARTMENT OF COMMUNITY 8c DEVELOPMENT SEF.VICES � �� - 21660 E.Coplcy Drive Suite 190 . _. ' . (909)860-3195 Faz(909)861-3117 PR ESS ��^�� � � BUII.DING PERMIT APPLICATION . .. ' FIRMLY � JOBSITE y� - APPLICATION U�j�� PERMfT �� 3 P/C o ADDRESS IS�� UIRMO�� �OVIZ'r DATE NUMBER k � APN OT TRACT Z � ISSUE , . -�-_ TYPE. ;,;;... OCC -�j DATE CONST. `•' " GROUP - p OWNER S F/D (� � " ADDRESS M D ZONING SETBACKS",. .. . �w cirv MP5 , ZIP��, TEL REART . .,` , • ... Rw O APPLICANT 0� TEL: � SIDFJSIDE STREET� RW ❑ � CONTAACTOR�E.P �V� SIDE ' ' ❑ q� ADDRESS PROPOSED USE • � ��{.V S � � Clll( ZIP TEL o ARCFUENG/ • - � DESIGNER - NO.DWEL NO. � � NO. . ADDRESS UNITS STORIES BEDROOMS ' � CITY ZIP TEL y DESCRIPTION ' SO.FT: - FACTOR PSF ADJ.AREANALUATION p� OWNER-BUILDERDECLARATION SFR/ADWREM � � O e1 NEREBY AFFlRM UNDER iENAL7Y Oi PERIURY THAT 1 AA1 ExEGPT F110M TME CONTMCTORS ll• \ . . . 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W �q LICENSED CONTRACTORS DECLARATION W `.` +�.. ¢ IMEREBYIlFF1i1MUWERPENAITYOFVERA1�iYTHATIAMLICENSEDUh9ENPROVIS10N50FCMA7TER � _,..,.;,r� +..,, �y���,� ' � � d i(OOIAMEHCWON77HSECTpNi0DO1�OM510N�OF7HE8U51NES5ANDPROFESSIONSCAOE,AND Z X W UCENSE IS N FIAL FORC AND EFFECL f_ . � � � UCENSE SS LIC.NO. �I�f{� � � � � � J �j DATE O CONTMCTOR S � d W � WORKERS'COMPENSATION DECLARATION –i a NIHER[BYAFFIRMUHDENPENALTYOFGERIURYONEOFTHEfOLLOwwGDECLAMTIONS: � - Z � ' � ' Q � _IHAVEMIDWILL4ARlTNNACERTIFICATEOFCONSErlTNSELFdNSUREiORWORKERS' 2 C011PENSA710N,AS GPOVIDED BV SECTIdJ]70o OF T1E UBdi COOE,FOqTHE FERFOFlMANCE U � OFTMEWORKFORNRIICNTHISPEiWITI51S5UE�. � � � 1�'I HAVEAND WILLMAIMAM WOIMER5CdA0EN5ATqN INSUMNCE,AS PEOUIREDBY SECTION �ti Q � �7oa OF TNE LABOR O00E,fOR THE PERFORIAANCE OF TNE WORK FOR WHIOl iMIS iERM1T 15 ��Q 65UED.MYWORKER�'/C–OMPENSTiONINSUMNCECARRIERANDiOIICYNUAIBERARE: CONSTRUCTION c7 � juqa¢p �Qw�� -- -� PLAN REVIEW ��� . . . . � POIICY NUGBER__ � ELECTFiIC . ���^CI•U II 0 (i1LL55Ecr1our�EIDnaiBEaO�d�E7EDOc11EGEw.�rlSroaa+EH.►�r2DDcu/1As(s+oclOntESS1 PLUMBING Jy�V 1 V O Z ICERTFYi11ATMT1IEPERFORIAANGEOFTIIEY/ONHFORNmIp1TMI5iEfWiiRI55UED,1 MECHANICAI �_y,vv (,'} 51UI1 NOi EMPLOYMlY PERSCN Pl M1Y MAFNER SOAS TO BEGOM[SU&IECT TOInE y YYORKENS'LOFAPENSA7qNUW50FCAUFORNIAµD�GREETWITIFISHOIADBECOME INSPECTIONFEE SVBJELTTOTMEWt7RKER5COMPENSATIONPROV15qN50F5ECTqN� O.fTHEUBOR � cooe.� IUL FORTM1NTI COMVIY WIT/TNOSE VFOV15 –�,����-�'i I!- ISSUANCE Z. �I b�,rJ 0 on�: �� � APPLICANT:_��,��� [ SMIP � I�1 w ENERGY P/C ' WARNINO:F�4URE TO SE WRE WdiKERS'COMPENSA7qN COVEMGE IS UNLAY/FUL,/W D SMALL BE /� � 6UBJECiANEUPLOYERTOLRu1WALPENALTES1Vi0CMLFWESUPTOONEMJNORLDTMOUSAND ENERGYPEHMIT � � � I�I77� DOLURS(f l00,000),N AOORIdI TO iHE COST OF COMPENSATqN,DNAACES AS PNOViDED FOR IN � SECf70N77000FiNEL�➢ORCOOE,INTERES7,ANDATiORNEYSFEES. FIETENTIONFEE: I��� � O CONSTRUCTION LENDING AGENCY PRE-ALT FEE: , � INEREBVAFFIRYUNOERPENNTYOFPERIURYTHATTHEREISACONSTPUCTIONLENDINOAGENCV M Z FORTMEVERiOfWANCEOFTNEM/ORKFOR ICHTHiSPEWAITISI35UED�5EC.�0aT,G1Y.G�. ,� �l LU , � LENDER'SNAME� � - � ' ���1 �� . C LENDERSA��RESS . W ICEHTiF'lTMATIHAYERFJ1DiH15APPLICATqNANDSTATETUTT7LABOVENFORMATqNISCORRECT. TOTAL FEES �"�� y7 . : �33� � I AGREE TO COMPLY M7TM ALL CT'ANO COVNN OMPIANCES AND STA7E IAwS NEUTINa i0 BUIIDING . CONSTRUC'fION.ANDMEREBYAUT1qN2EREVRESEMATNE50FTHISCOUNTYTO TERUPONTHE . � �BOVE�4EMIDNEOPROPEN7Y O NSPE nr+vuavosEs. COMMENTS � �Q l�� �� '��'r � J m . 4 DERMi W1M-(P 1 � � �/� . . . ..�� p . . . . . � . tn YI -1� y SIGNATUNE F WAITTEE DATE � RECPL NO. PAID BY _, ALIDATION � WHITE--Dapertment Copy.YELLOW—Fnance Capy.PINK—Aesessor Gapy.GOLDENROD--File Copy,GREEN—ApplicanCs Copy � . , , , . . .s . ..., :�, �r +•� •�,, i, . . ..._ . � . , , . °i , . , . _ . � � . . . . . .. .. . . .. .... . .. . �� . . `�i'� a'.� . .t",�i , , . . . .. (1�� CITY OF DIAMOND:BAR ; �.�. ;�.��;- , .... .,.. , ..... ._.. ... . . ........ . . . . .,,r. : . .. . � � �\ ,� t .; ;_�: . ..'INSPECTION RECORD.;' :' . ..� .. .� ' � .. " : . `-., `', 1�� . ,- . _ .. c+ e � s - • � � � - SET BACK .. . , _• + - .. � FLOOR JOIST 'i�;.��_.'� c.i'.,� 1�•t+�!�'i 1•�'��.�'s :=:.=.. = FTGS/FORMS/STEEL �r-. FHAREQMTS - ��,; �-:.- ,_� _._ . ..._...._. _..: - ELECTRIC GROUND.-__ . �l " - �. UNDER FLOOR DUCT: , ..i; ,= ;,�;; �'� �, ,��,; ;�„;=, � ' � , GROUND PLUMBING ���8' ' ' � UNDER FLOOR�CU�IDUIT �r�+ S�t; '••..�••1 • � ��;-�� -�'� ; � . . ' ' SLAB GRADE---- � � �� FIREPLAC�FOI�NDATION �� - '= t f ' ' �''„_i:� '�� , i � TEMP POWER -. � -- `' . � . ' FIREPLACE BOND BEAM . . , t,_.� . . . :, .. , _ , .. . _ . . _.. __..__ .. ._ _ ... WA7ER SERVICE- .=: -- /1 . �MID HT.BOND BEAM '" '��`��� ' � l`�„ -�.-� .. ROOF SHEATHING `�� - �'J�`� i �f�'"' � 8 FT.BOND BEAM ; FRAMINGNENTILIATION / f� - FINAL BOND BEAM � • � � ROOF COVER - PRE-GRADING � R0t1GH HEATING -- -- � � - �--- BENCHING - _ ROUGH ELECTRIC : � - : �;,, : � ROUGH GRA�ING ' ROUGH PLUMBING- - - - . ' -� �.. FINISH GRADING ,. ' SHOWER�TUB TEST; � f , � POOL ELECTRIC • � EXT.IATH/SIDING � �� POOL FENCING - ' ' WALL INSULATION POOL FINAL • � CEILING INSULATION �/�� OFF SITE IMPS. - � . , . DRYWALL NAILING . � -�� �5��� t DEDICATIONS _ SEWER . .-.-- - .-- . . //J/ v _ _ _ FINAL ENG. , : SEPTIC TANK. - -.: - � - ..- . LANDSCAPE/IRRIG. , ' ! SEEP PIT/L.L: - � � l� � ' � - ON SITE IMPS. I . , ,, GAS AIR TEST-- - - �� � FINAL ZONING �-• FINAL CONST.• ---- - � FIRE DEPT. FINAL - � ` � •. FINAL HEATING - � � - - '- HEALTN DEPT. FINAL FINAL ECECTRIC -�- - � - DEV. FEES PAID � - -- FINAL PLUMBING ��si � ENERGY � � � � • , �� _ . � � � • ' �` r(i� -----_ .. -•-- --- ___ ..._ .. .. •�- • .. . , ';. -�+- - . . . .. � . .. . . C�MMENTS -- - -- - � � � � --�- - - -. -- . , , j . _ . . . . . _ . . . . . _.. , , .. " ►' ,c;l'1 . : , . : ,� : , .. _ ti � �.: � t . . . ; . ; , . ,; . .�,1' :)� .\ � .� llc � � ( ;J �iJ�:.i ' . , C ► . . �. . - . . . • ' • � � ... , (.� '� . .. . , � _�.1�� .C' ' {` � �•1�. 1 � '��. `.l' , � ','..f: 1 �Cr( ' ' .�.: ' . � { ' ' , ,♦ _ .. . 'J _. . . . . . .. . J.0.�.1'( . . . S�P7fC TANK SIZE - _ .. ' ! i . . . - SEEP PIT/U SIZE � . - . , f�� F.� . . � j ' , . ..' ...__ ..._._„ � , � .; � - �}� � ,- -� � -•--� ,_.- .. , . , ' ' . _ .. � � �`�_t -�� . , � , , , . . i �/_ � . . � . i ' �. � t,'��,��1�; �'�.: �, � :i f t • '1 � �!(� % <-- --. . � .l .\ • :�, �_ -- � .,�__ . � ... _ . � . . � � � .. "l �(' _ . -+': � ��J ; , . '� . '