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HomeMy WebLinkAbout13354 (27) . _ . ... ._.. _. _. _ . _ . - - _ � �,� CITY OFDIAMOND BAR DEPARTMENT OF COMMUNITY dt DEVELOPMENT SERVICES r' �� . 21660 E.Copley Drive 5uite 190 �� � (909)86a3195 Fax(909)861-3117 PRE$$ ��s�'�� BUII.DING PERMIT APPLICATION FIRMLY 4 D RESS IV � �C l/��'IOs1�OL.L APPLICATION PERMR 2 P/C p OATE NUMBER � N ISSUE (} TYPE OCC � APN LOT_� TRACT � �7 DATE '—�'I CONST. GROUP g OWNER /� /�-�� ADDRESS O �1/� ZONING SEfBACKS �W C17Y N/'�- Ov ZIP TEL REAR Rw ❑ APPUCANf TEL��� SIDFJSIDE STREET RW O � CONTRACT R SIDE ❑ g ADDRESS PROPOSED USE��1�' O CfTY !� ZIP 41 .1 TE � ARCH/ENG/ • DESIGNER NO.DWEL NO. NO. ADDRESS UNRS STORIES BEDROOMS � CITY ZIP TEL. N DESCRIPTION SQ.FT. 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B.tP.GFOFh11SREA50N U I�� 3 � u' DATE OYVNER � Z W � LICENSED COMRACTORS DECLARATION w � IHEREBYAFFIRMUNDfRPEN+LLTYOFPERJUpY7HAilAMLICENSE�UNDER7NOV15qN50�CMAFTER V, �(WMUENCNOWfiMSECTiON7o0o)OFDMSION70FTlIEBUSINESSAN�PROFESSiON4CO�E,ANO Z W LICENSE IS W M.L F(+RCE IND EFFFCT. m � 110ENSE CIASS LIC.NO. � 3 �j pATE CON7RACTOR � a W � WOFiKERS'COMPENSATION DECLARATIOY a = U N IHER[BYIIFFYWUNDEHiENlLLTYOFVERNNYONEOFTNEFOILONCNGO[CUMTIONS: N Z Q � _IIUVEANDMALLAIAM7AINACERTIFICATEOFCONSENTTOSELFaNSUA[FORYWi4cER5' 2 C04PENSATION,ASPFIOVIDED9YSECTONl1000F7HELABOHCOOE.FORTMEPERCOHMMILE U � OF TNE WORK FOR wMK,1f iHiS VERuiT I5155UED. � G HAVE MD YNLLYAIHiM1 WOiMERS'COMPENSATION INSURANCE,�S REOUIREO BY SECTIJN � 770o OF THE 1I80R OODE.FOR THE PERPoivAANCE OF TME WOi1N FOR W11tCN T111+PERMR IS ISSUED.WYJOPo(EASCOYPEHSATIONINSURANCECAANEHANDiOL�LYNUMOERAAE: CONSTRUCTION _ juanien -- - - - PLANREVIEW . .- - � va�cvnuwe[n ELECTRIC o mssEcrcNn�rvteEoor.stiErIDCFnfvE�s.�rsaoaor[µiwnmoatu�6��lontEssl PLUMBING z V 1 tERT1iVTHAT NTHE VERFORMMICF OF THE WORI(fOP N�MiCN iN15 PERMIi LS 65UE0.1 MECHANICAL (iy SHALLNOTEMPLOYANYPERSONNMIYMANNERSOASTOBECOM[SU0.IECTT0117E � WORKER$'CpAPENSAT10NU1Y50FCAlIFOWJIAAN�7AG1iEE7HATIFISMOVIDBECAIAE INSPECTIONFEE S SUBJEGTTOiXEWORNERS'COMPEN^ATqNV NSqNSOF5ECT10Nl70oOFiNFUBOR ISSUANCE CaDE,ISHALLFORTMVATMG06�PLYIMTH /yE�PROVIS�ONS. ��J" w DATE: APPIJCAt�1T, r7��-/ � SMIP ••� W�RMNO:iALUR[TOSEGUAEWORKENS'COMPENSATIONCOVER�GEISUNLAWFIA�ANDSWLLIBE ENERGYP/C �� r ,�-iT � SUOJECTANEMPLOYERTOfA41wAl.VENALTIESANOCMLFINE5l/P700NE1MAHE07F10U5AMJ ENERGYPEFiMIT \ �'�� pOLLAFiS(f 10o,0oC),N IIDOITON TO THE COST OF COMPENSATqN.0�1.1ACE5 AS VROVDED FOR W ¢ SEC770NnaaOFT1ELABORCOOE,INTERESLAND�ITORNEY5FEE5. � RETENTIONFEE' � -'�L� •.� • pW., CONSTAUCTION LENDING AGENCY PRE-ALT FEE l���Al'~�?,, � IMEREBVAFFIRMUNDERVENALTYOFPERAIRYTHATTHEREISACONSiRUCf�ONLENDINCACENG'( -T.�vT �'` FOA TME PER W W/.ANCE OF iHE WOPoC FOH WHid7 TN�S OEHIAIT�S ISSUED(SEG]007,CN.C.�. � .�S'�`F,,,�`� � � LEHDEN'SNAME =�t`.v C LENOEN'SADORESS w ICERT�NTHATINAVEREADTUSAPPLIGTIONANDSTAiE7HATTMEABOVENFORAlATIONISCORRECf. TOTAL FEES d IAGREETOCOMVLYN7THALLGTYANOCOUNT'OFiOPIANCESANOSiATEUWSREUTN�iOBUILDINO CONS7RUCilON.MID HEflEBYAUTHORIZE HECRESENTA7IYES OF THIS COIXiTY TO ENTER UPON TME . Z ABOVE�Y ONED PROPEiRY FOR wSPEttION VUPPOSES. CQMMENTS � � 0 � � m P fTTEE L(PR1HT7 Q y y SIG UREOFPERMITfE �tE � PECPT.NO. � PAI�8 VALIDATIO WHITE-0epertment Copy.YELLOW—Finanoe Copy.PINK—AssessarCopy,GOLDENROD—File Copy,GREEN—ApplicenCs Copy .�.. . ., �. ..� . �.•. .,. �.... :. . .. . � �. � .. .. .y. . .. . ' ' � ' . . . .. . ..� . .� . . ' . . .. f' . s . ... . .. . . - . . . . . , . . . . . CITY OF DIAMOND BAR . . � ' � � - . . ::..ItdSPECTION REC�P,D �: . • � --.i1►;�7.':a.. �ti�.�g1►�.� io Cr� i � ' �e��r.c "� . ��i���;�;c�`�stca�+�- .,sp��{C- . ��y'� �'��c � � ...._..._.:_�'`._...:.� __.. �'^._._._ � ��.r��..s�; ��...� �:' ..._ �.,___- . !�4.. ..�..r1. �:.� _... .SET BACK • T! � -.� I: � ~ FLOJR JOIS�T._�.,`; ' ._.�.` f r;(`�;�_....i_.... .._ �FTGS/FORl."5/ST�EL' � � ,�,_ � , � FHARE�MTS.� `\ � ~ _ ` '. ' � � ., -, , - _ ELECTRlC GROUND . _ . - � "' � =- �: �' UNDER FLOOR DJCT. ••' '` GROUtJD PLU��If31NG UNDER FLOOR CU�,iDUIT, .,. -- �;��' _V= .; .'. �� i ... - �-+=,-5: . :SLAB GRADE - ' FIREPLACE FOUNDATIOP! • • ,•� . - �TEF�1PP01PJER , S� �,r —�-- FIREPi.'AGE'B�ND`BEAhi --�,� `•�, - ':+ �• � ' �VJATER SEAVICE - - - P�11D HT. BOND BEAM"��,'•• • � . `•'�'; . �ROOF SHEATHING - ' � � 8 FT.�iOND BEA!�1 . '' ' �:=�-::`.�~:�� -- • ��?�:,�-, `_ � .FRAP1!NGNENTILIATION I FINAL'6�+1D BEAM + I r RObF CO�.�F_R • PRE-GRADING - �ROUGN N�ATING BENCHING � ROUGH ELECTRIC � ROUGH GRADING - lZOUGH PLU;J;BING � - FINISH GRADI�JG � �: S!-{O�VER.rTUB TEST POOL ELECTRIC EXT. !./',TH.�SIDING - �� -� � FOOL FENCI�ZG � - 1,"dALt I"dSULA'iION • - POOL FINAL ___�_ � CEILItdG INSULf,T10N -" OFF 51TE IP�4PS. � ' • - DRY4VAL.L NAILING -� " - DEDICATI�NS —� ': •. � SEl^JER FINAL ENG. ;SEPTIC TANK LANDSCAPE/IRRIG. � � S�EP PITlLL. 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