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HomeMy WebLinkAbout11664 (5) CITY OF DIAMOND BAR � --J� � DEPARTMENT OF COMMUNITY&DEVELOPMENT SERVICES � . � 21660 E.Copley Drive Suite 190 (909)860-3195 Fax(909)861-3117 PRESS : � ���*". BUQ.DIIVG PERMIT APPLICATION • , � FIRMLY , � JOBSI7E � ,o/� � � APPLICATION r,-�-. �PERMIT..�/IG/ P!C �j o ADDRESS____I 53 � �irtil�-'-7T�-Q L�'4'NF_ . DATE �\�"�• 'NUMBER�/ r� �I �7/r7� � ISSUE 1YPE... •:; OCC APN •• +'LOT� RACT L-Z .DATE �'• 'CONST.��� GROUP g' "OWNEFi 1 `C . ; p ADDRESS • 1 ZONING� ETBACKS- -�:`=� .: ;,. ::• _;�. w FRONT � `` -- ,� ' ' '• RW ❑ CITYC�"Il�r MO[1� • ZIPq�bLbTEL�/ U � REAR ' .' ..:,;.. ;.. ., � APPLICANT TEL. � SIDEfSIDE STAEET .. RW O CONTFiACTOR �2P C�IJ�- SIDE p ADDRESS � CITY ZIP TEL PROPOSED USE s F L 3 o ARCHlENG! / •,� , , . � DESIGNEFi h�a�4 S���/V !J 1'L�'O� � NO.DWEL NO. ' NO. ADDRESS ��q��q�� CfTY ZIP TEL?���5,�,�y�+�l/ UNITS STORIES BEDROOMS . � tn DESCRIPTION SO.FT. FACTOR PSF ADJ.AREANALUATION � p� . OWNER-BUILDER OECLARATION ' .' � ' . .. 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S •�CpwENCHOWITHSECT10N70o0)OFOMS�ON]OFiHEBU5iNE55MIDPROFE5510N5CO0E,ANU Z ' �X��� MY UGENSE IS N FUl fORCEIWD EFFEGT. m . � LIGENSECUSS LIC.NO.. �41� 6 � ��j DATE � CONTMCTOR � � a W � WORKERS'COMPENSATION DECLAMTION a � IMEqEeVAFSIRMIMDERPENALTYOFPEiWih'ONEOFT}IEFOILOWIlMDECUHATICNS: � Z � � ' ' ' � � � _IHAVENAWILLMAiNTANACERTIFlGATEOFCONSEMTOSEIHNSUREFORWOi1KER5 = COMPENSATION.ASPqOVIDEDBYEECT10Ni7DOOFTHEUBORCOO�fOR7HEGERFORAI.WCE W Q `' OFiNEYYONKFORYn11CT1TM5GEWA�TI5155UEU. � ,�y�1 NAVE M1D WILL 4APRAIN WONfERS COMVENSA710N MSUHANCE,AS REOUIRED BY SERiON q �]7000FTHEUBORLOOE,iORiHEVERFORMN�CEOFTHEYlDRKFORNMICHTHISPERMITIS /j Q c ISSUED.WriORKERS'COMPENSATpNINSURANCECARRIERANDVOLICYNUMBERAfl[: CONSTRUCT�ON � 7 I� �v O � uaa¢a G�l?�.1✓} CLANREVIEW �_Z-Z<���� - � � POLICYM11J8[R���'LlF C� ELECTRIC . p (ness[crn+r+[IDr+ote[mr.�naFnEvwats�aac�n�+maruusR�aMa+tEss7 PLUM6ING � � ICERTIiY7HATNTIEPEHFOfiMlWCEOFTHEN'ORKfOqWHICHTMISGEW.11TI515SUE0,1 MECHANICAL C7 51uLLNOTE/dPLOYANVPER50NINANYMANNER50ASTO8ECOME5U8JECTTOTIE � (�j WOW(ERSCOMPENSA110HUWSOFCA��FORNIhµDACREETMATIFISNIXADBECqAE INSPECTIONFEE S - SUfl1ECTTDTHEMIORNERSLOMPENSATqNPROVI510N50F5ECT10N77000FTNEUBOFl � �� � � � � � eooe,�sw�ur n+cw�a�rwm�nasernrnns �s. ISSUANCE I I � � ,SMIP . p Dn7E: APPL�cnrri: .. . � ENERGYP/C �� ��' W�RMNO:FAILURE TO SECUHE WONKERS Cp.1vfN5ATqN COVFMGE IS UNUWFUL AND SwU.L BE ' � SU&IECTIWEMPLOYERTOCWMv1ALPEW�LTIESANDCMlFwE5UP700NEMUNDRED11qU5M1� ENERGYPERMIT - � 3 DOUMS(f f00,00D).N ADDITION TO THE C0.STOF COMPENSATqN,DAMAGES/l5 PROVDED FOR W � SECTpN770lOFTHEUBONCOOE,NTENEST,/NOATTORNEYSFEES. RETENTIONFEE: 1y�O a"'�. CONSTRUCTION LENDING AGENCY PHE-AlT FEE: 4 � � IXEHEBYAFFIRMUNOERPENALTYOFPEP.R1RYtHATiMEREtSACONSTRUCiIONtENDINOAOENCY FOR THE CERFORMMICE OF n1E WONN fOR NMIf71 iM5 GER�11T IS ISSUFD(SEG bo7,CIV.G�. - � , � IENDER'S WWE . . __ . . � IENDER'SADDRLSS �/- W ICENTKVTUTINAVEREADTIISMVUCATqNANDSUTETUi1HE/�IIWENFORYATIDNISOORNECT. TOTAL FEES �� ✓ ��� %� �� , � IAQREE70GOMiLYWRHN.LGIfYANDCOUNTYORD�NANCESANOSTATEUWSREIATHOiOBULDIN4 CONSTRUCTION.M.mHERE6VAUT1qRIZEPEPRESENTATNESOiTHISCOUNiVTOfNTERU00NiHE , . , S� �BOVE#IEHTKJNEDPROPEflTfFOi11N5GECTqNiU es. COMMENTS � �DL/�st.� �/G//� � ; m PERMRTEE NAME(PiU1(T) � _ . �� '�4 SJ/��� (n SqNATVREOFYERMITiEE j DA� � � _ .. . . . RECFi.NO. PAID BY V/WDATION WHITE—Oepartment Co(ry,YELLOW—Finenee Copy,PINK—Asseasor Copy,GOLDENROO—Fila Capy,GREEN�11ppliranYe Copy• � �� � . . . .. ,._ . . ._. ,_ .. _ . .. . �. ,� . . . . .. , , _ , . �. , . .. , . . �; . . . CITY OF DIAMOND BAR :�,;-;:; �,� . ;.� _ . _ . . . .. . . ::.� : • �� ` `-. .::: � ' ` ��'INSPECTION RECORD�. "' ' :':... � _ �, . _ . , �:;: ... . . �;,. . . • � � • - • � � • ' SEfsBACfC� � ' . J , � � �:; . FLOORJOIST:�,;.�'�. (��;� „-:�I���. � t':� � � .. 1• �' � � FTGS/FORP�AS/STEEL '� , ' ���� FHA REQMTS ._ _ _. _... ...__._...-. --...---. - � �- c i : ELECTRIC GFiqUND.:"... � ='• ;� � ~ . FLOOg�If t � ,. —�•,.1� . GROUND PLUMBING �,-ly '/' UNDER FLOOR COMDUIT�� �s� � ; 'a;�,��� .�_ :=-_;:.'► " I :" SLAB GRADE �--� - 6 � ' FIREPL'ACE FOUNDA710N= ` '� �� ` � - - '���''� '�'=-! � i �. ' `. '� I FIREPLACE BOND BEAM - - � - �- - � � TEMP POWER---._ `. _ ' - . . __.'.__ - ��•_:.. �;'J �•� � ,� "� � i WATER SEAVICE •-- -�._ , � - : � � -� �MID HT.-BOND BEAM - '�" � .� _ . .. ROOF SHEATHING - - � _��� _ `��- ' � � 8 Ff.�OND BEAM • ;. I � � FRAMINGNENTILIATION o� � cR' - FINAL BOND BEAM ` � ROOF COVER:` '� PRE-GRADING � � -- � � � � ' ROUGHHEATING---:---- p � ; _ . . BENCHINC\'�:�c,4�tC' � .-. -. --- ','�. , ROUGH ELECTRIC-- -- � � - ROUGH GRADING -• . - - AOUGH PLUMBING :--- --- - � • ,L-: �-� - FINISH GRADING -SHOWER/TUB TEST� �o� �p � � � , POOL ELECTAIC ' . i EXT.LATHISIDING : p 1y� POOL FENGING WALL INSULATION , ,i,6o POOL FINAL � • CEILING INSULATION �� OFF SITE IMPS. " •• DRYWALL NAILING / � ��' DEDICATIONS . � SEWEFi- _ _.. ._ / F� -- FINAL ENG. , . . . . - - SEPTIC TANK - - � .-.-- --.- --.--- � -_ . , , � ., LANDSCAPE/IRRIG. ... , , :. j ; . "' ' ' 1'`'-.=.. ON SITE IMPS. - , SEEP PIT/L:L..; __:-.:.- : . . _ — . . , , GAS AIR TEST; --- --- O FINAL ZONING • � - � � : : ffNAL CONST:,--- - --- •/ FIRE pEPT. FINAL - - ' ' • FINAL'HEATING- ��� 7 �- - � - � HEALTH DEPT. FINAL ; _ � FINAL ELECTRIC - - -- - � �-� -- � DEV. FEES PAID . - FINAL PLUMBING � ENERGY. � ' r - . � r 9 � - - �_. , . \ � . , _ .�,�. . , COMMENTS - . ; . � . _ .. - - ---� -- . - - - - � , , ; ,_. -- _ . ... . � : , , . , ; . _ . _._ ... - _ . . .. .,. , . :-� � . ; .. . . , �� � �� ;�1 . , .. . _. . _ . . . . - � _�+ � - -�;. ._ . , *�,_: �� _ + ;- � � � ; ;;-, ; ; �, _ . ... ...... , , : . . �- . _._ _.. _ ... .._ _ , , , � . �►�• t �� _ . _ _. _ - ' , . . � '.1-,1��`�` � ( ! `, li '\ . .\ ,\� • i - .; ,•;. _. . :�� �� , Y�f�� - . ; ��. . - - . ' `' � ' "` � ., SEP`IC TANK SIZE � � ; , . - - � . , 8EEP PI7/U_SIZE - - , , . . . -� _ ' . ; . _ - - . ._ . � , , � ='- _ _ � � ;� -_ ... � - - . . . _ _ f =. ,�� � . -; - , _. , � . . . , � � . � . j � - _ . .\ . . � l , � ... . . , _ .. . . _ , . . , . � . ., - � _. _.... -- - _. . :\ . l— c� , . . . ��_. : ._._ .� ,�� . . . i � _ ,�� ` ��� .. ., , _s-, �. , `� t `..��\ i ; , . I