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HomeMy WebLinkAbout12-1943 _--- -- - � L'�,.�\; ��-� � �� CTI'Y OF DIAMOND BAR ��'\ �: �� - DEPARTMENT OF COMMUNITY&DE'VELOPMENT SERVICFS J M. � 2I810 Copley Drive,Diamond Bar,CA 91765 (909)839-7020 Faa(909)861-3117 Building Inspection Hotline(909)839-7027 PRESS `^� � •BUILDING PERNIIT APPLICATION • FIRMLY o� JOBSITE Z?G4- ��I�IL�N �QQt� RA DAT�ECATION�L O� lv NUMB R v�l���/C AODRESS � ISSUE TYPE p(� OC APN LOT TRACT DATE � CONST.�OI�v_� GROUP � OWNER O ADD SS � ZONIN(i SETBACKS w FRONT RW O � � CITY � ZIP TEL. REAR � o APPLICANT T�- SIDE/SIDE STREEi RW ❑ � CONTRACTOR SIDE ❑ � ADDRESS PROPOSED USE � �I r- o CITY ZIP TEL w ARCWENG/ w DESIGNER Np,DWEL. NO. NO, Q ADDRESS UNITS STORIES BEDROOMS � CITY ZIP tEL I � DESCAIPTION S�.Ff. FACTOR PSF ADJ.AREANALUATION � ' ONMER-BUILDER DECIAFlATION SFFVADLYREM . . 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[[ iHfldlfYl W 3 OH HER ONM EMROYEES.7ROVIDED iiUT 8Ua BAVROVBakMS ARE 1q1 VRENOED OR . .. ' � - . , . , . , .. . , . , l�U OFFEi1£OfbA9KEff,N�NfiVERTIfiBURDW�OAMPROVEM@lTISSQDWR/YN01&YEAROFCAYi�E � TqN.TME ObVNERAIKDEN 1VRL HAVE illE BURDHI OF V�7JR�ililR HE Oii 811E WD IIOT BUIID OR . . , . . . . = W Pi10VE FOR THE PUROOSE OF SAIE} � . :" ' � . . � O 4 A9 OVA/ER OF T11E PROPERT`f.AA1 IXCIUSNEL'I CONTHACT710 WfIH IICBi9�CONTMCTOiO . .. m cor+stavcr n�vr+a�cr�a[c.�.eusp+ess ivao vrvcEae�oHs cooE:n�carra�cmAe u 'Veluatfon � ',�ADJ.AFiEA cou�uw ooes rar�rv�r ro,w awr�n oF�vnaro�TrwHo ein ne oA o,�rAovee n�r�ar�eno � wH000rrrn�cTSFoasuv�v�crswrm�carrructonl�l�o�aennuraurxrron�oor�ra� OUANTRY DESCRIPTION FEE . � TOqSIJCEN4EUW.} .' �J ' Q ❑1 AA1 EXEMPT INAER BEC. B.L P.G POq T1S RFJ190N Q _ . . � U � r' -�.>... ¢ r" u" DATE L OWNER . U - . . ..�f y.. Z . � UCENSED CONTiiACTOH3 OECLARATION � ' ' ' . ` [L 1 HEREBY AFFIRIJ UPDER GENALTY OF PEiWR'I 71fAT I AM LICETISFD lYW ER OROV13qN9 OF CHAFTER � � � '.r . . . . X o(ODMMENc:wo wrn+aECT�oN 70001 ov orvraqN a oF n1E eusn+E�s,wo rRocEssaHs oao�Aqo Z LLJ �tICEN3E IS Ci FlAl F�NCE AND EFfKT. � m . � 'llCENSE ClASS . . . L1C.NO. � . F– � ..W DATE CONTMCTOR� . - � . . . . � '�' WORKERS'COMPENSATION DECLARATION � , � �" ' _ _ � I HEREBY AFFOMI IdIDER PBW.TY OF VE0.R1ilY ONE OF T1/E PoILOWNO DECLAMTIOHS: , U I . � 'M� . ��' _1 HAV6 AND YNLL MN!lfAM A CER71f7CAT6 OF �q B��MOiA(fA8' . �� cawaersaioN.�svAovw�vereecrarr»��mo vEdwrS��+' t.� ��`��' < ���' ,? .+'..1.�'��'d.�! . . OFi11Ew0111cPORVM10fiMSPERNIt�s�88vED.,,• �'• • � �� . 0 _I HAVE NJO Yl111 AURlfAPI YlON(ER3'OdAP£NlATId1 AtSUN�NC6�S REWIR�BY SECTION Q �700 OF 7HE IABOR CODE.WR THE 7ERibRAIANCE DF THE Nb1Ct FOR NM1CO�ri/q VEiaYf 18 . �n.�nrwowcvesooe,m�nonasurw+ceeurwEA�vmvarcYeuweenu� CONSTRUCTION �. � cutAiEa , , PUW REVIEW. � � POLIC'ItAJMBER� . . . . . . '��EC�C ' . . , � . . . Q ' (RU98ECi1CNNEIDNOT8EQJ1.ilPIHSOFt1EPEfMTIBiaRRiEMl�f�0011AiBp1m10Rt�,41 PlUM81►JCj . . . . . . Jj Z .I CERTIFY iHAt C17HE PEFFOHAIANCE OF 7HE WORK FON WH�Q1 h11!PERf11T q ISSUEO./ �CHAP�IC/1�. . . . . � . . . (� 31W1 NOT EMOIDY ANY VER30N H N11'1.IMPlER 80A1 iO BECOM6 6IAlEC7 T0 711H'. .� . . . . � � . �WOFlKEPYeOMPENSA7qNUw9aFGL�PORMti�NDA�REEiHATF16HOULDBEODME INSPECTIONFEE � � � � � ' s1mlEcr ro n+e wbmEAs couvtrts�lnoH vRov�snHs oc secr�o+»oo oc n�E l�eoA � . �7 � p coo�.i sruu carrNwrrr�cor��r w�n�nasE vnannsaNs. .. . ISSUANCE - — - � l p onTE: 'aFvilCAlri: � . . �SMIP , '�j Q � wAAHINU:FMNtE To SECt1RE WofiKERS CONiENS�TqN COYEM6E q UMAwFUi.ANO 9MKL B@ ENERGY P/C .,, � . � sua�cr�w�v�oren To cnn+wb.ver+Kt�Es�wo rna.��uv ro u+6�o n+ous�w ENEROY PERMIT ' OOLlAR3(f I Oo.000�,W IODRION TO iHE COST OF COMOBISA110N.OMIMEB AS PROVIDED fDR PI J BECTION]7M oF TtE tA80i1 cODE IMERES7.AND AT7otW E`PS FEES. � � RETENTION FEE: . . L � . � CONSiRUCT10N LENDIN(3 AGENCY � pAE-AL • ' O � /l.%vl.Ji. � I HEREBY AFFlRM UNDER PENPLiY OF PERNM TiAT THERE IB AOON8Ti1UCT10N IENONO AOENCI' /�1 R�1 . Z fOR 7HE VEAW(WANCE OF 7HE WOPof FOR WH1CN TNI!PEtiMtT 1919SUED(SEG 7W7.CN.F} W � LENDE�iS nM�E . � . . � LENDE0.'9AOORE94 ' ' � i cem�r nu�r i�r�n nra�vruc�TaN�wo ar�re nua nrfi�ewe r�caw�non ro eoa�ct TOTAL FEES �• �?/3• � 9 a, i�E To couv�r w�ni�u.cm N+o oourtr oAoe+µcee,v+o ararE uwa ree�ma ro ea nwo � CONSTRUCfION.ANDHEi1EBYAlff/qi11ZEREPREBENTA71VE80FTHSCOIMfYTOBIfERUPd1TH6' �.. . . Z MEN110NE0 PADDEATY FOR[NSPECTqN PURPDSEB. . " COMMENTS � �ern��►�a (�a,�.a = v�mee e lxvr+rl ��/'7 � ,O m � ���� � � � RECPi.NO. PAID BY V/WDA � WHITE-Deperbnen[Copy,YELLOYV--finanoe Copy.WNK—Aeseseor Copy,60lDENROD–�Fite Copy:oa�p�a,ws covy ��'�''� �� P.�i��➢C��l� ���3 � , ._-. � 9v�3����'���i �3�����} , � � � � �-,;�� -„����; 3'.. �' �. o.�.., t ����� L��l,1zC,, a .,�x �,tt;, ;,�- n ��. .� m <, s � :� �j '� a � SET BACK---- --- ---I — ---- . FLUOR JGIST ----- ---- -- -------- -- — -------- --- FTG</FORMS/STEEL � FHA REQh�TS ------------�---�--��------- ----=------ --------- -- --.-._ ---- FLEC_TRfC GRGUPJQ � ___� UNDER FLOOR DUCT GRGU�dD FLU�b161NG � UNDER FLOC�R CONDUlT SLAE3 GRADE �— _ FIREPLACE FOUPIDATION TEP.�P POWER I � FIREPLACE BOND BEAM WATER SERVICE I �vliD HT.BOfJD BEAM ROOF SHEATHING � �8 F-I".BOND BEANI FRAMINGlVENTILATIOIJ FINAL B�ND EEAfvt ROOC COVER � PRE-GRADING ~~ ^ ROUGH HEATING � BENCI-f1NG ` ROUGH ELECTRIC � �ROUr GH GRADINC, ROUGH PLUMQIP•1G �F�NISH GRADING SHO�/�'ER/TUB TEST POOL ELECTRIC EiCf.LATH,'Si�ING POOL FENCING bVALL INSUTATIOPI POOL F1NAL CElLING INSULATION OFF SITE Ilv1P5. DRYW/ALL NAILIMG DEDICATIONS � � SEN/ER ---- —------- ------- -- FINAL ENG. ------ -- . SEPTICTANK LANDSCAPEIIRRIG. SEEP PIT/L.L. -�------- ^ — ON SITE IMPS. --- -- - — -- GAS AIR TEST ' FINAL ZONING FINAL CQNST. fIRE DEPT,FINAL fINAL HEATING HEALTH OEPT.FfNAL FINAL ELECTRIC ` DEV.FEES PAID ' FIN,4l PLUNIBING ENERGY FINAL PLANING F1NaL ENGlNEERING ^ • � m COMMENTS �-'/ �I 4 �� __ -_._._�-�._j�_�_ --�1���-_ _ _ SEPTICTANK SlZE " SEEP PIT/U SIZE ----- �"-- �-- '— — � ' -- -- ---- �,� ,� ------- a — —